Transcript Highlights:

• Most athletes don't understand self-employment tax, quarterly payments, multi-state tax obligations,
• Most athletes don't understand self-employment tax, quarterly payments, multi-state tax obligations,
• They will not tax, from a state income tax standpoint, their NIL or their rev share payments.
• It's not just football and basketball, but it's some sort of payment plan usually.
• It's not just football and basketball, but it's some sort of payment plan usually.

Committee: House Arts, Entertainment, Sports, and Tourism

Transcript Highlights:

• all these monthly payments.
• We can't focus on all these monthly payments.
• We see that your payments haven't gone through. Let's figure this out together.
• And obviously, when Davis-Stirling was written, we didn't have things like automatic payment.
• We do have a automatic payment. And so it is not covered in the code.

Committee: House Judiciary

Transcript Highlights:

• life insurance policies include a grace period of one month, but not less than 30 days, within which payment
• insurance policy to be reinstated at any time within three years after the date of a default in the payment
• The date of a default in the payment of any premium, unless the policy has been surrendered for its cash
• these requirements, specifically group life insurance policies, life insurance policies for which payment
• Policies for which payment of the premium is due monthly or more frequently, and term life insurance

Summary: The Consumer Protection and Business Committee held public hearings on three bills and then moved into a work session on insurance-related topics. House Bill 2428 would require life insurers to send advance written notice of an impending lapse or cancellation, including notice to a designated third party, and to provide proof of delivery; it would also require applicants to be told they may designate such a third party. The prime sponsor and the Office of the Insurance Commissioner supported the bill as a consumer protection measure for older or vulnerable policyholders, while the life insurance industry supported the concept but requested a delayed implementation date and a small technical amendment. The committee then heard House Bill 2399, which would prohibit post-loss assignments of benefits in property insurance. Staff and the prime sponsor described the practice as allowing contractors to step into the policyholder’s shoes and potentially take control of claims, litigation, and settlement, often to the consumer’s detriment. The Office of the Insurance Commissioner, the Washington State Association for Justice, PEMCO, and the National Insurance Crime Bureau all supported the bill, emphasizing consumer vulnerability after disasters and the risk of fraud or inflated claims. Members asked about steering by adjusters, alternative ways for homeowners to authorize others to help with claims, and the $50,000 per-violation penalty, which would go to the general fund. House Bill 2087 would enact a Washington Travel Insurance Act based on the NAIC model, creating a more detailed statutory framework for travel insurance licensing, travel retailers, travel administrators, disclosures, and prohibited sales practices. The sponsor and industry witnesses said the bill would expand consumer choice and standardize rules, while the Office of the Insurance Commissioner supported the compromise language but raised a remaining concern about claims being adjusted by unlicensed adjusters. The Attorney General’s Office testified that the bill should not be read to supersede Washington’s anti-discrimination and consumer protection laws, and the sponsor said amendments were being worked on to address that concern. In the work session, OIC and Department of Natural Resources staff presented the wildfire mitigation and resiliency work group report. They said the group reached consensus on several areas, including the importance of community-level mitigation, better data sharing, improved transparency around wildfire-related nonrenewals and cancellations, and a voluntary grant program to help homeowners retrofit to IBHS wildfire-prepared standards. Members asked about leadership for the recommendations, overlap with existing programs, privacy concerns in data sharing, and how the proposals would fit with broader statewide wildfire planning. The committee also received a briefing on flood insurance markets and claims after the December atmospheric flooding event, with staff noting that private flood policies generally offer broader coverage than the federal NFIP, and that Washington had seen about 700 federal claims and roughly $18 million paid out so far.

Transcript Highlights:

• And of course, buyers can't buy because of the high monthly payments that they would need to be able
• And, as required in the act, it is a down payment assistance program at zero percent interest, and it
• is payment deferred.
• And it is payment deferred.
• For any down payment assistance program offered at the commission, the homebuyer will take or attend

Committee: Senate Housing

Summary: The committee heard a series of abbreviated presentations focused on housing supply, transit-oriented development, and redevelopment of underused commercial land. Urban Institute researcher Yona Fremark discussed Washington’s transit-oriented development efforts under HB 1491, saying the state has made progress but faces major feasibility challenges from rising construction costs, higher interest rates, and uneven market conditions. She recommended targeted infrastructure funding for lower-market transit areas, adjusting MFTE/affordability requirements to local conditions, expanding affordable housing resources in high-market areas, tightening density requirements near transit, allowing more joint development on transit agency land, and creating a stronger system to track housing, affordability, demographic change, and access outcomes over time. Senators asked about AMI calculations, labor and immigration effects on construction, and the role of developer input. Dave Anderson of the Department of Commerce outlined implementation of HB 1491, including local government responsibilities for station area designation, zoning, anti-displacement policies, and MFTE updates. He said Vancouver and Spokane are first to implement, with Puget Sound following later, and described Commerce’s timeline for updated MFTE guidance, station-area implementation guidance, a TOD model ordinance, and later rulemaking. He also demonstrated the new Washington Zoning Atlas, a live statewide mapping tool showing zoning, overlays, and station-area geographies, which Commerce said can support analysis by agencies and the public. The committee then heard from Lieutenant Governor Denny Heck and James Rolf on commercial-to-residential redevelopment, who argued that converting vacant or underused commercial sites could produce a large amount of housing, increase tax revenue, and support transit-oriented growth. They identified barriers such as zoning requirements, affordability mandates, infrastructure costs, building code complexity, private covenants, and slow implementation of new laws, and urged by-right residential use on commercial land and faster implementation of housing reforms. The State Building Code Council provided an update on its code cycle and legislative mandates, including minimum dwelling size, emergency shelters, single-exit stairs, and multiplex housing. Council staff said the single-exit and multiplex work is nearing completion and will produce prescriptive solutions, while members discussed whether future legislation might address smaller elevators or more performance-based code approaches. Finally, Dr. Stephen Barrosa of the Washington Center for Real Estate Research reviewed housing affordability trends, noting that higher mortgage rates have sharply reduced homeownership affordability, flattened prices in major cities, and lowered single-family permitting and completions, while apartment vacancy rates have returned to more normal levels. The last presentation came from the Washington State Housing Finance Commission on the Covenant Home Ownership Program, which reported strong first-year results: 547 homebuyers assisted by June 2025, more than $60 million loaned, homes in 22 counties, and nearly 1,000 families assisted by the time of the hearing. The commission also reviewed program eligibility, outreach, and recent legislative changes to income limits and loan forgiveness that were not yet reflected in the first-year report.

Transcript Highlights:

• And then there was also payment policy around elimination for payments for services for patients who
• We really want to thank Representative Macri for her work with us to increase Medicaid payments around
• And then there was also payment policy around elimination for payments for services, for patients who
• We are concerned that HR1 makes significant changes to directed payment programs called our hospital
• So it's not a good payment rate, and it's going to wipe out 81% of the benefit of the current safety

Committee: House Health Care & Wellness

Summary: The committee heard a JLARC audit presentation on the Department of Health’s oversight of hospital inspections, complaints, and hospital data 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 requirements, did not consistently collect proof of those inspections, and was not reviewing adverse health event corrective action plans as required. JLARC also said DOH’s complaint system may have language-access barriers and that hospital data posted online is difficult for the public to use. JLARC made five recommendations to DOH and one to the Legislature; DOH concurred with the recommendations. DOH then outlined a response plan and said it had already begun work on several items. Officials said they would develop staffing and performance plans for inspections, verify accrediting body standards and require proof of third-party inspections, expand complaint forms into additional languages, seek funding and legal updates for adverse event review, and improve public access to hospital data, including a possible dashboard. They said annual progress updates would be provided to the Legislature and noted some improvement in inspection timeliness, while also emphasizing staffing, funding, and pandemic-related backlogs as constraints. The committee also received a DOH presentation on certificate of need modernization. DOH described the current program as a tool to assess community need, financial feasibility, quality, and cost containment for certain facility expansions and new services, and recommended a phased modernization focused on clarifying statutory purpose, creating a planning entity, adding flexibility, reducing legal costs, modernizing access standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, securing ongoing funding, and using new state data systems. Members asked about streamlining overlapping inspections and whether triggers could be used to target inspections more efficiently. A final panel discussed artificial intelligence in health care, with a Coalition for Health AI representative describing industry efforts to create standards for responsible AI, including principles of usefulness, fairness, safety, transparency, security, and privacy, plus tools such as model cards and quality-assurance frameworks. The committee then heard testimony on federal and state health care funding changes from the Washington State Hospital Association and Providence Swedish, which warned that state cuts, taxes, and federal HR1 changes would worsen already thin margins, lead to service reductions, layoffs, and delayed capital investments, and increase charity care and uncompensated care. The Washington Health Benefit Exchange also began a presentation on expiring federal ACA premium tax credits and the state’s Cascade Care Savings program, warning that coverage affordability for exchange customers could be affected if federal enhancements are not extended.

Transcript Highlights:

• Include that 13th check payment in addition to any compounding COLA that we would provide.
• In retiree benefits, we took out $454 million from the trust fund to subsidize those payments.
• So about 30% of retiree payments came from the trust fund, and that's the lowest amount it has been,
• Three years of 13th check payments, and there was no additional COLA issued.
• This last year was 0.63%, but the 13th check payment stopped in 2020. So, Madam Chair, Mr.

Committee: House Investments & Pensions Oversight Committee

Transcript Highlights:

• So leveraging technology that we already have today through things like our ProviderOne, our payment
• So leveraging technology that we already have today through things like our provider one, our payment
• We are working with, And state-directed payment provisions that are in H.R. 1.
• And again, just acknowledging that we do have some kind of payment-related provisions in statute.
• As it sees reductions in payment from reductions in enrollment in the Medicaid space.

Committee: Joint Joint Select Committee on Health Care and Behavioral Health Oversight

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:

• PILOT stands for payment in lieu of taxes.
• And then the property lessee makes their PILOT payment on an annual basis in lieu of paying property
• That is a way to schedule payments, but you ultimately...
• So by having stable payments and stable housing, households are stabilized.
• Payments and stable housing households are stabilized.

Summary: The Senate Housing Committee heard presentations on a range of housing finance, permitting, and affordability tools. Chattanooga described its affordable housing PILOT program, which uses a per-unit property tax abatement tied to the rent loss from providing affordable units, with a 15-year term and annual compliance monitoring. Committee members asked about the program’s structure, whether it had been used elsewhere, and who was participating; the presenter said the first mixed-income project would bring 278 units with 42 affordable units and that the model was attracting private market-rate developers. Shoreline then described its MFTE and inclusionary zoning approach, emphasizing that longer tax exemption periods and station-area zoning changes had helped spur development, with most current pipeline projects concentrated near light rail stations. The committee also heard from the Municipal Research Services Center and the Department of Commerce on tax increment financing, proportional impact fees, and permit timelines. Commerce explained that TIF can fund public improvements such as roads, utilities, broadband, and some affordable housing or child care facilities, while proportional impact fee guidance is intended to help jurisdictions charge fees more closely aligned with actual project impacts. On permit timelines, Commerce presented its first annual report under recent law changes, using 2024 as a baseline year and noting that reported timelines were generally longer than statutory goals; members asked about outliers, paper versus electronic processing, and whether back-and-forth between applicants and staff was driving delays. Commerce said it would follow up with more data, including on CHIP funding and permit reform practices. Several local governments then shared permitting process improvements. Auburn reported relatively short review cycles and described its move to fully electronic permitting, internal performance standards, and a stock plan program that speeds review for repeated home designs. Bellevue described an AI permitting pilot with a local startup to help with pre-application questions, document triage, and plan review, aiming to reduce incomplete applications and revision cycles. Seattle presented a pilot for accessory dwelling unit co-development in which a mission-driven partner would help homeowners split lots, finance, build, and manage ADUs, with the homeowner eventually buying out the partner and retaining ownership; committee members asked about rent setting, management fees, and default risk, and staff said they would follow up. The committee also heard brief overviews of community land trusts and limited equity cooperatives as permanent affordability models, with presenters urging continued state and local funding support and policy recognition for these approaches.

Transcript Highlights:

• Care reimbursed at a slightly higher rate or have an additional payment that would go along with it.
• That fund is then calculated for $60,000. 50% by volume per capita, you know, capitated payments, and
• Direct payments are supposed to reach about $1.1 billion in FY 26, which would then be reduced by 10%
• Directed payments actually start the ramp down in the second quarter of FY 28 and the third quarter of
• So on page 14, H.R. 1 CAHPS Medicaid Directed Payment. H.R. 1 CAHPS Medicaid Directed Payment.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• And in both cases, there was an agreed abatement and a payment of attorney's fees.
• But if you put in Senate Bill 291 and it doesn't specify legally what happens other than the payment
• So if you were to double, on the front end, double the payment to landowners or property owners as a
• It's an extra $100 that someone's paying at the current mortgage rates on their monthly payment.
• They can't afford to pay the extra $10,000 right off the top and also make their down payment.

Bills: HB5489 , HB5695 , HB5699 , SB291 , SB292

Committee: House Land & Resource Management

Keywords: impact fee, moratorium, local government, Texas legislation, infrastructure funding, municipal utility district, eminent domain, bonds, assessments, infrastructure, Texas Commission on Environmental Quality, Harris County, Municipal Utility District, territory exclusion, debt service taxes, property taxation, condemnation, property acquisition, real property, appraisal reports

Transcript Highlights:

• Additionally, on the alternative payment model side, it's crucial that we have structured ways of paying
• We have also adopted a model for those alternative payment models (APMs).
• As a public entity, most UC medical revenues are reimbursed through self-financed payments.
• The only portion that we withheld was the Insulin Project milestone payment schedule.
• Seeing no other public comment, we'll move on to issue 5: the Health Care Payments Data Program.

Transcript Highlights:

• or not a payment.
• You know, either having a reduced payment or not a payment, and then all of a sudden now three years
• It almost can be, on the flip side, hard for that person to now be able to step into this new payment
• Original payments were over $7,000 per month, ...approximately $55,000.
• Original payments were over $7,000 per month.

Committee: Senate Banking and Financial Institutions

Transcript Highlights:

• You know, citizens was delayed in the payment, and it caused great harm to the insured, and the jury
• On payment of premium? No, the reason for the bill.
• , and the payment needed to be fair.
• And they refused to pay it because they were taking credit for a medical payments coverage payment that
• That medical payments coverage was late. Okay, they never sent it until after 30 days had elapsed.

Committee: House Insurance

Summary: The House Committee on Insurance met on March 25 and took up House Bill 577 by Representative Glorioso, which would change Louisiana’s bad-faith insurance penalty language from a flat 50% to “up to 50%,” giving judges discretion to award a lower penalty in cases involving minor or technical delays. Glorioso argued the bill would correct an omission from the 2024 consolidation of the bad-faith statutes, reduce unnecessary litigation over nominal delays, and potentially help lower reinsurance and homeowners’ insurance costs. Committee members questioned whether the change would weaken consumer protections or reward insurer misconduct, especially in catastrophe claims after storms, and whether any real rate relief would follow. Opposition testimony came from the Louisiana Association of Justice and Real Reform Louisiana. They argued the current penalty provisions are important guardrails that help force timely payment and fair handling of claims, especially after hurricanes, and that the bill would reduce deterrence without producing meaningful premium reductions. They also said insurers already have substantial time and procedural protections under the law, and that penalties are rarely awarded but serve as leverage in settlement negotiations. Supporters and the Department of Insurance said Louisiana’s penalty structure is an outlier compared with other states and that the bill could make the market more competitive, though the department said it did not have court data on bad-faith judgments and could not quantify the bill’s effect on rates. After debate, Representative Glorioso closed by saying he was open to further language changes but asked the committee to advance the bill. The committee then voted 10 yeas and 6 nays to report House Bill 577 favorably. Afterward, the committee moved on to the next item, House Bill 955.

Transcript Highlights:

• You know, Citizens was delayed in the payment, and it caused great harm to the insured, and the jury
• On payment of premium? No, the reason for the bill.
• Thirty days from that date they needed to issue payment, and the payment needed to be fair.
• And they refused to pay it because they were taking credit for a medical payments coverage payment that
• That medical payments coverage was late. They never sent it until after 30 days had elapsed.

Committee: House Insurance

Transcript Highlights:

• At MoneyTree, if you're unable to repay your loan or extend a payment plan, we do not take you to court
• Again, already embedded in statute are the cost restrictors on gross monthly income, the extended payment
• plan, a licensed payday lender in Idaho is obligated to offer them an extended payment plan of at least
• Well, I took out this payday loan or this title loan and now I'm making payments and I can't even get
• Well, I took out this payday loan or this title loan and now I'm making payments and I can't even get

Committee: House Business

Transcript Highlights:

• Senate Bill 5944 includes payments or reimbursements for missed or canceled appointments in the scope
• when L&I determines there's a permanent temporary total disability, the worker receives monthly payments
• There's nothing in the bill that says that the money that is added on top of the time-loss payment has
• is $1,000 a month, and somehow this policy could guarantee that you're making that payment with that
• Under current law, if an employer stops the payment of their, the coverage for the health care, under

Summary: The committee first held a public hearing on Senate Bill 6136, which would require Labor and Industries to publish actuarial indicated workers’ compensation rates for each risk class and disclose when rate increases are capped below those indicated levels. The sponsor and supporters from the hospitality, retail, business, and construction sectors said the bill would improve transparency about how rates are set and how reserve funds and investment earnings are used to hold down premiums. L&I testified that the bill would require publication of a large amount of rate-setting information, but said it was already developed in the normal process and that the bill had no fiscal impact. Questions focused on reserve use, advisory committee involvement, and how the actuarial calculations interact with investment returns. The committee then moved to executive session and took action on several bills, adopting substitutes or amendments and advancing bills including SB 5292, 6014, 5972, 5869, 5874, 6058, 6039, 5944, and 6180, with most sent to Rules and SB 5292 sent to Ways and Means. The committee then heard Senate Bill 5847, which would expand injured workers’ access to medical care by allowing treatment outside the L&I provider network when no provider is available nearby, limiting employer steering to specific providers, shortening utilization review timelines, allowing provider deviation from L&I guidelines when medically appropriate, and expanding continued treatment and cancer monitoring. Labor and worker advocates argued the bill would better reflect the Murray decision and reduce delays in care, while L&I and employer groups said the current evidence-based guideline system works for most claims and warned the bill could weaken quality controls, create vague standards, and increase costs. Testimony also raised concerns about the 15-mile access rule, the employer communication restrictions, and the appeal process for provider removal. The sponsor said the goal was to improve individualized care and continue working with stakeholders. Finally, the committee heard Senate Bill 6067, which would change workers’ compensation time-loss calculations so that 100% of the employer-paid health insurance contribution is included in the benefit calculation instead of the current partial inclusion. Supporters said the bill would help injured workers keep health coverage during recovery and reduce pressure to choose between medical care and income, while opponents argued it would not guarantee the money is actually used for health insurance, could be diverted to other uses or attorney fees, and would significantly increase costs for employers and the accident fund. L&I said the bill would require IT and administrative changes and estimated substantial ongoing benefit costs. The hearing ended without further action on SB 6067, and the chair closed the session after public testimony concluded.

Transcript Highlights:

• DOC may, but is not required to, obtain payment for delivery... Health care entities.
• Have an expectation of receiving a payment? Is that what that is?
• So there is a payment that is occurring. This strips away. No, that's in the bill.
• Senate Bill 5917 authorizes distribution with or without payment.
• Senate Bill 5917 authorizes distribution with or without payment.

Summary: The Senate Human Services Committee heard testimony on Senate Bill 5917, which would change how the Department of Corrections and Department of Health distribute abortion medications from state stockpiles. Staff and the bill sponsor said the measure would remove pricing restrictions, allow the medications to be donated or sold more flexibly to health care providers, and help avoid expiration of existing supplies. Supporters, including the Washington State Women’s Commission, the governor’s health policy advisor, DOH, physicians, and Pro-Choice Washington, said the bill would improve access to medication abortion and miscarriage care, especially for people facing barriers. Opponents argued it would expand state involvement in abortion, shift costs to taxpayers, and raise safety concerns. No vote was taken on the bill in the hearing portion shown. The committee also heard Senate Bill 6080, which would require written contracts before local jails accept people in federal custody and would prohibit some out-of-state transfers absent a valid judicial warrant. Senator Cleveland said the bill was prompted by a situation in Clark County and was intended to provide clarity, reimbursement, and accountability for local governments. Supporters from the Latino Community Fund, the Association of Counties, and the City of Vancouver said it would protect taxpayers and local discretion. The sheriffs’ association supported some of the bill’s goals but raised concerns about unintended consequences for routine federal arrests and wanted more clarification. The hearing on SB 6080 was then closed. The committee then heard Senate Bill 6085, which would revise the Institutional Welfare Account, formerly the incarcerated individual betterment fund, to require more input from incarcerated people and their families on how the funds are spent and to change some allowable uses. The sponsor said the bill would ensure the account reflects current needs and supports family contact, reentry, and institutional safety. Testimony was mixed: the Washington State Reentry Council supported the concept but objected to requiring legislative appropriations and to using the funds for reentry services; a Department of Corrections representative supported the intent but raised concerns about removing law library funding without replacement. After testimony, the committee moved into executive session and considered several bills and amendments, including SB 5940, SB 5945, SB 5957, and SB 5966. Multiple amendments were offered and mostly failed on SB 5940 and SB 5945, while one amendment on SB 5945 passed. The committee advanced SB 5940, SB 5957, and SB 5966 with due-pass recommendations, and the transcript ends with the committee adjourning after the final action on SB 5966.

Transcript Highlights:

• this is, I'm truthful, this is the three-word change to bring township counties to be able to allow payments
• this is, I'm truthful, this is the three-word change to bring township counties to be able to allow payments
• collects that there in their offices, which now then makes them available to be able to take these payments
• Because before, the township collector could not, you know, calculate and be able to take payments because

Committee: House Consent and Procedure

Transcript Highlights:

• Additionally, it addresses state-directed payments, which are additional payments made to providers,
• , which are additional directed payments, which are additional payments<00:05:08.400><c> made</c><00:
• made to providers, um, and payments made to providers, um, and state<00:05:10.880><c> financing</c><
• When we discontinue payment, should it be 30 days, 10 days, or 6 months?
• rate down in Minnesota's payment rate down in Minnesota's Medicaid<00:43:06.000><c> program.

Bills: HF3439 , HF3763

Committee: House Health Finance and Policy

Keywords: Medical Assistance, Medicaid, MNsure, MinnesotaCare, disability determination, expedited eligibility, state medical review team, compassionate allowance, rare disease, home and community-based services, long-term care, managed care, county-based purchasing, eligibility redetermination, periodic data matching, death master file, Social Security Administration, program integrity, income eligibility, asset test

Transcript Highlights:

• Administration includes five budgeted programs and is drawn largely from dedicated funds sourced by payments
• The appropriation for the bond payments program is currently inactive.
• It provided the state's share of payments for capital projects financed by the Idaho State Building Authority
• appropriation is funded by the Administration and Accounting Services Fund, which is sourced by payments
• utilities costs historically incurred on the general fund to its dedicated fund sourced by rent payments

Summary: The committee heard budget presentations for the Department of Administration and the Permanent Building Fund. For Administration, analysts reviewed the agency’s divisions, staffing, dedicated-fund structure, recent budget growth, and the governor’s and JFAC’s recommended changes. The department requested shifts of utility costs from the general fund to dedicated funds, three new positions and funding for Medicaid procurement and contract management, transfers of some positions between divisions, and one-time IT replacement funding. Members also discussed office-space utilization, vacant buildings and land at Chinden and elsewhere, and the department’s efforts to consolidate space and reduce general fund reliance. Director Bailey said the department has reduced or repurposed positions, closed duplicate printing operations, is exploring digital workflows and AI tools, and is trying to move toward a fully dedicated-fund model. He also explained the decision to remove GLP-1 weight-loss coverage from the state health plan due to rapidly rising costs, while noting diabetes coverage remains in place. Committee members questioned the need for higher-level procurement staff for Medicaid contracts, the role of Deloitte and the Department of Health and Welfare in the process, and the status of the MMIS procurement, which Bailey said is currently stayed by the courts after a legal challenge from the second-place vendor. He said the delay will affect MMIS implementation and, in turn, the timing of the broader managed care rollout. Members also asked about vacant state office space, the possible sale of older buildings, and whether agencies such as ITD and Health and Welfare could be moved into state-owned space to reduce lease costs. Bailey said the department is actively working on those facility-planning questions and that agencies at Chinden are paying rent for occupied space. The committee then reviewed the Permanent Building Fund budget, which finances state construction, repairs, and deferred maintenance through dedicated revenue sources and interest earnings. Analysts highlighted the fund’s multi-year project structure, the large deferred maintenance program funded in prior years, and a proposed one-time transfer of $33.75 million in canceled capital project balances to the general fund. They also described a possible redirection of fiscal year 2027 interest earnings to the general fund and a recommended new capital project for an Idaho National Guard readiness center. Administrator Barard reported that the Division of Public Works is managing 595 active projects, with most FY 2025 projects under construction, in design, or complete, and said the division continues to face labor shortages and rising construction costs. Members asked about canceled projects, including the North Idaho reentry center, the Carnegie Library purchase, the ISU pedestrian crossing, the Idaho State Police Lewiston facility, and other projects; staff said some are unlikely to return soon, while others may come back once land or other prerequisites are secured. The committee concluded the hearing and announced it would meet the next day for the Department of Parks and Recreation and the Office of the State Public Defender.