Transcript Highlights:

• It's a great, great effort and great policy.
• It's a great, great effort and great policy. Thank you, Chair Bennett.
• To better guide policies going forward.
• I mean, are you seeking out partnerships, I guess, or anticipate any partnerships where you think you'll
• be able I mean, are you seeking out partnerships, I guess, or anticipate any partnerships where you

Summary: The committee first heard AB 710, which would expand dynamic pricing and time-of-use electricity rates and require utilities to develop plans for advanced metering infrastructure so more customers can participate. The author and supporters said the bill would encourage load shifting to times when electricity is cheaper and cleaner, reduce curtailment of renewable energy, and help address affordability. PG&E and SDG&E opposed the bill as drafted, arguing the deadlines were premature, could disrupt ongoing CPUC rate proceedings and pilot programs, and might force costly changes before results are known; Golden State Power Cooperative was neutral and flagged a technical issue. After questions and discussion about timing and scope, the committee passed AB 710 on an 11-0 vote and also approved the consent calendar 15-0. The committee then held its first 2026 oversight hearing on implementation of the California Transmission Accelerator created by SB 254. GoBiz, IBank, CAISO, and the Department of Finance outlined the new program’s structure: GoBiz’s energy unit will coordinate the accelerator, IBank will evaluate and finance eligible projects, CAISO’s transmission planning and competitive solicitation process will identify projects, and the tax credit will provide an additional incentive for developers. Administration witnesses said trailer bill language and about 10 limited-term positions are being proposed to clarify roles, protect confidential information, and support the revolving fund, with roughly $26 million in administrative costs over five years. Committee members focused on coordination among agencies, supply-chain risks, regional market planning, and whether the accelerator has enough authority to move projects quickly. CAISO said its planning and competitive procurement processes already align closely with the accelerator and that no tariff changes are expected, while GoBiz and IBank said they are still developing financing strategies and learning from other states. Public commenters supported faster transmission but urged the committee to preserve the role of competitive developers, clarify ownership and risk allocation, and ensure wildfire safety and accountability. The hearing ended with no formal action beyond receiving testimony and committing to continued oversight.

Transcript Highlights:

• Policy Director, thank you.
• Hi, Richard Raya, CEO of Marin Promise Partnership. Thank you.
• Richard Raya with Marin Promise Partnership, in support.
• Richard Raya with Marin Promise Partnership, in support.
• Policy for the Arc of California, in strong support.

Summary: The committee heard several child welfare, food assistance, child care, and developmental services bills. AB 308 would require a statewide evaluation of regional center safety training and crisis-response services for people with intellectual and developmental disabilities; supporters said it would help reduce reliance on law enforcement and improve de-escalation and emergency preparedness. AB 1049 would remove sponsor deeming from the California Food Assistance Program, with supporters from food banks and legal aid arguing the rule creates confusion, chilling effects, and wrongful denials, while one member raised concerns about accountability and fraud. AB 1201 would narrow when a parent’s prior violent felony can bar reunification services, limiting the bypass to offenses involving a child or a child’s other parent/guardian; county and advocacy witnesses said the bill preserves judicial discretion and avoids automatic denials, though a member expressed concern about child safety in violent or criminal environments. AB 2379 would require family child care providers to be notified of constitutional rights and receive multilingual training regarding immigration enforcement; it drew broad support and no opposition. AB 2429 would make ACEs screening optional and reduce required classroom observations in the early childhood mental health consultation program, with supporters saying it would reduce administrative burdens and expand participation. AB 1755 would eliminate CalWORKs’ 100-hour monthly work penalty for two-parent families, and supporters said it would reduce poverty and administrative burden without changing income eligibility. AB 1981, presented later, would advance “true cost of care” child care rate reform, with providers describing the current reimbursement system as unsustainable. AB 2478 would create a streamlined kinship family approval pathway for foster care placements with relatives and other kin, and AB 1969 and AB 1996 would create statewide structures to coordinate cradle-to-career services and reduce child poverty, respectively; both were presented as data-driven, place-based efforts to align services and set measurable reduction goals. Most bills received strong support from county agencies, advocacy organizations, and service providers, with little or no opposition testimony. Members generally praised the goals of the measures but asked questions about implementation, accountability, and child safety in the reunification and benefits bills. The committee took roll calls on the bills it heard, and the votes shown in the transcript were largely unanimous or near-unanimous, with several measures held on call after passing committee votes. AB 1049 was voted out 2-1, AB 1201 and AB 2379 were each voted out 3-0, AB 2429 and AB 1755 were voted out 2-0, and AB 2478, AB 1969, and AB 1996 were each voted out 2-0; the chair repeatedly noted that some bills would remain on call pending absent members. AB 1981 drew extensive support testimony from child care providers and allies, but the committee did not take a final vote in the portion of the transcript provided because no motion was available at that moment.

Transcript Highlights:

• And lasting partnership.
• Recently, we uplifted Armenia's Strategic Partnership Charter into a Comprehensive Strategic Partnership
• , over the is becoming an economic partnership of strategic importance.
• Recently, we uplifted Armenia's Strategic Partnership Charter into Comprehensive Strategic Partnership
• and partnerships become economic success.

Transcript Highlights:

• These partnerships include partnerships with the department These partnerships include partnerships with
• It is through critical partnerships with elected leaders like yourselves that we can create policies
• Policies for us are really important, and we've continued to revise and review policies as needed.
• And if you know anything about our policies, some of them are old, but we're happy that our policy team
• Two of the areas that we're working on are our protective intake policy and our case practice policy.

Committee: Joint Joint Committee on Children, Families and Persons with Disabilities

Summary: The hearing was an informational and oversight session of the Joint Committee on Children, Families, and Persons with Disabilities, with chairs and members hearing agency updates from several commissioners. The Department of Public Health’s Bureau of Family Health and Nutrition described its maternal and child health work, including home visiting, early intervention, WIC, newborn hearing screening, and cross-agency efforts on prenatal substance exposure, respite care, children’s vision, and maternal health initiatives. DPH emphasized that federal grant cuts, layoffs, and the loss of data systems such as PRAMS would weaken services and planning, and members asked about Title V funding and the impact of federal uncertainty. The Massachusetts Commission on the Deaf and Hard of Hearing highlighted communication access services, interpreter and CART referrals, emergency after-hours support, family navigation, and independent living services. Commissioners and members discussed the shortage of ASL interpreters and the need to expand training pipelines, including partnerships with colleges and possible ASL programming for younger students. The Department of Developmental Services reported serving nearly 50,000 people and focused on youth and adult services, transition-age supports, autism services, self-direction, respite, and new high-acuity residential models. Members asked about respite availability, self-direction outcomes, and workforce shortages; DDS said it was expanding clinical capacity and provider rates while monitoring possible federal Medicaid, SNAP, and immigration-related impacts. The Commission for the Blind described services for about 28,000 legally blind residents, most of whom are older adults, including social rehabilitation, orientation and mobility training, children’s services, assistive technology, vocational rehabilitation, and Turning 22 supports. The commissioner discussed a UMass-based effort to build the workforce pipeline for blindness services and said the agency was watching federal restructuring but had not yet seen direct cuts. MassAbility’s leadership then warned about major federal changes affecting Social Security disability determinations, including staff restructuring, office closures, and a new overpayment repayment policy, and said the agency was preparing for possible increases in claims and uncertainty around reallotment dollars that help fund services. The Disabled Persons Protection Commission closed the hearing with an update on its abuse investigations and protective services for adults with disabilities. DPPC reported rising hotline calls and investigations, a growing caseload, its sexual assault response team, the abuser registry, and a new interagency protective services integration system funded by ARPA dollars through 2027. The agency also flagged new federal rules that could affect funding eligibility and said it may need statutory changes to comply. Members asked about funding, reporting pathways, and how complaints reach DPPC, and the commissioner said the agency uses both mandated reporting and proactive outreach to identify and respond to abuse.

Transcript Highlights:

• Relative to tax policy as well in Massachusetts, right?
• How the business community views our tax policies.
• And thank you for your partnership over the past few years.
• And thank you for your partnership over the past few years.
• , in partnership with the governor, has also made policy changes over the course of the past year.

Committee: Joint Joint Committee on Ways and Means

Transcript Highlights:

• My name is Arnie Sowell, and I'm the executive director of NextGen Policy.
• Little Manila Rising or LMR. and harmful public policies.
• So I'm the Director of Policy and Communications with Líderes Campesinas.
• One of our policy coordinators has also been actively involved in a new One of our policy coordinators
• As I mentioned, this was one of the first partnerships between the EDC and a DSS.

Transcript Highlights:

• Policy Director, thank you.
• Hi, Richard Raya, CEO of Marin Promise Partnership. Thank you.
• Richard Raya with Marin Promise Partnership, in support.
• Richard Raya with Marin Promise Partnership, in support.
• Policy for the Arc of California in strong support.

Committee: Senate Human Services

Transcript Highlights:

• Relative to tax policy as well in Massachusetts, right?
• How the business community views our tax policies.
• And thank you for your partnership over the past few years.
• And thank you for your partnership over the past few years.
• , in partnership with the Governor, has also made policy changes over the course of the past year.

Committee: Joint Joint Committee on Ways and Means

Summary: The Joint Committee on Ways and Means held a public FY27 budget hearing at Barnstable Town Hall, with opening remarks emphasizing the Cape and Islands’ seasonal infrastructure, housing, transportation, workforce, and digital needs. The hearing began with testimony from the Executive Office of Labor and Workforce Development, which outlined the Healey-Driscoll administration’s budget priorities for job training, apprenticeship, youth employment, reentry programs, and unemployment insurance modernization. The secretary highlighted proposed funding for the Workforce Competitiveness Trust Fund, Career Technical Initiative, YouthWorks, reentry workforce development, and services for young adults with disabilities, along with a proposal to streamline youth work permits. Members also discussed the unemployment trust fund, the COVID assessment on employers, rising unemployment, and the need to improve DUA customer service and claims processing. Committee members asked about job seeker barriers such as child care, housing, transportation, and out-migration of young workers, as well as how to keep Cape Cod graduates and seasonal workers in the region. The administration said its strategy is to pair training with broader affordability investments and to expose students to career pathways earlier, including through middle school, early childhood STEM, YouthWorks, pre-apprenticeships, and Building Pathways. Senators and representatives also raised concerns about regional funding disparities, especially for Hampshire Franklin MassHire, and the administration said it is reviewing MassHire funding and service equity through a policy committee and statewide workforce board. On unemployment assistance, officials reported major improvements in wait times and claims processing, but said they are still working through backlogs and staffing challenges while maintaining program integrity. The committee then heard testimony from the Executive Office of Economic Development. The secretary described House 2 as a fiscally restrained budget with no new taxes or fees, while preserving core programs and using the Mass Leads Act tools to support competitiveness. EOED’s proposal included funding for the Community One Stop for Growth, rural economic development, social enterprise operating grants, regional economic development organizations, the Workforce Investment Trust Fund, Community Workforce Partnerships, Pathmaker, advanced manufacturing training, life sciences, innovation vouchers, AI initiatives, small business assistance, and tourism and live theater support. The Office of Consumer Affairs and Business Regulation also testified on its FY27 request, focusing on consumer protection, licensing, banking, insurance, and public safety regulation. No votes were taken during the hearing.

Transcript Highlights:

• We've got policy guidance coming.
• Not according to policy. Between there that will lose benefits?
• Not according to policy or the system automation, or that should not happen.
• On the CalFresh side, we are issuing policy guidance within existing federal guidance.
• My name is Aniei Martin with the California Immigrant Policy Center.

Transcript Highlights:

• Relative to tax policy as well in Massachusetts, right?
• And thank you for your partnership over the past few years.
• And thank you for your partnership over the past few years.
• So to start with partnership over the past few years.
• , in partnership with the governor, has also made policy changes over the course of the past year.

Committee: Joint Joint Committee on Ways and Means

Summary: The hearing in Barnstable opened with remarks from the House and Senate co-chairs about the importance of holding Ways and Means budget hearings on the Cape, especially given the region’s seasonal economy and infrastructure needs. The committee then heard testimony from Labor and Workforce Development Secretary Lauren Jones on the governor’s FY27 budget proposal. She highlighted funding for workforce programs including the Workforce Competitiveness Trust Fund, Career Technical Initiative, registered apprenticeship, YouthWorks, reentry workforce programs, and services for young adults with disabilities. She also discussed MassHire career centers, the MassHire Innovation Project, and the Department of Unemployment Assistance modernization effort, noting improved call wait times and claims processing, but acknowledging continued challenges and federal funding uncertainty. Members asked about job-seeker barriers such as child care, housing, and transportation; domestic outmigration of young workers; youth work permits; unemployment insurance costs and the COVID assessment on employers; and the state’s unemployment rate and UI trust fund solvency. Jones and Undersecretary Josh Cutler explained the difference between workforce training funds and the unemployment trust fund, described the statewide trigger that extends unemployment benefits from 26 to 30 weeks when regional unemployment averages 5.2 percent, and said the administration is reviewing the trust fund with labor and business stakeholders. They also said the administration is trying to preserve front-line DUA staffing while shifting resources to customer service and adjudication, including a Friday adjudication pilot and seasonal hires. Senators and representatives also pressed the administration on regional equity in workforce funding, especially for Hampshire Franklin MassHire, which was described as serving a large rural area with fewer resources than other regions. Administration officials said they are reviewing MassHire funding formulas and modernizing the system with a policy committee and state workforce board input, but did not offer an immediate fix. The committee also heard that early childhood education apprenticeships are expanding quickly, with state funding leveraged to secure federal grants and support new Grow Awards. The hearing then moved to the Executive Office of Economic Development, where Secretary Eric Paley outlined House 2 proposals for economic development, including support for the Community One Stop for Growth, rural economic development, workforce partnerships, life sciences, advanced manufacturing, AI, small business assistance, tourism, and tax incentives. Undersecretary Leila D’Amilia followed with testimony on consumer affairs and business regulation, describing funding for consumer protection, banking oversight, occupational licensure, and public safety inspections.

Transcript Highlights:

• It's a great, great effort and great policy.
• It's a great, great effort and great policy. Thank you, Chair Bennett.
• To better guide policies going forward.
• I mean, are you seeking out partnerships, I guess, or anticipate any partnerships where you think you'll
• I mean, are you seeking out partnerships, I guess, or anticipate any partnerships where you think you'll

Committee: House Utilities and Energy

Transcript Highlights:

• "Okay, and one more question..." "...with existing partnerships.
• And so what you saw was a number of policy changes.
• And so what you saw was a number of policy changes.
• These are land-use policy recommendations that came out of the Food Policy Forum.
• And so this is some land use policy recommendations that came out of the Food Policy Forum.

Committee: House Agriculture & Natural Resources

Summary: The House Agriculture and Natural Resources Committee held a work session on food systems and food security, with no public testimony. The first panel covered household food security and data. Marie Spiker of UW explained how food insecurity is measured, its health impacts, and the importance of reliable data, warning that the federal Census food security data is being terminated and that Washington’s WAFOOD surveys are a useful but non-representative complement. Katie Raines of WSDA described the state’s food systems work, including efforts to build shared data and dashboard monitoring, coordinate across agencies and partners, and strengthen the hunger safety net and local food supply chain. The committee then heard from Tracy Roof of the University of Richmond, who gave a history of SNAP/food stamps as both an anti-hunger program and an agricultural support tied to the farm bill. She described how the program evolved from Depression-era commodity distribution to a permanent federal-state program, how it became countercyclical during recessions, and how state policy changes and outreach increased participation. She also noted SNAP’s economic multiplier effects and said Washington’s enrollment is in the middle of the pack nationally, while future federal changes could reduce eligibility and shift more costs to states. A later panel focused on food security challenges and opportunities across the food system. The Washington Food Policy Forum, through Danny Madrone and Chris Elder, outlined its consensus-based recommendations on food insecurity, climate and water, regional infrastructure, farmland protection, and support for small and mid-sized farms. A joint industry panel from the Farm Bureau, Retail Association, and Food Industry Association emphasized agriculture’s economic scale, rising costs, loss of farms, retail theft, and the importance of local grocery stores and SNAP/WIC partnerships. State agency representatives from DSHS and DOH described current program impacts and risks: DSHS said federal H.R. 1 could require Washington to pay up to 15% of SNAP benefits and tighten eligibility, while DOH highlighted WIC, farmers market nutrition, fruit-and-vegetable incentives, and a new Medicaid waiver project, but warned that unstable funding and the end of SNAP-Ed threaten program continuity. No votes were taken.

Transcript Highlights:

• , federal policy, state funding, federal funding.
• Education policy is disconnected from housing, or housing policy doesn't always take education or workforce
• Public-private partnerships are essential.
• We know what policies and interventions work.
• We know what policies work.

Committee: Joint Joint Committee on Community Development and Small Businesses

Summary: The Joint Committee on Community Development and Small Business held its final hearing of the session on H. 5187 and S. 3022, the Enough Act, which would create a grant program to support place-based, cradle-to-career anti-poverty initiatives in high-need communities. Chairs Andy Vargas and Sen. Adam Gómez opened the hearing by thanking committee members and stakeholders, and several lawmakers, including Sen. Sal DiDomenico, Rep. Kate Lipper-Garabedian, and Rep. Antonio Cabral, described the bill as a bottom-up approach that would let local organizations, schools, and community partners direct resources where they are most needed. They emphasized that poverty, housing instability, food insecurity, and chronic absenteeism are interconnected and that the bill is intended to build local “backbone” infrastructure rather than fund isolated programs. A series of educators, school leaders, and nonprofit advocates testified in support, including leaders from Chelsea Public Schools, Bunker Hill Community College, Strategies for Children, AFT Massachusetts, United Way, the Boston Foundation, the New Commonwealth Fund, Give Black Alliance, Eastern Bank Foundation, and the Greater Boston Food Bank. They argued that schools alone cannot overcome the effects of concentrated poverty and pointed to research showing that children arrive at school already affected by poverty-related gaps. Several witnesses described existing local efforts in Chelsea, Boston, New Bedford, Springfield, Haverhill, and Lowell, and said the Enough Act would help coordinate services, align data and goals, and strengthen community voice. Some also noted that the bill could leverage philanthropic and private investment and cited Maryland and Harlem Children’s Zone as models. The hearing also featured testimony from Harlem Children’s Zone CEO Kwame Owusu-Kesse and founder Jeffrey Canada, who said the model has shown that sustained, coordinated supports can reduce the role of luck in children’s outcomes and should be scaled in Massachusetts. Committee members asked about sustainability, funding, and how the bill would interact with existing efforts such as community schools, the Student Opportunity Act, and McKinney-Vento homelessness supports. Witnesses responded that the bill would complement those programs by creating a broader, community-led framework and that long-term sustainability would require public, philanthropic, and private support. No vote was taken during the hearing.

Transcript Highlights:

• Additionally, the affected entities must establish policies and procedures and controls necessary to
• The affected entities must establish policies and procedures and controls necessary to transition to
• As a former member of the Financial Education Public-Private Partnership, currently chaired by our own
• As a former member of the Financial Education Public-Private Partnership currently chaired by our own
• I'm the Executive Director for the Financial Education Public-Private Partnership.

Bills: HB1662 , HB1683

Committee: House Education

Keywords: education agencies, administrative independence, superintendent, education reform, agency authority, education, school boards, district adjustments, administrative boundaries, educational governance

Transcript Highlights:

• So it's an interesting partnership.
• And so we started with guidance and policy.
• Right now, the federal policy is also in flux.
• We do a lot of partnerships with universities.
• We've also had a really great partnership with Vanderbilt.

Summary: The committee met to hear an overview of Washington’s alternative learning experience (ALE) programs and then an update on artificial intelligence in schools. OSPI’s Anissa Sherritt explained that ALE is a course-level funding designation for instruction that occurs partly or wholly away from the traditional seat-time model, with online, site-based, and remote course types. She emphasized that ALE is still basic education, subject to the same public school requirements, and that OSPI provides technical assistance, annual reporting review, and program reviews. Representatives from several programs described different models: Washington Virtual Academy (a large online ALE operated through Omak School District and partnered with for-profit Stride), Columbia Virtual Academy in Valley School District (a district-run, nonprofit online/remote program), Pearl in Quilcene (a K-8 remote parent partnership program), and River Home Link in Battleground (a site-based hybrid program). They discussed student supports, special education, enrichment, family choice, transportation, and how they measure outcomes. Members asked for follow-up information on funding, demographics, racial and ethnic data, multilingual learners, and post-graduation outcomes, and OSPI agreed to provide additional data where available. The committee then heard from OSPI and several districts about AI guidance and implementation. OSPI’s Holly Ryan Calloway described the agency’s human-centered AI framework, three guidance documents for schools, statewide professional learning, an AI innovation summit, and new AI literacy and informatics course frameworks and CIP codes. Quincy School District described a multi-year effort to integrate AI by centering student needs, creating district policy and classroom guidance, and training teachers to use AI responsibly while building an AI readiness plan from elementary through high school. Peninsula School District described its AI action research team, teacher professional learning, and classroom uses of generative AI to support science instruction, communication, and prompt engineering, while stressing that AI should enhance rather than replace learning. Members raised questions about privacy, energy and water use, prompt engineering, workforce and university connections, and the need for clear standards and ongoing educator training. No votes were taken.

Transcript Highlights:

• I mean, there's a path there on partnerships.
• And so we want to make sure that partnerships are real partnerships, that they're not a mechanism by
• And so SB 632 helps us align our policies with our realities that the students face.
• And so SB 632 helps us align our policies with our realities.
• And so SB 632 helps us align our policies with our realities that the students face.

Committee: House Higher Education

Transcript Highlights:

• My name is Arnie Sowell, and I'm the executive director of NextGen Policy.
• Arambula. ...public-private partnerships. Thank you, Dr. Arambula.
• And really want to come back to, if I can, the public-private partnerships that you highlighted.
• I'm the Director of Policy and Communications with Líderes Campesinas.
• As I mentioned, this was one of the first partnerships between the EDC and a DSS.

Summary: The select committee on Community Economic Mobility and Investment heard testimony on how California can support inclusive economic development through coordinated workforce, education, nonprofit, and industry partnerships. Chair Arambula opened by emphasizing that rural, low-income, and historically underinvested communities often face the greatest barriers to accessing state resources, and that the hearing would focus on successful collaboration models, the role of training and higher education, and future opportunities tied to economic mobility and social determinants of health. Witnesses from the California Workforce Association, Fresno State, and NextGen Policy described local and regional workforce systems in the Central Valley and beyond. They highlighted examples such as apprenticeship and pre-apprenticeship programs, employer-led partnerships, on-the-job training, support for women entering construction, programs for justice-involved and opportunity youth, and the need to braid federal, state, philanthropic, and private funding. Several speakers stressed that local workforce boards, community colleges, adult education, labor organizations, and community-based groups are best positioned to identify regional labor needs and that California should fund systems, not just individual grants, especially as federal workforce funding has declined and new work requirements tied to HR 1 and AI-related labor shifts create added pressure. A second panel focused on the Community Economic Mobility Initiative as a statewide model. Sierra Health Foundation and its partners said CME has helped community organizations build capacity, pursue more than $400 million in grants and contracts, and attract about $178 million back into California communities. Speakers from Siskiyou Economic Development Council, Fresno EDC, Edge Collaborative, and Líderes Campesinas gave examples of place-based projects in rural and urban regions, including business innovation centers, community-owned development, bioeconomy and restoration projects, subsidized employment, and farmworker-led cooperatives. They argued that long-term, locally driven investment produces stronger regional economies and better health outcomes, and urged the Legislature to provide durable funding and policy support rather than short-term extensions. No formal votes or committee actions were taken in the portion provided.

Transcript Highlights:

• And new federal policies have increased...
• This work depends on partnership.
• Thank you for the partnership and support on it.
• and Fare policy in particular.
• And one of those that's a really big key partnership for us was our diversion partnership with the Office

Committee: Joint Joint Committee on Ways and Means

Transcript Highlights:

• I am the governor's senior health policy advisor.
• I am the governor's senior health policy advisor.
• Yeah, thank you, and I appreciate the partnership.
• So, and I appreciate your partnership and willingness to be with us in that.
• So, and I appreciate your partnership and willing to be with us in that.

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

Summary: The committee met to hear introductory briefings from the Department of Health and the Health Care Authority on agency priorities, federal changes, and implementation challenges. Secretary of Health Dennis Worsham said his department’s listening tour is focused on strengthening governmental public health, improving health care quality and access, and responding to federal funding disruptions and the shutdown’s effects on programs such as WIC. HCA Director Ryan Moran said the agency is prioritizing coverage preservation, oversight of major contracts, affordability, behavioral health integration, rural health transformation, and internal agency operations. Members asked about licensure delays; Worsham said the backlog had been reduced from about four months to six weeks and should be caught up by January 1, with possible further process changes if needed. A major portion of the meeting focused on H.R. 1 and its Medicaid-related implementation. Governor’s health policy advisor Caitlin Stafford, HCA staff, and interim Medicaid Director Trinity Wilson said the state is working with DSHS, the Health Benefit Exchange, tribes, and other partners to prepare for eligibility changes, work requirements, and six-month redeterminations. They said the state expects up to 30,000 Apple Health enrollees could lose coverage under the law’s non-citizen eligibility changes, and that the work requirement/redetermination provisions could affect about 620,000 adults, with roughly 80,000 also enrolled in SNAP. HCA said it hopes to automate most verification, but about 15% to 20% of cases may require manual review, with technology costs estimated at up to $30 million. Staff also said they are trying to keep H.R. 1 implementation mostly in budget language rather than statute, and that communication and navigator support will be important to minimize confusion and coverage loss. The committee also received an update on the Rural Health Transformation Program created in H.R. 1. HCA said Washington submitted its application to CMS on November 5 after extensive stakeholder engagement, including more than 310 written comments, webinars, and tribal consultation. The application centers on six initiatives: rural hospital innovation, community care and prevention, tribal investments, technology and data, workforce development, and rural behavioral health. HCA said the state is likely to receive less than the full $200 million annual amount assumed in the federal program, and that an advisory committee may be created to help guide spending over the five-year program. Members asked about palliative care, small business impacts, and communication with enrollees; HCA said it expects to share outreach toolkits and that no 2026 statutory changes are currently anticipated, though that could change. The final panels covered organ donation and transplant services. Department of Health staff explained the 2023 “Lights and Sirens” law for organ transport vehicles, including licensing, driver qualifications, insurance requirements, and use of emergency lanes and traffic preemption; the department said one company is currently licensed and there have been no complaints. LifeCenter Northwest described the organ procurement process, the legal framework under the Uniform Anatomical Gift Act, and the rarity and complexity of deceased donation, noting Washington has seen strong growth in donation and transplants over the past decade. University of Washington Medical Center staff then outlined its transplant programs for kidney, liver, heart, lung, pancreas, and multi-organ transplants, describing the multidisciplinary evaluation and waitlist process and the coordination required with donor organizations and hospitals.

Transcript Highlights:

• I view my role as the glue that holds these partnerships together.
• This role places Arizona at the forefront of national policy.
• Yet those partnerships are the only way affordable housing gets built.
• Affordable housing does not get built by policy alone.
• It is a public-private partnership that delivers real returns for Arizona.

Committee: Senate Director Nominations