Transcript Highlights:

• fully funds Florida's $34.8 billion Medicaid program to serve an anticipated 4.8 million Medicaid beneficiaries

Summary: The Health Care Budget Subcommittee began with a roll call confirming a quorum, then heard a presentation of the proposed health care budget. The chair said the overall health care budget would total $46.7 billion, a 2.1% decrease in total spending and a 3% increase in general revenue, while reducing 3,585 state FTE. He highlighted funding for Medicaid, KidCare, developmental disabilities services, opioid settlement spending, mental health facilities, senior services, school health nurses, veterans’ dental care, and veterans nursing home improvements. The chair also presented PCB HCB 25-01, a conforming bill that eliminates the Health Care Innovation Program, the Health Care Innovation Council, and the revolving loan program; makes changes to cancer research and graduate medical education provisions; and adjusts Medicaid rebate-related language. The conforming bill passed favorably after no questions, public testimony, or debate. The committee then considered CS/HB 47 on child care. The bill, as explained by Rep. McFarland, would reduce regulation for child care providers in good standing, speed background screening for child care workers, allow provisional hiring status in some cases, create license-exempt status for certain employer-provided child care facilities and DOD child care facilities, and remove outdated paperwork requirements such as the flu brochure. An amendment restored language protecting large family child care homes from being dropped by residential insurers and cleaned up statutory language; it was adopted. Members debated the bill at length, with supporters emphasizing common-sense deregulation and helping working parents, while some members raised concerns about safety, early learning quality, and the loss of informational reminders to parents. The bill was reported favorably. The subcommittee also heard HB 1553 on a uterine fibroid research database. Rep. Dunkley explained that the bill would require health care providers to submit identified fibroid data to DOH so it can be de-identified for a research database, after the department had been unable to use prior de-identified submissions reliably. An amendment removed the current appropriation and was adopted. Members spoke in strong support, noting the prevalence of fibroids and the value of better diagnosis and treatment data. The bill passed favorably. Finally, the committee heard HB 1529, which addresses the home health aide program for medically fragile children. Rep. Tremont said the bill would direct AHCA to seek a federal waiver so parents’ earnings from caring for their children would not count against Medicaid eligibility, and would revise training requirements and remove mandated annual program assessments. The bill drew supportive public testimony from home care stakeholders, had no debate, and was reported favorably. The meeting then adjourned.

Transcript Highlights:

• Part of our money that we're investing, the company holds it, and then. pays it out to his beneficiary

Bills: HB201 , HB272 , HB618 , HB 1094 , HB 1142 , HB201 , HB272

Committee: House Pensions, Investments & Financial Services

Keywords: financial crime, card fraud, motor fuel theft, law enforcement, criminal activity, skimmers, prevention, training, credit card fraud, debit card fraud, prosecution, illegal possession, state law, HB 618, Texas insurance code, IVF, in vitro fertilization, fertility treatment, infertility coverage, government employee health benefits

Transcript Highlights:

• He pointed to the New Hampshire Food Bank as an example, saying that in October it kept SNAP beneficiaries
• 03:14:57.040><c> SNAP</c> example, back in October kept SNAP example, back in October kept SNAP beneficiaries
• whole</c><03:14:58.960><c> after</c><03:14:59.279><c> our</c><03:14:59.520><c> government</c> beneficiaries
• whole after our government beneficiaries whole after our government rescended<03:15:00.319><c> their
• </c><03:15:18.880><c> New</c> beneficiaries during that week. New beneficiaries during that week.

Committee: House Ways and Means

Transcript Highlights:

• children are harmed by their products, through algorithms, recommendations, direct messages, and design
• their products, through their products, harmed from algorithms, recommendations, direct messages, and design
• It's about corporate conduct, product design, algorithms, recommendations, direct messaging systems,
• The beneficiaries are men who use a quote-unquote female identity as a key to unlock female spaces and
• The whole design here is that this isn't discoverable federal information, that this isn't going to be

Summary: The committee began as a subcommittee due to the lack of a quorum and heard several privacy- and technology-related measures. The first item was H.R. 117, a resolution urging Congress to reform Section 230 of the Communications Decency Act. The author and supporters argued the law is outdated and shields platforms from accountability for harms such as harassment, exploitation, scams, and other online abuse. Witnesses, including a survivor parent and a gender justice advocate, described harms to children, women, and LGBTQ people and urged a two-year sunset to force federal reform. Some members supported the resolution as a call for federal action, while one member said he could not support it because the resolution was too general and lacked specificity about the reforms being sought. No vote was taken because the committee lacked a quorum. The committee then heard SB 898, which would require manufacturers of connected consumer products to disclose how long they will support the software and to notify consumers when products approach end of life. The author said consumers deserve transparency about security updates and continued functionality, and supporters from Consumer Reports and PIRG emphasized cybersecurity risks, consumer confusion, and electronic waste from unsupported devices. Opponents, including business and industry groups, raised concerns about enforcement through the unfair competition law, notice burdens, labeling issues, and compliance challenges, especially for products with long support windows or third-party dependencies. One member expressed support, noting the cybersecurity risks of end-of-life devices, but again no vote was taken because there was no quorum. The committee also heard SB 435, which would narrow the CCPA definition of publicly available information to limit how businesses classify data as public. The author and supporters said the bill would close a loophole that allows data brokers and others to monetize personal information without meaningful consent and could help prevent surveillance and misuse of data, including by government agencies. Opponents argued the bill would upset the balance between privacy and the free flow of information, create compliance uncertainty, and retroactively reclassify information that businesses reasonably believed was public. Some members said they supported the goal of stronger privacy protections, while others said the bill was too broad. The committee again could not vote due to the lack of a quorum. Later, the committee heard SB 923, which would expand Californians’ right to delete personal information to cover data obtained from third parties and require online businesses to offer a web form or similar method for deletion requests. Supporters, including the California Privacy Protection Agency and consumer advocates, said the bill would make deletion rights meaningful and better address data broker practices. Opponents sought an opt-out-of-processing alternative and raised operational and legal concerns, but supporters said deletion is not the same as retention or processing limits. Members largely spoke in favor of the bill’s privacy goals, but no action was taken. The committee also heard SB 947, the “No Robo Bosses Act,” which would require human review for certain automated employment decisions and limit predictive analysis in workplace discipline and termination. Labor groups supported the bill as a safeguard against biased or erroneous AI-driven decisions, while business, public employer, and local government groups opposed it as overbroad and burdensome. Members voiced support for human oversight in employment decisions, but the item was not voted on because the committee still lacked a quorum. Finally, the committee began hearing SB 1114, the SOGI Data Privacy Act, which would restrict disclosure of sexual orientation, gender identity, and intersex data to federal agencies absent a court order or legal requirement; the author and witness framed it as a response to federal efforts to obtain sensitive LGBTQ-related data.

Transcript Highlights:

• So who has been the beneficiary of those? It's been the community colleges as well.
• So who has been the beneficiary of those? It's been the community colleges as well.
• There's a lot of the, you know, legislatively designated projects that we've put in over the last several

Transcript Highlights:

• money as a transfer and then we use it to provide programs, and those programs are eligible for beneficiaries
• ratios, we will go to the staffing contracts so that we do not jeopardize the health of any of our beneficiaries
• Actually, there is some special language that does designate how some TANF funds are spent.

Committee: All JOINT BUDGET COMMITTEE

Summary: The committee heard budget presentations and took executive recommendations on several Department of Human Services divisions, including Aging, Adult and Behavioral Health Services; Children and Family Services; County Operations; Developmental Disability Services; and Medical Services, with most divisions showing little or no significant change in total appropriations. Staff and agency witnesses repeatedly explained that many large appropriations are maintained for flexibility, federal matching requirements, or contingency needs, even when actual spending is much lower than the authorized amount. Members also raised concerns about staffing vacancies, long-vacant budgeted positions, and the use of excess appropriation authority across DHS. In Aging, Adult and Behavioral Health, members questioned federal funding levels for mental health and substance abuse grants, the status of senior centers and Meals on Wheels, the Medicaid tobacco settlement program, community alcohol safety grants, and the veterans mental health grant. Agency officials said federal block grants are largely committed, that senior center funding had been delayed by shutdown timing but was now back on track, that the tobacco settlement program had been moved internally within DHS, and that the veterans mental health appropriation remains unfunded. Senators also criticized the adequacy of support for seniors and asked for more detail on how transportation, meal services, and local contributions are funded. In Children and Family Services, members asked about rising appropriation levels, foster care and adoption subsidies, professional fees, the number of children in foster care, and the Children’s Trust Fund. DHS said increases reflect added flexibility for residential treatment, adoption subsidies, and prevention services, while the foster care population has remained fairly steady at about 3,400 children. The Children’s Trust Fund was described as supporting primary prevention programs such as Baby and Me and community schools, and members asked whether it could be administratively combined with other efforts. Questions also covered TANF subgrants, with DHS explaining that it had reduced outside subgrants after discovering over-obligation and was rebuilding reserves. In County Operations, members focused on the summer EBT program, SNAP employment and training, the farmer’s market program, and the state’s TANF reserve position. DHS said summer EBT is still being funded through temporary appropriations because it is a newer program, SNAP employment and training is largely federally funded and may expand under a pending policy change, and TANF reserves were drawn down after prior over-obligation but are now being stabilized. In Developmental Disability Services, members asked about vacancies, human development center staffing, facility construction funds, and the Booneville work program, and DHS said the program has reopened and staffing recruitment continues. In Medical Services, members asked about FMAP, the Our Kids B CHIP program, school-based Medicaid reimbursements, nursing home distress funds, and several large appropriation lines that far exceed actual spending; DHS said these are maintained for claims payment, nursing home receivership contingencies, and other flexibility needs. Each division reviewed was adopted by executive recommendation after questions concluded.

Transcript Highlights:

• And the seasonal communities designation was designed to recognize Massachusetts communities that experienced
• If you're a homeowner, we're right now sponsoring a design challenge where we're bringing together designers
• If you're a homeowner, we're right now sponsoring a design challenge where we're bringing together designers
• and Bringing together designers to say, what would an ADU look like for you?
• And that design challenge will make that design available to any homeowner who may want it.

Committee: Joint Joint Committee on Ways and Means

Summary: The hearing in Barnstable opened with remarks from the House and Senate co-chairs about the importance of holding Ways and Means budget hearings on the Cape, especially given the region’s seasonal economy and infrastructure needs. The committee then heard testimony from Labor and Workforce Development Secretary Lauren Jones on the governor’s FY27 budget proposal. She highlighted funding for workforce programs including the Workforce Competitiveness Trust Fund, Career Technical Initiative, registered apprenticeship, YouthWorks, reentry workforce programs, and services for young adults with disabilities. She also discussed MassHire career centers, the MassHire Innovation Project, and the Department of Unemployment Assistance modernization effort, noting improved call wait times and claims processing, but acknowledging continued challenges and federal funding uncertainty. Members asked about job-seeker barriers such as child care, housing, and transportation; domestic outmigration of young workers; youth work permits; unemployment insurance costs and the COVID assessment on employers; and the state’s unemployment rate and UI trust fund solvency. Jones and Undersecretary Josh Cutler explained the difference between workforce training funds and the unemployment trust fund, described the statewide trigger that extends unemployment benefits from 26 to 30 weeks when regional unemployment averages 5.2 percent, and said the administration is reviewing the trust fund with labor and business stakeholders. They also said the administration is trying to preserve front-line DUA staffing while shifting resources to customer service and adjudication, including a Friday adjudication pilot and seasonal hires. Senators and representatives also pressed the administration on regional equity in workforce funding, especially for Hampshire Franklin MassHire, which was described as serving a large rural area with fewer resources than other regions. Administration officials said they are reviewing MassHire funding formulas and modernizing the system with a policy committee and state workforce board input, but did not offer an immediate fix. The committee also heard that early childhood education apprenticeships are expanding quickly, with state funding leveraged to secure federal grants and support new Grow Awards. The hearing then moved to the Executive Office of Economic Development, where Secretary Eric Paley outlined House 2 proposals for economic development, including support for the Community One Stop for Growth, rural economic development, workforce partnerships, life sciences, advanced manufacturing, AI, small business assistance, tourism, and tax incentives. Undersecretary Leila D’Amilia followed with testimony on consumer affairs and business regulation, describing funding for consumer protection, banking oversight, occupational licensure, and public safety inspections.

Transcript Highlights:

• children are harmed by their products, through algorithms, recommendations, direct messages, and design
• their products, through their products, harmed from algorithms, recommendations, direct messages, and design
• It's about corporate conduct, product design, algorithms, recommendations, direct messaging systems,
• The beneficiaries are men who use a quote-unquote female identity as a key to unlock female spaces and
• But the whole design here is that this isn't discoverable federal information, that this isn't going

Committee: House Privacy and Consumer Protection

Transcript Highlights:

• It is a home environment where there are bedrooms, a kitchen, a living room, and designated space.
• We have three different shifts currently, and they would be designated specifically to stay with kids
• And so we're hoping, one, with the designated positions that we have to stay with kids in the office.
• And so it comes through our statewide central intake, but it's a designated unit within SCI.
• And so we now have gone through the majority of design with our team.

Transcript Highlights:

• Audits are not a weapon; they're simply to show whether a system is operating as designed or if it's
• to identify that defect and assist the operator in correcting the defect so that it operates as designed
• It does not have any design scope to go and look a step further at those.
• It does not have any design scope to go and look a step further at those subrecipients or any processes
• And so this audit scope will contemplate looking at these providers as recipients, as beneficiaries,

Committee: Joint Joint Legislative Audit Committee

Transcript Highlights:

• These reforms were designed to prevent independent closures, narrow payment disparities, standardize
• This bill is designed to stimulate that discussion and hopefully craft a solution where these clinics
• But it's still not an easy process, especially when we come to things like beneficiaries and who has
• They're designed to help food entrepreneurs overcome entry barriers that make it incredibly challenging
• Are there any other states that have taken away the non-lactational designation?

Committee: House Health and Welfare

Summary: The committee met on April 1 and considered several health-related bills and one resolution. HB 933, by Rep. Charles Owen, would create commemorative birth certificates and adjust vital records fees; after adopting a technical amendment, the committee reported the bill favorably. HB 288, by Rep. Boyer, would require the term “miscarriage” to appear alongside “spontaneous abortion” in medical documentation and billing; after an amendment changed the bill from mandatory “shall” language to permissive “may,” the committee heard emotional testimony both in support and opposition and then reported the bill favorably as amended. HB 420, by Rep. Berault, would require criminal background checks and registry review for all DCFS employees, not just those with direct contact with children; it was reported favorably. The committee also voluntarily deferred HB 927 and HB 962. The committee then heard HB 971, by Rep. Stagney, which seeks to equalize Medicaid reimbursement rates for independent rural health clinics and hospital-owned provider-based clinics. Supporters, including clinic owners and practitioners, testified that independent clinics provide the same services under the same rules but receive far lower reimbursement, making it difficult to retain staff and avoid sale to hospital systems. The author said the bill is intended to prompt discussion and eventual parity without harming hospitals, and the committee reported the bill favorably. HB 815, by Rep. Carver, would allow federally insured financial institutions to receive death certificate information from vital records to reduce losses and help reconcile account issues after a death; credit union representatives supported the measure, and it was reported favorably. The committee also adopted HR 74, by Rep. Sterling, which urges the Department of Education and local school authorities to report on how schools accommodate students with seizure disorders. Sterling described personal experience with epilepsy and said the resolution is meant to gather data on implementation of existing seizure action plan law and identify gaps in access to rescue medication and training. Finally, the committee took up HB 915, by Rep. Dickerson, which would place Medicaid prior authorization and utilization management timelines into statute. After technical and substantive amendments, including changing some deadlines from five business days to seven calendar days, the bill drew support from providers and health groups concerned about delays in care, and the committee reported it favorably as amended. The committee also began consideration of HB 944, by Rep. Hilferty, creating a women’s consortium within LDH focused on menopause and related women’s health issues; technical amendments were adopted and testimony emphasized coordination of existing research and resources, but the transcript cuts off before final action on that bill.

Transcript Highlights:

• Subsidies for individuals on the private health care exchanges were designed to lower the out-of-pocket
• block are our federal mineral leasing payments that come to the state, of which we are an outsized beneficiary
• So before I close on slide 15, just to summarize our FY27 budget, it's really designed to do 3 things
• But if you have a well-designed portfolio—and we did a lot of research with our consultant as to what
• a well-designed portfolio looks like—and we are now developing that.

Transcript Highlights:

• Moreover, many of these courses are designed to push one-sided narratives and contradict critical thinking
• In addition, SB37 by design provides a framework to foster more cohesiveness... ...and perhaps even solidarity
• So it's clear what the design is. If there were other means, I think there would be better...
• the U.S. to assume, from the vantage point of those in Latin America, where the term 'America' designates
• And I say the following as a beneficiary of a liberal arts education myself, thanks in part to UT.

Bills: SB 37

Committee: House Higher Education

Keywords: fetal development, education, public health curriculum, middle school, age-appropriate instruction

Transcript Highlights:

• bring together experts, educators, public health leaders, community organizations, and coaches to design
• , crew, costume designers, journeypersons, carpenters, and laborers.
• Brigida Romanov, the executive director of the Costume Designers Guild, IATSE Local 892.
• Brigida Romanov, the executive director of the Costume Designers Guild, IATSE Local 892.
• They're not the ones that are the main beneficiaries of this bill.

Summary: The committee heard AB 749, which would create a blue ribbon commission to study equitable access to youth sports and recommend a statewide framework, including coaching standards, PE modernization, and funding models to reduce barriers for families. The author and supporters, including youth sports advocates, educators, coaches, and former athletes, argued that sports improve health, school engagement, and long-term opportunity, while noting racial and income disparities in participation. One member raised concerns that a new commission could add cost and regulatory burdens, but the bill was framed as a study measure rather than immediate regulation. The committee also took up AB 549, aimed at coordinating state and local security planning for major upcoming sporting events such as the FIFA World Cup, Super Bowl, and Olympic and Paralympic Games. Supporters said the bill would improve interagency coordination, protect visitors and communities, and help prevent human trafficking and discrimination during mega-events. Members discussed the need to avoid over-policing and to center community values, but the bill advanced on a due pass recommendation to Appropriations. AB 1291 addressed ticket purchasing for concerts, sports, and other live events by requiring electronic proof of purchase and allowing it to be used for entry if a ticket cannot be accessed through no fault of the buyer. Supporters said the measure would give consumers more certainty and help address problems in a monopolized ticketing market, while opponents from venues, sports teams, and entertainment groups warned it could undermine anti-scalping tools, create security problems, and burden venues with duplicate or fraudulent proofs of purchase. The committee approved the bill on a due pass as amended basis to Privacy and Consumer Protection, with the roll held open for absent members. The consent calendar item, AB 644, was also approved.

Transcript Highlights:

• So they're very designated.
• We are currently in full programming, designing for the full design... that would produce 5 million seedlings
• What has been spent so far was on the design.
• If you need plan and design money, then let us give you the plan and design money.
• Years to design a bridge, then we just need to know that.

Transcript Highlights:

• Many of you know, my sister has Down syndrome, and our family and she have been direct beneficiaries
• After leaving the Navy, Ken worked in Montgomery, Alabama, helping design and develop 200 homes south

Summary: The Assembly convened after a quorum call, prayer, and pledge, then moved through a largely ceremonial and floor-action-heavy session. Early business included unanimous consent motions, removal of several Senate bills from the consent calendar, and recognition of the 2025-26 Assembly Fellows and California Council on Science and Technology Policy Fellows. The chamber also welcomed several student and community guests, including National Science Bowl champions from Mission San Jose High School and a group of fifth graders touring the Capitol. One concurrence item, AB 2106, was adopted 65-0 after the author explained Senate amendments expanding enhanced vote-vetting requirements to geologists and geophysicists. The floor then took up several resolutions and one appropriations bill. ACR 199 recognizing India’s Independence Day was adopted by voice vote after remarks highlighting Indian American contributions and the role of the Sikh community in India’s independence movement. HR 119 recognizing International Referees Day was adopted, with 59 coauthors added, and the chamber honored referee Marcia Barclay. HR 125 declaring August as Chicano Heritage Month was adopted with 61 coauthors, with members speaking about Chicano history, civil rights, military service, and economic contributions. ACR 221 on sudden cardiac arrest awareness among student athletes was adopted by voice vote, and AB 2597, an urgency appropriation bill paying specified claims against the state, passed 60-0 on both the urgency clause and the measure. The Assembly also adopted ACR 231 designating Coastal Stewardship Day, with members discussing coastal protection, wetlands, climate change, and marine ecology, and ACR 234 declaring California Wine Month, which passed after remarks on the wine industry’s economic importance and challenges. HR 126 proclaiming September as Suicide Prevention Awareness Month drew extensive, emotional testimony from the author and several members about suicide loss, youth mental health, LGBTQ+ youth, Native communities, and prevention resources; it was adopted with 63 coauthors. HR 127 recognizing Transgender History Month was also adopted after debate focused on transgender history in California, current attacks on transgender people, and the importance of dignity and safety; 47 coauthors were added. Finally, HR 129 recognizing Sarcoma Awareness Month passed with 60 coauthors after members discussed pediatric sarcoma, rare cancer awareness, and a cluster of Ewing sarcoma cases in South Orange County. The consent calendar, including ACR 233 on Sepsis Awareness Month, was adopted 63-0, and the chamber then moved toward adjournments in memory.

Transcript Highlights:

• So on the human services, you're leaking funds from administration that could be serving beneficiaries
• integrated service delivery, the regional approach We believe if you do pass any legislation, you would designate

Committee: All ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Summary: The meeting focused on a presentation by the Alliance for Opportunity on its audit of Arkansas’s workforce and public assistance systems. Rachel Barkley, Mason Bishop, and Les Ford described a fragmented structure in which workforce programs, human services programs, and education/training programs operate in silos. They cited Arkansas data showing about 202,000 prime-age adults not engaged in the workforce, more than a million people on Medicaid/CHIP, and over 10% of the population on SNAP, while noting the state’s low labor force participation rate. They also said Arkansas has built some useful infrastructure, including integrated eligibility systems and data-sharing capacity, but argued that these tools are not yet being used to create a coordinated path to work. The presenters said local workforce boards administer only a small share of workforce dollars, mainly WIOA Title I funds, and argued that one-stop centers are funded largely by WIOA and Wagner-Peyser while other programs contribute little to service delivery. They said site visits showed frontline staff often had to “Google” community resources because they lacked referral tools, and that customers and employers alike must navigate multiple doors and agencies. They emphasized that administrative costs, duplicated staffing, separate buildings, and multiple case management systems reduce the amount of money reaching training and direct services. They also noted that most training dollars were going to limited offerings such as CDL training, and that human services employment-and-training funds were largely going to administration or subgrantees rather than direct participant support. As a solution, the presenters recommended a “one door to work” model built around three areas: a consolidated administrative structure, integrated service delivery, and integrated finances. They proposed creating a single state workforce agency that could include some public assistance functions, using a statewide eligibility and intake system, expanding case management through tools like Hope Hub, and adopting a unified cost-allocation model similar to Utah’s. They said these changes could be pursued through legislation, executive action, and federal waivers, and argued that savings would come mainly from reduced management, buildings, and duplicated systems rather than frontline layoffs. Committee members asked about costs, staffing, rural access, business engagement, and whether other states had adopted similar models. The presenters pointed to Utah, Louisiana, and Virginia as examples or partial examples, and said they would provide additional data, including a final report at the end of the month and follow-up information on Utah outcomes.

Transcript Highlights:

• So to start off with for the overview, Health Care Authority is the designated single-state agency, which
• people during their pregnancy and postpartum period, some non-citizens, and some qualified Medicare beneficiaries

Committee: Senate Ways & Means

Summary: The committee held a work session to review how H.R. 1 would affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on state budget impacts and implementation challenges. Staff and agency officials explained Washington’s Medicaid financing, eligibility categories, caseload trends, and the role of managed care, then outlined H.R. 1 provisions affecting the expansion population, including work requirements, six-month redeterminations, changes to immigrant eligibility, reduced retroactive coverage, cost sharing, provider tax and state-directed payment limits, and penalties tied to eligibility error rates. Officials also described the need for major IT and systems changes across agencies, including the state’s existing CMS corrective action plan for automated renewals and the difficulty of implementing new federal requirements before guidance is finalized. Health Care Authority and DSHS witnesses said the expansion population would be most affected, with potential coverage losses for about 620,000 Apple Health expansion enrollees and additional impacts for some lawfully present immigrants and a smaller number of long-term care and developmental disability clients. They said many current enrollees already work, but the new requirements would create administrative barriers and could increase uninsured rates, emergency room use, and uncompensated care. Agency leaders also discussed the immediate prohibition on Medicaid funding for Planned Parenthood services, with the state planning to backfill about $11 million so clients can continue care. Members asked about FMAP comparisons, work requirement experiences in other states, waiver possibilities, definitions of exemptions, and whether the changes would affect COFA communities, rural areas, and behavioral health services. The committee then heard a separate presentation on H.R. 1’s food assistance provisions. DSHS said the bill would broaden SNAP work requirements, end certain immigrant eligibility for federal SNAP, eliminate SNAP-Ed, increase the state administrative match from 50% to 75%, and create a future state cost share for SNAP benefits based on payment error rates. Officials estimated a four-year fiscal impact of about $750 million, with significant costs tied to the immigrant eligibility shift, administrative match changes, and possible benefit cost sharing. DSHS also described the state’s integrated eligibility system and the large amount of work needed to update it across multiple quarterly releases while coordinating with other agencies. No votes or formal actions were taken.

Transcript Highlights:

• So to start off with the overview, Health Care Authority is the designated single-state agency, which
• people during their pregnancy and postpartum period, some non-citizens, and some qualified Medicare beneficiaries

Summary: The Ways and Means Committee held a work session to review how H.R. 1 (the One Big Beautiful Bill Act) could affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on implementation challenges, fiscal impacts, and likely coverage losses. Staff and agency officials explained Washington’s Medicaid financing structure, eligibility categories, caseload trends, and the role of the Health Care Authority and DSHS in administering Apple Health and related services. They also described how Medicaid expansion increased access to behavioral health services and how H.R. 1’s provisions are expected to affect the expansion population most directly. Health Care Authority and DSHS officials outlined several major H.R. 1 changes: new work and community engagement requirements for the Medicaid expansion population, six-month redeterminations instead of annual renewals, changes to immigrant eligibility, limits on provider taxes and state-directed payments, new cost-sharing requirements, reduced retroactive coverage, and changes affecting long-term care eligibility. They said Washington is still awaiting federal guidance on many details, but estimated that about 620,000 Apple Health expansion enrollees could be subject to work requirements, that roughly 30,000 immigrants could lose Medicaid eligibility under the new definition of qualified alien, and that some long-term care and developmental disability clients could be indirectly affected. Officials also said the state is working with other agencies to build shared verification systems and may seek a delay waiver, though they do not expect broad federal flexibility. The committee also heard that H.R. 1 immediately blocks Medicaid reimbursement for Planned Parenthood services for one year, with the state planning to backfill about $11 million to preserve access. In addition, officials warned that the law could reduce federal Medicaid revenue by billions over time and strain hospitals and emergency rooms as more people become uninsured. They noted that Washington’s rural health transformation grant application is due November 5 and could bring some funding, but not to offset coverage losses. No votes were taken; the session was informational only. The committee then heard a separate presentation on food assistance, where staff and DSHS described H.R. 1’s SNAP changes, including expanded work requirements, immigrant eligibility restrictions, higher state administrative costs, and a possible future state share of benefit costs tied to payment error rates. DSHS estimated a four-year fiscal impact of about $750 million for food assistance changes and said the state is working on system and policy changes across agencies before the new requirements take effect.

Transcript Highlights:

• The TDLR web design staff really led that charge with the vet.
• There's also information about the revenue generated by the lottery for the state's beneficiaries, public

Committee: House Licensing & Administrative Procedures