Transcript Highlights:

• If you’re reducing the number of judges from 12 to 10, 12 to 8, CMS modifications have to be done.”
• “CMS modifications have to be done.
• They are required because the CMS contains embedded business logic tied to a total of 12 judges, creating

Bills: SCR59, SCR70, HR275, HR279, HR282, HR289, HR307, HCR112, SCR61, SCR62, SCR64, SB121, HR310, HR314, HR316, HR317, HR321, HCR117, SCR5, SCR29, SCR33, SCR37, SCR63, SCR30, SCR40, SCR65, HCR3, HCR49, HCR66, HCR67, HB54, HB137, HB321, HB368, HB386, HB414, HB431, HB552, HB555, HB578, HB590, HB593, HB618, HB638, HB670, HB692, HB707, HB708, HB715, HB718, HB732, HB741, HB748, HB776, HB796, HB807, HB822, HB848, HB856, HB887, HB888, HB917, HB921, HB1082, HB1243, HB1246, HB1, HB2, HB42, HB45, HB71, HB79, HB126, HB133, HB159, HB213, HB218, HB222, HB289, HB291, HB312, HB313, HB324, HB352, HB383, HB398, HB403, HB429, HB457, HB459, HB549, HB571, HB579, HB591, HB608, HB616, HB624, HB766, HB769, HB783, HB804, HB864, HB874, HB909, HB951, HB971, HB983, HB1005, HB1017, HB1051, HB1056, HB1126, HB1186, HB1193, HB1223, HB1224, HB1235, HB1249, SB259, SB295, SB312, SB348, SB444, SB485, SB441, SB149, HB359, SB29, SB43, SB78, HB463, HB998, SB197, SB268, SB123, SB276, SB326, SB80, HB901, HR20, HR74, HCR65, HCR71, HCR98, HB284, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB625, HB646, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1191, HB1240, HB1255, SB82, SB89, SB97, SB479, HB74, HB119, HB134, HB210, HB258, HB468, HB784, HB870, HB953, HB956, HB1117, HB1236, SB42, SB208, SB217, SB274, SB300, SB341, SB379, SB382, SB387, SB401, SB449, SB487

Keywords: Major Richard Star Act, veterans, military retirement, disability compensation, VA benefits, combat-wounded, medically retired, military retirees, service members, veterans benefits, Department of Veterans Affairs, Department of Defense, concurrent receipt, retirement offset, combat-related disability, bipartisan support, memorial resolution, Congressional memorial, Louisiana delegation, Richard Star

Summary: The House convened with a quorum and opened with prayer by Archbishop Checchio, the pledge, and the national anthem. Members also used personal privilege to recognize visiting officials, university leaders, grocers, Governor’s Fellows, and several special guests and honorees, including Grambling State University for its 125th anniversary, Tiger Athletics, and the Tiger Marching Band, as well as CASA volunteers and advocates. The chamber adopted a number of ceremonial resolutions and made several conference committee appointments and committee discharge motions. The floor then took up a series of Senate and House resolutions, many of which were adopted without objection or after brief debate. These included resolutions creating or studying task forces on topics such as homeowner catastrophe claims and insurance-related litigation, the Louisiana-Ireland Trade Commission, informed consent laws, fiscal note procedures, K-12 student success pathways, and military funding alignment. Members also adopted resolutions on domestic violence protective-order access, flood risk mapping, seismic activity in North Louisiana, illegal dumping enforcement, toll signage and customer service, and other local or commemorative matters. Several Senate resolutions were temporarily returned to the calendar, while others were adopted by recorded vote, including SCR 29, SCR 33, SCR 37, SCR 63, SCR 30, SCR 65, and SCR 40. The House then considered Senate Bill 259, which authorizes an online application process for civil protection orders and restraining orders for domestic violence victims; it passed 93-0. Senate Bill 312, dealing with public-sector labor organizations and dues/withdrawal procedures, prompted extended debate focused on whether the bill unfairly singled out teachers’ unions and whether teachers already have the ability to opt out; the bill ultimately passed 60-38. Senate Bill 348, allowing the City of St. George to contract for administrative assistance in motor-vehicle crash response, passed 84-9 after questions about citations, reports, and the role of third parties. Senate Bill 485, concerning St. George’s municipal fiscal authority and insurance premium taxes, passed 91-0 after an amendment removed new public facility charge authority. The House also debated Senate Bill 197, which would reduce the number of judges on the Fourth Circuit Court of Appeal from 12 to 10 based on a workload and population study by the National Center for State Courts. Supporters cited the circuit’s smaller population and lower per-judge workload, while questions focused on the study’s publication and whether it actually recommended a reduction. The transcript ends during that debate, before final disposition is shown.

Transcript Highlights:

• Yes, we are in support of SB 2271, allowing hospitals to demonstrate compliance through any CMS-recognized
• by OKH and the Department of Health for this particular measure, just to change the word to approve CMS-approved
• by OKH and the Department of Health for this particular measure, just to change the word to approve CMS-approved

Keywords: 912, senate, all

Summary: The Committee on Health and Human Services heard several health-related measures. SB 3132 on syndromic surveillance drew support from the Department of Health, healthcare organizations, and others, with DOH explaining the bill would formalize a surveillance program that has helped with real-time flu tracking and response to events like the Maui fires. A member raised privacy concerns from opponents, and DOH responded that the data are deidentified and do not include Social Security numbers or dates of birth. No votes were taken on the bill in the portion provided. SB 3134 on emergency medical systems of care received broad support from SHIPA, DOH, military and EMS representatives, and others, who said it would modernize the EMS system. SB 3136 on lead materials and water infrastructure was also supported by DOH and SHIPA; members asked whether the bill would allow Hawaii to keep stronger standards if federal drinking water rules were weakened, and DOH said the state would not have to follow weaker federal standards as long as Hawaii remained as stringent or more stringent. SB 3138 on independent audits of deposit beverage distribution drew support from DOH and several industry groups, but with amendments to reduce burdens on small businesses, raise the audit threshold, and modernize reporting; opponents also testified. DOH later clarified that the measure would affect a limited number of distributors and said it is working on an electronic submission system, though not yet for audit filings. SB 3139 concerning SHIPA was supported by SHIPA and the Grassroots Institute of Hawaii, while HMSA suggested one provision should remain under the insurance commissioner’s purview. SHIPA said the bill is about collaboration and a broader health vision, not regulation, and members indicated they were comfortable with removing the disputed portion. SB 3207 on background checks drew support from healthcare providers but opposition from the Attorney General and DOH. Supporters argued the FBI fingerprinting requirement is costly, duplicative, and difficult to schedule, while opponents said the bill would improperly shift fingerprint collection authority to hospitals and other facilities and could conflict with federal law. The committee engaged in extended questioning about costs, federal requirements, and whether the mandate would be passed on to patients; no final action is reflected in the excerpt. The committee then began SB 2271 on hospital licensing, with support from SHIPA, the Developmental Disabilities council, healthcare groups, Kaiser Permanente, and DOH, and commenters said the bill would allow hospitals to demonstrate compliance through CMS-recognized accreditation, with a suggested wording change to “approved” accrediting organization.

Transcript Highlights:

• But there still are limitations on what CMS at the federal level allows them to do with the money.
• And so if we significantly change the parameters that CMS has already agreed to in our application process
• have had and heard in testimony in the bill so far to date from the Department of Human Services and CMS

Keywords: 908, all

Summary: The committee opened with roll call and a review of special-session procedure: bills would be heard in filing order, with related school-lunch bills grouped together, and any bill advancing would require a motion, second, and majority vote to be introduced. Members also discussed that the committee was functioning much like a delayed-bills committee, with final referral to either Appropriations or Policy depending on the bill’s fiscal impact. The first major proposal was Senator Schibley’s bill to create a narrow, statewide Bank of North Dakota bridge-loan program for struggling nonprofit medical facilities, prompted by Jacobson Memorial Hospital’s financial crisis. He argued the hospital and surrounding EMS services could close without short-term help, while committee members questioned the added language, the population cap, the $10 million fund with $5 million per applicant limit, and whether the program could open the door to future requests. Representative Headland then presented two cleanup bills from the prior property-tax session: one to fix notice and tax-certification issues for local taxing districts, and another to correct how the primary residence credit is applied so taxpayers receive the full benefit rather than counties retaining part of the reimbursement. Members asked about township hearing timing, the estimated $10–15 million annual impact, and whether the credit issue could be fixed retroactively; Headland said the bill was intended to correct the problem going forward. Three school-lunch bills drew extensive discussion. Representative Vetter proposed a small administrative appropriation to add an FTE to help eligible families enroll in the existing free/reduced lunch program, saying the goal was to ensure needy children are signed up and that the state should not subsidize meals for wealthy families. Representative Nathe offered a broader bill mirroring the pending initiated measure but placing the program in statute instead of the Constitution, moving implementation up a year, and funding it with a one-time $65 million from the strategic investment fund; he said this would preserve legislative flexibility and avoid constitutional entrenchment. Representative Dressler proposed raising the state-funded eligibility threshold from 225% to 300% of poverty, arguing it would expand access while still preserving federal reimbursements and encouraging better enrollment systems. Members debated costs, future budget pressure, whether the bills set a precedent for responding to ballot measures, and whether the program should include breakfast and other operational details. Other proposals included Senator Powers’ bill to create a hyperbaric oxygen board and support rural access to hyperbaric chambers for wounds, concussions, PTSD, and other conditions; Representative Tolman’s reporting-requirements bill to force new or expanded programs to justify purpose, alternatives, evaluation methods, and full implementation costs; Representative Frelich’s bill addressing the ongoing redistricting litigation and what happens if the Supreme Court or lower courts alter the current map; and a bill requested by the Public Service Commission and ITD for FERC litigation support and ADA website/document compliance. The committee also heard a rural-health eligibility bill from Representative Twait aimed at steering federal rural health dollars toward rural providers, with questions focused on whether the mileage limits would exclude some communities. One Holocaust education item was deferred until the sponsor could be located.

Transcript Highlights:

• You're probably familiar with CMS star ratings.
• We've taken patients that have CMS star ratings that they're... ...the practices have two to three star
• CMS is not required to explain their decisions or share clinical reasoning.

Bills: HB712, HB722, HB946, HB1687, HB1809, HB1899, HB2528, HB2583, HB2741, HB2750, HB3021, HB3150, HB3265, HB3658, HB3812, HB3960, HB4392, HB4432

Keywords: prostate cancer, health benefit plans, insurance coverage, cost sharing, preventive health care, auto insurance, total loss evaluation, disclosure, insurance materials, vehicle appraisal, HB 946, Texas Insurance Code, automobile insurance claims, oral release, written release, settlement agreement, claim release, property damage, bodily injury, psychological injury

Transcript Highlights:

• CMS provides guidance on those rules and laws, and the legislature then can get information from the
• CMS provides guidance on those rules and laws, and the legislature then can get information from the
• CMS provides guidance on those rules and laws, and the legislature then can get information from the

Keywords: 1183, house

Transcript Highlights:

• like to lift up is the bill originally that was signed by the president on July 4th... ...said that CMS
• I'm concerned that if we try to do too much too quickly, and I think CMS and other parts of the rule

Keywords: 928, house, all

Summary: The Fiscal Committee opened by approving the May 15 minutes and then recognized Pam Ellis for her long service with the Legislative Budget Assistant’s office and upcoming retirement. The committee adopted the consent calendar with two items removed for separate consideration, then approved transfers for the Administrative Office of the Courts and the Department of Environmental Services after questions about court benefit costs and dam project funding. The Department of Health and Human Services also received approval for a general fund transfer item. A major portion of the meeting focused on the Youth Development Center settlement fund. New administrator Jared Boyle, joined by the Attorney General, described the fund’s remaining caseload, the payment matrix, and the need for additional funding to begin hearings in August. Members raised concerns about administrative costs, attorneys’ fees, payday loans, structured settlements, and the long-term fiscal impact on the state. Boyle requested $55 million, but the committee ultimately approved a reduced appropriation of $20 million, with members noting the possibility of returning for more funding later depending on revenues and the October revenue review. The Department of Corrections then received approval for a smaller shortfall transfer and a larger overtime-related transfer, with officials citing a 52% corrections officer vacancy rate, ongoing recruitment, academy classes, and efforts to use civilian staff in some non-security roles. A late item from the Veterans Home was also approved to cover overtime, holiday pay, and indirect cost shortfalls within its existing budget. The committee then heard an informational presentation on implementation of Senate Bill 134 and the new federal Medicaid work-requirement rule. DHHS said it plans to submit a state plan amendment, seek approval for hardship exceptions, start with one eligibility check cycle, and use existing federal grant funding to make system changes. Finally, the committee received a performance audit of the Doorway opioid treatment program, which found weak written procedures, incomplete data use, reimbursement delays, and problems with the Governor’s Commission on Addiction Treatment and Prevention. Members discussed follow-up reporting, and the next Fiscal Committee meeting was scheduled for August 21 at 11:00 a.m.

Transcript Highlights:

• nursing home resident projects, rather, this is expenditure authority to award federal penalty funds to CMS-approved
• on a one-time basis from the federal health facility citation penalties account to support various CMS-approved

Summary: The Assembly Subcommittee on Health heard an overview of the California Department of Public Health budget, including a $5.1 billion department budget and 19 non-IT budget change proposals spanning environmental health, healthcare quality, infectious disease, healthy communities, health statistics, preparedness, and laboratory sciences. CDPH also presented estimates for WIC and the Genetic Disease Screening Program, both of which were described as relatively stable, with WIC food costs rising mainly due to inflation and participation holding near 1 million monthly participants. Members and public commenters raised support for several proposals, including funding for the California Reducing Disparities Project, AB 1264 implementation on school food standards, childhood lead poisoning prevention, the hospital bed capacity registry, sickle cell care networks, and WIC protections amid federal policy changes and shutdown-related uncertainty. Dr. Erica Pond then presented the 2026 State of Public Health report, highlighting major gains such as record-low mortality rates, all-time high life expectancy, and the first decline in overdose deaths in 14 years, while warning about persistent disparities in maternal and infant outcomes, rising severe maternal morbidity, and worsening mental and behavioral health trends, especially among younger adults. She emphasized racial and geographic inequities, the role of social drivers like poverty and education, and the importance of prevention investments through the Behavioral Health Services Act. Members discussed the need for upstream public health spending, environmental health preparedness, and how to translate data into action, while public comment largely focused on sustaining community-based prevention and equity programs. In a separate update on federal actions and public health partnerships, Dr. Pond and CDPH staff described California’s response to federal funding threats, vaccine policy changes, and measles outbreaks. They outlined new collaborations such as the West Coast Health Alliance, the Governor’s Public Health Alliance, the WHO outbreak network, and the FACT Coalition, along with CDPH’s process for reviewing and updating immunization and preventive service recommendations under AB 144. Members questioned the rise in measles and declining vaccination coverage, and CDPH said it is using trusted messengers and tailored outreach while continuing to evaluate federal recommendations. The committee then heard an ADAP estimate showing lower projected budget authority needs due to reduced caseload and one-time funding expiring, followed by public support for using ADAP rebate funds to expand HIV prevention, PrEP, testing, and disease intervention staffing. The final issue focused on public health information technology systems, including Sapphire, CalReady, CalConnect, CARE, MyTurn, MyCAVAC, and the digital vaccine record. CDPH explained how these systems support disease reporting, contact tracing, immunization tracking, vaccine ordering, and outbreak response, while the Department of Finance said only Sapphire and CalReady are funded in the Governor’s budget and the rest are under review because of the state’s budget deficit and declining utilization. Local health department representatives strongly opposed losing the systems, arguing that lower usage reflects post-pandemic conditions and that the tools save staff time, improve outbreak response, and prevent a return to manual spreadsheets and phone calls. Members echoed concern that cutting the systems would undermine public health capacity and waste prior state investment, and urged the administration to present a funding plan that matches its stated commitment to public health.

Transcript Highlights:

• And we're still waiting for guidance from CMS about some of the specifics around implementation for work
• We have heard from CMS.

Summary: The committee held a work session focused first on juvenile rehabilitation system capacity. DCYF officials said the juvenile rehabilitation population is older, includes more adult-sentenced youth, and has longer lengths of stay, especially for “post-25” youth who must remain in secure facilities and cannot go to community beds. They described overcrowding at Green Hill School, placement limits at Echo Glen and Harbor Heights, staffing turnover, mental health acuity, and the need for more medium-security and specialized mental health beds. DCYF said it is pursuing a Parkland facility proposal, a staffing model decision package, and a broader feasibility study and master plan update. No votes were taken; members were asked to follow up with questions later. The committee then heard on behavioral health system capacity from the Behavioral Health Administration and the Health Care Authority. DSHS described growth in forensic and civil bed need, expansion at Olympic Heritage, Maple Lane, and Brockman, and construction of a new 350-bed forensic hospital at Western State expected to open in 2028. HCA reported progress on long-term civil commitment beds, intensive behavioral health treatment facilities, PACT teams, and intensive residential treatment teams, saying the community-based system is being expanded to support step-down care and reduce hospital reliance. Members asked about whether capacity is right-sized, the difference between facility types, and federal match eligibility for services. A federal funding update followed, covering the effects of H.R. 1 and H.R. 5371 on SNAP, Medicaid, marketplace coverage, long-term services and supports, K-12, higher education, and hemp regulation. OFM and agency staff said H.R. 1 adds work requirements, changes non-citizen eligibility, increases state administrative and benefit costs, reduces Medicaid and marketplace subsidies for some groups, tightens redeterminations, and may significantly affect provider payments and state-directed payments. H.R. 5371 extended federal funding through January 30, 2026 and included some agency appropriations and other provisions, including changes affecting hemp producers. Members asked about SNAP error rates and special enrollment periods. Finally, budget coordinator Mary Monroe gave a 2026 supplemental budget preview. She reviewed the state’s near general fund outlook, noting revenue declines since the enacted budget, the effect of reversions, and a preliminary maintenance-level outlook showing a projected increase in NGFO spending over the four-year period. She said the supplemental will reflect updated caseload and cost forecasts and mandatory impacts from H.R. 1, but not policy proposals. No actions or votes were taken during the session.

Transcript Highlights:

• This isn't just our members either, and we've collected some CMS data on Washington SNFs that tell a
• CMS recognized that less than half the hospitals were actually putting out quality information, and you

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

Transcript Highlights:

• CMS to use these providers to be able to, you know, OIG would contract with them.
• Peer support is an evidence-based practice recognized by CMS and is already included in over 39 state

Bills: HB2646, HB3941, HB5153, HB5155, HB5394, HB 1106, HB426, HB4529, HB3984, HB4273, HB 1097, HB3940, HB1941, HB4377, HB3153

Keywords: child care, task force, high-quality care, affordability, prekindergarten partnerships, foster care, transitional living, Medicaid reform, youth assistance, independent living, services for youth, employment training, educational support, mental health services, health care, public health, child health program, reimbursement, local health entities, maternal health

Transcript Highlights:

• change will ensure patients receive timely and high-quality diagnostic care and aligns with federal CMS
• It aligns California law with federal CMS policy, which since 2020 has allowed virtual direct supervision

Summary: The Assembly Health Committee heard a long series of health-related bills, with most measures focused on access to care, administrative simplification, and behavioral health. Early items included AB 583, allowing nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery facilities are licensed; and AB 280, which would tighten provider directory accuracy requirements, add enforcement benchmarks, and allow use of a centralized database. Testimony on AB 280 highlighted the harms of “ghost networks,” while insurers and some provider groups opposed the bill as written, arguing it placed too much responsibility on plans and did not fully address provider-side data problems. AB 280 passed on a roll call vote, and several other bills were placed on consent and approved. The committee also advanced AB 636, expanding Medi-Cal coverage for medically necessary diapers for children up to age 21 and lowering the age threshold for access; AB 1041, streamlining physician credentialing with a uniform form and 90-day review deadline; and AB 787, requiring health plans to help enrollees find in-network providers quickly when directories fail. Supporters of these bills emphasized family financial strain, delays in care, and the burden of administrative red tape, while opponents of AB 1041 and AB 280 raised concerns about provider participation, accuracy, and liability. All three measures were approved and sent to Appropriations. The committee then took up AB 4 and AB 29. AB 4 would allow income-eligible Californians to buy Covered California coverage regardless of immigration status, and AB 29 would authorize Medi-Cal reimbursement for community health workers and doulas conducting ACE screenings. Both bills drew strong support from immigrant-rights, health access, and community-based organizations, and both passed on roll call votes, with AB 4 receiving some no votes. The committee also approved AB 416, which would allow emergency physicians to place 5150 holds in certain circumstances; supporters said it would reduce delays and overcrowding in emergency departments, while Disability Rights California and others warned it could increase unnecessary involuntary hospitalization and transfers to locked facilities. Despite those concerns, the bill passed and was sent onward for further consideration.

Transcript Highlights:

• it ER resulting me taking to a different hospital where he died of septic shock despite the sea of CMS
• So even though CMS found the hot against the hospital and now was jojo's plenary guardian and he was

Keywords: 999, senate, all

Transcript Highlights:

• We got a big change in the CMS-approved amendments for the state home and community-based services.
• CMS required the removal of age-based limitation tied to certain services, including customized living
• <00:07:48.440> CMS<00:07:48.880> required community-based services.
• CMS required community-based services.
• CMS required the<00:07:49.560> removal<00:07:50.040> of<00:07:50.240> age-based<

Bills: HF4338

Keywords: human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review, postpayment review, surety bond, compliance training, case management, targeted case management

Transcript Highlights:

• Additionally, it does put the state of Wyoming out of compliance with national CMS laws and in jeopardy
• compliance<01:31:48.800> with<01:31:49.120> n<01:31:49.760> national<01:31:50.560> CMS
• <01:31:51.120> laws<01:31:52.080> and compliance with n national CMS laws and compliance
• with n national CMS laws and in<01:31:52.560> jeopardy<01:31:52.960> of<01:31:53.120><
• bring Wyoming into compliance once we are licensed and we're actively in the process of the decades-old CMS

Bills: HB0003, HB0004

Keywords: pregnancy centers, abortion, pro-life, healthcare, women's rights, state regulation, civil rights, freedom of speech, medical assistance, birthing centers, Medicaid, Wyoming, 916, all

Transcript Highlights:

• not happened with the creation of meaningful use and later promoting interoperability, which are the CMS
• Meaningful use and later promoting interoperability, which are the CMS terms for this process.
• It's really more CMS, and I know they will tell you that later, and I agree with them totally.
• It's really more CMS, and I know they will tell you that later, and I agree with them totally.
• Um, but as was noted, CMS led the charge on this. It was not insurance companies.

Keywords: 1191, senate, all

Transcript Highlights:

• that allows the Department of Veterans Affairs to temporarily close the state veterans homes under a CMS
• veterans<00:05:11.600> homes<00:05:11.960> under<00:05:12.200> a<00:05:12.240> CMS
• the state veterans homes under a CMS the state veterans homes under a CMS order.<00:05:14.520>

Keywords: 919, house, all

Summary: The House received several Senate messages returning House File 3426 on natural resources and House File 4252 on higher education with Senate amendments, and in both cases the House refused to concur and moved to conference committee. The House also acceded to the Senate’s request for a conference committee on Senate File 4612, which concerns state government and Department of Health and Human Services provisions. Speaker appointments to the conference committees were announced for all three bills. The House then concurred in Senate amendments to House File 3522, a veterans bill allowing the Department of Veterans Affairs to temporarily close state veterans homes under a CMS order. Representative Duran said the Senate had bundled several veterans-related bills into HF 3522, including measures on SGU veterans, National Guard pay, grant requirements in the MDBA process, burial eligibility in veterans and National Guard cemeteries, honor guard eligibility, and codifying a commandos task force. The bill passed 134-0 and was read to pass. On the floor calendar, Senate File 3210, a human rights bill on disability accommodations, was laid on the table by agreement for later consideration. House File 4017, a study bill on unlawful shipments of infectious or pathological waste, was presented as a worker-safety measure; an A6 technical amendment was adopted, and the bill passed 126-8. House File 4138, dealing with social media platforms and minors, was amended with A10 and A11 changes emphasizing transparency, privacy defaults, limits on data use, and a shift from “child” to “minor” in the age provisions; Representative Bonner argued for extending protections to age 18, while Representative Scott said the bill was a first step and opposed the amendment. The A11 amendment was adopted, and debate on the bill continued as the transcript ended.

Transcript Highlights:

• it's really focused on expansion and support of school-based behavioral health services through the CMS
• services health services um<00:12:24.720> through<00:12:24.959> the<00:12:25.200> CMS
• <00:12:26.079> So,<00:12:26.240> another um through the CMS grant.
• So, another um through the CMS grant.

Keywords: 1183, house

Transcript Highlights:

• I know CMS has some say in that as well, which is difficult, but... And it takes forever.
• Through—you have the rules are through IDEA, through CMS, through supported employment contracts.

Keywords: 914, all

Summary: The committee/task force met with several disability service providers to discuss integrated employment, transition services, and barriers to community jobs for people with intellectual and developmental disabilities. Robin Arder and Belinda Stevens of ThinkAbility described creating their own businesses when community employers were not hiring their clients, and said rigid service rules, employer readiness, bullying, and reimbursement structures often force the person to fit the service rather than the service fitting the person. They said they have not seen clients lose benefits, but they do closely manage reporting to Social Security and related supports. Tina Hannah of South Central Industries described a broad business model that includes manufacturing, janitorial work, city beautification, state-use contracts, a food truck, and an entertainment trailer, along with an adult day program and residential services. She said many employers are hesitant because of productivity and cost concerns, and that businesses are often more open to contracting with her agency than hiring individuals directly. Miranda Figueroa of A New Leaf said her agency is moving toward a more person-centered model with sheltered work, volunteer sites, paid contracts, and a Transition Academy. She said the academy is a two-year program focused first on independent living and then on employment, with internships and an 85% placement rate, but funding is a major barrier because the program is not accredited and students cannot access traditional aid. She also cited dual diagnoses, inconsistent job coaches, and employer uncertainty as major obstacles. Angela Decker and Deborah Copeland of DRTC described DRTC’s long-running enclave contracts, a new Community Skills and Connections program, and a plan to phase out 14(c) subminimum wage use by the end of the year. They said the new program is designed to keep people engaged in community-based skill-building and networking while families still need day supports, and that DRTC has developed more than 100 community partnerships. Senator Kirt, Rep. Hefner, and participants discussed broader system issues, including the need for better school-to-work transition, more social integration, transportation, safety, and employer education. DRS staff said the agency is already required to provide pre-employment transition services in schools starting at age 14 and offers employer accommodations support and job-carving assistance, though they acknowledged federal reporting expectations and service rules can be restrictive. Several participants raised concerns about line-of-sight restrictions, congregate living rules, benefit cliffs, and the difficulty of moving from DDS to DRS services. The group also discussed the need for better data and possible working groups focused on in-school transition, program support and blending services, and community integration. No formal votes were taken.

Transcript Highlights:

• and adds language recommended by the Bureau of Insurance to try to anticipate recent developments at CMS
• and adds language recommended by the Bureau of Insurance to try to anticipate recent developments at CMS

Keywords: March 12, 2026 - Regular Session, 976, house, all

Transcript Highlights:

• And also, one thing to consider, too, that's being discussed in a lot of the states is the CMS access
• And also, one thing to consider, too, that's being discussed in a lot of the states is the CMS access

Summary: The committee heard testimony on the effects of H.R. 1 on Washington’s Medicaid, developmental disability, long-term care, and food assistance systems, followed by a separate discussion of juvenile rehabilitation caseloads and placement capacity. DSHS officials said HR1 could affect home equity rules, immigration-related eligibility, work requirements for some expansion-population enrollees, and provider taxes, while also creating a future opportunity for a new 1915(c) waiver. Advocates and providers warned that any state response that cuts home and community-based services would worsen already thin provider networks, increase waiting lists, push more people into hospitals or out-of-state placements, and strain families and workers. A pediatric behavioral health expert and a supported living provider said Medicaid reimbursement is already too low and further reductions would threaten outpatient, residential, and inpatient services for people with intellectual and developmental disabilities and severe behavioral needs. The committee then turned to SNAP and the state food assistance program. DSHS said HR1 would tighten work requirements and exemptions, end some immigrant eligibility for the federal program, eliminate the SNAP education program, raise state administrative costs, and eventually require Washington to share in benefit costs based on its error rate. Officials estimated large numbers of residents could lose or see reduced benefits, with significant added state costs. Anti-hunger advocates, a food bank director, and a SNAP recipient described the program as essential for low-income families, seniors, and people with disabilities, and said the changes would increase paperwork, reduce benefits, and worsen food insecurity while also harming local food economies. Testimony emphasized that food banks cannot replace SNAP and that work requirements may be difficult to meet for caregivers, people with disabilities, and those facing child care or transportation barriers. In the juvenile justice portion, the Caseload Forecast Council presented the JR forecast, which is currently mostly flat through the end of the biennium but expected to grow modestly over the longer term. Members discussed how policy choices, including the 2019 JR-25 law, have increased lengths of stay for adult-sentenced youth in JR, while diversion and other reforms have affected regular JR trends. A court researcher explained the data available to help forecast admissions and noted ongoing efforts to improve data sharing with JR, AOC, and county systems, though staffing and system-lag issues limit how quickly data can be produced. Juvenile court administrators and DCYF officials described the community-based juvenile justice continuum, rising complexity in the JR population, overcrowding at Green Hill and placement constraints at Echo Glen and Harbor Heights, and the need for more flexible community transition and mental health capacity. No votes were taken.