Transcript Highlights:

• would maybe require having multiple contracts, and that would increase overhead and introduce inefficiency
• would maybe require having multiple contracts, and that would increase overhead and introduce inefficiency
• 24:52.559><c> and</c><00:24:52.880><c> and</c><00:24:53.520><c> introduce</c><00:24:54.000><c> inefficiency
• </c> overhead and and introduce inefficiency overhead and and introduce inefficiency to<00:24:54.880>

Summary: The committee first approved contracts 98, 99, and 100 on a roll call vote, with Chairman Douglas voting no but the items still passing. It then took up a Kentucky Department of Tourism contract involving the United Kingdom, France, and Germany/Austria/Switzerland markets. Tourism officials said the state has had similar contracts since 2013, that international visitors spend about six times more per day than domestic travelers, and that the effort supports marketing, public relations, and familiarization trips. The committee approved that contract as well, with Chairman Douglas voting yes after expressing support for tourism promotion. Next, the committee reviewed two Finance Cabinet facilities and support services items involving engineering and architectural services for a specialized lab expansion project. Members discussed why the design work was expensive, and the cabinet explained that the project’s pathogen-related complexity required specialized firms. Chairman Douglas said he believed some architectural and engineering reimbursement rates were too high and should be reexamined, but the committee still approved the items by roll call. The committee then heard from the Attorney General’s office and the Kentucky Opioid Abatement Advisory Commission on an MOA related to substance use disorder funding. Senator Meredith asked how the commission’s work coordinated with behavioral health programs, and staff explained that the commission allocates funds based on applications and includes relevant state officials. The contract was approved. After that, the committee considered behavioral health items: one new 988 chat-and-text contract to expand Kentucky-based crisis response coverage, and a Voices of Hope amendment that doubled funding to continue services into the next fiscal year. Officials said the 988 contract would move more chats and texts in-state, and that the Voices of Hope increase reflected continuation of SAMHSA-funded services; both were approved. Finally, the committee reviewed DCBS contracts, including a food insecurity survey contract with a Kentucky nonprofit and a Building Bridges Initiative training contract. Members questioned whether the food survey group’s advocacy role created a conflict, but DCBS said the organization was chosen for its statewide network and that the cabinet would receive the raw data. For Building Bridges, DCBS said the program began in the fall and provides training and peer mentorship for residential child care providers, with results still too early to assess. Both items were approved. The last set of contracts, under the State Treasurer for the Kentucky Council on Developmental Disabilities, prompted questions about why the funding flowed through the treasurer’s office and about a sexuality-related capacity-building initiative. Staff explained the treasurer serves as the designated state agency for federal DD Act funds, and that the sexuality initiative is part of a broader five-year plan focused on self-advocacy, system change, and capacity building; the committee then moved to approve those contracts as well.

Transcript Highlights:

• So statute makes clear that the Government Waste Hotline is responsible for reports of waste, inefficiency
• with refinement and clarity as to what the hotline's purpose is as a valuable tool for waste and inefficiency
• we're paying, we're paying, we're being paid what we're contracted for, but we think this is very inefficient

Summary: The Joint Interim Committee on Legislative Audits met on June 17 for informational presentations. The Department of Administrative Services, through Chief Audit Executive Eli Ritchie, gave an overview of statewide internal audit requirements and the fiscal year 2025 report. He explained the difference between internal and external audit, described Oregon’s statutory and rule-based internal audit structure, and reported that 30 agencies had internal audit functions, with most meeting required standards. He said 73 audits and 49 advisory/consulting engagements were completed statewide, with strong compliance overall, though a few agencies were rebuilding audit committees after vacancies. No committee questions were raised after the presentation. The Secretary of State’s Audits Division then presented its Government Waste Hotline annual report. Director Steve Bergman and audit manager Olivia Rekhed described changes made to align the hotline with statute, including renaming it the Government Waste Hotline, creating a review panel, improving anonymity protections, removing fraud reporting from the hotline’s scope, and adjusting reporting timelines. They said hotline volume increased modestly in 2025, most reports were referred elsewhere or closed for insufficient evidence, and two reports were substantiated, including questioned costs of about $856 for personal use of a state vehicle and about $2.9 million tied to the Preschool Promise program. Committee members asked about hotline staffing, cost, anonymity, and follow-up on findings; staff said the hotline is lightly resourced, uses a contracted intake service, and referrals or recommendations are followed up through management letters and later reviews. The committee also heard an audit of the Oregon Parks and Recreation Department’s safety inspections and asset tracking. The Secretary of State’s office reported that OPRD had not consistently conducted or documented quarterly OSHA safety inspections and had incomplete asset records, including missing acquisition dates and costs for many assets. The audit made eight recommendations covering safety inspection policies, asset management guidance, tagging, reconciliations, disposition controls, training, and a new asset management system; OPRD agreed to all recommendations. OPRD officials said they had already begun training staff, improving inspection procedures, and working toward a replacement asset system, while noting operational challenges from a large, dispersed park system and manual processes. Committee members asked about what kinds of assets are tracked, how tagging works, whether items were actually being lost, and how much tracking is necessary for low-value tools; OPRD said the main issue was inconsistent classification and documentation rather than widespread loss. The meeting ended with no votes or formal actions taken.

Transcript Highlights:

• fractured enterprise of our IT system, which has caused a lot of wasteful dollars and it's been very inefficient
• fractured system across state government, that in my opinion, in the opinion of cabinet secretaries, is inefficient
• And it's also caused some inefficiencies and some wasteful taxpayer money. That's where I'm going.

Bills: SM13 , SM14 , SM13 , SM14

Committees: Senate Senate Rules , Senate House Rules & Order Of Business

Keywords: land grant, Las Vegas, governance, self-governance, judicial management, forced sterilization, coerced sterilization, Indigenous women, Native American women, women of color, reproductive justice, reproductive sovereignty, truth and reconciliation commission, memorial, trauma-informed care, reparative justice, human rights, bodily autonomy, Indian Health Service, Indian affairs

Transcript Highlights:

• And I think there’s a lot of inefficiencies that are written into federal code that I would really like
• And I think there’s a lot of inefficiencies that are written into federal code that I would really like
• And I think there’s a lot of inefficiencies that are written into federal code that I would really like

Committee: Senate Agricultural Affairs

Transcript Highlights:

• tip of the iceberg that we've uncovered, whether it's like real fraud, which we have, or just inefficiency
• fraud which we have<00:20:03.200><c> or</c><00:20:03.440><c> just</c> have or just have or just inefficiency
• 06.000><c> to</c><00:20:06.120><c> be</c><00:20:06.400><c> easily</c><00:20:06.799><c> over</c> inefficiency
• it's got to be easily over inefficiency it's got to be easily over a<00:20:07.679><c> billion</c><00

Transcript Highlights:

• from my understanding, the 2025 DOGE report found that New College of Florida was the most cost-inefficient
• How do we justify that, given that New College has been found to be the most cost-inefficient university
• How do we kind of justify that being that new college has what's found to be the most cost inefficient
• giving it to a college that has been found by y'all's DOGE report, the Republicans, that it is inefficient
• It is inefficient, and so I don't understand.

Transcript Highlights:

• gentleman next to me or the gentleman from the Thompson district to cut any tax credit program that's inefficient
• But I would be more than happy to put a bill on here that removes inefficient tax credit programs to
• But I would be more than happy to put a bill on here that removes inefficient tax credit programs to
• But I would be more than happy to put a bill on here that removes inefficient tax credit programs to
• But I would be more than happy to put a bill on here that removes inefficient tax credit programs to

Transcript Highlights:

• report difficulty managing adequate coin inventory, which can create delays for customers and inefficiency
• at point of sale. ...coin inventory, which can create delays for customers and inefficiency at point

Committee: Joint Joint Committee on Consumer Protection and Professional Licensure

Summary: The Joint Committee on Consumer Protection and Professional Licensure held a public hearing on House Bill 5036, concerning consumer information related to tariffs, and House Bill 5138, concerning consumer protections for low-value tender scarcity and penny rounding. The chairs opened with procedural remarks, noted both chambers were in session, and explained that testimony would be limited to three minutes. The hearing also included light discussion of the committee’s one-year anniversary and the large volume of bills the committee handles. Testimony on H. 5138 was broadly supportive. Senator Paul Feeney, the bill’s co-sponsor, said the measure would address confusion caused by the penny’s scarcity by creating a statewide cash-rounding standard to the nearest five cents, with rounding up or down depending on the final digit. He emphasized that the bill would apply only to cash transactions and would require consumer notice rules from the Office of Consumer Affairs and Business Regulation. Representatives from the Massachusetts Package Stores Association, Massachusetts Retailers Association, Massachusetts Restaurant Association, and New England Convenience Store and Energy Marketers Association all supported the bill, citing operational efficiency, legal clarity, fairness, and reduced burden on retailers and restaurants. The Retailers Association suggested amendments to make rounding discretionary rather than mandatory and to clarify that taxes and fees would not be affected. Testimony on H. 5036 was largely opposed by business groups. The Massachusetts Retailers Association, New England Convenience Store and Energy Marketers Association, and Massachusetts State Auto Dealers Association all said the tariff disclosure requirements would be difficult or impossible to implement in practice, especially given frequent tariff changes and the complexity of pricing goods and vehicles. They argued the bill would create compliance burdens and could increase costs rather than help consumers. No votes were taken on either bill. The hearing concluded after no further witnesses came forward, and the committee voted to close the hearing.

Transcript Highlights:

• It does repeal the inefficient sales tax exemption that's in there and applies it back to the R&D sales
• We worked on this bill with the comptroller's office starting last summer to address some inefficiencies

Bills: SB263 , SB467 , SB850 , SB1030 , SB1352 , SB1453 , SB2064 , SB2206 , SB2779 , SJR84

Committee: House Ways & Means

Keywords: SB 263, Texas franchise tax, cost of goods sold, COGS, broadcasters, television broadcasting, radio broadcasting, media tax, broadcast license, FCC, 47 C.F.R. Part 73, 47 C.F.R. Part 74, film production, television production, tax deduction, margin tax, Texas Tax Code, depreciation, amortization, broadcast rights

Transcript Highlights:

• An investigation and waste taxpayer resources due to inefficient and duplicative investigations.
• This simple clarification will help reduce delays and inefficiencies in the current system, saving regulatory
• This really has the potential to waste taxpayers' resources through inefficient and duplicative... of

Bills: SB2024 , SB227 , SB268 , SB1467 , SB1580 , HB5537 , SB1313 , SB1677 , SB918 , SB331 , SB2207 , SB2721

Committee: House Public Health

Keywords: e-cigarettes, marketing prohibition, youth protection, criminal penalties, public health, school funding, education reform, state budget, property taxes, equity in education, health care, licensing, complaint procedure, disciplinary action, law enforcement, death records, vital statistics, healthcare, trauma facility, Medicaid

Transcript Highlights:

• That approach is both unfair and inefficient and dissuades private parties from coming forward to perform
• That is inefficient.
• says, you four do it, and then spend the rest of your time going against those other 96, that is inefficient

Committee: Senate Environment and Public Works Committee

Keywords: presidential nominations, EPA, environmental policy, Fish and Wildlife, committee meeting

Summary: The committee meeting focused on the presidential nominations of Brigadier General Brian Nesvick as Director of Fish and Wildlife and Jess Kramer and Sean Donahue as assistant administrators at the EPA. Each nominee presented their qualifications and experiences in their respective fields, with an emphasis on their commitment to uphold the laws passed by Congress. The discussion highlighted the nominees' dedication to addressing environmental issues and their proactive stances on regulatory matters. After deliberation, votes were held to report the nominations favorably, despite some members voicing concerns regarding their qualifications and potential conflicts with environmental interests.

Transcript Highlights:

• report difficulty managing adequate coin inventory, which can create delays for customers and inefficiency
• Coin inventory can create delays for customers and inefficiency at point of sale.

Bills: H5036 , H5138

Committee: Joint Joint Committee on Consumer Protection and Professional Licensure

Keywords: tariff transparency, consumer disclosure, price transparency, vehicle pricing, Monroney label, auto dealer, car manufacturer, retail pricing, shelf tag, receipt disclosure, online storefront, import duties, trade taxes, Chapter 93A, Attorney General enforcement, consumer protection, federal preemption, customs, supply chain costs, tariff surcharge

Transcript Highlights:

• This is time-consuming, inefficient, and has a higher likelihood of error.
• It's a very inefficient process. It's prone to error.

Committee: House Appropriations and Budget

Transcript Highlights:

• Most of the other states all do it at the state level, and it's inefficient to have 87 different delivery
• level and states all do it at the state level and um<00:14:52.800><c> it's</c><00:14:53.120><c> inefficient
• 54.240><c> to</c><00:14:54.480><c> to</c><00:14:54.800><c> have</c><00:14:55.040><c> 87</c> um it's inefficient
• uh to to have 87 um it's inefficient uh to to have 87 different<00:14:55.920><c> delivery</c><00:14:

Summary: House DFL leaders held a press availability outlining a broad anti-fraud agenda focused on state programs, especially Medicaid-related services, but also unemployment and tax fraud. They said the package is intended to strengthen accountability, improve oversight, and prevent fraud before it occurs, while arguing that fraud harms vulnerable Minnesotans such as children with autism, people with disabilities, seniors, and homeless people. They also tied the problem to long-term privatization of public services, arguing that outsourcing creates more layers and opportunities for fraud, and cited examples like county case management and managed care arrangements. Specific proposals discussed included strengthening the attorney general’s Medicaid fraud control unit, creating or expanding inspector general functions, requiring more in-person site visits, using electronic visit verification, improving background checks and fingerprinting, and upgrading outdated IT systems. Members said some bills would be relatively low-cost while others would require funding, and that bills without fiscal notes might move separately while others could be folded into budget discussions. They also said the House DFL had already taken steps in prior sessions, including creating a fraud unit at the BCA and adding DHS staff for site visits. The discussion also covered the Office of Inspector General bill, with DFL members saying they support placing the office in the executive branch and that the governor should make the final appointment for constitutional reasons. They said Republicans had blocked amendments they viewed as adding fraud-prevention authority to the OIG bill, and that the governor’s staff had not been involved in working groups. On a separate bill involving disclosure requirements, they said the committee version was improved but still flawed because it could interfere with investigations; they said it would next go to the Children and Families Committee. No votes were taken in the exchange, and members said they were still early in session and hoped for more constructive negotiations later.

Transcript Highlights:

• to build increased efficiency and maximize resources, and so it was trying to target places of inefficiency
• language or trips and falls, and by moving them out of the institutions, we had actually created inefficiency
• to build increased efficiency and maximize resources, and so it was trying to target places of inefficiency
• language or trips and falls, and by moving them out of the institutions, we had actually created inefficiency

Summary: The committee heard a lengthy presentation from the Office of the State Board of Education on its budget, including the FY 2026 supplemental reversion for the Empowering Parents program, the FY 2027 Canvas learning management system renewal, a transfer of risk manager positions back to the institutions, and a one-time federal grant for AI-related subgrants. Members asked about staffing growth, federal-fund spending trends, the Canvas contract, the school safety tip line CETL Now, and the rationale for moving risk management functions. Director Jennifer White said the Canvas contract had been extensively reviewed and remains the best statewide solution, and she explained that the risk managers are being moved back because they work more efficiently embedded at the institutions. She also discussed the board’s data modernization efforts and said the office is pursuing better data-sharing and a phased approach to any future changes. A major portion of the meeting focused on White’s presentation of an outcomes-based funding proposal for higher education. She said the proposal is only the beginning of the work and would shift Idaho from an enrollment-based model toward one that rewards progression, completion, and workforce-relevant outcomes. The proposal would place 10% of base funding at risk, with institutions earning back funds through momentum measures and Idaho First funds tied to resident enrollment, completions, and priority programs. White emphasized the need for better data, a phased rollout, caps to avoid volatility, and special consideration for community colleges and dual enrollment. Committee members generally supported the concept but raised concerns about accountability, community college impacts, and how unearned funds would be handled. The committee then reviewed family medicine residency funding. Dr. Campbell outlined the Family Medicine Residencies budget request for additional residents and a fellowship, and program leaders explained the mixed funding structure that combines state positions, federal support, and patient-care revenue. Members asked about the impact of the 3% holdback, clinical placement capacity, and whether federal rural health funds might help. Program officials said the holdback affects some programs more than others, but they do not expect current residency numbers to drop, and they stressed the importance of continued legislative support to grow Idaho’s physician workforce. The committee also heard from Eastern Idaho Medical Residencies and the psychiatry residency program. Dr. Hinkley said Idaho has a severe shortage of psychiatrists, especially child and adolescent psychiatrists, and that residency training is the main way to retain physicians in-state. He and Dr. Moe described the program’s growth, the role of local recruitment, and the three-legged funding model involving state support, patient revenue, and hospital sponsorship. Members asked about expanding training to other regions, private support, and the program’s 10-year strategic plan. No votes were taken during the portion of the meeting provided, and the committee moved on to the next medical education budget item.

Transcript Highlights:

• processes we currently have in place to deploy and administer the state's affordable housing funds are inefficient
• over the last few years: there's COVID-19, which caused tremendous cost increases, delays, and inefficiencies
• current approach of assembling funding from a mix of state departments and agencies is duplicative, inefficient
• Thank you. is duplicative, inefficient, and costly.

Summary: The joint hearing focused on Governor Newsom’s 2025 reorganization plan to split the Business, Consumer Services and Housing Agency into two new agencies: a Business and Consumer Services Agency and a California Housing and Homelessness Agency. Secretary Tamika Moss and department leaders from Consumer Affairs, Cannabis Control, DFPI, and Alcoholic Beverage Control said the business-side reorganization would sharpen consumer protection and regulatory oversight without increasing licensee fees or office-space needs. Members generally supported the concept, but several raised concerns about the timing relative to the budget process, the May Revision, and whether the new structure would add costs or disrupt legal and regulatory work. Public commenters from industry groups largely supported the business-side proposal. The second half of the hearing examined the proposed Housing and Homelessness Agency and a new Housing Development and Finance Committee intended to streamline affordable housing funding. Moss, HCD Director Gustavo Velasquez, and CalHFA’s Rebecca Franklin argued the reorganization would reduce fragmentation, speed approvals, improve compliance and asset management, and better coordinate housing, homelessness, and civil rights functions. They said CalHFA’s statutory and financial independence would remain intact, that the proposal would not affect existing homelessness programs administered by HCD, and that the plan would be phased in over several years, with the new agencies and committee expected to become operational by July 2026. Members pressed on whether the plan would truly create a one-stop shop, how it would interact with tax credits and bonds outside the Governor’s control, whether it would include a single application and unified inspections, and how it would address Los Angeles homelessness oversight and federal uncertainties such as tariffs and Section 8 changes. Developer witnesses strongly backed the housing proposal, describing the current system as slow, opaque, and costly. Margaret Miller of the John Stewart Company and Jeffrey Morgan of CHISPA gave examples of projects delayed or lost because multiple funding sources required separate applications, awards, and closings; both said a cabinet-level housing secretary and a consolidated funding process could save time and money and produce more units. Public advocates including Housing California, the California Housing Partnership, and the California Housing Consortium supported the concept but stressed that success would depend on implementation, adequate funding, transparency, and broader coordination with tax credit and bond programs. No formal votes were taken; the hearing was informational, and the committees heard testimony and questions on the proposal.

Transcript Highlights:

• And when the system is inefficient and workers are frustrated with their jobs, those folks aren't getting
• systems and the technology that can operate these systems efficiently. uh and when the system is inefficient
• uh and when the system is inefficient and<00:20:51.120><c> workers</c><00:20:51.520><c> are</c><00:20

Committee: House Ways and Means

Transcript Highlights:

• state of Washington to require some local governments to levy permits on other local governments in inefficient
• Too many patients are waiting on health care due to prior authorizations being inefficient.
• Too many patients are waiting on health care due to prior authorizations being inefficient.

Bills: HB2720 , HB2073 , HB2487 , SB5816 , SB5919 , SB5995 , SB5831 , SB6134 , SB6136 , SB6137 , HB2689 , SB5922 , SB5944 , SB5957 , SB5988 , SB5994 , SB6011 , SB6065 , SB6103 , SB6151 , SB6244 , SB5420 , SB5868 , SB6044 , SB6132 , SJM8002

Keywords: behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, insurance tax, state regulation, insurers, taxation, budget impact, juice grapes, agriculture, commerce, market access, fire safety, insurance incentives

Summary: The House received a Senate message announcing passage of Substitute House Bill 1570 and then moved several bills from Rules to the second reading calendar, including Substitute Senate Bill 5242 on anaphylaxis medications in schools and Senate Bill 6132 on Inland Port District debt. The chamber then took up a series of bills, beginning with Senate Bill 5988 on Department of Health accreditation fee authority for opioid treatment programs. An amendment to cap the fee at $17,000 was debated at length but failed, and a separate amendment was ruled beyond the scope of the bill. Senate Bill 5988 then passed 62-34. The House next considered Substitute Senate Bill 6309 on enhanced municipal permitting tools for high-capacity transit projects. Several amendments were offered to require written consent from abutting property owners, preserve setback and seismic/critical-area protections, and add transparency provisions, but the scope challenge to the transparency amendment was sustained and the other amendments failed. Supporters argued the bill would streamline permitting for Sound Transit and reduce taxpayer costs; opponents said it gave a large transit authority too much discretion and weakened property-rights and land-use protections. The bill passed 56-38. The House also passed Substitute Senate Bill 5886 on personality rights and digital likeness protections, and Senate Bill 6136 on workers’ compensation transparency, both with strong bipartisan support. After caucuses and a rule suspension to work past 10 p.m., the House took up additional second-reading bills. It passed Substitute Senate Bill 6034 to codify the Governor’s Office of Indian Affairs, Gross Second Substitute Senate Bill 5395 on prior authorization and AI in health care, Substitute Senate Bill 6248 creating the Washington Travel Insurance Act, Substitute Senate Bill 5720 on uniform consumer debt default judgments, Senate Bill 5995 on port modernization funding with labor-related concerns, and Senate Bill 6103 affecting rural hospitals and enrollment status subject to appropriation. Later, the House passed Engrossed Substitute Senate Bill 6110 on e-motorcycle regulation, Engrossed Substitute Senate Bill 5156 allowing smaller elevators in some housing, Substitute Senate Bill 6269 updating motor fuel definitions to include hydrogen, Substitute Senate Bill 6189 extending time for Thurston County to pursue an aquatics public facilities district, and Senate Bill 6134 requiring unemployment applicants to acknowledge repayment if retroactive union pay is received. Most bills passed with large majorities, though some drew dissent over labor, property rights, transit governance, or regulatory scope.

Transcript Highlights:

• happening at the federal level is being justified because, according to them, public agencies are inefficient
• It doesn't mean that you guys are inefficient. You guys are efficient.
• We won't let the federal government tell us that we're inefficient because we have union workers.

Summary: The Assembly Committee on Public Employment and Retirement met for its first hearing of the session, adopted committee rules, and heard several labor-related bills. The chair reviewed hearing procedures, including limits on testimony and expectations for orderly conduct. Members then took up measures affecting public employee bargaining, contracting, confidentiality, school employee benefits, pay stub information, and state correctional health staffing. AB 672 would require public employers to notify PERB when filing court actions involving statutes PERB administers and allow PERB to intervene; it drew support from SEIU, AFSCME, school employees, labor groups, and no opposition, and was passed out of committee. AB 283 would move IHSS bargaining from the county to the state level; providers and recipients testified about low wages, long delays in bargaining, and care access concerns, while counties and public authorities raised cost, scope, and implementation issues. The bill passed 7-0 after members discussed family care worker concerns and the author said he would continue working on the issue. AB 339 would require local governments to give unions 120 days’ notice before contracting out bargaining-unit work. Labor supporters said the bill would make existing meet-and-confer rights meaningful and protect jobs, while counties, cities, special districts, chambers of commerce, and staffing groups argued it would burden local agencies and interfere with existing MMBA procedures. The committee also heard AB 340, which would make communications between employees and union representatives confidential for PERB purposes; supporters said it codified existing case law, while school administrators, special districts, counties, and business groups warned it could hinder investigations. AB 378 would extend the classified school employees summer assistance program to JPA employees, and AB 374 would require more detailed pay stubs for classified school employees; both had labor support and some education-sector opposition over implementation and cost concerns, and both advanced. AB 393 would require cost analyses before contracting out physician work at CDCR and the Department of State Hospitals; supporters argued the state was overpaying contractors amid high vacancy rates, and the bill also advanced. At the end of the hearing, the committee recorded final votes showing AB 283, AB 340, AB 374, AB 378, AB 393, and AB 672 all passing out of committee, while AB 339 remained on hold with a 4-0 vote and some members not voting.

Transcript Highlights:

• also implementing one automated system because we were on 11 different systems, so that was highly inefficient
• Highly inefficient.

Committee: House Health and Welfare