Transcript Highlights:

• So if that means he has to call us in on day one, day two, day three, he's got the discretion to bring
• Members, Senator Parker moves suspension of the three-day rule. ...three-day rule.
• days of an election.
• I'm not sure how we're feeling about TikTok these days, but, you know, one day it's up, one day it's
• Senator Schwertner: The health care provider. Senator Hall: Health care provider.

Summary: The Senate convened with an invocation, received a House message that H.B. 422 had passed the House, and heard gubernatorial nominations for the Council on Sex Offender Treatment. The chamber also recognized the Doctor of the Day and several visiting groups and adopted a resolution designating June 20, 2025, as Texas Nuclear Legislative Day. Members then considered and passed several bills and resolutions, often by suspending the regular order and the constitutional three-day rule. SB 311 passed to final passage on the Texas Supreme Court’s writ power. SB 883, on off-label prescription access for COVID-19 treatment, passed to engrossment. SB 1706, creating an Open Meetings Act exception for certain defense, military, and aerospace deliberations, passed despite concerns from Sen. Eckhardt that the bill’s use of “deliberate” could weaken open-government protections. CS SB 1677, directing a study on diabetes-related amputations, passed with support from Sen. Menendez. SB 1967 expanded flood infrastructure fund eligibility to certain multipurpose projects, and SB 1255, a cleanup bill on mold assessor and remediator regulation, passed unanimously. The Senate also approved CS SJR 40 and CS SB 871, which would change emergency and disaster law to require legislative involvement after prolonged or widespread emergencies and to limit gubernatorial suspension powers, with Sen. Eckhardt questioning whether the bill could slow urgent business closures during a disaster. Additional measures passed included SB 1426 transferring management of the First Capital State Historic Site to the Texas Historical Commission, SB 249 requiring TxDOT to fund memorial markers for fallen peace officers, SB 1592 centralizing collection of hotel occupancy taxes from accommodation intermediaries, SB 1271 allowing concurrent jurisdiction on military installations for certain juvenile matters, SB 745 creating a higher penalty for intoxication manslaughter involving multiple deaths, SB 365 shortening the academic fresh start waiting period at public colleges, and SB 1171 adjusting compensation and standards for certain Texas Juvenile Justice Department inspector general employees. CS SB 36, creating a Homeland Security Division within DPS, passed after questions about its relationship to federal homeland security and its focus on border security and critical infrastructure. The latter part of the session focused heavily on CS SB 38, a major eviction and squatter-related bill. Sen. Bettencourt described widespread squatter cases and argued the bill, with a Moody amendment, would clarify notice and eviction procedures while balancing property-owner and tenant rights. Sen. West said he supported addressing squatters but worried the broader eviction changes could harm vulnerable renters, especially single mothers, and said he would vote present not voting. The discussion continued with additional testimony from Sen. Kolkhorst about the need for a balanced eviction process.

Transcript Highlights:

• Take care of yourself.
• Take care of your heart and your health and take care of each other amongst really good debate and differences
• Let's spend the next 60 days doing exactly that.
• I move that the House now adjourn until day two.
• Tuesday, January 13th, the second legislative day.

Summary: The House convened for the opening day of the 2026 regular session of the 69th Legislature, with 96 members present. The session included the Pledge of Allegiance, the national anthem, a prayer, and a tribal welcome and blessing from Squaxin Island Tribe members, followed by the swearing-in of several representatives by retired Justice Mary Yu. The Speaker also recognized the deaths of Senator Bill Ramos, Speaker Emeritus Frank Chopp, and Trooper Tara Marissa Gooding with a moment of silence. In opening remarks, the Speaker emphasized the impacts of federal actions on Washington, including tariffs, H.R. 1, health care costs, Medicaid and food assistance losses, climate and clean energy funding threats, immigration and civil rights concerns, and the need to protect food, health, shelter, and affordability. Representative Stokesbary responded for House Republicans, focusing on Washington’s high cost of living, opposing an income tax, and urging action on affordability, housing, and crime. Both sides framed the session as a difficult but important period for budget and policy decisions. The House adopted House Resolution 4665 to notify the governor that it was organized and ready for business, and adopted House Concurrent Resolutions 4406 and 4407 to receive the governor’s address and establish the session’s cutoff dates. The chamber also adopted Senate Concurrent Resolution 8407, adopted permanent House rules, and approved several committee reassignments and appointments. A House delegation then reported back from a visit with Governor Ferguson, and the House adjourned until the next day, when it was scheduled to meet in pro forma session before the joint session for the governor’s State of the State address.

Transcript Highlights:

• God, you're so great to us as we live from day to day with the various challenges that life brings our
• God, you know the multiplicity of things that we struggle with from day to day.
• Day to day. But God, you're so loving, so kind, so merciful and so gracious unto us.
• Next, Senator Chair Trumbull, Health Care. Chair Trumbull, health care.
• Senator Trombo, health care. Senator Trumbull, health care?

Summary: The Senate took up the conference report on House Bill 501E, the General Appropriations Act for fiscal year 2026-27, with Chair Hooper and the appropriations chairs walking through the $114.5 billion budget. Major highlights included pay increases for state law enforcement, firefighters, park rangers, and correctional officers; funding for teacher salary increases and K-12 enrollment stabilization; workforce and university funding in higher education; major Medicaid, nursing home, waiver, and opioid-related investments in health and human services; corrections and prison-capacity funding; transportation, housing, and emergency management spending; and large environmental appropriations for Florida Forever, Everglades restoration, and water quality projects. Members then asked detailed questions about specific items. Senators pressed on the Hamilton Center at UF, the difference between assistant state attorney and public defender pay, declining student enrollment funding, private school scholarship vouchers, mental health funding in schools, the lack of preeminence funding, APD’s iBudget waiver wait list and provider rates, ADAP premium assistance and the return of Biktarvy to the formulary, prison staffing and air conditioning, Florida Forever land-buying versus easements, SNAP and Sun Bucks funding, Hope Florida, election audit funding, and the IDD managed care program. Chairs generally explained the negotiated compromises, noted where funding was flat or omitted, and in several cases said items would be revisited next year or depended on agency implementation. Several senators used debate to praise the budget while also criticizing major policy choices. Leader Berman argued the state should have expanded Medicaid, invested more in public schools instead of vouchers, and accepted federal summer EBT funds. Other senators highlighted local wins such as Biscayne Bay restoration, Tri-Rail, housing assistance, ADAP funding, and declining enrollment support. The transcript ends with debate remarks thanking Chair Hooper for his work on the budget; no final vote is shown in the excerpt.

Transcript Highlights:

• It's a long day.
• Is it health care? It's a combination.
• Concern in the home and to provide that care. Yeah.
• You'll have a great day. Okay, thank you all. Thank you. Thank you. You have a great day.
• You'll have a great day. They'll have a great day.

Committee: House Appropriations

Keywords: 965, house, all

Transcript Highlights:

• If you think about the fact that today, if you If you're seen at an ER one day and in a primary care
• If you think about the fact that today, if you're seen at an ER one day and in a primary care hospital
• , preventive care, mental health care, support, substance use disorder treatment, preventive care, mental
• Primary care is essential for a functional health care system.
• Primary care.

Summary: The Assembly Health Committee held an informational hearing on the impact of federal H.R. 1 and related state budget actions on California’s health care system. Opening remarks framed the federal changes as a major threat to Medi-Cal, Covered California, hospitals, clinics, and the broader safety net, with warnings that millions could lose coverage and that costs would shift to providers, counties, and consumers. Testimony from the California Health Care Foundation and the Legislative Analyst’s Office focused on implementation challenges, the administrative burden of work requirements and more frequent renewals, the loss of federal funding, and the need for California to consider long-term structural changes to Medi-Cal, county safety-net programs, and cost containment. A Covered California enrollee, Chas Franklin, described sharply rising premiums for his family after losing subsidies, illustrating the personal impact of federal policy changes. Committee members raised concerns about whether premium increases were driven by H.R. 1 or insurer pricing, the cost of rebuilding county-based indigent care systems, and the need to account for the cost of inaction. Dr. Hernandez pointed to pre-ACA models such as Healthy San Francisco as examples of coordinated local safety-net care, while also emphasizing the importance of primary care, data interoperability, and the Office of Health Care Affordability in reducing waste and improving access. Department of Health Care Services officials then outlined the state’s implementation plan for H.R. 1, including work requirements, six-month redeterminations, reduced retroactive coverage, cost-sharing, and immigration-related eligibility changes. They said the department would try to automate eligibility checks, expand outreach, and train counties and partners, but estimated up to 2 million Californians could lose coverage over time. Covered California reported that the expiration of enhanced federal premium tax credits and new federal marketplace rules are already raising costs and reducing enrollment, with an estimated 400,000 enrollees at risk of dropping coverage. County, hospital, and safety-net representatives warned that coverage losses will increase uncompensated care and strain local systems, while one coalition proposed a temporary state-funded coverage option as a bridge if full-scope Medi-Cal cannot be maintained. The hearing concluded with a policy analyst urging stakeholder engagement, immigrant protections, and new state revenue options to preserve coverage and offset federal cuts.

Transcript Highlights:

• They care about jobs, access to health care, and lowering the cost of living.
• routine gynecologic care.
• Uh, some of the causes is the lack of medical care. Prenatal medical care.
• She scheduled an emergency D&C abortion care the next day on July 3rd.
• , all to get access to basic safe care, care that should have been mine without a fight.

Bills: HB7 , SB 8

Committee: House State Affairs

Keywords: abortion, healthcare, jurisdiction, civil action, qui tam, prohibition, state law, sex designation, restroom access, civil penalties, private civil right of action, women's privacy

Transcript Highlights:

• LD 17 has the Doctor of the Day, and let me introduce her.
• Recipients to show that their children are learning five days a week.
• And we all know... ...delays their care, and we all know that delayed care costs more.
• Happy President's Day.
• And we also are seeing... ...allow health care subsidies to continue.

Summary: The Senate opened with prayer, the Pledge of Allegiance, a roll call showing 29 present, and several guest introductions, including Scout groups from Phoenix/Levine, Dr. John Galgiani for Valley Fever Awareness, and Dr. Sarah Lee Davidson as Doctor of the Day. Senator Kavanagh read a proclamation recognizing Valley Fever Awareness and the work of the University of Arizona’s Valley Fever Center for Excellence. The chamber also adopted a death resolution for Victor E. Hardy and observed a moment of silence. The Committee of the Whole considered SB 1036 on unemployment insurance, SB 1056 on reporting vacant state positions, SB 1236 on AHCCCS enrollment verification and presumptive eligibility, and SB 1238 on the physician assistant licensure compact. SB 1036, SB 1056, and SB 1238 were approved in Committee of the Whole, with SB 1036 and SB 1238 amended. During floor debate, SB 1036 drew criticism from Democrats as adding burdens and reducing benefits for unemployed workers, while supporters said it was aimed at preventing fraud; it later passed the Senate 17-12. SB 1056 also passed 17-12 after debate over whether automatic elimination of long-vacant positions would improve efficiency or harm agency staffing. SB 1238 passed with a conforming amendment and later the House version HB 2190 was substituted and passed. The Senate then took up several third-reading bills. SB 1126 on educational records passed 29-0. SB 1189 on campaign expenditures passed 27-2 after debate about political violence and campaign-related expenses. SB 1211 on sentencing passed 29-0. The chamber also reconsidered and substituted House bills for identical Senate bills: HB 2206 for SB 1333 and HB 2396 for SB 1368, both related to SNAP. HB 2206 passed 17-12 after debate over a proposed SNAP error-rate penalty and its impact on food access, and HB 2396 passed 17-12 after debate over restricting SNAP purchases. Finally, HB 2796 was substituted for SB 1236 and passed after debate over AHCCCS enrollment barriers. The Senate adjourned until Tuesday, February 17, 2026.

Transcript Highlights:

• Like I said, it depends on your primary care doctor.
• I cared for young people facing trauma, fear, unsafe old environments.
• When young people cannot seek care confidentially, they delay treatment or do not seek care at all.
• Every child deserves safety and care, not barriers.
• Crisis STI treatment and crisis mental health care treatment.

Committee: House Education & Employment Committee

Summary: The committee met with a quorum and began by welcoming students and coaches participating in the inaugural Sunshine State Debate. Members then heard and voted on a series of education-related bills, with most measures receiving favorable reports by unanimous or near-unanimous votes. The first bill, HB 1081, created a Cybersecurity Internship Clearance Readiness Program in the Department of Commerce for NCACE-designated universities and Florida College System institutions; a friendly amendment expanded access to private schools, and the bill passed 19-0. HB 1201 updated Florida’s epilepsy/seizure plan law to clarify protections for charter school students, require acceptance of physician-submitted plans, extend training validity to five years, and expand training to regular bus drivers; epilepsy advocates supported it, and it passed 19-0. HB 851 required annual autism-specific professional learning opportunities for teachers and school-based administrators, and it also passed 19-0. HB 615, dealing with IEPs, required quicker parent notice when services are missed, faster access to service logs, individualized parent orientation, and standardized district service logs; parents and advocates testified strongly in support, and the bill was reported favorably. HB 1503 added technology-related competencies to education courses and directed the Department of Education to develop computer science certification coverage; it passed 19-0. HB 371 required public schools to display portraits of Abraham Lincoln and George Washington in common areas and passed 19-0 after testimony both for and against. HB 731 revised extracurricular eligibility rules and allowed local policies for compensating coaches and activity sponsors; an amendment broadened manual requirements and clarified fee actions, and the bill passed 18-0. The committee also took up HB 173, a parental rights bill that drew the most extensive debate and public testimony. The bill would require parental consent for many medical decisions for minors, give parents access to medical records, and expand parental review/opt-in rights for certain school surveys and biofeedback devices. Supporters argued it restores parental authority, improves safety, and prevents children from being cut out of important medical decisions; opponents warned it would remove confidential access to STI treatment, crisis mental health care, and other services for minors in unsafe or abusive homes. Members raised questions about abuse exceptions, emergency care, and how the bill would affect routine treatment and time-sensitive care. The bill was not voted on in the portion provided, and debate continued through multiple rounds of sponsor responses and member comments.

Transcript Highlights:

• </c> health care ecosystem. health care ecosystem.
• </c> Affordable Care Act. Affordable Care Act.
• </c> care needs. care needs.
• And home health care and nursing care.
• </c> every day. every day.

Committee: Senate Commerce and Consumer Protection

Keywords: 1187, senate, all

Transcript Highlights:

• And when I say disciplinary action by the department, I'm speaking of 30 days' loss of canteen, 30 days
• I mean, I totally get it and empathize for doing that all day, every day. So thank you.
• Nobody cared what happened behind the fortress of the fences or the walls. They just didn't care.
• Well, I'm glad people care today.
• Those responses that happen on a day-to-day basis, that are constantly happening throughout the day—some

Keywords: 1212, all

Summary: The special commission on consolidation and cooperation among public safety agencies held a hearing focused on correctional labor perspectives, with testimony from union representatives and correctional officers from state and county facilities. Chair Dan Hunt and Senator Brownsberger opened by noting the commission’s extensive site visits and prior testimony, and they recognized Correctional Officers Week. Witnesses emphasized that officers are central to any reform discussion and described the daily realities of staffing shortages, violence, mental health crises, substance use, and the need for better wellness support. Kevin Flanagan of the correctional officers’ union said officers face serious safety risks, citing weapons recovered, assaults, suicides, and the spread of synthetic drugs like K2 that are often introduced through paper soaked with chemicals. He urged stronger contraband controls, including paperless systems and technology to detect synthetic drugs, and criticized policies he said can be manipulated in gender-identity housing and search situations. He also argued that staffing shortages, forced overtime, and low morale are worsening retention, and that officers need more support after traumatic incidents, including fuller use of the OnSide Academy program. Other union representatives, including NCU and county officers, opposed consolidating sheriffs’ offices or merging them with the Department of Correction, warning it could weaken collective bargaining, reduce local accountability, and harm programming and reentry work. They argued that county facilities are distinct and should be funded and staffed based on local needs, not a one-size-fits-all model, and several speakers supported expanding vocational and reentry programming. Commissioners responded with support for officer wellness and asked for more information on EMS transports, medical interventions, and possible models from other jurisdictions, including Norway and Germany. At the end of the hearing, the commission discussed extending its reporting deadline beyond September 30, with members agreeing to seek an extension to November 30. The commission also agreed to continue site visits, including the upcoming Barnstable visit, and adjourned after adopting the motion to request the extension.

Transcript Highlights:

• I am proud to present SB 964, our continuity of care bill.
• It protects continuity of care. It helps patients.
• So this is very, very real for just day-to-day regular Californians and for the lives of communities
• Acupuncture is essential care. It is not luxury care.
• Acupuncture, it is essential care. It is not a lexury care.

Committee: House Health

Keywords: 988, house, all

Transcript Highlights:

• care waiver services.
• care waiver services.
• care waiver services.
• And and adult day care waiver services.
• </c> remove and adult day waiver. remove and adult day waiver.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on January 12, 2026, to approve the December 10, 2025 minutes and continue finalizing its findings and recommendations. Members reviewed findings on administrative inefficiencies, Medicaid and workforce participation under HR 1, Medicaid budget growth, rural health transformation fund development, and provider tax/state-directed payment changes. The board approved a motion to change “pilot” to “partnership” in the workforce-related recommendation, and also adopted a technical amendment clarifying overlapping HCBS services by removing reference to adult daycare waiver services and revising the language to focus on reducing duplication, simplifying provider contracting, and standardizing processes across programs. A separate technical correction was noted to change “DMS” to “DPH” in the rural health transformation finding, to be handled in the final edits. Several findings drew discussion but no final substantive vote during the meeting. On the rural health transformation fund, Dr. Berg said Kentucky had done well in federal funding and noted limits on what could be shared publicly, while Commissioner Lee said a public website had been created and recommended the department reference be changed to the Department for Public Health. Finding five prompted extended discussion about provider taxes, state-directed payment reductions under HR 1, and whether the board should address the relationship between actuarial studies, MCO payments, and actual provider reimbursement more directly. Senator Meredith and others argued for a broader, more transparent baseline review of rates across provider groups, while Commissioner Lee said CMS will require certain fee schedule comparisons to Medicare beginning July 1, 2026, and that quarterly expenditure reports already go to LRC. The board did not finish resolving finding five during the meeting and agreed to return to it after staff prepared more explicit language. Members also discussed the possibility of an all-payers claims database as a better way to understand what is being paid across payers and services. No final vote on the full findings package was taken in the portion of the meeting provided, but the board did adopt the noted amendments and continued working through the remaining language.

Transcript Highlights:

• There's a lot of resources in the health care space, and I think that having access to health care helps
• Get the care that they need. So that's why I'm here.
• It's not just because we want to call one day.
• Pear Team is a community care hub that works with CBOs and the medical managed care, excuse me, to deliver
• Pereteam is a community care hub who works with CBOs and the medical managed care, excuse me, to deliver

Summary: The Senate Rules Committee established quorum and first approved several non-appearing gubernatorial appointees and procedural items on unanimous 5-0 votes, including Hampus Eitsiter to the Boating and Waterways Commission, Peter Stern to the California Horse Racing Board, Dean White to the State Mining and Geology Board, references of bills to committees, and floor acknowledgements. The committee then heard testimony on Tyler Sadwith’s appointment as Chief Deputy Director of Healthcare Programs at the Department of Health Care Services. Sadwith emphasized protecting Medi-Cal access and equity, continuing CalAIM and behavioral health transformation, and drawing on personal experience with family members needing care. Senators focused heavily on hospital financial distress, rural access, eligibility redeterminations, fraud oversight, provider reimbursement, dental access, labor and delivery closures, and the impact of federal changes; Sadwith said the department is working on expedited payments, monitoring distressed hospitals, county technical assistance, and strategies to reduce disenrollments and improve program integrity. Public commenters from county, hospital, and care organizations supported his confirmation, and the committee advanced his nomination to the full Senate on a 5-0 vote. The committee next considered Chris Thayer, PhD, for Director of the Office of Environmental Health Hazard Assessment. Thayer described OEHHA’s role as providing transparent, scientifically rigorous health assessments and supporting tools such as Prop 65, CalEnviroScreen, and risk communication. Senators pressed him on the use of models versus real-world data, fenceline monitoring, PFAS, wildfire health impacts, and whether OEHHA’s work adequately reflects lived experience and local conditions. Thayer responded that the office often must rely on the best available evidence, including animal, human, and alternative methods, while continuing to improve communication and community engagement; he also discussed EnviroScreen updates, Prop 65 warning reforms, and research gaps. Public testimony in support highlighted OEHHA’s scientific role and the importance of biomonitoring and PFAS work. The committee approved Thayer’s nomination to the full Senate on a 3-1 vote, with Senator Grove voting no and Senator Jones not voting.

Transcript Highlights:

• You have 40 days, 45 days to remove it. So there's no standard for the platform at this point.
• So we don't have that type of law that says 30 days or 45 days.
• , 45-day, 65-day, whatever it is, standard or requirement?
• Patrick's Day.
• every day, right?

Summary: The Committee on Commerce and Tourism took up several measures, beginning with SB 1666, which would adopt Florida’s version of UCC Article 12 to address commercial transactions involving digital assets such as cryptocurrency, smart contracts, blockchain, and NFTs. The committee adopted a technical amendment and then reported the bill favorably. It also approved CS/SB 480, a proposal to create affordable health coverage options for farmers and ranchers through a nonprofit agricultural organization model; the bill drew significant questions about preexisting conditions, ACA coverage, costs, and whether the plans would function like insurance, but it was ultimately reported favorably despite opposition from some members and outside groups. The committee then unanimously advanced CS/SB 1172, which expands business development incentives for veterans and military spouses, including procurement preferences, fee waivers, tax exemptions, and an entrepreneurship program; an amendment added military-spouse hiring preferences and protections for private employers that adopt them voluntarily. The committee also approved CS/SB 1400, a bill aimed at non-consensual AI-generated sexual deepfakes. The measure requires covered platforms to provide a removal process, post clear notice of that process, and remove identified content within 24 to 48 hours, with liability under the Florida Unfair Trade and Deceptive Practices Act for noncompliance; an amendment carved out internet service providers from liability. Members raised concerns about repeat uploads and the meaning of “reasonable efforts,” but the bill was reported favorably. The committee then adopted SM 1488, a memorial urging Congress to create a sovereign wealth fund, despite testimony opposing it as unnecessary and constitutionally questionable. It also passed SB 1252, which would create a centralized statewide system for sharing pawn and secondhand dealer data among law enforcement agencies; the sponsor said the first step would be a $250,000 feasibility study, and the bill was reported favorably. Finally, the committee considered SB 922, which revises Florida’s restrictive covenant laws by creating a streamlined process for certain non-compete and garden leave agreements involving employees with access to sensitive information and higher wages. The bill drew extensive debate over worker mobility, global scope, and whether it would strengthen employer leverage too much; after a technical amendment, it was reported favorably. The last major item was SB 1776, a Florida Whistleblowers Act revision that adds a notice-to-cure requirement, narrows retaliation and employer definitions, and limits claims where another statutory remedy exists. Members and public speakers raised concerns that it could make whistleblower claims harder to bring and give employers time to destroy evidence, but the bill was amended and then reported favorably.

Transcript Highlights:

• was confirmed as a child care center participating in Minnesota’s child care assistance program.
• care space anymore, I believe.
• Superintendent Engel canceled three scheduled meetings, either the day of or the day before the meeting
• The normal day-to-day operations of the school have been going on at the same time that we were working
• Superintendent Engel canceled three scheduled meetings, either the day of or the day before the meeting

Committee: Joint Joint Legislative Audit Committee

Keywords: 1182, all

Transcript Highlights:

• direct care workers... ...and care managers and others play in making sure that direct care workers'
• So, BHS Care needs in long-term care.
• Also, palliative care can be provided alongside curative care.
• Also, palliative care can be provided alongside curative care.
• care.

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:

• But the average turnaround is 2.7 days for general building, 3.4 days for electrical, and 2.4 days for
• And gets child care assistance.
• And you know, the health care and law—you talk about lawsuits, man, that's the thing of the day now,
• They're putting in 14 hours a day.
• And we figured our regulation costs about $7,000 to $7,100 per race day. That's just per race day.

Committee: House House Appropriations & Finance

Keywords: 996, all

Transcript Highlights:

• </c><00:05:09.800><c> in</c><00:05:10.000><c> this</c> care when a child enters care in this care when
• care businesses.
• <c> Care</c><01:19:32.239><c> businesses</c> in existing Child Care businesses in existing Child Care
• </c><01:33:29.719><c> um</c> Care Northstar care for children um Care Northstar care for children um
• Already my youngest unfortunately was KCK, well, let go from a couple of day cares, and I needed to have

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• day.
• If they cannot afford child care now, being able to deduct their child care costs will not help them.
• If you can afford child care, those who can afford child care, those who can afford child care, those
• If you can afford child care, those who can afford the most expensive child care might get $900 back
• I don't see any direct lines at all, because the child care—child care normally does help with jobs.

Summary: The Senate convened with prayer and the Pledge of Allegiance, recorded attendance, approved the prior journal, and made temporary committee appointments. It then resolved into Committee of the Whole to consider SB 1106, a tax conformity bill tied to federal tax changes. Senators debated the measure at length, with supporters arguing it would provide tax relief, certainty for taxpayers and businesses, and conformity with federal filing rules, while opponents said it would reduce state revenue, favor wealthier taxpayers and corporations, and should be handled in budget negotiations or a special session. The bill advanced from Committee of the Whole and, on third reading, passed the Senate 17-12 with one not voting, then was transmitted to the House and later to the governor. During the floor debate, senators focused on the bill’s effects on child care deductions, senior deductions, overtime and tip income, business expensing, and a provision related to federal school voucher tax credits. Democrats argued the bill would worsen budget pressures, undermine funding for education, roads, public safety, and human services, and do little for families on child care waitlists or seniors still working. Republicans countered that the bill would keep more money in taxpayers’ pockets, support working families and small businesses, and align Arizona’s tax code with federal changes to avoid confusion for filers. After the tax vote, Senator Bolick read a proclamation honoring Arizona and U.S. law enforcement, citing fallen officers, officer assaults, and the need for training, equipment, mental health support, and tougher penalties for attacks on officers. The Senate then received and referred a large number of new bills to committees, announced upcoming committee meetings, and adjourned until Tuesday, January 20, 2026.

Transcript Highlights:

• So I think this bill will take care of that.
• after day.
• And it showed up in our lives every single day.
• That last part was very powerful because it could easily be taken care of, easily been taken care of.
• That last part was very powerful because that could easily be taken care of, easily been taken care of

Committee: House Children and Families

Summary: The Committee on Children and Families met with a quorum and first took up several bills in executive session. House Bill 1818, dealing with protections for children involved in content creation and related financial arrangements, was amended and converted into a House Committee substitute. Members discussed that the bill is aimed at children creating content for financial gain and clarifies that platforms must comply with federal law without being drawn into disputes between children and parents. The substitute was then voted do pass by a 17-0 roll call. House Bill 1948 was also amended and substituted; the amendment changed references from the Family Support Division to the Department of Social Services, and members briefly joked about the wording of “fatherhood” versus “fathership.” The committee then voted the substitute do pass 17-0. The committee next debated House Bill 2688, which drew sharp disagreement. Opponents argued the bill’s due process language for unborn children was too vague, could create legal uncertainty, and might have consequences for IVF, miscarriage investigations, and criminal liability for women and medical providers. Supporters said the bill was about protecting pre-born life and that due process should apply. The bill was voted do pass by a 12-5 roll call. The committee then moved into public hearings. In public hearing, House Bill 1772 was presented as an adoption-fee bill intended to raise state-paid attorney fees for adoptions, increase fees for contested adoptions, and separate guardian fees so more children could be adopted from foster care. The sponsor said the goal was to reduce costs and speed adoptions; Foster Adopt Connect testified in support, while members raised questions about contested adoptions, subsidy timing, and whether the bill would affect access to attorneys. House Bill 1696 proposed clarifying who has the right of sepulcher for minors with court-appointed guardians, giving the guardian priority unless the guardian is under criminal investigation for the child’s death, and adding religious-belief protections regarding cremation. Testimony from family members described painful experiences where legal authority reverted to abusive parents after a child’s death, and committee members generally supported clarifying the law. Finally, House Bill 2505 was heard, a grandparent custody bill giving grandparents priority when both parents are found unfit, unsuitable, or unable to serve as custodians and the child’s welfare requires placement. Supporters, including Foster Adopt Connect and a grandmother who testified emotionally, said grandparents often provide the most stable care and should be recognized in statute. An opponent argued the current law already allows courts to place children with grandparents when appropriate and warned that statutory priority could override the child’s best interests in some cases. The committee adjourned after concluding public testimony on HB 2505.