Transcript Highlights:

• Our residents deliver babies, care for the elderly, treat chronic disease, and manage complex acute care
• Our residents deliver babies, care for the elderly, treat chronic disease, and manage complex acute care
• </c><00:58:18.720><c> on</c> committee we've got Central Care on committee we've got Central Care on
• Welcome, Center Care and team.
• Please state your name for the record. wut uh Welcome Center Care and team if wut uh Welcome Center Care

Keywords: 1183, house

Transcript Highlights:

• I started my health care career 40 years ago in the long-term care industry.
• pharmacy. managed care organizations uh as a managed care organizations uh as a provider.<00:11:52.240
• </c> managed care, uh, our managed care managed care, uh, our managed care system<00:33:31.279><c> has
• Uh, state directed programs.
• </c> care services are covered by Medicaid. care services are covered by Medicaid.

Keywords: Call to Order and Roll Call – 00:00:00 Introduction of Board Members – 00:02:04 Overview of the Purpose and Goals of the Medicaid Oversight and Advisory Board – 00:12:46 Medicaid Legislative Update - 00:20:26 Discussion of Next Steps and Future Meeting Dates – 01:04:06 Adjournment – 01:06:37, 958, all

Summary: The first meeting of the Medicaid Oversight Advisory Board opened with Chair Ken Fleming and Co-Chair Rocky Adams welcoming members, explaining the board’s purpose, and introducing the diverse membership of legislators, providers, advocates, and state officials. Fleming said the board would meet monthly, allow public comment at the end of meetings, and operate transparently with materials posted online and distributed in advance. Both chairs emphasized that the board’s work would focus on improving Medicaid outcomes, efficiency, and oversight, while preparing for possible federal changes and avoiding premature assumptions about what Congress may do. Members then gave brief introductions describing their backgrounds in medicine, nursing, hospital administration, behavioral health, insurance, budgeting, pharmacy, and Medicaid administration. Several noted direct experience with Medicaid populations or managed care, including the Department for Medicaid Services commissioner, health plan representatives, hospital and clinic leaders, and legislators with health care backgrounds. The board also heard from Stephanie Bates of the LRC Office of Health Data Analytics, who said her office supports the General Assembly with health-related data, policy, and research and would serve as a resource to the board. Bates then began a presentation on Medicaid basics, explaining that House Bill 695 created the board and that the presentation would cover eligibility, enrollment, covered benefits, waivers, managed care, the budget, and the federal reconciliation bill. She described Medicaid eligibility as complex, noted that Kentucky had more than 1.4 million enrollees, and explained enrollment churn and the unwinding of pandemic-era continuous coverage. She also outlined mandatory and optional Medicaid benefits, the requirement that services be medically necessary and provided by enrolled providers, and the main waiver types used in Kentucky, including 1115, 1915(b), and 1915(c) waivers. No votes or formal actions were taken at this meeting beyond organizational setup and receiving the initial informational presentation.

Transcript Highlights:

• Chair, Nicole, and so because we have a state self-insured health care plan, we already aren't required
• any data on that that we could, you know, that could potentially help efforts to make sure we take care
• our employees instead of doing what my colleague just shared about not funding our current health care
• You know, that could potentially help efforts to make sure we take care of our employees instead of doing
• what my colleague just shared about not funding our current health care plan that we have.

Keywords: 1182, all

Summary: The House Democratic Caucus met on Minority Caucus Calendar items and reviewed several Senate-amended House bills. HB 2003 would lower the learner’s permit age from 15½ to 15 and increase supervised driving time; the Senate added a delayed effective date of December 1, 2026, and the sponsor was said to have refused the amendment after previously concurring. HB 2693 would allow chambers of commerce to set up insurance purchasing pools for small businesses, and the Senate added a third-party-funded feasibility study by ADOA on what it would cost for state health insurance to enter the marketplace; members raised concerns that the study could be used to undermine the state self-insured plan, but no action was taken. HB 2133, dealing with synthetic sexual depictions and online sexual material verification, had multiple Senate changes that removed the synthetic-depiction expansion, added parody/artistic-expression exceptions, altered verification and record-retention rules, and removed AG inspection authority; the sponsor was expected to refuse the changes, and members were directed to stakeholder emails outlining concerns.

Transcript Highlights:

• Please direct your attention to the gentleman from Boone. Gentleman from Boone. Thank you.
• When I decided to go this direction with this bill, I was asked to... Thank you.
• But they direct the people who can. That's something to think about, lady. Thank you.
• But they direct the people who can. That's something to think about, lady. Thank you.
• But it could be highly unlikely, but they're under direct order of the speaker. No, ma'am.

Keywords: 959, house, all

Summary: The House convened with prayer, the Pledge of Allegiance, and approval of the previous day’s journal by roll call vote, 102-1. Members then used points of personal privilege and special guest introductions to recognize constituents, advocacy groups, students, school officials, physical therapy advocates, domestic violence service providers, and others. One member delivered an emotional statement about the arrest of the suspect in his sister’s 26-year-old murder case, thanking law enforcement and prosecutors involved in the cold-case investigation. The chamber then took up House Bills 2097 and 1905, a measure to expand an agriculture education pilot program into a statewide option for elementary schools. Supporters from both parties described it as a way to teach children where food comes from, connect agriculture with literacy and math, and encourage interest in farming and related careers. The House adopted the committee substitute and perfected and printed the bills. Members also considered House Bill 2167, which would codify and expand authority for Attorney General investigators and, through amendments, address House and Senate security officers and certain other state officers. Debate centered on whether the bill improperly broadened the original subject and whether it would give too much arrest power or create safety and constitutional concerns. One amendment to the amendment failed on a roll call, 62-68-1, but the House adopted the St. Charles amendment 61-43 and then perfected and printed HB 2167 as amended. Finally, the House took up House Committee Substitute for House Bills 2747 and 2047, a clean-slate/automatic expungement bill. Supporters said it would give people who have completed their sentences a second chance and improve access to jobs and stability; the sponsor also explained a related change limiting death-penalty sentencing in hung-jury cases so judges would not impose death in that circumstance. The House adopted an amendment requiring expungements to be shared with consumer reporting agencies, then adopted the committee substitute and perfected and printed the bill as amended. The House also announced upcoming events and then recessed until 2 p.m.

Transcript Highlights:

• Before we begin the presentation, I'd like to take care of some logistical housekeeping.
• But broadband... ...broadband prices moved in the opposite direction.
• And that additional choice is also going to have a direct impact on prices.
• So that took care of the low-income concerns of affordability.
• So that took care of the low-income concerns of affordability for us in that respect.

Keywords: 988, house, all

Transcript Highlights:

• to care while respecting providers' conscience rights.
• already taken care of.
• that the standard of care would require.
• But if the moms are getting care, Senator, I don't...
• That's why people seek online health care.

Summary: The Senate began with a quorum call, prayer, approval of the previous journal, and messages from the House, then moved through several recognitions and resolutions honoring visiting groups. Members adopted resolutions recognizing the Texas chapters of Blue Star Mothers of America, Fine Arts Education Day, Donate Life Texas Day, Baha’i Capitol Day, County Government Day, Jack County Day, Crockett County Day, and a recognition of Navy Petty Officer Simon Urbanik for service during the Cuban Missile Crisis. The chamber also heard remarks from visiting doctors, students, county officials, and community groups, with multiple senators speaking in support of military families, arts education, organ donation, and local government service. The Senate then took up Committee Substitute Senate Bill 2779, relating to the allocation and use of certain hotel occupancy tax revenues. Senator Birdwell said the bill would stop local governments from conditioning HOT funds on race- or class-based priorities and would require Galveston to transfer the full state rebate for beach cleaning and maintenance to its park board. After questions, the Senate suspended the rules, passed the bill to engrossment, suspended the three-day rule, and finally passed it, though the final vote showed significant opposition. The chamber also passed Committee Substitute Senate Bill 2322, described as a cleanup bill removing the compelling-factor test for dispatchable generation from the Texas Jobs, Energy, Technology, and Innovation Act. A major debate centered on Committee Substitute Senate Bill 2253, which would phase out uncertified teachers in core classrooms and strengthen educator certification requirements. Senator Creighton argued the bill responds to a teacher pipeline crisis, adds parent notification, creates multiple preparation pathways, and provides financial incentives for certification; Senator West and Senator Sparks pressed for rural flexibility and implementation details. An amendment from Senator Gutierrez to add a teacher student-loan repayment program failed on a 11-17 vote, while other technical and fiscal amendments were adopted. The bill then passed to engrossment, the three-day rule was suspended, and it was finally passed. The Senate also passed Committee Substitute Senate Bill 2371, updating skimmer-reporting rules to cover electronic terminals beyond fuel pumps, and Committee Substitute Senate Bill 2351, relating to the construction of certain concrete plants under a standard permit. Senate Bill 619, a conscience-protection bill for health care workers, drew extended questioning from Senators Cook, Eckhardt, and Menendez about patient abandonment, scope, and whether it could allow refusals of legal services such as vaccines, antibiotics, contraception, or personal care; despite those concerns, the Senate suspended the rules and passed the bill to engrossment. Finally, the chamber began consideration of Committee Substitute Senate Bill 1169, which would allow public entities to form public utility agencies to cooperate on water and wastewater projects without eminent domain or cross-collateralization, with Senator Hinojosa explaining it as a tool for small and rural communities facing utility infrastructure problems.

Transcript Highlights:

• And that’s part of emergency medicine care and addiction care and dealing with challenges like xylazine
• allowing people to know, people can mostly self-care, but it's helpful to have a wound care nurse every
• They had more of their care needs met.
• Wound care access should be available at all levels of care, from the street outreach we do to detox
• wound care, right?

Keywords: 995, all

Summary: The Special Commission on Xylazine convened its second meeting, approved the minutes from its June 23 meeting, and reviewed its timeline and working groups. The co-chairs said the commission’s final report is due to the House and Senate clerks by March 30, 2026, and outlined three working groups focused on regulation/oversight of xylazine, treatment and outreach for exposed patients, and education/training for first responders, clinicians, treatment providers, and people who use substances. Staff will schedule working group meetings, with group presentations planned for December 11, followed by commission meetings in February and March to review and finalize the draft report. Public comment centered on research and practical responses to xylazine contamination in the drug supply. Dr. Tracy Green of Brandeis reviewed recent studies showing severe xylazine-related wounds and amputations in Philadelphia, withdrawal symptoms, the value of wound identification tools, and the usefulness of drug checking in detecting xylazine even when users did not suspect it was present. She urged expanded low-barrier wound care, more access to medications for opioid use disorder, overdose prevention sites, housing, and trauma-informed care, while cautioning that stricter controls could push the market toward other dangerous alpha-2 substances. Commissioners asked about early wound identification, dilution/cutting strategies, supplier engagement, and how to reduce stigma and improve treatment access. Tia Johnson of Boston Medical Center and Boston Health Care for the Homeless testified that xylazine contamination still requires naloxone for overdose response, but sedation can last longer and may require low-dose naloxone, oxygen support, and low-threshold monitoring spaces. She emphasized that xylazine-associated wounds can heal with consistent care, but patients often lose access to services when sent to hospitals unnecessarily. Commissioners discussed reimbursement barriers, especially in MassHealth and behavioral health settings, and the need for wound care to be available within detox and treatment programs rather than requiring transfers. The meeting ended with agreement to continue working group planning and adjournment.

Transcript Highlights:

• Unfortunately, veterans are confronted with losing access to VA's direct care system in and around the
• it can't be at the expense of the VA direct care system, which many veterans prefer and rely on.
• VA care is going to happen; VA care will be there.
• But cutting direct care people in a health care system—cutting people who coordinate care so that veterans
• I hope you'll distinguish between direct care workers and others who serve veterans behind the scenes

Transcript Highlights:

• You need to take care of your own house.
• higher cost of care.
• Not because they don't care, but because they must work, care for a child, or manage their own health
• It is not substandard care.
• So these days are not in lieu of hospital care.

Summary: The committee first heard Senate Bill 5899, which would create a chiropractic license endorsement allowing qualified chiropractors to perform chiropractic diagnosis and adjustments on non-human animals. The sponsor described it as a complementary tool to veterinary care, especially in rural areas with limited access to veterinarians. Testimony was mixed: supporters said the bill would expand access to animal chiropractic with training, certification, and veterinary referral to non-chiropractic issues, while opponents from the veterinary community warned about animal and public safety, disease detection, and the lack of a required veterinary referral. The hearing on SB 5899 was suspended and later reopened; testimony concluded with strong support from animal chiropractic practitioners and opposition from veterinarians, and the committee noted 57 signed in pro, 4 con, and 1 other. The committee then held a work session on dental workforce shortages. Presenters from the CORA Foundation, the University of Washington Center for Health Workforce Studies, tribal dental programs, and the Washington State Dental Association described major access gaps, especially for Apple Health enrollees, rural communities, and communities of color. They highlighted low preventive-care utilization, high rates of untreated decay, workforce vacancies for hygienists and assistants, and the value of career ladders such as community health aides and proposed oral preventive assistants. Several speakers emphasized that training pathways, retention, and sustained Medicaid reimbursement are key to improving access and keeping providers in the system. Senate Bill 6138, requiring a multi-provider system for dental procedures performed under deep sedation, drew testimony centered on patient safety after recent deaths in dental settings. The sponsor said the bill responds to a pattern of tragic incidents and would ensure one person is dedicated to monitoring sedation. Supporters from anesthesiology and some oral surgery groups backed stronger monitoring requirements, while oral surgeons and dental representatives argued the current rules already require multiple trained personnel and that the bill could reduce access and increase costs, especially in rural and Medicaid-serving practices. The committee then heard Senate Bill 6072, which would update veterinarian-client-patient relationship rules to allow telemedicine-based relationships and limited telehealth services; animal welfare and veterinary telehealth advocates supported it as an access-to-care measure, while the veterinary association sought clearer guardrails and federal-law language. Finally, the committee heard Senate Bill 6094 on pediatric transitional care services, which would create a Medicaid payment pathway and related program changes for residential care for substance-exposed infants; supporters said the model helps infants and parents, improves outcomes, and is financially unsustainable under current funding, and the hearing began with testimony in favor before time expired.

Transcript Highlights:

• Trust is a foundation of patient care.
• And this is a step in the right direction.
• Abortion care is common and safe, and APCs have been trained in providing this care for over a decade
• humane care...
• humane care.

Summary: The Assembly Business and Professions Committee heard a full agenda of bills covering travel consumer protections, cannabis commerce with tribes, medical record integrity, pest control licensing, pawn and gold-buying regulation, pharmacy discipline, land surveying, and expedited licensing for veterans separated under a federal transgender military policy. Members also later heard AB 1973, which would expand the ability of advanced practice clinicians to provide abortion care, with supporters arguing it would improve access and opponents warning about safety and scope-of-practice concerns. Several bills were presented before quorum was reached, and the chair repeatedly urged absent members to arrive so the committee could vote. Testimony on the bills was largely in support. Authors and witnesses said AB 1758 would raise the seller-of-travel assessment cap to keep the Travel Consumer Restitution Fund solvent; AB 2506 would allow state cannabis licensees to sell products from tribal licensees while respecting tribal sovereignty; AB 1637 would prevent non-physicians from altering physician-authored medical notes; AB 2477 would create a short provisional period for pest control workers awaiting licensure; AB 2633 would close a loophole involving remote gold-buying events and stolen property reporting; AB 2141 would let the Board of Pharmacy resolve some cases through stipulated settlements before formal accusations; and AB 1933 would make technical clarifications to land surveying law. AB 1775 drew emotional testimony from transgender service members and advocates describing the impact of federal separation policies and the need for California licensing and support. Once quorum was established, the committee voted out the consent calendar and each of the heard bills, generally on party-line or near-unanimous votes. AB 1637, AB 1758, AB 1775, AB 1933, AB 2141, AB 2477, AB 2506, and AB 2633 all passed out of committee, most to Appropriations or another policy committee as noted. AB 1973 also passed, despite a no vote from some members and an opposition witness from the California Family Council. The committee later took vote changes and additional roll calls for absent members before adjourning.

Transcript Highlights:

• The Senate directs that this tribute be presented to David J.
• Like you are just so steadfast in caring and just always.
• facilities, and child health care facilities.
• We took care of that. So that's all I had to say with that.
• But I do care, and I hope we do the right thing.

Keywords: 1064, all

Transcript Highlights:

• For a state that has done so much for reproductive care, this is just not acceptable.
• The state average for primary care physicians is 156 per 100,000 people.
• It’s a direct result of the UC’s monopoly on medical degrees.
• There's a shortage of health care providers. We know that.
• We will find a way, but please do not oppose giving the gift of health care to the Valley.

Summary: The Assembly Higher Education Committee heard a series of bills focused on student access, equity, and campus support services. AB 2660 would codify the CalBridge and ENLACE STEM pipeline programs to help underrepresented students move from high school through Ph.D. and faculty or industry careers; AB 2121 would let community colleges temporarily exclude certain local backfill dollars from the 50% instructional spending law so they can replace lost federal funding for MSI and TRIO programs; and AB 1920 would clarify that students do not lose California College Promise eligibility if they earn a certificate as part of a stackable pathway to an associate degree. AB 1636 would authorize Cerritos College to use voluntary data-sharing agreements with K-12 districts to create ready-to-enroll student records, AB 1845 would add human trafficking training and reporting requirements to campus Title IX-related processes, AB 1784 would extend pregnancy and parenting protections to undergraduate students, AB 2229 would create a CSU reentry support program for stopped-out students, AB 1852 would create a conditional pathway for a Kern County medical school if UC does not act, AB 1928 would allow both an advisor and a support person in campus sexual misconduct proceedings, and AB 2392 would require training before AI tools are deployed to students, faculty, or staff. Testimony was largely in support of the measures, with authors and witnesses emphasizing student success, equity, and removing administrative barriers. Supporters included community college and university officials, student leaders, advocacy groups, and survivors. AB 2121 drew the most mixed testimony: community college leaders and students supported it as a temporary response to federal cuts, while faculty groups opposed it or raised concerns about weakening the 50% law and the need for the proposal. AB 1852 also drew opposition from the CSU Chancellor’s Office, which argued the proposal could have broader operational and governance implications, though supporters said Kern County’s doctor shortage justified a local solution. AB 1784, AB 1845, and AB 1928 were framed as protections for vulnerable students in pregnancy, trafficking, and sexual misconduct proceedings, respectively, while AB 2392 was presented as a modest training and transparency requirement to accompany AI adoption. The committee took action on the bills after testimony. Most measures were approved on bipartisan roll calls and re-referred to the appropriate committees, including AB 1636, AB 1784, AB 1845, AB 1920, AB 1928, AB 2229, AB 2392, and AB 2660. AB 2121 and AB 1852 also advanced, though AB 1852 had several members not voting and AB 2121 drew one no vote. The committee also approved a consent calendar that included AB 1591, AB 2203, and AB 2572, and members were invited to add on to bills after the votes.

Transcript Highlights:

• The health care landscape is evolving.
• We provide registered dietitian services in long-term care, senior living, and post-acute care, including
• In long-term care and post-acute care settings, nutrition is not optional.
• Compacts by design increase access to health care.
• Yes, where are the health care professionals?

Keywords: 959, house, all

Transcript Highlights:

• This should be the standard of care guaranteed to all students, not the exception.
• This should be the standard of care guaranteed to all students, not the exception.
• Parents have the fundamental right to direct the upbringing of their children.
• Starting care within three minutes is the gold standard.
• back to the schools that are providing the care.

Keywords: 995, all

Summary: The Joint Committee on Education held a public hearing on a large slate of bills, with the chairs emphasizing time limits, written testimony, and grouping similar measures together. Early testimony focused on opioid use disorder education in schools (S.382), with Senator Keenan arguing that students should be taught about the risks of substance use disorder and naloxone use as part of health curricula. Representative DeCost also briefly introduced H.551, a narrow bill concerning parent rights for children in third grade and younger. Several bills were then closed without testimony, including measures on type 1 diabetes informational materials and other diabetes-related proposals. A major portion of the hearing centered on school health and emergency response bills. Supporters of H.652/S.342 on diabetes management in schools described inconsistent district practices and urged clearer standards so students can receive care in classrooms rather than being sent out of instruction. Bills on epinephrine access and seizure disorders drew extensive testimony: advocates for stock epinephrine in schools argued that unassigned epinephrine can save lives and should be funded in a cost-neutral way, while a pediatrician opposed one version as an unfunded mandate. For seizure-safe schools (S.422/H.635), students, parents, educators, and advocates described missed or delayed responses to seizures, stigma, and the need for staff training, seizure action plans, and emergency medication protocols. A separate bill, H.645, allowing anti-seizure medication on school buses, was supported by a parent and student who said current law forces costly and restrictive transportation arrangements. The committee also heard testimony on youth skin health bills (S.334/H.600/H.619), which would let students carry and apply sunscreen at school and camp without a physician’s note. Supporters from melanoma prevention, dermatology, and industry groups said the bills would remove unnecessary barriers and promote sun-safe habits, while one witness cautioned about drafting details and unintended consequences. The hearing then moved to CPR/AED education for graduation (S.456), where Senator Tarr, a student advocate, and the Red Cross all supported requiring hands-on CPR certification for high school students. Finally, the committee took testimony on healthy school lunches (H.539/S.401): supporters from the Healthy School Lunch Coalition and school food directors backed stronger nutrition standards and a standing advisory council, while Consumer Brands Association witnesses opposed the bill as too vague and potentially disruptive. A nutrition scientist also warned about unintended restrictions on medically necessary or innovative foods. The chairs closed the hearing on the healthy lunch bills and then opened testimony on universal school meals for virtual schools (H.700), with Superintendent Patrick Latuka supporting access for students in Commonwealth virtual schools who currently receive no meal support.

Transcript Highlights:

• “Available to take care of the ones who would qualify under the current threshold?”
• “Dental care.
• Additionally, not every single year will every veteran need the same dental care?
• And so at this point, we like the direction, Senator Broder, and the Senator heading.
• I'm happy that we're moving in the right direction.

Bills: S0330, S0474, S0694, S1120, S1216, S1366, S1442, S7018

Keywords: firefighter disability, law enforcement disability, correctional officer disability, correctional probation officer, presumptive disability, workers' compensation, line of duty presumption, heart disease presumption, hypertension presumption, tuberculosis presumption, public safety employees, first responders, physical examination, preemployment exam, medical specialist, Medicare reimbursement, employing agency, Florida Statutes 112.18, Florida Statutes 943.13, occupational disease

Summary: The committee heard and advanced several bills, beginning with SB 694 on compensation for the descendants of the Groveland Four. Senator Bracey Davis described the wrongful accusations, convictions, deaths, and long-term harm to the families, and an amendment added a $4 million appropriation and updated the recipient for Ernest Thomas’s family. Multiple family members, advocates, clergy, and supporters testified in favor, emphasizing the decades-long delay in justice and the need for accountability and repair. Senators from both parties spoke in support, and the committee reported the bill favorably after a roll call vote. The committee then approved SB 330 on disability provisions for firefighters, law enforcement, and correctional officers; SB 474 on military affairs leave and related benefits; and SB 96 on the Veterans Dental Care Grant Program. SB 96 drew the most discussion, with Senator Sharief explaining that the bill raises eligibility to 400% of the federal poverty level and moves $500,000 in recurring funding to the General Appropriations Act. Senator Wright and Senator Harrell raised concerns about whether expanding eligibility could worsen the existing waitlist, while supporters argued the change would help more veterans access needed dental care. The bill was ultimately reported favorably. The committee also passed SB 7018 on child welfare, making the Step Into Success pilot program permanent and statewide, adjusting visitor/background-check rules for foster homes, and creating a best-practices program through the Florida Institute for Child Welfare. SB 480 on information technology was reported favorably after amendments creating a central IT governance structure under the Governor’s office, adding vendor performance metrics and a preferred vendor list, and restoring criminal justice information security provisions. SB 1066 on the Ocklawaha River and Rodman Dam also advanced after extensive testimony from supporters and historians about partial restoration, recreation, and economic benefits; the sponsor said he would continue working through permitting questions before floor consideration. Later, the committee approved SB 1216 on educator compensation, which gives districts more flexibility on cost-of-living adjustments, advanced degrees, and performance pay caps, and SB 1120 on water management district oversight and reporting. The committee also reported favorably SB 1366 on sovereign immunity and claims against government, which would raise damages caps, index them to CPI, shorten claim deadlines, and cap attorney fees at 25%. That bill drew testimony from hospitals, cities, counties, school districts, and others, with some supporting the Senate’s compromise approach and others raising concerns about impacts on self-insured law enforcement agencies and attorney incentives. The meeting concluded with the favorable report on the bill after debate continued over those issues.

Transcript Highlights:

• This is Continuum of Care funding.
• Continuum of Care—I need to understand what that is. Tell me the kind of dollars.
• I need a little bit more definition of what Continuum of Care is, please.”
• It kind of goes in line with the Continuum of Care dollars.
• We accept that struggle is normal and work to normalize person-centered care.

Summary: The Housing Committee held work sessions on federal Continuum of Care homelessness funding and on state step-housing siting rules before moving into public hearings on House Bill 2266 and House Bill 2489. Commerce staff said HUD’s late and restrictive Continuum of Care funding notice put about $120 million a year in Washington operating support for existing homeless housing projects at risk, but a lawsuit led by the Attorney General forced HUD to restart renewal funding. Commerce also reviewed how local governments are implementing step-housing requirements, including model ordinances, planning updates, and ongoing compliance reviews under recent state law. House Bill 2266 would require cities and counties to allow step housing in all nonindustrial zones, apply the same permitting and environmental review as other residential uses, limit design review to administrative processes, and remove certain local standards and conditions on existing buildings and affordable housing. Supporters, including Plymouth Housing, Disability Rights Washington, King County, the Attorney General’s Office, and Catholic Community Services, argued the bill would reduce discriminatory barriers, protect people with disabilities, and make it easier to site shelters, transitional housing, and permanent supportive housing. Several city representatives and the Association of Washington Cities opposed or sought amendments, saying the bill was too broad and could limit local authority over operational agreements, safety plans, spacing, community engagement, and funding conditions; some asked for clearer carveouts for emergency shelters and related uses. House Bill 2489 would bar local governments from enforcing public-space anti-camping or similar laws unless adequate alternative shelter space is available, with “life-sustaining activities” and “adequate alternative shelter space” defined in detail. Rep. Gregerson said the bill would create a statewide floor and prevent punishment for survival conduct when no real shelter option exists. The ACLU, service providers, and shelter operators supported the bill, citing displacement from fragmented local ordinances, enforcement costs, and the need to align enforcement with actual shelter availability. Testimony also described low-barrier shelter operations and examples of people stabilizing once housed. The hearing on HB 2489 began with staff explanation and initial testimony; no votes were taken on either bill in the transcript.

Transcript Highlights:

• </c><00:48:07.119><c> I</c> it is very important for our care. I it is very important for our care.
• Bell. care including hospitals or lack thereof care including hospitals or lack thereof or<00:58:26.640
• I appreciate your passion in caring for the health care of people in Mississippi.
• I appreciate your passion in caring for the health care of people in Mississippi.
• I appreciate your passion in caring for the health care of people in Mississippi.

Keywords: MS House Floor - 21 January, 2026; 2:00 PM, 925, all

Transcript Highlights:

• </c> directives of this body. directives of this body.
• Now, if that's the direction the university wants to go and that's not the direction of this body.
• </c> the direction of this body. the direction of this body.
• If you take care of this, an out.
• </c> don't want to go in the other direction. don't want to go in the other direction.

Keywords: 916, all

Transcript Highlights:

• in order to improve access to care.
• That surgeon went home and left him in the care of a nurse who had never worked critical care.
• Providing good care.
• Medicaid claims that cross over from Centennial Care to Turquoise Care.
• So, those are some health care quality measures in the health care setting.

Transcript Highlights:

• Another thing is child care.
• Another thing is child care.
• No health care worker, no care. So we need well-trained health care professionals.
• We should be careful how we rate those. I will be very careful. Representative Stemen.
• We should be careful how we rate those. I will be very careful. Representative Steeman.

Keywords: 908, all

Summary: The committee first approved the December 10 minutes and then received a DEQ base budget summary and agency overview. DEQ staff explained that the agency is largely federally and special funded, with major ongoing costs in salaries, operating expenses, grants, and continuing appropriations. Director Dave Glatt and accounting director Beth Jacobson highlighted core programs, the move to a new chemistry laboratory, the new state fuel inspection program, wastewater-related funding from HB 1577, and implementation of SB 2267 for on-site wastewater rules. They also noted the agency’s spending patterns, possible federal EPA cuts, and the likelihood of some fee adjustments or program changes if federal support declines. Members asked about DEQ’s travel, field offices, future staffing, and how the agency would respond to reduced federal regulation. DEQ said most staff are based in Bismarck, with field offices in Fargo, Sawyer, and Gwinner, and that travel is driven by inspections and spill response. Glatt said the agency would continue to rely on science and law, and that any future federal retrenchment could mean more state responsibility but likely not a wholesale increase in FTEs. The committee also discussed a feedlot enforcement case in the Minot area, with DEQ explaining its role in ensuring compliance, permitting, and animal-waste management standards. The Department of Health and Human Services then presented on FTE block grant reporting, TANF balances, child care transfers, and the Rural Health Transformation Program. Donna Ockland explained that no line-item transfers had occurred yet for the new rural health work, but about 33 positions were planned and some current staff time could be reimbursed through approved cost allocation. HHS also reviewed TANF’s frozen eligibility and block grant structure, the transfer of up to 30% of TANF funds to child care, and recent program changes that increased benefits and raised the income limit. Staff said the department is using TANF more strategically to support child care and other allowable uses, while still carrying over unused funds as many states do. Finally, Pat and HHS staff gave an update on the Rural Health Transformation Program, saying the first funding opportunity was being posted and that the state is on track to obligate the federal funds within the required timeline. They described priorities such as workforce retention, preceptor development, technical assistance for critical access hospitals, community wellness projects, and ambulance upgrades. Members asked about rural versus urban eligibility, immigrant recruitment, evaluation of year-two funding, and how the program would address varied local workforce needs. The meeting then shifted to an Office of Management and Budget update on the new State Hospital project, where Lindsay Ashley reported continued construction progress, updated cost information, and selected alternates, with photos and details showing work underway in multiple building sections.