Transcript Highlights:

• rebates.
• and found that rebates collected through the Medicaid drug rebate program were $6.5 billion less as
• Thank you. ...on the fiscal impact of the 340B drug pricing program and found that rebates collected
• through the Medicaid drug rebate program were $6.5 billion less as a result of the 340B program.
• , as the 340B program expands, rebates available to plan sponsors, including the state employee health

Summary: The committee heard public testimony on several health-related bills. SB 5904 would restrict nursing titles such as RN, NP/ARNP, and LPN to licensed human people and prohibit non-human entities, including AI chatbots, from using those titles. The sponsor and nursing advocates said the bill is meant to prevent confusion and protect public trust, while preserving the use of AI as a support tool. SB 5877 would add a $70 surcharge for certified anesthesiologist assistants so they can participate in the Washington Physicians Health Program and access HealWA resources; supporters said it closes a technical gap and aligns CAAs with other medical professions. SB 5185 would create a pilot pathway for certain international medical graduates with clinical experience licenses to obtain full primary care licensure; supporters from the medical commission, physicians, and IMG advocates said the program has worked well, has shown no patient safety issues, and could help address workforce shortages. The committee also heard extensive testimony on ESSB 6210, which would let the Health Benefit Exchange adopt additional market-factor certification criteria for exchange plans, including standards aimed at preserving access and affordability in underserved counties. Supporters, including the exchange, OIC, consumer advocates, tribal representatives, and patient groups, said the bill is needed to respond to federal policy changes, rising premiums, and disappearing coverage in places like San Juan County. Opponents from carriers and employer groups argued the timeline is too fast, the criteria are too discretionary, and the bill could reduce competition and raise costs. The committee then heard SB 5981, which would strengthen protections and reporting requirements for the federal 340B drug pricing program and limit manufacturer restrictions on contract pharmacies and data requests. Hospitals, clinics, and patient advocates said the bill protects safety-net care and rural access, while manufacturers, employers, and business groups argued it would expand a program that already raises costs and lacks transparency. In executive session, the committee took action on SB 5917, related to Department of Corrections distribution of abortion medications, rejecting five proposed amendments and then advancing the bill on a 10-6 vote with three excused. The committee also advanced SB 5988, which concerns Department of Health opioid treatment program accrediting activities, on a do-pass recommendation after brief discussion.

Transcript Highlights:

• is not<01:35:14.159><c> a</c><01:35:14.719><c> rebate</c><01:35:15.280><c> program</c><01:35:15.679>
• </c><01:35:16.719><c> It's</c><01:35:17.040><c> a</c><01:35:17.280><c> way</c> Not a rebate program as
• that apply to wholesale drug distributors who use a rebate program with their customers.
• that apply to wholesale drug distributors who use a rebate program with their customers.
• That apply to wholesale drug distributors who use a rebate program with their customers.

Committee: Senate Taxes

Transcript Highlights:

• And then, in order to ensure that they have an off-taker, we have a rebate program that would apply to
• They wouldn't be able to require the use of EPDs, but for the case of the rebate program, if you would
• like to qualify for the rebate program, you would have to prove that the product... ...to qualify for
• the rebate program, you would have to prove that the products that you've purchased have a reduction
• Who pays the rebate? Whose money is it? It's the state. And it's via a grant program.

Summary: The committee first took up House Bill 253, a committee substitute dealing with virtual and distance learning programs and school funding. Sponsors and staff explained that the substitute removed several earlier restrictions on virtual education, including residency requirements, the 10% enrollment cap, the ban on K-5 distance programs, and the moratorium on new enrollments. It also changed the State Cyber Academy Act to the Distance Learning Act, added reporting and evaluation requirements for districts and charter schools, and allowed the Public Education Department to withhold funding if programs are out of compliance. Members discussed concerns about impacts on rural districts, charter schools, and programs like Mosquero and the New Mexico Communications Academy, as well as the temporary funding fix for Gallup Public Schools, which was amended to average prior-year and current-year enrollment rather than use current-year membership alone. Public testimony on HB 253 was largely supportive, with school leaders and education organizations backing the amendment and the broader substitute while noting that more work may be needed on oversight and funding formulas. Committee members then debated the bill’s temporary provisions, the study requirement, and whether the changes would adequately address the Gallup funding issue and broader virtual-learning accountability. The committee adopted the amendment and then gave the House Appropriations and Finance Committee substitute for HB 253 a do pass recommendation. The committee then heard House Bill 153, a voluntary industrial decarbonization package that combines an Environmental Product Declaration grant program, a rebate or incentive program for lower-carbon building materials, and production tax credits and capital grants for eligible industrial products. Members asked detailed questions about environmental product declarations, hydrogen, anti-donation concerns, funding sources, and whether the bill would support sawmills, engineered wood, biofuels, and forest-thinning-related industries. Supporters from the Greater Albuquerque Chamber of Commerce and Clean Air Task Force testified that the bill would encourage innovation, attract private investment, and reduce emissions without imposing mandates. The committee adopted the substitute and then voted do pass on the bill, with Representative Brown noted in opposition. Finally, the committee heard House Bill 255, which consolidates public safety workforce funding into a single competitive fund for recruitment, retention, and professional development in law enforcement, firefighting, corrections, and public attorney offices. Testimony from counties, the chamber, AFSCME, and State Police supported the measure as a targeted response to staffing shortages and public safety vacancies. The committee took no extended debate and approved HB 255 with a do pass recommendation. The meeting ended with notice that the committee would meet again the next day.

Transcript Highlights:

• plans calculate their achieved savings rebate.
• their achieved savings rebate.
• Aetna has an LTC program in addition to its MMA program, correct? Correct.
• And it appears that their LTC program has an MLR of 101%.
• Because, excuse me, the achieved savings rebate...

Summary: The Health Care Budget Subcommittee took up two bills and then continued oversight discussions with APD and AHCA. CS/HB 27, the Social Work Licensure Interstate Compact, was presented as a way to let Florida social workers practice in other compact states and vice versa; AARP, the Florida Chamber, and NASW Florida supported it, and the bill passed favorably. HB 1127, a child welfare bill, would create a treatment foster care pilot for children with high behavioral needs, improve DCF data collection on commercially sexually exploited children, and expand recruitment for protective investigators and case managers; the bill also passed favorably after brief supportive testimony. The committee then questioned APD at length about the iBudget waiver waitlist, enrollment pace, spending projections, and provider capacity. APD said it had sent more than 1,100 interest letters in categories 3, 4, and 5, enrolled 1,124 people so far this year, and expects to spend about 96.4% of its waiver appropriation, leaving roughly $82 million unspent. Members pressed APD on why prior discussions suggested more reserve was needed, how long the SANS process takes, whether category 6 could be expanded, and whether the agency has enough waiver support coordinators and direct support providers. APD said it has about 1,061 waiver support coordinators statewide, adequate capacity for current enrollees, but would need further analysis if the legislature directed a much larger enrollment increase. Members also asked about outreach, annual maintenance of the waitlist, portability for military families, and whether communication efforts should be privatized. Finally, AHCA walked the committee through the 2023 Achieved Savings Rebate (ASR) report for Aetna and explained how the report is used for financial monitoring, rebate calculations, and transparency. AHCA said the ASR is separate from the medical loss ratio (MLR) calculation, though both are reviewed, and that Florida uses the ASR mechanism rather than an MLR remittance requirement to recover funds from plans. Members asked about related-party disclosures, CVS/Caremark relationships, expanded benefits, encounter data, network adequacy penalties, denials and appeals reporting, interest earned on capitation payments, and whether rate increases were reaching providers. AHCA and the outside auditors said they review the plans’ reported data, reconcile it to underlying records, and can assess liquidated damages for network adequacy violations; several members requested follow-up data on rebates, interest, provider capacity, and related-party reporting.

Transcript Highlights:

• So I guess my question is, in section 13, where we define rebate, and we say rebate means any discount
• PBMs negotiate rebates with manufacturers, and the rebates, if chosen by the employer, are passed through
• PBMs negotiate rebates with manufacturers and the rebates, if chosen by the employer, are passed through
• of the rebates.
• Finally, on rebates, rebate proposals have repeatedly been found to have a high price tag and eliminate

Bills: AB93 , AB204 , AB414 , AB504 , AB598

Committee: Assembly Commerce and Labor

Transcript Highlights:

• program.
• administrator may consider granting the rebate.
• program.
• administrator may consider granting the rebate.
• program.

Summary: The meeting included a joint public hearing of the House Housing and Transportation committees, followed by a Transportation Committee hearing. In the joint hearing, members considered SB 662 SD1, which concerned transportation and included two parts: transferring certain streets to the city and clarifying police authority on state streets. The chair recommended moving the bill out as an HD1 with Part One removed, explaining that the street-transfer issue should be worked out by the county and state and that removing it would improve the bill’s chances. The committees voted to pass the measure with amendments, and the recommendation was adopted. The Transportation Committee then heard several bills. SB 1095, relating to license plates, would increase decal size restrictions for special number plates; the Department of Transportation offered written comments, with testimony split between two individuals in opposition and one in support, and no questions were raised. SB 344 would require skateboard users under 16 to wear helmets; DOT supported the bill, as did TRIAA Hawaii, the Injury Prevention Coalition, and other individuals, while two individuals opposed it. SB 30 would require all moped riders to wear helmets regardless of age; DOT supported it, but Moped Doctors and Hawaiian Style Rentals and Sales opposed it, arguing the bill was overreaching, could be hard to enforce, and should be more narrowly targeted or replaced with education efforts. The committee also heard SB 1216, which would tighten noisy muffler and exhaust enforcement by conditioning inspection certificates, adding inspection-station penalties, increasing fines, and prohibiting repair or installation of noisy systems. DOT supported the measure, and Waiʻanae Neighborhood Board testified in support, while Moped Doctors and the Motorcycle Industry Council opposed it, saying the bill would burden inspection stations, create liability concerns, and raise questions about insurance-related language as applied to mopeds. The hearing included discussion of enforcement, inspection burdens, and whether the bill’s insurance references applied to mopeds. No final vote was taken on the Transportation Committee bills in the portion provided, and the hearing adjourned after testimony and discussion.

Transcript Highlights:

• the program is often described as free, it actually increases health care costs due to lost drug rebates
• The federal program was a broad program that was set forth, and so while there are The federal program
• Rebates are a hidden entity. We don't even know what's going on. It's a bait-and-switch program.
• BIO supports the federal 340B program. It's a good program, but even good programs can be abused.
• programs in place that reduce the cost of drugs to our members, and that those rebates can be lost when

Bills: SB5904 , SB5915 , SB6025 , SB5933 , SB5990 , SB5981

Committee: Senate Health & Long-Term Care

Keywords: nursing titles, licensure, healthcare professionals, patient safety, professional standards, SB 5915, health technology assessment, HTA, clinical committee, medical technology review, coverage determination, state-purchased health care, Washington health care, RCW, evidence-based medicine, cost-effectiveness, safety and efficacy, Medicare coverage, national coverage determination, clinical guidelines

Transcript Highlights:

• Program overlap can occur when a third-party program is offered by multiple PAs or a program offering
• objective, like rebate programs, should continue.
• , meaning programs that are rebate-based and really for affluent or moderate-income constituents.
• program.
• program.

Committee: House Utilities and Energy

Transcript Highlights:

• program to provide rebates for the purchase or lease of new vehicles, new used zero-emission vehicles
• It requires the Department of Transportation to establish a clean vehicle rebate program to provide rebates
• It follows proven models for point-of-sale rebates programs at the federal level, in all kinds of states
• This bill is intentionally patterned off of the California rebate programs and also the federal rebate
• And I want to extend the rebate eligibility restriction for new vehicle Program.

Summary: The committee first heard HB 2021, a transportation measure creating a framework for electric bicycle and micromobility regulation. The bill would define electric bicycle and electric micromobility device, set age and helmet rules, restrict class 3 e-bikes from sidewalks, allow limited sidewalk use for class 1 and 2 bikes, prohibit high-speed electric devices and certain nonconforming devices in specified locations, update county tax definitions, and change related terminology. Testimony was largely supportive from DOT, police, Honolulu officials, Hawaii Bicycling League, AAA Hawaii, the Hawaii State Teachers Association, and several individuals, while DCCA’s Insurance Division asked for clarity on whether insurance would be required. Committee discussion focused on safety, enforcement, and the fact that no insurance market currently exists for these e-bike classes; members also discussed the need to target bad actors rather than ordinary riders. The chair then proposed and the committee adopted amendments to HB 2021, including clarifying that road-legal, permitted, classified electric bicycles are not subject to insurance requirements at this time; allowing properly classified electric bicycles on sidewalks at 10 mph or less subject to county restrictions; barring high-speed electric devices and other nonconforming devices from public roadways; authorizing impoundment of non-road-legal or improperly registered devices; and requiring direct parental supervision for riders under 16 on class 2 or 3 e-bikes. The committee also made technical and effective-date changes. The recommendation to pass HB 2021 with amendments was adopted unanimously by the members present. The committee next took up HB 1641, a related transportation bill addressing high-speed electric devices. The chair explained that the measure would prohibit the sale, lease, rental, distribution, possession, or operation of high-speed electric devices and establish penalties, but the committee’s version would narrow the focus to devices covered by HB 2021. The amended bill would prohibit offering high-speed electric devices for lease or rent, require sellers to comply with the new regulatory framework, ban operation on bicycle lanes, highways, roadways, and streets, and set a civil penalty of $250 to $1,000 per violation. After no further questions, the committee voted to pass HB 1641 with amendments, and the recommendation was adopted. The meeting then moved to HB 1709, which would transfer regulation of the Hawaii Water Carrier Act from the Public Utilities Commission to the Department of Transportation and make conforming changes with an appropriation. DOT testified in support, while the PUC and DCCA’s Consumer Advocacy Division raised concerns about preserving consumer protections and the complexity of moving the regulatory framework. Young Brothers supported the bill and said the current system is outdated, but the discussion remained ongoing; the transcript cuts off before any final action on HB 1709 is shown.

Transcript Highlights:

• college that are perhaps looking into furthering their college career and going into their master's program
• House Bill 3849 is for the mentoring children of incarcerated parents program It's updating some language
• Some of the things this bill does will remove outdated statutory provisions based on earlier program
• It updates the mentoring program to allow a broader range of mentoring models.
• So is this intended then to really just be targeting those after school programs?

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: HCR11 , HCR181 , HCR187 , HCR47 , HCR44 , HCR161 , HCR102 , HCR107 , HCR118 , HCR42 , HCR176 , HCR84 , HCR94 , HCR195 , HR14 , HR171 , HR177 , HR43 , HR40 , HR151 , HR94 , HR99 , HR110 , HR38 , HR166 , HR76 , HR86 , HR185

Committee: Senate Education

Keywords: charter schools, facilities, school funding, education, Hawaii, student enrollment, policy change, HCR181, House Concurrent Resolution, Department of Education, DOE, temporary positions, position renewal, superintendent-level positions, legislative intent, statutory interpretation, budget accountability, fiscal oversight, government transparency, state employment

Transcript Highlights:

• Even if Minnesota had the resources for a rebate, our second set of concerns is how the rebate is constructed
• </c> how the rebate is constructed. how the rebate is constructed.
• We provided a program two years ago called the I-Pollute program that was bipartisan, that gave our local
• Chair. that called the I-Pollute program that that called the I-Pollute program that was<00:11:51.160
• Um but we're seeing $1,500 rebate.

Summary: The committee took up House File 4906, adopted the H4906A1 amendment, and heard a staff explanation that the bill would create a one-time property tax refund in calendar year 2026 for residential homesteads and the house/garage/1-acre portion of agricultural homesteads. As amended, the bill would appropriate $4 billion in fiscal year 2027, distribute payments based on 2026 property tax due, include a clawback for delinquent taxpayers, and coordinate with existing property tax refund programs so recipients would not receive more than they paid in taxes. House Research also discussed a disagreement with the Department of Revenue over whether the refund would be taxable federally, with House Research suggesting it would likely be treated as a non-taxable recovery of prior taxes. Public testimony was largely opposed. Eric Bernstein of We Make Minnesota argued the proposal was too large, would create a deficit and force future service cuts, and would disproportionately benefit higher-income homeowners. Nan Madden of the Minnesota Budget Project said the bill would create a major budget hole, threaten funding for health care, food support, schools, and other services, and exclude renters and lower-income Minnesotans. Members echoed those concerns, citing impacts on public safety, rural EMS, hospitals, education funding, and equity, while noting that renters and many seniors would receive nothing. Representative Howard questioned whether the bill was a cautious use of state resources, and Representative Norris said it missed the mark for struggling renters. Chair Davids defended the concept as a way to put money back in people’s pockets and said the proposal was scalable and intended to start a discussion. Representative Wiener strongly supported the bill, saying many homeowners and farmers in his district are not wealthy and need relief from property taxes; he said the bill should be even bigger. No vote on final passage was taken in the portion of the meeting provided, and the committee moved on after testimony and member discussion.

Transcript Highlights:

• we have from the Ryan White program and the funding we have from the rebates, the drug rebates, which
• So the rebates are actually a big part of what funds this program.
• And I'll add that it's the insurance program that enables the rebates to come.
• So the more people whose insurance premiums are paid, the more rebates the program gets.
• The more people whose insurance premiums are paid, the more rebates the program gets.

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed FY 26-27 budget for the health and human services silo, which totals $48.5 billion within a $117.4 billion state budget. Agency leaders outlined major spending priorities, including AHCA’s behavioral health redesign, APD waiver enrollment and facility needs, DCF’s integrity and self-sufficiency systems, opioid response, community-based care and mental health bed expansion, DOEA’s Alzheimer’s, home care, and community care programs, DOH’s cancer research, public health, EMS blood-transfusion initiative, and lab feasibility study, and the Department of Veterans’ Affairs’ facility, cybersecurity, and medication-management investments. Members generally praised several proposals, especially increased reimbursement for private duty nursing, behavioral health funding, Alzheimer’s support, and the EMS blood program. Senator Sharief raised concerns about the AIDS Drug Assistance Program (ADAP), warning that changes could leave many Floridians without coverage for HIV medications and asking whether manufacturers could provide rebates directly to patients. Surgeon General Ladapo said the issue was driven largely by funding and federal changes, not a legal barrier, and said the department had explored alternatives but could not fill the gap with current resources. Senator Rouson asked about the Office of Minority Health and Health Equity, and DCF said its budget includes about $7 million for the substance abuse and mental health data dashboard required by prior legislation. Public testimony focused heavily on ADAP. Former program leaders and advocates said the proposed changes would reduce enrollment and remove key drugs and insurance-premium support, calling the situation a crisis and criticizing the department for lack of transparency and stakeholder engagement. They urged a pause and collaborative review of the program’s finances. The committee also discussed KidsCare implementation, with AHCA saying federal conditions and litigation have delayed the expansion. The meeting ended after the chair noted the budget would still need to be adjusted for updated Medicaid caseload estimates, and the committee adjourned without taking any formal votes or other action on the budget items.

Transcript Highlights:

• They participate in the program to provide access to essential medications. the 340B program if they
• For employees' plans, you would get more rebates because those rebates wouldn't be displaced by 340B.
• What ends up happening is employers are losing rebate money, and they use that rebate money to lower
• Program if this bill does not pass?
• Contract rebate programs, where is that transparency?

Bills: HB712 , HB722 , HB946 , HB1687 , HB1809 , HB1899 , HB2528 , HB2583 , HB2741 , HB2750 , HB3021 , HB3150 , HB3265 , HB3658 , HB3812 , HB3960 , HB4392 , HB4432

Committee: House Insurance

Keywords: prostate cancer, health benefit plans, insurance coverage, cost sharing, preventive health care, auto insurance, total loss evaluation, disclosure, insurance materials, vehicle appraisal, HB 946, Texas Insurance Code, automobile insurance claims, oral release, written release, settlement agreement, claim release, property damage, bodily injury, psychological injury

Transcript Highlights:

• rebates.
• rebates.
• and found that rebates collected through the Medicaid drug rebate program were $6.5 billion less as
• , as the 340B program expands, rebates available to plan sponsors, including the state employee health
• The program is not...

Bills: SB5877 , SB5904 , SB5988

Committee: House Health Care & Wellness

Keywords: anesthesiology, medical personnel, surcharges, licensing, healthcare regulations, nursing titles, licensure, healthcare professionals, patient safety, professional standards, opioid treatment, accreditation, health department, fee authority, substance abuse

Transcript Highlights:

• And so we just redefine that to age 26, just to kind of match our JR to 25 program.
• But adopting this definition of homeless youth could impact caseloads and programs that the Office of
• getting young folks back with their families instead of keeping them in homelessness with these programs
• I urge a no. ...instead of keeping them in homelessness with these programs, I urge you no on this bill
• It matters to me as a ranking member that we do a program the right way.

Bills: SB6339 , SB6184 , SB6224 , SB6255 , SB5977 , SB5979 , SB6249 , SB6007 , SB6186 , SGA9299

Committee: Senate Human Services

Keywords: alternative placements, individual ownership, restrictive policies, healthcare, operational control, homeless youth, youth services, mental health, support programs, state law, behavioral health, children, support services, poverty reduction, intergenerational poverty, WorkFirst, Temporary Assistance for Needy Families, TANF, self-sufficiency, economic justice

Transcript Highlights:

• And they did have some lodging-in-kind programs set up there. Is that accurate?
• And I know the National Guard programs work the very same way.
• They may or may not be enrolled in VA programs and not have a VA card.
• SAVE Program.
• nonprofit service officers to assess the effectiveness of the program.

Bills: HB2006 , HB2165 , HB2245 , HB2348 , HB2806 , HB2901 , HB2902 , HCR2016

Committees: House Federalism, Military Affairs & Elections , House House Federalism, Military Affairs & Elections Committee of Reference

Keywords: sample ballots, elections, primary election, general election, mailing deadline, ballot mailing, county election officials, board of supervisors, secretary of state, early voting list, election administration, voter information, postal service, USPS processing center, city elections, town elections, special district elections, Arizona election law, ballot proofing, party chair

Transcript Highlights:

• When I was asked to take part in this program, I jumped at the chance.
• And as you heard, the State Leadership Board offers free equity-focused leadership programs.
• All the other youth programs were moved.
• We must invest in programs that support student growth and inspired service...
• An example of how... ...other budget cuts, as well as the growth of our programs.

Bills: SCR8406 , SB5825 , SB5842 , SB5863 , SB5840

Committee: Senate State Government, Tribal Affairs & Elections

Keywords: civic health, community engagement, committee reestablishment, public participation, governance, Washington State Leadership Board, WSLB, gift acceptance, grants, endowments, private funding, public funding, fundraising, state board, youth leadership, civic engagement, leadership development, Washington World Fellows, sports mentoring, Boundless Washington

Transcript Highlights:

• Under the Foundation School Program, the chair offers a committee substitute and recognizes Chairman
• in the fact that, in the original bill, we established that in a lot. under the Foundation School Program
• And we've changed that now to a grant program—simply a grant program.
• It is not under the Foundation School Program.
• But all of the students on free and reduced lunch would be eligible for this program.

Bills: HB 1178 , HB1411 , HB1441 , HB1773 , HB1813 , HB2107 , HB2598 , HB2911 , HB2967 , HB3672 , HB5263 , HB3797

Committee: House Public Education

Keywords: education, temporary certification, out-of-state educators, teacher shortage, military spouses, personal leave, school holidays, employee compensation, overtime provisions, school safety, peace officers, mental health, de-escalation techniques, trauma-informed care, student trustee, school board, student representation, education policy, nonvoting position, school governance

Transcript Highlights:

• By fostering these positive influences... programs, out of school programs, empower students to make
• , socially and culturally relevant arts education programs.
• A competitive grant program would help us expand access to free or low-cost programs. and communities
• Okay, so this is not summer program.
• There's a scholarship program program that we associate with that.

Bills: HB 1178 , HB1411 , HB1441 , HB1773 , HB1813 , HB2107 , HB2598 , HB2911 , HB2967 , HB3672 , HB5263 , HB3797

Committee: House Public Education

Keywords: education, temporary certification, out-of-state educators, teacher shortage, military spouses, personal leave, school holidays, employee compensation, overtime provisions, school safety, peace officers, mental health, de-escalation techniques, trauma-informed care, student trustee, school board, student representation, education policy, nonvoting position, school governance