Transcript Highlights:

• Inventory audits, they're not really audits by our audit team, but they're reviews conducted by our investigative
• It was a, it was at least audit every one of them every 10 years.
• We have a a metric of 34 audits per year, which we have hit.
• And that includes doing audits of LMA.
• That audit, I mean, I've had several. audits in my lifetime somewhere along the way, but they actually

Bills: SB1, SB 1

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

Transcript Highlights:

• governor must ultimately appoint the OIG, a bipartisan group of legislators modeled after the Legislative Audit
• governor must ultimately appoint the OIG, a bipartisan group of legislators modeled after the Legislative Audit
• of<00:08:16.800> each And it would assist agencies in securing specialized internal audit
• And it would assist agencies in securing specialized<00:08:52.160> internal<00:08:52.720> audit
• , specialized internal audit, specialized internal audit, investigation,<00:08:54.160> or<

Keywords: 1183, house

Transcript Highlights:

• We use them for audit services. We use them for custodial. We use them for legal.
• the question. >> In regards to the matter at University of Florida, start by pointing out internal audit
• We've got other occasions where internal audit has revealed problems that have then been corrected.
• is the each of the auditor The second thing I would point out is the each of the auditor general audits
• Staff gets a copy of each of those audits that are completed by the auditor general sees each of the

Keywords: 999, senate, all

Transcript Highlights:

• about 10 years ago that audited the Medicaid program.
• about 10 years ago that audited the Medicaid program.
• about 10 years ago that audited the Medicaid program.
• Earlier in session, we had a discussion with the OA, and the OA had done an audit of the lottery.
• <00:56:32.520> of<00:56:32.760> the OA and the OA had done a an audit of the OA and

Keywords: 1187, senate, all

Transcript Highlights:

• Yes, retroactively, they will be subject to the audits.
• But it's my understanding that you do have an exception for audit reports?
• For audit reports, we're saying going forward.
• Not an audit going back, just going forward. Just going forward. Right.
• Uh, having to pay back, that's correct, and that's the same with the audit.

Bills: HB21, HB211, HB223, HB323, HB524, HB530, HB636, HB762, HB21, HB211, HB223

Keywords: housing finance, multifamily residential, low income, tax exemption, audit requirements, affordable housing, local government, development bonds, housing assistance, financial assistance, low income housing, community support, affordability, veterans housing, community involvement, air conditioning, tenant support, healthcare, elderly, taxation

Transcript Highlights:

• Or number two, maybe this is a perfect item to refer to the Joint Legislative Audit Committee and prioritize
• an audit, have the auditor put together a study committee... ...prioritize an audit, have the auditor
• And we can have a more deliberative and thoughtful process with a full-blown audit to look at these issues
• I really encourage my colleagues to either consider the audit approach or perhaps trailing the bill so

Summary: The Assembly Higher Education Committee met in a special hearing and took up SB 638 by Senator Padilla, a workforce development bill aimed at creating a coordinating entity called the Middle Class Pipeline Project. The bill would streamline interagency education and workforce programs, improve career technical education and career pathways, and direct resources toward high-unemployment, low-income regions through changes to the CTE incentive grant program. Supporters, including the Association of Independent California Colleges and Universities, the California Edge Coalition, National University, Long Beach City College, and United Ways of California, argued that California needs a statewide coordinating body to reduce silos, improve access to high-quality jobs, and better align education with labor market needs. Committee members focused heavily on whether the proposed entity would duplicate existing bodies such as the California Workforce Development Board and other education/workforce agencies, and whether its broad duties could be carried out with the $1.5 million budget allocation. The author said the bill is intended to move an operational coordinating entity into broader tri-party negotiations with legislative leadership and the Governor, and that the final structure and staffing would depend on those talks. Some members supported the concept but raised concerns about scope, duplication, and whether the bill should be delayed or audited; one member opposed it as too broad and underfunded. The committee ultimately voted to pass SB 638 to the Assembly Appropriations Committee on a courtesy vote. The roll call showed five ayes and three noes, with one member not voting, and the chair later allowed additional members to add on, including an additional aye from Assemblymember Haney. The hearing then adjourned with the chair noting that further conversations would continue on the coordinating entity and its responsibilities.

Transcript Highlights:

• They get sales tax audits, and we've a lot of us been through sales tax audits where they sell corn.
• They they get sales tax<00:07:42.400> audits<00:07:42.880> and<00:07:43.520> and
• and and and we've a lot of us tax audits and and and we've a lot of us been<00:07:45.039> through
• <00:07:45.280> sales<00:07:45.520> tax<00:07:45.759> audits<00:07:46.080>
• audits where they sell<00:07:46.720> corn.

Bills: HB87, HB96, HB28, HB87, HB96, HB28

Keywords: HB87, Marengo County, coroner, deputy coroner, county commission, expense allowance, mileage allowance, travel reimbursement, local act, local legislation, county general fund, public official compensation, county office, Section 45-46-60, Alabama Code, salary increase, allowance increase, National Signing Day, athletic scholarships, military enlistment

Transcript Highlights:

• I believe that audit found. I'm not going to go into that.
• Last week in Joint Audit in the Education Subcommittee, we had a report.
• Last week in joint audit in the Education Subcommittee, we had a report.
• University of Arkansas systems had done an internal audit and had found where students had falsified
• Okay, and are you checking on the back end, in my case that I brought up from audit, as it relates to

Summary: The committee met to consider a series of appropriation, reserve transfer, and grant requests. Early items included temporary appropriations for the Department of Education’s Educational Freedom Account program ($32 million), the State Crime Lab ($476,000), and DFA Assessment Coordination ($90,000), along with a $1 ARPA return from the Department of Health. The committee approved these items after brief questions, including a discussion about contract cost increases at Assessment Coordination and a clarification that the $1 ARPA item was simply an unused-funds return. The most extensive discussion centered on the Department of Education’s EFA funding. Members questioned the growth in participation, the use of one-time funds and restricted reserves, and safeguards against fraud or improper purchases. Agency officials said about 44,000 students were being funded, that purchases are reviewed and flagged for unusual activity, and that homeschool students are not required to buy a curriculum so long as purchases are eligible and approved. The committee approved the EFA appropriation and related reserve transfer, and officials said the governor’s proposed budget would include the program in the RSA going forward. The committee also approved a DHS reallocation request and reviewed a building authority loan for a data center power supply replacement. In the federal grant section, members discussed a Department of Agriculture request for Central Arkansas Water to acquire land in the Maumelle watershed. Debate focused on the environmental benefits versus local property-tax and development concerns in Perry County, with testimony from the agency, Central Arkansas Water, and Potlatch about watershed protection, public access, and potential development impacts. After extended discussion, the committee adopted a motion to defer the item to the full Legislative Council and asked the department to remove the Perry County portion from the request, limiting the grant-funded purchase to Pulaski County property. The committee then reviewed remaining items, including a Veterans Affairs pay-plan appropriation, and adjourned.

Transcript Highlights:

• when we typically would make those awards because those entities were not compliant with the state audit
• one of the things that you'll hear when we do the organizational overview is that we do our annual audit
• We are subject to the Audit Act.
• We do our annual audit in the form of, um, an annual comprehensive financial report, an ACFA.
• So we want to make sure that they're in good standing as we look at their funds because an audit, which

Transcript Highlights:

• We need to make this simple for them, but we need to make sure that it's accountable and auditable.
• We need to make this simple for them, but we need to make sure that it's accountable and auditable.
• Then the bill requires the scholarship funding organizations to return funds as a result of any audit
• And I would say, and certainly stand to be corrected by staff, that the audit...
• I would say, and certainly stand to be corrected by staff, that the audit would be the method by which

Summary: The committee first heard the proposed Pre-K-12 education budget for fiscal year 2025-26, totaling $34.7 billion. The chair highlighted major increases for the FEFP, including $29.6 billion for public schools and K-12 scholarships, a $984 million year-over-year increase, along with higher per-FTE funding, $4 billion for the Family Empowerment Scholarship, $431.4 million for VPK, funding for school safety, the Florida School for the Deaf and Blind, school hardening, Jewish day school security, and an education enrollment stabilization fund. With no public comment, the committee adopted a motion for staff technical corrections and then approved the budget proposal as a recommendation to the full Senate Appropriations Committee. The committee then considered SB 1402 on dropout retrieval programs. The bill expands eligibility so any individual who has withdrawn from high school may enroll in dropout retrieval services and clarifies how school grades are calculated for virtual instruction providers that offer those services. An amendment clarifying the grading calculation was adopted, and the committee reported the bill favorably. Next, the committee took up SPB 7030 on educational scholarship programs, a broad measure addressing school choice funding and administration. The bill would fund the Family Empowerment Scholarship as a separate categorical, expand the education stabilization fund, create fall and spring application windows, require a single scholarship application and more documentation, assign student IDs, standardize payment timing to monthly installments, require continued eligibility verification, and add Level 2 background checks for providers receiving state funds. Members raised questions about background-check enforcement, payment timing, data sharing, and the impact on homeschool and private-school families. Public testimony included support from school-choice advocates and concerns from private-school representatives about added regulatory burdens and deadlines. The committee adopted the bill as a committee bill and reported it favorably, with Senator Osgood voting no. Finally, the committee considered SB 508 on the Family Empowerment Scholarship Program, which requires private schools to disclose in writing what accommodations, modifications, and services they will provide to students with existing plans such as IEPs, EEPs, 504 plans, or ELL plans before enrollment. An amendment was adopted to require public schools to consult with private schools about equitable services. Testimony was mixed: supporters said the bill would give parents needed information for informed choice, while private-school representatives said the language could be burdensome and vague. The committee reported the bill favorably.

Transcript Highlights:

• There would be a system in place to identify them, where they would have their financials audited, and
• expended for, and it provides the clarity that the Office of Emergency Medical Services can perform audits
• uh where they would have their uh where they would have their uh financials<00:02:21.519> audited
• and<00:02:22.720> then<00:02:23.440> uh<00:02:23.760> the financials audited
• and then uh the financials audited and then uh the larger<00:02:24.480> areas<00:02:24.920>

Keywords: 919, house, all

Summary: The committee took up House File 337, a bill addressing long-term funding for rural and Greater Minnesota EMS and ambulance services. The author offered the A2 amendment, moved to divide it, and the committee adopted lines 1.2 to 1.19 of the amendment. The bill, as amended, was described as creating a policy framework for identifying ambulance services with operating deficits, requiring financial audits, and setting up a future grant program, with the author emphasizing that the proposal was still being developed and was intended to be a long-term solution rather than a short-term fix. Testimony was largely supportive. Eric Simonson of the Coalition of Greater Minnesota Cities said the bill builds on last session’s one-time aid and would target grant dollars using state data, clarify eligible uses, allow audits, address uncompensated care and readiness costs, and require reporting back to the legislature. Mike Warner of the Red Wing Fire Department said his city’s ambulance service operates with a heavy government-funded payer mix and a persistent operating shortfall. Tim Meyer of Sanford Ambulance said low-volume rural services face widening revenue gaps, staffing pressures, and the loss of the volunteer model. Nathan Zacharias of the Association of Minnesota Counties and Kevin Lee of North Memorial Health also supported the bill, citing rising costs, staffing shortages, stagnant reimbursement, and the need for a sustainable statewide funding model. Members raised concerns about how the bill would work in practice, especially around communities that straddle metro and non-metro boundaries and around local control over grant dollars. Representative Pel asked how the eligibility language would apply to places like Northfield and New Prague; the author and a testifier said eligibility would depend on whether a service area is mostly outside the metro area, but acknowledged more review was needed. Representative Huitt argued the bill should give more local control and should address EMS as a statewide issue, not only a Greater Minnesota issue. Representative Ryer asked whether the bill would eventually include revenue recapture or another funding source, and the author said the proposal was still at an early stage and all options were being considered. The committee laid HF 337, as amended, over for possible inclusion in the omnibus bill.

Transcript Highlights:

• Several different types of audits that are all done by the state auditor's office.
• So the 23-24 performance audit: no findings. The 21-22 performance audit: no findings.
• And then the single audit, that's kind of on federal funds. That's a look at federal funds.
• I provided prior audit findings to our investigator.
• I've looked at the whole audit report from the PeopleSoft deployment.

Keywords: 908, all

Transcript Highlights:

• We, um, the bill really is the work of the Legislative Audit Commission itself.
• We, um, the bill really is the work of the Legislative Audit Commission itself.
• The bill really is the work of the Legislative Audit Commission itself.
• The bill really is the work of the Legislative Audit Commission itself.
• The bill really is the work of the Legislative Audit Commission itself.

Keywords: 1187, senate, all

Transcript Highlights:

• <01:07:27.039> I course for credit or simply to audit.
• I course for credit or simply to audit.
• a course where it older, even to audit a course where it is<01:07:35.760> an<01:07:36.079>
• When I inquired about that, that audit.
• Uh, one thing that I have audit a class.

Keywords: 958, all

Summary: The House convened with an invocation and the Pledge of Allegiance, then established a quorum with 96 members present. The chamber excused absent members, suspended rules to allow bill and resolution co-sponsorship and vote modifications, approved the previous day’s journal, and received Senate messages announcing passage of Senate Bills 101, 129, 162, and 170. The clerk then reported second-reading bills and favorable committee reports, which were ordered to first reading and placed on the calendar. The House then took up several bills on third reading. House Bill 521, relating to stalking, was presented as a modernization of Kentucky’s stalking laws and passed 95-0 after debate; a motion to reconsider was tabled. House Bill 220, relating to pension spiking in the Kentucky Public Pensions Authority systems, was amended by House floor amendment 1 to move the effective date back to July 1, 2021 to capture additional employees, then passed 95-0 and the clincher was applied. House Bill 510, relating to organ donation safety, passed 97-0 after explanation that it would require a pause and restart if anyone in the process believed there were indications of life. House Bill 467, relating to real property, passed 96-0 after adoption of a committee substitute; it creates a process for local governments to identify abandoned or underutilized state-owned property and sets procedures for review, notice, and disposal. House Bill 190, relating to licensed child care centers, passed 96-0 after a committee substitute that adjusts square-footage calculations for certain school-aged child care areas and excludes infants and toddlers. House Bill 141, relating to type 1 diabetes, passed 96-0 after a committee substitute removed an annual distribution requirement and instead made informational materials available in school offices; members spoke in support, including one describing a family experience with the disease. House Bill 518, relating to collection of local business taxes and fees, passed 91-3 after a committee substitute that allows electronic filing while preserving local control, creates an advisory committee, and phases in implementation through July 2029. House Bill 497, relating to post-secondary tuition waivers, was explained as addressing waiver costs to universities and was amended with House floor amendment 3 to expand and clarify eligibility, including up to 128 hours for eligible students and additional provisions for certain groups; discussion was underway when the transcript ended. The meeting also included committee reports on bills covering wildlife depredation, light pollution, limited commercial driver’s licenses, prison educational programs, civil rights, respiratory care, dietitians, temporary structures, controlled substances prescribing authority, the Athletic Trainer Compact, children of military families, local boards of education, youth health services, and class sizes for exceptional children and youth.

Transcript Highlights:

• know if it was an internal audit or their own audit or in an audit—highlighted irregularities in the
• :26.880> own<00:48:27.040> audit<00:48:27.440> or<00:48:27.680> in<00:48:
• 27.920> an<00:48:28.599> audit internal there own audit or in an audit internal there own
• audit or in an audit um<00:48:29.920> highlighted<00:48:30.440> irregularities<00:48:31.240
• internal auditor Andor the annual audit internal auditor Andor the annual audit will<00:53:50.359

Keywords: 1187, senate, all

Transcript Highlights:

• propose that we change the practice, not the law, at this time by doing the following: conduct an audit
• propose that we change the practice, not the law, at this time by doing the following: conduct an audit
• We welcome another audit. We welcome those kinds of things.
• we've gone through reviews with audits we've gone through reviews with the<01:14:57.920> Attorney
• we welcome those welcome another audit we welcome those kinds<01:15:10.199> of<01:15:10.280><

Keywords: 912, senate, all

Summary: The joint committees first heard House Bill 229, which would establish a statewide speed restriction for motor vehicles under certain circumstances. Testimony on the bill was limited and came in support from the City and County of Honolulu’s transportation services, the Department of Parks and Recreation, and the Oahu Metropolitan Planning Organization. No one testified in opposition, and there were no questions. The committees then took up House Bill 860, which would grant immunity from liability to the state or counties when they repair or maintain a street whose ownership or jurisdiction is disputed between them. The Department of Transportation and the Department of Land and Natural Resources submitted written testimony, and the Hawaii State Association of Counties, Maui County Council Chair Alice Lee, Hawaii County Council member Heather Kimble, and the Iolani Homestead Community Association for Justice testified in support. The Ho Association for Justice opposed the bill, arguing the immunity was too broad and that the issue had already been addressed by prior legislation. In discussion, members raised concerns about liability and asked whether a different approach, such as extending the 2017 law transferring Oahu roads in limbo to the counties, would be acceptable; county representatives said that path could be considered if immunity were removed. House Bill 1161, which would authorize counties to use a road usage charge mechanism similar to the state’s, drew support from the Department of Transportation, the Energy Office, the Hawaii State Association of Counties, several county and city offices, and the Oahu Metropolitan Planning Organization. Rental car companies and industry groups supported the concept but asked for amendments, including a flat fee instead of a per-mile charge, relief for plug-in hybrid vehicles, and a delayed implementation date. The Tax Foundation of Hawaii also supported relief for hybrids. Members questioned the rental car representatives about the flat-fee proposal, and they said a per-mile charge would be difficult to calculate and pass on to customers. At the end of the joint agenda, the committees deferred decision-making on HB 1161 to Tuesday, March 18 at 3:00 p.m., and the Energy and Intergovernmental Affairs committee also deferred the three measures to that date and time. The Transportation and Culture and the Arts committee then began hearing House Bill 925, which would create a Performing Arts Special Fund, and House Bill 1378, which would establish a Performing Arts Grants Program and Special Fund and revise the State Foundation on Culture and the Arts’ responsibilities and funding sources. HB 925 received support from the State Foundation on Culture and the Arts and written support or comments from DBEDT, the Hawaii Arts Alliance, and others. HB 1378 drew extensive testimony and discussion focused on preserving arts funding while addressing concerns about the use of Works of Art Special Fund dollars for positions and programming. The Governor’s office said it supported the intent but had concerns; the Attorney General warned that the bill’s cap and transfer provisions were unclear and could affect the tax-exempt status of bond-funded dollars; and the State Foundation on Culture and the Arts opposed the measure, urging an audit, tracking of deposits, and a shift of positions and programs to general funds instead of changing the law. The chair explained that the bill was intended to protect arts funding while tightening the legal guardrails around bond-financed dollars and preserving federal support, and asked testimony to focus on new points as the hearing continued.

Transcript Highlights:

• searches on behalf of immigration agencies that were somehow missed by existing audits.
• SB 1013 addresses this by requiring audits by the California Department of Justice.
• This is why a strict data retention limit backed up by an auditing requirement is essential.
• This is why a strict data retention limit backed up by an auditing requirement is essential.
• Some of the functions around the audit, the oversight, the safeguards, and the training we think are

Summary: The Assembly Transportation Committee met first as a subcommittee due to the lack of a quorum, then later obtained a quorum and took up several bills. The committee heard SB 1064, which would reduce the frequency of Clean Truck Check testing for low-use heavy-duty vehicles; supporters said it would ease burdens on rural agricultural businesses, while clean air advocates opposed it as weakening an important emissions program. The bill was approved and sent to the Assembly Appropriations Committee. The committee also heard SB 1174, which would give Caltrans bid preferences to construction firms with employee stock ownership plans; supporters argued it would build worker wealth and improve project quality, while contractor groups opposed it as likely to raise costs and reduce competition. That bill was approved and sent to the Assembly Judiciary Committee. The consent calendar items SB 607, SB 962, and SB 990 were also approved. The committee then heard SB 1279, which would allow Long Beach to place additional speed safety cameras on Pacific Coast Highway. Long Beach officials and several safety and advocacy groups supported the bill, citing high fatality rates and repeated pedestrian crashes on that corridor, while some members raised concerns about fines, affordability, and whether cameras would address pedestrian-related collisions. The bill passed as amended to the Assembly Privacy and Consumer Protection Committee. SB 1213, the Clean Truck Transportation Act, would require more price transparency for medium- and heavy-duty zero-emission truck incentives and direct agencies to explore alternative financing tools; supporters said it would improve affordability and competition, while one manufacturer and the trucking association raised implementation concerns. It passed to the Assembly Natural Resources Committee. The committee also heard SB 1013, which would tighten rules for automated license plate reader use by limiting retention to 30 days, requiring audits and training, and restricting access and hot list use. Privacy advocates supported the bill as overdue accountability, while law enforcement groups argued the retention limit would hinder investigations and that some technical definitions needed work. The bill passed to the Assembly Privacy and Consumer Protection Committee. SB 1315, dealing with advanced driver assistance systems, would prevent automakers from disabling a consumer’s ability to drive their own vehicle through software updates and would encourage DMV testing questions about ADAS responsibilities; after amendments, industry opposition softened and the bill passed to the Assembly Judiciary Committee. Finally, SB 1246, on autonomous vehicle emergency response, would require U.S.-based remote drivers, quicker on-scene response, and better coordination with local agencies; first responders and labor groups supported it, while AV industry groups remained opposed unless amended. The bill passed to the Assembly Communications and Conveyance Committee. The transcript ended as the committee began hearing SB 1250, a planning bill to incorporate wildlife connectivity into transportation asset management, with the sponsor and supporters explaining it would improve safety and habitat planning without mandating specific projects.

Transcript Highlights:

• All right, we will move on to Item C, presentation of Department of Ed grants from Legislative Audit.
• All right, we will move on to Item C, presentation of Department of Ed grants from Legislative Audit,
• and we have a couple of our esteemed experts from Legislative Audit at the table.
• I'm an auditor with Arkansas Legislative Audit. I'm David Webb.
• I'm one of the audit supervisors with Legislative Audit.

Summary: The committee first approved the May 18 meeting minutes and then received a presentation from Legislative Audit on Arkansas Department of Education grant distributions. Auditors explained that the fiscal year 2025 report summarizes $4.6 billion in grants from state, federal, and miscellaneous sources, across school districts, charter schools, education cooperatives, and other entities, and that the report only shows amounts distributed, not how recipients ultimately used the money. Members asked about specific recipients and programs, including ClassWallet, Economics Arkansas, and CDC surveillance funding; department staff clarified that the Economics Arkansas grant is written into special language and that the CDC-related funding supports student surveys used by state agencies. Questions also focused on bonus and incentive programs such as master principal and National Board Certified teacher bonuses, with department staff saying the bonuses are generally tied to completion of the program or certification rather than classroom performance, though they would follow up on details. The committee then heard a Bureau of Legislative Research update on Consumer Price Index projections from Moody’s Analytics and S&P Global. Dr. Carlos Silva explained the difference between CPI-U and core CPI and said the estimates show inflation slowing over the forecast period, with some near-term variation between the two data providers. Members asked about the historical accuracy of prior projections, and he said the forecasts generally tend to move toward about 2 percent over time, though recent shocks have caused earlier estimates to understate actual inflation. The bulk of the meeting was devoted to the final adequacy report on teacher recruitment, retention, and salaries. BLR staff reviewed Arkansas teacher demographics, shortage areas, educator preparation pipelines, licensure exceptions, survey results from teachers and principals, and teacher support programs. They reported that Arkansas had about 32,800 teachers and 473,000 students in 2025, with an average of 11.9 years of experience and a slight increase in National Board Certified teachers. The report found shortages in multiple subject areas, especially special education, math, science, foreign language, and social studies, and identified 65 districts as high-need geographically. Survey results showed school leadership as the strongest positive factor in recruitment and retention, while workload and salary were the biggest negatives; 30 percent of responding teachers said they were considering leaving the profession. The committee also reviewed teacher salary data showing a statewide average salary of $60,254 in 2025, Arkansas ranking 45th nationally by NEA methodology, and a long-term inflation-adjusted decline in district salaries, though LEARNS Act increases improved the trend. Members asked for additional follow-up information on survey methodology, alternative licensure costs, coursework, incentives for ESL and special education endorsements, exit data, and how salary comparisons are calculated.

Transcript Highlights:

• The first topic is a presentation on the Joint Legislative Audit and Review Committee report on hospital
• Most are researchers, and we all complete performance audits for the legislature.
• Most are researchers, and we all complete performance audits for the legislature.
• That's something we didn't do during the course of our audit. Representative Rule: Thank you, Mr.
• As you saw, we concurred... ...colleagues for the audit and their recommendations.

Summary: The committee heard a JLARC presentation on the Department of Health’s oversight of hospital inspections, complaints, and reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state standards, did not consistently require proof of those inspections, did not review adverse health event corrective plans, and could make hospital data more accessible. JLARC also raised a possible language-access barrier in the complaint system. Members asked about complaint filing by staff, the meaning of adverse health events, inspection outcomes, and whether the audit compared DOH to other agencies. JLARC said it had not reviewed inspection results or cross-agency comparisons, but noted inspectors were dedicated and working long hours. DOH later said it concurred with the recommendations and outlined a strategic plan with target dates for improving timeliness, verifying accreditation standards, expanding language access, reviewing adverse event laws, and improving public data access, with annual reporting to the Legislature expected. The committee then heard a Department of Health presentation on certificate of need modernization. DOH described the current certificate of need process, which reviews need, financial feasibility, quality, and cost containment for certain facility changes and new services, and said the program has not been modernized since the 1980s. DOH proposed 10 statutory modernization recommendations, including clarifying the program’s purpose, creating a planning entity, adding flexibility, reducing legal costs, updating access-to-care standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, strengthening long-term funding, and using better data systems. Members asked about oversight of freestanding urgent care and EDs, funding sources, and whether the process could be streamlined or made more responsive to complaints or other triggers. A third panel discussed artificial intelligence in health care. Lucy O’Rourke of the Coalition for Health AI described CHAI’s work on responsible AI principles, technical standards, model cards or “nutrition labels,” testing and governance tools, and educational resources for providers. She said the group is focused on trust, transparency, fairness, safety, security, and privacy, and noted Washington’s AI-related policy work as among the more progressive in the country. No questions were asked. The final portion focused on the financial impact of federal and state health care policy changes. The Washington State Hospital Association said hospitals are facing low or negative operating margins, service reductions, layoffs, and closures, and that state cuts and taxes enacted in 2025, combined with federal HR1 changes, will significantly worsen finances. Providence Swedish leaders described staffing reductions, service cuts, delayed capital investments, and pressure from denials, tariffs, and reimbursement changes, while emphasizing that frontline staffing cuts are tied to service reductions rather than nurse-to-patient ratio changes. The Washington Health Benefit Exchange then began a presentation on expiring federal ACA premium tax credits, state Cascade Care Savings assistance, and eligibility changes affecting lawfully present non-citizens, with examples showing large premium increases for customers if federal subsidies expire.

Transcript Highlights:

• up for substandard tutoring services and signing away their rights to tax refunds or inviting a tax audit
• children up for substandard tutoring services and sign away their rights to tax refunds or invite a tax audit
• and the funny thing is, when I joined Feeding Our Future, the first thing I did was do an internal audit
• When I joined Feeding Our Future, the first thing I did was do an internal audit, and I sent an email
• Additionally, families being audited by the Department of Revenue with financial penalties hanging over

Keywords: 1183, house