Transcript Highlights:

• Washington's expanded behavioral supports, or EBS program, and the EBS Plus program were the first or
• the second state program that BHS began working with.
• A very exciting program. I appreciate the update.
• We've been working to grow that program throughout the state. Thank you.
• General overview of health care price transparency programs that exist.

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• Yeah, the program continues to expand. Again, it's a proven success.
• to other communities across southeast Minnesota. program.
• Uh, program. It's win for our community.
• Senator, we know the program workforce.
• Yeah, the program in the future?

Keywords: 1187, senate, all

Transcript Highlights:

• G program is a federal program. And right now, it only applies to these detention facilities.
• cannot continue in the program?
• Can they sign up for one program but not necessarily another type of program?
• You have the jail program, you have the warrant program.
• right now have the jail program.

Summary: The Senate opened with a prayer, the Pledge of Allegiance, and the reading of an amended joint proclamation expanding the Legislature’s immigration agenda. The proclamation added items calling for financial penalties for government officials, enhanced criminal penalties for offenses committed by illegal aliens, and programs and appropriations to support law enforcement in enforcing federal immigration law. The chamber then took up the special order calendar, beginning with Committee Substitute for Senate Bill 2B, the immigration bill. Most of the meeting was devoted to debate and questions on the strike-all amendment to SB 2B. Sponsor Senator Gruters described the bill as a broad immigration enforcement package aligned with President Trump’s agenda. He said it would require greater cooperation with federal immigration authorities, strengthen participation in the 287(g) program, create a chief immigration officer and council, authorize financial penalties for noncompliance, provide bonuses for officers assisting ICE, and direct information-sharing with federal agencies. He also said the bill would bar DHSMV from issuing licenses or ID cards to unauthorized aliens and would end in-state tuition waivers for undocumented students. Senators Polsky, Pizzo, Smith, Jones, Berman, Osgood, and others questioned the scope of the bill, whether it would affect schools, churches, cities, nonprofits, and green-card holders, and how the 287(g) provisions would work in practice. Gruters repeatedly said the operational focus was on jails and detention facilities, not street-level enforcement. A major point of controversy was the bill’s proposed mandatory death penalty for unauthorized aliens convicted of certain capital offenses. Senator Fine said the covered crimes were the most serious capital felonies, including murder, child sexual battery, destructive-device offenses causing death, and certain trafficking offenses, and argued the provision was intended to withstand constitutional challenge. Senator Pizzo raised Eighth Amendment concerns and questioned whether the bill could mandate death sentences. The tuition waiver provisions also drew extended debate: Fine said the state would save about $41 million by ending discounted tuition for undocumented students, while Democrats argued the savings would not return to general revenue and that the policy would harm students who are already enrolled. Fine and Gruters said green-card holders would not be affected and that the bill targeted only students in the country illegally. The discussion also covered appropriations and implementation. Senator Smith asked about the bill’s large funding levels, and Fine broke down the spending as including $375 million for the chief immigration officer, $100 million in grants to local law enforcement, $29 million for the new Office of State Immigration Enforcement, and $10 million for an unauthorized-alien transport program. Gruters said the funds would reimburse local governments and help address staffing shortages, while critics questioned the lack of benchmarks and the fiscal impact. No final vote or disposition on the bill appears in the transcript excerpt.

Transcript Highlights:

• And this is a program that is available to all students.
• He learned English through our program.
• He learned English through our program.
• Now, a year after following our programs, today she says, Now, a year after following our programs, today
• It's an extensive program.

Committee: Senate Appropriations Committee on Pre-K - 12 Education

Keywords: 999, senate, all

Transcript Highlights:

• may prioritize elements of that program based on federal or private matching funds.
• may prioritize elements of that program based on federal or private matching funds.
• In an environment, we just have to be very careful when we're instituting new programs.
• House Bill 2523 concerns the community reinvestment program.
• programs funded real burial removal. 1,000 folks got their criminal records vacated.

Summary: The Technology, Economic Development, and Veterans Committee first met in executive session on House Bills 2157, 2351, 2365, 2357, and 2446. Staff briefed proposed substitutes and amendments for each bill. HB 2157, concerning high-risk AI systems, was amended to exempt activities regulated by the Fair Credit Reporting Act and covered entities under HIPAA; members discussed balancing consumer protections with flexibility for developers and deployers. HB 2351, addressing protections for emergency responders and emergency operations, was described as clarifying definitions and procedures, including a mental health crisis defense and changes to emergency operation zone notifications; some members raised concerns about deconfliction and implementation details. HB 2365, on digital equity, was amended with several definitional and data-sharing proposals, though some amendments were rejected over fiscal concerns. HB 2357, creating the Washington Division of Civil Air Patrol within the Military Department, passed without amendment. HB 2446, on developing a quantum technology industry strategy, was amended to extend the strategy deadline, broaden who Commerce may contract with, and correct terminology; members noted concerns about industry involvement in the strategic plan and fiscal impacts. All five bills were reported out of committee with do pass recommendations, with recorded votes of 8-5 on HB 2157, HB 2351, and HB 2365, unanimous support for HB 2357, and 12-1 for HB 2446. The committee then held a public hearing on HB 2523, which would make the community reinvestment program ongoing, require periodic updates and reporting, and direct a study of fund distribution and use. Testifiers from workforce boards, tribal programs, reentry services, community organizations, and Commerce described successful uses of the program for job training, reentry, small business support, legal services, and economic mobility, and urged the bill’s passage. Some suggested strengthening accountability, reporting, and access for new organizations. Commerce staff said the program has served more than 190,000 people and supported over 400 organizations, and asked for technical adjustments to keep administrative costs low. The bill was then closed for hearing. The committee also heard HB 2606, which would revise the Office of Privacy and Data Protection’s duties and performance measures, remove some reporting requirements, and add review of agency AI projects. The prime sponsor described it as a “stay-in-your-lane” cleanup bill responding to JLARC recommendations, and the state chief privacy officer testified in support, saying the office could implement the changes within existing resources. After questions about local government support and public resources, the hearing on HB 2606 was closed and the committee adjourned.

Transcript Highlights:

• , and then our river community assistance program.
• and then our river community assistance program as addressed by our ag cost share program and then our
• So it's a very important program.
• Now, if we cut this budget into the six statutory programs, programs one through three account for about
• So I've rebranded it an alternative water supply program sometimes, right?

Committee: Senate Appropriations Committee on Agriculture, Environment, and General Government

Keywords: 999, senate, all

Transcript Highlights:

• Historically, we want these programs, but we need to make sure that the people that are in the programs
• So we're open to programs such as that.
• Chair, Senator, we have our own program, the CCP, which is the Community Custody Program, where we work
• So the judge will authorize the person to get into that program, to the 28-day program, and priority
• With that, our program is a voluntary program, and we'll go into that more at the tour.

Committee: House Courts, Corrections & Justice Committee

Transcript Highlights:

• Musical Awards programming that we are continuing to implement.
• So previously we were collecting data through only our program.
• Understanding of the programming, we're looking at leadership.
• Chair, the "Call Me Mr." program is at Clemson University.
• Those programs are shrinking and shrinking and shrinking.

Transcript Highlights:

• Will that supersede funding for current programs like Cal Fire's Wildfire Mitigation Program?
• For current programs like Cal Fire's wildfire mitigation program that includes home hardening, and we
• and recycling programs work.
• Alternative Manure Management Program, the State Water Efficiency and Enhancement Program, and the Healthy
• Soils Program.

Summary: The committee heard several bills and one resolution focused on recycling, housing affordability, air quality, coastal protection, wildfire resilience, and nuclear policy. AB 2559, by Assembly Member Ward, would require local governments to return refundable construction and demolition permit deposits if compliance documentation is submitted within three years of final inspection; supporters said it would prevent homeowners and developers from losing deposits due to mismatched local deadlines, and it passed unanimously as amended to Appropriations. AB 1704, by Assembly Member Gonzalez, would require CARB to assess the cost of lower-embodied-carbon building materials and pause the embodied-carbon program if cost parity is not reached; supporters framed it as a housing affordability safeguard, while environmental groups argued it would delay implementation of a key climate law. The bill passed on a party-line vote to Appropriations. AB 2349, by Assembly Member Solache, would create regional air quality incident response centers for emergency monitoring and coordination; it drew strong support from air district and local government representatives and passed unanimously to Appropriations. ACR 149, commemorating the 50th anniversary of the California Coastal Act and Coastal Conservancy, highlighted coastal access, habitat protection, and climate adaptation; it passed the committee, though some members voted no. AB 1960, by Assembly Member Bennett, would let Cal Fire fund community-level wildfire hardening projects through the Wildfire Prevention Grants Fund; members raised questions about funding and implementation, but it passed to Appropriations. AB 2254, the Coastal Monarchs Protection Act, would require coastal local governments to add monarch overwintering protections when updating local coastal plans; supporters cited steep monarch declines and economic benefits, while local government groups opposed the mandate as duplicative and burdensome, and it passed to Water, Parks and Wildlife. AB 2253 would restrict deceptive recycled-content claims and mass-balance accounting practices; supporters said it would protect consumers and real recyclers, while business groups argued it would conflict with recognized accounting systems and EPR programs. The transcript also included AB 1757, which would create a limited carve-out from California’s nuclear moratorium for microreactors; supporters said it could provide clean, local power and support data centers, while opponents warned of cost, waste, and safety risks. The committee ultimately rejected AB 1757 on a divided vote, then granted reconsideration, and the discussion continued without a final action shown in the excerpt.

Transcript Highlights:

• Certification Program, the Grads Program, and then lawsuit sufficiency fees.
• In those programs. Okay, thank you.
• We do not require that these programs pay for benefits.
• critical programs that allow our at-risk students to thrive.
• The first beginning in elementary school NM Pre-K Program.

Transcript Highlights:

• Uh when our program for some time now.
• It is definitely Minnesota. that if we are investing in a program that if we are investing in a program
• This program has really perfect fit.
• </c><01:13:21.199><c> or</c><01:13:21.520><c> programs,</c> totality of uh the program or programs, totality
• of uh the program or programs, is<01:13:22.480><c> is</c><01:13:22.719><c> this</c><01:13:23.120><c>

Committee: Senate Housing and Homelessness Prevention

Keywords: 1187, senate, all

Transcript Highlights:

• or immigration, also put these other programs in jeopardy.
• or immigration, also put these other programs in jeopardy.
• </c> in 2024 alone domestic violence programs in 2024 alone domestic violence programs served<00:10:05.120
• We know that culturally specific and rural programs will be especially hard hit.
• Programs have already started to make changes.

Keywords: 1187, senate, all

Transcript Highlights:

• You also work with estuary local programs.
• Item number five. recovery programs.
• Our GoTexan program, our marketing program, again, is very successful. Thank to you.
• Our food and nutrition, we operate 12 of the federal nutrition programs plus the state programs. including
• Also, we have a Young Farmer Startup Program that the state funds, and we have the STAR Program, which

Bills: SB1 , SB 1

Committee: Senate Finance

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• the course or program, a school may use funding that is generated by other courses or programs and exceeds
• But the students that attend a satellite program, it's an EVIT satellite program at Chandler.
• It's an EVIT satellite program at Mesa.
• But the students that attend a satellite program, it's an EVIT satellite program at Chandler.
• The CTE programming is... ...different than general academic programming.

Bills: HB2093 , HB2370 , HB2376 , HB2380 , HB2381 , HB2383 , HB2423 , HB2481 , HB2621 , HB2895 , HB4005 , HB4043 , HB4109

Committee: Senate Education

Keywords: mental health, school curriculum, education policy, instruction requirements, statute repeal, charter schools, education, weapons detection, public safety, school administration, school districts, real estate transactions, school property, bond issuance, land use approval, capital improvements, school governance, board meetings, education funding, parental notification

Transcript Highlights:

• care and discount programs.
• And so we spent a lot of time organizing a distressed hospital loan program.
• To be eligible under program rules, you must have an immediate medical need. Thank you. program.
• Is really no money for this program and no infrastructure in San Diego County for this program.
• Cuts to Medi-Cal and other safety net programs.

Keywords: 988, house, all

Transcript Highlights:

• The tool also offers a dedicated program page that consolidates a program overview, related state and
• What's the participation in the program? How many students are actually enrolled in a program?
• You get some good programs.
• community schools program.
• The incredible work that the CDE does to help implement programs, that program side of the work, is really

Summary: The joint hearing focused on coherence in California’s education planning and reporting systems, especially the Local Control and Accountability Plan (LCAP) and related grant plans. Committee chairs and members described widespread frustration with duplicative, lengthy, and sometimes conflicting reporting requirements, while emphasizing that the goal was not to reduce accountability but to make planning more useful, stable, and student-centered. State Superintendent Tony Thurmond also previewed the Governor’s education budget priorities, including expanded learning, community schools, universal transitional kindergarten, literacy supports, and concerns about the proposed Prop. 98 deferral. Panelists from the State Board of Education, Fresno County Superintendent of Schools, and the Legislative Analyst’s Office said the LCAP was intended to balance local flexibility with statewide transparency, but has become overloaded by repeated revisions and additional requirements. They argued for fewer core reporting elements, more stability over time, better alignment of planning cycles, and integrated systems that reduce duplication. Fresno County staff described a multi-year calendar and support tools that help districts manage timelines, but said these tools only ease the burden rather than solve the underlying problem. The LAO noted that some newer plans, such as expanded learning and transportation plans, are narrative-heavy and often less informative than separate reporting requirements. Local district leaders and county officials described the practical effects of the current system: staff time diverted from instruction, multiple portals and forms, audit risk aversion, and planning documents that can exceed 100 pages. Several superintendents said coherent systems work best when districts have clear priorities, stable governance, and aligned budgets, and when state requirements are predictable and tied to outcomes like literacy, attendance, and student achievement. The California Federation of Teachers added that coherence also depends on meaningful collaboration with educators, classified staff, parents, and communities. Committee members repeatedly asked whether the state should streamline reporting, create a uniform portal, or develop a more unified grant-reporting structure, and Thurmond said the department was piloting a simplified common form and was willing to work with the Legislature and districts on broader solutions.

Transcript Highlights:

• </c><00:18:45.280><c> is</c> understand about the SNAP program is understand about the SNAP program is
• So these support the Medicaid program.
• </c> and using them for the SNAP program. and using them for the SNAP program.
• And we're pulling program in this case.
• Under the Medicaid program under as &gt;&gt; Yes.

Keywords: 928, house, all

Summary: The Fiscal Committee met with replacement members noted at the start and took up one emergency item from the Department of Health and Human Services: approval to accept and expend $2 million to support SNAP recipients during the federal shutdown. Commissioner Lori Weaver and CFO Nathan White explained that USDA/FNS had notified the state it would not receive November SNAP funds, affecting about 74,000 recipients. The department said it activated a contingency plan to contract with the New Hampshire Food Bank to expand mobile food pantries, targeting SNAP households and prioritizing locations based on need, with evening and daytime access and outreach through mail, text, email, social media, partner organizations, and a shutdown webpage. Committee members asked about timing, locations, reimbursement, and whether the state would be repaid by the federal government. Department staff said the food bank would likely need about a week to mobilize once the contract was approved, and that the contract would be cost-reimbursement based, with faster turnaround than usual but not advance payment. White explained the money would come from excess Medicaid Enhancement Tax revenue from state fiscal year 2025, which can be used only for Medicaid purposes under state law and SB 249, allowing general funds to be shifted to the food bank contract. Members also asked about other affected programs; the department said WIC had funding through November 10, energy assistance was expected to continue through December, and school breakfast/free and reduced lunch were not impacted. Members discussed broader public outreach, including a possible PSA and use of the New Hampshire Food Bank’s network of 417 partners, and one member suggested religious leaders or the governor might be better positioned to make donation appeals. The committee then voted unanimously to adopt the item (motion by Senator Gray, second by Senator Waters). The meeting ended with notice of the next meeting on November 21 at 11:00 and a motion to adjourn, which was approved.

Transcript Highlights:

• I will also say there is a patient savings program or co-pay assistance program, those kinds of things
• that program has gone in a second.
• well about the CLND program and its reach and impact.
• lunch program.
• So there is some opportunity within the CHW program.

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• Workforce programs?
• Yes, the program is, these programs are for new employers that are coming into our region.
• programming.
• And so we've got the, you know, continuing to fund our Medicaid program within this program.
• program.

Keywords: 959, house, all

Transcript Highlights:

• </c> designed to align dual credit programs designed to align dual credit programs with<00:04:06.640>
• </c><00:12:17.440><c> and</c> them to create that that program and them to create that that program and
• It's a four-year degree program.
• program.
• ><c> on</c> program engineering tech programs on program engineering tech programs on their<00:35:19.359

Keywords: 958, all

Summary: The committee first took up House Bill 46, which would allow lottery winners of $1 million or more to remain anonymous. After brief discussion and a motion with a second, the committee approved the bill unanimously and sent it to the House floor. Members then heard House Bill 54, a workforce and education measure aimed at aligning dual credit and project-based learning with licensed construction trades and other high-demand careers. The sponsor and witness said the bill is intended to help students meet both education and on-the-job training requirements, address labor shortages, and speed entry into the trades. Several members raised concerns about possible abuse of internships, the need for input from unions and other trade groups, and the amount of authority left to the Department of Housing, Buildings and Construction to write regulations. The sponsor said the bill does not replace current hands-on training requirements and expressed willingness to continue discussions. The committee passed the bill, with some members explaining their votes as conditional or in hopes of further amendments. The committee also approved House Bill 261, which would let retired CPAs provide certain uncompensated services, such as nonprofit work, while retaining their CPA designation, and would create a retirement-based CPE waiver for those limited services. A question from Representative Donworth focused on how retired CPAs would disclose their status to nonprofits; the board representative said retired status is noted in board records, but there is currently no separate requirement governing use of the CPA designation. The bill passed. Finally, the committee considered House Bill 262, which would remove restrictions on small CPA firm names after an owner dies or retires. The sponsor said Kentucky is an outlier because current law requires the remaining owner to change the firm name. The bill passed unanimously. After that, the chair turned the gavel over to the vice chair and began presenting House Bill 306, which would change engineering education requirements for licensure, especially to help Eastern Kentucky University fire protection engineering technology graduates qualify for licensure in Kentucky rather than leaving the state. The sponsor and witnesses explained that the bill would not change the rest of the PE licensure pathway, only the education component, and said most other states already allow this route. Members noted that engineers may have concerns and encouraged continued discussions before the bill advances further.