Transcript Highlights:

• When it says total operating cost, what exactly does that mean?
• </c> following when it says total operating following when it says total operating cost is<00:09:18.000
• <00:09:42.959><c> cost</c><00:09:43.320><c> of</c><00:09:43.519><c> the</c> operating cost of the operating
• I also got a text from a friend who works in rural health care.
• I also got a text from a friend who works in rural health care.

Keywords: 00:25 Call to Order/Roll Call 01:36 Discussion of 25RS SB 153 23:11 Roll Call Vote on 25RS SB 153 30:56 Adjournment, 958, all

Summary: The House Standing Committee on Health Services met on March 14, 2025, and took up a committee substitute for Senate Bill 153. The substitute deleted the original bill language and replaced it with provisions from Senate Bill 14, aimed at prohibiting pharmaceutical manufacturers from discriminating against 340B covered entities and adding reporting requirements for those entities. The sponsor explained that the protections would sunset after one year, allowing lawmakers to review data by July 1, 2026, and that Kentucky would continue to follow any future federal changes to the 340B program. Members asked several questions about the scope of the reporting, including what “total operating cost” means, how duplicate discounts are prevented, whether the reporting applies only to hospitals and not federally qualified health centers, and who would receive the data. The sponsor said the reporting is intended to help the Cabinet for Health and Family Services and the Office of Health Data Analytics at LRC assess how the program is working, including charity care and community benefits, while preserving protections for rural hospitals and allowing them to continue using contract pharmacies. A representative from LRC confirmed the data would come to the General Assembly through the Office of Health Data Analytics. The committee expressed mixed views about the balance between transparency and potential burdens on hospitals, especially rural facilities. Several members said they were supportive but had reservations about the reporting requirements and the sunset structure, while others noted concerns about unintended consequences and the possibility of changes on the House floor. The committee ultimately adopted the committee substitute, approved a title amendment, and reported Senate Bill 153 with House Committee Substitute 2 favorably. The meeting then adjourned.

Transcript Highlights:

• Moving on to the operational savings item on. operational savings item on page seven of your agenda.
• So health care is one issue, age is another issue, mental health is another issue.
• I see with mental health, you talked about programs, you know, to increase mental health professionals
• I'm a current medical student and master's public health student in health equity and criminal justice
• Of course, we support operational costs. We know you need to operate.

Summary: The Senate Budget Subcommittee No. 5 held an informational hearing on the Governor’s May Revision proposals for labor, public safety/judiciary, and transportation, and no votes were taken. In Part A on labor, the Employment Development Department described funding for EDD Next document management work, updated UI loan interest costs, disability insurance and paid family leave benefit increases, WIOA adjustments, UI and school employee benefit changes, an EMT training reappropriation, and a technical correction tied to an EDD Next reversion. PERB discussed reduced funding requests for AB 288 due to litigation and a proposal to implement AB 1 covering legislative employees. DIR presented proposals for legal unit reclassifications, two major IT modernization projects, a new Cal/OSHA emerging technologies unit, a COIA reappropriation, and trailer bill language requiring electronic payment of employer assessments and removing a salary cap for the DWC administrative director. CalHR proposed consolidating employee assistance services into a statewide contract with enhanced support for first responders, and CalPERS and CalSTRS presented budget adjustments tied to investment costs, state contributions, and benefit overpayments. Members focused heavily on the unemployment insurance debt and interest payments, asking why the administration had no concrete plan to pay down principal. Finance and LAO explained that the state’s UI tax structure has long been insufficient and that any long-term solution would need to address both the outstanding federal loan and the structural imbalance in employer taxes. Questions also centered on EDD Next costs and timelines, with the chair asking for clearer long-term project cost estimates and Finance noting that future maintenance and operations costs will continue after implementation. On DIR’s emerging technologies unit, members asked whether it would address AI-driven workplace harms; DIR said the unit would focus on physical workplace safety issues involving AI, robotics, autonomous equipment, and related guardrails, while LAO noted broader labor-practice questions would likely fall outside Cal/OSHA’s scope. In the CalPERS discussion, members raised concerns about transparency in private equity and external management fees, while CalPERS said higher fees reflect a strategy of greater private-market and active-management exposure and are offset by higher net returns. Members urged more information on specific investments and future reporting. For CalSTRS, Finance presented routine contribution and overpayment adjustments, but members also raised broader transparency concerns that CalSTRS staff said they would follow up on separately. Public comment in Part A was dominated by strong support for an immigrant worker emergency relief fund, along with support for apprenticeship and workforce proposals and PERB staffing. The chair and members said they would follow up on where the immigrant relief proposal should be considered, noting it may belong in another policy area. The hearing then moved into Part B with an overview of Judicial Branch-related May Revision items, including court interpreter funding, appellate court security, workload cap changes, lactation room implementation delays, and a reduction to the state court facility construction backfill.

Transcript Highlights:

• The second is the mental health hiring trailer bill language, which is licensure of mental health professionals
• The second is the mental health hiring trailer bill language, which is licensure of mental health professionals
• Those will improve operational efficiencies within CDCR.
• That program is separate from your general health care budget.
• We have public health grants, a ton of public health grants. On March 24th, the U.S.

Summary: The subcommittee heard May Revision presentations for the Office of Emergency Services, Judicial Branch, CDCR, and the Department of Justice, with the LAO offering comments and recommendations throughout. For Cal OES, the administration outlined funding for relocating the Red Mountain communications site, increased FEMA reimbursement authority, cybersecurity grants, next-generation 911 support, and a reduction to the Flexible Cash Assistance for Survivors of Crime program. Members raised concerns about VOCA backfill and disaster reimbursement, while the LAO recommended approving the 911 request with reporting, adding contingency planning for cybersecurity grants, clarifying the FEMA reimbursement language, and increasing reporting on emergency spending. For the Judicial Branch, the May Revision included funding for implementation of the Trial Nations Access to Justice Act, reductions tied to court facilities and employee benefits, and General Fund solutions such as a reduction to the pretrial release program, a reversion from the Trial Court Trust Fund, and elimination of the jury duty pilot program. The LAO cautioned that the pretrial reduction could affect detention and release decisions and recommended tighter legislative oversight over the trust fund transfer and reallocation language. Members questioned the impact of the pretrial cut, the lack of Prop. 36 court funding, and the rationale for the jury pilot elimination; the Judicial Branch said it was generally supportive of the budget as proposed. CDCR presented requests for roof repairs, fire alarm replacements, CalAIM-related costs, and trailer bill changes on incarcerated college students, mental health hiring, and tuberculosis testing, along with a planned prison closure by October 2026. The department also proposed reducing or delaying several items, including radio replacement, ADA improvements, COVID mitigation, and some facility upgrades, while adding a $125 million placeholder for consultant-driven operational savings. The LAO recommended rejecting or reducing several San Quentin-related proposals, questioned the staffing and contract medical requests, and urged more transparency on the consultant savings plan; members expressed concern about the realism of the savings targets and the potential legal or operational risks from delaying ADA and radio projects. For DOJ, the May Revision proposed ongoing funding and 44 positions to defend against federal actions, IT and accounting system upgrades, implementation funding for AB 1877, and a special fund loan. The LAO supported the KLETS connection but asked for a contingency plan if the new DMV link is delayed, noted that AB 1877 would not be fully implemented without additional funding, and recommended limiting and reporting on the federal accountability workload. Members questioned the size and permanence of the DOJ request, the use of the earlier $25 million special session appropriation, and the pace of federal litigation; DOJ said the new request would support ongoing litigation, expert assistance, and coordination across multiple cases and states.

Transcript Highlights:

• This bill would add a new category of operating costs for child care facilities for which the existing
• insurance coverage or self-insured group health plan.
• Next is the Insurance Commissioner and relates to mental health parity, sunset extension only.
• It includes in the definition of operating property those kinds of properties.
• It includes in the definition of operating property those kinds of properties.

Keywords: 994, senate, all

Summary: The Senate Finance Committee met with a quorum present, approved the prior meeting minutes, and then considered a series of House bills and committee substitutes. House Bill 5438, dealing with changes to Step 7 of the school aid formula and allowable uses of certain education allocations, was amended to adopt the Education Committee’s changes and then reported to the full Senate. House Bill 4087 creating the West Virginia-Ireland Education Alliance was also reported, as was House Bill 4191, which expands child care tax credit eligibility for employer-sponsored facilities and changes subsidy payments from attendance-based to enrollment-based reimbursement; senators emphasized its workforce and economic development benefits. House Bill 5074, which reallocates medical cannabis fund balances and future revenues, was amended to increase the Child Protective Commission pilot funding from $3 million to $5 million and remove proposed ibogaine research funding for Marshall and WVU before being reported. House Bill 5353, regulating virtual currency kiosks and money transmission licensure, and House Bill 5527, creating licensure and oversight for wellness reimbursement program administrators, both received strike-and-insert amendments and were reported. House Bill 5687, which phases down the metallurgical coal severance tax and adds a temporary oil and gas tax reduction with county/municipal revenue adjustments, was amended and reported. House Bill 4418, creating an electronic system for municipal business and occupation tax filing and collection with a 1% administrative fee and a participation threshold, was also reported. The committee then took up House Bill 4245, the Revenue Rules Bundle, which bundles 26 legislative rules from the Department of Revenue and related agencies. The bundle included alcohol, banking, insurance, racing, and tax rules, with several sunset extensions and repeals of outdated rules; the committee adopted a strike-and-insert amendment affecting a lottery consumer protection rule and a pre-need cemetery company rule, then reported the bill. House Bill 5168, providing a $12 million lottery-funded stream for emergency medical services, was amended to clarify the uses of the funds, rename one fund, require a 30% county match for mental health treatment spending, and create two additional county-based EMS funds; senators described it as a needed permanent funding source for EMS, and it was reported. Throughout the meeting, members generally supported the measures, with some discussion on technical details, funding allocations, and the impact of the bills on local services and workforce needs. At the end of the meeting, the chair announced that Senate House Bills 4004, 4006, and 4009 would not be taken up that day, and the committee adjourned.

Transcript Highlights:

• I hold a graduate degree in health data science, as well as a degree in environmental health.
• health costs yet.
• And yes, we have a public health crisis.
• And yes, we have a public health crisis.
• As California faces health care demands and uncertainty surrounding federal health care funding, it is

Committee: Senate Environmental Quality

Keywords: 987, senate, all

Transcript Highlights:

• Today you have health insurance. Tomorrow you don't have health insurance. Yes.
• This kind of: today you have health insurance, tomorrow you don't have health insurance.
• I care about seniors having health insurance and people with disabilities having health insurance.
• I have a question on home health.
• in the budget for dental health.

Summary: The committee first heard May Revision child care and human services items. The Department of Child Support Services described two technical adjustments, which the analyst supported. The Department of Social Services then walked through child care proposals, including a reduction in federal and Proposition 64 funding absorbed through a shift from General Child Care to the Alternative Payment program, a 2.01% child care COLA, disaster-related infrastructure grants, a new administrative support cost structure for Alternative Payment agencies, the removal of prospective pay funding after a federal rule change, a reappropriation for existing infrastructure grants, and estimates of unspent child care funds. The Legislative Analyst’s Office recommended asking for more justification for shifting reductions to CAP, supported the COLA reduction but wanted consistency across programs, recommended removing prospective pay funding, opposed the administrative cost shift, and suggested further review of disaster grant alignment. Members pressed the administration on why more slots would be cut for the same savings, why the COLA was reduced, and whether the administrative percentage would grow over time. The administration said the changes were intended to avoid disrupting currently enrolled families, reflect point-in-time relinquishments and unspent funds, and stabilize contractor operations. Public commenters, including providers, advocates, and county representatives, urged full COLA funding, rejection of child care slot reductions, preservation of prospective pay, and continued investment in child care infrastructure and access. The subcommittee then recessed before moving to health items. In Part B, the Department of State Hospitals presented its May Revision proposals, including a central utility plant replacement project at Metropolitan State Hospital, funding for a continuum electronic health record system, reduced county bed billing authority to reflect phase-in of additional LPS beds, limited contract exemption authority for online clinical subscription services, reversion of prior-year unspent operating funds, and a workforce development proposal to use Behavioral Health Services Act funds instead of General Fund for training programs. The department said the EHR would modernize records and improve continuity of care, and that the contract exemption would prevent delays in essential clinical information services. No votes were taken in the excerpt provided.

Transcript Highlights:

• The proposed regulations would fundamentally change how rest homes operate day to day.
• The proposed regulations would fundamentally change how rest homes operate day to day.
• The impact is not only to daily operations, but to the communities they sustain.
• MARCH views the Massachusetts Department of Public Health as a partner in this work.
• We share DPH's commitment to Of public health as a partner in this work.

Committee: Joint Joint Committee on Aging and Independence

Summary: The Joint Committee on Aging and Independence heard testimony on Senate 3057/House 5376, a bill to create an Assisted Living Residence Trust Fund and implement recommendations from the Assisted Living Residence Commission. Supporters, including AARP and the state long-term care ombudsman, backed the trust fund for certification staffing, compliance reviews, investigations, ombudsman services, public reporting, and appeals. The assisted living industry, represented by MassALA, supported the affordability task force and certified medication aides, but asked for amendments to expand career paths and to remove or limit fines as a funding source, arguing fines should be capped and tied to health or safety risks. The ombudsman emphasized the need for more staffing and resources, noting the current caseload and travel burden across the state. The committee also took testimony on Senate 3056/House 5243 concerning medication administration in rest homes. Rest home operators, MARCH, and LeadingAge Massachusetts opposed proposed Department of Public Health changes that would replace the long-standing responsible person model with a MAP-based framework or require more licensed nursing staff. They argued the current model has been used for decades, is safe and affordable, and is better suited to rest homes than MAP, which they said was designed for different settings. They urged the committee to preserve responsible person medication administration while improving training and oversight, and several witnesses asked for a task force or substitute language to study best practices rather than impose immediate regulatory changes. Committee members asked questions about the history of the responsible person model, how medication administration works in practice, and whether other states use similar systems. Chair Stanley said the committee was still reviewing building code-related recommendations for assisted living and noted that those issues may require more time. No votes were taken during the hearing, and the committee adjourned after testimony concluded.

Transcript Highlights:

• or to augment your operations?
• or to augment your operations?
• determinant of health.
• and mental health outcomes.
• and mental health uh poor health and mental health outcomes<02:48:16.080><c> adverse</c><02:48:16.520

Keywords: 928, house, all

Summary: The Finance Committee held a hearing on several bills and announced at the outset that no votes would be taken because the measures would go to divisions later. The first major bill, HB 197, would require the state to pay 7.5% of political subdivision employer pension contributions for teachers, police officers, and firefighters. Representative Mike Edgar, the prime sponsor, argued the state had repeatedly reduced and then eliminated its promised share of retirement costs, shifting the burden to municipalities and property taxpayers. He said the bill would partially restore that commitment and provide relief to local governments, businesses, and taxpayers. Several witnesses testified in support of HB 197, including Representative John Cluder, Bradford selectman Marlene Fryer, the New Hampshire Municipal Association’s Margaret Burns, and Epping representative Mark Fone. Supporters said the bill would help with property tax pressure, school budgets, and municipal hiring, and they emphasized that much of the retirement cost reflects unfunded liability decisions made at the state level rather than by local governments. Committee members questioned whether the bill would change local incentives to control costs and how it would affect hiring and compensation. Burns said the state contribution would function as property tax relief because it offsets existing municipal expenses, and she noted the state is already on a long-term schedule to pay down the retirement system’s unfunded liability. After closing the hearing on HB 197, the committee opened a hearing on HB 97, introduced by Representative Tom Buco. He said the bill would continue funding for delayed and deferred wastewater projects and help municipalities finance expensive wastewater infrastructure, which he tied to housing development and local debt planning. No action or votes were taken on either bill during the hearing.

Transcript Highlights:

• Um, line 779 is the MDH operating operating operating adjustment.<00:19:42.880><c> The</c><00:19:43.120
• </c> health grants. health grants.
• </c> curtails operations. curtails operations.
• :21.679><c> boards,</c><00:31:22.159><c> there</c> health health licensing boards, there health health
• </c> more of operating funds. more of operating funds.

Keywords: 1187, senate, all

Transcript Highlights:

• I have owned and operated a congregate living health facility, or CLHF, as they're sometimes referred
• My name is Irene Toker, and I also own and operate a congregate living health facility.
• I own and operate five congregate living health facilities.
• I also own and operate congregate living health care facilities in the Fresno area, which, as you mentioned
• Since 2001, the Alternative and Complementary Health Care Act has allowed these practices to operate

Keywords: 988, house, all

Transcript Highlights:

• My name is Christine Smith with Health Access California, the statewide health care consumer advocacy
• This bill has minor and absorbable cost to both the Department of Public Health and local health enforcement
• This bill has minor and absorbable cost to both the Department of Public Health and local health enforcement
• These examinations may identify operational deficiencies.
• Health insurance premiums are rising due to underlying health care costs, hospital pricing, pharmaceutical

Summary: The Assembly Appropriations Committee met on August 5, 2026, and first approved a large consent calendar of bills, then heard and voted on a long series of measures covering health care, housing, energy, labor, public safety, insurance, and immigration-related issues. Several bills were moved on roll call with no or limited opposition, including SB 999 on delaying the Health Minimum Essential Coverage report deadline, SB 931 on Diablo Canyon’s mitigation fund, SB 952 on State Water Project clean energy procurement, SB 1288 on nonprobate asset beneficiary notification, SB 1371 on solid waste labor-dispute contract clauses, SB 1014 on housing development fee estimates, SB 1283 on EV charging station permitting, SB 1209 and SB 1244 on insurance enforcement and broker compensation disclosure, SB 1359 on gas utility infrastructure oversight, SB 677 and SB 908 on housing streamlining, SB 1323 on medical facility procedures for people in immigration custody, SB 938 on peace officer training waivers for former federal immigration officers, SB 1272 on code-violation enforcement timelines for new homeowners, SB 1117 on ADU impact fees, SB 1196 on utility hookups for small energy projects, SB 1299 on sprinkler fitter certification, and AB 2597 appropriating funds for state legal settlements. The committee also approved its suspense calendar and later lifted SB 1359 from call with an added aye vote. Testimony generally followed the bills’ themes. Supporters argued that the measures would improve transparency, reduce costs, streamline housing and energy projects, protect consumers, and strengthen public safety or worker protections. Opponents or “opposed unless amended” witnesses raised concerns about implementation burdens, disclosure mandates, labor and compliance issues, local government costs, and the scope of some proposals. Notable points of contention included SB 869, where restaurant groups objected to the on-menu sugar warning approach and urged more flexible disclosure methods, and SB 1244, where insurance industry representatives argued the bill would impose unworkable disclosure obligations on brokers and agents. SB 1272 drew opposition from code enforcement and county groups who warned it could delay health-and-safety enforcement, while SB 1117 drew opposition from special districts, counties, and fire-related groups concerned about reduced fee revenue for infrastructure. The committee also heard public comment on several bills not presented that day, including opposition to wildfire mitigation/CEQA-related legislation, staffing regulation fees, and education and demographic-data bills. Overall, the hearing was dominated by fiscal and policy debates over housing affordability, energy infrastructure, consumer transparency, and the balance between regulatory streamlining and local or industry compliance costs.

Transcript Highlights:

• The program is especially valuable for states like Arizona that have critical health care shortages.
• Arizona also partners with Wichy to ensure key behavioral health Arizona also partners with Wichy to
• ensure key behavioral health services that are being delivered as intended.
• With regard to emergency operation plans, the Auditor General staff did an emergency operation plan audit
• The auditor general or the auditor mentioned operation plans.

Committee: Senate Senate Education Committee of Reference

Keywords: 1182, all

Transcript Highlights:

• Lattipo at the Department of Health.
• Lattipo at the Department of Health.
• I want to shift gears to the health care budget and health care appropriations.
• The health department has no authority to cancel someone's health insurance.
• The chair of the health, the approach's health staff has been amazing and listening.

Summary: The Appropriations Committee first took up SB 7010, which would authorize Roth contributions in state and local deferred compensation plans. Senator Mayfield explained that current law only allows pre-tax contributions, and the bill would let the Department of Financial Services and local governments offer post-tax Roth options. The bill had one support appearance card, no debate, and was reported favorably by roll call vote. The committee then received a lengthy presentation from the Governor’s Office of Policy and Budget on the governor’s recommended “Floridians First” budget, totaling $117.4 billion and $53.2 billion in general revenue. The presentation highlighted reserves, debt paydown, tax relief, and proposed reductions and efficiencies, along with major spending areas in education, health care, public safety, corrections, transportation, and economic development. Key proposals included higher K-12 funding, teacher salary increases, funding for Everglades and water quality projects, emergency preparedness, corrections staffing and facility funding, cybersecurity, law enforcement recruitment bonuses, and affordable housing and infrastructure investments. Members asked extensive questions about property tax reserves, litigation funding, emergency response fund balances and spending, the Alligator Alcatraz detention facility and federal reimbursement, the Second Amendment sales tax holiday, animal abuse hotline funding, Hope Florida, corrections staffing, and teacher pay. A major portion of the discussion focused on the Department of Health’s planned changes to the ADAP HIV medication program, with senators and a public witness expressing concern about access to life-saving medications and possible misuse or redirection of funds. The committee did not take further action on the budget presentation, and the meeting ended after additional comments supporting the budget and the corrections funding, with SB 7010 already approved.

Transcript Highlights:

• Nevada Conference of Operating Engineers.
• The operations, the operational, demands on regional public safety resources.
• The operations, the operational, ...and local roles will have separate public safety responsibilities
• The operational impact extends beyond game venue locations.
• I think as we talk about health care and the sustainability of health care and even rural health care

Committee: House Emergency Management

Keywords: 988, house, all

Transcript Highlights:

• But it is still operating. It is still functioning. It hasn't failed.
• How the facility is operated either as it exists or... ...going forward, how the facility is operated
• And then your third question around different approaches to the sort of health, the provision of health
• of health care setting you are building in.
• , we have become the largest mental health system in the Commonwealth.

Keywords: 995, all

Summary: The Special Commission on Correctional Consolidation and Collaboration met on October 17 with members attending in person and virtually. The commission approved the September 15 minutes and then heard a detailed presentation from DCAM Commissioner Adam Bakey on the correctional facilities portfolio, including the age and condition of DOC and sheriff facilities, deferred maintenance, ADA compliance, decarbonization mandates, and how capital funding is allocated. Bakey said the correctional portfolio includes 36 facilities, with average ages over 50 years, and described how older, rapidly built facilities from the tough-on-crime era now face significant maintenance and replacement needs. He also explained the distinction between catch-up deferred maintenance and ongoing keep-up needs, and noted that construction costs and code thresholds have made projects more expensive. Commissioners and sheriffs asked about ADA requirements, aging and overcrowded facilities, hazardous materials, parts availability for obsolete systems, plumbing and health risks, and whether a newer, more modern correctional facility should be considered. Bakey said many projects trigger broader code upgrades, that some dormant facilities remain in the portfolio, and that health-care and correctional construction are among the most expensive building types. He outlined current funding, including annual deferred maintenance allocations for DOC and formula-based five-year commitments for sheriffs, plus a new competitive capital program for larger sheriff projects. He also explained the Designer Selection Board and “house doctor” process used to procure architects and engineers. The commission then shifted to planning its next steps, focusing on public input. Members agreed the next meeting should likely be a public hearing or include public testimony, with possible input from people with lived experience and consideration of facility tours, especially of women’s facilities such as Framingham. Members emphasized the need to define the commission’s scope clearly so testimony stays focused on structural and consolidation issues rather than all correctional policy topics. The meeting ended with plans for the co-chairs to coordinate the public process and a motion to adjourn, which passed without opposition.

Transcript Highlights:

• Safety in the operating room must be equitable.
• Safety in the operating room must be equitable.
• The bovi extracts the smoke at the point of the operation.
• My health care utilization has decreased dramatically.
• outcomes, reduce unnecessary health care spending, and help build a more sustainable health care system

Summary: The Appropriations Committee on Health and Human Services met with a quorum present and took up several health-related bills. CS/SB 1110, covering Medicaid and insurance coverage for medically necessary orthotics and prosthetics, including activity-specific devices without lifetime or continuous-use caps, received emotional testimony from families and athletes describing high costs and the importance of access for children and adults with disabilities. Members voiced strong support, and the bill was reported favorably. The committee also heard SB 1574, which would add biliary atresia screening to the newborn screening program using the existing birth blood specimen. The sponsor and a parent testified that earlier detection could prevent severe liver damage, transplants, and deaths, and the bill was reported favorably. CS/SB 794, dealing with background screening for employees at residential facilities and day training programs for people with developmental disabilities and a review of waiver support coordination, was amended to align with the House companion and then reported favorably after testimony emphasizing the importance of strong support coordinators for APD waiver families. Members then considered SB 162, requiring hospitals and ambulatory surgical centers to adopt policies for smoke evacuation systems during procedures that generate surgical smoke. Nurses and other supporters described surgical smoke as a serious occupational hazard, while the Florida Hospital Association said hospitals are already regulated in this area and the bill was somewhat prescriptive; an amendment was adopted and the bill was reported favorably. CS/SB 254, which tightens oversight of nursing education programs, adds preceptorship and provisional licensure pathways for graduates awaiting NCLEX results, and increases transparency and accountability for low-performing programs, drew support from nursing advocates and opposition from private nursing schools concerned about workforce impacts; after amendment, it was reported favorably. Finally, SB 688 to reestablish licensure and regulation of naturopathic doctors in Florida was heard with testimony both supporting expanded health care choices and opposing the bill over safety and scope concerns, and it too was reported favorably. The committee then adjourned.

Transcript Highlights:

• It supports working families, promotes positive mental health.
• I'm on my school's basketball team, which helps my physical health.
• We all have to pay these expenses to keep our schools operating.
• The O in MSOC, operating costs, is under the greatest strain.
• I'm a special operations officer in the Marine Corps.

Summary: The committee first heard Senate Bill 5992, which would create a non-appropriated Youth Development Fund account to support grants for positive youth development programs serving ages 5 to 24. Staff explained that OSPI would administer grants to nonprofits, tribes, and local parks and recreation entities, with school districts and ESDs eligible mainly as partners; annual reporting would be required. The sponsor and many testifiers, including students, youth-serving nonprofits, tribal representatives, and agency partners, described after-school, mentoring, arts, sports, outdoor, and wraparound programs as important for mental health, belonging, safety, civic engagement, and prevention, especially for vulnerable and rural youth. The committee then moved to executive session and adopted a substitute and passed SB 5992 to the Rules Committee. The committee also took executive action on Senate Bill 5952, which would standardize the process for excusing high school students from physical education, and on Senate Bill 5961, which would transfer the Imagination Library of Washington from DCYF to OSPI. In both cases, the committee adopted proposed substitutes that narrowed or adjusted the bills, then voted them out of committee: SB 5952 was sent to Rules, and SB 5961 was sent to Ways and Means. The committee also heard Senate Bill 5969 on allowing an IEP transition plan to satisfy high school and beyond plan requirements; after discussion, a substitute was adopted that instead directs OSPI to reduce duplication in the statewide IEP system, and the bill was passed to Ways and Means. Later, the committee heard Senate Bill 5918, which would increase materials, supplies, and operating costs (MSOC) funding by $100 per student or $100,000 per district, whichever is greater, starting in the 2026-27 school year. Testimony from educators, administrators, school board members, PTA, and OSPI emphasized that districts are using local levy dollars to cover basic operating costs such as utilities, insurance, curriculum, and maintenance, leaving less for enrichment and forcing cuts or deferred purchases. One opponent argued against additional taxes and questioned the return on school spending. The sponsor framed the bill as necessary to meet the state’s paramount duty to fund basic education. The transcript then shifted to Senate Bill 5951 on school access to albuterol, which would allow schools to keep stock albuterol under a statewide standing order and let trained staff administer it under certain conditions; students, nurses, and advocates testified that stock albuterol could reduce absences and improve safety for students with asthma. Finally, the committee began hearing Senate Bill 6042 on school mapping, which would require school safety plans to include accurate, interoperable digital maps for first responders; the sponsor and emergency response witnesses said standardized maps are critical for coordinated, timely response in school emergencies.

Transcript Highlights:

• Is that for those health exams?
• Is that for those health exams?
• Is that on the uh employee health.
• That is for those health exams?
• </c> health exam that's required. health exam that's required.

Keywords: 00:01 Call to Order and Roll Call 00:47 Maintenance 12:40 Approval of Minutes 12:55 Vehicle Regulation 21:08 General Admin and Highways 34:11 Adjournment, 958, all

Summary: The House Budget Review Subcommittee on Transportation met without a quorum at first, then later approved the minutes once quorum was established. The committee heard presentations from Transportation Cabinet officials Mike Hancock, Jeremy Slinker, and Sean McCarnieran on maintenance, vehicle regulation, general administration, highways, and related capital projects. Hancock emphasized that maintenance is the cabinet’s most visible public service, especially for snow and ice removal and routine roadway upkeep, and said rising costs have outpaced funding. He cited a 61% increase in highway construction costs since 2020 and said maintenance spending was $488 million in FY 2024 and $511 million in FY 2025, while the FY 2026 baseline request was $483.3 million. The cabinet’s additional maintenance request would add $23.6 million in FY 2027 and $38.6 million in FY 2028, with expected impacts on litter pickup, mowing, vegetation management, and pothole repair if not funded. The cabinet also outlined five maintenance-related capital projects: additional funding for Ballard County maintenance/salt storage, Hopkins County maintenance/salt storage, Whitley County maintenance/salt structure, and the District 2 office and materials lab, plus reauthorization of the Breckinridge County maintenance and salt facility. Hancock also asked for budget language allowing the cabinet to use unexpected restricted and federal funds more quickly, similar to existing authority for federal earmarks. McCarnieran described the governor’s inclusion of funding for the ASHTOWare system, employee health exams, priority IT projects, and a District 7 office renovation request, noting that some items were not funded because they ranked low among competing projects. He also said the governor’s budget included a $7.5 million annual maintenance pool for the cabinet’s 1,200 facilities and requested additional restricted fund authority for Trimark and the Cumberland Gap Tunnel. Slinker focused on the Department of Vehicle Regulation, saying recent investments in staffing and equipment had reduced wait times and improved customer service in driver licensing offices. He requested $535,600 to keep temporary contract workers in place for the rest of the year, warning that without it regional office operations would have to be reduced. He said the surge in demand was driven by new 15-year-old licensing requirements, vision testing, and Real ID implementation, but believed the volume was beginning to level out. He also outlined FY 2027 and FY 2028 plans totaling $20.38 million and $19.85 million, including six new regional offices and a shift away from temporary workers toward state positions. Additional requests included $106,000 for debt service on the new driver’s license modernization system and operating costs of $5 million in FY 2027 and $2.5 million in FY 2028 to support the transition from the old system. Members asked about the cabinet’s funding sources, and officials said the road fund is the primary source, supported by motor fuels tax, usage tax, driver-related receipts, and some restricted funds; they stressed that the requests were not for additional general fund dollars. Questions also covered employee health exam reimbursements, the annual Trimark/Cumberland Gap contract, and the District 7 renovation request. No votes were taken on the budget items during the meeting, beyond approval of the minutes.

Transcript Highlights:

• , maternal and child health, rural health care, and primary care.
• Public health is not effective when it operates in isolation. I believe...
• Public health is not effective when it operates in isolation.
• by a health system that owns or operates more than two licensed acute care hospitals.
• by a health system that owns or operates more than two licensed acute care hospitals.

Summary: The Senate Health and Long-Term Care Committee held confirmation hearings for Ryan Moran to lead the Health Care Authority and Dennis Worsham to serve as Secretary of Health. Moran emphasized his personal background, experience in Maryland Medicaid, and priorities of protecting coverage amid federal changes, addressing health disparities, strengthening tribal partnerships, and improving agency operations. Worsham described his long public health career in Washington, his statewide listening tour, and his focus on collaboration, science-based decision-making, accountability, workforce support, and rebuilding public trust. Senators raised questions about behavioral health, social determinants of health, communication, misinformation, and the impact of federal policy changes; both nominees said Washington should continue leading on coverage, prevention, and public health resilience. In executive session, the committee advanced several bills. It passed SB 5899, allowing qualified chiropractors to perform chiropractic diagnosis and adjustments on animals; SB 6292, creating a joint legislative-executive committee on health care financing with a substitute; SB 6182, establishing an abortion savings program, after rejecting several Christian-sponsored amendments and adopting a Bateman amendment limiting eligible organizations to DOH-contracted abortion providers or funds; SB 5947, creating the Washington Health Care Board; SJR 8206, proposing a constitutional right to affordable health care; and SB 5933, on overdose mapping information sharing, with a substitute. The committee also recommended confirmation of both gubernatorial appointments. In a second group of bills, the committee passed SB 5823 on patient advocates with a substitute requiring at least one person physically present daily in acute care settings and expanding exemptions for certain hospitals; SB 6210 on the health plan certification process with a substitute; SB 5921 on psilocybin; SB 6226 protecting audiologists’ clinical autonomy with a substitute; and SB 5924 expanding pharmacists’ prescriptive authority with a substitute. Members discussed access, affordability, rural workforce shortages, and patient safety, and the committee adjourned after completing its agenda.

Transcript Highlights:

• I I can answer any and its operation.
• health behavior behavioral health administration,<00:24:32.480><c> state</c><00:24:32.640><c> of</c>
• Keith Pedro, and I'm with the Department of Health.
• </c><00:26:05.840><c> challenges</c> history of mental health challenges history of mental health challenges
• And so, with a mental health professional, with mental health behavioral health beds, and some of the

Keywords: 912, senate, all

Summary: The Judiciary Committee heard testimony on HB 400, the Judiciary’s biennium budget, and HB 727, a proposal to create a women’s court pilot program. On HB 400, Judiciary officials said the request includes operating funds of about $6.17 million in FY 2026 and $6.25 million in FY 2027, 17 permanent positions and one temporary position, plus $11.9 million for capital improvements. Testifiers from the legal services community, including the Legal Clinic, Legal Aid Society of Hawaii, and the Hawaii State Bar Association, supported the budget and emphasized the need for civil legal services and immigration-related legal help. Judge Kim also highlighted Big Island needs, including courthouse design funding and an additional district court judge. HB 727 drew extensive testimony in support from Judiciary officials, treatment court staff, legal and behavioral health organizations, prosecutors, and individuals with lived experience in drug court. Supporters said women in the justice system often face trauma, abuse, addiction, and mental health challenges that are not adequately addressed in existing programs, and argued that a women’s court could improve rehabilitation and reduce recidivism. Judiciary witnesses explained that the proposed program would be a specialty court within the drug court framework, initially focused on the Kona division of the Third Circuit, with possible future expansion to Hilo. A probation officer and a former drug court participant described the benefits of treatment court and the need for women-specific services, including spiritual counseling options. After testimony, the committee recessed briefly for lack of quorum and later returned to vote. HB 400 was passed with amendments, including added amounts in the committee report for civil legal services and immigration-related legal services, and a revised defective date. HB 727 was also passed with amendments, including changes to the purpose section to make the First Circuit women’s court permanent, create a three-year Third Circuit Kona women’s court pilot, and remove the broader expansion language for the time being. The committee adopted both measures by vote, with Senator Chang excused.