Transcript Highlights:

• If you were to attach a dollar amount to the caregiving that is given to Alzheimer's patients in our
• So that tells you that these are patients, these are people with many, many needs.
• Parkinson's patients have some of the same attributes as well.
• They are supported by a small amount of patient revenue.
• I have preferences to the Department of Health, clearly.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• It's about patients. It's about health care.
• But we're in the business of changing health care and making positive patient outcomes, making sure patient
• But we're in the business of changing health care and making positive patient outcomes, making sure patient
• It's, can you see my patients or not?
• Our goals are that we want good patient care and that patients are served well.

Committee: House Local Government, Elections and Pensions

Summary: The committee first met in executive session and unanimously voted Senate Substitute for Senate Bill 914 and House Committee Substitute for House Bill 3467 due pass. HB 3467 was amended before passage; the sponsor said the changes clarified that any tax authority would apply only if a tax change is actually approved, corrected county/city references, and fixed ballot-language issues involving sheltered workshops. Members generally praised the sponsor’s work, though one member noted concern about shifting more burden to sales taxes. The main public hearing was on H.J.R. 107, which would place before voters a constitutional question allowing Jackson County to consider separating Kansas City from the county or otherwise altering its charter government. Sponsor Rep. Steinmeyer argued the measure was about voter sovereignty and local control, citing prior Jackson County ballot measures and saying entrenched local power had blocked reform. Supporters echoed that Jackson County residents were frustrated with representation, taxes, and county governance. Opponents, including Kansas City and chamber representatives, argued the proposal was unnecessary, costly, procedurally unclear, and potentially destabilizing; several members also questioned the 10-year resubmission clause, the exclusion of local officials from the transition process, and the statewide fiscal impact. No action was taken on the resolution during the hearing. The committee then heard Senate Substitute for Senate Bill 975, dealing with ambulance district mergers and community paramedic/mobile integrated health services. Senator Black and supporters said the bill would help struggling rural ambulance districts merge without disrupting billing, contracts, or service, and would expand community paramedic care for low-acuity patients and hospital-at-home models. Several witnesses from ambulance and fire districts described successful programs and said the bill would improve patient care and help rural areas. Opponents, including ambulance and fire district representatives, supported the merger provisions but objected to Senate-added language they said would let districts provide community paramedic services across jurisdictional lines without memorandums of understanding, undermining local control and negotiating power. The hearing ended with testimony still ongoing after a recess for floor session; no vote on SB 975 was reported in the transcript.

Transcript Highlights:

• and the family and the... ...request and informed consent of the patient and the family.
• So does the patient still have to make this choice? Thank you for the question. Yes.
• If the patient is competent and able to make their own decisions, if they're coherent and awake, then
• Does your bill contemplate a situation where a patient might not be competent to make that choice?
• Please recognize the very patient Representative Olson for an introduction.

Bills: HB4104 , HB3722 , HB3787 , HB3700 , HB3701 , HB3310 , HB3404 , HB2964 , HB2398 , HB3024 , HB3499 , HB3278 , HB3279 , HB3645 , HB3649 , HB2293 , HB3260 , HB3176 , HB3177 , HB3114 , HB3172 , HB3322 , HB3323 , HB4248 , HB3720 , HB2210 , HB1322 , HB1937 , HB3301 , HB4107

Summary: The House convened, heard the prayer and Pledge of Allegiance, recognized the Doctor of the Day, and held several special presentations, including the Bethany Youth Council and a centennial recognition for Ascension St. John. The chamber then took up a long series of bills on second and third reading, with members asking questions on hospice care, broadband, funeral director continuing education, economic development, court reporters, DUI-related GPS monitoring, banking discrimination, statutory interpretation, electronic filings, intoxicating hemp beverages, homemade food production, youth apprenticeships, domestic violence, school communications with minors, firearms definitions, and outdoor warning sirens. Among the measures considered, House Bill 3645 on hospice referrals for patients without next of kin or a durable power of attorney passed 16-0. House Bill 3649, allowing proceeds from certain state property sales to remain in the mental health real estate trust, passed 15-0. House Bill 2293 extending the Oklahoma Broadband Office sunset to 2030 passed 84-10. House Bill 3216 adding the Oklahoma Funeral Directors Association to approved continuing education providers passed 94-0, and House Bill 3176 directing Commerce to pursue national lab and innovation opportunities passed 51-37 after extensive debate about its aspirational nature and cost. Other bills approved included HB 3177 on Corporation Commission court reporter pay and retention, HB 3114 removing DUI with great bodily harm from DOC GPS monitoring eligibility, HB 3172 restricting adverse banking actions by large financial institutions against lawful activity, HB 3322 on statutory interpretation, HB 3323 removing notarization requirements for electronic Service Oklahoma submissions, HB 4248 restricting certain intoxicating beverages to those 21 and older, HB 3720 expanding the Homemade Food Freedom Act, HB 2210 modernizing youth apprenticeships, HB 1322 creating a domestic violence offender registry, HB 1937 revising school communications with minors and receiving emergency passage, HB 3301 aligning state firearms definitions with federal law, and HB 4107 criminalizing hacking or unauthorized activation of outdoor warning sirens. Most bills passed with broad support, though some drew significant questioning over fiscal impact, public safety, and implementation details.

Transcript Highlights:

• The only pathway for an SVP patient to be released to the CONREP program is through a court order. ..
• Very few SVP patients ultimately achieve conditional release.
• than one SVP patient released to CONREP in the county at the same time.
• And I do thank you guys for your patient.
• And I do thank you guys for your patient. So I definitely want to continue this dialogue.

Summary: The Joint Legislative Audit Committee held an oversight hearing on the state auditor’s October 2024 report on California’s Forensic Conditional Release Program (CONREP) for sexually violent predators. Members and witnesses discussed public safety, the long delays in finding community housing, the role of local housing committees, and the Department of State Hospitals’ oversight of Liberty Healthcare, which operates much of the program. Several legislators from rural and high-desert districts said their communities have been disproportionately affected by placements and questioned why many placements end up in remote areas. State Auditor Grant Parks said the audit found that CONREP participants were convicted of new offenses less often than sexually violent predators who were unconditionally released, but that 18 of 56 participants had been revoked and returned to state hospitals for noncompliance. He said it took an average of 17 months to place current participants in the community, with 20 additional people awaiting placement for an average of 20 months, and that the program incurred significant pre-placement costs. Parks also said local officials were often unclear about their role, DSH had not given clear guidance at the time of the audit, and California lacks a transitional housing option used in some other states. He reported that DSH had implemented four of the five audit recommendations, while declining the recommendation to explore state-owned transitional housing. DSH Director Stephanie Clendendon and Liberty representative Ken Carabello defended the program as a court-ordered, highly supervised treatment model intended to reduce reoffending and support reintegration. They said DSH is actively involved in placement review, that Liberty searches countywide under statutory restrictions, and that community feedback and court approval are part of the process. DSH said it has now implemented guidance for housing committee designees, formal program reviews, an outcome tracker, and an analysis of whether to separate some Liberty services into different contracts. DSH continued to oppose transitional housing, arguing it would not solve the core siting and statutory problems and would add cost. Several members remained critical, arguing the program is broken, costly, and unfairly concentrated in certain communities, and some called for major statutory changes or suspension of the program.

Transcript Highlights:

• And what you are doing isn't enhancing our profits, even though that might be the correct patient care
• It's not a real clear path which one is preferable over the other.
• It's also—we keep on seeing examples around the country where it where it that sees two patients a month
• But if you don't have enough patients coming in, they're not profitable, and you certainly can't keep
• And it was exactly what was mentioned that their relationships with their patients, their ability to

Transcript Highlights:

• patients patients immediately<00:34:53.599><c> um</c><00:34:54.119><c> I'm</c><00:34:54.480><c> still
• </c> Hampshire has an opt-in uh the patient Hampshire has an opt-in uh the patient has<01:56:08.560><
• </c> for cancer patients for cancer patients there's<02:20:51.920><c> currently</c><02:20:52.240><c>
• </c><02:51:16.760><c> gets</c> treatment and care that the patient gets treatment and care that the patient
• </c><02:52:13.279><c> um</c> therapy is valuable to the patient um therapy is valuable to the patient

Committee: Senate Health and Human Services

Transcript Highlights:

• If you prefer to have your testimony submitted in confidence, feel free to email my email address directly
• our contracts do offer some protection and the ability to hold employers accountable, we would much prefer
• public health mission, because the well-being of the Commonwealth depends on the health of every patient
• I'm an EMT for Brewster Ambulance, and I'm also a patient care tech for Beth Israel.
• Carroll, will you be his patient? Probably. Probably. Good.

Committee: Joint Joint Committee on Labor and Workforce Development

Summary: The Joint Committee on Labor and Workforce Development held a hybrid public hearing with testimony on a wide range of labor, workforce, unemployment insurance, apprenticeship, disability services, farm labor, hospital staffing, and workplace harassment bills. Chairs Jake Oliveira and Paul McMurtry outlined hearing procedures, limited testimony to two minutes, and noted written testimony would be accepted after the hearing. Committee members and staff were introduced throughout the session as witnesses arrived in person or remotely. A major portion of the hearing focused on unemployment insurance legislation. Greater Boston Legal Services, the AFL-CIO, and Rep. Joan Meschino supported bills to adjust UI eligibility for workers with fluctuating schedules and to streamline waivers and write-offs for non-fault overpayments, arguing the current system unfairly denies benefits or burdens workers who were not at fault. They also backed bills calling for more oversight and resources for the Division of Unemployment Assistance, citing persistent delays in benefit payments. NFIB opposed the UI changes, warning that the trust fund is headed toward insolvency and arguing the bills would worsen the system’s finances. Rep. Meschino and committee members emphasized that the proposals were meant to protect good-faith claimants and did not apply to fraud. Another large set of bills addressed wages, workforce development, and working conditions. Testimony supported raising and modernizing direct care wages to address severe staffing shortages in human services and disability services, with advocates from the Massachusetts Developmental Disability Council, The Arc of Massachusetts, parents of adults with disabilities, and a direct care worker describing how low pay and turnover harm people needing support. The committee also heard support for apprenticeship-related bills from the AFL-CIO and the Carpenters, while Associated Builders and Contractors opposed mandatory apprenticeship ratios and urged changes to align them with licensing laws. Farm worker advocates supported a bill to raise farm labor standards, including minimum wage, paid breaks, and paid time off, while the Farm Bureau opposed parts of it beyond the minimum wage increase. The hearing also featured testimony on workplace harassment training, overtime protections, hospital mandatory overtime, suicide prevention signage on construction sites, and a proposal to update the Massachusetts Medical Society’s mission language from “citizens” to “people.” Labor groups, educators, and compliance trainers strongly supported mandatory annual sexual harassment training, saying it would improve workplace culture and reduce harm. SEIU 1199 supported extending the hospital nurse mandatory overtime ban to the broader hospital workforce. Witnesses on the suicide prevention bill described personal losses in construction and recovery work and urged posting 988 information on job sites. The committee took no votes during the hearing; witnesses repeatedly asked for favorable reports, and members asked follow-up questions on UI calculations, apprenticeship ratios, small-business impacts, and emergency exceptions for hospital staffing.

Transcript Highlights:

• Grant wisdom to every leader present, wisdom that seeks truth above preference and service above self
• Speaker, with that, I would entertain any questions, but I prefer to ask for favorable passage."
• is present, preschool and elementary schools, secondary schools operated by the institution, and patient
• Bagley, I've just got two more questions, and thank you for patiently answering all of the questions
• Additionally, both the preceptor and the preceptee shall register with the board and notify the patients

Bills: HR112 , HR113 , HR114 , HCR51 , HCR52 , HR94 , HR95 , HR96 , HR97 , HR98 , HR99 , HR100 , HR103 , HR104 , HR105 , HR106 , HR107 , HR108 , HR109 , HR110 , HR111 , HCR46 , HCR47 , HCR48 , HCR49 , HCR50 , SCR25 , SB17 , SB300 , HCR35 , HB51 , HB82 , HB143 , HB145 , HB160 , HB180 , HB192 , HB393 , HB430 , HB445 , HB506 , HB515 , HB521 , HB565 , HB590 , HB614 , HB638 , HB647 , HB670 , HB672 , HB685 , HB692 , HB752 , HB773 , HB781 , HB799 , HB839 , HB860 , HB873 , HB874 , HB887 , HB917 , HB937 , HB956 , HB965 , HB972 , HB977 , HB982 , HB1006 , HB1010 , HB1044 , HB1072 , HB1088 , HB1157 , HB1179 , HB1200 , HR15 , HR20 , HCR14 , HCR6 , HCR19 , HCR10 , HR74 , HCR26 , HCR45 , HB54 , HB67 , HB73 , HB125 , HB133 , HB158 , HB168 , HB169 , HB191 , HB195 , HB245 , HB280 , HB283 , HB296 , HB319 , HB339 , HB399 , HB407 , HB448 , HB550 , HB591 , HB826 , HB995 , HB1085 , HB1086 , HB98 , HB108 , HB131 , HB151 , HB161 , HB288 , HB294 , HB305 , HB310 , HB320 , HB336 , HB380 , HB392 , HB403 , HB420 , HB459 , HB476 , HB540 , HB615 , HB631 , HB637 , HB648 , HB665 , HB682 , HB789 , HB813 , HB815 , HB835 , HB870 , HB905 , HB915 , HB933 , HB938 , HB987 , HB1040 , HB827 , HB953 , HB796 , HB352 , HB463 , HB735 , HB780 , HB882 , HB81 , HB400 , HB140 , HB750 , HB911 , HB961 , HB401 , HB901 , HB9 , HB52 , HB58 , HB154 , HB193 , HB284 , HB410 , HB570 , HB577 , HB582 , HB605 , HB733 , HB868 , HB952

Keywords: commendation, community service, religious leadership, New Orleans, anniversary, Martha's Vineyard, African-American Film Festival, Black excellence, cinema, cultural celebration, Black voices, film industry, Hannuh Ray, Louisiana, youth development, pageant, leadership, community, recognition, compensation

Transcript Highlights:

• </c> no proactive effort to engage patients. no proactive effort to engage patients.
• ><c> advocacy</c><00:15:23.199><c> and</c> We should provide patient advocacy and We should provide patient
• </c> collection and maintenance, um patient collection and maintenance, um patient advocacy,<00:16:30.399
• </c><00:59:29.359><c> care</c> leads to a better patient care leads to a better patient care experience
• </c> of your communities and for all patients of your communities and for all patients in<01:08:25.440

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.

Transcript Highlights:

• </c> subject to uh personal preference subject to uh personal preference providers<00:06:36.319><c> if
• </c> patients go when they're done with them. patients go when they're done with them.
• Four patients died in those cases.
• Four patients died in those providers.
• So, um, to say services for the patient.

Summary: The committee first approved the minutes and then took up Department for Medicaid Services regulations 907 KAR 23:010 and related rules. DMS explained that one regulation would establish a beneficiary advisory council and another would remove language barring coverage of GLP-1 drugs for obesity-related use. The department said coverage would still be limited by prior authorization and clinical criteria, with use tied to underlying chronic conditions such as diabetes or cardiovascular disease, and that the pharmacy and therapeutics committee would help set the detailed standards. Members discussed the potential health benefits, but several raised concerns about cost, timing, and whether the legislature and the Medicaid Oversight and Advisory Board should review the policy first. DMS said the drugs are already on the formulary, that current Medicaid users with diabetes are already covered, and that the fiscal impact was estimated using current utilization, rebates, and expected savings; the department also said it would only cover the drugs if subject to rebates. The committee then voted 5-1 to find 907 KAR 23:010 deficient. The committee next considered several emergency regulations from the Public Protection Cabinet’s Department of Alcoholic Beverage Control implementing SB 100. The rules covered tobacco, nicotine, and vapor product licensing, including the application form, denial standards, and transitional licensing. ABC counsel said the department had received about 5,500 applications and issued nearly 5,000 licenses, with additional provisional licenses issued to avoid interruption in sales after the law’s effective date. He said some applications remained pending because inspections and photographs revealed possible unauthorized nicotine vapor products, and the department was seeking documentation before approval. A staff amendment was adopted without objection before the ABC presentation continued.

Transcript Highlights:

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

Committee: House Public Safety

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

Transcript Highlights:

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

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

Transcript Highlights:

• </c><00:25:26.400><c> to</c><00:25:26.720><c> alienation</c> is preferable to alienation is preferable
• I was a Dana Farber patient up for one.
• I listened to an emergency room patient.
• </c> offices and build their patients offices and build their patients directly.<01:45:19.440><c> Um,
• I have to take care of all of my patients.

Committee: House State-Federal Relations and Veterans Affairs

Transcript Highlights:

• times more than they would spend in another state, and because they're bigger, but I would personally prefer
• times more than they would spend in another state, and because they're bigger, but I would personally prefer
• During COVID, our complaints decreased because we didn't have patients' families at the bedside.
• They were removed from the facility, and the patient that was sick is the only one that was there.
• And we typically don't receive a lot of complaints from the patient themselves. We do.

Summary: The subcommittee heard budget proposals for Exposition Park, the California Science Center, the Department of Financial Protection and Innovation (DFPI), the Debt Collection Licensing Act program, and the Board of Registered Nursing. For Exposition Park, the administration requested $96.5 million for utility replacement, site improvements, code compliance, accessibility, and safety upgrades, plus $1.698 million for operational sustainability funded from the park’s improvement fund. The LAO said the proposals had merit but noted the first item could be downscaled if needed because of the state’s budget condition. Members emphasized the park’s deferred maintenance, major upcoming events, and the need to protect a statewide asset; both Exposition Park items were held open. The Science Center requested funding to open and operate the new Air and Space Center, including staffing for the facility that will display the Space Shuttle Endeavour and expand exhibit space. The LAO supported the proposal but suggested the Legislature consider alternative funding sources such as admission fees, parking fees, or private funds. Members discussed the Science Center’s public-private funding model, the importance of keeping access affordable for disadvantaged communities, and the tradeoff between free admission and long-term operating support. The item was also held open. DFPI sought continuation of expenditure authority for the California Consumer Financial Protection Law, debt collection licensing, and broker-dealer/investment adviser workloads, and the LAO recommended limited-term funding with more cumulative reporting before permanent funding is considered. Members pressed the department on whether its workload and spending are tied to measurable outcomes rather than just activity counts, and DFPI cited complaint resolution, enforcement actions, and restitution recovered as examples of impact. The Debt Collection Licensing Act item drew similar LAO comments, but members raised stronger concerns about the financing model, the gap between projected and actual licensee counts, and whether spending levels are justified; that item was held open. The Board of Registered Nursing requested $1.4 million for eight special investigators to address rising complaints, and the board said most complaints are resolved through investigation, referral, probation, or rehabilitation rather than discipline. Members asked about complaint backlogs, viral and potentially automated complaints, bias in care, and the lack of broader inspection authority; the item was also held open.

Transcript Highlights:

• times more than they would spend in another state, and because they’re bigger, but I would personally prefer
• times more than they would spend in another state, and because they're bigger, but I would personally prefer
• During COVID, our complaints decreased because we didn't have patients' families at the bedside.
• They were removed from the facility, and the patient that was sick was the only one that was there.
• And we typically don't receive a lot of complaints from the patients themselves.

Summary: The subcommittee heard a series of budget proposals, beginning with Exposition Park. Park leadership described the 160-acre state property’s historic role, growing visitation, and major upcoming events, including the FIFA World Cup fan fest and the 2028 Olympics. The governor’s proposal sought $96.5 million for utility replacement, site improvements, code compliance, accessibility, and public safety/traffic systems, plus $1.698 million for operational sustainability. The LAO said the proposals had merit but suggested the Legislature could consider downscaling some work given the budget condition. Members generally supported the requests, emphasizing deferred maintenance, public access, and the park’s statewide importance; both Exposition Park items were held open. The California Science Center requested funding to open and operate the new Air and Space Center, a major expansion featuring the Space Shuttle Endeavour. The LAO supported the proposal but suggested the Legislature consider alternative funding sources such as admission fees, higher parking fees, or private funds. Members debated whether the state should continue to fund operations without charging admission, with the Science Center explaining its public-private funding model and warning that fees could sharply reduce attendance, especially for underserved communities. The item was held open. The committee also reviewed continuation funding for the Department of Financial Protection and Innovation’s consumer protection and debt collection programs. DFPI and Finance said the requests would extend existing expenditure authority and were not General Fund asks. The LAO supported limited-term funding but urged cumulative reporting or a sunset-style review before permanent funding. Members pressed DFPI on outcomes, workload, and the high cost of the debt collection licensing program, noting that the number of licensees was far below early estimates and that assessments on the industry were substantial. Public commenters from the debt collection industry echoed those concerns, while others supported DFPI’s consumer protection work. The committee then heard a Board of Registered Nursing request for $1.4 million to fund eight special investigators. The board said complaint volume has risen with licensee growth and more complex cases, and members asked about complaint outcomes, regional caseloads, med spa oversight, viral complaints, and bias-related complaints. The board explained its investigation, probation, and intervention processes and said most cases reaching the Attorney General result in discipline. That item was also held open. After public comment on additional agenda items, the committee voted on several vote-only items. Items 8, 10, 11, 12, 13, 15, 16, and 17 were approved 4-0. Items 7, 9, and 14 were also approved, with the chair correcting the tally to 4-0. The hearing then adjourned.

Transcript Highlights:

• Currently, Tubman Health serves nine counties in Washington State, and one out of two of our patients
• Our patients are low income, medically underserved, and often coping with complex untreated health care
• This site is easy to reach by transit, and patients can access multiple supports and services right next
• projects that includes site planning, regulatory analysis, risk assessment, and consideration of preferred
• The bill begins with property taxes levied for collection in 2027 and is not subject to tax preference

Bills: SB6003 , HB2353 , HB2431 , HB1983

Committee: Senate Ways & Means

Keywords: capital budget, funding, infrastructure, state projects, budget allocation, HB 2353, predesign thresholds, capital construction, major capital projects, Office of Financial Management, OFM, Washington state, state agencies, infrastructure planning, construction costs, inflation adjustment, capital facilities, project review, allotments, lease approval

Transcript Highlights:

• One study found that 60% of patients having plaque removed from their arteries had microplastics mixed
• Those patients were four and a half times more likely to experience heart attack, stroke, or death over
• Another study showed that patients with dementia had 10 times the level of microplastics in their brain
• Because what I'm hearing you say is really what you'd prefer is them to walk out with the cloth bag that
• going to wait for your permission to continue, or I will submit my comments in writing, whatever you prefer

Bills: SB5965 , SB6030 , SB5975 , SB5941

Committee: Senate Environment, Energy & Technology

Keywords: environment, retail bags, sustainability, pollution, customer impact, plastic bags, retail, waste reduction, cookware safety, lead regulation, consumer protection, interstate trade, health standards, SB 5941, Washington State Energy Code, State Building Code Council, renewable energy, solar panels, school district exemption, public school construction

Transcript Highlights:

• I'll go ahead and invite the Dental Association to the table as well to give testimony, if you'd prefer
• The member then asked whether the incentive would be to send the patient to the provider who can adequately
• The member then asked whether the incentive would be to send the patient to the provider who can adequately
• The member then asked whether the incentive would be to send the patient to the provider who can adequately

Summary: The committee reviewed a series of Arkansas Medicaid and Department of Health rules, many implementing 2025 acts. Early items covered presumptive eligibility and Medicaid policy updates, including adding a definition of fictive kin for foster children and changing the disability onset age for ABLE accounts from 26 to 46. Another rule clarified that continuous glucose monitors may be billed by both pharmacies and durable medical equipment providers, with committee members questioning prior authorization timing, system lag, and a fiscal impact estimate of about $3 million over two years; the rule was reviewed, but members requested additional cost breakdowns. Other Medicaid-related rules addressed an RSV vaccine administration fee increase, an ET3 telemedicine exemption for ambulance treat-triage-transport services, a dental rate increase under Act 1025, expanded physical therapy access, and the Healthy Moms, Healthy Babies package covering doulas, lactation consultants, remote monitoring, and expanded prenatal testing. Most were reviewed without objection after brief discussion or no questions.

Transcript Highlights:

• have seawright approximately 25% reduction in the incidence of Kerry's among adults and pediatric patients
• All of those patients start with a small cabin at some point.
• because it actually allows us to stay in line with the Florida statute. 3, 8, 0.1 0 to 6, which is our patients
• That's your preference to not have it say that.

Transcript Highlights:

• Many had expressed that they would prefer to come back and testify or that they were disappointed that
• I want to thank those who are here in the committee room for waiting patiently until we got started today