Transcript Highlights:

• Secondly, it requires them to provide clear rate and exchange disclosures.
• Secondly, it requires them to provide a clear rate and exchange disclosure.
• So when you're exchanging your cash for virtual currency, what is that conversion rate?
• Crime rates have increased, mental health issues, have seen serious increases there as well.
• You have increased crime rates, you have increased health conditions.

Transcript Highlights:

• So that also includes a 22.6% dementia patient readmission rate.
• If a PBM owns its own pharmacy, it must reimburse independent Missouri pharmacies at the same rate.
• If a PBM owns its own pharmacy, it must reimburse independent Missouri pharmacies at the same rate.
• There will be a flat rate for dispensing the medication plus the cost of the drug.
• And they're the ones negotiating the reimbursement rates with the PBM.

Committee: House Health and Mental Health

Summary: The committee first took testimony on House Bill 1681, which would require health carriers and pharmacy benefit managers to count amounts paid by or on behalf of an enrollee for certain medications toward out-of-pocket maximums when no generic substitute is available. The sponsor described the bill as helping patients with serious illnesses afford needed drugs. The committee then adopted a substitute that rolled HB 1681 together with House Bills 1941 and 2279, including an ERISA-related labor exemption, and passed the combined committee substitute by a vote of 15-2. The committee next heard House Bill 2365, which was also combined with related bills through a substitute that changed terminology to “delivery systems.” That substitute was adopted by voice vote, and the House Committee substitute for House Bills 2365, 2490, and 2249 was then approved unanimously, 18-0. After that, the committee heard House Bill 2149, the dementia care coordinator bill. The sponsor and supporters from the Alzheimer’s Association and family caregivers argued the state needs a central point person to coordinate resources, improve early detection, support caregivers, and connect rural residents to services. Members raised concerns about the fiscal note, whether the work duplicates existing Area Agencies on Aging and Alzheimer’s Association services, and whether two FTEs would be effective statewide. No vote was taken on HB 2149 during the portion provided. The committee also heard House Bill 2309, which would prohibit Missouri insurance coverage for organ transplants or related services involving organs taken from prisoners of conscience in China. The sponsor and supporters framed the bill as a human-rights measure aimed at condemning organ harvesting and abuse of Falun Gong practitioners and other prisoners of conscience. Members asked whether there was documentation of such transplants in Missouri and whether federal oversight exists; the sponsor said there is no reporting mechanism and no known opposition. No action was taken on the bill in the excerpt. Finally, the committee began testimony on House Bills 1975 and 1850, pharmacy benefit manager reform bills. The sponsors said the measures are intended to protect local pharmacies, improve transparency, limit harmful audit practices, and create a critical access pharmacy program. Supporters, including a pharmacy business group, argued PBM practices drive up drug costs and close pharmacies. Opponents, including a carpenters’ health plan representative, warned the bills could increase costs for self-funded plans, limit network and mail-order arrangements, and shift more administrative burden onto plan sponsors. The hearing continued with questions and testimony, but no final vote is shown in the provided transcript.

Transcript Highlights:

• This measure requires dental insurers to file all proposed plan rates and rate changes for dental insurance
• It authorizes the insurance commissioner to disapprove the proposed plan rate if the dental loss ratio
• leaving some members without coverage protection or options, and contributed to increased premium rates
• plan rate if the dental<00:35:35.920><c> loss</c><00:35:36.240><c> ratio</c><00:35:36.560><c> for</c
• </c><00:38:04.480><c> Refund</c> increased premium rates. Refund increased premium rates.

Bills: SB2004 , SB2039 , SB2042 , SB2043 , SB2044 , SB2132

Committee: Senate Commerce and Consumer Protection

Summary: The Senate Commerce and Consumer Protection Committee opened its first hearing of the year with remarks from Chair Jared Kohole outlining hearing procedures, a two-minute testimony limit, rules for remote testimony and decorum, and a revised testimony-publication pilot that keeps 96-hour notice but returns to a standard 24-hour testimony deadline. He then moved through the agenda, beginning with SB 2004 on outdoor advertising, which would increase penalties for violations of billboard and outdoor advertising laws. Testimony on that measure was limited; Henry Curtis of Life of the Land was first up, and written support was noted from Hawaiian Electric and the Outdoor Circle. The committee then heard SB 2039 on election campaign finance, which would prohibit certain business entities from engaging in campaign finance activities. The Attorney General’s office offered comments and did not take a formal position at the hearing. Several proponents testified in support, including Josh Frost, Tom Moore of the Center for American Progress, Hapa/Hawaii Alliance for Progressive Action, and Common Cause Hawaiʻi, all arguing the bill would curb corporate and dark-money influence and return elections to the people. Moore distinguished between regulating corporate “rights” and limiting corporate “powers,” and said the state can redefine the powers it grants corporations. In questions, Senator McKelvey asked whether the bill could be expanded to include unions; the Attorney General said he would need to get back with legal analysis, while Moore said his preferred approach would include all entities and that leaving out nonprofits or unions would create problems. Members also discussed whether the bill would affect PACs, and Moore explained that the proposal would prohibit corporate and dark-money flows into PACs while leaving individual political giving and existing political committees in place. The committee then moved on to the next measure. SB 2042, relating to insurance, was heard next. The bill would reduce the unimpaired minimum capital and surplus required of class 4 sponsored captive insurance companies under certain circumstances. The DCCA Insurance Division said it stood on its written testimony, and the Hawaii Captive Insurance Council testified in support, describing the change as a narrow, risk-based adjustment that would not affect the commissioner’s authority where actual risk resides and would help keep Hawaii competitive. The committee noted additional written support and proceeded without a vote or final action in the portion of the hearing provided.

Transcript Highlights:

• we can prevent psychological damage, self-harm, suicide, and potentially lower the death-in-custody rate
• we can prevent psychological damage, self-harm, suicide, and potentially lower the death-in-custody rate
• </c><00:27:35.039><c> then</c><00:27:35.440><c> requires</c><00:27:36.000><c> third</c> in custody rate
• And then requires third in custody rate.
• our um ACO vacancy rate from I think<00:50:34.400><c> it</c><00:50:34.480><c> was</c><00:50:34.640><

Transcript Highlights:

• requires the Director of the Department of Health and Human Services to seek to establish certain rates
• The Director of the Department of Health and Human Services is to seek to establish certain rates of
• requires the Director of the Department of Health and Human Services to seek to establish certain rates
• Even prior to the recent California wildfires, insurance companies have been submitting rate adjustment
• Faster, more efficient processing of rate approvals is essential.

Transcript Highlights:

• We have a vacancy rate of 30.4% out of 2,615 positions.
• We have a vacancy rate of 30.4% out of 2,615 positions.
• ><c> there</c><00:09:39.640><c> is</c><00:09:40.200><c> there's</c><00:09:40.480><c> a</c> vacancy rate
• /c><00:10:05.600><c> have</c><00:10:05.720><c> a</c><00:10:05.839><c> vacancy</c><00:10:06.160><c> rate
• </c><00:10:06.320><c> of</c> of Staff we have a vacancy rate of of Staff we have a vacancy rate of 30.4%

Committee: Senate Public Safety and Military Affairs

Summary: On the deferred agenda, the Committee on Public Safety and Military Affairs took up SB 1364, which makes emergency appropriations for law enforcement personnel costs, and SB 1452, which relates to the Uniform Controlled Substances Act. The chair recommended both measures pass with amendments, including technical corrections and a committee-report effective date of July 1, 2077. For SB 1364, the amendments included specified general fund and transfer fund amounts for DAGS, the Judiciary, and the Department of Law. For SB 1452, the chair said the bill was being corrected to fix a drug-name error that had been replicated from a federal mistake. Both recommendations were adopted by vote, with Senator Dort excused. The committee then discussed SB 1612, a joint measure on fitness to proceed that would require and appropriate funds for a five-year pilot program involving the Department of Corrections and Rehabilitation and the Department of Health, with interim and final reports to the Legislature. Testimony was mixed: the Judiciary and Department of Health were supportive, while the Office of the Public Defender and the Disability Rights Center opposed it, arguing it conflicted with best practices and the Clark consent order, and that people found not fit to proceed must be sent to the state hospital. DCR said its main concern was that the bill would still require patients to be housed in its facilities, which it said are not rehabilitative and are already strained by staffing shortages and limited access. The bill’s author argued the proposal was meant to create joint custody and reduce the high cost of state-hospital placement, but the committee did not take final action in the portion provided. In the joint hearing with Health and Human Services, the committees heard SB 1322, a broad rewrite of the state mental health code. The Attorney General supported the measure as a comprehensive cleanup and modernization effort, but many testifiers raised concerns. Queen’s Health System and Hawaii Health Systems Corporation supported the concept but warned about emergency-room impacts and asked for amendments; IHS supported the bill with a caveat about assisted community treatment procedures; and the Public Defender, Disability Rights Center, and others opposed parts of it, citing due process, privacy, HIPAA, counsel rights, liability immunity, and the reduction of an involuntary-treatment panel from three clinicians to one psychiatrist. The hearing also covered SB 951 on child protection, where the Department of Defense supported the bill and proposed technical amendments and MOUs with military components to clarify reporting and coordination procedures; DHS and the Attorney General said they were still working through possible changes. Finally, SB 228 on excited delirium was heard, with the Public Defender and Disability Rights Center supporting the bill and arguing the term has been misused and that better police de-escalation training is the real solution.

Transcript Highlights:

• And then grant the PUC discretion to adopt an automatic rate adjustment mechanism that may be applied
• to adopt then grant the PUC discretion to adopt an<00:02:13.200><c> automatic</c><00:02:13.640><c> rate
• </c><00:02:13.800><c> adjustment</c><00:02:14.200><c> mechanism</c> an automatic rate adjustment mechanism
• an automatic rate adjustment mechanism between<00:02:15.880><c> that</c><00:02:16.480><c> uh</c> between
• And this bill reaffirms our performance-based rate making, and changes from the most recent version were

Bills: HB2241 , HB1163 , HB1514 , HB1696 , HB2021 , SB2135 , SB2466 , SB2727 , SB3082 , SB3097 , SB2861 , SCR100 , SB3096 , SB99 , SB2138 , HB2289 , HB2319 , HB1711 , HB2270 , SB3138 , SB3076 , HB1642 , HB2338 , HB2171 , HB1785 , SB2881 , HB2505 , SB2552 , HB1518 , HB1815 , SB3125 , SB3234 , SCR162 , SB2614 , SB3118 , SB2053 , SB2494 , SB2851 , SB3073 , HB1678 , HB1721 , HB2475 , HB2246 , HB1667 , HB1516 , SB2532 , SB3131 , SB3154 , HB2297 , HB1737 , SB2143 , SB2398 , SB2623 , HB1740 , HB1920 , HB1682 , SB2153 , SB3140 , HB2158 , HB1718 , HB2207 , HB1801 , SB3229 , SB2338 , SB3069 , SB2600 , HB2300 , HB1800 , HB1960 , SB2999 , SB2060 , SB2866 , SB2239 , HB1741 , HB1713 , HB2023 , HB2417 , SB2877 , SB2598 , SB2921 , SB2645 , HB2547 , HB2275 , HB2452 , HB2329 , HB2339 , HB1838 , HB1509 , HB1661 , HB2271 , HB2272 , HB2344 , HB1888 , HB1707 , SB2340 , HB2474 , HB1576 , HB1853 , HB1804 , HB1854 , HB2095 , HB2050 , HB472 , SB3215 , SB2247 , SB2400 , HB1618 , HB1802 , HB1969 , HB1541 , HB2310 , HB2498 , HB2443 , HB2218 , HB649 , HB2104 , HB1710 , SB2802 , HB1973 , HB1974 , HB1894 , HB1891 , HB1890 , SB177 , SB2101 , SB3320 , SB2487 , HB2429 , HB1870 , HB1839 , HB2583 , HB1391 , HB2094 , SB2671 , SB2673 , SB2892 , SB2057 , SB3245 , HB306 , HB2592 , SB3157 , SB3204 , SB3324 , SB2580 , SB2074 , SB411 , SB3025 , SB2934 , SB2567 , SB2125 , SB3238 , SB2367 , SB2599 , SB3007 , SB2001 , SB2756 , SB3029

Transcript Highlights:

• state continues to grow, to hold the spending tight, and then to use that growth as a way to buy down rates
• And in this income tax elimination fund, as we buy down, or as we find the ability to have rates come
• And it's when we see fit to lower the rates.
• And it's when we see fit to lower the rates. And this is just giving us a conservative way to do.
• The officer actually suspended the chase, but the fleeing vehicle continued at a high rate of speed in

Bills: HB316 , HB549 , HB646 , HB752 , HB824 , HB873 , HB1129 , HB1157 , HB1170

Committee: House Appropriations

Summary: The House Appropriations Committee met on April 22 and first considered Chairman Beaulieu’s House Bill 646, a constitutional amendment limiting the amount of State General Fund money that may be appropriated in a fiscal year. After adopting a set of amendments creating the Louisiana Income Tax Elimination Fund and making conforming changes, the committee reported the bill favorably as amended. The companion bill, House Bill 824, which establishes the growth limit formula based on CPI, medical CPI, and population change, was also amended and reported favorably as amended. Supporters framed both measures as a way to keep spending within recurring revenues and create a path toward reducing or eliminating the state income tax. The committee then reported favorably as amended House Bill 1157, creating the Louisiana State Infrastructure Fund to help finance infrastructure-related projects, with testimony that it would leverage private and federal dollars and initially focus on rail, port, road, and bridge projects. House Bill 316, which provides a framework for student literacy reforms for grades four through eight, was presented as having no new cost because the Department of Education said the work was already covered by existing resources; it was reported favorably. House Bill 549, creating the Bayou Growth Opportunity Workforce Program to provide employer-based training grants, also received support from business groups and was reported favorably as amended. House Bill 1129, dealing with the sale of state-owned surplus movable property, drew support from Louisiana auctioneers who argued local firms should be allowed to bid on the state’s auction contract instead of relying on an out-of-state vendor; it was reported favorably. House Bill 873, which would fund pursuit intervention technology through a $2 driver’s license fee, generated significant concern about adding fees and whether the money should instead come from existing budgets. After discussion of the proposed technologies and training, the committee deferred the bill voluntarily to work on alternatives, including a possible sunset and other funding options. Finally, House Bill 752, which would change the timing and duration of regular legislative sessions by joint rule, was reported without action after members noted the revised fiscal note showed a decrease in state general fund expenditures. The meeting then adjourned.

Transcript Highlights:

• He also said insurance rates might be favorable if a driver used such a device.
• Representative Boggs continued, saying he had seen language suggesting they are not happy until the accident rate
• almost makes more sense that some of these minor violations would drop off your record at a quicker rate
• In Missouri, 2024 had the highest rate of pedestrian fatalities in state history.
• And yet, even though the fatality rate when you hit somebody on a bicycle was very high, you still have

Committees: House Transportation , House Joint Committee on Transportation Oversight

Transcript Highlights:

• in particular, what I would say is it is my understanding that actually now we have a 0.21% so the rate
• So the rate at which we think of fraud within the system, it is not zero, which is not great, but it
• And we also know our capacity rates at all segments of the higher ed continuum.
• I saw from the statistics that in 2020, violation rate was 79% where they would just drop off alcohol
• opportunities to see that people were following the rules, and the industry responded very well, and that rate

Summary: The Senate Rules Committee met to consider several governor’s appointments, bill referrals, rule waiver requests, and floor acknowledgments. The committee approved multiple non-appearance appointments, including Peter Briar-T to the Southern Low-Level Radioactive Waste Commission, several appointees to the Acupuncture Board, Roy Mathur to the Board of Pilot Commissioners, and Davina Hurt to the California Water Commission; the Water Commission appointment drew a 3-2 vote. The committee also approved bill referrals, two rule waiver requests allowing guests on the Senate floor on March 16 and March 23, and floor acknowledgments, all by unanimous or near-unanimous votes. Afterward, the committee returned to the earlier appointment of Peter Briar-T and added it to the record by roll call. The committee then heard testimony from Lillian Corral, nominated to the California Community Colleges Board of Governors. Corral emphasized her background as a Colombian-born immigrant and first-generation college graduate, and said her priorities would include helping students navigate a changing economy shaped by AI, improving data and digital infrastructure, supporting Vision 2030 goals, and expanding pathways to jobs. Senators questioned her about community college bachelor’s degrees, achievement gaps, dual enrollment, staffing, and her work at New America and the Open Technology Institute, focusing on privacy, student safety, age verification, TikTok, and financial aid fraud. Corral said safety and security should come first, that she supports privacy and technically feasible verification tools, and that the community college system is using identity verification, AI tools, and human review to reduce fraud. The committee voted 3-0 to advance her nomination to the full Senate. The committee also heard from Paul Tupi, nominated to lead the Department of Alcoholic Beverage Control. Tupi described a career in law enforcement and ABC enforcement and said he would focus on public trust, timely licensing, licensee education, community responsiveness, and accountability when alcohol-related harms occur. Senators asked about enforcement against sales to minors, alcohol-related traffic deaths, delivery compliance, agency responsiveness, fund stability, and potential policy changes such as entertainment zones and cocktails-to-go. Tupi outlined ABC’s decoy, shoulder-tap, delivery decoy, and TRACE programs, and said the department also works with local agencies through grants and training. Supporters from the alcohol policy, wine, brewing, and former ABC legal communities praised his open-door approach and enforcement focus. The committee unanimously approved his nomination to move to the full Senate for confirmation.

Transcript Highlights:

• you'll hear from folks from the university and students as well is they have tremendous retention rates
• They have tremendous graduation rates. They serve a ton of first-generation students.
• Western student persistence and graduation rates are among the best for public...
• Western student persistence and graduation rates are among the best for public institutions in the state
• This has severely hindered our ability to recruit and retain first-rate personnel.

Summary: The committee heard public testimony on House Bill 2070, which would create state funding parity for Western Washington University by tying appropriations to a per-student funding ratio. The prime sponsor and Western officials said Western has long been the lowest-funded public four-year institution on a per-student basis, leading to budget cuts, reduced student services, and delayed graduation. Students, faculty, and university leaders testified in support, while some members questioned whether the bill should instead address a broader higher-education funding formula for all institutions. Central Washington University also supported the bill but suggested a broader approach. No vote was taken on HB 2070. The committee then heard House Bill 2671, which would expand eligibility for state financial aid to certain nonprofit out-of-state branch campuses operating in Washington if they meet specified accreditation, duration, and authorization requirements. Rep. Timmons said the bill is intended to help students in an accelerated nursing program at Northeastern University in Seattle access aid and support workforce needs. Northeastern’s dean testified in support, saying the bill would align financial aid law with prior changes to degree-granting statutes and would not increase state spending. The hearing on HB 2671 was then closed. House Bill 2617, dealing with the higher-education “fund split,” drew extensive testimony. The bill would gradually shift more of employee compensation increases and central services costs to state funding, and would require a study of essential student services. The sponsor and many university, faculty, staff, and student witnesses argued that the current funding practice shifts costs to tuition, contributes to layoffs, program cuts, larger classes, and reduced student support, and creates instability across public higher education. Community and technical college representatives also said underfunding COLAs harms operations and students. The committee then moved to executive session on Senate Bill 6258, which would authorize the Washington Medical Commission to create a non-disciplinary pathway for voluntary license relinquishment; the committee approved it 14-0 with a due-pass recommendation, with three members excused.

Transcript Highlights:

• If we're going to take a look at policy, it's up to us to introduce this bill to bring down ER rates
• What I want to share with you is some issues pertaining to addressing defraud the error rate and snap
• So, I, honestly, we've talked about on other bills increasing STD rates in the state of Florida.
• We're leaving it up to the agency who is responsible for the error rate to now come up with a way to
• This doesn't have to happen, especially if the rates that it does.

Transcript Highlights:

• If we're going to take a look at policy and determine how we bring down ER rates and how we take care
• What I want to share with you is some issues pertaining to addressing fraud, the error rate in SNAP,
• you know, honestly, we've talked about on other bills our Representative Bartleman: increasing STD rates
• concerned about how we're going to—we're leaving it up to the agency who is responsible for the error rate
• This doesn't have to happen, especially at the rates that it does.

Transcript Highlights:

• Children under five and adults over 65 face the highest mortality rates from raw milk. Thank you.
• Children under five and adults over 65 faces the highest mortality rates from raw milk.
• Thank you. ...65 faces the highest mortality rates from raw milk.
• Yeah, so do you—how much, I mean, what is your infectious disease rates? Do you know?
• I don't know what infectious disease rates are, and I don't have the numbers with me to tell you how

Bills: SB2122 , SB330 , SB2071 , SB2169 , SB2069 , SB2095 , SB2157

Committee: Senate Agriculture and Wildlife

Summary: The committee first considered Senate Bill 2122, which would give the Oklahoma Department of Agriculture, Food and Forestry more flexibility to allow out-of-state poultry processing when in-state processing is unavailable. Supporters said the bill would help poultry producers who face short processing windows and lack sufficient in-state capacity, while opponents raised questions about food safety and environmental standards. The bill passed 13-0. The committee then took up Senate Bill 330, as amended, to help the Oklahoma State Veterinary School Committee study and support the state’s growing elk herd in western Oklahoma. An amendment updated dates and removed a fiscal section, and the bill passed 11-2. Senate Bill 271 followed, updating dairy regulation authority from milk from cows and goats to milk from all hoofed mammals and increasing the milk production fee from one cent to two cents per hundredweight. The Department of Agriculture said the change was needed to preserve Grade A status, maintain interstate milk shipping, and cover program costs without subsidizing the dairy program from poultry fees. After extensive debate over fees, federal pressure, raw milk safety, and state sovereignty, the bill passed 8-7. Later, the committee approved Senate Bill 2169, which creates a framework for managing invasive woody species and cedar removal on state lands to improve forage, reduce wildfire risk, conserve water, and increase school land revenues; it passed 12-1. Senate Bill 269, addressing baiting in migratory bird hunting and related penalties for guides, also passed 12-1. Senate Bill 2095, setting fees and fines for hunting guides and outfitters, passed 12-1 after questions about misdemeanor versus felony penalties. Finally, Senate Bill 2157, creating a Southeast Scenic Rivers framework, passed 8-5 after testimony that it would protect water resources and avoid federal scenic river designation, while critics argued it could expand government and affect property and agricultural rights.

Transcript Highlights:

• NCLEX scores at Tallahassee State College, saying they were “very distressed” and that a 69% passage rate
• workshop, and as we have our priorities, our priority number one is improving our student success rate
• And as we have our priorities, our priority number one is improving our student success rate.
• of the things that... ...our priorities, our priority number one is improving our student success rate
• And this is especially true in nursing, where UNF's NCLEX first-time pass rate of 94% exceeds the national

Summary: The Appropriations Committee on Higher Education convened with a quorum and first took up CS for SB 1694 on technology education. The bill would require technology-integrated postsecondary general education core courses to include digital literacy and competency instruction, including use of artificial intelligence tools, and would encourage high school computer science courses that include AI to teach how AI systems use data, their benefits and limitations, and responsible use in academic and personal settings. The bill sponsor and several supporters emphasized preparing students for an AI-driven workforce while teaching critical evaluation and ethical use; one speaker raised concerns about overreliance on AI and the need to preserve real-world skills. Senator Davis supported the measure and suggested introducing similar instruction earlier, possibly in middle school. The committee voted the bill favorably, with Senator Leak later recorded in the affirmative. The committee then heard a large block of confirmations for higher education boards, including appointees to Tallahassee State College, the University of South Florida, the University of North Florida, Palm Beach State College, the College of the Florida Keys, Hillsborough College, Miami-Dade College, Florida A&M University, Florida Gulf Coast University, Florida International University, New College of Florida, Florida Polytechnic University, and the University of Florida. The appointees generally highlighted backgrounds in education, health care, law, business, technology, and public service, and described priorities such as student success, workforce alignment, affordability, fiscal responsibility, and institutional growth. One nominee to Tallahassee State College was asked about low NCLEX pass rates and said the college had a plan approved by the Florida Board of Nursing. Another nominee discussed Florida Poly’s STEM mission, and several members praised the nominees’ community ties and professional experience. After hearing the appointees, the committee voted to report the block of confirmations favorably to the Ethics and Elections Committee. The committee then received a high-level overview of the higher education budget, totaling $11.9 billion, with major emphasis on workforce training and development. Highlights included increases for school district workforce education, the Florida College System, workforce development capitalization, a rural educator recruitment program, funding for the USF Center for Nursing, preeminent research universities, UCF’s community school grant program, UF’s literacy and math initiatives, UF’s autism and neurodevelopment center, and a postsecondary guardian program for campus security. Members asked a brief question about a workforce fund transfer, and the chair explained it was a transfer of an existing program with new funds added. No public comment was offered, and the meeting adjourned.

Transcript Highlights:

• Madam Chair, Senator Block, I haven't looked at the rates for comparison for state by state, but I can
• different offices, and they said something interesting to me: securing the border has helped bring that rate
• But we've also seen the rise in overdose rates.
• And we still have high rates of... ...ever experienced in this country.
• And we still have high rates of infectious disease in places where we don't have these types of harm

Summary: The committee first took up House Bill 12, the physical therapy licensure compact. The sponsor and supporters said the bill would increase access to care and help recruit physical therapists in New Mexico, especially in rural areas and for neurodivergent patients. Support came from the Greater Albuquerque Chamber of Commerce, Desert States Physical Therapy Network, Think New Mexico, the state Health Care Authority, and Americans for Autism Advocacy. A trial lawyer raised concerns about immunity, venue, and loser-pays language, and committee members discussed whether New Mexico-specific amendments would be accepted by the compact commission. Two amendments were adopted, including clarifying language on background checks, data, federal court standing, and repeal procedures, plus an immunity-related amendment. The bill was then reported out with a 9-0 due pass recommendation. The committee then considered House Bill 10, the physician assistant interstate compact. Supporters again emphasized workforce shortages, telehealth access, and the need to join the compact to qualify for Rural Health Transformation Program funding. The Health Care Authority said the compact was part of New Mexico’s commitments tied to federal funding, and a trial lawyer again raised concerns about loser-pays language. Two amendments were adopted to clarify New Mexico’s authority over reproductive and gender-affirming care issues, confidentiality of New Mexico licensee data, joint investigations, and contingent repeal procedures. After discussion about malpractice exposure, oversight, and the need for compact commission approval of language changes, the bill received an 8-0 due pass recommendation. House Bill 34, dealing with school nurse licensure provisions, was presented as a cleanup bill to clarify implementation issues from last session. The changes would add charter schools, align contract language with teacher contracts, and adjust supervision and evaluation rules for tiered school nurses in small districts. The New Mexico School Nurses Association supported the bill, and it passed unanimously with an 8-0 due pass recommendation. The committee also heard Senate Memorial 21, which would direct the Department of Health to study overdose prevention centers and other harm reduction strategies. Supporters from the ACLU, All Safe New Mexico, the Drug Policy Alliance, and Families and Youth Innovations Plus argued that New Mexico’s overdose crisis remains severe and that evidence-based interventions could save lives and connect people to treatment. The Department of Health provided background on overdose trends and said it was neutral but available for technical questions. After discussion about fentanyl trends, drug prices, and public health approaches, the memorial was approved on a 7-1 due pass vote. The committee also announced that Senate Bill 130 would be rolled over to Sunday’s meeting because a new substitute needed review.

Transcript Highlights:

• In my area, we have some of the highest rates of trafficking. I have the airport area.
• the Secretary will read: An act relating to promoting transparency in certain industrial insurance rate
• Well, this bill requires the Department of Labor and Industries to publish the actuarial indicated rate
• for each workers' compensation risk classification as part of its proposed premium rates.
• Risk classification is part of its proposed premium rates. It's a good transparency bill.

Summary: The Senate began by advancing to the Eighth Order of Business and adopted Senate Resolution 8683 honoring the Seattle Seahawks for their 2025 championship season. The resolution and floor remarks celebrated the team’s 14-3 regular season, NFC West title, playoff run, Super Bowl 60 victory, and community involvement. Senators from both parties offered supportive remarks about the team’s leadership, teamwork, and impact across Washington, and the resolution was adopted unanimously. The chamber then welcomed Seahawks representatives and former player/play-by-play announcer Steve Rable to the rostrum for recognition and photographs. The Senate then considered and passed several bills, including SB 6084 clarifying that a person may not vote more than once in the same election across states; SB 5977 requiring publication of child near-fatality reviews; SB 5985 on endometriosis awareness and research; SB 6046 placing the Civil Air Patrol within the Military Department; SB 6291 extending septic inspector training supervision from two to four years; SB 6707 directing a WSIPP study of DCYF screening tools; SB 6183 ensuring rapid coverage for HIV antiviral drugs; SB 5956 restricting harmful uses of AI, surveillance, and automated discipline in public schools; SB 5820 concerning freight rail-dependent use overlays in Clark County; SB 5936 strengthening remedies and protections for human trafficking survivors; SB 6269 modernizing the motor fuel definition to include gaseous fuels such as hydrogen; SB 6226 protecting audiologists’ clinical autonomy; SB 6025 updating fetal death gestational-age calculations to use more accurate methods; SB 6058 giving Labor and Industries discretion in wage enforcement and adopting a transparency amendment; and SB 6136 requiring publication of actuarial indicated workers’ compensation rates. Most bills passed with broad support, though SB 5956 on AI in schools drew the most debate and passed 35-13. SB 5820 also drew a split vote, with supporters arguing it would restore environmental protections in Clark County and opponents warning it would undermine rail-related economic development and existing investments. SB 6084 passed 47-1, and the remaining measures passed overwhelmingly or unanimously. The Senate then recessed for caucus.

Transcript Highlights:

• Washington are paid on average about 88% of Medicare by commercial payers, compared to much higher rates
• This matters because providers cannot legally compare or discuss their individual rates with one another
• It does not set rates. It doesn't change contracts.
• provider type, for youth and adults, what mental health access actually looks like: network participation rates
• This bill doesn't mandate new coverage or set payment rates. It simply shines a light.

Summary: The Senate Health and Long-Term Care Committee first met in executive session and advanced five bills out of committee. SB 5999, as amended by a substitute, would let rural counties under 100,000 population appoint an APRN or physician assistant as an acting local health officer; SB 5185 would create a pathway for international medical graduates to physician licensure through a Washington Medical Commission pilot; SB 5845 would revise timely payment rules for health carriers, including longer acknowledgment and payment timelines and clarifications on scope; SB 6071 would standardize overpayment recovery timelines for carriers; and SB 6258 would create a non-disciplinary pathway for relinquishing Washington Medical Commission licenses. Each bill received a due pass recommendation and was sent to Rules, with the bills passed subject to signatures. The committee then heard SB 6226, which would protect the clinical autonomy of audiologists and ensure hearing-instrument and communication-device rules are applied consistently across care modalities, including telehealth. Testimony was overwhelmingly supportive, emphasizing access for rural and mobility-limited patients and the importance of teleaudiology, though one association cautioned the bill could affect broader regulatory authority. The hearing closed with 54 pro, zero con, and two other sign-ins. Next, the committee heard SB 6305, the Truth in Mental Health Coverage Act, which would require carriers to submit standardized annual data to the Office of the Insurance Commissioner on mental health and substance use disorder coverage, access, utilization, reimbursement, and network participation, with public posting in raw and dashboard form. The sponsor and supporters said the bill would improve transparency and accountability without changing benefits, while opponents argued it could duplicate recent parity reforms and add administrative burden. The hearing closed with 396 pro, two con, and zero other sign-ins. Finally, the committee heard SB 5924, a proposed substitute expanding pharmacists’ prescriptive authority for certain limited conditions and products, including some preventive and minor-illness treatments, and allowing limited diagnosis within defined bounds. Supporters said it would improve access, especially in rural and underserved areas, reduce administrative barriers from collaborative drug therapy agreements, and align with the sunrise review; opponents, including the medical association, said the bill went beyond the review and needed more time, while some testimony raised concerns about psychiatric prescribing. The hearing closed with 279 pro, six con, and four other sign-ins, and the committee adjourned after concluding its business.

Transcript Highlights:

• So if you know of anything that you can share, special rates to OFM under existing policies of ceilings
• So if you know of anything that you can share, special rates to OFM under existing policies of ceilings
• impacted so far by budget reductions is that usually we've been able to maintain a 54% acceptance rate
• I think that would make a lot more sense, but at any rate, passing this bill would be a big win for transparency
• But at any rate, passing this bill would be a big win for transparency overall.

Bills: SCR8406 , SB5825 , SB5842 , SB5863 , SB5840

Committee: Senate State Government, Tribal Affairs & Elections

Keywords: civic health, community engagement, committee reestablishment, public participation, governance, Washington State Leadership Board, WSLB, gift acceptance, grants, endowments, private funding, public funding, fundraising, state board, youth leadership, civic engagement, leadership development, Washington World Fellows, sports mentoring, Boundless Washington

Transcript Highlights:

• House Bill 13, an act relating to the individual income tax rate. Representative Burke.
• House Bill 13, an act relating to the individual income tax rate. Representative Burke.
• act relating to the individual<00:28:45.840><c> income</c><00:28:46.240><c> tax</c><00:28:46.559><c> rate
• </c> individual income tax rate. individual income tax rate. Representative<00:28:47.600><c> Burke.