Transcript Highlights:

• in our in our this for other people in our in our state<00:34:44.000><c> that</c><00:34:44.159><c> would
• In fact, he was in the section golfer. In fact, he was in the section golf<01:07:19.400><c> meet.
• . fairness. fairness.
• This puts victims first, preserves fairness in our system, and strengthens public trust in our justice
• in the fraud in into what's happening in the fraud in our<02:51:36.320><c> state.

Keywords: 1183, house

Transcript Highlights:

• </c><00:09:24.160><c> law</c> requirement uh in in current state law requirement uh in in current state
• </c> this would go into place in in place. this would go into place in in place.
• And for those of you that don't do a lot in managed care, risk corridors are risk mitigation measures
• </c> put plans in place this far in advance? put plans in place this far in advance?
• It could do so much more to mitigate the fallout from HR1, to address the mental health crisis in Minnesota

Keywords: 1183, house

Transcript Highlights:

• Join me in honoring the in our prayers.
• My journey in the next steps in life.
• These are straightforward reforms rooted in fairness and accountability.
• These are straightforward reforms rooted in fairness and accountability.
• </c> in the Senate. in the Senate.

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, May 19, 2026, 1012, house, all

Transcript Highlights:

• And airports do some things to mitigate fog banks at very low levels that would not be included in this
• And airports do some things to mitigate fog banks at very low levels that would not be included in this
• And airports do some things to mitigate fog banks at very low levels that would not be included in this
• > training</c> here in in Frankfurt, and training here in in Frankfurt, and training centers<00:59:48.240
• ><c> uh</c> it in my office in some notes, but uh it in my office in some notes, but uh Chair<01:14:48.239

Bills: HB60

Committee: Joint Judiciary

Keywords: geoengineering, weather modification, environmental safety, atmospheric pollutants, criminal pollution, Meeting Start: 00:00:02 Roll Call: 00:00:08 26 RS HB 60 - AN ACT relating to geoengineering: 00:01:35 Department of Corrections Update: 00:32:59 Kentucky Parole Board Update: 01:19:21, 958, all

Transcript Highlights:

• in in this work uh kind of key partner in in this work representative<00:47:55.880><c> Lawrence</c><
• in the in the didn't maybe I miss it in the in the commentary<00:48:02.480><c> what</c><00:48:02.640
• in the in the students are learning in the in the classroom<01:04:44.000><c> and</c><01:04:44.119><c>
• </c><01:08:00.240><c> in</c> really quickly um in in really quickly um in in anecdotally<01:08:02.720
• a new person or new people in town, a new team in town. hear in our districts doesn't matter hear in

Committee: House Education Finance

Keywords: 1183, house

Transcript Highlights:

• We have it available in our offices, in cars.
• I'm in opposition to 611 and in support of 590.
• She was in third grade in Douglas Public Schools.
• It comes in many forms. Skin cancer comes in many forms. It comes in many forms.
• So to be fair, though, it would be the case if we included Tech and other virtual schools in the program

Committee: Joint Joint Committee on Education

Keywords: 995, all

Summary: The Joint Committee on Education held a public hearing on a large slate of bills, with the chairs emphasizing time limits, written testimony, and grouping similar measures together. Early testimony focused on opioid use disorder education in schools (S.382), with Senator Keenan arguing that students should be taught about the risks of substance use disorder and naloxone use as part of health curricula. Representative DeCost also briefly introduced H.551, a narrow bill concerning parent rights for children in third grade and younger. Several bills were then closed without testimony, including measures on type 1 diabetes informational materials and other diabetes-related proposals. A major portion of the hearing centered on school health and emergency response bills. Supporters of H.652/S.342 on diabetes management in schools described inconsistent district practices and urged clearer standards so students can receive care in classrooms rather than being sent out of instruction. Bills on epinephrine access and seizure disorders drew extensive testimony: advocates for stock epinephrine in schools argued that unassigned epinephrine can save lives and should be funded in a cost-neutral way, while a pediatrician opposed one version as an unfunded mandate. For seizure-safe schools (S.422/H.635), students, parents, educators, and advocates described missed or delayed responses to seizures, stigma, and the need for staff training, seizure action plans, and emergency medication protocols. A separate bill, H.645, allowing anti-seizure medication on school buses, was supported by a parent and student who said current law forces costly and restrictive transportation arrangements. The committee also heard testimony on youth skin health bills (S.334/H.600/H.619), which would let students carry and apply sunscreen at school and camp without a physician’s note. Supporters from melanoma prevention, dermatology, and industry groups said the bills would remove unnecessary barriers and promote sun-safe habits, while one witness cautioned about drafting details and unintended consequences. The hearing then moved to CPR/AED education for graduation (S.456), where Senator Tarr, a student advocate, and the Red Cross all supported requiring hands-on CPR certification for high school students. Finally, the committee took testimony on healthy school lunches (H.539/S.401): supporters from the Healthy School Lunch Coalition and school food directors backed stronger nutrition standards and a standing advisory council, while Consumer Brands Association witnesses opposed the bill as too vague and potentially disruptive. A nutrition scientist also warned about unintended restrictions on medically necessary or innovative foods. The chairs closed the hearing on the healthy lunch bills and then opened testimony on universal school meals for virtual schools (H.700), with Superintendent Patrick Latuka supporting access for students in Commonwealth virtual schools who currently receive no meal support.

Transcript Highlights:

• We're in my district.
• In a very scientific, thorough way, in a timely manner.
• There are many in the state, many in the region, in the country, and internationally.
• in the United States, including in New Mexico.
• So fluids in the well can't get out. Fluids in the formation cannot get in.

Committee: House Radioactive & Hazardous Materials Committee

Transcript Highlights:

• No, no, there are only about two in Texas: ours in Houston and one in El Paso.
• The presence of NPs was not only significant... ...in mitigating the spread of infection, diagnosing
• in to see specialists in our area.
• In small-town Texas, you're the only APRN in town. There are no physicians in town.
• You have to schedule a month in advance and in my case, in several days.

Bills: HB35 , HB4490 , HB4454 , HB2188 , HB3078 , HB4743 , HB2556 , HB46 , HB5342 , HB4783 , HB3785 , HB5278 , HB1639 , HB2581 , HB4224 , HB4070 , HB4099 , HB4882 , HB3794 , HB46

Committee: House Public Health

Keywords: peer support, first responders, mental health, confidentiality, emergency services, disclosure, next of kin, public information, deceased persons, privacy rights, patient solicitation, marketing practices, healthcare regulation, task force, deceptive advertising, nurse aide, certification, Texas Board of Nursing, healthcare workforce, nursing standards

Transcript Highlights:

• From who can circulate petitions with HB 2402 in 2017, SB 1451 in 2019, HB 2304 in 2011, to what standards
• in 2015 and HB 2244 in 2017 and HB 2107 in 2014 and then also how petitions are submitted with SB 1451
• in 2019.
• In State v.
• In State v.

Summary: The committee heard and acted on several bills dealing with elections, juvenile representation, paternity, and campaign finance. SB 1489 would require paid petition circulators to disclose their name, residence, and paid status, wear a badge, register in some local petition efforts, and subject local initiatives to stricter compliance and fiscal disclosure rules. Supporters said it would standardize rules and improve transparency; opponents, including the ACLU, argued it would chill core political speech and compel identification. The bill received a do-pass recommendation by a 4-3 vote. SB 1609, an emergency measure restricting political party names from using terms like “independent” or “unaffiliated,” drew support from county election officials who said it would reduce voter confusion, and opposition from the Arizona Independent Party, which called it retroactive and anti-competitive. The committee adopted an amendment and then passed the bill 7-0. SCR 1040, which would raise the mandatory retirement age for judges from 70 to 75 subject to voter approval, was supported as reflecting longer life expectancy and retaining experienced judges, but opposed by some who favored age limits; it passed 5-2. The committee then took up SB 1234, which would change juvenile court representation by requiring a guardian ad litem in dependency and termination cases and allowing, rather than requiring, separate child counsel in some circumstances. Sponsor Senator Werner said the bill was part of a broader child-safety package and was informed by cases involving children who died after alleged system failures. Child welfare attorneys and advocates opposed the bill, warning it would weaken attorney-client privilege and take away children’s independent voice, while DCS said the bill was intended to clarify the GAL role and could work alongside child counsel. The committee adopted an amendment and passed the bill 5-2. SB 1661, allowing child support obligations to be terminated when genetic testing shows a presumed father is not the biological father, received broad support from the sponsor, a fathers’ advocacy group, and a family representative, and passed 6-0. Later, the committee considered election-administration and campaign-finance measures. SB 1392 would give governing bodies canvassing elections access to election-material locations to observe procedures and review records, while protecting privacy and security; county officials supported access but raised concerns about the term “agent,” and the bill passed 4-3. SB 1634 would require ADOT to provide county recorders with applicants’ handwritten signatures collected during voter registration; county officials said it would improve signature verification, and the bill passed 5-2 after some members noted amendment concerns. SB 1743 would redact donors’ employer street addresses and residence addresses from campaign finance reports; supporters framed it as a privacy measure, while opponents said employer information is important for transparency and identifying influence. It passed 5-2. SB 1099, a strike-everything amendment defining defamation standards for public and private figures, was presented as narrowing and clarifying defamation law and passed 4-3. After a recess, the committee heard SB 1535, which would make paying for sexual conduct a prostitution offense and add a $200 assessment to fund anti-human-trafficking services. Survivors, law enforcement, and neighborhood advocates supported stronger penalties aimed at buyers and demand reduction, while criminal-defense and victim-advocacy groups said the bill needed a rebuttable-presumption amendment to better protect trafficking victims. The transcript cuts off before the committee’s final action on SB 1535.

Transcript Highlights:

• From who can circulate petitions, with HB 2402 in 2017, SB 1451 in 2019, HB 2304 in 2011, to what standards
• in 2015 and HB 2244 in 2017 and HB 2107 in 2014, and then also how petitions are submitted with SB 1451
• in 2019.
• In certain spaces, not in the whole election building.
• In State v.

Bills: SB1012 , SB1099 , SB1234 , SB1392 , SB1489 , SB1535 , SB1570 , SB1609 , SB1627 , SB1634 , SB1661 , SB1709 , SB1723 , SB1725 , SB1743 , SB1829 , SCR1027 , SCR1040 , SCR1048

Committee: Senate Judiciary and Elections

Keywords: concealed carry, firearms, restaurants, liquor licensing, public safety, defamation, private figure, public concern, statute of limitations, internet defamation, juvenile court, legal representation, appointed attorney, guardian ad litem, child welfare, election canvass, canvassing board, governing body, election inspection, election access

Transcript Highlights:

• There seems to be, in my view and in some of the people who have come talk to me in the district, ambiguity
• in 2014.
• So maybe I'll focus in on how do they go back in?
• In 2020. In particular, to give me an honest answer.
• last several years: one in 2015, two in 2020, two in 2022, and one in 2023, and we didn't receive any

Summary: The Joint Legislative Audit Committee held an oversight hearing on the state auditor’s October 2024 report on California’s Forensic Conditional Release Program (CONREP) for sexually violent predators. Members and witnesses discussed public safety, the long delays in finding community housing, the role of local housing committees, and the Department of State Hospitals’ oversight of Liberty Healthcare, which operates much of the program. Several legislators from rural and high-desert districts said their communities have been disproportionately affected by placements and questioned why many placements end up in remote areas. State Auditor Grant Parks said the audit found that CONREP participants were convicted of new offenses less often than sexually violent predators who were unconditionally released, but that 18 of 56 participants had been revoked and returned to state hospitals for noncompliance. He said it took an average of 17 months to place current participants in the community, with 20 additional people awaiting placement for an average of 20 months, and that the program incurred significant pre-placement costs. Parks also said local officials were often unclear about their role, DSH had not given clear guidance at the time of the audit, and California lacks a transitional housing option used in some other states. He reported that DSH had implemented four of the five audit recommendations, while declining the recommendation to explore state-owned transitional housing. DSH Director Stephanie Clendendon and Liberty representative Ken Carabello defended the program as a court-ordered, highly supervised treatment model intended to reduce reoffending and support reintegration. They said DSH is actively involved in placement review, that Liberty searches countywide under statutory restrictions, and that community feedback and court approval are part of the process. DSH said it has now implemented guidance for housing committee designees, formal program reviews, an outcome tracker, and an analysis of whether to separate some Liberty services into different contracts. DSH continued to oppose transitional housing, arguing it would not solve the core siting and statutory problems and would add cost. Several members remained critical, arguing the program is broken, costly, and unfairly concentrated in certain communities, and some called for major statutory changes or suspension of the program.

Transcript Highlights:

• in agriculture.
• , in the right amount, and in the right manner.
• Both reports are available in the public domain, but in my previous roles over the years, in the last
• And in my limited observation, I've seen significant investment in that space, in fact, leadership when
• So if you were producing sorghum in Kansas, you were in pretty rough shape in 2018–19.

Summary: The House Agriculture and Natural Resources Committee held an interim work session focused on Washington agriculture’s viability, workforce, and competitiveness. Director Derek Sanderson of the Washington State Department of Agriculture and WSU Dean Raj Kosla described the size and diversity of the state’s farm sector, declining farm numbers, major export markets, and pressures from labor costs, low commodity prices, trade barriers, drought, regulatory burdens, and pests and disease. Kosla emphasized WSU’s land-grant role in education, research, and extension, including precision agriculture, broadband needs in rural areas, and the need for state support to help producers adopt new technologies and train the next generation of agricultural workers. Members asked about retaining farmland, increasing workforce capacity, and the role of precision agriculture. Kosla said precision agriculture can help address labor shortages and water scarcity, but adoption is limited by cost and rural broadband gaps. He explained precision agriculture as tailoring inputs to the right place, time, amount, and manner, and said WSU is working on low-cost sensor technologies and other innovations. Members also asked about how widely precision agriculture is used and whether it improves farm bottom lines; Kosla said adoption varies by tool and that he would follow up with more data. The committee then heard from Dr. Randy Fortenberry of WSU’s Impact Center on an agricultural competitiveness study and the effects of tariffs and trade. He reported that Washington’s competitiveness has generally declined relative to peer states in dairy, grapes, hops, apples, and wheat, with potatoes as the main bright spot. Surveyed producers said a substantial share of revenue is tied to regulatory compliance, with labor-related costs a major driver, and small diversified farms reported land access, capital, and profitability as bigger barriers than regulation. On trade, Fortenberry said Washington agriculture is highly export-dependent and vulnerable to retaliation, citing past losses in wheat, apples, pulses, and cherries when tariffs disrupted markets, while noting current uncertainty around China and India. The committee asked follow-up questions about compliance time, peer-state comparisons, and regulatory burdens; no votes were taken, and the department said it plans an interim report by the end of the year and a final report by June 2026.

Transcript Highlights:

• in all segments.
• So we are definitely seeing an increase in production. That increase in in production.
• I'm going to show you this in some markets in a minute.
• I'm going to show you this in some markets in a minute.
• if you're going to be in Aurora, Colorado, or in my towns in Ohio.

Committee: Senate Community Affairs

Summary: The Committee on Community Affairs met with a quorum present and first took up SB 122, which would repeal Chapter 205 governing local business taxes while allowing municipalities that already levy a gross-receipts-based business tax to continue doing so, with limits on changing the tax rate. The sponsor’s proxy and committee members discussed whether local business taxes fund identifiable services, with supporters saying the bill would reduce burdens on businesses and opponents arguing it would remove a capped home-rule revenue source used for general services, economic development, inspections, fire and police support, and business regulation. The Florida Association of Counties and the Florida League of Cities opposed the bill, citing a statewide revenue loss and concern that costs would shift to residential taxpayers, while one member noted the bill should be considered in the context of broader property tax changes. SB 122 was reported favorably by a roll call vote, with Senators Leek, Passidomo, Pizzo, Trumbull, and Chair McClain voting yes and Senator Sharief voting no. The committee then held an extended informational panel on Florida’s housing shortage and affordability challenges. Dr. Samuel Staley said Florida is in a housing crisis driven primarily by insufficient supply, arguing that the state needs far more units each year, that local comprehensive plans and zoning often fail to prioritize housing, and that the state should focus more on measurable impacts, density, accessory dwelling units, smaller lot sizes, and other ways to let the market respond. Ann Ray of the Shimberg Center presented data showing increased single-family and multifamily construction but limited condo growth, highly concentrated new development in a handful of counties, and continued high cost burdens for renters, especially lower-income and older households. Leslie Deutsch of John Burns Research and Consulting said the national housing market is slow, Florida prices are easing but remain well above pre-pandemic levels, and affordability problems are being driven by land, construction, financing, and insurance costs; she urged more product diversity, including build-to-rent, townhomes, manufactured housing, and higher-density redevelopment tailored to local demographics. Members questioned the panel about density, vertical development, impact fees, construction costs, and incentives for local governments. Several senators said local governments need clearer direction or incentives to approve more housing, while others emphasized preserving local character and avoiding overdevelopment. The panel generally agreed that no single policy will solve the problem, but that Florida needs more housing types, more density in appropriate places, updated zoning and building codes, and a more market-responsive regulatory framework. After the presentations and discussion, the committee adjourned with no further business.

Transcript Highlights:

• in trouble.
• EPA, which resulted in a favorable verdict in... ...which resulted in a favorable verdict in September
• We have it available in harm reduction settings. We have it in vending machines in some cities.
• We used to put lead in our pipes, finally banned in 1986; lead in our paint, banned in 1977; and lead
• in the U.S.

Committee: Joint Joint Committee on Public Health

Keywords: 995, all

Summary: The Joint Committee on Public Health held a hearing focused on children’s health, disease prevention, screening, treatment, and pharmacy-related bills. The chair explained that the session was for public testimony only, with no votes or decisions taken that day, and outlined the three-minute limit for individual testimony. The committee then heard testimony on a range of bills, including H. 2413 on adding electromagnetic sensitivity to the state’s MAVEN registry, S. 1508 and H. 2433 on creating an amputation prevention task force, H. 2535 and S. 1551 on establishing a naloxone purchase trust fund, S. 1635 on authorizing pharmacists to provide opioid use disorder treatment, H. 2385 on creating a special commission on avian influenza, and S. 1497 on patient safety and non-FDA-approved compounded drugs. Testimony on H. 2413 came largely from advocates and individuals who described electromagnetic sensitivity as a real health condition and argued that adding it to the registry would improve data collection, provider education, and public awareness. Testimony on the amputation prevention task force bills came from the American Diabetes Association and podiatry groups, who said diabetes-related amputations are often preventable, disproportionately affect people of color, and could be reduced through earlier screening, better care coordination, and improved insurance coverage for preventive foot care. On the naloxone trust fund bills, a representative, emergency physician, and nurse testified that hospitals often cannot reliably send overdose patients home with naloxone because of billing and reimbursement barriers, and that a bulk-purchase fund would expand access at no added cost to payers or providers. The committee also heard strong support for S. 1635 from pharmacists and public health researchers, who said community pharmacists could safely initiate and maintain buprenorphine treatment and help close gaps in opioid use disorder care. On H. 2385, a local board of health chair supported a special commission on avian influenza, citing gaps in emergency preparedness and the need for clearer coordination across agencies. On S. 1497, a pharmacy representative opposed restrictions on compounded drugs from outsourcing facilities, warning that changes could reduce access to life-saving medications and harm patient safety. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• equity groups investing in the state or in the country, hedge funds, banks, you name it, in 120 different
• I'm going to show you this in some markets in a minute.
• I'm going to show you this in some markets in a minute.
• But the people that live in these markets in Orlando, in Tampa, in Naples, the markets here, West Palm
• Or are you going to be in, you know, my towns in Ohio?

Summary: The Committee on Community Affairs met with a quorum present and took up SB 122, which would repeal Chapter 205 on local business taxes while allowing municipalities to continue imposing a gross-receipts-based business tax on merchants. Senator Trumbull presented the bill for the sponsor, and committee members questioned what services local governments fund with local business tax revenue and whether the bill should be considered alongside broader property tax changes. County and city representatives opposed the bill, arguing that local business taxes are capped home-rule revenues used for general fund services such as public safety, zoning and licensure checks, economic development, and business support, and warning that repeal would shift costs to residential taxpayers and reduce local flexibility. Senator Shreve said he would vote no because of ongoing property tax discussions, while Senator Pizzo said he would support the bill but wanted clearer accounting of how the revenue is spent. The committee voted 5-1 to report SB 122 favorably. The committee then held a housing panel discussion focused on Florida’s housing shortage, affordability, and supply constraints. Dr. Samuel Staley said Florida is in a housing crisis driven largely by insufficient supply, arguing that the state needs roughly 100,000 additional units per year just to keep up with in-migration and that local planning systems often do not prioritize housing enough. He urged more emphasis on measurable impacts, streamlined permitting, accessory dwelling units, smaller lot sizes, and other market-responsive tools. Ann Ray of the Shimberg Center said Florida is seeing more single-family and multifamily construction but that production is concentrated in a handful of counties, while condo construction remains limited; she also noted that rents and home prices spiked sharply in the early 2020s and remain above pre-2020 levels, with nearly 905,000 low-income renters cost-burdened. Leslie Deutsch of John Burns Research said the national housing market is slow, Florida has a severe affordability problem, and builders are lowering prices and offering incentives but still face high land, labor, materials, and insurance costs. In committee discussion, senators focused on whether Florida should encourage more density, including townhomes, build-to-rent products, modular housing, and redevelopment of existing sites rather than relying on large new subdivisions. Members also discussed the role of local zoning, impact fees, density bonuses, and state incentives tied to housing targets. Several senators said Florida’s growth and affordability challenges require updating land development codes and planning for where future residents will live without overbuilding rural or environmentally sensitive areas. The chair closed by emphasizing that density can support affordability and that Florida should use existing footprints more efficiently.

Transcript Highlights:

• This is, in fact, the opportunity that is found here in this bill.
• point in time.
• And in closing.
• And in that time, Florida has exploded in population growth.
• In at least three cases in memory, these patients had no signs of diabetes in the retina and actually

Summary: The subcommittee met with a quorum present and took up five health-related bills. HB 1089, which would add Duchenne muscular dystrophy to Florida’s newborn screening panel, was presented as a way to enable earlier diagnosis and treatment; a pediatric neurologist from Nemours testified in support, noting existing FDA-approved therapies and ongoing clinical trials. After supportive debate, the bill passed 17-0 and was reported favorably. HB 1083 would standardize patient access to medical records by setting deadlines for providers to produce or allow inspection of records and requiring electronic delivery when available. Supporters said it would reduce delays in care and costs, while two industry groups appeared in opposition. Members from both parties spoke in favor, and the bill passed 17-0 and was reported favorably. HB 1297, which aligns Florida’s electronic prescribing rules more closely with federal law and removes some state exceptions, drew opposition from physicians who argued paper prescriptions are still needed for emergencies, shortages, and price shopping. The sponsor said the bill’s goals were patient safety, fraud prevention, and efficiency; despite concerns, it passed 18-0 and was reported favorably. The committee then considered PCS for HB 1421, the Emily Adkins Family Protection Act, which would create a statewide blood clot and pulmonary embolism registry, require hospital reporting and risk-assessment policies, and expand training requirements in hospitals, nursing homes, and assisted living facilities. The bill was presented with emotional testimony from Emily Adkins’ parents, who urged support and co-sponsorship in her memory. Members from both parties praised the family’s advocacy, and the PCS passed 18-0 and was reported favorably. Finally, HB 449 on optometry would expand optometrists’ authority to prescribe certain medications and perform specified laser and non-laser eye procedures after certification. The bill and amendment drew strong opposition from ophthalmologists and their association, who raised patient-safety, training, and delegation concerns, while optometrists argued the bill would improve access, especially in rural areas and counties without ophthalmologists. The amendment was adopted, and the bill as amended passed on a recorded vote and was reported favorably.

Transcript Highlights:

• years in it.
• We also put in OSI recommended that we put in the date. or if they are in an institution.
• years in it.
• We also put in OSI recommended that we put in the date. ...of this, we also put in OSI-recommended that
• One in support or opposition? One in support? All right.

Bills: SB20 , SB21 , SB166 , SB177 , SB181 , SB189 , SM6

Committee: Senate Senate Tax, Business & Transportation

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder

Transcript Highlights:

• The updated spaces in 2019 We passed a local bond in which we then had renewed in 2023, which has paid
• in real-time to what they're seeing visually in all directions simultaneously.
• would result in a net increase in jobs in the trucking industry, as well as an increase in GDP.
• It's in human nature. We get in a hurry and we speed. We don't pay attention.
• They are in our planning years in the STIP.

Transcript Highlights:

• It begins in January on health care issues. In advance of next session.
• Medicaid eligibility cause in ushered in under HR1 are here.
• You shared all your many efforts in working to try to mitigate these burdens through as much automation
• The Suquamish model is simple in principle, but ambitious in practice.
• Our first report in 2012 focused on reducing elective deliveries in C-sections.

Summary: The Senate Health and Long-Term Care Committee met on July 30, 2026, to hear two main briefings. The first, from the Health Care Authority, focused on implementation of federal H.R. 1 Medicaid changes and Washington’s rural health transformation funding. HCA said the state is preparing for major eligibility changes, including the October 1 loss of Medicaid coverage for about 14,000 lawfully present non-citizens and January 1, 2027 work requirements, six-month renewals, and reduced retroactive coverage for roughly 600,000 Medicaid expansion adults. Officials described outreach efforts, new automated verification systems, a verification hub, and plans to use available data sources to reduce manual paperwork, while noting that about one-third of the affected population may still need manual processing. They also said H.R. 1 will limit state-directed payments over time, with an estimated long-term impact of up to $1.5 billion in hospital reimbursements. On rural health transformation, HCA said it is moving quickly to obligate its $181 million federal award through contracts and competitive grants for rural hospitals, workforce, behavioral health, technology, and tribal and community partners. Committee members asked about the impact on rural providers, community service as a work-requirement pathway, emergency Medicaid, tribal and federal reimbursement issues, and whether the state would submit comments on the federal work-requirement rule. HCA said it would file comments, that emergency Medicaid coverage for certain services remains available, and that it is working with tribes and other agencies to avoid erroneous terminations and to move eligible people into other coverage where possible. Members also raised concerns about the administrative burden on families and providers and the need for congressional attention on issues such as TRICARE reimbursement. The second briefing addressed maternal health and the Department of Health’s Maternal Mortality Review Panel report. DOH said maternal mortality in Washington increased for the first time in the report series, but most pregnancy-related deaths remain preventable. Nearly half were linked to behavioral health conditions, especially overdose deaths, with suicide, cardiovascular disease, and COVID-19 also significant causes; most deaths occurred postpartum rather than during delivery. The report found higher mortality rates among American Indian and Alaska Native, Black, Native Hawaiian, Pacific Islander, multiracial, rural, and Medicaid-covered populations, and identified lack of access to care, financial hardship, housing instability, discrimination, bias, and systemic inequities as major contributors. DOH highlighted existing state actions such as one-year postpartum coverage, doula reimbursement, inpatient substance use treatment coverage for birthing people, and vaccine coverage requirements, and offered 12 legislative recommendations focused on affordable and high-quality care, basic needs and community supports, and equitable, culturally responsive services. Presenters from the Suquamish Tribe and Kitsap OBGYN described how the tribe acquired and stabilized a threatened OB-GYN practice to preserve regional access amid provider shortages and hospital service losses. They said rural obstetric care is difficult to sustain because of thin margins, workforce shortages, long travel distances, and higher-risk patients, and emphasized that tribal health systems can offer stronger reimbursement and integrated family-centered care. The Foundation for Healthcare Quality and the Bree Collaborative then outlined statewide maternity-care quality efforts, including work on perinatal behavioral health, care coordination, postpartum screening, doula support, and better-aligned payment models. They said Washington has strengths in innovation but still needs more OB-GYN capacity, better transitions of care, and more culturally responsive, trauma-informed maternal and Native health services.

Transcript Highlights:

• You see in blue. In the middle, it's like a thick rope that is taut.
• And more recently, in Canada, we tested it in the worst conditions for a 10-year storm in Chile before
• In Canada, we tested it in the worst conditions for a 10-year storm in Chile for our full-scale system
• in the area.
• regeneration in terms of food supply and also in terms of habitat.

Summary: The Select Committee on Climate Innovation and Infrastructure held a hearing focused on emerging technologies for climate resilience and infrastructure. The first panel discussed the Calistoga Resiliency Center, a utility-driven microgrid that keeps the city powered during public safety power shutoffs using hydrogen fuel cells, lithium-ion batteries, and liquid hydrogen storage. PG&E described microgrids as a resilience tool but emphasized that cost remains the main barrier to wider deployment. Energy Vault explained the project’s design, its ability to provide at least 48 hours of backup power on a small parcel of land, and its use of green hydrogen and battery storage to improve efficiency and reduce emissions. A Calistoga councilmember and NCPA representative also discussed the Lodi Energy Center hydrogen project, saying it could help decarbonize power generation and transportation, but that federal and state funding changes, tax credit timing, and other policy shifts have made the project difficult to advance. The Green Hydrogen Coalition supported the Calistoga model as a blueprint and urged policy changes to create demand and reduce barriers for renewable hydrogen, including addressing behind-the-meter rules and recognizing hydrogen in state energy planning. The second panel focused on water resilience and desalination, with the California Desal Association and Oneka Technologies discussing wave-powered desalination for the City of Fort Bragg. Cal Desal said California’s changing hydrology, reduced snowpack, and drought conditions make local water supply options increasingly important, but noted that conventional desalination is expensive and slow to permit. Oneka described its offshore, wave-powered system as a zero-electricity desalination technology that produces drinking water without greenhouse gas emissions and with limited land use, and said the Fort Bragg pilot is intended to demonstrate the technology under California conditions. The company and Cal Desal both stressed that permitting is a major obstacle, with the project requiring multiple agencies and a timeline far longer than in other jurisdictions. They also said the technology’s autonomous operation could improve water resilience because it does not depend on the electrical grid. The final panel featured the Climate Foundation’s marine permaculture proposal, which aims to restore kelp forests and support carbon removal and coastal food systems. The presenter said warming oceans and nutrient loss have devastated kelp forests along the California coast and argued that offshore platforms that raise and lower seaweed to access nutrients and sunlight could help regenerate ecosystems while producing food, feed, fertilizer, and carbon benefits. He said the technology has shown strong growth rates and storm resilience in other regions, but that California permitting remains a major hurdle, involving 17 state and federal agencies. He proposed a streamlined, code-based permitting approach for smaller projects and said the group is seeking matching funds to complete a first California pilot. Throughout the hearing, members and witnesses repeatedly highlighted the tension between innovation and the high cost, complexity, and length of California’s permitting and funding processes.