Transcript Highlights:

• </c> &gt;&gt; Um it came via guardianship services. &gt;&gt; Um it came via guardianship services.
• </c> Medicaid Services. Medicaid Services.
• </c> is spent in that setting on services. is spent in that setting on services.
• </c> for Medicaid services. for Medicaid services.
• </c> developmental disabilities. ICFID. developmental disabilities.

Summary: The Health and Family Services committee heard an informational 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, often with serious mental illness, who do not meet nursing home criteria but need structured supervision, medication assistance, meals, and daily support. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and are supported largely through state supplementation payments and residents’ SSI income. The presenters argued that the current reimbursement rate of about $50.70 per day is no longer sufficient to cover staffing, food, insurance, utilities, maintenance, and other costs, and said the sector has shrunk significantly over time. They cited figures showing a decline from 64 to 34 homes serving the seriously mentally ill since 2002, with 30 closures over 23 years, and said the loss of beds contributes to homelessness, hospital overcrowding, and longer psychiatric stays. They also gave examples of residents who had spent many months in hospitals before being successfully placed in personal care homes, which they said can prevent more costly institutional care. Committee members asked about staffing credentials, fraud controls, referral processes, and how reimbursement works in other states. The presenters said Kentucky does not require licensed or certified staff in these facilities, though some homes use certified medication technicians or an LPN, and they described a county case-manager-based assessment process used to set individualized rates in other states such as Minnesota. Members expressed support for the work but emphasized the need for documentation of savings and budget offsets. The presenters said they are seeking an incremental reimbursement increase over two years, roughly 25% to 50% in the first year and another 50% after that, and urged the committee to support the homes to prevent further closures.

Transcript Highlights:

• Department of Health and Human Services.
• go away, to not stop those services.
• Additionally, services for developmentally disabled people, particularly the self-determination program
• Additionally, services for developmentally disabled people, particularly the self-determination program
• Not all of those women will seek that service.

Transcript Highlights:

• continuum of services in a consolidated, centralized service center.
• continuum of services in a consolidated, centralized service center.
• continuum of services in a consolidated, centralized service center.
• continuum of services in a consolidated, centralized service center.
• continuum of services in a consolidated, centralized service center.

Bills: HF1937 , HF2407 , HF1678 , HF1477 , HF2040 , HF1840 , HF257

Committee: House Human Services Finance and Policy

Transcript Highlights:

• our peer-to-peer crisis hotline, prevention education, and postvention services for free throughout
• Their main developmental task at this age is to mimic the behavior of others.
• Chair, yes ma'am, appreciate you and thanks for your son's service. Members, any other questions?
• So the Arizona Department of Health Services reported that just in 2021...
• Thank you for the opportunity to speak on behalf of the Arizona fire service.

Committee: House House Public Safety & Law Enforcement Committee of Reference

Summary: The House Committee on Public Safety and Law Enforcement heard three bills. HB 2665, “Cade’s Law,” would update Arizona’s suicide-related manslaughter statute to make clear that intentionally providing advice or encouragement to a minor to die by suicide includes doing so through directed communication such as text, social media, or other electronic means. The sponsor and several bereaved parents and Teen Lifeline testified in support, emphasizing teen suicide prevention and the need to hold adults accountable for harmful online conduct. Members raised concerns about unintended effects on peer-to-peer support and the age threshold, and the committee adopted a verbal amendment clarifying the language before advancing the bill with a due pass recommendation by a vote of 10 ayes, 4 present, 1 absent. HB 2904 declared fentanyl trafficking across the Arizona-Mexico border a public health crisis and directed the Department of Health Services to use its authority to address it. The sponsor framed the bill as a response to cartel activity and overdose deaths, while the ACLU of Arizona opposed it, arguing the bill used vague and legally unprecedented terms such as “unlawful invasion,” could sweep in low-level drug offenses or migrants, and might encourage broader criminalization. Committee members debated the meaning of “invasion,” border security, and whether the bill duplicated existing drug laws. The bill was given a due pass recommendation on an 8 ayes, 6 nays, 1 absent vote. HB 2917 would create a firefighter cancer registry within the Department of Health Services to collect and analyze data on cancer incidence among Arizona firefighters. Fire service representatives supported the goal of improving occupational health data, but members questioned whether the bill made participation and reporting mandatory and whether it would allow sensitive medical information to be shared without consent. Witnesses said the intent was to make the registry voluntary and were open to clarifying amendments. Despite concerns about drafting and privacy, the committee advanced the bill with a due pass recommendation by a vote of 12 ayes, 1 nay, 1 present, 1 absent.

Transcript Highlights:

• offense of coercion of involuntary servitude when the person coerces someone to perform labor or services
• In particular, Washington has a problem supporting those with intellectual or developmental disabilities
• In Washington State, our current alert systems leave individuals with intellectual and developmental
• Jonathan is on the autism spectrum and has medical and developmental needs that do not enable him to
• That individual is removed from service statewide and listed in the National Decertification Index.

Committee: House Community Safety

Transcript Highlights:

• They're now called authorized entities that are providing basic ed services through private...
• Now called authorized entities that are providing basic ed services through private organizations.
• His developmental disability is so—he's highly challenged, so he's not able to speak.
• These are mostly children who are disabled, developmentally disabled.
• They're male... ...are disabled, developmentally disabled. They're male.

Bills: HB1160 , HB1289 , HB1339 , HB1798 , HB1065 , HB1795 , HB2113 , HB2124 , HB2125 , HB2134 , HB2140 , HB2185 , HB2191 , HB2205 , HB2211 , HB2219 , HB2245 , HB2253 , HB2283 , HB2343 , HB2406 , HB2501 , HB2574 , HB1170 , HB1544 , HB1834 , HB2156 , HB2188 , HB2206 , HB2471 , HB2478 , HB2605 , HJM4012 , HB1104 , HB1152 , HB1254 , HB1443 , HB1903 , HB1941 , HB1982 , HB2006 , HB2034 , HB2105 , HB2179 , HB2203 , HB2297 , HB2303 , HB2322 , HB2329 , HB2345 , HB2350 , HB2379 , HB2388 , HB2399 , HB2418 , HB2462 , HB2464 , HB2495 , HB2539 , HB2544 , HB2551 , HB2554 , HB2588 , HB2636 , HB1128 , HB1408 , HB1570 , HB1742 , HB1823 , HB2089 , HB2104 , HB2114 , HB2172 , HB2192 , HB2207 , HB2251 , HB2262 , HB2266 , HB2294 , HB2298 , HB2319 , HB2320 , HB2323 , HB2351 , HB2354 , HB2374 , HB2401 , HB2405 , HB2429 , HB2431 , HB2442 , HB2451 , HB2479 , HB2496 , HB2515 , HB2523 , HB2540 , HB2593 , HB2632 , HB2661 , HB1496 , HB1898 , HB2095 , HB2157 , HB2225 , HB2274 , HB2311 , HB2325 , HB2333 , HB2476 , HB2508 , HB2552

Summary: The House convened with a quorum, recited the Pledge of Allegiance, heard a prayer, and received a Senate message that the Senate had passed second substitute Senate Bill 5061. The chamber then moved through second- and third-reading action on several bills, with debate centered on salmon treaty history, cannabis cooperative rules, inmate commissary and legal financial obligations, collective bargaining protections, and school restraint/isolation policy. Members also took up a bill to adjust Paid Family and Medical Leave funding to address a projected $30 million tax liability, and later reconsidered one education bill after initial passage. House Bill 2554, dealing with repeal of RCW 77.110 and salmon-related history and tribal treaty issues, saw a proposed striking amendment from Representative Walsh that was rejected on a voice vote. The bill then passed 64-28. Engrossed House Bill 1941, authorizing cannabis producer cooperatives, adopted an amendment limiting any one entity to 30% market share in a co-op; a second amendment adding guardrails was rejected. The bill passed 66-27. Substitute House Bill 2539, raising the indigency commissary threshold from $25 to $100 for incarcerated people, passed 57-36 after debate over inmate needs versus victim and child-support concerns. Engrossed Substitute House Bill 2471, a trigger bill creating state collective bargaining protections if the federal NLRB is weakened, adopted an amendment clarifying agricultural coverage and then passed 58-35. The most extensive debate was on Engrossed Substitute House Bill 1795, which would phase out isolation and restrict certain restraint practices in schools. Members adopted amendments adding professional development intent language, expanding reporting to authorized entities and out-of-state placements, and clarifying positive behavior intervention planning; several other amendments on parental consent, property damage, and isolation-room definitions were rejected. Supporters emphasized student safety, trauma reduction, and de-escalation, while opponents argued the bill removed useful tools from educators and was premature without broader training. The bill initially passed 58-36, then the House reconsidered it and passed it again 57-37. Second Substitute House Bill 2345, which reallocated Paid Family and Medical Leave premium shares to avoid a $30 million tax cost, passed unanimously 94-0. The House then recessed for caucus after placing additional bills on the second-reading calendar.

Transcript Highlights:

• ,</c> combination of those those services, combination of those those services, it's<00:08:59.279><c>
• So that's the quality services.
• </c><00:43:21.760><c> We're</c> many services did you receive. We're many services did you receive.
• </c> God bless all of you for your service. God bless all of you for your service.
• Appreciate your service as well.

Summary: The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions. On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year. Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available. Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• Number two, how will this take away control from social services, who are already tasked by social service
• I want to thank you, the Human Services, great to have the Human Services chair for the Assembly here
• , the entire Human Services gamut, is there to provide whatever services are needed for those children
• People with developmental disabilities are not consumers purchasing services.
• The Department of Developmental Services has indicated the bill's costs are minor and absorbable, and

Summary: The committee heard testimony on AB 262, which would direct the new California Housing and Homelessness Agency to study the needs of pregnant people experiencing homelessness and evaluate a voluntary “Pink Alert” notification system. Supporters, including the California Commission on the Status of Women and Girls and a mutual-aid volunteer, said the bill would help identify gaps in housing and prenatal services for a highly vulnerable population. Members generally supported the study concept, though one senator cautioned that the “Pink Alert” name could imply a missing-person alert. The bill was moved to Appropriations on a 3-0 vote and placed on call. Members then heard AB 673, creating the Unaccompanied Youth Support Grant Program for 16- and 17-year-old homeless students not in a parent or guardian’s custody. The Superintendent of Public Instruction and advocates said the bill would help connect youth to housing, basic needs, tutoring, employment readiness, and mental health services, while opponents raised concerns about duplication with existing school and county services and staffing shortages. The author and supporters argued the program would fill gaps for youth who often fall through existing systems. The bill passed to Appropriations on a 3-0 vote and was held on call. The committee also approved AB 1575, which updates the Lanterman Act to replace the term “consumer” with person-first language for people with intellectual and developmental disabilities, and AB 2510, which would expand CalWORKs family reunification aid so families do not lose support when only some children are removed from the home. AB 1688, requiring broader notice when abuse or neglect is alleged in foster placements so attorneys for other children in the placement can check on their safety, also passed to Appropriations. AB 2304, “Gabriel’s Law,” requiring a child in immediate medical need to be seen by a medical professional and clarifying penalties for falsifying child welfare records, passed to Public Safety after testimony from the author, Gabriel Fernandez’s aunt, prosecutors, and a dependency lawyer who opposed parts of the penalty language. The committee then heard AB 1746 on faster county processing of CalWORKs child care requests, with support from the author, advocates, and county welfare directors who said they were still working on amendments; it was moved to Appropriations and held on call.

Transcript Highlights:

• </c> interact with the civil service interact with the civil service provisions<00:13:19.400><c> of</
• </c> service. Thank you. service. Thank you. Thank<00:15:15.320><c> you.
• intellectual and developmental intellectual and developmental disabilities<00:16:13.000><c> and</c><00
• Thank you. uh civil service classes. uh civil service classes. Thank<00:16:57.880><c> you.
• </c><00:20:20.000><c> um</c> enter public service um enter public service um want<00:20:21.160><c> what

Committee: House Labor

Summary: The House Committee on Labor met on February 19, 2026, and heard a series of bills largely focused on public employment, staffing, and professional licensing. Early measures included HB 2276 and HB 2472, both relating to Hawaii Employer-Union Health Benefits Trust Fund staff salaries, which were supported by trust fund representatives and received no opposition or questions. The committee also heard HB 1714 HD1 on housing, where the Hawaii Public Housing Authority testified with comments and the Deputy Attorney General raised concerns about the scope of autonomy, civil service, collective bargaining, and a possible separation-of-powers issue involving legislative approval of long-term contracts. The committee then considered several personnel and civil service bills. HB 2325 HD1, relating to civil service exempt positions at DLNR, drew support from DLNR and the Office of Planning and Sustainable Development, but HGEA opposed it and urged the department to seek other recruitment and retention solutions while keeping employees in civil service. HB 1541, relating to Department of Health positions, was supported by DOH on the grounds that the positions serve vulnerable populations and require specialized expertise, while HGEA opposed. HB 2140 HD1, relating to essential permanent positions, received support from OPSD, HGEA, and the Chamber of Commerce, with written comments from the city Department of Budget and Fiscal Services. HB 2315 HD1, relating to state employment benefits, was strongly supported by DOH, UPW, and HGEA as a recruitment and retention incentive; members questioned the pilot program, and DOH explained it would allow employees to cash out vacation leave earlier than current policy allows. The committee also heard HB 2295 on government contracting, with DOE support not present and IBEW 1186 in opposition. HB 1720, relating to professional engineers, drew strong support from the City and County of Honolulu’s planning department, which argued the bill would help with affordable housing review and only affect eligibility to sit for the licensure exam, but strong opposition from engineering industry and licensing board representatives, who warned it would lower licensing standards and harm reciprocity; members questioned both sides about plan review experience and licensure requirements. HB 2367, relating to employment earnings and pay transparency, received strong support from the Hawaii Civil Rights Commission, AAUW, the Commission on the Status of Women, and others, who said transparency helps small businesses and retention, while written opposition came from the Maui Chamber of Commerce and NFIB. Finally, HB 1935, relating to personal information, drew comments from the Attorney General and the Campaign Spending Commission about implementation burdens and disclosure requirements, with UPW supporting the home-address redaction portion but opposing the broader disclosure process; additional written testimony was noted from OIP, the League of Women Voters, Public Press Law Center, HGEA, and DCCA.

Transcript Highlights:

• there was no loss in service.
• Number two, Arkansas Rehab Services with Guy Fentner Education Service.
• Number two, Arkansas Rehab Services with Guy Fentner Education Service.
• Francis Community Services.
• This is for intensive in-home services for DCFS clients in service areas.

Committee: All ALC-REVIEW

Summary: The committee met to review a supplemental agenda, procurement rule revisions, methods of finance, discretionary grants, contracts, and a member disclosure. The Office of State Procurement presented rule changes tied to 2025 legislative changes, including Act 782, with updates to sole-source definitions, unrealistic bids, protest requirements, debarment procedures, and recodification references; the committee voted to accept the supplemental agenda and approve the rules. Members also approved eight methods of finance covering university repairs, equipment replacement, property purchase, and capital projects, along with a large slate of discretionary grants for courts, health, DHS, historic preservation, and tobacco prevention programs. The committee then reviewed RFQs and six ratifications. The ratifications included a Workforce Connections payment to ACT WorkKeys, Department of Health costs from an ice-storm-related water leak, a large Department of Public Safety ratification for Motorola’s Arkansas Wireless Information Network upgrade, Veterans Affairs HVAC and medical-service payments, and a UA Little Rock painting contract. The Department of Public Safety ratification drew extended questioning about why the expired Motorola contract had not been renewed sooner and why the issue took months to reach the committee; agency officials said the project was bond-funded, had not been tracked in ASIS, and involved ongoing negotiations and system updates. Despite concerns, the committee approved the ratifications. Members also reviewed a long list of construction, intergovernmental, out-of-state, and in-state contracts, including numerous university, DHS, health, corrections, and state agency agreements. Several contracts were discussed in more detail, including an SAU custodial contract question about sales tax and transparency reporting, and Department of Corrections aerial application contracts for Tucker and Cummins farms, which officials said served separate facilities in different parts of the state. The committee approved the contract lists, reviewed reports, and accepted a disclosure from Representative Andrew Collins regarding his investment interest in a company leasing property to Arkansas Rehabilitation Services before adjourning.

Transcript Highlights:

• residential services for people with developmental disabilities.
• , home and community-based services, and the deficiency HCBS services, home and community-based services
• services for young people?
• , 24-hour care for any behavioral health services, physical health services.
• services, they provide service.

Committee: House Appropriations

Summary: The committee first heard a budget presentation on LSU Health Care Services Division and Lallie Kemp Medical Center. Staff reviewed HCSD’s roughly $74.7 million budget, much of it tied to legacy obligations for former LSU hospital systems and support for Lallie Kemp. Committee members asked about prisoner care, risk management costs, declining admissions and emergency visits, and the hospital’s 340B drug program. Lallie Kemp officials explained that prisoner care serves multiple state and local facilities, that lower admissions largely reflect more patients being placed in observation status, and that the in-house 340B program provides major savings to patients and the prison system. Members also asked about care for unhoused patients and the hospital’s discharge practices, and the hospital said social services works to find placement when possible. The committee then moved to the Louisiana Department of Health budget, which was presented as just under $23.5 billion, with Medicaid making up more than 90 percent of the total. The presentation covered the Office of the Secretary, Office of Public Health, Office of Behavioral Health, Office for Citizens with Developmental Disabilities, and Medicaid. Major items included the new Rural Health Transformation Program, the transfer of several functions from DCFS to LDH under the One Door initiative, changes to SNAP administration, and large Medicaid adjustments driven by enrollment, utilization, and federal policy changes. Testimony also highlighted the statewide crisis hub and 988, the commodity food program for seniors, women’s health and maternal outcomes, and the department’s efforts to modernize technology and reorganize services. Members questioned LDH officials on a wide range of budget and policy issues, including the rural health grant, crisis services, Medicaid redeterminations, provider taxes, physician and hospital supplemental payments, nursing home rates, HCBS funding, and the impact of the federal One Big Beautiful Bill Act. LDH said the rural health grant would support workforce, technology, and care-delivery improvements; that the crisis hub and mobile crisis units are being expanded to improve access and reduce emergency room use; and that the department is working to keep the SNAP error rate below 6 percent to avoid a projected state cost increase. Officials also said they expect to return next year with additional funding requests for HCBS and other programs, while emphasizing that current budget changes are largely meant to realign funding with actual expenditures and new federal requirements. No votes or formal actions were taken in the portion provided.

Transcript Highlights:

• Margaret Hooper with the Florida Developmental Disabilities Council, waving in support.
• Margaret Hooper with the Florida Developmental Disabilities Council waives in support. Erin D.
• Margaret Hooper with the Florida Developmental Disabilities Council waves in support. Erin D.
• organizations from expending funds regardless of the source to purchase membership in or goods and services
• I taught them their bodily functions, as was developmentally appropriate, and I did it in a clinical

Summary: The Pre-K Through 12 Budget Subcommittee met with a quorum and considered four bills. CS/HB 1403, by Rep. Yeager, would allow child care facilities to participate in the school guardian program and clarify school perimeter and door security requirements. An amendment clarifying that private security companies would pay for training was adopted, and the bill was reported favorably 11-0. CS/HB 447, the Evan B. Hartzell Act by Rep. Salzman, would provide guidance for schools that choose to teach disability history and awareness during the first two weeks of October, including age-appropriate instruction by grade band. The bill received supportive testimony from advocates and was reported favorably 11-0. CS/HB 257, by Reps. Chambliss and Tramont, would expand on a prior pilot program to allow video cameras in certain self-contained classrooms serving nonverbal students and others with significant disabilities, as a safeguard against abuse and to improve accountability. The bill drew strong support from parents and disability advocates describing abuse concerns, and it was reported favorably 13-0. CS/HB 1255, by Vice Chair Trabulsy, was a broad education bill addressing teacher shortages, scholarship program screening, health and math instruction, corporal punishment policy, and restrictions on spending public funds on organizations tied to discrimination or political/social activism. A major focus of debate was the bill’s human embryologic development instruction and related video language, with supporters calling it science-based and opponents warning it could be medically inaccurate or ideological. After the sponsor said she would amend some language, including removing ABCTE-related text and clarifying the video language, the bill was reported favorably 12-1. The meeting then adjourned.

Transcript Highlights:

• The next is the Division of Developmental Disability Services and its appropriation summaries on page
• This division administers programs and services for people who are intellectually and developmentally
• It's the second from the bottom, 896 Division of Developmental Disability Services.
• It's the second from the bottom, 896 Division of Developmental Disability Services.
• This supports the operations of the division, including ...of Developmental Disability Services.

Committee: All JOINT BUDGET COMMITTEE

Transcript Highlights:

• these experts that are needed, does that mean that other people who are under OIDs might not get the services

Bills: HB4358 , HB2398 , HB3557 , HB3129 , HB3312 , HB2210 , HB1937 , HB3021 , HB4246 , HB4230 , HB3617 , HB3657 , HB2976 , HB3391 , HB4459 , HB4128 , HB3989 , HB2989 , HB4060 , HB3145 , HB2992 , HB3464 , HB3552 , HB2984 , HB4124 , HB3934 , HB3448 , HB3131 , HB4200 , HB4201 , HB3011 , HB1912 , HB3380 , HB3881 , HB3538 , HB3851 , HB3907 , HB4430 , HB4431 , HB4457 , HB2947 , HB2951 , HB2980 , HB3082 , HB3519 , HB3644 , HB3882 , HB3661 , HB3996 , HB4335

Keywords: screen time, education, public schools, child development, digital learning, youth health, academic performance, credential of value, workforce development, labor market, government reporting, Oklahoma Agricultural Extension, local funding, financial institutions, county extension services, state funds, free expression, colleges, security fees, public forums

Transcript Highlights:

• We have lower utilization of fee-for-service pharmacy benefits and inpatient services.
• So emergency services, dental emergency services, would still be covered under emergency services.
• So emergency services, dental emergency services would still be covered under emergency services.
• center services.
• than on non-Medi-Cal services.

Summary: The subcommittee heard an overview of the Department of Health Care Services’ proposed budget, including a $229.1 billion total-funds budget and projected Medi-Cal enrollment decline as redeterminations continue. Members focused heavily on the fiscal and programmatic effects of prior budget solutions and federal changes, especially the elimination of General Fund-supported Prop. 56 dental supplemental payments beginning July 1, 2026, the hospice utilization-management change, and the impact of reduced caseloads alongside rising health care costs. DHCS said it is still completing required access and rate-reduction analyses for the dental cuts and has been engaging stakeholders, but could not yet quantify the real-world effect on utilization or provider participation. The committee also reviewed the November 2025 Medi-Cal local assistance estimate, which shows higher General Fund spending despite lower enrollment, driven by managed care rate growth, Medicare cost growth, state-only claiming, and federal policy changes. The hearing then turned to provider taxes and federal H.R. 1 constraints, with extensive discussion of the MCO tax, the hospital quality assurance fee, and other health care-related taxes. DHCS explained that H.R. 1 phases down allowable tax levels and tightens “generally redistributive” rules, making the current MCO tax structure and the proposed higher hospital fee levels difficult or impossible to renew as originally designed. Staff and the LAO described the tradeoff between preserving Medi-Cal funding and avoiding higher costs on private providers and consumers. Members asked about options for preserving revenue, including possible amendments to Prop. 35 or returning to voters, and were told the department is still evaluating approaches while federal guidance remains in flux. The committee also reviewed hospital payment increases already implemented through state-directed payments, with DHCS noting that H.R. 1 will force those payments down to Medicare levels over time. Several budget change proposals were discussed and left open, including requests tied to the managed care final rule, managed care operations, hospital value strategy, long-term care payment transparency, and interoperability requirements. The committee also heard about a one-year trailer bill extension for skilled nursing facility financing, including continuation of the SNF workforce standards program, the SNF quality assurance fee, and annual rate growth, while the department develops a longer-term financing redesign for 2027-28. Members expressed skepticism about repeated rate reform efforts and questioned whether a one-year extension of the eliminated workforce quality incentive program should be restored during the transition. Finally, Covered California presented its budget and enrollment update, reporting that the expiration of the federal enhanced premium tax credit is expected to reduce affordability significantly, with average premiums roughly doubling for many enrollees and as many as 400,000 Californians potentially losing marketplace coverage over time. The exchange said California’s $190 million subsidy program is helping lower-income enrollees, but not enough to offset the federal loss, and it is also implementing a new gender-affirming care benefit and awaiting federal action on benchmark plan changes.

Transcript Highlights:

• We also have cardiology services that we provide.
• and language pathology, ophthalmology, orthopedics Audiology, psych services to include developmental
• So, really, that's probably about half the services we provide.
• Yet, during that time, we have expanded our catalog of services and the number of services we're providing
• Very familiar with JD McCarty's, and I we Hear services a lot, and I know we keep talking about services

Committee: House A&B Health Subcommittee

Transcript Highlights:

• because we have unbelievable workforce challenges in the field of disabilities as well as human services
• We reached out to the Association of Developmental Disability Providers and the Association of Developmental
• Disability Providers and the Association of... ...the Association of Developmental Disability Providers
• Services for the past 25 years or so, which is similar to an apprenticeship.
• from Ingrid just around examples of programs that are designed with people with intellectual or developmental

Summary: The Workforce Support Subcommittee met to discuss using registered apprenticeships to help address workforce shortages in disability services, human services, and other high-need fields. Co-chairs and staff introduced the session as a follow-up to earlier discussions with state labor officials and representatives from developmental disability and behavioral health provider associations. The panel focused on how apprenticeships can create paid, structured pathways into jobs while also supporting credentialing and retention. Amara Ramon of the Division of Apprenticeship Standards explained how Massachusetts apprenticeship programs are registered and supported, including the roles of apprenticeship liaison staff, operations, quality assurance, and grant support. She described the core features of apprenticeships—paid on-the-job training, related technical instruction, wage progression, and industry credentials—and contrasted them with internships or co-ops. Melissa Chabelli of the MassHire Hampden County Workforce Board described the intermediary role her board plays in designing programs, registering apprentices, coordinating employers, and handling compliance. She emphasized flexibility, employer investment, tax credits, retention benefits, and the importance of mentors and local workforce partnerships. Lisa Morris of UMass Chan/For Health Consulting described a developing apprenticeship for medical interpreters, built from an existing training foundation and designed to address the gap between classroom preparation and work experience. She said the model would combine pre-apprenticeship training, employer interviews, 2,000 hours of apprenticeship, and related technical instruction tied to national certification. Speakers also discussed examples for nursing, early childhood education, CNC machining, and programs serving neurodivergent learners, including Bridgewater State’s Excel program. In response to audience questions, panelists said state agencies can serve as intermediaries, recruitment can come through career centers, youth programs, community colleges, ESL centers, and incumbent workers, and accommodations or modified curricula can support apprentices with disabilities. No votes were taken; the session ended with encouragement for attendees to contact the presenters and Division of Apprenticeship Standards for help developing programs.

Transcript Highlights:

• So again, individuals newly to the developmental system, either moved into the state or new to services
• </c> um withdraw their request for services. um withdraw their request for services.
• services in quarter 2.
• Out of those 42, 30 individuals started services and 12 did not start services in quarter 2.
• or enhanced services.

Summary: The committee first handled roll call and approved the prior meeting minutes. Members discussed attendance and substitutions, then moved to the DHS commissioner’s update, which focused on New Hampshire’s Medicaid 1115 waiver and the new community re-entry initiative for people leaving correctional facilities. The presenter explained that the waiver lets the state cover certain services not normally covered under Medicaid, including substance use disorder treatment, serious mental illness services, adult dental benefits, and the new community re-entry component. She also noted that a separate youth re-entry component is federally required, with youth defined up to age 21 and foster-care-related coverage extending to age 26. The update described how the adult re-entry program works for incarcerated individuals with behavioral health needs, providing up to 45 days of pre-release services, care coordination with managed care organizations and DOC staff, telemedicine assessments, discharge prescriptions, insurance cards, and connections to community mental health, primary care, and substance use providers. For youth, the program includes more intensive case management, 30 days of pre-release services, and 30 days of post-release care coordination, with a stronger emphasis on screening, diagnosis, and holistic assessment. The presenter said New Hampshire received the adult waiver in July 2024, has implemented the program in state correctional facilities, and is beginning work at the youth center. Members and the presenter discussed why the program is structured as a waiver rather than a standard Medicaid benefit, with the explanation that CMS is allowing this as a newer policy area and that states generally pursue waivers for certain services. The chair and others emphasized the need for real cost and outcome data, and the presenter said an independent evaluator and evaluation plan are required under the 1115 waiver. Early results cited included 30 adults enrolled so far, 10 released, five youth enrolled with one released, and anecdotal early successes such as housing, employment, and better continuity of medication and treatment. The committee did not take any additional votes or formal actions beyond approving the minutes.

Transcript Highlights:

• >> The Human Services subcommittee will come to order.
• Customer service has to start with me. And of customer service starts with me.
• That simple but comprehensive to lay out what the services are and how you go about obtaining those services
• But there is a way this is a way to get services where you may not be able to get services and you can
• We're getting services in the managed care.

Transcript Highlights:

• But the underlying funding is subsidizing services and giving us misinformation on the cost of services
• in one small, important part of the state, as opposed to delivering the services to our developmentally
• services in one small, important part of the state, as opposed to delivering the services to our developing
• service.
• we can save I don't. management services department.

Bills: SB6061 , SB6234 , SB6170 , SB6176 , SB6182 , SB6335 , SB5647 , SB6047 , HB2367 , HB2606 , SB5998 , SB6005 , SB6003 , SB6129 , SB6225 , SB6228 , SB6231

Summary: The Senate met on February 23, 2026, opened with the usual roll call, pledge, prayer, and approval of the previous journal. Members then adopted Senate Resolution 8698 recognizing piano teachers, with several senators sharing personal remarks about their own teachers and the role of music education in families and communities. Guests from the Washington State Music Teachers Association and the National Guild of Piano Teachers were recognized in the gallery. The chamber then moved into budget debate, considering a series of amendments to the operating budget. Several proposals focused on housing costs, local planning, utility rates, and state spending restraint. Amendment 0772, which would have created a housing-related task force and increased funding, was rejected after debate over housing affordability and regulatory costs. Amendment 0785, restoring growth management planning funding for local governments, was also rejected. Amendment 0791, directing the Department of Commerce to study the effects of climate and clean energy laws on utility costs, and Amendment 0769, related to grid capacity and clean energy investments, were both adopted. Other amendments drew sharper partisan debate. Amendment 0798, which would have reduced the Supreme Court from nine justices to five and redirected savings to public defense, failed. Amendments 0794 and 0795, seeking funding for ballot measure costs tied to initiatives, also failed. Amendment 0799, intended to redirect Pacific Tower lease savings to developmental disability services, was rejected after discussion of the building’s current public uses. Amendment 0773, capping state spending growth and tying it to median wage growth, failed on a roll call vote, while Amendment 0777, addressing concurrent use of paid family and medical leave and sick leave by state employees, also failed after extended debate. Later, Amendment 0776 on tort liability reporting was adopted, as were Amendment 0758 creating a DSHS work group on community-based services for people with intellectual and developmental disabilities, and Amendment 0786 was introduced to reduce cash and food assistance work-related funding, with debate beginning before the transcript ends.