Transcript Highlights:

• </c><00:07:53.639><c> other</c> discounted prices to provide other discounted prices to provide other
• c><00:09:16.880><c> outpatient</c> now be safely provided in an outpatient now be safely provided in
• We provide over 31 medical specialties through our affiliations and our relationships, and we provide
• We provide over 31 medical specialties through our affiliations and our relationships, and we provide
• </c> where our Medical Group and providers where our Medical Group and providers work<00:20:53.760><c

Keywords: 00:00 Introductions 02:46 Roll Call 03:35 Discussion on SB 14 46:13 Vote on SB 14 48:07 Discussion on SB 17 50:38 Vote on SB 17, 958, all

Summary: The Senate Standing Committee on Health Services opened with the chair welcoming several new members and outlining session rules: hearings would start and end on time, the committee would limit the number of bills heard each meeting, prioritize bills heard during the interim, and generally avoid using the consent calendar except in extreme circumstances. The committee then briefly considered administrative regulations, which were treated as approved if members had no questions. The main item was Senate Bill 14, a measure addressing the 340B drug discount program. The chair said the bill had already passed the Senate in a prior session and had been heard in interim, so he did not present it again. He described the bill as prohibiting drug manufacturers from discriminating against 340B covered entities by refusing 340B pricing when the same drug is offered at that price in the state. He also said the committee would not debate the federal 340B program itself, but would hear testimony on the bill. Hospital leaders and Kentucky Hospital Association representatives testified in support, arguing that 340B savings are essential to rural hospitals, oncology services, transportation support, chronic care, addiction recovery, and new service lines such as chemotherapy and hepatitis treatment. They said the program helps keep care close to home and that manufacturer restrictions on contract pharmacies have reduced access and cost hospitals millions. Opponents from BIO Kentucky and the National Alliance of Healthcare Purchaser Coalitions argued the bill would expand federal law beyond Congress’s intent, create administrative burdens, and not lower patient out-of-pocket costs. The chair repeatedly pressed opponents to address why Kentucky should be denied the same 340B pricing available in other states. No vote on the bill was taken in the portion provided.

Transcript Highlights:

• confirming provider eligibility.
• </c> health providers throughout the state. health providers throughout the state.
• payments to providers.
• </c> benefits and provider payment. benefits and provider payment.
• </c> regarding eligibility for providers. regarding eligibility for providers.

Committee: House Fraud Prevention and State Agency Oversight Policy

Keywords: 1183, house

Transcript Highlights:

• Corporation, to provide for definitions, to provide for the disposition of certain monies, to provide
• costs, to provide for reporting requirements, to provide for effectiveness, and to provide for related
• Thank you. of claims to provide for definitions, to provide for rulemaking, to provide for bad faith
• of glucose levels or weight loss, to provide coverage requirements, to provide for definitions, to provide
• for applicability, to To provide for definitions, to provide for applicability, to provide for an effective

Committee: House Insurance

Summary: The House Insurance Committee met on April 23 with a quorum present and first deferred HB 1142. The committee then heard HB 1187, which would direct any excess Louisiana Citizens emergency assessment funds, after related debt is paid, toward the Louisiana Fortified Homes Program or future Citizens debt. Representative Sawyer and Commissioner Tim Temple said the bill would likely redirect about $50 million in one-time surplus funds and would help expand a popular roof-mitigation program that has already awarded more than 4,600 fortified roofs. The bill drew support from several witnesses and was reported as amended without objection. Next, HB 1210, dealing with insurance claim disputes and a pre-suit review process for Louisiana Citizens claims, was discussed. Representative Dana Henry said he was voluntarily deferring the bill and instead pursuing a study resolution after hearing concerns from members and stakeholders. Department and Citizens officials said the proposal was modeled on Florida’s process and could help resolve disputes faster and cheaper, but the bill was ultimately voluntarily deferred after testimony and some opposition cards were noted. The committee then took up HB 1199, which requires coverage for genetic testing and treatment related to SCN2A-associated disorders. Representative Jordan and the Diedon family gave emotional testimony about their daughter Emily’s diagnosis and the importance of timely genetic testing. The bill was amended to require that testing be ordered by a provider and deemed medically necessary by the health plan, with discussion about whether a neurologist should be involved; members said that issue could be refined later. HB 1199 was reported as amended. Finally, the committee considered HB 880, the Louisiana Artificial Intelligence Insurance Fairness Act, which would regulate AI use in underwriting, rating, and claims. After a lengthy discussion about state insurance regulation, McCarran-Ferguson, and concerns that the bill could jeopardize federal broadband funding, Representative Jordan voluntarily deferred HB 880, and HB 920 was also deferred. The committee then heard HB 1221, which would limit the policy data collected for the Louisiana Fortified Program Fund. Former Representative Bowler argued the bill was needed to protect policyholder privacy, while the Department of Insurance and Commissioner Temple said the data is needed for surplus-lines premium tax audits, fraud detection, and consumer assistance after disasters. The discussion continued with questions about what data would be visible and how it would be used, but the transcript ends before a final action on HB 1221 is shown.

Transcript Highlights:

• The primary insurance market provides the first $250,000 in coverage, and the PCF provides the next $650,000
• For example, the Doctor's Company, which is the largest provider for independent providers, increased
• It is up to the health care providers or the defense to provide that information.
• cannot see a provider.
• It's not broken down by provider.

Committee: House Courts, Corrections & Justice Committee

Transcript Highlights:

• By providing students with campus housing, we can ensure that rents remain stable and provide students
• So to provide some context, the state provided UC with $51 million ongoing general fund support for eight
• We can provide to South San Diego County.
• be able to provide below-market rents.
• So we provide housing at the lowest cost we can.

Keywords: 988, house, all

Transcript Highlights:

• But I wanted to provide some context here for, as a background of other services that we provide, we
• We also provide supports for families in conflict.
• We do this through providing policy advisement, funding services and providers, and establishing best
• So we provide direct access in that way, and then we help them connect to the providers who are in their
• We do have three coaches that provide those services.

Bills: SB5911 , SB5940 , SB5942 , SB5957

Committee: Senate Human Services

Keywords: children, youth, financial stability, care services, department of children and families, housing assistance, foster care, pilot program, social services, accountability, family services, state department, child welfare, homeless youth, youth homelessness, runaway youth, young adult homelessness, housing instability, family reunification, family stability

Transcript Highlights:

• </c><00:02:43.080><c> to</c> Department of Human Services provides to Department of Human Services provides
• </c><00:02:47.400><c> more</c> couple of testifiers to provide more couple of testifiers to provide more
• </c><00:05:10.479><c> fraud</c> more well-funded units in provider fraud more well-funded units in provider
• My name is Mkhif with the Community Provider Alliance.
• Having providers being efficient will also save us money.

Keywords: 1183, house

Transcript Highlights:

• Then the providers are billing.
• </c><00:18:17.159><c> and</c> then um finding providers and then um finding providers and authorizing
• </c><00:18:20.679><c> are</c> providers and then the providers are providers and then the providers are
• </c><00:31:05.320><c> for</c><00:31:06.320><c> um</c> provider what the provider bills for um provider
• treatment providers.

Committee: House Human Services Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• </c><00:02:42.400><c> consumer</c> So, not only are we providing consumer So, not only are we providing
• So this is uh uh what provider.
• So they authorized repair providers.
• </c> these authorized quote unquote providers these authorized quote unquote providers and<00:04:07.360
• </c> the independent service uh providers the independent service uh providers anymore.<00:09:13.680>

Bills: SF0052 , SF0024

Committee: House Travel, Recreation, Wildlife & Cultural Resources

Keywords: wildlife management, environmental restoration, funding, invasive species, aquatic ecosystems, native fish, habitat conservation, lottery, debit card payments, gambling regulations, state revenue, financial transactions, 916, all

Transcript Highlights:

• an emergency and providing an effective date.
• for enforcement and violations, to establish defenses, to provide for exclusions, to provide for interpretation
• , and to provide rulemaking authority, and providing an effective date. ...to require covered employers
• to use the E-Verify program, to provide for enforcement and violations, to establish defenses, to provide
• for exclusions, to provide for interpretation, and to provide rulemaking authority, and providing an

Summary: The House opened with roll call, prayer, and the Pledge of Allegiance, then approved the House Journal and received messages from the Governor and Senate, including enrolled memorials and several Senate bills filed for first reading. Standing committee reports were also received on a number of House bills, with several measures reported out for second reading and others referred to committees. The House then introduced a series of new bills from the Ways and Means Committee covering vehicle titles and electronic ownership records, enforcement of the law, biometric identifiers, collective bargaining and taxpayer funding of unions, fire deficiency warrants, abatement districts, public records, city annexation, programmable money, and a sales tax rebate change. On third reading, House Concurrent Resolution 28 passed unanimously after debate urging Idahoans to observe March 1, 2026, as a day of fasting and prayer for guidance, unity, and moisture. Members also discussed House Bill 639, updating Idaho’s midwifery statute to allow medication administration within scope of practice; it passed 67-0 with three absent. House Bill 532, dealing with DMV identity and Social Security number documentation, passed 66-1, and House Bill 629, allowing drivers to show proof of registration on a phone, passed 43-26 despite concerns from opponents and sheriffs about officer safety. The House also passed House Bill 503, moving the Soil and Water Conservation Commission to the Department of Water Resources while preserving its voluntary, non-regulatory mission and projecting savings, and Senate Concurrent Resolution 115, a companion resolution emphasizing that any consolidation should protect that mission. House Bill 543, updating Percy’s retirement plan language to comply with SECURE Act 2.0 and allow Roth contributions, passed 67-0. House Bill 671 was returned to committee for a replacement, the remaining third-reading bills were held over until Monday, and the House adjourned until 10:30 a.m. on February 23, 2026.

Transcript Highlights:

• </c><00:16:11.040><c> a</c><00:16:11.279><c> 90-day</c> providing to giving providers a 90-day providing
• </c><01:13:26.400><c> provider</c> providers investigation provider providers investigation provider
• </c> familyfriendly, and fair to providers. familyfriendly, and fair to providers.
• </c><01:47:29.440><c> by</c><01:47:30.320><c> providers</c> asked for by provide by providers asked for
• </c> detail without provider input. detail without provider input.

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• providers.
• providers, We have rural communities where we may have in-home providers, which can be licensed or unlicensed
• providers.
• Chairman, Senator Zuiderveld, I'd be happy to provide a listing of provider information to you, and also
• How many providers? How many children do we serve?

Summary: The committee heard budget presentations for several Department of Health and Welfare divisions, including Early Learning and Development, Public Health Services, and Family and Community Partnerships. The analyst and director explained recent reorganizations, such as moving the Idaho Child Care Program into Early Learning and Development, shifting Emergency Medical Services out of Public Health, and proposing to move the Idaho Home Visiting Program from Public Health to Early Learning and Development for efficiency. The presentations also covered ongoing and one-time funding requests for child care capacity, immunizations, HIV and hepatitis prevention, lab testing, disaster preparedness, and kinship navigation services. A major focus was the Idaho Child Care Program capacity funding. Committee members asked about the source of the money, how much was already set aside, whether the funds would create new slots rather than subsidize existing ones, and how the department would verify proper use. The director said the money comes from the federal Child Care Development Block Grant, is intended to expand provider capacity in underserved and rural areas, and can support both licensed and unlicensed providers as long as federal health and safety requirements are met. Members also questioned the proposed five new program integrity positions, including a fraud investigator, and the director said they are needed for a full annual review of providers and beneficiaries; she later corrected that the positions are ongoing, not one-time, funding. Public health questions centered on the effectiveness of HIV and hepatitis prevention spending, the immunization assessment fund, and the role of public health more broadly. The director said HIV and hepatitis funds support education, screening, and surveillance rather than treatment, that the state continues to see a need despite rising case counts, and that the department is revamping outcome reporting. On immunizations, she said the assessment fund is financed by insurer assessments and supports vaccine purchases at lower cost, with the governor recommending an increase based on the assessment board’s decision. Members also asked about the home visiting program’s funding history, the proposed transfer of funds between Youth Safety and Permanency and Switzie for rare complex cases, and the use of ARPA funds for one-time data modernization projects. No formal votes were taken in the transcript, and the committee adjourned after the presentations and questions.

Transcript Highlights:

• </c> Services parents are allowed to provide Services parents are allowed to provide under<00:03:14.640
• </c><00:03:25.760><c> from</c> exempting Assisted Living providers from exempting Assisted Living providers
• </c> management servicer service provider management servicer service provider training<00:09:31.880>
• <00:18:01.480><c> to</c> provided to provided to adults<00:18:03.760><c> section</c><00:18:04.159><c>
• </c> purposes of implementing the provider purposes of implementing the provider licensing<00:21:03.799

Keywords: 1183, house

Transcript Highlights:

• We provided those rules to your staff on Friday as part of our response letter.
• I think that we are providing minimum standards for the water management district.
• There are allowances for providing off-site stormwater retention.
• We had provided in the rule 12 months...
• We had provided in the rule 12 months and changed that to 18 months.

Summary: The Joint Administrative Procedures Committee met on February 3, 2025, with a quorum present and took up three main items. First, the committee considered a large set of recommended objections to Agency for Health Care Administration rules, all centered on sunset provisions stating the rules would expire after five years. AHCA asked for another deferral while it reviewed the rules, arguing the sunset language was a form of self-restraint rather than an invalid exercise of rulemaking authority. Committee leadership disagreed that further delay would resolve the issue and moved to a single vote covering all objections. The motion passed by roll call, and the committee informed AHCA that an objection would be filed unless the agency amended the rules within 30 days. The committee then heard an informational briefing from the Department of Environmental Protection on its Outstanding Florida Springs rule and stormwater rule. DEP explained that it did not prepare a statement of estimated regulatory cost for the springs rule because the proposed standards largely mirror existing water management district rules and the Central Florida Water Initiative framework, so DEP said there was no new regulatory burden. Members asked about permit authority, costs, and whether the rules were functionally different from prior rules. DEP maintained the rules set minimum standards and did not add costs beyond what regulated parties were already doing. DEP also described implementation of the stormwater rule adopted under the 2020 Clean Waterways Act and later ratified by the Legislature in 2024. DEP said the rule was the product of years of workshops and technical advisory committee meetings, and that the final version included lower-cost alternatives, grandfathering, and phased implementation. DEP estimated the rule’s cost at about $2,600 per acre in the revised CERC, while industry witnesses said the real cost could be much higher, especially if land costs are included. A home builders representative argued the estimate understated impacts, while a stormwater engineer said the rule gives more flexible, performance-based tools and could become more cost-effective over time. Finally, Senator Graal presented proposed Chapter 120 changes in SB 108, aimed at tightening and modernizing rulemaking. The proposal would require five-year rule reviews, annual agency reporting, faster notice of proposed rulemaking after authorizing legislation, electronic filing, public access to incorporated materials, clearer tracking of technical changes, and limits on how long rules can remain pending ratification. Members discussed whether the Legislature should be more specific in statutes about rulemaking deadlines and whether agencies should be more accountable when rules stall. No formal action was taken on the Chapter 120 proposals, and the committee adjourned after discussion.

Transcript Highlights:

• an appropriation; to provide for a transfer; and to provide an effective date.
• for a report to the Legislative Assembly, to provide for application, and to provide an expiration date
• To provide for a report to the Legislative Assembly, to provide for application, and to provide an expiration
• Article 11, Section 6 provides: Unless otherwise provided by law, all records of public or governmental
• Article 11, Section 6 provides.

Keywords: 908, all

Summary: The Senate opened with prayer, the Pledge of Allegiance, and a quorum call showing 46 members present. It then took up multiple House messages and amendments, appointing conference committees on several measures, including SB 2007, SCR 4007, SB 2374, SB 233, and House bills 1029, 1218, and 1022. The chamber also considered a series of House bills on the sixth and 14th orders, often adopting committee amendments before final passage or, in some cases, rejecting the bill outright. Among the major policy items, the Senate passed HB 1524 on regional planning council grants, HB 1143 increasing a food bank appropriation to $10 million, HB 1126 modernizing cosmetology licensing and inspections, HB 1542 making student applications for admission exempt records, HB 1613 regulating law enforcement use of robots, HB 1582 directing a study on false reports and accusations, HB 1214 revising school transportation funding, HB 1448 creating a study on advanced technologies, HB 1280 on drainage project voting rules, HB 1499 protecting records related to federal judges, and several Senate bills returned from the House, including SB 2221, SB 2117, SB 2198, SB 2120, and SB 2214. The Senate also adopted amendments to HB 1541 on septic systems before rejecting it on final passage. Several high-profile bills failed after debate. HB 1566, dealing with kratom regulation, saw an amendment to convert it to a study fail on a 21-25 vote, after which the chamber laid the bill over for one legislative day rather than take final action. HB 1283, which would have eliminated cost-sharing for diagnostic and supplemental breast exams in the state employee plan, was defeated 22-24 after extensive debate over cost, precedent, and insurance impacts. HB 1527, requiring Holocaust education in statute, also failed 22-24, with supporters emphasizing the importance of the subject and opponents arguing curriculum belongs in standards rather than statute. The Senate adjourned after announcements, scheduling its next meeting for Monday, April 14, 2025.

Transcript Highlights:

• So we believe that by reducing the instructional minutes, it will provide greater flexibility to provide
• We have provided through SIF clear and measurable results, and we also have SIF providing additional
• Specifically, there was funding provided for L.A.
• You'll be provided one minute each. I will have a timer.
• We provide services to 47 LEAs, 30 other I don't know.

Keywords: 987, senate, all

Transcript Highlights:

• care services provided to students.
• Services are provided only when a parent or legal guardian of age has provided consent for the services
• If a child, parents, guardians have a primary care provider, we coordinate with that provider.
• What does other provider arrangement mean? Rep. Owen: What does other provider arrangement mean?
• The witness replied, "No, I'm not a provider." The witness clarified, "No, I'm not a provider.

Committee: House Education

Summary: The committee first heard SB 206, which would require cardiovascular pre-screening and blood pressure testing for student athletes beginning in the 2026-2027 school year. Chairman Miller said the bill was prompted by concerns about undiagnosed hypertension and sudden cardiac arrest in young athletes, and Coach Marcus Scott testified about his own kidney transplant after years of untreated high blood pressure. Members asked about who would perform the screenings and how follow-up would work; the American Heart Association said existing athletic physical processes and referral networks could handle it. An amendment was adopted, and the committee reported SB 206 favorably as amended. The committee then took up SB 305, which would require a publicly available statewide career-alignment dashboard showing how degree programs connect to workforce outcomes, including completion, employment, wages, and high-demand jobs. Chairman Edmonds and student task force member Cruz Cassard said the goal was to help students understand job opportunities in Louisiana and reduce the number leaving the state after graduation. Workforce and higher education stakeholders supported the measure as a transparency and workforce-planning tool. The committee reported SB 305 favorably. Next, the committee considered HB 624, a school safety cleanup bill updating references from crisis management plans to emergency operations plans and aligning school emergency language with national standards. Representative Johnson and the Louisiana Center for Safe Schools said the bill would not create new mandates or costs, but would clarify existing requirements. The committee reported HB 624 favorably. The committee then heard HB 1022, as substituted, concerning school-based health care services. Representative Jackson said the bill was intended to clarify that medical decisions in school-based health centers should be made by licensed health professionals, not school staff, while preserving parental consent. Testimony from school-based health center providers supported the bill, but several members raised concerns about consent, parental authority, and whether the language shifted too much responsibility away from schools; the Charter School Association suggested adding more collaborative language. After discussion, the committee adopted the substitute and reported HB 1022 favorably by a 10-4 vote.

Transcript Highlights:

• So if this information is being provided and this bill is asking them to provide the information, and
• So if if this information is being provided and this bill is asking them to provide the information and
• Representative Harris: Is asking them to provide the information, and they're currently providing the
• This is about providing transparency.
• ... ...to provide services.

Committee: House Business

Summary: The committee first approved the February 11 minutes, then unanimously sent House Bill 721 to the floor with a due pass recommendation. HB 721, sponsored by Representative Crane, expands an existing 30-day initial plan review timeline from public school projects to all public works projects. Crane and supporters from the Idaho Associated General Contractors said the bill would improve efficiency, reduce regulatory burden, and let projects go to bid sooner; no opposition testified. The committee then heard extensive testimony on House Bill 618, a wildfire insurance transparency bill sponsored by Representatives Sauter and Church. The bill would require insurers using wildfire or catastrophe models to disclose certain risk-model information and mitigation-related details to policyholders and to the Department of Insurance, with annual data collection and website posting. Sponsors and several homeowners and fire-related witnesses said the measure would help consumers understand nonrenewals, appeal ratings, and learn what mitigation steps matter; opponents, including the American Property Casualty Insurance Association and some committee members, argued it could expose proprietary information, increase compliance costs, and raise premiums. After debate, the committee rejected a motion to send the bill forward and instead voted to hold HB 618 in committee. House Bill 817, sponsored by Representative Petsky, was then advanced to the floor with a due pass recommendation. The bill would allow mobile cigar-event businesses and related “cigar garden” operations under tobacco permitting rules, with age restrictions and compliance checks still in place. Supporters described it as a small-business and entrepreneurship update, while opponents worried mobile retail would make tobacco compliance enforcement harder; the sponsor said the Department of Health and Welfare believed enforcement could still work. Finally, the committee began hearing House Bill 801 from Representative Redman, which would ease land-use barriers for faith-based organizations to develop housing and related uses on religious land. Redman said the bill is intended to help churches use underutilized land for attainable housing and services, while preserving guardrails such as setbacks from heavy industrial uses, airports, and military zones. Members raised concerns about parking, building height, setbacks, and airport rules, and Redman said he was open to amendments; the transcript ends during that discussion before any final action on HB 801.

Transcript Highlights:

• they provide these same services in that county.
• , and they provide these same services in that county.
• They can bill us for the services they provide to SNAP employment and training provider.
• I believe that's information that we can provide.
• But so our provider that we're in the...

Committee: All ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Summary: The subcommittee first recognized the Arkansas Community Colleges Leadership Institute and received a brief DHS update on the Living Choices Assisted Living Waiver reimbursement process, including that the new cost-reporting period began in January and provider/contractor calls are underway. The main presentation then focused on SNAP and TANF, with DHS describing federal changes under the One Big Beautiful Bill that tighten SNAP work requirements for adults ages 18 to 64 without certain exemptions, remove some prior exemptions, and add new federal definitions for Native American populations. DHS also reviewed SNAP Employment and Training providers, their service areas, projected budgets, participant characteristics, and outcomes, noting that the program is currently voluntary but will shift toward mandatory participation for those subject to the new rules. Members asked detailed questions about how mandatory participation will be implemented, how referrals will be made, what other training options exist, how verification of work, volunteering, disability, and exemptions will be handled, and whether DHS has enough funding and provider capacity. DHS said it will conduct verbal and written notices during eligibility interviews, make direct referrals to providers, use six-month recertifications and documentation from employers or volunteer organizations, and apply sanctions for noncompliance after determining whether a good cause exists. Members also requested additional data, including age breakdowns of at-risk SNAP recipients, provider-level outcomes and costs, and information on other training programs such as WIOA. The committee then moved to Medicaid community engagement requirements for ARHOME, which DHS said are also required by the same federal law and must be implemented by January 1, 2027. DHS said it is preparing policy, system changes, communications, and a customer-service/outbound verification vendor, and plans a soft launch beginning in July to help clients understand what would be required if the rule were already in effect. Members raised concerns about timing, local versus central decision-making, and how clients in rural areas will be notified and assisted. The meeting concluded with broader discussion of the committee’s workforce-development goals, the recently released Alliance for Opportunity audit, and interest in continuing the contract with that group to help guide future reforms.

Transcript Highlights:

• This bill provides frontline providers with the tools needed to identify gaps in care, share best practices
• It provided clear recommendations for improvement.
• room or equivalent area and ends when the provider is no longer providing anesthesia services to the
• Care will be provided to them regardless of where they live.
• HB 2250 provides a necessary floor.

Summary: The House Health Care & Wellness Committee held public hearings on several bills. House Bill 2232 would create a Department of Health-operated time-sensitive emergency data repository covering trauma, cardiac, and stroke events, with quality improvement reporting and support for rural facilities; it drew strong support from emergency physicians, nurses, and the Department of Health, while the Washington State Hospital Association said hospitals support the goal but lack the resources to absorb the added requirements. House Bill 1812, as a proposed substitute, would bar insurers and public plans from imposing anesthesia time limits or related reimbursement caps; the sponsor and anesthesia providers said it protects patient safety and fair payment, and the Washington State Society of Anesthesiologists asked for a clarifying amendment on physical status modifiers. House Bill 2250 would limit hospital charity care to Washington residents, while preserving emergency care access; supporters from rural hospitals and the Washington State Hospital Association said the change would help border hospitals facing rising nonresident charity care, and opponents from legal aid, patient advocacy, and LGBTQ groups warned it would create barriers, chill access for immigrants and other vulnerable patients, and conflict with Washington’s safety-net values. The committee also heard House Bill 2340, which would extend existing substance-use monitoring program protections and stipend eligibility to nursing assistants under the Board of Nursing’s CARES program. The sponsor described it as a simple equity measure, and the Board of Nursing supported it, saying it would improve access and reduce stigma; members asked where the stipend funding comes from, and staff and the board said it is currently general-fund supported at about $25,000 annually. House Bill 2577 would change hospital inspection law by requiring acute care hospital inspections every 18 months rather than on average, allowing some accredited inspections to satisfy the requirement every 36 months, and clarifying fire-protection reinspection standards; the sponsor and Department of Health said it responds to a JLARC audit and provides needed clarity, while DOH said it is still working to catch up from inspection delays caused by the public health emergency. The meeting ended after public testimony on the bills was closed and the committee adjourned.