Transcript Highlights:

• It's a very simple amendment that should require the federal government to withhold contracted payments
• So, should those payments cease, whether through executive action or through DOGE or through just a lack
• expecting, that there are contracts for, that this is, you know, how they are making their rent payments
• And so that would be a payments.
• of rent and whether and for non-payment of rent and whether and whether<00:42:08.640> the<00:

Keywords: 1187, senate, all

Transcript Highlights:

• Membership and payment of dues or fees are voluntary, and you may not be discriminated against for your
• or union in which the employee has membership shall notify the employee of his right to withhold payments
• Please remit payment by this time. Like, we don't see that occurring.
• The waiving of the payment of the fees, I have a right to stop deducting. Absolutely.
• on it on the way to the floor because the reason why they're talking about charging and remitting payment

Summary: The House Committee on Labor and Industrial Relations met for its final meeting of the session and took up SB 312 by Senator Talbot, a bill concerning labor organizations, employee dues and fees, withdrawal from unions, collective bargaining agreements, and related notice and reporting requirements. The author explained the bill would require annual notice to employees of their right to join or refrain from joining a labor organization, allow dues deductions to be authorized and revoked electronically, and require stoppage of deductions at the nearest possible payroll period after notice. The committee first adopted a technical amendment set, then considered a larger amendment set that shifted the withdrawal request to the employer, required the employer to notify the labor organization, placed the burden of proving notice compliance on the labor organization, and made the labor organization responsible for certain administrative costs. Supporters said the bill protected employee choice and could reduce taxpayer-funded administrative burdens; opponents argued the amendments created confusion, unnecessary bureaucracy, and unclear invoicing and cost-shifting procedures. Testimony came from business and labor representatives on both sides. Jim Patterson of the Louisiana Association of Business and Industry supported the cost-shifting language as a way to protect taxpayers and public employers. Matt Wood, Peter Robbins-Brown, and Larry Carter, representing labor groups, said they had worked for months to reach a simpler opt-in/opt-out framework and objected to the new amendments as adding complexity and uncertainty. Several members questioned why police, firefighters, and later mass transit employees were exempted; the author and others said those exclusions were tied to federal law or because those groups had not requested inclusion. After debate, the committee adopted the large amendment set and then adopted a separate technical amendment adding mass transit employees to the exemption list. On the bill itself, members continued debating whether the measure was necessary if unions already allow members to opt out and whether the bill should apply only to public employees such as teachers and school workers. The committee ultimately voted to report SB 312 with amendments. The motion passed on a roll call vote, with several members voting no, and the meeting adjourned afterward.

Transcript Highlights:

• items that are covered in this budget include payroll costs, judiciary cost, General state charges, payments
• for Social Security, State Education payments, Department of Health, WIC, CHIP payments, Department
• of Labor payments, Office of People with Developmental Disabilities, and So on.
• The Comptroller has warned in the past that delays in the budget and contracting process can slow payments

Keywords: 993, senate, all

Summary: The Senate convened, approved the prior journal, and discharged several identical Assembly/Senate bills from committee so they could be substituted on the calendar. The chamber then took up and previously adopted two commemorative resolutions: one designating April 2026 as Sikh Heritage Month and another honoring Korean War veterans. Senators from both parties spoke in support of the Sikh resolution, emphasizing the community’s contributions, service, and the need for recognition and inclusion; the resolution was opened for co-sponsorship and the Sikh guests in the gallery were recognized. The Korean War resolution drew remarks from members recalling family service and the sacrifices of veterans, with repeated calls to preserve their stories and honor their legacy. The Senate then moved through the calendar, passing a series of bills. Among them were measures related to charter bus safety and seat belt awareness, coverage for doula services under insurance, social services/EBT-related changes, education, navigation, highway, public service, and hospital-closure reporting. Several bills passed unanimously or with only one dissenting vote; the social services bill drew the most opposition, with Senator Murray objecting that New York should first address EBT chip technology and skimming before adding new vendor requirements. One bill on the calendar was laid aside for the day. The chamber also adopted a supplemental bill authorizing the South Country Central School District to finance certain deficits, described by Senator Murray as a necessary rescue to keep the district operating and pay staff. Senators discussed the state budget impasse during debate on an extender bill, with the sponsor explaining it was a “clean extender” to keep government running through May 4 and cover payroll, health, education, and other essential payments. Senator Helming raised concerns about the lack of rural health transformation funding and the consequences of the delayed budget for schools, local governments, and hospitals. The extender passed, and the Senate adjourned until Monday, May 4, 2026.

Transcript Highlights:

• work requirements for able-bodied adults without dependents, House Bill 2206 relating to the SNAP payment
• work requirements for able-bodied adults without dependents, House Bill 2206 relating to the SNAP payment
• The audit must look at each payment made by Access or its contractors under the Medicaid program in the
• The audit must look at each payment made by Access or its contractors under the Medicaid program in the
• A greater recovery means greater payment to the auditor.

Bills: HB2048, HB2189, HB2248, HB2403, HB2728, HB2729, HB2730, HB2731, HB2906, HCR2058

Keywords: orders of protection, domestic violence, court procedures, legal guardian, enforcement, healthcare, licensed health aides, scope of practice, ventilator care, training standards, medical freedom, healthcare mandates, employment requirements, public health, government regulation, elderly, physical disabilities, Arizona Health Care Cost Containment System, home and community based services, funding increase

Transcript Highlights:

• And our worry is because we are in corrective action for timeliness and also for payment error.
• to do the manual work would further exacerbate our issues with timeliness and also the accuracy of payment
• And our worry is because we are in corrective action for timeliness and also for payment error.
• to do the manual work would further exacerbate our issues with timeliness and also the accuracy of payment
• Accuracy of payment for the workers.

Keywords: 912, senate, all

Summary: The Health and Human Services committee heard testimony on several resolutions. HCR 190, asking the Department of Health to convene a demolition waste reduction work group, drew only written testimony; the Department of Health provided comments in opposition and the Department of Attorney General Services supported it. HCR 91, on requiring insurers and managed care providers to cover prosthetic and orthotic devices, received supportive testimony from SHIPA and an amputee youth advocate who described the high cost and importance of sports prosthetics. HCR 174, on examining the availability and use of land-based learning programs for youth in the juvenile legal system, drew support from the Office of the Public Defender, youth advocates, and a youth council that described land-based learning as culturally rooted and rehabilitative. HR 171, on assessing the social and financial effects of mandatory coverage for continuous glucose monitors, received support from SHIPA, the Hawaiʻi Medical Association, and kidney care and dialysis groups. HCR 146, on the Elderly Simplified Application Project for SNAP, drew support from disability, hunger, and public health groups, with DHS explaining it could implement the project but would need to do manual certification work until its new system is ready. During decision-making, the committee deferred HCR 190 because the Department of Health said it could not carry out the work group without an appropriation. The committee voted to pass HCR 91 as is. HCR 174 was recommended for passage with amendments to clarify that the resolution would request continued use of land-based learning programs and to reflect existing work already underway. HCR 171 was recommended for passage with amendments to correct a statute description. HCR 146 was recommended for passage with amendments to add language that DHS should apply for and implement the project when capable, acknowledging current system limitations. All recommendations were adopted, and the meeting adjourned.

Transcript Highlights:

• It allows government to accept payments or to make payments with gold or silver.
• It allows government to accept payments or to make payments with gold or silver using qualified financial
• My understanding is that if they leave employment, then it's up to them to continue to make the payments

Summary: The committee heard several bills and amendments, beginning with CS/SB 498 on trust fund interest for IOTA accounts. The sponsor said a 2023 Florida Supreme Court rule sharply increased interest paid into legal aid funding, creating a windfall and making participation difficult for banks. An amendment was adopted requiring savings institutions to pay the higher of 0.25% or the highest comparable rate offered on certain non-IOTA accounts, and the bill then passed favorably after testimony from banks, legal aid representatives, and other stakeholders both supporting and opposing the measure. The committee also approved CS/SB 232, which clarifies Florida’s consumer collection law applies only to phone calls during restricted hours and not emails or text messages, after a delete-all amendment and supportive testimony from industry groups. It then approved SB 132, as amended, to designate gold and silver as legal tender and set rules for custody, audits, electronic transfer, and government acceptance of payments; supporters called it a sound-money measure, while the banking association said it still had unresolved technical concerns. Later, the committee passed SB 1466 to create a trust fund for the My Safe Florida Home Program, with an amendment funding it from 20% of collected insurance premium tax revenue. It also considered SB 1206 on transportation network company insurance, reducing coverage during the “dead-leg” period before a rider is picked up from $1 million to lower limits; the bill drew sharp opposition from trial lawyers and support from insurers and some business groups, and the committee adopted a clarifying amendment before reporting the bill favorably. Finally, CS/SB 924 on fertility preservation for cancer patients was amended several times to narrow scope and clarify coverage rules, then passed favorably after debate over cost, preauthorization, and post-treatment storage obligations. The committee adjourned after allowing technical and conforming changes to implement the adopted amendments.

Transcript Highlights:

• the proceeds of the revenue received from the County Regional Spaceport Gross Receipts Tax for the payment
• the proceeds of revenue received from the county regional spaceport gross receipts tax to... the payment
• Now it specifically says payment of the principal and interest issued under the Spaceport Development
• And what's interesting to me is that they also note this piece that the bond payment terms can easily
• All the payment, the bond, the way the money is used to pay the bonds, the reserve, the money that's

Transcript Highlights:

• already pay gross receipts tax, corporate income tax, personal income tax, tax on payroll, land lease payment
• And Madam Chair, Representative Block, would you agree that lessee payments, so if you have deeded land
• If a wind turbine goes up on your land, that landowner gets payments. Would you agree or not?
• In the past, I have introduced this bill, and I called it a PILOT tax payment in lieu of severance.
• state budget, and these numbers are shocking. 99% is direct dollars from the oil and gas industry—payments

Transcript Highlights:

• And that means that if payment models.
• made to primary care providers payments made to primary care providers to<00:30:05.440> additionally
• <00:43:09.280> Is<00:43:09.440> it payment for primary care services?
• Is it payment for primary care services?
• <00:44:18.400> that<00:44:18.640> is more um more of the the payment that is more um

Keywords: 910, house, all

Summary: The joint hearing opened with House Bill 1969, which would provide state funding for colorectal cancer screenings for uninsured and underinsured residents. The Department of Human Services said it supports the goal of early screening but would need new administrative capacity, including a program manager and claim pre-screening, to run the program. The Department of Health supported the measure and cited low screening rates in Hawaii, noting an educational campaign to encourage screening. The Insurance Division raised concerns about reliance on federal FAQs, warning that guidance can change and may create state cost exposure. Supporters including the American Cancer Society Cancer Action Network and the Hawaii Medical Association argued the bill would close a preventive-care gap, reduce late-stage diagnoses, and save long-term costs; the committee also discussed implementation costs, estimated by DHS at roughly $1.4 million to $2 million annually plus administrative expenses, and a 6-month to 1-year timeline to establish the program. The committee then took up House Bill 1965, which would require health carriers to spend at least 6% of total medical expenditures on primary care providers. The Insurance Division said several provisions raise technical and legal concerns, including the premium freeze, the medical loss ratio language, the lack of an existing external review process for downcoding claims, and a new mandate for medically necessary inter-island transportation that could trigger an ACA defrayal. The Department of Human Services supported the intent but suggested broader language to include primary care supports and services, and noted that QUEST integration plans already invested at least 9% of total medical expenditures in primary care in 2024, with additional spending on supports and low-value care reductions. State health planning officials strongly supported the bill as an investment in primary care, saying it could improve outcomes and lower long-term costs, though they acknowledged a possible temporary premium increase during the transition. Testimony in support emphasized Hawaii’s physician shortage, especially on Maui, the Big Island, and other neighbor islands, and warned that clinics are under financial strain and may close without higher primary care reimbursement. The Hawaii Healthcare Task Force, AARP Hawaii, and other supporters said the bill would help retain providers, improve access for Medicare and Medicaid patients, and prevent downstream costs from emergency room use and avoidable hospitalizations. No votes or final committee action were taken in the portion of the hearing provided.

Transcript Highlights:

• We're stepping up with our own down payment, and we need the state's continued partnership to ensure
• <00:54:03.520> But a level principal payment structure.
• But a level principal payment structure.
• Uh, I don't know if it's a new debt or we redid the debt, but the bond payments.
• redid the debt, but the bond payments. redid the debt, but the bond payments.

Keywords: 1183, house

Transcript Highlights:

• as long as there's no set payment return?
• as long as there's no set payment return mr.
• You will cut other payments before you cut that. It's a first priority in call on your revenue.
• You will cut other payments before you cut that. It's a first priority in call on your revenue.
• payments.

Bills: SB1041, SB1050, SB1131, SB1138, SB1249, SB1267, SB1272, SB1317, SB1461, SB1488, SB1504, SB1517, SB1523, SB1580, SB1582, SB1584, SB1585, SB1602, SB1630, SB1654, SB1672, SB1673, SB1718, SB1761, SB1819, SB1826, SB1827

Keywords: electronic monitoring, nursing care, assisted living, resident rights, privacy, consent, surveillance, veterans, lifetime pass, state parks, Arizona, access, disabled veterans, cardiac arrest, defibrillators, school safety, emergency response, CPR training, Arizona education funding, automated license plate readers

Transcript Highlights:

• And then provision number seven: limitations on state-directed payments.
• You heard if the payment error rate is above 6%. You're at 9.
• It's also that it's the duplicate payments. It's the lack of verification.
• Improper Medicaid payments cost states millions annually.
• Improper Medicaid payments cost states millions annually.

Bills: HB2190, HB2202, HB2233, HB2251, HB2252, HB2396, HB2437, HB2689, HB2796

Keywords: physician assistants, licensure compact, medical services, multistate practice, patient care access, healthcare workforce, military families, adverse actions, dementia care, telementoring, healthcare education, rural communities, grant funding, HB 2233, rural health transformation, rural health transformation program, AHCCCS, Arizona Health Care Cost Containment System, Joint Legislative Budget Committee, JLBC

Transcript Highlights:

• But there's one decal that you have to have that covers all of that once you've made that payment.
• that you've made that payment. that you've made that payment.
• Um, or I wouldn't want to trust that payment ranger little column would survive more than a month.
• Um, or I wouldn't want to trust that payment ranger little column would survive more than a month.
• um payment um payment ranger<01:12:55.280> little<01:12:56.719> um<01:12:57.600>

Keywords: 928, house, all

Summary: The committee held a public hearing on SB 63, a bill described by Senator Tim Lang and other supporters as a technical correction to the rooms and meals tax distribution formula. Lang said the bill would clarify that the Division of Travel and Tourism’s 3.15% promotional allocation is taken from gross rooms-and-meals revenue before the 30% municipal reimbursement fund is calculated, which he argued restores the intended 2009/2021 structure and avoids an unintended loss to tourism marketing. Committee members raised questions about whether the bill actually changes section one or instead addresses DRA’s interpretation, and whether the measure could be affected by the budget process or HB 2. Jessica Keeler of Ski New Hampshire testified in strong support, saying the bill would preserve the promotional budget formula that had been in place since 2009 and that the 2019 revision effectively reduced the promotional allocation by placing the municipal share first. She said tourism promotion has helped increase visitation, revenues, and jobs, and warned that without a fix, the joint promotional program and other tourism efforts could be cut in future budgets. She also said the bill would not change the current year’s tourism budget but would matter for future cycles. Mike Summers of the New Hampshire Lodging and Restaurant Association also supported SB 63, calling it a correction to the 2021 changes and arguing that state tourism marketing is essential because small businesses cannot reach distant markets on their own. He said the industry has benefited from state promotion, especially after COVID, but is now facing softer occupancy rates, lower Canadian visitation, and financial strain from debt and operating costs. Summers said the industry cannot make up for major tourism budget cuts on its own and urged maintaining or increasing travel and tourism funding. No vote or final action was taken at the hearing.

Transcript Highlights:

• , and other important payments. >> Mr.
• to confirm that Medicaid members were New York residents and waited too long to recoup improper payments
• The breakdown there is roughly 150,000 non-New Yorkers receiving Medicaid payments, and another 600,000
• And if you give it to the New York City Housing Authority, and to Medicaid, which is making payments
• AND IF YOU GIVE IT TO THE NEW YORK CITY HOUSING AUTHORITY, AND TO MEDICAID WHICH IS MAKING PAYMENTS TO

Keywords: 993, senate, all

Summary: The Senate opened with routine business, including approval of the prior journal and several messages from the Assembly to discharge and substitute identical Senate bills. The chamber then took up a budget extender, Senate Print 10262/Assembly Bill 11295, which would appropriate $2.9 billion to keep state government operating through May 14 while budget negotiations continued. Senator O’Mara questioned the delay in reaching a full budget and criticized the lack of clarity on major policy issues, conference committees, school aid timing, and a proposed $1 billion utility ratepayer relief plan, arguing the state’s spending and affordability problems were worsening. Senator Serrano responded that negotiations were in the final stretch and that the extender was necessary to maintain government operations. The extender passed 59-1 after being restored to the non-controversial calendar. The Senate also considered a major election-law bill, Senate Print 88A, providing for automatic voter registration and pre-registration through DMV, Medicaid, and NYCHA-related transactions. Senator Walczyk’s proposed amendment to require voter ID was ruled nongermane, and his appeal was rejected. The bill prompted extended debate over whether the process would protect against non-citizen registration or instead remove barriers for eligible voters. Supporters, including Senator Gianaris, said it would streamline registration and help eligible but unregistered New Yorkers participate; Senator Zellner said it would strengthen the process. Opponents, including Senators Walczyk, Borrello, Helming, Rhoads, and Martins, warned it would shift responsibility away from bipartisan boards of elections, create administrative errors, and risk improper registration. The bill ultimately passed after being restored to the non-controversial calendar, with senators explaining votes along party lines. The chamber also adopted or advanced several resolutions and recognized guests. Senator Gallivan’s Police Week resolution drew remarks honoring fallen officers and law enforcement families, with Senators Chan, Rolison, Weik, Ryan, and Myrie speaking in support. Senator Sepúlveda’s resolution commemorating Dominicans in Albany was also discussed, with praise for the Dominican community’s contributions to New York and supportive remarks from Senator Chan. In addition, the Senate heard introductions for guests from Allen A.M.E. Church and the creators of the documentary “Teenage Wasteland.”

Transcript Highlights:

• argue that much of the managing of care of the managed care organizations is managing their claims payments
• argue that much of the managing of care of the managed care organizations is managing their claims payments
• just say for this 1.3 million Minnesotans, 1/4 of our population, you will handle all the claims payments
• ><00:07:58.440> all<00:07:58.560> the<00:07:58.680> claims<00:07:59.080> payments
• <00:07:59.520> and will handle all the claims payments and will handle all the claims payments

Keywords: 918, senate, all

Summary: The interview focused on Senate File 3612, which the senator described as “patient-centered care” legislation for Minnesota’s Medicaid and MinnesotaCare programs. He said the bill would remove private insurers and HMOs from administering those public programs, replace them with a state contract for claims processing and administrative services, and shift care coordination directly to primary care clinics, counties, and nonprofits. He argued the current managed-care system creates churn, prior-authorization barriers, and fragmented care, and said providers should manage care rather than insurers. The senator repeatedly cited Connecticut as a model, saying that state moved away from managed care, improved primary care participation, and saved money. He also argued Minnesota’s current system lacks transparency and may be overpaying health plans, pointing to fraud concerns and a past example in which UCare returned money to the state after an overpayment. He said the bill would improve accountability, make fraud easier to detect, and could save taxpayers billions, though he emphasized his main goal was better care rather than savings. On support and prospects, he said the bill has backing from the governor and the American Cancer Society but currently only DFL co-authors. He said he does not expect it to become law this year because the fiscal note and details are still pending, and he does not expect insurance companies to support it. He added that he is open to discussion but sees the insurers as fundamentally opposed. The interview ended with him saying workers in insurance and claims processing should be treated fairly and offered retraining or dislocated-worker support if broader reforms reduce their roles.

Transcript Highlights:

• Now, the agreements that we have do spell out when payment would be made based on those agreements.
• Coast Guard bridge permit and we have to have a construction contract underway in order to process payment
• Now, the agreements that we have do spell out when payment would be made based on those agreements.
• Coast Guard bridge permit and we have to have a construction contract underway in order to process payment
• There must be a date by which we have to have this resolved on the Washington side about the payment

Summary: The Joint Oregon-Washington Legislative Action Committee met for a work session and public hearing on the Interstate 5 bridge replacement program. Program staff outlined major milestones, including the recent biological opinion, the Coast Guard’s opening of a public comment period on the Navigation Impact Report, expected decisions in early 2026 on navigational clearance and the final supplemental environmental impact statement, and a possible amended record of decision in 2026. They also discussed the Bridge Investment Program grant amendment deadline, the need for an initial finance plan, and ongoing community outreach and contractor engagement. Greg Johnson announced he was stepping down as program administrator, and Carly Francis introduced herself as interim administrator. A large portion of the meeting focused on design and cost questions. Staff said the program is studying fixed and movable spans, single- and double-deck configurations, and one versus two auxiliary lanes, with final recommendations to be made through the federal environmental process. They said the Coast Guard’s decision is central to what bridge configuration is permittable and to the timing of the updated cost estimate, which has not yet been released. Members pressed for more detail on cost drivers, potential impacts to businesses upriver, and whether the states would need to seek additional funding. Staff said they had reached agreements with four impacted river users, but the underlying evaluation materials are protected and not publicly releasable. The committee also reviewed transit-related questions. Staff explained that light rail remains part of the modified locally preferred alternative and that ridership and operations estimates are being updated using federal modeling methods. They said projected opening-day transit operations and maintenance costs have dropped from an earlier estimate of $21.8 million to about $10.3 million annually because the current model assumes lower frequency, with Oregon and Washington shares split by geography and fare recovery. Members raised concerns about TriMet’s financial stability and the need for a funding plan by fall 2027, ahead of a planned federal transit funding application in fall 2028. During public testimony, several speakers criticized the delay in releasing a new cost estimate and argued the project scope should be reduced if costs continue to rise. Testifiers from City Observatory and the Just Crossing Alliance said the project appears to be avoiding bad news, urged the committee to consider scope reductions, and questioned whether the active transportation and freeway components align with the project’s core purpose. The meeting ended with thanks to Johnson for his service and a transition to public hearing testimony.

Transcript Highlights:

• But the headline here is really: when hospitals have low or negative operating margins, a cut to payment
• We really want to thank Representative Macri for her work with us to increase Medicaid payments around
• We are concerned that HR1 makes significant changes to directed payment programs called our hospital.
• Right now, our hospital safety net assessment payment program is frozen, so there's not going to be any
• It's not a good payment rate, and it's going to wipe out 81% of the benefit of the current safety net

Summary: The committee heard a JLARC presentation on the Department of Health’s oversight of hospital inspections, complaints, and reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state standards, did not consistently require proof of those inspections, did not review adverse health event corrective plans, and could make hospital data more accessible. JLARC also raised a possible language-access barrier in the complaint system. Members asked about complaint filing by staff, the meaning of adverse health events, inspection outcomes, and whether the audit compared DOH to other agencies. JLARC said it had not reviewed inspection results or cross-agency comparisons, but noted inspectors were dedicated and working long hours. DOH later said it concurred with the recommendations and outlined a strategic plan with target dates for improving timeliness, verifying accreditation standards, expanding language access, reviewing adverse event laws, and improving public data access, with annual reporting to the Legislature expected. The committee then heard a Department of Health presentation on certificate of need modernization. DOH described the current certificate of need process, which reviews need, financial feasibility, quality, and cost containment for certain facility changes and new services, and said the program has not been modernized since the 1980s. DOH proposed 10 statutory modernization recommendations, including clarifying the program’s purpose, creating a planning entity, adding flexibility, reducing legal costs, updating access-to-care standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, strengthening long-term funding, and using better data systems. Members asked about oversight of freestanding urgent care and EDs, funding sources, and whether the process could be streamlined or made more responsive to complaints or other triggers. A third panel discussed artificial intelligence in health care. Lucy O’Rourke of the Coalition for Health AI described CHAI’s work on responsible AI principles, technical standards, model cards or “nutrition labels,” testing and governance tools, and educational resources for providers. She said the group is focused on trust, transparency, fairness, safety, security, and privacy, and noted Washington’s AI-related policy work as among the more progressive in the country. No questions were asked. The final portion focused on the financial impact of federal and state health care policy changes. The Washington State Hospital Association said hospitals are facing low or negative operating margins, service reductions, layoffs, and closures, and that state cuts and taxes enacted in 2025, combined with federal HR1 changes, will significantly worsen finances. Providence Swedish leaders described staffing reductions, service cuts, delayed capital investments, and pressure from denials, tariffs, and reimbursement changes, while emphasizing that frontline staffing cuts are tied to service reductions rather than nurse-to-patient ratio changes. The Washington Health Benefit Exchange then began a presentation on expiring federal ACA premium tax credits, state Cascade Care Savings assistance, and eligibility changes affecting lawfully present non-citizens, with examples showing large premium increases for customers if federal subsidies expire.

Transcript Highlights:

• So we have used up most all of the service life in our payments, in our bridges, and you can see that
• If you just drive around a little bit and look at the payments at all or some of the structures at all
• It doesn't include that; it is just preservation, but it does include payments, bridges, and all the
• We set up payment plans. We try to encourage them to pay. Some are willing. Some are not.
• They also arrange payment plans. For next steps, they lumped in some additional items.

Summary: The committee received a detailed staff presentation on Washington State Ferries’ capital needs, current fleet status, and long-range funding outlook. Staff described the current service pattern, ridership recovery since the pandemic, the aging fleet, and the state’s plan to add three new hybrid-electric Olympic-class vessels under the 2025 budget, with delivery expected around 2030-2032. Members also heard that the fleet is operating with no reserve vessel, that preservation time is below the desired level, and that terminal electrification and vessel conversion plans face timing, cost, and procurement risks. Questions focused on ridership trends, biofuel supply, design-risk allocation in vessel contracts, sequencing of terminal electrification with new vessel delivery, and the cost and feasibility of restoring international Sidney service, which would require a SOLAS-certified vessel. Staff then outlined ferry capital funding, saying recent spending and programmed needs are far above regular ferry-specific revenues and that the system relies on a mix of dedicated accounts, transportation package money, federal grants, and transfers. They said the near-term budget is balanced through 2027-29, but the longer-term capital outlook shows a shortfall of roughly $250 million to $300 million per biennium, with broader unmet needs much higher. The presentation estimated costs for future vessels, life extensions, terminal electrification, and additional Jumbo Mark II conversions, and noted that the current enacted plan does not fully fund fleet replacement, full electrification, or life extension of older vessels. Members asked for follow-up information on terminal seismic/environmental issues, contract options for additional vessels, and the timing and cost of alternative vessel designs. The committee then shifted to WSDOT maintenance and preservation. Pascoe Focktich described maintenance operations, including winter response, guardrail repair, facilities, equipment, and the effects of underfunding and inflation. He said most of the maintenance budget is fixed cost and labor, that material prices have risen sharply, and that many facilities are in poor condition with asbestos issues and deferred upkeep. He also noted growing guardrail damage, increasing pavement claims, and the burden of maintaining aging bridges and facilities. Members asked about prior planning for these needs, the role of asbestos, and whether more proactive sequencing could help budget decisions. Troy Suing then presented the highway preservation program, saying WSDOT is in the early stages of critical failure and has stretched preservation dollars as far as possible. He explained the distinction between pavement, bridge, and other highway asset preservation, said the department is largely reactive, and estimated that delaying work can make it three to five times more expensive later. He said about 40% of roadways are currently due or overdue for preservation, bridge conditions are nearing the federal poor-bridge threshold, and the department’s 10-year preservation need is about $8 billion. Members asked about the cost of deferring work, whether the department could do more if funded, how priorities are set, and whether other states face similar problems. Finally, Evan Grimm and Mike Fay briefed the committee on bridge strikes by overheight vehicles. They described recent incidents on I-90 near Cle Elum and SR 410 near White River, the damage and closures caused, and possible countermeasures such as public outreach, improved trip-planning tools, and a pilot warning system with sensors and flashing beacons. Fay explained the state’s financial recovery process for third-party damage, saying WSDOT recovers roughly $20 million per biennium and about 78% to 80% of billed damages, with money going to the motor vehicle fund. Members asked about prevention, insurance recovery, and whether the state uses claim data to inform future design or safety changes.

Transcript Highlights:

• This includes a significant increase from other revenues, such as payments for Medicaid, Medicare, and
• one of the first big changes. that you'll see on slide nine are the changes to the state-directed payments
• Medicaid program, matched it with Medicaid revenue, and sent it back out in the form of a directed payment
• 26 that we're projecting hospitals are going to get, they're going to phase down these directed payments
• So, this just gives you an idea of the state-directed payments to hospitals and nursing facilities when

Transcript Highlights:

• The National Housing Coalition says 30% of what you make should be your house payment.
• Down payment assistance; Housing New Mexico has DPA.
• It's something that allows for affordability, right, to bring those monthly payments down.
• It's the cheapest option for folks to get qualified, with the lowest down payment and the lowest closing
• Back in the day, I think you needed actually a $20,000 down payment to qualify for the federal loans,