Transcript Highlights:

• </c> patient and it gives a definition. patient and it gives a definition.
• patient.
• </c> individual patient. individual patient.
• </c> response that patients still have. response that patients still have.
• So you from patient patient background.

Committee: House Health, Human Services and Elderly Affairs

Transcript Highlights:

• Regardless of where we are, we always encounter the same sentiment from patients: that they have never
• You can sit at the table if you prefer. Thank you, Mr. Chair.
• Most places, in most major cities, they'll have a CT scanner that patients can go to.
• Most places, in most major cities, they'll have a CT scanner that patients can go to.
• So this will help retention and patient care, giving timely care.

Committee: Senate Revenue and Taxation

Transcript Highlights:

• My analogy is if we've got a patient laying on a gurney with an open hand wound, handing them a Fitbit
• Madam Chair, I just have some comments, but if you prefer to take the motion and then the discussion,
• And when you tell me that a chiropractor can see the patient, inject the patient, mix up the brew before
• and determine what the correct disposition for these patients is.
• The correct disposition for these patients is. With that, I'll take your questions. Any questions?

Committee: Senate Health and Welfare

Transcript Highlights:

• PLU and our peers for these students is more than just a preference.
• level, with accreditation cycles of every 8 to 10 years, and they do not have a primary focus on patient
• If something happens with a patient due to a nurse's inadequate training from a program that has not
• met important standards, the hospitals will be liable to that risk, the patient, their family, and the
• And that's something that we're not willing to take. ...to that risk, the patient, their family, and

Summary: The Postsecondary Education & Workforce Committee held courtesy hearings on three bills before moving to executive session. House Bill 2443 would create an Armed Forces Reserve post-secondary education grant for members of the Armed Forces Reserve and their spouses or dependents, with repayment required unless the reservist serves one year for each year of benefit received. The prime sponsor said the bill is intended to extend educational support similar to what Washington National Guard members already receive. Testimony was generally supportive, emphasizing military readiness, recruitment, and fairness to reservists; one clarification was made that the bill applies to Armed Forces Reserve members broadly, not just the Army Reserve. House Bill 2567 would restore Washington College Grant and College Bound Scholarship award amounts for students attending four-year private, not-for-profit institutions. The sponsor and many students, school leaders, and private college representatives argued the 2025 cuts were inequitable, harmed low-income and first-generation students, and limited student choice. Supporters said the state’s dedicated financial aid account has grown and that the cuts disproportionately affected students at private institutions. Opponents, including representatives from public universities, argued state dollars should prioritize public institutions and questioned whether aid should be shifted away from state schools. Testimony was mixed but heavily pro, with sign-ins reported at 1,584 total, including 1,572 in support. House Bill 2498 would change nursing education oversight by limiting the Board of Nursing’s authority where programs are nationally accredited and by expediting approval for new programs. The sponsor and several community college leaders said the bill would reduce unnecessary barriers, speed program expansion, and help address the nursing shortage, especially in rural areas. The Board of Nursing, nursing educators, employers, and professional associations opposed the bill, arguing that state oversight is needed for public safety, Washington-specific workforce needs, and consistent standards, and that the board is already revising its rules through an open process. The committee then took executive action on two other bills: it passed Second Substitute House Bill 2363, allowing supervised music therapy practice for up to six months while exam results are verified, with an amendment delaying implementation to January 1, 2028; and it passed Substitute House Bill 2422, shifting private security guard license fees from applicants to employers and delaying implementation to November 1, 2026, by a 9-7 vote.

Transcript Highlights:

• HP591 but prefers HP591 but prefers um<00:29:06.720><c> a</c><00:29:07.039><c> very</c><00:29:07.760>
• </c> practical solutions to help patients practical solutions to help patients reach<00:40:43.359><c>
• </c> to be for the protection of the patient. to be for the protection of the patient.
• </c> the shot and then releases the patient. the shot and then releases the patient.
• </c><01:35:51.920><c> We</c> equitable, patient centered care. We equitable, patient centered care.

Bills: SB2936 , SB2850 , SB2851 , SB2521

Committee: House Health

Summary: The committee heard testimony on several health-related bills. HB 1871, establishing a maternal health monitoring pilot program, drew support from the Department of Health, the Hawaii State Commission on Status of Women, and the Hawaii affiliate of the American College of Nurse Midwives, with testimony urging provider-neutral language so midwives and other qualified providers would not be excluded. HB 1977, requiring a maternal and infant health information mobile app, received support from ACNM and Philips, which said similar apps in other states improved awareness of services and helped families navigate care; a member asked the Department of Health about implementation time. HB 1858, relating to certificates of fetal deaths, was supported by the Department of Health and clinicians, who said the current statute is outdated and inconsistent with CDC guidance; the department and a physician testified that the bill should shift documentation responsibilities to physicians and APRNs, and members discussed optional versus mandatory issuance language and whether the bill would improve data on home births and transfers. The committee also heard HB 1591, expanding definitions for preceptor and volunteer-based clinical training to improve income tax credits. The Department of Health supported the measure but preferred a similar, broader bill; Taxation suggested clarifying terms; the University of Hawaii and the State Center for Nursing supported it. ACNM asked that midwifery preceptors and Hawaii-based students enrolled in mainland programs be included, while the Hawaii Public Health Institute supported expansion of the program as a workforce solution. HB 1574, on the health care education loan repayment program, also drew broad support, including from the governor, SHPDA, OHA, and health organizations, but ACNM raised concerns that the bill’s 30% Medicaid-client threshold could exclude many providers and limit participation. For HB 1575, creating a feasibility committee on Parkinson’s patient air transport, the Department of Health supported the intent but said transportation is more likely an insurance or benefit issue and suggested redirecting funds to Parkinson’s research; the Michael J. Fox Foundation and the Hawaii Parkinson Association supported the bill, citing inter-island travel barriers and high costs for patients and caregivers. HB 1854, establishing certification of community behavioral health clinics, was supported by the Department of Health and DHS, which said certification would help clinics qualify for enhanced Medicaid reimbursement and expand access; the Attorney General’s office raised a legal concern about the special fund language and recommended a purpose section, and the committee discussed whether the fund would be self-sustaining and noted a possible amendment to change membership language and reduce the board size if the amendment moved forward.

Transcript Highlights:

• Delay places the patient at risk for needing additional epinephrine doses, having rebound reactions,
• , but also compare them to de-identified groups of non-participating patients.
• The patients this legislation serves are not just statistics.
• This bill empowers patients as invested partners through personalized...
• I've been a chronic pain patient for over 20 years.

Bills: HB305 , HB395 , HB341

Committee: Senate Health & Social Services

Summary: The committee met in late June with Senators Hansen, Buckson, Siegfried, Townsend, and Huxable present, and first approved the meeting minutes by voice vote. The opening bill, HB 341, would limit DFS from filing child support in foster care cases unless doing so would not hinder reunification; Children’s Department staff said the department has already decided to stop filing in all such cases, with an estimated fiscal impact of about $140,000 annually. Public testimony from the League of Women Voters supported the bill as a compassionate measure to help families reunite. The committee then heard HB 446/related anaphylaxis legislation for colleges and universities, which would allow institutions to stock and use intranasal epinephrine alongside auto-injectors and update training and reporting requirements. The Asthma and Allergy Foundation of America supported the measure, emphasizing the need for needle-free options and faster treatment of anaphylaxis. The committee also took up HS1 for HB 356 on PFAS, which would ban firefighting foam containing PFAS beginning in 2028, require disclosure if PPE contains PFAS, and address recalls; DNREC and the fire service supported it, saying most departments have already transitioned away from PFAS foam. A major portion of the meeting focused on HB 305, a diabetes wellness pilot program that would use continuous glucose monitoring, app-based care coordination, lab testing, and DHIN data analysis to shift care toward prevention and remission. Sponsor Senator Siegfried described the bill as a response to Delaware’s high diabetes costs and prevalence, and the Medical Society of Delaware supported it as a proactive model. The committee also discussed HB 395, which would regulate intoxicating hemp-derived products and synthetic cannabinoids by classifying products over a THC threshold as marijuana and creating penalties for unlicensed sales; the Office of the Marijuana Commissioner supported the bill, while hemp industry representatives and Senator Hoffner warned it could harm legitimate hemp retailers and access to hemp products. The final item, HS1 for HB 332, would ban sales and marketing of kratom products to those under 21 and direct the state to study testing and regulation of kratom and synthetic variants. Supporters, including the Delaware Healthcare Association and several recovery advocates, said age-gating is a reasonable first step and that synthetic products are the main concern; opponents and some senators argued the bill should go further and fully ban kratom or better distinguish synthetic products from natural leaf kratom. No formal roll-call votes were taken on the substantive bills during the transcript, and the meeting adjourned after public comment.

Transcript Highlights:

• with the patient coding?
• with the patient coding?
• It's going to hurt health care workers and our patients.
• So every patient encounter is probably about an hour on average.
• It is exhausting to continually have to have conversations with patients, prospective patients, and in

Transcript Highlights:

• You can begin with whichever you prefer.
• You can be in whichever you prefer. And a second, would you like to close?
• You can begin with whichever you prefer. You can begin with whichever you prefer.
• You can begin when you're ready on whichever bill you prefer to start with.
• You're ready on whichever bill you prefer to start with. Today, I present AB 2615.

Committee: House Appropriations

Transcript Highlights:

• And so I think there I would prefer just to be on record.
• So that would be my preference.
• </c> that you know when maybe the patient that you know when maybe the patient really<01:10:58.480><c
• the doctor to understand the patient much better than an insurance company can understand.
• the doctor who understands the patient much better than an insurance company can understand.

Summary: The committee met in executive session and first discussed scheduling, noting that Town Meeting Day would cancel the next Tuesday meeting, that they would meet Wednesday instead, and that remaining bills would be handled through subcommittees and a likely final executive session on the 19th to meet the deadline for committee action on the 20th. The committee then took up several bills, with repeated roll calls and votes, often placing measures on the consent calendar after committee approval. House Bill 185 on ambulance reimbursement rates was described as a perennial issue and was voted inexpedient to legislate, with members noting concerns that an any-willing-provider approach would make premium impacts hard to evaluate. House Bill 186 on cannabis legalization was retained for further work, with members saying the bill addressed stopping marijuana arrests but that the sales and implementation details still needed more development. House Bill 241 on treatment alternatives to opioids was also retained because the sponsor could not attend and the committee wanted more time to continue work. The committee then considered House Bill 302 on state treasury investments in digital assets and precious metals. The amendment narrowed the proposal, removing more complicated provisions like stable tokens and staking, lowering the authorized allocation from 10% to 5%, and limiting eligible digital assets to those with very high market capitalization; members discussed volatility, the treasurer’s discretion, and oversight through bond-rating concerns. The amendment and the bill as amended both passed, and the bill was placed on the consent calendar. Other measures moved quickly: House Bill 451 on a paint product stewardship program was amended to remove direct funding and framed as manufacturer-run enabling legislation, then passed and was placed on consent; House Bill 499 made technical corrections to insurance laws and passed unanimously; House Bill 538 on relocating Liquor Commission positions passed unanimously; House Bill 552 on children covered under the state retirement insurance plan was cleaned up to remove a student requirement and passed unanimously; and a blockchain/digital currencies bill was amended to address noise and local regulation concerns for data mining operations, with supporters emphasizing energy-use issues, municipal authority, and a separate commission studying regulation. That bill also passed and was sent to consent.

Transcript Highlights:

• PLU and our peers are for these students more than just a preference.
• level, with accreditation cycles of every 8 to 10 years, and they do not have a primary focus on patient
• If something happens with a patient due to a nurse's inadequate training from a program that has not
• met important standards, the hospitals will be liable to that risk to the patient, their family, and
• These functions are complemented. clinical capacity and patient safety.

Bills: HB2498 , HB2443 , HB2567 , HB2363 , HB2422

Committee: House Postsecondary Education & Workforce

Keywords: nursing education, nursing program standards, board of nursing, state board, national accreditation, accreditation body, nursing school, nurse educator, clinical simulation, simulation director, lead nurse educator, NCLEX, licensure exam pass rate, corrective action plan, technical assistance, higher education, program approval, Washington RCW, professional development, nursing licensure

Transcript Highlights:

• You are welcome, or if you prefer to... Okay. Okay. Great. Thank you. Thank you very much, Dr.
• So some rural areas have to do more air medical transports of critical patients.
• Specifically on that note, on AB 40 regulations, the ambulance patient offload time.
• My son is a mental health patient. He has schizophrenia. He's here with us today.
• My son is a mental health patient. He has schizophrenia. He's here with us today.

Summary: The Senate Committee on Rules convened, established quorum, and first approved several governor’s appointments not required to appear: Courtney Welsh to the California Housing Partnership Corporation Board, Janessa Goldbeck to the California Veterans Board, and Tom Huntington to the State Parks and Recreation Commission, each by 3-0 vote. The committee also approved reference of bills to committees, the 2026 committee chair/member assignments, the 2026 session schedule, the 2026 holiday schedule, and floor acknowledgments, all by unanimous votes. The committee then heard and advanced two appointments requiring testimony. Dr. Hernando Garzon, nominated as chief medical officer for the Emergency Medical Services Authority, discussed his background in emergency medicine, disaster response, EMS data modernization, local flexibility within statewide standards, ambulance offload time regulations, stakeholder engagement, and alternatives to emergency transport such as community paramedicine and telehealth. Members pressed him on strategic planning, rural and climate-related disaster response, ambulance rate reporting, and how EMSA can better protect vulnerable people during evacuations; his appointment was approved 4-0 and sent to the Senate floor. Stephanie Weldon, nominated as Deputy Director of the Office of Health Equity at the Department of Public Health, described her tribal background, prior public service, and focus on health equity, behavioral health, tribal consultation, data, and community-led programs. Senators asked about measuring outcomes, serving rural communities, balancing equity work amid federal DEI opposition, youth mental health, and preventing fraud or waste through transparency. Public commenters, including tribal, health, and community advocates, strongly supported her nomination. Her appointment was also approved 4-0 and forwarded to the full Senate.

Transcript Highlights:

• Thank you for being patient.
• Thank you for being patient.
• donor preferences.
• Illinois banned legacy and donor preferences at public institutions.
• Colleges that have dropped legacy preferences have not suffered financially.

Committee: Joint Joint Committee on Racial Equity, Civil Rights, and Inclusion

Summary: The Joint Committee on Racial Equity, Civil Rights, and Inclusion held an informational hearing on “Protecting Equity in Higher Education” and emphasized that no bills were being heard. Members and witnesses focused on the effects of recent federal actions on DEI, admissions, financial aid, student loans, international students, and campus equity efforts in Massachusetts. Opening remarks from the co-chairs and the chair of Higher Education highlighted Massachusetts’ investments in free community college, expanded financial aid, and early college programs, while warning that federal policy changes could undermine those gains. Testimony from BU law professor Jonathan Feingold argued that many DEI practices remain legally defensible after Students for Fair Admissions v. Harvard, and that the decision did not end all race-conscious or equity-oriented efforts. He said the Trump administration’s anti-DEI actions and funding threats were legally suspect and had created confusion and a chilling effect. Bahar Akman-in-Boden of the Hildreth Institute testified that proposed federal cuts to TRIO, Gear Up, Pell Grants, SEOG, work-study, and student loan programs would disproportionately harm low-income, first-generation, Black, Latino, and other underserved students, and urged the state to prepare hold-harmless and advising supports using Fair Share revenue. Commissioner Noe Ortega described Massachusetts’ long history of equity in higher education and said the state has expanded aid, success programs, and early college, but still has work to do on attainment and completion. He said the state responded to SFFA by creating ACARE and continuing to defend equity practices, while also warning that federal disruptions and “dear colleague” letters have created uncertainty. In the second panel, state university leaders and campus officials said federal threats to Pell, DEI grants, Medicaid, and international student policies could affect access, campus operations, and the economy; they stressed that most state university graduates stay in Massachusetts and that institutions are continuing their equity practices despite federal pressure. Roxbury Community College’s president said RCC remains committed to open access and inclusion, noted enrollment growth, and said executive orders do not change existing law or the college’s obligations.

Transcript Highlights:

• times more than they would spend in another state, and because they're bigger, but I would personally prefer
• During COVID, our complaints decreased because we didn't have patients' families at the bedside.
• They were removed from the facility, and the patient that was sick is the only one that was there.
• And we typically don't receive a lot of complaints from the patients themselves. We do...
• And we typically don't receive a lot of complaints from the patients themselves.

Transcript Highlights:

• And this is what most people prefer, and as previously covered, is the least expensive service model
• A 2008 study found that 70% of patients who received peer bridger services to help with that transition
• In total, about 7,800 Medicaid residents or patients in skilled nursing facilities rely on Medicaid.
• When they need it, they truly need it. 59% of skilled nursing facility patients have moderate to high
• In home care, we know that home care is the preferred setting for clients.

Committee: Joint Joint Legislative Executive Committee on Planning for Aging and Disability Issues

Summary: The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population. On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications. The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.

Transcript Highlights:

• They either rely on what the patient will tell them, or sometimes the patient will tell them they're
• They either rely on what the patient will tell them, or sometimes the patient will tell them they're
• </c> version was the version you preferred. version was the version you preferred.
• </c> patients, staff, or visitors. patients, staff, or visitors.
• Thank you. and puts patients at risks. and puts patients at risks.

Committee: House Criminal Justice and Public Safety

Transcript Highlights:

• People know the patient comes first. The community comes first when you're in emergencies.
• Make sure you protect the patient. Make sure you take care of the resident.
• People know the patient been happening. People know the patient comes<00:02:29.080><c> first.
• , and and they residents, with patients, and and they have<00:03:45.560><c> flexibility.
• Make sure you protect the<00:04:12.760><c> patient.

Bills: HF4110 , HF2113 , HF4569 , HF4414

Committee: House Workforce, Labor, and Economic Development Finance and Policy

Transcript Highlights:

• Um, we would prefer that we go back to the original statute.
• Um, we would prefer that we go back to the original statute.
• ><00:15:21.920><c> that</c><00:15:22.079><c> we</c><00:15:22.240><c> go</c> happened. um we would prefer
• that we go happened. um we would prefer that we go back<00:15:22.560><c> to</c><00:15:22.720><c> the
• </c> communities, I've seen patients communities, I've seen patients priorities<01:02:15.599><c> understandably

Bills: HB1546

Committee: House Human Services & Homelessness

Summary: The committee heard testimony on HB 2083, which would add homeless shelters to Hawaii’s drug-free/safe-zone protections. The City and County prosecutor’s office strongly supported the bill, saying service providers asked for the change because drug activity near shelters can undermine recovery efforts. The Office of the Public Defender opposed the measure, focusing on a possible notice problem because many shelters are not readily identifiable and the bill’s 750-foot distance requirement could be difficult to apply. The Drug Policy Forum of Hawaii also opposed the bill, arguing it would expand criminalization of poverty and drug use and that drug-free zone laws are ineffective and disproportionately harmful. The prosecutor’s office said it would do more research on the notice concern. The committee then moved on without taking a vote in the transcript provided. The committee next discussed HB 2087, which would change the treatment of abuse of family or household member cases by ending the deferred-acceptance pilot and returning to the prior statute. The prosecutor’s office supported the bill, saying the pilot had not reduced backlog as intended and that domestic violence cases should remain petty misdemeanors without deferral. The Hawaii State Coalition Against Domestic Violence and the Public Defender’s Office both opposed HB 2087, instead urging extension of the pilot for another five years so the legislature can better evaluate how deferred acceptance is working. They said deferrals can be a useful incentive for behavior change and that more data is needed before ending the program. Committee members questioned the prosecutor about why Hawaii should differ from other counties and whether repeat offenders could keep receiving deferrals; the prosecutor said the deferral is available only once and reiterated support for returning to the old statute. The committee then heard HB 2096 on aggravated circumstances in child protective proceedings. The family court and Attorney General’s Office supported the bill, saying current law limits aggravated-circumstances findings to the early return hearing, which can prevent findings in the most serious abuse cases when key evidence is not yet available. They said the bill would allow such findings later in the case and, with proposed amendments, would let the court consolidate aggravated-circumstances and termination-of-parental-rights hearings to reduce delay and appeals. The Libertarian Party of Hawaii opposed the measure, arguing it would expand state power in family matters and could worsen outcomes for parents and children. Committee questions focused on the amended language, including what “another court of competent jurisdiction” means and whether a charge alone would be enough; the judiciary responded that criminal courts are included, but a hearing and opportunity to defend would still be required. Finally, the committee took up HB 1959, another domestic violence measure. The Hawaii State Coalition Against Domestic Violence, the Public Defender’s Office, the Crime Victim Compensation Commission, the Hawaii State Commission on the Status of Women, and county prosecuting offices testified in support. Supporters said the bill would extend the pilot program while keeping deferred acceptance of guilty pleas in place, giving more time to evaluate whether the program is working and whether a more formal diversion model should be developed. The coalition also suggested technical fixes to ensure judiciary data reporting continues and that the deferred-acceptance statute is not inadvertently repealed. No vote or final action was taken in the transcript before the committee moved on to the next bill.

Transcript Highlights:

• Look at this from a patient-centered perspective.
• So for instance, take remote patient monitoring.
• If you do remote patient monitor, take remote patient monitoring if you do remote patient monitoring
• Sometimes it's provider to patient.
• The biosensors— none of the patients coded.

Summary: The Rural Health Transformation Committee met to receive an overview from Department of Health and Welfare Director Juliet Sharon on Idaho’s Rural Health Transformation Program, created under the federal One Big Beautiful Bill Act. Sharon explained the $50 billion federal program, Idaho’s application timeline, the state’s ranking and award amount, and the five broad initiative areas in the approved plan: technology and access, innovative care models, workforce development, chronic disease and behavioral health, and rural infrastructure/partnerships. She emphasized that the funding is tightly overseen by CMS, with required reporting, compliance checks, sustainability plans, and the risk of losing funds if Idaho does not obligate money or meet milestones on time. She also outlined the state’s plan to hire a 12-person temporary team and to use a mix of RFPs and competitive subgrants, with monthly reporting to the committee and a shared information space to track solicitations, rubrics, and awards. Committee members questioned several parts of the plan, especially scope-of-practice issues tied to the application, the use of telehealth funding, workforce retention, and the survey process used to shape the application. Representative Tanner asked whether the state could continue pursuing scope changes for dental hygienists and physician assistants and whether legislative action could affect funding outcomes; Sharon said the state would continue to evaluate those policies, but that compliance, timely spending, and performance would be the main factors affecting funding. Representative Healy raised concerns about the survey’s heavy use of “other” responses and about telehealth spending, arguing some telehealth uses may not be practical for specialty care. Representative Manwaring requested a shared drive for real-time data and asked for raw survey results and dollar-based funding caps. Sharon agreed to provide follow-up information, including survey data and additional details on funding limits. Chris Jones of Catalyst Policy Group then presented broader policy observations and examples from other states. He praised Idaho’s application, urged the committee to keep the focus on patient-centered rural access, and highlighted ideas such as community health workers, remote patient monitoring, rural training pipelines, value-based care networks, and telehealth models that reduce staffing needs and improve sustainability. He also cautioned against relying on social determinants of health funding, noted the importance of rural training and partnerships, and praised Idaho’s 3.5% tribal set-aside. The committee ended by agreeing to set up a shared information hub with LSO, to expect follow-up materials and possible solicitation drafts soon, and to tentatively plan its next meeting around CMS’s Idaho visit on May 28.

Transcript Highlights:

• The first one we refer to as the About the Patient program.
• We work in conjunction with the Pharmacy Association on that About the Patient program.
• The first one we referred to as the About the Patient program.
• We work in conjunction with the pharmacy association on that about the patient program.
• If you're asking for a preference, I think we would prefer that you do take jurisdiction so that you

Committee: Joint Employee Benefits Programs Committee

Summary: The Employee Benefits Committee met to hear presentations on state employee health insurance, compensation, leave policies, labor market conditions, and prevailing wage issues, then later took up committee rules and bill-draft jurisdiction. PERS reviewed the history and structure of the state health plan, noting the state has paid the full family premium since 1979, described cost-control and benefit-enhancement changes over time, and explained current plan options, wellness incentives, employer wellness discounts, and the upcoming bid process for the 2027-29 contract. HRMS then presented compensation comparisons showing state classified pay generally trails private and regional markets, with larger gaps at higher-level jobs, and reviewed benefits and leave policies, including the new enhanced annual leave and new-hire leave, the state’s unpaid family leave structure, and varying tuition reimbursement practices. Job Service reported on labor force trends, low unemployment, high labor force participation, job openings, and wage growth, and OMB said there are no state prevailing-wage requirements beyond federal Davis-Bacon rules for federally funded projects. The committee then considered a proposed amendment to Joint Rule 211 to better align the health insurance mandate review process with recent statutory changes. Members discussed how the rule should reference both the committee’s required actuarial reports and the Legislative Council cost-benefit analysis, and the amendment was adopted on a roll call vote. The committee also discussed how its jurisdiction decisions affect whether a bill draft receives actuarial analysis, with staff explaining that a decision not to take jurisdiction means the bill is not treated as impacting the relevant retirement or health plans for purposes of that analysis. After that, the committee began reviewing bill drafts for jurisdiction. The first draft, bill draft 33, would automatically renew pre-tax elections for dental and vision coverage during open enrollment instead of requiring annual re-election. Members debated whether it had any actuarial impact, noting the state does not pay those premiums directly, and the discussion was still underway when the transcript ended.

Transcript Highlights:

• It also threatens good-paying union jobs helped by... ...keep communities and patients safe, and it also
• When safety net services are cut, patients suffer, and hospitals absorb the crisis.
• A preponderance of affordable housing was the preference.
• A preponderance of affordable housing was the preference.
• Thank you to our next group who's been waiting patiently.

Summary: The hearing began with a vote-only agenda and then focused first on San Mateo County’s request to restore in-lieu vehicle license fee (VLF) funding. County officials, city leaders, labor representatives, nonprofits, and public safety advocates argued that the loss of roughly $157 million would force major cuts to homelessness services, housing assistance, mental health programs, libraries, parks, fire and police staffing, and other local services. They described the current formula as outdated and unfair, tied to school funding and basic-aid dynamics that no longer work for San Mateo County, and urged both an immediate budget restoration and a permanent legislative fix. The Department of Finance said the payments are discretionary, not statutorily required, and noted the administration does not view the expenditure as sustainable in the current fiscal climate. Committee members expressed sympathy, questioned the formula, and said they would keep the issue under consideration; the committee later voted to move the two vote-only items on the agenda. The committee then received an update from the Department of General Services on state property redevelopment, including the Hillcrest DMV site in San Diego, the Fell Street DMV site in San Francisco, and other state-owned properties. DGS explained that Hillcrest is not currently an active project, while the Fell Street project shifted from an integrated DMV-housing plan to a more feasible relocation of the DMV into leased commercial space, with a budget change proposal pending. Members pressed DGS on the slow pace of redevelopment, the potential for housing on state sites, and the costs and feasibility of adaptive reuse. DGS said many state buildings are aging and that adaptive reuse depends heavily on building design, floorplate depth, light, and risk from unknown conditions behind walls. The Government Operations portion then turned to the California Education Learning Lab, which supports intersegmental higher education innovation grants. The Lab asked for permanent restoration of $4 million in ongoing funding and a move of its home agency from the Office of Land Use and Climate Innovation to GovOps, along with technical trailer bill changes. Supporters said the program has funded more than 120 projects reaching thousands of faculty and hundreds of thousands of students, including work on generative AI in higher education. The Legislative Analyst’s Office recommended rejecting the restoration and continuing the wind-down, citing the state’s projected deficit and suggesting the California Education Interagency Council could pursue non-state-funded grant opportunities instead. The committee held the item open. Finally, GovOps presented the new California Education Interagency Council staffing request, seeking four ongoing positions to support the council, with funding already included in last year’s budget. The department said the governor has appointed Debbie Cochran as executive officer and that the remaining positions are being recruited. Finance and LAO had no objections, and the committee began questions about how the council will be staffed and organized.