Transcript Highlights:

• And what it winds up doing is making sure that when a hospital or a provider renders services and it's

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

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

Transcript Highlights:

• The prayer today will be offered by Tammy Stamphley, a Presbyterian minister and hospital chaplain at
• Peter Hospital.
• The prayer today will be offered by Tammy Stamphley, a Presbyterian minister and hospital chaplain at
• Peter Hospital. I invite you to take a breath and join with me in prayer.
• We have a wonderful hospital in Whitman County in Colfax, and keeping employees at that hospital is difficult

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

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

Summary: The House convened with a quorum, recited the Pledge of Allegiance, and heard a prayer from Tammy Stamphley, a Presbyterian minister and hospital chaplain. After approving the previous day’s minutes and receiving a Senate message, the chamber moved to second and third reading of several bills, with multiple measures advanced under suspended rules. The first major vote was on Engrossed Senate Bill 5872, which establishes a pre-K-related account to support up to 10,000 additional early learning slots for three- and four-year-olds. Supporters emphasized the Balmer Group’s private funding commitment and the value of early learning and family support; the bill passed 97-0. Substitute Senate Bill 5834, a Department of Retirement Systems request bill changing the fund source for legal, medical, administrative, and fraud-prevention expenses using interest earnings from pension funds, also passed 97-0. Substitute House Bill 2689, dealing with the Working Connections Child Care program, drew the most debate. Supporters said it aligned attendance policy with federal rules, adjusted reimbursement rates, and helped balance the budget while preserving child care resources. Opponents argued it cut support in rural and underserved counties, would worsen child care deserts, and placed budget savings on the child care industry; it passed 53-44. The House then passed Senate Bill 5922, allowing school districts to transfer vehicle depreciation funds with OSPI approval, by 59-38, and Senate Bill 6065, a narrower bill for districts under enhanced financial oversight such as Prescott, by 97-0. The session ended with announcements that both caucuses would meet later in the day.

Transcript Highlights:

• This will be very beneficial to our rural hospitals. Permission to read? Please proceed.

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

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

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

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:

• Texas-based Denbury Gulf Coast Pipeline exploded in 2020, causing dozens of people to go to the hospital

Bills: HB2242 , HB2446 , HB2799 , HB4502 , HB2920 , HB2790 , HB5620 , HB5060 , HB5076 , HB5080 , HB5081 , HB5128 , HB5130 , HB3847 , HB5116 , HB2969 , HB4546 , HB4202 , HB5624 , HB3964 , HB4803 , HB872 , HB4775 , HB4777 , HB4961 , HB5570 , HB2988 , HB4260 , HB1375 , HB5009 , HB5411 , HB5134 , HB4388 , HB3095 , HB1387

Committee: House Judiciary & Civil Jurisprudence

Keywords: constables, civil rights, local government, law enforcement, policy-making authority, affidavit, medical bills, civil actions, reasonable charges, healthcare services, judicial statistics, court performance, family law, civil cases, efficiency reporting, court security, emergency management, harassment penalties, judicial safety, court committee

Transcript Highlights:

• The hospital does the background check you're talking about.
• They happen at the hospital.
• The hospital, the hospital, the hospital, procedures at the hospital, the physician still has to be credentialed
• The hospital credentials the physician does the background check you're talking about.
• They happen at the hospital.

Bills: HB2242 , HB2446 , HB2799 , HB4502 , HB2920 , HB2790 , HB5620 , HB5060 , HB5076 , HB5080 , HB5081 , HB5128 , HB5130 , HB3847 , HB5116 , HB2969 , HB4546 , HB4202 , HB5624 , HB3964 , HB4803 , HB872 , HB4775 , HB4777 , HB4961 , HB5570 , HB2988 , HB4260 , HB1375 , HB5009 , HB5411 , HB5134 , HB4388 , HB3095 , HB1387

Committee: House Judiciary & Civil Jurisprudence

Keywords: constables, civil rights, local government, law enforcement, policy-making authority, affidavit, medical bills, civil actions, reasonable charges, healthcare services, judicial statistics, court performance, family law, civil cases, efficiency reporting, court security, emergency management, harassment penalties, judicial safety, court committee

Summary: The committee heard testimony on several bills affecting civil practice, judicial conduct, and attorney regulation. HB 4961 and the similar HB 3095 would bar uninsured motorists from recovering non-economic damages after a collision, with HB 3095 also addressing certain exceptions and limiting economic damages in some cases. Supporters said the measures would encourage insurance coverage and fairness for insured drivers, while opponents argued they would unfairly punish injured people who were not responsible for the lack of insurance, including pedestrians, passengers, children, and others. HB 3095 drew constitutional concerns from witnesses, and the committee later withdrew the committee substitute and left the bill pending; HB 4961 was also left pending after questions about its scope, including passengers. HB 5570 would expand a continuing legal education exemption to attorneys appointed by the governor and confirmed by the Senate who serve on boards or commissions. The author and witness said the bill would free up time for public service while still requiring ethics training. A committee member raised a discrepancy in the number of attorneys covered, and the bill was left pending. HB 2969 would prohibit the State Bar from adopting rules or penalties that unreasonably burden attorneys’ religious exercise or free speech, especially in relation to sincerely held religious beliefs. Supporters framed it as a protection for lawyers of faith against an ABA-style speech code, while no one testified in opposition; the bill was left pending. HB 4260 would prohibit county judges and county commissioners from practicing law in courts over which they have jurisdiction. The author described it as an ethics measure to avoid conflicts of interest, but county officials and the County Judges and Commissioners Association opposed it, saying existing ethics rules already address conflicts and that the bill would impose hardships, especially in rural counties. The bill was left pending. HB 4388 would require all judges, including those who serve only in administrative roles, to remain subject to the Code of Judicial Conduct; supporters said some judges avoid discipline by relinquishing judicial functions, while opponents said the bill was unnecessary and could burden county judges who serve as administrators. It was also left pending. The committee also heard HB 5134, which would limit Rule 202 pre-suit depositions to people who have suffered or reasonably expect to suffer actual damages and allow attorney’s fees against abusive petitioners. The author said the bill would curb harassment and fishing expeditions, but members questioned how the standard would work in practice; the bill was left pending. Finally, HB 3964 would narrow common-law public nuisance claims by barring suits over lawful conduct, conduct already addressed by other remedies, and products, while preserving other causes of action. Supporters said the bill would prevent regulation through litigation and protect legislative authority; opponents said it would eliminate important remedies and that no Texas abuse had been shown. The author indicated he would revise the bill, and it was left pending.

Transcript Highlights:

• , and protocols work because you follow that protocol. $20 I don't know if you can get your dog $20 I
• </c><00:39:56.960><c> where</c> looked at working up um a protocol where looked at working up um a protocol
• </c><00:40:17.000><c> and</c><00:40:17.200><c> protocols</c><00:40:17.800><c> work</c> there is a protocol
• and protocols work there is a protocol and protocols work because<00:40:18.480><c> you</c><00:40:18.640
• :20.640><c> um</c> Because you follow that protocol.

Summary: The subcommittee work session focused on HB 153, a bill intended to improve law enforcement response to animal cruelty cases. The bill’s sponsor explained that the proposal would require one sheriff or deputy and one state trooper in each county to receive specific training in animal cruelty laws so they could serve as knowledgeable resources. The sponsor described real-world examples where agencies were unclear about jurisdiction, veterinary involvement, and response protocols, arguing that better training was needed because animal cruelty cases can require quick action and many towns do not have animal control officers. Jerry Sorenson, a retired UNH professor and longtime animal cruelty instructor, described the existing training structure at Police Standards and Training. He said recruits receive a required two-hour introductory block at the academy, while additional animal cruelty materials and a more comprehensive online resource library are available through the Benchmark system for certified officers. He noted that the older two-day in-service course he taught was more detailed and guided, but the current online materials are more of a self-study resource and are not mandated for in-service officers. He also said the committee could track usage through Benchmark analytics. Kurt Arenberg of the Humane Society of the United States and Rob Johnson of the Farm Bureau both supported the goal of ensuring a trained law enforcement contact is available statewide, but they questioned whether assigning one trained officer per county would be the best way to achieve it. They emphasized the need for a real-time response and for officers to know where to find help and guidance, rather than expecting one person per county to handle all cases. Vincent Greco of State Police said the agency is willing to help and has handled animal cruelty matters, but he said one trooper per county would not realistically meet the goal given coverage demands and vacancy rates; he suggested broader access to resources and training may be more effective. Representative Freeman asked how cases are handled now and was told State Police responses generally follow standard criminal investigation steps, with assistance from animal control, veterinarians, and other resources when available. No vote or final action was taken during the work session.

Transcript Highlights:

• Joseph Hospital in Nashua.
• Joseph Hospital in Nashua.
• Joseph Hospital in Nashua.
• We have the protocols in place. There are no protocols, really, for assisted suicide.
• We have the protocols in place. There are no protocols, really, for assisted suicide.

Summary: The committee first heard House Bill 199, which would extend the statute of limitations for civil actions seeking damages from PFAS contamination from six years to 20 years. The prime sponsor and other supporters argued that PFAS contamination in southern New Hampshire has long-term and often delayed health and property impacts, making the current six-year period too short for victims to discover harm, connect it to exposure, and seek relief. Supporters described contamination in places such as Merrimack and surrounding communities, cited health concerns including cancer, developmental issues, and other illnesses, and said a longer period would better preserve legal rights while still requiring proof of causation. The Department of Environmental Services said it was not taking a position but acknowledged the contamination and ongoing work to address it. The Business and Industry Association opposed the bill, arguing that evidence becomes stale over time, memories and documents fade, and a longer window would make it harder to determine causation when other exposures or intervening factors may be involved. Committee members questioned both sides about causation, the difficulty of proving PFAS-related illness, and whether a 20-year period was necessary if a plaintiff already knows of the injury and its source. Supporters responded that PFAS effects can emerge slowly, that scientific understanding continues to develop, and that current knowledge is still incomplete. Opponents said the existing discovery rule already starts the clock when harm and causal connection are known, and that extending the period would reduce clarity and fairness in litigation. After testimony and questions, the chair closed the hearing on HB 199. The committee then opened House Bill 268 FN, which was described as a technical measure to confirm that the Board of Tax and Land Appeals may hold hearings in its Concord hearing rooms. The sponsor indicated the bill reflects current practice and does not require additional facilities. With only one witness listed and no apparent opposition, the discussion was brief and focused on why the authorization should be placed in statute rather than left to practice.

Transcript Highlights:

• The second piece requires that they cannot provide specialty or hospital care, that they do not indemnify
• codifies dyslexia and other literacy screening requirements and requires schools to develop screening protocols
• effective medication, the consequences are relapse, an emergency department visit, inpatient hospitalization

Summary: The Senate considered a series of amendments to a primary care health care bill and also took up a separate literacy bill. Several amendments were withdrawn, including one on artificial intelligence in health care and others related to cost controls, direct primary care, and provider studies. The Senate adopted amendments on preserving access to treatment for serious mental illness, modernizing the definition of primary care, clarifying payment rates for community health centers, excluding pharmaceutical spending from primary care expenditure calculations, and strengthening health equity reporting. Other amendments on rate bands, alternative payment systems, private equity reporting, scope of practice, and ownership disclosure were rejected. The Senate then approved the Ways and Means amendment and ordered the primary care bill to a third reading. The chamber also took up final passage of An Act Relative to Teachers Preparation and Student Literacy, with senators describing it as a long-awaited compromise focused on improving early reading outcomes. Supporters said the bill requires evidence-based K-3 literacy curricula, regular student screening and family notification, dyslexia screening protocols, professional development for teachers, and a free state-developed curriculum option. Senators emphasized the need to address declining third-grade reading proficiency and equity gaps. The bill passed to be enacted by a unanimous roll call and was sent to the Governor. After the literacy bill, the Senate returned to the primary care bill, where senators again debated cost containment, innovation, and access. The final version included the adopted amendments and was passed to be engrossed by a roll call vote of 35-4. The Senate then adopted an adjournment order and recessed, adjourning in memory of Henry Thomas III, former Representative Ben Swan, and Mr. Dennis Frane.

Transcript Highlights:

• The second piece requires that they cannot provide specialty or hospital care, that they do not indemnify
• codifies dyslexia and other literacy screening requirements and requires schools to develop screening protocols
• effective medication, the consequences are relapse, an emergency department visit, inpatient hospitalization

Summary: The Senate first considered several amendments to a primary care/health care bill. Amendment 1, on artificial intelligence in health care and mental health services, was withdrawn by unanimous consent. Amendment 37, which would have required a rate band for outpatient primary care reimbursement, was debated and then defeated on a roll call, 5-33. Amendment 39, on direct primary care arrangements and deductible credits, was also defeated 5-33. The chamber then took up and passed the conference report for An Act Relative to Teachers Preparation and Student Literacy (H. 5511), with senators emphasizing the need for evidence-based literacy instruction, universal screening, dyslexia screening, teacher training, and implementation funding; the bill was enacted and sent to the Governor after a 39-0 roll call. The Senate then returned to Amendment 60 on the primary care bill, which would have created a “safety valve” allowing alternative payment systems to be proposed to the Health Policy Commission. After debate over whether the bill already allowed flexibility, the amendment was defeated 5-33. Amendment 50, requiring stronger health equity reporting, was adopted. Amendment 66, a technical fix setting commercial payment rates for community health centers at the MassHealth PPS rate, was adopted. Amendment 24, excluding pharmaceutical spending from the primary care spending baseline and target, was adopted. Amendment 45, a study on expanding the role of allied health professionals, was withdrawn. Amendment 48, a group purchasing cooperative pilot, and amendments 53, 61, and 63 were also withdrawn. The Senate adopted Amendment 64, which prohibits prior authorization from delaying FDA-approved medications for serious mental illness, and rejected Amendment 68 on reporting private equity investment in primary and specialty care, as well as Amendments 71 and 72 on scope of practice and ownership disclosure. Amendment 62, a technical change modernizing the definition of primary care and clarifying the care team, was adopted. Amendment 21, the Senate Ways and Means amendment, was then adopted, the bill was ordered to a third reading, and the Senate passed An Act relative to primary care for you (S. 3116) to be engrossed on a 35-4 roll call. The Senate then adjourned to a later date, with memorial references at adjournment.

Transcript Highlights:

• Committee members, House Bill 3287 simply requires hospitals and health care facilities to post signage
• They will develop protocols for reporting cases to law enforcement, and the Oklahoma State Department
• This woman called the hospital.

Bills: HB3767 , HB3934 , HB4199 , HB4336 , HB2947 , HB3834 , HB4302 , HB4095 , HB3287 , HB3649 , HB4430 , HB4431 , HB2059 , HB3647

Committee: Senate Health and Human Services

Summary: The Senate Health and Human Services Committee first considered three executive nominations. Shonda Lasseter was reappointed to the State Board of Pharmacy, with discussion focused on pharmacy staffing shortages, PBMs, and broader health care workforce challenges; she was advanced 11-0. Dr. Lane Sabara was renominated to the Health Care Workforce Training Commission, where members discussed rural physician shortages and training pipelines; he was advanced 12-0. Dr. Paul Wright was nominated to fill an unexpired term on the same commission and was advanced 12-0 after questions about his availability and experience supporting rural medicine. The committee then heard several health-related bills. HB 3767, which adds 14 chemicals used to enhance fentanyl to Oklahoma’s controlled substances schedules, advanced 10-0. HB 3934, a dentistry workforce and cleanup bill updating insurance-claim and billing language, advanced 11-0. HB 4199, creating a three-year tri-share workforce pilot program for the Department of Commerce, was amended to change eligibility language and then advanced 9-2. HB 2947, allowing supervised behavioral health interns to bill Medicaid, advanced 10-1. HB 3834, authorizing the Department of Health to begin stage-one clinical trials for ibogaine and creating a revolving fund for that purpose, drew extensive testimony about veteran and first responder treatment, safety, funding, and state liability, and advanced 10-2. Additional measures also moved forward. HB 4302, after amendment, advanced 12-0 on a juvenile oversight reporting and law enforcement notification issue. Committee member bills included HB 495, reinstating the 211 Collaborative advisory council, which advanced 11-0; HB 3287, requiring domestic violence and human trafficking signage in health facilities, which advanced 11-0; HB 3649, allowing the Mental Health Department to sell underused property and keep the proceeds in its trust, which advanced 12-0 after amendment; HB 4430, clarifying malpractice coverage for APRNs and PAs at state facilities, which advanced 12-0; HB 2059, creating a mechanism to reimburse medication costs for incarcerated people in county and municipal jails, which advanced 12-0 after questions about continuity of care; and HB 3647, creating an all-payer claims database and transparency board, which advanced 10-2. The committee adjourned after announcing another meeting the following week.

Transcript Highlights:

• For example, Texas has attempted to obtain records from Seattle Children’s Hospital.
• I was even demeaned before a major surgery by hospital check-in staff who loudly told me, in front of
• This bill is aligned with existing protocols for enhanced privacy and helps to protect one of Washington's

Bills: SB6252 , SB6265 , SB6081

Committee: Senate Transportation

Keywords: transit support grant, free transit, fare-free transit, zero-fare policy, community college students, technical college students, public transportation, youth transit, student transportation, Washington State, Department of Transportation, local sales tax, voter-approved sales tax, equity, environmental justice, low-barrier access, bus pass, rail transit, public transit agency, transit agency grants

Transcript Highlights:

• waiver, known as the Medical Transformation Project 2.0 and its health-related social needs services protocol
• The enrollee must have been discharged from institutional care, a hospital, or a congregate setting within
• the prior six months or... ...be at high risk of hospitalization or nursing facility placement.

Summary: The Senate Human Services Committee met on the first day of the 2026 session and heard a briefing and public testimony on Senate Bill 5966 concerning medically tailored meals. Committee staff explained that the bill would define medically tailored meals and set statewide standards for meals provided through state programs, emphasizing medical guidance, dietary and cultural accommodations, and prioritizing Washington-based nonprofit providers when possible. Senator T’wina Nobles, the sponsor, said the bill is intended to create a clear baseline for quality and accountability without expanding benefits or creating a new program, but rather to streamline and standardize existing efforts. Testifiers in support described existing medically tailored meal and food box programs already operating in Washington. Representatives from Meals on Wheels, Chicken Soup Brigade, Cascadia Produce, Emergency Food Network, and Meals on Wheels Spokane said these programs improve health outcomes for people with chronic conditions, support recovery, and help keep people stable in their communities. They also emphasized that local providers, volunteers, farmers, and food businesses benefit when state dollars stay in Washington. Several members asked whether the bill would create a new system; supporters said it would instead coordinate and standardize current waiver-based and contract-based services. Questions also touched on funding sources, delivery costs, and the role of Medicaid and other programs. The committee temporarily set aside the bill to hear from newly appointed DSHS Secretary Angela Ramirez, who outlined the department’s reorganization into new administrations and said the goal is to reduce silos, improve customer experience, and make services easier to navigate. She also briefed members on federal HR1-related changes affecting SNAP and Medicaid, including work requirements, immigrant eligibility changes, and tribal consultation, and said DSHS is developing a verification hub to reduce administrative burden. Members raised concerns about implementation, data collection, and how to avoid benefit loss due to paperwork issues. After the secretary’s presentation, the committee resumed testimony on SB 5966 and then adjourned without taking a vote.

Transcript Highlights:

• In the Navy property in Newport, Rhode Island, there is an abandoned hospital, which is on extremely
• If we could separate that hospital location from the overall Superfund site through some kind of segregation
• seen an instance in my experience where anything's been denied because we're using all the proper protocol

Committee: Senate Environment and Public Works Committee

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

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

Transcript Highlights:

• provided separately from the pharmacy benefit, and the medical benefit would capture spending in hospital
• provided separately from the pharmacy benefit, and the medical benefit would capture spending in hospital
• provided separately from the pharmacy benefit, and the medical benefit would capture spending in hospital
• provided separately from the pharmacy benefit, and the medical benefit would capture spending in hospital
• is once you have the floor as protocol is once you have the floor as long<00:54:13.799><c> as</c><00

Summary: The working session focused on the New Hampshire Prescription Drug Affordability Board’s budget request and its recent work. Early discussion centered on a technical question about a statutory dedicated fund for donations: members asked why the budget did not show a line item for accepting donations, and DHHS CFO Nathan White explained that the statute already authorizes the fund, but because no revenue has been received yet, it does not appear in the budget. He said any future donations would go through the normal process under RSA 14:30-a, with fiscal committee and Governor and Council approval and a memo to the Department of Revenue Administration. The chair clarified that the account was not a prerequisite to soliciting donations, and White said the fund would supplement, not replace, General Fund support. Kirk Williamson, the board’s executive director, then presented the board’s mission and budget. He said the governor’s budget provides about $256,500 in the first year and slightly more in the second, all General Funds, and that the board had distributed a technical amendment to continue the executive director position. He described the board’s role as analyzing prescription drug costs, identifying savings opportunities, monitoring market trends, promoting transparency, and making recommendations to the legislature and public payers. He also emphasized that the board operates publicly, with live-streamed meetings and a stakeholder advisory council that includes unions, state agencies, Medicaid, corrections, higher education, and other stakeholders. A major topic was the board’s estimate of $6 million in potential savings, based on Medicare’s newly negotiated prices for 10 drugs. Williamson explained that the board used those federal negotiated prices as a benchmark to estimate what New Hampshire public payers might be missing by not having similar leverage, and said the board is trying to build evidence for future recommendations rather than directly setting prices. Members asked how those potential savings could become actual savings, and Williamson said the board is sharing findings through its advisory council and feedback loops, though it has not yet sent a formal recommendation letter to specific purchasers. He also discussed the difference between pharmacy-benefit spending, which relies heavily on PBM-negotiated rebates, and medical-benefit spending, which is administered differently and is being added to the board’s next report. Williamson highlighted other work, including a model on Humira and a pending legislative effort to improve biosimilar competition, plus a proposed state-backed pharmacy savings card that would be no cost to the state and could save users about $240 per prescription based on Connecticut’s experience. No votes were taken during the session.

Transcript Highlights:

• AB 451 will establish standardized protocols for implementing gun violence restraining orders.
• risk of hospital readmission resulting from poor communication.
• AB 848 is a step forward in putting our patient safety first when they enter a hospital.
• a hospital patient in the sentencing of felony sexual battery.
• All those who desire to vote. sexually batters a hospital patient in the sentencing of felony sexual

Summary: The Assembly met on May 23, 2025, established a quorum after a roll call, and proceeded through a long House of Origin floor session with prayers, the Pledge of Allegiance, and routine parliamentary actions. Early in the day, a motion by Assembly Member Gallagher to suspend the rules and take up AB 12 immediately failed on a 18-39 vote. The chamber then moved through the daily file, with many measures passing by wide margins, often with bipartisan support and little or no opposition. Among the notable bills discussed were measures on law enforcement oversight and records access (AB 847), CalFresh data-sharing exemptions (AB 593), campus-area housing for students and staff (AB 893), insurance and wildfire hardening updates (AB 1), missing middle housing code changes (AB 6), tribal peace officer status in a pilot program (AB 31), utility bill analysis before new mandates (AB 61), fairgrounds funding (AB 258), Diwali as a state holiday (AB 268), labor and worker organizing rights (AB 288), algorithmic price-fixing and antitrust enforcement (AB 325), elections and jail voter information (AB 331), protections for judges and court personnel (AB 343 and AB 352), school construction procurement (AB 361), school-zone speed limits (AB 382), transit worker protections (AB 394), blue carbon coastal mitigation (AB 399), K-9 standards for law enforcement (AB 400), livestock carcass composting (AB 411), translation of housing materials (AB 413), immigrant educational rights notices (AB 419), gun violence restraining order implementation (AB 451), special education and child care measures (AB 560 and AB 563), cannabis tax relief (AB 564), and disability access protections for businesses (AB 649). Several bills addressed housing, energy, public health, and public safety, and many authors emphasized affordability, transparency, and administrative efficiency. The session also included several ceremonial or recognition items, including ACR 73 declaring Italian American Heritage Month, which was adopted by voice vote after 65 coauthors were added. Most measures were approved overwhelmingly, though a few drew some dissent, including AB 421? no—AB 399 passed 42-30, AB 450 passed 49-6, AB 461 passed 49-8, and AB 621 passed 58-0. The transcript ends partway through AB 772, which was introduced as an educational equity bill addressing cyberbullying after school hours, but the remainder of that item is not included in the provided text.

Transcript Highlights:

• AB 451 will establish standardized protocols for implementing gun violence restraining orders.
• risk of hospital readmission. resulting from poor communication.
• AB 848 is a step forward in putting our patients' safety first when they enter a hospital.
• a hospital patient in the sentencing of felony sexual battery.
• Schools, churches, and hospitals. Places where human decency demands no person should live in fear.

Transcript Highlights:

• We now have a discussion and ultimately a vote on the final health protocol recommendations.
• So this would give authority for the state to set protocols for injuries and health risks.
• So, having said that, I think a vote would be appropriate. ...and safety protocols from that subcommittee
• That health protocol, health and safety protocol recommendation has been accepted by the full working
• The health protocol, health and safety protocol recommendation has been accepted by the full working

Summary: The meeting began with quorum being established and the group approving the minutes from the April 27 public hearing and the April 7 working group meeting. Both sets of minutes were accepted by roll call vote without objection. The chair then moved to the main agenda items, which focused on final recommendations from subcommittees related to youth sports policy. The working group reviewed and adopted a health and safety protocol recommendation from the children’s subcommittee. The updated language broadened the earlier concussion-focused proposal to authorize the state to establish protocols for injuries and health risks generally, including weather-related issues such as heat and stroke, and it was noted that this could also cover emergency action planning. The recommendation was approved by roll call vote and accepted into the full working group’s final set of recommendations. The group then considered two recommendations from the parents, money, and sports/facilities subcommittee. The first would prohibit facilities or organizations from banning parents or family members from recording youth sports events, responding to concerns about private streaming restrictions. The second would direct the state agency overseeing youth sports to work across state government on a grant program offering low- or zero-interest capital funding for organizations or facilities that meet youth sports access benchmarks. Both recommendations were discussed as promoting family access and equitable participation, and both were adopted by roll call vote. After a brief public comment period in which no one testified, members were told the subcommittees did not expect further work before the next meeting, when the full group would discuss the final report and could still consider feedback. The meeting concluded with a motion to adjourn, which passed unanimously.

Transcript Highlights:

• <00:37:16.240><c> experience</c><00:37:16.920><c> background</c> protocol experience background protocol
• There's a whole protocol that you can follow.
• </c><03:39:21.319><c> the</c> mop syn a whole different protocol the mop syn a whole different protocol
• Their kitchens are clean, inspected, and follow certain protocols.
• “It’s the common-sense protocol of it,” the witness said.

Summary: The Environment and Agriculture Committee opened by noting member absences and then reviewed the governor’s HB 2 trailer bill language creating a solid waste site evaluation committee. The chair explained that Finance would want the committee’s input on the proposal and also announced a temporary change to the committee’s schedule, with additional Wednesday meetings planned around school vacation. The committee then moved into a work session on several bills. On HB 150, Representative Ktoa offered a simple amendment changing food-processing language from “washed and rinsed” to “cleaned and sanitized” in the processing area. Members agreed the change better matched food safety practice, and the committee indicated support for advancing the bill. On HB 307, dealing with homestead food production areas, members discussed proposed amendment language that would add clearer sanitary requirements, including handwashing access, sanitary storage, sanitizable food-contact surfaces, and pest exclusion. The committee also discussed whether to replace “potentially hazardous food” with “time temperature control safe food,” but several members favored keeping the existing term because it is already well defined in food safety law. The bill was held for further amendment work rather than being executed immediately. The committee spent substantial time on solid waste legislation. For HB 479, members recalled a prior plan for a letter to the solid waste working group and agreed to proceed with the bill in executive session, with an offer of drafting help from Representative Bixby. For HB 77, which would require DES to establish site-specific setback distances for proposed new landfills, Representative Penza said his amendment was not ready yet but was close, and the bill was left for further discussion. The most detailed discussion was on HB 2115, which would require landfill permit applicants to submit a report on the project’s harms and benefits. Representative Germana explained an amendment that would replace section one, expand the list of benefits to include economic potential and infrastructure improvements, and set up a third-party review process in which the applicant submits a list of reviewers, DES screens the list, and the commissioner selects a reviewer if no agreement is reached within 60 days. Members asked about who could serve as contractors, whether they had to be local, and how DES would judge qualifications; the response was that environmental engineering and similar firms could be used, local or outside the community, and that the process would remain somewhat flexible. Representative H. Haskins asked whether the legislature or subcommittee would be formally notified of preliminary review problems, and the chair said no additional notification process would be built in beyond existing practice. The committee planned to continue work on the bills in upcoming executive sessions, including after school break.

Transcript Highlights:

• </c> association, New Hampshire Hospital association, New Hampshire Hospital Association,<01:20:24.400
• </c><01:41:17.760><c> around</c> coordinate protocols around coordinate protocols around communication
• Uh, [Music] the scene when I was on call for orthopedics for Concord Hospital was vastly different.
• </c><02:04:48.960><c> Uh</c><02:04:49.199><c> and</c> hospital was vastly different.
• Uh and hospital was vastly different.

Summary: The committee met with DHS Chief Financial Officer Nathan White to receive an update on the department’s budget lapse and vacancy rates. White explained the difference between the “back-of-the-budget” reduction and lapse assumptions, saying DHS is facing a current biennium reduction of about $23 million and estimating roughly a $60 million general fund lapse in state fiscal year 2025, compared with about $13.5 million the prior year. He said DHS’s lapse is driven largely by program utilization, labor market conditions, contract spending, and statutory carry-forwards in areas such as Medicaid and developmental disabilities, which tend to produce a smaller lapse in the first year of the biennium and a larger one in the second year. He also noted that the House and Senate budgets differ on some operating items, including Medicaid rates, with the Senate having struck a House proposal to reduce rates by 3%. Members questioned White about whether DHS ever spends down lapse money on last-minute purchases. He said the department does not engage in that practice, though it does retain some flexibility in its facilities budget for emergencies. He also described the process for transferring funds within and between class lines, including the need for fiscal committee approval above statutory thresholds, and gave examples such as moving funds to cover overtime in the SYSC budget and to ensure Medicaid payments for nursing facilities. White said such transfers are public and transparent and are reviewed by the governor and Executive Council. The committee then discussed DHS staffing. White said the department has a little over 3,200 authorized positions, with a vacancy rate around 14.5%, and that a hiring freeze had been imposed a few months earlier while exempting direct care positions. He said DHS is planning for about a $30 million general fund reduction to personnel, equivalent to just under 400 positions, and is managing postings centrally to stay within budget by July 1. In response to questions about the loss of about $80 million in federal funds, White and Associate Commissioner Patricia Tilly said DHS avoided layoffs by shifting staff into vacant positions, but that the cuts affected community contracts, public health workers, laboratory work, and some IT/data projects. Tilly said roughly 20 positions were affected, most were reassigned, a few staff left voluntarily, and the department has less flexibility going forward if more federal funding ends.