Transcript Highlights:

• It adds qualifying conditions like palliative care and hospice for terminal patients.
• Yes, the patient intake form. Yes, sir.
• It's actually on the patient intake form.
• Maintenance organizations, preferred provider benefit plans, and managed care organizations. Mr.
• provider for health maintenance organizations and preferred provider benefit plans.

Bills: HB3902 , HB4420 , HB3269 , HB469 , HB336 , HB316 , HB5396 , HB993 , HB1342 , HB5216 , HB2046 , HB2188 , HB2450 , HB2813 , HB2857 , HB4075 , HB2911 , HB4682 , HB3117 , HB3253 , HB3442 , HB4820 , HB4336 , HB5356 , HB3669 , HB3428 , HB5465 , HB3662 , HB2590 , HB2288 , HB1886 , HB3458 , HB5603 , HB5620 , HB1489 , HB4101 , HB4990 , HB5685 , HB4950 , HB4980 , HB5684 , HB3507 , HB3566 , HB4487 , HB4462 , HB4876 , HB4915 , HB4663 , HB5570 , HB2929 , HB5261 , HB2920 , HB4642 , HB4746 , HB1609 , HB5403 , HB5453 , HB3844 , HB2336 , HB1572 , HB 1226 , HB2806 , HB2617 , HB2827 , HB3948 , HB3945 , HB4266 , HB4542 , HB3319 , HB1772 , HB2496 , HB1970 , HB3434 , HB5545 , HB5577 , HCR59 , HCR135 , HB4 , HB46 , HB3221 , HB1403 , HB3892 , HB4234 , HB722 , HB4105 , HB4413 , HB170 , HB551 , HB3053 , HB3142 , HB3180 , HB3722 , HB1794 , HB1784 , HB1581 , HB2530 , HB4308 , HB1896 , HB2974 , HB3359 , HB4580 , HB2458 , HB2215 , HB3332 , HB2278 , HB3015 , HB3151 , HB1368 , HB40 , HB 101 , HB 112 , HB146 , HB214 , HB413 , HB1523 , HB493 , HB521 , HB594 , HB557 , HB305 , HB549 , HB854 , HB 1057 , HB 1052 , HB842 , HB3174 , HB3196 , HB824 , HB 1039 , HB2529 , HB2713 , HB4936 , HB4995 , HB4830 , HB4864 , HB5219 , HB5263 , HB5154 , HB2674 , HB5525 , SB529 , SB541 , SB2004 , SB1012 , SB2269 , SB1886 , SB1236 , SB693 , SB2308 , HB2486 , HB4862 , HB4689 , HB4520 , HB2225 , HB168 , HJR218 , HB4921 , HB5623 , HB2494 , HB2545 , HB2587 , HB2625 , HB5520 , HB5436 , HB4926 , HB1573 , HB5165 , HB4811 , HB5081 , HB4755 , HB3179 , HB4310 , HB4611 , HB2159 , HB4626 , HB3637 , HB3153 , HB3066 , HB2786 , HB2966 , HB638 , HB640 , HB876 , HB497 , HB5539 , HB4809 , HB5308 , HB4687 , HB4070 , HB4421 , HB4412 , HB3284 , HB3369 , HB3420 , HB3449 , HB4098 , HB4281 , HB4120 , HB4504 , HB4370 , HB 1106 , HB2370 , HB2404 , HB3863 , HB2407 , HB2253 , HB2273 , HB2040 , HB1586 , HB3788 , HB3993 , HB4690 , HB4309 , HB4696 , HB2308 , HB 1142 , HB1533 , HB1621 , HB2242 , HB2012 , HB2193 , HB2442 , HB2464 , HB2348 , HB2313 , HB2289 , HB1942 , HB2011 , HB1629 , HB2993 , HB3592 , HB3824 , HB4076 , HB4535 , HB4623 , HB4773 , HB 1091 , HB5115 , HB5515 , HB3372 , HB5659 , HB 127 , HB386 , HB 115 , HB2868 , HB 1249 , HB4766 , HB3720 , HB4656 , HB4879 , HB 105 , HB5383 , HB4621 , HB5431 , HB5678 , HB5534 , HB4174 , HB4212 , HB3954 , HB3966 , HB3636 , HB3918 , HB1422 , HB4765 , HB4732 , HB4742 , HB5122 , HB4518 , HB5084 , HB3986 , HB4045 , HB4144 , HB3911 , HB3976 , HB4473 , HB3425 , HB3641 , HB3642 , HB3475 , HB3509 , HB3424 , HB3383 , HB4744 , HB4531 , HB4539 , HB3159 , HB5228 , HB5370 , HB4359 , HB4398 , HB4443 , HB4466 , HB3861 , HB3849 , HB4240 , HB4706 , HB4685 , HB5354 , HB5141 , HB5686 , HB3629 , HB3554 , HB3567 , HB2015 , HB3575 , HB5381 , HB1431 , HB3514 , HB4614 , HB4546 , HB4683 , HB5681 , HB5673 , HB5663 , HB4271 , HB4350 , HB4035 , HB3807 , HB3812 , HB3552 , HB3540 , HB3715 , HB3710 , HB3664 , HB4196 , HB4233 , HB4173 , HB1998 , HB3333 , HB3510 , HB4222 , HB2070 , HB2854 , HB2347 , HB 113 , HB983 , HB4847 , HB1449 , HB3833 , HB5151 , HB265 , HB1845 , HB782 , HB 108 , HB1960 , HB158 , HB1954 , HB1955 , HB2512 , HB605 , HB2581 , HB2803 , HB627 , HB2667 , HB1738 , HB636 , HB3679 , HB2638 , HB2655 , HB871 , HB2438 , HB 1107 , HB1765 , HB1822 , HB2153 , HB4099 , HB3732 , HB3171 , HB3178 , HB3182 , HB3749 , HB2814 , HB3977 , HB4204 , HB4207 , HB4449 , HB1820 , HB1876 , HB1939 , HB1347 , HB2593 , HB2136 , HB2132 , HB2658 , HB2413 , HB2757 , HB2080 , HB3154 , HB3063 , HB3009 , HB3448 , HB3006 , HB2844 , HB3241 , HB3680 , HB3169 , HB2078 , HB2507 , HB4559 , HB3946 , HB3460 , HB3405 , HB475 , HB3463 , HB3441 , HB3520 , HB2060 , HB4731 , HB4991 , HB1991 , HB5596 , HB2014 , HB2142 , HB2673 , HB2731 , HB2417 , HB2399 , HB2301 , HB3335 , HB3234 , HB3320 , HB5573 , HB4848 , HB4748 , HB4769 , HB4795 , HB2086 , HB2234 , HB2203 , HB4916 , HB5624 , HB4505 , HB139 , HB5093 , HB5302 , HB5402 , HB5606 , HB2333 , HB4630 , HB4701 , HB2583 , HB2983 , HB4924 , HB3339 , HB3793 , HB3631 , HB4882 , HB5509 , HB5499 , HB5430 , HB5561 , HB5611 , HB5043 , HB5064 , HB3733 , HB3781 , HB3219 , HB32 , HB4515 , HB5348 , HB3902 , HB4420 , HB3269 , HB469 , HB336 , HB316 , HB5396 , HB993 , HB1342 , HB5216 , HB2046 , HB2188 , HB2450 , HB2813 , HB2857 , HB4075 , HB2911 , HB4682 , HB3117 , HB3253 , HB3442 , HB4820 , HB4336 , HB5356 , HB3669 , HB3428 , HB5465 , HB3662 , HB2590 , HB2288 , HB1886 , HB3458 , HB5603 , HB5620 , HB1489 , HB4101 , HB4990 , HB5685 , HB4950 , HB4980 , HB5684 , HB3507 , HB3566 , HB4487 , HB4462 , HB4876 , HB4915 , HB4663 , HB5570 , HB2929 , HB5261 , HB2920 , HB4642 , HB4746 , HB1609 , HB5403 , HB5453 , HB3844 , HB2336 , HB1572 , HB 1226 , HB2806 , HB2617 , HB2827 , HB3948 , HB3945 , HB4266 , HB4542 , HB3319 , HB1772 , HB2496 , HB1970 , HB3434 , HB5545 , HB5577 , HCR76 , HCR127 , HCR9 , HCR40 , HCR118 , HR559 , HCR59 , HCR135

Transcript Highlights:

• We have some extra staff here to brief one of our bills, so I know Senator Wilson is going to be patient
• So I know Senator Wilson is going to be patient if we take the other bill and let the staff go back to
• And look at that patient-loving look in her eyes.
• Seeing none, the incredibly patient and wonderful Senator Wilson, an alumnus of this committee, who I
• Gender identity is personality, and personality preferences are not what matter on official documents

Summary: The Senate Transportation Committee held public hearings on several measures. ESHB 1980 would allow private employer shuttle services to use certain BAT lanes in King County under a two-year pilot, with local authority and transit-agency approval, performance standards, fee-for-use requirements, labor input, annual reporting, and a 10-year sunset. Supporters from Bellevue, transit employers, and business groups said it would improve commute options, reduce congestion, and support the upcoming RapidRide K Line; staff noted the bill differs from prior versions by adding the pilot, labor representation, vehicle markings, and reporting. The committee then heard SB 6252, which would extend the transit support grant program’s zero-fare requirement to degree- and certificate-seeking community and technical college students. Supporters said it would improve access to education and transit, especially for older and rural students, while transit groups raised concerns about fare revenue losses and implementation costs; staff estimated no state cost but significant local revenue impacts. The committee also heard SB 6081, a privacy bill that would restrict public disclosure of sex designation change records in Department of Licensing and Department of Health records, limit sharing with other jurisdictions, and keep updated credentials from showing that a change occurred. The sponsor and many supporters framed it as a safety measure for transgender Washingtonians, while opponents argued it would undermine accurate records; staff said the Department of Licensing would face about $1 million in implementation costs over four years, with other agencies expecting minimal impacts. Finally, SB 6265 would allow electronic, non-notarized signatures and printed copies for documents transferring a totaled salvage vehicle to an insurer; the sponsor and salvage-industry witnesses said it would modernize the process and reduce hardship, and staff reported no fiscal impact. No votes or executive actions were taken; the committee closed each public hearing and adjourned after a reminder about amendment deadlines for upcoming executive session bills.

Transcript Highlights:

• Our hospitals are admitting these<00:42:34.319><c> patients.</c> these patients. these patients.
• </c> patients in August of this year. patients in August of this year.
• That's like one patient to one staff, or two staff to one patient, or even three staff to one patient
• </c> the appropriate setting for the patients the appropriate setting for the patients treatment<00:45
• </c> the therapists, and the other patients the therapists, and the other patients in<00:45:35.520><c

Summary: The committee approved the September 18 minutes and then heard testimony on House Bill 534, which would automatically seal dismissed eviction filings and protect youth from public disclosure in forcible detainer cases. Rep. Susan Tyler Whitten and George Ecklan of the Coalition for the Homeless said the bill is aimed at reducing housing barriers for Kentuckians, especially those with dismissed cases, while preserving landlords’ rights to pursue rent, collections, damages, and other legal remedies. They said the proposal was developed with input from landlords, clerks, judges, AOC, and service providers, and noted that similar laws exist in other states. Several members, including Sen. Neimes, Rep. Deetsz, Rep. Cole Carney, and Sen. Thomas, expressed support while emphasizing that the bill is narrowly tailored to dismissed cases and should not affect legitimate landlord claims; Sen. Wheeler raised concerns about cases involving settlements or delays and whether future landlords should know about them. The sponsors responded that the bill only covers dismissed actions, that dismissals require a judge’s order, and that the goal is to remove barriers created by records that remain publicly visible even when a case is resolved. The committee then took up Senate Bill 111 on juvenile justice. Commissioner Randy White, Kentucky Hospital Association President Nancy Galvanny, and Dr. Clark Lester of the University of Kentucky said the bill would require a secure state-run facility for youth with high-acuity mental health needs in detention and, until that is built, create a process with incentives for private hospitals to provide inpatient treatment with safeguards and increased compensation. They argued that detention is not an appropriate setting for severely mentally ill, violent youth and that private psychiatric hospitals often refuse these referrals or discharge them early. Dr. Lester cited recent referral data showing high denial rates for juvenile justice youth in private hospitals in August and September, often due to aggression, and described a case in which repeated placement attempts failed because of violent and self-harming behavior. The presenters said the bill is intended to fill a service gap and improve safety and outcomes for youth, staff, and hospitals, but no vote or final action on the bill was taken in the portion of the meeting provided.

Transcript Highlights:

• Many of us prefer the old rules. We prefer the agreement we all had to play by those rules, right?
• I'm trying to be patient with you, and you have been out... We all have. Thank you.
• I'm trying to be patient with you, and you have been asking the same questions over again.
• Ultimately, this is our preferred outcome.
• Names, preferably. The Assembly, then. Okay, I'm in the Assembly and I did not draw these maps.

Summary: The Assembly Elections Committee met on August 19, 2025, to consider ACA 8, SB 280, and an informational hearing on AB 604. The meeting began with several failed motions to adjourn, to read public comments into the record, and to recess so members could review the roughly 16,000 public comments submitted through the committee portal. The chair emphasized the hearing’s expedited format, transparency measures, and rules limiting witness testimony, and noted a letter from Speaker Rivas authorizing Assemblymember Berman to present ACA 8. ACA 8, described by supporters as the “Election Rigging Response Act,” would place before voters a temporary congressional redistricting plan tied to AB 604 and triggered only if another state, especially Texas, adopts a partisan mid-decade redistricting. Supporters, including Assemblymember Berman, labor groups, CTA, Planned Parenthood affiliates, SEIU, and other allied organizations, argued the measure was a response to partisan gerrymandering elsewhere and a defense of democracy, with voters having the final say in a November 4, 2025 special election. Opponents, including current and former redistricting commissioners, good-government groups, business and taxpayer organizations, and many members of the public, argued the proposal undermines California’s independent redistricting model, was rushed without adequate public review, could cost roughly $200 million or more, and would invite litigation and partisan manipulation. The committee also debated a proposed amendment that would bar legislators who voted for ACA 8 from later running for Congress in districts adopted under the measure. After extended procedural disputes, the committee voted to lay the amendment on the table. The hearing then continued with extensive public testimony, overwhelmingly divided between strong support and strong opposition, but the transcript provided does not show a final committee vote on ACA 8 or SB 280 before the excerpt ends.

Transcript Highlights:

• We prefer this one because it has a clear connection to existing federal law, but an exception for an
• We did not list a preference because we did not feel that that was our responsibility, even though we
• </c> governor uh we did not list a preference governor uh we did not list a preference because<02:01:
• I would prefer that we're allowed to write a letter to the governor requesting a reappointment of the
• </c> still see and take on their own patient still see and take on their own patient panel<02:59:23.600

Committee: House Public Safety

Summary: The Committee on Public Safety met on January 31, 2025, and first heard House Bill 1062, a housekeeping measure relating to the Hawaii Air National Guard. Testimony in support came from representatives of the Adjutant General and other National Guard witnesses. A member raised a technical question about language allowing the Guard to hold the rank authorized by the Department of the Air Force, and the response was that the bill should not require additional HR language; no vote was taken. The committee then heard House Bill 674, which would authorize allowances for TRICARE dental and vision coverage for Hawaii National Guard personnel ordered to active duty for more than 30 days. The Department of Defense supported the bill through Brigadier General Ross, Director of Joint Staff, and Terry Heiti also testified in support. There were no questions or action taken on the measure. House Bill 652, relating to veterans’ rights and benefits and regulating compensation for advice or assistance on veterans’ benefits, drew the most discussion. The Veterans of Foreign Wars Department of Hawaii supported the bill, arguing it would protect veterans from illegal or exploitative practices and noting its own service to more than 2,000 veterans in fiscal year 2024. Opposition came from the National Association for Veterans Rights and Veteran Benefits Guide, which argued the bill would restrict access to needed services and that some for-profit providers operate legally and should not be barred. Committee members questioned the scope of the bill, accreditation requirements, and whether nonprofit or pro bono services would be affected. A Department of Defense veteran services official said veterans can be vulnerable to exploitation and that some legal fee arrangements can be abusive, while also noting pro bono options exist. The committee did not reach a decision on the bill during the excerpt. The committee also began hearing House Bill 1058, which would create a veteran cemetery board within the Office of Veteran Services to help state veteran cemeteries comply with federal standards. The Office of Veteran Services and Terry Heiti testified in support. Members asked about the board’s membership, timeline, and consultant selection, and were told the working group was still in an organizational stage and no construction timeline had been set. The final measure discussed was House Bill 503, which would appropriate funds for a consultant to evaluate locations and designs for a Hawaii First Responders Memorial. The Department of Accounting and General Services supported the bill, and testimony in support was received from county and city officials, UPW Hawaii, and individuals. Members asked about the working group, timeline, and budget, and were told the project was still in early planning; no final action was taken in the portion provided.

Transcript Highlights:

• Complex patient population that requires additional staffing, patients that may have housing instability
• While patient volumes increased at the end of the public health emergency, we also saw patients shift
• </c><00:14:21.520><c> uh</c> like patient uh like patient uh software,<00:14:23.120><c> forces</c><00
• 58.840><c> at</c><00:15:58.920><c> the</c> While patient volumes increased at the While patient volumes
• </c> deliver quality care to the patients. deliver quality care to the patients.

Committee: House Taxes

Transcript Highlights:

• Steven Martinez from Patient Equity Coalition and Mr.
• An important step to protecting patients is to empower the Attorney General to provide oversight.
• Please vote to help make the process more fair for California patients. Thank you.
• So the patient-doctor relationship, what health care providers provide, what patients do, and what providers
• In my role, I oversee the care of every major trauma patient in San Francisco.

Committee: House Judiciary

Transcript Highlights:

• I am a disgruntled T-CUP patient.
• I'm not a lazy stoner, a criminal, or an unstable patient.
• But I am a mom, and I am a patient of the TEACUP program.
• There are very clean stores that are really patient-driven.
• First, I'd like to say that I am a transplant patient.

Bills: HB5

Committee: House Public Health

Transcript Highlights:

• How many people would prefer hot, I mean, we'll still have coffee, but how many tea drinkers are there
• also have two school-based health centers, so kind of can tie in a lot of health stuff should you prefer
• It's not overlapping, but again, I don't know if the preference is to be like back to back in the same
• strongly agree with the focus on healthcare workforce shortages and the crying need that all of our patients
• Potential extreme effects on our communities and our patients of federal Medicaid changes, including

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• In 2023, there was a little step toward telemedicine by allowing a veterinary client-patient relationship
• Is are we doing anything to protect our $10 million worth of assets because as a transportation patient
• And some of them prefer—they'll pick up the phone right away.
• And some of them prefer, they'll pick up the phone right away.
• Some of them prefer, they'll pick up the phone right away.

Summary: The Joint Natural Resources and House Natural Resources, Energy and Water Committees of Reference heard the Arizona Auditor General’s sunset review of the Arizona State Veterinary Medical Examining Board. The audit found the board generally met some licensing requirements, but it did not timely investigate and resolve 49 of 159 complaints in fiscal year 2024, and it did not fully comply with conflict-of-interest disclosure and filing requirements. The Auditor General also identified weaknesses in continuing-education verification and other sunset-factor areas, and the board agreed to implement all 21 recommendations. Board staff said complaint volume has risen sharply since the pandemic, that the board’s process is slower because every case goes through an investigative committee and then the full board, and that it has already corrected some conflict-of-interest issues and is adding tools to improve continuing-education audits. The committee then heard testimony from the board’s executive director and from the Arizona Veterinary Medical Association. The executive director emphasized the board’s public-protection mission, described the shortage of veterinarians and veterinary technicians, and said the board is working to improve efficiency through a new e-licensing system and staff training. Members asked about the shortage of large-animal veterinarians, complaint backlogs, and whether the board could do more to recruit rural practitioners; the board said it lacks direct recruiting authority but supports multiple licensure pathways and loan-assistance efforts. The veterinary association supported the board’s oversight and said it is also working on rural and large-animal workforce issues through partnerships and advocacy. The committee then voted to recommend continuing the board for eight years, until July 1, 2034. The committee next took up the Arizona State Land Department, beginning with the Auditor General’s presentation on the department’s sunset review and prior special audit. The audit found the department had not updated its required five-year disposition plan since 2011, had sold more than 48,000 acres without an active plan, had allowed agricultural rental rates to go unchanged since 2006 despite market increases, and had not consistently inspected mineral-related leases or properly managed reclamation bonds. The Auditor General said these issues created risks of lost revenue, reduced transparency, and public-safety hazards, and recommended 18 corrective actions in the main review plus 34 additional recommendations on other issues; the department agreed to most recommendations but declined to adopt a written policy for commissioner-initiated land sales. Commissioner Robin Sahid said the department is working through audit recommendations, has created a rules team, improved its customer portal, and is pursuing new policies on water use, transportation-basin leases, and disposition planning. Members questioned the department about agricultural leases, groundwater valuation, the Fondomonte leases and reimbursement for improvements, the canceled Coyotes land auction, backlog and processing times, and the use of consultants and administrative funds. The commissioner said the department had over 2,000 applications in queue when she arrived, that it has made progress reducing the backlog, and that it is conducting stakeholder outreach on water-efficiency standards and lease addenda. No final vote on the land department continuation was taken in the portion provided.

Transcript Highlights:

• Conflicts between land uses—does the department give preference to solar leases for the parcels that
• Because as a transportation patient, those wells will become useful for us down in the future whenever
• Some of them prefer to pick up the phone right away; others will respond to an email, but...
• Some of them prefer to pick up the phone right away; others will respond to an email, but it's just been
• My preference obviously would be if you have a bill, if you have a vote explanation, we would go ahead

Summary: The committee first heard an Auditor General presentation on the Arizona State Veterinary Medical Examining Board’s sunset review. The audit found the board generally met some licensing requirements, but it did not timely investigate and resolve 49 of 159 complaints in fiscal year 2024, and it did not fully comply with conflict-of-interest disclosure and filing requirements. The Auditor General also noted the board lacked a formal process to verify continuing education compliance. The board’s executive director said the agency had already corrected some conflict-of-interest issues, was working to improve complaint handling, and would implement all 21 recommendations. A veterinarian representing the Arizona Veterinary Medical Association supported the board and said the profession is also working to address the shortage of large-animal veterinarians. The committee then voted to recommend continuation of the board for eight years, until July 1, 2034. The committee next received the Auditor General’s sunset review of the Arizona State Land Department. The audit identified three major problem areas: the department had not updated its required five-year disposition plan for state trust land since 2011, it had not adjusted agricultural rental rates to reflect market conditions for many years, and it had not consistently inspected mineral-related leases and permits before releasing reclamation bonds. The Auditor General said these issues risked lower returns for trust beneficiaries, lost revenue, and public safety hazards, and made 18 recommendations in the performance audit plus 34 additional recommendations in the sunset review. The department agreed to implement or partially implement nearly all recommendations and said it had begun a mass appraisal process. State Land Commissioner Robin Zahid then testified that the department was making operational improvements, including rulemaking updates, stakeholder outreach on water-use policy, a new customer-service status bar, and process changes for land sales and mining applications. She defended the decision not to renew the Fondomonte leases in a transportation basin, citing the high value of groundwater and the trust’s fiduciary duty. Members questioned her about agricultural lease water charges, the status of a water policy framework and addendum, the lack of a formal expedited review process, the Fondomonte reimbursement payments for improvements, and the department’s handling of a high-profile land auction tied to the Coyotes arena proposal. Several members also asked for follow-up information on pending residential housing applications, acreage, administrative fees, and third-party contractors.

Transcript Highlights:

• So, with the ask that you have for this budget session, how many more patients can you serve?
• So, you know, with this ask, are you going to be able to serve a higher acuity of patients?
• So what we do is we look at our preferred drug listing, uh, to make sure, uh, that it makes financial
• So what we do is we look at our preferred drug listing, uh, to make sure, uh, that it makes financial
• </c> what we do is we look at our preferred what we do is we look at our preferred drug<00:51:50.640>

Summary: The Budget Review Subcommittee on Health and Family Services heard a presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults with serious mental illness who do not qualify for nursing home care but need structured support, medication assistance, meals, housekeeping, transportation, and supervision. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and rely on a state supplementation rate of about $50.70 per day, which they argued no longer covers operating costs because of rising food, labor, insurance, and maintenance expenses. The presenters said the sector has shrunk significantly over time, citing a drop from 64 homes in 2002 to 34 today among the homes serving this population, with 30 closures over 23 years and two more closures since August. They argued that the closures have contributed to homelessness, hospital overcrowding, and longer stays in psychiatric hospitals, and they gave examples of residents who had spent many months in hospitals before stabilizing in a personal care home. One provider also described spending more than $800,000 on capital improvements after acquiring Kentucky facilities and said reimbursement is too low to sustain safe operations. They asked for an incremental reimbursement increase over two years and said they have also proposed an assisted-living model for people with mental illness. Members asked about staffing, reimbursement, and the number of people still needing placement. The presenters said there is no requirement for licensed or certified staff in these facilities, though some homes use medication technicians and occasional LPNs. They estimated they are currently serving about 2,000 residents and said they receive roughly 30 referrals for every one person admitted, with many referrals involving people whose needs exceed the personal care home level. Senator Meredith and Representative Fleming said any funding request would need documentation of savings and corresponding budget offsets, while Representative Duval expressed support and asked about possible staffing and program improvements. The witnesses also compared Kentucky’s flat-rate reimbursement to a more individualized reimbursement model in Minnesota, saying a needs-based system would better match staffing and reduce hospitalizations.

Transcript Highlights:

• It was found that two out of three survivors of crime prefer shorter prison sentences if you combine
• </c> three survivors of crime prefer three survivors of crime prefer shorter<01:03:26.839><c> prison<
• having other options to survivors prefer having other options to hold<01:03:45.400><c> the</c><01:03
• Cutting off the preferred method of suicide does not allow people to just do it some other way.
• </c> preventing access to the preferred preventing access to the preferred method<06:25:17.160><c> of

Committee: House Criminal Justice and Public Safety

Transcript Highlights:

• </c><01:14:41.120><c> Finn's</c> or as I prefer to put it, Dr. Finn's or as I prefer to put it, Dr.
• I would say patient access rate has improved about 22% year to year.
• But it's also for those practices to see more patients.
• on the demand sometime patient have to on the demand sometime patient have to wait<01:29:28.080><c> for
• It's nice you're enrolled, more patient.

Summary: The committee first approved the draft minutes from its May 29 meeting and then received an informational update from the Commission for the Deaf and Hard of Hearing about the state’s ASL interpreter pipeline. Representative Woods and Associate Commissioner Ann Landry explained that the American Sign Language program at UNH Manchester, the nation’s first fully accredited program, is facing viability concerns because high tuition has left only two of a potential 20 students committed so far. They warned that if enrollment does not recover, the program could face a teachout and eventually be lost, which they said would be detrimental because many state services and legal proceedings require qualified interpreters. Members discussed possible alternatives, including whether community colleges could help, and asked for follow-up research and contact information for UNH officials. The committee also heard that interpreter demand across DHHS continues to rise and that the department must ensure compliance with civil rights and service-access requirements. The committee then turned to Medicaid policy changes tied to Senate Bill 134 and a new federal interim final rule on Medicaid community engagement, or work, requirements. DHHS officials Olivia May and Ann Landry explained that the state law and federal rule align in many areas, but the committee still needed to decide how to implement several remaining policy choices. The department recommended adopting all four short-term hardship exceptions because the federal rule requires states to take them all or none: inpatient or institutional care, federally declared emergencies, high-unemployment areas, and extensive out-of-state travel for serious medical care. Members generally supported the exceptions but raised concerns about how they would be defined and applied, especially the emergency and medical-travel categories. Several legislators asked for more clarity on terms like “extensively” and “serious or complex medical care,” and DHHS said the federal rule does not rigidly define them, though the state could refine implementation through rulemaking if authorized. The department also said the emergency exception would apply only to federally declared emergencies, not state declarations, and would be tied to the emergency event itself. No final vote on the Medicaid policy was recorded in the portion provided, but the discussion indicated the committee was reviewing the remaining decisions needed to implement Senate Bill 134 under the new federal framework.

Transcript Highlights:

• ,</c> me, this is a question of the patients, me, this is a question of the patients, of<00:30:14.720
• I would really prefer to do that as well. I'm happy to have more discussions.
• I would really prefer to do that as it.
• And so patients uh across the state.
• </c><01:37:12.400><c> um</c> opinion because that that's a patient um opinion because that that's a patient

Committee: Senate Health and Human Services

Transcript Highlights:

• Meanwhile, a recent Cato Institute survey shows that 64% of Americans prefer cutting spending as the
• Prefer cutting spending as the way to balance the budget.
• convention, are looking for ways as we speak to circumvent the 22nd Amendment to try to get his preferred
• rights into the laws of our Commonwealth, to enacting best-in-the-nation shield laws to protect patients
• rights into the laws of our Commonwealth, to enacting best-in-the-nation shield laws to protect patients

Committee: Joint Joint Committee on Veterans and Federal Affairs

Summary: The hearing of the Joint Committee on Veterans and Federal Affairs was opened by Chair Joe McGonagle and Vice Chair Senator Mike Rush, who noted that Chair John Velis was deployed with the Massachusetts National Guard. The chairs explained the hybrid format, three-minute testimony limit, live streaming, and filing deadlines, and said the committee would hear 11 House bills and eight Senate bills dealing with federal and overseas issues. Much of the hearing centered on competing resolutions about Article 5 constitutional conventions, along with related resolutions on D.C. statehood, child labor, Citizens United, and Cambodia. Supporters of H. 4692 and S. 284, a joint resolution to rescind all prior Massachusetts Article 5 convention applications, argued that old resolutions from the 1930s and 1970s could be used to count Massachusetts toward the 34-state threshold for calling a federal constitutional convention. Testifiers from Common Cause, the League of Women Voters, the ACLU, Reproductive Equity Now, labor groups, and others warned that a convention would have no clear rules, could not be reliably limited to specific topics, and could put civil rights, reproductive rights, labor protections, and other constitutional protections at risk. Several speakers also cited a recent federal lawsuit and said the safest course was to remove outdated applications from the books. A large opposing panel testified in support of H. 3888, a resolution calling for a Convention of States to propose amendments limiting federal power, imposing fiscal restraints, and establishing term limits. Supporters argued that Article 5 provides a lawful way to address federal overreach, debt, and congressional stagnation, and said the process would be limited by state applications and ratification by 38 states. Some committee members and witnesses raised concerns about a runaway convention, broad language in the resolution, and whether Congress could or should set rules for such a convention. Representative Gentile also testified in support of several related resolutions on overturning Citizens United, D.C. statehood, and the child labor amendment, while Representative Howard and Representative Tongue supported a Cambodia resolution condemning political oppression and urging free and fair elections. No votes or final actions were taken during the hearing.

Transcript Highlights:

• The offset, you say you would prefer something in the 200-foot range? Yes, sir.
• Not that you would care, but do you have a preference?
• A 1,000-foot minimum or greater is preferred.
• The cap on agricultural land conversion to industrial solar is, I believe, too much, and we prefer 2%
• But stay patient with us, and we'll make sure that we get something good across the finish line.

Summary: The House Utilities Committee resumed hearing on House Bills 2402 and 2816, which address utility-scale solar development. The chair asked witnesses to keep comments to informational purposes, and testimony focused on setbacks, taxation, land conversion caps, county authority, decommissioning, and impacts on neighboring landowners and rural communities. Several witnesses said they supported solar in limited settings such as rooftops or industrial sites, but opposed or wanted changes to the bills’ treatment of agricultural land, especially the proposed 4% cap on cropland conversion and the 500-foot setback from homes. Testimony from landowners and farm groups emphasized concerns about property rights, viewshed impacts, fire risk, drainage and floodplain issues, and the loss of agricultural tax base and local economic activity. They argued the proposed $2,500 per megawatt tax was too low and suggested higher rates, with some recommending $6,000 per megawatt or more, along with decommissioning requirements and stronger county-level protections. A Renew Missouri representative supported much of the bill but preferred a smaller setback and raised constitutional concerns about changing solar land from agricultural to commercial assessment. Other witnesses, including a county commissioner, described local regulations already in place in some counties and asked for clearer statewide standards. Industry and utility representatives said the legislation was generally workable but needed further discussion on setbacks and property tax treatment. Clean Grid Alliance and related witnesses argued that tax comparisons with other states should account for total tax burden, not just nameplate taxes, and said higher taxes would raise electricity costs for consumers. Ameren Missouri said it was acceptable with most provisions, but cautioned against overly aggressive real-property assessments and noted its current and planned solar buildout. The hearing ended without a vote; the committee adjourned after taking testimony on both bills.

Transcript Highlights:

• From a patient-centered perspective, accountability is not weakened when responsibility is channeled
• The providers cannot pass along the cost of GRT to patients.
• . ...receive for their services without passing additional costs along to patients.
• I prefer independent data, and thank you for your efforts. Representative Anaya.
• I appreciate that, and I will take that down. ...come for patients. Thank you.

Committee: House House Health & Human Services

Transcript Highlights:

• The only pathway for an SVP patient to be released to the CONREP program is through a court order.
• Patients who do not adhere to their terms and conditions while living in the community can be revoked
• Very few SVP patients ultimately achieve conditional release.
• one SVP patient released to CONREP in the county at the same time.
• And I do thank you guys for your patient. So I definitely want to continue this dialogue.

Committee: Senate Joint Legislative Audit

Summary: The Joint Legislative Audit Committee held an oversight hearing on the state auditor’s October 2024 report on the California Forensic Conditional Release Program (CONREP) for sexually violent predators. The auditor said CONREP participants were convicted of new offenses less often than SVPs who were unconditionally released, but also found long delays in finding housing, weak guidance for local housing committees, and limited accountability over Liberty Healthcare and the Department of State Hospitals (DSH). The audit noted that 18 of 56 SVPs placed through CONREP had been revoked and returned to state hospitals, and that some participants waited months or years for placement while pre-placement costs continued to accrue. The auditor recommended, among other things, clearer committee guidance, better oversight of Liberty, and exploring transitional housing; DSH agreed to most recommendations but rejected transitional housing as a solution. Members from rural and high-desert districts described repeated placements in their communities and argued the program concentrates risk in areas with fewer services and slower law-enforcement response times. Senator Jones said the audit confirmed a broken system and pointed to his bill SB 380 to require DSH to develop transitional housing. Assembly Member DeMaio sharply criticized the program, the audit title, and Liberty Healthcare, alleging misleading practices with property owners and calling for the program to be suspended. Other members pressed DSH and Liberty on why placements often end up in rural areas, how judges make placement decisions, and whether the current process adequately protects public safety. DSH and Liberty defended the program as a court-ordered, highly supervised treatment model intended to reduce reoffending and support eventual reintegration. They said DSH now has a more active review process for proposed sites, has implemented four of the five audit recommendations, and is tracking program reviews and committee guidance. They also said the state has repeatedly sought additional vendors without success, and that the small scale and high-profile nature of the program make contracting difficult. DSH and Liberty maintained that transitional housing would not solve the core placement problems and would add cost without resolving county-of-domicile and school-proximity restrictions. The hearing ended without a vote or formal action, after public comment was waived due to no speakers.

Transcript Highlights:

• We would prefer to see state employees reimbursed through the cooperative agreement so they would be
• And, as noted in the bullet, not all veterans have access to, or preferences to access, a CVSO.
• to access a cvso we've got a preferences to access a cvso we've got a representation<01:22:44.080><c
• act uh these State granted Preference act uh these State granted Veterans<01:24:53.159><c> Preference
• </c> uh veterans who have Veterans Preference uh veterans who have Veterans Preference rights<01:25:00.679

Committee: House Veterans and Military Affairs Division