Bills: HB111 , HB108 , HB145 , HB164 , HB291 , HJR6 , HR1 , HB63 , HB64 , HB165 , HB184 , HB200 , HB4 , HB7 , HB20 , HB65 , HB66 , HB80 , HB88 , HB96 , HB166 , HB285 , HB295 , HB306 , SB29 , SB37 , HJM2 , HJM3 , HJM1 , HM7 , HM17 , HM4 , HM22 , HM23 , HM24 , HM26 , HM2 , HM16 , HM32 , HM13 , HM47 , HM20 , HM51 , HM1 , HM31 , HM35 , HM36 , HM46 , HM53 , HM54 , HM11 , HM14 , HM21 , HM34 , HM50

Keywords: water law, state engineer, civil penalty, compliance order, water rights, overdiversion, illegal diversion, groundwater storage and recovery, well license, permit violation, water enforcement, New Mexico water code, irrigation district, conservancy district, water diversion, unauthorized water sales, measuring device, district court appeal, water resources, water compliance

Transcript Highlights:

• constructed something for the North and the rest of New Mexico in terms of support, scholarships, and early
• And that’s really my path into this body was early childhood and the lack of support for home visitation
• Speaker, gentlemen, I like that you have this piece that they can sell it early.
• They can pay off their loans early. I'm always a fan of that.
• But once they're able to do that, then they move into the... ...off their loans early.

Bills: HB111 , HB108 , HB145 , HB164 , HB291 , HJR6 , HR1 , HB63 , HB64 , HB165 , HB184 , HB200 , HB4 , HB7 , HB20 , HB65 , HB66 , HB80 , HB88 , HB96 , HB166 , HB285 , HB295 , HB306 , SB29 , SB37 , HJM2 , HJM3 , HJM1 , HM7 , HM17 , HM4 , HM22 , HM23 , HM24 , HM26 , HM2 , HM16 , HM32 , HM13 , HM47 , HM20 , HM51 , HM1 , HM31 , HM35 , HM36 , HM46 , HM53 , HM54 , HM11 , HM14 , HM21 , HM34 , HM50

Keywords: water law, state engineer, civil penalty, compliance order, water rights, overdiversion, illegal diversion, groundwater storage and recovery, well license, permit violation, water enforcement, New Mexico water code, irrigation district, conservancy district, water diversion, unauthorized water sales, measuring device, district court appeal, water resources, water compliance

Transcript Highlights:

• No parents should have to live with the weight of wondering whether early... ...to give a child a chance
• No parent should have to live with the weight of wondering whether early knowledge could have changed
• If the program fails to do this, the board must terminate the program and may discipline the director
• Secondly, the board may terminate a program that already is on probation because the program director
• or revoked—only terminated or revoked, not minor discretions, not complaints, nothing.

Bills: S0162 , S0254 , S0688 , S0794 , S1110 , S1574

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics was heard first. The bill would require coverage for medically necessary orthotics and prosthetics without lifetime or continuous-use caps, direct AHCA to seek federal approval and update contracts, and require annual reporting. Testimony from a child using prosthetic “gymnastics blades,” his mother, and another young person with a prosthetic leg emphasized the high cost of activity-specific devices and the impact on children’s mobility, sports participation, and quality of life. Senators voiced strong support, and the bill was reported favorably. The committee then approved SB 1574, “Maddie’s Law,” which adds newborn screening for biliary atresia using the existing blood specimen collected at birth. The sponsor and the child’s father described the condition as time-sensitive and potentially fatal without early detection, and argued the screening could prevent transplants and save money. The bill was reported favorably. The committee also considered CS/SB 794 on background screening for employees of residential facilities and day training programs for people with developmental disabilities, plus a review of waiver support coordination quality, training, and access issues. Parents and a support coordinator testified that strong support coordination is essential for families and that the bill would help standardize expectations and improve services. An amendment aligning the bill with the House companion was adopted, and the bill was reported favorably. Members next heard SB 162, which requires hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during procedures that generate surgical smoke. Supporters, including nurses and the Florida Nurses Association, described surgical smoke as a workplace hazard with toxic chemicals and potential cancer risks; hospital representatives said they support the intent but argued existing federal and state standards already regulate the issue and the bill is too prescriptive. A late-filed amendment clarifying the smoke must be “effectively captured and filtered” was adopted, and the bill passed favorably. The committee also approved CS/SB 254, a major nursing education bill that tightens oversight of low-performing nursing programs, creates a temporary provisional license and preceptorship pathway for graduates awaiting NCLEX results, requires remediation for delayed testing, and increases transparency by posting passage rates. Nursing groups supported stronger standards, while private nursing schools warned the bill could reduce capacity and discourage program directors; the amended bill was reported favorably. Finally, the committee heard SB 688, which would reestablish licensure and regulation of naturopathic doctors in Florida, create a board of naturopathic medicine, set licensure and renewal requirements, and define the scope of practice while excluding most prescription authority. Supporters said it would expand health care choices and allow naturopathic doctors to practice openly, while opponents from the medical community warned the bill could authorize diagnosis and treatment without sufficient training and rely on unproven therapies. The bill was reported favorably. The committee then adjourned after members thanked staff for their work.

Transcript Highlights:

• Dunn's report, yet no one moves to terminate the conservatorship or guardianship.
• And now my wife has served, and we're trying to terminate it.
• let it be terminated.
• They did not terminate the conservatorship.
• Dunn, they didn't terminate it. Mr. Kilfoy and Mr.

Committee: Senate Senate Ad Hoc Committee on Elder Abuse

Summary: The Senate Ad Hoc Committee on Elder Abuse opened by explaining it was gathering testimony on elder abuse, especially alleged misconduct involving court-appointed systems such as guardians ad litem and fiduciaries, to identify gaps in law and oversight and develop legislative fixes. The chair limited each witness’s time, asked for names and contact information for follow-up, and repeatedly noted that some allegations might warrant referral to law enforcement, the attorney general, or county attorneys if basic criminal elements were present. Several witnesses described alleged abuse in guardianship, conservatorship, and fiduciary cases. Dr. Holly Lauder said her mother, who had Alzheimer’s disease, was subjected to allegedly deficient psychological capacity evaluations that ignored treating doctors and family input, leading to a fiduciary arrangement that later resulted in neglect. Kevin Axson described his mother’s probate case, saying a guardian ad litem and conservator were appointed after a family financial dispute, that the guardian ad litem and fiduciary had little contact with his mother, and that the estate was burdened with substantial fees and a $200,000 bond requirement. Frieda Alvarado testified about a 94-year-old client, Samuel Armento, saying he was isolated, medicated without his request, and treated without dignity after a fiduciary and care team took control. Bill Chalmers, Johnny Hamilton, and Kathy Hamilton also testified about Sam Armento’s case, alleging isolation, excessive fees, conflicts of interest, and poor oversight by fiduciaries and caregivers. Other witnesses raised broader concerns about Arizona probate practices. David Redkey said he has been under a long-running conservatorship despite earning degrees and maintaining capacity, and alleged that court-appointed professionals and fiduciaries overcharged his estate and blocked efforts to terminate the arrangement. Susan Wolfe described the Peyton case, alleging that a wife’s conservatorship and related court actions led to the loss of assets, exclusion of witnesses, and large fees for a relatively small monthly care bill. Dr. Lewis Heller, an OB-GYN and disciplinary committee member, said the medical evaluations he reviewed showed the people involved were competent and that the conduct he observed was unethical and possibly criminal. Renee Self testified that she lost her role as trustee and spent large sums defending her father’s estate, alleging that the probate process stripped her father of assets and limited her access to him despite APS findings that her actions were in his best interests. No formal committee votes or legislative actions were taken in the excerpt, but members repeatedly expressed concern, asked for documents and transcripts, and indicated they would follow up with witnesses and consider stakeholder meetings to craft legislation addressing oversight, transparency, and accountability in guardianship and fiduciary systems.

Transcript Highlights:

• fall and... ...data, but we have been talking to economists that are telling us that next fall and early
• as September, October, and the early parts of next year are going to be real compression areas for our
• If changes were to happen, you know, or a plan were to close or terminate, then we obviously make some
• But right now, it's kind of early to make, I think, any guesses on what might or might not happen in
• You see more people retiring in their early 60s, coordinated with Social Security, and you just see a

Summary: The Assembly Committee on Public Employment and Retirement and the Senate Committee on Labor, Public Employment, and Retirement held a joint hearing required by law to receive an independent report from the California Actuarial Advisory Panel on CalPERS. Opening remarks emphasized CalPERS’ role in providing retirement security for roughly two million members and the importance of actuarial assumptions to state budgeting and long-term pension health. Scott Tarando, CalPERS chief actuary and a CAP member, presented the report with Michael Cohen of CalPERS’ investment office available for questions. Tarando explained the statutory disclosure requirements under Government Code Section 2029, including sensitivity analysis around CalPERS’ 6.8% discount rate, and discussed how investment return assumptions and the 20-year amortization period affect contribution rates, unfunded liabilities, and budget volatility. He said shorter amortization periods would raise near-term costs but reduce long-term interest costs, and noted that CalPERS’ current approach is intended to smooth contribution changes over time. He also described the timing of the annual valuation process, explaining that contribution rates for a given fiscal year are based on the most recently audited year-end data and are approved by the board before being used in the budget process. Members asked about the relationship between average employee service life and amortization, whether more current data could be used, the effect of AI and labor-market changes on future assumptions, whether retirees’ benefits change with annual valuations, and CalPERS’ funded status. Tarando said the average expected working lifetime is about 11 to 12 years, while CalPERS uses a 20-year amortization period; he also said retiree benefits are set at retirement and do not change based on later valuations. He estimated CalPERS’ funded status had risen from the mid-60% range about 10 years ago to around 79% at June 30 and above 80% more recently. Cohen said CalPERS had complied with federal information requests and that no formal federal review had been released. During public comment, a county association representative praised the improved funded status and PEPRA reforms. The chairs closed by reiterating fiduciary responsibility and the need to protect CalPERS’ long-term stability, and the meeting adjourned.

Transcript Highlights:

• And Engrossed Second Substitute House Bill 2034 terminates the overfunded LEOFF Plan 1 and creates the
• terminates the overfunded left plan one and creates the new restated left system with 110% funding on
• Chair: Engrossed Second Substitute House Bill 2034, concerning termination and restatement of Plan 1
• This creates a new account that will allow the money from the termination to go into it.
• Early Learning and K-12 Education receive a due pass recommendation. There are amendments.

Summary: The Ways and Means Committee met in executive session on March 2, 2026, and worked through two large groups of bills, hearing staff briefings, caucusing, and then voting each measure out to the Rules Committee. In the first group, the committee advanced bills on state accounts (HB 2675, with an amendment creating an adult day service facilities account), immigrant worker protections (2SHB 2105, after adopting a striker and Amendment 8 while rejecting amendments that would have changed enforcement and private rights of action), voting rights compliance (E3SHB 1710, with all proposed amendments rejected), AI content provenance and notices (E2SHB 1170, with Amendment 19 adopted to exempt state/local/tribal governments and certain video-game and technical uses), public official protections (2SHB 233, with a technical amendment adopted), WOTEC civil service coverage (HB 2249), JLARC work plan changes (HB 2120), LEOFF Plan 1 termination/restatement (E2SHB 2034, with several amendments adopted including creation of a pension surplus holding account and study directives, while proposals to redirect funds to the Climate Commitment Act or provide a lump-sum payment were rejected or withdrawn), supplemental retirement bargaining (HB 1069, with a striker adopted), port employee retirement exclusions (EHB 2179, with a striker adopted), local government revenue flexibility (ESHB 2442, with Amendment 72 adopted to remove a county public utility tax and other amendments rejected), wildfire mitigation funding (SHB 2089), and timberland REET changes (HB 1983). The committee also noted that it would not take action on some items in the packet, including SHB 1833. In the second group, the committee advanced bills on local housing tax remittance programs (ESHB 1717), renewable energy tax incentives and grants (E3SHB 1960, with a striking amendment adopted that adjusted rates, timing, and related provisions), nonprofit fundraising hall property tax relief (HB 2431), food bank sales tax relief (SB 6006), local tax increment financing (E2SHB 2451), temporary staffing services for nonprofit behavioral health entities (SB 6297), school and child care-related sales tax exemptions (SSB 6351, with a substitute adopted and the competing amendment made out of order), behavioral health work group extension and leadership council creation (2SHB 2429), Working Connections Child Care changes (SB 6353, with Amendment 43 adopted), language access guidelines for state agencies (SHB 2475), unpaid wage recovery (2SHB 2479), firearms background check fee authority (HB 2521, briefed but not acted on in the portion provided), public employee information sharing (HB 2091, briefed but not acted on in the portion provided), and Office of Independent Investigations jurisdiction changes (ESHB 2508, briefed but not acted on in the portion provided). Throughout the meeting, members and staff discussed fiscal notes, implementation costs, and whether amendments would increase or reduce state impacts, with several amendments aimed at narrowing scope, delaying implementation, or shifting enforcement and funding responsibilities.

Transcript Highlights:

• When the federal government terminates a CSU grant, it doesn’t only negatively impact the university;
• So we're told that something's been terminated, but not exactly what's going to take its place.
• So we're told that something's been terminated, but not exactly what's going to take its place.
• So we're told that something's been terminated, but not exactly what's going to take its place.
• I cut all student research or hours across the board rather than terminate a smaller group.

Summary: The Assembly Higher Education Committee held an oversight hearing on how federal actions are affecting California higher education, with opening remarks from the chair and members emphasizing the importance of state-federal shared governance and the need to protect access, affordability, and campus diversity. The first panel included leaders from the CSU, University of the Pacific, California Community Colleges, and UC, who described broad impacts from federal grant terminations, changes to student aid, loan limits, visa and immigration policy, and proposed reductions to research support. Testimony focused on the elimination of Grad PLUS loans, caps on Parent PLUS and Pell-related changes, the loss or suspension of hundreds of grants, and the resulting harm to student support services, research, workforce pipelines, food assistance, and health care training. UC and CSU representatives warned of major losses in research funding, indirect cost reimbursement, and student opportunities, while community college leaders highlighted uncertainty around federal grants and the need to maintain services for low-income, first-generation, undocumented, and other vulnerable students. Committee members asked how the state could respond, including through intersegmental partnerships, dual enrollment, transfer pathways, and support for basic needs and nutrition programs. Witnesses said California could help by sustaining financial aid, protecting minority-serving institution programs, and investing in research, housing, and workforce development. Several speakers stressed that federal changes were creating instability for students and campuses, and that the effects would likely be long-lasting, especially in health care, teaching, STEM, and social work pipelines. A second panel then focused on equitable access. The California Student Aid Commission described state efforts such as the $3.9 billion investment in aid programs, the Cal Grant system, the Dream Act, and possible reforms to better serve adult learners, foster youth, undocumented students, and students with dependents. The Los Angeles Community College District reported that federal cuts and policy shifts are discouraging students from applying for aid, threatening TRIO and MSI/HSI-funded services, and reducing support for basic needs, counseling, and workforce programs. The Association of Independent California Colleges and Universities and the CSU Academic Senate echoed concerns about FAFSA confusion, international student restrictions, grant losses, and the erosion of equity-focused programs. No formal votes or legislative actions were taken during the hearing; the committee primarily received testimony and discussed possible state responses.

Transcript Highlights:

• Many later credited him with helping them survive early struggles.
• Today I'm offering an amendment that adds a $250 per terminal fee to the video lottery terminals operating
• Today I'm offering an amendment that adds a $250 per terminal fee to the video lottery terminals operating
• Right now, in the current language, it says eight video lottery terminals.
• So there’s not a lottery terminal program.

Summary: The House convened with prayer and the Pledge of Allegiance, then approved the House Journal by roll call vote, 115-6. Members then used points of personal privilege to honor Redd Foxx for Black History Month and to remember former Mayor Frank Klipsch, followed by the introduction of a first-grade special guest page for the day. The chamber also received first readings of three bills on mental health efforts in public schools, public labor organizations, and state contracts with certain telecommunications companies, along with committee reports recommending passage of several bills. The House then debated and passed several measures. A large vehicle-inspection bill, House Committee Substitute for House Bills 1838, 1692, 1695, 1983, 2036, 2662, and 2743, drew extended debate over whether inspections improve safety or impose unnecessary costs; it passed 104-43. House Bill 1917, a Jefferson County water district bill aimed at removing a local obstacle to a long-planned development, passed 148-2. House Bill 261, as amended, was approved 109-21 to require Missouri schools and universities to adopt nondiscriminatory policies protecting Jewish students from antisemitic harassment, using the IHRA definition as a guide while stating it would not limit First Amendment rights. Members also passed House Committee Substitute for House Bill 2384, 92-61, which would limit local energy-code mandates and reduce housing construction costs, despite objections that it would preempt local control and roll back newer codes. The chamber then moved into perfection and took up House Committee Substitute for House Bill 2989, a major gaming-regulation bill intended to legalize and regulate video lottery terminals and crack down on illegal machines. Multiple amendments were adopted, including a $250-per-terminal fee dedicated to developmental disability services, local opt-out and operating-hour provisions, a shorter grace period for existing machines, property-tax language, a 21-and-over restricted area requirement, a larger warning label, and a historical funding provision for the steamboat Arabia. Debate continued on the bill and its amendments, with supporters emphasizing regulation, local control, and new revenue, and opponents warning about gambling expansion, enforcement problems, and social harms.

Transcript Highlights:

• The termination process is a little different between the two bills.
• every time there's a termination, which is the language in the original filed bill above.
• I just think I want to clear—have you ever terminated a tenured teacher? Yes, I did. Okay.
• It was early in my principal career. It was actually in year four.
• It was early in my principal career. It was actually in year four.

Committee: House Elementary and Secondary Education

Summary: The committee first met in executive session on House Bill 3532 and House Bill 3483, which were combined by amendment into a House Committee Substitute. Representative Kelly explained the amendment corrected a clerical error and merged the two bill strings; members discussed removing the phrase “public school” so the measure would apply more broadly. The committee adopted the amendment and substitute, then voted the combined House Committee Substitute do pass by a 16-0 roll call vote, sending it next to the Rules Committee and then potentially to the House floor. The committee then heard House Bill 2965, sponsored by Representative Bosley, which would require Missouri students to complete one unit each of Black history and Black literature before graduation, with standards and model curriculum developed by the State Board of Education. Bosley argued the bill would provide a fuller and more accurate account of American history, improve student engagement and outcomes, and empower all students. Supporters from the NAACP and committee members praised the goal, but several members raised concerns about making the courses graduation requirements, the burden on transfer students, and whether the bill should instead be tied to existing social studies credits or broader K-12 standards. No opposition testimony was offered. Finally, the committee heard House Bills 2126 and 2197, presented together as similar measures on building-level administrator evaluations. The sponsors said the bills would require annual evaluations of principals and other building administrators, set a March 1 timeline for renewal or nonrenewal decisions, and allow administrators with at least five consecutive years to request written reasons if their contracts are not renewed. Committee members and witnesses generally supported regular evaluations and timely notice, but several questioned whether the bills were too restrictive on reasons for nonrenewal and whether the language created a kind of tenure-like protection. Supporters from principals’ groups, Missouri NEA, and Missouri State Teachers Association backed the bills, emphasizing fairness, feedback, and professional growth. The hearing concluded without a vote on these two bills.

Transcript Highlights:

• and dry docking of the vessel, as well as a lack of an available unloading spare boat, a single terminal
• Also, there is a lack of an available unloading spare boat, as well as a single terminal pair and staffing
• We did solicit input from the Cameron Parish Police Jury and the Cameron Port Harbor and Terminal District
• We did solicit input from the Cameron Parish Police Jury and the Cameron Port Harbor and Terminal District
• So if the terminal structure breaks down for some reason, then no number of inloading ferry boats will

Summary: The Louisiana Transportation Authority met on March 26 and approved the minutes from its prior meeting before taking up the Cameron Ferry privatization proposal from Labmar Ferry Services. Staff from DOTD explained the ferry’s current operational problems, including an aging 1964 vessel, reliability issues, maintenance and dry-docking needs, staffing challenges, and the lack of a spare vessel or backup terminal pair. They reviewed the procurement process, noting that after an unsolicited proposal from Labmar, LTA required a competitive solicitation, received only Labmar’s updated proposal, and then selected Labmar as the preferred proposer. Local input was also described: the Cameron Parish Police Jury issued a no-objection letter and the Cameron Port Harbor and Terminal District gave written support, while no public comments were received at prior public comment opportunities. The board first voted that the privatization proposal serves a public purpose, based on statutory factors such as public need, compatibility with transportation plans, reasonable cost, and improved efficiency. It then voted to approve the proposal contingent on execution of a comprehensive agreement, with members emphasizing that the final contract terms would still need to be negotiated. Discussion highlighted that Labmar currently operates New Orleans ferry routes with high uptime, and that the Cameron crossing is important for local travel, emergency response, evacuation, industry, and tourism. Members also stressed the need to respect and retain current DOTD staff as the transition is negotiated. Staff outlined next steps: negotiations are expected to continue through spring and early summer 2026, with a transition period over the summer and possible full Labmar operations in late summer if an agreement and funding are secured. Two new hybrid ferry vessels are under construction and expected in May and August 2026, temporary dock space and site improvements are underway, and training will include Labmar personnel. A feasibility study for terminal expansion found that adding and improving landing slips could cost roughly $30 million to $50 million, but current funding is insufficient; members asked for a phased, multi-year plan and budget breakdown for future consideration. The meeting ended with adjournment.

Transcript Highlights:

• And this has been in the law since probably the late 80s or early 90s.
• This bill prohibits a former school employee who has been terminated with cause from a school district
• This bill prohibits a former school employee who has been terminated with cause from a school district
• Representative Faggart, I'm not against the scenario you explained, but it says terminated from their
• You know, I mean, if you look at the typical definition of an educator terminated with cause, an educator

Bills: HB2938 , HB2939 , HB3306 , HB3722 , HB4113 , HB4123

Committee: House Elections and Ethics

Summary: The Ethics and Elections Committee heard several election-related bills. HB 2938, as amended by PCS, would restrict certain overseas voters who are not military or dependents from voting in Oklahoma state and local elections unless they were bona fide residents with an intent to return, while still preserving federal voting rights where applicable. The Secretary of the State Election Board explained the measure as a tightening of existing law and said counties would flag affected voters for federal-only absentee ballots. After questions about how intent would be determined and how ballots would be administered, the committee passed the bill 5-1. HB 2939 would remove outdated references to fax machines from election law at the request of the State Election Board. Testimony noted fax returns are now rare, limited to a very small number of military and overseas voters, and are less secure than current electronic and mail options. The committee passed the bill 6-0. HB 3306, as amended, lowers the threshold for requiring a candidate committee filing from $1,000 to $400, with the author describing it as a transparency measure to ensure more candidates disclose fundraising and spending. The committee passed that bill 6-0. The committee also passed HB 3722, with a PCS clarifying that voter registration applicants must actively choose a party affiliation rather than being defaulted to unaffiliated if they leave the field blank. The bill passed 5-1. HB 413, with an amendment, clarified that people with felony convictions regain voting rights once all incarceration, parole, supervision, probation, and related obligations, including fines and fees, are completed; the committee passed it 6-0. Finally, HB 4123, which would bar former school employees terminated for cause from running for school board in the same district, drew concerns about fairness and the breadth of “for cause.” The author said the bill was aimed at serious misconduct cases and agreed to work on clarifying language, and the bill was laid over until the next week.

Transcript Highlights:

• And how they're phased is similar to what Congress did for Medicare in the early 2000s, where it said
• So they were trying to figure out how to help Alaska out as early as yesterday morning.
• In January, in early June, the White House issued a memo.
• That something happened, we're in the very early stages.
• We're at 8:30, but, you know, I'm an early bird. I like getting everybody up early.

Committee: House Federal Funding Stabilization Subcommittee

Transcript Highlights:

• The opportunity now is to move from early deployment to large-scale adoption.
• The opportunity now is to move from early deployment to large-scale adoption.
• Well, I suggest doing this early.
• I encourage early involvement.
• Hydrogen projects should include early community engagement.

Transcript Highlights:

• after complete expulsion or extraction from the individual who gave birth that is not an induced termination
• in combination with misoprostol, is used to end pregnancy through 10 weeks gestation and to treat early
• However, if there's a discrepancy between the LMP and an early ultrasound, then the ultrasound is the
• The first one being Section 1, Article 19, and it states that the induced termination of a pregnancy
• And with that, Begins in conception, and that would make pregnancy termination at any stage murder.

Bills: SB5915 , SB5988 , SB6025 , SJM8002

Committee: House Health Care & Wellness

Keywords: SB 5915, health technology assessment, HTA, clinical committee, medical technology review, coverage determination, state-purchased health care, Washington health care, RCW, evidence-based medicine, cost-effectiveness, safety and efficacy, Medicare coverage, national coverage determination, clinical guidelines, patient advocacy, public comment, medical necessity, rare disease, life-threatening disease

Transcript Highlights:

• Under the current rule, a provider's only recourse is to terminate the contract.
• Contract terminations and how they should proceed were recently addressed by the legislature.
• Why are these termination notices increasing?
• Why are these termination notices increasing?
• Our only remedy again is to terminate the contract. And we have to be ready for it.

Bills: HB1904 , HB2106 , HB2211 , HB2247 , HB2329 , HB2339

Committee: House Health Care & Wellness

Keywords: animal welfare, cats, declawing, animal rights, pet care, healthcare, contract modifications, provider notifications, insurance carriers, health facilities, HB 2211, medically tailored meals, medical nutrition therapy, medical assistance, Medicaid, Health Care Authority, Department of Social and Health Services, nutrition support, chronic disease, dietary accommodations

Transcript Highlights:

• Under the current rule, a provider's only recourse is to terminate the contract.
• Contract terminations and how they should proceed were recently addressed by the legislature.
• Why are these termination notices increasing?
• Our only remedy again is to terminate the contract. And we have to be ready for it.
• Now the carrier has only one option, which is a nuclear option: to terminate the contract.

Summary: The committee heard public hearings on several health-related bills. House Bill 1904 would prohibit cat declawing except for therapeutic purposes, with staff explaining definitions, fines, recordkeeping, and reporting requirements. The prime sponsor and animal welfare advocates described declawing as cruel and linked it to pain and behavior problems, while the Washington State Veterinary Medical Association supported the substance of the bill but asked to remove the added reporting and disciplinary provisions as redundant and burdensome. House Bill 2211 would provide guidance for medically tailored meals under existing Medicaid-related nutrition supports, including standards for Washington-based nonprofit providers where possible, menu review, and nutrition requirements. The sponsor said it would clarify implementation without expanding the program, and supporters from meal providers, food distributors, and local farms said it would improve health outcomes, keep dollars local, and support Washington jobs and agriculture. House Bill 2329 would allow licensed midwives to delegate certain tasks to medical assistants and to supervise medical assistants, with the sponsor and birth center operators saying it would fix an omission in current law and help rural and under-resourced birth centers operate more efficiently. Supporters said it would improve staffing and financial stability, while the sponsor indicated the lactation consultant language would likely be removed because those consultants are not regulated by the Department of Health. The committee then returned to House Bill 1904 for additional testimony from humane organizations, veterinarians, shelter leaders, and local officials, all supporting a ban on declawing and emphasizing animal pain, shelter impacts, and available alternatives. House Bill 2247 would expand and clarify veterinary telehealth and veterinarian-client-patient relationship rules, allowing a VCPR to be established in certain telehealth circumstances and setting guardrails for consent, practice standards, and when in-person exams are still required. Supporters from shelters, animal welfare groups, mobile clinics, and veterinarians said telehealth would improve access in rural and underserved areas, reduce shelter intake, and help animals receive care sooner; the veterinary association supported the bill with amendments to clarify recordkeeping and access-to-care findings. House Bill 2339 would update nursing license terminology and processes for advanced registered nurse practitioners, including title changes, controlled substance rules for CRNAs, transcript submission, and interim permits. Nursing board and ARNP representatives supported the technical updates, while the hospital association and medical association raised concerns about title language for clinical nurse specialists and the deletion of a reference to the medical profession. Finally, House Bill 2106 would require health carriers to give 90 days’ notice of significant mid-contract payer modifications and provide the actual modification language, with the sponsor and hospital and provider representatives saying insurers are increasingly making unilateral changes that affect payment, services, and patient access. UW Medicine and a rural hospital district described examples where insurers changed imaging or preventive service coverage mid-contract, causing financial losses and forcing difficult choices about network participation. Carriers were noted as opposing the bill, while providers and facilities argued it would improve transparency and prevent one-sided contract changes that disrupt care.

Transcript Highlights:

• And we're really proud of the fact that we went through that deadline in an early, seamless experience
• We also had locations opening early, as early as 6 AM, and more locations open on Saturdays.
• in line again to go to a different terminal to get a motor vehicle transaction.
• So now, we'll be able to do both those transactions from one terminal.
• Remember back in late summer and early fall, there were many scams going out related to fines and fees

Transcript Highlights:

• Also, on abuse and neglect, because I worked in early childhood and we were mandatory reporters, we had
• The state was required to put together a prevention and early intervention plan.
• And if the state files a motion for Termination of parental rights.
• The state was under a federal consent decree dating back to the early '80s up until the early to mid-
• In the 90s and through the early 2000s to the present, the number of divisions at CYFD has changed.

Transcript Highlights:

• </c> program recognizing how powerful early program recognizing how powerful early intervention<00:03
• Um and tart of catch it early.
• </c><00:08:23.520><c> And</c> standard in early intervention. And standard in early intervention.
• </c> funding for early bipolar disorder. funding for early bipolar disorder.
• > but</c> comprehensive early intervention, but comprehensive early intervention, but are<00:09:07.120

Transcript Highlights:

• Welcome to our second day in the Early Learning and Human Services Committee.
• The bill allows the department to terminate a license to receive children for supervision.
• I ask that because Section 5 allows the department to terminate a license for inactivity.
• Thank you, Committee Chair Berkwist, and the Early Learning and Human Services Committee. Great.
• Thank you, Committee Chair Berkwist, and the Early Learning and Human Services Committee.

Summary: The committee first took up House Bill 1544, which would require DCYF to study and improve the risk assessment tool used in child abuse and neglect investigations, including better identifying family strengths and needs, substance use-related risk, and service needs, and to certify the tool every three years. Staff explained the bill and noted it had passed the committee unanimously in substitute form last year. The prime sponsor, Representative Rule, said the tool would help reduce bias and support better decisions about child safety. Members raised questions about whether the bill would require new data systems or create a fiscal impact, and DCYF testified that the recertification process would focus on evidence-based literature and fidelity to the tool, though the agency acknowledged limitations in its data system. Support testimony from Partners for Our Children and DCYF emphasized that the current tool is not evidence-based and that the department is piloting the North Carolina Family Assessment Scale. The hearing on HB 1544 was then closed. The committee then received a lengthy work session from DCYF on juvenile rehabilitation. Juvenile Rehabilitation Assistant Secretary Jennifer Redman and security classification administrator Jeff Endermark described a growing JR population that is older, serving more adult-sentence youth, and projected to rise to about 481 by 2031. They said Green Hill School remains crowded, Harbor Heights is being brought online as a short-term option, and Echo Glen is near safe operational capacity. They explained JR’s classification system, behavior management process, and the role of multidisciplinary teams in placement decisions, as well as the expansion of community transition services (CTS), which uses electronic home monitoring for eligible youth. Staff described CTS eligibility, supervision expectations, and examples of successful placements, but also said the program needs more after-hours staffing and community supports. Members questioned the validity and equity of the risk tools, the availability of community resources, the impact of behavior policies and escapes, the use of single bunking, and broader concerns about lawsuits and sexual abuse in the system. JR reported an escape rate increase from 1.78 per 100 youth in 2001 to 3.92 in 2025 and said additional capacity and staffing are still needed. The committee then heard House Bill 2219, which would allow child care centers more flexibility in mixed-age grouping during parts of the day and waive repeated DCYF pre-service orientation for people who have already completed it. The prime sponsor, Representative Ortiz-Self, said the bill is meant to ease burdens on small providers. Testifiers from SEIU 925, a family child care provider, the Washington Child Care Centers Association, a child care center director, and the Children’s Campaign Fund supported the bill as a practical way to improve staffing flexibility and reduce duplicative licensing requirements, though one association asked that the bill’s daily time caps on mixed-age grouping be revised or removed. The committee then heard House Bill 2253, an agency-request technical corrections bill for DCYF licensing. Staff said it would allow child-specific licenses for certain relatives under interstate placements, exempt kinship caregivers from blood-borne pathogen training, remove licensing exemptions for physicians and lawyers, allow termination of inactive licenses, revise crisis residential center staffing ratios, and eliminate state monitoring requirements for the Washington School for the Deaf residential program. Members asked about how inactivity would be defined and whether the School for the Deaf inspections had historically produced savings. DCYF said the bill would help right-size licensing workloads after budget cuts and would let the agency work with stakeholders to define inactivity in rule. Testimony from DCYF, Community Youth Services, and Partners for Our Children supported the bill, especially the staffing ratio fix for crisis residential centers and the child-specific licensing changes for relatives.