Transcript Highlights:

• temporary rates, and gave future rate-setting authority to the Pension Funding Council.
• In 2020, the Legislature revised the initial half-percent contribution rates that were set up in 2011
• , and then were set in that 2020 legislation at the rates that I have listed below.
• One is for the last rate-setting valuation, 2023, and then 2025.
• The current rates are set in statute, but the council... ...plans.

Summary: The Pension Funding Council met on June 23, 2026, for a work session that began with an overview of the Higher Education Supplemental Retirement Plan (SRP) and a 2025 accounting valuation of that plan. Staff explained that the SRP is a closed defined benefit supplement for higher education employees hired before the 2011 closure, with employer contributions currently pre-funding benefits in institution-specific trusts while institutions still pay benefits on a pay-as-you-go basis. The State Actuary’s office reported that the plan’s accounting position has improved, with combined market assets of about $245 million against $377 million in accrued liability, and that strong market performance since 2022 has increased the asset-to-liability ratio. The office emphasized that this was an educational accounting valuation, not a funding valuation for rate-setting. The council then received the 2025 actuarial valuation report for the state retirement systems. Actuaries reviewed the recent demographic experience study, noting updated assumptions for mortality, retirement, termination, and salary growth, and said the net impact on most plans was small. They reported that most plans’ funded ratios improved, with all plans at least 94% funded and several at or above 100%, and that contribution rates for the 2027–2029 biennium are generally lower than current rates. They also noted that future rates could be affected by market volatility as deferred gains are recognized over the next few years. During public comment, a representative of the Association of Washington Cities urged the council to consider rate reductions to help local governments facing budget pressures. In executive session, the council first approved a motion directing the Office of the State Actuary to perform an actuarial evaluation and analysis of each institution’s Higher Education Supplemental Retirement Plan, including institution-specific contribution rates, asset sufficiency, and funding policy options, due by July 1, 2028. The council then adopted the 2027–2029 pension contribution rates based on the 2025 actuarial valuation report. Both motions passed 5-0, with one member excused. The meeting concluded with no further business.

Transcript Highlights:

• are set. insight on their reliance on property taxes and how property tax rates are set in their jurisdictions
• change that rate.
• So both the proposed millage rate and the proposed taxes at that rate, and the rollback rate information
• , adopted rates, and prior year adopted rates.
• The property tax rate, not necessarily the millage rate?

Summary: The Select Committee on Property Taxes met for an educational session focused on how Florida funds public schools and how property taxes are assessed and levied. Dr. Jim Zengali of the Department of Revenue explained the FEFP school funding formula, noting that it is built on weighted student counts, a base student allocation, and programmatic add-ons such as transportation, exceptional student education, school safety, and mental health. He said school funding is roughly split between state general revenue and local property taxes through required local effort, with additional discretionary and capital outlay millages contributing to total school funding. He also described the Department of Revenue’s role in certifying property rolls at fair market value and reviewing them for substantial compliance, including the so-called “nuclear option” if a roll is not approved. Members asked about trends in millage rates, county-by-county funding differences, the effect of growth and enrollment changes, and how property appraisals are reviewed. Zengali said aggregate millage for school funding has declined over the last decade while revenues have still increased, and he agreed to provide additional data on county trends, parcel strata, student growth, and enrollment impacts. He also clarified that school funding is equalized so students receive similar resources regardless of county wealth, and that federal funding plays only a small role in the FEFP. Amy Baker of the Joint Legislative Office of Economic and Demographic Research then discussed existing homestead benefits. She said about half of Florida’s parcels are homestead properties, most fall in the $250,000 to $500,000 value range, and many seniors without mortgages pay property taxes in lump sums rather than through escrow. Baker explained that Florida’s homestead tax burden is middle-of-the-pack nationally and that the main benefits are Save Our Homes and portability on the differential side, plus the $25,000 homestead exemption and related exemptions on the exemption side. She said these benefits reduce taxable value substantially, with homestead properties receiving a large share of the reductions, and noted that the committee requested follow-up data on exemption usage, portability timing, senior exemptions, and county-level patterns. The final presentation, by Lizette Kelly of the Department of Revenue, covered millage rates and the TRIM process. She reviewed the history of truth-in-millage notices, required taxpayer mailings, public hearing notices, and later changes that tied local millage resets to rollback and majority-vote rates. Kelly explained the difference between proposed and adopted millage, the rollback rate, and the majority-vote rate, and described how taxing authorities include counties, cities, special districts, and MSTUs. She also outlined how county taxable value is calculated from just value through assessment differentials and exemptions, and how certain exemptions, such as the additional senior exemption, apply only to the taxing authority that adopted them. No votes were taken during the meeting, but members requested several follow-up data reports for later discussion.

Transcript Highlights:

• Rate can be set by the ambulance company, whatever rate they want.
• 12:53.959> by regulated right now rate can be set by regulated right now rate can be set by the
• I have to answer to a board of fire commissioners, and they set the rates. I don't set the rates.
• of rates I don't set the rates the board of rates I don't set the rates the board of fire<00:59:46.119
• How do we set that rate?

Keywords: 928, house, all

Summary: The subcommittee discussed three ambulance reimbursement bills and tried to distinguish their approaches. House Bill 185 would require insurers to pay the full amount billed by an ambulance provider when there is no contract rate, with no balance billing to the patient; the Insurance Department clarified that emergency ambulance services are already covered under the benchmark plan, so the bill’s reference to policies without ambulance coverage is effectively meaningless. House Bill 725 would set reimbursement at 325% of the Medicare rate for non-contract ambulance services and prohibit balance billing. House Bill 316 was described as addressing the broader problem that Medicare/Medicaid rates are low and that current balance billing shifts costs to patients or municipalities; its sponsor said the bill would require insurers to pay a rate that gives providers a fighting chance to remain in business, and he viewed 325% of Medicare as the most logical option. Members debated whether insurers should pay the billed amount, a negotiated in-network rate, or a regulated percentage of Medicare. Some argued that out-of-network ambulance providers are underpaid and that in-network rates are often too low to sustain service, especially for emergency providers who cannot steer patients. Others said ambulance companies should not be able to bill whatever they want and questioned the fairness of charging insured patients or insurers more than the service is worth. There was also discussion of whether rate schedules should be reviewed by an oversight body and whether different costs in rural areas justify different reimbursement levels. A recurring issue was balance billing and who ultimately bears the shortfall. Several members said balance billing harms patients and often does not get paid, leaving cities and towns or property taxpayers to cover the difference for municipal ambulance services. Others argued that shifting the cost to insurance premiums would spread the burden more fairly, though it could raise premiums by a few dollars per person per month. No vote or final action was taken in the excerpt; the discussion focused on clarifying the bills and weighing their policy tradeoffs.

Transcript Highlights:

• have already gotten it, relating to biosecurity in Hawaii, and ultimately, you know, biosecurity is a set

Bills: HB389, HB1166, HB1510, HB1541, HB1605, HB1661, HB1663, HB1678, HB1769, HB1785, HB1801, HB1802, HB1815, HB1824, HB1838, HB1840, HB1853, HB1860, HB1891, HB1952, HB1960, HB1969, HB1970, HB1972, HB1976, HB2050, HB2094, HB2104, HB2158, HB2165, HB2171, HB2208, HB2246, HB2271, HB2300, HB2310, HB2315, HB2319, HB2338, HB2339, HB2343, HB2443, HB2498, HB2551, HB2599, HB2606, SB17, SB83, SB99, SB148, SB411, SB709, SB847, SB874, SB888, SB1032, SB1166, SB2001, SB2014, SB2031, SB2041, SB2050, SB2057, SB2061, SB2074, SB2075, SB2089, SB2095, SB2101, SB2102, SB2108, SB2109, SB2110, SB2125, SB2135, SB2138, SB2140, SB2146, SB2151, SB2152, SB2175, SB2203, SB2239, SB2246, SB2247, SB2253, SB2261, SB2268, SB2271, SB2272, SB2320, SB2340, SB2347, SB2353, SB2363, SB2367, SB2372, SB2376, SB2386

Keywords: HB389, uncrewed aircraft, drone, drones, UAS, unmanned aerial vehicle, misuse of uncrewed aircraft, criminal offense, felony enhancement, drone crime, public safety, police, deputy sheriff, fire department, intoxicated operation, registration number tampering, property damage, bodily injury, Honolulu Prosecuting Attorney Package, Hawaii Revised Statutes

Transcript Highlights:

• So it's a long time, and if you mess up within the program you can be set back.
• So it's a long time, and if you mess up within the program you can be set back.
• So it's a long time, and if you mess up within the program you can be set back.
• <00:42:19.640> And<00:42:19.760> so program you can be set back.
• And so program you can be set back.

Bills: HB389, HB1166, HB1510, HB1541, HB1605, HB1661, HB1663, HB1678, HB1769, HB1785, HB1801, HB1802, HB1815, HB1824, HB1838, HB1840, HB1853, HB1860, HB1891, HB1952, HB1960, HB1969, HB1970, HB1972, HB1976, HB2050, HB2094, HB2104, HB2158, HB2165, HB2171, HB2208, HB2246, HB2271, HB2300, HB2310, HB2315, HB2319, HB2338, HB2339, HB2343, HB2443, HB2498, HB2551, HB2599, HB2606, SB17, SB83, SB99, SB148, SB411, SB709, SB847, SB874, SB888, SB1032, SB1166, SB2001, SB2014, SB2031, SB2041, SB2050, SB2057, SB2061, SB2074, SB2075, SB2089, SB2095, SB2101, SB2102, SB2108, SB2109, SB2110, SB2125, SB2135, SB2138, SB2140, SB2146, SB2151, SB2152, SB2175, SB2203, SB2239, SB2246, SB2247, SB2253, SB2261, SB2268, SB2271, SB2272, SB2320, SB2340, SB2347, SB2353, SB2363, SB2367, SB2372, SB2376, SB2386

Keywords: HB389, uncrewed aircraft, drone, drones, UAS, unmanned aerial vehicle, misuse of uncrewed aircraft, criminal offense, felony enhancement, drone crime, public safety, police, deputy sheriff, fire department, intoxicated operation, registration number tampering, property damage, bodily injury, Honolulu Prosecuting Attorney Package, Hawaii Revised Statutes

Transcript Highlights:

• ARE SET.
• are set.
• And that would assume that a formal rate case is happening in this four-month cycle, and when a rate
• That keeps our rates down.
• That keeps our rates down.

Keywords: 993, senate, all

Summary: The Senate convened, approved the prior journal, and then took up a series of utility and public service bills and resolutions. A resolution sponsored by Senator Scarcella-Spanton designating April 9, 2026, as Yellow Ribbon Day was adopted after remarks honoring veterans, active-duty service members, and their families. The chamber then moved through several Public Service Law measures focused on utility affordability, consumer protections, and PSC procedures, with some bills laid aside and others advanced. Among the bills passed were measures by Senators Mayer, Cleare, Hinchey, Comrie, and Parker. Debate on the Mayer bill centered on limiting utility expenses and fees recoverable in rate cases; supporters said it was part of a broader package to reform PSC practices, while opponents argued it would not lower current bills and had been softened from earlier versions. The Webb bill creating a residential utility usage monitoring program drew extended debate over whether it would meaningfully reduce costs, who would pay for the program, and whether it could lead to government monitoring of household usage; supporters said it would give consumers more control and transparency, while critics said it would not lower rates. The Gonzalez bill, which would add consumer protections during PSC investigations and delay shutoffs in certain circumstances, also passed after questions about whether it applied to rate cases, with the sponsor saying rate cases were explicitly excluded. Several members explained their votes, with supporters emphasizing affordability, transparency, and consumer protection, and opponents arguing the package would not address immediate rate relief and could burden ratepayers or encourage nonpayment. Senator Tedisco and others criticized PSC appointments and state energy policy, while Democratic sponsors argued the bills were part of a longer-term effort to reform utility regulation and address climate and affordability concerns. The chamber restored multiple bills to the non-controversial calendar before final votes, and the recorded results showed passage of the major utility bills by substantial margins, along with one amendment appeal being ruled nongermane and rejected.

Transcript Highlights:

• <01:56:03.599> state rate setting parody for Medicaid state rate setting parody for Medicaid
• rate setting principles. rate setting principles.
• And setting the rate.
• rate setting which very agreement on wet rate setting which very unfortunately unfortunately unfortunately
• rate setting guidance and comply with rate setting guidance and methodologies methodologies methodologies

Keywords: 1191, senate, all

Transcript Highlights:

• These are not a nursing home setting. These are much lower care settings.
• As noted, the current monthly rate as set by the Cabinet is $50.70 a day.
• the daily rate was $31.3. the daily rate was $31.3.
• As noted, the current monthly<00:10:36.959> rate<00:10:37.200> as<00:10:37.360> set<
• as set by the cabinet is monthly rate as set by the cabinet is $50.7<00:10:39.519> a<00:10:39.760

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services heard a presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults with serious mental illness who do not qualify for nursing home care but need structured support, medication assistance, meals, housekeeping, transportation, and supervision. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and rely on a state supplementation rate of about $50.70 per day, which they argued no longer covers operating costs because of rising food, labor, insurance, and maintenance expenses. The presenters said the sector has shrunk significantly over time, citing a drop from 64 homes in 2002 to 34 today among the homes serving this population, with 30 closures over 23 years and two more closures since August. They argued that the closures have contributed to homelessness, hospital overcrowding, and longer stays in psychiatric hospitals, and they gave examples of residents who had spent many months in hospitals before stabilizing in a personal care home. One provider also described spending more than $800,000 on capital improvements after acquiring Kentucky facilities and said reimbursement is too low to sustain safe operations. They asked for an incremental reimbursement increase over two years and said they have also proposed an assisted-living model for people with mental illness. Members asked about staffing, reimbursement, and the number of people still needing placement. The presenters said there is no requirement for licensed or certified staff in these facilities, though some homes use medication technicians and occasional LPNs. They estimated they are currently serving about 2,000 residents and said they receive roughly 30 referrals for every one person admitted, with many referrals involving people whose needs exceed the personal care home level. Senator Meredith and Representative Fleming said any funding request would need documentation of savings and corresponding budget offsets, while Representative Duval expressed support and asked about possible staffing and program improvements. The witnesses also compared Kentucky’s flat-rate reimbursement to a more individualized reimbursement model in Minnesota, saying a needs-based system would better match staffing and reduce hospitalizations.

Transcript Highlights:

• rate, is $1,637 a day.
• Medicaid rates don't reflect today's cost of care.
• It's the most cost-effective setting, and frankly, it's the setting where there's the most transparency
• and accountability in the Medicaid rates and how the funding is spent, both because of how the rates
• Going into residential settings to gain their care.

Summary: The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population. On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications. The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.

Transcript Highlights:

• And then there's pieces around a number of provisions around tighter scrutiny on rate setting and utility
• You can have multiple rate cases, but one rate case where inflation just sort of sets a standard as people
• There's been suggestions by the support witnesses that the rates are set by the CPUC.
• What role, if any, do the utilities play in that rate-setting?
• What we do, what the CPUC does, is set our test year rates and our next two years' rates.

Summary: The committee heard several energy and water affordability bills, with extensive testimony on SB 254 by Senator Becker, SB 541 by Senator Becker, SB 453 by Senator Stern, SB 292 by Senator Caballero, and SB 473 by Senator Padilla. SB 254 was presented as a broad utility affordability package addressing short-term climate credits, a Power Fund, tighter scrutiny of rate increases and utility profits, wildfire spending, securitization of future utility costs, and streamlining. Supporters, including TURN and several environmental and public power groups, said it could lower bills and reduce long-term costs; opponents from investor-owned utilities, labor, business, and local government raised concerns about market impacts, insufficient analysis, and the breadth of the bill. The committee approved SB 254 on a 6-3 vote and placed it on call. SB 541 focused on load flexibility and using existing grid capacity more efficiently. Senator Becker described it as a transparency and planning measure to identify cost-effective load shifting and reduce peak demand, while supporters said it could improve resiliency and save money. Several CCAs and utilities opposed the bill in print or unless amended, arguing that some language implied a mandate and that the concept needed more cost-effectiveness analysis; the author said amendments would remove language dividing the state goal among retail suppliers and clarify that the bill is not a procurement mandate. The committee passed SB 541 as amended to Appropriations on a 9-1 vote and left it on call. SB 453 by Senator Stern would return unspent ratepayer-funded microgrid program dollars and was described as a way to keep the lights on and redirect unused funds. It drew support from local government and environmental groups, with PG&E expressing concern about how the bill would affect its ability to spend awarded funds. The committee passed SB 453 as amended to Appropriations on a 12-0 vote. SB 292 by Senator Caballero would require more granular outage and reliability reporting, including census-tract-level data, to better inform resilience planning after PSPS events; utilities opposed unless amended, citing duplicative reporting and regulatory overlap, but the bill passed 12-0 to Appropriations. SB 473 by Senator Padilla would require or expand water utility decoupling to promote conservation and affordability. Supporters, including water utilities, labor, business, and local government groups, argued decoupling stabilizes revenue, supports conservation, and can keep rates lower for low-use customers. The Public Advocates Office opposed, saying prior pilot data showed no conservation benefit and about $1 billion in added costs, and that the CPUC had already rejected similar requests. Committee members questioned the conservation and capital-investment effects of the different rate structures; the author and supporters argued decoupling helps utilities fund infrastructure while allowing lower fixed charges for low-use customers. The transcript ends during that discussion, before a final vote on SB 473 is shown.

Transcript Highlights:

• <00:03:55.799> in in uh provider controlled settings in in uh provider controlled settings
• if they are uh residing at a setting if they are uh residing at a setting that<00:04:10.840>
• Rate exceptions are based on the exceptional need of the individual that the DHS framework rate does
• processes of establishing payment rates processes of establishing payment rates and<00:41:04.280
• housing support room and board rate housing support room and board rate add-on<00:43:35.240>

Keywords: 1183, house

Transcript Highlights:

• Okay, that they will be covered at either the town-set rate, and if no rate has been set at the town
• system by agreeing on either town set system by agreeing on either town set rates,<03:22:31.120>
• public,<03:22:32.399> or rates, which are set in public, or rates, which are set in public
• We don't like rate setting.
• It's sort of don't like rate setting.

Keywords: 928, house, all

Summary: The committee first took up several liquor-related bills. Senate Bill 24, allowing students under 21 to taste wine in educational settings, drew no opposition or amendment and was reported out 6-0. Senate Bill 79, authorizing self-pour automated systems under the liquor commission, also faced no opposition and was voted ought to pass 6-0. Senate Bill 80, shifting licensing, auditing, and enforcement for wholesale and retail e-cigarette sales to the liquor commission, prompted discussion about whether the change would add cost; members heard that the liquor commission already handles similar enforcement and that the change was meant to address nonreporting. It was voted ought to pass 6-0. The committee then discussed Senate Bill 87, concerning alcohol service in salons, barbershops, and spas. Members and staff focused on how to limit the amount served, whether to require recordkeeping, and privacy concerns about tracking what patrons drank. The discussion settled on removing references to alcohol type and quantity and keeping only patron records, with the understanding that the agency would set the details by rule. The bill was not formally amended at the meeting, but members agreed an amendment would be drafted for the following week; the bill itself was reported ought to pass with that amendment to be determined. Finally, the committee heard testimony on Senate Bill 245, the EMS No Surprises Act and System Stabilization Act. The sponsor, Senator Suprena, said the bill would prohibit balance billing for emergency ambulance calls and unscheduled transfers, while setting reimbursement at either locally set public rates or 325% of Medicare. She explained that the proposal was based on national work on ground ambulance billing and was intended to stabilize struggling EMS providers. Committee members sought clarification that the bill did not eliminate balance billing for non-emergency transfers, and the sponsor confirmed it did not. A second witness, Jerry Stringham, testified in support, citing his reimbursement background.

Transcript Highlights:

• The idea is you'll have a rate case. You'll set a rate.
• You'll set a rate. We call that case. You'll set a rate.
• <01:30:43.520> rates ways to reform and set rates ways to reform and set rates was<01:30:45.440
• are you guys set on rebasing and a rate are you guys set on rebasing and a rate case<02:08:07.760
• /c><02:24:02.560> those that the rates that are set in those that the rates that are set in those

Keywords: 912, senate, all

Summary: The Senate Commerce and Consumer Protection Committee held an informational briefing on the Public Utilities Commission’s performance-based regulation (PBR) framework and the Department of Commerce and Consumer Affairs’ whistleblower complaint process. Chair Jared Kohole opened the meeting, noted it was informational only with no public testimony, and explained that members would hear presentations and then have an opportunity for questions. The committee heard first from Ulupono Initiative, which provided background on why utilities are regulated, how Hawaii’s cost-of-service model and rate cases work, and why PBR was adopted to shift utility incentives away from a capital-investment bias and toward performance, efficiency, cost control, and policy goals such as renewable energy and reliability. Ulupono described Hawaii’s PBR structure as a five-year multi-year rate plan with annual revenue adjustments, a customer dividend, a Z factor for extraordinary exogenous events, and an exceptional project recovery mechanism for large projects. It also outlined performance incentive mechanisms tied to renewable portfolio standard progress, interconnection speed, reliability, and shared savings. The presentation said the current docket is evaluating a possible hybrid approach that would combine forward-looking forecasting with historical results, and Ulupono advocated for stronger incentives, arguing the current rewards are too small relative to utility revenues and should be more meaningful to better align utility behavior with legislative intent. The PUC then presented its own overview, emphasizing that the PBR docket is open and active and that the briefing was limited to the record to avoid ex parte concerns. The commission described the development of PBR in Hawaii through multiple phases beginning in 2018: an initial collaborative phase to set goals, a formal contested-case phase that produced the initial framework, later phases adding scorecards, reported metrics, and additional performance incentive mechanisms, and subsequent refinements including sunset of some mechanisms and adjustments after the August 2023 Maui wildfires. The PUC said the framework is intended to be customer-centric, administratively efficient, and protective of utility financial integrity, and that current work includes evaluating how to balance forward-looking and historical test-year approaches within the rebasing process. No votes or formal actions were taken at the briefing.

Transcript Highlights:

• Home care rates, Just one example here, home care rates in particular are, you know, run and developed
• through the Consumer Direct rate-setting board.
• The Consumer Direct rate is a straight labor and administrative rate.
• rate in other settings like nursing home settings or supported living settings is another idea.
• sets as well.

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:

• Here we show the federal funds rate and the 30-year fixed mortgage rate.
• The federal funds rate and other interest rates like the 30-year fixed mortgage rate are closely, but
• or delayed lowering of rates.
• to their target rate of 2%.
• to their target rate of 2%.

Keywords: 919, house, all

Summary: Minnesota Management and Budget presented the February 2025 budget and economic forecast, with Commissioner Aon Campbell, State Economist Anthony Becker, and Budget Director Anam Mingi outlining updated revenue, spending, and long-term balance projections. The state’s FY 2026-27 general fund outlook remains positive but weaker than in November, with an ending balance of $456 million, down $160 million from the prior forecast. Looking ahead, the planning years FY 2028-29 show a projected deficit of just under $6 billion, driven largely by spending growth outpacing revenues. Officials emphasized that discretionary inflation is a major factor in the forecast, but also noted that those amounts are not automatically appropriated and would require legislative action. Becker said the national outlook has changed since November, with higher expected inflation, higher interest rates for longer, and slower growth in later years. He highlighted uncertainty around tariffs, trade policy, immigration policy, federal spending, and possible changes to tax and debt-ceiling policy, all of which could affect Minnesota’s economy and revenues. Minnesota’s labor market remains tight, with low unemployment and rising wages, and the revenue forecast was revised upward overall for FY 2026-27, including higher income and sales tax receipts, though corporate tax revenue was slightly lower than previously projected. Mingi said projected general fund spending is up $79 million in FY 2026-27 and $960 million in FY 2028-29 compared with November. The largest increases are in education and health and human services, especially due to inflation, higher pupil counts, special education costs, long-term care, and higher Medical Assistance spending. She noted that higher utilization of weight-loss drugs also raises Medicaid costs, and that a smaller assumed bonding bill helps offset some debt service costs. The commissioner and staff repeatedly warned that federal policy changes, especially possible Medicaid reductions, pose a major risk; they said Minnesota could face billions in lost federal funding, including a potential $2.4 billion hit if the enhanced Medicaid match for adults without children were eliminated. No votes or legislative actions were taken in the presentation.

Transcript Highlights:

• So we're really waiting for the outcome of that to move into the rate-setting process.
• setting. work of our two transportation commissions on doing the rate setting and toll policy setting
• So we're really waiting for the outcome of that to move into the rate setting process.
• forward into the next phases of rate setting.
• It must be considered as we move forward into the next phases of rate setting.

Summary: The committee met jointly with the Washington-Oregon Legislative Action Committee for an update on the Interstate 5 Bridge Replacement (IBR) program. Members first adopted the proposed committee rules, then received program updates from staff on environmental review, permitting, design, tribal consultation, and public engagement. Staff said the project remains in the supplemental EIS process, with a final supplemental EIS and amended record of decision expected in early 2026, which would allow construction to begin. They also described ongoing work on Coast Guard navigation clearance, Section 106 historic-property coordination, and architectural guidelines for the bridge and five-mile corridor, emphasizing that the visualizations shown were conceptual and that public and partner feedback has already influenced design considerations such as accessibility and shared-use path connections. Members raised concerns about schedule delays, rising costs, and whether the project is being designed to be functional, safe, and economical. Staff acknowledged that the timeline has slipped from earlier expectations and said the delay reflects the complexity of the environmental and federal review process, as well as the need to avoid redoing steps. They said the updated cost estimate is being prepared now that design has advanced to roughly 30 percent, and that it will account for inflation, risk factors, and both fixed-span and movable-span options. Staff estimated a movable span would add more than $400 million and said the first construction work after environmental approval would likely be preliminary freeway and retaining-wall work in late 2026, followed by the bridge procurement. The committee also received funding and tolling updates. Staff reported that major federal grants have been executed, including Mega and Bridge Investment Grant agreements, and that state STIP amendments are advancing to allow access to federal funds. The tolling team described Level 3 traffic-and-revenue work, a bi-state tolling subcommittee process, and possible toll scenarios aimed at supporting either about $1.24 billion or $1.6 billion in toll revenue. Members questioned low-income toll relief timing, truck toll rates, and the effect of tolls on freight users. Staff said low-income discounts are being analyzed for both revenue and operational feasibility, that tribal exemptions and other policy exemptions are under review, and that the commissions expect to move into public outreach on toll rates and policies in 2026, with tolling on the existing bridges currently projected to begin in spring 2027.

Transcript Highlights:

• Is this report used for rates, the rate setting as well that AHCA goes through? Yes. Yes.
• Is this report used for rates, the rate setting as well that ACCA goes through? Yes. Yes.
• There are a multitude of information that goes into the rate-setting process that would be looked at.
• Those are the kinds of information that go into the rate-setting process when looking at the need for
• But for rate-setting purposes, generally speaking, it is the PMPM amount that is factored in.

Summary: The Health Care Budget Subcommittee took up two bills and then continued oversight discussions with APD and AHCA. CS/HB 27, the Social Work Licensure Interstate Compact, was presented as a way to let Florida social workers practice in other compact states and vice versa; AARP, the Florida Chamber, and NASW Florida supported it, and the bill passed favorably. HB 1127, a child welfare bill, would create a treatment foster care pilot for children with high behavioral needs, improve DCF data collection on commercially sexually exploited children, and expand recruitment for protective investigators and case managers; the bill also passed favorably after brief supportive testimony. The committee then questioned APD at length about the iBudget waiver waitlist, enrollment pace, spending projections, and provider capacity. APD said it had sent more than 1,100 interest letters in categories 3, 4, and 5, enrolled 1,124 people so far this year, and expects to spend about 96.4% of its waiver appropriation, leaving roughly $82 million unspent. Members pressed APD on why prior discussions suggested more reserve was needed, how long the SANS process takes, whether category 6 could be expanded, and whether the agency has enough waiver support coordinators and direct support providers. APD said it has about 1,061 waiver support coordinators statewide, adequate capacity for current enrollees, but would need further analysis if the legislature directed a much larger enrollment increase. Members also asked about outreach, annual maintenance of the waitlist, portability for military families, and whether communication efforts should be privatized. Finally, AHCA walked the committee through the 2023 Achieved Savings Rebate (ASR) report for Aetna and explained how the report is used for financial monitoring, rebate calculations, and transparency. AHCA said the ASR is separate from the medical loss ratio (MLR) calculation, though both are reviewed, and that Florida uses the ASR mechanism rather than an MLR remittance requirement to recover funds from plans. Members asked about related-party disclosures, CVS/Caremark relationships, expanded benefits, encounter data, network adequacy penalties, denials and appeals reporting, interest earned on capitation payments, and whether rate increases were reaching providers. AHCA and the outside auditors said they review the plans’ reported data, reconcile it to underlying records, and can assess liquidated damages for network adequacy violations; several members requested follow-up data on rebates, interest, provider capacity, and related-party reporting.

Transcript Highlights:

• On the appraisal districts numbers yes they would have set their Budgets and their tax rates based on
• So they have, they have based their, their best guess, they've done their best work to set a tax rate
• Do not set budgets for taxing units. We do not adopt tax rates for taxing units.
• Use certified values to set the current year tax rate because right now we're in such a rush, we have
• It sounds like you're saying the tax assessor collector does not have a role in setting tax rates.

Keywords: 1184, house, all

Transcript Highlights:

• They've run into a little bit of a snafu with setting the tax rate for this year.
• And that breaking up of that school district just created an issue for when tax rates are set.
• <00:04:17.280> this um with setting the tax rate for this um with setting the tax rate for
• <00:04:54.160> won't<00:04:54.400> be tax rate set and the residents won't be tax rate
• And this bill is just rates are set.

Keywords: 1191, senate, all

Transcript Highlights:

• These sections adjust substance use disorder treatment service rates based on the recent rate study and
• rate."
• We just want to make sure that the rate increases as opposed to taking 72% of the modeled rate.
• rates.
• rate.

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding