Transcript Highlights:

• We're trying to better the... ...population. We also provide a lot of training.
• Thank you. ...at our institution, meeting with the population, talking to them.
• I've expressed that to the incarcerated population that it's not acceptable.
• Number one is the safety and security of the population at our institution.
• From 2010 to 2022, California's women's prison population decreased by over 70%.

Summary: The hearing focused first on sexual abuse, harassment, and retaliation in California’s women’s prisons, with testimony from CDCR wardens, the Office of Inspector General, advocacy groups, and formerly incarcerated survivors. Legislators and witnesses described a pattern of staff misconduct, fear of retaliation, gaps in reporting, and the need for stronger accountability, better investigations, and more outside access for survivor support organizations. CDCR said it has expanded training, body-worn and stationary cameras, outside partnerships, and PREA-related response procedures, while the Inspector General requested additional funding and staff to monitor more grievances and staff sexual misconduct cases under SB 1069. Members pressed CDCR on why accused staff are not always placed on leave, how cases are referred to prosecutors, and whether current protections are enough; several members argued the state should aim to investigate all complaints and do more to prevent retaliation and repeat abuse. The second issue was rehabilitative and reentry programming in women’s prisons. CDCR’s Division of Rehabilitative Programs and the wardens highlighted education, vocational training, substance use treatment, peer support, and community reentry programs, citing increased enrollment and recent graduates earning diplomas, degrees, and certifications. They said these programs are intended to reduce recidivism and improve public safety. Formerly incarcerated advocates and community providers argued that current offerings are still too limited, outdated, and not aligned with today’s job market, especially around digital literacy and transferable credentials, and they urged more funding for community-based, trauma-informed, gender-responsive programming. A coalition representative asked for a $20 million continuation and expansion of the Wright Grant program, and members discussed additional budget requests for reentry and related women’s services.

Transcript Highlights:

• It should only be used in animal populations.
• …and targeted towards specific populations package.
• And each target population would benefit from those educational materials on adulterants more broadly
• So these are the broadest general recommendations for all populations.
• would, how the key findings are specific to each population, and same with the recommendations.

Keywords: 995, all

Summary: The special commission on xylazine met virtually to review and discuss the first draft of its final report. Chair Mindy Domb opened the meeting, confirmed quorum, and the commission approved the minutes from its December 11 public meeting. Staff then walked commissioners through the proposed report structure, including background on xylazine as both an FDA-approved veterinary drug and an illicit drug supply contaminant, as well as appendices for public meeting materials and public resources. The commission discussed findings and recommendations for several working groups. For oversight and enforcement, members focused on licit versus illicit sources of xylazine, noting that the illicit supply is typically obtained through online vendors rather than diverted from veterinary use. Recommendations included better storage and reporting practices in authorized settings, review of manufacturing and distribution information, and focusing enforcement on fentanyl trafficking and large-scale xylazine importation rather than personal possession. Commissioners also discussed whether xylazine should remain in Schedule 6 or be subject to additional penalties, and several members emphasized the need for coordination, information-sharing, and possibly a DPH task force or advisory body to monitor emerging drug threats. For outreach and treatment, staff summarized strong existing programs such as drug checking, wound care education, naloxone distribution, mobile and low-threshold care, and self-directed wound kits, while noting gaps including the lack of an FDA-approved reversal agent for xylazine, difficulty distinguishing xylazine from other exposures, and uneven access by geography, insurance, and audience. Commissioners stressed the need for provider education, including physicians, nurses, pharmacists, family support networks, and first responders, and for clear guidance on wound care and when more intensive treatment is needed. The education and training section identified first responders, clinicians, non-clinicians, and people who use drugs and their families as key audiences for tailored, stigma-free materials, with emphasis on real-time, centralized data, naloxone and breathing support, recognition of overdose versus xylazine exposure, and adapting materials as the drug supply changes. The meeting ended with discussion of next steps: staff will circulate a revised draft by March 2, the commission will meet again on March 9 to consider the report and recommendations, and an additional late-March meeting was reserved if needed before the statutory deadline.

Transcript Highlights:

• Secondly, we have to improve the health of our population.
• Look at the population within that segment.
• Additionally, this Medicaid population sits about 125,000.
• it'll improve the healthare population it'll improve the healthare population and<00:26:42.480><
• , improve the health of your population, improve the health of your population, that's<00:29:20.159

Keywords: 26RS SB 38 Testimony 00:28 26RS SB 38 Roll Call Vote 06:54 26RS SCR 9 Testimony 11:06 26RS SCR 9 Roll Call Vote 32:00 Adjournment 32:49, 958, all

Summary: The committee first considered Senate Bill 38, sponsored by Sen. Richardson, which would require Medicaid to reimburse pharmacists for services already within their legal scope of practice. Richardson and Taylor Williams of the Kentucky Pharmacists Association argued the bill would improve access to care, especially in rural areas, reduce emergency room use, and lower Medicaid costs by using pharmacists as lower-cost providers. Members asked whether the bill’s language simply aligned Medicaid with an earlier commercial parity law, and Richardson confirmed that it did. He also cited prior study work, research articles, and examples such as strep/flu testing and medication therapy management as covered services. The bill passed unanimously, and several members commented in support, including concerns about pharmacy access and the need for pharmacists to remain available to patients. The committee then took up a concurrent resolution sponsored by Sen. Meredith calling for a feasibility study of a proposed new Medicaid delivery model. Meredith argued that Kentucky’s Medicaid spending is growing unsustainably and that current managed care arrangements are not improving outcomes enough. He proposed an accountable community health care organization, described as a locally owned, not-for-profit public-private partnership combining elements of accountable care models, with the goal of reducing bureaucracy, improving outcomes, and lowering costs. He said the study would examine a five-year program and ultimately test the model in five regions, with initial focus on the Lincoln Trail, Green River, and Barren River area development districts. Members asked about the study timeline, vendor costs, rural versus urban impacts, and provider recruitment; Meredith said the resolution would be studied by November and that no fiscal note had been prepared. The resolution passed unanimously.

Transcript Highlights:

• . population. population.
• I mean our managed care population.
• population. You can see deliveries. population. You can see deliveries.
• be<00:15:26.079> uh the expansion population that will be uh the expansion population that
• You know, I look at population and have to address that from a population standpoint.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:36 Department for Medicaid Services 00:01:44, 958, all

Summary: The House Budget Review Subcommittee on Health and Family Services met for an overview of the Department for Medicaid Services budget. Commissioner Lisa Lee and CFO Steve Beal described Kentucky Medicaid enrollment at about 1.4 million members, including more than 600,000 children, and said the agency’s 2025 total budget was $20.6 billion. They reviewed enrollment trends before, during, and after the COVID-19 public health emergency, noting that redeterminations begun in 2023 reduced enrollment from its peak but that total membership remains above pre-COVID levels. They also explained the difference between the fee-for-service population, which includes long-term care and waiver members, and managed care members, and gave examples of the kinds of services and diagnoses seen in each group. A major focus was the governor’s recommended Medicaid budget and the department’s forecast process. Lee said the budget is split into benefits and administration, with benefits covering fee-for-service services, managed care capitation, transportation, and Medicare premiums, while administration covers contracts, personnel, operating costs, and IT-related advanced planning documents. She said the department uses a consensus forecasting group and actuary input, and that its forecasts have been within 1% of actual spending in recent years. The department also said the governor’s budget includes new waiver slots to address waiting lists, a 2% staff COLA, and a 10% phase-down on state-directed payments beginning in January 2028. Much of the discussion centered on House Resolution 1 and the funding needed to implement its Medicaid-related provisions, including community engagement requirements, six-month redeterminations, and future cost sharing. Lee said the department requested about $35 million in total funds for fiscal 2027, including about $8.2 million in general funds for system changes to the integrated eligibility system, claims processing, notices, and monitoring; and about $11 million in fiscal 2028 for ongoing maintenance, with about $1.6 million in general funds. She said the department expects to seek federal APD matching funds for the IT work. In response to questions, she explained that community engagement would apply to Medicaid expansion members, with qualifying activities including work, school, volunteering, or equivalent income, and that certain groups such as pregnant women, children, caretaker relatives, and some people with chronic disease or substance use disorder would be excluded. She said the department identified roughly 70,000 expansion members who could be subject to the requirement. No votes or formal actions were taken.

Transcript Highlights:

• You will see a population risk overview slide.
• Your pharmaceuticals in a way that you're benefiting the population—you're linking things to your population
• And for certain populations, especially for commercial populations, it has now become the most significant
• Management of health in a population.
• Then, how are we tracking these as these populations grow, particularly our aging population?

Transcript Highlights:

• For our detainee and offender population, just gives you a breakdown of our population.
• of our population we have breakdown of our population we have pre-trial<00:18:48.840> detainees
• This is so difficult, the post-booking population, as well as the pre-trial population.
• This is so difficult, the post-booking population, as well as the pre-trial population.
• This is so difficult, the post-booking population, as well as the pre-trial population.

Keywords: 910, house, all

Transcript Highlights:

• represented by PSRB, which is actually our GEI population, or guilty except insanity population, and
• If we do not transition some of the aid and assist population to civil population, pretty soon we will
• If we do not transition some of the aid and assist population to civil population, pretty soon we will
• And also that's the population I see in the aid and assist population.
• And also that's the population I see in the aid and assist population because I do those evaluations.

Keywords: 907, all

Summary: The joint Senate and House Behavioral Health committee met for informational presentations on the Oregon State Hospital and civil commitment, followed by a planned tour of the hospital. Oregon Health Authority and Oregon State Hospital leaders reported that Sean Murphy will become the next permanent superintendent on July 13, with Sarah Castle to follow as permanent chief nursing officer on July 20. They described recent leadership turnover, a major organizational restructure, and efforts to build a culture of safety, transparency, and accountability. Officials said the hospital regained Joint Commission accreditation and CMS compliance, and they highlighted daily safety huddles, incident review processes, stronger escalation procedures, and improved management of seclusion and restraint. Committee members pressed hospital leaders on past prolonged seclusion practices, falls, staffing, and the need for better public reporting; OHA said it is building a public dashboard of key safety and workforce metrics. The committee then heard a civil commitment overview from the Oregon Judicial Department. The presenter explained that civil commitment is a separate legal process from criminal cases, usually beginning with a hospital hold, investigation, court review, appointed counsel, and a hearing within five days. She summarized changes made in House Bill 2005, including revised standards for danger to self, danger to others, and basic-needs commitments, plus a second 14-day diversion option. She cautioned that the new law has only been in effect since January and that it is too early to draw firm conclusions from the data, though there has been a recent uptick in commitments and a decrease in diversions. Testimony from NAMI Oregon and a forensic psychiatrist emphasized that Oregon still relies too heavily on jails and state hospitals because community services, housing, and outpatient supports are insufficient. They argued that the state needs more less-restrictive alternatives, including better use of assisted outpatient treatment or outpatient civil commitment, and more supported housing so people do not cycle between homelessness, incarceration, and hospitalization. A family member described a relative remaining psychotic in jail for more than 120 days before ending up back at the state hospital, urging faster intervention and better collaboration among courts, counties, hospitals, and state agencies. Committee members and witnesses also discussed workforce shortages, the expansion of secure residential treatment beds, and the need for broader system reforms beyond the hospital itself.

Transcript Highlights:

• <00:48:59.520> My air report different populations. My air report different populations.
• identifying who of the that population identifying who of the that population um<00:51:14.000>
• hardto-reach populations. hardto-reach populations.
• apply to that population. apply to that population.
• <01:11:01.520> of population of population of newly<01:11:04.719> disabled<01:11:05.360

Bills: HR1

Keywords: January 6 insurrection, pardon, law enforcement, violent crimes, public safety, justice system, political accountability, 1183, house

Transcript Highlights:

• That’s one of our population groups, our audiences.
• What essential knowledge should, you know, members of each population have?
• Xylazine, what essential knowledge should, you know, members of each population have?
• It's people, you know, in community who might become part of those populations.
• I'm happy to do the people who use drugs population.

Keywords: 995, all

Summary: The Working Group on Education and Training of the Special Commission on Xylazine held its first meeting to begin developing findings and recommendations on education and training for first responders, the medical community, the substance use treatment community, and people who use drugs. Members discussed the need for baseline information on what xylazine is, its clinical effects and harms, signs of exposure or poisoning, wound care, and immediate response steps, while also noting that training should be tailored by audience, geography, and role. Several members emphasized that the training should be practical and action-oriented, helping people recognize xylazine exposure and know what to do next, including whether naloxone is relevant and how to reduce risk and mitigate harm. A major theme was whether the group should recommend a needs assessment or survey to identify what different audiences already know and what they still need to learn. Members suggested that BSAS, DPH, local public health departments, licensing boards, and other stakeholders could help gather this information, and that existing resources such as DPH materials, MADS data, Brandeis materials, and trainings already being funded at BMC should be reviewed. The group also discussed the importance of using plain language for non-clinical audiences while still including clinical detail for providers, and of distinguishing between clinical and non-clinical training tracks. The working group agreed to divide into subgroups: Senator Keenan will focus on first responders, Dr. Simon on the medical community, and Millie Batiya on the substance use treatment community, while Chair Domb will focus on people who use drugs. Staff will send meeting notes, an early draft PowerPoint framework, and a shared Google Drive folder for materials. Members were asked to gather sources and ideas by November 25 ahead of the December 11 public meeting. The meeting ended with a motion to adjourn, a second, and unanimous thanks to staff and participants.

Transcript Highlights:

• in here are mainly driven by the national and Florida economic outlooks and our demographic or population
• And so we've built everything in our population forecast around that assumption.
• they made up about 17.3% of our population in Florida.
• coming from this senior group. of our population coming from the senior group.
• So we have about 72% of our managed care population, or of our total Medicaid population, in managed

Summary: The committee met to hear Amy Baker’s presentation on Florida’s constitutionally required long-range financial outlook for fiscal years 2026-27 through 2028-29. Baker said the forecast reflects slower but still positive economic growth, continued above-average personal income growth, rising wages, and population growth that is increasingly driven by in-migration as Florida’s senior population expands. She highlighted weakening housing-related revenue, especially documentary stamp taxes, softer consumer sentiment, and the expectation that Florida will pass 25 million residents by 2030, with nearly a quarter of the population age 65 or older. Baker said the outlook largely retained the March 2025 general revenue forecast, but the Legislature’s 2025 session actions significantly improved near-term funds available by redirecting or freeing up money, including contingency appropriations and reversions. She noted total state reserves are just under $15 billion, or about 30% of general revenue, and that the budget stabilization fund is at its constitutional maximum. The main spending pressures in the outlook were critical needs, led by a new emergency preparedness and response fund transfer and Medicaid growth driven mainly by medical inflation and behavioral analysis costs in managed care, not by caseload growth. Other high-priority needs were also identified, and Baker said the first year shows a projected surplus, but years two and three show shortfalls, meaning fiscal strategies will still be needed. Members questioned Baker about the accuracy of the forecast, Medicaid managed care costs, the emergency preparedness fund, federal funding assumptions, and whether recent federal legislation was reflected in the numbers. Baker said the outlook is a good representation of the total picture, though the Legislature will likely adjust it as conditions change, and that more information on federal changes would come in later estimating conferences. Senator Trumbull asked about the governor’s veto of $750 million, and Baker said it simply returned to unallocated general revenue rather than being spent or added to the budget stabilization fund. The chair closed by warning members to expect a difficult budgeting process and noting that the committee would adjourn without further action.

Transcript Highlights:

• Would work is if you had a static population with no other new members coming in.
• we have no introduction of any other population.
• to the population in both cases for either strategy to succeed.
• And so, you know, we're... yeah... so what if—does it hold the population steady?
• <00:14:41.680> unless the overall population unless the overall population unless sterilization

Keywords: 912, senate, all

Summary: The joint hearing covered SB 1023, which would create a spay-neuter special fund to reduce pet overpopulation and free-roaming cats, with funding sources including an income tax checkoff. The Department of Taxation had no substantive comment, while the Hawaii Invasive Species Council supported the measure but opposed any trap-neuter-release or re-release approach, saying spay-neuter is important but release does not reduce cats on the landscape. The Tax Foundation of Hawaii raised concerns about creating another special fund and tax checkoff, saying the fund may not meet statutory criteria and could create administrative burdens. The Hawaiian Humane Society strongly supported the bill, arguing the state currently provides little funding for animal overpopulation control and that the measure would help nonprofits and align conservation and animal welfare goals. Several other supporters testified, including a cat sanctuary representative who described the need for a dedicated funding mechanism and a possible Oahu sanctuary to remove cats from sensitive areas. After questions about the effectiveness of trap-neuter-release and the need for alternative management tools, the committees voted to recommend passage with amendments, including blanking appropriation amounts, moving them into the committee report, setting the effective date to July 1, 2050, and noting Budget and Finance concerns; the recommendations were adopted in both committees, with some members voting with reservations. The hearing then moved to SB 1120, relating to transportation and a clean fuel standard. The Department of Transportation said it supported the intent but wanted more information on economic impacts. Electrify America and Neste supported the bill, saying a clean fuel standard would help finance EV charging, encourage investment, and expand lower-carbon fuel options such as renewable diesel. In response to questions from senators about rural and agricultural transportation needs, witnesses said the standard could support both electrification where feasible and cleaner liquid fuels in the interim for equipment that cannot yet be electrified. DOT also described county transit efforts and said it was working with Maui, Kauai, and Hawaii Island on assessments for zero-emission bus replacement and charging infrastructure. The committees also heard testimony on SB 586, relating to climate change and zero-emission buses by 2045, with the State Procurement Office supporting the intent but suggesting the language be moved to a different statute; DOT said it was providing pass-through funding to counties and had some zero-emission bus purchases and charging stations on order. The discussion emphasized infrastructure costs and implementation challenges, but no final vote on SB 1120 or SB 586 was described in the transcript excerpt.

Transcript Highlights:

• Growth for this population continues to be rapid.
• So we serve five populations of young people.
• And then you get a little closer to us with our overnight arrest population.
• Then there are traditional populations, young people committed to our... committed populations.
• and about a 15% increase in our committed population.

Keywords: 995, all

Summary: The hearing was an informational and oversight session of the Joint Committee on Children, Families, and Persons with Disabilities, with chairs and members hearing agency updates from several commissioners. The Department of Public Health’s Bureau of Family Health and Nutrition described its maternal and child health work, including home visiting, early intervention, WIC, newborn hearing screening, and cross-agency efforts on prenatal substance exposure, respite care, children’s vision, and maternal health initiatives. DPH emphasized that federal grant cuts, layoffs, and the loss of data systems such as PRAMS would weaken services and planning, and members asked about Title V funding and the impact of federal uncertainty. The Massachusetts Commission on the Deaf and Hard of Hearing highlighted communication access services, interpreter and CART referrals, emergency after-hours support, family navigation, and independent living services. Commissioners and members discussed the shortage of ASL interpreters and the need to expand training pipelines, including partnerships with colleges and possible ASL programming for younger students. The Department of Developmental Services reported serving nearly 50,000 people and focused on youth and adult services, transition-age supports, autism services, self-direction, respite, and new high-acuity residential models. Members asked about respite availability, self-direction outcomes, and workforce shortages; DDS said it was expanding clinical capacity and provider rates while monitoring possible federal Medicaid, SNAP, and immigration-related impacts. The Commission for the Blind described services for about 28,000 legally blind residents, most of whom are older adults, including social rehabilitation, orientation and mobility training, children’s services, assistive technology, vocational rehabilitation, and Turning 22 supports. The commissioner discussed a UMass-based effort to build the workforce pipeline for blindness services and said the agency was watching federal restructuring but had not yet seen direct cuts. MassAbility’s leadership then warned about major federal changes affecting Social Security disability determinations, including staff restructuring, office closures, and a new overpayment repayment policy, and said the agency was preparing for possible increases in claims and uncertainty around reallotment dollars that help fund services. The Disabled Persons Protection Commission closed the hearing with an update on its abuse investigations and protective services for adults with disabilities. DPPC reported rising hotline calls and investigations, a growing caseload, its sexual assault response team, the abuser registry, and a new interagency protective services integration system funded by ARPA dollars through 2027. The agency also flagged new federal rules that could affect funding eligibility and said it may need statutory changes to comply. Members asked about funding, reporting pathways, and how complaints reach DPPC, and the commissioner said the agency uses both mandated reporting and proactive outreach to identify and respond to abuse.

Transcript Highlights:

• of you know, they make up 50% or more of our population.
• In our state, we benefited from that population being a good bit cheaper than the regular population
• that is on the program. than the regular population that is on the rolls.
• and populous areas, so it could have an impact.
• So the costs going up weren't really in relation to that population.

Keywords: 924, joint, all

Transcript Highlights:

• of the entire population. student population.
• growth or total population growth of the students.
• So statute requires us to use state population and inflation.
• We we we build in a projected growth amount in that population, yes.
• Or up to 150. 50,000 of population? No, that population limit was established in Senate Bill 28.

Keywords: infrastructure, water supply, flood mitigation, Texas Water Fund, community projects, funding allocations

Summary: During this committee meeting, the focus was on discussing critical infrastructure funding, especially related to water supply and flood mitigation projects. Chairwoman Stepney and the Water Development Board presented extensive details regarding the Texas Water Fund, which included $1 billion appropriated to assist various financial programs and tackle pressing water and wastewater issues. Additionally, funding allocations aimed at compromising the state's flood risk and improving water conservation were hotly debated, emphasizing collaboration among committee members and the necessity of addressing community needs in such projects.

Transcript Highlights:

• prevention funds, specifically for the birth to five population.
• CDPH population-based prevention funds specifically for the birth to five population.
• CDPH population-based prevention funds specifically for the birth to five population.
• I'm going to... ...but how long until it really shows in the population? Sure.
• I'm going to... ...but how long until it really shows in the population? Sure.

Keywords: 988, house, all

Transcript Highlights:

• The state's most vulnerable populations.
• The statewide rates are weighted to account for differences in measure population size by plan.
• The special needs population is my first question. >> I know that in the U.S.
• Our is based on the the population we serve.
• So seeing how hi of population the Medicaid covers in terms of births statewide.

Transcript Highlights:

• of the entire population. higher state as opposed to the student population.
• growth or total population growth of the students.
• So statute requires us to use state population and inflation.
• We we we build in a projected growth amount in that population, yes.
• Or up to 150. 50,000 of population?

Keywords: 1184, house, all

Transcript Highlights:

• The homeless population and what the county judges and county sheriffs were facing.
• The locus of homeless population.
• The locus of homeless population.
• The population is growing the fastest than on just folks getting into housing.
• Big state, small population.

Summary: The committee first approved a motion, then heard a lengthy presentation on homelessness policy and behavioral health. Testimony focused on the view that Arkansas should shift toward more data-driven, outcomes-based responses to homelessness, including stronger treatment options for serious mental illness and substance use disorder, better data collection, provider accountability, and possible statewide use of the Certified Community Behavioral Health Clinic (CCBHC) model. Speakers from Fort Smith, Restore Hope, Our House, and Western Arkansas Counseling described local work, the need for better coordination across providers, and the role of crisis services, ACT teams, and employment support. Members asked about sex offender tracking, the difference between sheltered and unsheltered homelessness, how to scale successful programs statewide, and whether Arkansas could apply for a statewide Continuum of Care or CCBHC planning grant. The discussion also touched on camping bans, civil commitment, and federal funding changes, with several speakers urging the state to pursue the CCBHC planning grant and more transparent reporting systems. After the homelessness discussion, the committee moved through a series of Department of Energy and Board of Nursing rule reviews. DEQ proposed updating the post-closure cleanup threshold for solid waste matters from $50,000 to $2 million to match Act 791 of 2025, and members asked about financial assurance and oversight; the rule was reviewed without objection. The Board of Nursing then presented multiple rule changes tied to recent acts, including adding fees for dialysis patient care technician registration, expanding contact-information requirements, implementing APRN delegation authority to unlicensed workers, clarifying APRN authority for death certificates and durable medical equipment prescriptions, updating certified medication assistant training and insulin-injection authority, and conforming independent-practice rules for clinical nurse specialists. Each rule was reviewed without objection. Near the end of the meeting, Senator Irvin announced that UAMS had completed its NCI designation submission for the Winthrop Rockefeller Cancer Institute, calling it an important milestone for the state. The committee then adjourned.

Transcript Highlights:

• Seminole County is the fourth most densely populated. county in the state, and despite its affluence,
• The West Virginia First Foundation is supporting grandfamilies and the aging population and I'm proud
• population in West Virginia?
• We have a population of about 500,000 people and a little more than 300 square miles.
• As with treating an older population with substance use disorder.

Keywords: opioid crisis, overdose, naloxone, drug trafficking, law enforcement, treatment, prevention, older adults, Medicaid expansion

Summary: The meeting convened to address the dire opioid crisis affecting communities nationwide, with a particular focus on the alarming rise of opioid use disorder among older adults. Key testimonies highlighted the critical need for a comprehensive approach that encompasses prevention, treatment, and strict law enforcement actions against drug traffickers. Sheriff Dennis Lima from Seminole County outlined successful strategies implemented in Florida, including increased access to naloxone and legislative changes to hold drug dealers accountable for overdoses. Various members expressed a united front on tackling this multifaceted issue, advocating for the expansion of Medicaid and better access to treatment as essential steps to curbing the epidemic.

Transcript Highlights:

• Most of the training is around the aging population.
• Skilled nursing facilities care for more chronically ill and a more disabled population.
• We're also seeing, you know, shifting needs of the population.
• This just shows the growth in the aging population, and the working-age population is not growing as
• And the working-age population is not growing as quickly.

Summary: The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population. On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications. The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.