Transcript Highlights:

• Investing in low-skilled adults in Minnesota pays off.
• There's a base funding for school districts that is based on EL, or English language learners, in K-12
• There's a funding portion based on over 25 with no diploma.
• </c> immigrants and refugees with the skills immigrants and refugees with the skills they<00:42:33.240
• </c> and we prioritize evidence-based and we prioritize evidence-based instructional<01:08:29.759><c>

Committee: Senate Education Finance

Keywords: 1187, senate, all

Transcript Highlights:

• So, right now with just theory-based testing, a license candidate cannot even move to the theory-based
• Candidate demonstrate their ability to do the skills.
• We're very, very skilled within our disciplines within the license that we hold.
• We're very, very skilled within our disciplines within the license that we hold.
• We're very, very skilled within our disciplines within the license that we hold.

Committee: Joint Appropriations

Keywords: Appropriations - Room 216, 5 February, 2026; 8:30 AM, 925, all

Transcript Highlights:

• The skilled labor shortage also continues to grow.
• You know, better skills for the manufacturers and, you know, builders. you name it, everybody right?
• Texas faces an urgent need for a skilled workforce with about 54% of jobs in our state requiring some
• Texas State Technical Colleges are at the forefront of closing this skills gap by providing technical
• TSTC operates on an outcomes-based funding model known as is the return value formula.

Bills: SB530 , SB757 , SB769 , SB1085 , SB1241 , SB1242 , SB1409 , SB1878 , SB2138 , SB2314 , SB2231 , SB2361 , SB2431 , SJR59

Committee: Senate Education

Keywords: accreditation, postsecondary education, Texas Higher Education Coordinating Board, baccalaureate degrees, junior colleges, program delivery, faculty recruitment, higher education, performance standards, student loan debt, degree programs, funding, students with disabilities, accessibility, enrollment, report, SB 1085, Sul Ross State University, Rio Grande College, Del Rio

Transcript Highlights:

• Thankfully, the base rates have gone up, but they really need...
• and social skills for inmate populations in all of our facilities.
• They have a trade; they can sell that skill and they can have money.
• The tool that they need is a skill. They need a skill to be able to make a living.
• . skills, and then he's offering them jobs when they get out.

Committee: House House Appropriations & Finance

Transcript Highlights:

• The skills training and development program is another one that's intertwined.
• Representative Manwaring, part of this language was a request that I had made to make sure that based
• Mental health courts use an evidence-based model that creates proven results.
• It is not clear if evidence-based mental health courts can continue without the peer support services
• But in this language, it shows skill training and development and associated programs.

Summary: The committee first considered trailer appropriations for House Bill 684 and Senate Bill 1226. HB 684 would allow sheriffs to seek reimbursement for costs of collecting absconded prisoners, probationers, or parolees from out of state, with a fiscal impact estimated at up to $200,000; the committee approved a FY 2027 addition of $200,000 ongoing to the Department of Correction and recommended a due-pass. SB 1226 would add sexual battery and domestic violence misdemeanors to crimes requiring DNA samples and thumbprints, with an estimated annual cost of $63,000; the committee approved a FY 2027 addition of $63,000 ongoing to the Idaho State Police and also recommended due-pass. The committee then revisited the Secretary of State budget after House Bill 909 failed on the floor. The analyst reviewed the requested voter pamphlet funding, overtime transfer, and ITS replacement items. The committee adopted a revised FY 2027 motion adding $235,800 from the General Fund, including a one-time $350,000 voter pamphlet appropriation, a $20,000 transfer to personnel, and a 2% base reduction, and sent the budget forward with a due-pass recommendation. A major portion of the meeting focused on restoring behavioral health programs using a mix of Millennium Income Fund, opioid settlement funds, and federal matching dollars. Members debated options to restore ACT, peer support, skills training, transportation, partial hospitalization, and early serious mental illness programs. A broader restoration motion failed in the House committee, but a narrower FY 2027 motion for ACT and peer support services passed, as did a separate $250,000 opioid-settlement appropriation for peer support services in mental health courts. The committee also adopted language directing the Department of Health and Welfare to identify savings for future continuation of the restored programs and approved a FY 2026 supplemental of $200,000 for a legislative consultant to support oversight of the Medicaid managed care transition under HCR 30, despite objections that it duplicated department efforts. The committee adjourned after noting it would likely meet again Wednesday to handle remaining trailers, transfers, and supplemental items.

Transcript Highlights:

• mental health courts, assertive community treatment known as act, statewide peer support services, skills
• The Skills Training and Development Program is another one that's intertwined.
• Mental health courts use an evidence-based model that creates proven results.
• It is not clear if evidence-based mental health courts can continue without the peer support services
• But in this language, it shows skill training and development and associated programs.

Keywords: 989, all

Summary: The joint Senate Finance and House Appropriations committee considered several trailer appropriations and related language items. It approved $200,000 ongoing for the Idaho Department of Correction tied to House Bill 684, which allows sheriffs to seek reimbursement for costs of collecting absconders from out of state, and approved $63,000 ongoing for the Idaho State Police under Senate Bill 1226 to cover DNA sample and thumbprint collection for certain misdemeanor offenses. The committee also reconsidered the Secretary of State budget after House Bill 909 failed on the floor, and passed an amended FY 2027 budget with a $235,800 general fund increase, including a one-time $350,000 voter pamphlet appropriation, a $20,000 transfer from operating to personnel, and a 2% base reduction. A major portion of the meeting focused on restoring behavioral health programs in the Department of Health and Welfare using one-time Millennium Income Fund and opioid settlement dollars. Analysts outlined options to restore ACT, peer support, skills training, transportation, partial hospital, and early serious mental illness programs. The committee first rejected a broader restoration package, then approved a narrower FY 2027 package restoring only assertive community treatment and peer support services with $4.619 million from the Millennium Fund, $5.555 million from the opioid settlement fund, and $20.525 million in federal funds. It also approved $250,000 from the opioid settlement fund for peer support services in mental health courts and adopted language directing the department to identify savings for future funding needs, though a broader language motion failed. The committee then approved a FY 2026 supplemental of $200,000 for the Legislature to hire a consultant for the Medicaid Legislative Review Panel under HCR 30, despite objections that it duplicated work already being done by the Department of Health and Welfare’s consultant. Members also discussed that the one-time behavioral health funding would only carry programs through FY 2027 and may require general fund support later. The committee adjourned after announcing it would likely meet again Wednesday to handle year-end transfers, remaining trailer bills, and other pending budget items.

Transcript Highlights:

• Eugene Stead, and based on team-based collaborative care.
• Eugene Stead, and based on team-based collaborative care.
• Eugene Stead, and based on team-based collaborative care.
• Eugene Stead, and based on team-based collaborative care.
• Eugene Stead, and based on team-based collaborative care.

Keywords: Call to Order 00:00:00 Roll Call 00:00:35 SB 22 Discussion 00:01:20 SB 22 Vote 00:11:45 SB 100 Discussion 00:15:07 SB 100 Vote 00:38:53 SB 88 Discussion Only 00:42:11 Adjournment 01:03:52, 958, all

Summary: The Senate Standing Committee on Licensing and Occupations met on February 18, 2025, and first took up Senate Bill 22 by Senator Reginald Thomas, which was presented as a cleanup measure following prior cosmetology reforms and a Legislative Oversight and Investigations report. The bill would allow cosmetologists to retake exams multiple times with a one-month wait, authorize the Board of Cosmetology to immediately close facilities that intentionally use unlicensed workers while preserving due process, give the board flexibility to hire an executive director based on qualifications rather than licensure, and recognize certain out-of-state or territorial cosmetology licenses. Board officials said the changes were intended to improve fairness, equality, and administrative due process. Senators asked about retesting fees and whether partial retests could dilute standards; Thomas clarified that the exam is cumulative and must be retaken in full. The committee approved SB 22 with all favorable votes, and Senator Meredith explained his support as a workforce and fairness issue. The committee then heard Senate Bill 100 by Senator Jimmy Higdon, as substituted, concerning tobacco, nicotine, and vapor product retail licensing and enforcement. Youth advocates from the University of Kentucky testified in support, describing youth nicotine use as a public health crisis and urging stronger enforcement, annual compliance checks, retailer licensing, and tougher penalties for illegal sales to minors. Higdon said the bill would create a Division of Tobacco, Nicotine, and Vapor Products Licensing within ABC, require licenses for retailers, authorize inspections and confiscation of contraband, impose escalating criminal and civil penalties for unlicensed sales and sales to minors, publish a list of licensed retailers, and dedicate fine revenue to enforcement and youth education. He said the measure targeted bad actors rather than responsible retailers. A retailer witness also supported licensing but raised concerns about contradictory product definitions that could sweep in hemp and medical marijuana vapor products, and asked that the bill be delayed until after an expected Supreme Court decision affecting federal vapor-product rules. The transcript ends during discussion of SB 100, before any committee vote on that bill.

Transcript Highlights:

• </c> based. That is why my parents came here. based. That is why my parents came here.
• And I'm saying, "So, how is this charitable gaming doing?"
• We don't make decisions based just on guesswork. We base them on facts.
• </c> and students who rely on equity based and students who rely on equity based support.<04:31:48.080
• Based on that, I Thank you, Mr. Speaker.

Keywords: 1189, house, all

Transcript Highlights:

• discover a love of reading, where students find the tools to succeed, where job seekers gain new skills
• been involved in a lot of those conversations to deserve a lot of the credit because it is a team game
• I guess, based on their financial situation, they can decide what they can do to entice this.
• The bill is effectively eliminating intoxicating hemp-based marijuana being sold in our state.
• floor leader's conference room, this page told us when asked how many kids in her school use hemp-based

Bills: HR1055 , SB2170 , SB1833 , SB1198 , HR1056 , SB1730 , SB563 , SB1379 , SB1645 , SB2155 , SB1280 , SB1455 , SB1456 , SB1461 , SB1457 , SB1463 , SB1465 , SB1466 , SB1344 , SB1309 , HR1054 , SB2159 , SB1948 , HB1371 , SB1365 , SB1976 , SB1975 , SB2026 , SB1565 , SB1621 , SB237 , SB933 , SB1427 , SB1642 , SB171 , SB1873 , SB2067 , SB1623 , SB1771 , SB1805 , SB1826 , SB2072 , SB444 , SB2184 , SB1966 , SB1812 , SB2117 , SB2135 , SB330 , SB1239 , SB1428 , SB1531 , SB1484 , SB1405 , SB3

Keywords: Oklahoma Agriculture Day, agriculture, farmers, ranchers, agribusiness, food production, wheat, cattle, beef, dairy, soybeans, cotton, poultry, pork, rye, rural economy, urban-rural, trade, commodity production, Oklahoma Department of Agriculture

Transcript Highlights:

• </c> addresses are uh bid eligibility based addresses are uh bid eligibility based on<00:10:06.040><c
• </c> NTI original um map uh that was um based NTI original um map uh that was um based on<00:15:02.600
• </c> amount that we were allocated was based amount that we were allocated was based on<00:24:51.919>
• </c> great have has a good big customer base great have has a good big customer base a<00:37:47.160><
• Then, based on those... Failure.

Committee: Senate Agriculture, Veterans, Broadband, and Rural Development

Keywords: 1187, senate, all

Transcript Highlights:

• </c> community- based? community- based?
• </c> &gt;&gt; It is written to be community- based. &gt;&gt; It is written to be community- based.
• </c> services in a skilled nursing facility. services in a skilled nursing facility.
• </c> tapping into all of the school-based tapping into all of the school-based resources<01:20:54.400
• Um, and they're home and community based, obviously.

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board’s fourth meeting focused primarily on a presentation from University of Kentucky and University of Louisville health leaders about the state university directed payment program. Mark Birdwhistle and Ken Marshall described the program as a long-running, value-based Medicaid arrangement that began in 2019, uses university-provided matching funds rather than provider taxes, and ties a portion of payments to quality outcomes. They said the program has improved measures such as tobacco cessation, diabetes control, depression screening, and cancer screening, while supporting access to specialty care, medical education, and workforce training. They also emphasized that Kentucky’s model is nationally notable and has helped improve health rankings and generate cost savings. A major topic was the federal reconciliation bill signed July 4, which the presenters said will reduce directed payments by 10% annually for 10 years beginning in 2028. UL Health estimated a first-year loss of about $75 million and a cumulative loss of about $600 million over the decade; UK estimated about $100 million in the first year, for a combined first-year impact of roughly $175 million. Both speakers warned the cuts could affect access to care, training capacity, and the sustainability of Kentucky’s value-based model, though they expressed hope that congressional action could alter or delay the changes. They also noted that 340B drug pricing changes could further strain already thin operating margins, but did not provide exact figures during the meeting. Committee members responded positively to the program’s reported outcomes and the institutions’ role in Kentucky health care. Senator Berg praised the quality of care and shared a personal example of being advised to stay at UofL for breast cancer treatment. Representative Moer highlighted Kentucky’s strong cancer-control score and asked for more explanation of the value-based payment structure; the presenters said the system is built around ongoing measurement, accountability, and collaboration with the Cabinet for Health and Family Services. No votes or formal actions were taken beyond approving the amended August 27 minutes by voice vote.

Transcript Highlights:

• became increasingly clear to me when I entered into my first career as a banker that these are not skills
• So it is a mistake for us to believe that all of our educators actually are equipped with the skills
• Currently, OSPI provides administrative services based on its own...
• Currently, OSPI provides administrative services based on its own policies, allowing minimal flexibility
• And so there was a disparity across districts based on their socioeconomic backgrounds.

Bills: HB1662 , HB1683

Committee: House Education

Keywords: education agencies, administrative independence, superintendent, education reform, agency authority, education, school boards, district adjustments, administrative boundaries, educational governance, 904, all

Transcript Highlights:

• We are expanding this model to... ...more informed, evidence-based decisions.
• Thank you. ...services exclusively to survivors of sexual and gender-based violence.
• But I've also developed professional skills outside of academia.
• But I've also developed professional skills outside of academia.
• But I've also developed professional skills outside of academia.

Summary: The committee began by suspending the five-day notice rule for Senate Gubernatorial Appointment 9066 and then heard confirmation testimony from Megan Matthews, director of the Washington State Office of Equity. Matthews described the office’s growth, its work with agencies and communities, and efforts on data, contracting, and statewide outreach. Senator Hasegawa raised concerns about the Office of Equity’s relationship to ethnic commissions and whether it should remain internally focused, while other members praised Matthews’ statewide presence. The committee also heard confirmation testimony for Women’s Commission appointees Reedy Miu Kapade and Kiana Daniels, both of whom emphasized their experience serving women and girls and their commitment to the commission’s work; both appointments were noted as coming up for a vote the following week. The committee then heard House Bill 2309, which would prohibit the civil service classification plan from requiring a postgraduate degree as the only way to show qualifications unless required by law. Supporters, including the sponsor, OFM, and public witnesses, said the bill would remove barriers to state employment and broaden applicant pools. House Bill 2249 would add certain Washington Technology Solutions network and security systems employees to civil service coverage; the sponsor said it would resolve a narrow inequity affecting about 20 workers, while WOTEC said it needed flexibility to recruit and retain technical talent and asked to be involved in further changes. Substitute House Bill 2411 would expand shared leave to employees affected by hate crimes or immigration enforcement actions involving themselves or family members; supporters cited a state worker detained at the border and said the bill would help employees through extraordinary hardships, while opponents warned about abuse and objected to extending benefits in immigration-related cases. Engrossed Substitute House Bill 1916, dealing with voter registration challenges and list maintenance, drew strong support from voting-rights groups and county election officials who said it would curb mass, bad-faith challenges and protect eligible voters, especially naturalized citizens, students, military members, and voters of color. The Secretary of State’s office and county auditors also raised concerns about ambiguity in parts of the bill, including who may challenge registrations and how deceased voters are removed from the rolls. House Bill 2417 would add a victim’s bill of rights to the Washington Code of Military Justice, aligning state military justice with federal protections; the Military Department and veterans advocates supported it as a consistency and fairness measure. Finally, the committee took executive action on Second Engrossed Substitute House Bill 1541, which changes the membership and selection criteria for the Veterans Affairs Advisory Committee, and advanced it to the Rules Committee on a due pass recommendation.

Transcript Highlights:

• It supports local tax bases, providing revenue for schools and other critical services.
• math skills are middle school level.
• Part of that packaging can be the skilled workforce. And I do think...
• Part of that packaging can be the skilled workforce.
• Some of these things are difficult to see. access to a deep and skilled regional workforce.

Summary: The committee held an informational hearing on California’s industrial policy and manufacturing, with opening remarks emphasizing the state’s large manufacturing base, the need to retain and scale advanced manufacturing in California, and the tension between economic growth, climate goals, labor standards, permitting, and energy reliability. Senators and witnesses repeatedly noted that California has strong innovation assets, but companies often face uncertainty around regulation, power availability, and the cost of expanding here, leading some to locate manufacturing elsewhere. Senator Wahab highlighted Fremont as a major manufacturing hub and stressed apprenticeship pathways, community college partnerships, and good-paying jobs for both college-educated and non-college workers. California Forward’s Agon Turplin and Jake Higden argued for a durable statewide regional economic development system with ongoing funding, regional strategic plans, and sector-specific roadmaps. They said California Jobs First and related regional planning efforts created useful infrastructure, but the system remains fragmented and one-time funded. Higden focused on “green industrial policy,” especially batteries, bioeconomy, and other clean manufacturing sectors, arguing California often funds R&D but loses the manufacturing scale-up phase to other states. Priyanka Mohanti of the Center for Manufacturing a Green Economy said climate policy must be paired with industrial policy so Californians can actually benefit from the transition through affordable clean products, good jobs, and domestic supply chains. She pointed to international examples such as India, Brazil, and China, and urged tools like public investment, procurement, loan guarantees, and supply-chain planning. Industry witness Josh Richmond, drawing on experience at Bloom Energy and Cy Quantum, said energy and economic development are inseparable and that “time to power” is often decisive in site selection. He argued California needs better coordination among the state, utilities, universities, national labs, and economic development agencies, and that the state should be more proactive and creative in helping strategic industries scale. Committee members discussed the role of high energy costs, regulatory burdens, K-12 education, and cap-and-trade, with Senator Niello raising concerns about business climate, education outcomes, and the cost impacts of climate regulations. Witnesses responded that California should balance regulation with benefits, and that regional coordination and state partnership can help companies navigate red tape and stay in-state. The second panel, from labor, supported a worker-led industrial policy. Sarah Flox of the California Labor Federation said manufacturing jobs can be good jobs only when paired with labor standards, apprenticeship pipelines, and public support tied to worker protections. Tom Hincey of UAW Region 6 said California should use public financing, procurement, off-take agreements, and, where appropriate, public ownership or equity stakes to localize supply chains and create union jobs in batteries, offshore wind, and heat pumps. The final panel featured Fremont economic development director Donovan Lazaro, who said Fremont has become California’s top manufacturing city by preserving industrial land, allowing by-right zoning, reducing permitting delays, and building in-house technical expertise to support advanced manufacturers. He said the city’s approach has helped double its manufacturing workforce and strengthen its tax base. No votes were taken; the hearing was informational and ended with committee members indicating they would continue working on follow-up legislation and coordination efforts.

Transcript Highlights:

• But most people in business do some type of cost-benefit analysis based on their own needs.
• Based on their own specific needs. Yes, absolutely. Why would we put a threshold...
• Based on their own specific needs. Yes, absolutely.
• Some big World Cup game is happening right now that everybody's like, “Oh, my God, goal.”
• California must prioritize evidence-based solutions that are proven to work at scale.

Committee: House Housing and Community Development

Keywords: 988, house, all

Transcript Highlights:

• And what happens when there are no skilled and trained labor forces to do these smaller projects?
• That's the third thing that is in the bill to go along with skilled and trained and prevailing wage.
• That's the third thing that is in the bill to go along with skilled and trained and prevailing wage.
• I absolutely believe in skilled and trained.
• But as you... ...labor standards, I absolutely believe in skilled and trained.

Committee: House Public Employment and Retirement

Keywords: 988, house, all

Transcript Highlights:

• this time that showed that detention was more expensive and created poorer outcomes, while community-based
• It is also on kind of an external website, but I do know just based off of very initial conversations
• So we invest so much in our partners to help them be with us to build these skills of young people.
• But it needs to be based on the nature of their crime.
• We also know that community-based policemen should always be the first option.

Summary: The Senate Human Services Committee held a work session on juvenile rehabilitation trends and then a hearing on Senate Bill 6062. The work session featured a national overview from NCSL, DCYF updates on Green Hill, Harbor Heights, and community transition services, and local/community perspectives from Pierce County, Team Child, and Northwest Credible Messengers. The national presentation described broad juvenile justice trends, including limits on extreme sentencing, expanded diversion and due process protections, reduced fines and fees, record clearing, and changes in juvenile court jurisdiction. Committee members asked about juvenile crime trends and overcrowding, and the presenter noted that crime has generally decreased overall since 2020, though some offenses have risen in some places and overcrowding remains an issue in certain states. DCYF reported on its behavior management system, Harbor Heights opening as relief for overcrowding, Green Hill population pressures, and expansion of community transition services. Officials said the behavior management system is intended to improve safety, consistency, and restorative accountability, while Harbor Heights has added programming and family engagement but still faces space, IT, and medical-infrastructure challenges. Green Hill leaders said reduced population has improved stability, programming, and use-of-force outcomes, but overcrowding remains a concern. DCYF also highlighted an ombuds process, family listserv updates, staffing changes, and a proposed budget request for additional JR capacity and staffing. Pierce County described its long-running detention reform work, reduced average daily detention population, and plans for a new juvenile justice center, while Team Child and Northwest Credible Messengers emphasized community-based supports, culturally responsive services, healing-centered engagement, and reentry planning. Senate Bill 6062 was then briefed as a measure revising juvenile sentencing and JR placement rules. The bill would require courts to grant suspended disposition alternatives in eligible cases unless the court finds community supervision would not adequately protect the community, expand eligibility for certain sentencing alternatives, require midpoint review hearings, and set rules for transfers from JR to DOC when facilities exceed 105% of rated bed capacity. The committee also voted to waive the five-day notice rule for hearings on Senate Bills 6319 and 5979, and that motion passed. During public testimony on SB 6062, youth from Green Hill supported the bill and asked for clearer standards around DOC transfers, while DCYF supported efforts to reduce JR population but said the bill needs stronger emergency transfer language to address overcrowding at Green Hill. Committee members and the bill sponsor emphasized rehabilitation, individualized sentencing, and the need to balance community safety with better placement and services for youth.

Transcript Highlights:

• Thank you all for high wage or high skill. In addition, high wage or high skill.
• </c><00:38:35.359><c> We</c> adopt research-based practices. We adopt research-based practices.
• </c> school-based programming each year. school-based programming each year.
• </c> proficiency based on those outcomes. proficiency based on those outcomes.
• </c> based coaches or sorry school-based based coaches or sorry school-based literacy<01:45:56.400><c

Committee: Joint Education

Keywords: Call to Order and Roll Call – 0:00:00 Workforce Pell Grant Update – 0:03:30 Extension Office Update – 0:33:25 Kentucky Academic Standards for Social Studies – 1:07:08 Early Literacy Outcomes – 1:32:20 Consideration of Referred Administrative Regulations – 1:58:30 Adjournment 2:13:13, 958, all

Transcript Highlights:

• of rules that were finalized regarding prior authorization, managed care access, home and community-based
• We were providing an enhanced rate for, I think it was behavioral health workers and community-based
• I'm not aware of any state that is going to just give away a license to practice medicine just based
• set is when we're talking... office-based primary care.
• Non-regulatory directed specialty assignment, self-specialty assignment based off of skills.

Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.

Transcript Highlights:

• On behalf of the Mountain Home Air Force Base Gunfighters, thank you for the opportunity to provide our
• The 726 Air Control Squadron is a tenant unit of the 552nd Air Control Wing at Tinker Air Force Base
• The 266 Range Squadron, an Idaho Air National Guard tenant unit assigned to Mountain Home Air Force Base
• positions us to be the All-229 fleet at Mountain Home Air Force Base positions us to be the F-15E base
• This is my third time stationed at Mountain Home Air Force Base.

Committee: House Transportation and Defense

Keywords: 989, all