Transcript Highlights:

• So under current law, certification is not required...
• This is our certification investigation process.
• If you don't do that, if a person loses their certification...
• So I want to talk today about just the certification piece of this.
• like Missouri and Texas require active certification to even be elected.

Summary: The committee held a work session in Mill Creek focused first on the eviction process. Judge Michael Scott of King County Superior Court described historic highs in unlawful detainer filings across Washington, especially in urban counties, and said King County has reduced its backlog and average time to resolution to about 60 days by adding two dedicated eviction judges and using more judges when needed. He also described how King County and other counties are implementing the right to counsel for indigent tenants, and noted that additional housing commissioners may help. Office of Civil Legal Aid representatives Philippe Knapp and Jane Paxe said the statewide appointed counsel program has represented more than 30,000 tenants, referred clients to social services, and helped many remain housed, but they warned of a funding shortfall that could eliminate about 17 attorneys and leave roughly 2,000 tenants without representation. A landlord-side panel argued that eviction timelines remain too long and fragmented, creating unpaid rent, safety issues, and uncertainty for both landlords and tenants; they urged more uniform procedures, streamlined rental assistance, and procedural changes to reduce refiling and delays. The second work session addressed theft and vandalism of critical infrastructure, especially copper and telecom cable theft. Committee staff reviewed existing criminal and regulatory laws covering malicious mischief, theft, scrap metal businesses, and metal property deception. Comcast, Mason Public Utility District, and the Recycled Materials Association testified that theft of aerial cable and copper has become a crisis affecting power, internet, 911 service, schools, hospitals, and line-worker safety. Utility representatives described outages, hazards, and rising costs, and asked for stronger audits of scrapyards, tougher penalties for theft affecting critical infrastructure, and tighter rules on payment and identification. Recyclers said they oppose the thefts and already operate under heavy regulation, but acknowledged enforcement gaps and the need for better coordination; committee members discussed possible bill concepts and asked for written recommendations. The final work session covered standards for law enforcement personnel. Criminal Justice Training Commission Executive Director Monica Alexander and Assistant Director Kimberly Bliss explained current certification and decertification rules, including background checks, training requirements, mandatory and discretionary grounds for decertification, and the hearing process. They said elected sheriffs are not currently required to undergo the same pre-election background check as other applicants, though they can still be decertified if already certified, and they reported a backlog of more than 1,000 cases with about 70 to 80 new cases coming in each month. Retired Judge Ann Levinson then outlined ways the legislature could strengthen and align standards for chiefs, sheriffs, and marshals, including requiring certification within a set time, setting a minimum age, requiring recent state background checks, and making loss of certification a vacancy in office. Committee members asked questions about accountability for elected sheriffs, background-check administration, and decertification outcomes.

Transcript Highlights:

• So I write opinions, we also operate the courts.
• The Fourth Judicial District will be operational by July.
• They operate that system.
• Certification can be reinstated; say somebody catches up, their certification gets reinstated.
• So the certification board can do any of that stuff.

Transcript Highlights:

• certification or not.
• Are you necessarily presuming that a birth certificate equals a death certificate?
• And you're saying a birth certificate or a death certificate, and the death certificates are being done
• Y'all can operate in a separate facility. ...from a doctor, right? Y'all can operate.
• A CAA and a CRNA in the same operating room? Same operating room, no.

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• system uh I believe before a certificate system uh I believe before a certificate of<00:08:07.599
• , becomes certified, renews certification, is denied certification, or loses certification.
• certification day one, but that's just not how the certifications work, with how in depth they want
• agree I would rather a certification agree I would rather a certification process<00:26:38.440><
• requiring approvals and certifications requiring approvals and certifications and<00:27:50.720><

Keywords: 1189, house, all

Transcript Highlights:

• Or maybe two charter operates them.
• Alternative certification is a certification program for many.
• a massive amount of operational.
• It's anybody that's subject to a certification.
• Kids who earn industry-based certifications.

Keywords: 1184, house, all

Transcript Highlights:

• of operation, and sanitation requirements. requirements. requirements.
• > without<00:05:12.400> a seriousness of operating without a seriousness of operating without
• current statute requires certification current statute requires certification by<00:10:27.519>
• And within 30 days after they receive that certification, they must notify the city of that.
• And within 30 days after they receive that certification, they must notify the city of that.

Keywords: Meeting Start: 00:00 Attendance Roll Call: 00:01 SB 132 Discussion 00:44 SB 132 Vote 07:10 SB 33 Discussion 08:30 SB 33 Vote 17:24 SB 85 Discussion 18:08 SB 85 Vote 25:58 Adjournment: 26:38, 958, all

Summary: The committee first took up Senate Bill 132, which would clarify that state law does not limit local governments’ authority to regulate businesses affiliated with licensed massage therapists. The sponsor and supporting testimony from a police chief and the Kentucky League of Cities said the bill is aimed at helping cities respond to complaints about suspected illegal activity, including possible human trafficking, by expressly allowing local ordinances on zoning, licensing, inspections, advertising, hours, and sanitation. The bill also increases the penalty for practicing massage therapy without a license from a class B to a class A misdemeanor and makes each unlicensed session a separate offense, while preserving existing protections for trafficking victims. The committee then heard Senate Bill 33, which addresses recovery residence centers. Senator Thomas said the bill responds to fraudulent or noncompliant recovery homes operating without proper certification and creating neighborhood problems. The measure would require recovery residences to notify cities when they apply for and receive certification, report certain ownership and contact information, and allow cities to keep a registry so they can identify certified facilities. Testimony from the Kentucky Alliance of Recovery Residences supported the bill’s enforcement goals but objected to making addresses public, citing safety concerns for vulnerable residents; the sponsor agreed to remove the public-record language through a floor amendment. The committee passed the bill favorably 8-0. Finally, the committee considered Senate Bill 85, which would allow state retirement benefits to be directed to a special needs trust. The sponsor and co-sponsor said the bill is intended to help state employees provide for a dependent with special needs after the employee’s death without affecting eligibility for waiver or other benefits. A witness from the Kentucky Alliance of Recovery Residences supported the concept and noted the importance of clear language, while Senator McDaniel raised a technical concern about whether the bill could allow benefits to be directed to an unintended beneficiary. The sponsor said the language would be reviewed and clarified if needed. The committee approved the bill 8-0 with favorable expression and adjourned.

Transcript Highlights:

• for the assisted living certification unit.
• for the assisted living certification unit.
• for the assisted living certification unit.
• The proposed regulations would fundamentally change how rest homes operate day to day.
• The impact is not only to daily operations, but to the communities they sustain.

Keywords: 995, all

Summary: The Joint Committee on Aging and Independence held a hearing on two assisted living bills, Senate 3057 and House 5376, which would create an Assisted Living Residence Trust Fund to support certification staffing, compliance reviews, complaint investigations, ombudsman services, public reporting, appeals, and oversight. Testimony from MassALA, AARP, and the Long-Term Care Ombudsman generally supported the bills and the dedicated funding stream, but MassALA urged amendments to expand career pathways for staff through certified medication aides and to add guardrails on the use of fines as a funding source. The Ombudsman supported the fund and emphasized the need for additional staffing to better serve the state’s assisted living residents. Committee members asked for draft amendment language, and the chairs indicated they were open to further discussion, especially on fines and CMA language. The committee then heard testimony on Senate 3056 and House 5243 regarding medication administration in rest homes. Providers, including the Massachusetts Association of Residential Care Homes, LeadingAge Massachusetts, and several rest home operators, opposed proposed Department of Public Health changes that would eliminate the long-standing “responsible person” model and move rest homes toward the Medication Administration Program (MAP). Witnesses said the current model has been used for decades, is tailored to rest homes, and is essential to affordability, staffing stability, and resident continuity of care; they warned that replacing it with MAP or nurse-only administration would raise costs, worsen workforce shortages, and could force closures or resident displacement. They asked the committee to support legislation preserving responsible persons’ authority to administer medications while improving training and oversight. Committee members asked questions about the history of the responsible person model, how medication administration works day to day, whether other states use similar systems, and whether data exist comparing medication error rates under MAP and the current model. The chairs said they were still reviewing building-code-related recommendations raised in the assisted living discussion and noted that some issues might be better addressed through a task force. The hearing concluded after testimony and questions, and the committee voted to adjourn.

Transcript Highlights:

• use of certificates of obligation in my community.
• of a, uh, of our 2013 certificate of obligation.
• These protections create a baseline for operations in the state of Texas and for virtual currency operators
• to, to, uh, operate responsibly within the state.
• And a license is issued to one operator.

Transcript Highlights:

• I get a lot of phone calls from funeral homes about the delay in death certificates.
• People are getting their death certificates within 90 days 95% or more of the time.
• I'm nine miles from the Arkansas line, trying to get her death certificate.
• And you're trying to run tactical operations.
• this safe operation, safe the cleanup areas.

Keywords: 914, all

Transcript Highlights:

• So that's part of the process of operating the program.
• So that's part of the process of operating the program.
• really also increased our direct certification numbers by about 34%.
• Always have the direct certification students.
• I don't know if the direct certification numbers would be enough.

Summary: The Legislative Management Committee met to fill a vacancy created by Representative Jared Hagert’s resignation, and the House majority recommended Representative Berg to replace him on the committee. The motion to appoint Berg was approved unanimously. The committee then took up its assigned task of estimating the fiscal impact of Initiated Constitutional Measure No. 3, the school meals measure, which would require public schools, and optionally nonpublic and tribal schools, to provide breakfast and lunch at no cost to students and reimburse schools through state funds after federal reimbursements are maximized. Legislative Council’s Liz Fordall summarized the measure’s requirements and answered questions about implementation, including the 2027-28 start date, the measure’s interaction with the Legacy Earnings Fund, and the fact that the Legislature would still control the funding source. DPI’s Linnell Johnson then testified at length on current school meal programs, direct certification, CEP and Provision 2 participation, and likely behavioral changes if the measure passed. She estimated the biennial fiscal impact at $124 million to $134 million, with an additional roughly $300,000 in administrative costs, and explained that the estimate assumed higher participation and some schools shifting to CEP/Provision 2 to preserve federal reimbursements. She also noted that if no new applications were filed in non-CEP schools, the cost could be substantially higher. After discussion, Senator Sorvaag moved to report a fiscal impact range of $124,300,000 to $134,300,000 per biennium to the Secretary of State, and the motion carried. The committee also received an informational update from Legislative Council attorney Dustin Richard on the ongoing redistricting litigation, explaining that the U.S. Supreme Court vacated the Eighth Circuit’s prior ruling and remanded the case for further consideration in light of Louisiana v. Callais, leaving the court-imposed map in effect for now. No action was required on that item, and the meeting adjourned after a brief note that the prior minutes would be brought back at a later meeting.

Transcript Highlights:

• SB 129 provides a mechanism for qualified third-party purchasers to purchase certificates of delinquency
• on vacant and abandoned residential properties 90 days after that certificate is created.
• entity created by or operating in Louisville Metro, and a nonprofit organization registered with the
• uh certificates of delinquents uh delinquency<00:02:15.000> on<00:02:15.599> vacant<00
• there it needs to be a a and operating there it needs to be a a state<00:02:40.480> or<00:02:

Keywords: Meeting Start 00:00 Roll Call 00:17 SB 129 Discussion 00:46 SB 129 Vote 04:27 SB 178 Discussion 05:48 SB 178 Vote 07:57 SB 151 Discussion 09:01 SB 151 Vote 11:24 SB 201 Discussion 15:17 SB 201 Vote 21:48, 958, all

Summary: The Senate Standing Committee on Economic Development, Tourism, and Labor met and first took up SB 129, with a committee substitute adopted before testimony. The bill would allow certain qualified third-party entities in Louisville Metro, including public bodies and long-standing nonprofits, to purchase certificates of delinquency on vacant and abandoned residential properties after 90 days, with the goal of returning blighted property to productive use and back on the tax rolls. Several members supported the measure as a tool for housing and economic development, while Senator Boswell and Chair Willer noted concerns about protecting vulnerable property owners, such as widows, the elderly, and people with disabilities. SB 129 was approved by the committee with favorable expression. The committee then heard SB 178, which updates statutes related to the Education and Labor Cabinet by moving the Office of Vocational Rehabilitation’s Division of Program Policy into statute, renaming Business and Apprenticeship to Industry and Apprenticeship, and making related organizational changes. Testimony from cabinet staff said the changes reflect work already being done and that a floor amendment would be needed for one additional correction. The bill was advanced unanimously with favorable expression. Next, the committee considered SB 151, which would bar state tax dollars from being used to pay persons not legally present in the United States. The sponsor argued the bill was needed to prevent Kentucky funds from going to undocumented workers on state job sites, while Senator Wheeler questioned what the bill would change beyond existing law and how such payments would occur through contracts or appropriations. Senator Yates said he was not opposed to the premise but wanted more time to review the bill’s mechanics, and Senator Thomas voted no for the same reason. Despite those concerns, SB 151 passed with favorable expression. Finally, the committee heard SB 2011, a workers’ compensation bill that would delay newly appointed administrative law judges from taking office until Senate confirmation, extend current ALJ terms through June 1 of next year, and allow retention votes for board members to improve stability and attract more applicants. The sponsor said the bill addresses a loophole that can discourage qualified candidates from applying because they may have to leave private practice before confirmation. After a question about whether the bill would affect salaries, the sponsor explained compensation is set by statute and caseload need is separately reviewed. The bill received favorable expression and the meeting concluded with no further business.

Transcript Highlights:

• All public use airport operators...
• , the aircraft, sorry, the airport operators...
• As you know, a couple of sessions ago, certification for peer specialists passed Certification for peer
• certificate.
• ... ...renewable teacher certification.

Summary: The Senate convened with an opening prayer, pledge, and several recognitions, including visiting student groups, chambers of commerce, and apprenticeship participants. Senators also observed a moment of silence for a fallen Walton County deputy and later for the late John Pasadoma. The chamber then moved through a long third-reading calendar and special order calendar, with most bills passing overwhelmingly and several amendments adopted along the way. Among the major measures, SB 234 on criminal offenses against law enforcement officers passed 37-0 after debate and an amendment clarifying “good faith” in an officer’s duties; SB 7020 on open government and cybersecurity information passed 37-0; SM 1488 urging Congress to create a U.S. sovereign wealth fund was adopted by voice vote; SB 944 reducing insurance overpayment claim deadlines for psychologists passed 37-0; SB 878 expanding misdemeanor probation treatment provisions to controlled substances passed 36-1; SB 538, the state court system package, passed 37-0; SB 480 on nonprofit agricultural organization medical benefit plans passed 32-4; SB 472 on correctional-facility education credit for licensure passed 37-0; and SB 56 on geoengineering and weather modification passed 28-9 after extensive debate about enforcement, federal preemption, and the bill’s purpose. Later, the Senate passed CS/HB 421 on peer support for first responders 37-0 after substituting the House companion, and SB 164 on vessel accountability advanced with a technical amendment. SB 166 on administrative efficiency in public schools drew the most extended debate and multiple amendments; it changes testing, promotion, teacher evaluation, certification, and facilities rules, and passed 37-0. The chamber also passed SB 282 on warranty association financial requirements 36-0, SB 316 creating series LLCs 35-1, and SB 384 on annexing state-owned lands 36-0. At the end of the day, the Senate waived rules to immediately certify all passed bills to the House, received budget schedule guidance from Appropriations Chair Hooper for SB 2500 and SB 2502, and adjourned until April 9.

Transcript Highlights:

• City's word against the operator, or whoever.
• I have a little bit of experience in dealing with the sand mining operations.
• Why are these operators abandoning these sites?
• . or state government operations and sorting that out.
• So having a... permanent dredging operation that operates continually out there to keep Removing the

Bills: HB 1089, HB 1163, HB 1177, HB 1238, HB1318, HB1400, HB1407, HB1532, HJR7, HJR7

Keywords: coastal protection, environmental management, Gulf Coast, storm risk management, funding, Texas General Land Office, healthcare, insurance reform, patient access, insurance regulation, affordable care, health insurance, consumer rights, coverage transparency, claims process, insurance regulations, aggregate production, environmental impact, financial responsibility, reclamation

Transcript Highlights:

• So that's part of the process of operating the program.
• really also increased our direct certification numbers by about 34%.
• They have to make sure they check their direct certification process.
• ...always have the direct certification students.
• I don't know if the direct certification numbers would be enough.

Keywords: 908, all

Transcript Highlights:

• So that's part of the process of operating the program.
• really also increased our direct certification numbers by about 34%.
• They have to make sure they check their direct certification process.
• certification to maintain our Title I funding?
• I don't know if the direct certification numbers would be enough.

Summary: The Legislative Management Committee met to address the fiscal impact of Initiated Constitutional Measure No. 3, which would require public schools, public school districts, and public charter schools to provide breakfast and lunch at no cost to students and allow reimbursement from the state, with implementation beginning in the 2027-28 school year. The committee first filled a vacancy created by Representative Jared Hagert’s resignation by appointing Representative Berg to the committee. Legislative Council and DPI staff explained the measure’s requirements, including federal reimbursement participation, possible use of the legacy earnings fund if other funding is unavailable, and the authority of the Legislature and superintendent of public instruction to clarify implementation details. Linnell Johnson of DPI testified that the estimated fiscal impact for the 2027-2029 biennium is between $124 million and $134 million, based on participation assumptions, federal reimbursement rates, and the extent to which schools continue to collect applications or use community eligibility/provision 2 options. She also noted a likely additional administrative cost of about $300,000 for DPI to operate the program. Members asked about school participation, Title I implications, special diets, staffing, and whether the measure could reduce federal reimbursements if families stop applying. Johnson said the estimate is uncertain and could be higher if applications decline, but that schools would still have incentives to participate in federal programs because of reimbursement and other funding ties. After discussion, the committee adopted a motion to report a fiscal impact range of $124,300,000 to $134,300,000 per biennium to the Secretary of State. The committee then received an informational update from Legislative Council attorney Dustin Richard on the ongoing redistricting litigation. He explained that the U.S. Supreme Court vacated the Eighth Circuit’s ruling and sent the case back for reconsideration in light of Louisiana v. Callais, while the district court-imposed map remains in effect for now. No action was taken on that update, and the meeting adjourned after members noted minutes from the prior meeting were not yet available for approval.

Transcript Highlights:

• If you want to spend your maintenance and operation money, spend your operation money.
• A death certificate is for burial.
• A death certificate is for burial.
• A death certificate is for burial.
• certificate.

Summary: The Senate opened with an invocation by Pastor Tedrick Woods, followed by routine chamber actions including excusing Senator Gutierrez and receiving House messages that the House had passed HB 21 and HB 49. Senators also recognized advocates visiting the gallery on focal segmental glomerulosclerosis awareness and introduced the Doctor of the Day. The chamber adopted several resolutions, including HCR 66, by voice vote. The Senate then took up and passed a series of measures, often by suspending the regular order and the constitutional three-day rule. Among the bills finally passed were HJR 2, which would prohibit state death taxes; HB 206, limiting counties from requiring cash bonds for pipeline construction; HB 517, barring property owners associations from fining homeowners for discolored vegetation during watering restrictions; HB 2756, requiring TDCJ correctional officers to receive de-escalation and behavioral health training; HB 451, expanding screening for commercial sexual exploitation risk among children in DFPS and TJJD custody; SB 705, cleaning up the air conditioning and refrigeration contractors advisory board; SB 2017, creating an offense for burnouts and wheelies; SB 1858, expanding body armor grant eligibility to ISDs; SB 1400, directing a study on transfer-student outcomes for community college funding; SB 2764, requiring notice to manufactured home buyers about converting homes to real property; SB 748, a licensing cleanup bill on laser hair removal; SB 2519, restricting certain ad valorem tax uses and bonds after amendment; SB 2878, the courts bill with amendments on Brazoria County courts and youth diversion provisions; SB 466, allowing families to request fetal death certificates at any gestational age; SB 1608, requiring timely physical exams for inpatient mental health admissions; SB 1730, limiting civil damages claims arising from certain uses of force or deadly force; SB 2417, clarifying Attorney General antitrust investigation work product and discovery rules; and SB 1946, creating a family violence, criminal homicide prevention task force. The Senate also passed HB 3204, renaming and updating the Polytechnic College at Sam Houston State University, and SB 1986, requiring opioid warning labels. Several bills drew brief debate or amendments. Senators discussed broader HOA reform while considering HB 517, and SB 2203 on TCEQ discovery procedures was amended to require party motions, set a 15-day expiration for certified issues, and limit hearing abatement. SB 2017 was amended to change the mens rea language from knowingly to intentional. SB 2519 was narrowed by amendment to a forward-looking policy statement separating maintenance-and-operation taxes from debt-service taxes. SB 2878 also received amendments to reduce the number of new Brazoria County courts and add youth diversion and crisis-response provisions. SB 466 prompted a floor debate over whether fetal death certificates are appropriate for pre-20-week losses, with supporters emphasizing family closure and opponents arguing the document has no estate-related purpose. SB 1730 also prompted questions about the relationship between criminal findings and civil liability in self-defense cases. The session concluded with additional House and Senate measures being signed in the presence of the Senate and continued consideration of SB 2177, a grant program to help local law enforcement solve violent and sexual offenses.

Transcript Highlights:

• on the birth certificate.
• certificate.
• order a copy of the birth certificate, has.
• to get there early on in their operational season. ...trying to get there early on in their operational
• They wanted to curtail their operation to be more like a daycare or a child care operation, not having

Keywords: 1185, senate, all

Transcript Highlights:

• program is operated.
• <00:04:50.360> out Sur medication program is operated out Sur medication program is operated
• There's certainly nothing different or unique or hidden about the water quality certification program
• There's certainly nothing different or unique or hidden about the water quality certification program
• <00:10:28.240> program water CL certification program water CL certification program we<00

Keywords: 1183, house

Transcript Highlights:

• Moving on, GM 768, also Kevin Nakamura, Board of Certification of Operating Personnel in Wastewater Treatment
• c> in Certification of Operating Personnel in Certification of Operating Personnel in Wastewater<
• Operating Personnel in Wastewater Operating Personnel in Wastewater Treatment<00:14:48.080> Plants
• Certification Board. Certification Board.
• . certification. certification.

Keywords: 912, senate, all

Summary: The Health and Human Services committee heard and considered several gubernatorial nominations to advisory boards and councils. Early in the meeting, members heard testimony in support of Miriam Chang for the Health Planning Council Windward O‘ahu subarea, with supporters highlighting her long medical practice on the Windward side, work at Ko‘olau Health Center, and community involvement. Chang said she wanted to help improve health, especially in rural areas. The committee also heard support for Terrilyn Luke’s nomination to the Center for Nursing Advisory Board; the Center for Nursing director and nursing organizations backed her, and Luke said she would bring a front-line nursing perspective, focus on workforce conditions, retention, and collaboration, and help address tensions between the Center and nursing labor groups. The committee then heard support for Valerie Rose’s nomination to the Language Access Advisory Council; Rose briefly noted her prior work in the Chronic Disease Branch and Bilingual Health Aide Section. The committee also took up nominations in a later agenda segment. James Montgomery was heard for the State Rehabilitation Council and described his interest in serving based on a family experience with disability and his work in talent management, saying he wanted to help people with disabilities gain opportunities. Kevin Nakamura was heard for the Board of Certification of Operating Personnel in Wastewater Treatment Plants and said his 30-plus years of wastewater experience would help ensure operators are properly trained and certified to protect resources and the environment. Pina Lemusu was heard for the State Council on Developmental Disabilities; she said her long career with the Division of Vocational Rehabilitation and personal experience with disability would help her contribute to the council. Additional testimony in support came from the State DD Council and Voc Rehab representatives. The committee voted to recommend advise and consent on the nominations it considered, including Miriam Chang, Terrilyn Luke, Valerie Rose, James Montgomery, Kevin Nakamura, and Pina Lemusu. Most recommendations were adopted without objection, though Senator Dela Cruz voted no on some of the later nominations. The meeting also briefly noted another nomination, Olivia Kim, which was recalled and advanced with an advise-and-consent recommendation before adjournment.

Transcript Highlights:

• . operating. operating.
• CO law just obtain a license to operate CO law just obtain a license to operate an<00:19:20.559>
• <00:19:56.799> a any rural hospital to operate a any rural hospital to operate a geriatric
• certificates of need. certificates of need.
• <00:39:17.040> And granted a certificate of need. And granted a certificate of need.

Keywords: Public Health and Welfare - Room 216, 3 February, 2026; 3:00 PM, 925, all

Summary: The committee met with a quorum and first took up several bills described as vehicles to keep options open for pending rural health issues, especially the rural health transformation fund and the Greenwood Hospital situation. The chair explained that Greenwood Hospital is struggling financially and operationally, including a Medicaid overpayment dispute in which Medicaid planned to recoup $2 million from a December payment, threatening payroll and continued operation. The committee discussed a proposed committee substitute that would delay recoupment until May 1 and preserve legislative flexibility to help Greenwood if a workable plan emerges. The committee adopted motions for title sufficiency and due pass on the block of bills, including the committee substitute and reverse repealer provisions. The committee then turned to two certificate-of-need bills. One bill, 2474, was presented as a rural hospitals measure that would let certain rural hospitals obtain certificates of need for services such as outpatient dialysis units, ambulatory surgical facilities, and geriatric psychiatric units, with definitions aimed largely at Delta and other rural counties. The chair also included a provision making the state health officer’s licensing decision final and not subject to judicial review, with only a short reconsideration process available. Senator Hill objected, arguing the bill concentrated too much power in the health department, eliminated meaningful court review, and unfairly picked winners and losers instead of letting the market work. The chair responded that the goal was to reduce costly, repetitive litigation and preserve access to care in areas where hospitals struggle financially. The committee then considered Senator Blackwell’s broader CO bill, which would address appeals and litigation more generally by shifting costs to the losing party in CO disputes. A reverse repealer was adopted first, and the chair explained that the bill was intended to reduce endless and expensive appeals while still allowing a limited opportunity for reconsideration. Senators Hill and others raised concerns about limiting judicial review and expanding health department power, while the chair said many states have no judicial review in this area and that the committee was exploring the issue further. The chair said he had asked several members to study the matter and contact the National Council of State Legislatures. The committee ultimately adopted the motions on the bills and amendments by voice vote, with the ayes prevailing each time.