Transcript Highlights:

• This is an area that we need to address and make sure that the coverage that people are using across
• We are addressing MA coverage for traditional healing by Representative Heiler.
• Right now, we are funding one program for medical assistance, but we are not funding maternity homes
• Current system, about 60 or 65 percent of the folks who have this coverage never actually get a dental
• This amendment would require complete shoulder coverage anytime a person is using a hot tub.

Transcript Highlights:

• trying to understand where the coverage trying to understand where the coverage from<01:53:05.280
• gt;> So that additional coverage >> So that additional coverage >> that<02:22:29.840><
• So either commercial coverage or no coverage. Our bucket of state general funds has not increased.
• There is coverage.
• uh Harvard Pilgrim Healthcare coverage uh Harvard Pilgrim Healthcare coverage that<03:22:24.640>

Keywords: 1191, senate, all

Transcript Highlights:

• We're anticipating that almost 89,000 New Mexicans will lose Medicaid coverage.
• more affordable for people who are purchasing coverage through the marketplace.
• So we are really focused on also trying to preserve or mitigate coverage and mitigate coverage losses
• Many of them are self-employed folks who don't have coverage through an employer, so coverage will be
• Of that population, probably about 90,000 to 100,000 will lose coverage.

Transcript Highlights:

• Its impactful journalism, including coverage of immigration raids, has influenced national conversations
• Nowhere is this more alarming than in maternal health.
• It is about ensuring access to culturally competent care, expanding coverage, investing in community-based
• Although they account for only 5% of births, Black mothers represent roughly 21% of maternal deaths.
• Black mothers represent roughly 21% of maternal deaths, most of which are preventable.

Summary: The Senate convened with a quorum, opened with prayer and the Pledge of Allegiance, and then spent much of the session on floor recognitions. Members welcomed the Far West Region of Delta Sigma Theta Sorority, Inc. and honored its leadership and civic service, including wildfire recovery work and local chapter anniversaries. The body also recognized the 2026 Latino Spirit Award honorees, with remarks tied to Cinco de Mayo and Latino resilience, followed by a series of resolutions and guest introductions. Several resolutions were adopted, including SR 86 on Cinco de Mayo Week, SCR 146 declaring May Cystic Fibrosis Awareness Month, SCR 154 establishing Green Star Veterans and Families Day, SCR 123 recognizing California Peace Officers Memorial Day, SCR 164 designating Black Health Equity Advocacy Week, and SCR 103 on Tardive Dyskinesia Awareness Week. Testimony and remarks emphasized cultural heritage, shared struggles for justice, veterans’ mental health and suicide prevention, law enforcement sacrifice, and persistent racial health disparities. Most resolutions passed by unanimous roll call votes. The Senate also confirmed multiple Department of Corrections and Rehabilitation appointments, including Kathleen Ratliff and Joseph Tuggle, Jason Johnson, Madeline McLean, Brian Bishop, and Sarah Larson. Senators Grove and others voiced protest over CDCR appointments, arguing for consideration of Frank Silva, but the confirmations still passed overwhelmingly or unanimously. The chamber then approved several bills, including SB 1159 on artificial intelligence and public meetings, SB 1416 shortening refund timelines for duplicate medical/dental payments, SB 1273 expanding tied-house advertising rules for winery instructional events, SB 941 limiting commissary markups in private detention facilities, SB 1099 clarifying local authority to provide public benefits, SB 1195 expanding tied-house exemptions for certain venues, and SB 990 allowing a highway information sign near Ridgecrest. The session concluded with adjournment memories for labor leader and UCLA Labor Center director Kent Wong and recognition of his family and colleagues.

Transcript Highlights:

• These are the consequences of generations of disparities in health access, environmental justice, maternal
• These are the consequences of generations of disparities in health access, environmental justice, maternal
• Assembly Bill 1876 by Assembly Member Addis and others, an act relating to health care coverage.
• Assembly Bill 1876 by Assembly Member Addis and others, an act relating to health care coverage.
• federal nondiscrimination protections to ensure that no individual is excluded from health care coverage

Keywords: 988, house, all

Summary: The Assembly convened, established a quorum, and opened with a prayer, pledge, and several procedural motions. Members approved a motion to re-refer AB 2690 and AB 1863 to Appropriations by roll call vote, 41-17. The body then adopted HR 92, recognizing Cinco de Mayo Week and launching the 2026 Latino Spirit Awards, with broad support from multiple caucuses. The resolution passed on a voice vote after 60 coauthors were added. The chamber then recognized the 2026 Latino Spirit Award honorees, including leaders in higher education, philanthropy, immigrant advocacy, health and science, advocacy, business, environmental justice, human rights, journalism, culinary arts, and music. After the ceremony, members resumed floor business and passed a series of bills, including AB 1657 on domestic violence restraining order procedures (64-0), AB 2042 on civil process and default judgments (66-0), AB 1660 on probate enforcement for public guardians (45-10), AB 1917 on reinstating dismissed criminal charges by motion (43-15), AB 2148 clarifying public school employees are human beings (69-0), AB 1647 protecting juvenile transfer-hearing statements (63-0), AB 1555 expanding community college access in Siskiyou County (66-0), AB 1608 on high-speed rail inspector general transparency and confidentiality rules (45-18), AB 1803 adding anti-hate speech training to workplace harassment prevention training (50-9), and AB 2128 protecting tenants in subsidized housing from certain work requirements and time limits (44-16). Several items were passed and retained or continued without debate. The Assembly also adopted ACR 159, declaring the importance of indigent defense and public defenders, with 59 coauthors added before a voice vote. Later, ACR 179 designated May 1 as Wildland Urban Interface Preparedness and Resilience Day and passed with 65 coauthors, and ACR 183 proclaimed Black Health Equity Advocacy Week, with members speaking about racial health disparities and the need for investment and accountability. Throughout the day, members also introduced guests from their districts and organizations, including public defenders, union leaders, agricultural advocates, students, and civic groups.

Transcript Highlights:

• women in Kentucky can have the maternal women in Kentucky can have the maternal health<00:26:49.080
• So the bill today is trying to support the lack of adequate coverage for pediatric hearing aids.
• The challenges that we've faced, of course, is the inadequate coverage for hearing aids.
• coverage for pediatric hearing<00:56:06.120> aids.
• inadequate coverage for hearing aids. inadequate coverage for hearing aids.

Keywords: 00:00:00 Call to Order/Roll Call 00:01:10 Discussion of 25RS HB 414 00:44:26 Roll Call Vote on 25RS HB 414 00:50:25 Discussion of 25RS SB 27 00:53:44 Roll Call Vote on 25RS SB 27 00:55:49 Discussion of 25RS SB 93 00:57:57 Roll Call Vote on 25RS SB 93 00:59:29 Discussion of 25RS SB 132 01:37:39 Roll Call Vote on 25RS SB 132 01:40:55 Discussion of 25RS SB 153 01:42:05 Roll Call Vote on 25RS SB 153 01:43:46 Adjournment, 958, all

Summary: The Health Services Committee met with a quorum and took up House Bill 414 with a committee substitute. The bill, described by sponsors and supporters as a continuation of prior maternal-health legislation, was framed as a clarification of medical standards and an effort to improve care for women and families facing complicated pregnancies. Representative Tate, Representative Nemes, Adair Wushar of Kentucky Right to Life, and Dr. Jeff Goldberg of ACOG Kentucky all testified in support, saying the substitute was developed collaboratively to reduce confusion in the law and help physicians provide evidence-based care without fear of criminal penalties. Supporters said the committee substitute was intended to define what is not an abortion under Kentucky law and to spell out medical treatments for conditions such as miscarriage, ectopic pregnancy, molar pregnancy, sepsis, hemorrhage, preeclampsia, premature rupture of membranes, and fetal demise. Dr. Goldberg said current statutes contain significant ambiguity and have created unintended barriers to treating pregnancy complications, including emergency situations, and he gave examples of patients who were delayed or harmed because physicians were uncertain about what the law allowed. Representative Nemes said the measure was the result of unusual cooperation among groups that do not usually agree and described it as a first step toward fixing a discrete problem. Representative Wilner raised concerns that the language could effectively require a patient to be in severe distress before treatment is clearly permitted and that it was too prescriptive about how physicians should manage miscarriages. In response, Dr. Goldberg and the sponsors said the substitute was not perfect, was meant as a short-term solution, and was designed to give doctors more confidence in providing routine, medically necessary care for pregnancy complications. The transcript indicates the committee substitute was adopted, but no final vote on the bill itself is shown in the excerpt.

Transcript Highlights:

• For example, the maternal mortality rate for Black women in the United States saw a slight increase from
• Um, and and the in maternal health care.
• crisis causing high levels of maternal morbidity and mortality.
• health crisis causing high levels of maternal morbidity and mortality.
• > facilities,<00:17:57.840> maternity availability of facilities, maternity availability

Keywords: 1187, senate, all

Transcript Highlights:

• He said that in 2018 the statute was changed a little bit to allow mental health coverage only for first
• our maternal child health care<00:07:36.200> needs<00:07:37.080> in<00:07:37.640> um
• <00:09:44.760> Typically,<00:09:45.880> um mental health coverage.
• Typically, um mental health coverage.
• only for first mental health coverage only for first responders.<00:10:04.240> Currently,<00:

Keywords: 916, all

Summary: The committee opened by explaining it would work through a long list of interim topics one at a time and asked members to complete a selection form at the end. The first topic, long-term care, drew testimony from AARP Wyoming and the Wyoming Long-Term Care Association. AARP emphasized Wyoming’s aging population, the state’s roughly $200 million annual Medicaid spending on long-term care, and the need to examine whether more support for home-based care could reduce nursing home use and costs. The association agreed with supporting people at home as long as possible, but asked that any study also consider increased support for nursing homes and assisted living when home care is no longer feasible. Committee discussion also touched on adult day care and PACE-like services, with Mr. Laycock noting prior Department of Health discussion and limited adult day availability due to reimbursement concerns. The committee then heard proposals for neonatal intensive care unit family leave, expanded midwifery scope, and a modification to workers’ compensation law. The NICU leave idea, presented by the Wyoming Women’s Foundation, would explore leave options for families with premature infants in intensive care, potentially paid or unpaid, while considering business size and the burden on families who may need out-of-state care. The midwifery topic was framed as a way to address rural maternity and women’s health gaps by allowing midwives to practice to the full extent of their training. On workers’ compensation, the Wyoming Association of Municipalities sought to classify dispatch personnel as first responders so they could receive mental health coverage under workers’ compensation; the Department of Workforce Services explained that current law covers dispatchers under workers’ compensation generally, but the first responder mental health provision added in 2018 applies to law enforcement and firefighters and does not currently include dispatchers. Other topics included problematic gaming and program funding, breast cancer diagnostic and supplemental exams, prescription drug coverage for advanced metastatic cancer, SNAP education, behavioral health workforce clinical training site shortages, CPR in schools, and broader midwifery oversight. The behavioral health workforce proposal, brought by a WICHE commissioner, focused on increasing psychology internship slots in Wyoming, noting that the state currently has only three and that expanding placements could improve recruitment and retention. The CPR in schools topic drew strong support from the American Heart Association, which argued that CPR training in high school could improve bystander response in a rural state with long EMS response times; committee members asked about cost and curriculum fit, and the witnesses said hands-only CPR could be taught by school staff rather than requiring expensive certification. The midwifery discussion later broadened into concerns about oversight and standards after a representative described a constituent’s pregnancy loss and said complaints involving midwifery practice and staffing delays in investigations warranted a deeper review. No votes were taken during the portion provided, and most topics were simply introduced, discussed, and left open for further testimony or later committee selection.

Transcript Highlights:

• We are concerned about proposals that would reduce Medicaid coverage through work requirements or more
• There are cases where that insurance coverage is insufficient or there are gaps in it over time.
• There are cases where that insurance coverage is insufficient or there are gaps in it over time.
• They charge a premium for liability coverage like we're talking about here.
• In the case of liability coverages, we don't have a common classification system.

Summary: The Assembly Budget Subcommittee on Accountability and Transparency held a hearing focused on three issues: federal funding cuts and delays, possible state revenue impacts from reduced IRS enforcement, and the fiscal effects of AB 218 on local governments. The Franchise Tax Board described how state and federal tax systems are closely linked, how most returns are filed electronically through software, and how FTB relies on IRS information sharing for compliance, fraud prevention, offsets, and nonfiler work. Members raised concerns that federal staffing cuts at the IRS could weaken audits of large corporations and reduce California revenue, and asked about VITA and ITIN filers; FTB said it was not aware of VITA reductions, noted ITIN returns are processed the same as other returns, and said ITIN filing appeared slightly down this year. The Department of Finance said it is monitoring federal developments, summarized the continuing resolution and reconciliation process, and noted that California lost nearly $940 million in earmarked federal projects under the CR, while major federal budget decisions remain uncertain until the President’s budget and later congressional action. The University of California reported substantial federal pressure on research, student aid, and health care. UC said hundreds of millions of dollars in federal awards have already been canceled, with additional threats to NIH and DOE facilities-and-administration rates, graduate fellowships, student loan repayment plans, international student visas, Pell Grants, and Medicaid/Medi-Cal funding. Committee members pressed UC on the effects of DEIA-related federal restrictions, the loss of clinical trials and research staff, and the impact on low-income students and patients. UC said it is pursuing litigation with the Attorney General and other institutions, but emphasized that court action is only a temporary solution and that sustained state and private support may be needed. The second panel addressed the fiscal consequences of AB 218, which extended the statute of limitations for childhood sexual abuse claims against public agencies. FCMAT presented a report with 22 recommendations, including better statewide data collection, financing mechanisms, a possible victims compensation fund, and prevention measures. Los Angeles County described a tentative $4 billion settlement tied to AB 218 claims, saying it will require reserves, borrowing, and long-term annual payments through 2050, while also forcing curtailments and cuts to vacant positions to preserve services. Members discussed insurance pools, retroactive premiums, unidentified future claims, and the need for a compensation fund or other financing tools. No formal votes were taken; the hearing concluded with public comment, including testimony from local health officials about nearly $400 million in terminated federal public health grants and the resulting layoffs and service impacts.

Transcript Highlights:

• maternity area. maternity area.
• Patients that have that coverage.
• <02:53:44.520> structures under your current coverage structures under your current coverage
• And thought of as a coverage mandate.
• and what shouldn't be mandated coverage.

Keywords: 916, all

Transcript Highlights:

• And I think I... ...disabilities, maternal health, menopausal support, and so much more.
• The asset test limit alone would have threatened coverage for seniors and people with disabilities at
• Our residents, roughly 7.5% of our county, are projected to lose Medi-Cal coverage by 28 due to HR1 and
• , medical coverage for our asylum and refugee community, and protection for our LGBT community.
• We're increasing child care slots, re-benching Prop 98 to include early childhood education, maternity

Summary: The Assembly Budget Committee met to consider the 2026 Budget Act, which leaders said was the negotiated compromise with the Senate and was expected to move to the floor that evening. Opening remarks emphasized that the plan balances the budget over two years, reduces the structural deficit, and builds reserves, while also protecting core services in the face of federal cuts. Jason Sisney outlined the legislative budget framework and the likely floor bills, including AB 109, SB 110, SB 122, and SB 125. Department of Finance representative Eric Khali said the administration appreciated the two-year balanced approach and supported the modification in SB 122, while noting the package uses additional revenues and new spending to soften or reject some proposed cuts. Most of the discussion focused on major spending areas. Members and subcommittee chairs highlighted protections and additions for health care and human services, including rejecting the proposed Medi-Cal asset limit change, delaying premium increases, restoring clinic and dental funding, supporting distressed hospitals and county indigent care, and expanding county eligibility staffing to handle H.R. 1-related workload. Education members described record or expanded support for TK-12 schools, child care, special education, community colleges, teacher recruitment, and higher education, including a change to extend Cal Grant eligibility to age 30 for some community college students. Housing and homelessness funding was increased for HAP, multifamily housing, and the low-income housing tax credit, while public safety members pointed to investments in victims’ services, restorative justice, and prison closure savings. Several members also raised concerns or priorities tied to the budget deal. Some praised the package as a moral document that protects vulnerable Californians, immigrant communities, LGBTQ residents, seniors, and people with disabilities. Others noted unresolved issues, including the MCO tax’s impact on districts, the need for more support for local journalism, arts, biotech R&D incentives, transit and GGRF-related concerns, and the need for continued work on Prop. 98 and long-term fiscal resilience. The vice chair cautioned that despite the current progress, the state remains vulnerable to revenue volatility and warned that the budget should build more resilience against a possible downturn. No formal vote was taken in the portion provided, but the committee was preparing the budget package for floor action and final negotiations.

Transcript Highlights:

• Bill 120 relative to insurance coverage Bill 120 relative to insurance coverage of<07:41:56.000>
• Yeah, this relative to maternal health.
• rural maternal health EMS services. rural maternal health EMS services.
• Um, Edwards, yeah, safety, rural maternal health, EMS.
• Senate pass section 465, coverage for Senate pass section 465, coverage for hospital<08:32:18.160>

Keywords: 10am HB 1 & HB 2, 928, house, all

Summary: The committee of conference for HB 1 and HB 2 reviewed the side-by-side budget comparison and began working through agreed and disputed items. Members first confirmed that grayed-out items were already settled and discussed a process for making later technical and intent changes, especially to true up abolished positions after additional decisions were made. They then moved through several budget sections, including judicial branch reductions, retirement systems, the Department of Justice, the Human Rights Commission, liquor enforcement, corrections, and the Department of Information Technology. Several items were agreed to or treated as settled package items, including the judicial branch position, the Department of Justice reduction, the Human Rights Commission item being held until related HB 2 language is finalized, the Housing Appeals Board being moved into the Board of Tax and Land Appeals, and the Office of Child Advocate. The committee also agreed to update the House bill language as needed based on HB 2 decisions, and to keep certain IT support rows in place unless related boards and commissions are eliminated. The effective date remained July 1, 2025, with no change. The main unresolved discussion centered on the retirement systems budget, where the Senate defended a large increase for deferred IT security and investment-function improvements, while the House argued the increase was too large and favored a back-of-the-budget cut. The Senate said the funds would support strategic IT and investment changes and would remain in the trust if cut, while the House emphasized the size of the increase and suggested a compromise. The committee ultimately retained the Senate position on retirement systems for the moment and said it would return to the issue later. On corrections and liquor enforcement, the committee described a negotiated back-of-the-budget cut structure, including a $10 million cut for corrections with some restoration of POS offices and administrative aides, and a liquor enforcement cut that was treated as part of a broader package. The Department of Safety item related to commercial enforcement and motor vehicle inspections was held for later discussion. The meeting ended with several items agreed, several held for coordination with HB 2, and some major budget questions still open.

Transcript Highlights:

• These include placental and fetal abnormalities that cause maternal heart failure in the early second
• These include placental and fetal abnormalities that cause maternal heart failure in the early second
• <04:01:56.199> and<04:01:56.399> Fetal balance of maternal and Fetal balance of maternal
• had a 7% increase in total mat maternal had a 7% increase in total mat maternal mortality<04:02:
• maternal maternal mortality<04:03:25.239> the<04:03:25.600> numbers<04:03:26.600> are

Keywords: 1189, house, all

Transcript Highlights:

• The National Maternal Oral Health Resource Center has released one every year.
• The National Maternal Oral Health Resource Center has released one every year.
• Great that there's coverage—pretty amazing coverage. I'm just curious, though, when you talk to...
• Great that there's coverage—pretty amazing coverage.

Keywords: 962, all

Summary: The MAPOC Women and Children’s Health Subcommittee heard a presentation from Kate Parker Riley, executive director of the Connecticut Dental Health Partnership, on the Husky Dental Program and efforts to improve oral health during pregnancy. She reviewed the structure of Connecticut’s Medicaid dental benefit, the ASO model, provider network, utilization trends, and member barriers to care. She noted that children’s dental measures remain above the national median, but adult utilization is lower and the dental provider network has been shrinking, with longer wait times in rural areas. A major focus was the state’s goal to raise the rate of oral evaluation during pregnancy from about 17.5% to 25% by 2030. Riley described planned outreach to OB/GYN practices using a draft “snapshot” report showing each practice’s pregnancy oral-health rate compared with the state average, along with education materials based on ACOG and AAP guidance. Committee members and guests discussed barriers such as lack of provider training, workflow burden, access to dentists who will see pregnant patients, and the need for stronger referral bridges. Suggestions included adding simple oral-health screening questions in OB settings, using human support to make appointments, and exploring co-located dental hygienists or other embedded models. Riley also highlighted partnerships with DSS, DCF, Head Start, WIC, Read to Grow, YMCA programs, refugee resettlement agencies, and school-based and hospital partners, as well as data-sharing and navigation efforts. She said pregnant members newly identified through HUSKY will now receive outreach and navigation support. DSS dental director Carolyn MacArthur introduced herself and said she supports the initiative, noting the literature linking untreated maternal dental disease to poor child oral-health outcomes. No votes were taken; the meeting ended with thanks and a preview of upcoming July presentations on integrated behavioral health and home visitation programs.

Transcript Highlights:

• So coverage is provided for acute care services.
• And then there's also coverage for prescription drugs in the program.
• Data to help them in either extending the the the coverage or dropping folks off.
• So there's no gap in coverage between the change? OK.
• being getting coverage? No, it doesn't have to do with that.

Keywords: 1184, house, all

Transcript Highlights:

• An act to amend the Social Services Law in relation to authorizing Medicaid coverage for complex care
• We've actually set up a maternal mortality review board in the State of New York.
• We've actually set up a maternal mortality review board in the State of New York.

Keywords: 993, senate, all

Summary: The meeting covered a long list of health and social services bills, many of them recurring proposals that had passed the Senate before or been vetoed in prior years. Topics included primary care investment, penalties for adult care facility safety violations, emergency insulin access, limited nursing services in adult care facilities, a State Medical Indemnity Fund ombudsman, hospital ownership and private equity oversight, controlled substances for people with substance use disorder, rescue inhaler information in the immunization system, nursing home closure procedures, Medicaid coverage for complex care assistance, increased personal needs allowances, parental education for minors with disabling conditions, physician and dentist loan repayment/support, higher public health penalties, direct Medicaid billing for licensed creative arts therapists, adoption registry information release, fetal and infant mortality review boards, reusable food and beverage containers, DNR and hospice decision rules, a special needs assisted living demonstration program, temporary licensure for out-of-state health professionals at a triathlon event, and lead reporting and mitigation in school water. Sponsors described most bills as straightforward efforts to improve access, transparency, or care quality, while several members noted technical fixes or fiscal concerns on a few measures, including outdated program references and the need for funding to support expanded loan repayment eligibility. Some bills were framed as responses to prior vetoes or as renewed attempts to advance previously passed Senate measures. The chair also noted the committee still lacked a budget and expected additional meetings. For each bill, members generally moved and seconded the measures, and the committee voted favorably, usually with some members recorded as without recommendation. Most bills were advanced either to first reading, finance, or higher education, depending on referral. No bill was defeated in the transcript.

Transcript Highlights:

• So currently there's a Medicaid-to-schools program, and that provides Medicaid coverage for Medicaid
• So currently there's a Medicaid-to-schools program, and that provides Medicaid coverage for Medicaid
• until you're enrolled in get coverage until you're enrolled in Medicaid<00:37:21.560> you<00:
• <03:42:59.239> which able to to provide that coverage which able to to provide that coverage
• And we report on the unwind of continuous coverage.

Keywords: 1189, house, all

Transcript Highlights:

• I've had two major carriers say they may not write coverage in this amount.
• Those communities, that workforce, lost access to maternal care and to children's health care.
• So currently, our insured individual physicians carry coverage up to the...
• So currently, our insured individual physicians carry coverage up to the cap of $2.7 million.
• physicians carry coverage up to the cap of $2.7 million.

Keywords: House Committee Room C, General Assembly Building, 976, house, all

Transcript Highlights:

• If we're able to mitigate and preserve coverage for individuals in Washington, of course, has been a
• Maternal and child health, the data speaks for itself; we owe the next generation better outcomes.
• There is work in terms of lawfully present individuals who will lose coverage in October.
• With that, I'll just note and say that we are laser-focused as an agency on mitigating coverage loss
• We do expect that up to 30,000 Apple Health recipients could lose coverage due to this provision.

Summary: The committee met to hear introductory briefings from the Department of Health and the Health Care Authority on agency priorities, federal changes, and implementation challenges. Secretary of Health Dennis Worsham said his department’s listening tour is focused on strengthening governmental public health, improving health care quality and access, and responding to federal funding disruptions and the shutdown’s effects on programs such as WIC. HCA Director Ryan Moran said the agency is prioritizing coverage preservation, oversight of major contracts, affordability, behavioral health integration, rural health transformation, and internal agency operations. Members asked about licensure delays; Worsham said the backlog had been reduced from about four months to six weeks and should be caught up by January 1, with possible further process changes if needed. A major portion of the meeting focused on H.R. 1 and its Medicaid-related implementation. Governor’s health policy advisor Caitlin Stafford, HCA staff, and interim Medicaid Director Trinity Wilson said the state is working with DSHS, the Health Benefit Exchange, tribes, and other partners to prepare for eligibility changes, work requirements, and six-month redeterminations. They said the state expects up to 30,000 Apple Health enrollees could lose coverage under the law’s non-citizen eligibility changes, and that the work requirement/redetermination provisions could affect about 620,000 adults, with roughly 80,000 also enrolled in SNAP. HCA said it hopes to automate most verification, but about 15% to 20% of cases may require manual review, with technology costs estimated at up to $30 million. Staff also said they are trying to keep H.R. 1 implementation mostly in budget language rather than statute, and that communication and navigator support will be important to minimize confusion and coverage loss. The committee also received an update on the Rural Health Transformation Program created in H.R. 1. HCA said Washington submitted its application to CMS on November 5 after extensive stakeholder engagement, including more than 310 written comments, webinars, and tribal consultation. The application centers on six initiatives: rural hospital innovation, community care and prevention, tribal investments, technology and data, workforce development, and rural behavioral health. HCA said the state is likely to receive less than the full $200 million annual amount assumed in the federal program, and that an advisory committee may be created to help guide spending over the five-year program. Members asked about palliative care, small business impacts, and communication with enrollees; HCA said it expects to share outreach toolkits and that no 2026 statutory changes are currently anticipated, though that could change. The final panels covered organ donation and transplant services. Department of Health staff explained the 2023 “Lights and Sirens” law for organ transport vehicles, including licensing, driver qualifications, insurance requirements, and use of emergency lanes and traffic preemption; the department said one company is currently licensed and there have been no complaints. LifeCenter Northwest described the organ procurement process, the legal framework under the Uniform Anatomical Gift Act, and the rarity and complexity of deceased donation, noting Washington has seen strong growth in donation and transplants over the past decade. University of Washington Medical Center staff then outlined its transplant programs for kidney, liver, heart, lung, pancreas, and multi-organ transplants, describing the multidisciplinary evaluation and waitlist process and the coordination required with donor organizations and hospitals.

Transcript Highlights:

• Maternal health is family health.
• depression screening coverage.
• As new Section 4, that's line 7 on page 2, and it covers maternal depression screening coverage.
• Apprentice on their work to strengthen maternal health, specifically maternal depression screening for
• <01:20:19.960> for<01:20:20.159> new maternal depression screening for new maternal

Keywords: 1191, senate, all