Transcript Highlights:

• House Bill 3650 extends to managed care rate floor for one more year to July 1 of 2028.
• The committee substitute carved out the multistate contracts from the rate floor and value-based care

Bills: HB1979 , HB1225 , HB3931 , HB4454 , HB3849 , HB1746 , HB3720 , HB4275 , HB4300 , HB3586 , HB2268 , HB3755 , HB4117 , HB4294 , HB3650 , HB4298

Committee: Senate Health and Human Services

Keywords: early childhood education, task force, governance structure, healthcare access, stakeholder engagement, quality services, vital records, birth certificate, birth registration, biological sex, sex designation, male, female, nonbinary, gender identity, X marker, transgender, vital statistics, State Department of Health, State Commissioner of Health

Bills: HB186 , HB185 , HB182 , HB183 , HB184 , HB312 , HB460 , HB405 , HB186 , HB185 , HB182 , HB183 , HB184 , HB312 , HB405

Committee: Senate Finance and Taxation General Fund

Keywords: Alabama budget, general fund appropriations, fiscal year 2026, state budget, appropriations act, HB186, executive branch funding, legislative branch funding, judicial branch funding, debt service, capital outlay, corrections, Medicaid, public health, mental health, transportation, education, law enforcement, tourism, veterans affairs

Transcript Highlights:

• So that way we'll have a higher success rate in filling the interpreter needs.
• Raising our rate to 50% would generate an estimated $400 million in additional revenue.
• Raising our rate to 50% would generate an estimated 400 million in additional revenue.
• She's faced ongoing instability throughout her life.
• For Chapter 70 in specific, making sure that we have the adequate per-pupil spending rate.

Committee: Joint Joint Committee on Ways and Means

Transcript Highlights:

• For me, it's just too broad to get them caught up in this and to cause some kind of fear and instability
• For me, it's just too broad to get them caught up in this and to cause some kind of fear and instability
• with facilities to evaluate care standards, particularly by supporting remediation plans for lower-rated
• homes and ensuring families receive clear information about the quality ratings when making placement
• Week, it simply urges LDH to revisit the Medicaid reimbursement rates for these crisis services in the

Committee: House Health and Welfare

Summary: The House Committee on Health and Welfare met on May 26 for what was described as the last meeting of the legislative session. H.R. 318 was voluntarily deferred without discussion. The committee first took up H.R. 298, which would have directed the Louisiana Department of Health, with the legislative auditor, to study LDH’s relationships with certain nonprofits, foundations, professional associations, and other nongovernmental entities. The author presented amendments narrowing the definitions, but LDH testified the language was still too broad, would still require substantial review of contracts, memberships, conferences, and related interactions, and would still carry a significant fiscal note. Members raised concerns that hospitals, provider associations, nonprofit care facilities, and other stakeholders could be swept in. The author then voluntarily deferred the resolution, and the committee agreed without objection. The committee then heard Senate Bill 405, which establishes a statewide quality oversight initiative for nursing facilities, directs LDH to work with facilities on care standards and remediation for lower-rated homes, and requires reporting and transparency for families. The bill drew broad support from members and stakeholders, including nursing home and senior advocacy groups, and was reported favorably without objection. House Resolution 290, which asked LDH to study a possible correlation between gender-affirming hormone therapy medications and psychosis or related psychiatric conditions in people 26 and younger, prompted questions about the purpose of the study and concerns that it could affect broader policy debates. The author, a licensed clinical social worker, said the request was intended to examine whether medications were being used too quickly and what effects they might have on adolescent mental health; after discussion, the author voluntarily deferred the resolution, and the committee agreed. Finally, the committee considered Senate Concurrent Resolution 61, urging LDH and commercial insurers to increase reimbursement rates for behavioral health crisis centers operating under a crisis receiving center license. Testimony focused on the Bridge Center for Hope, described as the state’s only Level 3 crisis receiving center, and the need to revisit Medicaid reimbursement for the first 23 hours of crisis care. With no questions or objections, the resolution was adopted. The meeting ended with members thanking the chair and staff, and the committee adjourned for the year.

Transcript Highlights:

• We are done surviving on an outdated subsidy rate system.
• Everything has gone up except for our rates.
• Everything has gone up except for our rates.
• Children in foster care, as we know, often experience great instability.
• They have reduced high school graduation rates and decreased college attendance rates compared to their

Committee: Senate Human Services

Transcript Highlights:

• We are done surviving on an outdated subsidy rate system.
• Everything has gone up except for our rates.
• Our child poverty rate is now the fourth highest in the nation. That is not a coincidence.
• Children in foster care, as we know, often experience great instability.
• And they have reduced high school graduation rates and decreased college attendance rates compared to

Summary: The committee heard several child welfare, food assistance, child care, and developmental services bills. AB 308 would require a statewide evaluation of regional center safety training and crisis-response services for people with intellectual and developmental disabilities; supporters said it would help reduce reliance on law enforcement and improve de-escalation and emergency preparedness. AB 1049 would remove sponsor deeming from the California Food Assistance Program, with supporters from food banks and legal aid arguing the rule creates confusion, chilling effects, and wrongful denials, while one member raised concerns about accountability and fraud. AB 1201 would narrow when a parent’s prior violent felony can bar reunification services, limiting the bypass to offenses involving a child or a child’s other parent/guardian; county and advocacy witnesses said the bill preserves judicial discretion and avoids automatic denials, though a member expressed concern about child safety in violent or criminal environments. AB 2379 would require family child care providers to be notified of constitutional rights and receive multilingual training regarding immigration enforcement; it drew broad support and no opposition. AB 2429 would make ACEs screening optional and reduce required classroom observations in the early childhood mental health consultation program, with supporters saying it would reduce administrative burdens and expand participation. AB 1755 would eliminate CalWORKs’ 100-hour monthly work penalty for two-parent families, and supporters said it would reduce poverty and administrative burden without changing income eligibility. AB 1981, presented later, would advance “true cost of care” child care rate reform, with providers describing the current reimbursement system as unsustainable. AB 2478 would create a streamlined kinship family approval pathway for foster care placements with relatives and other kin, and AB 1969 and AB 1996 would create statewide structures to coordinate cradle-to-career services and reduce child poverty, respectively; both were presented as data-driven, place-based efforts to align services and set measurable reduction goals. Most bills received strong support from county agencies, advocacy organizations, and service providers, with little or no opposition testimony. Members generally praised the goals of the measures but asked questions about implementation, accountability, and child safety in the reunification and benefits bills. The committee took roll calls on the bills it heard, and the votes shown in the transcript were largely unanimous or near-unanimous, with several measures held on call after passing committee votes. AB 1049 was voted out 2-1, AB 1201 and AB 2379 were each voted out 3-0, AB 2429 and AB 1755 were voted out 2-0, and AB 2478, AB 1969, and AB 1996 were each voted out 2-0; the chair repeatedly noted that some bills would remain on call pending absent members. AB 1981 drew extensive support testimony from child care providers and allies, but the committee did not take a final vote in the portion of the transcript provided because no motion was available at that moment.

Transcript Highlights:

• The rent will now jump to market rate, and she cannot afford to stay.
• I’ve been paying way under market-rate rent.
• I’ve been paying way under market-rate rent for a one-bedroom apartment in Somerville for a number of
• Year over year, participant and caregiver satisfaction rates exceed 90%, and 90% of our participants
• The state has not developed a reimbursement rate based on the cost of care in assisted living, which

Summary: The committee heard testimony on several aging-related bills, with most speakers focusing on housing stability, home-based services, and care transitions. Representative Badger and a commissioner testified in support of H4039, which would create a universal breakfast and lunch program at senior centers funded through a new Senior Breakfast and Lunch Fund, arguing it would reduce food insecurity and social isolation among older adults. Representative Lipper-Garabedian and multiple providers then supported H780/S495, the hospital-to-home partnership program, describing how embedded aging-services liaisons help older patients transition safely from hospitals to home, reduce readmissions, and avoid nursing facility placement; witnesses from Mystic Valley Elder Services and Mass Aging Access cited pilot results, including hundreds of patients served and examples of substantial cost savings and successful discharge planning. The committee also took testimony on S478, which would require continuing care retirement communities to disclose entrance-fee refund policies more clearly at enrollment. Senator Lovely and LeadingAge Massachusetts said the bill would improve transparency for residents and families, while a consumer witness said her family experienced delays and confusion in getting a refund after her mother left a CCRC. Members noted the issue is also being examined by a special commission on CCRCs. A large portion of the hearing focused on S475, a statewide bridge subsidy program for older adults facing housing instability. Advocates from the Massachusetts Coalition for the Homeless, Western Massachusetts, Somerville, Northampton, East Hampton, Old Colony Elder Services, and Somerville’s Office of Housing Stability described rising senior homelessness, long waitlists for subsidized housing, and cases where short-term rental assistance kept older adults housed while they waited for permanent housing. Somerville witnesses said the pilot program helped nine households remain housed and that some participants have since moved into permanent housing. Members asked about wait times, program design, and how to prioritize applicants; witnesses emphasized flexibility, emergency risk, and the need for a statewide expansion. The hearing also included testimony on S465, an ALS bill that would expand home care access regardless of age and bar the use of quality-adjusted life-year metrics in coverage decisions, with the sponsor and ALS Association arguing the measure would reduce discriminatory treatment and better center patient care. No votes were taken during the hearing.

Transcript Highlights:

• Copperopolis Elementary has an MMR rate of 91.4%.
• And Mountain Oaks Charter has an MMR rate of 43.5%. The county-level MMR rate sits at 93.9%.
• Copperopolis Elementary has an MMR rate of 91.4%.
• And Mountain Oaks Charter has an MMR rate of 43.5%. The county-level MMR rate sits at 93.9%.
• vaccination rates fall below herd immunity levels.

Committee: House Education

Transcript Highlights:

• Civic participation in low rates of recidivism.
• They are people of color receiving harsh sentences at 16 times the rate of their white counterparts.
• The low utilization rate of in-person early voting at these elections is not a failure.
• Housing instability depresses voter turnout.
• Why is New Hampshire voting at a higher rate than Massachusetts?

Committee: Joint Joint Committee on Election Laws

Summary: The Joint Committee on Election Laws held a hearing on a wide range of voting-access and election-administration bills. The largest portion of testimony focused on same-day voter registration (H. 834/S. 505), with support from Rep. Gentile, Boston and Chelsea officials, civic groups, and election administrators from Maine and Vermont. Supporters argued that same-day registration would help eligible voters who move frequently, miss deadlines, or face administrative errors, and would reduce rejected provisional ballots. Maine Secretary of State Shenna Bellows and Vermont elections director Sean Sheehan testified that same-day registration has worked in their states without major administrative problems and has helped increase turnout. A Boston-based panel also described high rejection rates for provisional ballots and the burden of registration cutoffs on renters, students, immigrants, and low-income voters. A second major topic was restoration of voting rights for incarcerated people, including S. 524 and related House bills. The committee heard extensive virtual testimony from incarcerated individuals at MCI Norfolk and MCI Shirley, who said voting should be restored as part of rehabilitation, civic engagement, and reintegration. They described disenfranchisement as dehumanizing and argued that voting would help maintain family and community ties, reduce recidivism, and give incarcerated people a voice on laws affecting prisons and reentry. Rep. Erica Uyterhoeven also testified in support, saying the bill would restore municipal voting rights for incarcerated residents and align with broader efforts to expand political participation. The committee also heard testimony on bills affecting election administration and access, including a proposal to reduce or eliminate mandated early in-person voting in primaries and shorten the general-election early voting period, with supporters from the town clerks’ community arguing that low usage, staffing burdens, and costs justify the change. Opponents warned that reducing in-person early voting could hurt voters who do not use mail ballots and could disproportionately affect communities of color. Other bills discussed included decoupling the municipal census from voter registration, requiring periodic accessibility inspections of polling places, and a Somerville home-rule petition on non-citizen municipal voting and another on lowering the voting age in municipal elections. No votes or final committee actions were taken during the hearing.

Transcript Highlights:

• Rent now pay later loans with high interest rates and junk fees can be a dangerous predatory, especially
• The current rate is $16.90. That is the floor we're talking about. The current rate is $16.90.
• Their episodes of homelessness may follow significant family instability or exits from institutional
• That's nearly three times the rate of inflation.
• That's nearly three times the rate of inflation.

Transcript Highlights:

• We're not seeing changes in the age of the workforce, but we do have lower birth rates in California
• Older adults have the highest poverty rate of any age group in the state—21 percent—and it rises every
• This population accounts for the highest rates of suicide in the state.
• This population accounts for the highest rates of suicide in the state.
• Higher rates of mental distress than heterosexuals of similar ages.

Summary: The joint informational hearing focused on the impact of H.R. 1 on older Californians and related county administration issues. Chair Jackson and Chair Addis opened by emphasizing California’s rapidly aging population and the need to protect seniors’ access to food, health care, housing, and in-home support services. Testimony from the Department of Social Services, Department of Health Care Services, and Department of Aging described how H.R. 1 would expand work and reporting requirements in CalFresh and Medi-Cal, increase redeterminations, and create new eligibility barriers. Witnesses and advocates warned that these changes could lead to large coverage losses, especially for adults ages 55 to 64, people experiencing homelessness, caregivers, and some immigrant groups, while also increasing administrative burden on counties. The LAO noted that many provisions do not directly apply to Californians 65 and older, but highlighted indirect effects and some direct impacts, including a new home equity limit for certain long-term care recipients and narrower immigration eligibility rules. Committee members pressed the administration and counties on how exemptions would be identified and implemented, whether data systems could automatically protect eligible people, and how outreach would reach older adults, women, LGBTQ seniors, and people with limited digital access. DHCS and CDSS said they are working to use existing data, cross-program information sharing, and human-centered communications to maximize exemptions and reduce churn, including text outreach, print and radio campaigns, and navigator support. Members also raised concerns about the need for legal aid and county eligibility workers to help people navigate complex rules, and requested updated analyses on the number of people likely to lose both Medi-Cal and CalFresh and the broader human and system impacts. No votes were taken. The second major topic was the administration’s proposal to shift some future IHSS costs to counties by establishing a statewide baseline for average authorized hours per case. CDSS said the proposal is intended to improve consistency in assessments and not reduce services, while counties and labor groups strongly opposed it, arguing that rising hours reflect real increases in need, an aging and higher-acuity caseload, and state-mandated assessment tools rather than county error. County representatives said the proposal would strain already limited local revenues, worsen the effects of H.R. 1, and could force cuts to other safety-net services. Committee members questioned the proposal’s timing and impact, but the hearing ended without action, with the chairs asking for continued updates, additional analysis, and more information before May Revision.

Transcript Highlights:

• We have very high rates of trafficking. We often hear within 48 hours people are approached.
• Myself, what I know now, both personally and professionally, is that housing instability is not just
• Families facing housing instability...
• Families facing housing instability experience higher stress, and children carry that stress into the
• people access their benefits, establish financial accounts, and build savings can reduce housing instability

Summary: The committee held public hearings on five Senate bills focused on child welfare, homelessness, and developmental disability services. SB 5911 would stop DCYF from using benefits or funds of youth in extended foster care as reimbursement for care, require help obtaining and managing SSI/Social Security benefits, and raise the threshold for depositing conserved funds into protected accounts. Supporters said the bill would help young adults build financial stability and transition to adulthood; questions focused on payees, financial literacy, and housing uses of the funds. SB 5977 would require DCYF to publish reports on near-fatality reviews within 180 days, with confidential information redacted, and make them available to the legislature and public. Supporters emphasized transparency and accountability, while some testimony urged broader reporting windows, retroactivity, and clearer inclusion of overdose-related cases. The committee also heard SB 6024, which would streamline oversight of community residential service providers by limiting DSHS to one annual routine review in specified areas, combining review activities where possible, and reducing duplicate document requests. The sponsor and providers said the bill would reduce administrative burden and let caregivers focus more on direct care. SB 6184 would update Office of Homeless Youth statutes by aligning parental-notification rules for crisis residential centers, making the Housing Stability for Youth in Courts program permanent and statewide, expanding community support team eligibility, and revising Independent Youth Housing Program rules to allow transitional housing and direct flexible assistance. Testimony described the bill as a no-cost technical update that would improve access and clarify language. Finally, SB 5957 would expand the Homeless Youth Advisory Committee by adding members over age 25 with lived experience and representatives of disproportionately homeless populations, and would allow youth members who turn 25 during a term to finish serving. Supporters said the changes would strengthen lived-experience input and continuity. At the end of the meeting, the chair announced Friday committee was canceled, the bills heard that day would be eligible for executive session the following week, and amendment requests for Tuesday’s bills were due by 10 a.m. Monday, with posting by 4 p.m. Monday.

Transcript Highlights:

• </c> do a rate do a rate study<00:09:17.600><c> um</c><00:09:18.399><c> and</c><00:09:18.839><c> first
• DHS currently has a 37% vacancy rate in child welfare services.
• DHS currently has a 37% vacancy rate in child welfare services.
• DHS currently has a 37% vacancy rate in child welfare services.
• DHS currently has a 37% vacancy rate in child welfare services.

Committee: House Human Services & Homelessness

Summary: The committee heard several Human Services measures focused on Medicaid access, long-term care benefits, home health reimbursement, SNAP administration, trauma-informed child welfare, and child abuse reporting. HP 702 would increase funding for Medicaid in-home services if federal matching funds are secured, and testimony from disability advocates supported the measure as needed to help people with disabilities cover medical expenses. HB 1477, described as a correction to a prior session’s mistake, would clarify that the monthly needs allowance for certain long-term care residents does not replace state supplemental payments and would raise the ceiling by $25 to fix the prior issue and by an additional $20 as a new benefit; DHS supported it with amendments, and the committee indicated it would amend accordingly. HB 713 would fund a DHS rate study for home health services, with the Healthcare Association of Hawaii strongly supporting it and describing rising labor costs, losses on Medicaid patients, and access concerns if agencies cannot keep serving Medicaid clients. HB 1099 would appropriate emergency funds to DHS after a USDA penalty tied to SNAP response times, with supporters including Catholic Charities Hawaii, Hawaii Public Health Institute, and others arguing the money should be reinvested in staffing and systems to improve access and avoid further penalties. HB 1079 would direct the Office of Wellness and Resilience and DHS to create trauma-informed assessments and training for Child Welfare Services staff; testimony from state offices and advocacy groups supported it, citing the Mālama ʻOhana Working Group, staff burnout, and the need for a sustainable train-the-trainer model. Finally, HB 239 would narrow when failure to provide a child’s needs constitutes abuse or neglect, but DHS raised concerns that the current wording could broaden abuse findings and leave families in poverty without a clear safety net, while the Honolulu prosecutor’s office opposed it, warning it could weaken mandatory reporting and hinder investigations of child abuse. No formal votes were taken in the portion provided, though the chair said HB 1477 would be amended and several measures were left open for further questions and testimony.

Transcript Highlights:

• including low- and moderate-income neighborhoods and many communities of color, experience higher rates
• including low- and moderate-income neighborhoods and many communities of color, experience higher rates
• Without state intervention, these veterans face real risks of unemployment, housing instability, and
• Parts of the Central Valley, as you may or may not know, have very high maternal and infant mortality rates
• While the overall death rate is roughly 0.7 per 100,000 procedures, it increases to 6.7 per 100,000 for

Summary: The Assembly Business and Professions Committee heard a full agenda of bills covering travel consumer protections, cannabis commerce with tribes, medical record integrity, pest control licensing, pawn and gold-buying regulation, pharmacy discipline, land surveying, and expedited licensing for veterans separated under a federal transgender military policy. Members also later heard AB 1973, which would expand the ability of advanced practice clinicians to provide abortion care, with supporters arguing it would improve access and opponents warning about safety and scope-of-practice concerns. Several bills were presented before quorum was reached, and the chair repeatedly urged absent members to arrive so the committee could vote. Testimony on the bills was largely in support. Authors and witnesses said AB 1758 would raise the seller-of-travel assessment cap to keep the Travel Consumer Restitution Fund solvent; AB 2506 would allow state cannabis licensees to sell products from tribal licensees while respecting tribal sovereignty; AB 1637 would prevent non-physicians from altering physician-authored medical notes; AB 2477 would create a short provisional period for pest control workers awaiting licensure; AB 2633 would close a loophole involving remote gold-buying events and stolen property reporting; AB 2141 would let the Board of Pharmacy resolve some cases through stipulated settlements before formal accusations; and AB 1933 would make technical clarifications to land surveying law. AB 1775 drew emotional testimony from transgender service members and advocates describing the impact of federal separation policies and the need for California licensing and support. Once quorum was established, the committee voted out the consent calendar and each of the heard bills, generally on party-line or near-unanimous votes. AB 1637, AB 1758, AB 1775, AB 1933, AB 2141, AB 2477, AB 2506, and AB 2633 all passed out of committee, most to Appropriations or another policy committee as noted. AB 1973 also passed, despite a no vote from some members and an opposition witness from the California Family Council. The committee later took vote changes and additional roll calls for absent members before adjourning.

Transcript Highlights:

• Salary schedules and rates are set at each local bargaining table.
• Salary schedules and rates are set at each local bargaining table.
• Our pay rates are usually based entirely on time spent in class and preparing for class.
• of 85% of the salary rate of tenured faculty.
• And job instability for contingent faculty does impact student success and retention.

Bills: SB6258 , SB5963

Committee: House Postsecondary Education & Workforce

Keywords: Washington Medical Commission, medical license, license relinquishment, voluntary surrender, nondisciplinary pathway, physician regulation, health professional licensing, disciplinary database, National Practitioner Data Bank, license renewal, license reinstatement, medical board, professional discipline, credential surrender, healthcare regulation, SB 5963, passport to careers, Washington College Grant, financial aid, higher education

Transcript Highlights:

• Salary schedules and rates are set at each local bargaining table.
• Our pay rates are usually based entirely on time spent in class and preparing for class.
• of 85% of the salary rate of tenured faculty.
• of 85% of the salary rate of tenured faculty.
• And job instability for contingent faculty does impact student success and retention.

Summary: The House Postsecondary Education & Workforce Committee held a public hearing on Senate Bill 6258, which would authorize the Washington Medical Commission to adopt rules allowing physicians and certain other licensees to voluntarily relinquish their licenses outside of a disciplinary process. Staff and the bill sponsor explained that the current system only allows relinquishment through a disciplinary or quasi-disciplinary path, which can trigger reporting to national databases even when there is no misconduct. Testimony from the Medical Commission and the Washington Physicians Health Program supported the bill as a non-disciplinary, permanent, and more dignified way for providers to exit practice while preserving patient safety by excluding those under investigation or discipline. The chair said the committee would executive the bill the next day and asked that amendments be submitted by 6 p.m. that day. The committee then held a work session on part-time/adjunct faculty in the community and technical college system. State Board of Community and Technical Colleges staff described the system’s 34 colleges, the role of local bargaining, and the differences in duties and pay between full-time and part-time faculty. They noted that adjunct pay has historically lagged and cited a 2024 report estimating it would cost about $75.1 million to raise average adjunct compensation to 85% of full-time faculty pay. American Federation of Teachers Washington representatives and contingent faculty testified in support of HB 2538, arguing that contingent faculty are underpaid, often lack stable employment and compensation for work outside class time, and that higher pay would improve retention, student support, and equity. Members asked about bargaining structures, health benefits, workload, and comparisons to other faculty roles. In executive session, the committee considered Substitute Senate Bill 5931, which makes administrative changes to the Workforce Education, Investment, Accountability, and Oversight Board, including removing a public dashboard requirement and adjusting election timing. The bill passed 14-1 and was reported out with a do-pass recommendation. The committee also approved Senate Bill 5963, which automatically makes Passport to Careers participants income-eligible for the Washington College Grant and aligns need calculations with the federal formula; it also directs Passport funds into the state financial aid account. That bill passed unanimously, 15-0, and was likewise reported out with a do-pass recommendation.

Transcript Highlights:

• and the supplemental poverty rate.
• On page two, New Mexico has low rates of labor force participation and high rates of poverty.
• rate is 4.3%.
• About payment error rates.
• To address the payment error rate.

Transcript Highlights:

• from high school, higher rates of homelessness, higher rates of incarceration, extraordinary challenges
• The tiered rates are an investment.
• So right now, the STRTP rate is a bundled rate that's only paid when the child's within that STRTP rate
• But if you have the care and supervision rate at the levels that the tiered rate structure allows so
• “How are we building in that instability now into our current rate structure and the rate structure we

Summary: The Assembly Budget Subcommittee on Human Services heard an informational hearing on child welfare, foster care, community care licensing, child support, and related budget issues. CDSS described the Governor’s proposed child and family services budget, emphasized a family-centered and kin-first approach, and reported that foster care entries and congregate care placements have declined over the past decade. Witnesses also highlighted the importance of extended foster care to age 21, while noting persistent racial disparities for Native American and Black children and the need for stronger prevention, family finding, and community-based supports. A major focus was the proposed tiered rate structure (TRS), which CDSS said would shift funding from placement-based rates to child-centered supports, including care and supervision, strength-building dollars, and immediate needs funding paired with high-fidelity wraparound services. CDSS and county representatives said implementation is on track, with foundational policy guidance expected by the end of the year, CANS/CFT timeliness targeted by year-end, and the CWS CARES system nearing go-live in October 2026. Counties and providers raised concerns about whether the rate model and wraparound capacity will be sufficient, especially for higher-acuity youth, and asked for more data, clearer guidance, and continued collaboration. County Welfare Directors Association representatives also requested continued emergency response funding and an extension of flexible family supports, arguing both are needed to stabilize front-end child welfare work and bridge to TRS. Providers from FFAs and STRTPs warned that insurance costs, provider closures, and the transition to TRS could threaten service capacity unless the state addresses long-term insurance and reimbursement issues. LAO noted the Governor’s budget contains no new child welfare augmentations and said the main General Fund change reflects the expiration of one-time funding. No votes were taken; members instead asked for follow-up data, technical assistance, and possible future legislative or trailer bill solutions, including on insurance and implementation timelines.

Transcript Highlights:

• consumer protection role by ensuring that repair charges are reasonable and consistent with market rates
• consumer protection role by ensuring that repair charges are reasonable and consistent with market rates
• consumer protection role by ensuring that repair charges are reasonable and consistent with market rates
• </c><00:21:16.240><c> are</c> provide actuarial proof that rates are provide actuarial proof that rates
• With that rate of return, why aren't these savings... without a cost to motans.

Committee: Senate Commerce and Consumer Protection

Transcript Highlights:

• rate, is $1,637 a day.
• Medicaid rates don't reflect today's cost of care.
• Increasing pay for many comes through Medicaid rates.
• There was up to $450 per day on top of your assessed rate.
• There was $450 up to $450 per day on top of your assessed rate.

Committee: Joint Joint Legislative Executive Committee on Planning for Aging and Disability Issues

Summary: The committee held what was described as its final meeting and began with introductions, then received updates on several long-term care and aging initiatives that originated from earlier J-LEC work. A presentation on the WA Cares Fund reviewed its development from a 2014 research project to implementation, including premium collection, expanded eligibility for near-retirees, portability, recent technical fixes, and the creation of a supplemental private insurance market. The presenter said the program is now largely in place and ready for future use, with benefits expected to go fully live next summer. The Dementia Action Collaborative also reported on its state plan, including Project ECHO dementia training, dementia-capable community pilots through area agencies on aging, and ongoing work on early detection, brain health, and caregiver support. Another DSHS presentation covered the Medicaid Transformation Project, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance and nutrition support, with officials saying the waiver is likely secure until its 2028 renewal. The meeting then shifted to emerging issues from advocates and ombuds. The long-term care ombuds described persistent staffing shortages, concerns about low wages, the growing use of technology and surveillance in care settings, private equity ownership of facilities, and illegal or pressured discharges and evictions. The developmental disabilities ombuds focused on people with developmental disabilities who remain hospitalized without medical need, the need for better mental health and behavioral health access, and workforce training gaps for people serving this population. Disability Rights Washington urged more community-based supports to reduce repeated institutionalization, pointing to gaps in programs such as PACT, GOSH, and peer bridgers, and recommending those services be expanded and bundled at scale. Provider and workforce panels emphasized similar themes. Washington Health Care Association and LeadingAge Washington said assisted living and skilled nursing facilities face workforce shortages, Medicaid rates that lag behind costs, increasing client acuity, behavioral health needs, and discharge bottlenecks. They highlighted the need for more flexible care models, improved case management, and better reimbursement, including for complex behavioral health cases. Supported living providers reported high turnover, underfunding, and a successful pilot that used enhanced rates and added training to place 30 hard-to-serve individuals. SEIU 775 argued that the central problem across settings is the direct care workforce crisis, driven by low wages and inadequate benefits, and said rate increases must be tied more directly to worker compensation. DSHS closed by noting heavy reliance on federal Medicaid funding, ongoing pilots in training, transportation, remote caregiving, smart-home technology, and rental subsidies, and said future planning should shift toward a multi-sector state strategy after the committee sunsets.