Transcript Highlights:

• The way we draw down our federal dollars is through the federal medical assistance percentage, or FMAP
• We've also given you the federal poverty level for Apple Health coverage for the expansion population
• , which is up to 138% of the federal poverty level, which equates to $21,597 for a single person in a
• poverty level.
• paid out for the federal program.

Summary: The Ways and Means Committee held a work session to review how H.R. 1 (the One Big Beautiful Bill Act) could affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on implementation challenges, fiscal impacts, and likely coverage losses. Staff and agency officials explained Washington’s Medicaid financing structure, eligibility categories, caseload trends, and the role of the Health Care Authority and DSHS in administering Apple Health and related services. They also described how Medicaid expansion increased access to behavioral health services and how H.R. 1’s provisions are expected to affect the expansion population most directly. Health Care Authority and DSHS officials outlined several major H.R. 1 changes: new work and community engagement requirements for the Medicaid expansion population, six-month redeterminations instead of annual renewals, changes to immigrant eligibility, limits on provider taxes and state-directed payments, new cost-sharing requirements, reduced retroactive coverage, and changes affecting long-term care eligibility. They said Washington is still awaiting federal guidance on many details, but estimated that about 620,000 Apple Health expansion enrollees could be subject to work requirements, that roughly 30,000 immigrants could lose Medicaid eligibility under the new definition of qualified alien, and that some long-term care and developmental disability clients could be indirectly affected. Officials also said the state is working with other agencies to build shared verification systems and may seek a delay waiver, though they do not expect broad federal flexibility. The committee also heard that H.R. 1 immediately blocks Medicaid reimbursement for Planned Parenthood services for one year, with the state planning to backfill about $11 million to preserve access. In addition, officials warned that the law could reduce federal Medicaid revenue by billions over time and strain hospitals and emergency rooms as more people become uninsured. They noted that Washington’s rural health transformation grant application is due November 5 and could bring some funding, but not to offset coverage losses. No votes were taken; the session was informational only. The committee then heard a separate presentation on food assistance, where staff and DSHS described H.R. 1’s SNAP changes, including expanded work requirements, immigrant eligibility restrictions, higher state administrative costs, and a possible future state share of benefit costs tied to payment error rates. DSHS estimated a four-year fiscal impact of about $750 million for food assistance changes and said the state is working on system and policy changes across agencies before the new requirements take effect.

Transcript Highlights:

• Anyway, it was the federal law, one of the federal laws, and substantial pandemic funding that came from
• The federal law, one of the federal laws, substantial pandemic funding that came from the federal government
• So we have right now $1.4 billion of federal funds in House Bill 2020. Correct? Yes.
• Of the $1.4 billion in federal...
• So we have right now $1.4 billion of federal funds in Houseville 20. billion of federal funds in Houseville

Keywords: 959, house, all

Transcript Highlights:

• </c> this pathway of Alice families federal this pathway of Alice families federal poverty<00:56:51.760
• </c> they have the levels um uh the federal they have the levels um uh the federal poverty<01:03:00.359
• um</c> 265 of federal poverty or three um 265 of federal poverty or three um household<01:13:54.840>
• </c> would cost compared to the 250 federal would cost compared to the 250 federal poverty<01:14:25.920
• poverty related directly to federal poverty level<01:14:48.120><c> how</c><01:14:48.239><c> would</c

Keywords: 910, house, all

Summary: The committee heard several education-related bills, with testimony largely in support. SB 1388 and SB 1393, both concerning the School Facilities Authority and Department of Education representation and land conveyances, received support from DOE and the School Facilities Authority, with no questions or action taken. SB 423, which would add Head Start representation to the Early Learning Board, was supported by the Early Learning Board and the Executive Office on Early Learning, which explained the bill would realign the board with federal Head Start Act requirements after the board was restructured in Act 170; EEL also requested an effective-date amendment. SB 422, allowing DOE to award diplomas to students whose education was disrupted by war, drew support from DOE, the Chamber of Commerce, the Military Council, and the Special Education Advisory Council, but also significant opposition from the Hawaii Patriot Republicans and many individuals; members asked questions about the bill, and DOE explained the measure’s purpose, but no vote was taken. The committee also took testimony on SB 532, which would expand who may administer certain medications in schools. DOE, the Department of Health, and the University of Hawaii supported the bill. Members asked detailed questions about oral, nasal, and topical medications and the process for prescription review and administration; DOE explained that parents request the medication, a school form is completed, a nurse reviews it, and either a trained school health assistant or a contracted nurse administers the medication. DOE said the measure could improve attendance and learning, especially for students with ADHD, asthma, and other chronic conditions. The committee then heard SB 659 on locally sourced food products and school meals, where DOE’s procurement office opposed the higher small-purchase threshold and DOE exemption from procurement rules, while Ulupono Initiative, Hawaii Farm Bureau, Hawaii Public Health Institute, and others supported the bill as a way to advance farm-to-school goals and the 30% local food target by 2030. Testimony and questioning focused on the proposed threshold increase, transparency, and whether an online bidding system would be preferable. Finally, the committee heard SB 1300 on subsidies for ALICE families’ school meals. DOE supported the bill but requested amendments: defining eligibility at 250% of the federal poverty level, delaying implementation until the 2026-2027 school year, and covering reduced-price lunch students in full for 2025-2026. HSTA, Hawaii Appleseed, Catholic Charities Hawaii, Pride at Work Hawaii, Hawaii Youth Services Network, and others supported the measure, emphasizing food insecurity, the burden of meal paperwork, and the educational importance of free meals. Hawaii Appleseed suggested replacing ALICE with a federal poverty level standard and removing a rulemaking requirement that could delay implementation. No votes or final committee actions were reported in the transcript.

Transcript Highlights:

• </c><00:02:01.719><c> and</c> the federal G uh federal government and the federal G uh federal government
• </c><00:31:20.200><c> federal</c> as it pertains to the federal federal as it pertains to the federal
• ><c> is</c> if Federal fundings Federal funding is if Federal fundings Federal funding is going<00:48
• </c><01:07:40.520><c> full</c><01:07:40.760><c> Federal</c> the the lack of federal full Federal the
• </c><02:01:45.599><c> program</c> federal impact Aid is a federal program federal impact Aid is a federal

Committee: Senate Education Finance

Keywords: 1187, senate, all

Transcript Highlights:

• The YMCA and the American Academy of Pediatrics National Guidelines recommend swimming lessons for children
• Academy of Pediatrics National Guidelines recommend swimming lessons for children ages 1 through 4.
• poverty level are eligible for assistance.
• The program would ensure that veterans living in Florida with incomes up to 400% of the federal poverty
• Senators, areas of critical need are federally designated areas with health care provider shortages in

Summary: The Appropriations Committee on Health and Human Services heard public comment on several health and human services funding concerns before moving through a series of bills. Testimony at the start focused on the AIDS Drug Assistance Program, with a client warning that proposed changes to eligibility and drug access could disrupt care for thousands of people living with HIV/AIDS, and urging the Legislature to intervene. Another speaker asked for support for the iBudget waiver, saying provider costs have risen and requesting about a 7% increase for direct support professionals to help stabilize the developmental disabilities workforce. The committee then unanimously reported favorably several bills. SB 428 expanded Florida’s swim lesson voucher program from children ages 0-4 to ages 1-7, based on drowning-prevention recommendations. SB 68 required hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligned reporting dates with the House version. SB 1718 changed the definition of when an adult visitor in an out-of-home placement becomes a non-visitor, reducing repeated background checks, made the Step Into Success pilot permanent, adjusted foster youth stipends, and created a best-practices program within the Florida Institute for Child Welfare. The committee also approved SB 606, which adds drowning-prevention and safe-bathing education to postpartum materials provided to new parents and requires hospitals and birthing centers to document compliance; members highlighted bathtub drownings as a key concern. SB 96 expanded eligibility for the Veterans Dental Care Grant Program to veterans up to 400% of the federal poverty level, while an amendment removed the bill’s specific appropriation so funding can be handled in the budget process. SB 340 required nursing students to complete a two-hour human trafficking course before taking the NCLEX. SB 1480 created a grandfathering process for certain health care providers in federally designated areas of critical need if an area is de-designated, to avoid disrupting patient-provider relationships. All bills were reported favorably, and the committee adjourned at the end of the agenda.

Transcript Highlights:

• We reference the federal poverty limit fairly often when referring to the expansion population, so I
• of Medicaid expansion as going up to 138% of the federal poverty level.
• So I would say that the 138% of federal poverty level that you're referencing That the 138% of federal
• poverty level that you're referencing makes me think of Medicaid expansion because that's the federal
• I’ll say that people who earn less than 26% of the federal poverty level and have children and do not

Keywords: 989, all

Summary: The committee heard a budget presentation on the Division of Medicaid within the Department of Health and Welfare, including an overview of the division’s five programs, staffing, spending trends, and the large share of the budget that goes to trust and benefit payments. Ms. Williamson explained the difference between ongoing and one-time enhancements, the role of population forecast adjustments, and why the fiscal year 2026 and 2027 numbers change significantly. Members asked about the growth in the budget, the FMAP match rate, the impact of provider rate changes, and the shift of some positions into Medicaid from other divisions after last year’s reorganization. A major topic was House Bill 345 and related budget changes, including the hospital assessment fund alignment, the 4% provider rate reduction, and the effect on Medicaid expansion and other populations. The committee discussed the decline in expansion enrollment, rising costs in traditional Medicaid populations, and the governor’s recommendation to offset part of the 2027 increase with additional reductions. Members raised concerns about access to care, especially for dental, behavioral health, developmental disability, and home- and community-based services, while the deputy director said the department is trying to contain costs through prior authorization, fraud and abuse work, and policy changes. The committee also focused on the MMIS replacement project, which is in year four of a five-year procurement and is funded through dedicated and federal dollars tied to milestones. Another significant item was estate recovery, where the department requested funding to replace an outdated case management system and add contractor support to address a backlog of roughly 20,000 cases; members questioned the return on investment and asked for more detail on the software and staffing split. The deputy director also explained the federally qualified health center reconciliation issue, saying the state had not been properly paying change-in-scope amounts and is now using a new process with interim payments and later reconciliation. In addition, lawmakers asked about program integrity staffing, the use of AI, and whether the department could better target fraud, waste, and abuse investigations. The deputy director said the department is reviewing AI use cautiously and sees opportunities for it in claims review and anomaly detection, but emphasized that the current request is for dedicated receipt authority rather than general funds. No formal votes were taken in the excerpt, but the committee received the presentation, asked extensive questions, and was told that some follow-up information would be provided later.

Transcript Highlights:

• It also allows the state to retroactively receive federal funds, or federal reimbursements, when recipients
• And it also allows the state to retroactively receive federal funds, federal reimbursements, when recipients
• Families like mine live in poverty despite working hard.
• Banks, and Western Center on Law and Poverty.
• Association of Food Banks, and Western Center on Law and Poverty.

Keywords: 988, house, all

Transcript Highlights:

• There are a lot of child support guidelines being had.
• We do have a federal grant for access and visitation.
• That's the federal statute. I'm sorry.
• The DHS child support formula, the guidelines?
• support guidelines taking into account those offsets?

Committee: Senate Judiciary

Summary: The Senate Judiciary Committee met to conduct the statutorily required four-year review of Oklahoma’s child support guidelines, which DHS said had not been reviewed on schedule in recent years. Deputy Director Don Zellner of DHS Child Support Services presented data on the number of children served, child poverty, rising costs of raising a child, wage trends, and the volume of child support orders handled by DHS. He also explained how the current guidelines work, including income withholding, shared overnight deductions, daycare, medical, transportation, and self-employment adjustments, and noted that the guidelines are based on gross combined income and currently cap at $15,000 combined income. Committee members, especially Senator Boren, questioned whether the current model fairly reflects modern family economics, including the cost of housing, the impact of shared overnights, and whether visitation issues should be addressed alongside child support. DHS said the guidelines are over 25 years old, that other states generally use similar gross-income models with shared-overnight deductions, and that Oklahoma’s administrative courts have been more receptive than district courts to DHS’s lower-income deviation approach. Zellner said DHS has also updated its practices to better account for low-income obligors, including allowing zero orders in some cases and reducing imputed minimum-wage assumptions, which DHS said has improved collections. Members also asked about transparency and public access to the calculations. DHS said the formula and income chart are in statute, the calculator is available on the DHS website, and the Excel-based tool applies the statutory chart and deductions. A public commenter asked where parents could see how amounts are calculated, and DHS explained that the statutory chart and calculator are the main sources. The committee discussed possible future reforms, including higher income caps, possible changes to shared overnight rules, and whether extracurricular or special child-related expenses could be considered through judicial deviation. No vote was taken; the meeting ended with the chair noting it was the last Judiciary meeting of the 60th Legislature and adjourning the committee.

Transcript Highlights:

• The Federal Trade Commission made a deal that we weren't part of.
• So we're on equal footing with the federal government under the federal law.
• So we're on equal footing with the federal government under the federal law.
• That's due to poverty and near poverty in our communities, and the goal of this bill is obviously to
• But it makes them out of compliance or impede federal officers.

Summary: The committee heard several bills from Senator Umberg and Senator Allen, with testimony from supporters and opponents before roll-call votes were taken once quorum was established. SB 253, the annual State Bar fee bill, would keep fees unchanged while requiring two-year notice for substantial changes to the bar exam, including vendor changes, and returning to an older delivery method for the upcoming exam; it was presented as a response to recent State Bar problems and the February bar exam failure. SB 25, the Pre-Merger Notification Act, would require certain merger parties to provide California’s attorney general the same Hart-Scott-Rodino materials filed federally, so state antitrust review can occur in parallel with federal review; supporters said this would reduce delay and uncertainty, while members questioned whether it would add another layer of review. SB 36 would strengthen price-gouging enforcement after the January 2025 Southern California firestorms by requiring rental-listing platforms to report suspected gouging, expanding consumer and prosecutor remedies, and allowing warrants in housing-related cases; supporters said it would close loopholes, while opponents from business groups raised concerns. All three bills were later approved on roll call, with SB 36 and SB 413 placed on call before final passage and SB 253 and SB 25 moving forward on committee votes. The committee also heard SB 413, which would streamline access to juvenile case files in certain civil cases brought by or on behalf of the youth who is the subject of the file, allowing attorneys to use heavily redacted records without first petitioning the juvenile court. Supporters, including Los Angeles County counsel and county associations, said the current petition process is costly, slow, and routinely granted, creating delays in civil litigation and court congestion. Opponents, including the Youth Law Center, argued the bill would weaken longstanding juvenile confidentiality protections by bypassing judicial review and could expose sensitive information unnecessarily. After discussion about redactions, sealing, and the scope of access, the bill was passed on a do-pass-as-amended vote. Finally, Senator Wahab presented SB 436, which would extend the notice period for nonpayment of rent from three days to 14 days. Supporters, including tenant advocates, legal aid groups, and several local governments, argued the change would reduce unnecessary evictions, give renters more time to obtain assistance or a paycheck, and help prevent homelessness. Opponents, including apartment associations, property owners, and the California Association of Realtors, said the bill would burden landlords, especially small owners, and could unintentionally affect commercial leases; members also raised concerns about repeated late payment and the lack of stronger guardrails. The author said she would work on clarifying commercial coverage and safeguards, and the bill remained under discussion as the hearing continued.

Bills: HB2139 , HB1892 , HB1893 , HB1890 , HB2335 , HB2468 , HB2091 , HB2092 , HB1878 , HB2297 , HB2127 , HB1785 , HB2345 , HB2344 , HB1780 , HB1891 , HB2398 , HB1764 , HB2564 , HB1783 , HB2567 , HB1934 , HB1778 , HB1781 , HB2621 , HB2019 , HB1803 , HB2454 , HB1811 , HB1943 , HB1589 , HB1607 , HB1851 , HB2490 , HB2546 , HB2568 , HB1972 , HB2391 , HB2575 , HB1896 , HB2399 , HB2004 , HB1894 , HB2397 , HB2498 , HB2560 , HB2310 , HB2214 , HB2167 , HB2197 , HB2116 , HB1879 , HB1596 , HB2096 , HB2298 , HB2343 , HB2566 , HB1518 , HB2044 , HB2336 , HB1603 , HB1718 , HB1740 , HB1616 , HB2171 , HB2022 , HB2347 , HB1882 , HB1708 , HB2086 , HB2154 , HB2027 , HB2179 , HB1620 , HB1913 , HB2159 , HB1597 , HB2121 , HB1864 , HB2305 , HB2576 , HB1713 , HB1729 , HB1756 , HB2122 , HB2559 , HB1743 , HB1733 , HB1868 , HB1723 , HB1711 , HB1812 , HB2515 , HB1724 , HB1604 , HB2270 , HB1722 , HB1727 , HB1920 , HB1593

Keywords: invasive species, Queensland longhorn beetle, agriculture, environmental impact, University of Hawaii, Board of Education, Hawaii public schools, teacher representative, nonvoting member, bargaining unit 5, HSTA, teachers union, education governance, school board, executive session, collective bargaining, public school teacher, policy-making body, student representative, military representative

Transcript Highlights:

• poverty level.
• Um, a state plan that's each state develops its own Medicaid program within federal guidelining, guidelines
• More detail on what the federal medical assistance percentage is, um, the federal government's reimbursement
• with the federal government and what they're doing.
• 195% of poverty, that, that's all.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• With me today to testify is Yosinia Jimenez with the in-child poverty, California.
• With me today to testify is Yusenia Jimenez, with End Child Poverty, California, and Luying Hang, with
• Again, I’m Yosenia Jimenez, Senior Policy Associate with End Child Poverty, California, a coalition of
• Rebecca Gonzalez, Western Center on Law and Poverty, in support.
• Rebecca Gonzalez, with the Western Center on Law and Poverty, in support.

Summary: The Assembly Committee on Human Services heard several homelessness, public benefits, and aging-related bills. SB 748 would expand Encampment Resolution Funding to support safe parking sites for people living in cars or RVs, require quarterly reporting from HCD on outcomes, and direct LAO evaluation; supporters said it would help local governments reduce RV encampments while connecting people to housing and services. SB 290 would repeal the CalWORKs immunization sanction that reduces aid when parents cannot provide acceptable proof of a child’s vaccination; supporters argued the penalty unfairly harms families already in poverty and can worsen instability, while no opposition testified. SB 606 would define “functional zero” for overall and unsheltered homelessness and require local jurisdictions to plan for and report on the housing and interim shelter needed to reach that goal; supporters said it would add accountability and focus on reducing unsheltered homelessness, and one group moved from opposition to neutral after amendments. SB 433 would create an income-based room-and-board cap and personal needs allowance for all Medi-Cal assisted living participants in residential care facilities for the elderly, not just SSI recipients; supporters said it would prevent eviction and homelessness among low-income seniors and people with disabilities, and facility groups withdrew opposition or moved to neutral after amendments. SB 761 would require students applying for Cal Grants to be notified that they may be eligible for CalFresh and given information on how to apply; supporters said it would address widespread student food insecurity and low enrollment among eligible students. The committee accepted amendments on the bills, and all of the measures discussed were reported out on 7-0 or similar unanimous votes to the Assembly Appropriations Committee, with the consent calendar also approved unanimously.

Transcript Highlights:

• Darby Kernan, on behalf of End Child Poverty California, in support. Mr.
• Rebecca Gonzalez with the Western Center on Law and Poverty.
• CalFresh is a federal program that the state administers.
• CalFresh is a federal program that the state administers.
• Vernon, on behalf of In Child Poverty California, in support. Thank you.

Summary: The committee heard several bills focused on disability services, food security, veterans, aging services, and child care. SB 969 by Senator Reyes would make permanent the option for Californians with intellectual and developmental disabilities to receive certain regional center services remotely; supporters said remote services improve access, continuity, safety, and choice, and there was no opposition. The committee initially lacked a quorum, so action on the bill was delayed until later in the hearing, when it was moved on a 4-0 vote to Appropriations. SB 1025 by Senator Hurtado would create an Office of Food Security and Affordability to coordinate state food programs, improve CalFresh enrollment, reduce duplication, and support a 24-hour hunger hotline; supporters framed it as a coordination and strategic-planning measure, while some members questioned whether existing programs should be evaluated first and whether the bill needed stronger reporting and accountability. It passed 3-0 to Governmental Organization. The committee also heard SB 1052 by Senator Gonzalez, which would allow the State Council on Developmental Disabilities to appoint contingent authorized representatives so people with developmental disabilities are not left without support if a parent or other primary helper becomes unavailable. Supporters, including families and disability advocates, described emergencies, immigration enforcement fears, and service interruptions as reasons for the bill; members asked about the current approval and renewal process and whether the annual renewal requirement could be streamlined. The bill passed 3-0 to Appropriations. SB 1077, also by Senator Gonzalez, would require the Department of Social Services to prepare for future federal shutdowns by creating a communications and contingency plan for CalFresh disruptions and a state-backed emergency benefits mechanism; supporters cited the 43-day federal shutdown and delays in benefits, and the bill passed 4-0 to Appropriations. Other measures discussed included SB 1201 by Senator McNerney, the No Hungry Heroes Act, which would seek waivers and direct referrals to protect veterans from federal SNAP changes and job-search-related income calculations; it passed 3-0 to Military and Veterans Affairs. SB 1261 by Senator Laird would let aging and disability resource connections continue operating during partner transitions so people do not lose access to “no wrong door” services; it passed 3-0 to Appropriations. SB 1110 by Senator Becker would update child care subsidy funding and reimbursement structures to better reflect direct family services and stabilize providers; the author said a provision tied to the budget would be removed, and the bill passed 4-0 to Education. Finally, SB 991 by Senator Menjivar was presented to improve how abuse and neglect findings in residential care facilities for the elderly are categorized in the licensing database, so serious abuse is not lumped together with lesser violations; testimony described examples of sexual assault and restraint being recorded as generic residents’ rights violations.

Transcript Highlights:

• Darby Kernan, on behalf of End Child Poverty, California, in support. Mr.
• Rebecca Gonzalez with the Western Center on Law and Poverty.
• CalFresh is a federal program that the state administers.
• CalFresh is a federal program that the state administers.
• Vernon, on behalf of In Child Poverty California, in support. Thank you.

Committee: Senate Human Services

Summary: The Senate Human Services Committee heard several bills focused on developmental disabilities, food security, veterans, aging services, child care, and elder abuse reporting. SB 969 by Senator Reyes would make remote services for people with intellectual and developmental disabilities a permanent option; supporters said virtual programming improves access, continuity, and choice, and there was no opposition. SB 1025 by Senator Hurtado would create an Office of Food Security and Affordability to coordinate state food programs, improve CalFresh enrollment, and develop a 24-hour hotline; committee members raised questions about duplication, metrics, and oversight, but the bill advanced after discussion. SB 1052 by Senator Gonzalez would allow the State Council on Developmental Disabilities to appoint contingent authorized representatives so people with disabilities are not left without support if a family member becomes unavailable; supporters described immigration enforcement, illness, and family separation as reasons for the bill, and members discussed administrative burden and renewal procedures before the bill passed. SB 1077 by Senator Gonzalez would require CDSS to prepare for future federal shutdowns by creating a communications and contingency plan for CalFresh disruptions and a state-backed emergency food assistance mechanism; members discussed how it would work with existing CalFresh administration, and the bill passed. SB 1201 by Senator McNerney would seek federal waivers to protect vulnerable veterans from new SNAP work requirements and require referrals to county veterans service officers; supporters said the federal cuts would harm homeless, newly discharged, and disabled veterans, and the bill passed. SB 1261 by Senator Laird would let aging and disability resource centers continue operating through partner transitions so services would not be interrupted; supporters emphasized continuity of care and the bill passed. SB 1110 by Senator Becker would revise child care subsidy funding and stabilization rules for alternative payment programs and community providers; supporters said the current reimbursement structure is outdated, and the bill passed after the author said a budget-related provision would be removed. The committee also later voted SB 969, SB 1052, SB 1077, SB 1201, SB 1261, and SB 1110 out of committee, with the bills kept on call for absent members, and began hearing SB 991 on elder abuse reporting, where supporters argued that licensing records should distinguish abuse from lesser resident-rights violations so families and policymakers can better understand facility conduct.

Transcript Highlights:

• They have to be below 300% of the federal poverty guidelines.
• I would also say we have to follow the federal guidelines; that's a requirement, so there's not a lot
• </c><00:25:45.080><c> poverty</c> below 300% of the federal poverty below 300% of the federal poverty
• </c><00:26:47.520><c> guidelines</c><00:26:48.360><c> you</c><00:26:48.480><c> know</c> follow the federal
• guidelines you know follow the federal guidelines you know that's<00:26:48.679><c> a</c><00:26:48.840

Keywords: 1183, house

Transcript Highlights:

• , the first thing the federal guidelines, the first thing they<00:32:10.800><c> say</c><00:32:11.000>
• If they're not eligible or say they fall under the 300% federal poverty limit, that is our threshold.
• If they're not eligible or say they fall under the 300% federal poverty limit, that is our threshold.
• </c> fall under the um we use a 300% federal fall under the um we use a 300% federal poverty<01:34:46.800
• :12.320><c> poverty</c><01:35:12.800><c> limit,</c><01:35:13.560><c> they</c> under that federal poverty

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• ...half a million dollars from the federal government to continue his research.
• And it's a state bill, not federal. We have to begin somewhere.
• before the guidelines came into effect.
• But the issue with the guidelines is once you meet eligibility under 25-319A, the guidelines essentially
• So the guidelines, if you qualify under 25-319A, you're getting something under the guidelines.

Summary: The committee first took up SB 1066, which would allow the Attorney General or a county attorney to sue researchers for knowingly or recklessly publishing fraudulent scientific research, and would let injured parties recover damages. The sponsor and a supporting witness argued the bill would create personal accountability for deliberate research fraud and cited examples of retracted or manipulated studies; opponents warned that peer review and existing scientific processes already address bad research and that the bill could chill research and speech. The committee later passed SB 1066 on a 4-3 vote. The committee then heard SB 1015, which would impose strict personal liability on providers who perform gender transition procedures on minors for later detransition costs and related injuries. Supporters, including the sponsor, a doctor, a detransitioner, and a parent, said the bill would protect children, create accountability, and help families seek redress for irreversible harm. Opponents from the ACLU and others argued the measure discriminates against transgender patients, would likely chill care by making providers uninsurable, and could function as a backdoor ban; the committee nevertheless advanced the bill on a 4-3 vote. SB 1049, as amended, limited spousal maintenance to four years and adjusted eligibility and guideline factors. The sponsor and a family law attorney said the bill would curb overly long awards and better account for assets and income, while the Judicial Council explained the existing guideline work and noted the new calculator was intended to add uniformity; one senator objected that the cap was arbitrary and ignored case-specific context. The committee adopted the amendment and passed the bill 4-2. The committee also unanimously passed SB 1189, allowing campaign funds to be used for candidate and family security, and SB 1133, eliminating a duplicate financial disclosure filing for candidates who already filed an annual statement. Finally, the committee heard SB 1081, which would bar a DCS attorney from appearing before a judge after appearing before that judge in any of the attorney’s previous five DCS cases, and advanced it 4-3 after debate over judicial familiarity and rural-court impacts. The committee also heard SCR 1001, a proposed constitutional referral to end early voting the Friday before the election, require proof of citizenship and government ID, and restrict mail ballots to voters who affirmatively request them; supporters framed it as an election-integrity measure, while ADOT testified neutrally but warned that free IDs could cost tens of millions in lost revenue and affect road funding. The transcript ends during testimony on SCR 1001, before any vote on that measure.

Transcript Highlights:

• Where I spent about 25, 26 years in federal government.
• Of course, they don’t get any federal tax credits.
• poverty, they will lose eligibility for federal tax credits.
• There's a federal rural health transformation application.
• We still do not have detail from the federal government.

Committee: Joint Joint Select Committee on Health Care and Behavioral Health Oversight

Summary: The committee first welcomed new DSHS Secretary Angela Ramirez, who introduced herself and described her background in public service, federal and state legislative work, and health and human services leadership. Members emphasized the importance of building strong relationships with her and noted her focus on protecting services, using strategic approaches in a tight budget environment, and improving partnerships with the Legislature. Ramirez said she wanted to keep communication open and that her priorities would be shaped by what she learns from lawmakers and agency partners. The next work session focused on the West Coast Health Alliance and the broader Governor’s Public Health Alliance. Department of Health and governor’s office staff said the West Coast alliance, involving Washington, Oregon, California, and Hawaii, was formed to coordinate science-based public health guidance, especially around vaccines, return-to-work guidance, and responses to federal changes. They said the alliance is intended to reduce confusion, counter misinformation, and preserve access to evidence-based recommendations, with early actions including vaccine guidance for COVID-19, flu, and RSV, a statement rejecting any vaccine-autism link, and preparation for possible ACIP changes. Members asked about workload and coordination with other regional alliances, and staff said there is informal coordination but no formal regular meetings. The committee then heard from the Washington State Health Benefit Exchange about open enrollment and the effects of federal policy changes. Exchange leaders said the expiration of enhanced premium tax credits, HR1 provisions, and immigration-related eligibility changes are affecting affordability and enrollment, with some customers facing large premium increases and some counties becoming harder to serve. They reported early open-enrollment traffic increases, nearly 10,000 new sign-ups, and nearly 12,000 active coverage drops so far, while noting that many more people may disenroll later if subsidies are not extended. They also described mitigation efforts such as silver loading, Cascade Care Savings, outreach through navigators and community partners, and planning for future HR1 requirements like ending auto-renewal and adding verification steps. In the final work session, staff from the Health Care Authority and Insurance Commissioner’s office reviewed Washington’s health reform history and the state’s current affordability and access efforts. They highlighted past ACA-related coverage gains, continued work on prescription drug affordability, PBM oversight, primary care and behavioral health access, and a pending legislative proposal to preserve access to preventive services. They also discussed federal changes affecting Medicaid and the exchange, including work requirements, six-month redeterminations, and the need to coordinate across agencies to implement new rules. Members raised concerns about network adequacy, provider access, and the complexity of the health care system, while staff said they are trying to mitigate harm, simplify administration, and keep coverage and access as stable as possible.

Transcript Highlights:

• How about we talk about childhood poverty and reducing childhood poverty?
• But one, childhood poverty is high in California because poverty is high in California, right?
• Child support is not going to end childhood poverty, nor is it going to end the poverty of the parents
• Child support is not going to end childhood poverty, nor is it going to end the poverty of the parents
• The federal grant pays... It's primarily funded by a federal grant.

Summary: The Assembly Judiciary Committee met without quorum for part of the hearing and proceeded on several bills, with testimony focused on probate access, domestic violence protections, child support services, and an immigration resolution. On AB 1660, the author and county public administrators said financial institutions often delay or refuse lawful requests for account information and assets, causing harm to estates and vulnerable people; banks and credit union representatives opposed the new penalties, arguing the underlying statute may be outdated and that fraud concerns require more verification. The author agreed to amend the bill to make penalties discretionary rather than mandatory, and the bill ultimately passed out of committee to the floor with a due-pass recommendation and later add-on approval. AB 1657, by Assembly Member Rogers, would bar courts from requiring domestic violence survivors seeking temporary restraining orders to notify the alleged abuser before filing; the Sonoma County district attorney and others supported it as a safety measure, and it passed unanimously to the floor with multiple members requesting coauthor status. The committee also heard AB 1643, which would automatically enroll custodial parents in child support services after a support order is entered unless they opt out. The author and child support officials argued the bill would increase access to free enforcement and collection services, reduce child poverty, and help families who do not complete the current application process; some members raised concerns about fees, opt-out clarity, and whether automatic enrollment could interfere with amicable co-parenting arrangements. After discussion about the program’s funding and the need for a clear opt-out process, the bill was moved to the Human Services Committee, with some members voting no or not voting and later add-on action placing it on call and then advancing it. The committee also considered SJR 8, urging Congress to modernize the federal immigration registry so long-term undocumented residents could qualify for lawful permanent residency on a rolling basis; supporters described it as a long-overdue pathway for immigrant families and workers, and the resolution was adopted to the floor after a vote and later add-on action. Throughout the hearing, members repeatedly emphasized the need to balance enforcement, fraud prevention, and access to services. Several members supported the domestic violence and probate bills as necessary fixes to existing systems, while others urged continued work with stakeholders on standardized forms, clearer procedures, and modernized safeguards. The committee also took up consent items and add-ons, including AB 1597, AB 1651, and AB 1652 on consent, and later finalized votes on the measures discussed above.

Transcript Highlights:

• Sandra Poole, on behalf of Western Center on Law and Poverty, in support.
• Benefits are defined at the federal level.
• consistency with federal requirements.
• Good afternoon, Sandra Poole with the Western Center on Law and Poverty in support.
• Yvonne Fernandez on behalf of the California Labor Federation in support.

Summary: The Assembly Health Committee heard several bills on June 9. SB 1023 by Senator Laird would require insurers that cover injectable HIV PrEP under the medical benefit to also cover it through the pharmacy benefit, with supporters saying the change would reduce reimbursement delays and expand access, while health plans opposed it as an unnecessary mandate that interferes with benefit design. SB 964 by Senator Smallwood-Quivas would limit prior authorization for certain dose or frequency adjustments to covered medications, especially for chronic complex conditions; medical supporters said it would prevent harmful delays in care, while insurers argued it weakens safety and utilization controls. SB 1323 by Senator Rubio, as amended, would strengthen protections for people in immigration custody receiving medical care by requiring hospitals and facilities to inform staff how to respond to requests and allowing patients to notify family members of their location; it passed with one no vote. SB 1099 by Senator Reyes would clarify local governments’ authority to provide state and local public benefits to all residents under federal PRWORA rules, with supporters saying it would reduce legal uncertainty for safety-net services; it passed, though one member later changed a vote to no on the add-on roll call. The committee also took up SB 895 by Senator Wiener, a proposed $12 billion science research bond for the November ballot that would create a California scientific research funding institute. Supporters from UC, UAW, hospitals, and advocacy groups said the measure would help offset federal cuts, protect research jobs, and sustain California’s leadership in biomedical and other research; there was no opposition, and the bill passed on a party-line style vote with two no votes. SB 944, also by Senator Wiener, would stabilize Medi-Cal coverage for acupuncture, which supporters described as a cost-effective, non-pharmacological treatment for pain and other conditions that has repeatedly been threatened in the budget process; it passed unanimously. The committee also approved consent items SB 918 and SB 1202, and later cleared the remaining measures on call after roll votes and add-on votes were taken.