Transcript Highlights:

• , including vocational rehabilitation services as well as independent living services. ...including vocational
• rehabilitation services as well as independent living services.
• and vocational services.
• When there are services rendered versus when they get paid for those services, the agency has a borrowing
• Thank you for your continued support, for your service to Idahoans.

Summary: The committee heard budget presentations first for the Idaho Workforce Development Council. Analyst Brooke Dupree reviewed the council’s statutory role, fund balances, and FY 2027 requests, including an ongoing transfer of $1.15 million within the In Demand Careers Fund to support more Launch grants, a proposed consolidation of the STEM Action Center into the council, and reappropriation authority for ARPA and other grant funds. Director Wendy Sechrist said Launch, workforce training grants, child care grants, and semiconductor-related grants have produced strong participation and wage gains, and she explained that the STEM education fund would be sunset under the merger. Members asked about the remaining STEM dedicated fund, the timing and impact of a proposed $10 million cash transfer from Launch, repayment of some Launch grants, and how much of the training funding goes to incumbent workers versus new hires. The committee then reviewed the Idaho Commission for the Blind and Visually Impaired. Dupree outlined the agency’s dedicated funds and FY 2027 requests for additional appropriation authority tied to Social Security reimbursements and adaptive aids store revenue, plus one-time vehicle replacement funding. Administrator Beth Cunningham said the agency uses those funds to support vocational rehabilitation, independent living services, and surgeries for eligible clients without other coverage. Members asked about discrepancies in fund figures, the growth in the adaptive aids fund balance, and the effect of holdbacks on services; Cunningham said the cuts would modestly reduce client services, travel, and some site restoration support. Finally, the Idaho State Historical Society presented its budget. Dupree described requests for $450,000 to complete the move of state records and collections into the new archives addition, $36,300 for IT hardware, and reappropriation authority for moving costs, along with prior enhancements for Old Pen staffing and archival work. Director Janet Gallimore emphasized stewardship of state records and artifacts, the importance of the move, and the agency’s role in Idaho’s America 250 efforts. Members praised the agency’s work and asked about historic preservation reviews and archaeological surveys; Gallimore said staff consult with federal agencies under the National Historic Preservation Act and agreed to provide travel records for surveys in Bonner County. The meeting ended with a presentation of historical artifacts and adjournment.

Transcript Highlights:

• the Postal Service.
• to the Postal Service.
• the Postal Service.
• to the Postal Service.
• to the Postal Service.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, March 3, 2025, 1012, house, all

Transcript Highlights:

• The committee will remember this was related to the discontinuing of telecom service when another service
• The committee will remember this was related to the discontinuing of telecom service when another service
• It's just a plain fact that copper service, copper wires, are degrading.
• or equivalent services, and so forth.
• were routed to a different service and that service was more expensive, is there anything to mitigate

Summary: The Senate State Affairs Committee began by approving the March 11 and March 13, 2026 minutes and then advanced the gubernatorial reappointment of Bud Tracy to the State Building Authority to the Senate floor with a recommendation for confirmation. The committee then heard House Bill 650, a federalism-related measure described by the sponsor and Idaho Farm Bureau testimony as reaffirming constitutional limits on federal and state power; it was sent to the floor with a due pass recommendation after brief discussion and no opposition. The committee next took up House Bill 674, which would streamline telecom service discontinuance by relying on the FCC process rather than duplicating review at the Idaho PUC. Lumen representative Rick Gutierrez testified that the FCC process already requires customer notice, identification of alternatives, public comment, and review of whether service can be discontinued without leaving customers without options; supporters argued the bill removes duplication, while opponents said it shifts final decision-making away from Idaho and could weaken state oversight. After debate over state sovereignty, consumer protection, and whether the FCC or PUC should be the final decision-maker, the bill passed 6-3 and was sent to the floor. The committee then considered Senate Bill 1365, which would exempt certain religious organizations from donor-disclosure requirements when they participate in ballot-measure advocacy, so long as related spending stays under 10% of prior-year receipts. The sponsor, Secretary of State Phil McGrane, and several pastors argued the current rules chill church participation and force disclosure of unrelated donors; opponents raised concerns about transparency, enforcement, and the possibility of churches becoming vehicles for political spending. A motion to send the bill to the 14th order failed, and a substitute motion to hold the bill in committee passed 5-4. Finally, Senate Bill 1411, expanding disclosure rules to paid in-person canvassing and related political activity, was introduced as a transparency measure aimed at paid campaign efforts; it was sent to the floor with a do-pass recommendation, with Senators Toews and Shippy recorded in opposition.

Transcript Highlights:

• but are not yet receiving that service.
• This is known as the service request list.
• Beginning in May 2025, a service request list, Service request list.
• Senate Bill 6163 does not change eligibility criteria, service standards, or how services are delivered
• Having Individual and Family Services as a waiver Having Individual and Family Services as a waiver actually

Summary: The Ways and Means Committee met on January 20, 2026, hearing several bills related to retirement systems, school employee health coverage, port district pensions, environmental fee accounts, developmental disability services, legislative budget transparency, and a new Apple Health employer assessment. Early in the meeting, the committee heard SB 5834, which would make permanent a temporary expansion allowing certain retirement trust fund earnings to pay broader administrative expenses, and SB 5835, which would raise the lump-sum retirement allowance threshold for Plan 2 members from $50 to $250. Both bills were presented by Department of Retirement Systems staff and supported by the department, with questions focused on the scope of the administrative-expense language in SB 5834 and the technical nature of SB 5835. The committee then entered executive session and moved three bills without recommendation to the Rules Committee: Substitute SB 5249, allowing kit homes as emergency housing; Substitute SB 5053, allowing certain counties to include school district boundaries when forming a public facilities district; and Substitute SB 5203, directing state agencies to develop a wildlife habitat connectivity strategy and creating related accounts. After returning to public hearing, members heard SB 5883 on SEBB eligibility for school employees in their second school year of employment. Supporters, including labor representatives and individual school workers, said the bill would reduce coverage gaps and improve recruitment and retention, while school district officials and administrators argued it would create an unfunded mandate, increase costs, and add administrative burden. No action was taken on the bill. The committee also heard SB 5905, which would exclude certain port district employees from PERS if they are covered by the federal Railroad Retirement Plan or a collectively bargained defined benefit pension plan. Port representatives, labor stakeholders, and the Department of Retirement Systems described it as a narrow technical fix to avoid duplicate pension coverage and retroactive liabilities, and the bill drew support. SB 6151 would create dedicated accounts for Ecology fee revenue tied to laboratory accreditation and landfill methane work; Ecology and county representatives supported the measure as a way to reinvest fees in the programs that generate them. SB 6163 would require the Individual and Family Services waiver for developmental disability services to be budgeted at maintenance level; advocates said it would stabilize services and prevent waitlists, and no opposition was heard. The final two bills were SB 6177, which would require LEAP’s budget website to display additional budget detail such as carry-forward data, program and subprogram expenditures, and balance sheets for all public accounts, and SB 6173, which would create an Apple Health employer assessment on larger private employers with workers enrolled in Medicaid expansion coverage. SB 6177 was framed as a transparency measure, while SB 6173 drew extensive testimony both in support and opposition: supporters said it would help offset expected Medicaid losses after federal work requirements take effect and stabilize the health safety net, while opponents argued it would be an unfunded tax, create administrative and legal complications, and could discourage hiring or reduce hours. The committee heard no final votes on the public hearing bills, and staff reminded members that signature sheets would be held for 24 hours under Senate rules.

Transcript Highlights:

• validation and verification services.
• Sources include cloud services, including software as a service software value added reseller services
• and non it services ranging from items such as HDMI cables to small and large staff Augmentation Services
• It software as a service. We can't then going procure it platform as a service.
• Smallest $36,000 worth of services.

Transcript Highlights:

• The contracting out of mental health services, medical services.
• . services for children and youth on their own on the streets.
• And I'm here to talk in regards to the crime victim services.
• service providers funded by Cal OES.
• I am the executive director of Project Sister Family Service.

Keywords: 988, house, all

Transcript Highlights:

• She said it might be good to hear what... and Human Services and might also be um and Human Services
• Services. Services.
• </c> with Medicaid in billing for services with Medicaid in billing for services rendered<00:16:04.639
• </c><00:17:00.959><c> work</c> bureau of developmental services work bureau of developmental services
• </c> and Human Services. and Human Services.

Keywords: 1189, house, all

Summary: The Legislative Performance Audit and Oversight Committee approved the November 7 minutes with three abstentions and then received status updates on several ongoing audits. Audit staff reported that the special education oversight audit was in report-writing, with 34 of 71 observations completed and a draft expected in the second quarter and a final report in the summer. The education freedom accounts audit had 22 of 41 observations completed, with a draft also expected in the second quarter and a final report in the summer. The Doorway program audit had 5 of 13 observations completed, with a draft expected by the end of February and a final report by April or May. The committee then discussed possible new oversight topics, prompted by concerns about fraud in other states and the need to ensure New Hampshire programs are not vulnerable. Members suggested hearing from DHS officials, contract administrators, and possibly the Department of Justice Medicaid fraud unit about SNAP and other programs, as well as reviewing staffing levels in HHS contract management. There was also discussion of whether to revisit the Bureau of Elderly and Adult Services, though members noted that prior work on that area had been suspended because of litigation. A representative from HHS, Teresa Narrow, briefed the committee on the Bureau of Developmental Services. She said the state had been in compliance with CMS since July 1, 2023 after resolving issues tied to a system redesign and billing changes, and that provider-side billing problems had also been fixed. She also described three existing bodies involved in developmental disability housing oversight, including the Council on Housing Stability, the ABLE Housing Task Force, and a legislative study committee created by HB 168 in 2024. Committee members asked for her notes to be shared. The committee spent substantial time debating whether to pursue a new special education audit at the school-district level. Members discussed the need to examine why some districts have much higher special education rates and costs than others, and whether a statistically selected sample of schools could be used. Audit staff said no new audits could begin until about May or June and that only a couple of auditors would then be available. Members also noted that a legislative study committee is already working on special education and may issue a report later this year, and the committee appeared to leave the school-level audit idea as a potential future item rather than taking immediate action.

Transcript Highlights:

• This is health services. We &gt;&gt; Thank you. This is health services.
• </c><00:10:52.480><c> Um,</c> uh for foot and ankle services. Um, uh for foot and ankle services.
• </c> pediatric therapy services. pediatric therapy services.
• </c> those services that aren't EPSDT. those services that aren't EPSDT.
• </c> Kentucky are receiving these services. Kentucky are receiving these services.

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services heard Senate Bill 18, a bill described by the sponsor and podiatry witnesses as a modernization of Kentucky’s podiatry laws. The bill would recognize and regulate podiatric assistants, podiatric residents, and supervising podiatrists; allow podiatrists to supervise physician assistants in podiatry practices with approval from the relevant licensing boards; require new podiatrists licensed after January 1, 2027 to complete at least two years of residency; and extend disciplinary authority to the new categories. Witnesses said the measure would improve access to foot and ankle care, especially in rural areas, without expanding scope of practice. The Kentucky Medical Association was said to be neutral after working on the language with the sponsors. Committee members raised concerns about the meaning of “supervision,” whether it required direct or indirect oversight, and whether the bill could broaden billing or coding privileges. Dr. Roberts said supervision could mean direct supervision or indirect supervision, including being available by telephone, and noted the bill mirrors language used in allopathic PA supervision. He also said the bill would not change office staff billing roles and that podiatric assistants would not bill separately. Several senators said they supported moving the bill forward but remained concerned about workforce, cost, and scope creep. The committee adopted a committee substitute, then voted on the bill. The motion passed unanimously with favorable expression. After the vote, the committee moved on to a presentation on outpatient pediatric therapies, where providers described Medicaid reimbursement pressures, workforce turnover, and long waiting lists for children’s therapy services, but no action was taken on that presentation in the portion provided.

Transcript Highlights:

• And often denials happen services.
• </c><00:15:59.040><c> and</c> Services Office of Youth Services and Services Office of Youth Services
• Uh so we through community service.
• </c> services from Northshore Mental Health. services from Northshore Mental Health.
• </c><01:14:49.600><c> The</c> cuts with Medicaid services. The cuts with Medicaid services.

Keywords: 910, house, all

Summary: The committee met on March 20, 2025, to hear a series of Human Services and Health resolutions. HCR 146, which asks the Department of Human Services to apply for and implement the Elderly Simplified Application Project, drew strong support from disability, public health, and hunger advocates. Testifiers emphasized that the measure could create a more uniform benefits application, reduce repeated paperwork, extend certification periods from one year to three years, and ease burdens on both applicants and DHS staff. DHS said it stood on its written testimony and was available for questions. The committee also heard that a universal application could help people with disabilities avoid delays and denials caused by complex or duplicative forms. The committee then heard HR 170/HCR 174, which requests review of Aloha-based learning programs for youth in the juvenile legal system. Supporters from Opportunity for Youth Action Hawaii and DebtFree Justice Hawaii said the resolution would help advance restorative justice, community service, and culturally grounded rehabilitation, especially if youth fees and fines are reduced or eliminated. Testimony also supported HR 133/HCR 139, which asks the Office of Wellness and Resilience to report on the developmental needs of children born during the COVID-19 pandemic. Witnesses from the developmental disabilities council, the Office of Wellness and Resilience, the Hawaii Community Foundation, and others said the pandemic’s trauma and behavioral impacts justify a multidisciplinary, evidence-based report, and the office requested more time to complete its findings, suggesting a deadline at the end of 2026. The committee also heard HR 88/HCR 92, proposing a two-year homelessness sanctuary pilot program in Honolulu. One testifier described sleeping in a car and said the pilot could provide a safer option, while the Statewide Office on Homelessness and Housing Solutions said it supported the intent but stressed that a sanctuary is still an unsheltered situation and should lead people toward permanent housing. HCR 180, calling for collaboration among homelessness and law enforcement agencies, received comments that many of the issues are already being addressed locally. HR 103/HCR 107, which would convene a working group to strengthen Title 9 protections, received support from education, women’s, and LGBTQ advocates, who asked for student and queer representation on the working group and said federal Title 9 changes make state action important. No votes were taken during the portion of the meeting provided, and the committee moved from one resolution to the next after testimony and questions.

Transcript Highlights:

• I'm just services. So, why why cap it at two? I services. So, why why cap it at two?
• </c> Department of Health and Human Services. Department of Health and Human Services.
• My name is Public Health Services.
• </c> clinical contractor providing services. clinical contractor providing services.
• </c> Department of Health and Human Services. Department of Health and Human Services.

Keywords: 1189, house, all

Transcript Highlights:

• Services. We sent that request to the Strong Reader Partnership.
• funding for ESL services in the upcoming fiscal year.
• I'm also here in support of the ESL services funding request.
• I'm also here in support of the ESL services funding request.
• The funding from the California Library Services Act supports two critical services that support public

Summary: The subcommittee opened with remarks on the state budget and K-12 education, noting the large increase in the Proposition 98 minimum guarantee, the use of deferrals and reserves in the prior budget, and the challenge of balancing education funding against other state priorities. Superintendent Tony Thurmond described California education as improving overall, citing gains in test scores, graduation, and college readiness, but said major gaps remain for low-income students, students of color, agricultural communities, English learners, foster youth, and students with disabilities. He praised recent investments in universal meals, transitional kindergarten, community schools, arts, broadband, and special education, while warning that declining enrollment, chronic absenteeism, and the proposed $5.6 billion Prop. 98 settle-up create uncertainty for districts. He also urged a long-term literacy plan, expanded tutoring, universal kindergarten, and continued protections for students and families affected by immigration enforcement, including ICE-related fear and attendance loss. The committee then heard a detailed presentation on Proposition 98 from the Department of Finance and the Legislative Analyst’s Office. Finance explained that the Governor’s budget projects the minimum guarantee will rise by about $21.7 billion over three years, with a $5.6 billion settle-up obligation in 2025-26 intended to avoid overappropriation if revenues weaken. Finance also described revised reserve deposits and withdrawals, ending with about $4.1 billion in the Public School System Stabilization Account by 2026-27. The LAO said recent revenue collections were stronger than expected in the current year but warned that the outlook for 2026-27 is weaker and that stock-market-driven revenues remain volatile. The LAO supported maintaining reserves and one-time spending buffers, but recommended fully funding the guarantee and using other budget solutions rather than shifting the settle-up into future deficits. Members asked about the settle-up process, certification timeline, the effect of attendance declines tied to immigration enforcement, and wildfire-related impacts, including Pasadena Unified’s $4 million special appropriation. On LCFF and necessary small schools, Finance proposed a 2.41% COLA and about $2.2 billion in additional LCFF funding for districts and charters in 2026-27, plus a $30.7 million ongoing increase to raise the necessary small schools allowance by 20%. The LAO supported funding the COLA but said the small-school increase was not tied to a specific cost study and could be redesigned to better target small districts, noting that only a fraction of very small districts would benefit. Questions focused on how small schools access supplemental and concentration grants and how attendance recovery programs are being implemented. The Department of Education said only 130 LEAs had reported attendance recovery so far, likely because it is a new program with compliance requirements, though interest appears to be growing. FICMAT then reviewed the fiscal health of local districts, reporting an uptick in qualified and negative certifications, though still far below Great Recession levels. It said declining enrollment, rising special education costs, and higher labor and insurance costs are the biggest fiscal pressures, and that some districts are using fiscal stabilization plans and staff reductions ahead of second interim reports. FICMAT also discussed wildfire impacts on Pasadena Unified and Los Angeles Unified, explaining that Pasadena’s $4 million state appropriation was based on an early post-fire assessment and that the district is being monitored with the county office of education. Members raised concerns about Pasadena’s leadership, special education staffing shortages, AB 218 sexual abuse litigation costs, insurance premium increases, and the need for stronger prevention and training measures. FICMAT said SB 848 and related policies address some of those concerns by strengthening standards, training, and reporting requirements.

Transcript Highlights:

• >> Public Service Commission.
• >> Public Service Commission. >> So the Public Service Commission every bill that your constituents and
• </c> Public Service Commission. Correct. Public Service Commission. Correct. &gt;&gt; Correct.
• </c> the current Maryland public service the current Maryland public service commission?
• > on</c> Social Services Subcommittee on Social Services Subcommittee on Appropriations<00:28:46.399>

Keywords: House streaming session for Wednesday, February 4, 2026, 957, house, all

Transcript Highlights:

• </c> is to provide the investment services is to provide the investment services for<00:03:05.680><c>
• service service they<00:53:54.800><c> performed.
• . services. services.
• So, we look at years of service, right? So, we look at years of service, okay?
• </c> service um and so thank you. service um and so thank you.

Keywords: 1187, senate, all

Transcript Highlights:

• Forest Service and U.S.
• Forest Service and U.S.
• Forest Service and U.S.
• Forest Service and U.S.
• </c> Service and US fish and wildlife service Service and US fish and wildlife service to<03:25:01.359

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, January 21, 2025, 1012, house, all

Transcript Highlights:

• know, Simon and his service dog, Holly.
• So our service dogs are providing them with that level of confidence and purpose to go out, Service dogs
• There's service left in them.
• service dog?
• We have service dog Sasha and service dog Wally. We're doing retrieval first, or wheelchair?

Keywords: 959, house, all

Transcript Highlights:

• These services are provided pursuant to state and federal Medicaid requirements.
• I'm a budget and policy analyst with the Legislative Services Office.
• I'm a budget and policy analyst with the Legislative Services Office.
• Works, Group Insurance, Purchasing, and Document Services.
• Management Services program to hire an administrative support position.

Summary: The Joint Finance-Appropriations Committee met with a quorum and first took up the Department of Health and Welfare’s Division of Medicaid. Members approved a 2026 supplemental for the Medicaid forecast adjustment, increasing general fund and dedicated fund spending while reducing federal funds, and also approved a separate budget-neutral 2026 supplemental to move hospital assessment funding into a dedicated fund and create a new hospital assessment budgeted program, as required by House Bill 345. Both motions passed with do-pass recommendations after roll-call votes. The committee then considered the 2027 Medicaid budget. Testimony covered MMIS procurement, estate recovery staffing, program integrity contract support, Medicaid purchasing staff tied to the Department of Administration, hospital assessment fund alignment, population forecast adjustments, and an additional governor’s initiative reduction. Three competing motions were offered: one from Representative Bruce, one from Senator Cook, and one from Senator Wintrow. After debate over provider-rate cuts, RESHAB funding, forecast assumptions, and whether to reduce the governor’s requested $22 million adjustment, the Bruce motion failed and the Cook substitute failed, while the Wintrow motion passed and received a do-pass recommendation. The committee next approved Idaho State Police budgets. It passed a Brand Inspection Division request for $288,100 in dedicated funds for replacement vehicles and equipment, a Division of Idaho State Police motion adding funds for the commercial vehicle safety grant, a mobile live scan pilot, and replacement items, and a POST Academy motion for $324,100 in dedicated funds for replacement items. The Department of Juvenile Corrections budget was also approved, including a clinician services transfer from Health and Welfare, replacement items, IT hardware, and restoration of direct care and mentoring funding with six FTPs. Finally, the committee considered the Department of Administration and Military Division budgets; after debate over Medicaid procurement staffing and a training position transfer, the committee approved a Department of Administration motion with reduced general fund and increased dedicated funding, then approved the Military Division’s request for emergency management overhead recovery and state education assistance funding. The meeting ended with announcements of the next Monday agenda and adjournment.

Transcript Highlights:

• </c> choosing service. choosing service.
• </c> history of service in the US military. history of service in the US military.
• </c> ceaseless gratitude for your service. ceaseless gratitude for your service.
• </c> all service members. all service members.
• Development services supports this. Development services support<03:25:01.760><c> this.

Keywords: 981, all

Transcript Highlights:

• Mitzie oversees some of our critical areas for re-entry, programmatic services, as well as clinical services
• For re-entry, programmatic services, as well as clinical services.
• The services that they need and the services that they should be provided are vastly different than most
• on the transition of MassHealth to health and human services.
• Because of the services that they need to provide, they are different.

Keywords: 995, all

Summary: The commission met with a new member from Prisoners’ Legal Services and approved the July 11 minutes. The main presentation came from Department of Correction Commissioner Sean Jenkins and Deputy Commissioner Mitzie Peterson, who gave an overview of DOC facilities, population trends, and the department’s broad mission, including sentenced prisoners, pretrial detainees, civil commitments, Bridgewater State Hospital, and the Section 35 program. They noted the custody population has fallen from about 10,000 in 2016 to roughly 6,000–6,600, while the share serving first- or second-degree sentences has increased. They also reviewed the department’s facility footprint, including Souza-Baranowski, MCI Norfolk, MCI Framingham, Bridgewater, and the planned transfer of the Section 35 program to Health and Human Services by the end of 2026. A large portion of the discussion focused on programming, education, health care, and reentry. DOC described tablet access for all incarcerated people, free phone calls, email, and more than 330,000 hours of educational, vocational, and reentry use. They highlighted partnerships with colleges and universities such as Tufts, Boston College, Emerson, and others, along with HiSET completion, vocational training, and programs like The Last Mile and Persevere. Health care spending was discussed in detail, including a total annual health-related contract cost of about $300 million, with separate contracts for prison health care, Bridgewater State Hospital, MassAQC, and MAT services. DOC said it has nearly eradicated Hep C and MRSA and now offers all three FDA-approved MAT medications, including long-acting injectables when clinically indicated. Commissioners also asked about specialized programming, language and disability access on tablets, and how programming is distributed across facilities. DOC explained that nothing is mandatory, but program participation is encouraged and can affect parole consideration. Staff described assessments using COMPAS, criminal thinking interventions, trauma-related treatment, and specialized units for emerging adults, mental health, and substance use. The department said programming costs were about $101 million in fiscal year 2025, or roughly 12% of the operating budget, excluding health care. Members praised the elimination of restrictive housing and the rollout of body-worn cameras, while DOC said the cameras required new policy and union negotiations but are now used for training, accountability, and de-escalation. The meeting ended with a plan for DOC to return in September with more detailed information on SAUs, programming statistics, and facility structure, and the commission voted to adjourn.

Transcript Highlights:

• It's just you're not the service charge.
• </c> I want to say it was $80,000 of service I want to say it was $80,000 of service fees<00:17:56.120
• It was just a service provided by us.
• </c> but we appreciate appreciate her service but we appreciate appreciate her service very<00:25:04.960
• We stand your service so much. We stand adjourned.

Bills: SB59, SB221, SB59, SB221

Keywords: military families, immunization, education, public health, school enrollment, Mobile County, judge of probate, compensation, salary, expense allowance, higher education, funding, annual report, state funds, federal funds, budget oversight, sales tax, credit card fees, tax exemption, merchants

Transcript Highlights:

• OTP providers highly valued DOH's service and have expressed concern that removing these services would
• I often compare health centers to the Postal Service.
• The 340B program keeps these services open. Thank you.
• long-term care services.
• They're facing a tremendous loss in service.

Summary: The committee first heard House Bill 2437, which would put the Department of Health’s authority to accredit opioid treatment programs into statute and allow the department to set a fee to cover the cost of those services. The prime sponsor and DOH said the bill would preserve a service that is especially important to tribal and rural providers and would be self-sustaining rather than supported by the general fund. Members asked about the relationship between DOH and HCA and whether the bill would duplicate existing authority; staff and the department said DOH already performs the accrediting role and the bill mainly formalizes that authority and fee-setting power. Public testimony on the bill was then closed. The committee then held an extensive work session on the federal 340B drug pricing program and later opened public testimony on House Bill 2145, which would prohibit manufacturers, distributors, and third-party logistics providers from restricting 340B drug acquisition or delivery and from requiring claims or utilization data as a condition of access. Committee staff and NCSL gave background on how 340B works, recent growth in the program, contract pharmacy issues, and state efforts in other jurisdictions. Testimony on HB 2145 was sharply divided: hospitals, community health centers, tribal representatives, contract pharmacies, and labor groups said the bill would protect safety-net providers, rural access, HIV and behavioral health services, and tribal programs from manufacturer restrictions; business groups, pharmaceutical companies, and employer coalitions argued the program has expanded beyond its original intent, lacks transparency, shifts costs to employers and taxpayers, and should be addressed through federal reform instead. No vote was taken in the excerpt. Finally, the committee heard House Bill 2155, which would bar non-human entities from using nursing titles such as RN, APRN, or LPN or otherwise implying they are licensed nurses. The prime sponsor said the bill is intended to protect patients from being misled by AI systems and to preserve transparency and public safety as health care technology expands. The Washington State Nurses Association testified in support, saying AI can be useful but should not replace nurses or be presented as a licensed professional. A member asked about enforcement and liability, and staff said they would follow up on those details.