Transcript Highlights:

• we've been undertaking in California to try to encourage more data sharing for the purposes of evaluation
• file matches up with the needs that we have today in deploying the new Workforce Pell program, in evaluating
• current law authorizes the commissioner to conduct investigations and examinations of insurers to evaluate
• Current law authorizes the commissioner to conduct investigations and examinations of insurers to evaluate

Summary: The Assembly Insurance Committee heard several bills, with most of the discussion focused on insurance transparency, claims handling, privacy, and regulatory enforcement. SB 877 and SB 878 by Senator Pérez addressed post-disaster claims practices: SB 877 would require insurers to disclose original and revised loss estimates and related claim materials to policyholders, while SB 878 would add automatic interest penalties for delayed claim decisions or payments and require written identification of disputed items. Fire survivors, consumer groups, AARP, the Department of Insurance, and other advocates supported both bills, while insurer groups moved to neutral after amendments. Both bills were voted out on roll call and reported to the Committee on Appropriations. The committee also considered SB 1054 by Senator Cabaldon, which would expand data sharing and reporting to improve workforce program evaluation and help counties verify work requirements for Medi-Cal and CalFresh using employer-reported hours worked. County officials, workforce advocates, and the Department of Insurance supported the measure, and no opposition was heard. The bill passed on a due-pass-as-amended motion to the Committee on Labor and Employment. SB 1209 by Senator Allen, presented with Insurance Commissioner Ricardo Lara, would give the commissioner stronger enforcement tools to require insurers to carry out corrective actions identified in market conduct examinations, including fines and hearings for noncompliance. The commissioner and author said the bill would close an enforcement gap and improve accountability; there was no opposition testimony, but the bill was left on call after the roll. The committee also heard SB 354 on insurance privacy, presented by Senator Padilla on behalf of Pro Tem Limón, which would modernize insurance privacy rules by expanding consumer rights over personal data, limiting sale and use of sensitive information, and increasing disclosure requirements. Supporters said the bill updates outdated 1980s-era rules, while insurers, agents, and business groups raised concerns about scope, compliance burdens, and small-business impacts. Members indicated the bill was still being negotiated and would return in a revised form in the Privacy Committee.

Transcript Highlights:

• They provide drug testing at the evaluation and randomly throughout treatment if it's necessary.
• And so there's kind of that evaluative process through the outcomes tool as well.
• American Association of Suicidology Conference to continue our education, bringing some staff, some evaluators
• And we do track those through a significant evaluation process, IRB approvals, all of that.

Keywords: 962, all

Summary: The meeting opened with approval of the April minutes and brief administrative updates, including notice that House Bill 5447 had passed both chambers of the General Assembly. Speakers reflected on the bill’s key provisions, which include eating-disorder working groups, an evidence-based screening requirement for school-based health centers beginning July 1, 2027, and a DSS-led feasibility process to explore an inpatient psychiatric facility for young adults ages 14 to 21. New staff introductions were also made for the Behavioral Health Advocate’s office and the TCB team. A major portion of the meeting focused on marketing and outreach for urgent crisis centers (UCCs) and the broader youth crisis continuum. Daydream Communications presented research showing low public awareness of UCCs but strong interest once families learn about them, with parents wanting specialized, compassionate care, clear expectations, insurance clarity, and bilingual support. United Way described its parallel work on a statewide crisis continuum marketing toolkit, using the SAMHSA framework of “someone to talk to, someone to respond, and somewhere safe to go,” and outlined plans to distribute consistent messaging through websites, social media, flyers, and community venues. Members emphasized coordinating with existing platforms and ensuring the marketing reflects the actual experience at UCC sites. DCF then presented on adolescent substance use services, citing data showing high need and low treatment access among Connecticut youth. The department reviewed its ASAM-based continuum, SBIRT efforts in outpatient psychiatric clinics, medication-assisted treatment access, and statewide services such as MST, MST emerging adults, STRIDE, multidimensional family therapy, youth recovery supports, and the AIM matching tool. A new young people peer support program was highlighted, with referrals accepted from families, hospitals, community providers, DCF, youth diversion, and the judicial branch. Questions addressed parent consent, peer matching, and whether the AIM tool could be linked through 211. The meeting concluded with an update from the Connecticut Suicide Advisory Board and its regional boards and grant-funded initiatives. Presenters reviewed the state suicide prevention plan, regional coalition work, postvention response, lethal means safety efforts, and the 988 capacity improvement grant that supports Connecticut’s centralized 988 contact center at United Way. They also shared youth suicide risk data from the Connecticut Youth Risk Behavior Survey, noting recent declines in reported suicidal ideation and attempts, and provided resources for training and materials. No formal votes were taken beyond the approval of the April minutes.

Transcript Highlights:

• to allow SNAP benefits to cover delivery costs, making this an important issue for Louisiana to evaluate
• So this resolution is about just gathering data and evaluating whether expanding access to grocery delivery
• professional assessment of fenbendazole as a potential treatment for cancer or other medical conditions, to evaluate
• Louisiana schools from 2018 through the present to qualified independent researchers for the purpose of evaluating

Summary: The House Committee on Health and Welfare met on May 12 and considered a wide range of health, social services, and licensing measures. Early in the meeting, the committee reported favorably HCR 98, which asks the Louisiana Department of Health to study whether SNAP recipients should be allowed to use benefits for grocery delivery fees. The author said the proposal would not change SNAP rules directly, but would examine access issues for elderly, disabled, rural, and transportation-limited residents. The committee also advanced SB 273, a hospice patient-protection bill requiring documentation of hydration, nutrition, and care decisions in inpatient licensed facilities where hospice is provided, with LDH oversight and enforcement authority; members discussed how responsibility is shared between facilities and outside hospice providers, and adopted technical amendments. The committee then approved SB 415, creating the Empower Louisiana Food Purchase Program, a privately funded charitable food-card program intended to let nonprofits distribute food-only cards to people in need. Members and the author discussed whether the cards would be reloadable, which retailers could accept them, and whether prepared foods could be included; LDH said the program could use all SNAP-authorized retailers, and the bill was reported favorably with amendments. SB 437, a cleanup bill for judicially referred residential substance abuse treatment facilities, was also reported favorably with amendments after LDH clarified that facilities providing treatment must be licensed, while residences only housing individuals would not be. SB 451, updating newborn hearing screening terminology and reporting requirements, was reported favorably after testimony that the bill would strengthen early detection and follow-up for deaf or hard-of-hearing children. Later, the committee advanced SB 426, which modernizes the addictive disorder regulatory authority and creates a formal peer support specialist licensing pathway. Supporters said the bill would strengthen the behavioral health workforce, improve accountability, and create a progression from peer support to higher credentials; the committee adopted technical and transition amendments and reported the bill favorably with amendments. SB 236, requiring LDH annual reviews and reports on kidney disease treatment services in Medicaid, was also reported favorably with amendments. Additional measures approved included SB 39, allowing provisional licenses for massage therapy graduates; SB 190, which tightens oversight of poor-performing nursing facilities in the CMS Special Focus Facility Program and sets an 18-month improvement timeline; SB 124, allowing hospitals within the same health system to share peer review records without waiving privilege; HR 174, urging study of fenbendazole as a possible cancer treatment; SB 270, allowing terminally ill patients to use medical marijuana in health care facilities; SB 359, changing terms for certain Morehouse Parish hospital district commissioners; and HR 194, requesting de-identified school visual acuity screening data for research. The committee adjourned after reporting all measures favorably, several with amendments.

Transcript Highlights:

• adopt an annual budget; apply for, receive, and use federal grants, state grants, or both; study, evaluate
• <00:04:23.280> Study,<00:04:23.759> evaluate,<00:04:24.160> and grants, or both
• Study, evaluate, and grants, or both.
• Study, evaluate, and establish<00:04:24.960> technology<00:04:25.600> standards<00:04:26.000

Keywords: Technology - Room 216, 18 March, 2026; 2:00 PM, 925, all

Summary: The committee first considered the reappointment of Thomas Allen Wicker to the IT Board. Members praised his long service, industry knowledge, and the importance of the state’s information technology operations. After a brief question about his past as editor of the Daily Mississippian, the committee voted to advise and consent, and the nomination was reported out. The bulk of the meeting was devoted to confirming the initial members of the new Mississippi Emergency Communications Authority board created under the next generation 911 law. The chair reviewed the board’s duties under Section 6 of the act, including budgeting, grant administration, setting and revising technology standards, improving interoperability and consolidation of 911 systems, recommending standards for public safety answering points, collecting performance data, coordinating technical assistance, addressing GIS mapping and standards, and developing a CMRS grant program for NG 911 implementation. The chair and Senator Deleno emphasized that the board will be responsible for statewide planning, sustainable funding, and helping local governments understand the costs and benefits of NG 911 and shared GIS infrastructure. The committee then heard brief statements from the nominees, who described backgrounds in emergency communications, law enforcement, GIS, EMS, county administration, and local government. Nominees included Danna Diaz, Chief Chad Norman Dorne, Eric Hollingsworth, Paul Sheffield, Scott Trapalino, Terresa Windham, Paul Mosley, Matt Haley, Brian Roberts, W. Willis Willard Johnson, Beatatric Prior, and Sheri Hoampamp. One nominee, Paul Sheffield, had a self-reported bankruptcy from 2002 that had been resolved in 2004, but the committee still moved forward. Each nominee was asked if there were questions, and the committee repeatedly voted to advise and consent, with no opposition recorded. Senator Deleno closed by stressing that the board’s work is critical to the future of first responders in Mississippi, especially the development of a statewide GIS standard and a grant framework for using NG 911 funds responsibly. He said the legislature wanted to avoid piecemeal purchases and instead ensure accountability, efficiency, and a sustainable funding source. The chair thanked the nominees and Senator Deleno, and the meeting concluded after the confirmations were completed.

Transcript Highlights:

• How many SBOE evaluations have you appealed, or any other county in the state, or that total, or whatever
• So ask that question one more time so I can provide the exact number of times that an SBOE evaluation
• forth so ask that question one more time so I can provide the exact number of times that an SBOE evaluation
• has been appealed by the assessors of times that an SBOE evaluation has been appealed by the assessor

Bills: HB2016, HB2104, HB2105, HB2288, HB2289

Keywords: tax penalties, filing, tax returns, administration, Arizona Revised Statutes, agricultural property, classification, county assessor, property inspection, appeal process, property tax, agricultural classification, Department of Revenue, property valuation, inspection notice, inspection report, on-site inspection, full cash value, rural land, farm land

Transcript Highlights:

• Patients brought in by any authority should receive medical evaluation and treatment according to medical
• medical by any authority should receive medical by any authority should receive medical evaluation
• > and<00:04:42.240> treatment<00:04:42.560> according<00:04:42.960> to evaluation
• and treatment according to evaluation and treatment according to medical<00:04:43.520> need,<

Keywords: 918, senate, all

Summary: At this meeting, Senator Matt Klein and a group of Minnesota physicians and medical organizations described what they said was escalating ICE activity in and around hospitals and clinics, and argued it is deterring patients from seeking care and interfering with medical work. Speakers from emergency medicine, pediatrics, the Minnesota Medical Association, obstetrics/gynecology, and family medicine said patients are avoiding appointments, missing follow-up care, and in some cases suffering serious harm because of fear of detention or family separation. They emphasized that emergency departments and other health care settings should remain safe spaces where care is based on medical need, not immigration status. Several speakers gave examples they said showed actual patient harm, including missed prenatal and pediatric visits, delayed treatment leading to sepsis, perforated colon, burst appendix, and a patient with cancer who was detained and moved without medications. Pediatric and OB/GYN speakers focused on trauma to children and families, including fear of bringing children to appointments, requests for home births, and patients refusing transfer for higher-level care. Family medicine and emergency physicians also said staff morale is low, some workers are afraid to come in, and the situation is affecting diverse health care teams across the state. The discussion also touched on legal and policy questions. Speakers said they have tried calling police, hospital administration, and security to remove ICE agents from private patient areas, but reported that agents refused to leave. They said ICE may be allowed in public spaces but should not be in patient rooms or during private exams, and suggested there may be a role for legislation to codify best practices for law enforcement interactions in health care settings. No votes were taken; the meeting consisted of testimony, questions from reporters, and calls for collaboration and for ICE to stop enforcement activity in health care settings.

Transcript Highlights:

• We deferred evaluation of possible alternatives for PFAS in sealants and cookware until Cycle 2.
• We deferred evaluation of possible alternatives for PFAS in sealance and cookware until cycle, of possible
• on this list: a review of best practices for avoiding leakage of emissions and economic harm, an evaluation
• The point of our study is to evaluate whether we do have enough energy to keep the lights on around the

Summary: The committee held a work session covering PFAS regulation and impacts, no-cost allowance allocation for emissions-intensive trade-exposed industries (EITEs), and regional resource adequacy and data center load growth. Senator Victoria Hunt was welcomed as a new member. The Department of Ecology reviewed Washington’s Safer Products for Washington PFAS work, including completed restrictions on PFAS in outdoor furniture, carpets, rugs, stain/water-resistant treatments, and newer rules adopted in November restricting PFAS in most apparel, cleaning products, and automotive washes, with reporting requirements for some other products such as cookware and firefighting gear. Ecology also described Cycle 2 PFAS reviews now underway, including artificial turf and paints, and answered questions about compliance, online sales, sell-through periods, and how Washington’s approach differs from broader bans in states like Maine and Minnesota. The Department of Ecology also presented on PFAS in biosolids, describing a 2024 sampling study, limitations in testing methods, and a 2025 statutory amendment requiring additional sampling between 2027 and 2028 and a report to the legislature in 2029. The Department of Health then updated the committee on PFAS in drinking water, reporting that most Group A public water systems have completed sampling, that 317 sources and 188 systems are expected to exceed new contaminant levels, and that treatment costs for public systems are estimated at about $970 million, leaving a large funding gap; members also asked about private wells, health effects, bathing exposure, and home filters. The Board of Health’s new state action levels are being aligned with federal MCLs, and the department said it expects to continue monitoring and notification under state rules. Ecology also briefed the committee on no-cost allowance allocations to EITEs under the Climate Commitment Act, explaining the leakage-mitigation rationale, the current allocation schedule through 2034, and a forthcoming report on policy options for 2035-2050; members asked about industry barriers, competitiveness, and whether facilities might leave the state. Finally, E3 presented a regional resource adequacy study showing rising load, retirements outpacing additions, limited winter reliability value from wind, solar, and batteries, and a projected shortfall beginning in 2026 that could grow to about 9,000 MW by 2030 if planned projects are not built. The presentation emphasized winter cold-weather events, hydro variability, the importance of permitting and transmission, and longer-term options including nuclear, geothermal, hydrogen, carbon capture, and long-duration storage. EPRI then introduced its DC Flex initiative, which is studying how data centers can provide flexible load through workload shifting, cooling optimization, and on-site backup or bridging resources to reduce grid stress and protect ratepayers.

Transcript Highlights:

• what the elements of a well-functioning child protection system are, and how you can use data to evaluate
• We have to evaluate whether or not the allegation itself rises to the definition of abuse or neglect.
• I mean, outside evaluation of any program is a good thing, whether there's financial penalty or not,
• I mean, outside evaluation of any program is a good thing, whether there's financial penalty or not,

Summary: The committee heard a lengthy update on Washington child welfare from Casey Family Programs and DCYF. Dr. David Sanders said Washington has sharply reduced out-of-home care and increased kinship placements, but he flagged concerns about low screening-in rates, long stays in foster care for many children, and a recent rise in repeat maltreatment and child fatalities, especially among infants. He urged more focus on infants and young children, better coordination among child protection, health care, and law enforcement, and more proactive review and investigation practices. Members asked for disaggregated data on children lingering in care, fatalities, and causes such as fentanyl exposure. DCYF said it has increased relative placements and guardianships, but also reported a concerning rise in 2025 critical incidents, mostly near-fatalities involving children age three and under, many opioid-related. The department described responses including safe child consults for opioid cases, more training, hotspot analysis, and proposed investments in peer support, public health nurses, community referrals, and an updated safety framework. Members also discussed whether a broader commission on child abuse prevention would be useful, and DCYF said it was open to that idea. The committee then received a DSHS reorganization update from Secretary Angela Ramirez, who described the “Reimagined” plan to consolidate four administrations into three new ones, with the stated goals of reducing silos, improving customer experience, and making transitions between services smoother. She said the agency is seeking statutory changes and CMS approval to align the new structure, and members asked about preparing for federal HR1 impacts, especially SNAP. Ramirez said DSHS is monitoring those impacts closely and emphasized the need for accurate data and cross-agency coordination. Finally, DSHS’s Behavioral Health and Habilitation Administration updated the committee on residential habilitation centers and implementation of Substitute Senate Bill 5393, which phases out Rainier School by June 30, 2027 and limits new admissions. Officials reported current census and staffing levels at the state’s RHCs, said Rainier has had some residents transition to supported living or adult family homes, and explained that emergency and permanent rulemaking was needed to implement the law. They also said Rainier was recently cited by federal surveyors for not meeting the active treatment requirement for two residents, and that the facility has 90 days to return to compliance before possible payment penalties or further remedies. Members pressed for details on the citation, the meaning of active treatment, the assessment process for admissions, and whether Rainier could be repurposed for other services; DSHS said it is working on corrective action and will follow up in writing.

Transcript Highlights:

• We'll also layer on community needs, so ingress and egress, any access challenges, to further evaluate
• We'll also layer on community needs, so ingress and egress, any access challenges to further evaluate
• Ingress and egress, any access challenges, to further evaluate the risk.
• So I would just like to say that I think there is some work to be done to evaluate those methods, because

Summary: The committee first heard updates on the Model Toxics Control Act (MTCA) and related funding. Department of Ecology staff explained how MTCA and the hazardous substance tax support cleanup, prevention, stormwater, and local assistance programs, but said forecasted revenues have declined while appropriations and transfers have outpaced incoming funds. Ecology said the operating account will require underspending to stay balanced this biennium and that the problem is ongoing, with further reductions possible if forecasts worsen. Ecology also reviewed the state cleanup program, noting there are more than 14,500 cleanup sites in Washington and that new sites continue to be discovered faster than they are cleaned up. A question from Representative Lee raised the long-term issue of declining fossil-fuel-based revenue, and Ecology agreed that this is a future structural concern even though the current shortfall is driven more by forecasts and transfers than by fuel-use decline. The Pollution Liability Insurance Agency described its underground storage tank and heating oil programs, saying it has modernized from a reinsurance model to a financial assurance model with stronger state oversight and cleanup milestones. Russ Olson said the agency’s dedicated petroleum tax account is in strong financial condition, but emphasized the importance of preserving that funding source. He also discussed the loan and grant program for historic commercial releases and a new heating oil loan/grant program, while noting the agency is working on equity concerns where liens can be disproportionate to property values in smaller communities. Practitioners and advocates then offered differing views on MTCA’s performance: one attorney urged a collaborative review process to make cleanups faster, less expensive, and more certain, while another consultant argued the program is too conservative and process-heavy and should focus more narrowly on actual exposure and realistic cleanup standards. Environmental and community groups countered that MTCA is essential for cleanup, pollution prevention, stormwater control, and public participation, and that it is especially important for environmental justice communities such as the Duwamish Valley. Port and city representatives stressed that MTCA grants and cleanup funding are critical for large redevelopment projects, but said long timelines, permitting delays, and funding uncertainty can slow projects and jeopardize commitments. The committee then shifted to utility wildfire risk. Staff summarized recent legislation, including requirements for utility wildfire mitigation plans, creation of a wildfire mitigation standards work group, authorization for captive insurance by local governments and PUDs, securitization authority for disaster costs, and the existing wildfire response and resilience account. Chelan County PUD and Puget Sound Energy described extensive mitigation efforts such as vegetation management, grid hardening, undergrounding, AI smoke cameras, weather stations, enhanced operating settings, public safety power shutoffs, and community outreach. Both said wildfire risk is rising and insurance costs are increasing, and Chelan PUD asked the Legislature to restore funding to the wildfire response and resilience account. The Office of the Insurance Commissioner said a 2022 utility liability market study found insurance availability is tightening as perceived risk rises, and reported that a 2025 work group recommended restoring community resilience funding, requiring insurers to share wildfire risk scores and mitigation steps with property owners, and creating a grant program based on insurance industry wildfire standards. A PNNL scientist added that wildfire probability is increasing in parts of Washington and that mitigation requires long-term, landscape-scale coordination. The final speaker began describing California’s approach to wildfire risk, but the transcript cuts off before that presentation concluded.

Transcript Highlights:

• commissioners, superior courts, prosecutors, and defense counsel to establish a process by which referrals, evaluations
• Involuntary Treatment Act investigation request has not had a designated crisis responder, or DCR, evaluation
• within 48 hours, or the ITA evaluation was completed and the DCR did not detain the individual.
• bring them before a mental health professional or a designated ER doc back in the day for a 72-hour evaluation

Summary: The committee received agency updates on several behavioral health and justice programs. The Health Care Authority reported that assisted outpatient treatment (AOT) has expanded from two counties to eight, with a ninth expected in December, and described AOT as a court-ordered, least-restrictive treatment model that depends on close coordination among courts, treatment providers, and local officials. The agency also reviewed Joel’s Law, which lets family members, guardians, conservators, or tribes petition for an initial involuntary detention when they disagree with a designated crisis responder’s decision. Judges Ferreira and Larson said petition use has increased significantly statewide and in Snohomish County, but many cases do not proceed beyond the initial detention stage; they also noted family frustration, disjointed processes, and bed shortages as ongoing issues. Committee members asked about expansion criteria, the law’s effectiveness, and how the system fits together with other mental health interventions. The Attorney General’s Office presented on the hate crimes and bias incidents hotline created by SB 5427. The hotline began a pilot in King, Clark, and Spokane counties on July 1, 2025, with a statewide launch planned for 2027. Officials said the advisory committee helped shape the referral process, intake questions, outreach materials, and public branding. In the first five months, the hotline received 301 reports, with roughly 45% from King County and about 38% from outside the pilot counties; 42% requested follow-up, and only about a quarter of those wanted law enforcement referral. Testimony emphasized that the hotline is non-emergency, anonymous if desired, and focused on referrals rather than investigation. Members asked about why callers do not seek law enforcement involvement, how the hotline compares with Oregon’s launch, and what kinds of incidents are being reported. The Office of Independent Investigations reported progress on its work investigating police deadly force fatalities. Director Roger Rogoff said the agency has grown to 66 employees, including 31 investigators, and has completed six fatality investigations, with two public final reports posted. He said the office now operates in Region 1 and plans to expand statewide as staffing allows, with a future east-side expansion dependent on additional investigators. He also said the office has 29 requests to review prior cases, but those reviews are time-intensive and limited to cases with new evidence. Committee members asked about staffing needs, local cooperation, and whether the office conducts parallel investigations; Rogoff said OII performs the criminal investigation, while agencies may still do administrative reviews. The committee then heard a lengthy panel on public defense caseload standards and funding. The Washington State Bar Association, Washington Defender Association, county representatives, and city representatives all discussed the new caseload standards and the implementation timeline. Speakers said the standards reflect modern public defense realities but warned that funding, attorney recruitment and retention, office space, and data collection remain major barriers. Survey results from county offices showed wide variation in readiness, with many counties uncertain about timelines and most citing lack of funding as the biggest obstacle; attorney attrition was also described as high. County and city representatives argued that the new standards will require far more attorneys and support staff, and that local governments cannot absorb the cost without substantial state funding. They urged the Legislature to increase state support, improve workforce pipelines, and address structural issues in the public defense system.

Transcript Highlights:

• An independent evaluation of outcomes across 37 facilities in six states, including Washington, found
• In looking at the data, this observational study evaluated outcomes of behavioral health program participants
• residents, nursing facilities, and their staff, we're excited that Washington data is currently being evaluated
• And we found that some evaluation and management visits with physicians are currently covered that might

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• We're working with the governor's office on how to evaluate those things and what would then happen.
• c><00:16:04.959> to the governor's office on on how to the governor's office on on how to evaluate
• 06.079> and<00:16:06.240> and<00:16:06.399> what<00:16:06.560> would evaluate
• those things and and what would evaluate those things and and what would then<00:16:06.959> happen

Keywords: 928, house, all

Summary: The Fiscal Committee met on Friday, November 21st and first approved the October 17th minutes, with one member abstaining because she was not present. The committee then adopted the remainder of the consent calendar after removing two items for separate consideration. On tab four, members discussed item 25282 with the Commissioner of Administrative Services and Public Works staff; the project had been delayed after testing revealed design errors and flaws, and the committee was told the work would restart with test piles the following week and was projected for completion in fall 2027. The item was approved. On tab five, item 25279 concerned a Health and Human Services facility project and a federally required element added late in the process. Commissioners explained that the project had originally been funded at $21 million, later required additional financing, and that the legislature had recently lifted a restriction so non-ARPA funds could be used. They also said the sale of the existing Manchester property would not be needed to complete the build, that a broker RFP was about to be issued, and that any sale would require further approvals. The committee approved the item. The committee then approved item 25280 after a brief exchange about rainy day fund estimates and prior budget assumptions, and approved item 25278 without discussion. Item 25272 drew questions about the consumer advocate’s RFP for outside utility-rate-case assistance; the office said it eliminated proposals focused only on return on equity work after the Eversource decision, selected a Michigan firm for spreadsheet and operating-cost analysis, and noted there were no in-state firms doing this specialized work. The committee approved the item, with one member recorded in opposition. On tab nine, item 25261 concerned a new judicial council budget obligation tied to legislation and public defense staffing needs. The presenter said the request reflected a late-added obligation from the judicial branch, that more requests may still be needed, and that public defense staffing was strained by vacancies and competition from Massachusetts. The committee approved the item. Under informational items, members received an update on 529 plan distributions and on interest and dividends tax refunds, with Revenue Administration saying roughly $21 million more in refunds remained and that the repeal-related refunds were nearly finished. The committee also noted an environmental services item for which questions would be submitted separately. The next meeting was set for December 19th at 11:00 a.m., and the committee adjourned.

Transcript Highlights:

• that attends in the member's place must be of the same political party, transfers the duties to evaluate
• Nevada Revised Statutes 218E.300 provides that a joint interim standing committee may evaluate and review
• carve-out allows the Joint Interim Standing Committee on Legislative Operations and Elections to evaluate
• I believe you all should have a really cool graph that we created that actually evaluated this committee

Bills: AB534, AB562, AB595, AB597, AB600, SB74, SB226, SB422, SB488

Keywords: election reform, voter accessibility, conditional ballots, voter registration, mechanical voting systems, election audits, voter access grants, provisional ballot, voting technology, AB562, Nevada, Secretary of State, elections, elections management system, HAVA, Help America Vote Act, automatic voter registration, AVR, election technology, state appropriations

Transcript Highlights:

• 50,000, I'm assuming that what you're doing is the same thing the Chair is doing, which is you are evaluating
• grants administration, financial reconciliation and grants management, grant monitoring, and grantee evaluation
• Most of the comments I have are related to program evaluation OLA released in 2023 that I believe we
• We have eight financial audit reports and two program evaluation reports with the findings in the back

Bills: HF3043, HF2891

Keywords: public safety, illegal remunerations, healthcare fraud, grants, criminal penalties, state law, grants management, state employees training, certification, monitoring grants, accountability, grant fraud

Transcript Highlights:

• It requires Minnesota Math Corps to use evidence-based instructional support to evaluate and accelerate
• 11.599> to evidence-based instructional support to evidence-based instructional support to evaluate
• and<00:04:12.720> accelerate<00:04:13.280> student<00:04:13.599> learning evaluate
• and accelerate student learning evaluate and accelerate student learning on<00:04:14.159> foundational

Bills: HF1306

Keywords: education, school policy, teacher training, student health, emergency response, 1183, house

Transcript Highlights:

• We're also requiring DVA to evaluate...
• We're also requiring DVA to evaluate the health literacy of veterans in this state and provide recommendations
• then after that section of the bill, it talks about the department arranging for an independent evaluation
• bill provides a methodology for our agencies and the legislature to eliminate obsolete rules and evaluate

Summary: The Senate opened with prayers, the Pledge of Allegiance, and several introductions recognizing FSU Day at the Capitol, the Red Mass, visiting students, school board members, veterans, and other guests. The chamber then moved to the special order calendar and took up a series of bills, with several measures temporarily postponed before and during the day’s proceedings. Committee and executive reports were largely absent, and the Senate proceeded directly to floor action on the listed bills. The Senate passed a number of mostly unanimous bills, including SB 36, SB 38, SB 40, and SB 42 on Florida Statutes revision; CS/SB 50 on nature-based coastal resilience, amended to strengthen the Florida Flood Hub and related research; CS/SB 116 on veterans, expanding benefits coordination, mental health training, adult day health care, and other veterans services; SB 126 on mailing prescription hearing aids to adults; SB 150 on abandoning restrained dogs during natural disasters, amended to conform to the House; SB 294 limiting collaborative pharmacy practice for certain serious cardiac conditions; SB 322 creating a nonjudicial process for removing unauthorized persons from commercial property; SB 348 on ethics, including false military rank claims and collection of delinquent ethics fines; and CS/SB 7012 on child welfare workforce recruitment, treatment foster care pilots, and data collection for commercially sexually exploited children. Senate Memorial 314 urging Congress to increase Florida National Guard force structure was also adopted by voice vote. Two bills drew more extended debate. SB 118 on presidential libraries passed 36-3 after questions about local zoning, traffic, and whether the bill’s express preemption would limit county and municipal authority; supporters argued it would prevent local obstruction and help Florida attract a presidential library, while one senator said she would vote no because of concerns about local safety and planning issues. CS/SB 160 on public accountancy passed 39-0 after an amendment clarifying contracted services; supporters said it would broaden pathways into the CPA profession and address workforce shortages. CS/SB 108 on administrative procedures and CS/SB 110 on rural communities were temporarily postponed, then later taken up and passed after extensive debate, with SB 110 amended to prioritize certain rural transportation projects, expand housing, health care, broadband, and economic development support, and draw strong bipartisan praise for its focus on rural Florida. At the end of the session, the Senate waived rules to immediately certify all bills passed that day to the House, observed a moment of silence for former Surfside Chief John Healy, and made several closing announcements and recognitions.

Transcript Highlights:

• The key components of the project included evaluating the applications used in the 6Rs that Mr.
• Brown mentioned—replace, re-host, refactor, et cetera—evaluating our enterprise architecture as we move
• These projects were evaluated and prioritized based on several factors, including the level of effort
• These projects were evaluated and prioritized based on several factors, including the level of effort

Summary: The subcommittee first heard a panel on state cloud modernization efforts after canceling an LBR on the Department of Corrections’ OBIS project because the presentation materials were not submitted on time. Florida Digital Service, the Northwest Regional Data Center, and several agencies described how the state is assessing and migrating applications to cloud environments under the cloud-first policy. Northwest explained its 2023 cloud readiness assessment of 890 applications from 24 agencies, the criteria used to rate readiness and risk, and its recommendation to tackle lower-risk applications first. Agency updates covered the Department of Corrections’ modernization of 98 legacy applications tied to OBIS and cloud-native infrastructure, the Department of Elder Affairs’ Microsoft Power Platform modernization, the Department of Health’s health management and child protection systems, and FDOT’s large cloud program for transportation systems. Members repeatedly asked about costs, data ownership, disaster recovery, single sign-on, security tools, and whether cloud migration actually saves money; presenters generally said the focus is more on modernization, resilience, and efficiency than immediate savings, and that cost analyses are often application-specific rather than enterprise-wide. The discussion also covered governance and architecture questions. Florida Digital Service said agencies remain responsible for their own databases and cloud tenants, while FLDS provides advice and an enterprise architecture framework; it does not have statutory oversight over most projects, except for OBIS project oversight due to its size. Northwest said it is acting as a cloud broker for some agencies and is consolidating Azure and AWS payer tenants to seek better pricing, but agencies still make system-by-system decisions based on business needs, risk, latency, and total cost of ownership. Members raised concerns about fragmented data structures, the lack of a complete statewide application inventory, and the need for better interoperability and enterprise standards. Several agencies said disaster recovery is built into their cloud plans, and FDOT and Corrections described ongoing efforts to keep systems current through core platforms, training, and ongoing support. In the second half of the meeting, the Department of State presented two new technology requests. Secretary Byrd described the SunBiz corporate registry system as a 34-year-old platform supporting more than 3.5 million business entities and generating over $575 million in annual general revenue. He said the department had already virtualized the legacy hardware after earlier modernization efforts failed and is now seeking $800,000 recurring for password protection and $5 million nonrecurring to continue procurement for a replacement system. The department also presented the Florida Voter Registration System modernization request, noting that the current system is outdated and requires manual workarounds for some statutory changes. The department requested $2.4948 million nonrecurring and $44,000 recurring to procure a modernized FVRS solution, and staff said the feasibility study recommended a hybrid approach. Members asked about the study’s findings and about creating a database for voter eligibility information for returning citizens; the department said that would require data sharing with all 67 clerks of court and other entities such as DOC.

Transcript Highlights:

• work with in determining what are the key issues and how should we be thinking about them as we're evaluating
• What's the process for re-evaluating? There's one thing.
• could be a situation where CDT is funding and perhaps over funding itself around administration. evaluation
• Department of Technology can spend that no more than three percent on administration. no more than 5% on evaluation

Keywords: 988, house, all

Transcript Highlights:

• Finally, we have executed two other agreements as required by statute, one for a five-year evaluation
• Five-year evaluation of the program, and another to participate in the PRISM, or Provider Retention and
• discuss recommendations on expanding the Cancer Innovation Fund to a broader pool of institutions, evaluate
• We have not had the opportunity to evaluate yet to see what that increase in health care professionals

Summary: The Senate Health Policy Committee received updates from the Agency for Health Care Administration and the Department of Health on implementation of 2024 health care laws. AHCA reviewed progress on workforce and reimbursement measures in Senate Bill 7016 and related bills, including FRAME and TEACH funding, graduate medical education reporting, behavioral health teaching hospitals, acute hospital care at home, advanced birth centers, non-emergent care access plans, and rural emergency hospitals. Agency officials said several programs are already operational or have begun payments, while others are still in rulemaking, federal approval, or report-preparation stages. Senators asked about timing, funding reversion concerns, and whether appropriated dollars would be spent on schedule, especially for behavioral health teaching hospitals and the new birth center category. The Department of Health then reported on practitioner licensure and public health programs. MQA described implementation of the Interstate Medical Licensure Compact, the Mobile Act licensure pathway, massage therapy enforcement changes, background screening expansion, liposuction safety requirements, pharmacist HIV post-exposure prophylaxis authority, and chiropractic dry needling. Public health staff updated the committee on FRAME and dental loan repayment, the Sinati screening grant program, the cancer research and innovation changes, the health care innovation council and loan program, the pediatric rare disease grant program, telehealth maternity care expansion, newborn screening for congenital CMV, the sickle cell registry and grants, and the swimming lesson voucher program. Members focused questions on how practitioners were being recruited to underserved areas, the pace of licensure approvals, and whether new programs were on track to use appropriated funds. The committee also heard a lengthy update from the Office of Medical Marijuana Use. The director reported more than 900,000 qualified patients, real-time seed-to-sale tracking now integrated across most dispensaries and labs, and ongoing compliance work on product testing, advertising, diversion, and patient safety. Senators questioned the decline in qualified physicians, how THC potency is labeled and verified, and what the agency can do about diversion to non-patients. The director said the office relies on complaints, inspections, lab audits, and coordination with law enforcement, and that patients can be suspended if violations are confirmed.

Transcript Highlights:

• This is for the Nursing Assistant competency evaluation program.
• This is for psychological evaluations for DCFS clients. 128 is with The Answer Foster Care, a private
• This is to deliver an integrated and independent evaluation framework that supports the goals of Build

Summary: The committee met to review a supplemental agenda item, procurement rule revisions, methods of finance, discretionary grants, contracts, reports, and a member disclosure. The supplemental agenda was accepted, and the Office of State Procurement’s rule revisions were approved after Jessica Patterson explained they were driven by 2025 legislative changes, including Act 782, CASO Consulting recommendations, and updates to sole source, bid, protest, and debarment provisions. The methods of finance and discretionary grants were also approved, covering a range of university capital projects, health and human services grants, historic preservation awards, and tobacco prevention and cessation programs. The committee then reviewed RFQs and six ratifications. The ratifications included a Workforce Connections payment to ACT WorkKeys for services provided during a contract gap, a Department of Health ratification for water-leak repairs, a large Department of Public Safety ratification for Motorola’s Arkansas Wireless Information Network upgrade, a Veterans Affairs HVAC ratification, an ADFA medical services ratification, and a UA Little Rock painting contract ratification. Members questioned the Public Safety ratification at length about why the expired Motorola contract was not caught sooner and why it took months after discovery to come forward; agency officials said the work was tied to bond funding and was not tracked in ASIS, and the chair urged agencies to develop better monitoring procedures. The committee approved a large slate of construction, intergovernmental, out-of-state, and in-state contracts, including many recurring service agreements for DHS, higher education institutions, corrections, health agencies, and state support functions. Several members asked about specific contracts, including aerial application services for correctional farms and a Southern Arkansas University custodial contract, and staff or agency representatives provided brief explanations. The meeting concluded with review of reports and approval of a member disclosure involving Representative Andrew Collins’ investment interest in a company leasing property to Arkansas Rehabilitation Services.