Transcript Highlights:

• Jurisdictions that plan under the GMA must adopt internally consistent comprehensive land use plans.
• Jurisdictions that plan under the GMA must adopt internally consistent comprehensive land use plans.
• Every 10 years, a county or city that is planning under the GMA must revise its comprehensive plan and
• The centerpiece of this whole planning process is the Comprehensive Plan.
• The Comprehensive Plan must contain... The comprehensive plan must contain certain elements.

Bills: HB2103 , HB2388 , HB2316 , HB2006 , HB2224

Committee: House Local Government

Keywords: renewable energy, nonemitting generation, public entities, contracting, electric generation, distributed energy, agricultural land, energy generation, renewable resources, siting regulations, land use, urban development, vegetation management, shrubsteppe, environmental regulation, economic development, sales tax, rural counties, industrial land banks, growth management

Transcript Highlights:

• sometimes said to be fully planning under the GMA.
• Fully planning jurisdictions must adopt internally consistent comprehensive land use plans and consider
• Fully planning jurisdictions must adopt internally consistent, comprehensive land use plans and consider
• You can still apply good planning principles.
• We reflected that in our recent comp plan update.

Summary: The committee heard Senate Bill 6026, which would require cities and counties planning under the Growth Management Act with populations of 30,000 or more to allow residential uses in commercial and mixed-use zones and bar local governments from requiring ground-floor commercial or retail as a condition of housing approval, with exemptions for certain sensitive areas and a carve-out for transit-oriented development station areas. The prime sponsor, Senator Alvarado, and supporters from the governor’s office, Commerce, housing advocates, developers, and major employers argued the bill would unlock underused land, reduce costs, and help address the state’s housing shortage. Opponents and local government representatives from small towns, counties, and cities said the bill could harm commercial corridors, small businesses, tax base stability, and local planning flexibility, and asked for narrower exemptions or additional carve-outs. No vote was taken on SB 6026 during the hearing. The committee then held executive action on Senate Bill 5937 and Senate Bill 5938. SB 5937, dealing with smart access systems and tenant privacy, was amended to clarify that keypad-only entry is not covered, require written privacy policies within five days of installation, and add operational purposes to allowable data collection; the committee adopted the amendment and advanced the bill with a due pass recommendation. SB 5938, which changes the foreclosure prevention fee and directs a Commerce study on a state homeowner assistance fund, was also amended to extend the study deadline and related expiration date; the committee adopted the amendment and moved the bill forward with a due pass recommendation. The committee then heard Senate Bill 6018, which would expand and modernize the Washington State Housing Finance Commission’s authority, including allowing direct mortgage lending to borrowers, extending bond counsel selection cycles, removing advance notice requirements for bond issuance, and repealing an outdated housing finance plan/program. The sponsor and the commission said the bill would improve efficiency and create new financing tools for affordable housing, while banking groups said they supported the goal but wanted clearer limits to ensure the commission would not enter first-mortgage lending for homebuyers. The sponsor and commission said they would work on clarifying language. Finally, the committee heard Senate Bill 6027 and Senate Bill 6028. SB 6027 would expand the use of local housing sales taxes and the Affordable Housing for All account to support operations, maintenance, rehabilitation, and preservation of existing affordable housing, update REET exemption timing, and align the definition of emergency housing with the Growth Management Act; local governments, housing providers, and advocates strongly supported the bill as a way to preserve existing housing amid rising costs and federal funding uncertainty. SB 6028 would create a revolving loan fund administered by the Housing Finance Commission to finance mixed-income affordable homeownership projects with long-term affordability covenants; the sponsor said it would help builders who have entitled sites but face high capital costs, and the hearing began with staff briefing and sponsor testimony, with questions from members starting as the transcript ended.

Transcript Highlights:

• Health plans will start submitting PA data to regulators next month.
• And this is a cost borne by patients, not dental plans.
• Covered California is not a health plan regulator.
• Enrollment in health plans is restricted to set periods.
• Kathy Mossberg, with the local health plans, same for us.

Summary: The Senate Committee on Health heard a series of bills focused on access to care, insurance coverage, and public health. AB 387 on youth sports AED access drew support from the author and safety advocates, but opposition from school, park, city, and county groups over liability, cost, and access concerns. The author said he would continue working on amendments to shift the bill toward requiring access to existing AEDs rather than mandating facility procurement. Committee members emphasized the life-saving purpose of the bill while also raising affordability and access concerns for youth sports programs. The committee also heard AB 1682, which would require health plans and insurers to cover FDA-cleared scalp cooling devices for chemotherapy patients. Supporters, including breast cancer survivors and health groups, described the emotional and quality-of-life benefits of preventing hair loss and said cost is the main barrier to access. There was no formal opposition, though one senator raised concerns about whether the mandate could exceed essential health benefits. The chair and members expressed support for the bill’s goals and said it would be taken up when quorum was established. AB 2093, a follow-up to the 988 crisis line law, sought to clarify statewide leadership, improve coordination among 988, 911, and mobile crisis teams, and create a more sustainable funding structure. Behavioral health organizations and crisis center representatives supported the bill, saying implementation challenges and demand growth require statutory fixes. Committee members generally supported the concept but noted the bill was a gut-and-amend and that additional work was needed with county and behavioral health stakeholders. The committee then heard AB 1843 on hepatitis C treatment, AB 1629 on dental assignment of benefits, AB 2540 on community college access to medication abortion services, and AB 1929 on disclosure of health plan investments. AB 1843 had broad support from medical and public health groups but opposition from health plans, which argued it conflicted with the prior-authorization framework in SB 306 and could raise drug costs. AB 1629 was supported by dental and patient advocates but opposed by dental plans and insurers over concerns about network participation and out-of-pocket costs. AB 2540 drew strong support from reproductive health advocates and student representatives, while community college health services and some others opposed or were neutral pending amendments; the author said the bill was about equity and accepted amendments to reduce burdens. AB 1929 was backed by labor and immigrant rights groups as a transparency measure, but opposed by health plans and insurers who said Covered California was not the right entity to administer the disclosures and that the information was already publicly available. Throughout the hearing, members repeatedly weighed public access and transparency against cost, administrative burden, and implementation concerns.

Transcript Highlights:

• The plans for Chingfield right now are waiting on the plans for the stadium.
• So, this is not your plan. This is the enrollment council's plan. This is the campus plan.
• Is there a plan?
• It's a much lower percentage. plan? Do you have a plan of steps to plan?
• Still no plan.

Keywords: 912, senate, all

Transcript Highlights:

• We don't really have a plan.
• we could right-size the plan.
• Where there is planning, it's spotty.
• And then you've heard our plans.
• But if we're going to provide the plan and design, and it's not going to be plan, design, and construct

Committee: Senate Senate Finance

Transcript Highlights:

• And this plan that has been out over the last few years, you know, tips and tricks and bills that we
• Strategic Plan last year.
• The plan is a 10-year plan designed to improve behavioral health for people from before birth through
• Third, it's an actionable plan.
• going forward through the Washington Thrive Strategic Plan.

Summary: The Senate Human Services Committee held an evening hearing on several bills. Senate Bill 6249, sponsored by Sen. Torres, would require all people convicted of stalking to be supervised by the Department of Corrections. Staff explained current community custody rules and said the bill would make stalking convictions subject to DOC supervision; the fiscal note had been requested but not yet received. The sponsor and several survivors and advocates testified in support, saying stalking is dangerous, victims need ongoing monitoring, and supervision could help prevent future harm. No vote was taken. The committee also heard Senate Bill 6255, sponsored by Sen. Lovelett, which renames and updates the Legislative Executive Poverty Reduction Oversight Task Force (LuPRO) as the Legislative Executive Economic Justice and Well-Being Task Force, expands membership, and revises duties to monitor and update the state’s 10-year plan to dismantle poverty. Staff said the bill has a partial fiscal note showing a $4,000 OSPI cost for a report, with no additional cost beyond that this biennium. Testimony from DSHS and a constituent supported the bill as a way to improve coordination and accountability in poverty reduction efforts. Senate Bill 6286, sponsored by Sen. Orwall, would authorize the Department of Health to fine private detention facilities that deny inspectors entry, with escalating daily fines and a new account to support people harmed by wrongful detention or ICE-related abuse. The sponsor and supporters framed the bill as a human rights and public health measure, citing complaints about food, sanitation, medical care, and mental health conditions in private detention facilities. The committee then heard Senate Bill 6224, sponsored by Chair Wilson, which would create a Children and Youth Behavioral Health Leadership Council to implement the Washington Thriving Strategic Plan and extend the existing work group. Supporters from state agencies, providers, parents, and advocates emphasized early intervention, cross-system coordination, and youth mental health needs; one witness opposed the bill, arguing it should focus more on non-psychiatric causes of distress. The hearing ended with no recorded votes or final action on the bills.

Transcript Highlights:

• So when the association develops a plan, do they... who approves the plan?
• Give us a good plan, though. You got to give us a good plan.
• Give us a good plan, though. You got to give us a good plan.
• </c> in a a business plan a farming plan to in a a business plan a farming plan to cultivate<01:03:47.640
• </c><01:13:46.480><c> what</c> the plan we already agree the plan what the plan we already agree the

Keywords: 912, senate, all

Summary: The joint Ways and Means and Hawaiian Affairs committee heard a budget presentation from the Department of Hawaiian Home Lands on its biennium requests for critical projects, repairs and maintenance, and operations. DHHL described its role in administering the Hawaiian Home Lands Trust, noted the large beneficiary wait list, and said prior funding, including Act 279, has helped the department accelerate land development and reduce vacancies. Officials said they have about 47,219 applications involving 29,548 Native Hawaiians, roughly 28 projects underway, and that about $471 million of a $600 million appropriation has been encumbered, with the remaining lapse-fix funds expected to be resolved before the June 30, 2026 deadline. DHHL emphasized that its current request would support additional lot development and could help produce roughly 6,000 units from the existing project pipeline, with another phase of requests potentially adding about 2,000 more units. The department said it is prioritizing shovel-ready projects, accelerating lease awards and orientations, and using a mix of approaches including paper leases, rental-with-option-to-purchase, owner-builder, and loan programs. Officials also discussed a shift toward denser urban development, citing projects in West Oahu and Honolulu, and said the department is working to reduce its vacancy rate and move beneficiaries onto the land more quickly. Members questioned why Oahu, despite having the largest wait list, was receiving comparatively lower amounts, and DHHL responded that land availability and cost drive those decisions, with Oahu having limited developable land and very high acquisition costs. The department pointed to land acquisition on Kauai and other islands, and to urban high-rise projects that can yield far more units on small parcels. Members also raised long-term maintenance and wildfire risk, asking whether current acquisition and development choices account for future infrastructure costs; DHHL said maintenance is a growing concern, especially on large unused or isolated lands, and that it is pursuing Firewise planning, federal funds, and partnerships to reduce risk. The discussion also touched on mixed-use and community-led development, with DHHL explaining that it leases land to nonprofit homestead associations under general leases with milestones, business-plan requirements, and land-use restrictions to support local services and community goals.

Transcript Highlights:

• : planning goals, current conditions.
• , that means that when you look at our forest plan, there's actually language.
• I guess that's a product of good planning.
• We've developed some plans for buffer zones, but Mr. Chair, the reality is...
• I'm glad that we are implementing the plan that we are.

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

Transcript Highlights:

• >> Yes, we can. >> And that's what DHRD is planning to do. >> Um, we had planned to do that for next
• in the plan year itself.
• <00:30:57.960><c> year,</c> plan year, plan year, um<00:30:59.200><c> they</c><00:30:59.480><c> can</
• This is relating to cafeteria plans.
• This is relating to cafeteria plans. plans. plans.

Committee: Senate Labor and Technology

Keywords: 912, senate, all

Summary: The Senate Committee on Labor and Technology heard testimony on several measures relating to public employment, the Hawaii Employer-Union Health Benefits Trust Fund (EUTF), retirement benefits, and cafeteria plans. HB 2472 and HB 2276, both concerning EUTF staff and investment office staff salaries, drew support from the trust fund and labor groups, and no opposition was heard in person. HB 2272 and HB 2273, emergency appropriations for public employment cost items, were supported by the administration and labor representatives; members briefly clarified which bargaining units were covered. A longer discussion centered on HB 1664, which would address a dispute mechanism for EUTF-related negotiations. HGEA said the current process lacks a dispute resolution path and that the bill would allow interest arbitration when the state and union disagree. The Department of Human Resources Development and the Budget and Finance director raised concerns about consistency across bargaining units and the role of an arbitrator unfamiliar with the complexities of the system. Senator Moriwaki questioned whether another dispute forum might be more appropriate, but no alternative resolution was settled. The committee also heard HB 1655, which would make retirement benefits negotiable, and HB 1658, concerning collective bargaining repricing. ERS opposed HB 1655, saying it could create administrative and tax problems if retirement benefits were negotiated separately across many bargaining units, while UPW, HGEA, HSTA, and UPA supported it as a bargaining issue. On HB 1658, DHRD explained that repricing is an internal classification tool meant to preserve equal pay for equal work, not to address market pay, and said a single arbitrator or the Merit Appeals Board could handle disputes; HGEA preferred a neutral arbitrator and opposed the Merit Appeals Board as too employer-controlled. The final measure, HB 1661 on cafeteria plans, was supported by UPW and HGEA. DHRD said it planned to raise the maximum contribution through rulemaking but needed to manage plan solvency and timing because IRS limits change on a calendar-year basis while the state plan runs on a fiscal year. The committee then moved into decision-making and adopted recommendations to pass HB 2472 and HB 2276 as amended/unamended after a brief correction to the vote language.

Transcript Highlights:

• So is there a plan for that region?
• But we do have that plan.
• And we have plans specifically for those.
• What's the plan? What can we do to accelerate that? Because... What's the plan?
• This plan could also include plans about innovative ways to use funding to finance new construction or

Keywords: 987, senate, all

Transcript Highlights:

• THE PROCESS OF SUBMITTING THE PLAN, IT IS ABOUT HAVING A PLAN RECOGNIZED THAT THE PLAN IS GOING TO MODIFY
• SO THE PLANS HAVE ALL BEEN APPROVED. WE WILL TALK TO THE NUMBERS IN JUST A MOMENT.
• HOWEVER, THE NEXT STEP IS TO HAVE A REUSE PLAN.
• WE PLAN ON HAVING THE FIRST FACILITY IN THE STATE OF FLORIDA GO ACTIVE THIS YEAR.
• CONTROL VIA LOCAL REFERENDUM, IMPROVES PLANNING FOR LARGE RESILIENCY PROJECTS, INCREASES PLANNING FOR

Keywords: 999, senate, all

Transcript Highlights:

• But the state plan has a regional plan, setting the state up as a kind of a regional area.
• But state plan has a regional plan.
• But state plan as a regional plan, setting the state up as a kind of a regional area.
• Currently, we have 10 planning regions. It would go to one planning region.
• So right now, we have two separate state plans. We have a WIOA plan, and we have a Perkins plan.

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

Summary: The meeting focused on Arkansas’s proposed workforce system overhaul, including a combined WIOA/Perkins state plan and a package of federal waiver requests intended to consolidate workforce governance, reduce administrative costs, and redirect more funding to training and supportive services. Commerce officials said the plan would replace the current structure of 10 local workforce boards and more than 200 board members with a single statewide board and one administrative entity, while keeping local offices open and using regional business councils to preserve employer and local input. They said the state has already reduced Commerce headcount and operating costs, and that the changes would improve coordination with higher education, adult education, vocational rehabilitation, DHS, and Arkansas Industry Connect. Much of the discussion centered on the waiver package, especially the proposal to make the state board function as the local board, allow more flexible movement of funds across regions, eliminate the WIOA “last dollar” requirement for training and supportive services, create affiliate sites instead of requiring every area to maintain a comprehensive center, and relax the 14 youth program element requirement. Officials said the State Board of Workforce Development approved the waiver package 11-3 before it was submitted to the U.S. Department of Labor, and that implementation would begin only after federal approval and a closeout process, likely taking up to a year. They also described plans to streamline referrals and data sharing, expand mobile and virtual services, and use a more centralized model to improve customer service and employer engagement. Members raised repeated concerns about rural representation, local control, board composition, and whether jobs and relationships would be lost if local boards were eliminated. Commerce officials responded that local offices would remain open, some current staff could be rehired by the state, and regional business councils would help ensure local employer voice. Several members also questioned how the funding was being used, citing audit findings that only about $1.8 million to $1.9 million of roughly $14 million to $15 million in federal workforce funds had gone to training and supportive services. Officials said the reorganization could increase annual training spending to roughly $6 million to $7 million by reducing overhead, one-stop operator contracts, and board administration. The committee also discussed how the changes might support workforce training facilities, apprenticeships, child care and transportation assistance, and employer-driven training in fields such as manufacturing, health care, technology, and welding. The Division of Higher Education also briefed members on Workforce Pell. Officials explained that the new federal program would extend Pell eligibility to short-term programs, but only within narrow limits, such as 150 to 599 clock hours and 8 to 15 weeks of instruction, with additional completion and employment benchmarks. They said Arkansas is working with colleges and universities to identify programs that fit the criteria and that the governor has designated the Division of Higher Education to lead implementation. No votes were taken by the committee during this portion of the meeting.

Transcript Highlights:

• ><c> and</c><00:01:51.040><c> the</c> changed was health plans and the changed was health plans and the
• have a commercial plan, the commercial plan<00:04:14.200><c> must</c><00:04:14.560><c> cover</c><00:
• 04:14.880><c> medical</c><00:04:15.280><c> necessity</c> plan must cover medical necessity plan must
• Health plans are not lawmakers.
• </c> Health [snorts] plans are not lawmakers. Health [snorts] plans are not lawmakers.

Keywords: 918, senate, all

Summary: The committee heard public testimony on a health insurance/home care nursing provision and on other consumer protection items. Nick Keis and Emily Walters, both parents of medically complex children, testified that commercial health plans had recently begun capping home care nursing as if it were intermittent home health visits, which they said was contrary to Minnesota law and legislative intent dating to 2010. They described severe impacts on their families, including hospitalizations, loss of nursing coverage, strain on waiver budgets, and the risk of children being forced out of the home and into institutions. Representative Bierman echoed that the bill was a straightforward clarification of existing law, not a new mandate or added cost, and a staff member later cited the statutory definition of home care nursing as ongoing, continuous nursing services that cannot be met through intermittent or visit-based care. The committee also discussed the practical difference between home health visits and private duty/home care nursing, with testimony emphasizing that the latter is medically necessary, assessed, and not unlimited in practice. Laura Sales of the Minnesota Attorney General’s Office testified on changes to the Consumer Protection Restitution Fund (CIPRA). She said the fund has begun distributing restitution, starting with consumers harmed by the closure of Woodbury Dental Arts, but that current statutory language limits the office’s flexibility to prorate payments. She asked for an amendment allowing the AGO to distribute available funds more equitably so more eligible consumers can receive some payment, rather than requiring full payment to the oldest claims first. Annette Meeks, representing Citizens Against Gambling Expansion, testified in support of banning sweepstakes gambling in the Commerce Committee omnibus report. She argued that online sweepstakes casinos are an illegal gray-market form of gambling, cited rapid growth and billions in revenue, and said other states have acted through enforcement and legislation to stop them. She urged the committee to include language from Senate File 4474 to clarify state law and prohibit sweepstakes gambling. No votes were taken in the portion of the meeting shown; members mainly asked questions and received testimony.

Transcript Highlights:

• Where are things with your overall master plan?
• that goes with that strategic master plan.
• Give it a business plan along with the strategic plan.
• And so, have you had any conversations about their plans, their future plans for that facility?
• Border master plan for transportation.

Committee: House New Mexico Finance Authority Oversight Committee

Transcript Highlights:

• Consumers similarly are switching into those bronze plans out of more generous plans, and termination
• We do the very... platinum plan.
• We do the very best we can within the federal rules to make a bronze plan as good as a bronze plan can
• more generous plans.
• plan.

Summary: The joint informational hearing of the Senate and Assembly Health Committees focused on the “cost of uncertainty” in health coverage, access, and affordability amid federal policy changes. Opening remarks from committee leaders and members emphasized that California’s gains under the Affordable Care Act and Health for All policies—high coverage rates, consumer protections, and lower uninsured rates—are now threatened by federal rollbacks, including the expiration of enhanced premium tax credits and H.R. 1. Members repeatedly cited rising premiums, skipped care, medical debt, and the risk of coverage losses, especially for low-income Californians, workers, seniors, and immigrant communities. The first panel featured federal policy and state implementation experts, including Don Joyce, Jessica Altman of Covered California, and Elizabeth Lansberg of HCAI’s Office of Health Care Affordability. Testimony described the ACA’s coverage expansions and the current federal threats: shorter open enrollment, more verification requirements, loss of enhanced subsidies, and changes affecting immigrants and preventive coverage. Covered California reported that average monthly premiums could nearly double without the subsidies, new enrollment is down sharply, and more consumers are shifting into bronze plans with higher deductibles. HCAI explained its affordability strategy through spending targets, consolidation review, and primary care investment, while members asked about the impact of federal cuts on provider taxes, uncompensated care, and whether California can sustain coverage without new revenue. The second panel, with UC Berkeley Labor Center’s Miranda Dietz and California Health Care Foundation’s Christoph Stremikis, broadened the discussion to statewide cost drivers and consumer impacts. They highlighted that more than half of Californians under 65 rely on job-based coverage, yet premiums, deductibles, and out-of-pocket costs have risen faster than wages. They also pointed to medical debt, administrative waste, market consolidation, and underinvestment in primary care as major drivers of unaffordability. Members asked about the 25% of health spending that does not improve patient care, the role of fraud versus administrative friction, the effect of cost growth targets on workers, and the need for preventive care and possible revenue solutions. The hearing then moved to a third panel on human impacts, beginning with testimony from a Central Valley promotora describing how families are choosing lower-tier coverage, struggling with diabetes care, and facing higher premiums after subsidy losses.

Transcript Highlights:

• What master plans would be looking at?
• What master plans would be looking at?
• So that coordination is critical, and our plans are ever evolving.
• is so we can plan that in our resource planning annually.
• and put on the plans, a lot of that can be resolved on the front end during those planning meetings.

Summary: The Economic Infrastructure Subcommittee met with a quorum present and first heard HB 11 from Representative Robinson. The bill would address an unintended consequence in Florida’s municipal utility surcharge law by requiring the same water/utility rate for residents when a utility facility is physically located within one municipality but owned by another, rather than allowing the owning municipality to impose a 25% surcharge. The sponsor and several members described it as a fairness issue affecting residents who do not receive local tax support for the facility but still bear the surcharge. Public testimony included support from AARP and Miami-Dade County and opposition from North Miami Beach. The bill was reported favorably on an 18-0 vote. The committee then held a panel discussion on utility use of public rights-of-way and utility relocation. Panelists from FDOT, county government, gas, water, electric, and communications sectors described the permitting process, noting that FDOT uses a detailed utility accommodation manual and that local governments may use permits, franchise agreements, or ordinances depending on the utility type. They emphasized that utilities often must coordinate early with agencies using long-range work programs and project plans, and that the process differs by utility and jurisdiction. Communications witnesses discussed Chapter 337 and the 60-day local permitting shot clock, while others noted the role of Sunshine State One Call in locating facilities before excavation. A major focus was who pays for relocations when road or infrastructure projects require utilities to move. FDOT and several panelists said utilities generally bear the cost when they are in public right-of-way, with exceptions such as certain interstate/interchange projects and easement impacts. Utility representatives said relocations are often effectively new builds, can be costly, and are ultimately reflected in rates or customer costs. Members also asked about easements versus right-of-way, damage and disputes during construction, broadband workforce needs, and whether legislation could improve coordination. Panelists largely said the existing process works best when agencies, contractors, and utilities communicate early and continuously, and that more legislation may not be necessary compared with better planning, staffing, and use of technology.

Transcript Highlights:

• Health plans will start submitting PA data to regulators next month.
• And this is a cost borne by patients, not dental plans.
• Covered California is not a health plan regulator.
• Enrollment in health plans is restricted to set periods.
• Kathy Mossberg with the local health plans, same for us.

Committee: Senate Health

Keywords: 987, senate, all

Transcript Highlights:

• AB 1849 is also consistent with the Air Board's climate change scoping plan and multiple plans released
• 7,000 beds in early planning.
• this case, from UC Santa Cruz—they have a long-range plan, a long-range development plan that every
• So each campus has a different plan.
• That's... 10-year plans at the UC each campus put out, sort of outlining plan development for the next

Committee: House Natural Resources

Keywords: 988, house, all

Transcript Highlights:

• And I think our state plan needs to reflect that.
• So we would like to see that built into the next iteration of the state plan.
• So part of the problem is no one's planning before the diagnosis happens.
• And then is there any plans, or should we make plans?
• And then is there any plans, or should we make plans to reapply for the funding?

Committee: All ALZHEIMER'S DISEASE AND DEMENTIA ADVISORY COUNCIL

Summary: The Arkansas Alzheimer’s Disease and Dementia Advisory Council met to introduce members, adopt its rules and procedures, approve prior minutes, and authorize the co-chairs to approve special expenses. The main discussion focused on updating the Arkansas State Plan for Alzheimer’s disease and dementia, with David Cook of the Alzheimer’s Association outlining major changes in prevalence, caregiving burden, diagnostics, and treatment since the prior plan. He noted rising disease and caregiver numbers in Arkansas, the expansion of amyloid PET access, the growing use of blood-based biomarkers, and the availability of FDA-approved treatments such as Leqembi and Kisunla, while emphasizing that access, insurance coverage, and provider education remain major barriers. Members and presenters also discussed the need to better reach rural primary care providers, who may not be aware of new diagnostics and therapies, and the bottlenecks caused by limited specialists and infusion capacity. There was concern about overreliance on blood tests without confirmatory evaluation, and several members stressed the importance of collaboration, public education, and promoting brain health through exercise and diet. The council also heard about existing programs such as the dementia services coordinator, the BOLD grant, caregiver respite grants, workforce training, and a pilot dementia resource center with UAMS Centers on Aging. The council approved a new four-part outline for the next state plan: advancing risk reduction and brain health/early detection, strengthening family caregiver support, improving access to diagnostics and treatment, and supporting access and quality of care, including workforce and crisis response. Members also agreed to consider future agenda items on new treatments, brain health and lifestyle prevention, workforce training, and possible legislative changes to the enabling statute. The meeting ended with discussion of scheduling the next meeting, tentatively set for August 12 in Hot Springs, and adjournment.

Transcript Highlights:

• Chair, of the Performance Audit Work Plan, if that is your prerogative.
• We develop our work plan in two-year cycles.
• We typically start, you know, 175, 200-some topics; for this work plan, it's around 200.
• I want to make sure that you know the work that we're going to be planning to do.
• One audit on the work plan deals with agriculture: animal disease monitoring response.

Summary: The committee meeting began with a brief explanation of the renamed Joint Legislative Audit Review Committee subcommittee, now called the Committee to Hear SAO Performance Audits, and a presentation from the State Auditor’s Office on its current biennium performance audit work plan. The auditor described how topics are selected from a large pool of potential audits and highlighted several ongoing or planned audits, including the Liquor and Cannabis Board, oversight of authorized entities serving students with disabilities, the Quality Home Care Initiative, Medicaid managed care versus fee-for-service costs, the Housing Commission tenant ownership follow-up, DSHS vendor payment patterns, implementation of the Since Time Memorial curriculum, and the Washington State ferry system. Members asked about coordination with JLARC to avoid duplication, and the auditor said the offices exchange work plans, monthly updates, and quarterly coordination meetings. The committee then heard the State Auditor’s performance audit on how charter schools identify and support at-risk students. Auditors reviewed four charter schools—Catalyst Public Schools, Innovation High School, Pinnacles Prep, and Rainier Prep—and focused on English language learners, homeless students, and special education students. The audit found the schools met nearly all legal requirements reviewed, with only one area where two schools partially met a language-access requirement. The schools also used several promising practices, including small-group instruction, culturally responsive environments, and multi-tiered systems of support, though the auditors recommended better documentation of procedures to improve consistency. Families interviewed generally reported positive experiences, while noting resource constraints. Committee members asked about how the four schools were selected, whether the audit compared charter populations to home districts, and how MTSS requirements applied to the schools reviewed. The State Auditor’s Office said the sample was chosen for geographic diversity, student population characteristics, and representation from both authorizers, and that K-2 MTSS requirements were not evaluated because they applied to only one school. Representatives from the Charter School Commission and charter school advocates responded positively, emphasizing technical assistance, collaboration, and sharing best practices across schools. Two public testifiers also supported the report and said it highlighted effective practices that could be expanded across charter and traditional public schools.