Transcript Highlights:

• Fourth, it clarifies who can sign a POLST on behalf of a patient: a health care agent, a conservator,
• psychiatric settings by allowing them to limit the disclosure of their identifying information to patients
• to the California Health Benefits Review Program, this bill is estimated to generate savings for patients
• and our health care system, including $4 million in cost sharing for those patients who switch to a
• She also brought comfort to hospital patients by playing piano, offering peace and encouragement through

Transcript Highlights:

• No patient should ever have to second-guess and clarity were critical.
• No patient should ever have to second-guess treatment because they are worried about cost or coverage
• No patient should have to go through that.
• They affect how patients think, plan, and whether they feel secure enough to continue their care.
• I'm the chair of the Patient Advisory Board for the California Colorectal Cancer Coalition.

Committee: House Banking and Finance

Transcript Highlights:

• The child is a patient.
• That child is a patient. That child is a person. And that child deserves the same compassion.
• That child is a patient. That child is a person.
• That child is a patient, that child is a person, and that child deserves the same chance at life that
• If the baby survives and the medical provider provides that life-giving care to their second patient,

Transcript Highlights:

• SB 1808 strengthens consumer protections by putting patients first in billing practices.
• When a patient pays upfront costs, usually to an insurance provider, sometimes they discover that they
• for Committee Substitute for Senate Bill 1808, a title of an act for refund of overpayment made by patients
• Additionally, the bill requires such healthcare providers to provide patients with an informed consent
• need to modernize Florida's home health regulation to show greater worker flexibility and improve patient

Bills: SJR85 , SCR29 , SCR38 , SCR42 , SB23 , SB39 , SB209 , SB227 , SB240 , SB330 , SB527 , SB584 , SB618 , SB619 , SB636 , SB663 , SB715 , SB732 , SB758 , SB801 , SB825 , SB826 , SB843 , SB844 , SB847 , SB870 , SB884 , SB912 , SB957 , SB1013 , SB1020 , SB1065 , SB1143 , SB1152 , SB1164 , SB1183 , SB1257 , SB1299 , SB1325 , SB1349 , SB1413 , SB1455 , SB1539 , SB1558 , SB1574 , SB1583 , SB1624 , SB1642 , SB1643 , SB1667 , SB1717 , SB1718 , SB1727 , SB1734 , SB1756 , SB1757 , SB1784 , SB1789 , SB1832 , SB1868 , SB1870 , SB1883 , SB1896 , SB1920 , SB1924 , SB1963 , SB2010 , SB2018 , SB2024 , SB2037 , SB2052 , SB2073 , SB2111 , SB2161 , SB2196 , SB2207 , SB2253 , SB2268 , SB2322 , SB2323 , SB2332 , SB2349 , SB2371 , SB2533 , SB2570 , SB2601 , SB2626 , SB2692 , SB2705 , SB2717 , SB2774 , SB2788 , SB2877 , SB2920 , SB2 , SB260 , SB1786 , SB1 , HJR4 , SJR36 , SJR50 , SJR63 , SJR85 , SJR84 , SCR12 , SCR39 , SCR38 , SCR42 , SCR29 , SCR4 , SCR18 , SCR43 , SCR46 , SB2023 , SB825 , SB2010 , SB1870 , SB62 , SB666 , SB847 , SB284 , SB854 , SB1073 , SB810 , SB1539 , SB1505 , SB583 , SB957 , SB1502 , SB507 , SB1026 , SB1349 , SB1433 , SB1434 , SB1376 , SB1585 , SB1772 , SB2016 , SB1163 , SB619 , SB1122 , SB732 , SB731 , SB397 , SB508 , SB1436 , SB287 , SB261 , SB1882 , SB618 , SB393 , SB1791 , SB826 , SB1257 , SB870 , SB529 , SB209 , SB1883 , SB2024 , SB2429 , SB1999 , SB511 , SB2309 , SB510 , SB1860 , SB2037 , SB1924 , SB2253 , SB2018 , SB2206 , SB1963 , SB1643 , SB1299 , SB841 , SB668 , SB584 , SB1085 , SB2431 , SB1490 , SB1868 , SB2314 , SB434 , SB2046 , SB1667 , SB1727 , SB2127 , SB1975 , SB1760 , SB1734 , SB1335 , SB2246 , SB2439 , SB1624 , SB1244 , SB1468 , SB2717 , SB1612 , SB1262 , SB604 , SB2395 , SB1832 , SB1745 , SB1746 , SB2207 , SB1784 , SB1524 , SB528 , SB437 , SB269 , SB1137 , SB968 , SB636 , SB747 , SB1325 , SB1789 , SB1455 , SB2056 , SB1940 , SB2052 , SB1579 , SB2068 , SB3034 , SB844 , SB1920 , SB1558 , SB1236 , SB1044 , SB884 , SB463 , SB227 , SB240 , SB517 , SB1200 , SB1410 , SB1626 , SB1845 , SB1863 , SB2216 , SB2681 , SB1717 , SB2141 , SB2323 , SB2200 , SB2332 , SB2199 , SB1642 , SB1757 , SB2050 , SB1138 , SB2626 , SB2458 , SB1864 , SB2201 , SB1862 , SB1583 , SB1055 , SB2660 , SB1898 , SB2662 , SB2161 , SB2964 , SB2881 , SB1065 , SB801 , SB2743 , SB2533 , SB1413 , SB2073 , SB3014 , SB3013 , SB2774 , SB2702 , SB2629 , SB2443 , SB2349 , SB2167 , SB2145 , SB2121 , SB758 , SB648 , SB647 , SB512 , SB438 , SB1721 , SB2268 , SB1495 , SB2705 , SB2366 , SB1422 , SB1369 , SB1013 , SB682 , SB2692 , SB2570 , SB2797 , SB2111 , SB1896 , SB1164 , SB1020 , SB663 , SB2371 , SB1152 , SB2196 , SB2383 , SB2581 , SB2798 , SB330 , SB646 , SB843 , SB1998 , SB1418 , SB2788 , SB1169 , SB2873 , SB1754 , SB1534 , SB1718 , SB2779 , SB2004 , SB1143 , SB1756 , SB912 , SB2119 , SB2032 , SB527 , SB1580 , SB1952 , SB2601 , SB2322 , SB2448 , SB1777 , SB1283 , SB407 , SB2392 , SB2076 , SB2786 , SB3031 , SB2877 , SB2876 , SB2284 , SB2225 , SB1540 , SB2920 , SB2929 , SB1395 , SB1972 , SB2540 , SB1183 , SB2742 , SB2595 , SB2217 , SB2117 , SB715 , SB2330 , SB1964 , SB1383 , SB500 , SB1640 , SB39 , SB2001 , SB2080 , SB2722 , SB506 , SB2514 , SB2623 , SB2658 , SB1574 , SB2900 , SB23 , SB2753 , SB2398 , SB401 , SB1241 , SB2927 , SB2173 , SB2538 , SB898 , SB467 , SB1449 , SB2529 , SB1531 , SB2846 , SB2476 , SB2031 , SB986 , SB1181 , SB2075 , SB2154 , SB2864 , HB135 , HB 1109 , SCR48 , SB31 , SB2880 , SB1359 , SB2386 , SB771 , SB2844 , SB2550 , SB1351 , SB1423 , SB1931 , SB2245 , SB2589 , SB2707 , SB2807 , SB2351 , SB410 , SB659 , SB816 , SB2776 , SB2693 , SB2580 , SB1980 , SB1886 , SB1234 , SB739 , SB482 , SB456 , SB127 , SB1666 , SJR85 , SB23 , SB826 , SB844 , SB957 , SB1413 , SB1539 , SB1583 , SB1642 , SB1643 , SB1789 , SB1883 , SB1963 , SB2024 , SB2626 , SB2774 , SB825 , SB1870 , SB2010 , SB240 , SB618 , SB870 , SB1257 , SB1727 , SR424 , SR428 , SCR29 , SCR42 , SCR49 , SB3056 , SB3057 , HB2 , HB20 , HB 120 , HB142 , HB210 , HB215 , HB451 , HB 1022 , HB 1151 , HB1458 , HB1700 , HB2000 , HB3093 , SB3056 , SB3057 , HB2 , HB20 , HB 120 , HB142 , HB210 , HB215 , HB451 , HB 1022 , HB 1151 , HB1458 , HB1700 , HB2000 , HB3093

Transcript Highlights:

• children are nourished during critical points in their lives and see firsthand how Our most vulnerable patients
• staffing crisis and leave us less time to provide the personalized nutrition recommendations that our patients
• In order to adequately care for our patients, I call on this subcommittee to restore the budget cut to
• safety and continuously improve patient care and outcomes.
• Their patients needed and what lawyers might be able to provide them.

Transcript Highlights:

• medical devices, has substantial and long-term health benefits that will help reduce further risk to patients
• As always, we must do our duty to protect patients and health care providers in our workforce, and today
• we have a particular focus on patients and making sure that And today, we have a particular focus on
• patients and making sure that while they're receiving treatment for one affliction, they are not susceptible
• that we all agree today that that's the case because establishing this higher standard of care for patients

Transcript Highlights:

• It's a primary access point for patients, staff, and ambulances, and today it lacks signal control and
• It is shovel-ready, and it protects patients, families, and health care workers.
• It's a primary access point for patients and staff and ambulances, and today it lacks signal control
• It is shovel-ready, and it protects patients, families, and health care workers.
• I want to acknowledge the effort of your staff in this committee, working with us and being patient as

Bills: SB6225 , SB6005 , SB6354

Committee: Senate Transportation

Keywords: transportation bonds, general obligation bonds, Washington State Department of Transportation, WSDOT, highway funding, road construction, infrastructure financing, motor fuel tax, gas tax, vehicle fees, bond authorization, state finance committee, highway bond retirement fund, corridor projects, interstate improvements, right-of-way acquisition, public-private partnerships, transportation capital projects, local matching funds, emergency clause

Transcript Highlights:

• It's a primary access point for patients, staff, and ambulances, and today it lacks signal control and
• It's a primary access point for patients and staff and ambulances, and today it lacks signal control
• It is shovel-ready, and it protects patients, families, and health care workers.
• It protects patients, families, and health care workers.
• I want to acknowledge the effort of your staff in this committee working with us and being patient as

Summary: The Senate Transportation Committee held public hearings on three bills: SB 6225, a proposed substitute bond bill authorizing transportation funding bonds; SB 6005, the proposed substitute supplemental transportation budget; and SB 6354, a bill to expand access to electric vehicles through limited direct sales by qualifying EV-only manufacturers and changes to the documentary service fee. Staff explained that SB 6225 would authorize $1.1 billion in general obligation bonds, an additional $400 million for selected Move Ahead Washington highway projects, a $500 million increase in SR 520 bond authority, and the expiration of some older unused bond authorizations. For SB 6005, staff described a $17.5 billion supplemental budget with $1.5 billion in new funding, including reappropriations, preservation and maintenance spending, ferry investments, Climate Commitment Act-related adjustments, and a six-year balanced plan through 2031. For SB 6354, staff outlined the direct-sales framework for qualifying EV manufacturers, dealer licensing requirements, penalties for violations, and a fee increase that would direct revenue to EV rebates and multimodal transportation. Testimony on the budget and bond bills was broadly supportive from transit, local government, labor, construction, ports, and climate advocates, who praised preservation funding, ferry investments, safety programs, EV charging, rail electrification, and flood-response or local project funding. Several witnesses asked for specific project or account changes, including support for Skagit Transit, Day Road and Poplar Way bridge-related funding, Spokane TMC operating support, Kent corridor funding, and additional rail capital projects. Some speakers also urged more Climate Commitment Act funding for EV rebates, charging, and rail electrification, while others warned against deeper cuts to local programs and stressed the need for long-term preservation and bonding to stabilize the system. Testimony on SB 6354 was sharply divided. Rivian, Lucid, and several Washington auto dealers supported the bill as a compromise that would allow limited direct sales for EV-only manufacturers while preserving franchise protections and generating revenue for EV rebates. Climate advocates supported the bill as a way to accelerate EV adoption and asked that more of the fee revenue go to instant rebates for low-income buyers. In opposition, the Alliance for Automotive Innovation and Honda argued the bill creates unequal rules, weakens the franchise system, and was not the product of a true compromise. The committee announced that SB 6225 and SB 6005 would be in executive session Thursday at 8 a.m., with amendments due by noon the prior day, while SB 6354 would be scheduled for executive action later.

Transcript Highlights:

• We have some extra staff here to brief one of our bills, so I know Senator Wilson is going to be patient
• So I know Senator Wilson is going to be patient if we take the other bill and let the staff go back to
• And look at that patient-loving look in her eyes.
• Seeing none, the incredibly patient and wonderful Senator Wilson, an alumnus of this committee, who I
• demeaned before a major surgery by hospital check-in staff who loudly told me in front of other patients

Summary: The Senate Transportation Committee held public hearings on several measures. ESHB 1980 would allow private employer shuttle services to use certain BAT lanes in King County under a two-year pilot, with local authority and transit-agency approval, performance standards, fee-for-use requirements, labor input, annual reporting, and a 10-year sunset. Supporters from Bellevue, transit employers, and business groups said it would improve commute options, reduce congestion, and support the upcoming RapidRide K Line; staff noted the bill differs from prior versions by adding the pilot, labor representation, vehicle markings, and reporting. The committee then heard SB 6252, which would extend the transit support grant program’s zero-fare requirement to degree- and certificate-seeking community and technical college students. Supporters said it would improve access to education and transit, especially for older and rural students, while transit groups raised concerns about fare revenue losses and implementation costs; staff estimated no state cost but significant local revenue impacts. The committee also heard SB 6081, a privacy bill that would restrict public disclosure of sex designation change records in Department of Licensing and Department of Health records, limit sharing with other jurisdictions, and keep updated credentials from showing that a change occurred. The sponsor and many supporters framed it as a safety measure for transgender Washingtonians, while opponents argued it would undermine accurate records; staff said the Department of Licensing would face about $1 million in implementation costs over four years, with other agencies expecting minimal impacts. Finally, SB 6265 would allow electronic, non-notarized signatures and printed copies for documents transferring a totaled salvage vehicle to an insurer; the sponsor and salvage-industry witnesses said it would modernize the process and reduce hardship, and staff reported no fiscal impact. No votes or executive actions were taken; the committee closed each public hearing and adjourned after a reminder about amendment deadlines for upcoming executive session bills.

Transcript Highlights:

• Representative McCarbone, you've been patiently waiting. Yes, sir. Thank you, Chairman.
• Representative Cardbone, you've been patiently waiting. Yes, sir. Thank you, Chairman.
• Representative McCarbone, you've been patiently waiting. Yes, sir. Thank you, Chairman.
• Representative Cardbone, you've been patiently waiting. Yes, sir. Thank you, Chairman.
• Chair, if I could, we've had Senator Fincham patiently waiting for a long time.

Committee: Joint Joint Legislative Budget Committee

Transcript Highlights:

• , where now those patients can really live a relatively normal, healthy life, which has never usually
• , where now those patients can really live a relatively normal, healthy life, which has never usually
• </c> will also significantly change patients will also significantly change patients lives<01:11:26.560
• It really gives you insights into our industry, our companies, the patients that we impact.
• </c> companies, the patients that we impact. companies, the patients that we impact.

Committee: House Science, Technology and Energy

Transcript Highlights:

• Also on behalf of the Pediatric Day Health Care Coalition, which serves the same patient population and
• Very appreciative for the delay on the cuts of the PPS for UIS patients to October 1st.
• Very appreciative for the delay on the cuts of the PPS for UIS patients to October 1st.
• the caps on CalPACE, and really would continue to urge investments in gender-affirming care for patients

Transcript Highlights:

• clarity with regard to abortion providers and their duty of care that they have for not just their patient
• that individual is going to, you know, they're going to know that they have a duty to care for their patient
• those medical providers who are serious and trained and deeply caring about the well-being of their patients
• other field of medicine, are dedicated to protecting, preserving, and promoting the health of their patients

Committee: House Children and Families

Transcript Highlights:

• She is committed to a team-based, patient-centered approach that emphasizes early detection, prevention
• This is an important bill to protect patients when they're released, those that are on court-ordered
• It's a real tragedy that we can prevent here in Arizona by notifying the guardians when these patients
• medications, it's a real tragedy that we can prevent here in Arizona by notifying the guardians when these patients

Transcript Highlights:

• specifically named for operating ghost networks—directories full of providers who cannot actually see patients
• We want to know who authorized decisions that harm patients and providers.
• What percentage of behavioral health providers were found to be inactive or unable to see patients by
• specifically looked at Santa Cruz County and found 28% of providers were inactive or unable to see patients

Committee: Senate Senate Health and Human Services COR

Summary: The Committee on Health and Human Services held another oversight hearing on Access, focusing on fee-for-service behavioral health management, prior authorization and claims processing, the Targeted Investment Program (TIP), and network adequacy. The chair criticized Access for implementing a covered behavioral health services guide without public comment and for failing to produce records such as decision-making documentation, work group minutes, and public/tribal feedback. Members also raised concerns about ARPA compliance, the reduction of intensive outpatient reimbursement to a $157 per diem, and the impact of these actions on providers and Native American communities. Interim Director Roberta Harrison said Access had improved fraud controls and operations after the sober living fraud crisis, including tripling prior authorization speed, reducing denial codes by 64%, cutting claims processing to under 30 days, and adding dashboards and staffing. She said the agency is modernizing outdated systems and invited fraud referrals. On questions about claims and prior authorizations, Access reported average processing times of six days overall and 17 days for behavioral health prior authorizations, and said it had hired Constellation under a direct procurement to help with claims backlog. Harrison acknowledged that a proposal language suggesting higher ROI from denying more claims was not part of the contract scope. The committee also pressed Access on TIP delays. Staff explained that TIP payments depend on provider documentation, programmatic review, and allocation across many sites, and said year one of TIP 2.0 had been paid while years two and three had not yet been distributed. The chair requested a formal plan within 30 days to pay the delayed year two and year three TIP funds, estimated at about $122 million, along with all CMS-related TIP 2.0 documentation. On network adequacy, Access described its standards and annual MCO reporting process, but acknowledged gaps in tracking and said it would follow up on whether a fiscal year 2025 report was submitted to CMS. Members cited a federal ghost network report finding 28% of providers in Santa Cruz County inactive or unavailable, and requested unredacted network adequacy reports and further information on CMS engagement. The hearing ended with the chair noting some improvements but saying more oversight may follow, and the committee adjourned.

Transcript Highlights:

• I happen to be the chiropractor there, and a few of my patients and actually neighbors happened to be
• chiropractor there and the a few<00:02:09.759><c> of</c><00:02:09.920><c> my</c><00:02:10.080><c> patients
• </c><00:02:10.319><c> and</c><00:02:10.640><c> actually</c> few of my patients and actually few of my
• patients and actually neighbors<00:02:11.840><c> happened</c><00:02:12.080><c> to</c><00:02:12.160><

Transcript Highlights:

• Earth Day began back in 1970, so it's the 55th Earth Day, and I've been patiently awaiting this day.
• Earth Day began back in 1970, so it's the 55th Earth Day, and I've been patiently awaiting this day.
• Earth Day began back in 1970, so it's the 55th Earth Day, and I've been patiently awaiting this day.
• The 55th Earth Day, and I've been patiently awaiting this day.

Transcript Highlights:

• We also do patient advocacy and we also give specific money for that research. through the foundation
• filed a bill today to that end, and I hope you will join me as we go through this journey and expand patient
• treatments help ensure that timely and comprehensive medical care. the first point of contact for patients
• and they have an important role in helping patients understand their needs. health care needs and empowering

Transcript Highlights:

• And the second way this would save money is that patients requiring expensive, long-acting injectable
• For many households, especially those caring for elderly patients, individuals with disabilities, or
• This ensures patient access while maintaining appropriate safeguards.
• So we must rely on state law to protect Florida patients from bad actors, especially for patients who
• You have mastered the ability to be passionate and patient at the same time.

Transcript Highlights:

• </c><01:40:22.320><c> understanding</c> about um the the patient understanding about um the the patient
• </c><01:40:48.159><c> potential</c> with them so that the patient potential with them so that the patient
• ><c> that</c><01:40:49.840><c> registry</c><01:40:50.239><c> and</c><01:40:50.480><c> say</c> patient
• So the courts are reviewing these patients every 6 months, but not more than two years.
• </c> courts are reviewing these patients courts are reviewing these patients every<01:47:42.480><c> 6