Video & Transcript : 'pharmaceutical expansion' :
Page 73 of 386
WA
Washington 2025-2026 Regular Session
House Early Learning & Human Services Jan 16th, 2026
Transcript Highlights:
- We are really making sure that 2026, we're going to start the expansion of these 10,000.
- When we are in full expansion mode, we will have an additional 10,000 seats for our children and for
- E-CAP expansion has the potential to greatly strengthen child care.
- E-C expansion has the potential to greatly strengthen. to a large pre-K expansion.
- E-CAP expansion has the potential to greatly strengthen child care.
Summary:
The Early Learning & Human Services Committee held public hearings on several child care and disability-related bills. House Bill 2317 would exempt certain ECAP and Head Start programs from DCYF licensing when they operate part-day or school-day in public school buildings or on public school property. Staff and the prime sponsor said the bill would remove duplicative licensing barriers and help expand preschool seats, especially as Washington prepares to add more ECAP slots. Testifiers from Head Start, school-linked providers, and the Washington Federation of Independent Schools supported the bill, describing licensing delays, added costs, and lost classroom time; no one testified in opposition.
The committee also heard House Bill 2099, which would expand ECAP access for military families with incomes up to Working Connections Child Care limits and adjust prioritization for families with deployed or single custodial military parents. The prime sponsor and multiple supporters, including retired military leaders, Head Start/ECAP advocates, ESD staff, and a military-community partnership, said military families face frequent moves, deployment-related strain, and child care shortages that affect readiness and family stability. Testifiers said the bill would help families access care without changing the program’s low-income focus or adding state cost.
House Bill 2350 would require DSHS to notify residents, guardians, and family members when a residential habilitation center is found out of compliance with federal CMS requirements, and to provide follow-up notices on correction and enforcement actions. The sponsor said the bill responds to limited communication around recent noncompliance issues at Rainier School and would improve transparency; DSHS had requested a narrow amendment about how notice is provided to residents. Disability rights advocates strongly supported the bill, saying families need timely information to protect loved ones and make informed decisions.
Finally, House Bill 2318 would let ECAP and Head Start children count toward the 5% subsidy participation threshold needed for Early Achievers quality improvement awards. Supporters said the current rule can discourage providers from enrolling ECAP children because it risks losing an award, even though ECAP already requires Early Achievers participation. The sponsor and testifiers described the bill as a small fix to reduce a funding disincentive for providers serving high-need children. The committee took no votes and adjourned after closing the hearings on all four bills.
WA
Washington 2025-2026 Regular Session
Senate Environment, Energy & Technology Jan 21st, 2026
Transcript Highlights:
- And there's a planned expansion that would increase that by 20%.
- [00:06:40] At some point, we're going to need a second airport or expansion of other airports in other
- Overall, we strongly support opportunities for transmission expansion.
- We strongly support opportunities for transmission expansion.
- So with all the, and also with all the expansion going on, we feel that the port can be a better...
Summary:
The committee heard public testimony on three bills. SB 5652 would require the University of Washington, Commerce, the King County Department of Public Health, and the Port of Seattle to study and mitigate aviation-related air quality and noise impacts around Sea-Tac, create a work group and grant program, address failed noise insulation “port packages,” and require a state auditor review. The sponsor and supporters from affected cities and community groups described serious health and quality-of-life harms from airport noise and pollution, while the Port of Seattle, Washington Public Ports Association, and AWB opposed the bill, arguing it would impose new mandates, raise cost and governance concerns, and interfere with airport operations. Testimony on the bill was reopened after other business and then closed; no vote was taken.
SB 6124 would direct Commerce to study an appliance affordability index that would consider repairability, maintenance, recyclability, performance life, and related factors. The sponsor said the bill is meant to help consumers compare lifetime costs and repair options, drawing on family experience with durable appliances. Consumer and environmental advocates supported the idea as a way to improve transparency and encourage repairable products, while industry groups opposed a state-specific index, warning it would create a patchwork of standards and compliance burdens. The hearing closed after testimony, with no action reported.
SB 5466 would create a Washington Electric Transmission Authority, give it powers to support transmission development and, in some cases, acquire property and own or sell transmission projects, and provide a SEPA categorical exemption for certain transmission upgrades with tribal and resource-protection conditions. Supporters from clean energy, labor, utilities, and state agencies said the bill is needed to expand grid capacity, improve reliability, speed clean energy interconnection, and create jobs, though many asked for bonding or financing authority and refinements to the exemption language. Some utilities and business groups supported parts of the bill but opposed state ownership or said the authority should focus more on permitting and coordination; others raised concerns about ratepayer risk and duplication. The hearing closed after extensive testimony, with no vote announced.
MO
Missouri 2026 Regular Session
2026 Legislative Session - Day Thirty Five - Tuesday, March 10 - Morning Session
Missouri House Floor Meeting
Transcript Highlights:
- What it contemplates is that revenue from base expansion, but yes, then revenue neutrality. Okay.
- It authorizes the expansion of taxation on services. Okay. So taxes on services.
- The authorization is that we can hasten that process through the expansion of a sales tax base.
- When we do that, our state expansion can't not affect local bases as well.
- Our state expansion can't not affect local bases as well if we were to do that, right?
AR
Arkansas 2026 Regular Session
LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE Feb 12th, 2026
LEGISLATIVE JOINT AUDITING-MEDICAID SUBCOMMITTEE
Transcript Highlights:
- coverage to low-income adults, children, aged, blind, and disabled, and then we also do cover our expansion
- Which is how we govern and purchase and serve the adult expansion population.
- We go out to the insurance marketplace and we buy silver-level premium policies for the expansion program
- And then, as stated, the premium assistance for the expansion.
- So expansion population is called our home currently.
CA
California 2025-2026 Regular Session
Senate Budget and Fiscal Review Subcommittee No. 3 on Health and Human Services Apr 23rd, 2026
Transcript Highlights:
- Or expansion, potentially? For expansion, yes.
- And the ways and what expansion, potentially? For expansion, yes.
- So I'll jump in to your specific questions related to progress on slot expansion.
- and direct future expansion across all programs in our mixed delivery system.
- We do need expanded child care slots, but expansion alone is not enough.
Summary:
The committee heard an extensive Department of Social Services presentation on child care budget issues, including the Governor’s proposed 2026-27 budget, federal CCDF changes, Prop. 64 revenue adjustments, and a one-time $11.5 million disaster-related infrastructure grant for licensed child care facilities affected by 2025 declared disasters. DSS said federal formula updates and lower Prop. 64 revenues would reduce funding and could result in about 4,176 CCTR slots being reduced, but the department said it was working to avoid impacts to currently enrolled children. The LAO supported aligning general child care funding with lower revenues and asked for more detail on the disaster grant. Members pressed DSS and Finance on why reductions were not being backfilled and why so many awarded slots remain uncontracted or unused; DSS said delays are largely due to providers building new infrastructure, licensing, staffing, and enrollment challenges, and that some unspent funds revert to the General Fund. The committee also discussed whether some contract dollars should be shifted to vouchers and whether more flexibility should be allowed for infrastructure and expansion costs.
A second panel focused on the state’s commitment to expand child care and on rate reform. DSS reported that nearly 125,000 new slots have been awarded since 2021-22, but speakers from Stanislaus County Office of Education, Parent Voices California, and the California Budget and Policy Center argued that unmet need remains large and that the system still leaves many families without access. Stanislaus County described a large local shortage of infant and toddler care and said reimbursement disparities between child care programs and state preschool create disincentives for providers. Parent Voices gave testimony about the burdens and instability families face when trying to access care, especially for survivors and low-income parents, and called for a universal, publicly funded system. The Budget Center said only about 16% of eligible children were enrolled in 2024, urged expansion across the mixed delivery system rather than concentrating investment in TK, and called for faster rate reform and new revenue. LAO estimated that bringing certain CCTR adjustment factors up to CSPP levels would cost $88 million to $131 million ongoing. Members and witnesses discussed the single rate structure, automation needs, and the need for deadlines and a ramp-up plan; DSS said the goal is to eliminate disparities, but that policy decisions are still needed before automation can proceed.
The committee then reviewed several trailer bill proposals. DSS outlined a 2026-27 COLA proposal that would apply a 2.41% increase through cost-of-care-plus payments, though the department said it had inadvertently excluded CalWORKs Child Care and the Emergency Child Care Bridge Program and would revise the proposal; LAO recommended making the COLA methodology uniform across programs. DSS also proposed replacing the market rate survey with the federally approved alternative methodology on a triennial schedule, limiting temporary absences in family child care homes to 20% of monthly hours, defining excessive unexplained absences as more than 30 days in a year, and aligning family fee deductions with new federal requirements so providers receive the full voucher value. Members generally supported the temporary absence change and asked about implementation timing for the family fee deduction, with DSS saying it was in contact with Riverside County. The committee also heard a brief update on the Early Childhood Policy Council reappropriation, which would extend unused funds through June 30, 2028 because prior costs came in higher than expected.
ND
North Dakota 2025-2026 Regular Session
Water Topics Overview Committee Mar 26th, 2026
Transcript Highlights:
- We show here on this map the Hebron-Rugby expansion area.
- We show here on this map the Hebron-Rul expansion area.
- We are going to have more expansion in the north side of town.
- We are planning a water treatment plant expansion.
- Yeah, it's a great expansion.
Summary:
The Water Topics Overview Committee met with a quorum and received updates from the Department of Water Resources and the State Water Commission, followed by presentations from Deloitte on two legislative studies required by House Bill 1020. Director Reese Haas reviewed major project and budget updates, including the Northwest Area Water Supply and Southwest Pipeline projects, Resources Trust Fund balances, carryover spending, project prioritization, bid conditions, regional water system coverage, and department process improvements. Members also discussed how the commission prioritizes projects, maintenance expectations, and the impact of limited municipal water supply funding. No formal committee action was taken during the DWR update; the commission’s municipal funding decisions were described as pending its April 8 meeting.
Deloitte then presented the cost-share policy study, which found that under current policy and forecasted revenues, North Dakota faces an estimated $1.3 billion shortfall over 14 years, with a near-term gap of about $1.8 billion through 2031. The firm outlined seven recommended options, including tighter definitions and a 25% cost share for eligible replacement projects, caps and financing strategies for the Mouse River and Red River Valley projects, aligning cost share with commission priority guidance, delaying lower-priority projects, using available lines of credit, and adjusting reimbursement timing for revolving loan funds. Committee members questioned inflation assumptions, affordability, user fees, and the use of legacy fund earnings for bonding, but no decisions were made.
In the governance and finance study, Deloitte said final recommendations are still being refined, with a final report due May 29. The study examined the Southwest Pipeline, NAWS, and Red River Valley systems using governance and finance criteria such as decision authority, transparency, affordability, risk, and access to funding. For Southwest, Deloitte outlined options ranging from improved state-authority coordination to transferring ownership to the Southwest Water Authority; for NAWS, options focused on strengthening the authority’s role and potentially transitioning operations and maintenance; and for Red River, options ranged from enhanced facilitation to formal state oversight or state ownership. Members asked follow-up questions about ownership transfer, capital repayment streams, and why NAWS was not considered for transfer, and Deloitte said NAWS’s limited organizational maturity made that option less viable in the near term.
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 54 May 7th, 2026
Oklahoma House Floor Meeting
Transcript Highlights:
- Code that is in reference to the 90-10 match of the expansion population? Is that correct?
- This only affects the expansion population. Thank you for the question. That is correct.
- This only affects the expansion population. So, thank you. For a follow-up, thank you, Mr. Speaker.
- The time and others suggested that we take a look at the expansion population.
- Speaker, this S.J.R. keeps Medicaid expansion in place unless the federal match drops.
Bills:
SB1090 , SJR49 , SB633 , HR1059 , SB650 , SB2063 , SB122 , SB1614 , SB1884 , SJR52 , SJR53 , HJR1101 , SJR50 , HB3021 , HR1058 , SB514 , SB382 , HB3320 , SB740 , SB833 , SB2143 , SB1209 , SB244
Summary:
The House opened with prayer, the Pledge of Allegiance, and several introductions, including the Nurse of the Day and a guest pastor, on the National Day of Prayer. Members also made announcements about prayer activities in the Capitol and welcomed former Speaker Charles McCall to the gallery. The chamber then moved through a long floor calendar of Senate bills, joint resolutions, and a conference committee report, with several measures amended on the floor before final passage.
Among the bills passed were SB 1090, a consumer protection measure aimed at giving homeowners time to cancel contracts with predatory door-knocking roofers and contractors; SJR 49, repealing a Wildlife Conservation Commission rule on surety for oil and gas leases; SB 633, a juvenile code measure described as protecting children from fentanyl poisoning; SB 650, a public utilities bill tied to transparency and accountability for state employee salary increases; SB 263, amended to include a “lemonade stand” provision; SB 122, a transportation-related bill on proof of insurance; and SB 1614, creating a teacher induction program, which also received emergency passage. SJR 52 and HJR 1101, both dealing with agency rules, also passed, as did SJR 53 on Oklahoma Medical Marijuana Authority rules.
The most debated item was SB 1884, which would strengthen equal access for school employees to teacher professional organizations and related membership/dues procedures. Supporters argued it would clarify existing law, ensure fair access, and give teachers more choice and legal support; opponents said the problem was compliance with current law, not a need for new statute, and warned against duplicating existing protections. After extended debate, the bill failed 47-44. Members then took up SJR 50, a major Medicaid expansion-related resolution revising earlier trigger language; supporters said it preserved expansion unless federal funding changed and gave lawmakers flexibility, while opponents argued the state had not done enough fiscal analysis before proposing changes. SJR 50 passed 69-18. Finally, the House adopted a conference committee report on HB 3021, consolidating graduation requirements into the ICAP framework and clarifying related school rules, and the bill passed with emergency status.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Education Jun 21st, 2026 at 11:00 am
Joint Committee on Education
Transcript Highlights:
- And voters said that they didn't want to see charter school expansion drain additional funding from our
- We thank you for the $100 million in CTE expansion grants funded through the Fair Share supplemental.
- All of these factors make vocational technical schools more expansive and costly to build.
- All of these factors make vocational technical schools more expansive and costly to build.
- Finally, we find no evidence that charter expansion harms district finances or student outcomes.
Committee:
Joint Joint Committee on Education
Summary:
The Joint Committee on Education held a lengthy hearing on a large slate of bills focused primarily on charter school policy and vocational technical education. Committee members opened with ground rules for testimony, including a two-minute limit, written testimony acceptance, and a live-streamed format. The committee then heard testimony on bills to expand collective bargaining rights in Horace Mann and Innovation Schools, reform charter school funding and reimbursement, allow enrollment preferences for high-need students in charter lotteries, and require BESE to consider district impacts when approving new or expanded charters. Several witnesses, including union leaders, parents, educators, and legislators, argued that charter growth has strained district budgets and that funding formulas should be reworked to better protect public schools; charter advocates and alumni countered that charter schools serve high-need students well and should not be penalized for their success.
A major portion of the hearing focused on vocational technical education bills, including proposals to expand access and capacity, create a large grant program, and increase MSBA reimbursement rates for vocational school construction. Supporters described long waitlists, strong labor-market demand, and the higher cost of building and maintaining vocational schools, while municipal officials emphasized the tax burden on local communities. The committee also heard testimony on charter school reimbursement bills that would extend the state’s reimbursement schedule, with witnesses from districts such as Boston, Worcester, Fall River, and New Bedford describing large net losses to charter tuition and arguing for longer reimbursement periods and structural reform.
The committee took no final votes during the hearing. In one instance, the chair said a bill would be held open until a missing senator could testify. Members asked several detailed questions about charter admissions lotteries, special education placements, funding formulas, and the practical effects of proposed charter caps and reimbursement changes. The hearing remained informational, with witnesses and committee members presenting sharply different views on whether the bills would improve equity and opportunity or harm existing public school systems.
NM
New Mexico 2026 Regular Session
House - Appropriations and Finance Jan 21st, 2026 at 01:58 pm
House Appropriations & Finance
Transcript Highlights:
- And it's where we need the most expansion.
- We strongly are encouraged by and celebrate the expansion of child care.
- We're encouraged by the expansion of care to low income and infants and toddlers.
- We want to thank you for supporting the expansion of universal child care.
- We will fall out of both federal and state mandates, so please consider expansion Of that.
Bills:
SB2
Committee:
House House Appropriations & Finance
Keywords:
SB 2, State Highway Project Bonds, highway funding, transportation bonds, state road fund, motor vehicle fees, vehicle registration fees, electric vehicle fee, EV surcharge, plug-in hybrid fee, weight distance tax, road construction, infrastructure financing, Department of Transportation, State Transportation Commission, bonding authority, county road funds, municipal road funds, transportation improvement program, state highways
KY
Kentucky 2025 Regular Session
Government Contract Review Committee (10-13-25)
Transcript Highlights:
- Is this an expansion of a current program, or is this a new program?
- >> This is actually um an expansion, not a not an expansion, it is a modification of a current the current
- Is this an expansion of a current program, or is this a new program?
- >> This is actually um an expansion, not a not an expansion, it is a modification of a current the current
- </c> expansion. Does that sound close? expansion. Does that sound close?
Summary:
The committee first approved the September 19 meeting minutes and then took up a deferred University of Kentucky personal services contract amendment for guardianship services. UK officials explained that the contract covers court-appointed guardians for patients who cannot make medical decisions and are not eligible for state guardianship, with the work funded by UK Medical Center agency dollars rather than the general fund. Members questioned the large increase in the not-to-exceed amount, the number of cases, the hourly billing structure, and whether there are safeguards to prevent unnecessary costs or reimbursement issues if a patient later has resources. UK said the increase reflects shifting work from a prior firm, anticipated new cases, a move from a monthly fee to hourly billing, and the need for a second firm because one prior attorney died and another firm has had difficulty appearing in court promptly. The committee ultimately approved the contract, while Senator Thomas said he would vote aye but urged future review of attorney fee limits and broader guardianship statutes, which he described as outdated and inconsistent.
The committee then deferred three Office of Energy Policy memorandum of agreement items to the November 2025 meeting without objection. After that, it approved the remaining agenda items, including the contract lists and deferred items not separately selected for review.
The final major item was a University of Kentucky personal services contract related to fundraising and philanthropic outreach. UK representatives said the contract supports marketing and donor engagement efforts to grow the university’s endowment pipeline and philanthropic support. The transcript cuts off before the committee finished its questions or took final action on that item.
MN
Minnesota 2025-2026 Regular Session
Minnesota House bill proposes mandating environmental reviews for large-scale feedlot facilities Apr 9th, 2026
Minnesota House Floor Meeting
Transcript Highlights:
- Just this week, MPR ran a story on a proposed expansion of West River Dairy outside Morris in Stevens
- of West River on a proposed expansion of West River Dairy<00:04:05.520><c> outside</c><00:04:06.000>
- We know this is happening now with this proposed expansion.
- Um the MPCA will be proposed expansion.
- Um if you are this proposed expansion.
NH
New Hampshire 2025 Regular Session
House Environment and Agriculture (05/13/2025)
Transcript Highlights:
- And the site committee will, as it should, eventually evaluate major landfill expansions.
- And the site committee will, as it should, eventually evaluate major landfill expansions.
- And the site committee will, as it should, eventually evaluate major landfill expansions.
- </c><00:33:42.559><c> that</c> unpermitted expansions that unpermitted expansions that that<00:33:44.320
- </c><00:33:53.279><c> in</c> development would be the expansion in development would be the expansion
Summary:
The Environment and Agriculture Committee held a hearing on a non-germane amendment to SB 302, a Senate bill originally requiring background checks for solid waste and hazardous waste facility owners. Representative Patenza explained that the amendment was intended to preserve and separate out language developed for the governor’s budget proposal and HB 2 concerning a solid waste facility site evaluation committee, a moratorium, and related public-benefit/site-benefit provisions, so the policy would still have a vehicle if the budget language did not advance. He said the proposal reflects extensive work by the House, the governor’s office, and DES, and he was open to further changes to align with any budget conference committee outcome.
Dr. Adam Finkele testified in support of the amendment and the underlying site evaluation concept, arguing that landfill siting decisions should be based on cost-benefit analysis that includes public harms, local impacts, and regional impacts rather than only private benefits. He praised the committee process and prior legislation requiring agencies to respond substantively to public comments, and said the new language improves on the governor’s version by moving the committee’s review earlier in the process and requiring more complete application information, including alternatives and impacts on nearby wells and aquifers. He also supported a three-year moratorium on new landfill applications, saying it would give the state time to address leachate, PFAS, waste reduction, and weak siting rules.
Members asked about possible conference committee changes, the value of having a separate review body, and whether the new rules would invite litigation. Dr. Finkele said he would likely sue over the rules because he считает them too weak, but also said the legislature could fix the problems through other bills such as HB 77. He acknowledged that the site evaluation committee is not a perfect solution, but said it is a useful intermediate step between the agency and the courts and likely would meet only rarely if capacity need remains the main trigger for future landfill decisions. No vote or final action was taken during the hearing.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 2 on Human Services Feb 26th, 2025
Transcript Highlights:
- This significant increase is largely due to an expansion in 2019 of CalFresh eligibility, which allowed
- The state-funded expansion is on track to implement on October 1, 2027.
- The expansion of CalFresh benefits to Supplemental Security Income recipients, as you just heard about
- And as a reminder, Again, that was agreed upon in the June 2024 budget to delay that expansion.
- So that's the thinking behind that expansion.
AR
Transcript Highlights:
- So this is an expansion. It's not so much a RIF.
- We want to be able to continue the expansion of those services to veterans.
- So this is an expansion. It's not so much a RIF. So these are positions. Cemeteries.
- So this is an expansion. It's not so much a RIF.
- We want to be able to continue the expansion of those services to veterans.
Committee:
All ALC-PERSONNEL
Summary:
The committee first reviewed several personnel actions. It approved the Arkansas State Police request to swap three corporal positions for three lieutenant positions to supervise increased trooper staffing along the I-40 corridor, with no net increase in positions and an estimated cost of $89,000 from general revenue. It also approved Arkansas State University-Jonesboro’s request for three project/program administrator pool positions to support the new College of Veterinary Medicine, and approved the Department of Commerce Economic Development Commission’s request for an extra help position tied to Infrastructure Investment Jobs Act work. One item was pulled from consideration.
The committee then received a report on a reduction in force at the Department of Veterans Affairs that eliminated six positions. Senator Petty asked for reassurance that veterans’ services would not be harmed, and VA Secretary Colonel Rob Ader explained that the action was part of a broader restructuring rather than a simple cut, intended to realign the agency, free resources, and expand services such as a new continuum-of-care program, veteran employment support, and stronger coordination with employers as veterans transition out of service. He said the agency also expected to save money.
Members also questioned VA officials about the impact on county and district veteran service officers and about severance and retirement implications for affected employees. VA officials said the county VSO program remains in place, with efforts underway to improve training, supervision, and consistency across counties, including reporting to county judges. They also explained that severance is based on years of service, is not recouped if an employee later takes another state job, and that retirement eligibility and early-retirement penalties would still apply under existing rules. The committee took no further action after the reports and adjourned.
MO
Missouri 2026 Regular Session
Commerce Apr 1st, 2026
Commerce, Consumer Protection, Energy and the Environment
Transcript Highlights:
- As other people thought this through, it's not too expansive then, is it?
- has people thought it through on higher pay grades than mine, saying, is there any reason it's too expansive
- As other people thought this through, it's not too expansive then, is it?
- Yeah, I would say necessarily expansive to ensure that we're able to accommodate all of those entities
- It is an expansion to exactly what we need to provide coverage for everyone that could be at risk.
Summary:
The Commerce Committee first met in executive session and considered a substitute for Senate Bill 973. Members adopted an amendment that revised the bill’s title and removed language tied to “certain written disclosures” and a two-year unused-facilities requirement from related school property language. After adopting the amendment and rolling it into the House Committee substitute, the committee voted the bill do pass by a 6-3 roll call vote.
The committee then held a public hearing on Senate Bill 907 and related bills, dealing with abusive website access litigation. Senator Brad Hudson said the measure targets a single plaintiff’s pattern of threatening businesses with ADA-related website lawsuits and settlements, and explained changes made to refine definitions and extend coverage to political subdivisions. Witnesses from the Missouri Chamber, NFIB, Associated Industries of Missouri, the Columbia Chamber, the Missouri Insurance Coalition, and the Missouri Broadband Providers Association testified in support, describing the suits as costly and coercive for small businesses and nonprofits.
Members questioned the scope of the bill, including whether it should also cover churches and nonprofits, and whether the “good faith” standard in the Senate version was too vague or burdensome. A committee attorney explained that good faith would likely be a fact-based issue decided by a court under a preponderance standard. Several members expressed support for narrowing the bill to avoid broader tort reform, while others raised concerns about litigation costs and the lack of an early mechanism to stop abusive suits. No opposition testimony was presented, and the committee adjourned after the hearing.
ID
Idaho 2026 Regular Session
Mar 3rd, 2026
Transcript Highlights:
- This is related to the new requirement for work and community engagement for the expansion population
- H.R. 1 requires semi-annual redeterminations for the expansion population going forward.
- House Bill 345 also had an impact on the expansion population redetermination.
- House Bill 345 also had an impact on the expansion population redetermination.
- Add $1,868,400 for Medicaid expansion work requirements.
Summary:
The committee took up a series of Idaho Department of Corrections budget supplementals and FY 2027 enhancement requests. Members approved supplemental or ongoing funding for Hepatitis C treatment authority, county and out-of-state placement costs, medical services, management services replacement items and IT hardware, state prisons replacement items, and community corrections replacement items, with several motions passing by due pass recommendation after roll calls. In community corrections, the committee approved a reduced amount that excluded some vehicle replacements. The committee also approved a technical correction to the college and university budget to restore four FTP that had been omitted from yesterday’s motion.
The committee then considered several Department of Health and Welfare items. It approved a budget-neutral fund source change for substance abuse treatment and prevention, moving $650,000 from the Liquor Control Fund to the Cooperative Welfare Dedicated Fund. In the Division of Welfare, members discussed SNAP administrative cost changes tied to H.R. 1, Medicaid expansion work requirements, and Medicaid eligibility system changes; the motion to fund all three items failed in the House committee, so no language advanced. The committee also approved psychiatric hospitalization supplemental funding to shift Idaho Behavioral Health Plan revenue from federal funds to dedicated funds.
For FY 2027 mental health services, the committee approved a compromise package that reduced funding for a juvenile corrections clinical transfer and restored some mental health services staffing and Idaho Behavioral Health Plan costs, while adding Allenbaugh House funding through opioid settlement dollars. It also adopted language allowing certain transfers under state law and requiring separate reporting for children’s and adult mental health spending under the Idaho Behavioral Health Plan. For psychiatric hospitalization, the committee approved ongoing fund shifts for employee benefits, the Idaho Behavioral Health Plan, replacement items, and endowment fund adjustments. The meeting ended with notice of upcoming budget-setting work and a reminder for members to get any new motions to staff by early afternoon.
WA
Washington 2025-2026 Regular Session
House Education Feb 2nd, 2026
Transcript Highlights:
- So this is just a modest expansion of that policy, which I'm in favor of. ...bill last week.
- So this is just a modest expansion of that policy, which I'm in favor of.
- So this is just a modest expansion of that policy, which I'm in favor of.
- So this is just a modest expansion of that policy, which I'm in favor of.
- So this is just a modest expansion of that policy, which I'm in favor of.
Summary:
The House Education Committee met in executive session on seven bills, with a brief recognition of students shadowing Representative Steele before moving to bill action. Staff summarized measures dealing with competency-based graduation assessments (HB 2007), school-supplied albuterol and standing orders for asthma or respiratory symptoms (HB 2360), the Washington Local Food for Schools Program (HB 2369), surplus technology hardware for students (HB 2432), privacy protections for Education Ombuds complaint records (HB 2440), military family school enrollment and services (HB 2534), and special education evaluation timelines and parent access to reports (HB 2557). Several proposed amendments were discussed, including multiple null-and-void amendments tied to fiscal notes; most of those were rejected or withdrawn, while a substantive amendment to HB 2360 was adopted and an amendment to HB 2557 was adopted to adjust evaluation-report timing and related procedures.
In final action, the committee reported HB 2007, HB 2360 as a substitute bill, HB 2369, HB 2432, HB 2440, substitute HB 2534, and substitute HB 2557 out of committee with due pass recommendations. HB 2007’s null-and-void amendment failed, and the bill passed 19-0. HB 2360’s withdrawn amendment and adopted substitute language led to a 17-2 vote in favor. HB 2369’s null-and-void amendment failed and the bill passed 19-0. HB 2432 passed 16-3, with some members voting no or without recommendation. HB 2440 passed 12-7 after debate over privacy versus transparency. Substitute HB 2534 passed 19-0 after a voice vote. Substitute HB 2557 passed 19-0 after adoption of the timeline amendment and rejection of the null-and-void amendment.
Throughout the meeting, supporters emphasized student-centered flexibility, public health access in schools, support for local agriculture, access to surplus technology, privacy for families using the Ombuds Office, smoother transitions for military-connected students, and clearer special education timelines for parents. Opponents or cautious members raised concerns about fiscal impacts, transparency, implementation details, and whether some changes should be handled in fiscal committees rather than policy committee.
NM
New Mexico 2026 Regular Session
House - Appropriations and Finance Jan 30th, 2026 at 09:51 am
House Appropriations & Finance
Transcript Highlights:
- The residency is a new expansion this year that there is some to UNM.
- There's 19.9 for early pre-K expansion, and we'll get to the language on saturation in a moment.
- But expansion of pre-K and early pre-K would continue. Mr.
- Chair, but expansion of pre-K and early pre-K would continue untouched. That would continue, Mr.
- This is more expansive with the new $30 million for the next three years.
Committee:
House House Appropriations & Finance
WA
Washington 2025-2026 Regular Session
Joint Select Committee on Health Care and Behavioral Health Oversight Dec 3rd, 2025
Joint Select Committee on Health Care and Behavioral Health Oversight
Transcript Highlights:
- So after we did a lot of those expansions with the Affordable Care Act in 2010 and a few years after
- for Apple Health expansion, which covers some gap populations that are not eligible for Medicaid, some
- So after we did a lot of those expansions with the Affordable Care Act, present.
- So after we did a lot of those expansions with the Affordable Care Act 2010 and a few years after that
- for Apple Health experience. cost transparency board, a new coverage expansion for Apple Health expansion
Summary:
The committee first welcomed new DSHS Secretary Angela Ramirez, who introduced herself and described her background in public service, federal and state legislative work, and health and human services leadership. Members emphasized the importance of building strong relationships with her and noted her focus on protecting services, using strategic approaches in a tight budget environment, and improving partnerships with the Legislature. Ramirez said she wanted to keep communication open and that her priorities would be shaped by what she learns from lawmakers and agency partners.
The next work session focused on the West Coast Health Alliance and the broader Governor’s Public Health Alliance. Department of Health and governor’s office staff said the West Coast alliance, involving Washington, Oregon, California, and Hawaii, was formed to coordinate science-based public health guidance, especially around vaccines, return-to-work guidance, and responses to federal changes. They said the alliance is intended to reduce confusion, counter misinformation, and preserve access to evidence-based recommendations, with early actions including vaccine guidance for COVID-19, flu, and RSV, a statement rejecting any vaccine-autism link, and preparation for possible ACIP changes. Members asked about workload and coordination with other regional alliances, and staff said there is informal coordination but no formal regular meetings.
The committee then heard from the Washington State Health Benefit Exchange about open enrollment and the effects of federal policy changes. Exchange leaders said the expiration of enhanced premium tax credits, HR1 provisions, and immigration-related eligibility changes are affecting affordability and enrollment, with some customers facing large premium increases and some counties becoming harder to serve. They reported early open-enrollment traffic increases, nearly 10,000 new sign-ups, and nearly 12,000 active coverage drops so far, while noting that many more people may disenroll later if subsidies are not extended. They also described mitigation efforts such as silver loading, Cascade Care Savings, outreach through navigators and community partners, and planning for future HR1 requirements like ending auto-renewal and adding verification steps.
In the final work session, staff from the Health Care Authority and Insurance Commissioner’s office reviewed Washington’s health reform history and the state’s current affordability and access efforts. They highlighted past ACA-related coverage gains, continued work on prescription drug affordability, PBM oversight, primary care and behavioral health access, and a pending legislative proposal to preserve access to preventive services. They also discussed federal changes affecting Medicaid and the exchange, including work requirements, six-month redeterminations, and the need to coordinate across agencies to implement new rules. Members raised concerns about network adequacy, provider access, and the complexity of the health care system, while staff said they are trying to mitigate harm, simplify administration, and keep coverage and access as stable as possible.
CA
California 2025-2026 Regular Session
Assembly Health Committee Jan 27th, 2026
Transcript Highlights:
- I won't go through this in detail, but here you can see a full timeline of the coverage expansions that
- These were part of expansions under the Affordable Care Act and also undocumented populations, too.
- The Medi-Cal expansions over time have enabled the county to The Medi-Cal expansions over time have enabled
- DHCS estimates 4.6 million ACA optional expansion adults will be affected statewide.
- However, the administration proposes to amplify federal cuts by being more expansive.
Summary:
The Assembly Health Committee held an informational hearing on the impact of federal H.R. 1 and related state budget actions on California’s health care system. Opening remarks framed the federal changes as a major threat to Medi-Cal, Covered California, hospitals, clinics, and the broader safety net, with warnings that millions could lose coverage and that costs would shift to providers, counties, and consumers. Testimony from the California Health Care Foundation and the Legislative Analyst’s Office focused on implementation challenges, the administrative burden of work requirements and more frequent renewals, the loss of federal funding, and the need for California to consider long-term structural changes to Medi-Cal, county safety-net programs, and cost containment.
A Covered California enrollee, Chas Franklin, described sharply rising premiums for his family after losing subsidies, illustrating the personal impact of federal policy changes. Committee members raised concerns about whether premium increases were driven by H.R. 1 or insurer pricing, the cost of rebuilding county-based indigent care systems, and the need to account for the cost of inaction. Dr. Hernandez pointed to pre-ACA models such as Healthy San Francisco as examples of coordinated local safety-net care, while also emphasizing the importance of primary care, data interoperability, and the Office of Health Care Affordability in reducing waste and improving access.
Department of Health Care Services officials then outlined the state’s implementation plan for H.R. 1, including work requirements, six-month redeterminations, reduced retroactive coverage, cost-sharing, and immigration-related eligibility changes. They said the department would try to automate eligibility checks, expand outreach, and train counties and partners, but estimated up to 2 million Californians could lose coverage over time. Covered California reported that the expiration of enhanced federal premium tax credits and new federal marketplace rules are already raising costs and reducing enrollment, with an estimated 400,000 enrollees at risk of dropping coverage. County, hospital, and safety-net representatives warned that coverage losses will increase uncompensated care and strain local systems, while one coalition proposed a temporary state-funded coverage option as a bridge if full-scope Medi-Cal cannot be maintained. The hearing concluded with a policy analyst urging stakeholder engagement, immigrant protections, and new state revenue options to preserve coverage and offset federal cuts.