Transcript Highlights:

• What followed were years of chronic ear infections, respiratory distress, ER visits, and the list goes
• Over that time, the infections lessened, the ER visits stopped.
• A lot of times, I've visited with people who work in juvenile court and in the juvenile justice system
• We visited the St.

Summary: The House convened with prayer and the Pledge of Allegiance, approved the prior day’s journal by roll call vote, and established a quorum. Members then offered personal privilege remarks recognizing Dr. Penelope Martin Knox for Black History Month and introducing guests, including Adeline Overcast, who was made a page for the day, and visitors connected to a rural hospital in Rolla. Several bills were read for the first time, including measures on blind pension tax levies, penalties for impeding first responders, and flag display in the state capitol, and committee reports recommended passage of multiple deferred measures. The chamber then took up several bills on third reading. House Committee Substitute for HB 2596, concerning multiple employee self-insured health plans for small businesses, passed 145-0. HB 1644, dealing with franchise employment liability and joint-employer issues, passed 103-45 after debate over worker rights and franchisor liability. HB 2423, which would increase funding for the Division of Finance through higher licensing fees, passed 146-0 despite concerns about costs being passed on indirectly. House Committee Substitute for HB 2641, which aligns state law with federal restrictions on intoxicating hemp-derived products, drew extensive debate over hemp, beverages, and the impact on small businesses and consumers; it passed 109-34 with six present. Members also debated HB 2498 on juvenile justice reform, including changes to certification procedures and information sharing. Supporters argued it would improve accountability and public safety, while opponents warned it would politicize juvenile decisions, burden treatment facilities, and push more youth into the adult system. After a successful previous-question motion, the bill passed 100-44 with three present. House Committee Substitute for HB 2637 and 3155, described as a truth-in-sentencing measure that would make parole eligibility and time-served credit clearer, passed 102-45 with two present after debate over whether it effectively increased mandatory minimums. Finally, the House took up House Committee Substitute for HJR 154, a proposed constitutional amendment tied to Medicaid expansion and work requirements. Supporters framed it as encouraging work and reducing dependency, while opponents called it an attack on Medicaid expansion that would increase administrative costs and risk coverage losses for vulnerable residents. The transcript ends during the motion for the previous question on that resolution, before the final vote is shown.

Transcript Highlights:

• I would also love it and invite you to visit your local mosque in your district or a Muslim family to
• </c><00:46:01.400><c> invite</c><00:46:01.880><c> you</c><00:46:02.040><c> to</c><00:46:02.200><c> visit
• </c> also love it and invite you to visit also love it and invite you to visit your<00:46:02.800><c>

Keywords: 981, all

Transcript Highlights:

• And when I spent two visits in Japan, their fuel cell battery trains were efficient, clean, and cost-effective
• And when I spent two visits in Japan and their fuel cell battery trains were efficient, clean, and cost-effective
• our line at our stations to see how we can enliven them, make them more places that people want to visit
• our line at our stations to see how we can enliven them, make them more places that people want to visit

Summary: The Senate LOSSAN Rail Corridor Resiliency Subcommittee heard updates from CalSTA, Caltrans, Metrolink, and Caltrain on corridor performance, governance, funding, and long-term planning. Chair Lackey opened by saying the SB 1098 report on LOSSAN governance and performance was unfinished and overdue, and argued the corridor remains at a crossroads because ridership, on-time performance, fiscal solvency, and capital delivery are still lagging. Senator Archuleta echoed concerns about safety, maintenance, ridership recovery, and the need to avoid state subsidy if local revenues fall short. CalSTA and Caltrans said the state has made major investments, including $125 million for San Clemente emergency resiliency work, and that more than $25 billion in funded rail projects are moving toward construction. They said work on the SB 1098 report is underway, with a LOSSAN working group to be convened, and described a new Caltrans transit-and-rail reorganization with a deputy director to improve accountability. Caltrans also reported restoration of Surfliner service to 13 weekday round trips between Los Angeles and San Diego, planned service increases to Santa Barbara and San Luis Obispo, fleet overhauls, and a new project-tracking and service-planning tool to prioritize capital projects by service outcomes. The panel also discussed zero-emission strategy, saying hydrogen fuel-cell trains are being procured for longer-distance service while battery-electric options are being pursued where feasible, and that San Clemente long-term planning is being scoped with local partners. Metrolink CEO Darren Kettle said the agency has shifted from a commuter-only model to all-day regional service through its “Metrolink Reimagined” schedule, with improved transfers, more weekend and off-peak ridership, and a 25% increase in monthly pass sales under a new fare pilot. He warned, however, that Metrolink faces a fiscal cliff: member agencies now cover about 72% of operating costs while fares cover about 11%, and without a dedicated revenue source the agency may need to cut service, reduce stations, or end later-evening and weekend trips. He said Metrolink has limited ability to monetize stations or parking because it does not own most of the relevant property or rights. Caltrain’s Jason Baker described the success of electrified service, with ridership up 57% year over year and customer satisfaction at record highs, but said Caltrain also faces a projected $75 million annual operating deficit and may need to consider service cuts if stable funding is not found. He highlighted revenue efforts such as energy regeneration compensation, parking and concession reviews, station development, and a planned battery-electric pilot to extend zero-emission service south of San Jose.

Transcript Highlights:

• And when I spent two visits in Japan, their fuel cell battery trains were efficient, clean, and cost-effective
• And when I spent two visits in Japan, their fuel cell battery trains were efficient, clean, and cost-effective
• And when I spent two visits in Japan, their fuel cell battery trains were efficient, clean, and cost-effective
• our line at our stations to see how we can enliven them, make them more places that people want to visit

Keywords: 987, senate, all

Transcript Highlights:

• . >> Whereas Colin and Sophie Hortman shared how to honor their parents: plant a tree, visit a local
• If you visited her home, you were very likely to get a tour of all the trees she had planted.
• If you visited her Melissa loved trees.
• If you visited her home,<00:44:45.359><c> you</c><00:44:45.520><c> were</c><00:44:45.680><c> very</c>

Keywords: 1183, house

Transcript Highlights:

• I visited with Ranking Member Brown. She had a bill. We had a bill.
• I visited with Ranking Member Brown. She had a bill. We had a bill.
• I just want to bring your attention to some students that have visited my office, and that's at the intersection
• there's a housing, a big housing apartment complex. ...your attention to some students that have visited

Summary: The committee first took up HB 322, as amended, which would create a transportation trust fund and transportation program fund. The sponsor explained that the amendment removed a proposed 1% gross receipts tax on electricity sales, while leaving the broader financing structure in place, including a $400 million seed appropriation and future transfers from motor vehicle excise tax revenues into the new funds and related road accounts. Associated Contractors of New Mexico and the Asphalt Pavement Association testified in support, and there was no opposition. The committee adopted the amendment and then passed the bill on a do-pass vote. The committee then heard HB 270, a public works/apprenticeship bill that would require contributions to approved apprenticeship and training programs or the Public Works Apprentice and Training Fund for certain public works projects, while preserving a zero contribution rate where no approved program exists for a classification. Supporters, including union carpenters, electrical workers, and building trades representatives, argued the bill would close loopholes, expand training opportunities, and strengthen the workforce. Opponents, including utility contractors, highway contractors, and Associated Contractors of New Mexico, argued it would raise project costs, duplicate existing federally approved training programs such as TTCP, and unfairly require payments from contractors who already train workers in-house or cannot access approved programs. Members debated whether the bill would affect existing in-house programs, rural access to training, and whether the language conflicted with existing law. An amendment to limit the bill to projects of $50 million or less was tabled, and the committee then passed HB 270 on a 6-5 do-pass vote. After the bill vote, the committee received a District 3 New Mexico Department of Transportation presentation covering project status, funding, and equipment needs in Bernalillo, Valencia, and parts of Sandoval and Socorro counties. DOT staff reviewed completed and upcoming maintenance and STIP projects, local government and school district cooperative projects, and equipment requests. Members asked about delays on the Rio Bravo Bridge project, which DOT said were caused by utility coordination issues, and about the I-25/Gibson interchange, which remains in design and development with later-year funding anticipated. The presentation also addressed specific local projects such as Paseo del Norte and Paseo del Volcán.

Transcript Highlights:

• I visited with her this afternoon.
• I visited with her this afternoon.
• I visited with her this afternoon.
• have your individual groups like ASPCA, Humane World for Animals, and those groups as well that will visit

Committee: House Special Committee on Urban Issues

Keywords: 959, house, all

Transcript Highlights:

• You'll see on the agenda that we have some upcoming site visits in order.
• at the end that... ...of the various houses of correction, and you can see at the end what we have visited
• they remain in compliance with conditions of parole, again by conducting home, office, and community visits
• We may visit you after a program. So that each office, every officer, we respond at night.

Keywords: 1212, all

Summary: The Special Commission on Criminal Justice Reform 3.0 heard a presentation from the Massachusetts Parole Board focused on how parole works with the Department of Correction, county houses of correction, sheriffs, probation, and community providers to support reentry and public safety. Chair Angela Gomez described the board’s mission, organizational structure, and 2024 activity, including institutional release hearings, life-sentence hearings, victim-notification events, pardons, commutations, and the supervision of nearly 3,000 committed parolees. She emphasized that the board is increasingly using evidence-based practices, risk assessment tools, and individualized conditions, including more structured GPS use and graduated sanctions, rather than relying on a purely punitive model. Commission members and sheriffs asked for more detailed breakdowns of parole and supervision data, including the difference between releases from Massachusetts custody and all releases under supervision, the average length of supervision, the share of lifers, revocations, and how many people are on dual supervision with probation. The board said it would provide follow-up data on length of stay, housing, employment, treatment participation, and outcomes. Members also discussed why some people refuse parole, noting that refusals can be driven by pending cases, a desire to avoid supervision, or a preference for a shorter custodial sentence over a longer supervised release or treatment placement. A substantial portion of the discussion focused on collaboration and shared resources across agencies, including MASH housing, community justice support centers, CRJ beds, sheriff-run programs such as HOPE and Rocky Hill, and UMass partnerships on risk assessment and community pathways. Speakers said the main gaps are not duplication but limited housing, treatment, and mental health capacity, especially for older people, people with substance use needs, and difficult-to-place populations such as sex offenders and arson offenders. The commission also received an update on the Matus decision: 210 individuals were identified as affected, 144 were immediately parole-eligible, 100 hearings had been completed, 10 were scheduled, and the rest were being processed as eligibility dates were confirmed. The meeting ended with plans for a March 9 public hearing and a request that members who have not toured facilities do so before future votes on correctional policy.

Transcript Highlights:

• There have been phone calls and personal visits by me, not only in the Senate, but also in the House
• I had over 15 office visits yesterday.
• There have been phone calls and personal visits by me, not only in the Senate, but also in the House
• I had over 15 office visits yesterday.

Committee: House Elections

Keywords: 959, house, all

Transcript Highlights:

• representing the Mississippi Academy of Family Physicians and Mississippi Chapter of Pediatrics, visiting
• 38.760><c> Pediatrics</c> and Mississippi Chapter of Pediatrics and Mississippi Chapter of Pediatrics visiting
• 40.040><c> Primary</c><00:14:40.920><c> Care</c><00:14:41.240><c> Day</c><00:14:41.520><c> here</c> visiting
• for the Primary Care Day here visiting for the Primary Care Day here at<00:14:41.760><c> the</c><00:

Keywords: MS House Floor - 3 February, 2026; 10:00 AM, 925, all

Transcript Highlights:

• President, in just 10 years, we had a tripling of visitation to Doña Ana County.
• President, in just 10 years, we had a tripling of visitation to Doña Ana County.
• only in support of this particular certificate, but also to express to each and every one of you, I visited
• Rafe, thank you for all the work that you do and the continual invitations that you make to visit the

Keywords: 996, all

Transcript Highlights:

• I will tell you, if you haven't been, please come over and visit. I think you will be blown away.
• And I've had the opportunity to visit the working farm at the college, and it's tremendous.
• This allows me the opportunity to visit our campus routinely.
• I appreciate the opportunity and am glad that we were able to visit on Teams, and I look forward to the

Committee: Senate Appropriations Committee on Higher Education

Summary: The Appropriations Committee on Higher Education met to consider a large slate of confirmations and reappointments to boards of trustees for Florida’s colleges, universities, and the Florida Prepaid College Board. Chair Harrell opened by emphasizing the importance of trustee appointments to maintaining Florida’s higher education system, and the committee heard brief testimony from each nominee about their background, ties to the institution, and priorities such as student success, workforce alignment, fiscal stewardship, and community partnerships. Several nominees highlighted personal connections to their schools, including alumni status, family legacy, or prior service on the board, while others emphasized experience in business, law, education, health care, or public service. Testimony focused heavily on workforce development and institutional growth. Speakers cited nursing, dual enrollment, applied programs, military and veteran support, broadband access, agriculture, law enforcement, and technical training as key areas for colleges to meet regional labor needs. University nominees discussed research expansion, affordability, strategic planning, and partnerships with industry and government, with Florida Atlantic, Florida Polytechnic, the University of West Florida, and the University of South Florida each described as being in periods of growth or transition. Miami-Dade College, Tallahassee State College, Polk State College, and other state colleges were praised for enrollment, economic impact, and job placement outcomes. The committee also heard from the Florida Prepaid College Board reappointee, who described the program as a long-term promise backed by public trust and reported recent technology and customer-service improvements. After testimony, the committee took up the nominations as a group. One nominee, Drew Weatherford, had withdrawn and was not voted on. The remaining trustees were approved unanimously by roll call and reported favorably to the Ethics and Elections Committee. The meeting then adjourned.

Transcript Highlights:

• But assessors can visit properties, make a determination that it's not agricultural, and the taxpayer
• I’ve actually even gone out to the properties after the SBOE decision has been done to actually go visit
• attestation from the irrigation district that says that it's farmland, but we have had folks who have been visited
• assessor and the assessor staff don't observe agricultural activity on the site when they are there to visit

Bills: HB2016 , HB2104 , HB2105 , HB2288 , HB2289

Committee: House Ways & Means

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:

• substituting for more expensive, avoidable health care services, mostly inpatient hospital stays, visits
• They are reducing visits to the emergency department. CalAIM are effective.
• They are reducing visits to the emergency department.
• They are reducing skilled nursing facility visits. And they are saving money.

Committee: Senate Rules

Keywords: 987, senate, all

Transcript Highlights:

• I've asked Senator Saldaña to come visit with us and meet our employees and us as employers and to listen
• I've asked Senator Saldaña to come visit with us and meet our employees and us as employers and to listen
• We would love to have you come out and visit our farms.
• And I'm going to check with my staff right now, and I will come and visit you this interim.

Bills: SB6045 , SB6188 , SB6053 , SB5852

Committee: Senate Labor & Commerce

Keywords: agriculture, collective bargaining, labor relations, public employment, agricultural employees, SB 6188, asbestos, asbestos training, asbestos certification, asbestos worker, asbestos supervisor, Department of Labor and Industries, L&I, rulemaking authority, occupational safety, workplace safety, hazardous materials, abatement, encapsulation, removal

Transcript Highlights:

• And for those of you who have visited UW Medical Center, you'll see our infrastructure is falling way
• Who have visited UW Medical Center, you'll see our infrastructure is falling way, way behind.
• a patient to tell them a year or even sometimes two years later that there is now a bill for their visit
• companies to recoup money up to two years after they've paid for a procedure or an office patient visit

Summary: The Senate Health and Long-Term Care Committee heard testimony on several bills. SB 6159 would create a public hospital infrastructure account funded by a new annual coverage assessment on insurers and other businesses subject to the premium tax, and would allow public hospital districts and other public health entities to collaborate more freely and access capital financing for major construction or modernization projects. Senator Dhingra said the bill is intended to help public hospitals compete and modernize, especially amid federal Medicaid and ACA subsidy cuts. Supporters included UW Medicine, while hospital districts supported the general concept but said Section 2 could unintentionally narrow existing cooperative agreements with nonpublic entities. Health plans and insurers opposed the bill, arguing it would raise premiums, increase consolidation, and improperly sweep in property and casualty insurers and mutual companies; testimony also raised concerns about pass-through costs and retaliatory tax effects. The hearing on SB 6159 closed with 5 pro, 74 con, and 2 other sign-ins. The committee then heard SB 5845, which would modernize timely payment rules by requiring carriers and public employee plans to pay or deny all clean claims within 30 days, require prompt notice and a single request for additional information on incomplete claims, and impose interest or penalties for missed deadlines. Senator Slaughter said the bill would reduce uncertainty for providers and stabilize payments without increasing patient costs. Hospitals, physicians, and health systems strongly supported the measure, citing large volumes of late clean claims and examples of prolonged delays, including a Harborview claim that remained unpaid more than a year after billing. Health plans opposed the bill, saying the current 95% standard is workable, that they already meet high compliance rates, and that the bill could limit fraud, waste, and abuse review on high-dollar claims; they also sought more flexibility and additional time for responses. The hearing closed with 69 pro, 4 con, and 2 other sign-ins. The committee also heard SB 5916, which would prohibit health plans from disadvantaging non-opioid pain treatments relative to opioids in formularies and utilization management, and would require a Department of Health educational pamphlet on non-opioid alternatives. Senator Harris described the bill as a response to opioid deaths and a way to encourage safer pain treatment options. Patients, recovery advocates, and rare disease advocates testified in support, saying insurance barriers and step therapy often make non-opioid care harder to access and can push patients toward opioids. The Health Care Authority and an association of health plans opposed the bill, arguing it could reduce formulary flexibility, increase costs, and limit tools such as prior authorization and step therapy. The hearing closed with 8 pro, 1 con, and 2 other sign-ins. Finally, the committee heard SB 6102 and SB 6103, both sponsored by Senator Muzzall, and SB 6071. SB 6102 would align the ambulance transport quality assurance fee with federal rules after H.R. 1 barred new provider taxes, preserving the existing fee rate and adjusting the Medicaid add-on rate annually; the Washington Ambulance Association supported it, saying the program had improved wages and benefits for EMS workers. SB 6103 would make Medicaid payments for services provided by a rural emergency hospital subject to appropriation, creating a framework for East Adams Rural Health Care to convert to the new federal rural emergency hospital model; East Adams and the Washington State Hospital Association supported it as a way to preserve rural access. SB 6071 would shorten overpayment recovery timelines for all services to six months, or nine months for coordination-of-benefits cases, matching the shorter timelines already enacted for behavioral health services; providers and specialty associations supported the bill as a way to reduce destabilizing clawbacks, while the remaining testimony was still underway when the transcript ended.

Transcript Highlights:

• the injured worker must select an attending provider in the network for all care beyond the initial visit
• A non-network provider may provide treatment for an injured worker for the initial visit and emergency
• shows that initiating PT early is associated with shorter workers' comp case duration and fewer PT visits
• to evaluate patients' functional capacity in far more detail than they can do in a 10-minute office visit

Bills: SB5437 , SB6152 , SB6058 , SB5944 , SB6039 , SB6117

Committee: Senate Labor & Commerce

Keywords: noncompete, noncompetition agreement, restrictive covenant, nonsolicitation, employment contract, worker mobility, labor law, wage suppression, trade secrets, confidentiality agreement, franchise, independent contractor, employee mobility, economic growth, entrepreneurship, job mobility, restraint of trade, customer solicitation, post-employment restrictions, FTC noncompete rule

Transcript Highlights:

• This year, medical insurance changes include cost sharing for mental health and substance use office visits
• 03:14.560><c> substance</c><00:03:15.120><c> use</c><00:03:15.519><c> office</c><00:03:15.840><c> visits
• </c><00:03:16.319><c> will</c><00:03:16.560><c> be</c> and substance use office visits will be and substance
• use office visits will be reduced<00:03:17.040><c> according</c><00:03:17.360><c> to</c><00:03:17.519

Keywords: 918, senate, all

Summary: The Senate Committee on Rules and Administration met virtually on January 6, 2026, and took up four administrative policy items. Darren Hoff, Senate Human Resources Director, presented updates to the Legislative Coordinating Commission benefit book, including insurance changes tied to SEGIP, mental health and substance use office visit cost sharing, dental plan updates, dependent eligibility clarifications, a new voluntary legal services benefit, a 17% increase in Medicare premiums, and multiple leave-policy revisions to conform with the new paid leave law and other employment rules. Senator Pappas moved adoption of the benefit book with the LCC’s November 10, 2025 changes and staff technical corrections, and the motion passed. Secretary Tom Bern described a proposed Senate Policy 1.56 allowing written rules of conduct for visitors in Senate spaces, aimed at setting clear expectations for behavior such as not blocking hallways or using shouting and profanity, while being developed with consultation to address First Amendment concerns. Senator Marty moved adoption, and the committee approved the policy. Council Lexi Stangle then presented a change to Senate Policy 2.47 on severe weather emergencies that would allow employees who work remotely on severe weather days to accrue compensatory time with supervisor approval; Senator Johnson moved adoption, and the motion passed. The committee also considered a modernization of the Senate information systems policy. Secretary Bern and staff explained that the policy had not been substantially updated in about 20 years and was being condensed and updated to reflect current technology and practices. The revisions reduced the policy from 29 pages to 10, removed obsolete references, added a purpose statement, clarified email inspection and hardware/software procedures, updated website rules and accessibility guidance, and removed the secondary member page option. Senator Coleman moved adoption of the Senate information systems update, and it was approved. After the Rules Committee adjourned, the Subcommittee on Committees met and approved two appointments: one public member to the Legislative Citizen Commission on Minnesota Resources through December 31, 2030, and Senator Gustafson to the Financial Crimes Advisory Board Task Force. Members asked about the task force’s scope and the public appointee’s background; staff explained the task force advises on identity theft and financial crimes, and identified the public appointee as Sha Lang of Preston, Minnesota. Senator Pappas moved adoption of the appointment list, and the subcommittee approved it before adjourning.

Transcript Highlights:

• So we do visit with our private schools and homeschools as we're asked.
• So we do visit with our private schools and homeschools as we're asked.
• the past, in nonprofits that I've worked in, whenever there has been opportunities for families to visit
• a post-secondary institution, they take their children... ...visit a post-secondary institution.

Summary: The committee first approved the November 3 minutes, then received an extensive update from Arkansas Division of Higher Education and Division of Career and Technical Education officials on LEARNS and ACCESS implementation. Witnesses said the state’s goal is for students to graduate employed, enrolled, or enlisted, and described expanded career pathways, student success plans, merit and distinction diplomas, and school accountability measures tied to pathway completion and tangible credentials. They reported increases in K-12 CTE enrollment and concurrent enrollment, and explained that some secondary career center programs were reduced or eliminated because they no longer aligned with state workforce demand. Members asked detailed questions about how merit/distinction affects school letter grades, how AP, concurrent credit, CTE completers, apprenticeships, and work-based learning fit into the system, and whether homeschool and private school students can access the same opportunities. Officials said multiple pathways can satisfy the requirements, including AP Scholar, concurrent credit, technical certificates, and apprenticeships, and that counselors are being trained to advise students. They also discussed scholarship changes: ACCESS broadened eligibility for the Arkansas Academic Challenge and Governor’s Scholar awards, with diploma of merit or distinction now qualifying students for additional aid, while the Governor’s Distinguished Scholarship itself remained unchanged. Questions were raised about whether homeschool and private school students can meet the new diploma-of-distinction criteria; officials said the intent is to make them eligible if they meet the same standards, and that guidance is being finalized. The discussion also covered workforce scholarships and grants. Officials said the Workforce Challenge was expanded to include vocational-technical schools and increased funding, and that the Division is reworking policy around “professional skills training” to support shorter-term, stackable programs. They reviewed the new federal Workforce Pell Grant, noting its narrow hour and duration limits and the need for programs to meet completion, placement, and earnings thresholds. Members also asked about the state lottery scholarship fund balance and whether more aid should be directed to students; officials said the fund remains healthy and that ACCESS has already increased awards and expanded eligibility, with more implementation data still to come. The final presentation came from the Director of Workforce Connections on a $35.8 million U.S. Department of Labor cooperative agreement for the American Manufacturing Apprenticeship Incentive Fund. Arkansas will administer the national fund, which is aimed at expanding advanced manufacturing registered apprenticeships across the country through a pay-for-performance model. Officials said the program will support occupations in aerospace, automotive, biotech, maritime, nuclear, semiconductors, supply chain, and automation, and that applications will open soon. Members asked who can apply and how the money will be distributed; the answer was that registered apprenticeship sponsors—sometimes companies, sometimes colleges, sometimes intermediaries—will apply, with Arkansas setting eligibility criteria, vendor requirements, and outreach efforts.

Transcript Highlights:

• go out on a family, followed by child protection going out a week later, followed by a health care visit
• Can you talk about that visit? Were there any issues cited? Can you share if there were?
• I saw a patient who was visiting an RHC a month ago, and this individual had security guards with them
• And then I visited the same RHC last week.

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.