Transcript Highlights:

• , so I'm calling the Human Services Committee meeting to order.
• The service includes assessments to develop a nutrition...
• Zach will be supporting not only human services, but also higher ed.
• Their dreams were to then rejoin the public service trenches.
• Most of those changes will not be impacting folks receiving DD services.

Summary: The Senate Human Services Committee met on the first day of the 2026 session and heard a briefing and public testimony on Senate Bill 5966 concerning medically tailored meals. Committee staff explained that the bill would define medically tailored meals and set statewide standards for meals provided through state programs, emphasizing medical guidance, dietary and cultural accommodations, and prioritizing Washington-based nonprofit providers when possible. Senator T’wina Nobles, the sponsor, said the bill is intended to create a clear baseline for quality and accountability without expanding benefits or creating a new program, but rather to streamline and standardize existing efforts. Testifiers in support described existing medically tailored meal and food box programs already operating in Washington. Representatives from Meals on Wheels, Chicken Soup Brigade, Cascadia Produce, Emergency Food Network, and Meals on Wheels Spokane said these programs improve health outcomes for people with chronic conditions, support recovery, and help keep people stable in their communities. They also emphasized that local providers, volunteers, farmers, and food businesses benefit when state dollars stay in Washington. Several members asked whether the bill would create a new system; supporters said it would instead coordinate and standardize current waiver-based and contract-based services. Questions also touched on funding sources, delivery costs, and the role of Medicaid and other programs. The committee temporarily set aside the bill to hear from newly appointed DSHS Secretary Angela Ramirez, who outlined the department’s reorganization into new administrations and said the goal is to reduce silos, improve customer experience, and make services easier to navigate. She also briefed members on federal HR1-related changes affecting SNAP and Medicaid, including work requirements, immigrant eligibility changes, and tribal consultation, and said DSHS is developing a verification hub to reduce administrative burden. Members raised concerns about implementation, data collection, and how to avoid benefit loss due to paperwork issues. After the secretary’s presentation, the committee resumed testimony on SB 5966 and then adjourned without taking a vote.

Transcript Highlights:

• So why am I proposing dental therapy as a mid-level provider service?
• It is meeting the need of providing dental services to... ...many people who aren't receiving services
• But because the program is broken, they can't get the services they need.
• In 2024, by Bond provided greater than 5,500 dental services.
• These services were provided with only one full-time dentist, These services were provided with only

Summary: The Health Professions and Programs Subcommittee heard and advanced three bills. HB 21 would create a new licensed profession of dental therapy under the Department of Health and Board of Dentistry, allowing trained dental therapists to provide a limited scope of care under a supervising Florida-licensed dentist through a collaborative management agreement. Sponsor Rep. Cheney argued the bill would help address severe dental shortages and improve access in underserved areas; opponents from the Florida Dental Association and oral surgery groups warned that the bill would allow irreversible procedures by less-educated providers and could compromise patient safety. Supporters, including dentists, hygienists, and community health center leaders, said dental therapists would expand access and free dentists to handle more complex care. An amendment was adopted to require proof of local anesthesia training, adverse-incident reporting, and updated background screening language. The bill was reported favorably as amended by a 14-1 vote. The committee then considered HB 27, which creates the Social Work Licensure Interstate Compact to allow licensed social workers to practice across member states, including through telehealth, and to help military families and address workforce shortages. Supporters from the National Association of Social Workers and other advocates said the compact would improve mobility, reduce administrative burdens, and expand access to mental health services, especially in underserved and rural areas. A technical amendment restoring model language and setting an effective date of July 1, 2025 was adopted, and the bill was reported favorably as amended on a 15-0 vote. Finally, the committee heard HB 29, the public-records companion to the social work compact, which creates exemptions needed for compact compliance and allows the compact commission or its committees to meet in closed session when discussing information exempt under law. After a technical amendment authorizing closed meetings for exempt matters was adopted, the bill was reported favorably as amended on a 15-0 vote. The meeting then adjourned.

Transcript Highlights:

• of service, if... ...discharge with other than honorable characterization of service, if the veteran
• has a service-connected disability, or any characterization of service if the reason for discharge was
• But you do not get that until the last day of service.
• Thank you for your service. Thank you, Mr. Chairman.
• on businesses, and that was what you saw: customer service.

Summary: The Senate State Government, Tribal Affairs & Elections Committee met on January 16, 2026, and took executive action on four measures before moving to public hearings on two bills. The committee held Senate Bill 5842 for further discussion, then considered Senate Concurrent Resolution 8406, Senate Bill 5825, Senate Bill 5863, and Senate Bill 5840. SCR 8406 would reestablish the Joint Select Committee on Civic Health and was advanced unanimously to the Rules Committee. SB 5825, which authorizes the Washington State Leadership Board to solicit gifts, grants, and endowments, was amended with a technical change and then advanced. SB 5863, extending the moratorium on destruction of Lakeland Village records and addressing access to certain historical records, also advanced without opposition. SB 5840, which changes campaign finance expenditure reporting schedules, was amended to adjust the implementation date to January 1, 2028 and then advanced after the committee waived the amendment publishing rule due to the short session timeline. The committee then heard Senate Bill 5827, sponsored by Senator Gildon, which would allow veterans to use a pre-discharge certification to claim civil service preference before receiving a DD-214. Staff explained the bill and clarified that the underlying qualifying discharge categories would remain unchanged. Senator Gildon said the bill was prompted by a constituent who could not access preference points before leaving active duty, and the Veterans Legislative Coalition testified in strong support. The hearing record noted 40 people signed in in favor and two opposed. Finally, the committee heard Senate Bill 5968, sponsored by Senator Krishna Dawson, which would codify and expand the governor’s executive order on permitting and licensing timelines, require agencies to publish processing deadlines, phase in coverage of all credentials by 2030, and authorize fee refunds if deadlines are missed. The sponsor and staff said the bill is intended to improve predictability, accountability, and customer service, while agency flexibility would remain through OIRA. Support testimony came from the governor’s office, cosmetology, labor, construction trades, ports, business, and the Department of Health, all emphasizing delays’ impacts on jobs, projects, and access to care. The Department of Health reported substantial recent reductions in licensing times and said it lacked authority to issue refunds without the bill. The hearing closed with 26 people signed in, including supporters and opponents.

Transcript Highlights:

• </c><00:42:11.400><c> contract</c> executing a personal service contract executing a personal service
• </c> we have received in goods and services we have received in goods and services and<00:43:51.880><
• </c> registering in our vendor self-service registering in our vendor self-service system<00:47:35.880
• </c> new vendor to provide those services new vendor to provide those services within<00:48:35.119><c
• </c><00:49:24.119><c> were</c> Consulting around 5,700 Services were Consulting around 5,700 Services

Keywords: Meeting start 00:00:29 Roll Call 00:00:40 HB 2 Discussion 00:02:55 HB 2 Vote 00:14:10 Kentucky Exposition Center Redevelopment Plan Discussion 00:17:22 HB 545 Discussion Only 00:39:15, 958, all

Summary: The committee first took up House Bill 2, which would address the taxation of currency and bullion and was presented as a response to last session’s dispute over whether a line-item veto could be applied to a revenue measure. The sponsor said the bill, as amended by Committee Substitute 2, was largely technical but also made the tax exemption retroactive to August 1, 2024 while making the $1,000-per-day penalty prospective only. Members asked about fiscal impact, possible legal liability for executive branch officials, and whether the issue should instead be resolved by the courts. The sponsor argued the Constitution limits the governor’s line-item veto power to appropriations, not revenue bills, and said the bill would create a judicial remedy and refund process if the executive branch continued collecting the tax. The committee approved the committee substitute and then passed House Bill 2 by a vote of 19-1, with two members passing; the bill was reported favorably to the floor. During discussion, Representative Bojanowski voted no, saying he could not support removing taxes on gold bars while parents pay taxes on diapers. Representative Gentry passed, saying he supported the original intent but was not yet convinced and wanted more time to review the issue. The sponsor also clarified that any liability would be joint and several and could involve executive officials or their budgets if the tax collection continued despite the exemption. The committee then heard a discussion-only presentation on the Kentucky Exposition Center Redevelopment Plan Phase 2. Facility representatives described Phase 1 and the planned Phase 2 expansion, saying the center had record attendance and needed more space to remain competitive and meet client demand. They said Phase 1 was about 20% complete, with completion now expected in October 2026 and an opening target of December 31, 2026 after a short testing period. Phase 2 would follow, including demolition of the West Wing, utility work, and improvements to food service and circulation areas. They said the project would be funded without federal dollars and estimated that, once complete, it could generate about $683 million in annual economic impact, $302 million in state sales tax, and 850,000 room nights in Jefferson County.

Transcript Highlights:

• </c> 1440 two exemptions from civil service 1440 two exemptions from civil service for<00:44:17.040><
• </c><00:45:06.079><c> uh</c> complex that um the Civil Service uh complex that um the Civil Service uh
• </c> administrators exempt from Civil Service administrators exempt from Civil Service uh<00:47:52.319
• </c> providing this this particular service providing this this particular service who's<00:49:54.200
• </c><00:54:36.839><c> positions</c> we've had some civil service positions we've had some civil service

Keywords: 912, senate, all

Summary: The joint committees on Labor and Technology, Transportation, and Culture and the Arts heard testimony on Senate Bill 396 and Senate Bill 47, then later the Labor and Technology committee took up Senate Bill 136 and Senate Bill 1523. SB 396 drew support from the Metropolitan Planning Organization and others, with a question raised about implementation costs; the director said costs would depend on the scope of the benefit package and the transportation mode involved. The committees recommended passing SB 396 with technical amendments and added appropriation language with a blank amount, and the motion was adopted by recorded votes in both committees. SB 47, which would designate the Lunar New Year as a state holiday, received support from the Office of Collective Bargaining and several individuals, including Charlene Chun, who spoke about family traditions and cultural recognition. Members asked about the cost and whether the day would be a paid day off for state employees; the response was that observance would be subject to collective bargaining. The committees moved SB 47 forward with amendments, noting the collective bargaining and cost issues, and adopted the recommendation by vote. In the Labor and Technology committee, SB 136 on the Iron Workers Stabilization Fund drew strong support from iron workers and related supporters, who argued the bill was about safety, training, and keeping dismantling work within the ironworkers’ trade. Several other unions, including operating engineers, carpenters, laborers, and plumbers and fitters, opposed the bill as too broad and potentially infringing on their jurisdiction. The measure was not decided in the portion provided, but members discussed possible amendments and jurisdictional concerns. SB 1523, which would expand private-sector collective bargaining rights under the Hawaii Employment Relations Act to include independent contractors and others under NLRB jurisdiction, received broad labor support, including from IATSE, AFL-CIO, Hawaii Nurses Association, Unite Here Local 5, and many individual testifiers. Supporters framed it as protecting workers’ rights and strengthening labor protections, while the Hawaii Labor Relations Board warned it could significantly increase workload and require more staffing, space, and operating resources; the board estimated the bill could expand its caseload substantially and suggested an appropriation would likely be needed. The committee then moved on to the next measure, SB 1440, before the transcript ended.

Transcript Highlights:

• They also are involved in motor vehicle services. They also are involved in motor vehicle services.
• District 25, thank you for your service.
• Cooper, for your service.
• Thank you for your service these two years.
• Thank you for your service, sir, these years.

Keywords: 1182, all

Transcript Highlights:

• If it is a service they provide, it is going to cost more to pay for that service for the average individual
• If it is a service they provide, it is going to cost more to pay for that service for the average individual
• President, there is a $200,000 allocation for services and expenses of Services and Advocacy for GLBT
• And this is about making sure that the people who need the services have access to those services.
• AND THIS IS ABOUT MAKING SURE THAT THE PEOPLE WHO NEED THE SERVICES HAVE ACCESS TO THOSE SERVICES.

Keywords: 993, senate, all

Summary: The Senate opened with the Pledge of Allegiance and an invocation, then approved the prior day’s Journal and moved into motions, resolutions, and budget-related business. Senator Gianaris called up Senate Print 5898A for reconsideration; the Senate voted 59 ayes to restore the bill to the third reading calendar. Several amendments were also received on third-reading bills, and the Finance Committee was called into session while the chamber proceeded with resolutions. The Senate adopted Resolution J.2106 recognizing Second Chance Month and the mental health impacts of incarceration, with Senator Brisport speaking in support and a guest from the community recognized in the chamber. The body also adopted Resolution J.1492 designating May 27, 2026, as Taiwan Heritage Day, with remarks from Senators Sepúlveda, Stavisky, and Liu highlighting Taiwanese contributions to New York and expressing support for Taiwan amid current geopolitical tensions. The Finance Committee then reported several budget bills, including Senate Prints 9003D, 9004D, 9007C, and 9009C, which were moved to third reading. The remainder of the session focused on the supplemental and controversial budget calendars, especially tax and spending provisions. Senators debated the “Protecting Our Wallets” energy rebate, with supporters describing it as a one-time check for eligible taxpayers and critics arguing it was too small and not tied directly to utility bills; the chamber accepted the message of necessity and laid the bills aside. Members also debated extensions and changes to tax provisions affecting corporations, alternative fuel exemptions, Broadway and theatrical production tax credits, charitable deductions for certain 501(c)(3)s, nicotine pouch taxes, a new New York City pied-à-terre tax, and a standardbred horse-racing testing fee. Several senators criticized the budget as raising costs or favoring certain industries, while supporters defended the measures as revenue-raising, affordability, or public-health policies. No final votes on the controversial budget bills are shown in the excerpt beyond procedural rulings, adoption of the resolution calendar, and acceptance of committee reports.

Transcript Highlights:

• Licensure Compact for EMS Services, which are Emergency Services. Personnel.
• Mexico have to health care services. In this case, it happens to be the emergency services.
• Services are in a really challenging way this year.
• And can you describe an incident and the services they would provide?
• So, for example, an individual who would seek services at Better Family Services A survivor may call

Keywords: 996, all

Transcript Highlights:

• It caps the total state directed payment amounts for inpatient hospital and nursing facility services
• Thank you and congratulations on your 50 years of service. We need you more than ever.
• , that allow less utilization of very expensive Medicaid services.
• UCHealth is the second largest provider of Medicaid services. in the state.
• I'm here on behalf of the California Alliance of Child and Family Services.

Keywords: 988, house, all

Transcript Highlights:

• TRAINING OR A 22 YEAR OLD WHO HAD IN SERVICE TRAINING.
• WAITING FOR SERVICES THAT COULD TRANSFORM THEIR LIVES.
• AND LIKE JJ I AM A MEMBER OF SERVICES OF THE WAIVER.
• WE KNOW WE HAVE TO PROVIDE SERVICES.
• , A ROBUST PROGRAM THAT OFFERS MORE SERVICES.

Keywords: 999, senate, all

Transcript Highlights:

• Okay, next on the agenda is Public Service Commission.
• The Public Service Commission's largest expenditure category is personnel services, which is made up
• I am the appointing authority for the State Civil Service Agency.
• State Civil Service, I'm sure most of you are familiar with us.
• But the request is made of the State Civil Service Commission.

Keywords: 965, house, all

Transcript Highlights:

• , like the cost of the service, or is it the cost of the service plus... ...service, like the cost of
• the service, or is it the cost of the service plus?
• the services they provide, subsidizing other smaller boards who may need these services, they will have
• Thank you for the public service.
• Thank you for the public service.

Bills: SB507

Keywords: SB507, Nevada, governmental administration, Office of Nevada Boards Commissions and Councils Standards, Department of Business and Industry, professional licensing boards, occupational licensing, regulatory fees, state account, nonreverting fund, Commission on Postsecondary Education, taxicab, taxi technology fee, Nevada Transportation Authority, Taxicab Authority, transportation network company, TNC, rideshare, Uber, Lyft

Transcript Highlights:

• Lead service lines, again, is a huge balancing act. It's incredibly expensive.
• There is a private side for lead service lines.
• Most states have outlawed partial service line replacements because it can create issues.
• Now I'd like to switch to lead service lines.
• cheap you're talking about $10,000 per lead service line.

Keywords: Infrastructure Investment and Jobs Act, water infrastructure, lead service lines, federal reauthorization, sustainability, cybersecurity

Summary: The meeting primarily focused on discussions surrounding the Infrastructure Investment and Jobs Act (IIJA) and its implications for local water systems. Various witnesses highlighted the transformative impact of the bipartisan infrastructure law, which has provided an unprecedented amount of funding to help address long-standing issues in drinking water infrastructure, particularly concerning lead service line replacements and sustainability in water management. The discussions emphasized the urgent need for federal reauthorization to continue supporting these initiatives, as many rural and disadvantaged communities still face substantial barriers in upgrading their water systems. Additionally, cybersecurity risks were noted, raising concerns over the vulnerability of water systems across the nation.

Transcript Highlights:

• </c> Department of Youth and Family Services Department of Youth and Family Services and<01:05:02.039
• The folks that we see generally work in the service industries, factory work, the food service industries
• The folks that we see generally work in the service industries, factory work, the food service industries
• Thank you very much. service to our community we have over service to our community we have over 300<
• </c><01:21:49.239><c> in</c> see generally work in the service in see generally work in the service in

Keywords: 1187, senate, all

Transcript Highlights:

• So welcome to everybody for our first hearing and committee of financial services.
• I am in my second term, but this will be my first session on Financial Services.
• You'll hear us in opposition to an act relative to financial technology services.
• Good afternoon, Chair Feeney, Chair Murphy, members of the Financial Services Committee.
• We also offer our members discounted services and group buying opportunities.

Keywords: 995, all

Summary: The committee held an informational opening hearing for the Financial Services Committee, with Chair Murphy and Senator Feeney introducing new and returning members and explaining that no bills were being heard that day beyond brief introductory testimony. Commissioner of Banks Mary Gallagher thanked the committee for last session’s money transmission modernization law, and several members echoed appreciation for her office’s work. The hearing then featured a long series of stakeholder introductions and overviews of their priorities for the session. Testimony covered a wide range of financial, insurance, housing, health care, and consumer issues. Banking and mortgage groups discussed housing affordability, foreclosure delinquencies, flood insurance, regulatory changes, and the impact of federal policy shifts. Insurance representatives raised concerns about auto and homeowners market pressures, labor rates, tariffs, rebates, e-titling, third-party litigation funding, and public adjuster restrictions. Consumer and advocacy groups highlighted debt collection reform, earned wage access, retirement savings access, public banking, and consumer protections in financial services. Several speakers also emphasized the need for committee expertise and offered themselves as resources for future bills. Health-related organizations focused on insurance mandates, prior authorization, behavioral health access, pharmacy benefit manager reform, community health center funding, maternal health and midwifery reimbursement, and anesthesia reimbursement parity. Other groups, including credit unions, retailers, auto dealers, dental and medical associations, and behavioral health providers, described their roles in the Commonwealth and previewed legislation or policy areas they expect to follow this session. No votes were taken; the meeting was informational and ended after testimony from the sign-up list and a few late additions.

Transcript Highlights:

• The fire service is no exception to that.
• Upon application for service, a utility must expand its service territory to a property outside its current
• service territory if the property is... ...to a property outside its current service territory if the
• for provision of services from a private utility.
• But if, let's say, there's a city that's providing water service...

Keywords: 999, senate, all

Summary: The committee heard and approved several bills on water quality, public safety, utilities, and transparency. CS/SB 848 on stormwater treatment and water quality enhancement areas was presented as a follow-up to prior water quality legislation and was reported favorably with no opposition. SB 28, a claim bill for Reginald Jackson against the City of Lakeland, was also reported favorably. CS/CS/SB 658, a bipartisan child drowning prevention bill for rental properties, drew extensive testimony from child advocacy, drowning prevention, and autism advocates who described Florida’s high child drowning rates and supported requiring at least one pool or water-safety feature at short- and long-term rentals; the committee adopted two amendments, including one requiring license applicants to certify compliance, and the bill was reported favorably. The committee also approved CS/SB 1724 on municipal utility services, which addresses outside-city utility service agreements, revenue use, rate limits, and customer meetings; an amendment added gas utilities back into the bill. CS/SB 934 on Florida Keys areas of critical state concern was amended to remove a section viewed as conflicting with the Live Local Act and then reported favorably. SB 1622, creating a one-time waiver for certain late-filed financial disclosure fines, was supported by speakers and reported favorably. CS/CS/SB 260 on electric vehicle storage at towing facilities was amended to focus on storage only and to limit the extra fee period until inspection clears fire risk; the bill drew mixed testimony from insurers, towing-related interests, and fire officials, but was reported favorably. Later, SB 1264 on private schools was presented as easing zoning and occupancy barriers for small schools and microschools, with supporters saying it would help meet demand for school choice; members raised concerns about local implementation, but the bill was reported favorably. CS/CS/SB 1014 on municipal utility service to properties outside city limits was amended to apply only to residential properties and to clarify capacity and annexation-related exceptions; it was supported by local-government and environmental testimony and reported favorably. CS/SB 1102, expanding the local government infrastructure surtax to include body camera costs, was amended so any use would require a new referendum and was reported favorably. Finally, SB 1566 on local government spending and transparency required online posting of budgets and related information, drew testimony from counties, cities, and transparency advocates about costs and uniform templates, and was reported favorably after amendment, with several senators noting concerns for smaller local governments while supporting the transparency goal.

Transcript Highlights:

• As it's grown, we're in a partnership with Northwest Health Services, and they've been our partnership
• But service one has a program that does community paramedic service, so when we get patients that are
• So those are the examples of the three different services that that service.
• We go all over the service areas that we're adjacent to. I have five counties.
• We provide 911 emergency services, too, but we do go into other areas.

Summary: The Committee on Local Government first took up Senate Substitute for Senate Bill 975, which concerns community paramedic/mobile integrated health services and related jurisdictional issues. Supporters, including ambulance and EMS leaders from Caldwell County and Cox Health, said the bill would help expand community paramedicine in rural and regional areas, improve patient care, reduce unnecessary emergency room use, and lower Medicaid costs. One witness described a successful program that cut Medicaid charges dramatically, while another said the bill would help ambulance districts merge and operate more efficiently. An opponent representing the Missouri State Council of Firefighters said the group supported the underlying bill but was concerned about the Senate-added jurisdictional language affecting community paramedic services and wanted those issues resolved. The committee heard testimony but took no vote before closing testimony on the bill. The committee then heard House Bill 3496, sponsored by Rep. Rodger Reedy, which would update county official salary schedules and assessed valuation ranges that have not been revised in decades. Reedy and the Missouri Association of Counties said the bill is intended to modernize minimum salary schedules while preserving local control through county salary commissions, with a growth factor designed to account for changing assessed valuations over time. Committee members asked about how the bill interacts with other salary legislation and whether counties could use alternative training or salary arrangements approved by their associations. Supporters said the proposal was developed through a multi-year task force process involving county officials and related associations. The Missouri Association of Counties and Warren County officials testified in favor, saying the bill reflects a broad consensus and better matches current county finances. No one testified in opposition to House Bill 3496, and the chair closed the public hearing and adjourned the meeting after testimony concluded.

Transcript Highlights:

• Our first one is our health care program 500, which includes our medical services, nursing services,
• assurance, reentry services, which is our transitional services, and Strength and Family.
• behavior intervention, our reentry services, which is kind of a bunch of transitional services together
• , quality assurance, reentry services, which is our transitional services, are strength and family.
• it to be reentry services.

Summary: The LEAP committee met on June 18, 2025, with introductions from members and staff, then received a clean audit report from the State Auditor covering 2020–2024. The audit reviewed accounts payable, general disbursements, theft-sensitive assets, and data backup/recovery, and found no findings. Staff also outlined the interim work plan, including a full rewrite of the capital budget application (Build Sum), updates to the transportation bond model and operating budget tools, website improvements, and continued research into secure, responsible AI use. Members asked about AI safeguards, keyword search improvements, and making the website more user-friendly, especially on mobile devices. The committee approved the July 8, 2024 minutes after a quorum was reached. It then considered and unanimously approved several budget format changes: the Department of Corrections moved chemical dependency and sex offender treatment into its health care program and renamed Program 700 from “Offender Change” to “Reentry Services”; the Department of Revenue moved the AMP program into its tax analysis and technology support program; and the Department of Transportation changed a toll program title and added new sub-programs for State Route 509 and State Route 167 toll operations to reflect new facilities and more accurate reporting. Kevin Feltis also provided staffing updates, noting the retirements of longtime LEAP staff, the hiring of three new associate consultants in October 2024, and an upcoming December 2025 retirement for Sherry Randage after decades of state service. The new staff members briefly introduced themselves and expressed enthusiasm for their work. The meeting ended with thanks to members and staff and adjournment after the committee completed its business.

Transcript Highlights:

• <00:06:28.720><c> in</c> Services in Services in support. support. support.
• Lean Gillespie, Department of Human Services, Office of Youth Services, in support.
• </c> will ask the office of youth services. will ask the office of youth services.
• </c><00:07:45.280><c> servicing</c><00:07:46.000><c> homeless</c> shelter service servicing homeless
• </c> Services Network in support. Services Network in support.

Keywords: 912, senate, all

Summary: The committee opened its Health and Human Services calendar, noted quorum, and first took up HB 194. The chair explained amendments to add an exemption for a person invited by a patient to attend a birth outside an accredited birth facility when no compensation is involved, remove a date reference in section 9, and accept Department of Health amendments. Members raised no objections, and the committee voted to pass HB 194 with amendments. The committee then heard HB 139 on insurance, with the Attorney General flagging possible unlawful delegation issues and suggesting clarifying language, while the Insurance Division stood on written testimony. A number of health organizations and advocates, including HMSA, Hawaii Association of Health Plans, oncology and fertility groups, testified in support. HB 613 on homeless youth drew broad support from state agencies, counties, youth advocates, and community groups; testimony emphasized the need for permanent safe spaces and more attention to unaccompanied minors, with one witness asking for clarity on funding and shelter capacity. HB 71 on a tax credit for family caregivers drew support from AARP, Alzheimer’s and children’s advocates, and several individuals, while the Tax Foundation raised concerns about blank provisions and the cost-effectiveness of administering a small credit. The Department of Taxation said a prior version with a $5,000 nonrefundable credit would have cost the general fund about $397.4 million. HB 716 on health care technology support received strong support from SHPDA, OHIN, and many provider groups, who described it as a one-time investment of roughly $20–25 million to connect rural and neighbor island providers to electronic health records; members questioned how the grant program would be allocated. HB 799 on physician hospital privileges also drew mixed testimony: supporters said it would align Hawaii with updated CMS rules and improve access, especially on Maui, while Maui Health and some members worried it could reduce on-call coverage and hospital safety, leading to discussion of a possible report and sunset date.

Transcript Highlights:

• And another is a PSN or a provider service network.
• FCC is proud to be the only statewide provider service network and the only long-term care provider service
• So some examples of the services people receive in the long-term care program include home health services
• Fee for service, as an example, is a transactional relationship.
• You perform a service, we pay you and reimburse you for that service performed.

Summary: The committee held a panel discussion focused on how Florida health care organizations are working to improve access, quality, and affordability. Panelists from Florida Community Care/Independent Living Systems, Sunshine Health, AdventHealth, UF Health, and Nemours described their approaches, including Medicaid managed care, value-based contracting, community partnerships, mobile screening units, smart-room technology, telehealth, and specialized programs for maternal health, children, and complex chronic conditions. Several speakers emphasized that managed care and coordinated care can improve outcomes while reducing unnecessary utilization and costs. Members asked about the impact of Medicare’s V28 changes, mobile cancer screening, urgent care versus emergency room billing, pediatric specialty access, complaint resolution, Black maternal mortality, provider shortages, network adequacy, and the use of AI in prior authorization. Witnesses said V28 has affected providers and revenue, UF Health’s mobile screening program is expanding beyond a few cancer types, and its urgent care model bills patients at the appropriate level rather than both urgent care and ER rates. Nemours said it reduced specialty wait times through scheduling changes, telemedicine, and registry tools, while AdventHealth described postpartum coordination and maternal heart programs to reduce maternal complications and mortality. On complaints and access problems, panelists said their organizations use patient/member advocates, care managers, call centers, and escalation processes to resolve issues, and Sunshine Health specifically discussed a transportation complaint that was addressed with its vendor and the family. Sunshine Health also said it is not using AI for prior authorization, though it is exploring responsible uses elsewhere, and Florida Community Care said it is not using AI in utilization management. In closing, panelists identified workforce shortages, provider burnout, and high-cost drugs as the biggest ongoing challenges. The meeting ended with thanks to the panel and adjournment after Representative Brackett moved to rise, without objection.