Transcript Highlights:

• I request unanimous consent to include the transfer limitation exemption section shown on the screen
• I move to include the transfer limitation exemption sections shown on the screen in the enhancement bills
• I move to include the transfer limitation exemption section shown on the screen in the enhancement bills
• for the... ...include the transfer limitation exemption section shown on the screen in the enhancement
• I move to adopt the language as shown on the screen with the Early Learning and Development budget.

Summary: The Joint Finance-Appropriations Committee met with a quorum and took up several Department of Health and Welfare and related budget items. On the Commission on Aging, a motion to restore $129,900 in ongoing general funds for senior nutrition failed, but a revised motion to restore the same amount as one-time general funds passed. The committee then approved the Division of Welfare budget items tied to federal and state changes under the One Big Beautiful Bill Act and House Bill 345, including SNAP administrative cost adjustments, Medicaid expansion work requirements, and Medicaid eligibility system changes. For Indirect Support Services, the committee approved a budget that included a fund-source change for the background check unit, replacement items, IT modernization and consolidation, and the fiscal impact of Senate Bill 1314. It also approved a separate motion to exempt several Health and Welfare divisions from transfer limitations, but only for Youth Safety and Permanency and Licensing and Certification after a substitute motion narrowed the original request. The committee then approved a $60,000 general fund restoration for the Domestic Violence Council within Independent Councils, with a senator disclosing a potential conflict of interest for the record. The committee next adopted revised language for the Idaho Child Care Program Capacity Grant in the Early Learning and Development budget after extensive discussion about clarifying eligibility, investigations, and provider definitions; the motion passed despite concerns from the department and some members that the language remained unclear and policy-heavy. Finally, the committee approved consolidation of the Office of Species, Minerals and Energy Coordination, combining the former species conservation and energy/mineral offices and funding personnel, fisheries projects, and one-time energy resiliency grants. The meeting ended with adjournment to the call of the chair, and no further meeting was scheduled for the next morning except one House Appropriations item at 9 a.m.

Transcript Highlights:

• And as I showed you on the previous screen, in the vast majority of instances in the office, that means
• 39.039><c> the</c><00:08:39.200><c> vast</c><00:08:39.519><c> majority</c><00:08:40.000><c> of</c> screen
• , in the vast majority of screen, in the vast majority of instances<00:08:40.640><c> in</c><00:08:40.880
• When we have an opening at some point in the future, we'll call you in for an assessment and get you
• and get you into in for an assessment and get you into services.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• Once you get on the screen, go ahead and state your name for the record and proceed.
• Once you get on the screen, go ahead and state your name for the record and proceed.
• Hello, I think I'm on the screen. Yes, you are. Okay.
• Hello, I think I'm on the screen. Yes, you are. Okay.
• </c> mathcore uses evidence-based assessment mathcore uses evidence-based assessment instruments<00:51

Bills: HF1966, HF54, HF2043, HF1171, HF2741

Keywords: HF1966, Minnesota Association of Alternative Programs, STARS program, alternative education, alternative programs, education finance, general fund appropriation, student support services, career readiness, employment skills, academic skills, social skills, student conferences, training grants, Minnesota Department of Education, specialized education, at-risk students, nontraditional education, HF54, Silver Lake

Transcript Highlights:

• Estimate provided to the committee by DAGS, which includes site selection, including screening of up
• This bill adds the state contractor's performance assessments to information required to be included
• This bill adds the state contractor's performance assessments to information required to be included
• This bill adds the state contractor's performance assessments to information required to be included
• This is what the assessment is.

Keywords: 912, senate, all

Summary: The committee met on February 4, 2025, for decision making on previously heard measures, then later held hearings on additional bills. Early action focused on several measures that were amended and advanced, including SB 161 on state project exemptions from county permitting, which was heavily revised to allow programmatic or project-specific agreements with counties, require public reporting of exempted projects, and create a working group to study broader permitting and construction coordination issues. The committee also advanced SB 635 on energy efficiency with changes shifting survey leadership to the Hawaii State Energy Office, SB 700 on resilience hubs after narrowing it to focus on emergency-service-capable hubs and removing distributed energy language, SB 869 on community outreach boards with a technical amendment, SB 1081 on a legislative budget office by converting it to a feasibility study, SB 711 on gubernatorial appointments with a salary threshold change, SB 405 on neighborhood board agendas with a committee-report note about OIP concerns, SB 381 with privacy issues deferred to Judiciary, SB 2 as a two-year pilot for fruit tree planting in selected districts, SB 239 on disaster preparedness with sheltering revisions, and SB 998 as introduced with a cost estimate for site selection work. Several measures were deferred or not advanced, including SB 615, which was deferred indefinitely, SB 1132, which the chair said would be set aside in favor of another childcare bill, and SB 111, which was not taken up further because of confusion during an earlier hearing. During the later hearing portion, SB 1175 on procurement drew testimony from the State Procurement Office, which supported the bill but corrected its estimated database revision cost from $7,500 to $30,000; the Department of Transportation also appeared, while the General Contractors Association submitted opposition. Committee members questioned whether the past-performance database should include more detailed quality information and whether a one-year post-completion review would be useful, but no amendment was adopted at that time. SB 1587 on retainage received written support from the Subcontractors Association of Hawaii and no opposition in the room. SB 1543 on government accountability, which would require justification for outside consultants and cap consultant spending, drew opposition from the American Council of Engineering Companies of Hawaii, which argued it could slow procurement, reduce flexibility, and worsen delays given existing vacancies and limited in-house expertise. The Public First Law Center supported the related transparency bill discussed in the hearing, arguing it would close a loophole by making contractor-created records used in government functions subject to disclosure under UIPA, while the Attorney General’s office opposed it. The transcript ends with that testimony still underway, and no final vote is shown for the later hearing bills.

Transcript Highlights:

• It clarifies how smoke damage is assessed, not whether coverage exists.
• It clarifies how smoke damage is assessed, not whether coverage exists.
• Within the last five years, some figures about how much these assessments have risen...
• Within the last five years, some figures about how much these assessments have risen because of this
• County's assessment related to the fund, 248% increase; Orange County, 119% increase; San Diego, 389%

Summary: The Assembly Insurance Committee met as a subcommittee at first because a quorum was not initially present, then later established a quorum and heard several bills. The main special-order item was AB 1795 (Gibson), which would create statewide standards for testing, inspection, and remediation of wildfire smoke damage in homes, with CalEPA and public health agencies developing science-based standards and insurers required to follow new claims-handling timelines. Supporters, including Insurance Commissioner Ricardo Lara and wildfire survivors, said the bill would bring consistency and safety; insurers and consumer groups generally supported the concept but sought further amendments on scope, standards, and claim handling. The committee voted do pass as amended and refer AB 1795 to Appropriations, with the roll held open for later additions. The committee also considered AB 1576 (Ortega) on the Subsequent Injury Benefit Trust Fund, which would make changes intended to reduce litigation and employer assessments while preserving the program’s purpose of encouraging hiring of workers with prior disabilities. Labor-side witnesses supported the bill as a reform step, while business, public entity, and insurance groups opposed it, arguing it did not address the core structural problems and that a trailer bill was a better vehicle for broader reform. AB 1576 was voted do pass to Appropriations, with the roll held open. AB 1931 (Papan) would create an optional limited-lines license for utilities to offer home protection products for repairs to appliances and utility service lines. Support came from HomeServe, utilities, and industry groups, who said the bill would clarify current law and add consumer protections such as training, disclosures, and a free-look period; there was no opposition in the room. The committee passed AB 1931 to Appropriations. AB 2361 (Pacheco) would limit vicarious liability for peer-to-peer vehicle-sharing platforms like Turo while preserving insurance coverage requirements; supporters said it would align California with other states, while consumer attorneys opposed it as reducing accountability and consumer recovery. The committee passed AB 2361 as amended to Appropriations. AB 2098 (Kalra), heard later, would require employers to allow leave for workers to attend treatment for occupational injuries during work hours, subject to notice and business-necessity limits; labor groups supported it and business and insurance groups sought narrower standards. It was also voted do pass to Appropriations. The committee then completed roll-call add-ons and adjourned.

Transcript Highlights:

• House Bill 3345 deals with diversion screening and the purpose of major clarifies statutory language
• to expand access to treatment needed screening for arrested individuals.
• The passage of State Question 780 and the bill allows treatment needs screening to occur at any time

Bills: HB1322, HB2015, HB2933, HB2941, HB2959, HB2977, HB2981, HB3040, HB3055, HB3062, HB3087, HB3115, HB3134, HB3244, HB3297, HB3298, HB3299, HB3304, HB3319, HB3321, HB3322, HB3323, HB3345, HB3407, HB3471, HB3497, HB3500, HB3505, HB3544, HB3581, HB3648, HB3755, HB3764, HB3765, HB3767, HB3906, HB3974, HB3982, HB4104, HB4105, HB4106, HB4107, HB4108, HB4126, HB4130, HB4139, HB4144, HB4170, HB4202, HB4226, HB4227, HB4236, HB4260, HB4343

Keywords: domestic violence, offenders registry, public safety, law enforcement, victim protection, conviction records, landlord, tenant rights, rental agreement, housing safety, tenant protections, insurance regulation, homeowner claims, premium discounts, catastrophe mitigation, civil penalties, fentanyl, overdose, first responders, drug reporting

Transcript Highlights:

• Members, House Bill 3345 deals with diversion screening.
• The measure clarifies statutory language to expand access to treatment, needs screening for arrested
• statute was not updated with the passage of State Question 780, and the bill allows treatment needs screening

Bills: HB1322, HB2015, HB2933, HB2941, HB2959, HB2977, HB2981, HB3040, HB3055, HB3062, HB3087, HB3115, HB3134, HB3244, HB3297, HB3298, HB3299, HB3304, HB3319, HB3321, HB3322, HB3323, HB3345, HB3407, HB3471, HB3497, HB3500, HB3505, HB3544, HB3581, HB3648, HB3755, HB3764, HB3765, HB3767, HB3906, HB3974, HB3982, HB4104, HB4105, HB4106, HB4107, HB4108, HB4126, HB4130, HB4139, HB4144, HB4170, HB4202, HB4226, HB4227, HB4236, HB4260, HB4343

Keywords: domestic violence, offenders registry, public safety, law enforcement, victim protection, conviction records, landlord, tenant rights, rental agreement, housing safety, tenant protections, insurance regulation, homeowner claims, premium discounts, catastrophe mitigation, civil penalties, fentanyl, overdose, first responders, drug reporting

Summary: The committee heard and advanced a large number of bills, mostly by unanimous or near-unanimous due-pass votes. Early measures included HB 34, expanding “zones of safety” to include places like skating rinks, youth centers, pools, arcades, amusement parks, and water parks to bar sex offenders from loitering; HB 3407 on abandoned personal property and manufactured homes; HB 43 on rates for court-appointed property appraisers; and HB 2981 requiring school board meeting minutes to be posted online. Members also considered criminal justice and public safety bills such as enhanced penalties for people on the DOJ terrorist list (HB 3764), updating controlled dangerous substances schedules (HB 3767), and a bill to allow first responders to notify law enforcement after responding to suspected overdoses, with immunity for good-faith reporting and a fentanyl-related presumption in fatal overdoses (HB 2941). Several bills were laid over, including HB 2015, HB 2959, HB 3087, HB 3581, and HB 4227. The committee also advanced bills affecting courts, property, and administrative procedures. These included HB 3321 ending cost-arrest warrants for unpaid court fines, HB 3322 codifying rules for interpreting multiple versions of statutes, HB 3323 moving notarization requirements for electronic documents submitted to Service Oklahoma, HB 3497 clarifying appeals of pretrial orders in criminal cases, HB 3500 removing a nine-month deadline for successor affidavits after transfer-on-death property transfers, and HB 3505 creating a uniform wage garnishment law. Other measures addressed workers’ compensation and public employment, including HB 4260 creating a rebuttable presumption for first responders in workers’ comp, HB 4202 aligning radiology reimbursement with other specialties, and HB 3055 and HB 315 setting qualifications for the CLEET and DOC directors. Later in the meeting, members approved bills on consumer protection, technology, and public safety. HB 2933 tightened insurance claim timelines and penalties and made mediation mandatory for carriers; HB 3544 targeted AI chatbots that simulate emotional relationships with children; HB 3299 created a criminal offense for creating or disseminating digitized or synthetic media using another person’s name, image, voice, or likeness; HB 4107 criminalized misuse of outdoor tornado sirens; HB 4108 expanded critical infrastructure protections to airports; and HB 4139 revised home service contract rules to require truthful offerings and qualified service providers. The committee also passed HB 1322 creating a public domestic violence offenders registry, HB 4104 adding certain voyeurism-related crimes to the sex offender registry, HB 4106 lowering the grand larceny threshold to $900 and making a third petty larceny offense a felony, and HB 3974 addressing liability in shared inmate housing facilities. The meeting ended with HB 4144, which revises Open Records Act language for arrest and incident reports, and the committee adjourned with plans to meet again Tuesday.

Transcript Highlights:

• This engagement bills on the I Connect Assessment completed in early 2025.
• The agency continues to face as part of the Cgms Modernization Assessment.
• This component of the assessment had a narrow scope focus specifically on determining the feasibility
• component of the assessment involve developing a cost estimate or potential solutions.
• I could see it on my screen. There we go. Okay. Sorry, very busy chart.

Transcript Highlights:

• Once you get on the screen, go ahead and state your name for the record and proceed.
• Hello, I think I'm on the screen. Yes, you are. Okay, hello, my name is Alexandra Hanks.
• You should have them in your packets, but I also have them projected here on the screen, so we can follow
• It's in reaction to the recent declines in the NAEP assessment scores.
• The screen. In Minnesota, there are several ways you can obtain a full professional license.

Bills: HF1966, HF54, HF2043, HF1171, HF2741

Keywords: HF1966, Minnesota Association of Alternative Programs, STARS program, alternative education, alternative programs, education finance, general fund appropriation, student support services, career readiness, employment skills, academic skills, social skills, student conferences, training grants, Minnesota Department of Education, specialized education, at-risk students, nontraditional education, HF54, Silver Lake

Transcript Highlights:

• The next slide talks about the decision-making process, using that needs assessment.
• You just go to the screen. You have to provide a little bit of information.
• They also helped fund the needs assessment that we did here.
• They have funded the needs assessment and the coordination so far.
• So we know the screenings are happening. We just don't know what's happening after that.

Transcript Highlights:

• The act's only major addition is the requirement for periodic risk assessments checked by independent
• Second, to publish reports assessing the risks posed by those models.
• Synthetic DNA, and even named suppliers unlikely to screen orders.
• Importantly, the risk assessments and compliance with safety... how they mitigate those risks.
• Importantly, the risk assessments and compliance with safety plans would be evaluated by third-party

Keywords: 1212, all

Transcript Highlights:

• process, if This would allow those individuals, once they go through that pre-screening process, if
• me, I'm trying to understand that if a sentencing judge, if the person hasn't been processed or assessed
• But I don't think I can, I don't think I could properly assess at the individual level.
• Can you, are you talking about going through the eligibility through the, um, the pre-screening on, on
• So the idea that we would be able to go in there and actually assess those situations, especially as

Bills: SB1636, SB1584, SB1730, SB1255, SB1627, SB137, SB2062, SB1470, SB1284

Keywords: cold case, unsolved homicide, violent crime, case file review, law enforcement, police records, victim family, immediate family member, designated person, forensic testing, witness reinterview, investigative leads, cold case unit, unsolved murder, public safety, Title 21, Oklahoma statutes, sexual assault, evidence kits, DNA testing

Summary: The Public Safety Committee took up a series of bills dealing with cold cases, sexual assault investigations, parole, criminal code cleanup, jail backlog relief, private prison oversight, and human trafficking. SB 1636, by Sen. Hicks, would let an immediate family member or similar person request an OSBI investigation in a cold case; it passed 8-0. SB 1584, by Sen. Burns, shortened the deadline for submitting sexual assault evidence kits for forensic testing and required kits received after the effective date to be processed within 30 days; it passed 8-0. SB 1730, by Sen. Thompson, required law enforcement to forward sexual assault reports to OSBI to help identify repeat offenders, with testimony that the reports would remain confidential and could still be expunged where applicable; it passed 8-0. The committee also approved SB 1255, by Sen. Yack, which shifts the authority to request medical parole from the DOC director to the DOC medical director while leaving parole board and gubernatorial discretion intact; it passed 8-1. SB 1627, by Pro Tem Paxton, was a request bill to consolidate redundant and obsolete criminal statutes into a cleaner code, and it passed 9-0 after questions about underlined language in the committee substitute. SB 137, by Vice Chair Hamilton, would remove DUI causing great bodily injury from eligibility for DOC’s electronic monitoring program after a case highlighted what sponsors described as a loophole; it passed 9-0. SB 2062, by Sen. Pugh, sought to reduce county jail and LARC backlog by allowing certain low-level, nonviolent offenders to bypass county jail waiting periods and report directly to their assigned facility after screening; members raised concerns about flight risk, logistics, transportation, and county impacts. Pugh agreed to continue working on the measure and requested a struck title, and the bill passed 7-1. SB 1470, by Sen. Brooks, as amended, would allow elected officials and religious leaders to conduct informal inspections of private prisons operated for out-of-state interests, with a three-day notice requirement and definitions added to narrow the scope; it passed 8-0. Finally, SB 1284, by Vice Chair Hamilton, aimed at combating human trafficking in exotic entertainment venues by creating licensing and inspection requirements and penalties for unlicensed operation or knowingly hiring unlicensed performers. The bill drew extensive debate over whether it was too punitive or could sweep in lawful businesses, but supporters said it would help identify trafficking victims and improve oversight; it passed 7-1. The committee adjourned after the final vote.

Transcript Highlights:

• And we are going to turn our attention to the screen. John DeSimone, you are testifying virtually.
• They have a large screen so they can see what we see clearly to make sure there's no issues there.
• We'll now turn our attention to the virtual screen.
• pharmacology, training in patient care, medication use, prescribing, and patient examination and assessment
• pharmacology, training in patient care, medication use, prescribing, and patient examination and assessment

Bills: SB6226, SB6305, SB5924, SB5990, SB5185, SB5845, SB6071, SB6258

Keywords: SB 6226, Washington, audiology, audiologist, hearing aid specialist, speech-language pathologist, telehealth, teleaudiology, clinical autonomy, clinical judgment, in-person care, remote care, Board of Hearing and Speech, hearing instruments, hearing aids, dispensing hearing aids, standards of care, professional licensure, health professions regulation, patient-centered care

Transcript Highlights:

• Since this assessment tool is gonna be put on tablets, and there are some families who do not believe
• I will also, looking at slide five, the needs assessment.
• We provide comprehensive health services, from screenings to exams. And guess what?
• that is closely aligned with the Head Start needs assessment requirements.
• When you implement a program, you need to assess its impact on rising health care costs.

Transcript Highlights:

• Representative, yes, that's from the 2024 National Assessment of Educational Progress.
• We are required by the federal government to have our state assessment.
• They don't dictate what that state assessment is.
• So, you're right, it's important to have a standardized assessment.
• We've finished our statewide assessments; we're at the end of the school year.

Transcript Highlights:

• They're the ones who will do the community needs assessment of their locality, because every region is
• They're the ones who will do the community needs assessment of their locality, because every region is
• They're the ones who will do the community needs assessment of their locality, because every region is
• </c><00:29:08.960><c> time</c><00:29:09.279><c> and</c> world of technology and screen time and world
• of technology and screen time and social<00:29:09.840><c> media</c><00:29:10.799><c> that</c><00:29:

Keywords: 00:00 - Call to Order/Roll Call 01:10 - Discussion of 26RS HB 669 08:25 - Roll Call Vote on 26RS HB 669 09:25 - Discussion of 26RS HCR 36 13:15 - Roll Call Vote on 26RS HCR 36 14:05 - Discussion of 26RS HB 686 29:20 - Roll Call Vote on 26RS HB 686 30:10 - Adjournment, 958, all

Transcript Highlights:

• And then there's also a number of things that came out of the real detailed culture assessment.
• And then there's also a number of things that came out of the real detailed culture assessment and the
• So the screening process throughout this PEL process that we did...
• After the first screening that we went through, we quickly eliminated those relocated options.
• And the reason for that is what you see is green on the screen there.

Summary: The committee met to hear an update from Washington State Ferries on capital projects and workforce issues, beginning with a briefing on the agency’s long-term fleet and terminal needs. WSF officials described the history of underinvestment after the late 1990s, the current fleet reduction from 25 to 21 vessels, and the need to keep older boats in service while moving toward a 26-vessel long-range fleet and hybrid-electric operations. They said the agency is transitioning to a new vessel procurement strategy, with Eastern Shipbuilding selected to build up to three 160-car hybrid-electric ferries, and outlined a schedule that includes contract execution, about a year of design work, steel cutting in fall 2026, and several years of construction. Members raised concerns about the higher cost of electrified vessels, the length of the schedule, the adequacy of liquidated damages and incentives, the risks of building in Florida and transporting vessels to Washington, and whether the contract sufficiently protects the state from cost overruns and design problems. The committee also received an update on the Wenatchee conversion, which officials said is days away from entering service as the first large hybrid-electric ferry conversion. WSF explained that the conversion combined required midlife preservation work with propulsion upgrades and battery installation, and that the project took longer and cost more than originally expected because it was a prototype with significant lessons learned. Officials said the Tacoma and Puyallup conversions would follow later, but those decisions were being delayed until after the World Cup to avoid service disruptions. Members asked about the cost-effectiveness of the conversion, the expected fuel and emissions reductions, and what happens to engine crews during long conversion periods; WSF said crews were embedded in the project and that the conversions should reduce diesel use substantially once terminal charging is available. The meeting then shifted to workforce development, with Siegel consultants reviewing their 2021 and 2024 studies of ferry staffing, overtime, recruitment, and workplace culture. They said the earlier problems stemmed from seasonal staffing practices, low winter hours, limited career progression, a narrow maritime recruiting pipeline, and a culture that made retention difficult. Since then, they reported major improvements: staffing has increased from about 1,500 to 1,900, turnover has fallen, captain and engineer shortages have eased, and recruitment has broadened beyond the traditional maritime pool, including more women and other underrepresented workers. They credited new programs such as guaranteed hours, paid pilotage, AB-to-mate pathways, and the “Turning of the Tide” culture campaign, while noting remaining issues with communication, HR access, accountability, and quality of life. Members generally acknowledged the progress but asked whether staffing levels are now sufficient and how interchangeable crews are across vessels and routes. Finally, terminal engineering staff began a presentation on capital terminal work, starting with the Fauntleroy Ferry Terminal. They described the terminal’s age, low elevation, vulnerability to sea level rise and earthquakes, and the need for replacement piles, beams, and improved vehicle circulation. The agency said it has completed a planning and environmental linkage study, is moving into NEPA/state environmental review, and has been working with the community to balance the needs of Southworth and Vashon riders with neighborhood concerns in Fauntleroy. The preferred alternative is a larger offshore dock footprint that would improve capacity and reliability while reducing impacts to eelgrass habitat. The meeting ended before the terminal discussion was complete.

Transcript Highlights:

• Key considerations that we took into account as part of this assessment were, most importantly, avoiding
• So it doesn't fall within that ongoing definition, as the administration's assessment. Got it.
• That's the administration's current assessment, yes.
• Yes, and I think in general we'll have to assess and do that assessment in terms of how, from a coordination
• At the same time, assessing the right level of funding is quite challenging.

Keywords: 987, senate, all

Transcript Highlights:

• we should also support them, the tribes, and listen to them and see how we can figure out a way to assess
• for... ...issues in other jurisdictions with facilities not actively screening for need, meaning that
• So, for example, states must ensure that providers and facilities use evidence-based patient assessment
• She is a state supervisor of assessment and does just an incredible job for us in that realm.
• And we basically handle centrally assessed issues, calculations, and property tax valuation challenges

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Transcript Highlights:

• Our approach is holistic, assessing how menopause impacts the entire body from the short-term and the
• they should be screened.
• So for other programs where there's a pre-screening process, you know, they can ask for verification
• But that, you know, falls under the pre-screening process.
• We recognize that... ...and assessment of environmental impacts and poor health trends.

Summary: The Assembly Health Committee heard a long agenda of health bills focused on access to preventive care, behavioral health, hospital services, and patient safety. Early items included AB 554, which would expand and protect access to HIV prevention drugs like PrEP, including injectable forms and coverage protections; supporters said it would shore up access amid federal threats, while insurers opposed it as a costly benefit mandate. AB 577 would limit insurer and PBM practices that steer medications away from physician offices and require more transparency and patient consent; doctors and patient advocates supported it, while health plans and insurers warned it could raise drug costs and disrupt specialty pharmacy networks. AB 546 would require coverage for portable HEPA purifiers for vulnerable enrollees during declared emergencies, especially wildfire smoke events, with support from air quality and public health groups and opposition from insurers concerned about benefit expansion and cost. The committee also heard AB 224, which would codify California’s updated essential health benefits benchmark plan after a public review process, adding infertility treatment, hearing aids, and durable medical equipment if approved by CMS for the 2027 plan year. DMHC said the state had completed the review and needed legislation to meet federal timing, and the measure drew broad support. AB 1032 would require plans and insurers to reimburse up to 12 additional behavioral health visits for enrollees in wildfire-affected counties for a limited period after an emergency; supporters argued it would fill gaps in trauma care after disasters, while insurers said existing parity and continuity-of-care rules already address the issue and that the bill could create inequities. AB 849 would require trained chaperones for sensitive ultrasound exams and training on how to observe and intervene; it was backed by a survivor and patient advocates, with hospitals and health districts raising staffing concerns. Later, AB 1196 would direct the Department of Public Health to update outdated rules requiring three surgeons for certain heart surgeries using cardiopulmonary bypass; supporters said the rule no longer reflects modern practice and strains staffing, while cardiology representatives had no formal opposition but wanted to review amendments. AB 1113 would codify a right to wear a mask for health reasons in public spaces, with support from disability and public health groups. AB 1386 sought to add perinatal care to the list of basic hospital services, prompting testimony about maternity ward closures, workforce shortages, and rural access; the author said the bill would be amended further and that the committee would need to revisit timelines and implementation details. The committee also heard AB 1429, which would address Kaiser’s repeated mental health parity violations and improve access to behavioral health care, though the transcript cuts off before any action on that bill is shown. Several bills were moved with motions and seconds, but many were held for quorum; AB 1196, AB 1113, and AB 1386 were among the measures advanced to a roll call or held on call, and the committee repeatedly noted that final votes would occur when quorum was available.