Transcript Highlights:

• Senate Bill 134, concerning fees by payment card networks. Senator Lindstedt. Thank you, Mr.
• Senate Bill 2670 provides those safeguards, ensuring that data is handled with the care it demands and
• Senate Bill 2670 provides<02:08:56.560><c> those</c><02:08:56.880><c> safeguards,</c><02:08:57.840><c
• > ensuring</c><02:08:58.239><c> that</c> provides those safeguards, ensuring that provides those safeguards
• They provide a critical job, the most important role of government: public safety.

Keywords: 981, all

Transcript Highlights:

• So if the drug companies were providing the rebates to the state so that the state could provide the
• So in terms of the exact dollar amounts, we can provide those to you because I don't want to provide
• So in terms of the exact dollar amounts, we can provide those to you because I don't want to provide
• Still with the goal of providing more engagement and encouraging more collaboration at sites to provide
• And so we are actively working on the provider services module, which is focused on provider enrollment

Committee: Senate Appropriations Committee on Health and Human Services

Keywords: 999, senate, all

Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed FY 26-27 budget for the health and human services silo, which totals $48.5 billion within a $117.4 billion state budget. Agency leaders outlined major spending priorities, including AHCA’s behavioral health redesign, APD waiver enrollment and facility needs, DCF’s integrity and self-sufficiency systems, opioid response, community-based care and mental health bed expansion, DOEA’s Alzheimer’s, home care, and community care programs, DOH’s cancer research, public health, EMS blood-transfusion initiative, and lab feasibility study, and the Department of Veterans’ Affairs’ facility, cybersecurity, and medication-management investments. Members generally praised several proposals, especially increased reimbursement for private duty nursing, behavioral health funding, Alzheimer’s support, and the EMS blood program. Senator Sharief raised concerns about the AIDS Drug Assistance Program (ADAP), warning that changes could leave many Floridians without coverage for HIV medications and asking whether manufacturers could provide rebates directly to patients. Surgeon General Ladapo said the issue was driven largely by funding and federal changes, not a legal barrier, and said the department had explored alternatives but could not fill the gap with current resources. Senator Rouson asked about the Office of Minority Health and Health Equity, and DCF said its budget includes about $7 million for the substance abuse and mental health data dashboard required by prior legislation. Public testimony focused heavily on ADAP. Former program leaders and advocates said the proposed changes would reduce enrollment and remove key drugs and insurance-premium support, calling the situation a crisis and criticizing the department for lack of transparency and stakeholder engagement. They urged a pause and collaborative review of the program’s finances. The committee also discussed KidsCare implementation, with AHCA saying federal conditions and litigation have delayed the expansion. The meeting ended after the chair noted the budget would still need to be adjusted for updated Medicaid caseload estimates, and the committee adjourned without taking any formal votes or other action on the budget items.

Transcript Highlights:

• Through this presentation, I'm going to provide an overview...
• So are we providing counseling? Are we providing matchmaking?
• And I mean, provide more clarity on that.
• provided by the U.S.... $128 million provided by the state of Florida and $102 million provided by USDA
• The department bolstered training to provide to provide quality and enhanced targeted reviews for eligibility

Summary: The Human Services Subcommittee met to receive implementation briefings on House Bill 1267, which was enacted to address benefit cliffs and help public assistance recipients move toward economic self-sufficiency. The Department of Children and Families reviewed SNAP, Temporary Cash Assistance (TCA), and Medicaid-related eligibility and work requirements, including who must participate in work activities, the role of Florida Commerce and CareerSource Florida, and the new standardized intake and exit surveys required by the law. Members also discussed the TCA program’s household-based structure, the 48-month adult limit, and how work requirements differ for SNAP and TCA participants. Florida Commerce and CareerSource Florida then reported on implementation of HB 1267, including the CLIFF financial forecasting tool, case management changes, and survey data collected from welfare transition participants. They said intake surveys showed common barriers such as child care, transportation, and flexible work schedules, while exit surveys showed many participants were employed or had gained credentials, though response rates were low because the surveys are voluntary. A local workforce board, CareerSource Tampa Bay, described using CLIFF in case management and shared a success story about a participant who completed training, earned certifications, and moved into employment. The committee also heard a separate DCF briefing on the federal One Big Beautiful Bill Act and its impact on SNAP. DCF said the law expands able-bodied adult without dependents requirements, changes non-citizen eligibility, ends future SNAP-Ed funding, increases state administrative cost sharing, and may require states to share in benefit costs if payment error rates remain above federal thresholds. Members focused heavily on Florida’s SNAP payment error rate, which DCF said was 15.13% for federal fiscal year 2024 and 12.60% for 2023, with the state currently on a corrective action plan. DCF described steps to reduce errors, including more verification of rent and utility expenses, improved income matching, staff training, and system modernization. No votes were taken, and the meeting adjourned after questions concluded.

Transcript Highlights:

• , so that the system provider deletes their data as well.
• There are a lot of small housing providers and tenants who prefer this.
• There are a lot of small housing providers and tenants who prefer this.
• “And especially for small housing providers. Thank you, Chet.
• Our members provide more than 360,000 homes in the state of Washington.

Summary: The Senate Housing Committee heard public testimony on several bills. SB 5885 would expand affordable housing on property owned by religious organizations by lowering the density-bonus affordability threshold from 100% to 50% and adding a sales and use tax exemption for qualifying projects. The sponsor and supporters from Redmond, Tacoma, Spokane, faith organizations, and housing nonprofits said the current standard is too restrictive and that churches and other faith groups have underused land that could help meet the state’s housing shortage. A county planning representative raised concern about an unfunded mandate to update local development regulations, and one testifier said the bill should be paired with funding for county planning work. The committee also heard SB 5884, which would expand a sales and use tax deferral program for redevelopment of underutilized property. The bill would broaden eligible land beyond surface parking lots to include vacant, partially used, or underutilized parcels, and would allow cities to approve projects with at least 50% affordable units, or 20% in designated residential targeted areas. Supporters from Spokane, Vancouver, Kent, Bellingham, and the Washington State Association of Counties said the current program is too narrow and should be available in more places, including counties and more cities. Construction industry groups supported redevelopment but objected to a provision tying eligibility to apprenticeship utilization, saying it could disadvantage nonunion contractors and create compliance burdens. For SB 5937, the committee heard testimony on smart access systems in rental housing. The bill would require landlords, upon request, to offer a non-biometric, non-app-based alternative key and to provide privacy policies and limits on data collection for smart access systems. Tenant advocates supported the bill as a privacy and access protection, citing concerns about app-based locks, data tracking, lockouts, and retaliation. Landlord and multifamily housing groups said they were open to the concept but argued the bill was too broad and could impose burdens on small housing providers or simple keypad systems, and they asked for narrower definitions and clearer implementation language. Finally, the committee took testimony on SB 5938, which would make technical changes to the foreclosure prevention fee created last year, including exempting certain reverse mortgages and chattel loans, preventing duplicate charges on some state-backed transactions, and directing Commerce to study a possible state homeowner assistance fund. Homeownership counselors, legal aid, HOA advocates, and equity organizations supported the bill, saying it would clarify fee collection, protect low- and moderate-income buyers from unnecessary costs, and help sustain foreclosure prevention services. No votes or final committee actions were taken in the transcript, and the meeting ended after public testimony.

Transcript Highlights:

• So if the drug companies were providing the rebates to the state so that the state could provide the
• So in terms of the exact dollar amounts, we can provide those to you because I don't want to provide
• So in terms of the exact dollar amounts, we can provide those to you because I don't want to provide
• And so we are actively working on the provider services module, which is focused on provider enrollment
• Provider services module, which is focused on provider enrollment, as well as the unified operation center

Summary: The Appropriations Committee on Health and Human Services heard a presentation on the governor’s proposed fiscal year 2026-27 budget for the health and human services silo, which totals $48.5 billion. Agency leaders outlined major requests for AHCA, APD, DCF, DOEA, DOH, and the Department of Veterans’ Affairs, including behavioral health redesign, Medicaid rate changes, developmental disability services, child welfare and opioid programs, senior services, cancer research, public health initiatives, and veterans’ facility and technology needs. The committee also received an overview of the overall state budget, which was described as $117.4 billion, up 1.1% from the current year. AHCA’s presentation focused on $71.6 million for a Medicaid behavioral health redesign, including funding for residential treatment, a serious mental illness waiver, and higher inpatient psychiatric rates for youth, plus $7.1 million to raise private duty nursing reimbursement in fee-for-service Medicaid, $2.5 million for the background screening clearinghouse, and $124.4 million for the Health Care Connection System (FX). APD requested funding to continue moving people off the pre-enrollment list and to support developmental disability centers, a new forensic facility, an electronic health record system, and higher operating costs. DCF highlighted $81.9 million for eligibility and system integrity, $187.5 million for opioid prevention and treatment, $35.5 million for community-based care lead agencies, and $72.7 million to expand behavioral health bed capacity, including 474 new beds at state hospitals. DOEA sought additional funding for Alzheimer’s services, home care, and community care for the elderly. DOH emphasized $278 million for cancer research and innovation, $5 million for food and product safety testing, $5 million for the Florida FIRST blood-on-ambulance initiative, and $5.7 million for a public lab feasibility study. Veterans Affairs requested funds for facility improvements, cybersecurity, and medication management equipment. Members asked detailed questions about several items, especially the proposed changes to the AIDS Drug Assistance Program (ADAP), which would reduce eligibility and the number of people served. Senators and public witnesses criticized the lack of transparency and urged the department to pause the changes and work with stakeholders; the Surgeon General said the issue was driven by funding constraints and federal changes, not a legal barrier, and that the agency was exploring alternatives. Questions also addressed the Office of Minority Health and Health Equity, the Kids Care/CHIP expansion implementation, the cancer research funding structure, and the timeline and cost of the FX system. Public testimony focused heavily on ADAP, with speakers warning that thousands could lose medication access and calling for community involvement and a review of the program’s finances. The committee adjourned after the presentations and questions, with no votes taken on the budget items during this meeting.

Transcript Highlights:

• It requires covered providers to make available a provenance detection tool, It requires covered providers
• that a covered provider may implement geo-blocking of Washington users if the covered provider is not
• And the businesses that provide tools, it's like trying to let that provide tools.
• When we can do so, providing state matching dollars will provide a significant return on investment with
• Providing state matching dollars will provide a significant return on investment, with economic growth

Bills: HB2186 , HB2351 , HB1170

Committee: House Technology, Economic Development, & Veterans

Keywords: economic development, federal funds, state funding, infrastructure, grants, local government, emergency responders, emergency response, disaster response, obstruction of law enforcement, gross misdemeanor, public safety, incident command system, emergency operation zone, emergency management, law enforcement restrictions, warrant requirement, search and seizure, civil liberties, due process

Transcript Highlights:

• Second, what is the best way to provide such help and what obligations exist for those who provide it
• It goes from your psychiatric medical providers.
• , including so many of the faith-based kinds of providers that provide homeless housing but do not use
• Can you elaborate more on holding the providers accountable?
• These are not things you can hold these providers accountable for.

Keywords: 1204, all

Transcript Highlights:

• that a covered provider may implement geo-blocking of Washington users if the covered provider is not
• And the businesses that provide tools, it's like trying to let... ...that provide tools.
• When we can do so, providing state matching dollars will provide a significant return on investment with
• Providing state matching dollars will provide a significant return on investment, with economic growth
• Those providing emergency care must be allowed to operate.

Summary: The committee first took executive action on House Bill 1170, which would require disclosures when content is developed or modified by artificial intelligence and address provenance tools and enforcement. Staff described a proposed substitute and several amendments. The committee rejected amendments that would have applied the bill to public entities and tribal nations, added technical-and-commercial-feasibility language, and created a geo-blocking provision or a right to cure. It adopted amendments allowing comparable existing detection tools to satisfy the bill, protecting covered providers from liability when disclosures are unintentionally altered despite reasonable preservation measures, and setting a January 1, 2028 effective date. Members then debated whether the bill was ready for enactment, with supporters emphasizing transparency and consumer trust and opponents warning it was premature and could hinder innovation. The committee voted 7-4, with two excused, to report the bill out of committee with a do-pass recommendation. The committee then heard House Bill 2186, which would expand state support for applicants seeking federal economic development funds, create a matching-funds account, and require a study of available federal grants. The prime sponsor said the bill would help Washington capture more federal dollars, especially for projects that require matching funds, and would expand the Fund Hub WA website beyond environmental grants. Testimony in support came from the Port of Seattle, the Washington Economic Development Association, the City of Pasco, a downtown Kennewick nonprofit, and the Department of Commerce, all saying the bill would improve competitiveness, help underserved communities, and leverage state dollars for larger federal returns. Commerce said it was still developing the fiscal note and technical edits. The hearing on HB 2186 was then closed. Finally, the committee opened a hearing on House Bill 2351, which would protect emergency responders and emergency response operations. Staff explained that the bill would bar local governments and incident command systems from assisting enforcement actions targeting emergency responders based on protected status, create emergency operation zones with restrictions on law enforcement activity, and change the obstruction statute to cover obstruction of emergency responders. The prime sponsor and many local officials, firefighters, and advocates testified in support, citing incidents where federal enforcement actions disrupted wildfire response and other emergencies. Some witnesses raised concerns about administrative burden, ambiguity, and possible unintended consequences, including a proposed mental-health defense and clarification of responder identification. The Association of Sheriffs and Police Chiefs and the Association of Washington Cities said they supported the goal but wanted changes to avoid conflicts and reduce burdens. The hearing concluded without a vote.

Transcript Highlights:

• Thanks for providing me this opportunity to share.
• , so that the system provider deletes their data as well.
• There are a lot of small housing providers and tenants who prefer this.
• ...and especially for small housing providers. Thank you, Chet.
• Our members provide more than 360,000 homes in the state of Washington.

Bills: SB5884 , SB5885 , SB5937 , SB5938

Committee: Senate Housing

Keywords: sales tax, redevelopment, economic incentive, underutilized property, infrastructure, affordable housing, religious organizations, zoning laws, land use, community development, smart access system, smart lock, residential landlord-tenant act, tenant privacy, biometric data, fingerprint, face scan, iris scan, key fob, key card

Transcript Highlights:

• So, we're putting together some of those networks to provide additional support for land grants.
• That program has provided opportunities for engaging students as interns, providing services, doing work
• do want to provide some historical context.
• Not just for agriculture, but Asequia provide recharge to the aquifer, and they're providing a buffer
• Because they provide so many services, we believe it's worth discussing what they're already providing

Committee: House House Rural Development, Land Grants And Cultural Affairs

Transcript Highlights:

• Second, what is the best way to provide such help, and what obligations exist for those who provide it
• Second, what is the best way to provide such help and what obligations exist for those who provide it
• It goes from your psychiatric medical providers.
• , and including so many of the faith-based kinds of providers that provide homeless housing but do not
• Can you elaborate more on holding the providers accountable?

Summary: The committee first approved a motion, then heard a lengthy presentation on homelessness policy and behavioral health. Testimony focused on the view that Arkansas should shift toward more data-driven, outcomes-based responses to homelessness, including stronger treatment options for serious mental illness and substance use disorder, better data collection, provider accountability, and possible statewide use of the Certified Community Behavioral Health Clinic (CCBHC) model. Speakers from Fort Smith, Restore Hope, Our House, and Western Arkansas Counseling described local work, the need for better coordination across providers, and the role of crisis services, ACT teams, and employment support. Members asked about sex offender tracking, the difference between sheltered and unsheltered homelessness, how to scale successful programs statewide, and whether Arkansas could apply for a statewide Continuum of Care or CCBHC planning grant. The discussion also touched on camping bans, civil commitment, and federal funding changes, with several speakers urging the state to pursue the CCBHC planning grant and more transparent reporting systems. After the homelessness discussion, the committee moved through a series of Department of Energy and Board of Nursing rule reviews. DEQ proposed updating the post-closure cleanup threshold for solid waste matters from $50,000 to $2 million to match Act 791 of 2025, and members asked about financial assurance and oversight; the rule was reviewed without objection. The Board of Nursing then presented multiple rule changes tied to recent acts, including adding fees for dialysis patient care technician registration, expanding contact-information requirements, implementing APRN delegation authority to unlicensed workers, clarifying APRN authority for death certificates and durable medical equipment prescriptions, updating certified medication assistant training and insulin-injection authority, and conforming independent-practice rules for clinical nurse specialists. Each rule was reviewed without objection. Near the end of the meeting, Senator Irvin announced that UAMS had completed its NCI designation submission for the Winthrop Rockefeller Cancer Institute, calling it an important milestone for the state. The committee then adjourned.

Transcript Highlights:

• So many hospitals provide many, many services, and then some specialty hospitals just provide the specialty
• And when other providers fail or are unable to provide access to patients, we know those patients are
• And when other providers fail or are unable to provide access to patients, we know those patients are
• for the care that was provided.
• How many of the service providers have closed in the last year?”

Committee: All ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Summary: The subcommittee met to review Department of Human Services hospital payments in Arkansas Medicaid, with DHS Secretary Janet Mann and Deputy Secretary Misty Eubanks presenting first, followed by Arkansas Hospital Association Executive Vice President Jody Ann Tritt and a brief comment from Arkansas Children’s. DHS outlined the main hospital payment streams: fee-for-service per diem payments, upper payment limit (UPL) supplemental payments, cost settlements, and smaller payments such as graduate medical education and disproportionate share hospital funds. Members asked for plain-language explanations of cost settlements, why per diem rates vary by hospital type, and why UPL applies to private hospitals. DHS said cost settlements and UPL are mechanisms to help offset Medicaid underpayment, with SFY 2025 hospital payments totaling hundreds of millions of dollars and no general revenue used for supplemental payments beyond the state share funded through hospital assessments and related financing structures. Committee members focused heavily on whether Arkansas hospitals are adequately reimbursed and why rural hospitals struggle. Tritt explained that critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals operate under different federal and state rules, and said lower per diem rates for some facilities help with cash flow and later cost settlement adjustments. She said Arkansas hospitals are under financial strain, citing a negative patient services margin statewide and noting that Medicaid, Medicare, and commercial payers all contribute to the problem. She also said the association had just authorized a statewide survey of hospital finances and costs, which she expected would take about a year to complete. A major theme was commercial insurance reimbursement. Tritt argued Arkansas hospitals are paid far less than hospitals in neighboring states even though premiums are similar, and said administrative burdens, prior authorizations, and denials add to the problem. She said hospitals receive about 52 to 53 cents on the dollar for Medicaid costs without UPL and about 78 cents with UPL, still below cost. Members also discussed Medicare wage index issues, Medicare Advantage, and whether hospitals could use technology or alternative arrangements to improve finances. No votes were taken on the hospital presentation. At the end of the meeting, DHS provided a brief update on Living Choices and assisted living reimbursement. Officials said one assisted living facility, Pillars of the Community in Crossett, had announced closure, with nine waiver clients being transitioned to other settings. DHS said the current cost reporting period was underway and that a new rate study could be ready for review before the end of the fiscal year if reports were submitted on time. Members also asked about the broader waiver plan, and DHS said the next waiver iteration would likely be brought back to the committee in the summer.

Transcript Highlights:

• for behavioral health provider students or addiction counselors.
• So this would provide a stipend during their practicum.
• Is paid to whoever is providing that.
• Could provide funding for the folks who house the students, because being a licensed provider supervising
• Health, which is a low-barrier telehealth addiction provider.

Committee: House House Health & Human Services

Transcript Highlights:

• the person or entity to whom you're providing it is not the payer.
• the person or entity to whom you're providing it is not the payer.
• It really is what's the quality, right, of what you're providing, right?
• Human service providers provide critical services.
• They do provide free trainings to help providers successfully navigate the procurement system.

Summary: The joint Senate and Assembly Select Committee on the nonprofit sector held a hearing focused on the importance of California’s nonprofit sector and how state systems can better support it. Chair and co-chair remarks emphasized that nonprofits are essential to the state’s economy and public services, especially as federal cuts and administrative burdens increase pressure on organizations that deliver health care, food assistance, homelessness services, disaster response, and other safety-net functions. CalNonprofits CEO Jeff Green described the sector’s size and complexity, citing roughly 110,000 nonprofits in California, about 1.4 to 1.5 million nonprofit workers, and major concerns about funding uncertainty, delayed reimbursements, and federal threats to nonprofit funding and nonpartisanship. He said many organizations are being forced to use reserves, reduce services, or take out loans while waiting for state payments. The Little Hoover Commission presented findings from its study of state grant and contract administration, arguing that nonprofits often subsidize state services because of late payments, insufficient advance funding, and inadequate reimbursement for overhead. The commission recommended requiring advance payments, expanding prompt-payment protections, matching federal indirect-cost rates, standardizing emergency contract amendments, creating an Office of Nonprofit Empowerment, reducing duplicative reporting, moving to electronic payments, improving feedback to unsuccessful applicants, and using longer grant periods. Committee members expressed support for these ideas and discussed shifting state contracting culture toward outcomes and better coordination. The commission also noted that SB 1240, which would create the Office of Nonprofit Empowerment, and SB 1366, related to payment delays, align with its recommendations. The Attorney General’s Charitable Trusts Section then outlined its rollout of a new online filing system for charities and charitable fundraisers. Elizabeth Kim said the system, launched in stages beginning in 2024, is intended to replace paper filings, reduce incomplete submissions and bounced checks, and speed processing; the final phase is expected to cover renewals, delinquency, raffles, professional fundraisers, dissolution, and complaints. Committee members asked about staffing impacts and complaint handling, and DOJ explained that complaints are reviewed based on allegations, public filings, and, when needed, requests for additional information. A final panel featured Matt Gonzalez of Nonprofit New York, who described New York City’s Mayor’s Office of Nonprofit Services as a model for reducing contract backlogs, increasing advance payments, and improving coordination through ombudsman-style support and chief nonprofit officers. Public commenters from the California Alliance of Child and Family Services, SEIU, and CalNonprofits urged support for stronger state-nonprofit partnerships, transparency, and modernization of contracting systems. No formal vote was taken; the hearing concluded after testimony and public comment.

Transcript Highlights:

• The health care provider and health care... With respect to abortion medications.
• The health care provider and health care entities that the department provides abortion medications to
• And Senator Bateman may have some things that she could share also to provide some clarity.
• Some things that she could share also to provide some clarity. So seeing no other questions.
• Provided.

Summary: The Senate Human Services Committee heard testimony on Senate Bill 5917, which would change how the Department of Corrections and Department of Health distribute abortion medications from state stockpiles. Staff and the bill sponsor said the measure would remove pricing restrictions, allow the medications to be donated or sold more flexibly to health care providers, and help avoid expiration of existing supplies. Supporters, including the Washington State Women’s Commission, the governor’s health policy advisor, DOH, physicians, and Pro-Choice Washington, said the bill would improve access to medication abortion and miscarriage care, especially for people facing barriers. Opponents argued it would expand state involvement in abortion, shift costs to taxpayers, and raise safety concerns. No vote was taken on the bill in the hearing portion shown. The committee also heard Senate Bill 6080, which would require written contracts before local jails accept people in federal custody and would prohibit some out-of-state transfers absent a valid judicial warrant. Senator Cleveland said the bill was prompted by a situation in Clark County and was intended to provide clarity, reimbursement, and accountability for local governments. Supporters from the Latino Community Fund, the Association of Counties, and the City of Vancouver said it would protect taxpayers and local discretion. The sheriffs’ association supported some of the bill’s goals but raised concerns about unintended consequences for routine federal arrests and wanted more clarification. The hearing on SB 6080 was then closed. The committee then heard Senate Bill 6085, which would revise the Institutional Welfare Account, formerly the incarcerated individual betterment fund, to require more input from incarcerated people and their families on how the funds are spent and to change some allowable uses. The sponsor said the bill would ensure the account reflects current needs and supports family contact, reentry, and institutional safety. Testimony was mixed: the Washington State Reentry Council supported the concept but objected to requiring legislative appropriations and to using the funds for reentry services; a Department of Corrections representative supported the intent but raised concerns about removing law library funding without replacement. After testimony, the committee moved into executive session and considered several bills and amendments, including SB 5940, SB 5945, SB 5957, and SB 5966. Multiple amendments were offered and mostly failed on SB 5940 and SB 5945, while one amendment on SB 5945 passed. The committee advanced SB 5940, SB 5957, and SB 5966 with due-pass recommendations, and the transcript ends with the committee adjourning after the final action on SB 5966.

Transcript Highlights:

• care providers and practitioners, safeguards the health of all Floridians, and provides benefits and
• This next slide provides a This next slide provides a final snapshot of our HHS base budget, including
• All the services are provided directly by the PACE organization to provide effective care coordination
• network to meet their needs.
• So those providers are having to continue to provide services, and they're not getting paid.

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services heard a base budget overview for the 2025-26 fiscal year, which was presented as a $46.8 billion starting point for the silo. Staff explained that HHS accounts for about half of the state base budget and roughly 36% of general revenue, with AHCA and Medicaid making up the largest share. The committee then reviewed the PACE program for the elderly, including its eligibility, service model, growth in applications, slot funding and reversions, and the agency’s plan to move from the federal three-way agreement to a more detailed two-party contract to improve accountability, transparency, and reporting. Members raised concerns about unfilled slots, reversions, rural access, and the need for clearer return-on-investment data; the agency said it would follow up on some of those questions. The committee also heard from the Agency for Persons with Disabilities on its statewide dental program. APD described its history of appropriations, the failed January 2024 solicitation, and a new up-to-$11.5 million solicitation focused on preventive care, community partnerships, teledentistry, and coordination with other services. Members questioned overlap with Medicaid dental coverage, the effect of Medicaid unwinding on APD clients, and whether state dollars were duplicating federally supported services; APD said it tries to act as payer of last resort and that services would continue during procurement. Public testimony from an APD stakeholder and the Florida Dental Association emphasized Medicaid eligibility problems for waiver recipients, low reimbursement rates, limited access to anesthesia and hospital-based dental care, and concerns that proposed Medicaid changes could reduce access for special-needs patients. The Department of Veterans’ Affairs then presented on state veterans service officers and benefits assistance. FDVA highlighted its role in helping veterans access federal benefits, reporting about $27.9 billion in federal dollars flowing into Florida and a high return on state investment. The department said it has increased outreach, claims processing, and services, and has trained staff to identify mental health concerns through its Overwatch program. In response to questions, FDVA discussed plans to expand adult day health care at a new veterans nursing home and possibly at existing locations with additional state funding. At the end of the meeting, the committee completed its presentations and adjourned without objection.

Transcript Highlights:

• So many hospitals provide many, many services, and then some specialty hospitals just provide the specialty
• And when other providers fail or are unable to provide access to patients, we know those patients are
• for the care that was provided.
• We are working with our providers to get those cost reports returned.
• We are working with our providers to get those cost reports returned.

Committee: All ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Summary: The subcommittee met to review Arkansas DHS hospital spending and reimbursement methods, with Secretary Janet Mann and Deputy Secretary Misty Eubanks explaining Medicaid hospital payments. They described fee-for-service per diem payments, cost settlements, and the upper payment limit (UPL) program, noting that SFY 2025 hospital payments included $688 million in inpatient/outpatient claims, $473 million in UPL payments, $248 million in cost settlements, and about $47 million in other payments such as graduate medical education and disproportionate share hospital funds. Members asked about why per diem rates vary, how cost settlements work, why UPL applies mainly to private hospitals, and how assessment fees are structured and funded. DHS said the hospital assessment fee is broad-based and uniform, used as the state share to draw federal funds, and that supplemental hospital payments after federal match totaled $548 million with no general revenue used. The Arkansas Hospital Association’s Jody Ann Tritt then gave a broader overview of the hospital landscape, explaining the different hospital types in the state, including critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals. She said Arkansas hospitals face financial strain, citing a negative 5.18% patient service margin statewide and lower reimbursement than surrounding states. She argued that Arkansas hospitals are paid less than hospitals in neighboring states for similar services, that commercial payer rates and administrative burdens are a major problem, and that Medicaid and Medicare rates remain below cost even with UPL support. She also said hospitals are the backbone of community care, provide emergency and public health functions, and are looking for ways to invest in technology and telehealth but often lack the revenue to do so. Members pressed for clearer data on hospital finances, reimbursement adequacy, and the impact of commercial insurers. Tritt said the association had just authorized a statewide survey to gather updated financial information from hospitals, which she said would take about a year to complete. She also explained that Medicaid pays weekly, Medicare and commercial plans can involve delays and denials, and that hospitals often spend significant resources on revenue cycle work. The discussion ended with a brief update on assisted living reimbursement: DHS said one facility, The Pillars of the Community in Crossett, had announced closure, nine Living Choices waiver clients were being transitioned, and the updated rate study would be available after cost reports are collected, likely before the end of the fiscal year. The meeting then adjourned.

Transcript Highlights:

• WSDOT will provide more information on funding provided last year.
• will provide more information on funding provided last year.
• This group and the legislature provided us with several million dollars worth of funding.
• Please support providing this local option to our local community here.
• The bill also provides a clarifying definition for kingpin.

Summary: The committee began with a work session on transportation planning for the 2026 FIFA World Cup in Western Washington. April Putney of the Seattle FIFA World Cup 26 Local Organizing Committee described the event as a statewide, 39-day tournament with six Seattle group-stage matches, additional possible matches, fan zones across the state, and major transportation impacts centered in the Seattle area, including street closures, increased I-5 traffic, and heavy use of transit, shuttles, ferries, and active transportation. She said the goal is safe, seamless mobility with 80% of stadium attendees arriving by non-personal vehicle, and noted coordination with federal agencies on border crossings and security. WSDOT’s Travis Phelps outlined roughly $25.65 million in World Cup-related funding for tunnel maintenance, traffic operations, signage and digital messaging, public transit support, ferries, and related staffing and training, emphasizing use of existing staff, overtime, and current fleets rather than new hires or vehicles. Senators asked about border staffing and ferry capacity, and WSDOT said it would follow up on ferry staffing concerns. The committee then held public hearings on several bills. SB 5839 would remove the “passenger only” limitation for county ferry districts, allowing them to support vehicle ferries; supporters from Whatcom County and the Association of Counties said the change would help aging ferry systems, improve funding flexibility, and support essential island access, while some testimony was opposed. SB 6032 would amend the secure-your-load law to allow vehicles with mud, rocks, or debris on them to be covered instead of cleaned before being towed on paved highways; the sponsor and industry witnesses said it would save time and water for construction equipment operators, and the hearing closed with strong support and little opposition. SB 5824 would clarify how fifth-wheel travel trailers are measured, allowing up to 46 feet measured from the kingpin to the rear of the trailer; RV industry, dealer, and business groups supported it as a safety-neutral clarification that would align Washington with other states and improve competitiveness, and the hearing closed with overwhelming support. Finally, SB 5864 would create an online motor vehicle insurance verification system at the Department of Licensing, require insurers to provide policy data, and use the system at registration renewal beginning in 2029 after a pilot period. The sponsor and supporters from insurers and law enforcement said the bill would reduce uninsured driving, improve roadside verification, and lower costs shifted to insured drivers, while county auditors and vehicle subagents supported the policy but warned that implementation must be technically reliable and adequately funded so renewals are not slowed. The public hearing closed with substantial support and some operational concerns raised, and the committee adjourned after the final hearing.

Transcript Highlights:

• So they don't have to really... provide a reason or give any notice.
• All of those options can provide dispatchability.
• Yes, I provided the map.
• And again, if someone requests it, we're not objecting to providing it.
• If the person wants it, we can provide it, our company...

Bills: SB388 , SB455 , SB917 , SB925 , SB1006

Committee: Senate Business & Commerce

Keywords: dispatchable generation, electricity, natural gas, ERCOT, energy credits, utilities regulation, renewable energy, arbitration, insurance contracts, surplus lines, Texas law, insurance policy, boiler inspection, boiler safety, inspection report deadline, certificate inspection, authorized inspector, inspection agency, Health and Safety Code, board of boiler rules

Transcript Highlights:

• Lark must conduct a review and provide a report to the legislature and governor.
• Lark must conduct a review and provide a report to the legislature and governor.
• They provide integrated primary and specialty care.
• a change in provider availability.
• Once the claim is allowed, the worker must seek treatment from a network provider.

Bills: HB1526 , HB1069 , HB1347 , HB2091 , HB2264

Committee: Senate Labor & Commerce

Keywords: liquor license, snack bar, state regulations, alcohol sales, business licensing, collective bargaining, retirement benefits, employee rights, public sector, supplemental benefits, education, funding, student loans, affordability, higher education, public employers, employee information, bargaining representatives, labor relations, union representation