Transcript Highlights:

• Okay, we're live. Okay, we're live.
• kind of a menu of services and might be receiving multiple services.
• those services.
• then into service delivery as the waiver goes live.
• those services.

Keywords: 908, all

Summary: The Senate Appropriations HR Division met with all members present to review the medical services portion of the HHS budget. Sarah Aker, Executive Director of Medical Services, walked the committee through several budget items, including HCBS cost-to-continue adjustments, the DD bed assessment, expansion of value-based purchasing, targeted rate increases for home health and QSP services, and the cross-disability waiver. Members generally supported the targeted increases for home health and QSP, and Aker explained that the cross-disability waiver funding would support startup work, service design, and infrastructure ahead of a planned July 1, 2028 implementation. The committee spent significant time on rate-setting and provider payment issues. Members discussed ambulance rate rebasing, with several senators expressing concern that the proposed increase was too high relative to peer states; the committee ultimately moved toward reducing that item to $1 million rather than zero so it could be revisited in conference committee. They also discussed a House-added critical access hospital networking grant and similarly leaned toward reducing it to $1 million. Aker explained the department’s value-based purchasing plans, including use of a vendor selected through RFP, and clarified how the department’s existing Medicaid managed care and hospital value-based programs work. A major portion of the meeting focused on long-term care and basic care payments, including a House-added extension of the $5 per day basic care add-on and a proposed shift in nursing facility incentive grants toward a withhold-based model. Senator Mathern indicated he would bring an amendment to delay or modify the withhold change, and Aker said the department would prefer language that directly addresses whether a withhold may be implemented. Members also discussed 1915(i) services, FMAP changes, the Medicaid legacy system modernization carryover, and a House-added legislative intent section on medical assistance. The committee adjourned for the morning with plans to return later to continue Human Services budget work and revisit unresolved items in conference committee.

Transcript Highlights:

• A digital service.
• I have lived in Florida my entire life. I have lived in Florida my entire life.
• Another comment: I don't work to get rich, I work to live. I work to live.
• Our food service workers, you spoke so beautifully, the gentleman who's a food service worker.
• Our food service workers, you spoke so beautifully, the gentleman who's a food service worker.

Keywords: 999, senate, all

Transcript Highlights:

• And thank you for your time and your service.
• Thank you both so much for your service and your testimony today. for your service and your testimony
• It resonates deeply with the lived experiences of our members.
• Okay, so we are going to transition now and hear testimony on H. 1420.
• When comparing our pay scale to the MIT living wage calculator, 39% of USA members do not make a living

Keywords: 995, all

Summary: The Joint Committee on Higher Education held its second public hearing of the 194th General Court on capital investments in higher education, focusing primarily on H.54, the Bright Act, along with H.1426/S.949 on green and healthy public colleges and universities and deferred maintenance, and H.1424 on capital investment in Gateway Cities. Chairs and administration officials framed the hearing as a response to aging campus infrastructure, climate goals, workforce needs, and federal pressures on higher education, and explained that testimony would be taken from pre-registered speakers in person and virtually. University of Massachusetts leaders strongly supported the Bright Act, describing large deferred maintenance backlogs, aging buildings, and the need to decarbonize campuses while modernizing research and teaching facilities. UMass officials said the bill would help keep tuition and fees lower by reducing the need for campuses to finance capital work themselves, and argued that the investments would improve competitiveness, support research, and create construction jobs. Governor Healey, Lieutenant Governor Driscoll, Secretary of Education Tuttweiler, and Secretary of Administration and Finance Gorzkowicz also backed the bill, saying it would leverage Fair Share surtax revenues for a proposed $2.5 billion in campus investments plus additional targeted grants, and that it would support affordability, economic growth, and climate resilience. Committee members asked about the balance between deferred maintenance and decarbonization, the role of grant programs versus direct spending, the impact on tuition and fees, and how the plan would help campuses respond to federal cuts such as NIH and NSF funding. Administration officials said the proposal was designed to be phased in quickly, with some projects ready to start immediately and others taking longer, and that the grant programs would be structured to include all campuses equitably. They also said the plan would build on an existing financing model similar to the Commonwealth Transportation Fund and could help campuses avoid future tuition increases tied to capital costs. Additional testimony came from MassBay Community College, where President David Podell and recent nursing graduate Deanna Cavazos described the benefits of a new Framingham campus building and said community colleges need modern labs, better planning capacity, and deferred maintenance support to serve the enrollment growth from MassReconnect and MassEducate. State university leaders, including President Mary Grant, President Linda Thompson, and President John Keenan, said their campuses face outdated classrooms, insufficient electrical capacity, and aging facilities, and urged passage of the Bright Act as a long-overdue investment in student success and workforce preparation.

Transcript Highlights:

• a grant to the North Mason Regional Fire Protection Service Authority to increase the services provided
• What this amendment would do is rebase the assisted living facilities.
• What this amendment would do is rebase the assisted living facilities.
• of services to keep our hunting legal and protect our wildlife.
• Transition to kindergarten and our child care deserts? $69 million.

Summary: The House Appropriations Committee met in executive session on a proposed substitute operating budget bill and worked through a long series of amendments before voting on the bill. Members discussed a wide range of budget items, including court funding for Thurston County civil filings, Attorney General funding for a domestic extremism task force, grants for Yakima aquatics access, North Mason mobile integrated health, mentoring programs, poverty reduction work, a proposed Department of Housing task force, federal grant inventory staffing, HEAL Act funding, assisted living rebasing, DCYF family resource centers and pediatric interim care, law enforcement training and equipment, shellfish and birthing center licensing fees, school bus depreciation, charter school accountability, transition to kindergarten priorities, and several Fish and Wildlife and OSPI grants. The committee also considered amendments related to the Columbia River Gorge Commission, shrub-steppe habitat mitigation, and a study on Lower Snake River reservoir drawdown impacts. Debate on many amendments centered on whether items were statewide priorities or local projects, and on the fiscal constraints of the budget. Supporters often argued that proposals would protect vulnerable populations, improve public safety, or leverage future savings and outside funding; opponents frequently cited budget pressure, the availability of existing funding, or the need to avoid singling out local projects. Some amendments were adopted, including Clark 343 on intent to fund up to 10,000 additional eCAP slots, Jones 419 on paint stewardship funding, and Stevens 070 limiting birthing center license fees. Many others failed, including amendments on Thurston County court funding, the domestic extremism task force, Yakima aquatics, North Mason mobile integrated health, mentoring, poverty reduction workgroup funding, the Department of Housing task force, federal grant staffing, HEAL Act funding, assisted living rebasing, the PIC Center contract, the Lacey regional training academy, and several Fish and Wildlife and OSPI-related proposals. The committee then moved to the underlying bill, Proposed Substitute House Bill 2289, and adopted a do pass motion after disposing of the amendments. The transcript indicates the committee ultimately reported the bill out of committee with a do pass recommendation.

Transcript Highlights:

• We also see that developmental disability services are and hospital services are.
• We also see that developmental disability services are and hospital services are.
• We saw concerns with family personal care services in the last year and made some transitions there,
• It's mostly cost of services and utilization of services.
• ACT is a service that we call a bundled service because it takes several services—about a dozen—that

Keywords: 989, all

Summary: The committee heard a budget presentation on the Division of Medicaid within the Department of Health and Welfare, including an overview of the division’s five programs, staffing, spending trends, and the large share of the budget that goes to trust and benefit payments. Ms. Williamson explained the difference between ongoing and one-time enhancements, the role of population forecast adjustments, and why the fiscal year 2026 and 2027 numbers change significantly. Members asked about the growth in the budget, the FMAP match rate, the impact of provider rate changes, and the shift of some positions into Medicaid from other divisions after last year’s reorganization. A major topic was House Bill 345 and related budget changes, including the hospital assessment fund alignment, the 4% provider rate reduction, and the effect on Medicaid expansion and other populations. The committee discussed the decline in expansion enrollment, rising costs in traditional Medicaid populations, and the governor’s recommendation to offset part of the 2027 increase with additional reductions. Members raised concerns about access to care, especially for dental, behavioral health, developmental disability, and home- and community-based services, while the deputy director said the department is trying to contain costs through prior authorization, fraud and abuse work, and policy changes. The committee also focused on the MMIS replacement project, which is in year four of a five-year procurement and is funded through dedicated and federal dollars tied to milestones. Another significant item was estate recovery, where the department requested funding to replace an outdated case management system and add contractor support to address a backlog of roughly 20,000 cases; members questioned the return on investment and asked for more detail on the software and staffing split. The deputy director also explained the federally qualified health center reconciliation issue, saying the state had not been properly paying change-in-scope amounts and is now using a new process with interim payments and later reconciliation. In addition, lawmakers asked about program integrity staffing, the use of AI, and whether the department could better target fraud, waste, and abuse investigations. The deputy director said the department is reviewing AI use cautiously and sees opportunities for it in claims review and anomaly detection, but emphasized that the current request is for dedicated receipt authority rather than general funds. No formal votes were taken in the excerpt, but the committee received the presentation, asked extensive questions, and was told that some follow-up information would be provided later.

Transcript Highlights:

• Thank you for your service.
• , in the 18 years I've been in public service, I've turned into a public service geek.
• Fish and Wildlife Service.
• Thank you for your service.
• I thank you for your service.

Keywords: 1182, all

Transcript Highlights:

• SB 12, SB 12 matters because it recognized the live reality.
• For the purposes of the bill, gender transition services are defined, with certain exceptions, to mean
• services and makes appropriate conforming changes.
• I am a mom of a child who is a recipient of state services and who was previously offered the very services
• Since that day, my family has lived with immense grief.

Bills: SB1095, SB1127, SB1170, SB1208, SB1211, SB1237, SB1239, SB1240, SB1243, SB1244, SB1259, SB1283

Keywords: gender transition, minors, irreversible surgery, health professionals, puberty-blocking drugs, medical procedures, prohibition, Arizona Revised Statutes, reporting abuse, child neglect, mandatory reporting, child safety, medical treatment, faith exemptions, penalties, narcotic drugs, fentanyl, sentencing, drug offenses, juvenile justice

Transcript Highlights:

• But Beth Buxton has transitioned off of the commission.
• We know Nekah Hall has transitioned off of the commission. And Dr.
• Lisa Scarfo has also transitioned off of the commission.
• With that said, I just wanted to transition to a future planning discussion.
• Public Health, our commission, and Health and Human Services.

Summary: The Ellen Story Commission on Postpartum Depression met to reopen its work for the year, confirm attendance, and note several membership transitions, including the departure of Beth Buxton, Nekah Hall, and Dr. Lisa Scarfo. Senator Miranda stepped down as co-chair, and Senator Adam Gomez was welcomed as the new Senate co-chair. Both outgoing and incoming leaders spoke about the importance of the commission’s work, the need for continued advocacy on maternal mental health, and personal losses that have shaped their commitment to the issue. Members discussed priorities for the coming year, including implementation of the maternal health omnibus law, publicizing upcoming maternal health events, and improving information-sharing through a biweekly digest. Several commissioners raised concerns about the closure of birthing centers and inpatient obstetric units, workforce shortages in obstetrics and midwifery, and the need to preserve or expand training slots and federal matching opportunities. Others emphasized the need to strengthen community-based perinatal mental health supports, including Moms Do Care and First Steps Together, and to increase funding beyond the $220,000 appropriated for community organizations. The commission also heard updates from the Division of Insurance and the Department of Public Health about regulatory and reimbursement issues, including a new community of learning for payers, mental health exam reimbursement guidance, and concerns about sustainability of birth centers and midwifery reimbursement. Commissioners stressed the importance of better coordination among OB-GYN, pediatric, infant mental health, home visiting, and clinical providers, with some suggesting a stronger role for clinicians and perinatal mental health organizations such as PSI of Massachusetts. The meeting ended with a motion and vote to create a biweekly information digest, with urgent items to be shared by email, followed by adjournment.

Transcript Highlights:

• Is it maybe necessary to define what a family transition program is?
• It may be necessary to define what a family transition program is.
• It refers to itself as a family transition program.
• The same program is used by the University of Minnesota Extension Service.
• So Senator Castaneda has a live motion with Mr. Johnson seconding it.

Keywords: 908, all

Transcript Highlights:

• those transit systems.
• those transit systems.
• those transit systems.
• those transit systems.
• those transit systems.

Keywords: 928, house, all

Summary: The Division 2 Finance Committee heard an overview and budget presentation from New Hampshire Fish and Game, led by new Executive Director Stephanie Simi and Business Division Chief Kathy Leonti. The agency described its mission to conserve and manage fish, wildlife, and marine resources, and emphasized growing pressures from disease, climate impacts, habitat change, and increased public demand. Simi said the department is largely funded by hunting and fishing license revenue and federal grants, is reviewing staffing and internal processes, and faces critical needs including permanent funding for environmental review staff, infrastructure and IT modernization, and possible service reductions if additional support is not found. Members asked about specific program and policy issues, including chronic wasting disease in deer, hemorrhagic disease in rabbits and hares, moose population decline, and a proposed bait-disease bill. The department said it is actively monitoring diseases and did not see a need for the bait bill at this time. Legislators also discussed the Hike Safe program, which the department said has grown from an expected $100,000 annually to more than $300,000, and a possible boating version of that program, which the department said remains under consideration but would involve complex logistics and multiple agencies. Questions were also raised about rescue costs, out-of-state hikers, and whether boat registrations could be used as a revenue source; Fish and Game said boat registration is handled by the Department of Safety, though the department receives $5 per registered boat for the public boat access program. The budget discussion focused on revenue projections, use of unrestricted Fish and Game funds, and dependence on federal reimbursements. Leonti said the department met the governor’s general fund target but not the Fish and Game fund target without using surplus unrestricted funds, leaving only about $100,000 in the fund by the end of the biennium. She said the budget uses more than $18 million in Fish and Game funds annually against about $14 million in unrestricted revenue, and that five of 193 full-time positions remain unfunded. The department warned that if federal grants were halted, it could cost about $5 million over five months and force the Fish and Game fund to cover the gap. Committee members also requested that future presentations be sent electronically in advance, and the department agreed to do so.

Transcript Highlights:

• There's currently one RTA, Sound Transit, which operates light rail, commuter rail, and express bus service
• Our cities have been working with Sound Transit to nail down a few of the last details.
• Our cities have been working with Sound Transit to nail down a few of the last details.
• Chair, Alex Solano here on behalf of Sound Transit.
• , ensuring our communities have access to jobs, schools, and services they deserve.

Bills: SB5633, SB6279, SB6291, SB6274, SB6309, SB5903, SB6016, SB5820, SB6132, SB6189

Keywords: land subdivision, zoning, property development, local government authority, real estate, infrastructure, wildfire, wildland urban interface, WUI, building code, fire-resistant construction, defensible space, hazard map, risk map, state building code council, department of natural resources, fire marshal, regional fire defense board, roofing standards, exterior walls

Transcript Highlights:

• But they also need to charge rent to pay debt service. I get it.
• This guy was terrorizing their lives. So we got him out there that day.
• agencies to use rideshare services per person last-mile connections.
• Late night rides and other essential services. Last last year.
• Knoller, Pinellas Suncoast Transit Authority waiving in support.

Keywords: 999, senate, all

Transcript Highlights:

• </c> Human Services got the grant to do that. Human Services got the grant to do that.
• They can request a tutor uh live.
• </c> and transit that was uh that we shifted. and transit that was uh that we shifted.
• </c> match to help local transit providers. match to help local transit providers.
• We also transition to an activity.

Keywords: 1191, senate, all

Transcript Highlights:

• </c> people that this has changed their lives people that this has changed their lives for<00:29:15.679
• I live in a small town. We have a shared ambulance service with another town.
• I live in a big town with a lot of ambulances and a lot of need for calls.
• </c> provided psychiatric emergency services provided psychiatric emergency services uh<01:17:09.639>
• </c><02:21:34.280><c> Beyond</c> related or Supportive Services Beyond related or Supportive Services

Keywords: 1189, house, all

Transcript Highlights:

• </c> prevention services. prevention services.
• </c> to services to get those. to services to get those.
• So, with this proposal, we're seeking to transition to a different model, the administrative service
• </c> fee-for-service claims. fee-for-service claims.
• </c> Human Services. Human Services. Madam<01:39:07.160><c> Chair.

Keywords: 1187, senate, all

Transcript Highlights:

• Private entities, which must include a fee schedule for services provided.
• The third program affected by the bill is the transition to kindergarten program.
• It's a lifeline for students living in Grays Harbor and Pacific counties.
• lives.
• lives.

Summary: The Appropriations Committee held public hearings on several bills and took executive action on House Bill 2747. HB 2747 would change how Washington estimates future revenue in its four-year balanced budget outlooks by using the official revenue forecast instead of the current 4.5% growth assumption for the next two biennia. Staff described the bill as a technical change with indeterminate fiscal effects, and supporters said it would make budgeting more realistic and sustainable. The committee adopted a technical amendment and then reported the bill out of committee with a do pass recommendation by a vote of 26 ayes, 3 nays, and 2 excused. The committee also heard Second Substitute Senate Bill 6182, which would create an abortion savings program funded by a new annual assessment on health carriers offering exchange plans. Staff said the bill would generate about $10 million in fiscal year 2027 and about $2.1 million annually thereafter, with most funds going to grants for abortion care providers and some administrative costs for the Office of the Insurance Commissioner and the Department of Health. Supporters said it would stabilize access to abortion care and help low-income patients, while opponents argued it would force taxpayers and insurers to subsidize abortion and raised concerns about oversight, morality, and premium impacts. Substitute Senate Bill 6355, which would create a Washington Electric Transmission Authority to support new transmission projects and related tribal clean energy work, drew testimony from utilities, labor, clean energy advocates, counties, and landowners. Supporters said the state needs faster transmission buildout to improve reliability, support clean energy, and reduce congestion costs; opponents and county representatives raised concerns about eminent domain, loss of local tax revenue, board accountability, and the need for stronger landowner and county involvement. Staff estimated the bill would have a several-million-dollar general fund impact and noted possible indeterminate local revenue effects. The committee also received a briefing on engrossed Substitute Senate Bill 6260, which would reduce funding or eligibility for several K-12 programs, including bus depreciation, Running Start, and transition to kindergarten; public testimony was overwhelmingly opposed, with school officials, educators, community college representatives, students, and rural districts warning of reduced opportunities and harm to small and low-income districts.

Transcript Highlights:

• These are all the transitions that occurred within 2025. Some are familiar.
• Beth Buxton has transitioned off the commission.
• We know Nekah Hall has transitioned off the commission, and Dr.
• Lisa Scarfo has also transitioned off the commission.
• of Public Health, our commission, and Health and Human Services.

Keywords: 995, all

Summary: The commission met to reopen its work for the year, with roll call and attendance confirmations followed by remarks from the co-chairs and members. Senator Liz Miranda stepped down as co-chair, citing multiple responsibilities and personal losses, and Senator Adam Gomez was welcomed as the new Senate co-chair. Gomez said he would listen and learn from commissioners and advocates, and both outgoing and incoming leaders emphasized continuing the commission’s work on maternal health, postpartum depression, and equity. Members discussed several current policy and implementation issues. The Department of Public Health reported a new regulation to implement the 2024 midwifery access law, including temporary licenses for licensed certified professional midwives. Commissioners also raised concerns about birthing hospital and inpatient obstetric unit closures, OB-GYN workforce shortages, reimbursement changes, and the need to expand midwifery, doula, and birth center capacity. Other topics included substance use and perinatal mental health supports, the limited $220,000 appropriation for community-based perinatal mental health organizations, and the need for stronger funding in the budget to implement the maternal health law. The commission also focused on future priorities and information sharing. Members suggested more presentations from clinicians, regulators, infant and early childhood mental health experts, and PSI of Massachusetts; greater attention to parent-child relational health and postpartum screening in pediatric settings; and possible commission action such as a letter to the governor on workforce and access issues. The group agreed that there was not enough time to plan a May event and instead would use the commission to publicize related events, including Black Maternal Health Week activities. Commissioners voted to create a biweekly digest for sharing updates, with urgent items to be sent by email, and then adjourned the meeting.

Transcript Highlights:

• , or not living, on an uninhabitable planet.
• Or not living on an uninhabitable planet.
• I know that getting through the fossil fuel clean energy transition, this mid-stage transition, is going
• I know that getting through the fossil fuel clean energy transition, this mid-stage transition, is going
• But what we're doing right now is not a transition.

Keywords: 987, senate, all

Transcript Highlights:

• People have lives. People have jobs.
• We don't have the services that are needed for transition.
• How are you working with the VA hospital and services to provide services for them, if you are?
• I live in Clovis.
• Of Veterans Services.

Transcript Highlights:

• This isn't a Ticketmaster or Live Nation issue.
• That's not the world we live in.
• Terry Friedman, IATSE Local 80 craft service worker in film and TV.
• I represent and have lived in the desert most of my life.
• We know that we have to continue to operate day-to-day service. while also providing service for all

Keywords: 988, house, all