Transcript Highlights:

• </c> management and student support. management and student support.
• The addiction medicine training program, where we educate and train specialists in addiction medicine
• The addiction this is devastating.
• </c> addiction specialist in that community. addiction specialist in that community.
• </c> continued support of higher education. continued support of higher education.

Committee: Senate Higher Education

Transcript Highlights:

• , and support the long-term viability of rural hospitals.
• I fully support the bill; I just think we're...
• Perinatal palliative care is about how we support families and how we support these babies that may not
• There is a lot more that Texas can do to support these families, to support these babies, and to treat
• We are here strongly in support of House Bill 2735.

Bills: HB18 , HB742 , HB754 , HB1644 , HB2187 , HB1887 , HB 1275 , HB37 , HB1503 , HB1699 , HB1700 , HB2735 , HB1741 , HB1731 , HB1675 , HB18 , HB37

Committee: House Public Health

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, human trafficking, first responders, health care, training, reporting, protection, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting, good faith report

Transcript Highlights:

• Systems helps as a connection point to support these young people, help them connect to support services
• We have our youth recovery support.
• This service includes peer support meetings for youth in our state, peer support meetings for caregivers
• and their supporters.
• They also offer some peer support.

Summary: The meeting opened with approval of the April minutes and brief administrative updates, including notice that House Bill 5447 had passed both chambers of the General Assembly. Speakers reflected on the bill’s key provisions, which include eating-disorder working groups, an evidence-based screening requirement for school-based health centers beginning July 1, 2027, and a DSS-led feasibility process to explore an inpatient psychiatric facility for young adults ages 14 to 21. New staff introductions were also made for the Behavioral Health Advocate’s office and the TCB team. A major portion of the meeting focused on marketing and outreach for urgent crisis centers (UCCs) and the broader youth crisis continuum. Daydream Communications presented research showing low public awareness of UCCs but strong interest once families learn about them, with parents wanting specialized, compassionate care, clear expectations, insurance clarity, and bilingual support. United Way described its parallel work on a statewide crisis continuum marketing toolkit, using the SAMHSA framework of “someone to talk to, someone to respond, and somewhere safe to go,” and outlined plans to distribute consistent messaging through websites, social media, flyers, and community venues. Members emphasized coordinating with existing platforms and ensuring the marketing reflects the actual experience at UCC sites. DCF then presented on adolescent substance use services, citing data showing high need and low treatment access among Connecticut youth. The department reviewed its ASAM-based continuum, SBIRT efforts in outpatient psychiatric clinics, medication-assisted treatment access, and statewide services such as MST, MST emerging adults, STRIDE, multidimensional family therapy, youth recovery supports, and the AIM matching tool. A new young people peer support program was highlighted, with referrals accepted from families, hospitals, community providers, DCF, youth diversion, and the judicial branch. Questions addressed parent consent, peer matching, and whether the AIM tool could be linked through 211. The meeting concluded with an update from the Connecticut Suicide Advisory Board and its regional boards and grant-funded initiatives. Presenters reviewed the state suicide prevention plan, regional coalition work, postvention response, lethal means safety efforts, and the 988 capacity improvement grant that supports Connecticut’s centralized 988 contact center at United Way. They also shared youth suicide risk data from the Connecticut Youth Risk Behavior Survey, noting recent declines in reported suicidal ideation and attempts, and provided resources for training and materials. No formal votes were taken beyond the approval of the April minutes.

Transcript Highlights:

• But thank you all for your support throughout the year and for your... We'll see. We'll try.
• But thank you all for your support throughout the year and for your cooperation in every meeting and
• Supports to encourage and facilitate clinical research into the use of ibogaine in drug treatment.
• Thank you for supporting this bill.
• We love peer support services. All those in favor say aye. Aye.

Committee: Senate Alcoholism And Substance Use Disorders

Summary: The Senate Standing Committee on Alcoholism and Substance Use Disorders met on April 29, 2026, with Senators Pete Harckham and Rob Rolison present and a quorum established through submitted vote sheets. The chair noted this could be one of the committee’s final meetings of the year and thanked members for their participation. Nine bills were on the agenda, all of which were moved and approved without recorded opposition. The committee advanced several addiction-treatment and recovery measures, including S-1817 on encouraging and facilitating clinical research into ibogaine for drug treatment, S-4747A creating an intensive addiction recovery and mental health integrated services pilot program, S-4948A providing reimbursement for non-medical transportation to peer support services, and S-59A creating a substance use disorder treatment bill of rights. Members also approved S-83A establishing the Individual Counseling for Integrated Care Rate Enhancement Act and S-7508, which requires health care professionals to prescribe opioids, sending those bills to Finance. The committee also approved education-focused bills: S-513 requiring schools to include instruction on preventing co-occurring disorders, S-5900 directing educational materials on prescription drug misuse in counties with the most prevalent opioid abuse, and S-9272 expanding opioid overdose prevention measures in certain settings. Most bills were reported either to Finance, Education, or the calendar, with no negative votes recorded on any measure.

Transcript Highlights:

• I support this bill.
• , one-on-one support, peer support lines, and individual and systemic advocacy.
• and family support.
• Some opposed... ...walls with peer support and family support.
• I support House Bill 4261. I don't support the Kratom Consumer Protection Act.

Committee: Joint Joint Committee on the Judiciary

Summary: The Joint Committee on the Judiciary held a lengthy hearing on several juvenile justice and parole-related bills, with much of the testimony focused on H. 2051/S. 1087 to end lifetime parole for juveniles and emerging adults, and H. 1923 to raise the age of juvenile court jurisdiction to include 18-, 19-, and 20-year-olds. Chairs Brandy Fluker-Reid and Lydia Edwards opened the hearing by noting the large number of bills and witnesses, the need to keep testimony moving, and special procedures for incarcerated witnesses and sensitive testimony. They also acknowledged the historic nature of the hearing being chaired by two Black women attorneys. No votes were taken during the hearing itself. Many incarcerated speakers and advocates supported ending lifetime parole, arguing that young people can change, that lifetime supervision creates constant fear of technical violations, and that it undermines rehabilitation, family stability, employment, and reintegration. Several testified about their own trauma, youth, and growth in prison programs, while others emphasized the costs of decades of supervision and the racial disparities in the system. Support also came from elected officials, UTEC, the Transformational Prison Project, United Way, CPCS’s Youth Advocacy Division, the Massachusetts Coalition to Prevent Gun Violence, and others, who said juvenile systems are better suited to developmentally appropriate treatment and that the bills would improve public safety and reduce recidivism. There was also opposition, including testimony from family members of a murder victim who argued that lifetime parole should remain for serious violent crimes and that some offenders are not sufficiently rehabilitated. One virtual witness described a family tragedy involving the kidnapping and murder of her infant nephew and warned that ending lifetime parole could remove needed long-term supervision for dangerous offenders. In addition to the juvenile justice bills, the committee heard testimony on H. 1867, a bill related to continuing care for severe mental illness, and H. 2063, which would increase penalties for assaults on correction officers and other prison staff; the correction officers’ union supported H. 2063 and related safety bills. The hearing continued with many more witnesses and bill topics, but no final committee action was announced in the portion provided.

Transcript Highlights:

• I rise in support. support. support. &gt;&gt; Thank<00:06:50.160><c> you.
• In strong support, actually. &gt;&gt; Thank you. In strong support, actually.
• &gt;&gt; Representative Reyes. in<00:28:39.039><c> support.</c> in support. in support.
• </c> so I support this bill. so I support this bill.
• </c> not two sides still support. not two sides still support.

Bills: HB2117 , HB2155 , HB1832 , HB1601 , HB2297 , HB2397 , HB1893 , HB2533 , HB1890 , HB2004 , HB1810 , HB2323 , HB1691 , HB1671 , HB2619 , HB1481 , HB2314 , HB2319 , HB2214 , HB2488 , HB2009 , HB2007 , HB1964 , HB2218 , HB1535 , HB1977 , HB2054 , HB2046 , HB146 , HB2094 , HB2181 , HB2515 , HB2444 , HB2385 , HB1724 , HB1733 , HB2416 , HB2001 , HB1603 , HB1753 , HB2140 , HB1962 , HB1963 , HB2096 , HB1959 , HB1960 , HB2293 , HB2288 , HB1752 , HB1573 , HB469 , HB2091 , HB1851 , HB1688 , HB1696 , HB2417 , HB2375 , HB2333 , HB2152 , HB1881 , HB2395 , HB1721 , HB1921 , HB1730 , HB1697 , HB1824 , HB2282 , HB2078 , HB2321 , HB2279 , HB1522 , HB2097 , HB2433 , HB2106 , HB2274 , HB2452 , HB1764 , HB2438 , HB1860 , HB2604 , HB2118 , HB2017 , HB2216 , HB1934 , HB2454 , HB2427 , HB2207 , HB1840 , HB1644 , HB1645 , HB1946 , HB1648 , HB2324 , HB1509 , HB1514 , HB1515 , HB2164 , HB2165 , HB2283 , HB2386

Transcript Highlights:

• I am a recovering alcoholic, uh, drug addict, specifically heroin addict.
• I am an addict.
• I am an addict.
• I was addicted to kratom, and it was a terrible choice of mine because I am an addict.
• ,</c><00:54:09.520><c> you</c> nothing about it being addictive, you nothing about it being addictive

Bills: HB0103 , HB0070 , HB0091

Committee: Senate Judiciary

Transcript Highlights:

• And what I've seen over these years is the power and the pull of addiction, the stronghold addiction
• I would ask for your support for it.
• The Alliance, in support. Good morning.
• The Alliance, in support. Good morning.
• in support.

Summary: The committee heard several public safety and privacy bills, with extensive testimony on each. AB 1872 by Assembly Member Ta would make repeat swatting a wobbler and require offenders to compensate victims for property damage. Supporters, including civil liberties, sheriff, and district attorney representatives, said swatting is a serious and growing threat to first responders, schools, and public officials. Opponents argued existing law already covers false emergency reports and warned the bill could worsen penalties for people with mental illness. The committee approved the bill on a do pass motion to Appropriations. AB 1727, also by Assembly Member Ta, would make it a misdemeanor to transfer or sell a person’s genetic data without consent. Supporters framed the bill as a needed privacy protection in light of advances in genetic technology and AI, citing examples such as HeLa cells and concerns about unauthorized DNA collection. Opponents, including ACLU Cal Action, said civil penalties already exist under current law and objected to creating a new carceral offense for nonviolent conduct. The committee accepted amendments and moved the bill forward as amended to the Privacy and Consumer Protection Committee. The committee then took up AB 1782 by Assembly Member DeMaio, which would lower the threshold for retaining certain offenders with mental health disorders in state hospital custody and broaden the conduct considered in dangerousness determinations. Supporters said the bill responds to a recent release case and would help prevent dangerous releases; opponents, including disability rights and public defender groups, said it would weaken due process and expand involuntary confinement. The chair recommended a no vote, and the bill remained on call after a split roll. AB 1632 by Assembly Member Johnson, which removes the notarization requirement for trespass authorization letters, passed as amended despite opposition from homelessness advocates and public defenders who said it could increase arrests of unhoused people; supporters said it would reduce bureaucracy and help property owners and police respond to trespassing. The committee also heard AB 1968 by Assembly Member Gallagher, which would add conspiracy to commit murder to the list of offenses eligible for heightened juvenile court handling; supporters cited a foiled school attack in Tehama County, while opponents warned of overbroad punishment and racial disparities. The bill was discussed but not yet voted on in the portion provided.

Transcript Highlights:

• And what I've seen over these years is the power and the pull of addiction, the stronghold addiction
• I would ask for your support for it.
• The Alliance, in support. Good morning.
• I am in strong support, and if I could move the age up to 24, based on what's I am in strong support,
• Youth Alive in support.

Committee: House Public Safety

Transcript Highlights:

• These chemical products are very highly addictive.
• They deny that THC is Addictive.
• They are psychoactive and very addictive.
• This predatory addiction-for-profit hemp industry is addiction economics.
• They are highly addictive.

Bills: HB28 , SB3 , SB 3

Committee: House State Affairs

Keywords: hemp regulation, consumable products, cannabinoids, state health, youth protection, licensing fees, criminal offenses, flash flood, flood warning, outdoor warning siren, emergency alert, disaster preparedness, flood mitigation, Hill Country floods, Texas Water Development Board, municipalities, counties, local government mandate, public safety, grant program

Transcript Highlights:

• people from fentanyl addiction.
• The way that they get help is to actually get with an addiction recovery doctor or peer support or a
• I understand the other argument that people who are addicted, they need help and they need support, but
• They support the SUPPORT Act for patients and communities. That's what everyone has.
• to be in support of.

Bills: HR117 , HR27

Keywords: committee, House of Representatives, ethics, government, House Resolution 117, H.Res. 117, HR117, committee assignment, committee chair, House Committee on Ethics, Ethics Committee, House ethics, member conduct, congressional ethics, House organization, internal resolution, Mr. Guest, standing committee, leadership appointment, tolling program

Transcript Highlights:

• </c><00:47:50.319><c> the</c> homeowner and I'm here to support the homeowner and I'm here to support
• </c><01:14:03.280><c> I'll</c> letters in support of this. I'll letters in support of this.
• I fully support this.
• </c> goes to the support our troops account. goes to the support our troops account.
• This bill comes to you with support from the relative kinship licensing support network.

Committee: Senate Judiciary and Public Safety

Transcript Highlights:

• It is an addiction.
• </c><01:06:01.360><c> available</c> uh a a framework of support available uh a a framework of support
• </c><01:15:23.480><c> and</c> forth has been, you know, addiction and forth has been, you know, addiction
• ,</c><01:20:28.880><c> the</c> at the legislature, addiction, the at the legislature, addiction, the
• </c><01:22:07.160><c> You're</c> addiction, that's a problem. You're addiction, that's a problem.

Bills: SCR145 , SCR132 , SCR31 , SCR110

Transcript Highlights:

• We support that. We support the restrictions, but we do not support the prohibition on that.
• We support the restrictions, but we do not support the prohibition on that.
• I do not support a ban.
• Kratom is addictive, like all opioids. People get addicted to it.
• I support this bill.

Committee: House Health and Welfare

Transcript Highlights:

• Cheryl Westmont with Mothers Against Media Addiction in strong support.
• They can be addictive like addictive drugs, and they're designed specifically to be addictive.
• Cheryl Westmont with Mothers Against Media Addiction, California, strong support.
• Cheryl Westmont with Mothers Against Media Addiction, California, strong support.
• Cheryl Westmont, with Mothers Against Media Addiction, in strong support. California.

Committee: Senate Privacy, Digital Technologies, and Consumer Protection

Transcript Highlights:

• And I'm asking for your support. Thank you so much. I've got a question.
• This is primarily why we support it.
• We strongly support ESSB 61-29.
• These new products are highly profitable and highly addictive.
• These new products are highly profitable and highly addictive.

Summary: House Finance held public hearings on three Senate bills. SB 6129 would raise cigarette taxes, replace current nicotine/vapor product taxes with a 95% tax on nicotine products, and adjust revenue distributions to the Andy Hill Cancer Research account, the Foundational Public Health Services account, and a youth prevention account; staff and supporters said it would correct an unintended loss of public health funding and reduce youth nicotine use, while opponents argued it would be highly regressive, harm retailers and wholesalers, and push sales into illicit markets. SB 6231 would repeal the data center sales tax exemption for refurbishment and end replacement server equipment eligibility; the sponsor and staff said it would raise roughly $200 million and remove an obsolete preference, while labor, port, business, and data center representatives opposed it, citing lost jobs, reduced investment, and concerns about upsetting existing contracts and rural economic development. SB 6228 would repeal the preferential B&O rate for warehousing and reselling prescription drugs and create a lower preferential rate for critical access pharmacies; the sponsor said it would restore horizontal equity in the tax code and offset impacts on rural pharmacies, but pharmacy groups, wholesalers, retailers, and business organizations warned it would raise medication costs, worsen pharmacy closures, and be passed through to patients. The committee heard extensive public testimony on all three bills. Supporters of SB 6129 included public health, cancer, pediatric, and emergency medicine advocates who emphasized youth prevention, cessation funding, and long-term health savings; opponents included tobacco, vape, retail, and business groups who said the bill would increase black-market activity and burden small businesses. SB 6231 drew opposition from construction trades, ports, local governments, chambers, and data center interests, who argued the tax preference supports ongoing construction, permanent jobs, and local tax bases, while committee questions focused on whether the bill would affect existing refurbishment contracts. SB 6228 was opposed by pharmacy associations, independent pharmacists, wholesalers, grocery retailers, and AWB, who said the tax increase would be passed through and could accelerate pharmacy desert conditions; the sponsor and supporters framed the bill as a correction to an outdated preference and a way to protect critical access pharmacies. No votes were taken; each hearing was closed, and the chair announced amendment requests were due Thursday at 5 p.m. and amendments posted by Friday at 5 p.m.

Transcript Highlights:

• I'm here today in support of HB 2511.
• I support this bill. Thank you. I support this bill. Thank you. Vice Chair Cortez. Thank you, Mr.
• Addicts are very manipulative, and her parents were experts.
• We are testifying in support of this bill today.
• I ask you to not support this bill. Thank you. Thank you.

Summary: The committee heard testimony on House Bill 2511, which would define “imminent physical harm” in the child welfare context as a substantial risk of serious harm arising from home conditions, caregiver conduct, neglect, substance abuse, unsafe environments, or other circumstances likely to cause significant injury. Representative Tom Dent, the sponsor, said the bill was intended to give caseworkers clearer tools to protect children while still recognizing the importance of keeping families together. Supporters, including some foster parents, kinship caregivers, advocates, and individuals with lived experience, argued that the current standard is too vague and has contributed to child fatalities and near-fatalities, especially in cases involving fentanyl exposure, chronic neglect, and abuse. They said clearer language would help courts and caseworkers intervene earlier and more consistently. Opponents, including legal aid, public defense, and child welfare policy groups, argued the bill is legally problematic, could conflict with existing statutes and ICWA-informed language, and would not address root causes such as service gaps, training, and inconsistent implementation. DCYF testified “other,” saying the bill could add clarity but that the language needed refinement; the sponsor said he was open to working on changes. No vote was taken on the bill during the hearing. The committee then heard House Bill 2660, which would allow courts at shelter care hearings to order parents of children under age five to comply with safety-related conditions, evaluations, or services when the child is returned home, with referrals required within seven days and participation not treated as an admission of abuse or neglect. The sponsor, Representative Ortiz-Self, said the bill is aimed at critical incidents and would give caseworkers and courts more ability to require safeguards for very young children when families are not voluntarily engaging in services. DCYF and the Office of the Family and Children’s Ombuds supported the bill, saying it could help prevent tragedies by allowing earlier court-ordered services and safety conditions. Some advocates and parents also supported it, describing cases where removal or court intervention helped protect children. Opponents, including public defense and some family-support organizations, raised constitutional and due process concerns, argued that services are not the same as immediate safety, and warned the bill could shift problems without fixing underlying service shortages. The sponsor and DCYF discussed the need for follow-up on language and implementation, but no committee action or vote was taken in the hearing.

Transcript Highlights:

• Support.
• Louisa Davis with Addiction Treatment Advocacy Coalition, in support. Sherry Daly with...
• support.
• We support.
• Sherry Daly, with the California Consortium of Addiction Programs and Professionals, in support.

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.

Transcript Highlights:

• And therefore, I cannot support this bill. Thank you, Madam Chairwoman.
• For those reasons, I support HB 3155.
• I support HB 355, like I supported the other ones two weeks ago. Thank you.
• I support HB 3155, like I supported the other ones two weeks ago. Thank you, Madam Chairwoman.
• recovery support.

Committee: House Judiciary and Civil and Criminal Jurisprudence

Summary: The Judiciary Committee first heard House Bill 2255, sponsored by Rep. Barry Hovis, which would update Missouri’s expert witness statute to align with the amended federal Rule 702 and the Daubert reliability framework. Supporters, including defense lawyers, the Missouri Hospital Association, business groups, insurers, and a sterilization company, argued the bill would clarify judges’ gatekeeping role, require expert testimony to be shown reliable by a preponderance of the evidence, and reduce inconsistent rulings and costly retrials. Opponents, including the Missouri Association of Trial Attorneys, a public advocate, and a justice reform group, argued the bill was unnecessary, would shift too much discretion from juries to judges, and could increase pretrial litigation and costs, especially for plaintiffs. No vote was taken on HB 2255 during the hearing. The committee then heard House Bill 3155, sponsored by Rep. Benny Cook, on sentencing and parole eligibility changes. Cook and supporters, including prosecutors and some public safety advocates, said the bill would improve transparency in sentencing, make parole timing clearer, and help address repeat serious offenders by setting firmer service percentages. Opponents, including justice reform and anti-poverty advocates, argued it would increase incarceration costs, especially for lower-level and drug offenses, without improving public safety, and would reduce incentives for rehabilitation. Some members questioned whether the bill could lead to longer time served, while supporters said it would apply evenly and clarify existing sentencing practices. At the end of the hearing, the committee took up an executive session on House Bill 2637 and House Bill 3155 together under a House Committee Substitute. The substitute was adopted, and the combined committee substitute for HB 2637 and HB 3155 was voted do pass by an 8-3 roll call.

Transcript Highlights:

• So helping dental assistants and other office staff into higher-level support roles supports their professional
• We support Senate Bill 6138.
• I hope the committee will join in support of this bill to support health and wellness across Washington
• I was homeless and struggling with my addiction.
• I was seven months pregnant and addicted to fentanyl.

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.