Transcript Highlights:

• Pediatric therapy couldn't bill Medicaid outpatient unless we were doing it through one of those licensed
• Pediatric therapy couldn't bill Medicaid outpatient unless we were doing it through one of those licensed
• Pediatric therapy couldn't bill Medicaid outpatient unless we were doing it through one of those licensed
• Pediatric therapy couldn't bill Medicaid outpatient unless we were doing it through one of those licensed
• At one point, they would come to Or we had to be licensed ourselves as a core or something.

Summary: The Senate Standing Committee on Health Services heard Senate Bill 18, a bill described by the sponsor and podiatry witnesses as a modernization of Kentucky’s podiatry laws. The bill would recognize and regulate podiatric assistants, podiatric residents, and supervising podiatrists; allow podiatrists to supervise physician assistants in podiatry practices with approval from the relevant licensing boards; require new podiatrists licensed after January 1, 2027 to complete at least two years of residency; and extend disciplinary authority to the new categories. Witnesses said the measure would improve access to foot and ankle care, especially in rural areas, without expanding scope of practice. The Kentucky Medical Association was said to be neutral after working on the language with the sponsors. Committee members raised concerns about the meaning of “supervision,” whether it required direct or indirect oversight, and whether the bill could broaden billing or coding privileges. Dr. Roberts said supervision could mean direct supervision or indirect supervision, including being available by telephone, and noted the bill mirrors language used in allopathic PA supervision. He also said the bill would not change office staff billing roles and that podiatric assistants would not bill separately. Several senators said they supported moving the bill forward but remained concerned about workforce, cost, and scope creep. The committee adopted a committee substitute, then voted on the bill. The motion passed unanimously with favorable expression. After the vote, the committee moved on to a presentation on outpatient pediatric therapies, where providers described Medicaid reimbursement pressures, workforce turnover, and long waiting lists for children’s therapy services, but no action was taken on that presentation in the portion provided.

Transcript Highlights:

• Senator Conway, sorry, Senator, you're on mute. Sorry, Senator, you're on mute.
• licensing.
• We'll touch on time to license and end with our engagement.
• We'll touch on time to license and end with our engagement.
• Today's high-level briefing will focus on the department's accomplishments over the past fiscal year,

Summary: The Joint Committee on Veterans and Military Affairs heard updates from Joint Base Lewis-McChord, Navy Region Northwest, Fairchild Air Force Base, the Coast Guard, state licensing agencies, the Washington National Guard, and a veterans behavioral health presenter. Across the military briefings, commanders emphasized readiness and major missions, while also highlighting quality-of-life issues affecting service members and families, including housing, child care, food insecurity, medical and dental access, and spouse employment. JBLM reported progress on 212 new family homes, ongoing PFAS cleanup, continued work on the Lewis Army Museum, and efforts to expand child care and food assistance. Navy Region Northwest discussed its economic impact, infrastructure projects, environmental stewardship, and future shipyard and homeport planning. Fairchild described its tanker and survival training missions, child care shortages, food insecurity during the shutdown, aging housing, and concerns about wind turbine development near military airspace. The Coast Guard highlighted its polar icebreaker buildup, rebuilding of Base Seattle waterfront infrastructure, and access-to-care challenges at remote stations such as Neah Bay, along with progress on housing and dental services. Committee members repeatedly raised support for military spouses, child care, food access, and licensure compacts. The Department of Licensing reported about 9,000 active military members or spouses licensed, with expedited processing, license portability, and an average time to license of just under nine days. The Department of Health said it had implemented prior military licensure laws, maintained a military-to-civilian crosswalk for health professions, and issued 129 credentials to military-trained health professionals and 1,300 to military spouses/domestic partners in the last fiscal year, all within 30 days. The Professional Educator Standards Board said military-affiliated applicants for educator credentials receive a streamlined process requiring fewer documents and expedited review. Members asked about verification of military spouse status, compact implementation, and whether future federal changes could affect existing interstate compacts. The Washington National Guard briefing focused on dual state and federal missions, election security, wildfire readiness, and a new National Guard Response Force requirement to train 700 personnel. The Guard also described the impact of the recent federal shutdown on employees and outlined policy and budget requests, including youth academy protections, alignment of the Washington Code of Military Justice with the federal UCMJ, making Civil Air Patrol a division of the Military Department, public records exemptions for critical infrastructure, 911 system improvements, disaster assistance funding, and capital requests for a new Joint Forces headquarters and a King County Readiness Center. Members pressed for more detail on drone threats, wildfire response, and whether the new response force would be used for immigration-related duties; the Guard said it understood the force to be intended for all-hazards response and would follow up. The final presentation, from a veterans behavioral health representative, focused on access barriers, suicide risk, and the need for culturally competent care, especially for women veterans and caregivers. The speaker cited high veteran suicide rates in Washington, long waits for services, and the ways child care, transportation, chronic pain, substance use, and military sexual trauma complicate treatment. No formal votes were taken during the meeting, but members and presenters discussed several pending or future legislative priorities, including licensure compacts, child care, military justice updates, and support for military and veteran families.

Transcript Highlights:

• </c><00:09:59.440><c> on</c> compliance on licensing information on compliance on licensing information
• This changes requirements for posting licensing actions on the licensing information lookup public website
• This changes requirements for posting licensing actions on the licensing information lookup public website
• Interpretive guidance on correction orders. Summary documents on the public licensing website.
• Summary documents on the public licensing website.

Bills: HF2436

Committee: House Children and Families Finance and Policy

Keywords: child welfare, economic assistance, child care, grant program, video security cameras

Transcript Highlights:

• So when a complaint is filed internally, again, that’s not on your license, but on your member action
• Are they the ones that are the authority for revoking somebody’s license or, hold on, listen to me, or
• One was more specific to the Realtor license than the other individual was, but her story was similar
• so many levels, and it's wrong on so many levels.
• I had an amendment on the one that we sent out the other day, but it wasn't favorable at the wrong level

Bills: HB256 , HCR19 , SB2101 , SB2334 , SB2633 , SB2637 , SB2713 , SB2781 , SB2782 , SB3059 , HB 1130

Committee: Senate State Affairs

Summary: The committee first reopened public testimony on Senate Bill 2713, which concerned protections for freedom of conscience in the context of Realtor association discipline. Texas Realtors representatives testified that their organization is a separate Texas legal entity but affiliated with the National Association of Realtors through a charter and code of ethics. They said Texas Realtors is neutral on SB 2713, that their ethics process is focused on fair housing and equal professional service, and that they have not suspended or terminated anyone in Texas for religious or political speech. Senators pressed them on whether national standards could override Texas law and on examples from other states; the witnesses said state and federal law control and that they would comply with Texas law if the bill passed. Public testimony then closed and SB 2713 was left pending. The committee then took up Senate Bill 1698 on e-cigarettes. Senator Parker explained a committee substitute that tightened enforcement, required distributor registration, expanded regulation to nicotine from any source, added restrictions on child-appealing packaging, authorized inspections and audits, and set compliance deadlines later in 2025 and 2026. After questions, the substitute was adopted and SB 1698, as substituted, was reported favorably to the full Senate on a 6-0 vote, with a recommendation for the local and uncontested calendar. Next, the committee considered Senate Bill 2487 on crisis and mental health facilities. Senator Parker described a substitute that renamed the program a crisis service model, allowed multiple county facilities, added local siting limits, expanded staffing options, shortened clinical timelines, required discharge referrals, directed law enforcement and EMS to transport people there first, and created local boards and expanded reporting. The substitute was adopted and the bill was reported favorably on a 6-0 vote, also recommended for the local and uncontested calendar. Senate Bill 2819, dealing with political activities of county elections administrators, was then reported favorably on a 6-0 vote and likewise sent to the local and uncontested calendar. Senate Bill 2043 was withdrawn. The committee spent substantial time on Senate Bill 2101, which would require municipal public libraries to move sexually explicit materials out of minors’ sections and impose age-verification and review requirements. Supporters argued the bill would protect children from explicit material in public libraries and that libraries should not be left to self-regulate. Opponents, including librarians, parents, authors, and ACLU representatives, argued the definitions were vague, the bill would be costly and burdensome for small libraries, could function as a book ban, and would restrict teens’ access to classics, research materials, and other books. Several witnesses said parents should make those decisions, not the state. The bill’s author said the committee substitute was still being worked on and asked witnesses to review it; public testimony remained open in the portion provided, with no final action on SB 2101 shown.

Transcript Highlights:

• Under the hospital license, if the patient gets treated on a mobile stroke unit that the hospital owns
• It's already on us. So if there is a challenge that comes up, it is under our license. Independent.
• Texas, who are licensed here and in at least one other state with full practice authority and without
• Well, I mean, I don't have a problem with limitations on a license.
• It's on my license. It's on my driver's license. I can vote with that. Congratulations to Mrs.

Bills: HB35 , HB4490 , HB4454 , HB2188 , HB3078 , HB4743 , HB2556 , HB46 , HB5342 , HB4783 , HB3785 , HB5278 , HB1639 , HB2581 , HB4224 , HB4070 , HB4099 , HB4882 , HB3794 , HB46

Committee: House Public Health

Keywords: peer support, first responders, mental health, confidentiality, emergency services, disclosure, next of kin, public information, deceased persons, privacy rights, patient solicitation, marketing practices, healthcare regulation, task force, deceptive advertising, nurse aide, certification, Texas Board of Nursing, healthcare workforce, nursing standards

Transcript Highlights:

• Today we are going to focus on our licensing and certification section.
• Today we are going to focus on our licensing and certification section.
• The licensing fees were calculated based on direct inspection time and the cost associated with doing
• I have two licenses, one for each company, and don't quote me on this because I'm doing it off the top
• I probably, on the more expensive one, will change my license to be a less expensive one, and the Shoalwater

Bills: SB5816 , SB5971

Committee: Senate Agriculture & Natural Resources

Keywords: juice grapes, agriculture, commerce, state regulation, market access, green fertilizer, low-carbon, sustainability, incentive program

Transcript Highlights:

• As background, licensed midwives are one of two types of midwives in Washington, with the other being
• And each type of medical assistant has specific authorized duties depending on their level of education
• One's licensed. This is concerning that type of midwife, the one that's licensed.
• that says one who is licensed as an ARNP can call oneself an ARNP or a nurse practitioner.
• that says one who is licensed as an ARNP can call oneself an ARNP or a nurse practitioner.

Summary: The committee heard public hearings on several health-related bills. House Bill 1904 would prohibit cat declawing except for therapeutic purposes, with staff explaining definitions, fines, recordkeeping, and reporting requirements. The prime sponsor and animal welfare advocates described declawing as cruel and linked it to pain and behavior problems, while the Washington State Veterinary Medical Association supported the substance of the bill but asked to remove the added reporting and disciplinary provisions as redundant and burdensome. House Bill 2211 would provide guidance for medically tailored meals under existing Medicaid-related nutrition supports, including standards for Washington-based nonprofit providers where possible, menu review, and nutrition requirements. The sponsor said it would clarify implementation without expanding the program, and supporters from meal providers, food distributors, and local farms said it would improve health outcomes, keep dollars local, and support Washington jobs and agriculture. House Bill 2329 would allow licensed midwives to delegate certain tasks to medical assistants and to supervise medical assistants, with the sponsor and birth center operators saying it would fix an omission in current law and help rural and under-resourced birth centers operate more efficiently. Supporters said it would improve staffing and financial stability, while the sponsor indicated the lactation consultant language would likely be removed because those consultants are not regulated by the Department of Health. The committee then returned to House Bill 1904 for additional testimony from humane organizations, veterinarians, shelter leaders, and local officials, all supporting a ban on declawing and emphasizing animal pain, shelter impacts, and available alternatives. House Bill 2247 would expand and clarify veterinary telehealth and veterinarian-client-patient relationship rules, allowing a VCPR to be established in certain telehealth circumstances and setting guardrails for consent, practice standards, and when in-person exams are still required. Supporters from shelters, animal welfare groups, mobile clinics, and veterinarians said telehealth would improve access in rural and underserved areas, reduce shelter intake, and help animals receive care sooner; the veterinary association supported the bill with amendments to clarify recordkeeping and access-to-care findings. House Bill 2339 would update nursing license terminology and processes for advanced registered nurse practitioners, including title changes, controlled substance rules for CRNAs, transcript submission, and interim permits. Nursing board and ARNP representatives supported the technical updates, while the hospital association and medical association raised concerns about title language for clinical nurse specialists and the deletion of a reference to the medical profession. Finally, House Bill 2106 would require health carriers to give 90 days’ notice of significant mid-contract payer modifications and provide the actual modification language, with the sponsor and hospital and provider representatives saying insurers are increasingly making unilateral changes that affect payment, services, and patient access. UW Medicine and a rural hospital district described examples where insurers changed imaging or preventive service coverage mid-contract, causing financial losses and forcing difficult choices about network participation. Carriers were noted as opposing the bill, while providers and facilities argued it would improve transparency and prevent one-sided contract changes that disrupt care.

Transcript Highlights:

• On pages 6 and 7, we add Service Oklahoma as a licensing conduit for cosmetology with a one-year delay
• Service Oklahoma will be one of the two places they'll be able to get licenses.
• word 'licenses' on line 9 and before the period on line 11 all language, and inserting the words: 'in
• So that's why you see the difference in the poverty level on page 10.
• I don't know one way or the other. We're not changing the level of income.

Bills: HB2268 , HB3000 , HB3043 , HB3066 , HB3078 , HB3143 , HB3144 , HB3244 , HB3298 , HB3320 , HB3467 , HB3321 , HB3329 , HB3431 , HB3464 , HB3499 , HB3500 , HB3586 , HB3590 , HB3650 , HB3671 , HB3695 , HB3700 , HB3701 , HB3764 , HB3767 , HB3834 , HB3931 , HB3934 , HB3940 , HB3944 , HB3979 , HB3985 , HB4113 , HB4294 , HB4302 , HB4317 , HB4324 , HB4359 , HB4426 , HB4427 , HB4430 , HB4431 , HB4434 , HJR1077 , SR42 , SR35 , HJR1023 , HB1225 , HB1374 , HB1381 , HB1590 , HB1675 , HB2153

Summary: The Senate began with a quorum call, gallery introductions, and extended farewell remarks from Senator Jett, who reflected on his six years in the Legislature, his focus on representing constituents, protecting families, and holding government accountable. Several senators responded with personal tributes, praising his conviction, faith, family involvement, and willingness to ask difficult questions. No votes were taken during the farewell portion. The chamber then considered House Bill 2268, a PACE appropriation to support comprehensive care for low-income seniors and expand services in rural Oklahoma. The bill was amended to restore the title, advanced, and passed 34-9, then passed as an emergency measure 36-7. House Bill 3000, a cosmetology and barbering measure, made multiple changes including board reorganization, adding a human trafficking specialist and massage therapist, shifting some licensing functions to Service Oklahoma, and eliminating the massage therapy advisory board. It drew significant debate over process and policy, especially from senators concerned about late changes, lack of board input, and the human trafficking rationale; it passed 25-19 and then as an emergency 33-11. The Senate also passed House Bill 3043, allowing the Oklahoma Department of Veterans Affairs to hire prorated seasonal staff for veterans homes, 37-6; House Bill 3066, creating a revolving fund for federal workforce training money for behavioral health recruitment and retention, 38-6 and as an emergency; and House Bill 3078, allowing donation options on state payment forms for the ODVA revolving fund, 45-0 and as an emergency. Additional measures passed included House Bill 3143, extending the moratorium on new medical marijuana business licenses to 2028, 39-7; House Bill 3144, capping medical marijuana commercial grower licenses at 2,550 after amendment, 34-12; House Bill 3244 on identity theft, 46-0; House Bill 3298 on child interview procedures in court cases, 46-0 and as an emergency; House Bill 3320, replacing the traditional sunset process with more immediate legislative review of agencies, 33-13 and as an emergency; House Bill 3321, requiring county data collection and reporting related to court costs and financial obligations, 45-0 and as an emergency; House Bill 3329, a trailer bill adding a repealer and a sunset for the Board of Psychological Examiners, 33-10 and as an emergency; House Bill 3431, expanding restrictions on foreign entities owning or leasing land and critical minerals, 43-0; House Bill 3464, setting safety and training requirements for certain projects involving fire code compliance and decommissioning, 43-0 and as an emergency; and House Bill 3499, expanding special judges’ authority over vehicle title orders, which was presented and advanced as the transcript ended.

Transcript Highlights:

• One of the things I'm very proud of is that is at the highest level it's ever been reported.
• Based on the based on the law both at the state and federal level. Okay. So that's happening.
• No, just just trying to get my head around at the high level of financials of this prior to being on
• . 2425 appropriations level turning with me to page 3 that just continued on with section 2.
• That is a high-level one, because I've visited some of the ones in my district. Yes, sir.

Committee: House Appropriations - S/C on Articles VI, VII, & VIII

Transcript Highlights:

• of need based on wait lists, and the immediate availability of license capacity and facility space.
• The first one, as referenced in the initial Governor's proposal, is focused on licensed family child
• We do anticipate a need to increase DUI licensing fees in budget year plus one.
• Thank you so much on a personal level. Thank you. I love your tie.
• Thank you so much on a personal level. Thank you. I love your tie.

Transcript Highlights:

• And it's so sheriff at one level now superintendents and tax collectors or another level.
• That is the training this done by the local supervisor on different levels and different abilities.
• The first one states that requires a U.S. citizen to obtain or update their driver's license information
• I can tell you what your driver's license number is unless you got a new one.
• where your morning, what your on what your driver's license number would be.

Transcript Highlights:

• Pretrial services are most commonly provided on a local level. Recent expansion and statewide...
• We thought how many points are on a driver's license from people accruing points from violations.
• There's only 32 people with more than 12 points on their license. County is a very busy place.
• There's only 32 people with more than 12 points on their license. That's actually pretty good.
• So I wish you all well on that level.

Committee: Joint Judiciary Committee

Transcript Highlights:

• It may depend on whether the officer shall arrest and how that works, depending on what the level of
• If your name is on it, if your license is there, you need to know what's happening, and you also need
• Correct, but that's tracked on the school level and not by the state.
• You may wonder why a CNM is here to testify on a bill about licensed midwives.
• I went to the CDC database, which is based on birth certificates, and I looked up licensed midwives.

Bills: HB3772 , HB1656 , HB4504 , HB1896 , HB4420 , HB4421 , HB4076 , HB3708 , HB2806 , HB3540 , HB1586 , HB5459 , HB4553 , HB4535 , HB3811 , HB3749 , HB4255 , HB4051 , HB5098 , HB3554 , HB4539 , HB5274

Committee: House Public Health

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• Standard range calculations on that grid are based on a combination of the severity or seriousness level
• a license from one employer to another is eliminated.
• Yet the cost of these licenses is pushed on to workers.
• I just wanted to add that under the bill, sex offenders, it could be level one, level two, level three
• tool to assign level one, level two, moderate, or level three high.

Summary: The committee first heard Substitute House Bill 1128, which would create a Child Care Workforce Standards Board within the Department of Labor and Industries to study child care workforce conditions and make recommendations on employment standards. Staff explained that the proposed second substitute narrows the board’s role from setting enforceable standards to making recommendations, with estimated ongoing costs for L&I staffing and smaller costs for board member stipends and possible DCYF support. Supporters, including child care providers, SEIU 925, and labor representatives, said the bill would help address understaffing, low wages, and retention problems; opponents, including child care industry groups and private schools, argued it duplicates existing work, adds bureaucracy, and creates unfunded costs. No vote was taken in the hearing. The committee then heard Second Substitute House Bill 1634, which would direct OSPI and ESDs to develop a technical assistance and training framework to help schools coordinate student behavioral health supports. Staff said the bill aligns with the Washington Thriving Strategic Plan and could largely be implemented with existing work and limited additional costs, though DOH would need some support. Testifiers from behavioral health and school counseling fields described severe youth mental health needs and urged passage, and OSPI said the work is doable with current resources. The committee also heard Substitute House Bill 2636, which would create a public education review advisory council to recommend K-12 policies and funding provisions for JLARC review; staff described JLARC, OSPI, and State Board costs, and no public testimony was offered. The committee next heard House Bill 1316, which would expand the Supporting Students Experiencing Homelessness program so additional university campuses can access funding. The sponsor said the program has strong retention outcomes, and student advocates testified that campuses such as UW Bothell need access to already appropriated funds for emergency aid, food pantries, and case management. Staff then briefed Substitute House Bill 2474, which would allow the Student Achievement Council Tuition Recovery Trust Fund to be used for refunds tied to broader consumer protection violations, with no expected fiscal impact; there was no testimony. The committee also heard Substitute House Bill 2365 on digital equity, which would expand the Broadband Office’s role, revise the digital equity forum, and rename the grant program; supporters emphasized rural access, affordability, and the loss of federal digital equity funding, while staff estimated significant Commerce staffing costs and some additional agency impacts. Finally, the committee heard House Bill 2401, creating a Washington State Boys and Men Commission contingent on non-state funding, with staff outlining OFM startup and fundraising costs and an estimated operating budget if fully funded. Supporters said boys and men face mental health, education, and mentorship gaps and that the commission would improve coordination; the bill drew testimony from rural school leaders, nonprofit advocates, and community members. The committee then heard Substitute House Bill 2475 on language access, which would require the Office of Equity to develop uniform language-access guidelines and a report on interpreter and translator shortages; staff said the office could absorb the work but other agency and local government impacts were uncertain. Substitute House Bill 2517, on permitting for high-capacity transit, would let regional transit authorities apply for permits earlier and streamline land-use processes; Sound Transit and the sponsor said it would speed delivery of major projects, while staff estimated Commerce technical-assistance costs and possible local government impacts. The last bill heard was Substitute House Bill 2145 on the 340B drug pricing program, which would bar manufacturers from restricting contract-pharmacy access and require reporting to DOH; supporters said it protects safety-net providers and patient services, while opponents warned of higher costs for employers, state health plans, and litigation burdens. No final committee action or votes were recorded in the transcript.

Transcript Highlights:

• And they shall be distributed to all on-premise and off-premise licenses within one year.
• : whether they want to create another licensing fee on top of the on-premise license that the dispenser
• And one I can think of very high level.
• And that's directly to consumers or on-premise licenses.
• I check my pH level on my pickles. pH level for bread and butter pickles, anything under 4.6.

Committee: Senate Commerce

Transcript Highlights:

• </c> amendment on on that one. amendment on on that one.
• Where it says fees for dogs licensed as a pet vendor shall be based on the numbers of dogs licensed as
• It's a separate process, and I apologize I haven't refreshed myself on the group license policy.
• > makes</c><03:01:30.160><c> sense</c> this on the federal level makes sense this on the federal level
• level health inspections and licensing.

Committee: House Environment and Agriculture

Transcript Highlights:

• And this goes on. There's no change in how this goes on over time.
• On page three, which is the Office of the State Transportation, On page three, which is the Office of
• And now we seem to have lots of different fees that get added on instead of one simple fee.
• That happens at the federal level. That happens at the state level.
• So Monday will be, for purposes of taking action on executive session on bills.

Summary: The committee held public hearings on several transportation-related bills. On Substitute House Bill 2251, staff explained changes to Climate Commitment Act accounts and revenue distribution, including new operating and capital accounts and a revised split of auction proceeds among transportation, capital, operating, and air quality accounts. Members asked about the bill’s effect on CERA funding, the air quality account, and whether the bill responded to projected revenue declines. Testimony was mixed but generally supportive of the bill’s goal of clearer, more predictable budgeting; tribal testimony requested clearer protections and a dedicated tribal set-aside, while other witnesses supported the bill for its transparency and climate/transportation benefits. No action was taken on the bill during the hearing. The committee then heard House Bill 2588, which would allow county ferry districts to operate and finance vehicle ferries, not just passenger-only ferries. The prime sponsor and county officials from Whatcom and Pierce described the bill as a local option to help fund aging ferry systems without raising taxes, and public testimony from island residents, county representatives, and advocacy groups strongly supported it as a way to stabilize essential ferry service. The committee also heard House Bill 2722, which would raise the vehicle weight threshold for Transportation Benefit District fees from 6,000 to 10,000 pounds. Staff said the change would modestly increase TBD revenue statewide, and the sponsor argued the current law unfairly exempts heavier trucks while lighter vehicles pay the fee. Cities and local officials supported the bill, while the trucking association said it would support a compromise at 9,000 pounds instead of 10,000. The committee also heard House Bill 2727, creating an Educational Transit Access Grant Program for transit agencies and community and technical colleges to pilot free or reduced fares for students; the sponsor and transit advocates said it would improve affordability and access, and testimony emphasized equity and student retention benefits. In executive session, the committee considered Second Substitute House Bill 1923, which would expand who can form passenger-only ferry service districts and where they can be formed, with added intent language related to southern resident orcas and a revised effective date. After discussion, the committee voted 23-4 to pass the bill out of committee with a do pass recommendation. The chair also announced a deadline extension for amendment requests on bills heard that day and thanked staff before adjournment.

Transcript Highlights:

• You want to come on up?
• Any questions on this proposed substitute? Okay, we'll move on.
• On the next, please.
• Okay, on to the next.
• to those foster family homes and individuals holding a child specific license to those that one do not

Summary: The House Health Care & Wellness Committee held public hearings on HB 2564 and HB 2599, then moved into executive session on several bills. HB 2599, which would restrict the use of AI in therapy and psychotherapy services, drew strong support from the prime sponsor, mental health professional groups, a privacy advocate, and an AI ethics researcher, all of whom warned that chatbots can mislead users, encourage delusions or self-harm, and lack licensure, accountability, and confidentiality protections. Several witnesses from health systems and telehealth organizations supported the bill’s intent but asked for narrower definitions and amendments to avoid unintended impacts on clinician-supervised tools, screening questionnaires, scribes, and other legitimate uses of AI. No vote was taken on HB 2599 during the hearing. HB 2564, which would give the Health Benefit Exchange authority to adopt market-factor certification criteria for exchange plans, was presented as a way to address affordability, bare counties, and plan duplication. Supporters included the Exchange, consumer advocates, rural and tribal representatives, navigators, and some individual consumers, who said the bill could improve access, preserve bronze plan availability, and help stabilize the market in counties with too few carriers. Opponents from health plans, Regence, Premier, and insurance producer groups argued the bill would expand exchange authority without clear standards, could reduce competition and carrier participation, and might conflict with existing OIC filing and confidentiality processes; the OIC supported the bill but requested an amendment on rate disclosure timing. The committee then moved to executive session and later reported out HB 1784, HB 2242, HB 2384, and HB 2505 with due pass recommendations, while deferring action on HB 1809 and HB 2261. In executive session, the committee adopted a substitute for HB 1784 on certified medical assistants by an 18-0 vote, adopted one amendment and passed a substitute for HB 2242 on preventive services and immunization recommendations by an 11-7 vote, and passed a substitute for HB 2384 on actuarial reviews for continuing care retirement communities by a 16-2 vote. It also adopted an amendment and passed a substitute for HB 2505 on limited adult family home licensure exemptions for certain foster family situations by an 18-0 vote. The meeting adjourned after those actions.

Transcript Highlights:

• the individual level, on the group level, and then there's more intensive observation and direction.
• So there's various levels of oversight on the individual provider level, but here we're talking about
• the individual level, on the group level, and then there's more intensive observation and direction.
• Services so on the individual level, on the group level, and then there's more intensive observation
• So there's various levels of oversight on the individual provider level, but here we're talking about

Committee: House Human Services Finance and Policy

Transcript Highlights:

• working for the Senate, but I feel more like I'm working with some of my senators when I'm working one-on-one
• You can look at any executive branch rule, and you make a decision on it. The federal level?
• One more, one follow up. State once we do come to market. One more, one follow up, Mr. Chairman.
• Without having stickers on your license plate, there is no incentive for people to actually make sure
• So for them, it’s whether or not they have one in more than one county.

Committee: Senate Transportation