Transcript Highlights:

• That means many companies, especially manufacturers and startups making large, launch...

Committee: Senate Revenue and Taxation

Summary: The committee heard several tax and revenue measures. SB 1277, by Senator Grove, proposed a California Cost of Living Tax Credit modeled on the 2022 middle-class tax refund to provide direct relief to low- and middle-income Californians facing high housing, gas, energy, and general living costs. Supporters said it would help working families, farmworkers, teachers, and others; opponents, including the California Tax Reform Association and the California Teachers Association, argued California already has a progressive tax system, that refundable credits are costly and can be difficult to administer, and that the bill would reduce General Fund revenues and Proposition 98 funding. The bill was held on call after extensive debate and no motion was made at that time. The committee then heard SB 1287, which would create a targeted tax credit to encourage private investment in short-line railroad infrastructure. The author and rail industry witnesses said the credit would support safety, bridge and track upgrades, emissions reductions, freight efficiency, and rural and agricultural supply chains, while opponents argued a direct grant program would be preferable to a tax credit. The bill was accepted with committee amendments and placed on call after a motion to move it forward. SB 1407 would exempt military retirement pay and surviving spouse benefits from state income tax, with the author, State Treasurer Fiona Ma, and veterans’ groups arguing it would help retain veterans in California, support second careers, and keep federal retirement dollars in the state. The California Teachers Association and California Tax Reform Association opposed it as another tax expenditure that would reduce General Fund revenue. The committee approved the bill on a due pass as amended vote to the Senate Committee on Military and Veterans Affairs, with several members voting aye and others not voting, and the bill was placed on call. The committee also heard SB 1349, which directs the Legislative Analyst’s Office to review major tax expenditures and evaluate their costs, beneficiaries, and effectiveness. Supporters, including CTA, AFSCME, cities, counties, and many teachers, said the state needs more accountability for roughly $94 billion in annual tax expenditures and their impact on schools and the budget. The bill was moved with committee amendments and placed on call. Additional measures discussed included SB 1078, authorizing Santa Cruz County to seek voter approval for a temporary local sales tax increase to fund health care and safety-net services; SB 1120, extending the California Competes Tax Credit through 2035 and making it refundable for certain strategic industries; and SB 1275, which would convert the state sales tax on vehicle purchases into a deductible vehicle license fee to reduce Californians’ federal tax burden. SB 1120 and SB 1275 both received support from business and industry witnesses, with no opposition testimony noted, and were moved on call or with a due pass as amended vote as the committee continued through the file.

Transcript Highlights:

• That means many companies, especially manufacturers and startups making large, launch...

Summary: The committee heard Senate Bill 1277, which would create a California Cost of Living Tax Credit modeled on the 2022 middle-class tax refund to provide refundable relief to low- and middle-income Californians facing high housing, fuel, energy, and general living costs. Senator Grove and supporters, including the California Policy Center and some local government representatives, argued the bill would put direct relief into the hands of working families. Opposition came from the California Tax Reform Association and the California Teachers Association, which said California already has progressive tax credits and that the proposal would be costly to the General Fund and reduce money for schools and other services. After extended debate, the bill was not advanced; a roll call vote on a motion to pass it to Appropriations failed 1-4, and the bill was held/fails on the floor with a request for reconsideration noted. The committee then heard SB 1287, which would create a capped tax credit to encourage private investment in short-line railroad infrastructure. The author and rail industry witnesses said the measure would improve safety, reliability, emissions, and freight movement, especially for rural communities and agriculture, and that it was a public-private partnership rather than a handout. Opposition from CTA and the California Tax Reform Association argued a direct grant program would be preferable to a tax credit. The bill was accepted with committee amendments and placed on call without a final vote in the transcript. Members also considered SB 1407, which would fully exempt military retirement pay and surviving spouse benefits from state income tax, increasing the prior partial exemption. The author, State Treasurer Fiona Ma, and veterans’ groups said the change would help retain veterans in California, support local economies, and align California with most other states. CTA and CTRA opposed on General Fund grounds. The committee approved the bill on a due-pass-as-amended motion to the Committee on Military and Veterans Affairs, with the roll call showing support and the bill placed on call. Later, the committee heard SB 1349, directing the Legislative Analyst’s Office to review major tax expenditures and evaluate their goals, beneficiaries, and effects on revenues and Proposition 98 funding. CTA, CTRA, and several local government and labor supporters backed the bill as a way to improve accountability for roughly $94 billion in annual tax expenditures. The bill was accepted with committee amendments and placed on call. The committee also heard SB 1078, authorizing Santa Cruz County to ask voters for a temporary half-cent sales tax to help fund health care and safety-net services amid federal cuts; it was placed on call. SB 1120, extending the California Competes Tax Credit through 2035 and making it refundable for certain strategic industries, received strong support from business and manufacturing groups and was passed on a due-pass-as-amended motion to Appropriations. Finally, SB 1275, which would replace the state sales tax on vehicle purchases with a vehicle license fee structure intended to increase federal deductibility for Californians, was passed 4-0 as amended to the Committee on Transportation.

Transcript Highlights:

• This can be a launch point for how other issues with anatomy arise, such as twins, spina bifida, and

Committee: House Education

Summary: The committee first took up HB 987, which would move the Louisiana Geological Survey under the LSU Energy Institute to streamline energy-related programs. The author and members described it as an efficiency measure, and the committee reported the bill favorably without objection. Members then heard HB 513 on name, image, and likeness rules for intercollegiate and interscholastic athletes. The bill was presented as a product of a task force and was supported by the Attorney General’s office, coaches, and a student athlete, who emphasized the need for guardrails, education, and protections against exploitation by agents or third parties. Questions focused on high school enforcement, parental consent, and what students may legally do; the committee ultimately reported the bill favorably. The committee also considered HCR 26, which asks BESE to incorporate the science of human growth and development, including prenatal development, into science or health standards and to provide instructional materials. Supporters said it would improve science education and show fetal development more clearly, while opponents raised concerns about medical accuracy, political influence, and lack of safeguards. An amendment requiring parental consent for instruction was offered but failed on a roll call vote, and the resolution was then reported favorably. Later, the committee reported HB 608 favorably as amended to protect confidentiality of documents tied to intercollegiate athletics revenue-sharing, while preserving public disclosure of overall institutional spending. It also advanced HB 380, creating a pilot program to expand CDL workforce training through a community college and school partnership, and HB 392, which would require suicide hotline information on school websites, student ID cards, and, through amendment, visible signs in schools. The committee then reported HB 476 as amended, requiring Safe Haven law flyers in school restrooms, and began discussion of HB 682 to authorize veterans as school resource officers, with amendments addressing qualifications and training.

Transcript Highlights:

• Hate can be reported by phone, online, and soon we'll be launching a third way of reporting hate by text

Transcript Highlights:

• Hate can be reported by phone, online, and soon we'll be launching a third way of reporting hate by text

Summary: The Select Committee on Racism, Hate, and Xenophobia met to hear from Los Angeles County officials and community advocates about rising hate, discrimination, and xenophobia, with opening remarks emphasizing the need for stronger anti-hate infrastructure, community-based reporting, and state support. Assemblymember Lowenthal noted the broader economic and social impacts of discrimination, and the committee framed the hearing around understanding local conditions and identifying legislative responses. Los Angeles County Human Relations Commission Executive Director Robin Toma presented county hate-crime data showing record-high levels in 2024, with racial/ethnic hate crimes remaining the largest category and anti-Black hate crimes the most common. He also highlighted high levels of anti-Latino, anti-Jewish, anti-Muslim, anti-LGBTQ, and anti-transgender hate, the role of underreporting, and the county’s L.A. vs. Hate system for reporting and victim support. The Los Angeles County Sheriff’s Department said it uses hate-crime and hate-incident data to guide proactive patrols, community outreach, and training, and discussed the need to build trust amid immigration enforcement fears that discourage reporting. Community organizations described how current political rhetoric and federal immigration enforcement are intensifying fear and underreporting. LULAC called for multilingual, culturally competent reporting systems, prevention education, and stronger support for grassroots organizations. The Jewish Federation of Los Angeles described severe anti-Semitism, increased security costs, and the need for safe worship protections, security grants, and Holocaust education. The NAACP emphasized the continuing impact of anti-Black racism and the need for cross-community solidarity, while the Los Angeles LGBT Center highlighted rising anti-trans violence and urged funding for gender-affirming care, LGBTQ centers, and reauthorization of California vs. Hate. CHIRLA and CAIR California both described heightened fear among immigrants and Muslims, workplace discrimination, and the need for stronger civil-rights protections, data collection, and community-based reporting. No formal votes were taken. The discussion focused on policy ideas and funding priorities, including improved law-enforcement training, alternative sentencing or diversion for hate offenders, protections for houses of worship, and continued or expanded funding for California vs. Hate, Stop Hate, and related programs. Committee members and witnesses repeatedly stressed that hate is underreported, that words and leadership rhetoric matter, and that California should continue investing in prevention, response, and healing.

Transcript Highlights:

• I'm a resident of Idaho and a small business owner working to launch a mobile event lounge here in our

Committee: House Business

Transcript Highlights:

• also takes out $10 million from the In-Demand Careers Fund for both fiscal year 26 and 27 from the launch

Transcript Highlights:

• Before we launched an online application, it was important that we addressed the fundamental opportunity

Summary: The committee first considered the confirmation of Dr. John Lattell to the Board of Medicine. In questioning, senators focused heavily on his views about abortion, vaccines, ivermectin, and the role of CDC/FDA guidance in board discipline cases. Dr. Lattell said the board applies Florida statutes and works through probable cause panels and legal counsel, but he also expressed strong pro-life views, skepticism of federal health guidance, and criticism of vaccines and some medical practices. Supporters praised his long medical career, military service, and family medicine background, while opponents argued his views could prevent him from being objective in disciplinary matters. The committee voted to recommend him for confirmation to the full Senate, with Senators Polsky and Ruson voting no. The committee then took up the confirmation of Taylor Hatch as Secretary of the Department of Children and Families. Hatch described her background in state human services and outlined priorities centered on accountability, data, lived experience, and improving service delivery. Senators asked about SNAP error rates, Hope Florida, legislative analyses, staffing, and the department’s handling of child welfare and medically complex cases. Hatch said the department was reducing SNAP error rates, that Hope Florida uses navigators to connect people with community resources and self-sufficiency supports, and that DCF is working with the Department of Health and other partners to improve investigations and accountability in child welfare. She also said the agency is reviewing medically complex cases and strengthening oversight of community-based care providers through contracts, audits, and proposed funding-model changes. A substantial portion of the Hatch discussion centered on whether the department had been responsive to legislative requests and whether it had provided timely bill analyses. Senators also pressed her on Hope Florida staffing, the number of participants served, and the Hope Florida Foundation’s compliance and legal oversight. Hatch said the foundation is undergoing a financial audit and that the department is relying on required reports and ongoing investigations. The transcript ends amid continued questioning about a community-based care contractor’s finances, related-party transactions, and whether further forensic audits or repayments are needed.

Transcript Highlights:

• Before we launched an online application, it was important that we addressed the fundamental opportunity

Committee: Senate Ethics and Elections

Summary: The committee first considered the confirmation of Dr. John Lattell to the Florida Board of Medicine. In questioning, senators focused heavily on his views on abortion, vaccines, ivermectin, hormonal birth control, and the role of CDC/FDA guidance in board discipline cases. Dr. Lattell said the board should apply Florida statutes, described himself as strongly pro-life and skeptical of some federal health guidance, and said he would be sympathetic when judging fellow physicians because of his own experience in practice. Supporters praised his medical background, military service, and family medicine experience, while opponents argued his stated views could affect his ability to fairly discipline other doctors. The committee voted 5-2 to recommend confirmation, with Senators Polsky and Rouson voting no. The committee then took up the confirmation of Taylor Hatch as Secretary of the Florida Department of Children and Families. Hatch outlined her background at DCF and APD and described department priorities including streamlining services, improving child welfare and behavioral health systems, expanding peer support, and reducing SNAP error rates. Members asked detailed questions about Hope Florida, the number and role of Hope Navigators, agency responsiveness on bill analyses, and accountability for community-based care contractors. Hatch said Hope Florida is a partnership-based navigation effort aimed at self-sufficiency, that 143 Hope Navigators are in place, and that the department is working to improve transparency and oversight through contracts, audits, and a proposed funding model. Senators also pressed Hatch on the Hope Florida Foundation’s compliance history and on forensic audits of community-based care agencies, especially Northwest Florida Health Network. Hatch said the foundation is now in compliance and under audit, and that the contractor had completed corrective actions and was operating within current accountability limits. She said DCF had not yet conducted new forensic audits under her tenure but was preparing another round and was considering using contracted-services dollars to support that work. The discussion ended with continued questioning on oversight, staffing, and whether the agency could provide more formal bill analyses going forward.

Transcript Highlights:

• I have received the Working Families Tax Credit every year since it launched and strongly support the

Summary: House Finance held a public hearing on Gross Substitute Senate Bill 6346, a proposal to impose a 9.9% tax beginning in 2028 on Washington taxable income over $1 million for individuals, with related rules for residents, nonresidents, pass-through entities, estimated payments, penalties, credits, and revenue distribution. Staff explained that the bill would also fund several tax changes, including an expanded Working Families Tax Credit, sales tax exemptions for grooming and hygiene products, higher small business B&O credits, an early end to the B&O surcharge on very large businesses, and repeal of most retail services sales tax changes from last session. The fiscal note projected about $2.53 billion in additional state revenue in FY 2029 and $3.21 billion in FY 2030, with local revenue losses and significant Department of Revenue implementation costs. The chair also announced concerns about apparent fraud and duplicate records in the public sign-in system and set testimony rules limiting questions and shortening testimony time as the hearing progressed. The prime sponsor, Senator Jamie Peterson, said the bill was intended to make Washington’s tax system less regressive and to raise revenue for schools, health care, higher education, and other public needs while reducing the burden on lower- and middle-income residents. Supporters from labor, education, health care, child care, housing, poverty-reduction, and social service organizations argued that the bill would help fund essential services, expand the Working Families Tax Credit, and improve fairness by asking the wealthiest households to contribute more. Several individual supporters, including business owners and workers, said they were willing to pay more and described the need for better-funded schools, health care, child care, and public defense. Opponents, including former Attorney General Rob McKenna, business groups, construction and real estate representatives, and taxpayer advocates, argued the measure would function as an unconstitutional income tax, would be unstable and likely expanded over time, and would harm small businesses organized as pass-through entities. They said the bill would reduce investment, discourage entrepreneurship, and could drive businesses and high earners out of Washington. Some local government representatives supported the public defense funding but asked for more dedicated revenue and protection against local revenue losses from the bill’s sales tax exemptions. No committee vote or final action was taken during the hearing.

Transcript Highlights:

• And we already know that in the Launch program alone, we have more people applying than we have funds

Summary: The committee first received updates from LSO on the latest green sheet, including the revenue impact of House Bill 559, recent cash transfers, and the Idaho Budget Rescissions Act for FY 2026. Members then moved through a series of FY 2027 maintenance budgets, beginning with the legislative branch. The committee discussed the statewide 2% reduction layered on top of the governor’s recommendation, benefit-cost adjustments, and how those decisions were being built into the maintenance budgets. The legislative branch budget passed, followed by unanimous-consent adoption of related language. The committee next considered public safety, natural resources, health and human services, economic development, judicial branch, constitutional officers, and general government budgets. In each case, analysts explained how rescissions, ongoing base reductions, and statewide adjustments were incorporated. Several members objected to the across-the-board cuts, arguing they would reduce staffing or services in corrections, juvenile corrections, environmental quality, health and welfare, public defender services, crime victims compensation, tax administration, and treatment courts, while supporters said the committee needed a target and would revisit details in enhancement work groups. Most budget motions passed on divided votes and were forwarded with do-pass recommendations. The committee also adopted multiple sections of standard and nonstandard language, including cash transfers, reporting requirements, and agency-specific provisions. In Health and Human Services, members debated language requiring reporting on large acquisitions and transfers, and in Economic Development and General Government they adopted language affecting the State Public Defender, the Department of Insurance, and group insurance premiums. The meeting ended while the committee was still working through a disputed general government language item about funding employee health insurance premiums from reserve accounts, with members debating whether the language should reference specific reserve funds or broader reserve funding and whether the proposal was properly within JFAC’s scope.

Transcript Highlights:

• First, there are the planning grants launched in 2021 and concluded in 2024, provided up to $200,000

Transcript Highlights:

• First, there are the planning grants launched in 2021 and concluded in 2024, provided up to $200,000

Summary: The joint informational and oversight hearing focused on community schools in California, with members emphasizing that the purpose was to examine effectiveness, implementation, and sustainability rather than the Governor’s budget proposal. The California Department of Education described the California Community Schools Partnership Program, created in 2021 and funded with more than $4 billion, including planning, implementation, extension, and county coordination grants. Officials said nearly 2,500 schools are participating and highlighted the statewide technical assistance structure, including the State Transformational Assistance Center, eight regional centers, county offices, and CDE support. Researchers from the Learning Policy Institute and UCLA presented early findings and implementation data. LPI reported reductions in chronic absenteeism and suspensions, along with gains in math and English language arts, with especially large benefits for Black students and other historically underserved groups. UCLA described the Annual Progress Report as a statewide improvement tool showing growth in capacity-building, shared decision-making, whole-child supports, and continuous improvement. Members asked about how the reports measure outcomes, how to interpret outliers, and how to distinguish community schools effects from other concurrent initiatives; presenters said matched comparison methods and deeper case-study work are being used, with additional statewide findings expected in June. Panelists from Oakland Unified, LAUSD/UTLA, San Diego Unified, and advocacy organizations described key elements of success: integrated student supports, strong family and student engagement, collaborative leadership, community partnerships, and school-site decision-making. They gave examples such as wellness centers, dual enrollment, student senates, parent leadership, and community campaigns that built trust and increased participation. Members also raised concerns about sustainability, implementation fidelity, and whether community schools improve participation in LCAP processes. Presenters said major barriers include unclear early guidance, the need for a mindset shift away from top-down models, and uncertainty about long-term funding for coordinators and other staff. The panel’s recommendations centered on stable ongoing funding, stronger technical assistance, shared governance, and embedding community schools practices into district and county systems.

Transcript Highlights:

• sunk $2.5 million, including $2 million taxpayer dollars, into a failed therapy program that never launched

Summary: The committee first heard HB 245, which would replace references in Florida law to “child pornography” with “child sexual abuse material.” The sponsor said the change was overdue and more accurately reflects the criminal nature of the material. There was brief supportive public testimony, no debate, and the bill was reported favorably on a unanimous vote. The committee then took up HB 237 on the use of professional nursing titles. The sponsor said advanced practice registered nurses should be able to use earned academic titles such as DNP or PhD. Supporters testified in favor, there was no opposition or debate, and the bill passed unanimously and was reported favorably. The longest discussion centered on HB 173, which would expand parental consent and access requirements for minors’ medical care, medical records, certain school surveys, and biomedical devices. Supporters argued it restores parental rights and keeps parents involved in children’s health decisions, while opponents—many from medical, mental health, LGBTQ, and youth advocacy groups—warned it could block access to STI treatment, mental health care, crisis hotlines, and confidential services for vulnerable youth, including those in abusive homes. After extensive testimony and debate, the bill was reported favorably on a 19-7 vote. Finally, the committee began HB 327 on uterine fibroid research. The sponsor explained the bill would require health care providers to submit identified data so the Department of Health can build a usable de-identified research database, after prior implementation problems with duplicate or unverified data. A supportive local official testified, and members indicated support as the meeting moved toward a vote.

Transcript Highlights:

• We launched a pay parity program for infant and toddler educators, bringing their pay into alignment

Bills: SB2

Committee: House House Appropriations & Finance

Keywords: SB 2, State Highway Project Bonds, highway funding, transportation bonds, state road fund, motor vehicle fees, vehicle registration fees, electric vehicle fee, EV surcharge, plug-in hybrid fee, weight distance tax, road construction, infrastructure financing, Department of Transportation, State Transportation Commission, bonding authority, county road funds, municipal road funds, transportation improvement program, state highways

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• into greater detail on this in just a little bit, but we really want to redesign our DPS website and launch

Transcript Highlights:

• What they are working on at this time is launching the citizen portal, which needs to come before the

Committee: Joint Public Utilities, Energy, and Technology Interim Committee

Transcript Highlights:

• public media is not just a great place for storytelling and a foundation for excellence, but also has launched

Summary: The hearing focused on the impact of the federal rescission of Corporation for Public Broadcasting funding on California public media, with Assemblymember Chris Ward and Senator Akilah Weber Pierson framing public media as essential civic infrastructure for education, local news, arts, emergency alerts, and underserved communities. Local officials from San Diego and La Mesa voiced support, emphasizing public media’s role in trusted information, children’s programming, and community arts access. Panelists from PBS SoCal, KCRW, Rebuild Local News, NPR, KPBS, Radio Bilingüe, and KVPR described significant budget losses, layoffs, reduced programming, and threats to rural and specialized services. They highlighted impacts on children’s educational content, local journalism, arts coverage, science and documentary production, and emergency alert systems. Several speakers noted that smaller stations in rural or low-broadband areas are especially vulnerable, while larger stations are also cutting staff and delaying projects. They also discussed possible responses such as shared services, cost reductions, philanthropy, and state support, while warning that one-time bridge funding is not a long-term fix. Committee members asked about operational changes, alternative revenue sources, the role of state programs, and whether public pressure could restore federal funding. Witnesses said the loss is already being felt, that restoration appears unlikely in the near term, and that any state support should be structured to protect editorial independence and provide stable, timely funding. The hearing concluded with a shift to labor and production testimony and then to station-specific testimony from KPBS, Radio Bilingüe, and KVPR, followed by public comment.

Transcript Highlights:

• public media is not just a great place for storytelling and a foundation for excellence, but also has launched

Committee: House Arts, Entertainment, Sports, and Tourism

Summary: Assembly Member Chris Ward and Senator Akela Weber Pearson convened an informational hearing at KPBS and San Diego State University on the impact of the federal rescission of Corporation for Public Broadcasting funding on California public media. Opening remarks emphasized public media’s role in education, local news, arts and culture, emergency alerts, and service to rural and underserved communities, with local officials from San Diego and La Mesa voicing support. Panelists from PBS SoCal, KCRW, and Rebuild Local News described major operational and content impacts from the funding loss, including layoffs, reduced staff and programming, threatened children’s and educational content, and pressure on smaller stations that rely heavily on CPB support. They also discussed public media’s role in disaster response, local arts coverage, and the shrinking local news ecosystem, while noting possible responses such as shared services, philanthropy, corporate partnerships, and state policy support. A second panel focused on labor and production perspectives. NPR veteran Jack Speer and filmmaker Nate Dappen said the cuts threaten journalism jobs, documentary production, and science programming, and warned that fewer resources mean less fact-checking, less on-the-ground reporting, and weaker public understanding of science and technology. They urged continued support for public media as a trusted, noncommercial source of information. The final panel featured KPBS, Radio Bilingüe, and KVPR. KPBS said federal funding made up 12% of its budget and that reserves have only delayed possible future reorganization; Radio Bilingüe reported losses to both CPB and FEMA-related infrastructure funding affecting Spanish- and indigenous-language service; and KVPR said it lost CPB and FEMA grants but offset the loss through an emergency fundraising drive. No formal votes were taken; the hearing was informational and ended with questions about state policy options and future support.

Transcript Highlights:

• And we've had that opportunity already to launch several things that we're very proud of.

Committee: Joint Joint Select Committee on Health Care and Behavioral Health Oversight

Summary: The committee met to hear updates from state health leaders on current priorities, including agency leadership transitions, licensure backlogs, federal policy changes, and rural health funding. Secretary of Health Dennis Worsham and HCA Director Ryan Moran described their recent listening tours and said their agencies are focused on access, affordability, quality, patient safety, and stronger coordination across public health, Medicaid, behavioral health, and rural systems. In response to questions, Worsham said health profession licensure delays have been reduced from about four months to six weeks, with the backlog expected to be caught up by January 1, and that the department is adding staff and using dashboards to improve turnaround times. A major portion of the meeting focused on implementation planning for H.R. 1 and its effects on Medicaid and SNAP. Governor’s Office health policy advisor Caitlin Stafford, HCA interim Medicaid director Trinity Wilson, and HCA staff said the state is analyzing eligibility changes, work requirements, and six-month redeterminations, while trying to keep most changes out of statute and instead handle them through budget and administrative action. They emphasized close coordination with DSHS, the Health Benefit Exchange, the Office of the Insurance Commissioner, employers, and tribal partners, and said the state hopes to make the process as invisible as possible for enrollees. Wilson said the October 2026 eligibility change for certain lawfully present non-citizens could affect up to 30,000 Apple Health enrollees, while the December 2026 work requirement and redetermination provisions could affect about 620,000 adults, with automated verification expected to cover most cases but 15% to 20% likely needing manual review. Officials also said they are concerned about the cost of technology changes, estimating a possible $30 million system solution, and about the lack of federal guidance. The panel also reviewed Washington’s successful application for the federal Rural Health Transformation Program, which was submitted to CMS on November 5. HCA said the application was shaped by more than 310 public comments, webinars, and tribal consultation, and includes six initiatives: rural hospital innovation, community-based prevention and care management, tribal investments, technology and data, workforce development, and rural behavioral health. Officials said the proposal includes support for rural hospital collaboratives, maternal and obstetric services, dementia and EMS supports, tribal workforce and data investments, telehealth and AI tools, rural training pipelines, and behavioral health services such as mobile crisis and school-based care. They noted that Washington is unlikely to receive the full $200 million annual amount available to each state, and that an advisory committee will likely help guide spending over the five-year program. Later, the committee heard a brief update on the 2023 organ transport law from Department of Health EMS program supervisor Don Felt, who said the state has licensed one organ transport company, has received no complaints, and has seen no operational problems. LifeCenter Northwest then described the organ donation system, explaining the legal framework, donor referral process, and the role of hospitals and organ procurement organizations. The organization said Washington has seen a 140% increase in organ donors over the past decade and a 103% increase in lives saved, while also noting common misconceptions that donation affects emergency care decisions. The final panel from the University of Washington Medical Center began an overview of its transplant programs, including kidney, liver, heart, lung, pancreas, and living donor transplants, but the transcript ends before that presentation was completed.