Transcript Highlights:

• To start, I'll provide a brief summary of the roles and responsibilities...
• Our office provided information from our contacts with counties.
• Linnell on the weeds or any other context he wishes to provide.
• So there's identifying information for that voucher that's provided.
• Can't use a similar system to provide that to the feds?

Committee: House Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:

• Some overall highlights for the FEFP were providing...
• And on that, the cost will be, will the provider, the homeschool provider, bear the cost of that level
• The bill provides on line 885 and forward that the owner or operator or service provider shall provide
• This can impact the services provided by a private school and those provided or facilitated by a public
• Either the private school either provide the services that the child need or they don't provide that

Summary: The committee first heard the Pre-K-12 education budget proposal for fiscal year 2025-26 and voted to adopt it as the committee’s recommendation to the full Senate Appropriations Committee. The proposed $34.7 billion budget includes increases for the FEFP, Family Empowerment Scholarships, VPK, school safety, the Florida School for the Deaf and Blind, school hardening, Jewish day school security, and an education enrollment stabilization fund. Members asked no questions on the budget before it was advanced, and staff was authorized to make technical corrections. The committee then passed CS/SB 1402, which expands eligibility for dropout retrieval services to any individual who has withdrawn from high school and clarifies how school grades are calculated for virtual instruction providers that offer only dropout retrieval services. An amendment to clarify the grading calculation was adopted without objection, and the bill was reported favorably after a roll call vote. The committee also took up SPB 7030, a comprehensive scholarship-program bill sponsored by Senator Gates, which would separate Family Empowerment Scholarship funding as its own categorical, expand the education stabilization fund, create fall and spring application windows, require a single scholarship application and more documentation, assign student IDs, change payments to a monthly schedule, require background checks for paid instructional providers, mandate annual FTE audits by the Auditor General, and standardize reimbursement and eligibility procedures. After extensive discussion and public testimony, the bill was adopted as a committee bill and reported favorably, with Senator Osgood voting no. Finally, the committee considered CS/SB 508, which requires private schools participating in the Family Empowerment Scholarship Program to disclose in writing what accommodations, modifications, and services they will provide for students with existing plans such as IEPs, 504 plans, or ELL plans. An amendment was adopted to require public schools to consult with private schools about equitable services, and the bill was reported favorably. Public testimony included support from parent-choice advocates and concerns from private-school representatives about administrative burden and the scope of the required disclosures. The meeting concluded after the final roll call votes and adjournment motion.

Transcript Highlights:

• Similarly, care providers and primary care providers need more training to ensure direct connection to
• So at a very minimum, providers must have the tools to be able to provide services via telehealth, and
• So at a very minimum, providers must have the tools to be able to provide services via telehealth, and
• Fish and wildlife lands are—there's taxes provided in lieu, or money provided in lieu of taxes, for that
• provide?

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Transcript Highlights:

• </c> &gt;&gt; 201 2472 is being amended to provide &gt;&gt; 201 2472 is being amended to provide that
• </c><00:08:06.120><c> correspondence</c> the program to provide correspondence the program to provide
• We provide Commonwealth of Kentucky.
• c> provide</c><00:28:45.160><c> a</c> mandatory shall, provide a mandatory shall, provide a consumer-directed
• ,</c> the option to consumer direct providers, the option to consumer direct providers, rather<00:53:

Keywords: 0:06 - Roll Call 0:30 - Approval of Minutes 0:45 - OFFICE OF THE ATTORNEY GENERAL 2:08 - FINANCE AND ADMINISTRATION CABINET - OFFICE OF THE CONTROLLER 2:55 - BOARD OF DENTISTRY 5:30 - BOARD OF OPHTHALMIC DISPENSERS 7:30 - BOARD OF NURSING 8:32 - BOARD OF EMERGENCY MEDICAL SERVICES 9:30 - EDUCATION AND LABOR CABINET - DEPARTMENT OF EDUCATION, OFFICE OF DISTRICT SUPPORT SERVICES 15:35 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH 18:44 - CABINET FOR HEALTH AND FAMILY SERVICES, OFFICE OF THE INSPECTOR GENERAL, HEALTH SERVICES AND FACILITIES 23:39 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR MEDICAID SERVICES 1:01:46 - CABINET FOR HEALTH AND FAMILY SERVICES, DEPARTMENT FOR PUBLIC HEALTH, OFFICE FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS 1:03:46 - Next meeting/adjournment, 958, all

Summary: The committee first approved the minutes and then took up a series of administrative regulations from several agencies. Early items included Attorney General consumer protection rules on removal sales, health spas, liquidation sales, and nonresident sellers of visual aid glasses; Finance and Administration Controller rules on clearinghouse validation and fraud prevention; and Board of Dentistry rules updating exam requirements, controlled substance prescribing, training for neuromodulators and dermal fillers, infection control, sedation/anesthesia continuing education, and required education on pediatric abusive head trauma and controlled substance ingestion prevention. The committee also approved staff amendments on these items, generally to conform to KRS Chapter 13A, and members asked a brief question about the dentistry controlled-substances changes, which was answered as an alignment with statute. The committee next approved regulations for the Board of Ophthalmic Dispensers, Board of Nursing, and Board of Emergency Medical Services. The ophthalmic dispensers package would revise meeting and recordkeeping language, raise renewal fees, set reinstatement and apprentice-license rules, add complaint and hearing procedures, and repeal a duplicative regulation. The nursing regulations would streamline approval of training programs and require notice and documentation of site visits and deficiencies. EMS rules would create five EMS medical director certifications, set expiration and renewal requirements, require publication of disciplinary sanctions, and exempt currently approved directors before October 1, 2026. Staff amendments were adopted without objection on each set. The Education and Labor Cabinet’s school transportation regulation drew extended discussion. The agency explained the changes were intended to implement Senate Bill 46 and update references affected by later legislation, including an oral amendment to delete a subsection reference tied to KRS 160.380. The committee adopted both the agency and oral amendments without objection after brief questions about the scope of the bill changes and van transportation for students. The committee then heard a lengthy package from the Department for Public Health on WIC and related nutrition program regulations, including updates to infant and child certification periods, documentation requirements, vendor criteria, sanctions, hearing procedures, and high-risk vendor standards. Staff amendments were adopted without objection. Finally, the committee considered the Inspector General’s regulation for freestanding birthing centers, which included both staff and agency amendments. The agency changes would require two neonatal resuscitation program-certified staff, set rules for medical director vacancies and appeals, revise facility and staffing terminology, adjust transfer-agreement requirements, and allow waivers when agreements cannot be secured. Mary Katherine DeLodder of the Kentucky Birth Coalition testified in support, saying the parties had worked through concerns and were ready to move forward. The committee then moved on to Medicaid’s 1915C child waiver regulations, where staff amendments were adopted, but Lucy Heskins of Kentucky Protection and Advocacy testified against the package because it did not include person-directed services, which she said are required by Kentucky law and important for families using the waiver.

Transcript Highlights:

• Dallas fully provides municipal...
• In this version of the bill, it provides that a city couldn't provide certain... services or the city
• What that law also provides is that when a city goes out to provide those services, it needs to provide
• The existing law already provides.
• This bill only requires the cities to provide the same services. that they provide to other citizens

Bills: HB602 , HB1322 , HB1930 , HB2225 , HB2304 , HB2494 , HB3275 , HB3810 , HB3919

Committee: House Land & Resource Management

Keywords: affordable housing, land use, zoning, urban planning, community development, housing crisis, mixed-use development, sustainability, municipal utility district, board of directors, qualifications, land ownership, Texas, taxation, residency, municipal approval, subdivision plans, local governance, plats, local government

Transcript Highlights:

• , and 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. on their behalf for the provider to pick up and take
• They provide adult education services to our Kansans.
• They can bill us for the services they provide to SNAP employment and training provider.

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

Summary: The subcommittee received a brief DHS update on the Living Choices Assisted Living Waiver reimbursement rate process, with Secretary Janet Mann reporting that the new cost reporting period began in January and that DHS has begun provider and contractor conference calls as the process moves forward. The bulk of the meeting focused on DHS’s overview of TANF and, especially, SNAP changes under the federal One Big Beautiful Bill. Mary Franklin explained new SNAP work requirements for adults ages 18 to 64 who are not otherwise exempt, including the three-month time limit in a 36-month period unless they meet an 80-hour monthly work, volunteer, education, or training requirement. She also reviewed exemptions, noted that some prior exemptions were removed while new tribal-related exemptions were added, and described SNAP Employment and Training providers, budgets, service areas, participant characteristics, and outcomes. Members asked about how mandatory referrals will work, whether funding and vendors are sufficient, how cross-program participation is tracked, how verification and recertification will be handled, and how error rates and sanctions will be managed. DHS said mandatory participants will be referred directly to providers, verification will occur at application and recertification, interviews can be by phone, and the department will return with more information on error-rate mitigation and other requested data. DHS then outlined upcoming Medicaid community engagement requirements for the ARHOME population under the same federal law, which must be implemented by January 1, 2027. The department said it is preparing policy, system changes, data matching, communications, and an outbound customer-service verification process, with a soft launch planned for July to help identify who would meet the requirement or need to provide more information. Members raised concerns about notice, local versus centralized decision-making, and how clients will document work, school, caregiving, or medical exemptions. The meeting concluded with broader discussion of the Alliance for Opportunity audit and a shared emphasis on using SNAP, Medicaid, TANF, and workforce programs together to improve outcomes, expand training options, and better connect Arkansans to education and employment opportunities. The committee also discussed extending the audit contract at a future meeting and adjourned without taking any formal vote in the transcript provided.

Transcript Highlights:

• WE PROVIDED THOSE RULES TO YOUR STAFF ON FRIDAY AS PART OF OUR RESPONSE LETTER.
• I THINK THAT WE WOULD BE PROVIDING MINIMUM STANDARDS FOR THE WATER MANAGEMENT DISTRICT.
• EXAMPLE MANY AREAS CAN PROVIDE UP TO 43% REMOVAL OF TOTAL NITROGEN.
• IT ALSO HINGES UPON GOING THROUGH AND PROVIDING AN ANALYSIS OF PRE-IMPOSED CONDITIONS.
• TAB THREE PROVIDED WITH THE PACKET.

Keywords: 999, senate, all

Transcript Highlights:

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

Committee: House Business

Keywords: 989, all

Transcript Highlights:

• We provide the funding so that they can provide families with manipulatives or other things that they
• Chairman, Senator Stewart, online students were provided instruction through our online provider, and
• to provide those services.
• In our opinion, we were trying to get the provider to offer those services, to provide other opportunities
• We don't do enough in terms of providing.

Transcript Highlights:

• who provide fuel that falls under that exemption and is cheaper.
• who provide fuel that is it that falls that exemption and is cheaper.
• A more detailed explanation of current PAL programs is provided in the bill.
• providers in 38 of our 39 counties.
• increase Medicaid rates to Medicare levels, which would provide better reimbursement for providers and

Summary: The House Appropriations Committee held public hearings on three bills. House Bill 2251, sponsored by Rep. Fitzgibbon, would reorganize Climate Commitment Act revenue accounts by repealing several existing accounts and creating new operating and capital accounts, changing how auction proceeds are distributed when revenues are above or below a set threshold, broadening some tribal and overburdened-community spending language, adding electric vehicles and certain housing uses, capping Ecology administrative costs, and moving some reporting from annual to every two years. Supporters said the bill would simplify a confusing account structure and improve predictability, while opponents criticized the reduced reporting frequency and said it could weaken accountability. No vote was taken. House Bill 2254 would adjust the funding model for the Partnership Access Line and related behavioral health consultation programs by allowing the cost of the third-party administrator to be included in the carrier assessment rather than paid from general funds. Committee staff said this would produce general fund savings, and testimony from HCA, UW Medicine, Seattle Children’s, and others supported the bill as a technical fix that would stabilize the programs and potentially free up funds to restore service levels. No vote was taken. House Bill 2385 would extend deadlines and the expiration date for the Medicaid Access Program created last session, after federal HR1 restrictions prevented implementation of the original program and provider assessment. The bill would push out CMS submission deadlines, update the rate-setting reference year, and extend the act’s sunset date. The sponsor and the Washington State Medical Association supported the bill as necessary to preserve the option of pursuing the program later. The committee took no action and adjourned after the hearings.

Transcript Highlights:

• :02.960><c> provide</c><00:27:03.600><c> service</c><00:27:04.000><c> in</c> suburban providers uh provide
• The council provides 91% of service, and then the other providers as shown on this slide provide the
• </c> not provided by Metro Transit? not provided by Metro Transit?
• </c><00:36:19.280><c> that</c><00:36:19.599><c> provides</c> entity, a private provider that provides
• </c> providers in 2026. providers in 2026.

Bills: HF4693

Committee: House Transportation Finance and Policy

Keywords: transportation, license plates, validation stickers, replacement fees, government fees, 1183, house

Transcript Highlights:

• It provides relative to vaccination status and admission to public buildings, to provide for individual
• rights regarding medical decisions, to provide for definitions, to provide for the prohibition of medical
• president of the board, to provide for the executive staff of the board, and to provide for related
• a procedure for filing vacancies of the board, to provide for the president of the board, to provide
• provide for related matters.

Committee: House Health and Welfare

Summary: The House Committee on Health and Welfare met on April 23 and first disposed of several items without hearing them, including HB 1093 and HB 1145, and voluntarily deferring HB 946. The committee then quickly reported HB 1095 favorably without objection. That bill would require nursing facilities to have fuel or another alternative power generation source to maintain power, and supporters said it preserves existing backup-power safety requirements while giving facilities more flexibility as technology changes. The committee then took up HB 926, which concerns vaccination status and admission to public buildings and seeks to prohibit medical mandates. After adopting an amendment set and additional changes clarifying exclusions for licensed health care providers and facilities, medical masks, and child welfare/school-related provisions, the committee heard testimony both for and against the bill. Supporters framed it as a civil-liberties measure limiting vaccine-card requirements for public buildings, while opponents warned it could interfere with public health measures, school immunization rules, and the ability of health care facilities to protect patients. The bill was reported favorably on an 8-4 vote. HB 1220, a cleanup bill for the Louisiana State Board of Medical Examiners, was then reported favorably after a technical amendment set. HB 1227, which would require complaints involving medical judgment to be reviewed by a three-physician panel before formal disciplinary action, drew extensive testimony from a physician sponsor, a doctor describing his disciplinary experience, and the board’s executive director, who said the board already uses practicing physicians, nurses, and experts in its process and warned the proposed panel system could be impractical because physicians are difficult to recruit for such reviews. At the sponsor’s request, the committee voluntarily deferred HB 1227 for further work. Finally, the committee reported HB 1217 favorably with amendments to a pharmacy benefit manager transparency bill, after supporters said it would expose hidden pricing and rebate practices and opponents argued some provisions were duplicative or unnecessary. HB 1028, setting minimum Medicaid reimbursement rates for non-emergency medical transportation, was reported favorably and referred to Appropriations after supporters described the need for higher rates and members discussed funding. The committee also reported HB 1185 favorably, with amendments preserving the existing Rural Hospital Preservation Act while extending similar protections to additional rural-lookalike hospitals, and adopted HCR 76 to continue the Health Inequities and Disparities in Rural Areas Task Force for another year.

Transcript Highlights:

• It is critical that providers avoid tunnel vision of only seeing mechanical It is critical that providers
• These services were provided with only one full-time dentist, These services were provided with only
• We're teaching centers, and we operate mobile dental units equipped to provide tele-dentistry, thus providing
• providers.
• Providing quality access to care.

Summary: The Health Professions and Programs Subcommittee heard and advanced three bills. HB 21 would create a new licensed profession of dental therapy under the Department of Health and Board of Dentistry, allowing trained dental therapists to provide a limited scope of care under a supervising Florida-licensed dentist through a collaborative management agreement. Sponsor Rep. Cheney argued the bill would help address severe dental shortages and improve access in underserved areas; opponents from the Florida Dental Association and oral surgery groups warned that the bill would allow irreversible procedures by less-educated providers and could compromise patient safety. Supporters, including dentists, hygienists, and community health center leaders, said dental therapists would expand access and free dentists to handle more complex care. An amendment was adopted to require proof of local anesthesia training, adverse-incident reporting, and updated background screening language. The bill was reported favorably as amended by a 14-1 vote. The committee then considered HB 27, which creates the Social Work Licensure Interstate Compact to allow licensed social workers to practice across member states, including through telehealth, and to help military families and address workforce shortages. Supporters from the National Association of Social Workers and other advocates said the compact would improve mobility, reduce administrative burdens, and expand access to mental health services, especially in underserved and rural areas. A technical amendment restoring model language and setting an effective date of July 1, 2025 was adopted, and the bill was reported favorably as amended on a 15-0 vote. Finally, the committee heard HB 29, the public-records companion to the social work compact, which creates exemptions needed for compact compliance and allows the compact commission or its committees to meet in closed session when discussing information exempt under law. After a technical amendment authorizing closed meetings for exempt matters was adopted, the bill was reported favorably as amended on a 15-0 vote. The meeting then adjourned.

Transcript Highlights:

• c> 2%</c> The document provides a 2% The document provides a 2% across-the-board<00:01:23.120><c> increase
• And line 2.16 provides the standard language on the deferred comp matches.
• year in the same form that has been provided in the past.
• > the</c><00:04:02.360><c> standard</c> And line 2.16 provides the standard And line 2.16 provides the
• </c><00:09:59.560><c> to</c> So you have in the materials provided to So you have in the materials provided

Committee: Senate Rules and Administration

Keywords: 1187, senate, all

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
• And we are committed to providing care regardless of a patient's ability to pay.
• HB 2250 provides a necessary floor.

Bills: HB1812 , HB2232 , HB2250 , HB2340 , HB2577

Committee: House Health Care & Wellness

Keywords: anesthesia services, healthcare access, reimbursement, patient care, equitable treatment, emergency services, healthcare outcomes, health infrastructure, system improvement, charity care, residency requirements, medical assistance, low-income, HB 2340, nursing assistants, nurse aide, substance use disorder monitoring program, monitoring program, credentialing, licensure

Transcript Highlights:

• SB 6028 provides the financing tool needed to actually make many of these pencil.
• SB 6028 provides the financing tool needed to actually make many of these pencil.
• You just heard about a couple of specific examples that Myra provided.
• You just heard about a couple of specific examples that Myra provided.
• The Employment Security Department, known as ESD, provides an actuarial report each year.

Bills: SB6256 , SB6275 , SB5868 , SB5954

Committee: Senate Ways & Means

Keywords: tax exemptions, affordable housing, nonprofit, unoccupied property, housing policy, community reinvestment, economic development, local investment, financial assistance, SB 5868, superior court, judge, judgeship, judicial vacancy, court administration, Skagit County, Yakima County, RCW 2.08.061, Washington courts, county judges

Transcript Highlights:

• This change will provide more accurate accountability measures for virtual education providers working
• Further, the bill provides for disposal of property in declining areas of the district and provides priorities
• As the bill provides, career technical education could be an emphasis in the school or provided in the
• So I can provide you more information.
• So the provider will receive the funding.

Committee: Senate Education Pre-K - 12

Summary: The Senate Committee on Education Pre-K through 12 considered a series of education-related bills, many of them after adopting amendments. SB 1122 on Florida Virtual School was amended to remove virtual preschool provisions and then passed favorably, with the sponsor describing it as a clarifying bill about FLVS operations, revenue sources, reporting, and student access. SB 1374, on school district reporting requirements for educator arrests and misconduct, was also approved; it requires faster district action and reporting when instructional personnel are arrested for certain offenses and clarifies that self-reports are not admissions of guilt. SB 1402, on student enrollment and dropout retrieval programs, was amended and passed to broaden eligibility for dropout retrieval services and allow certain virtual providers to receive a school improvement rating instead of a school grade. SB 364, moving the Council on the Social Status of Black Men and Boys from the Department of Education to Florida Memorial University, was amended and reported favorably. The committee also approved SB 772 on diabetes management in schools, which would allow districts to obtain and store glucagon for emergency use by trained school staff or nurses, with liability protections included. SB 1102 on school readiness programs for children with disabilities passed after testimony that it would expand identification of disabilities, require more training for providers, and direct special-needs funding toward better-supported classrooms. SB 1382, also on school readiness, was approved and would change the definition of economically disadvantaged families, adjust priority tiers, and update the waitlist and forecasting process for child care assistance. The most debated measure was SB 140, which was substantially rewritten by delete-all amendment to create “job engine charter schools,” allow municipalities to seek charter schools aimed at attracting industry, authorize parent votes for conversion of existing public schools, and set requirements for district five-year property plans and surplus property use, including affordable housing and charter school purposes. Supporters argued it could aid economic development and repurpose underused property, while opponents raised concerns about privatization, reduced stakeholder input, unclear voting procedures, and loss of district control over property. Despite extensive debate and multiple public speakers against it, the bill passed favorably. The committee also approved SB 430, a merged AED and cardiac emergency response bill requiring public schools to have a cardiac emergency plan, trained staff, and an operational AED in a publicized location, with reimbursement provisions and liability protections; it passed after supporters emphasized life-saving benefits and manageable training costs. The committee adjourned after recording additional members’ votes on selected bills.

Transcript Highlights:

• So child care assistance provides subsidies to families and provides care and supervision of children
• So child care assistance provides subsidies to families and provides care and supervision of children
• participation and provide our infant... ...rate to incentivize provider participation and provide our
• And you go to the provider that you choose and give that provider that voucher.
• So as home care providers, daycare providers, they would be kind of considered a business?

Summary: The committee heard first from LFC staff on a brief about New Mexico’s universal child care expansion. Staff said child care assistance has clear benefits for parents and families, but LFC has not found evidence in New Mexico that it improves children’s educational outcomes; they argued pre-K is the better tool for that goal. The brief highlighted four concerns with universal access: an estimated annual cost of about $849.7 million, a sharp decline in registered homes, possible crowding out of lower-income families, and reduced access for children under age two. Staff also suggested possible mitigations such as prioritizing slots for low-income and at-risk families, reinstating sliding-scale co-pays, and tying quality improvements to workforce wages. Members raised questions about the cost estimate, funding sources, provider quality, and whether the data showed actual crowding out. Several lawmakers expressed support for child care generally but concern about the fiscal impact and whether universal access would divert resources from the families most in need. Others emphasized the importance of child care for workforce participation, rural communities, and family stability, and questioned how registered homes are counted and regulated. LFC staff clarified that the cost estimate was for child care assistance only, not the entire ECECD budget, and that the data showed declines in the share of lowest-income children and infants/toddlers served, though not causation. The ECECD secretary then presented the department’s response, saying universal child care is intended to complete a cradle-to-career system and that the department has already seen strong uptake, increased capacity, and rising workforce participation. She said 6,206 families were found eligible in the first month, the share of infants and toddlers served rose, and new provider applications and licensed slots increased after the November rollout. The department also emphasized wage increases, quality improvements, and a new wage scale/career lattice, while projecting a lower near-term cost than LFC’s estimate and requesting additional funding for child care, early pre-K, home visiting, workforce systems, and capacity-building. No votes or formal actions were taken in the portion provided; the discussion was informational and focused on questions and testimony.

Transcript Highlights:

• ><c> telehealth,</c> provide that service via telehealth, provide that service via telehealth, whether
• </c> medical provider. medical provider.
• That any medical provider really means provider of Medicaid services.
• </c> to provide certificates of compliance. to provide certificates of compliance.
• Uh please provide tape may have PFAS. Uh please provide this. this. this.

Keywords: 928, house, all

Summary: The committee first approved the minutes and consent calendar, then moved through several Department of Health and Human Services Medicaid-related rules. Rule 25-220 from the Department of Energy was postponed until June so stakeholders would have more time to review revised language. Rule 25-240, involving Medicaid income verification and deductible provisions for medically needy applicants, was adopted after staff noted the cited sections had expired but the agency said it had continued operating under federal law and the state plan; the agency also said it had begun rulemaking on the cited provision. Rules 25-265 and 2633 were also adopted, with staff explaining that although parts of the rules had expired, the agency had continued implementing the policies through the Medicaid state plan, billing manuals, and related rules. The most extended discussion centered on rule 25-304 from the Bureau of Aging and Adult Services, which covers case management services for the CFI program. Staff and the agency explained that the amended conditional approval request clarified how case management agencies indicate staffing capacity, how telehealth decisions are evaluated, and that the department—not the case management agencies—sets the timeline for accepting or denying cases. The agency said the rule is intended to ensure participants are not pushed into telehealth when they do not want it or cannot use it, while leaving technical and clinical telehealth decisions to the provider. A case management provider testified in opposition to parts of the rule, arguing that the committee should not require agencies to admit unverified patients, that reimbursement-rate issues belong in legislation, that the quality-management section duplicates existing licensure oversight, and that the telehealth language improperly gives case managers authority over how other licensed providers deliver services. Committee members questioned whether the telehealth language was simply allowing case managers to determine whether telehealth fits a person’s care plan, and agency representatives responded that this was the intent. No final vote on rule 25-304 is shown in the transcript excerpt.

Transcript Highlights:

• SB 6028 provides the financing tool needed to actually make many of these pencil.
• SB 6028 provides the financing tool needed to actually make many of these pencil.
• Our office provides post-conviction relief.
• You just heard about a couple of specific examples that Myra provided.
• So I do appreciate the opportunity to provide testimony.

Summary: The committee held a public hearing on a series of housing, education, workforce, and court-related bills. On Substitute Senate Bill 5884, staff described changes to a sales and use tax deferral for redeveloping vacant or underused land into affordable housing, including broader eligible property definitions and lower affordability thresholds in designated areas. Testimony was mixed: builders opposed language they feared could encourage project labor agreements, while Spokane and Kent representatives supported the bill but asked for flexibility on affordability mix requirements. On Senate Bill 6256, which expands a property tax exemption for nonprofit low-income rental housing to include certain co-located community uses during construction and extends the pre-construction exemption period, testimony was strongly supportive from housing nonprofits and local housing partners, with questions focused on clawback provisions. The committee also heard Substitute Senate Bill 6027, which expands allowable uses of local housing and supportive housing sales tax revenue, adjusts a REET exemption timeline, broadens emergency housing definitions, and changes use of the Affordable Housing for All account. County, housing, and nonprofit witnesses said the bill would help preserve housing and services amid federal funding uncertainty, though Snohomish County asked for an amendment to allow rental assistance. Substitute Senate Bill 6018 would revise the Housing Finance Commission’s authority, including direct lending and bond counsel terms; commission staff said it would modernize outdated restrictions and improve financing flexibility. Substitute Senate Bill 6028 would create a revolving loan fund for mixed-income homeownership projects; supporters said it would help smaller infill projects pencil, while staff noted the loans would be subordinate and carry some risk. Later, the committee heard Senate Bill 6275 on the community reinvestment program, which would require periodic plan updates, reporting, and a WSIPP study, while also expressing legislative intent to continue at least $100 million annually in the account. Advocates, workforce groups, legal aid providers, and small business owners testified that the program supports communities harmed by past disinvestment and should be made permanent and more accountable. Substitute Senate Bill 5961 would move the Imagination Library program from DCYF to OSPI; early literacy advocates and local partners supported the transfer as better aligned with school readiness. Substitute Senate Bill 5969 would integrate IEP transition plans with high school and beyond plans, and a prior critic said amendments addressed her concerns. Second Substitute Senate Bill 5292 would shift PFML premium rate-setting to the annual actuarial report and raise the reserve target; labor and industry witnesses supported the change, while a policy group opposed the program’s costs. The committee also heard Senate Bill 5868 to add one superior court judge each in Skagit and Yakima counties. Judges and county officials testified that caseloads, population growth, and backlogs justify the additions, and county leaders said they had already budgeted for their share. Finally, Substitute Senate Bill 5827 would allow service members to use pre-discharge certification to claim veterans’ civil service preference; the sponsor said it would solve a timing problem for transitioning service members. No votes or final committee actions were taken in the transcript, as the meeting consisted of bill briefings and public testimony.