Transcript Highlights:

• The voter then gets a notice, faces a deadline to respond, and has to appear and prove themselves for
• During the implementation of the electronic filing, the filing disclosures and the option to report based
• I move that the rules be waived and the amendment deadline for all bills be waived and all bills... .
• I move that the rules be waived and the amendment deadline for all bills on tomorrow's third reading
• I move that the rules be waived and the amendment deadline for all bills on tomorrow's third reading

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a series of recognitions for interns, staff, and guests. Members also honored retiring Senate staffer Susan Miller and recognized a veteran injured in combat. After routine announcements, the chamber moved to returning messages from the House and began taking up bills and amendments. The Senate concurred in House amendments and passed SB 118 on RV park assessments and SB 572 on ethics for public officers and employees, both by 38-0 votes. It then took up the elections bill, CS/CS/HB 991, which drew extensive debate. Supporters said it would strengthen election integrity by tightening citizenship verification and ID rules; opponents argued it would burden eligible voters, especially students, seniors, disabled voters, and others without the newly required documents. The bill passed 27-12. The chamber also passed the education package SB 182 after adopting a Senate amendment to the House amendment, and approved SB 474 on military affairs, SB 425 on historic cemeteries, HB 929 on local regulation of chickees, and HB 35/SB 1370 on habitual traffic offender designation, all with unanimous or near-unanimous votes. The Senate then considered SB 902/ HB 733, the Department of Health package. Members adopted an amendment and amendment-to-amendment that preserved most Senate provisions while modifying or removing several House additions, including some early steps and medical marijuana-related changes, and the bill passed 37-0. The chamber also began work on HB 905, the foreign influence bill, with a strike-all amendment offered to expand restrictions on foreign influence, sister-city agreements, linkage institutes, and related activities, but the debate on that measure was still underway when the transcript ended. Several other returning messages and bills were temporarily postponed, and the Senate recessed briefly before resuming business.

Transcript Highlights:

• The passionate and candid lyrics take the listener on a late-night car ride down Massachusetts Route
• And a lot of times, let's be candid, Mr.
• And a lot of times, let's be candid, Mr. Chairman.
• Please file in favor of S. 2177. Thank you for giving me this opportunity. My story is there.
• Students from Gardner filed that bill.

Keywords: 995, all

Summary: The committee heard testimony on several bills. Representative David Linsky supported HB 3383, which would designate the song “Roadrunner” as the official rock song of Massachusetts, describing its Boston roots and cultural significance. Representative Sean Garberle supported HB 3335 on public access to historical records, arguing that records from state institutions should be released after 75 years and that families and researchers should be able to identify people buried in unmarked graves at former state institutions. Representative Rodney Elliott and Lowell officials supported HB 4138, authorizing easements for a Lowell sewer separation project; they said the project is needed for Clean Water Act compliance, will reduce combined sewer overflows into the Merrimack River, and must proceed quickly to meet SRF and consent-decree timelines. Committee members asked about Article 97, the location and scope of the easement, environmental justice impacts, and minority/small business participation in construction. The committee also heard extensive testimony on Senate 2183 and its House companion, which would elevate the Massachusetts National Guard to a cabinet-level position reporting directly to the Governor. Senators Mike Moore and John Velis, along with the National Guard Association’s Matthew McKenna, argued the change would reduce bureaucracy, improve communication and readiness, and reflect the Guard’s broad domestic and military missions. Velis cited the Holyoke Soldiers’ Home tragedy as an example of a breakdown in communication, while committee members said they wanted more information, including input from the Governor’s office and Guard leadership, before acting. The committee noted the distinction between state-controlled and federalized Guard missions and said it would continue reviewing the issue. Senator Liz Miranda and a large panel of survivors, advocates, and Northeastern law students testified in support of S. 2174 and S. 2177, which would create an office and task force on unsolved homicides, allow families to petition for case review after three years, require written responses, and establish a tip line, database, and dedicated funding. Witnesses described long-standing lack of communication, low clearance rates, and the disproportionate impact on Black and Brown communities. Senator Becca Rausch also testified on S. 2210, extending public records law to the governor and Legislature, and S. 2207, creating stronger information-governance and records-retention standards; she said both would improve transparency and reduce waste. The transcript does not reflect any votes taken during the hearing, though chairs repeatedly indicated support for moving some bills favorably and said the committee would continue reviewing the National Guard proposal.

Transcript Highlights:

• , such as a candidate forum.
• , such as a candidate forum.
• of candidates maybe a candidate<01:18:13.520> Forum<01:18:13.880> where<01:18:14.040><
• They don't file their donation-like expenses if the union donates to certain candidates; they don't file
• I might support the Libertarian candidate once I see how low the Libertarian candidate is polling.

Keywords: 1189, house, all

Transcript Highlights:

• certain special court procedures for handling so-called strategic lawsuits—these are lawsuits generally filed
• certain special court procedures for handling so-called strategic lawsuits—these are lawsuits generally filed
• certain special court procedures for handling so-called strategic lawsuits—these are lawsuits generally filed

Keywords: 928, house, all

Summary: The committee heard testimony on House Bill 232, which would protect health care workers’ conscience rights in connection with certain procedures, especially abortion and sterilization, and also referenced contraception. The prime sponsor, Rep. Mark Pearson, said the bill is meant to prevent medical professionals from being forced to participate in procedures that violate their beliefs, while still prohibiting discrimination against patients based on protected characteristics. He said the measure was intended to help retain health care workers in New Hampshire and noted he had added an amendment to address concerns about people taking jobs only to later refuse duties, as well as emergency situations where a provider is the only one available. Committee members raised concerns about how broadly the bill and amendment were written. Questions focused on whether the protections could apply to non-physician staff such as schedulers, receptionists, or pharmacy employees; whether a provider could refuse to schedule, refer, or otherwise assist with services; and how “emergency” would be determined in practice. Several members also questioned whether the bill could affect access to contraception, including pharmacy sales and procedures such as tubal ligation, and whether the language was clear enough to prevent confusion or unintended refusals of care. Pearson said the bill was not intended to allow refusal of emergency care or general patient discrimination, and he acknowledged some language could be tweaked. Rep. Paige Boerman, a maternal-child health nurse, testified in opposition, saying she had seen pharmacists question prescriptions related to miscarriage care and that the bill could create barriers to contraception and other reproductive health services. She warned that the lack of a disclosure requirement and the broad definitions could create risks, especially in rural areas with limited providers. She also pointed to problems she said had occurred in other states, arguing the bill could lead to delayed care in emergencies. The hearing ended after questions and discussion; no vote or final action was taken in the portion provided.

Transcript Highlights:

• File item number two, AB 48.
• File item number two, AB 48.
• File item number 14, AB 934. Ayes.
• File item number two, AB 48.
• File item number one, AB 7. Not one. I'm sorry, AB 7, file item number one, AB 7. Not voting.

Summary: The committee hearing covered several higher education bills, with extensive testimony on student aid, affordability, and institutional debt. AB 587 would add veteran representation to the California Student Aid Commission; the author said the change would bring lived experience from the veteran community to student aid policy, and members raised a concern about keeping the commission’s membership odd-numbered, which the author said would be addressed by amendment. AB 791 would standardize cost-of-attendance housing calculations using objective data and improve notice of the adjustment process; supporters said current budgets often underestimate students’ real living costs, while UC, CSU, and independent colleges opposed or had concerns about the bill’s prescribed methodology, fiscal impact, and a 14-day turnaround for adjustments. AB 850 would create a one-term grace period for students with institutional debt to re-enroll while arranging repayment, bar reporting that debt to credit agencies, and require more transparency; proponents described students being blocked from continuing school over debts, while CSU, UC, and private-college representatives said they already use holds and payment plans and worried about added liabilities and budget pressures. AB 537 would extend the California College Promise Program to part-time community college students; supporters said most community college students attend part-time and should not be excluded from fee waivers, while the committee noted fiscal concerns but ultimately advanced the bill. AB 7 would allow universities to consider whether an applicant is a descendant of American chattel slavery in admissions as a reparative measure; supporters framed it as lineage-based reparative justice, while opponents argued it would function as a racial proxy and conflict with Proposition 209 and equal-protection principles. The committee took roll-call votes on the measures, advancing AB 587, AB 791, AB 850, and AB 537 to Appropriations, with AB 850 and AB 537 receiving fewer votes and the roll left open for additional members.

Transcript Highlights:

• traffic ticket... ticket, they are assessed a fine and are expected to pay that fine by a specific deadline
• When I learned about the issue, I decided to file the bill.
• Someone also called our office and said that I was a coward for filing this bill.
• to be done, and we know it's in writing, and we've seen it, and we have the data, it allows us to file
• Candidates must meet specific criteria established by T-Coals.

Bills: HB1455, HB1777, HB2101, HB2136, HB2609, HB3142, HB3552, HB3846, HB4155, HB4514, HB4879, HB4995, HB5014, HB5139, HB5228, HB5436, HCR40

Keywords: mental health, jail diversion, law enforcement, reporting requirements, criminal justice, data collection, criminal justice reform, intellectual disability, mental illness, data reporting, public safety, reporting, substance abuse, sex offender, driver's license, identification, gunshot detection, unreported gunshots, municipal police, crime investigation

Transcript Highlights:

• Members, we're going to pass and retain on file items three through file item eight.
• We're going to pass and retain on file item number 23. Brings us to file item.
• Pass temporarily on file item 31, pass and retain on file items 32 and 33.
• We're going to pass and retain on file item 60, 61, 62, that gets us to file item 63.
• We're going to pass and retain on file items 82, 83, that gets us to file item.

Keywords: 988, house, all

Transcript Highlights:

• But those two are going to be presented in the order that they were filed with Legislative Counsel.
• This led to a lawsuit filed by the Turtle Mountain Band of Chippewa and Spirit Lake Nation.
• This led to a lawsuit filed by Turtle Mountain Band of Chippewa and Spirit Lake Nation.
• They're aware of the April 26th deadline. They're aware of the April 26th deadline.
• The September 30 application deadline found on... ...to March 31.

Keywords: 908, all

Summary: The committee opened with roll call and a review of special-session procedure: bills would be heard in filing order, with related school-lunch bills grouped together, and any bill advancing would require a motion, second, and majority vote to be introduced. Members also discussed that the committee was functioning much like a delayed-bills committee, with final referral to either Appropriations or Policy depending on the bill’s fiscal impact. The first major proposal was Senator Schibley’s bill to create a narrow, statewide Bank of North Dakota bridge-loan program for struggling nonprofit medical facilities, prompted by Jacobson Memorial Hospital’s financial crisis. He argued the hospital and surrounding EMS services could close without short-term help, while committee members questioned the added language, the population cap, the $10 million fund with $5 million per applicant limit, and whether the program could open the door to future requests. Representative Headland then presented two cleanup bills from the prior property-tax session: one to fix notice and tax-certification issues for local taxing districts, and another to correct how the primary residence credit is applied so taxpayers receive the full benefit rather than counties retaining part of the reimbursement. Members asked about township hearing timing, the estimated $10–15 million annual impact, and whether the credit issue could be fixed retroactively; Headland said the bill was intended to correct the problem going forward. Three school-lunch bills drew extensive discussion. Representative Vetter proposed a small administrative appropriation to add an FTE to help eligible families enroll in the existing free/reduced lunch program, saying the goal was to ensure needy children are signed up and that the state should not subsidize meals for wealthy families. Representative Nathe offered a broader bill mirroring the pending initiated measure but placing the program in statute instead of the Constitution, moving implementation up a year, and funding it with a one-time $65 million from the strategic investment fund; he said this would preserve legislative flexibility and avoid constitutional entrenchment. Representative Dressler proposed raising the state-funded eligibility threshold from 225% to 300% of poverty, arguing it would expand access while still preserving federal reimbursements and encouraging better enrollment systems. Members debated costs, future budget pressure, whether the bills set a precedent for responding to ballot measures, and whether the program should include breakfast and other operational details. Other proposals included Senator Powers’ bill to create a hyperbaric oxygen board and support rural access to hyperbaric chambers for wounds, concussions, PTSD, and other conditions; Representative Tolman’s reporting-requirements bill to force new or expanded programs to justify purpose, alternatives, evaluation methods, and full implementation costs; Representative Frelich’s bill addressing the ongoing redistricting litigation and what happens if the Supreme Court or lower courts alter the current map; and a bill requested by the Public Service Commission and ITD for FERC litigation support and ADA website/document compliance. The committee also heard a rural-health eligibility bill from Representative Twait aimed at steering federal rural health dollars toward rural providers, with questions focused on whether the mileage limits would exclude some communities. One Holocaust education item was deferred until the sponsor could be located.

Transcript Highlights:

• The voter then gets a notice, faces a deadline to respond, and has to appear and prove themselves for
• Rigby, an alien, did knowingly vote in an election held in part for the purpose of electing a candidate
• implements the Commission on Ethics recommendation by clearly mandating that reporting individuals file
• During the implementation of electronic filing, the filing disclosures and the option to report based
• I move that the rules be waived and the amendment deadline for all bills be waived and all bills, of

Summary: The Senate convened with a quorum, opening with prayer, the Pledge of Allegiance, and a series of recognitions for interns, staff, and guests. Members also honored a retiring Senate staffer and a wounded veteran, then moved into returning House messages and special order bills. Several measures were taken up and either concurred in or sent back to the House, with multiple unanimous or near-unanimous votes on noncontroversial bills. Among the bills addressed were SB 118 on recreational vehicle park assessments, SB 572 on ethics for public officers and employees, and HB 991 on election integrity. SB 118 and SB 572 were amended to reflect House changes and passed 38-0. HB 991 drew extensive debate over voter registration and identification requirements, with opponents arguing it would burden students, seniors, disabled voters, and others, while supporters said it would strengthen election security and streamline verification; it passed 27-12. The chamber also approved bills on historic cemeteries, chickee regulation, habitual traffic offender designation, military affairs, and a Department of Health package. The Department of Health bill (SB 902/HB 733) was the subject of detailed amendment work, including changes to medical marijuana rules, NICU educational materials, Early Steps, dental loan repayment, and pediatric trauma center designation. The Senate adopted an amendment to the amendment and then passed the bill 37-0. Other measures included a funeral services bill, which the Senate refused to concur in because the House strike-all would redefine cremation to include composting, and a veterans-related bill that was temporarily postponed. The Senate also recessed briefly, then returned to continue the calendar and additional recognitions.

Transcript Highlights:

• If you made the auditor's compliance list by September 1st, that deadline is approaching quickly.
• This includes filing with the registry, preparing budgets, and fulfilling specific statutory requirements
• So the intention and the way we sort of guided land grants to file those protests this past...
• Also, the plaintiff had filed a writ of mandamus to install a certain candidate. We got that case.
• Moving on to slide number nine, here are just deadlines for the different funding sources.

Transcript Highlights:

• File items 3 through file item 9, that brings us to file item number 10, AJR 7 by Assemblymember Addis
• We've already dispensed with file item 49, pass and retain on file item 50.
• We're going to pass and retain on file items 53, 54. That brings us to file item 55.
• The pass and retain on file item 58, brings us to file item number 59.
• We're going to pass and retain on file item 77, 78, brings us to file.

Keywords: 988, house, all

Transcript Highlights:

• OK, so first off, request deadlines and information on requests.
• In this part of the presentation, the deadline, I don't know if that matters, right?
• Because we went to this last session and we've got the deadline earlier than ever before.
• And so I think that's a deadline that needs to be set too.
• And so, I think that deadline should be maybe the end of the year deadline.

Transcript Highlights:

• are for when this the House deadlines are for when this bill<00:20:11.320> needs<00:20:11.480
• I believe now the way the process works, having dealt with this personally, is if you don't file for
• that exemption by the April 15th deadline anyways, you're out until the following tax season.
• Like in Keene, it's 23,000 people; there's only 40 people that have filed for this exemption.
• Like in Keene, it's 23,000 people; there's only 40 people that have filed for this exemption.

Keywords: 1189, house, all

Transcript Highlights:

• So the intent of the bill is not to change any of the current deadlines for when payments are due.
• Correct, but we're not changing any of the existing deadlines that are set.
• No, I do not want to touch the deadlines. Understood. All right. Thank you so much. Thank you.
• No, I do not want to touch the deadlines. Understood. All right. Thank you so much. All right.
• So I appreciate your candid today to try to help us so we can make the right call.

Summary: The Senate Committee on Insurance met on May 6, 2026, and first reported HB 1241 favorably. That bill, by Chairman Furman, requires insurers to check with DCFS before paying certain insurance settlements to determine whether the recipient owes delinquent child support, and to withhold and remit arrears if found. DCFS explained that Louisiana already has intercepts and other collection tools, but no current mechanism for insurance settlements. Senators raised concerns about notice to obligors and about liability if insurers fail to withhold, but the bill was advanced without objection. The committee then heard HB 870, which would require health insurers and PBMs to cover lower-cost generic or biosimilar drugs when available and to use utilization management no more restrictively on those drugs. Supporters said the bill would improve access and lower patient costs by using wholesale acquisition cost as the comparison point. Opponents, including Louisiana Blue and the AFL-CIO, argued that WAC ignores rebates and net cost, could force plans to cover higher-cost biosimilars first, and could increase premiums and disrupt ERISA and fully insured plan design. The committee adopted a technical amendment set and then a second amendment set that added notice and reporting requirements tied to net cost calculations, and HB 870 was reported favorably as amended. Several other bills were moved with little or no opposition. HB 1176, concerning Medicare Advantage coverage for integrative cancer treatments such as cold cap therapy, cryotherapy, and acupuncture, was amended to change the effective date and then reported favorably. HB 1196, dealing with colorectal cancer screening follow-up colonoscopies, was also amended and reported favorably. HB 1162, a consumer protection bill requiring DOI to verify that a contractor named on a first-party property damage check is licensed in Louisiana, was amended and reported favorably. HB 826, which modernizes insurance referral rules to allow referrals by email or website address, was reported favorably. The committee also heard HB 1151 on insurer investment limits and solvency protections, and HB 1236 on pharmacy reimbursement and copay maximizer programs; both drew substantial testimony and concern, especially over retroactivity, PBM cost allocation, and whether copay maximizers shift costs to patients, but the transcript cuts off before final action on HB 1236.

Transcript Highlights:

• As you all know, we are hearing testimony today on the bill filed by Governor Healey and Lieutenant Governor
• That's why, since we originally filed this bill, we've been working with a group of stakeholders and
• I know this is something that we spent a lot of time between the last filing of this and this filing
• So this act, I'm grateful to the administration for filing it.
• So this act, I'm grateful to the administration for filing it.

Keywords: 995, all

Summary: The hearing focused on Governor Healey and Lt. Gov. Driscoll’s Municipal Empowerment Act, with administration officials and municipal leaders broadly supporting the bill as a package of tools to help cities and towns manage rising costs, staffing shortages, and service demands. The administration highlighted procurement reforms, including raising Chapter 30B advertising thresholds, clarifying cooperative purchasing, and removing the Commbuys notice requirement; permanent authority to amortize emergency-related deficits over three years; expanded authority and enforcement for removing double poles; continued flexibility for hybrid and remote public meetings; regionalization options such as regional boards of assessors and intermunicipal agreements; cybersecurity reporting to EOTSS; and several local revenue options and other municipal finance changes. They said the bill was shaped by listening sessions with municipal officials and was intended to increase flexibility, efficiency, and stability without imposing broad mandates. Committee members asked about regionalization, cybersecurity costs, Commbuys, hybrid meetings, and double poles. Administration witnesses said cybersecurity reporting would help the state target resources and that existing Community Compact and capital grant programs, including IT and municipal fiber funding, could support local needs; they said EOTSS would absorb reporting within existing resources. On procurement, they said the Commbuys notice change would be optional and that other public notice methods would remain available. On hybrid meetings, they emphasized flexibility for different types of boards and the burdens a one-size-fits-all mandate could create for small towns and volunteer boards. On double poles, they said the bill’s main change from last session was to give utilities more time and improve the removal process while keeping enforcement mechanisms aimed at speeding removal rather than raising revenue. The Massachusetts Municipal Association, MAPC, the Pioneer Valley Planning Commission, and multiple mayors and town managers testified in support. They described the bill as a practical modernization measure that would help local governments operate more efficiently and respond to fiscal pressure. Witnesses from Northampton, Lynn, Gardner, Cambridge, Franklin, North Andover, Manchester-by-the-Sea, and Ashland praised the hybrid meeting provisions, procurement changes, regional service-sharing, and emergency deficit amortization. Several also urged adoption of local revenue tools, including meals and lodging tax options and other local fees, as ways to preserve services and staffing. No votes were taken during the hearing.

Transcript Highlights:

• I have before you Senate File 1462.
• I have before you Senate File 1462.
• These grant programs remain important in supporting our teacher candidates and teachers.
• These grant programs remain important in supporting our teacher candidates and teachers.
• as a senate file 1457 as amended be file as a senate file 1457 as amended be recommended<01:54:26.840

Keywords: 1187, senate, all

Transcript Highlights:

• President Pro Tem's list of pre-file legislation dated June 17th. Thank you, Madam President.
• May so much be considered the reading of the pre-file. Pre-file legislation dated June 17th.
• May so much be considered the reading of the pre-file. Seeing no objection, so moved. Mr.
• Representative Gray and Senator Hocker, an act to amend the Charter of the Town of Ocean View relating to the filing
• deadline for Town Council candidates.

Summary: The Senate received communications from the House listing numerous bills, substitutes, amendments, and concurrent resolutions passed by the House or returned to the Senate, and it also noted a Senate amendment being stricken from House Bill 190. Committee reports were read on a wide range of nominations and bills, including favorable reports on several executive nominations and legislation involving nurse preceptors, voting, agricultural/forestry grants, child care, Title IX coordination, vehicle security devices, dry needling, human remains disposition, child care assistance, autism-related oversight, nursing advancement, correctional oversight, massage and bodywork, probate letters, computer security breaches, automobile insurance, medical debt protection, and technical corrections. The Senate also assigned House Bill 300, House Bill 64, and House Bill 385 to the Finance Committee. The chamber confirmed several gubernatorial nominations by roll call vote, each receiving the required majority: Heidi J. A. Gilmore to the Marijuana Appeals Commission; Lee Wynne and Ruth J. Tucker to the Delaware River and Bay Authority Board; Jennifer R. Hallman and Lindsay E. Alexich to the Professional Standards Board; Jason M. Munion and F. Todd Kulata to the Environmental Appeals Board. The Senate also passed House Substitute 1 for House Bill 383, which changes overtime eligibility for certain DelDOT employees and clarifies covered positions, and Senate Bill 315 with Senate Amendment 1, which revises the Delaware Technical Innovation Program to give the Division of Small Business more flexibility in using federal grant funds. Consent Agenda M passed unanimously, including Senate Substitute 1 for Senate Bill 319 on menopause and perimenopause coverage, House Bill 411 on alcohol/tobacco/marijuana enforcement, House Bill 271 on marijuana establishment spacing, House Bill 258 on alcohol licenses, House Bill 303 on juvenile probation/parole officers and DCYF employees, and House Bill 377 on Ocean View municipal election deadlines. Consent Calendar 63 also passed unanimously, including resolutions recognizing Day of Service, National Adoption Month, National Coaches Day, Free Speech Week, Women’s Equality Day, and Spirit of America 250, along with resolutions encouraging a veteran cemetery in Kent County, seeking plans for repurposing underused public buildings, and honoring Delaware Boys State. The Senate spent significant time on floor remarks about the Boys State delegates and on a tribute to emergency responders who helped save a seven-year-old child trapped by a seatbelt; the responders were recognized individually and thanked for their work. Additional remarks explained the purpose of the menopause coverage bill, the adoption month resolution, the free speech resolution, and the America 250 resolution. The session ended with no further business and the Senate recessed until June 18.

Transcript Highlights:

• The deadline is today. It is a hard deadline. It was a one-time opportunity for states to apply.
• Then we eventually present to a selection committee that decides whether this is a suitable candidate
• That takes a lot of work, so there has to be, the patient has to be a suitable candidate from the accountability
• I would imagine that is this a good candidate, you know, for transplant and then deciding which organ

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:

• makes sense um the the the two deadlines makes sense um the the the two deadlines one<00:58:22.720
• We got House File 2 and House File 3 that also address fraud in the House, going on, and probably a plethora
• <01:24:35.920> uh you uh with that Senate file uh you uh with that Senate file uh 263<01:24
• delete all from Senate file delete all from Senate file 856<01:59:58.800> as<01:59:58.960
• 856 as the definitions in Senate file 856 as the definitions in Senate file 475<02:00:02.719>

Keywords: 1187, senate, all

Transcript Highlights:

• And so some people will just miss the deadline and have to reapply completely.
• Years of practice: how many years of practice is a candidate required to have to even apply?
• It would also enable a residency program to directly select candidates from a vetted IMG pool. ...enabling
• residency programs to directly select candidates from a vetted IMG pool, again helping address workforce
• There are compliance requirements around file keeping and record keeping, and many doulas work in their

Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.