Transcript Highlights:

• We're grateful for the Legislature for holding the line on corporate fair share payments for Medi-Cal
• removal of dental benefits for the UIS population, and transitioning FQHCs from their prospective payment
• We're also grateful for the Legislature for holding the line on corporate fair share payments for Medi-Cal
• I just want to express our sincere gratitude for the delay of the Prop. 56 payment cuts for Medi-Cal
• family fees, we continue to ask for a one-year extension to July 1, 2027, in order to establish a payment

Keywords: 987, senate, all

Transcript Highlights:

• SB 1043, now titled state agencies virtual currency payments, passed committee on a party-line vote and
• Virtual currency payments. We can pull it. Okay, thank you.
• SB 1043, now titled state agencies virtual currency payments, passed committee on a party-line vote and
• Virtual currency payments. We can pull it. Okay, thank you. SB 1180, Nicole.
• Virtual currency payments. We can pull it. Okay, thank you. SB 1180, Nicole.

Keywords: 1182, all

Summary: The meeting was a caucus review of a large calendar of Senate bills, with members mainly hearing short titles, committee vote counts, and whether bills were on consent or pulled for further discussion. Many measures were reported out on party-line or split votes and several were flagged to be removed from consent, especially bills involving artificial intelligence content verification, public benefits eligibility, gender transition procedures liability, health insurance reimbursement for vaccines, light rail feasibility review, public employees merit hiring, public records fees, virtual currency payments, tax conformity, undocumented immigrants and financial services, central bank digital currency, and public monies investment in trust currency. The caucus also discussed a number of education, public safety, child welfare, health, and regulatory bills. These included measures on school communications, bullying liability, AED training, classroom management, school safety reporting, DCS procedures, fingerprinting at behavioral health facilities, probation conditions, missing children reporting, sex offender monitoring, crimes against children probation monitoring, and domestic violence release conditions. Several members raised objections or concerns about specific bills, including mandatory sentencing, religious sectarian law language, concealed weapons notice repeal, and a bill on death sentence by firing squad, with some members asking to pull those bills from consent. A final topic was a blue-sheet Senate amendment to HB 2874 on campaign committee termination statements and penalties. Rhonda explained the Senate changes would void penalties for committees with no contributions or expenditures, retroactive to December 2021, but noted the Senate did not secure enough votes for the emergency clause. Members asked about the rationale, the Secretary of State’s position, and the amount of outstanding penalties. The chair later announced that the Senate amendment was being refused, so the bill would not receive final passage that day and would instead be sent back for further action or conference.

Transcript Highlights:

• Um, the bill would allow them to receive the child support payments, um, to support the child.
• and call the child support division and have something to where they could set up child support payments
• , but in circumstances where there's already an order, what it would do is redirect the payment to the
• uh, which enables courts to require a father to equitably fulfill his duties to his child via the payment
• Simply ordering the payment of child support from the point of conception in no way encourages the parents

Transcript Highlights:

• The bill would allow them to receive the child's support payments to support the child.
• can go ahead and call the child support. have something to where they could set up child support payments
• , but in circumstances where there's already an order, what it would do is redirect the payment to the
• the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . payment
• Simply ordering the payment of child support from the point of conception in- no way encourages the parents

Bills: SB387, SB1335, HB1671, SB1760, SB1839, SB1923, HB1928, HB4942, HB5628, HB5642, HB1980

Keywords: judicial bond, guardianship, probate law, county judge, statutory county court, estates, inheritance, representative duties, court authority, personal representative, retroactive child support, parentage, genetic testing, family code, child's conception, incapacitated persons, court proceedings, guardianship fees, estate management, probate

Transcript Highlights:

• House Bill 3887 increases payment and performance bond dollars thresholds to $150,000 for public work
• Projects must take out certain surety bond, surety bonds, including payment bonds and performance bonds
• Current state law requires payment bonds for contracts in excess of 25,000. $25,000 in performance bonds
• Payment bonds ensure the general contractor pays all or all of his or her subcontractors and suppliers
• House Bill 3887 raises that threshold for payment bonds from $25,000 to $150,000 and performance bonds

Transcript Highlights:

• And the OMV does sometimes make payment plans with people that are making an earnest effort to retire
• question I was going to ask, because OMV already has the Commissioner make decisions now based on payment
• But he does have some discretion now to put people on payment plans and make sure, and actually get on
• that payment plan, and you may not, he waived some fees because the $6,000 never was going to get paid
• So he reduced it maybe to something and put them on a payment plan.

Bills: HCR32, HCR53, HCR60, HCR68, HB582, HB730, HB762

Keywords: Saint Claude Avenue Bridge, Port of New Orleans, backup motors, infrastructure, traffic management, oversized vehicles, permitting, economic impact, transportation, local regulations, Louisiana economy, Interstate 12, I-12, Interstate 55, I-55 interchange, DOTD, Department of Transportation and Development, D.R.I.V.E. Initiative, highway infrastructure, transportation planning

Transcript Highlights:

• Provide a parent with receipts for expenses, and on page 7, further down, F, refund payment, for which
• opposition is to the fact that as we continue to try to find resources for increasing our appropriate payment
• taking money from public schools, but it does when we've been told that a 1% increase to the per-pupil payment
• seen it in their communities when up to 5, 10, 20 students leave their district and that per-pupil payment
• having some of this information as we come back again to have more conversations around our per-pupil payment

Keywords: 908, all

Summary: The Senate Education Committee met with a quorum and first took up House Bill 1540, an education savings account bill. Senator Wobbema presented Amendment 040-003, describing mostly clarifying and reorganizing changes, including eligibility language, administrator duties, school participation standards, assessment provisions, and a correction removing a requirement that the department pay for state assessment materials if a parent selected that option. The committee adopted the amendment 4-2, then advanced HB 1540 as amended on a 4-2 vote and sent it to Appropriations, with Senator Wobbema designated as carrier. One senator opposed the bill, arguing it would divert resources from public schools and conflict with the state’s obligation to provide a free appropriate education while districts still face funding needs.

Transcript Highlights:

• The information includes charges of theft and making false claims for health care payments.
• is charged with making personal purchases with a government credit card, including rent and a down payment
• The information includes charges of theft and making false claims for health care payments.
• Defo Mabrat of Portland, who pleaded no contest last week to making a false claim for health care payment

Summary: Oregon Attorney General Dan Rayfield held a press event marking National Health Care Fraud Takedown Day to highlight the state’s Medicaid fraud enforcement work and announce four new criminal filings. He said the Oregon Department of Justice’s Medicaid Fraud Unit, which includes investigators, auditors, attorneys, data analysts, and a nurse investigator, has secured hundreds of convictions and settlements since 2010 and recently received additional staffing from the legislature. He framed the work as bipartisan and aimed at protecting vulnerable Oregonians, recovering taxpayer dollars, and deterring fraud. The announced cases involved alleged provider or vendor fraud rather than Medicaid recipients: Ed Morgan of Beaverton was charged in connection with housing assistance funds tied to a health-related social needs program; Linda Thomas and her company, Gateway of Willamette Valley, were charged with billing Medicaid for day support services not provided; and Amanda Thorne, a former Lane County employee, was charged with using a government credit card for personal purchases. Rayfield also noted recent progress in other cases, including a nurse who pleaded no contest to false billing and theft and was sentenced to jail, probation, and restitution, and a medical transportation company owner recently charged with billing for services not provided. In response to questions, Rayfield said Oregon staff attended a federal meeting on Medicaid fraud despite late notice and political tensions, emphasizing that fraud enforcement should remain bipartisan. He said the federal landscape is complicated by cuts to enforcement staff even as there is talk of increased enforcement, and that states have had to step up. He also said Oregon’s managed care system has not been a major barrier to investigations, which typically begin with complaints and are developed with partner agencies. No votes or formal legislative actions were taken at the event.

Transcript Highlights:

• a year, usually an August payment and a January payment.
• The August payments are often interest only, and the January payment is the principal for that year as
• a year, usually an August payment and a January payment.
• The August payments are often interest only, and the January payment is the principal for that year as
• a year, usually an August payment and a January payment.

Keywords: 1183, house

Transcript Highlights:

• Members, this is a bill relating to the procedures to establish payments for those individuals whose
• for those who individuals uh um payments for those who individuals uh found found found whose<00:18:
• This would bypass that mechanism and require automatic payments be made to these individuals within 5
• Um, there is a payments being made.
• It's the automated payment of things.

Bills: HB1997, HB2343, HB2566, HB2493

Keywords: students with disabilities, individualized education programs, emergency plans, evacuation procedures, support services, Hawaii education law, HB2343, Maui State Veterans Home, veterans home, veterans, long-term care, skilled nursing, rehabilitation, hospice, Alzheimer's care, respite care, assimilate, transfer deadline, Act 99, Session Laws of Hawaii 2024

Summary: The committee heard House Bill 1997, which would require IEPs for students with disabilities to include individualized emergency accommodations and evacuation supports. The Attorney General’s office supported the intent but recommended amendments to explicitly include students with Section 504 plans and to change references from “department schools” to “public schools” so charter school students are covered. Testimony in support came from disability advocates and several individuals, including Peter Fritz, who said emergency evacuation planning should be made explicit because it is not clearly required by federal law, and Ka Swan, who emphasized student safety during emergencies. No vote or final action was taken on the bill in the transcript. The committee then took up House Bill 2343, relating to the Maui State Veterans Home. The measure would repeal a deadline for transferring the home to a state agency with a Maui affiliation and instead require the transfer to occur as soon as practicable. The Department of Defense, the Office of Veterans Services, HHSC Oahu Region, and several individuals testified in support. Committee members asked whether a more definite deadline should be used, but the department said the open-ended language was preferable because the Maui entity is not yet ready and Oahu is currently providing oversight. No vote or final action was recorded. House Bill 2566, authorizing special license plates for Hawaii Civil Air Patrol members, was also heard. The City and County of Honolulu Department of Customer Services testified in opposition, while Johnny Perry testified in support. The committee did not take a vote in the transcript. Finally, the committee heard House Bill 2493 on wrongful imprisonment compensation procedures. The Attorney General’s office opposed the bill, arguing it would create an automatic payment mechanism without a sufficient finding of actual innocence, could trigger payments within five days of dismissal, and raised concerns about insufficient time for prosecution review and about funding and appropriation issues. Supporters, including people who said they had been wrongfully convicted and later found actually innocent, argued the bill would reduce delays and help released individuals survive while awaiting compensation. Judiciary staff requested technical amendments and said operational details still needed review. Members questioned the AG about the meaning of “actual innocence,” burden shifting, and whether the bill would better define the standard, but no vote or final action was taken.

Transcript Highlights:

• They're just asking for a little bit of grace, just like, you know, you have a credit card payment and
• And I'm wondering, since you work with AMA, why wouldn't a landlord accept the payment? Mr.
• Chairman, Representative Vegas, that's Wouldn't a landlord accept the payment? Mr.
• or non-payment to a consumer reporting agency is defined as a consumer lender.
• They characterized the second payment, where it goes out of your check back to the advance.

Bills: HB2118, HB2181, HB2308, HB2309, HB2402, HB2476, HB2682, HB2698, HB2875, HB2877, HB2903, HB2910

Keywords: mobile food vendors, licensure, food safety, statewide regulations, health standards, zoning, temporary vendors, HB2181, death certificate, death certificates, vital records, funeral establishment, funeral home, human remains, medical certification of death, death registration, state registrar, local registrar, county medical examiner, alternate medical examiner

Transcript Highlights:

• As I understand it, that is directed payment. It must go to food for residents.
• In addition, at our next highest group, we have at 18.6% Medicaid supplemental payments.
• So a 1% down payment we now have 12% down benefit and service payments and buckets.
• Off-budget supplemental payments You ran through that pretty quickly.
• That is the basis for their payments.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• emotional consequences that survivors face, and to pay the person that you survived from alimony payments
• Senate Bill 1236 would help survivors by giving the courts the authority to determine alimony payments
• regular order it's Senate number 1236 an act to protect survivors of spousal abuse from alimony payments
• Senate Bill 1236 would help survivors by giving the courts the authority to determine alimony payments
• New Jersey has also passed this legislation. ...prevent these alimony payments.

Keywords: 995, all

Summary: The Joint Committee on the Judiciary held a hearing on a wide range of state, probate, and family bills, with chairs Edwards and Day outlining strict testimony limits and accepting written testimony. Early testimony focused on H. 1911/S. 1138, which would clarify that a durable power of attorney may create a trust if that authority is expressly granted; sponsors and elder law advocates said the bill would resolve uncertainty created by the Barbetti decision and align Massachusetts with other states. A major portion of the hearing centered on S. 1102, a proposal to establish medical panels in Probate and Family Court. Supporters, including attorneys, parents, physicians, and advocates, said neutral three-doctor panels would help judges resolve disputed medical issues in guardianship and custody cases involving children, elders, and people with disabilities. Testifiers described cases where medical treatment was blocked or contested by one parent or guardian, arguing the panels would provide impartial expertise and protect vulnerable people. The committee also heard support for bills addressing disability discrimination in family court, military parents’ custody rights, and a shared parenting bill, H. 1710, which drew strong opposition from domestic violence advocates and others who said a 50-50 presumption could harm survivors and children. The committee also took testimony on several probate and court-administration measures. Senator Lovely supported a bill on nominee trust partition, and Senator Comerford and probate officials backed legislation to codify additional registry staff positions and modernize registry operations. Other bills discussed included foster care liability insurance, with providers warning that rising premiums and loss of coverage could force program closures; health care proxy storage and activation; access to decedents’ email accounts; uniform trust decanting; the Uniform Voidable Transactions Act; heirs’ property partition protections; a constitutional right to health care; alimony-related reforms; child-centered family law; and a right of disposition for funeral arrangements. No votes were taken during the hearing, and the committee repeatedly invited written testimony and follow-up questions.

Transcript Highlights:

• , to provide for payment of dental insurance claims to a provider, to provide for applicability, to provide
• pay the dentist by a credit card, which may have a fee involved, the dentist has to opt into that payment
• refines the definition of express acceptance to clarify that the agreement pertains to a selected payment
• Amendment number two removes the language requiring that the dental plan's communication of the payment
• Amendment number two removes the language requiring that the dental plan's communication of the payment

Summary: The House Insurance Committee met on April 29 with a quorum present and took up several insurance and health care-related bills. SB 192, a dental reimbursement bill, was amended to allow dentists to opt in electronically to credit-card payment methods and to clarify applicability and effective date; it was reported as amended. SB 84 would require prostate cancer screening coverage for men over 40 under current clinical guidelines and prohibit cost-sharing; supporters from the American Cancer Society said Louisiana has a high incidence of prostate cancer and that out-of-pocket costs deter early screening. The committee adopted amendments and reported the bill as amended. SB 275, dealing with reimbursement and network participation for certified registered nurse anesthetists, drew support from nursing and hospital groups and was reported favorably. SB 169, a cleanup bill on biomarker testing, was also amended and reported. The committee spent substantial time on SB 401, which creates a temporary prescription drug affordability board to review pricing data on selected drugs and report findings to the legislature. Supporters said the board would improve transparency and help lawmakers understand drug pricing trends; opponents raised concerns about confidentiality, market effects, and the lack of a defined policy outcome beyond reporting. Amendments narrowed the scope, added confidentiality protections, and removed opposition cards, and the bill was reported as amended. SB 387, a major PBM reform bill tied to SB 401, would change PBM compensation, rebate handling, formulary practices, audits, and appeals, while excluding ERISA plans after discussion and amendment. Supporters argued it would curb spread pricing and other practices that raise costs, while opponents from the Pelican Institute and PCMA warned it would interfere with private contracts, reduce flexibility, and could raise premiums or disrupt city, school board, and small-group plans. After extensive debate and a roll call, SB 387 was reported with amendments by a 10-4 vote. The committee also considered SB 241, which requires certain insurance adjusters and public adjusters to include license numbers in written communications. After amendments limiting the requirement to individual licenses and removing one statutory reference, the bill was reported as amended. Throughout the meeting, members and witnesses repeatedly discussed the need for transparency in drug pricing and PBM practices, the role of ERISA and non-ERISA plans, and potential impacts on public employers and consumers.

Transcript Highlights:

• And of course, buyers can't buy because of the high monthly payments that they would need to be able
• And, as required in the act, it is a down payment assistance program at zero percent interest.
• It is payment deferred. So the home buyer can borrow up to 20 percent down...
• And it is payment deferred.
• For any down payment assistance program offered at the commission, the home buyer will take or attend

Summary: The Senate Housing Committee heard a series of work-session presentations focused on transit-oriented development, commercial-to-residential redevelopment, building code implementation, housing market trends, and the Covenant Homeownership Program. The first presentation, from the Urban Institute, reviewed research on HB 1491 and TOD feasibility, arguing that Washington has made major progress but faces diverging conditions across transit areas. The presenter said rising construction costs, higher interest rates, and lower rents in some markets have made many projects less feasible, and recommended targeted infrastructure funding for lower-market communities, adjustments to MFTE and affordability requirements by local market conditions, more support for very low-income housing in high-market transit areas, minimum density standards near stations, expanded public land/joint development tools, and better tracking of TOD outcomes over time. Committee members asked about AMI calculations, immigration’s effect on construction labor, developer input, and whether a tracking mechanism had been removed from the bill. The Department of Commerce then outlined implementation of HB 1491 and demonstrated the new Washington Zoning Atlas, which is live and intended to help visualize zoning, overlays, and station-area conditions. Commerce said local governments will designate station areas, update zoning and MFTE policies, and handle anti-displacement measures, with Vancouver and Spokane first to implement and Puget Sound following later. Staff described a timeline for updated MFTE guidance, station-area implementation guidance, a TOD model ordinance, and later rulemaking on variances. The committee also heard from the Lieutenant Governor’s office on a report about converting commercial properties to housing, which found substantial potential for redevelopment on vacant or underused commercial land, especially near transit, but noted barriers such as ground-floor retail mandates, affordability requirements, infrastructure costs, private covenants, and slow implementation. The office urged by-right residential use on commercial land and faster rollout of new housing laws. The State Building Code Council updated the committee on its three-year code cycle and several legislatively directed actions, including minimum dwelling size, emergency shelters, and especially single-exit stairs and multiplex housing. Council staff said those code changes are nearing completion and will provide prescriptive solutions, while noting that elevator size and requirements were not changed and would require separate legislative direction if the committee wanted to revisit them. Members discussed the cost impacts of building and energy codes and the council said it is required to consider economic impacts and is increasingly looking at performance-based approaches. Later, the Washington Center for Real Estate Research presented its annual housing report, showing that higher mortgage rates have sharply reduced affordability, flattened house prices in many cities, and slowed single-family permitting and completions, while multifamily construction has recently cooled after a prior surge. Finally, the Washington State Housing Finance Commission reported strong first-year results for the Covenant Homeownership Program, which provides zero-interest down payment assistance to eligible first-time buyers with family ties to Washington before 1968; the program assisted 547 homebuyers in its first fiscal year, with more than $60 million loaned, and the agency said participation has continued to grow after income-limit changes enacted in 2025.

Transcript Highlights:

• There are new restrictions on state-directed payments for hospitals, nursing facilities, and academic
• And just as a reminder, a state-directed payment is just a tool that states have where we can direct
• It is technically not a pass-through payment, but it very much functions like that.
• There are some provisions that allow us to grandfather in current payments.
• And then lastly, January 2028... ...that is when, for those state-directed payments, we have to start

Summary: The committee held a work session focused first on juvenile rehabilitation system capacity. DCYF officials said the juvenile rehabilitation population is older, includes more adult-sentenced youth, and has longer lengths of stay, especially for “post-25” youth who must remain in secure facilities and cannot go to community beds. They described overcrowding at Green Hill School, placement limits at Echo Glen and Harbor Heights, staffing turnover, mental health acuity, and the need for more medium-security and specialized mental health beds. DCYF said it is pursuing a Parkland facility proposal, a staffing model decision package, and a broader feasibility study and master plan update. No votes were taken; members were asked to follow up with questions later. The committee then heard on behavioral health system capacity from the Behavioral Health Administration and the Health Care Authority. DSHS described growth in forensic and civil bed need, expansion at Olympic Heritage, Maple Lane, and Brockman, and construction of a new 350-bed forensic hospital at Western State expected to open in 2028. HCA reported progress on long-term civil commitment beds, intensive behavioral health treatment facilities, PACT teams, and intensive residential treatment teams, saying the community-based system is being expanded to support step-down care and reduce hospital reliance. Members asked about whether capacity is right-sized, the difference between facility types, and federal match eligibility for services. A federal funding update followed, covering the effects of H.R. 1 and H.R. 5371 on SNAP, Medicaid, marketplace coverage, long-term services and supports, K-12, higher education, and hemp regulation. OFM and agency staff said H.R. 1 adds work requirements, changes non-citizen eligibility, increases state administrative and benefit costs, reduces Medicaid and marketplace subsidies for some groups, tightens redeterminations, and may significantly affect provider payments and state-directed payments. H.R. 5371 extended federal funding through January 30, 2026 and included some agency appropriations and other provisions, including changes affecting hemp producers. Members asked about SNAP error rates and special enrollment periods. Finally, budget coordinator Mary Monroe gave a 2026 supplemental budget preview. She reviewed the state’s near general fund outlook, noting revenue declines since the enacted budget, the effect of reversions, and a preliminary maintenance-level outlook showing a projected increase in NGFO spending over the four-year period. She said the supplemental will reflect updated caseload and cost forecasts and mandatory impacts from H.R. 1, but not policy proposals. No actions or votes were taken during the session.

Transcript Highlights:

• Payments above the cap would be rare in most cases anyway.
• Physician personal out-of-pocket payments are really rare.
• Lots of people, 77 payments by physicians out-of-pocket, total of 16 million. Not that many.
• The percent with out-of-pocket payments is like 0.3%. Very, very few.
• The actual payments are even rarer.

Transcript Highlights:

• Because of that litigation, they added in our inability to disenroll for non-payment of premiums, which
• You know, the legislation, you know, we developed six different premium tiers for payment of premium
• In fiscal year 2024-25, loan payments under the FRAME dental program were made for 78 dentists and 15
• For the same time period, payments for the FRAME program were made for nearly 1,300 medical professionals
• We actually increased the number of applicants that we received and the number of payments we were able

Summary: The committee met to receive implementation updates on recently enacted health care laws from AHCA and the Department of Health. AHCA reported on rural emergency hospitals, explaining the new Class 4 hospital designation, rule changes completed June 1, 2025, and that no Florida hospitals have yet converted, though one North Walton/DeFuniak Springs-area hospital has expressed interest. AHCA also reviewed the non-emergent care access plan requirement for hospitals with emergency departments, saying 83 plans had been received since July 1 and 63 approved, with plans emphasizing patient education, referrals to primary care or urgent care, and coordination for Medicaid managed care enrollees through the Florida HIE/ENS system. Members asked about HIE capacity, data collection, and whether the plans would identify shortages or trigger accountability measures; AHCA said it had moved to a new HIE vendor and would continue gathering data. AHCA also updated the committee on the TEACH workforce program, reporting $6.8 million in FY 2024-25 spending across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed, and said a federal 1115 workforce waiver was unlikely to move forward under CMS. On KidCare, AHCA said House Bill 121’s expansion to 300% of the federal poverty level remains blocked by federal litigation and CMS action tied to premium nonpayment rules, and members and public witnesses urged prompt implementation and asked for enrollment/disenrollment data and the rural health transformation funding outlook. Public testimony largely supported the NCAP and TEACH programs and pressed for action on KidCare. Representatives from health centers said NCAP has strengthened hospital-health center relationships and improved care coordination, including reduced recidivism in some hospitals. A Bond Community Health Center physician said TEACH is helping offset the burden of training students and could help address workforce shortages, especially in rural and underserved areas. Advocacy groups urged the committee to push for implementation of the KidCare expansion, citing children in the coverage gap and rising uninsured rates. The Department of Health then presented on several programs from the 2024-25 session. It reported on the Florida Reimbursement Assistance for Medical Education (FRAME) program, including 78 dentists and 15 dental hygienists funded under the dental track and nearly 1,300 medical professionals funded overall, with 123 dental applications and 71 funded dentists in the most recent cycle. DOH also updated the Screening and Services Grant Program, the Health Care Innovation Revolving Loan Program, the statewide telehealth maternity care program, and the swimming lesson voucher program, noting strong participation and outcomes such as reduced ER visits and improved postpartum follow-up in the maternity program. Finally, DOH said implementation of the HIV prevention drug/pharmacist dispensing law is underway, with three certification courses approved and five certifications issued. Members asked about barriers to wider use of HIV prevention drugs, more detailed maternal outcome data, and the dental workforce program report; DOH said more detailed reports would follow.

Transcript Highlights:

• Medicaid providers are also increasingly seeing some financial hardships due to client non-payment.
• Increasingly seeing some financial hardships due to client non-payment of their portion of Medicaid.
• Our current regulatory and payment structures don't allow for a lot of flexibility, you know, to look
• So lots of Non-payment and then the mitigation of resident discharges.
• Having that one-on-one support from case managers to prevent discharges, to prevent non-payment, will

Summary: The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population. On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications. The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.

Transcript Highlights:

• <01:07:45.599> assistance buyer down payment assistance buyer down payment assistance program
• generation home buyer down payment generation home buyer down payment assistance<01:37:39.040>
• They lost their $73,000 down payment and $170,000 in monthly payments.
• They lost their $73,000 down payment and $170,000 in monthly payments.
• They lost their $73,000 down payment and $170,000 in monthly payments.

Keywords: 1187, senate, all