Transcript Highlights:

• Uh we have the State Health Planning and Development Agency in support for um John Lewis, not present
• The actual cost of maintaining this will be included in the licensing fees for pharmacists.
• <01:26:50.080> So,<01:26:50.320> it's licensing fees for pharmacists.
• So, it's licensing fees for pharmacists.
• Uh, next we're moving on to HB 2159 HD2, relating to healthcare workforce development.

Bills: HB1183, HB1656, HB1658, HB1661, HB1663, HB1664, HB1859, HB2116, HB2271, HB2276, HB2335, HB2360, HB2387, HB2472, HB1805, HB2469, HB1815, HB1860, HB2117, HB2118, HB2437, HB2438, HB2604, HB1590, HB2156, HB2268

Keywords: retirement, pension, law enforcement, public safety, Hawaii Revised Statutes, indebtedness, salary recovery, employee compensation, deductions, financial management, collective bargaining, employee relations, impasse procedures, arbitration, public employment, HB1661, cafeteria plan, Section 125, Internal Revenue Code, flexible spending account

Transcript Highlights:

• And so, oh, and then the EV fees, we also did a change to our EV fees, and this is based off of the vehicle
• To fully reconstruct one mile of road in a developed area is $20 million.
• What does resolve congestion, though, reduce the number of lane miles, combat development of our natural
• And the quote goes: "A developed country is not a place where the poor have cars.
• Cary was trying to make sure that we had research, development, and reviewing curriculum, and a lot of

Transcript Highlights:

• In addition to anyone for a nominal fee.
• anyone on this bill and its development. anyone on this bill and its development.
• sales to more local community developers sales to more local community developers uh<01:02:36.240
• In the bill, there is a fee cap at $350.
• Are they getting a fee that that sale?

Bills: HF3951, HF4005, HF962, HF4585, HF3870, HF4542, HF3893, HF4293, HF4075, HF4057, HF3809

Keywords: submetered utility service, tenant rights, digital payment, eviction protection, housing policy, biometric data, consent, data protection, civil penalties, privacy laws, HF4585, Minnesota, harassment restraining order, HRO, restraining order, temporary restraining order, petitioner notice, service of process, law enforcement notification, sheriff

Transcript Highlights:

• Of course, that's tuition and fees.
• So now this is workforce development, and we do a lot of work here.
• So we like to develop translational research projects.
• We also developed our Grow Center Advisory Committee.
• They can listen and get some professional development that way.

Summary: The committee held its first meeting of the session and received an overview of the Higher Education Appropriations budget from staff director Tim Elwell. He explained the committee’s broad jurisdiction over universities, state colleges, district workforce programs, vocational rehabilitation, blind services, student financial aid, private colleges, and the Board of Governors, and reviewed key budget concepts such as local funds, funds per FTE, performance funding, and the distinction between the total appropriation and the recurring base budget. He noted that higher education is funded largely through state and local sources, with substantial flexibility compared with other state budgets, and that the base budget is heavily weighted toward lump-sum allocations to the public systems. The committee then heard a presentation from the University of South Florida’s Florida Center for Cybersecurity (Cyber Florida), led by retired Marine Gen. Frank McKenzie and USF representative Mark Walsh. They described Cyber Florida as a statewide cybersecurity platform created by the Legislature in 2014 to support education, research, workforce development, public policy, and community engagement. McKenzie emphasized the growing cyber threat environment, Florida’s leadership role, and several funded initiatives, including K-12 outreach, workforce training, a cyber range for county governments, critical infrastructure assessments, grant development, and public conferences and outreach. Members asked about public cyber awareness, the lack of a national cyber defense strategy, school district participation in Cyber Launch, and which counties are most at risk; McKenzie said smaller counties with limited cybersecurity staffing are generally more vulnerable and offered to provide follow-up information. Finally, the committee heard from the Florida Center for Students with Unique Abilities at the University of Central Florida, led by Dr. Drew Andrews, along with program and parent representatives from participating institutions. Andrews explained the center’s role in coordinating Florida’s postsecondary comprehensive transition programs for students with intellectual disabilities, supporting program development, distributing grants and scholarships, and monitoring outcomes. He reported that the state now has 33 approved programs at 35 institutions, including universities, state colleges, and technical colleges, and that scholarship and grant funding has grown significantly. He said student retention is about 88 percent, many graduates are employed, and median hourly earnings have increased over time. A representative from Southeastern University described how the center’s support helped build and sustain SEU Link, including a new third-year employment-focused option for students.

Transcript Highlights:

• Development and Wrap Up. If the panel could come forward, that would be great.
• I'm sorry, then there are testing fees and enforcement.
• There's 15,000 PFAS with more being developed every day.
• It's comprised of key stakeholders to develop the Senate Memorial 19 report.
• It's comprised of key stakeholders to develop the Senate Memorial 19 report.

Transcript Highlights:

• Some states, like New York, it’s a $74 doc fee.
• Some states, like New York, it’s a $74 doc fee.
• the doc fee.
• besides the normal sales tax and registration fees.
• We prefer the NCOIL model that’s been developed.

Keywords: 995, all

Summary: The Joint Committee on Transportation held a hybrid hearing on a large slate of bills covering motor vehicle sales, registration, title processing, dealer regulation, and several local matters. Chair Cyrro noted that Senate Bill 2414 had been postponed at the sponsor’s request, though public testimony would still be accepted. The hearing then heard testimony on measures including S. 2367, which would make an insurer primary for losses caused by an insured driver in a rental car; H. 3698 and related bills on codifying registration of 25-year-old imported Japanese kei vehicles; H. 3701 on requiring lienholders to release titles within seven days; H. 3690 on capping dealer documentation fees; and H. 3641 on requiring education for class two motor vehicle dealers. Testimony also addressed e-titling and e-signatures, peer-to-peer car sharing, temporary license plates, duplicate plates, general registration plates for motor vehicle distributors, and a bill to ban tinted license plate covers. Supporters of the rental-car insurance bill argued Massachusetts is an outlier compared with 47 other states and said the change would improve fairness, competition, and consumer understanding without raising premiums. Dealers and industry groups generally supported e-titling/e-signature modernization and the inspection-related bill, but urged safeguards to preserve title, registration, and insurance verification. The Massachusetts State Auto Dealers Association opposed the doc-fee cap, saying documentation fees are a disclosed cost-recovery tool that varies by dealership. Representatives and advocates for kei vehicles said the RMV’s 2024 reversal showed the need to codify the rules in law, while opponents of the RMV’s approach described it as arbitrary and harmful to owners and importers. Supporters of the dealer-education bill said it would curb unregulated “curbstoning” and help ensure proper title handling and consumer protection. Several local and specialty bills also drew testimony. Hatfield officials supported a local bill allowing golf carts on certain town roads under strict safety rules, and Representative Ayers testified for a bill banning tinted license plate covers to aid toll collection, law enforcement, and vehicle identification. Senator Lovely and other advocates supported the “Easy ID” license plate proposal, saying it would improve vehicle recognition in crime and child-abduction investigations. The committee took no votes during the hearing and adjourned after public testimony concluded.

Transcript Highlights:

• But discussing among ourselves, we're implementing programs to eliminate excessive fines and fees.
• "We're discussing among ourselves programs to eliminate excessive fines and fees.
• This increases the fees paid to witnesses in civil and criminal trials and changes the fee paid for travel
• <01:13:14.679> with<01:13:14.880> Hope promising developments with Hope promising developments
• This increases the fees paid to witnesses in civil and criminal trials, changes the fees paid for travel

Keywords: 912, senate, all

Summary: The Judiciary Committee heard several bills on January 30. SB 286 and SB 287 both concerned supplemental funding for the Honolulu Department of the Prosecuting Attorney: SB 286 for the career criminal prosecution unit and SB 287 for the victim witness assistance program. Testimony from the department explained that these bills are filed each year because the Attorney General’s core budget allocation may not be sufficient, though the department said the core had recently been increased and the supplemental request might no longer be necessary. For SB 287, the department also warned of a possible federal Victims of Crime Act funding freeze that could cut about $1.88 million and severely harm victim services. Both bills drew support from county and community witnesses, and members asked about prior-year funding and why the requests were limited to fiscal 2025-26; no votes were taken in the excerpt. SB 289, from the State Ethics Commission, would create a more uniform administrative fine process under the ethics code and lobbyist law. The commission said the measure would not change substantive enforcement but would let it issue a notice and order of fine first, with the respondent able to request a hearing within 20 days, which would speed up cases that are not factually disputed. Members questioned whether the bill would deny due process or function like an automatic parking ticket, and the commission responded that respondents could still challenge the fine and that the process would apply to violations with fines under $1,000. The committee also heard SB 304, which would add 11 positions for the First Circuit Adult Client Services Branch; Judiciary testimony said probation caseloads are high, with an average of 116 cases per officer, and the added staff would help meet national supervision standards and better serve higher-risk clients. Members asked whether the positions were already in the budget and about current staffing ratios; the witness said the positions were not already funded and that the Judiciary supported the bill with amendments. The committee then heard SB 311, a proposed constitutional amendment to exclude spending money to influence elections from protected free speech. Testimony was strongly divided: supporters argued that Citizens United has distorted elections and empowered special interests, while opponents warned the language was too broad and could affect nonprofit advocacy and grassroots groups. Finally, SB 313 would impose a 1% wealth asset tax on individuals with $20 million or more in assets. The Department of Taxation said it had concerns about the bill’s ambiguity and administration and noted it would require annual valuation and likely additional resources; opponents, including family business representatives and the Tax Foundation of Hawaii, argued the tax would be difficult and costly to administer, would require sensitive business disclosures, and could force family businesses to pay from company cash. Supporters said wealthy residents should pay a fair share. The committee heard testimony and questions on these bills, but the excerpt does not show final committee votes or actions.

Transcript Highlights:

• We had a total, or fees, fines, and forfeitures of about $2.5 million.
• We recently completed the 2729 service fees that we've sent out to agencies.
• I've broken these into kind of groupings of service fees.
• So there are roughly 125 individual line items for service fees.
• Holistically, our service fees have about a 2.58% change.

Keywords: 908, all

Transcript Highlights:

• And I can send you this electronically so you can kind of link to where those fee schedules or information
• But I would say that you're not wrong that because we look at occupancy in terms of developing the rate
• and when that facility, We look at occupancy in terms of developing the rate, and when that facility
• You could also direct us to just develop a flat fee and signal your legislative intent through this discussion
• about what your intent for that flat fee would be.

Keywords: 908, all

Summary: The committee first took up Senate Bill 2399, concerning therapeutic leave days for psychiatric residential treatment facilities (PRTFs). Sarah Aker from the Department of Health and Human Services explained the current Medicaid rate-setting methodology, how occupancy affects rates, and why paying the full rate for leave days would create additional fiscal impact. Members debated whether the bill should pay the full Medicaid rate, a flat reduced rate, or a tiered rate, and discussed whether a cap or department authorization should be used to control use of leave days. The department said it was not supporting the change as it was not in the governor’s budget, though it supported family engagement in care. After discussion, the committee settled on a compromise motion to set therapeutic leave days at a $500 daily rate and require department authorization of the number of leave days. The motion passed 6-2, with Representative Anderson voting no and the rest of the recorded members voting yes. The committee then moved on to Department of Corrections and Rehabilitation budget materials, where Michelle Zander walked through detailed population and rate calculations for women’s and men’s facilities, county holds, deferred admissions, transitional facilities, work release, and proposed reentry, man camp, and Grand Forks-related costs. Members asked about the county jail reimbursement rates and the overall pool of funds, and Zander explained the calculations and noted the proposal was roughly break-even depending on assumptions. The committee also heard an overview of DOCR IT requests from Amy and NDIT staff, including data processing, medical modules, a new client management system, body scanners, data management tools, facility management software, medical software upgrades, college solutions, and body cameras/tasers. Staff explained that the new client management system would likely be a multi-phase project with a wide cost range based on vendor selection and scope, and that the current request was for phase one. Members emphasized the importance of better data tracking, staff safety tools, and information that could help explain programming and release outcomes to the public. The committee planned to continue with Veterans Affairs the next day and then return to Senate Bill 2015.

Transcript Highlights:

• These developments make it clear that the federal administration is, at best, deprioritizing the rights
• an additional 23 million rounds of golf played and over $1 billion, billion with a B, in new green fee
• Wasting millions of dollars in legal fees and other costs just to pick up pennies.
• The campuses have to bear the full weight of these expenses, while Rise Point's tuition and fee cut is
• And the crazy thing is that the delivery fee costs more than the energy. What is that all about?

Keywords: 995, all

Summary: The Joint Committee on State Administration and Regulatory Oversight heard testimony on several bills. Senator Mike Moore supported S. 2185, which would delay implementation of the heavy-duty omnibus/advanced clean truck requirements while requiring the Commonwealth to purchase or lease electric medium- and heavy-duty vehicles starting in 2025; he argued the delay is needed because infrastructure, grid capacity, vehicle availability, and costs are not yet ready. The committee also heard strong support for S. 2156/H. 3318, which would require free menstrual products in public buildings, with advocates and students describing period poverty and the need to treat menstrual products like other basic restroom supplies. Senator John Keenan testified for S. 2158, a bill to let municipal light plants protect proprietary and competitively sensitive information from public disclosure while keeping board meetings and minutes open, saying it would help level the playing field against larger competitors. A major portion of the hearing focused on S. 2125/H. 3384, the language access and inclusion bill. Testimony from the AAPI Commission, Mass Speaks coalition members, Mass Appleseed, MLRI, ATASK, MAPC, the Boston Bar Association, Mass Advocates for Children, and others described barriers faced by limited-English-proficient residents in accessing MassHealth, DCF, courts, domestic violence services, schools, and other state services. Witnesses cited untranslated documents, inadequate interpretation, delays, and the burden placed on bilingual staff and children; several also pointed to recent federal moves toward English-only policy as making state action more urgent. Committee members asked questions about implementation, interpreter availability, and the role of technology and remote participation, and the chair noted the bill had been reported favorably in a prior session and intended to be again. The committee also heard testimony on time-zone legislation. Dr. Karin Johnson, representing sleep medicine interests, supported H. 3405 for permanent standard time and opposed S. 2157 for permanent daylight saving time, arguing that standard time better aligns with circadian rhythms and health, while permanent daylight saving time would worsen morning darkness and sleep disruption. Members questioned the strength of the scientific evidence and discussed school start times, geography, and whether Massachusetts should align with neighboring states. No votes were taken during the hearing, and testimony continued on additional bills as the session progressed.

Transcript Highlights:

• In essence, wasting in paying the court fees and the lawyer's times and all the things.
• I manage the housing division at the Department of Land Conservation and Development.
• I manage the housing division at the Department of Land Conservation and Development.
• UGBs are available for urban development, but only land within city limits is generally ready for development
• Land is unlikely to develop until these certainty around these development feasibility considerations

Keywords: 907, all

Summary: The committee met for a series of information sessions focused on housing stabilization, rental assistance, senior housing, and heat resilience. In the first panel, OHCS and NOAA described the state’s affordable housing preservation work, including the $35 million in 2025 stabilization funding used to reduce debt and keep distressed affordable rental projects operating, plus manufactured home park preservation efforts. OHCS said the portfolio remains under strain, with about a third of projects at debt coverage ratios of 1.0 or less and rising insurance and operating costs. NOAA urged faster closings on the stabilization awards, more funding in 2027, and broader rent assistance and process reforms. Committee members asked about the gap between current appropriations and need, and OHCS explained that the new Article 11-Q bond preservation program is structured differently and requires full refinancing rather than simple cash infusions. The committee then heard a detailed discussion of the state’s eviction prevention and rental assistance program, ORDAP. OHCS said the program is administered through community action agencies, prioritizes households at imminent risk of eviction, and is now funded at a much lower level than in the prior biennium, reducing expected service to about 8,200 households this biennium. The Oregon Law Center, a county community action agency, and Multifamily Northwest all agreed the program prevents homelessness and is effective, but they differed on whether assistance should be tied so closely to eviction court. Legal aid and community action witnesses said the current system is underfunded and that eviction filings are the clearest indicator of need, while Multifamily Northwest argued the process can push people into court unnecessarily and should be moved earlier when possible. Legislators raised questions about whether a pre-eviction model could be developed and about the costs of court involvement; one member shared a personal story about how rental assistance helped keep their family housed. Next, the governor’s office, OHCS, and OHA presented on the new senior housing initiative and healthy homes work. The governor’s housing director said Oregon is making progress on homelessness and housing production, with reductions in homelessness outside Multnomah County and an estimated 50,000 future units added to the pipeline through recent state actions. OHCS outlined the senior housing programs launched in May: a debt-financing program using elderly and disabled bond authority, an older adult housing development program funded through the senior property tax deferral revolving account, and a rehousing program for older adults that will use bridge funding and services to move at least 400 unsheltered older Oregonians into housing. OHA also described its Healthy Homes Grant Program, including $24.6 million already awarded, a new $5 million grant round for seniors and people with disabilities, and examples of home repairs and weatherization that help people remain safely housed. The final information session focused on home cooling and heat resilience. OHA presented data showing rising extreme heat days, more heat-related emergency visits, and likely undercounted heat deaths, especially among older adults, people with disabilities, low-income communities, and people without access to healthy homes. ODOE reviewed implementation of Senate Bill 1536, including a cooling needs study that found 58% of surveyed households in the studied housing types needed permanent cooling, with estimated statewide costs of $582 million to $1 billion. ODOE said its rental home heat pump and community heat pump programs have supported 4,638 installations so far, with a temporary reopening planned using remaining funds. The session ended with a remote presentation from a Community Action Partnership of Oregon representative, continuing the discussion of how community action agencies help deliver energy and anti-poverty services.

Transcript Highlights:

• What this bill does to fund that is just ask for a simple $600,000 a year from the boat registration fees
• That's over 500 boats who pay the registration fees to the state.
• Representative Olcott: And members of the Palopeno Livestock Association have shown a growing interest in developing
• However, such development would violate the reversionary clause that's still attached to the land.
• everyone's OK with the City of Mineral Wells acquiring this property and using it for economic development

Transcript Highlights:

• And so now you've got the school fee schedule that is really supposed to take care of this.
• many, many years back, we had eight professional development days.
• Tutors, professional development, literacy programs?
• I think there are many districts that are because we have been in development for many years.
• We're developing smart goals to get better.

Keywords: 988, house, all

Transcript Highlights:

• for service uh year and this is just fee for service uh spend.<00:09:10.720> So<00:09:11.200>
• There is a line at the bottom that shows the administrative fees."
• Looking at 1997 fees, 75% of 1997 fees, it is extraordinarily, um, we are extraordinarily grateful and
• , 75% of 1997 um the looking at 1997 fees, 75% of 1997 fees,<01:02:16.160> it<01:02:16.400>
• uh in their fee schedules and their<01:02:54.799> fee<01:02:55.040> structures,<01:02:

Keywords: During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used. The lost footage was recovered from backup, and the other issues corrected in post production editing. 1. 00:00:41 Call to Order 2. 00:01:02 Roll Call 3. 00:02:54 Approval of Minutes 4. 00:05:06 Statutory Reports and Data Requests 5. 00:35:14 2025 and 2026 Session Update 6. 01:03:10 Board Structure Updates and Subcommittees 7. 01:05:20 Public Comment 8. 02:23:14 Adjournment, 958, all

Summary: The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions. On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year. Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available. Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• I do community development.
• to, or, yeah, fee taxable to non-taxable, and so it's a little hard to answer that.
• And yes, we are doing fee-to-trust because the whole county at one time was a reservation.
• Very small administrative fee, tiny, to be honest.
• Very small administrative fee, tiny, to be honest.

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Transcript Highlights:

• essential to their overall development essential to their overall development uh<00:08:54.200>
• This is a training that the department would develop.
• <01:35:07.520> in operation and child development in operation and child development in conclusion
• <01:38:32.560> and should focus on Child Development and should focus on Child Development
• <02:02:07.560> for administrator to pay the ma fee for administrator to pay the ma fee for

Keywords: 1187, senate, all

Transcript Highlights:

• These crypto ATMs, they typically charge transaction fees of 20 to 30%.
• These crypto ATMs, they typically charge transaction fees of 20 to 30%.
• <04:20:51.960> ordinances, development ordinances, development ordinances, which<04:20:53.600>
• <04:21:21.440> ordinances, development ordinances, development ordinances, but<04:21:23.160>
• cuz<04:23:07.040> we're like allowing development cuz we're like allowing development cuz

Keywords: 1189, house, all

Transcript Highlights:

• Behavioral Health Solutions, or BHS, was established in 2017 through the development of a specialized
• Behavioral Health Solutions, or BHS, was established in 2017 through the development of a specialized
• BHS develops and maintains partnerships with nursing homes to address these growing needs.
• So a mix of fee-for-service and then more of an alternative payment model to support reimbursement.
• It is a report developed from submissions from drug pricing data that comes from people.

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• by providing a planning framework while allowing water suppliers, the experts of their systems, to develop
• by providing a planning framework while allowing water suppliers the experts of their systems to develop
• It also allows the facility owner and operator to develop their own operating plan.
• They also have relief on fees.
• huge differences of opinion over some of these legal issues in an effort to reach a consensus and develop

Summary: The Assembly Environmental Safety and Toxic Materials Committee heard several bills focused on wildfire preparedness, industrial safety, and recycling oversight. SB 1153 by Senator Caballero would require urban retail water suppliers to add wildfire-specific procedures to emergency plans and coordinate with fire agencies; supporters said it would improve planning while recognizing water system limits, and the bill was framed as protecting ratepayers and infrastructure. SB 811, also by Senator Caballero, would create a comprehensive DTSC permitting and regulatory framework for metal shredding facilities; supporters argued it would set clear statewide standards and protect communities, while opponents said it would weaken hazardous waste protections and carve the industry out of existing law. SB 883 by Senator Umberg would impose new safeguards for facilities storing reactive chemicals such as methyl methacrylate after the Garden Grove evacuation, including backup cooling, public review, emergency planning, and state tracking; industry groups opposed the breadth of the bill and sought further clarification, while environmental and community groups supported it. SB 1010 by Senator Ashby would strengthen oversight of appliance recyclers by improving reporting, inspections, certification, and funding for enforcement; supporters said it would reduce emissions and improve compliance, while recyclers raised concerns about fees and certification requirements. Each bill drew extensive testimony from industry, environmental, labor, local government, and community representatives. Supporters generally emphasized public safety, transparency, and the need for clearer statewide standards, while opponents warned about overregulation, reduced flexibility, or unintended impacts on existing hazardous waste and recycling systems. Committee members also raised questions about transparency, liability, size-based treatment of facilities, and whether the bills were narrowly tailored enough to address the problems identified. The committee voted to advance all four measures to the Committee on Appropriations, with votes taken on call and some members voting no or not voting on certain bills. The final add-on votes showed SB 811, SB 883, SB 1010, and SB 1153 all passing out of committee, with the roll left open for absent members before the meeting adjourned.

Transcript Highlights:

• It adds hundreds of thousands of dollars in legal fees.
• Typically, a developer will require a group of properties to redevelop.
• After the developer has submitted development documents to the city, the city or citizen group will petition
• In the worst circumstances, they stop development completely.
• and any other developer that wishes to develop an area around a historic property to preserve that character

Summary: The committee first heard Senate Bill 2215, which would clarify that property owners may challenge municipal zoning ordinances that are adopted without following Chapter 211 procedures, and would expressly waive municipal sovereign immunity for declaratory, injunctive, and mandamus actions in those cases. The bill sponsor and witnesses argued it would simply enforce existing notice, hearing, and due process requirements and give landowners a practical remedy when cities fail to comply. Testimony in support came from attorneys and a landowner describing alleged zoning actions in Selma that they said occurred without proper notice or hearings and caused significant financial harm. After questions, the committee substitute was withdrawn and the bill was left pending. The committee then took up Senate Bill 2639, which would add disclosure and compensation requirements for local historic designations, including compensation based on the greater of repair/restoration costs or the difference in appraised value with and without the designation. The bill author said it was intended to address situations where historic designation delays or blocks redevelopment and to ensure property owners are fairly compensated. A property owner testified in support, describing an Austin case in which a demolition permit led to historic designation and what he said was a costly forced rehabilitation. Opponents, including a preservation advocate and an East Austin resident, argued the current process is already rigorous, rare, and balanced, and that the bill would undermine cities’ ability to preserve historic places and community heritage. During closing on SB 2639, the chair raised a concern that Section 3B appeared to apply retroactively to pending cases, which he said could be unconstitutional under the Texas Constitution’s prohibition on retroactive laws. The committee did not resolve that issue during the hearing, and the bill was left pending. The committee then adjourned.