Transcript Highlights:

• SB 1325 is about equity and creating opportunity. SB 1325 is about equity and creating opportunity.

Committee: Senate Human Services

Keywords: 987, senate, all

Transcript Highlights:

• This bill is sponsored by SAG-AFTRA and supported by the California Federation of Labor Unions, Tech Equity
• This bill is sponsored by SAG AFRA and supported by the California Federation of Labor Unions, Tech Equity

Committee: Senate Privacy, Digital Technologies, and Consumer Protection

Keywords: 987, senate, all

Transcript Highlights:

• neighborhoods, I believe, will make a big difference for people to be able to buy their own home, build equity
• neighborhoods, I believe, will make a big difference for people to be able to buy their own home, build equity

Committee: House Business

Keywords: 989, all

Transcript Highlights:

• A central component of that plan is our commitment to diversity, equity, inclusion, and accessibility
• For us, equity and safety are inseparable.

Keywords: 988, house, all

Transcript Highlights:

• A central component of that plan is our commitment to diversity, equity, inclusion, and accessibility
• For us, equity and safety are inseparable.

Summary: The joint sunset oversight hearing reviewed five California regulatory entities: the Respiratory Care Board, the California Council for Interior Design Certification, the Speech-Language Pathology, Audiology, and Hearing Aid Dispensers Board, the Board of Occupational Therapy, and the Board of Naturopathic Medicine. Each agency described its mission, recent modernization or enforcement work, and requested continuation of its authority. Committee members focused on access to care, workforce impacts, fee structures, transparency, and whether proposed changes would improve public protection without creating unnecessary barriers. For the Respiratory Care Board, the main issues were a possible move from an associate to a bachelor’s degree for entry-level licensure, fee cleanup changes, and ongoing work on the role of LVNs in respiratory tasks. Board representatives said the degree change would better align with national trends and could support future reimbursement and professional advancement, while public commenters and some legislators warned it could worsen shortages, especially in rural and underserved areas. Much of the public testimony centered on families and facilities relying on LVNs for trach and ventilator care in congregate living health facilities, with requests to preserve or expand exemptions. The board also discussed its reserve cap and efforts to modernize licensing and enforcement systems. The interior design item drew the most debate. CCIDC leaders argued the current voluntary certification/title-act model works, that complaints have not shown public harm, and that licensure would disrupt the workforce and create barriers for experienced designers. Committee members questioned the lack of enforcement authority, transparency, and whether the model provides enough accountability or consistent plan acceptance by local jurisdictions. Public testimony was split between supporters who said the current system is flexible and effective, and critics who said the private structure lacks accountability and creates confusion, especially for commercial work and plan check acceptance. The Speech-Language Pathology, Audiology, and Hearing Aid Dispensers Board reported major modernization gains, including online licensure processing, faster application times, new continuing education audits, and updated supervision and advertising rules. Members and stakeholders discussed a proposed audiology assistant license, which the board and the California Academy of Audiology supported as a way to improve access to care and reduce workload pressures. The Occupational Therapy Board described strong enforcement and licensing performance, a new strategic plan, and a request for additional fee authority to address rising costs and reserve concerns; public testimony largely supported the board and a proposed reduction in advanced practice hand therapy training hours. The Naturopathic Medicine Board emphasized consumer protection, unlicensed practice enforcement, and consumer confusion over titles, saying most of its enforcement workload involves unlicensed activity and that stronger title protection and clearer statutory authority are needed.

Transcript Highlights:

• A central component of that plan is our commitment to diversity, equity, inclusion, and accessibility
• For us, equity and safety are inseparable.

Summary: The joint Assembly and Senate business committees held a sunset review hearing for five California regulatory entities: the Respiratory Care Board, the California Council for Interior Design Certification, the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board, the Board of Occupational Therapy, and the Board of Naturopathic Medicine. Each board or council described its licensing, enforcement, modernization, and consumer-protection work since the last review, and committee members focused on workforce access, transparency, fee authority, and whether current regulatory structures are appropriately tailored to public safety. For the Respiratory Care Board, the main issue was a proposal to move toward a bachelor’s degree requirement for licensure. Board representatives said the change would better align education with the complexity of care and could help the profession’s long-term status and reimbursement prospects, but Assembly Member Addis and others raised concerns about rural access, staffing shortages, and added barriers to entry. Public commenters, including respiratory therapists, families, and congregate living health facility operators, strongly opposed the degree mandate and urged continued use of LVNs for certain respiratory tasks in community settings. The board also discussed its ongoing work on LVN respiratory care issues, updated suctioning guidance, digitized licensing and enforcement systems, and fee cleanup language. The interior design item drew the most debate. CCIDC leaders defended the current title-act certification model, arguing it establishes competency without evidence of public harm and avoids the disruption a full licensure system could cause. Several committee members questioned the lack of enforcement authority, the private nonprofit structure, Bagley-Keene compliance, and whether certification meaningfully improves plan acceptance or public safety. Public testimony was split: supporters said the system works and preserves flexibility, while opponents argued the model lacks accountability, creates confusion, and does not reliably prevent plan-check denials or protect the public. The speech-language pathology/audiology board reported major modernization gains, including a new online licensure system, faster processing, continuing education audits, and updated supervision and advertising rules; it also received support for creating a new audiology assistant license category, while a consumer group urged more public members, proactive inspections, and faster discipline. The occupational therapy board reported growth, improved enforcement and licensing performance, and a need for additional fee authority to address rising costs, while public testimony supported reducing advanced practice hand therapy training hours. The final naturopathic medicine item began at the end of the transcript, but no substantive discussion was captured before the excerpt ended.

Transcript Highlights:

• A central component of that plan is our commitment to diversity, equity, inclusion, and accessibility
• For us, equity and safety are inseparable.

Summary: The joint sunset oversight hearing reviewed five California regulatory entities: the Respiratory Care Board, the California Council for Interior Design Certification, the Speech-Language Pathology, Audiology, and Hearing Aid Dispensers Board, the Board of Occupational Therapy, and the Board of Naturopathic Medicine. Each agency described its licensing, enforcement, modernization, and consumer-protection work since the last review, and committee members focused heavily on workforce access, public safety, transparency, and fee authority. For the Respiratory Care Board, the main issues were a possible move from an associate’s degree to a bachelor’s degree for licensure, fee structure changes, and ongoing work on LVNs performing respiratory tasks. Board representatives said the degree proposal was intended to strengthen competency and could be phased in without harming access, but several public commenters—especially respiratory therapists and families of medically fragile children—argued it would worsen shortages, particularly in rural and low-income areas. Other stakeholders supported clarifying LVN authority in congregate living health facilities, while the California Medical Association flagged the proposed Advanced Practice Respiratory Therapist classification as having limited current workforce impact. The interior design segment drew the most debate. CCIDC leaders defended the current voluntary certification/title-act model, saying it establishes competency, has produced minimal complaints, and that licensure would unnecessarily disrupt the workforce and create barriers without demonstrated public harm. Committee members questioned the lack of state-style enforcement authority, transparency, and Bagley-Keene compliance, and some public commenters criticized the private structure and inconsistent plan acceptance in local jurisdictions. Supporters of the current system said the certification and commercial designation help educate building officials and allow qualified designers to work safely, while opponents argued licensure would provide clearer accountability and reduce confusion. The speech-language pathology, audiology, and hearing aid dispensers board reported major modernization gains, including online licensure processing, faster turnaround times, and new continuing education audits and advertising rules. The board supported creating a licensed audiology assistant category to improve access to care, and public commenters generally backed the board while urging continued modernization. The occupational therapy board described steady growth, improved enforcement and licensing performance, and requested additional fee authority to address rising costs; the main public comment supported the sunset extension and a reduction in advanced practice hand therapy training hours. The naturopathic medicine board emphasized consumer protection, enforcement against unlicensed practice, and the need to clarify statutes; it said most licensed naturopathic doctors practice in underserved areas and welcomed legislative collaboration on scope and enforcement issues.

Transcript Highlights:

• We use lived experience and disaggregated data to remove barriers and improve equity, and the result
• strategic plan shows up in the daily work. disaggregated data to remove the barriers and improve equity

Committee: House Ways and Means

Keywords: 1183, house

Transcript Highlights:

• My name is Alisey Bojani, and I'm here testifying on behalf of Legal Voice, a gender equity and reproductive
• My name is Elisei Bojani, and I'm here testifying on behalf of Legal Voice, a gender equity and reproductive

Bills: SB6011

Committee: House Civil Rights & Judiciary

Keywords: court security, bailiffs, threat assessment, judicial safety, law enforcement, 904, all

Transcript Highlights:

• This will ensure that the department is able to see the different trends, whether private equity is starting
• facilities, and this will ensure that the department's able to see the different trends, whether private equity

Bills: SB241 , SB145

Committee: Senate Senate Finance

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Transcript Highlights:

• Which seems to me, I'm really hearing your point about fairness and equity.
• Department of Revenue here in support of House Bill 2487, agency request legislation. 2487 is about tax equity

Bills: HB2038 , HB2297 , HB2382 , HB2487 , HB2018

Committee: House Finance

Keywords: HB2038, Washington, B&O tax, business and occupation tax, social media tax, platform tax, youth behavioral health, mental health, adolescent mental health, children's mental health, telebehavioral health, behavioral health account, state treasury, digital services tax, internet platform, social media companies, youth services, depression, anxiety, public health funding

Transcript Highlights:

• Which seems to me, I'm really hearing your point about fairness and equity.
• Department of Revenue here in support of House Bill 2487, agency request legislation. 2487 is about tax equity

Summary: The committee heard briefings, sponsor presentations, and public testimony on several finance bills. HB 2038 would impose an additional B&O tax on businesses operating social media platforms beginning in 2027 and create a youth behavioral health account funded by the tax. The sponsor argued the bill would help address youth mental health harms linked to social media and support implementation of the Washington Thriving plan. Supporters in testimony, including youth advocates and some public health voices, said social media contributes to youth anxiety and addiction and that the revenue should be used for behavioral health services. Opponents, including technology and business groups, argued the tax unfairly singles out one sector, could be passed on to consumers, and may violate federal internet tax law. The hearing on HB 2038 was suspended and later reopened for public testimony; no vote was taken. HB 2297 would create tax incentives for grocery stores in underserved communities, including local B&O preferences, a sales tax exemption for security services, a 30-year property tax exemption program, a B&O tax credit, and a B&O exemption for certain locally owned or employee-owned stores. The sponsor and supporters said the bill is intended to preserve and attract grocery stores in food deserts, especially after recent store closures, and to help communities with limited transportation and access to healthy food. County representatives supported the goal but raised concern about the bill’s sales tax exemption and its effect on local revenues. Public testimony was largely supportive, with advocates, local officials, grocers, and residents describing grocery stores as essential community infrastructure. No action was taken. HB 2382 would raise cigarette taxes by $2 per pack, restructure vapor and other tobacco product taxes, and dedicate portions of the revenue to a time-sensitive emergency system, tobacco enforcement, and the foundational public health services account. The sponsor said the bill would generate needed revenue, support cancer research funding, and strengthen public health and enforcement. Supporters said higher tobacco taxes reduce use and help cover long-term health costs, while some public health witnesses supported the revenue but suggested directing more funds to existing tobacco prevention accounts. Opponents from retail and industry groups argued the proposal is regressive, could increase illicit sales and cross-border purchasing, and would hurt small businesses and low-income consumers. The committee also heard HB 2487, a Department of Revenue request bill that would narrow the B&O exemption for insurers to clarify that it applies only to premium income subject to insurance premium tax, and apply the change retroactively to 2019. The sponsor and supporters said the bill closes a loophole created by a recent Supreme Court ruling and preserves tax equity, while insurers and business groups objected to the retroactive application, warning of higher premiums and unfair taxation. Finally, HB 2018 would increase the solid waste tax by 0.5% per year for five years and direct the new revenue to a local government solid waste assistance account for county and city waste management plans. County officials supported the bill as a way to stabilize funding for solid waste systems, and testimony emphasized rising disposal and infrastructure costs. No votes were taken on any of the bills during the hearing.

Transcript Highlights:

• Rachel, we've had a lot of conversations about the importance of diversity, equity, inclusion, and the
• ...the importance of diversity, equity, inclusion, and the work of the Heal Act in relationship to addressing

Bills: HB2170 , HB2544 , HB2578

Committee: House Agriculture & Natural Resources

Keywords: natural climate solutions, ecosystem services, revenue generation, economic opportunities, environmental policy, water rights, adjudication, Columbia River, environmental impact, natural resources, tribal members, fish and wildlife, commission, indigenous rights, state regulation, 904, all

Transcript Highlights:

• Our mission is reflected in our name: to bend the arc of oral health toward equity.
• And our mission is reflected in our name to bend the arc of oral health toward equity.

Bills: SB6138 , SB5899 , SB6072 , SB6094

Committee: Senate Health & Long-Term Care

Keywords: dental procedures, sedation, patient safety, multiprovider system, healthcare regulation, chiropractic, animal care, veterinary medicine, license endorsement, nonhuman animals, veterinarian-client-patient relationship, VCPR, veterinary telehealth, telemedicine, teletriage, teleadvice, animal health, licensed veterinarian, Washington veterinary board, prescription drugs

Transcript Highlights:

• And our mission is reflected in our name to bend the arc of oral health toward equity.
• And our mission is reflected in our name to bend the arc of oral health toward equity.

Summary: The committee first heard Senate Bill 5899, which would create a chiropractic license endorsement allowing qualified chiropractors to perform chiropractic diagnosis and adjustments on non-human animals. The sponsor described it as a complementary tool to veterinary care, especially in rural areas with limited access to veterinarians. Testimony was mixed: supporters said the bill would expand access to animal chiropractic with training, certification, and veterinary referral to non-chiropractic issues, while opponents from the veterinary community warned about animal and public safety, disease detection, and the lack of a required veterinary referral. The hearing on SB 5899 was suspended and later reopened; testimony concluded with strong support from animal chiropractic practitioners and opposition from veterinarians, and the committee noted 57 signed in pro, 4 con, and 1 other. The committee then held a work session on dental workforce shortages. Presenters from the CORA Foundation, the University of Washington Center for Health Workforce Studies, tribal dental programs, and the Washington State Dental Association described major access gaps, especially for Apple Health enrollees, rural communities, and communities of color. They highlighted low preventive-care utilization, high rates of untreated decay, workforce vacancies for hygienists and assistants, and the value of career ladders such as community health aides and proposed oral preventive assistants. Several speakers emphasized that training pathways, retention, and sustained Medicaid reimbursement are key to improving access and keeping providers in the system. Senate Bill 6138, requiring a multi-provider system for dental procedures performed under deep sedation, drew testimony centered on patient safety after recent deaths in dental settings. The sponsor said the bill responds to a pattern of tragic incidents and would ensure one person is dedicated to monitoring sedation. Supporters from anesthesiology and some oral surgery groups backed stronger monitoring requirements, while oral surgeons and dental representatives argued the current rules already require multiple trained personnel and that the bill could reduce access and increase costs, especially in rural and Medicaid-serving practices. The committee then heard Senate Bill 6072, which would update veterinarian-client-patient relationship rules to allow telemedicine-based relationships and limited telehealth services; animal welfare and veterinary telehealth advocates supported it as an access-to-care measure, while the veterinary association sought clearer guardrails and federal-law language. Finally, the committee heard Senate Bill 6094 on pediatric transitional care services, which would create a Medicaid payment pathway and related program changes for residential care for substance-exposed infants; supporters said the model helps infants and parents, improves outcomes, and is financially unsustainable under current funding, and the hearing began with testimony in favor before time expired.

Transcript Highlights:

• them, let's focus on the solutions that tackle health disparities, like ending racism and promoting equity
• I'm hopeful that this bill will be a first step toward health equity for youth and teens in the state

Bills: SB6073 , SB6113 , SB6116 , SB6129 , SB6162 , SB6114 , SB5857

Committee: Senate Ways & Means

Keywords: SB 6073, LEOFF, Law Enforcement Officers' and Fire Fighters' Retirement System, retirement system, pension, public safety retirement, wildland firefighter, aviation firefighter, wildland fire, forest firefighter, Department of Natural Resources, DNR, firefighter benefits, retirement benefits, service credit, disability retirement, survivor benefits, employer contributions, Washington RCW, public employees

Transcript Highlights:

• So in Washington, one must continue to fully enforce the Mental Health Parity and Addiction Equity Act
• support SB 5916 and move Washington closer to a health care system that truly ...prioritizes safety, equity

Bills: SB5845 , SB5916 , SB6102 , SB6071 , SB6103 , SB6159 , SB5877 , SB5967 , SB5904 , SB5915 , SB6025

Committee: Senate Health & Long-Term Care

Keywords: health insurance, health carrier, insurance carrier, prompt pay, timely payment, claims processing, clean claim, remittance advice, provider reimbursement, hospital billing, medical billing, prior authorization, claims denial, interest on late claims, administrative penalty, Washington insurance commissioner, RCW 48, public employees benefits board, school employees benefits board, Medicaid managed care

Transcript Highlights:

• We're also concerned about competitive equity.
• long history of opposing tobacco preemption, recognizing it as a major barrier to public health and equity

Summary: The committee first heard House Bill 2483, which would create an annual data broker registry at the Department of Licensing beginning in 2027. Staff explained that data brokers would have to register, pay a fee, and disclose information about the types of data collected, security measures, opt-out options, and whether precise geolocation or consumer health data is involved. Prime sponsor Rep. Kloba said the bill is intended to make data collection and resale more visible to consumers and to address harms such as scams, tracking, and surveillance pricing. Testimony was mixed: TechNet, the Association of Washington Business, and the Washington Retail Association opposed the bill as drafted, saying the definition of data broker is too broad and could sweep in businesses that are not true data brokers, while the sponsor and committee members discussed possible clarifying amendments and public-data carve-outs. The committee then heard House Bill 2400, which would regulate monetized social media content featuring children. Staff described provisions requiring vloggers above certain revenue thresholds to register with the Department of Revenue, creating trust accounts for minor children appearing in monetized videos, allowing young adults to request deletion of monetized childhood content, requiring reporting by social media services, and establishing civil penalties and statutory damages. Rep. Reeves said the bill is meant to draw a line between ordinary family posting and monetizing children online, citing concerns about child labor protections and exploitation. TechNet and AWB opposed the bill, arguing that social media platforms should not be made the middleman for trust accounts and that the private right of action and enforcement structure should be revisited; they urged further work during the interim. Finally, the committee took testimony on House Bill 2439, an omnibus tobacco and vapor product bill. Staff said it would create a responsible vendor program, raise license fees and penalties, require retailers to buy from licensed wholesalers or distributors, add certification requirements for vapor manufacturers, study extended producer responsibility for vapor waste, expand lab testing authority, tighten age-verification rules, prohibit certain imitation or entertainment vapor products, remove state preemption so local governments could adopt stricter rules, and redirect portions of tobacco tax revenue to public health accounts. Supporters, including public health groups, King County, the American Heart Association, and pediatricians, backed the youth-prevention, local-control, and funding provisions. Industry and retail witnesses opposed the bill, focusing on the loss of preemption, higher fees, compliance burdens, and the risk of pushing sales to the illicit market; some also argued the bill should rely more on state-level uniform regulation and stronger enforcement rather than new restrictions.

Transcript Highlights:

• Is there a commitment from leadership to ensure that the issue of diversity, equity, and inclusion is
• We have many faculty and staff who are committed to diversity, equity, and inclusion.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• We know we have the most number of private equity hospitals in the country.
• That's where we have a shortage in our private equity hospitals.

Committee: House Legislative Health & Human Services Committee