Transcript Highlights:

• access to people?
• ensure that there's meaningful access to those services, try to provide tools that support them using
• <00:47:06.280><c> to</c><00:47:06.440><c> those</c><00:47:06.680><c> services,</c> access to those services
• , access to those services, try<00:47:08.360><c> to</c><00:47:08.480><c> provide</c><00:47:09.000><c>
• home birth, through CPMs, through women who would like to be able to access those services right there

Keywords: 958, all

Transcript Highlights:

• access to new technologies.
• access to new technologies.
• We want to continue to have access to the medical record.
• So they have access to the file, but they don't have access to the genetic testing.
• And if you had a service, for example, on AT&T, would not be able to port your number to another service

Summary: The committee heard several bills focused on privacy, accessibility, labor, and public safety. AB 1798 by Assemblymember Wilson would bar life and disability insurers from using non-diagnostic genetic information, including direct-to-consumer test results, in underwriting. Supporters argued the bill would protect privacy and encourage genetic testing, while insurers opposed it as unnecessary and said genetic data should be treated like other predictive health information. The bill passed the committee on a 7-0 vote and was held open for absent members. AB 2190 by Assemblymember Wallace would create website accessibility standards based on WCAG guidelines and add affirmative defenses intended to reduce serial litigation while improving access for people with disabilities. Disability advocates supported the measure as a needed civil-rights update, while business groups warned it could increase liability and create unclear compliance obligations. The bill passed 9-0 and was sent to Appropriations. AB 2721 by Assemblymember Carrillo would require hotels to post notice when they know or should know that U.S. Customs and Border Protection or ICE are using the premises, with supporters saying workers and guests deserve transparency and safety. Hotel and business groups opposed it, citing privacy, liability, and concerns about interfering with federal operations. The committee voted 6-2 to pass the bill to Appropriations, with the roll left open. AB 2027 by Assemblymember Ward would restrict employers from using worker data to train AI systems that replace workers and limit sharing of worker data for automation; labor groups supported it and business and public-sector groups opposed it as too broad. The bill passed 7-2 to Appropriations, with the roll left open. The committee also heard AB 1837 by Assemblymember Mark Gonzalez, which would extend and tighten privacy rules for transit agencies’ use of forward-facing cameras to enforce bus-lane violations; supporters said the cameras improve transit flow and safety, and the bill was presented with amendments, though no final vote is reflected in the transcript excerpt.

Transcript Highlights:

• access to us.
• Now, another key reason for increasing our veteran referrals is to expand access to specialized services
• Not only are we increasing access to VR services, we are also connecting veterans to innovative treatment
• This allows individuals to participate in services they otherwise might not be able to access.
• This allows individuals to participate in services they otherwise might not be able to access.

Keywords: 977, all

Summary: The committee met to receive a detailed financial operations presentation from the South Carolina Vocational Rehabilitation (VR) agency, with staff walking members through funding sources, budgeting, accounts receivable, accounts payable, and grants management. Sabrina Walker explained VR’s blended funding structure, including federal grants, state appropriations, program income, and interagency contracts, and emphasized that state funds are essential to meeting the federal match and maintenance-of-effort requirements. Members asked repeatedly about transparency, audit controls, and the risk that state cuts could reduce federal drawdowns; staff responded that all reports reconcile back to the SCEIS accounting system, are subject to state audits and internal reviews, and that even modest state reductions could significantly reduce total available funding. The committee also discussed pre-employment transition services for students with disabilities, with staff confirming services are offered through school districts, charters, and private schools, and that contracts are monitored for performance and compliance. The presentation then shifted to budgeting and internal controls. Walker described a zero-based departmental budgeting process, monthly monitoring reports, contingency reserves for unexpected expenses, and a formal annual cycle that culminates in board approval. Members asked about facilities tracking, culture, and how the agency maintains accountability; staff said facilities staff inspect buildings and equipment, supervisors justify line-item requests, and the process has become smoother over time as departments learned the system. Cynthia Johnson followed with an accounts receivable overview, describing invoicing, receipting, aging, customer verification, year-end reporting, and the use of cross-training, shared email inboxes, and spreadsheets as checks and balances. She also explained work training center billing, interdepartmental transfers, and the revolving fund used to issue consumer checks more quickly than standard vendor payments. Olivia Perez presented accounts payable operations, including invoice processing through SCEIS and OnBase, the three-way match, travel reimbursements, revolving fund checks, State Treasury Office interactions, and handling of reversals, rejections, and levy notices. She reported that AP processed 67,723 SCEIS payments, 13,670 case management system invoices, 3,379 travel reimbursements, and 15,693 revolving fund checks in fiscal year 2025, with only 70 payment rejections. The final portion of the meeting covered Grants and Funds Management, where Walker explained federal reporting, drawdowns, payroll allocation, asset tracking, lease and IT contract reviews, cost allocation, and closing packages. She noted upcoming system changes such as S/4HANA, Workiva, and SC Pro, but said the agency is receiving training and feedback opportunities. No formal votes or legislative actions were taken during the presentation portion beyond approval of the prior minutes and a brief recess.

Transcript Highlights:

• Pain parity legislation is needed to ensure access to novel non-opioid choices.
• </c><00:03:24.879><c> to</c> Pain parity safeguards equal access to Pain parity safeguards equal access
• to access to excess obstacles in place to access to excess non-opioards<00:03:54.000><c> or</c><00:03
• </c><00:04:08.000><c> to</c> PA results in delayed access to PA results in delayed access to necessary
• Kentucky should be able to access the Kentucky should be able to access the care<00:42:15.200><c> they

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services met with a quorum and first moved through administrative regulations without comment. The committee then heard Senate Bill 56, sponsored by Senator Gerald Neal, which would require Medicaid and its managed care entities to treat non-opioid pain medications on equal footing with opioid analgesics by prohibiting more restrictive coverage controls, prior authorization, or step therapy for non-opioids. Neal argued the bill would improve access to safer pain treatment options and reduce the risk of opioid use disorder, and Billy O'Brien of Young People in Recovery testified in support, describing personal experiences where non-opioid options were difficult to obtain despite a desire to avoid opioids. After discussion, the bill received a motion and second and passed the committee on a 10-0 vote. The committee then took up Senate Bill 72, sponsored by Senator Don Douglas and presented with Greg Chaffin of Alliance Defending Freedom. Douglas described the bill as a provider recruitment and retention measure intended to protect health care workers from being compelled to act against their conscience and to address workforce shortages and pressure in health care settings. He said the bill would protect individual beliefs while maintaining professionalism. A large number of witnesses then testified, and the chair limited public comments to two minutes each because of the number of speakers and the controversy surrounding the bill. Most public testimony opposed SB 72. Speakers including representatives of the Kentucky Council of Churches, a psychologist, an ordained minister and nurse, a nurse practitioner, and an ACLU policy strategist argued the bill was overly broad, could allow refusals of care by a wide range of health care workers, and could delay or deny treatment, especially for vulnerable patients and in rural or emergency settings. Several cited concerns about discrimination, patient safety, and the lack of adequate protections for patients. One witness recounted the death of an 18-year-old pregnant patient as an example of the harm that can result from delayed care. The transcript ends during additional testimony on SB 72, before any committee vote or final action on that bill is shown.

Transcript Highlights:

• The National Park Service is reducing access to our parks.
• them also, is bringing access to them.
• them also, is bringing access to them.
• them also, is bringing access to them.
• It's bringing access to them.

Summary: The Senate Budget Subcommittee on Resources, Environmental Protection, and Energy convened for its first hearing and heard an overview from the Legislative Analyst’s Office and the Natural Resources Agency. The LAO emphasized California’s strong current revenues but warned of a structural budget problem, projected out-year deficits, and the need for a high bar on new spending. It generally supported the administration’s Proposition 4 spending plan as reasonable and consistent with bond requirements, while urging legislative oversight and caution about using special funds and adding ongoing commitments. Secretary Wade Crowfoot responded with an overview of climate, wildfire, water, coastal, and conservation challenges and highlighted progress under the Newsom administration, including clean energy growth, wildfire resilience investments, land conservation, tribal co-management, and outdoor access initiatives. He also discussed federal staffing cuts affecting California’s response capacity and said the state has had to fill gaps in flood forecasting, land management, and park access. Members then questioned the secretary about the Delta conveyance tunnel and broader water reliability issues. Crowfoot said the project remains important, is being pursued as a beneficiary-pays project, and is moving through the State Water Resources Control Board’s permitting process, while also stressing that it is only one part of a broader water strategy that includes levee strengthening, subsidence, groundwater storage, recycling, and conservation. Senators also raised concerns about permitting delays, invasive species, and the impact of position cuts on agency capacity; Crowfoot said streamlining is needed but that staffing remains essential. The committee then moved to the Department of Parks and Recreation, where Director Armando Quintero described the state park system, tribal agreements, wildfire and deferred maintenance work, and outdoor access programs such as the State Library Park Pass and Adventure Pass. The LAO recommended rejecting the proposed ongoing $6.75 million General Fund transfer for the library park pass, arguing it did not meet the high bar for new ongoing spending, but several senators strongly supported the program as a low-cost way to expand access. Members also pressed Parks on reservation system problems and campsite no-shows. Department staff said they are updating website guidance, working with the reservation vendor, and implementing new no-show and reservation-modification rules effective July 1, including penalties for repeated no-shows and immediate reopening of vacant sites. The committee then heard a low-cost accommodations proposal, which Parks said would fund planning and construction at several sites using Proposition 68, reimbursements, and donations; the LAO said it had no concerns. Finally, the new director of the Department of Fish and Wildlife, Megan Hurdle, introduced herself and outlined the department’s mission, staffing, service-based budgeting, and Proposition 4 requests, including funding for salmon genetic tagging, hatchery repairs, and public access improvements. She said the department is focused on biodiversity, permitting streamlining, law enforcement, and human-wildlife conflict prevention, and noted that the agency is still updating its service-based budgeting analysis to identify gaps and priorities.

Transcript Highlights:

• It will increase access to care.
• So is it better to have zero access to care whatsoever, or is it better to have access to a virtual veterinarian
• So is it better to have zero access to care whatsoever, or is it better to have access to a virtual veterinarian
• to ADHS and have to go through Access.
• to ADHD and have to go through access.

Bills: SB1021, SB1144, SB1164, SB1178, SB1181, SB1241, SB1247, SB1286, SB1415, SCR1011

Keywords: health profession, regulatory boards, criminal activity, notification, auditor general, investigations, veterinary technicians, certification, education alternative, Arizona Revised Statutes, veterinary education, ALTCS, providers, ownership change, healthcare, Arizona Long Term Care System, naturopathic physician, naturopathic medicine, naturopathic doctor, naturopathic physicians medical board

Transcript Highlights:

• , allow HICAPs to be properly staffed to meet increased demand for services, promote equitable access
• They may choose to contract out for services.
• four, ensuring access to Medicaid services.
• four, ensuring access to Medicaid services.
• First, it allows the department to access additional forms— Allows the department to access additional

Keywords: 987, senate, all

Transcript Highlights:

• And whereas the most commonly requested services were for basic needs such as access to housing, utilities
• </c><00:15:11.360><c> to</c> for basic needs such as access to for basic needs such as access to housing
• ensure that every Vermont has access to the care and resources they need.
• 16:57.839><c> resources</c> has access to the care and resources has access to the care and resources
• to work for access, we must continue to work for access, inclusion,<00:21:38.799><c> and</c><00:21:39.120

Keywords: 926, house, all

Transcript Highlights:

• for them to have access to justice.
• to support victim services.
• TRCs are specifically designed to reach survivors who are least likely to access traditional services
• TRCs are specifically designed to reach survivors who are least likely to access traditional services
• to require a payment to have access to that service, you know, off into the future.

Keywords: 988, house, all

Transcript Highlights:

• HB 352 is a clean-up bill to address behavioral health services access in our schools.
• for Access to Autism Services, and Mandy Zonbreaker self.
• to Autism Services.
• The singular mission of our organization is to improve access to ABA services.
• make sure that students are able to access this service in the setting that is most appropriate for

Summary: The House Education Committee met on March 25, 2026, with a quorum present and heard a series of education-related bills and one resolution. The committee first took up HB 636 on hazing at public post-secondary institutions. Representative LaFleur presented the bill as a response to Caleb Wilson’s death, and family members, former Rep. Jason Hughes, and other supporters urged stronger prevention, reporting, and penalties. The committee adopted amendments adding implementation details and a lifetime ban on re-chartering an organization if hazing results in death, then reported the bill as amended as the “Caleb Wilson Hazing Prevention Act.” The committee then heard HB 218 on food insecurity screenings in public schools. LaFleur said the bill would formalize a process to identify hungry students and connect families to resources, with amendments tying the screening to existing McKinney-Vento forms and adding food-insecurity questions. Support came from charter school representatives, the Department of Education, and others, while Dr. Will Hall suggested involving caregivers and faith-based groups. The bill was reported with amendments. The committee also approved HB 626, which would require colleges and universities to provide suicide-prevention information, hotline access, and aggregated non-identifiable reporting on suicide risk. Rep. Jordan described it as a response to an uptick in suicides among college-age students, and the Board of Regents said most institutions already use telehealth or 988 resources. The bill was reported favorably. Next, the committee heard HB 749 on the administration of START, START K-12, and ABLE savings accounts. Rep. Carver said the bill would modernize and secure the program by allowing a third-party manager and online platform, while Treasury and Board of Regents staff explained that oversight would remain in place and that ABLE accounts would not be charged fees. The bill was reported favorably. The committee then considered HB 352 on behavioral health services for public school students. Rep. Mack and advocates from the Arc and ABA providers said the bill would ensure medically necessary services can be delivered in classrooms or other school settings, while the Louisiana Federation of Teachers asked for clearer pre-conference expectations to avoid classroom disruption. After testimony from parents, providers, and school stakeholders, the bill was reported with amendments. Finally, the committee approved HB 201 creating a state seal of fine arts for high school graduates, and HB 738 revising student disciplinary proceedings at colleges and universities to ensure evidence and fairness in disciplinary actions. Both bills were reported favorably. The committee also began hearing HCR 14, which expresses support for federal efforts to eliminate the U.S. Department of Education, but the transcript cuts off before any final action on the resolution is shown.

Transcript Highlights:

• continue to provide the services.
• continue to provide the services.
• Families need that access to thrive.
• Families need that access to thrive.
• Families need that access to thrive.

Summary: The Assembly Budget Subcommittees on early childhood education heard a broad review of the Governor’s child care and preschool budget proposals, with testimony from the Department of Finance, the Department of Social Services (CDSS), the California Department of Education (CDE), and the Legislative Analyst’s Office (LAO). The main topics were cost-of-care-plus and COLA adjustments, the California State Preschool Program, child care slot reductions tied to federal and Proposition 64 funding changes, disaster recovery grants for child care facilities, trailer bill proposals on family fees and absences, prospective pay, and several budget change proposals for departmental staffing and licensing. Officials also discussed the state’s transition toward an alternative methodology for setting rates based on the true cost of care. On rate reform, CDSS and CDE said the current reimbursement system remains below the alternative methodology in many counties and that providers continue to struggle with recruitment and retention. The LAO recommended aligning cost-of-care-plus increases across provider types, while CDE urged that any COLA be added to base rates rather than cost-of-care-plus payments because providers view the latter as less ongoing. CDSS said the next alternative methodology update will be developed with a contractor during fiscal year 2026-27, with public engagement and legislative input, and estimated that fully transitioning to rates informed by the methodology would take about 24 months once policy and funding are in place. CDSS also said the direct-service cost of care under the methodology was estimated at about $18.7 billion in a July 2025 report. A major point of contention was the proposed reduction of 4,167 child care slots due to lower federal CCDF funding and reduced Proposition 64 revenue. CDSS said it expects to absorb the reduction through unspent funds and relinquishments so currently enrolled children are not disrupted, while the LAO supported the reduction as a way to avoid worsening the structural deficit. Members strongly objected to the slot cuts, arguing the administration has repeatedly proposed reductions after prior budget agreements and emphasizing the economic and family benefits of child care. The committee also discussed preschool enrollment trends, including growth in three-year-old enrollment and a sharp increase in two-year-olds served under a temporary provision, with CDE warning that the temporary two-year-old authority expires in 2027. The committee also reviewed an $11.5 million Proposition 64 proposal for child care infrastructure grants for facilities impacted by 2025 state disasters, especially the Los Angeles fires, and members asked for trailer bill language to make the funds flexible for repairs, equipment, insurance, and permitting. On trailer bill items, the panel discussed codifying family fee reimbursement rules, defining excessive unexplained absences to allow disenrollment after prolonged nonuse, and expanding temporary provider absences; CDSS said the absence policy is meant to mirror federal CCDF rules, while CDE said it is already pursuing its own rulemaking. The hearing also covered prospective pay, with CDSS and CDE saying they are waiting for final federal guidance before moving ahead; LAO said the state could save ongoing costs if the federal requirement is rescinded. Finally, the committee reviewed staffing and support budget requests for CDSS and other implementation items, and held several items open for further discussion before the May Revision. Public comment overwhelmingly urged full funding for child care slots, true cost-of-care payments, and ongoing support for early education programs and county offices of education.

Transcript Highlights:

• Access to customers.
• So those servers are going to have to comply, or they're going to drop the coverage or the service, I
• access to care over the internet.
• So those servers are going to have to comply or they're going to drop the coverage or the service, I
• According to this bill, no, you don't have to comply because maybe they only service, you know, up to

Summary: The committee first took up Senate Bill 20, a prior-authorization measure aimed at exempting certain medications and treatments for seriously mentally ill adults from repeat insurance prior authorization, while also extending prior authorization approvals to three years for chronic maintenance drugs. The sponsor described the bill as the latest in a series of bipartisan prior-authorization reforms and accepted an amendment from the Health Care Authority and the Office of the Superintendent of Insurance to apply the bill to adults only and to cover PBMs in the interagency purchasing collaborative. Supporters, including NAMI New Mexico and state health officials, argued the bill would reduce barriers to needed care, especially for mental health treatment. Opponents from health plans, PBMs, and insurers warned the bill was too broad, lacked clear definitions for serious mental illness and chronic conditions, created patient-safety concerns, and should have a shorter reauthorization period and later implementation date. After committee discussion, the sponsor agreed to work on a committee substitute, and the bill was rolled over for a later meeting. The committee then heard Senate Bill 53, the Chispa data privacy bill, which would impose broad limits on the collection, sale, and use of personal data, require opt-in consent for many uses, strengthen rights to access, correct, and delete data, and create enforcement mechanisms including a private right of action. Supporters from advocacy, women’s, behavioral health, reproductive health, and civil rights groups said the bill was needed to protect sensitive health and location data, prevent surveillance and criminalization, and give New Mexicans real control over their information. Business, technology, insurance, and hospital representatives opposed the bill, arguing it was more restrictive than other states’ privacy laws, would burden small businesses and health-related services, create compliance uncertainty, and risk limiting digital services and innovation. After extensive questioning about data breaches, opt-in consent, nonprofit exemptions, and the bill’s impact on businesses and health care access, a motion to table failed 5-4, and the committee then passed SB 53 on a 5-4 vote. The committee next heard Senate Bill 86, which updates the state’s harassment-by-telephone law to cover electronic communications such as social media, messaging apps, and email. The sponsor and a Las Cruces police chief said the change would modernize an outdated 1967 statute and help law enforcement address harassment and domestic violence through current technology. The bill drew support from the governor’s public safety advisor and the Greater Albuquerque Chamber of Commerce, and members asked a few clarifying questions about the wording. The committee approved SB 86 unanimously, 9-0. Finally, the committee began hearing Senate Bill 96, on regulated childcare zoning requirements, using a committee substitute. The sponsor and the Early Childhood Education and Care Department said the bill would reduce confusing zoning and fire-code barriers to opening or expanding child care homes and centers, helping address a statewide shortage of child care slots and supporting working families. The discussion began with the committee substitute and an explanation that the measure is intended to streamline local requirements and expand child care supply.

Transcript Highlights:

• give access to their medical records to their parents.
• the healthcare service to that youth?
• To do so, they need access to medical records and the ability to make decisions.
• I have seen the difference access to crisis services and hotlines can make.
• SEEN THE DIFFERENCE ACCESS TO CRISIS&nbsp;&nbsp; 626 SERVICES AND HOTLINES CAN MAKE.

Summary: The committee first heard HB 245, which would replace references in Florida law to “child pornography” with “child sexual abuse material.” The sponsor said the change was overdue and more accurately reflects the criminal nature of the material. There was brief supportive public testimony, no debate, and the bill was reported favorably on a unanimous vote. The committee then took up HB 237 on the use of professional nursing titles. The sponsor said advanced practice registered nurses should be able to use earned academic titles such as DNP or PhD. Supporters testified in favor, there was no opposition or debate, and the bill passed unanimously and was reported favorably. The longest discussion centered on HB 173, which would expand parental consent and access requirements for minors’ medical care, medical records, certain school surveys, and biomedical devices. Supporters argued it restores parental rights and keeps parents involved in children’s health decisions, while opponents—many from medical, mental health, LGBTQ, and youth advocacy groups—warned it could block access to STI treatment, mental health care, crisis hotlines, and confidential services for vulnerable youth, including those in abusive homes. After extensive testimony and debate, the bill was reported favorably on a 19-7 vote. Finally, the committee began HB 327 on uterine fibroid research. The sponsor explained the bill would require health care providers to submit identified data so the Department of Health can build a usable de-identified research database, after prior implementation problems with duplicate or unverified data. A supportive local official testified, and members indicated support as the meeting moved toward a vote.

Transcript Highlights:

• end up having to go if they don't have the coverage that they need to be able to access primary care
• end up having to go if they don't have the coverage that they need to be able to access primary care
• That means it's more difficult to access doctors when you need to.
• Yeah, people are going to show up. And so we are going to be spending it to provide the services.
• This funding will help preserve access to essential health care services and prevent greater strain on

Summary: The hearing focused on the expected loss of health coverage in California due to H.R. 1 and related federal policy changes, and what that could mean for county indigent care programs. Members and the chair said the state expects large Medi-Cal and Covered California disenrollments, with concerns that counties will again become the safety net for uninsured residents. The committee also framed the hearing as a chance to assess whether current systems are ready and what policy or budget changes may be needed before the next budget cycle. The Legislative Analyst’s Office described county indigent care as a long-standing, county-run program of last resort with wide variation in eligibility and benefits, funded largely through realignment dollars that also support public health. LAO said enrollment in county indigent care fell sharply after the ACA, but could rise again, and estimated that 20% to 50% of newly uninsured people might seek county care. LAO and administration witnesses emphasized that data on county programs is fragmented, not centrally collected, and would need to be standardized before the Legislature could make major structural decisions. Administration officials said Medi-Cal disenrollment could reach more than 1 million members at full implementation, with additional losses possible because a new federal rule makes medical-frailty exemptions more restrictive. They also said Covered California enrollment is projected to decline, though state subsidies may soften the drop. Members pressed the administration on the lack of real-time data and whether statutory authority might be needed to require county reporting. Officials said a statewide, apples-to-apples data system would likely take years, though some existing HCAI and DHCS data could help in the meantime. County representatives from Santa Barbara, San Diego, and Tulare described the practical effects of the coverage losses and asked for state help. They said their indigent care systems are limited, often reactive, and far less comprehensive than Medi-Cal, with many patients likely to show up only after conditions worsen. Counties warned that they would need bridge funding, updated statutory authority, and more flexible realignment rules to rebuild capacity and serve newly uninsured residents. The California Health Care Foundation echoed that the problem is statewide and cannot be solved county by county alone.

Transcript Highlights:

• This bill increases access to a critical...
• It clarifies and reaffirms that local governments have the authority to provide essential services to
• in California can continue to use state and local funding for these services if they choose to do so
• It can be a life-changer for a lot of people, and we need to preserve access to it.
• SB 944 helps ensure that patients can continue to access medically appropriate acupuncture services.

Keywords: 988, house, all

Transcript Highlights:

• without access to broadband.
• access to.
• to broadband compared to rural areas without access.
• Finally, we hope to work with local internet service providers to reduce costs. ...service providers,
• Access to the internet.

Transcript Highlights:

• It's just amazing to see him in action. I appreciate his service to New College.
• are accessible to everyone at every stage of life.
• Thank you for considering my continued service. I'm honored to contribute to Valencia.
• antagonist, to expand choice options and access to life-saving medication.
• We need to say Black students are struggling with access.

Summary: The Appropriations Committee on Higher Education first took up a block of confirmation hearings for trustees and board members at several public universities and state colleges. Appointees from Florida A&M University, Florida International University, New College of Florida, Pasco-Hernando State College, South Florida State College, Valencia College, Florida Atlantic University, and the University of Florida described their backgrounds and emphasized themes such as governance, student success, workforce alignment, fiscal stewardship, research growth, and institutional reputation. Members asked a few questions, but most nominees received no substantive opposition. The committee then voted unanimously to recommend confirmation of the group of appointees on tabs 3 through 18 and forwarded them to Ethics and Elections. The committee next heard Senate Bill 114 by Senator Trumbull, which would create the Florida Center of Excellence in Insurance and Risk Management at Florida State University, move the public hurricane loss projection model from FIU to FSU, and provide funding for the effort. Trumbull said the bill is intended to strengthen the state’s insurance research capacity and broaden study of insurance lines beyond wind risk. Senators asked about the impact on FIU and the distinction between the new center and existing FIU work; Trumbull said FIU’s Wall of Wind would remain and that the state-owned model would simply be contracted to FSU instead of FIU. The committee reported the bill favorably. The committee then considered Committee Substitute for Senate Bill 1624 by Senator Calatayud, a wide-ranging higher education bill addressing tuition, workforce programs, institutional operations, and naming changes. Amendments were adopted to create state college regional consortium service organizations for rural colleges, remove a proposed out-of-state fee change for nonresident online students, extend university master plan update cycles from five to 10 years, and rename Hillsborough Community College as Hillsborough College. The bill also changed several references from specific minority categories to “underrepresented,” revised aid and waiver provisions, adjusted adult education and career program rules, and made other technical changes. Senators Smith and Davis questioned the shift away from enumerated categories, arguing it could obscure disparities affecting groups such as Black students, women in STEM, and students with disabilities; Calatayud said the intent was to focus on socioeconomic access and flexibility for institutions. After debate, the committee voted 6-2 to report the bill favorably, with Senators Davis and Smith voting no, and then adjourned.

Transcript Highlights:

• What is needed to connect the high-needs kids to behavioral health services, since so many seem to be
• The only way to increase the service is... Only way to make money is increase the service.
• It doesn't get to see school-based services and must rely on Access OIG investigators to do any financial
• She's required to make a report to the Access OIG.
• solutions to physical and behavioral health services.

Keywords: 1182, all

Transcript Highlights:

• expand access to care.
• expand access to care.
• to expand access.
• possible to the client in order to gain that formulary access.
• so I can get access to data and understand what the cost are to my plan?

Summary: The committee first took testimony on House Bill 1681, which would require health carriers and pharmacy benefit managers to count amounts paid by or on behalf of an enrollee for certain medications toward out-of-pocket maximums when no generic substitute is available. The sponsor described the bill as helping patients with serious illnesses afford needed drugs. The committee then adopted a substitute that rolled HB 1681 together with House Bills 1941 and 2279, including an ERISA-related labor exemption, and passed the combined committee substitute by a vote of 15-2. The committee next heard House Bill 2365, which was also combined with related bills through a substitute that changed terminology to “delivery systems.” That substitute was adopted by voice vote, and the House Committee substitute for House Bills 2365, 2490, and 2249 was then approved unanimously, 18-0. After that, the committee heard House Bill 2149, the dementia care coordinator bill. The sponsor and supporters from the Alzheimer’s Association and family caregivers argued the state needs a central point person to coordinate resources, improve early detection, support caregivers, and connect rural residents to services. Members raised concerns about the fiscal note, whether the work duplicates existing Area Agencies on Aging and Alzheimer’s Association services, and whether two FTEs would be effective statewide. No vote was taken on HB 2149 during the portion provided. The committee also heard House Bill 2309, which would prohibit Missouri insurance coverage for organ transplants or related services involving organs taken from prisoners of conscience in China. The sponsor and supporters framed the bill as a human-rights measure aimed at condemning organ harvesting and abuse of Falun Gong practitioners and other prisoners of conscience. Members asked whether there was documentation of such transplants in Missouri and whether federal oversight exists; the sponsor said there is no reporting mechanism and no known opposition. No action was taken on the bill in the excerpt. Finally, the committee began testimony on House Bills 1975 and 1850, pharmacy benefit manager reform bills. The sponsors said the measures are intended to protect local pharmacies, improve transparency, limit harmful audit practices, and create a critical access pharmacy program. Supporters, including a pharmacy business group, argued PBM practices drive up drug costs and close pharmacies. Opponents, including a carpenters’ health plan representative, warned the bills could increase costs for self-funded plans, limit network and mail-order arrangements, and shift more administrative burden onto plan sponsors. The hearing continued with questions and testimony, but no final vote is shown in the provided transcript.

Transcript Highlights:

• Once they're here, they have access to things like Social Justice Tuesdays, an annual public service
• This legal desert is not unique to Washington; it mirrors national trends in rural access to legal services
• rate of pay and the access to funding.
• It also allowed us to establish a navigator service to connect hospitals to OPG services and also allowed
• to the high demand for services.

Summary: The work session began with a discussion of expanding opportunities in the legal profession, especially in response to shortages of lawyers in rural Washington and in public service roles. Washington State Bar Executive Director Tara Nevitt described a slowly growing but aging attorney population, noted that younger attorneys have declined, and outlined efforts such as supervised practice pathways to bar admission, reduced admission-by-motion experience requirements, expanded law clerk capacity, rural job fairs and grants, and a pilot program allowing innovative legal service delivery models. Members asked about bar passage score changes, loan repayment assistance, and the former Limited License Legal Technician program; Nevitt said the bar is monitoring other states and remains in dialogue with the court about paraprofessional licensing. Law school representatives from UW, Seattle University, and Gonzaga emphasized public service pipelines, financial barriers, and rural legal deserts, citing LRAPs, scholarships, stipends, clinics, and hybrid or regional programs designed to recruit and retain students in Washington. Seattle U highlighted its FlexJD and hybrid hub partnerships in underserved areas, while Gonzaga and UW reported substantial shares of graduates entering public service, though most still cluster in urban regions. The committee also heard from the Washington Association of Prosecuting Attorneys and the Office of Public Defense, both of which described severe recruitment and retention problems in rural counties, with vacancies, low applicant pools, and the need for higher salaries, housing help, internships, and loan support. The Office of Public Defense said its internship and fellowship program, created by SB 5780, has already placed interns in rural counties and produced some commitments to return after graduation. The Washington State Bar’s law clerk program was also presented as a pathway that helps people train locally and remain in their communities, including by supporting succession for aging solo practitioners. The committee then shifted to family law and guardianship issues. On Title 26 guardian ad litem practice, presenters from Northwest Justice Project and private family law practice said GALs can play an important role but that training, oversight, and consistency remain major concerns, especially in domestic violence cases. They described problems such as inadequate training, bias, inconsistent recommendations, high fees, and lack of accountability, and suggested stronger, standardized training, more use of mental health professionals for custody evaluations, and better oversight mechanisms. Members asked about county practices, including rotation systems for GAL appointments and whether King County’s family court assessors provide a useful model. The discussion then moved to minor guardianships under the Uniform Guardianship Act. A Superior Court judge said the 2021 changes increased the need for court visitors and appointed counsel, but courts are struggling to find qualified attorneys and visitors, especially in rural areas. A former commissioner said most of the bill under discussion was technical cleanup to align prior amendments, though it would add some fiscal burdens. Administrative Office of the Courts staff reported that the statewide reimbursement program for UGA implementation has repeatedly run out of money earlier each year, with minor guardianship costs making up most of the expense. The Office of Public Guardianship then described rapid growth in demand for adult guardianship and less restrictive alternatives, noting that referrals and caseloads have risen sharply, but that the office is constrained by a shortage of certified professional guardians and low compensation levels. Finally, the committee began an update on Blake implementation from the Office of Civil Legal Aid, which funds civil legal services related to the decision, before the transcript cut off.