Transcript Highlights:

• Does that have a fiscal note or anything? It's undetermined. So you want to sit?
• The committee Substitute to Senate Bill 1044 adds the Nelson Amendment, removing the fiscal note from

Transcript Highlights:

• As noted in the committee's analysis, there is minor and absorbable to speak in support.
• As noted in your analysis, this bill would require minor absorbable general fund costs to the CDE.
• As the committee's analysis points out the fiscal impact of this bill should be minimal.
• As you can tell from the fiscal analysis, it's less than half a P.Y. that we're talking about here, and

Keywords: 988, house, all

Transcript Highlights:

• It doesn't require a fiscal note. And that just seemed like a really good idea to me.
• It doesn't require a fiscal note.

Bills: HB1053

Keywords: North Dakota highway system, state roads, road mileage cap, transportation code, Department of Transportation, DOT, highway mileage limit, road classification, county roads, township roads, state highway network, Century Code section 24-01-01.2, infrastructure, public roads, transportation policy, 908, all

Summary: The committee took up House Bill 1298 and first discussed an amendment from Senator Paulson that would add variable electronic speed limit signs to the bill while leaving the 80-mile-an-hour provision unchanged. Members said the signs would be used on interstates I-29 and I-94 in selected problem areas, based on weather or accident conditions, and that the proposal would not require a fiscal note. The discussion then broadened to Senator Rummel’s concerns about related bills, especially 2243, 1250, and 1229. He argued that the House changes were removing municipal authority to double fines, lowering or eliminating points for serious traffic violations, and undoing prior Senate positions. Several members said they were willing to use HB 1298 as the vehicle to restore the earlier fine and point provisions, including the 29 violations previously assigned three points, and to avoid concurring with the House versions. Members did not take final action on the amendments or the bill. Instead, they agreed more work was needed and asked Legislative Council to prepare a combined amendment and options for the next meeting. The committee recessed and scheduled further discussion for the next morning.

Transcript Highlights:

• end of this fiscal year? end of this fiscal year?
• Noting excuse of rep. So Oh gosh. 1. Noting excuse of rep. So Oh gosh.
• Um as noted<00:46:20.480> in<00:46:20.720> the<00:46:20.960> discussion noted in
• >> Okay. 2272 as is recommendation noting >> Okay. 2272 as is recommendation noting
• And we are going to note in the committee report the request for $3 million.

Keywords: 912, senate, all

Summary: The Committee on Health and Human Services heard several health-related measures. SB 3132 on syndromic surveillance drew support from the Department of Health, healthcare organizations, and others, with DOH explaining the bill would formalize a surveillance program that has helped with real-time flu tracking and response to events like the Maui fires. A member raised privacy concerns from opponents, and DOH responded that the data are deidentified and do not include Social Security numbers or dates of birth. No votes were taken on the bill in the portion provided. SB 3134 on emergency medical systems of care received broad support from SHIPA, DOH, military and EMS representatives, and others, who said it would modernize the EMS system. SB 3136 on lead materials and water infrastructure was also supported by DOH and SHIPA; members asked whether the bill would allow Hawaii to keep stronger standards if federal drinking water rules were weakened, and DOH said the state would not have to follow weaker federal standards as long as Hawaii remained as stringent or more stringent. SB 3138 on independent audits of deposit beverage distribution drew support from DOH and several industry groups, but with amendments to reduce burdens on small businesses, raise the audit threshold, and modernize reporting; opponents also testified. DOH later clarified that the measure would affect a limited number of distributors and said it is working on an electronic submission system, though not yet for audit filings. SB 3139 concerning SHIPA was supported by SHIPA and the Grassroots Institute of Hawaii, while HMSA suggested one provision should remain under the insurance commissioner’s purview. SHIPA said the bill is about collaboration and a broader health vision, not regulation, and members indicated they were comfortable with removing the disputed portion. SB 3207 on background checks drew support from healthcare providers but opposition from the Attorney General and DOH. Supporters argued the FBI fingerprinting requirement is costly, duplicative, and difficult to schedule, while opponents said the bill would improperly shift fingerprint collection authority to hospitals and other facilities and could conflict with federal law. The committee engaged in extended questioning about costs, federal requirements, and whether the mandate would be passed on to patients; no final action is reflected in the excerpt. The committee then began SB 2271 on hospital licensing, with support from SHIPA, the Developmental Disabilities council, healthcare groups, Kaiser Permanente, and DOH, and commenters said the bill would allow hospitals to demonstrate compliance through CMS-recognized accreditation, with a suggested wording change to “approved” accrediting organization.

Transcript Highlights:

• They just sent us a notice that there was no fiscal note done." "Well, but there is a fiscal note.
• So they're withdrawing this fiscal note, and this fiscal note was sent to the insurance commissioner.
• <00:53:36.000> Well, there was no fiscal note done. Well, there was no fiscal note done.
• <00:53:37.520> So there but there is a fiscal note. So there but there is a fiscal note.
• <00:53:41.119> note this fiscal note and this fiscal note this fiscal note and this fiscal

Keywords: 928, house, all

Summary: The subcommittee focused primarily on a bill concerning long-term care insurance rate increases and consumer notice. Members and staff discussed replacing or supplementing a proposed public hearing requirement with annual reporting, website updates, and consumer-facing disclosures about approved rate increases, carriers writing the products, and how the products work. Several participants emphasized that long-term care policies are long-term products, that rate increases can be spread over many years for actuarial reasons, and that consumers need better information about trends and the impact of increases. A major point of disagreement was whether the bill should try to cap premium increases. One member argued the real problem is unexpected increases of 15% to 20% and urged a statutory cap to protect consumers. Insurance department representatives and others responded that hard caps had been struck down in prior case law, that the department’s core responsibility is solvency, and that carriers need sufficient premium to pay future claims. They also said the market is struggling because many carriers stopped selling the product, leaving in-force policies to bear the cost, and that overly restrictive caps could cause insurers to withdraw from the state. The discussion then shifted toward a compromise requiring carriers to notify policyholders before a rate increase is approved and allowing a 60-day comment period. Participants debated whether the notice should come from the carrier, how confidentiality rules would apply before approval, and what the department should do with public comments. The department said it already reviews filings carefully and that submitted rates are often adjusted before approval; lawmakers noted that prior commissioners had pushed back on increases in some cases, including a seven-year moratorium. No final vote was taken in the excerpt, and the chair repeatedly tried to move the subcommittee along to other bills.

Transcript Highlights:

• It's important to note that while we are securing funds for pharmacies, we are also ensuring changes
• We are asking for a $6 million dollar supplement to fiscal year 26 and for that to be Annualized in fiscal
• other5 million restored both to the current fiscal year and the next fiscal year.
• One, it is fiscally responsible.
• Well, on that note, there, obviously, we will see what we have.

Keywords: 914, all

Transcript Highlights:

• Rockcastle Fiscal Court declared a state of emergency on November 5, 2024, due to the interruption of
• First, we have Bell County Fiscal Court, on behalf of the Bell County Economic Development Foundation
• 1127 next we have Franklin County Fiscal 1127 next we have Franklin County Fiscal Court<00:30:17.919
• <00:30:50.880> Court last we have Shelby County Fiscal Court last we have Shelby County Fiscal
• We know we're here to work on the taxpayers' dollars, so on that note, adjourn. adjournment yeah where

Keywords: 00:13 Call to Order and Roll Call 01:00 Election of Co-Chairs 03:38 Approval of Minutes 04:09 Information Items 05:55 Project Rpt from Finance and Admin Cab 12:13 Lease Rpt from Finance and Admin Cab 17:48 Ky Infrastructure Authority 28:50 Economic Development - EDF Grants 32:50 Ofc of Financial Mgmt 36:30 SFCC Debt Issues 40:50 Adjournment, 958, all

Summary: The committee first reorganized by electing new co-chairs for the Capital Projects and Bond Oversight Committee: Senator Fanny Fromom? as Senate co-chair and Representative McPherson as House co-chair, both by acclamation. The committee then approved the minutes from the prior meeting and received quarterly capital project status reports from the Administrative Office of the Courts, Finance and Administration Cabinet, and postsecondary institutions. Those reports noted University of Kentucky equipment purchases, several school districts planning general obligation and revenue bond issues, a notification of non-approval for PR 3567, and Kentucky Community and Technical College System asset preservation projects. Kevin Cardwell of the Finance and Administration Cabinet reported two action items: a $5,100 federal-funded Transportation Cabinet renovation of the Rowan County east and westbound rest areas, and a $1 million federal fund increase for the Capitol City Airport terminal building project, bringing the total federal support to $10 million and reducing the need for restricted funds. The committee also received a no-action report on a $1,363,000 Kentucky State University exterior repairs project funded through the 2024 asset preservation pool. Both action items were approved unanimously after roll call votes. The committee approved four lease renewals presented by Natalie Bronner for Cabinet for Health and Family Services locations in Bell, Lee, and Clay counties, plus a parking lease for the Department of Corrections in Jefferson County. Members asked about lease pricing and were told renewals must remain at existing terms and conditions. The committee then approved a $57,000 Kentucky WATS emergency grant for Wood Creek Water District to cover part of arrears tied to the City of Livingston; members discussed the city’s audit delinquency, possible regional water/sewer solutions, and concerns about rates and private involvement, but the grant was approved. Finally, the committee approved a $1 million line-item water grant to the City of Williamsburg with no action required, three Economic Development Fund grants for Bell, Franklin, and Shelby counties totaling $8 million in state support for site acquisition and infrastructure work, and five SFCC-supported school debt issues for Elizabethtown Independent, Erlanger Independent, Boyd County, Henderson County, and Union County. The school projects included middle school, high school, and vocational school renovations or new construction, and members requested a breakdown of the space funded by the debt. All action items were approved, and the meeting adjourned.

Transcript Highlights:

• And so I got to ask why there's not a fiscal note attached to it.
• note.
• I'll be absorbed by an existing budget negated the requirement for the fiscal note.
• note.
• And just being part of any committee, you would note, right?

Summary: The committee first deferred Senate Bill 49, which would remove the State Board of Elementary and Secondary Education from the list of offices subject to closed party primary elections, after the sponsor said additional amendments were being prepared. It then took up House Bill 1247, which creates a statewide sexual assault nurse examiner coordinator within the Department of Justice to improve access, evidence collection, and coordination for sexual assault survivors. Members adopted a committee amendment package that clarified the coordinating structure, geographic response considerations, reimbursement language, and related public records issues, and the bill was reported favorably as amended with support from health care and law enforcement-related groups. House Bill 1245, also dealing with public records, was amended to protect certain personal identifying information in criminal history records of criminal justice agency employees who serve as witnesses in criminal proceedings. The discussion focused on limiting release of Social Security numbers, home addresses, and dates of birth while preserving disclosure required for court proceedings and impeachment-related purposes. The committee adopted a further amendment narrowing the protection to those PII items in records held by the clerk of court, and the bill was reported favorably as amended. House Bill 1011, allowing jurors to donate per diem compensation to CASA, and House Bill 1186, which standardizes construction code and inspector licensing records while protecting inspectors’ personal information, were also reported favorably. Senate Bill 425, which implements the constitutional mandate for removal by suit of certain elected officials for felony conviction, malfeasance, or gross misconduct, drew the most extended debate. Supporters said it creates a civil process to address serious misconduct when criminal prosecution is unavailable or incomplete, while opponents warned it could be abused for political targeting, duplicate existing remedies, and rely on vague standards. After amendments clarifying the process and standards, the committee voted 10-5 to report the bill favorably as amended. The committee also adopted amendments and reported favorably House Bill 1057, extending absentee-by-mail eligibility for overseas service members from one year to two years, and began discussion of House Bill 709, which would create a rulemaking notification system, a 10-year sunset for certain rules, and an Office of Information and Regulatory Affairs in the governor’s office.

Transcript Highlights:

• Secretary, please note the attendance.
• We also provided a fiscal note, and I believe it was requested from Representative Olson to calculate
• I think we got five or six, but the fiscal note should be there, and I'm happy to take any questions.
• I think we got five or six but the fiscal note should be there and I'm happy to take any questions Any
• Just trying to make it narrow, this narrow, preventative, and fiscally neutral.

Bills: HB2016, HB2104, HB2105, HB2174, HB2256, HB2289, HB2477, HB2903, HB2939, HB2979, HB2996, HB4103

Keywords: tax penalties, filing, tax returns, administration, Arizona Revised Statutes, agricultural property, classification, county assessor, property inspection, appeal process, property tax, agricultural classification, Department of Revenue, property valuation, inspection notice, inspection report, on-site inspection, full cash value, rural land, farm land

Transcript Highlights:

• We also recognize the challenge of the current fiscal environment and the need 39.4.
• Sometimes I don't always get all the notes.
• I thank you for the opportunity to testify and happy to answer any questions. notes.
• Uh, please introduce yourself for notes.
• uh that we still have uh the SBI notes uh that we still have the<00:32:44.399> ability<00:32:

Bills: HF2783

Keywords: state government finance, biennial budget, appropriations, Minnesota Management and Budget, Healthy Aging Subcabinet, Office of Healthy Aging, older adults, aging policy, long-term care, caregivers, public health, Medicaid fraud, medical assistance fraud, attorney general subpoena power, fraud enforcement, business filing fraud, Secretary of State, deceptive mailings, consumer protection, certified public accountant

Transcript Highlights:

• to me by counsel and also changes the funding mechanism based on feedback from counsel or from the fiscal
• that proper administration of a note that proper administration of a program<00:16:00.839> of
• This is simply in response to the fiscal note that we got back, and effectively the A4 amendment would
• I think it looks like there's also a fiscal note that we have in our packets there.
• Maybe fiscal staff can give us a little overview of it. Yeah, Mr.

Keywords: 1187, senate, all

Transcript Highlights:

• Moreover, it is equally important to note that it is the least costly option.
• Just to note, tomorrow we will be presenting again at Senate Finance.
• On a side note, I'd also.
• I just want to make a note, MUDs are under local government.
• For fiscal year 2025, the agency's indirect administrative rate is budgeted at 1.5 percent.

Keywords: 1185, senate, all

Transcript Highlights:

• And I same note over and over again.
• Um, then it's referenced in our fiscal note.
• So there may be, while it's not recorded in the fiscal note now, there may be future appropriations needed
• may<01:14:58.480> be<01:14:58.640> future the fiscal note now, there may be future
• the fiscal note now, there may be future appropriations<01:14:59.679> needed<01:15:00.000>

Bills: HB0075, HB0128

Keywords: virtual currency, kiosk, financial institutions, regulation, Wyoming Money Transmitters Act, penalties, severance tax, oil production, tax exemption, energy sector, economic impact, 916, all

Transcript Highlights:

• Would you have the fiscal note? Uh, no. I don't have the fiscal note either.
• there was um a fiscal note that was to there was um a fiscal note that was to come<00:32:58.960>
• Would you have the fiscal note? that. Would you have the fiscal note?
• I don't have the fiscal note >> Uh, no.
• I've seen the fiscal note. Um I've seen the fiscal note.

Keywords: 1189, house, all

Transcript Highlights:

• And we understand where we're at from a fiscal standpoint.
• The piece that is fiscal standpoint.
• <00:48:41.560> that Lastly, I would just like to note that Lastly, I would just like to note
• I will note, and it's great one.
• the next fiscal year. the next fiscal year.

Bills: HF4213, HF4198, HF3930, HF3585, HF3451

Keywords: education finance, school funding, K-12, prekindergarten, pre-K, early childhood education, general education aid, special education, literacy aid, school meals, free school meals, school breakfast, school lunch, charter school lease aid, charter schools, nonpublic pupil aid, private school aid, transportation aid, desegregation aid, integration aid

Transcript Highlights:

• So, um, I don't foresee this impacting anything fiscally. Thanks.
• So, um, I don't foresee this impacting anything fiscally. Thanks.
• <01:29:54.000> note heard that my concern is the fiscal note heard that my concern is the
• fiscal note and<01:29:55.120> this<01:29:55.360> issue<01:29:55.679> about<01:29
• I am very sensitive to that fiscal I am very sensitive to that fiscal point.<01:32:20.239> Thank

Keywords: 1191, senate, all

Transcript Highlights:

• And again, as noted, that created a backlog of complaints that also had to be addressed.
• As Dennis noted...
• As Dennis noted, the Certificate of Need Program has been around for about four decades.
• We wanted to clarify it before we get back to you, but noted. Had some questions.
• We wanted to clarify it before we get back to you, but noted.

Summary: The committee heard a JLARC presentation on the Department of Health’s oversight of hospital inspections, complaints, and reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state standards, did not consistently require proof of those inspections, did not review adverse health event corrective plans, and could make hospital data more accessible. JLARC also raised a possible language-access barrier in the complaint system. Members asked about complaint filing by staff, the meaning of adverse health events, inspection outcomes, and whether the audit compared DOH to other agencies. JLARC said it had not reviewed inspection results or cross-agency comparisons, but noted inspectors were dedicated and working long hours. DOH later said it concurred with the recommendations and outlined a strategic plan with target dates for improving timeliness, verifying accreditation standards, expanding language access, reviewing adverse event laws, and improving public data access, with annual reporting to the Legislature expected. The committee then heard a Department of Health presentation on certificate of need modernization. DOH described the current certificate of need process, which reviews need, financial feasibility, quality, and cost containment for certain facility changes and new services, and said the program has not been modernized since the 1980s. DOH proposed 10 statutory modernization recommendations, including clarifying the program’s purpose, creating a planning entity, adding flexibility, reducing legal costs, updating access-to-care standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, strengthening long-term funding, and using better data systems. Members asked about oversight of freestanding urgent care and EDs, funding sources, and whether the process could be streamlined or made more responsive to complaints or other triggers. A third panel discussed artificial intelligence in health care. Lucy O’Rourke of the Coalition for Health AI described CHAI’s work on responsible AI principles, technical standards, model cards or “nutrition labels,” testing and governance tools, and educational resources for providers. She said the group is focused on trust, transparency, fairness, safety, security, and privacy, and noted Washington’s AI-related policy work as among the more progressive in the country. No questions were asked. The final portion focused on the financial impact of federal and state health care policy changes. The Washington State Hospital Association said hospitals are facing low or negative operating margins, service reductions, layoffs, and closures, and that state cuts and taxes enacted in 2025, combined with federal HR1 changes, will significantly worsen finances. Providence Swedish leaders described staffing reductions, service cuts, delayed capital investments, and pressure from denials, tariffs, and reimbursement changes, while emphasizing that frontline staffing cuts are tied to service reductions rather than nurse-to-patient ratio changes. The Washington Health Benefit Exchange then began a presentation on expiring federal ACA premium tax credits, state Cascade Care Savings assistance, and eligibility changes affecting lawfully present non-citizens, with examples showing large premium increases for customers if federal subsidies expire.

Transcript Highlights:

• Noting that it's 10 o'clock here on November 5th, we're going to do some brief introductions.
• In terms of the fiscal impact, still really. eligibility verification requirements.
• As Director Moran noted, we are happy to note to the state that we did submit successfully our application
• Of note, less than 1% of people die in a way that will allow them to become an organ donor.
• Of note, there are currently nearly 1,500 patients on the waiting list in Washington.

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

Transcript Highlights:

• <00:05:29.199> it's<00:05:29.720> important<00:05:29.960> to<00:05:30.120> note
• ><00:05:30.400> that<00:05:30.520> in<00:05:31.120> 2016 AP it's important to note
• that in 2016 AP it's important to note that in 2016 there<00:05:32.240> was<00:05:32.360>
• fiscal note says that easier and the um fiscal note says that um<03:51:14.239> it's<03:51:14.640
• unnecessary uh one uh one final note unnecessary uh one uh one final note here<04:39:26.879>

Keywords: 928, house, all

Summary: The House Education Policy and Administration Committee heard testimony on HB 222, which would repeal the requirement that a chartered public school and the resident school district sign a memorandum of understanding on how students with disabilities will receive special education services. The prime sponsor, Rep. Peggy Balboni, said the bill was requested by the New Hampshire Association of Special Education Administrators and the New Hampshire Alliance for Public Charter Schools. She argued that federal and state law already require districts to provide FAPE and that the MOU requirement has created extra work, legal costs, and delays without improving services. She said many MOUs remain unsigned, but students are still receiving services and complaint numbers have not changed. Rep. Mooney also supported repeal, calling the MOU duplicative and impractical because IEPs and 504 plans already govern services. Testimony from Jane B. Brulu of the special education administrators’ association and Beth McLure of the charter schools alliance echoed that view, saying the MOU has not helped students, has added hours of work and legal fees, and has mostly been a source of disputes over funding and service costs. McLure said her school has worked with more than 15 districts and has always been able to reach agreements, though the first year of the requirement took substantial time and money. Committee members asked about the original purpose of the law, unsigned MOUs, and whether disputes could be resolved without the requirement. A representative from the Department of Education said the MOU was originally proposed to address reports that some students were not getting services on time and to provide some oversight, but the department has no authority to order charter schools or districts to agree and no appeal process if they cannot. The department also said it does not currently audit charter school special education services because it lacks authority to monitor charter schools directly, and it urged the committee to consider some alternative oversight if the MOU requirement is repealed. The hearing on HB 222 was then closed, and the committee announced it would begin the hearing on HB 699 after a short break.

Transcript Highlights:

• The second thing I want to share with you, though, is that this needs a fiscal note.
• The second thing I want to share with you, though, is that this needs a fiscal note.
• The second thing I want to share with you, though, is that this needs a fiscal note.
• The second thing I want to share with you, though, is that this needs a fiscal note.
• Um, why does this not have a fiscal note?" Ms.

Keywords: 1189, house, all