Transcript Highlights:

• up, we contracts and everything line up, we contracts and everything line up, we also Medicaid is a payer
• They also Medicaid is a payer, right? They also Medicaid is a payer, right? They are a payer also.
• So you got to make are a payer also. So you got to make are a payer also.

Bills: SCR 13, SCR 24, SB 1, SB 12, SB 15, SB 17, SB 24, SB 57, SB 65, SB 213, SB 371, SB 372, SB 378, SB 379, SB 388, SB 400, SB 402, SB 427, SB 495, SB 499, SB 502, SB 509, SB 535, SB 583, SB 610, SB 621, SB 650, SB 706, SB 740, SB 840, SB 854, SB 856, SB 875, SB 893, SB 918, SB 925, SB 974, SB 995, SB 1006, SB 1018, SB 1025, SB 1061, SB 1073, SB 1106, SB 1121, SB 1194, SB 1252, SB 1253, SB 1268, SB 1300, SB 1343, SB 1362, SB 1447, SJR 36, SJR 12, SJR 57, SCR 25, SCR 22, SCR 12, SCR 24, SCR 8, SB 565, SB 372, SB 765, SB 62, SB 666, SB 707, SB 888, SB 687, SB 847, SB 1248, SB 740, SB 14, SB 1006, SB 504, SB 925, SB 1121, SB 995, SB 857, SB 305, SB 296, SB 284, SB 815, SB 1379, SB 1300, SB 1497, SB 1499, SB 1498, SB 1061, SB 65, SB 241, SB 304, SB 402, SB 499, SB 621, SB 974, SB 1023, SB 1024, SB 1025, SB 1106, SB 686, SB 112, SB 371, SB 204, SB 400, SB 609, SB 1447, SB 670, SB 502, SB 427, SB 850, SB 854, SB 413, SB 1555, SB 1362, SB 1346, SB 1033, SB 1220, SB 1073, SB 810, SB 987, SB 1539, SB 893, SB 447, SB 875, SB 406, SB 509, SB 985, SB 965, SB 1119, SB 1505, SB 24, SB 57, SB 1194, SB 1253, SB 1215, SB 1532, SB 1268, SB 1302, SB 856, SB 650, SB 583, SB 673, SB 840, SB 213, SB 681, SB 1172, SB 1252, SB 378, SB 610, SB 918, SB 1343, SB 608, SB 487, SB 955, SB 957, SB 988, SB 990, SB 1019, SB 1021, SB 1120, SB 251, SB 958, SB 535, SB 761, SB 1, SB 541, SB 315, SB 379, SB 1018, SB 1737, SB 266, SB 1415, SB 57, SB 499, SB 974, SB 1025, SB 1061, SB 1268, SR 302, SR 303, SR 304, SR 305, SB 30, SB 1333, SB 1666, SB 30, SB 1333, SB 1666

Keywords: water rights, treaty compliance, Rio Grande, agriculture, drought, international water, Texas water supply, Texas, Israel, trade, investment, partnership, economic ties, technological innovation, bilateral relations, appropriations, budget, state funding, education, healthcare

Transcript Highlights:

• HB 909 is seeking for commercial payers to cover behavioral health crisis services.
• HB. 909 is seeking for commercial payers to cover behavioral health crisis services.
• And I'm bringing... is seeking for commercial payers to cover behavioral health crisis services.

Summary: The Senate Insurance Committee met on May 13, 2026, adopted the May 6 minutes, and then took up several bills dealing with pharmacy benefit managers, prescription access, behavioral health coverage, and Citizens Property Insurance. HB 938, as amended, was the main PBM reform measure. After the committee adopted a large amendment set that narrowed the bill, members heard extensive testimony in support from Mark Bloom, Justin Joseph of Capital Rx, and Kathy Ue of Pontchartrain Cancer Center, all emphasizing transparency, pass-through pricing, reverse auctions, and patient access. Supporters described savings from reverse auctions and administrative models, while the cancer center testified that PBM-owned specialty pharmacy requirements can delay cancer medications and create financial hardship. The committee reported HB 938 favorably with amendments. The committee also heard HB 1154, which prohibits prior authorization for certain generic medications prescribed by qualified physicians, with a $250 cap discussed as a safeguard against higher-cost generics. The bill was supported by representatives from Ochsner Health and the Louisiana State Medical Society and was reported favorably. HB 909, which requires commercial coverage for behavioral health crisis services, was amended to clarify the insurers covered and then reported favorably with support from the Office of Behavioral Health and several outside groups. Testimony on HB 909 focused on reducing emergency room and law enforcement burdens and expanding crisis response capacity across the state. HB 1187, dealing with excess emergency assessment funds from Louisiana Citizens Property Insurance Corporation, was explained by the Insurance Commissioner as a way to transfer remaining Katrina-era assessment funds to the Fortified Roof Program. The committee reported the bill favorably. Finally, SB 511 and SB 512 were deferred and converted into a study resolution approach because there was not yet consensus on the underlying issue. The meeting then adjourned.

Transcript Highlights:

• 00:36:31.600> rate should be reasonably usable by rate should be reasonably usable by rate payers
• :33.120> for<00:36:33.240> the<00:36:33.320> purpose<00:36:33.720> of payers
• and others for the purpose of payers and others for the purpose of reviewing<00:36:34.400> and
• We're the primary enforcer. We have a small office.
• We're the primary enforcer. We have a small office.

Bills: SB3326

Keywords: renewable energy, energy storage, cost reduction, public utilities commission, Hawaii energy policies, 910, house, all

Summary: The joint committees on Energy and Environmental Protection and Labor heard SB 3326, a bill concerning a study of separating transmission from generation in Hawaii’s electric system. Testimony was largely opposed. Life of the Land argued that true separation on an isolated island grid has not been shown to work anywhere and said the bill would waste taxpayer money. Hawaiian Electric and the Public Utilities Commission also opposed the measure, saying Hawaii already uses competitive bidding for new generation, that the bill would add cost, complexity, and reliability risks, and that a new study would duplicate prior work. In response to questions, the PUC explained its existing competitive bidding framework and said it had not seen an island system fully restructure in this way. The chair then amended the bill’s intent to require the PUC to open a proceeding for an independent, comprehensive analysis of the state’s energy pathways, including cost reduction, financial risk, state energy goals, and reliability, rather than narrowly focusing on separation. Both committees voted to pass SB 3326 SD2 with amendments, with the Energy committee adopting the recommendation unanimously and the Labor committee adopting it with one reservation and two no votes. The Energy and Environmental Protection Committee then took up SB 2497 SD2, which would require electric utilities other than cooperatives to provide transparent, publicly accessible customer bill impact analyses and annual reports to the PUC. The Department of Commerce and Consumer Affairs and the PUC offered comments, with the PUC supporting the intent. Life of the Land said the proposed disclosure requirements would be too complex for most ratepayers to use meaningfully, while Hawaiian Electric said the bill could raise costs and slow projects, though it acknowledged some of the language changes and said much of the information is already available through existing planning and regulatory processes. Hawaii Clean Power Alliance and one individual testified in support. No vote was taken on SB 2497 SD2 during the excerpt. The committee also heard SB 3183 SD2, which would bar higher-income taxpayers from claiming the renewable energy technologies income tax credit for certain residential solar systems and would change refundability rules. The Department of Taxation, the Hawaii State Energy Office, and the Tax Foundation offered comments, while the Hawaii Solar Energy Association and numerous companies and individuals opposed the bill. Opponents raised concerns about impacts on financing models and the solar market. Members asked the Department of Taxation for data on how credits are claimed by homeowners versus third-party owners and on the refundability of the credit; the department said it did not have the information immediately available but would follow up. The chair indicated decision-making would likely be deferred to allow further review, and no vote was taken in the excerpt.

Bills: HB3281, HB3320, HB3081, HB3127, HB3128, HB3498, HB2035, HB3765, HB4324, HB3678, HB4170, HB3495, HB3040, HB3062, HB4140, HB4106, HB4109, HB4104, HB3581, HB3620, HB3942, HB3279, HB3378, HB3383, HB3413, HB3414, HB3415, HB3420, HB3130, HB3700, HB3379, HB3129, HB3132, HB3315, HB2950, HB3242, HB3041, HB4428, HB4429, HB1064, HB3265, HB3721, HB3028, HB3313, HB3588, HB3020, HB3724, HB3392, HB3466, HB4060, HJR1074, HB3501, HJR1070, HB3794, HB3796, HB3928, HB2955, HB4453, HB4460, HB4128, HB3659, HB3270, HB3145

Keywords: administrative procedures, guidance documents, transparency, public inspection, rulemaking, sunset laws, statutory entities, regulatory compliance, emergency provisions, board re-creation, fire extinguisher, licensing, public safety, age qualification, State Fire Marshal, medical marijuana, employment rights, safety-sensitive positions, workplace policies, public assistance

Transcript Highlights:

• INTEREST OR ANY POTENTIAL APPEARANCE OF IMPROPRIETY THIS BILL FIXES BY REMOVING CITIZENS AS BEING THE PAYER
• FOR THOSE PEOPLE WHO ARE MAKING THOSE RESOLUTIONS CITIZENS AS BEING THE PAYER FOR THOSE PEOPLE WHO ARE

Transcript Highlights:

• That's the primary... At this time, yes. That's the primary.
• Our payer mix is about 74% comprised of government payers, which includes Medicare and Medicaid and Quest
• /c><05:43:28.080> the<05:43:28.240> the<05:43:28.320> worst<05:43:28.558> payers
• obviously those are the the worst payers obviously those are the the worst payers we<05:43:29.240
• And then you have Leahi on the East Side in Waikīkī, so location was one of the primary reasons for it

Keywords: 910, house, all

Summary: The Committee on Finance held an informational briefing with the Department of Labor and Industrial Relations on its budget, staffing, and operations. The director reviewed department leadership and reported on recruitment and retention efforts, including a 14% vacancy rate, a 10.5% workforce increase from filling 189 positions, and the Hela Imua internship program, which has placed 516 interns since inception and led to 62 permanent hires. The department also described modernization efforts, including the UI Huakai project and the Disability Compensation Division’s electronic case management system, and said the unemployment compensation trust fund exceeded $71.5 million, triggering Schedule C for calendar year 2025. The department’s main budget requests included $2.9 million for fiscal year 2026 to support maintenance and operations of the electronic case management system, plus restoration of two enforcement specialist positions. Officials said those positions are needed to address a decline in investigators from 11 to six since 2009, improve compliance, and handle Hawaii Compliance Express certificate work. Additional requests included two human resources specialists to address recruitment backlogs, two labor enforcement specialists to reduce a backlog of Chapter 104 prevailing wage and wage cases, and two positions for the Office of Community Services to expand immigrant services and access centers. The department also discussed federal funding for unemployment insurance and workforce programs, including National Dislocated Worker Grants and Workforce Innovation and Opportunity Act funds, and said some funding is received in increments and may require extensions. Members asked about Kauai inspection coverage, federal funding uncertainty, the size of the special unemployment insurance fund, and whether the department could ramp up staffing during a future crisis. Officials said Kauai is currently served by inspectors from Honolulu and there are no plans to open a permanent island position because of staffing constraints. They said the department is meeting federal guidelines and is not in jeopardy, and that the special unemployment insurance fund has about $10 million, with current UI operations funded at a little over $15 million, meaning the fund may need to cover roughly $5 million if federal support declines. The director said the department would use the special fund to supplement shortfalls, but noted that federal funding cuts and the loss of ARPA support have already affected operations.

Transcript Highlights:

• My concern is what this does to the rates of utility payers inside of North Miami Beach.
• My concern is what this does to the rates of utility payers inside of North Miami Beach. to the rates
• of utility payers inside of North Miami Beach.
• you know, I would like to see that it wouldn't effectively cause an increase on the rates of the payers

Summary: The Commerce Committee held its first meeting, took roll, established a quorum, and heard opening remarks from the chair, vice chair, and ranking member emphasizing the committee’s broad scope and focus on Florida’s economy and daily-life issues. The committee then considered several bills, with members and staff noting the agenda included four bills and a PCS. The first measures dealt with insurance and consumer regulation. CS/HB 367 on home and service warranty associations was explained as allowing financial requirements to be met through one or more contractual liability policies and reducing certain filing requirements; an amendment adding requirements for liability insurance coverage was adopted, and the bill passed favorably. HB 655 on pet insurance and wellness programs created a regulatory framework for pet insurance and also passed favorably. HB 6015, which deleted the word “reusable” from the wine keg statute, had brief support testimony and passed favorably. The committee spent the most time on CS/HB 105, a strike-all PCS on thoroughbred permit holders and decoupling racing from gaming. The sponsor said the revised bill would decouple racing and gaming while adding protections for the thoroughbred industry, including a notice period before racing could stop, permit transferability, and changes to how breeders’ and owners’ funds are administered. Supporters argued the bill would preserve and strengthen the industry through clearer rules and more direct support, while opponents—horsemen, breeders, trainers, veterinarians, and related businesses—warned it would harm a major rural industry, threaten jobs, and favor casino interests. After extensive debate, the strike-all was adopted and the bill was reported favorably on a divided vote. Finally, HB 11 on municipal water and sewer utility rates was presented as correcting an unintended consequence in surcharge law for utilities owned by one municipality but located in another. Testimony focused on the fairness of the current surcharge structure and the impact on Miami Gardens and North Miami Beach. After debate about negotiation, parity, and local impacts, the bill passed favorably. The committee then adjourned after its first meeting.

Transcript Highlights:

• page 1, line 24, by inserting after the word customer and before the word protection, the word rate payer
• will prevent the cost from being passed on to residential, industrial, agriculture, commercial rate payers

Bills: HB2992, HB3183, HB3464, HB4170, HB4338

Keywords: HB2992, Data Center Customer Ratepayer Protection Act of 2026, Corporation Commission, Oklahoma utilities, ratepayer protection, data centers, artificial intelligence computing, AI data centers, cryptocurrency mining, large load customer, electric rates, utility tariffs, cost causation, rate design, public power utility, municipal utility, electric cooperative, investor-owned utility, load growth, interconnection

Summary: The committee first handled several executive nominations. It unanimously advanced Richard Allier to the Environmental Quality Board, Kevin Foreman to the Liquefied Petroleum Gas Board, Gary Keel to the Air Quality Advisory Board, Megan Langley to the Oklahoma-Arkansas River Compact Commission, Jacob Bull to the Air Quality Advisory Council, and Tommy Colwell to the Oklahoma Mining Commission. In each case, the nominating senator described the appointee’s background and qualifications, and the committee voted to send the nomination to the full Senate without opposition. The committee then considered House Bill 2992, with Senator Green offering a technical amendment to correct drafting errors. The amendment passed 8-0, and the bill itself passed 9-0. Green said the measure would require large-load data centers and crypto mining facilities to pay their share of electric infrastructure costs so those costs would not be shifted to other ratepayers. Senator Boren asked whether municipal utilities and co-ops would be affected, and Green responded that the bill was aimed at the corporate shareholder utility model. House Bill 4338 was also heard and passed, though the roll call showed one no vote. Green explained that the bill concerns produced water and would create a framework for extracting elements from it, with House changes clarifying that it is not retroactive, adjusting flexibility for the produced water unit size, and allowing processing of brine before corporation approval. The committee also advanced House Bill 417, which addresses theft of copper fittings on oil rigs and related cleanup damage by making certain conduct a misdemeanor; it passed 10-0. The meeting ended after the committee approved the remaining nominations and adjourned.

Transcript Highlights:

• I... rate payer interest when it comes to rate payer interest when it comes to rates<00:17:16.640>
• we focused rates have they I think that we focused on<00:33:26.559> rate<00:33:26.880> payers
• 28.639> mean<00:33:28.799> I<00:33:28.880> think<00:33:29.000> it on rate payers
• almost I mean I think it on rate payers almost I mean I think it says<00:33:29.360> residential

Keywords: 1191, senate, all

Transcript Highlights:

• Prior authorization under current law, a plan, a payer, has 24 hours to respond. 24 hours.
• And the animosity that you have for these payers that lost $571 million on this population because we
• A plan, a payer, has 24 hours to respond. 24 hours. And they do it.
• So that health care providers can work more in alignment with the payers. That's what they are.
• Here in Minnesota we're payer models.

Bills: HF4712, HF4801, HF3756, HF4860, HF4931, HF4289, HF4460

Keywords: residential pools, swimming classes, certification, private business, health safety, health care, prior authorization, managed care, medical assistance, mental health, substance use treatment, chronic conditions, health insurance, insulin, healthcare access, pharmacy regulations, patient assistance, affordable medication, healthcare, pharmacy

Summary: The committee met at 1:00 p.m., confirmed a quorum, and approved the April 8, 2026 minutes. The first bill heard was House File 4712, which was laid over after the committee adopted a DE2 amendment. Representative Schultz said the bill would create a narrow additional exception to public pool limitations so highly certified swimming instructors could use certain pools for specialized infant, youth, and developmental-disability swim instruction. The only testifier, Tessa Seppelt, described ISR instruction as water-safety and drowning-prevention training for very young children and children with developmental delays, and said access to appropriate facilities is the main barrier. Members raised questions about emergency egress, public safety, and insurance coverage, and the author said he would follow up on those concerns. The committee then took up House File 4801, a bill by Representative Nadeau aimed at health care program integrity. He said it would align commercial and Medicaid partners to reduce waste, fraud, and abuse by changing prior authorization and retrospective review processes, improving data sharing on suspected fraud, addressing conflicting or duplicative services, allowing managed care organizations to verify provider credentials, and making risk corridors in MCO contracts permanent. The Minnesota Council of Health Plans supported the bill, saying it would help detect fraud and improve coordination, while the Minnesota chapter of the American Academy of Pediatrics opposed it, arguing that expanded prior authorization would delay care, increase physician burden, and harm children with chronic conditions. Members debated patient safety, fraud detection, and whether the bill would undermine recent prior-authorization reforms. The bill was laid over. House File 3756, a technical update to the insulin safety net program, was also laid over. Representative Backer said the bill clarifies that a hospital-use intravenous insulin product is not part of the program because it is sold only to health care institutions and infused by practitioners, not dispensed to patients for self-use. The Board of Pharmacy testified that the language was drafted to avoid affecting future legitimate uses, and members asked whether the definition could limit new uses if treatments change. The committee then began House File 4860, but the transcript cuts off before the bill’s presentation is completed.

Transcript Highlights:

• We advance legislation to shield utility payers from surging costs.
• To advance legislation to shield utility payers from surging costs, and just yesterday we passed House

Summary: The House convened with prayer, the Pledge of Allegiance, and recognition of guests, including the Civil Air Patrol Pennsylvania Wing Cadet Color Guard, district office staff, and a guest page. A quorum was established with 202 members voting on the master roll. The chamber also noted that Deputy Sergeant Hopkins is retiring after three years of service, and several committee meetings were announced for later in the day. The main floor action was on House Bill 2198, which repeals the sales and use tax exemption for computer data center equipment. Supporters argued the exemption is no longer needed because data centers are large, profitable companies that should pay their share, and cited a projected future cost to the Commonwealth of about $517 million annually. Members in favor also said data centers place heavy burdens on local water, land, and electricity resources and should not receive taxpayer subsidies. Opponents argued the bill conflicted with broader data center policy discussions and that the House was moving too quickly after passing related infrastructure legislation the day before. After debate, the House took a recorded final vote and passed House Bill 2198 by a vote of 197-5. The bill was sent to the Senate for concurrence. The House then moved several bills from the table calendar to the active calendar and adjourned until Friday, June 26, 2026, at 12 noon unless recalled sooner by the Speaker.

Transcript Highlights:

• Some of these children require specialized foods, and sometimes the commercial payers do not cover that
• He said Medicaid is a payer of last resort, so one of the really important parts of this bill is that
• If Medicaid is the payer of last resort, then their insurance would cover it anyway, but at least this
• sometimes don't cover I know the payers sometimes don't cover I know the one<01:24:02.520> that
• will say that medic Medicaid is a payer will say that medic Medicaid is a payer of<01:24:12.280>

Keywords: 1187, senate, all

Transcript Highlights:

• HB 909 is seeking for commercial payers to cover behavioral health crisis services.
• HB 909 is seeking for commercial payers to cover behavioral health crisis services.
• HB 909 is seeking for commercial payers to cover behavioral health crisis services.

Bills: SB511, SB512, HB591, HB909, HB938, HB1154, HB1187

Keywords: automobile repairs, insurance transparency, repair shop liability, non-OEM parts, policyholder rights, automobile insurance, appraisal process, insurance policyholders, dispute resolution, claim valuation, family leave, insurance, paid leave, employment benefits, caregiver support, behavioral health, crisis services, mental health care, insurance coverage, healthcare access

Transcript Highlights:

• 13.359> rate energy transition is low cost for rate energy transition is low cost for rate payers
• > and<00:48:14.680> produces<00:48:15.200> reliable<00:48:15.880> energy payers
• and produces reliable energy payers and produces reliable energy generation<00:48:17.079> is<
• This highlights the primary areas of regulation for the PUC.
• areas of regulation for the Pu primary areas of regulation for the Pu our<01:16:00.840> regulatory

Keywords: 1183, house

Transcript Highlights:

• C that centralize the applicants' required primary source verifications.
• The applicant as From their state and primary licensure.
• Additionally, there is a CMS requirement that primary care providers notify primary hospitals when their
• Primary hospitals notify primary care providers when their patients have been seen.
• That was not her primary.

Transcript Highlights:

• Regional centers have a primary role in informing individuals and families in the community about respite
• uninterested... ...in the community, if they've had to rely primarily on their parents for their primary
• There's been some implicit, and I think a couple explicit, mentions that we are kind of the payer of
• department in that adjustments to available Medicaid funding pose a risk, but also the fact that we are payer

Summary: The Assembly Budget Subcommittee on Human Services held a hearing on developmental services, rehabilitation, and related supports, with no votes taken. The first major topic was the Master Plan for Developmental Services. Administration officials described a year-long, community-driven process that included a steering committee, work groups, and statewide engagement sessions, and said the final draft would be released that Friday with about 170 recommendations. The Department of Developmental Services said the plan would inform future work, but did not offer a detailed implementation roadmap. The LAO said the plan contains significant policy and budget implications, may require statutory changes, and needs further analysis to turn recommendations into actionable proposals. Advocates and regional center representatives urged the Legislature and administration to avoid letting the plan sit on a shelf, called for prioritization and ongoing stakeholder oversight, and emphasized the need to address equity, workforce, service coordination, and cross-system collaboration. The chair said he wanted to work with the LAO on trailer bill language and future reporting to create a clearer path forward. The second topic was the Office of Employment First and competitive integrated employment. Administration witnesses said California has ended subminimum wage under SB 639, but that moving people into competitive integrated employment remains a major priority. They described existing efforts such as DDS’s coordinated career pathways pilot, paid internships, job development services, benefits counseling, and DOR’s career counseling and referral services, along with pilot projects in San Diego and Orange County. The State Council on Developmental Disabilities and advocates argued that employment outcomes have remained stuck at roughly 15% and that a dedicated Employment First Office is needed to coordinate across agencies, align goals, and improve outcomes. The LAO recommended regular legislative oversight on people transitioning out of subminimum wage and asked for technical assistance on coordinated career pathways. The chair criticized the administration’s decision to effectively eliminate funding for the office, requested a detailed implementation timeline and quarterly transition reports, and said the committee would continue pressing for the office to be implemented. The final issue was respite services, utilization trends, and access. DDS reported that in-home respite use and spending have risen sharply over several years, with about 150,000 people using respite in 2023-24 and expenditures reaching about $1 billion. Officials said access depends on families knowing the service exists, service coordinators identifying need, and having enough providers, especially in rural and linguistically diverse communities. The San Diego Regional Center said utilization generally mirrors statewide trends, but access is stronger in some areas, such as Imperial County, where families often prefer family-directed or agency-supported models that allow them to hire trusted workers. Committee members emphasized the importance of respite for family health and caregiver well-being, asked whether service coordinators are asking practical questions about sleep and stress, and discussed the need for better identification of complex behavioral and medical needs. DDS said a standardized family support tool and updated IPP process are intended to improve consistency, transparency, and person-centered assessment for respite and related services.

Transcript Highlights:

• Finally, we connect families to services in the community, which is a primary way that families interacting
• We've been looking at commercial payer policies as well as coding guidelines.
• It's also our job to make sure Medicaid is the payer of last resort.
• So this was around like $120, $130 an hour kind of thing, paying more than you pay a primary.
• So this was around like $120, $130 an hour kind of thing, paying more than you pay a primary care doctor

Keywords: 1184, house, all

Transcript Highlights:

• <00:18:09.720> care Specialties and not private primary care Specialties and not private primary
• And would you believe that a single-payer would obviate a significant part of this problem?
• And would you believe that a single-payer would obviate a significant part of this problem?
• Single Payer would obviate a significant Single Payer would obviate a significant part<00:35:47.000><
• These practices are often the lifeblood of primary care and integrative care.

Keywords: 1189, house, all

Transcript Highlights:

• The focus of the listening tour has been in four primary areas: how do we strengthen the governmental
• Primary care, rural health care transformation—tremendous amount.
• Certainly one in Yakima County and in Jefferson County in particular is really concerned that their payer
• It is their primary goal to save that individual's life.

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:

• most number of votes come from, and this is both presidential and gubernatorial from '14 to '24, primaries
• Whether it be a primary election or a general election.
• Hypothetically, someone may vote in the primary and, for whatever reason, they didn't vote in the general
• Give them hazard payers. They're used to it.

Summary: The committee heard a presentation from several county supervisors of elections and the Florida Supervisors of Elections Association on the 2024 election cycle and priorities for the 2025 session. They described very high turnout in the presidential election, major operational planning needs, and the heavy reliance on seasonal workers, list maintenance, ballot-on-demand systems, and secure chain-of-custody procedures. They also discussed the impact of recent legislative changes on voter-roll maintenance, including inactive voter removal, and said Florida’s election administration has improved to what they called a “platinum standard.” The supervisors outlined several legislative requests: allowing more than one non-government “wild card” early voting site to improve access and emergency flexibility; requiring newly naturalized citizens to update driver’s license information so voter records match DHSMV data; exempting home addresses of certain election workers and ballot transporters from public records to improve safety and recruitment; restoring a checkbox on vote-by-mail return envelopes so voters can stay on the vote-by-mail list for the next cycle; aligning base salaries for supervisors, property appraisers, and clerks with other constitutional officers; and reducing ballot length by removing precinct committee races from the ballot. They also said they expect a committee bill to carry some of these proposals. Members questioned the panel about ballot transport security, signature verification, vote-by-mail expiration, public records transparency, and the petition process for constitutional amendments. The supervisors said ballots are transported under detailed county plans with tamper-evident seals, chain-of-custody logs, trained workers, and in some cases two-person transport teams. On petitions, they said the process is labor-intensive and expensive, that fraud has occurred in some cases, and that they favor reforms such as requiring more personal identifying information and having initiative sponsors mail petitions to voters rather than making supervisors handle the mailing. They also said signature mismatches can be cured within 72 hours after Election Day and that voters are notified when possible. After the supervisors’ presentation, the committee also heard brief public testimony from Kathleen Griffiths, who urged adoption of commercial-style risk management standards in election systems and referenced several election-related bills her group supports.