Transcript Highlights:

• Okay, so how long did you practice to say those so good? I mean, seriously. A while.
• And so it's changed longstanding practice.
• music therapy. for certain applicants for a license to practice music therapy.
• I am a PA practicing in rural emergency medicine here in Washington State.
• So that clarifies ARNP roles to national best practices.

Bills: HB2540 , HB2113

Committee: Senate Health & Long-Term Care

Keywords: emergency medical services, EMT recertification, healthcare, first responders, public health, radiologic technologists, diagnostic imaging, healthcare regulation, professional supervision, state licensing

Transcript Highlights:

• Where do you practice? Dr. Chestnut: I practice with Dutch Pet Health.
• Senator Leach: So you practice there? Dr. Chestnut: I practice there as well. I do.
• Madam Chair, no practice is perfect.
• Madam Chairwoman, Senator Epstein, as you can imagine, like any practicing dental practice, we do get
• Madam Chairwoman, Senator Epstein, as you can imagine, like any practicing dental practice, we do get

Summary: The Committee on Regulatory Affairs and Government Efficiency approved the February 11, 2026 minutes and then heard several bills. SB 1668, dealing with funeral and disposition timelines and related requirements for unborn children and minors, drew emotional testimony from funeral industry representatives and a parent about burdensome deadlines and problems obtaining signatures from an ex-partner; it also drew opposition over language referencing abortion clinics and reproductive freedom. The committee adopted a due-pass recommendation on a 4-3 vote. SB 1286, on veterinary telemedicine prescription limits, was amended to shorten non-antimicrobial prescriptions to 30 days and allow antimicrobial prescriptions for up to 14 days without an in-person exam; veterinarians and industry representatives were neutral with caution or supportive, while opponents warned about overprescribing and inadequate diagnosis. The amended bill passed 4-3. The committee then passed SB 1235, joining the emergency services personnel licensure interstate compact, on a 7-0 vote, with the sponsor describing it as a reciprocity measure for EMTs and paramedics. SB 1446, which changes dialysis social worker documentation from monthly to quarterly to match federal and most state practice, also passed unanimously after support from DaVita. SB 1515, an Industrial Commission cleanup bill that renames positions, removes obsolete private employment office oversight language, and shifts publication of fee schedules online, was amended and passed 7-0. SB 1678, concerning documentation and oversight in health care institutions and group homes for vulnerable adults, was amended to remove a patient-form requirement and instead require DHS investigation when EMS personnel complain that a DNR was not provided; providers moved to neutral or support after the amendment, and the bill passed 6-0 with one not voting. Finally, the committee began hearing SB 1747, which would require social media platforms to terminate accounts for minors under 14 and certain 14- and 15-year-olds without parental consent and impose age-verification and harmful-content restrictions. Opponents from NetChoice, TechNet, and Meta raised privacy, security, and constitutional concerns and argued for app-store-based parental controls instead, while a parents’ advocate supported the bill as a starting point for child safety. The transcript ends during that hearing without a final committee action on SB 1747.

Transcript Highlights:

• </c><00:09:31.240><c> as</c> that come through Private Practice as that come through Private Practice
• I have eight practicing attorneys.
• or those that are PR practicing or those that are PR practicing<00:15:14.519><c> and</c><00:15:14.680
• </c><00:15:22.320><c> attorneys</c> County I have eight practicing attorneys County I have eight practicing
• </c><00:15:55.759><c> which</c> engage in private practice which engage in private practice which offsets

Summary: The subcommittee met to discuss the guardian ad litem system, including appointment qualifications, training, payment, and whether any changes are needed. Roll was called, the February 25, 2025 minutes were approved, and the chair emphasized that the meeting was informational only and no vote would be taken. Representatives from the Court of Justice, including Chief Justice Deborah Henry Lambert and several family and district judges, testified about how the system has evolved since concerns raised in 2019 about overappointment and fees. Court witnesses said the judiciary responded to earlier concerns by requiring open appointment lists of trained and qualified attorneys, improving training, and increasing oversight of fee orders. They reported that statewide GAL fees have fallen from a little over $14 million in 2019 to about $12 million, even as caseloads have grown, and said the average payment works out to about $650 per case, with the statutory cap for trial-level GAL fees still set at $500 since 1986. They argued that the current local appointment model works well, especially in rural areas, and warned that moving to a DPA-style regional model would create serious scheduling and conflict problems because of overlapping dockets and related criminal cases. Judges from rural districts described shortages of available attorneys, high burnout, travel burdens, and the difficulty of finding enough counsel in smaller counties. They also said the Court of Justice cannot seek certain federal Title IV-E reimbursements, but urged the legislature to encourage the Finance and Administration Cabinet and the Cabinet for Health and Family Services to pursue that funding through an MOU. One judge noted that some appointed attorneys are effectively underpaid relative to private rates and that better compensation would help attract and retain lawyers. The discussion also covered training standards adopted after the 2019 audit. Witnesses said Rule 37 now requires initial training and four hours of multidisciplinary continuing training every two years, with topics including child development, trauma-informed care, substance use, child welfare, forensics, ethics, and communication with clients. They said the Court of Justice has offered in-person regional trainings and remote options, and that the goal is to keep qualified attorneys on the appointment lists while improving representation for children and parents in dependency, neglect, abuse, and termination-of-parental-rights cases.

Transcript Highlights:

• While perhaps uncommon, these practice exams... ...these practice exams, unrelated to the procedure that
• for unconscious practice exams.
• We train doctors who practice where they train.
• They also can practice in acute care.
• best practices.

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health held a hybrid hearing on a wide range of bills focused on patient safety, workforce development, health equity, and access to care. A major portion of the hearing centered on H. 2362/S. 1491, which would require health care providers to offer trained chaperones for sensitive exams. Sponsors and supporters said the bill is a common-sense safeguard prompted by cases of physician sexual abuse, and survivors gave emotional testimony describing grooming, isolation, and abuse during exams when no chaperone was present. Support also came from a health services researcher, a physician, and a RAINN representative, all arguing that trained chaperones and clearer documentation would improve transparency and protect patients. Committee members asked about clarifying who may serve as a chaperone and whether the bill would apply to other clinicians such as PTs and OTs. The committee also heard testimony on H. 2401/S. 1485, which would require explicit informed consent for certain educational exams performed on unconscious patients. The bill’s supporters said patients should know in advance if students or physicians will conduct non-medically necessary exams while they are under anesthesia, and that the measure would protect survivors from retraumatization. The hearing then moved to H. 2537, a primary care access bill. Health Care for All, the Massachusetts Medical Society, pediatric and internal medicine physicians, and a patient advocate described long waits, provider shortages, and difficulty finding primary care, especially for low-income people and people of color. They supported the bill’s proposed primary care spending target, payment reforms, Medicaid graduate medical education funding, and a commercial payment floor for health centers. Another set of bills addressed workforce and safety issues. H. 2397/S. 1593 would establish a nursing workforce center; nursing leaders said Massachusetts should make the current workforce council permanent to support data collection, apprenticeships, and long-term planning for the state’s largest health care workforce. H. 2396/S. 1535 would require safe patient handling and mobility programs in health facilities; nurses described serious injuries from lifting patients and said better equipment and programs would reduce staff injuries and improve patient outcomes. H. 2501/S. 1505 on LGBTQ+ health disparities drew support from a medical student and Doctors for America, who urged collection of sexual orientation and gender identity data to improve care and school outcomes. Finally, H. 2448/S. 1522 on patient safety and equitable access to care drew strong support from nursing organizations and individual nurses who described unsafe staffing, burnout, and patient harm, while the Massachusetts Association of Behavioral Health Systems opposed the bill as redundant for psychiatric facilities already regulated by the Department of Mental Health.

Transcript Highlights:

• practice.
• practices.
• Most practices cannot afford these costs on their own.
• Corporate practice of medicine doctrine isn't a new idea.
• The momentum to end this practice is clear and growing.

Bills: SB6294 , SB6211 , SB5650 , SB6033 , SB6297 , SB6343 , SB6067 , SB6082 , SB6323 , SB6324 , SB5862 , SB5923 , SB6151

Committee: Senate Ways & Means

Keywords: local government finance, Washington state, RCW, real estate excise tax, REET, sales and use tax, property tax levy, county tax, city tax, affordable housing, housing services, behavioral health, mental health, developmental disabilities, children and families services, youth services, utility tax, low-income utility assistance, veterans assistance, homelessness

Transcript Highlights:

• These delays have been allowed to practice, and there's delays in patients from getting care.
• Certified midwives have been practicing in some states for upwards of 30 years.
• Certified midwives have been practicing in some states for upwards of 30 years.
• Certified midwives have been practicing in some states for upwards of 30 years.
• </c><00:10:52.959><c> for</c> midwif fre scope of practice for midwif fre scope of practice for certified

Committee: Senate Health and Human Services

Transcript Highlights:

• </c><00:10:10.160><c> Act</c> approach of the data Practices Act approach of the data Practices Act restoring
• </c> of money to deal with data practices of money to deal with data practices requests<00:15:43.000>
• </c> budget to deal with any data practice budget to deal with any data practice requests<00:16:31.040
• It doesn't create any additional data practice requests.
• </c> or 1365 which is the the data practices or 1365 which is the the data practices section<00:56:26.039

Transcript Highlights:

• That was a change in practice. It was not a change in law, it was a change in practice.
• McGarry's testimony about how it works in practice is that, in practice, we know each other and send
• They cannot practice here.
• In practice, it has not been at all.
• practice area.

Bills: HB3000 , HB2622 , HB2283 , HB541 , HB1776 , HB1803 , HB1669 , HB2588 , HB220 , HB3415 , HB50 , HB1314 , HB 107 , HB220 , HB50 , HB107

Committee: House Public Health

Keywords: ambulance service, rural healthcare, grants, financial assistance, qualified counties, mental health, patient transport, female attendants, security measures, healthcare regulation, epinephrine, anaphylaxis, health care, school safety, training, emergency response, direct patient care, healthcare, physicians, medical services

Transcript Highlights:

• House Bill 649, autonomous practices by CRNAs.
• Vice Chair, House Bill 649, Autonomous Practices by CRNAs.
• Nursing Practice in Nurse Anesthesiology program at USF.
• There are really only five states that have true independent practice.
• We can argue about scope of practice and whether this is it or it isn't.

Summary: The Health and Human Services Committee heard a lengthy agenda of health care and public health bills. The first major item was HB 649, which would remove the paper supervision protocol for certified registered nurse anesthetists (CRNAs) and allow autonomous practice. The sponsor and supporters argued it would improve access, especially in rural areas, address workforce shortages, and reduce costs, while opponents from the medical community raised patient safety concerns and argued it would weaken physician oversight. After extensive testimony and debate, the committee reported the bill favorably by a vote of 18-7. The committee then unanimously advanced several other measures. HB 259, creating a special observance for fentanyl awareness and education, passed 23-0. HB 791, which codifies infant safety devices as an option for surrendering newborns and amends safe-haven law, passed as amended 25-0. HB 355, allowing schools to use FDA-approved emergency opioid antagonists rather than only naloxone, passed 26-0. HB 1119, requiring hospitals with emergency departments to adopt pediatric readiness policies, training, coordination, and assessment requirements, also passed 26-0 after two amendments. HB 431, changing the date for level-two background screening of athletic coaches to July 1, 2026, passed 26-0. Later, the committee approved CS for HB 907, the Florida Institute for Pediatric Rare Diseases or “Sunshine Genetics Act,” which would establish an opt-in newborn genome sequencing program at FSU and a statewide consortium for rare disease research; supporters emphasized earlier diagnosis and cost savings, and the bill passed 25-0. CS for HB 519, aligning state law with federal law on controlled substances for paramedics, passed 25-0. Finally, CS for HB 723, requiring the Department of Health to provide early-detection materials for type 1 diabetes to families of young schoolchildren, passed as amended 26-0. The meeting adjourned after all bills were reported favorably.

Transcript Highlights:

• The bill clarifies that a housing policy or practice may violate the Delaware Fair Housing Act when it
• Number two, a respondent may demonstrate that the challenged practice serves a substantial, legitimate
• practices, occupancy standards, screening policies, and land use decisions.
• housing practices covered under Delaware's Fair Housing Act.
• Fair housing principles as any other practice.

Committee: Senate Housing & Land Use

Summary: The Senate Land Use Committee met in hybrid format but did not have a quorum, so it did not approve minutes or take formal votes. The committee first heard House Bill 457, which would raise the appraisal threshold for certain DELDOT real property dispositions from $10,000 to $25,000 to match federal highway standards and reduce the time and cost of selling small surplus properties. There was little discussion and no public comment on that bill, and the chair indicated it would be circulated. The committee then took up House Bill 451, which would codify a disparate impact framework under Delaware’s Fair Housing Act. The bill was described as clarifying that housing policies or practices can violate the law even without discriminatory intent if they have an unjustified discriminatory effect on a protected class, using a burden-shifting test similar to federal law. The sponsor and DHSA said the measure was intended to preserve fair housing protections amid uncertainty at the federal level, and an additional amendment was discussed that would delay implementation for 180 days and require DHSR, with DSA and stakeholders, to conduct outreach, education, and training. Public testimony was divided. Supporters, including Housing Alliance Delaware, YWCA Delaware, and the Delaware Human and Civil Rights Commission, said the bill would protect against discriminatory outcomes, align state law with longstanding fair housing principles, and preserve recourse if federal enforcement changes. Opponents and housing-provider groups, including the Delaware Association of Realtors, Greater Wilmington Housing Providers, and the Delaware Apartment Association, argued the bill could create liability for neutral policies, rely on statistical outcomes landlords cannot easily measure, and increase litigation and costs; several asked for more time, a right-to-cure process, or further amendments. The committee adjourned without taking a formal vote.

Transcript Highlights:

• Dentistry is considered to be the practice of veterinary medicine.
• Dentistry is considered to be the practice of veterinary medicine.
• in practice.
• Going to practice when you're out in practice. Continue. Thank you, Mr. Chair.
• Just left acceptable livestock practices.

Summary: The conference committee on House/Senate Bill 2129 met to resolve the House amendment to the Senate-passed bill, which concerns exemptions related to veterinary practice. The main dispute centered on the House language adding terms such as “specialized or holistic trade” and expanding exemptions to include acupuncture/acupressure and non-veterinary dentistry, while the Senate preferred a narrower, more definitive list of exempt activities. Senators and House members discussed whether the word “includes” made the exemption open-ended, and whether equine dentistry should be treated as veterinary medicine or allowed as a separate practice. Testimony from Dr. Sarah Lyons of the North Dakota Board of Veterinary Medical Examiners and veterinarian Troy Dutton emphasized that dentistry, including equine dentistry, is generally considered the practice of veterinary medicine and can involve invasive procedures and animal safety risks. They argued the House amendment lacked educational or licensing requirements and could allow untrained individuals to perform procedures such as dentistry or acupuncture. House members raised concerns about rural access, shortages of veterinarians, and the practical reality that some horse owners and equine practitioners currently perform float work and similar services. After extended discussion, the committee did not reach agreement. Members noted that the House amendment language differed from the Senate version on the key exemption provisions, and that further review of proposed alternative language would be needed. A motion was made and approved by roll call that the committee was unable to agree at this time and would schedule another meeting. The meeting was then adjourned pending rescheduling.

Transcript Highlights:

• Our state's reentry to practice requirement is two years.
• two-year restricted license allowing independent practice.
• Are they practicing?
• Go to practice from other countries.
• and want to practice in small-town New Mexico?

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• Okay, so how long did you practice to say those so good? I mean, seriously. A while.
• And so it's changed long-standing practice.
• I am a PA practicing in rural emergency medicine here in Washington State.
• And now I serve as Director of Advanced Practice at the Washington State Board of Nursing.
• So that clarifies ARNP roles to national best practices.

Summary: The Senate Health and Long-Term Care Committee held a Friday morning hearing with several House bills and then took executive action on three measures. In executive session, the committee voted do pass on Engrossed Substitute House Bill 2242, Substitute House Bill 2152, and Engrossed Substitute House Bill 2168, sending the first two to Rules and the overdose-mapping bill to Ways and Means. The committee also waived the five-day notice rule for several bills on the agenda. Public hearings focused on hospital inspections, continuing care retirement communities, radiologic technologist supervision, music therapy licensure, nursing regulation, ambulance billing after motor vehicle accidents, and EMT recertification. Representative Macri presented HB 2577 to require hospital inspections at least every 18 months, allow limited pauses during emergencies, and clarify when CMS or accrediting-body surveys may substitute for state inspections; DOH supported the bill, citing JLARC recommendations, while many people signed in opposed. Macri also presented Second Substitute HB 2384, which would require actuarial analysis review for certain CCRCs; OIC supported the transparency goal, while CCRC representatives opposed the added cost, though residents and association witnesses argued the oversight would protect seniors and their life savings. Representative Engel’s HB 2113 drew strong support from radiology, hospital, and provider groups for allowing virtual direct supervision for IV contrast procedures and aligning state law with CMS practice. Representative Ryu’s HB 1187 would bar ambulance services from sending motor-vehicle-accident medical debt to collections for 120 days; she described a personal experience with an ambulance collection issue, and the hearing was closed after no testifiers appeared. Representative Reed’s HB 2363 would let music therapy applicants practice under supervision for up to six months while exam results are processed; music therapy witnesses said it would prevent workforce gaps. Representative Simmons’ HB 2339 would update nursing title and transcript requirements and allow the board to issue interim permits directly, with the Board of Nursing and ARNP groups calling it a technical cleanup. HB 2540 would extend EMT recertification intervals to six years for long-tenured EMTs, and firefighters supported it as an administrative simplification without changing training requirements.

Transcript Highlights:

• I've also worked a little bit in private practice for a few years.
• I've also worked a little bit in private practice for a few years.
• They have to have this certification in order to practice and utilize their skill sets.
• I think maybe we were captured in this bill potentially by accident based on our practice model.
• This is not a small facet of our practice, and we already have three team members.

Summary: The committee first heard Senate Bill 5899, which would create a chiropractic license endorsement allowing qualified chiropractors to perform chiropractic diagnosis and adjustments on non-human animals. The sponsor described it as a complementary tool to veterinary care, especially in rural areas with limited access to veterinarians. Testimony was mixed: supporters said the bill would expand access to animal chiropractic with training, certification, and veterinary referral to non-chiropractic issues, while opponents from the veterinary community warned about animal and public safety, disease detection, and the lack of a required veterinary referral. The hearing on SB 5899 was suspended and later reopened; testimony concluded with strong support from animal chiropractic practitioners and opposition from veterinarians, and the committee noted 57 signed in pro, 4 con, and 1 other. The committee then held a work session on dental workforce shortages. Presenters from the CORA Foundation, the University of Washington Center for Health Workforce Studies, tribal dental programs, and the Washington State Dental Association described major access gaps, especially for Apple Health enrollees, rural communities, and communities of color. They highlighted low preventive-care utilization, high rates of untreated decay, workforce vacancies for hygienists and assistants, and the value of career ladders such as community health aides and proposed oral preventive assistants. Several speakers emphasized that training pathways, retention, and sustained Medicaid reimbursement are key to improving access and keeping providers in the system. Senate Bill 6138, requiring a multi-provider system for dental procedures performed under deep sedation, drew testimony centered on patient safety after recent deaths in dental settings. The sponsor said the bill responds to a pattern of tragic incidents and would ensure one person is dedicated to monitoring sedation. Supporters from anesthesiology and some oral surgery groups backed stronger monitoring requirements, while oral surgeons and dental representatives argued the current rules already require multiple trained personnel and that the bill could reduce access and increase costs, especially in rural and Medicaid-serving practices. The committee then heard Senate Bill 6072, which would update veterinarian-client-patient relationship rules to allow telemedicine-based relationships and limited telehealth services; animal welfare and veterinary telehealth advocates supported it as an access-to-care measure, while the veterinary association sought clearer guardrails and federal-law language. Finally, the committee heard Senate Bill 6094 on pediatric transitional care services, which would create a Medicaid payment pathway and related program changes for residential care for substance-exposed infants; supporters said the model helps infants and parents, improves outcomes, and is financially unsustainable under current funding, and the hearing began with testimony in favor before time expired.

Transcript Highlights:

• </c><00:11:01.760><c> of</c> medications and overall uh practice of medications and overall uh practice
• </c> how they couldn't leave their practice how they couldn't leave their practice to<00:16:56.199><c
• a reasonable practice in the practice<00:19:36.159><c> of</c><00:19:36.320><c> medicine</c><00:19:36.760
• ><c> that</c><00:19:36.880><c> if</c><00:19:37.000><c> your</c> practice of medicine that if your practice
• </c> to put some rules around this practice to put some rules around this practice uh uh uh and<00:22

Committee: Senate Health and Human Services

Transcript Highlights:

• I don't practice. I never intended to practice. I wanted to be an organizer for my community.
• In my practice as an attorney, I've been medical malpractice.
• HB 213 moves the practice of this surgery outside of the Medical Practice Act.
• I've also practiced at our centers in Alaska and Montana.
• I'm a practicing optometrist in Gallup, New Mexico.

Bills: HB99 , HJR5 , HM39 , HB206 , HB213 , SB41 , SB153 , SB165 , SB261 , SB264

Committee: House House Judiciary

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• Because I'm having trouble formulating what it would look like practically.
• Well, for instance, somebody is just aged out of a practice, sold their practice, decided that they're
• going to leave the practice.
• So if they've been out of practice for a long time, that could be cause for concern.
• Codified in 1996, a work group was formed to explore something called adjunct best practices.

Bills: SB6258 , SB5963

Committee: House Postsecondary Education & Workforce

Keywords: Washington Medical Commission, medical license, license relinquishment, voluntary surrender, nondisciplinary pathway, physician regulation, health professional licensing, disciplinary database, National Practitioner Data Bank, license renewal, license reinstatement, medical board, professional discipline, credential surrender, healthcare regulation, SB 5963, passport to careers, Washington College Grant, financial aid, higher education

Transcript Highlights:

• </c> institution's best management practices institution's best management practices for<00:41:19.400
• </c> do um GIS map and track all practices do um GIS map and track all practices implemented<00:43:09.680
• </c> wants to know the outcomes of a practice wants to know the outcomes of a practice or<00:43:19.440
• </c><00:45:51.319><c> um</c> adoption of conservation practices um adoption of conservation practices
• It's not going to pay for a practice.

Bills: HF363 , HF2155 , HF1524 , HF821 , HF1677 , HF1292

Committee: House Agriculture Finance and Policy

Transcript Highlights:

• </c> that they felt in these type practices. that they felt in these type practices.
• and to my practice of medicine.
• This may not affect your practice. We don't do legislation just for your practice.
• And there are a lot of practices that this will affect, but it may not affect your practice.
• Chairman, I'd like to ... uh to continue to practice. Thank you. uh to continue to practice.

Summary: The Senate Standing Committee on Health Services met with a quorum and first moved through administrative regulations without comment. The committee then heard Senate Bill 56, sponsored by Senator Gerald Neal, which would require Medicaid and its managed care entities to treat non-opioid pain medications on equal footing with opioid analgesics by prohibiting more restrictive coverage controls, prior authorization, or step therapy for non-opioids. Neal argued the bill would improve access to safer pain treatment options and reduce the risk of opioid use disorder, and Billy O'Brien of Young People in Recovery testified in support, describing personal experiences where non-opioid options were difficult to obtain despite a desire to avoid opioids. After discussion, the bill received a motion and second and passed the committee on a 10-0 vote. The committee then took up Senate Bill 72, sponsored by Senator Don Douglas and presented with Greg Chaffin of Alliance Defending Freedom. Douglas described the bill as a provider recruitment and retention measure intended to protect health care workers from being compelled to act against their conscience and to address workforce shortages and pressure in health care settings. He said the bill would protect individual beliefs while maintaining professionalism. A large number of witnesses then testified, and the chair limited public comments to two minutes each because of the number of speakers and the controversy surrounding the bill. Most public testimony opposed SB 72. Speakers including representatives of the Kentucky Council of Churches, a psychologist, an ordained minister and nurse, a nurse practitioner, and an ACLU policy strategist argued the bill was overly broad, could allow refusals of care by a wide range of health care workers, and could delay or deny treatment, especially for vulnerable patients and in rural or emergency settings. Several cited concerns about discrimination, patient safety, and the lack of adequate protections for patients. One witness recounted the death of an 18-year-old pregnant patient as an example of the harm that can result from delayed care. The transcript ends during additional testimony on SB 72, before any committee vote or final action on that bill is shown.

Transcript Highlights:

• We also found that DOH does not meet reporting best practices.
• Best practices we reviewed for regulatory fee design.
• We also found that DOH does not meet reporting best practices.
• Best practices called for a regulatory system. Reflect DOH's actual oversight costs.
• for best practices or even Ecology operating it?

Summary: At the April 8, 2026 JLARC meeting, members approved the January 7 minutes and recognized Marilyn Richter for more than 12 years of service to JLARC and the Citizens Commission. Staff then gave a legislative recap and work plan update, noting that JLARC staff presented to five committees during session, six bills or budget provisos implementing prior recommendations were enacted, and seven new study assignments were received. Members approved the updated 2025–2027 biennial work plan, including the new studies and the required 2027 lodging tax review. The committee also heard a presentation on a new post-meeting member survey tied to JLARC performance measures. Members then considered the final report on ignition interlock device compliance and monitoring. Staff reported that many drivers required to install ignition interlock devices do not do so, with installation rates rising with income, and identified problems in the Department of Licensing’s financial assistance program and coordination with the State Patrol. Both agencies said they concurred with JLARC’s recommendations to clarify responsibilities, formalize coordination, and develop a plan to increase installation rates. The committee approved the final report. Next, JLARC reviewed the final report on drug takeback fee setting and expenditures. Staff concluded that the Department of Health’s fee design limits full cost recovery and that the agency should publicly report oversight costs and activities; the legislature should revise the fee structure to better align with best practices. Members discussed whether the program should remain at DOH or be housed elsewhere, and adopted committee comments emphasizing transparency and future sunset review work before approving the final report. Finally, staff presented the scope and objectives for the Clean Buildings Performance Standard study, focusing on state-owned Tier 1 buildings and K-12 facilities in the first compliance cohort, with questions centered on compliance costs, energy savings, funding sources, fines, and possible workforce or budget impacts. The meeting ended with administrative announcements about upcoming meetings and adjournment.