Transcript Highlights:

• Our researchers have made pivotal advances in HIV, cancer, diabetes, and infectious disease, and are
• Two-thirds of our students receive financial aid, and we meet 100% of demonstrated need without loans
• We do this by replacing federal loans in financial aid packages with grants from our endowment, which
• or experiential learning as part of their learning. 66% of our students receive need-based financial aid
• , with over 86% of students receiving some form of financial aid, and we maintain a faculty-student ratio

Committee: Joint Joint Committee on Economic Development and Emerging Technologies

Summary: The committee held an informational hearing on the economic impact of Massachusetts higher education institutions, with opening remarks noting the significance of September 11 and the role colleges and universities play in the state’s economy, workforce, and research ecosystem. UMass leaders testified first, describing UMass as a major employer and economic driver that educates large numbers of Massachusetts residents, supports thousands of jobs, and generates billions in annual economic activity. They emphasized the importance of research funding, warned that federal grant cancellations, suspensions, and slowdowns were harming research operations and talent retention, and voiced strong support for Governor Healey’s proposed DRIVE initiative as bridge funding to protect research capacity and jobs. Committee members focused heavily on workforce preparation in emerging fields such as AI, cyber, quantum computing, and engineering. UMass leaders said AI is being embedded across curricula and research, but also warned that financial constraints forced reductions in PhD admissions, especially in computer science and engineering, which could weaken the future workforce pipeline. They also described the practical effects of grant uncertainty, including reduced graduate admissions and concerns about losing researchers to institutions abroad. Members asked for more detailed data on grant timing, funding gaps, and where students and researchers were going. A second panel from private colleges and universities, including AICUM, Suffolk, Smith, and Clark, highlighted the broad economic and civic contributions of private higher education. Testimony cited large annual economic impacts, job creation, tax revenue, community service, legal clinics, dual enrollment, entrepreneurship support, sustainability investments, and access programs. Speakers also discussed enrollment pressures, COVID-related social and mental health challenges, student visa and federal policy concerns, and the need to preserve liberal arts alongside career-focused training. The committee then heard from MIT, where testimony focused on research commercialization, biotech spinouts, and the role of federal, philanthropic, and industry funding in sustaining innovation; members pressed for more data on funding sources and asked what state policy could do to keep talent and businesses in Massachusetts. The hearing continued with additional public higher education testimony, including Bridgewater State, Bristol Community College, and Northeastern, which emphasized workforce-aligned programs, social mobility, apprenticeships, co-op education, and the need for better coordination between higher education, employers, and state workforce systems.

Transcript Highlights:

• We have several patients who are immunocompromised, whether they're living with HIV/AIDS, going through
• essential as we're requiring kind of more ability for patients to do that DIY diagnostic, if you will, aided

Committee: House Health

Transcript Highlights:

• a working sheriff within the community, managing traps, acts as a constable during directions, and aids
• Acts as a constable during directions and aids of the courthouse for security purposes.
• then become a part of a union, English for speakers of other languages, programs of harm reduction, HIV

Summary: The commission met to continue its review of the county sheriffs’ role in corrections, reentry, and public safety. After approving the prior meeting minutes, the sheriffs completed a lengthy presentation describing how their offices provide regional jail services, women’s programming, mental health and substance use treatment, reentry support, community partnerships, and auxiliary public safety functions such as BCI work, TRIAD, Meals on Wheels, and event support. They emphasized that services are tailored to local needs, that women’s facilities are designed to keep mothers close to family and support reunification, and that programming, housing, and job placement are central to reducing recidivism. They also discussed challenges including K2/synthetic drugs in facilities, gang classification and separation, and the difficulty justice-involved people face obtaining IDs and birth certificates, especially for people from Puerto Rico. Commission members generally praised the sheriffs’ work and asked for more detail on how regional women’s facilities operate, how community-provider cuts might affect reentry services, how no-cost phone/tablet communication is balanced against programming time, and what the most essential programs are if funding is reduced. The sheriffs said programming must come first, identified mental health, substance use treatment, domestic violence programming, and housing/job placement as critical, and explained that community organizations and the Registry of Motor Vehicles are key partners in reentry. They also described their approach to gang management through classification, separation, and information sharing, and noted that the Registry has become more flexible but Real ID requirements have made documentation barriers more significant. The commission chair stressed that the purpose of the study is collaboration and improving system performance, not an adversarial effort against the sheriffs or a decarceration debate. Members noted that future meetings would hear from probation in June and the Department of Correction in July, and that the commission would continue gathering information before deciding on next steps. The meeting ended with a motion to adjourn, which passed unanimously.

Transcript Highlights:

• . - Adds flexible aid for community colleges.
• Jackson (member_20227) for your partnership in determining our state's response to the crisis created by HIV
• We hope we can continue to look at ways to aid this population, but we're very grateful for the money

Committee: House Budget

Transcript Highlights:

• HIV prevention, for example, is nearly 100% effective with PrEP, yet most people who could benefit from
• Combined with this administration's hostility to science and HIV prevention, we simply cannot rely on
• And it became a band-aid instead of a solution.

Committee: Joint Joint Committee on Financial Services

Summary: The committee heard testimony on a wide range of health insurance and public health bills, with most speakers focused on expanding coverage for specific treatments and services. Bills discussed included H. 1187/S. 792 on rehabilitation counselors, H. 1173/S. 692 on patient navigation, S. 2600 on scalp cooling for chemotherapy patients, S. 2599 on medically necessary treatment for port wine birthmarks, H. 1164 on licensed educational psychologists for child and adolescent mental health services, S. 754/H. 1254 on autism diagnosis and treatment by nurse practitioners and psychiatric nurse mental health clinical specialists, S. 714/H. 1137 on infectious disease response and coverage, and S. 791 on making nature a prescriptive therapeutic intervention. Speakers generally argued these bills would improve access, reduce out-of-pocket costs, and address gaps in current insurance reimbursement rules. Testimony in support emphasized personal stories and clinical evidence. Cancer patients and providers described the benefits of patient navigation and scalp cooling for dignity and quality of life during treatment. Boston Children’s Hospital staff and families said port wine birthmark treatment is medically necessary, can prevent complications, and should not be denied as cosmetic. Rehabilitation counselors and school psychologists argued their services are effective, cost-saving, and underused because they cannot bill insurance. Autism advocates said current insurance statutes are outdated because nurse practitioners and psychiatric nurse mental health clinical specialists already provide evaluations and should be recognized for reimbursement to avoid delays in early intervention. Public health and GLAD Law testimony supported stronger infectious disease coverage to remove barriers to testing, treatment, and PrEP access. The hearing also included extensive testimony on H. 1172, a bill requiring insurance coverage for detransition-related care. Supporters said it would ensure coverage for medically necessary care for people who regret or reverse gender transition, while opponents argued it would legitimize anti-trans narratives or, conversely, that detransition care is needed because transition procedures can cause harm. The committee also heard strong support for S. 791 from advocates who described nature access as a health intervention that could help with trauma, anxiety, substance use recovery, and environmental justice, with claims that insurance coverage and reduced park fees would improve access. No votes were taken during the transcript, and the chair repeatedly thanked speakers and moved through the long list of public testimony.

Transcript Highlights:

• It contains viruses such as HPV, HIV, HBV, blood aerosols, and cancer cells capable of metastasizing
• It contains viruses such as HPV, HIV, HBV, blood aerosols, and cancer cells capable of metastasizing

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Health and Human Services Appropriations Committee met to review and advance the Senate’s fiscal year 2025-26 budget proposal for the committee’s portfolio. The presentation highlighted a $1.8 billion increase over the current base budget, including full funding for Medicaid and KidCare, investments in IT modernization, Medicaid provider rate increases, mental health and substance use services, opioid treatment, foster care and guardian assistance, elder care, veterans’ services, cancer research, school nurse staffing, and other public health initiatives. The committee adopted a motion allowing technical adjustments and then approved the budget proposal to be reported to the full Senate Appropriations Committee. The committee then heard and voted on several bills. SB 152 on surgical smoke protection required hospitals and ambulatory surgical centers to adopt smoke evacuation policies; nurses testified in support, citing workplace and patient safety risks, and the bill was reported favorably. CS/SB 958 on early detection of type 1 diabetes required the Department of Health to provide educational materials to schools and, by amendment, early learning coalitions; it was also reported favorably. CS/CS/SB 170 on nursing home oversight added consumer satisfaction surveys, reporting requirements, quality incentive changes, and financial reporting penalties, with an amendment exempting state-operated homes and directing a study of best practices; it passed after questions about dementia, language access, and retaliation protections. CS/SB 738 modernized child care regulation by streamlining DCF processes and reducing obsolete requirements, and was reported favorably without opposition. The committee also approved CS/SB 1356 creating the Florida Institute for Pediatric Rare Diseases at FSU and a Sunshine Genetics pilot to expand rare-disease screening and research, with support from members emphasizing early detection and data collection. SB 1370 separated ambulatory surgical centers into their own statute, with testimony that the change would better reflect the industry and help avoid burdensome regulation; it passed favorably. Finally, CS/CS/SB 1626 made a range of child welfare changes, including codifying DCF coordination with military installations, adjusting shelter certification, refining criminal-background exemptions, extending licensing compliance time, addressing room-and-board rate methodology, and clarifying missing-child procedures; after adopting three amendments and hearing both support and concerns, the bill was reported favorably. The committee also recorded a member’s affirmative vote on SB 958 before adjournment.

Transcript Highlights:

• And then my last question is on the housing and the services that are available to people with HIV and
• AIDS.

Committee: House Mortgage Finance Authority Act Oversight Committee

Transcript Highlights:

• likely as other sex workers to experience sexual or physical violence, and twice as likely to contract HIV
• police presence were associated with sex workers avoiding health care services and having less access to HIV
• Another systematic review by the American less access to HIV prevention.
• Rights Watch, Amnesty International, the World Health Organization, the Lancet Medical Journal, UN AIDS
• I'm a resident of Yarmouth and, 20 years ago, I was a legislative aide to a member of this committee,

Committee: Joint Joint Committee on Public Health

Summary: The committee opened by explaining hearing procedures and time limits, then heard testimony on House 2499, a bill to create a public awareness campaign on menopause and related midlife health issues. Supporters, including a nurse, the Massachusetts Commission on the Status of Women, and other advocates, said menopause is widely misunderstood by patients and providers, leading to delayed care, unnecessary suffering, workplace impacts, and inequities in women’s health. Several speakers shared personal experiences with symptoms being dismissed or misdiagnosed and urged the committee to advance the bill. The committee then took testimony on a package of endometriosis bills, including House 2527 and Senate 1564, calling for a task force and broader awareness efforts. Patients, a physician, and advocates described long diagnostic delays, severe pain, infertility, medical gaslighting, and limited access to specialists and effective treatment. They argued for more research, provider education, and a coordinated state strategy, and several asked for favorable reports. The chair also noted the hearing was running behind and extended time to allow more testimony. Later, the committee heard Senate 1579, which would eliminate parental consent and judicial bypass requirements for abortion access for minors under 16. Planned Parenthood representatives, physicians, legal advocates, and students argued the current law creates unnecessary delays and harms vulnerable youth, especially those in unsafe homes or foster care, while supporters said minors can already consent to other reproductive health care. A pro-life witness opposed the bill and emphasized parental involvement and support services. The committee also heard House 2403 and Senate 1560, which would create a Human Service Transportation Consumer Advisory Board; disability advocates and riders described past safety problems and current service gaps, and supported the board as a low-cost way to improve accountability, rider input, and reliability. No votes or final actions were taken in the excerpt.

Transcript Highlights:

• allows pharmacists to initiate treatment for patients ages 12 and older for flu, strep, COVID-19, and HIV
• Patients ages 12 and older for flu, strep, COVID-19, and HIV prevention.
• makes access more broadly available, and even for especially the communities that might need it for HIV

Summary: The House opened with prayer, the Pledge of Allegiance, approval of the prior journal, and several guest introductions and proclamations, including a proclamation designating March 10 as Cade’s Day in honor of Cade Keller and suicide prevention efforts. Members also welcomed guests from schools, cities, and medical and advocacy groups, and the clerk announced committee assignments and bill referrals. The chamber then moved through committee-of-the-whole action on several bills. HB 2946 and HB 4018 were amended and given do pass recommendations. In a later committee-of-the-whole, HB 2083, HB 2308, HB 2388, and HB 2389 were considered; HB 2083, HB 2308, and HB 2388 received do pass recommendations as amended, while HB 2389 drew debate over environmental review for power plants, with supporters arguing it would lower energy costs and opponents saying it weakened oversight. The House also retained HB 4030 and HCR 2052 on the calendar. The House then took up third-reading votes on a long list of measures. Bills that passed included HB 2047 on forcible entry and detainer, HB 2127 on special license plates, HB 2344 on the local government investment pool, HB 2371 on dissolution of marriage, HB 2140 and HB 2620 on financial institutions and veterans services, HB 2429 on short-term rentals, HB 2434 on the prescription monitoring program, HB 2437 on emergency medical services, HB 2444 on pharmacy-based testing and treatment, HB 2573 on DUI-related psychotherapy treatment, HB 2601 on state highways and routes, HB 2781 on solar energy power plants, HB 2914 on cameras in long-term care rooms, HB 2968 on evidence in child custody proceedings, HB 4043 on public schools, HB 4064 on municipal improvement districts, HB 4130 on local government budgets, and HCM 2016 renaming a stretch of U.S. Route 191 as Chief Barbonsito Highway. HB 2726 on sleep apnea treatment failed, and HB 2123 failed on reconsideration after a close vote. Several votes featured debate over housing, energy, veterans’ services, pharmacy scope, family-court evidence rules, and the balance between local control and state oversight. The session ended with committee announcements for the following week, personal privilege remarks, and a motion to adjourn until 1:15 p.m. on Wednesday, March 11, 2026, which was adopted.

Transcript Highlights:

• </c><02:25:09.040><c> by</c> pills, but it also cuts foreign aid by pills, but it also cuts foreign aid
• and AIDS worldwide.
• It funds PEPFAR, which fights HIV/AIDS well above the president's anemic request.
• </c><04:50:09.040><c> AIDS</c> It funds PEPFAR, which fights HIV AIDS It funds PEPFAR, which fights HIV
• Among the litany of illegal, Aid.

Bills: HB7006 , HR992

Keywords: appropriations, national security, foreign aid, transparency, democracy, House Resolution 992, H.Res. 992, HR 992, rule resolution, procedural rule, Rules Committee, Committee of the Whole, previous question, motion to recommit, waiver of points of order, closed rule, structured rule, FY2026 appropriations, consolidated appropriations, federal spending

Transcript Highlights:

• We are able to exempt some individuals using Medi-Cal eligibility data, such as an aid code.
• The first one: "The exorbitant amount at which food has already increased makes living with HIV/AIDS
• The first one, the exorbitant amount at which food has already increased makes living with HIV AIDS and
• And that has always felt to me like we need more financial aid officers.
• No, what we needed was a shorter financial aid form.

Committee: Senate Budget and Fiscal Review

Summary: The Senate Budget and Fiscal Review Subcommittee held an oversight hearing on the impacts of H.R. 1 on California’s safety net, focusing on Medi-Cal and CalFresh. The chair and vice chair framed the discussion around major federal changes to work requirements, eligibility redeterminations, immigrant eligibility, and financing rules, while noting the state’s own structural budget deficit and the need for a second hearing later in March on county and safety-net impacts. The first panel included the Legislative Analyst’s Office, the Department of Finance, the UC Berkeley Labor Center, and the Food Research and Action Center. LAO and Finance described H.R. 1 as driving major enrollment losses and cost shifts. LAO estimated that Medi-Cal work requirements and six-month redeterminations could affect 3.5 million people, with 1 to 2 million potentially disenrolled, while CalFresh changes could subject more than 800,000 people to work requirements and cause over 600,000 to lose food assistance. They also highlighted new ineligibility for certain non-citizens, reduced federal matching for emergency Medi-Cal services, tighter provider tax rules, and higher state and county administrative costs for CalFresh. Finance said the governor’s budget reflects about $1.4 billion in new General Fund costs in 2026-27 and a $2.4 billion reduction in federal funds, with larger out-year impacts and up to 2 million Medi-Cal disenrollments by 2029-30. The UC Berkeley Labor Center projected up to 3 million Californians could lose full-scope Medi-Cal by 2028 when H.R. 1 is combined with state budget changes, though it said the state could limit losses by choosing not to apply some new requirements to state-funded populations and by keeping some immigrants in full-scope state-funded coverage. The Food Research and Action Center argued that CalFresh cuts and time limits would increase hunger, homelessness risk, and health costs, while also hurting local economies and increasing administrative burden. Committee members from both parties questioned the fiscal sustainability of Medi-Cal growth, the 11% CalFresh error rate and possible $2 billion penalty, county indigent care costs, and the effect of work requirements; several Democratic members argued the federal changes and state cuts would disproportionately harm low-income Californians, immigrants, and communities of color, while Republican members emphasized program growth, work incentives, and the need for budget restraint. No votes were taken in the portion provided.

Transcript Highlights:

• This proposal provides a one-time investment to our HIV programs to cover a funding shortfall we have
• , where new HIV diagnoses increased by 24%.
• This proposal provides a one-time investment to our HIV programs to cover a funding shortfall we have
• , where new HIV diagnoses increased by 24%.
• HIV diagnoses increased by 24% so while HIV diagnoses increased by 24% so while we're<01:47:44.639><c

Committee: Senate Health and Human Services

Transcript Highlights:

• It's much more than just band-aids and ice.
• And what you all should know is that this database that’s required by HUD has, as data points, your HIV
• trafficking victims are able to receive medication in accordance with the Drug Information Handbook for HIV

Bills: SB237

Committees: Senate Health & Welfare , Senate Health and Welfare

Keywords: child welfare, Department of Children and Family Services, mandatory reporting, abuse prevention, investigative teams, child ombudsman, forensic interviews, confidentiality

Summary: The Senate Committee on Health and Welfare met on May 20, 2026, with eight members present and approved the prior meeting minutes. The committee first advanced SB 1224, which requires DCFS to look into cases where a child under 17 is involved in a pregnancy, with added oversight for children under 12; it was reported favorably. The committee also favorably reported SB 1100, described as repealing an outdated statute. White Coat Day remarks welcomed physicians to the Capitol and thanked them for their service, including efforts to improve Medicaid reimbursement. Several health-related bills were then heard and advanced. HB 1220, a continuation of prior work to codify provisions related to the Louisiana State Board of Medical Examiners and physician licensure, was reported favorably. HB 1231 clarified that Medicaid coverage for continuous glucose monitoring applies to insulin-dependent patients, including those with gestational diabetes, and was also reported favorably. HB 198, which sets reimbursement rates for ambulatory surgery centers for certain Medicaid procedures such as colonoscopies, eye, ENT, and gastroenterology services, passed favorably. HB 1160, creating a streamlined restricted license pathway for qualified international medical graduates, prompted a lengthy exchange about delayed rulemaking and whether the board had added requirements beyond statute; despite concerns, it was reported favorably. The committee also advanced several resolutions and oversight measures. HCR 67, prompted by a personal family experience with a special-needs child’s acute care needs, creates a task force to study gaps in acute care for special-needs adults and children; it was amended and reported favorably. HCR 27, calling for a statewide evaluation of autism services by LDH and the Department of Education, was reported favorably. HB 223, which recreates DCFS, was amended to shorten the sunset date and require law enforcement reporting through a secure web platform, then reported favorably. HCR 28, creating a task force on school nurse orientation and training for new graduates, was reported favorably after testimony from school nurses about the lack of standardized orientation and the risks of placing inexperienced nurses alone in schools. The committee also took up HB 469, which would allow pharmacy license renewal applicants to designate a portion of fees to eligible schools including Xavier University’s College of Pharmacy; after opposition from Senator Cloud and a roll call, the bill was deferred. HB 1182, a cleanup bill changing the occupational therapy certifying entity and adjusting fees, and HB 1076, eliminating one of two sunset provisions for the Louisiana Behavior Analyst Board, were both reported favorably. HB 1216, a major rewrite of clinical laboratory personnel rules, was deferred after concerns that it would restrict existing phlebotomy and lab functions in ways that could conflict with recent law. Finally, HB 457 and HB 616, both by Representative Knox and focused on homelessness, drew extensive testimony: HB 457 established minimum standards for shelters and similar facilities and was reported favorably as amended, while HB 616 would allow audits of homelessness-related funding and databases; after debate over privacy, federal funding oversight, and accountability, the committee adopted an amendment changing enforcement language from "may" to "shall" and continued hearing testimony from opponents and supporters.

Transcript Highlights:

• And I'm not saying that's a bad thing. just saying that I drank that Kool-Aid, I ate that first 40 years
• Has Israel or any other country seen any similar studies specific to HIV? again?

Bills: SB128 , SB640 , SB672 , SB904 , SB1141 , SB1263 , SB1525 , SB1528 , SB2041 , SB2306 , SB2308 , SB2357 , SB2446 , SB2695 , SB2857 , SB2891 , SB2583

Committee: Senate Health & Human Services

Transcript Highlights:

• largely driven by patients and advocates who used cannabis to alleviate the devastating symptoms of HIV
• and AIDS.

Transcript Highlights:

• Allowance SCP contract aid to the needy disabled. Program C14580. Other burial reimbursements.
• The following line appears to reference the central aid fund pursuant to section 26-12-9800,800,181,
• Appropriation to the central aid fund pursuant to section 26-12-9800,800,181, C.R.S.
• aid appropriated for purposes<05:17:26.638><c> other</c><05:17:26.878><c> than</c><05:17:26.958><c>
• An estimated $71,863 shall be from the Medical Aid Marijuana Program Cash Fund, created in section 25

Transcript Highlights:

• able to not only offer some basic infectious disease screening for those individuals, for things like HIV
• opioid use disorder, long-acting injectables for mental health disorders, long-acting injectables for HIV
• now have a medication that you can give once every six months that is 99.9% effective in preventing HIV
• opioid use disorder, long-acting injectables for mental health disorders, long-acting injectables for HIV
• now have a medication that you can give once every six months that is 99.9% effective in preventing HIV

Committee: House Substance Abuse Prevention and Treatment Task Force

Transcript Highlights:

• where</c><00:48:51.599><c> we</c><00:48:51.839><c> have</c><00:48:52.079><c> the</c><00:48:52.880><c> HIV
• </c> one of the slides where we have the HIV one of the slides where we have the HIV investments<00:48
• or other local affordable housing trust fund, we now have the local and statewide affordable housing aid
• the local and statewide<00:51:29.440><c> affordable</c><00:51:29.920><c> housing</c><00:51:30.240><c> aid
• </c><00:51:31.040><c> and</c> statewide affordable housing aid and statewide affordable housing aid and

Committee: House Capital Investment

Transcript Highlights:

• Violence and rape lead to lasting trauma and expose people to diseases, including HIV.
• to these dangers, which is precisely what this bill would do. diseases including diseases including HIV
• :33.400><c> have</c><00:21:33.559><c> been</c><00:21:33.799><c> clear</c><00:21:34.240><c> that</c> HIV
• the courts have been clear that HIV the courts have been clear that subjecting<00:21:34.960><c> people

Transcript Highlights:

• individuals will make it more difficult for folks who have complex medical needs, including cancer, HIV
• individuals, will make it more difficult for folks who have complex medical needs, including cancer, HIV
• , and other chronic cancer. for folks who have complex medical needs, including cancer, HIV, and other

Summary: The Senate Health and Long-Term Care Committee met on July 30, 2026, to hear two main briefings. The first, from the Health Care Authority, focused on implementation of federal H.R. 1 Medicaid changes and Washington’s rural health transformation funding. HCA said the state is preparing for major eligibility changes, including the October 1 loss of Medicaid coverage for about 14,000 lawfully present non-citizens and January 1, 2027 work requirements, six-month renewals, and reduced retroactive coverage for roughly 600,000 Medicaid expansion adults. Officials described outreach efforts, new automated verification systems, a verification hub, and plans to use available data sources to reduce manual paperwork, while noting that about one-third of the affected population may still need manual processing. They also said H.R. 1 will limit state-directed payments over time, with an estimated long-term impact of up to $1.5 billion in hospital reimbursements. On rural health transformation, HCA said it is moving quickly to obligate its $181 million federal award through contracts and competitive grants for rural hospitals, workforce, behavioral health, technology, and tribal and community partners. Committee members asked about the impact on rural providers, community service as a work-requirement pathway, emergency Medicaid, tribal and federal reimbursement issues, and whether the state would submit comments on the federal work-requirement rule. HCA said it would file comments, that emergency Medicaid coverage for certain services remains available, and that it is working with tribes and other agencies to avoid erroneous terminations and to move eligible people into other coverage where possible. Members also raised concerns about the administrative burden on families and providers and the need for congressional attention on issues such as TRICARE reimbursement. The second briefing addressed maternal health and the Department of Health’s Maternal Mortality Review Panel report. DOH said maternal mortality in Washington increased for the first time in the report series, but most pregnancy-related deaths remain preventable. Nearly half were linked to behavioral health conditions, especially overdose deaths, with suicide, cardiovascular disease, and COVID-19 also significant causes; most deaths occurred postpartum rather than during delivery. The report found higher mortality rates among American Indian and Alaska Native, Black, Native Hawaiian, Pacific Islander, multiracial, rural, and Medicaid-covered populations, and identified lack of access to care, financial hardship, housing instability, discrimination, bias, and systemic inequities as major contributors. DOH highlighted existing state actions such as one-year postpartum coverage, doula reimbursement, inpatient substance use treatment coverage for birthing people, and vaccine coverage requirements, and offered 12 legislative recommendations focused on affordable and high-quality care, basic needs and community supports, and equitable, culturally responsive services. Presenters from the Suquamish Tribe and Kitsap OBGYN described how the tribe acquired and stabilized a threatened OB-GYN practice to preserve regional access amid provider shortages and hospital service losses. They said rural obstetric care is difficult to sustain because of thin margins, workforce shortages, long travel distances, and higher-risk patients, and emphasized that tribal health systems can offer stronger reimbursement and integrated family-centered care. The Foundation for Healthcare Quality and the Bree Collaborative then outlined statewide maternity-care quality efforts, including work on perinatal behavioral health, care coordination, postpartum screening, doula support, and better-aligned payment models. They said Washington has strengths in innovation but still needs more OB-GYN capacity, better transitions of care, and more culturally responsive, trauma-informed maternal and Native health services.