Transcript Highlights:

• President, Senator, one of the things in this bill that Causes a little bit of contention would be line
• those of you who don't understand what I'm saying, the dollar has lost 99% of its value since the creation

Transcript Highlights:

• Capriglione, expressing support for the strengthening of our partnership with Israel and for the creation
• For reasons totally unrelated to the content of the bill, it did not become law, so we're back again.

Bills: HB 112, HB199, HB621, HB1349, HB2214, HB3466, HB3698, HB3699, HCR9, HB112, HB199, HCR9

Keywords: science park district, economic development, technology innovation, higher education collaboration, infrastructure development, Texas Economic Development Office, workforce development, unemployment benefits, state average unemployment rate, benefit year, economic support, Texas Workforce Commission, property owners' association, free speech, assembly rights, government officials, political candidates, floodplain, landlord, tenant

Transcript Highlights:

• Constitution by adding Section 26, which explicitly bans the state from imposing a tax on carbon content
• certain zones in the city, and giving us the opportunity to go to Brazoria County as an option for the creation

Bills: HB 103, HB 1256, HB1587, HB1632, HB2027, HB2525, HJR88, HJR138, HB103

Keywords: taxing unit, bond database, local government, transparency, civil penalty, education reform, funding allocation, school infrastructure, teacher recruitment, student achievement, tax exemption, water conservation, graywater systems, rainwater harvesting, ad valorem taxation, county commissioners, HB 1587, Texas sales tax holiday, back-to-school tax holiday, clothing tax exemption

Transcript Highlights:

• That revised piece of legislation made it so that an executor no longer had authority over the content
• their... revised piece of legislation made it so that an executor no longer had authority over the content
• But the sort of the, I suppose, pinnacle or the creation of safe reporting bills throughout the country
• And morals, however, are much more personal, and because of that have no place in the creation of laws
• the 1948 Nakba, a massive expulsion of Palestinians of all faiths from their land that led to the creation

Keywords: 995, all

Summary: The committee opened with procedural guidance for a very large hearing, explaining testimony limits, written testimony procedures, and rules for maintaining order. Members then heard testimony on a wide range of bills, including proposals to define antisemitism using the IHRA definition, regulate facial recognition technology, restrict weaponized robotics and drone use, expand protections for journalists’ confidential sources, address access to decedents’ email accounts, and create or adjust rules around municipal enforcement and animal cruelty fines. Several sponsors and advocates asked for favorable reports, and committee members asked clarifying questions on implementation, costs, and how the bills would interact with existing law. On facial recognition, sponsors and advocates described the technology as a threat to privacy, due process, and civil liberties, and urged adoption of the Special Commission’s recommendations, including warrant requirements, notice to defendants, and limits on untargeted surveillance. Support came from legislators, the ACLU, CDT, EFF, and a UMass professor, while committee members asked about current state law and municipal bans. On robotics, Senator Moore and industry witnesses from MassRobotics, Boston Dynamics, and AUVSI supported a bill prohibiting weaponized robots and requiring warrants for certain law enforcement uses, describing it as a public-safety and trust-building measure. On the shield law bill, newspaper publishers, journalists, NEFAC, and the Reporters Committee argued Massachusetts needs statutory protection for confidential sources, citing costly subpoenas and chilling effects on reporting. The committee also heard testimony on a bill to expand the right of publicity to cover image and voice, with SAG-AFTRA members supporting protections against AI-driven exploitation and some discussion about viral content and consent. Another bill would allow limited access to a decedent’s email accounts, with one witness describing a family’s inability to use a deceased relative’s email to notify friends. The committee then took testimony on psilocybin-related bills: supporters described medical and personal benefits and argued for narrow decriminalization or study, while an opponent warned of public-health risks, impaired driving, and youth exposure; the Massachusetts Psychiatric Society supported limited, safety-based decriminalization. Finally, the committee heard strong support for a “safe reporting” bill for sex workers and trafficking survivors, with advocates saying immunity would encourage victims and witnesses to report crimes without fear of arrest, and members raised questions about how the immunity would work in practice.

Transcript Highlights:

• In 2024, 2025, 2026, we saw continued enactment of regulations around explicit content.
• In 2024, 2025, 2026, we saw still continued enactment of regulations around explicit content.
• We did see your content. Going to try one more time.
• We did see your content, but you didn't, right? Is that what you said? Right. I didn't.
• We're talking about job creation.

Keywords: 908, all

Transcript Highlights:

• In 2024, 2025, 2026, we saw still continued enactment of regulations around explicit content.
• In 2024, 2025, 2026, we saw still continued enactment of regulations around explicit content.
• We did see your content.” “Going to try one more time.
• We did see your content, but you didn’t, right? Is that what you said?” “Right. I didn’t.
• We're talking about job creation.

Summary: The committee held its first meeting on artificial intelligence and data centers, established a quorum, and heard introductory remarks from Majority Leader Hogue and the chair about the committee’s charge. Members said the goal was to build a factual foundation on AI, hear from experts and stakeholders, and develop practical North Dakota-focused recommendations rather than simply produce a large volume of bills. Legislative Council also reviewed interim committee rules and procedures before the informational presentations began. Staff and NCSL presenters then gave overviews of AI concepts and the state and federal policy landscape. The background memo and presentations covered AI categories and terms, state laws in areas such as consumer protection, algorithmic discrimination, deepfakes, chatbots, children’s safety, health, education, and government use, as well as data center siting and economic impacts. NCSL described a growing number of AI bills introduced and enacted across the states, with comprehensive laws in places like Utah, Colorado, Texas, California, and Illinois, and noted recurring issues around transparency, privacy, liability, and protections for minors. A major focus of the discussion was federal preemption and the tension between state regulation and national AI policy. NCSL said a recent White House executive order and related federal framework seek a light-touch, innovation-friendly national standard, with possible challenges to state laws and possible funding conditions tied to compliance, though no broad federal preemption has yet been enacted. Members asked about Commerce Clause concerns, industry pushback, oversight models, and whether AI policy is bipartisan; presenters said the issue cuts across party lines, with broad agreement on child safety and deepfake restrictions but more disagreement on broader regulatory approaches. No votes or formal actions were taken at the meeting, and the committee recessed briefly for technical issues during the second presentation.

Transcript Highlights:

• explicit content.
• Once created, content is often shared quickly and widely in amplifying the damage.
• Content can be created and distributed instantly.
• It is increasingly difficult to distinguish real from synthetic content.
• In practice, it is often impossible definitively distinguish AI-generated content from real abuse.

Summary: The committee met to approve prior minutes and then heard a presentation from Dr. Ramona Danielson on adverse childhood experiences (ACEs), focusing on the economic and public-system impacts in North Dakota. She explained that ACEs are a population-level measure, not a diagnostic tool for individuals, and said higher ACE exposure is consistently associated with more chronic illness, mental health challenges, child welfare involvement, justice-system contact, and reduced workforce participation. She emphasized that precise dollar estimates are difficult because of the many interacting factors across a person’s life course, but said the direction of the impact is clear and that evidence-based prevention and protective factors can reduce harm. Members asked about definitions of a “healthy family,” same-sex couples, divorce, substance abuse, historical trends in ACEs, and the role of positive childhood experiences and home visiting. The committee then heard from Allison Mahoney and Missy Barranco about evidence-based home visiting programs in North Dakota, including Healthy Families, Early Head Start, Nurse-Family Partnership, and Parents as Teachers. They described home visiting as voluntary, relationship-based, and tailored to family needs, with referrals coming from hospitals, WIC, human service zones, pregnancy navigators, self-referrals, and other community sources. A parent, Abby, shared that home visiting helped her family after premature births and NICU stays by providing support with postpartum mental health, breastfeeding, developmental screenings, referrals, and parenting guidance. The presenters said the programs are funded through a mix of federal MIECHV/Title IV-E dollars, Medicaid targeted case management, state and tribal funds, philanthropy, charitable gaming, and grants, and they noted that current funding is fragmented and insufficient to serve all eligible families statewide. Members discussed whether the state should expand or better fund these services and how to improve outreach and referrals. Later, the committee received a memorandum on artificial intelligence and sexual exploitation, followed by a presentation from a BCI special agent on how AI is already affecting child exploitation investigations in North Dakota. The memo and testimony described AI-generated child sexual abuse material, deepfakes, sextortion, and risks posed by chatbots, along with relevant federal and state law and recent executive orders. The agent said North Dakota saw 2,698 cyber tips in 2025, the highest on record, and that investigators are increasingly encountering AI-assisted exploitation that is harder to detect and verify. Members discussed the need for child-safety protections, the limits of executive orders, and broader concerns about AI undermining critical thinking and spreading misinformation. No votes were taken on the AI materials during the portion provided, and the committee recessed briefly after the report.

Transcript Highlights:

• It has to be ingrained throughout all content areas. We follow the WIDA standard.
• So we want to integrate our WIDA language development standards framework across our content areas.
• And so we throughout all content areas.
• opportunity and an access in all content opportunity and an access in all content areas<00:53:29.760
• <01:24:53.199> test, take a content test, take a content test, I<01:24:55.280> would

Keywords: 958, all

Summary: The Commission on Race and Access to Opportunity met in September 2025, established a quorum, introduced new member Larry Forester, and approved the minutes from the August 26 meeting. The main presentation came from Warren County Public Schools Superintendent Rob Clayton and Assistant Superintendent Sarah Johnson, who discussed the district’s work serving English language learners and multilingual students, including immigrant and refugee families. They said Warren County now serves roughly 5,500 multilingual students out of about 19,000 total, representing about 92 languages and 90 countries, with 57 certified multilingual teachers, a GO Center, migrant and refugee advocates, and the state’s first international high school. The presenters emphasized that the district welcomes immigrant families and that students and parents generally value public education, but they described major challenges tied to accountability and funding. They explained that multilingual students are tested after one year in the system, even though many need more time to become proficient in English and grade-level standards, and they argued that current graduation-rate rules can unfairly penalize schools when transient students enroll briefly and then leave. They also said the cost of serving this population has risen sharply, with special revenue and especially general-fund spending increasing substantially over the past decade, prompting the district to reallocate resources from EL teacher assistants toward translation technology and additional certified staff. Committee members asked questions about how long-term multilingual students compare with the general student body and whether the district’s data show similar graduation outcomes. Clayton said he did not have the specific comparison data at hand but believed students who stay K-12 generally reach proficiency. He and Johnson asked legislators to consider giving students more time before accountability measures apply and to shift some graduation accountability from individual schools to the district level for highly transient populations, while still maintaining accountability. No formal votes or legislative actions were taken beyond approval of the minutes.

Transcript Highlights:

• Visitor spending fuels job creation, business growth, and vital state and local services across every
• some of the rhetoric, their editors said, for all three of them, they were no longer able to publish content
• of the rhetoric, their editors said, for all three of them, they were no longer able to publish a content

Summary: The Assembly Committee on Arts, Entertainment, Sports, and Tourism held an informational hearing on the state of California tourism amid declining international visitation and broader economic and political headwinds. Visit California CEO Caroline Betetta said the industry remains a major economic driver, with 2024 visitor spending of $157 billion, 1.2 million jobs supported, and $12.7 billion in state and local tax revenue, but warned that 2025 forecasts show the first post-pandemic decline in visitation, driven largely by a projected 9.2% drop in international travel. She cited concerns about the strong dollar, visa wait times, border and immigration rhetoric, and a proposed federal visa integrity fee, while emphasizing Visit California’s marketing campaigns and the importance of upcoming mega-events like the World Cup and 2028 Olympics. A second panel of destination leaders described local impacts and strategies. Visit Sacramento’s Mike Testa said the city has diversified beyond conventions into music festivals, sports, and food events, but noted that international apprehension is affecting events like Terra Madre Americas and that California should do more to incentivize major festivals to stay in-state. Santa Monica Travel and Tourism’s Lauren Salisbury said the city is seeing lower international visitation, especially from Canada, Australia, and Europe, and that wildfire coverage and later federal troop presence in Los Angeles hurt local sentiment and caused cancellations. Yosemite Sierra Visitors Bureau’s Rhonda Salisbury reported steep drops in international visitation to the gateway region, ongoing concerns about wildfire, reservations, insurance costs, and park access, and praised a new federal requirement for quarterly meetings between national parks and gateway communities. San Diego Tourism Authority COO Carrie Verbeck-Cappich said tourism is the region’s second-largest sector, but 2025 is softer than 2024, with spending down despite modest visitation growth. She pointed to weaker Canadian and Asian travel, government-related meeting cancellations, and the need for more support to bid on and host major events; she also highlighted border-crossing delays, insufficient federal staffing at ports of entry, and the Tijuana River sewage crisis as major regional issues. Committee members discussed the effects of federal rhetoric, infrastructure, and cross-border conditions on tourism, and several witnesses urged continued support for Visit California, Brand USA, event incentives, and efforts to present California as welcoming and open. Public comment then opened, beginning with testimony from the California Attractions and Parks Association.

Transcript Highlights:

• region and perhaps most importantly I know that President Drake has been a tireless advocate for the creation
• Reports of anti-Semitic content and incidents in our schools have reached alarming proportions.
• at assisting teachers in developing curricula and instruction aligned with state health education content

Keywords: 988, house, all

Transcript Highlights:

• Generally, these utilities are certificated areas instituted under state law prior to the creation of
• Senate Bill 2440 required TCEQ to establish the form and the content of Groundwater Availability Certification
• are required to deny a plan application when the application does not comply with the TCEQ or its content

Bills: SB863, SB1190, SB1261, SB1413, SB1624, SB1662, SB1663, SB1855, SB1967, SB2124, SB2204, SB1623

Keywords: Edwards Aquifer, water conservation, reclaimed water, aquifer storage, environmental protection, water loss, municipally owned utilities, Texas Water Development Board, administrative penalties, water audit, water infrastructure, water supply, state water plan, water management strategies, water financing, municipal bonds, revenue bonds, public debt, obligations, TWDB

Transcript Highlights:

• 2019, most homeowner insurance companies responded positively to my call, providing at least 75% of contents
• This bill would require insurers to pay 100% of contents coverage without needing a detailed inventory
• A crucial aspect of this initiative is the creation of a data reconciliation tool by my department as

Summary: The committee first heard AB 597, a bill to strengthen consumer protections for disaster survivors who use public adjusters. The author and the Department of Insurance said the measure would cap public adjuster fees at 15% for claims tied to declared disasters, require clearer contracts, prohibit solicitation during emergency conditions, and allow consumers to rescind contracts that were solicited during prohibited periods. Insurance industry groups supported the bill, while public adjuster representatives opposed it as written but said they were willing to work on revisions. The committee approved the bill and re-referred it to Appropriations; the roll call was ultimately recorded as 16-0. The committee then held its fourth oversight hearing on the Department of Insurance’s Sustainable Insurance Strategy, with Commissioner Ricardo Lara giving an extensive update on wildfire-related market reforms and consumer protections. He said the recent Southern California wildfires had not derailed the strategy and described actions including advance claim payments, a one-year moratorium on residential non-renewals in affected areas, a new fraud strike team, smoke-damage claim guidance, additional living expense protections, and a consumer claims tracker. He reported more than $12.1 billion in claims paid, over 37,000 claims filed, and more than 7,000 survivors assisted directly. He also discussed related bills and reforms, including AB 597, SB 495, SB 547, SB 429, SB 616, AB 888, and AB 2026. Members questioned the commissioner about the Fair Plan’s growing exposure, the $1 billion assessment, rate increases, non-renewals, underinsurance, and whether the reforms would actually stabilize the market. Lara said the assessment was already approved, that policyholders would not be hit with one large bill because insurers have two years to recover costs, and that the department was pushing insurers to use catastrophe modeling and reinsurance tools in exchange for commitments to write more policies in wildfire-distressed areas. He said the department expects to see market stabilization by 2026, though he emphasized the timeline depends on insurer participation, implementation of the new regulations, and future disaster activity. Members generally expressed support for the goals of the strategy while pressing for clearer expectations for consumers and faster action on mitigation and market reform.

Transcript Highlights:

• More and more content is being put behind paywalls, and PBS is one of the only sources of children's
• More<01:09:35.440> and<01:09:35.679> more<01:09:36.000> content<01:09:36.480>
• <01:10:19.120> for highquality educational content for highquality educational content for
• These two are your children, the delight of your creation.
• the delight of your creation. the delight of your creation.

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, June 5, 2025, 1012, house, all

Transcript Highlights:

• that has been signed into law in Georgia, which puts some safeguards in place, some restrictions on content

Bills: SB1521, SB372, SB1232, SB1307, SB1338, SB1390, SB1451, SB1463, SB1558, SB1567, SB1595, SB1621, SB1734, SB1749, SB1827, SB1833, SB1991, SB1992, SB63, SB2063, SB2180, SB1198, SB80

Keywords: artificial intelligence, AI, generative AI, chatbot, conversational AI, companion AI, AI companion, virtual companion, chatbot regulation, minor safety, child online safety, parental controls, content moderation, self-harm, suicidal ideation, crisis intervention, mental health claims, romantic AI, emotional dependence, app store

Transcript Highlights:

• trans brothers and sisters. and siblings, and I believe that they are each beautiful, miraculous creations

Bills: SB 10, SB 8, SB 15, SB 12, SB 6, SB 13, SB 9, SB 7, SB 17, SB 4, SB10, SB8, SB15, SB12, SB6, SB13, SB9, SB7, SB17, SB4

Keywords: sex designation, restroom access, civil penalties, private civil right of action, women's privacy, law enforcement, department file, employee records, misconduct, confidentiality, Texas occupations code, election laws, attorney general, prosecution, criminal offenses, criminal prosecution, jurisdiction, hemp, consumable hemp, hemp-derived cannabinoids

Transcript Highlights:

• It rewards broad-based ownership and wealth creation.
• It rewards broad-based ownership, wealth creation for employees, while leaving the door open to every
• where there is an ADAS and level two vehicle involved, that they consider incorporating questions or content

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

Transcript Highlights:

• The bill is introduced by Senator Dorn and relates to courts, the creation of a fund, the transfer of
• continues with provisions involving the State Treasury transferring money to the General Fund and the creation
• This amendment does have content from Senator Brant's bill, LB 1219.

Bills: LB737, LB753, LB788, LB913, LB1055, LB1195, LB1216, LB1256, LB429, LB721, LB722, LB727, LB743, LB745, LB749, LB778, LB787, LB365A, LB823, LB900, LB903, LB940, LB954, LB1127, LB1127A, LB1205, LB1240, LR293, LR296, LR422, LR505, LR507

Keywords: LB737, Olmstead, developmental disabilities, disability services, community-based services, integrated settings, DHHS, Department of Health and Human Services, stakeholder advisory committee, independent consultant, public hearing, legislative oversight, disability rights, community integration, housing, employment, education, transportation, community supports, self-advocacy

Transcript Highlights:

• It was reported that the blood alcohol content was above 0.15.
• this kind, it is not Arizona's custom to make veterans who have been awarded this honor pay for the creation
• I don't like the beloved... custom to make veterans who have been awarded this honor pay for the creation

Bills: HB2051, HB2114, HB2127, HB2134, HB2207, HB2574, HB2700, HB2800, HB2916

Keywords: AHCCCS, lactation care, breastfeeding, health services, healthcare access, motorcycle registration, safety fund, education, awareness programs, low-income scholarships, motorcycle training, special license plates, transportation, funding, nonprofits, charitable contributions, critical infrastructure, foreign adversaries, China, communications

Summary: The Committee on Appropriations met with all members present, approved the March 17, 2026 minutes, and announced its final hearing would be the following Tuesday at 8:30 a.m. The committee first heard HB 2134, the Arizona Critical Infrastructure Protection Act, which would bar state and critical infrastructure entities from contracting with Chinese companies for access to critical infrastructure, prohibit Chinese-produced software and equipment in certain systems, require annual certifications and reporting, and direct the Corporation Commission and DEMA to implement oversight and emergency communications measures. The sponsor and a witness argued the bill was a targeted national-security measure and a companion to federal efforts; concerns were raised about cost, overlap with federal law, and staffing, but the bill received a do-pass recommendation on a 6-4 vote. The committee then considered HB 2051, which would require AHCCCS contractors, subject to CMS approval, to provide breastfeeding and lactation care services in multiple settings. Testimony from lactation consultants, researchers, advocates, and tribal representatives emphasized maternal and infant health benefits, access gaps, and potential Medicaid savings; AHCCCS and ADHS were neutral, with AHCCCS estimating a $1.8 million general fund cost and ADHS saying it could not absorb implementation costs. The committee adopted a 15-page amendment creating a voluntary state certification for lactation care providers and a DHS advisory committee, then passed the bill as amended on a 9-0 vote. HB 2700, creating a technology-first study committee on assistive technology for people with disabilities, also passed unanimously after testimony from disability advocates and a proposed amendment to add minority-party appointments was discussed but not voted on. HB 2800, which increases the penalty for knowingly lending a vehicle to a person with a DUI-related driving restriction if that person causes serious injury or death, drew extensive debate over whether the felony penalty was appropriate when the lender may not know the eventual outcome; after testimony from the sponsor and the victim’s widow, the bill passed 9-1. HB 2114, which uses motorcycle safety fund money for scholarships for rural and low-income riders and requires ADOT to issue motorcycle registrations only when an owner has a class M license, passed 10-0 amid concerns that the license language may need clarification on the floor. The committee then began HB 2127, an omnibus special-plates bill with multiple amendments, but discussion centered on whether one amendment was hostile and whether a community-college plate should be offered later; no final action on HB 2127 was taken in the portion provided.

Transcript Highlights:

• Are we content with a 52-year amortization period? 50 years now, which is an improvement.
• Company creation and attraction engines.
• So part of what we're trying to do to address that is to work with company creation engines, where they

Transcript Highlights:

• The first proposal was Senate Bill 5226, requesting the creation of dedicated residency positions for
• With that, we'll move to the final topic on our agenda today: an update on creation and implementation
• advance of this how much gratitude I would feel in presenting on this topic, particularly given the content

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