Transcript Highlights:

• So, what does it take to shut down a facility?
• We wanted a more intimate setting than a large facility.
• So, what does it take to shut down a facility?
• and must comply with the regulations as an assisted living facility. ...living facility by going through
• Medicaid does not cover these facilities.

Bills: HB2510, HB3589, HB4611, HB4655, HB4665, HB4666, HB4670, HB4700, HB4730, HB4798, HB4838, HB5136, HB5243, HB5302, HB5539

Keywords: assisted living, healthcare, licensing, criminal offense, personal assistance, group home, regulation, health and safety, inspections, resident care, criminal background checks, adoption, parental rights, registry, vital statistics, disclosure, counseling, foster care, independent living, financial literacy

Transcript Highlights:

• program manager for the Naval Facilities program manager for the Naval Facilities Engineering<00
• all shore facilities. all shore facilities.
• <00:32:40.320> Facility.
• treatment facility. treatment facility.
• . facilities. facilities.

Keywords: 910, house, all

Summary: The House Special Committee on Red Hill held an informational briefing at the State Capitol focused on updates from the Navy Closure Task Force Red Hill and NAVFAC Hawaii. Members and Navy officials opened by noting the meeting format, providing public links to tank closure supplement 4 and environmental remediation resources, and thanking Admiral Barnett for attending before his transition. The Navy emphasized that the Red Hill closure effort and the PFAS/PAS environmental remediation effort are separate but coordinated, and that both are long-term undertakings. For the closure effort, Navy officials reported progress on tank cleaning, ventilation, sludge removal, groundwater monitoring, and preparation for pipeline removal. They said supplement 4 to the tank closure plan was submitted in May and outlines the overall closure strategy, post-closure monitoring, and the decision to proceed with closure rather than wait for beneficial reuse decisions. They described completed ventilation of tanks 3 through 8, the start of tank 2 ventilation, removal of 283 gallons of sludge from the first six tanks, and plans to begin pipeline pigging and removal later this year. Officials also said all sludge samples tested so far were non-hazardous and that air monitoring has not shown elevated volatile organic readings during operations. NAVFAC Hawaii then outlined the PFAS/PAS remedial investigation under CERCLA, explaining the cleanup process, the nature of PFAS, and the role of aqueous film-forming foam as a source. The presentation said the Navy began investigating PFAS releases in 2014-2015, that the 2021 Red Hill fuel release led directly into remedial investigation work, and that current activities include quarterly groundwater sampling at 42 monitoring wells, installation of new shallow and deep wells, soil sampling where exceedances were found, fate-and-transport modeling, and human health risk assessments. Officials said data are publicly available on the Red Hill environmental website and that the next restoration advisory board meeting is scheduled for August 27. The Navy also gave a water resiliency update, saying it is upgrading the joint base drinking water system with pump, tank, and cybersecurity improvements and is installing treatment systems for the inactive Navy Aiea and Red Hill shafts ahead of EPA drinking water standards taking effect in 2029. No votes or formal committee actions were taken, as the meeting was informational only.

Transcript Highlights:

• We wanted to make sure that money was staying with each track facility.
• was staying with each track facility was staying with each track facility little<00:09:10.120>
• in a facility where other equipment in a facility where other Imaging<00:29:55.200> equipment
• <00:32:37.799> so don't do surgeries in our facility so don't do surgeries in our facility
• Your facility to do that.

Keywords: Call to Order 00:00 Roll Call 00:05 HB 566 Discussion 01:34 HB 566 Vote 16:42 HB 39 Discussion 19:15 HB 39 Vote 23:10 HB 70 Discussion 24:48 HB 70 Vote 27:36 HB 72 Discussion 28:58 HB 72 Vote 39:45 HB 79 Discussion 41:45 HB 79 Vote 42:58 HB 223 Discussion 45:34 HB 223 Vote 46:24 Adjournment 47:38, 958, all

Summary: The committee first took up House Bill 566, which would implement the Kentucky Horse Racing and Gaming Corporation created last year. Chairman Cook described major provisions affecting charitable gaming, horse racing, sports wagering, and quarter horse racing, including locking charitable gaming fees in statute at a slightly lower rate, expanding charitable gaming board representation, preserving existing gaming technology, allowing school districts to hold charitable gaming licenses, and setting up self-funding for the new corporation through administrative set-asides from gaming-related funds. The bill also addresses uncashed vouchers, cross-training of investigators, ethics and employment provisions, and a three-year quarter horse breeding incentive intended to grow the industry. A committee substitute made two technical changes: clarifying voucher money stays with the track facility and making the school district itself the license holder. The substitute and then the bill both passed favorably, with several members noting concerns from last year but supporting the revised structure. The committee then heard House Bill 70, an interstate compact for dietitians. Sponsor Representative Vanessa Grossl and witnesses said the measure would allow reciprocity with other compact states, improve workforce mobility, help military families, expand patient access and telehealth, and reduce administrative burden on the licensing board. The committee substitute created a third license category for educational interpreters, but that language actually belonged to the next bill; for HB 70, the committee voted the bill favorably without reported amendments. The bill passed unanimously or near-unanimously and was sent to the House floor. Next, House Bill 72 was presented by Representative DJ Johnson to amend the law governing limited x-ray machine operators. The sponsor explained that current law effectively prevents limited x-ray operators from working in the same facility as other imaging equipment, which he said creates compliance problems, disrupts training, and can force practices to move equipment or lose employees. The bill would allow limited x-ray technicians to operate in the same facility as other imaging equipment. During discussion, some members noted opposition from students and others in the field, and the sponsor invited industry witnesses to explain their concerns. The transcript cuts off before final action on HB 72 is completed.

Transcript Highlights:

• County facilities hold incarcerated women. Barnstable County is a regional facility holding women.
• Not all facilities house women.
• That's why it's a facility that renders.
• We have multi-level security in the facility.
• So that is our biggest struggle at our facility.

Keywords: 995, all

Summary: The commission met to continue its review of the county sheriffs’ role in corrections, reentry, and public safety. After approving the prior meeting minutes, the sheriffs completed a lengthy presentation describing how their offices provide regional jail services, women’s programming, mental health and substance use treatment, reentry support, community partnerships, and auxiliary public safety functions such as BCI work, TRIAD, Meals on Wheels, and event support. They emphasized that services are tailored to local needs, that women’s facilities are designed to keep mothers close to family and support reunification, and that programming, housing, and job placement are central to reducing recidivism. They also discussed challenges including K2/synthetic drugs in facilities, gang classification and separation, and the difficulty justice-involved people face obtaining IDs and birth certificates, especially for people from Puerto Rico. Commission members generally praised the sheriffs’ work and asked for more detail on how regional women’s facilities operate, how community-provider cuts might affect reentry services, how no-cost phone/tablet communication is balanced against programming time, and what the most essential programs are if funding is reduced. The sheriffs said programming must come first, identified mental health, substance use treatment, domestic violence programming, and housing/job placement as critical, and explained that community organizations and the Registry of Motor Vehicles are key partners in reentry. They also described their approach to gang management through classification, separation, and information sharing, and noted that the Registry has become more flexible but Real ID requirements have made documentation barriers more significant. The commission chair stressed that the purpose of the study is collaboration and improving system performance, not an adversarial effort against the sheriffs or a decarceration debate. Members noted that future meetings would hear from probation in June and the Department of Correction in July, and that the commission would continue gathering information before deciding on next steps. The meeting ended with a motion to adjourn, which passed unanimously.

Transcript Highlights:

• Who licensed these facilities that are handling the online, or doing the gambling in those facilities
• are those facilities licensed?
• When you go into the facility, I guess they're card game—I don't know what the facilities are called
• slot machine facilities.
• And if that dollar does not go into a licensed facility or tribal facility, it's going into a criminal's

Summary: The Industries and Professional Activities Subcommittee met to hear a panel on the prosecution and enforcement of illegal gaming in Florida. The chair opened with a video showing seized machines at a Florida Gaming Control Commission warehouse and described the scale of illegal operations. Panelists included the commission’s executive director, local sheriffs and police officials, and state attorneys from several counties, who described widespread illegal slot-machine locations, often in strip malls or convenience-store-type settings, and said the machines are typically used in organized criminal activity rather than legitimate amusement gaming. Witnesses repeatedly said the current penalty structure is ineffective because possession and operation of illegal slot machines are generally second-degree misdemeanors, which they described as too minor to deter operators who can quickly reopen after paying fines or completing diversion. They said enforcement is resource-intensive, requiring undercover work, search warrants, machine seizure, storage, forensic review, and long prosecutions, often while the same operators reopen elsewhere. Several panelists cited associated crimes such as robberies, firearms offenses, prostitution, drug activity, human trafficking, and at least some homicides tied to illegal gaming locations. Members also asked about the difference between legal amusement devices and illegal slot machines, online gambling, illegal horse racing, local licensing and ordinances, and whether manufacturers or distributors could be pursued. The commission and prosecutors said legal slot machines are limited to specific regulated locations and that lawful amusement machines lack a material element of chance. They said many illegal machines are imported or reworked versions of gaming devices and that upstream accountability is difficult under current law. Panelists also discussed cooperation with licensed casinos, tribal gaming entities, and local governments, noting that some local ordinances have tried to permit or limit these businesses. The main policy takeaway from the panel was a call to increase penalties, likely to felony-level offenses, and to consider stronger forfeiture and enforcement tools. No vote or formal action was taken at the meeting, and the chair adjourned after thanking the panelists.

Transcript Highlights:

• picking people up from a local facility. picking people up from a local facility.
• is truly a best-in-class facility. is truly a best-in-class facility.
• those facilities. those facilities.
• That's an amazing thing for the facility That's an amazing thing for the facility in<00:15:22.200
• c> have the other Minnesota facilities that have the other Minnesota facilities that have these<00

Keywords: 1183, house

Transcript Highlights:

• health care facilities.
• the 5150 facilities.
• the 5150 facilities.
• an incredible facility.
• I trained at county facilities.

Keywords: 987, senate, all

Transcript Highlights:

• You're recognized to present HB 1089, Waste Facilities.
• facilities commonly known as MRFs where recyclables are processed.
• My understanding is it's had no impact on that type of facility.
• going to be able to use and they can no longer discharge into that facility.
• land application facilities would still be able to be permitted.

Transcript Highlights:

• facilities of any kind.
• daycare facilities in industrial areas.
• Where CEQA comes in is before you build a facility or expand an existing facility, you look at the different
• Where sequel comes in is before you build a facility or expand an existing facility, you look at the
• For existing facilities, but any of those existing facilities under CMTA's read of the bill would preclude

Keywords: 988, house, all

Transcript Highlights:

• If every facility, instead of every facility trying to do everything, we created a regional hub.
• They work with a lot of facilities.
• You've got a huge facility in Plymouth... ...and it's a bunch of smaller facilities out there not too
• Second, most of the houses of correction, the county facilities, are basically medium facilities and
• At the minimum facilities.

Keywords: 995, all

Summary: The commission opened an informal discussion focused on developing recommendations for its September report on correctional consolidation and cooperation. Chairs Dan Hunt and Senator Brownsberger emphasized that the group is still in an information-gathering phase, but should begin putting ideas on the table, including possible written recommendations, further hearings, and additional facility tours. Members discussed whether the commission should seek more input from frontline stakeholders such as sheriffs, probation, parole, reentry centers, unions, and the judiciary, and whether recommendations should be organized around specific issue areas like medical costs, programming, reentry, and facility operations. A major theme was the need for a more integrated and consistent correctional system. Participants raised concerns about fragmentation across DOC, county sheriffs, probation, and parole, and suggested exploring step-down pathways, minimum security, pre-release, day reporting, and regional reentry hubs to improve outcomes and reduce recidivism. Several speakers stressed the importance of uniform standards, evidence-based programming, better data on outcomes and spending, and clearer alignment between custody conditions and rehabilitation goals. There was also discussion of looking to other states and international models, as well as revisiting older reports and plans, including the 2009 commission report and the 2010 corrections master plan. Facility-specific issues were also raised, including the need to examine women’s facilities such as Framingham, Bridgewater, and restrictive housing practices in light of suicide concerns and mental health needs. Members discussed the relationship between correctional custody and behavioral health, the role of the judiciary in sentencing and reentry planning, and whether judges should be better informed about available programming and step-down options. There was broad agreement that collaboration, transparency, and accountability should be strengthened, with some members urging that recommendations be based on firsthand facts and data rather than opinion alone. The meeting also included presentation of a written set of eight high-level recommendations compiled by advocacy and legal organizations, which focused on clearer and more consistent programming, equitable application of rules, and reducing punitive conditions that function like solitary confinement. The chairs said the document would be shared with members and posted online. No formal votes were taken during the discussion, and the meeting ended with plans to continue the conversation at a future session, including possible follow-up on reentry centers, restrictive housing, and other systemwide reforms.

Transcript Highlights:

• SB 1196 on waste facilities by Senator Sharif.
• It applies only to new facilities.
• out of a waste-to-energy facility.
• They don't have the facility to recycle.
• They don't have the facility to recycle.

Summary: The Committee on Environment and Natural Resources met with a quorum present and took up several environmental bills and one confirmation. First, the committee considered SB 1422 on surface waters, which was amended with a strike-all focused on coral reef protection and designation of coral reefs as critical natural infrastructure. Senator Garcia described the amendment as a way to support restoration, disaster resilience, and access to federal funding; Audubon Florida waived in support. The committee adopted the amendment and then reported CS for SB 1422 favorably. The committee next considered SPB 7034, a DEP rule ratification concerning the Lower Santa Fe and Ichetucknee River minimum flows and levels and recovery strategy. Senator Rodriguez explained the rule would replace prior MFLs and allow longer permits, while opponents from the Florida Springs Council and local river advocates argued the plan relies too heavily on one future wastewater reuse project, delays restoration, and lacks a clear funding source. DEP and JEA waived in support. After debate, the committee approved the motion to submit the proposal as a committee bill; the measure was favorably reported, with Senator Smith voting no. The committee then heard SB 1510 on DEP-related matters, as amended. The strike-all addressed Outstanding Florida Springs B-MAP mediation plans, septic system upgrades where sewer is unavailable, rural cost-share eligibility, notice to property owners, rulemaking procedures, and land acquisition governance, while removing biosolids and fee provisions. Florida Springs Council opposed the 60-day delay for B-MAP effectiveness, saying it could slow restoration and allow more conventional septic systems to be installed before stricter requirements take effect. DEP and others supported the bill. The committee reported CS for SB 1510 favorably. It also heard SB 1196 on waste facilities, which would prohibit new ash-producing incinerators and waste-to-energy facilities within two miles of certain federally authorized water impoundment areas, with an amendment narrowing the bill to Miami-Dade and Broward County. Supporters, including the City of Miramar, said it would protect water resources and Everglades restoration; opponents from the Florida Waste-to-Energy Coalition warned it would limit local solid waste options and could force more landfilling. The committee adopted the amendment and reported CS for SB 1196 favorably. Finally, the committee considered SB 912 on battery collection and recovery, establishing a battery stewardship program and requiring producers and retailers to join a stewardship organization by 2028. Supporters from the battery industry and recycling sector said the bill would reduce fires and keep batteries out of the waste stream. The committee adopted the amendment and reported CS for SB 912 favorably. The committee also recommended confirmation of Gary Jennings to the Atlantic States Marine Fisheries Commission, and then adjourned.

Transcript Highlights:

• It's our main source of funding for facility renewal and upkeep.
• At its core, this request is about providing some pretty basic facilities.
• Our facility-related expenses are growing faster than our resources.
• We have treatment facilities for petroleum and oil-contaminated water.
• So we have enough of those facilities to be able to transfer people over.

Bills: HF3220

Keywords: school safety, school security, emergency access, law enforcement access, master key box, secure key box, entry device, school grants, education finance, Department of Education, charter schools, school districts, cooperative units, appropriation cancellation, one-time appropriation, school safety plan, emergency preparedness, public safety, school building security

Transcript Highlights:

• <00:09:37.120> for facility uh the largest facility for facility uh the largest facility for
• how do we maximize understand facility how do we maximize understand facility okay<00:10:24.079>
• were looking at KCC to put this facility were looking at KCC to put this facility yes<00:13:05.000
• facility facility issues<00:23:44.919> and<00:23:45.600> you<00:23:45.720> know
• past to get facilities for Manoa.

Keywords: 912, senate, all

Transcript Highlights:

• facilities, which then leads to sort of the.
• . ...Public School Facilities Authority to include myself.
• We have facilities that are commensurate with that.
• We have some cost-effective facilities.
• It's hard to say, but we do need a new facility.

Transcript Highlights:

• And we'd love to know where are these facilities? who are? or at facilities.
• And the last pillar is excess facility disposition, so we actually dispose of process-contaminated facilities
• So first off, a defense nuclear facility is a facility that's operated by the Department of Energy that
• Some of our focus areas remain ensuring the safety systems at the plutonium facility, or the PF-4 facility
• Some of our focus areas remain ensuring the safety systems at the plutonium facility or the PF4 facility

Summary: The committee first heard a presentation from the Environment Department on PFAS contamination in private wells in La Cienega, Santa Fe County. Staff said the plume likely came from historic use of firefighting foam associated with airport and National Guard fire-training activities, with possible additional contribution from septic systems and consumer products. They described the contamination as affecting about 200 private wells, the short-term response of providing residential filters through a $2 million legislative appropriation, and ongoing work to define the plume’s full extent, identify responsible parties, and consider longer-term regional water solutions. Members asked about filter costs, replacement schedules, disposal of used cartridges, follow-up testing, health studies, and whether cleanup or containment had begun; the department said cleanup would follow once the plume is fully mapped and that DOH is soliciting interest in a blood study. The committee also discussed the need to track disposal of PFAS filters and the possibility of broader statewide capacity for similar work. The committee then took up abandoned uranium mine cleanup. NMED and EMNRD staff reviewed the new uranium mine reclamation program created by HB 164, the state dashboard tracking sites, and the FY26 appropriation of $20 million for neglected contaminated sites, of which $12 million is being used for neglected uranium mines and the remainder for other contaminated sites. They said six contractors were hired, three priority sites in Grant County are moving forward quickly, and additional sites are being prepared for possible FY27 work. Members pressed for details on how funds are spent, why the revolving fund remains unfunded, how federal, state, tribal, and landowner requirements are coordinated, where contaminated material will be moved, and whether cleanup could also address homes built with contaminated materials. Staff said the work is governed by multiple regulatory layers, that the state is seeking an additional $25 million for FY27-FY28 plus a time extension, and that partnerships with tribes would require longer-term agreements. The committee also discussed federal cleanup efforts and the new Good Samaritan law, with members urging stronger advocacy for New Mexico sites, including tribal lands, and asking whether the Attorney General should pursue legal action against federal parties responsible for legacy contamination. Staff explained that some sites are already covered by settlement funds tied to responsible parties, while neglected sites are those with no responsible party and no other cleanup program. The committee then heard from EMNRD on Class VI carbon sequestration primacy. Staff said New Mexico currently has no operating Class VI wells, about 27 Class II acid-gas injection wells are operating, and only a small number might be candidates for conversion. They explained that the state’s primacy application would require more public outreach than federal rules alone, and that cost estimates for post-injection site care are based on long planning horizons, with some costs borne by operators and some by the state after closure. No votes were taken on the substantive items discussed; the committee approved the prior meeting minutes and took a brief recess between presentations.

Transcript Highlights:

• goes on at Bib Correctional Facility. goes on at Bib Correctional Facility.
• A decision was made to transform Bibb Correctional Facility into an all-programs facility.
• And programs facility.
• Correctional Facility has been profound. Correctional Facility has been profound.
• facility has that but no sir. facility has that but no sir.

Keywords: 924, joint, all

Transcript Highlights:

• It becomes much more facility.
• facility to get us 100% operation. facility to get us 100% operation.
• per facility. That's the capacity. per facility. That's the capacity.
• Is that get another facility.
• every facility and every circumstance. every facility and every circumstance.

Keywords: 958, all

Summary: The meeting opened with the pledge and prayer, a roll call established quorum, and members announced a Veterans Caucus meeting to follow the session. The committee also recognized distinguished veteran Joe Mash Masterson of Bardstown, who was praised for his Army service, long-time advocacy for veterans, and leadership in the American Legion and local veteran organizations. Masterson thanked his family, the American Legion Post 121, and the VA staff, and several members offered remarks honoring his service and the committee’s practice of recognizing veterans. The committee then briefly addressed a referred administrative regulation, 017 KAR 001 030, which leadership described as technical updates to existing policy; no vote was taken. After that, members heard testimony from KDVA and Finance and Administration officials on the ongoing HVAC replacement project at the Radcliffe Veteran Center. Officials said the system had been problematic for years, that design work began early to accelerate the project, and that the work was complicated by the need to replace the system in an operating nursing facility. They explained that the project was bid in March, awarded to Less Mechanical, and that protective measures, shop drawings, and equipment orders were underway. Committee members pressed officials on why the problem had taken so long to resolve, why the original system had been installed, whether the issue had been communicated regularly, and whether the state should be paying for a replacement in a relatively new facility. Officials said the original system’s components and warranties had failed, that they had tried to replace parts before moving to a full replacement, and that the system’s manufacturer and quality differed from a similar facility in Glasgow that had not had the same issues. They said the current phase one contract was about $6 million, with the remaining funds held for phase two to restore full occupancy; phase two design was nearly complete and could be bid later if funding is approved. Officials estimated phase one completion around January 2026 and full completion around March 2027, depending on funding and scheduling.

Transcript Highlights:

• That's factoring in if we have access to all of these parking facilities.
• critical facility needs.
• conditions assessment on state-owned facilities.
• They had identified facility maintenance needs.
• And that will be, I believe, hosted at the current state facility or state hospital facility.

Keywords: 908, all

Summary: The Budget Section Leadership Division met with a quorum and approved the March 18 minutes. The committee first heard an update from the Petroleum Council on oil and gas activity in North Dakota. Ron Ness said production is expected to remain relatively flat at just under 1.2 million barrels per day, with efficiency gains and longer laterals helping offset lower rig counts. He discussed oil and gas prices, gas taxation, flaring concerns, northward movement of drilling activity, and the importance of new infrastructure and enhanced oil recovery (EOR) pilots. Members asked about gas taxation, natural gas liquids, pipeline impacts, and the outlook for Continental and other operators. Ness said the industry is likely to remain steady rather than see a major ramp-up or decline. Matt Pearl of the State Tax Department then explained the federal “big beautiful bill” and its effect on North Dakota income tax collections. He said the law extends or makes permanent several federal provisions and creates temporary deductions for seniors, tips, overtime, and auto loan interest, with the biggest state impact coming from the standard deduction increase and business tax changes. He revised earlier estimates downward, saying the net cash impact on state collections is likely in the $30 million to $35 million range after accounting for business prepayments and one-time FY25 oilfield transaction effects. Committee members asked which provisions apply to standard versus itemized returns. OMB staff gave a detailed update on major capital projects and facility funding. Topics included Capitol grounds improvements such as 18th-floor renovations, wayfinding, seating, lighting, tree management, and restroom and lobby upgrades; security work at the governor’s residence, which has been delayed by the discovery of human remains; and space reconfiguration efforts in Bismarck-Mandan to reduce leases and create shared offices and conference rooms. They also reported on the State Facility Maintenance Fund, including roof, window, boiler, and kitchen projects at state facilities, and on the state hospital project in Jamestown, which remains on budget and on schedule for substantial completion in winter 2027 and opening in spring 2028. OMB also updated the committee on the Minot North Central State Office Building, the use of federal State Fiscal Recovery Funds, and the status of legislative intent and trust fund reports, including school aid turnback, the school construction loan program, the Foundation Aid Stabilization Fund, the Legacy Fund, and the Strategic Investment and Improvements Fund. The committee ended by discussing future agenda items, including government efficiency, cash management, Bank of North Dakota lines of credit, and the rural health transformation program, and then adjourned.

Transcript Highlights:

• Disability Rights Washington's Treatment Facilities Team focuses on serving people in treatment facilities
• , including inpatient psychiatric treatment facilities.
• It does serve people that are exiting those facilities.
• It does serve people that are exiting those facilities.
• need it. 59% of skilled nursing facility...

Summary: The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population. On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications. The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.

Transcript Highlights:

• Helpful charts and graphs to talk about things like facility capacity, cost of incarceration, and facility
• cities in areas that our facilities touch.
• There might be one facility, maybe two facilities that don't have that position filled right now, but
• That includes public prison facilities, which were only about 70 percent full, and private facilities
• religious services in our facilities.