Transcript Highlights:

• Constructed by this committee in terms of the benefits that flow to the American people.
• I don't know if you've looked at the USPTO; the backlog of applications there is 820,000.
• The backlog is unacceptable, and my pursuit will be the rigorous reduction of that to get it down.

Transcript Highlights:

• We are still running those numbers exactly, but I would like to serve at least the backlog that we have
• In design, and the RFP is out for construction, and that facility will be in Albuquerque.
• If you are not aware, we purchase everything from pencils to construction.
• It's... ...a new facility that we are constructing. The bids are closing December 4th.
• The construction will be complete December of next year.

Transcript Highlights:

• This program provides incentives for the construction of clean distributed energy resources and for power
• intervener compensation, which has been a problem in the past, and we're still working on reducing backlog
• These are resources constructed by DWR.
• It doesn't mention that it probably should be constructed and owned by DWR.
• Then we would have to find a new place to recommission them and spend more construction money to connect

Summary: The hearing was an informational budget session on energy agency proposals, with no votes taken. Early discussion focused on Proposition 4 climate bond implementation, including funding for demand-side grid support, offshore wind development, and transmission financing. The Department of Finance said the budget includes allocations for demand-side grid support and offshore wind, but not yet for the $325 million transmission financing piece pending a required study. The Legislative Analyst’s Office urged the Legislature to consider whether to wait on offshore wind funding, whether to keep shifting funds into demand-side grid support, and how to direct future transmission financing. Members also raised concerns about local technical assistance for offshore wind, Salton Sea priorities, and the need for more information before final decisions. The California Energy Commission and CPUC then reviewed the broader energy package. The CEC highlighted the demand-side grid support program’s growth, distributed energy backup assets, long-duration storage, hydrogen grants, and the SIRP clean energy reliability program. CPUC testimony emphasized affordability, wildfire mitigation costs, rooftop solar cost shifts, and efforts to reduce rates while maintaining reliability and clean energy goals. Members questioned CPUC staffing, delays in proceedings, coordination with the CEC and CAISO, and the impact of rate increases on customers. The agencies also discussed the AB 3264 transmission financing study, with CPUC saying work on the study had already begun and was on track for the July 1 deadline. Several trailer bill and implementation items were also discussed. The committee reviewed a proposal to extend the Deaf and Disabled Telecommunications Program surcharge, with members split over whether it should be handled in budget trailer bill language or policy legislation; the administration said the surcharge supports a critical program serving about three-quarters of a million Californians. The committee also heard a CPUC data-sharing proposal to allow nondisclosure agreements for transmission and reliability data, which members generally supported as a technical fix. DWR explained a proposal to clarify language for the Electricity Supply Strategic Reliability Reserve so it can potentially sell three gas-fired units it owns, and the CEC presented a federal transmission grant proposal tied to grid-enhancing technologies and ratepayer cost recovery. Finally, the committee discussed California Lifeline and possible broadband pilot reforms in light of uncertainty around federal Universal Service Fund support, with CPUC saying it is exploring a statewide standalone broadband option for eligible customers.

Transcript Highlights:

• This contributes to backlogs and resources lost to those who need them most.
• Senator Sarah Eckhardt: This contributes to backlogs and resources lost to those who need them most.

Keywords: Texas state employees, retirees, compensation, House Bill 343, House Bill 247, Senator Sarah Eckhardt, Representative John Busey, cost of living, workforce, legislative session

Summary: The committee meeting focused on critical issues facing Texas state employees and retirees, highlighting the need for increased compensation and improved benefits. Senator Sarah Eckhardt and Representative John Busey presented new legislation aimed at addressing these longstanding problems, including proposed House Bills 343 and 247, which seek a $10,000 across-the-board pay increase for state employees. Senator Eckhardt emphasized the growing wage gap between public sector jobs and private sector offerings, which has led to high turnover rates and the loss of institutional knowledge. Public testimonies underscored the urgency of the issue as retirees shared their struggles with stagnant pensions amidst rising living costs.

Transcript Highlights:

• money for 2025 pretty quickly, right away at the beginning of the fiscal year, and we now have a backlog
• c><01:15:33.960> we're damage claims uh and again we're damage claims uh and again we're backlogged
• so in 2024 we ran out of backlogged so in 2024 we ran out of money<01:15:36.960> in<01:15:37.120
• we<01:15:46.040> now<01:15:46.199> have<01:15:46.320> a<01:15:46.440> backlog
• fiscal year and we now have a backlog fiscal year and we now have a backlog that's<01:15:47.120>

Bills: HF601, HF271, HF1101, HF979

Keywords: agriculture, depredation compensation, livestock, crop damage, elk, wolves, wildlife management, skills path program, career and technical education, CTE, dual credit, postsecondary options enrollment, apprenticeship, apprenticeship readiness, dual training, work-based learning, career pathways, skilled trades, workforce development, high school to career

Transcript Highlights:

• Once the bill is signed into law, construction can and will begin immediately.
• Once the bill is signed into law, construction can and will begin immediately.
• Once the bill is signed into law, construction can and will begin immediately.
• Once the bill is signed into law, construction can and will begin immediately.
• Once the bill is signed into law, construction can and will begin immediately.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, December 15, 2025, 1012, house, all

Transcript Highlights:

• However, as we've seen, the growing backlog in crime labs is slowing down the momentum we've built. .
• DNA analyst time to work on more complex cases, which we really need, and it helps to decrease the backlogs
• where we as laboratories around the state and around the country are working towards eliminating backlogs
• We've seen an incredible backlog that has put victims in a...
• In recent years, over a year, and there were times because of the backlog in the past, we've had to actually

Bills: SB614, SB872, SB1199, SB1212, SB1278, SB1573, SB1588, SB1602, SB1660, SB1704, SB1723, SB1833, SB1858, SB1946, SB2009, SB2146, SB2177, SB2373, SB2460, SB2785

Keywords: forensic science, capital writs, criminal justice, case review, Texas Forensic Science Commission, SB 872, burglary of a vehicle, vehicle burglary, theft of a firearm, stolen gun, firearm theft, Penal Code Section 30.04, third-degree felony, Class A misdemeanor, criminal penalty enhancement, gun theft, vehicle break-in, property crime, sentencing enhancement, Texas criminal law

Transcript Highlights:

• And this includes sidewalk improvements, repair, and construction.
• Okay, so who constructs sidewalks? Okay, so who constructs sidewalks?
• In general, local, regional, and state governments construct sidewalks, as do private developers in the
• Help fund sidewalk elements such as the construction and maintenance of ADA-compliant sidewalk ramps
• Hot pink is the color that we're using to show that this is not construction.

Summary: The committee began with member introductions, then heard a presentation on a draft final report studying alternative funding mechanisms for sidewalks and related pedestrian infrastructure. Consultants said current local funding sources are insufficient, with most jurisdictions unable to complete planned sidewalk networks within 50 years. They evaluated four options: a sidewalk utility fee, a modified transportation benefit district sales tax, a new real estate excise tax option, and expanded stormwater fee use for ADA sidewalk ramps. The consultants recommended authorizing the modified TBD sales tax and new REET option, considering a sidewalk utility despite legal uncertainty, broadening any authorization to all pedestrian improvements, and not pursuing the stormwater fee option. Members asked about legal authority, fairness, revenue adequacy, and whether jurisdictions had been consulted; the presenters said state enabling legislation would likely be needed for a sidewalk utility and that fairness could be defined either by direct benefit or by need. The committee then received an update on the 2025 assessment of city transportation funding needs. The consultants reported that city transportation revenues have grown in some local and federal categories since 2019, but state revenues have remained relatively flat and smaller cities are especially affected by declining fuel tax revenues and limited tax bases. They estimated annual city transportation needs at $4.25 billion, average annual spending at $1.89 billion, and a funding gap of $2.37 billion, larger than in the prior study because of updated data, inclusion of system improvements, and higher preservation costs. Draft recommendations focused on reducing costs and improving efficiency, preserving and increasing state support, and expanding local funding options, including preservation-first spending, a permanent federal fund exchange program, streamlined review processes, better coordination with WSDOT, possible property tax flexibility, and exploration of new local tools. Members raised questions about design standards, the role of density and transit, federal compliance, and whether the report would identify specific consolidation or process changes. The committee also heard a project update on evaluating zero-emission vehicle and electrification programs funded by the Climate Commitment Act. Consultants said they had reviewed roughly 23 programs and projects across seven agencies and were now evaluating options to improve delivery, including process improvements, reorganizing programs, or consolidating governance and administrative functions. Early findings highlighted staffing shortages, duplication and variation across agencies, differing levels of risk, and the challenge of coordinating climate priorities across agencies with other core missions. Members asked about program outcomes, administrative costs, whether some programs should have exit strategies, and how to strengthen the EV Coordinating Council. Finally, WSDOT provided an implementation update on its new public-private partnership authority under SB 5801, saying work is underway to prepare governance, legal, policy, and organizational structures ahead of the January 1, 2027 effective date.

Transcript Highlights:

• DNA that is being revealed in some of these sex crimes kits that are being analyzed as part of the backlog
• Townsend, there are rape kits that I think are actively being analyzed as part of kind of this rape kit backlog
• Chair, no, you couldn't, because there's a specific—it's against the rule of statutory construction.
• When the legislators have created a specific crime, under the rule of statutory construction, you have

Bills: SB41, SB153, SB165, SB261, SB264

Keywords: sexual crimes, statute of limitations, criminal justice, victim rights, child abuse, procurement, contracting, small business, local government, disaster recovery, emergency procurement, certification, public spending, juvenile justice, delinquency, rehabilitation, community corrections, risk assessment, public safety, health regulations

Transcript Highlights:

• with the schedule in the bill if mitigation credits have not been released for the completion of construction
• It requires local governments to... adopt an ordinance related to the construction of accessory dwelling
• There is a backlog in cases. There's a backlog in death penalty cases.

Bills: HB 24, HB 45, HB 15, HB 35, HB 38, HB 47, HB 318, HB 349, HB 554, HB 1359, HB 1373, HB 1647, HB 2254, HB 2259, HB 2853, HB 3073, HB 3088, HB 353, HB 355, HB 786, HB 762, HB 705, HB 932, HB 849, HB 1160, HB 1119, HB 1612, HB 3041, HB 713, HB 3104, HB 3970, HB 3962, HB 5061, HB 4042, HB 4115, HB 4490, HB 1731, HB 1705, HB 2607, HB 3556, HB 138, HB 3689, HB 1788, HB 1887, HB 1914, HB 2402, HB 2306, HB 1809, HB 2350, HB 3000, HB 3237, HB 3326, HB 3211, HB 1056, HB 2081, HB 2187, HB 3092, HB 3308, HB 3526, HB 3750, HB 3527, HB 4219, HB 4230, HB 4290, HB 5238, HB 4804, HB 4749, HCR 6, HCR 12, HCR 34, HCR 50, HCR 55, HCR 58, HCR 70, HCR 71, HCR 72, HCR 74, HCR 75, HCR 78, HCR 80, HCR 93, HCR 100, HCR 107, HCR 116, HCR 117, HCR 90, SB 1806, SB 783, SB 1271, SB 326, SB 1637, SB 769, SB 897, SB 1035, SB 1706, SB 1185, SB 1194, SB 384, SB 1426, SB 1468, SB 1215, SB 1066, SB 599, SB 1930, SB 2065, SB 767, SB 1619, SB 1738, HB 1500, HB 718, HB 23, HB 34, HB 119, HB 128, HB 130, HB 132, HB 2756, HB 166, HB 406, HB 186, HB 331, HB 380, HB 1583, HB 1584, HB 621, HB 303, HB 552, HB 366, HB 463, HB 1211, HB 1327, HB 1461, HB 923, HB 1760, HB 2467, HB 5333, HB 1592, HB 1576, HB 1552, HB 2018, HB 3511, HB 1781, HB 2013, HB 2340, HB 2508, HB 2970, HB 865, HB 2851, HB 3385, HB 3336, HB 3309, HB 1127, HB 1232, HB 1397, HB 4236, HB 4041, HB 1965, HB 2730, HB 3698, HB 3699, HB 163, HB 201, HB 272, HB 405, HB 519, HB 654, HB 694, HB 791, HB 1136, HB 1240, HB 1266, HB 1275, HB 1437, HB 1532, HB 1675, HB 1842, HB 1868, HB 1894, HB 1943, HB 1990, HB 2029, HB 2061, HB 2286, HB 2523, HB 2622, HB 2652, HB 2692, HB 2842, HB 2885, HB 3016, HB 3096, HB 3248, HB 3255, HB 3479, HB 3611, HB 3623, HB 3803, HB 3804, HB 3805, HB 3806, HB 3810, HB 3816, HB 4129, HB 4163, HB 4187, HB 4238, HB 4454, HB 4588, HB 4643, HB 4738, HB 4739, HB 4945, HB 5015, HB 5616, HB 1749, HB 1775, HB 118, HB 1762, HB 2520, HB 24, HB 45, HB 15, HB 35, HB 38, HB 47, HB 318, HB 349, HB 554, HB 1359, HB 1373, HB 1647, HB 2254, HB 2259, HB 2853, HB 3073, HB 3088, HB 353, HB 355, HB 786, HB 762, HB 705, HB 932, HB 849, HB 1160, HB 1119, HB 1612, HB 3041, HB 713, HB 3104, HB 3970, HB 3962, HB 5061, HB 4042, HB 4115, HB 4490, HB 1731, HB 1705, HB 2607, HB 3556, HB 138, HB 3689, HB 1788, HB 1887, HB 1914, HB 2402, HB 2306, HB 1809, HB 2350, HB 3000, HB 3237, HB 3326, HB 3211, HB 1056, HB 2081, HB 2187, HB 3092, HB 3308, HB 3526, HB 3750, HB 3527, HB 4219, HB 4230, HB 4290, HB 5238, HB 4804, HB 4749, HCR 6, HCR 12, HCR 34, HCR 50, HCR 55, HCR 58, HCR 70, HCR 71, HCR 72, HCR 74, HCR 75, HCR 78, HCR 80, HCR 93, HCR 100, HCR 107, HCR 116, HCR 117, HCR 90

Keywords: zoning, public notice, local government, residential development, protests, peer support, first responders, mental health, confidentiality, emergency services, information network, health services, client referral, data privacy, disaster preparedness, accreditation, community services, sexual assault, victim rights, forensic examination

Summary: The Florida House conducted legislative business including prayer, pledge, and voting on multiple bills. Key legislation included land development and wetlands mitigation (SB 492), renewable natural gas infrastructure investment (SB 1574), local government regulation (SB 1080), housing and accessory dwelling units (SB 184), recovery residences (SB 954), and various health, education, and criminal justice measures. The session also addressed returning messages from the Senate with amendments, transportation facility designations, and claims bills for wrongfully convicted individuals. Several bills passed unanimously while others faced structured debate.

Transcript Highlights:

• By the end of the first week, SAWS had accumulated backlog of about 15,000 tickets.
• And once we saw the pattern of construction that was coming in, in the early 2000s.
• Foremost Paving is a heavy highway and utility construction firm. based in the Rio Grande Valley.
• I have over 25 years of experience in the utility construction industry.
• Many of the projects we construct require excavation.

Keywords: 1184, house, all

Bills: HR207, SB2595, SB3199, SB3132, SB2591, SB2089, SB2108, SB2970, SB2530, SB2442, SB3076, SB2532, SB2721, SB2055, SB2312, SB2152, SB2438, SB2982, SB2528, SB2919, SB2446, SB2315, SB2544, SB2060, SB2069, SB3011, SB2342, SB2075, SB2578, SB2580, SB2835, SB3084, SB3322, SB3053, SB888, SB709

Keywords: Dr. David Lassner, higher education, community engagement, university leadership, innovation, Hawaii education system, agribusiness, leasing, agriculture, Hawaii, food innovation, Department of Education, mental health, emerging therapies, psychedelic treatment, task force, clinical trials, trauma recovery, MDMA, psilocybin

Bills: HR207, SB2595, SB3199, SB3132, SB2591, SB2089, SB2108, SB2970, SB2530, SB2442, SB3076, SB2532, SB2721, SB2055, SB2312, SB2152, SB2438, SB2982, SB2528, SB2919, SB2446, SB2315, SB2544, SB2060, SB2069, SB3011, SB2342, SB2075, SB2578, SB2580, SB2835, SB3084, SB3322, SB3053, SB888, SB709

Keywords: Dr. David Lassner, higher education, community engagement, university leadership, innovation, Hawaii education system, agribusiness, leasing, agriculture, Hawaii, food innovation, Department of Education, mental health, emerging therapies, psychedelic treatment, task force, clinical trials, trauma recovery, MDMA, psilocybin

Transcript Highlights:

• <01:01:04.160> of<01:01:04.319> felony may have a substantial backlog of felony may
• have a substantial backlog of felony level<01:01:04.960> criminal<01:01:05.359> trials
• of a new medium security construction of a new medium security male<01:02:19.839> correctional
• Hawaii faces evaluator shortages that contribute to backlogs and prolonged custody disputes.
• in the courts in years ago about backlog in the courts in the<03:14:47.120> jury<03:14:47.439

Keywords: 910, house, all

Summary: The House Committee on Judiciary and Hawaiian Affairs heard testimony on two immigration-enforcement bills: HB 1886 HD1 and HB 2540 HD1. HB 1886 would limit state and federal collaboration in immigration enforcement, require visible identification and restrictions on facial coverings for law enforcement officers, and create offenses for improper masking, lack of identification, and unauthorized civil immigration interrogation, arrest, or detention. HB 2540 would also limit state and federal collaboration, require law enforcement agencies to adopt and publicly post written civil immigration enforcement policies, prohibit stops or arrests based solely on immigration status, and restrict state and county participation in civil immigration enforcement in certain places. Most testimony supported both measures. The Office of Hawaiian Affairs, the Office of the Public Defender, the ACLU of Hawaii, the Hawaii Coalition for Immigrant Rights, the Legal Clinic, and several private individuals said the bills would increase transparency, accountability, and community trust, and would help protect constitutional rights and reduce fear among immigrants and other community members. Several testifiers emphasized Hawaii’s history and the need to keep local law enforcement separate from federal immigration enforcement, while others said the bills would help people feel safer going to court, school, work, or public protests. A retired police officer also supported visible identification and uniform standards for officers, including federal agents operating in Hawaii. A few testifiers opposed the use of masked or unidentified officers and argued that local police should not be diverted from ordinary public safety duties to immigration enforcement. One ACLU witness noted that the federal government has increasingly used local and state agencies to expand immigration enforcement, and said the task-force provisions in the bills are important to prevent blurred lines between agencies. The committee did not take a final vote in the portion of the meeting provided, but it recorded very large numbers of supportive testimonies for both bills, with only a small number in opposition.

Transcript Highlights:

• hoping in getting that money back, a process that can drag on for months and creates unnecessary backlogs
• hoping in getting that money back, a process that can drag on for months and creates unnecessary backlogs
• Materials and supplies, general items, you look at construction like of homes, where things you know
• That's the new base, that's before we're talking about increases regarding wages, construction, other
• That's the new base, that's before we're talking about increases regarding wages, construction, other

Keywords: 1183, house

Bills: HB34, HM7, HM8, HM17, HM3, HM11, HM14, HM15, HM21, HM25, HM34, HB95, HB111, SB1, HJR1, HM4, HM22

Keywords: HB34, school nurse, school nurses, nurse licensure, licensure, charter school, charter schools, school district, public education, Department of Health, Public Education Department, registered nurse, RN, mentorship, evaluation, competency, teacher salary parity, minimum salary, level one license, level two license

Transcript Highlights:

• Carter, also Senators Bright and Snider, concerning the use of a bond in lieu of retainage in construction
• 00:37:10.800> of<00:37:10.880> retainage<00:37:11.280> in<00:37:11.520> construction
• lie of retainage in construction lie of retainage in construction contracts. contracts. contracts
• York Times recently stated, nationwide, the small detached house has all but vanished from new construction
• for fire services and other constructed for fire services and other emergency<02:16:10.960> services

Keywords: 981, all

Summary: The House convened with a quorum, approved the journal, and heard several announcements about committee schedules and Capitol events, including Faith and Justice Lobby Day, Agriculture Week activities, and a tribute presentation for Sergeant Benjamin Pennington. The tribute honored Pennington’s Army service, his time at Fort Carson, and his death from injuries sustained in an attack on Prince Sultan Air Base; he was posthumously promoted to Staff Sergeant. A member also offered remarks recognizing the sacrifice of service members, and taps was played. The chamber then took up third reading and final passage on multiple bills. Senate Bill 39, concerning Fire and Police Pension Association disability and survivor benefits, passed 63-1. House Bill 1311, regarding use of a bond in lieu of retainage in construction contracts, passed 55-1 after a brief explanation of support from a member. House Bill 1184, continuing the Colorado Forest Health Council, passed 50-1; House Bill 1305, on inpatient behavioral health access, passed 64-0; and House Bill 1234, on access to child abuse or neglect records, passed 64-0. Senate Bill 50, requiring certain child care center policy disclosures to caregivers, passed 56-8. Senate Bill 84, preserving privileges for certain state entities in connection with information provided to the state auditor and fraud hotline duties, passed 42-12. House Bill 1186, continuing regulation of bail bonding agents by the Division of Insurance, passed 61-13. House Bill 1181, continuing the Barber and Cosmetologist Act, passed 51-13 after a member requested removal of their name as a co-sponsor. The House also moved Senate Bill 21 back to the general orders calendar and set several bills as special orders. In the House Special Committee on Legislative Interim Activities, House Bill 1331 was heard; the appropriations committee report was adopted after members noted a roughly $400,000 general fund reduction and a 3.3 FTE staffing reduction. The bill itself would suspend 10 interim committees, repeal two committees, and limit travel and per diem reimbursements to help address the budget gap. Supporters said the measure was similar to last year’s bill and encouraged continued policy work outside formal interim committees, while opponents argued that some committees, especially those related to water, behavioral health, and youth, should be preserved and questioned the prioritization of the Colorado Youth Advisory Council and related costs.

Transcript Highlights:

• employer-controlled board, and at least it's my understanding that they are facing a considerable backlog
• employer-controlled board, and at least it's my understanding that they are facing a considerable backlog
• employer-controlled board, and at least it's my understanding that they are facing a considerable backlog
• employer-controlled board, and at least it's my understanding that they are facing a considerable backlog

Keywords: 912, senate, all

Summary: The Senate Labor and Technology Committee heard testimony on several measures. SB 2245 would tighten revolving-door restrictions for state employees by barring new employees from acting on matters they worked on before state service and imposing a 12-month post-employment restriction for certain former Governor and Lieutenant Governor staff; the Ethics Commission and League of Women Voters supported it, and the committee later passed it as is. SB 99 would allow certain retirees to return to work as school resource officers or investigators without losing retirement benefits; the Attorney General supported the investigator portion, ERS and other agencies offered comments and suggested amendments, and the committee passed the bill with amendments, including changes from the Attorney General, ERS, and the Department of Law Enforcement, plus a far-future effective date. SB 2304, which would expand identity theft law to cover AI/deepfake or materially deceptive media impersonation, drew opposition from the Attorney General and Honolulu Prosecutor over prosecution burdens and First Amendment concerns, while some prosecutors and others supported it; the committee deferred the bill. SB 2115, dealing with collective bargaining impasse procedures for repricing public employee classes, drew opposition from human resources officials who said arbitrators lack the technical expertise needed, while unions and HGA supported the measure; the committee deferred decision-making to a later hearing. The committee also heard SB 1036, a net neutrality bill that would bar broadband providers from blocking, prioritizing, or zero-rating traffic. Supporters argued Hawaii needs stronger consumer protections, while the Hawaii Broadband Office said it saw no current problem in Hawaii and warned the bill could affect federal BEAD funding unless exempted; the committee deferred the measure. SB 1163 would prohibit the sale of geolocation and browser data and data collected through microphone-based background apps; Consumer Protection supported the intent but urged a broader privacy framework, and the Honolulu Prosecutor sought an exemption for lawful law-enforcement investigations, which the committee later accepted along with Hawaiian Telecom’s proposed amendments before passing the bill with amendments. SB 2076 would update publicity-rights law to address AI/deepfake uses of a person’s likeness; testimony supported the goal and amendments from the Recording Industry Association of America, and the committee passed the bill with amendments, including replacing references to AI/deepfake with “digital replica.” After hearing testimony, the committee recessed briefly to obtain quorum and then reconvened for decision-making. It adopted the chair’s recommendation to pass SB 2245 as is, passed SB 99 with amendments, deferred SB 2304, deferred SB 2115 to a later hearing, deferred SB 1036, passed SB 1163 with amendments, and passed SB 2076 with amendments. The meeting then adjourned.

Transcript Highlights:

• I will note that paperwork backlogs and administrative hurdles have meant that only about 20% of these
• impact of these challenges across the board is the inability to serve communities, increased hospital backlogs
• lack of respect on the job and not feeling like a voice is heard on the job, and then certification backlogs
• And certification backlogs and testing delays are three that I want to talk about today.

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• times for inspections, sometimes three to four months in some cases, which is creating a growing backlog
• 00:32:36.720> growing cases, which is creating a growing cases, which is creating a growing backlog
• in<00:32:37.760> new<00:32:37.919> installation<00:32:38.399> turnover, backlog
• in new installation turnover, backlog in new installation turnover, and<00:32:39.279> is<00:32

Keywords: 910, house, all