Transcript Highlights:

• reasonable rates? reasonable rates?
• will result in just in reasonable rates? will result in just in reasonable rates?
• FK the rates roll projects.
• , rate, promise consumers a rate, rate, promise consumers a rate, and<04:05:14.239> then<04
• <04:29:39.359> return service, rate base and rate of return service, rate base and rate of

Keywords: 1189, house, all

Transcript Highlights:

• But the modern bottleneck we see with the finance, finance rates, interest rates, and everything in the
• rates for that project.
• So for Rates for that project. Next slide.
• We are a market-rate housing developer.
• For market-rate infill projects and most market-rate builders, CEQA still remains the single largest

Summary: The Assembly Select Committee on Housing Finance and Affordability held its first hearing of 2025 to examine California’s housing finance system, with opening remarks emphasizing the state’s severe housing shortage, high costs, and the need for practical recommendations to the Legislature and Governor. Co-chairs described the committee as an educational and problem-solving forum focused on financing housing production, first-time homeownership, mixed-income developments, and affordability across the income spectrum. Witnesses from state agencies and the development sector were invited to explain how housing is financed and where the system is breaking down. Panelists from the California Housing Partnership, the Business, Consumer Services and Housing Agency, the Tax Credit Allocation Committee/State Treasurer’s Office, CalHFA, and Related outlined the “capital stack” used to finance affordable housing, stressing that projects typically rely on multiple public and private sources, including federal and state low-income housing tax credits, tax-exempt bonds, state subsidies, local funds, and rental income. Speakers noted that affordable housing rents generally cannot support full project costs without public subsidy, and that recent federal changes—especially the expansion of the 4% and 9% tax credit programs and the reduction of the bond financing threshold for 4% credits—should allow California to finance substantially more units. CalHFA also described its homeownership programs, including My Home, Dream For All, and disaster-related mortgage assistance, as well as its multifamily lending and bond issuance programs. Several witnesses and committee members emphasized that the system remains too complex, too slow, and underfunded. They pointed to the need for more state funding, a housing bond, a permanent funding source, and better coordination among agencies, while also citing recent streamlining efforts such as AB 434’s SuperNOFA, AB 519’s one-stop-shop working group, and the planned California Housing and Homeless Agency reorganization. Members raised concerns about equity, access, missing-middle housing, gender and racial disparities, and whether current programs adequately serve extremely low-income households and those at risk of homelessness. No formal votes or actions were taken during the hearing; the discussion ended with committee members and witnesses agreeing that both funding and administrative reform are needed to increase production and improve affordability.

Transcript Highlights:

• And but when you look at comparison to other rates, uh, i.e., Tua's rates, are you saying that Tua's
• rates are lower than what the market might be?
• Um, is it true that Tua's rates haven't increased at the same rate as the private market has in the same
• So any rate needs to be actuarily sound.
• And once the rate is filed, the rate is the rate.

Transcript Highlights:

• They have a guaranteed rate of return.
• And they'd be willing to do it even for a lower rate of return.
• Regulatory certainty informs a big portion of our credit ratings.
• Bigger high-level issues to start talking to the general rate case.
• Yes, we want everybody to pay in rates.

Summary: The committee first heard SB 804, the Hydrogen Pipeline Safety Act, from Senator Arreguín. He said the bill would designate the State Fire Marshal as the safety regulator for intrastate hydrogen pipelines and require hydrogen-specific standards, while not mandating any pipeline construction or bypassing environmental review. Supporters included labor groups, utility employees, and the City of Burbank, while Air Products opposed unless amended, citing concerns about the bill’s specificity, fee structure, and the need for a hydrogen-specific rulemaking process. The committee discussed safety, fees, and regulatory certainty, and later passed SB 804 on a 9-0 vote to Emergency Management with commitment to take amendments. The committee then took up SB 905 by Senator Becker, aimed at reducing electricity rates by changing utility incentives. The bill would tie part of executive compensation to keeping rates below inflation, require more performance metrics, and allow the CPUC to consider lower returns on equity for certain lower-risk investments and alternative financing options. Support came from consumer, environmental, agricultural, and large energy user groups, while Southern California Edison, CalChamber, PG&E, and utility labor groups raised concerns that the bill could reduce investment, create regulatory uncertainty, and raise borrowing costs. After extensive discussion about utility affordability, wildfire costs, and capital markets, the committee passed SB 905 on a 7-1 vote to Appropriations. SB 913, also by Senator Becker, would create a clearer pathway for distributed energy resources such as batteries and smart thermostats to participate in the resource adequacy market and compete with utility-scale resources. Supporters said the bill would better use existing grid capacity, lower costs, and build on the state’s Demand Side Grid Support Program; PG&E opposed unless amended, saying the use case was not yet proven and was already being addressed in other rulemakings. After the committee accepted amendments, one opposition group moved to neutral and another said it might do so after reviewing the changes. The bill passed 8-0 to Appropriations and was placed on call. Several other measures were heard and advanced, including SB 1196 on faster utility hookups for small energization projects such as ADUs and EV chargers, SB 931 reauthorizing the Diablo Canyon Essential Services Mitigation Fund through 2028, SB 1158 reducing the frequency of joint reliability assessments from quarterly to twice yearly, and SB 1245 directing further study of California’s gasoline market and potential use of non-CARBOB fuel during supply disruptions. SB 1196 and SB 931 both passed with broad support and no opposition after amendments, SB 1158 passed without testimony, and SB 1245 drew strong support from consumer and environmental advocates but opposition from fuel industry and business groups concerned about costs, confidentiality, and fuel standards.

Transcript Highlights:

• traditional rate case recovery process. traditional rate case recovery process.
• burden of a new rate case. burden of a new rate case.
• rate rider. rate rider.
• been in rate cases and we disagree. been in rate cases and we disagree.
• to help them with their rate paying. to help them with their rate paying.

Keywords: 1187, senate, all

Transcript Highlights:

• rates.
• The old rate and the new rate, we raised it 25%. No, the new rate and the old rate.
• the rate 25% between the old rates. the rate 25% between the old rates.
• The old rate and the new rate, we raised The old rate and the new rate, we raised it<00:19:24.000
• to set rate methodologies for. to set rate methodologies for.

Keywords: 1187, senate, all

Transcript Highlights:

• understand what the uh approval of rates understand what the uh approval of rates process<00:53:
• <01:11:11.679> The lower rates for the members. The lower rates for the members.
• The companies propose their rates.
• The companies propose their rates.
• is going and that rates are adequate. is going and that rates are adequate.

Keywords: 1189, house, all

Summary: The subcommittee took up the pooled risk management program bill and reviewed a new amendment drafted with input from the Insurance Department and Legislative Services. Department witnesses explained that the proposal would move oversight of pooled risk management programs from the Secretary of State’s office to the Insurance Department, add a licensure requirement, preserve the programs’ non-insurer status, and exempt them from third-party administrator licensure. They also described a series of solvency tools in the draft, including financial reporting, risk-based capital standards, minimum capitalization, investment limits, commissioner examination and enforcement authority, rulemaking authority, merger and affiliate-transaction review, confidentiality protections, and a separability clause. A major theme of the discussion was that pooled risk management programs differ from commercial insurers because the risk remains with the member local governments rather than being backed by a state guarantee fund. Witnesses said the bill is designed to emphasize solvency over return of premium and to give the Insurance Department a regulatory “toolbox” to prevent insolvency, including a proposed $5 million excess or stop-loss coverage benchmark, optional accessible policies, and a requirement that boards vote on dividends or premium returns when capital exceeds 600% of risk-based capital. Members questioned how this approach differed from the original Secretary of State bill and whether assessments on towns would still be possible; the department responded that the new framework would allow more flexible oversight and alternatives to immediate court action. The committee also discussed why the statute should continue to say the programs are not insurers, with the department explaining that this preserves their autonomy and avoids applying unrelated insurance laws and premium taxes. Members asked about the department’s workload and were told the department believed it could absorb the new duties without additional funding. No vote or final committee action was taken in the portion provided.

Transcript Highlights:

• rate for different rates Commission sets rate for different rates for<01:14:41.880> different
• commercial rate versus uh versus rates commercial rate versus uh versus residential<01:24:57.119>
• than commercial rates.
• that<01:30:45.040> would rates versus commercial rates that would rates versus commercial
• There are distribution rates that are set through periodic rate cases.

Keywords: 1189, house, all

Transcript Highlights:

• So what this rates. That's not right.
• 5.7 times North Dakota's top rate, 3.7 times Iowa's flat rate, and 1.86 times Wisconsin's top rate, while
• The adoption of this rate would place Minnesota as the highest corporate tax rate in the country.
• While the word rate in the country.
• top tier rate in the country.

Keywords: 1187, senate, all

Transcript Highlights:

• Tax rates: every tax also has a rate.
• Many taxes have rates set as a percentage of the base, and some taxes have graduated rates.
• percentage<00:08:34.000> of rate um the rate is the percentage of rate um the rate is
• some taxes have a flat or per unit rate some taxes have a flat or per unit rate um<00:08:39.440>
• certain legislative actions State rate certain legislative actions State rate must<00:56:48.599>

Keywords: 1183, house

Summary: The House Tax Committee met for an organizational and orientation session. Members and staff introduced themselves, with several lawmakers noting their districts, business backgrounds, and interest in tax policy. Chair Greg Davids then opened the committee’s first substantive item: a presentation from House Research and House Fiscal staff on how the committee works and on basic tax concepts. House Research staff Sean Williams and Chris Clayman explained their roles in drafting bills and amendments, writing bill summaries, answering legal and policy questions, and modeling tax proposals. They also described the committee’s key documents, including partisan and nonpartisan bill summaries, revenue estimates, fiscal notes, and supporting materials. Their presentation covered core tax concepts such as tax bases, rates, deductions, exemptions, credits, tax revenues, and tax expenditures, emphasizing that tax expenditures function like spending through the tax code and are reviewed by a legislative commission. The staff then reviewed Minnesota’s major taxes, focusing on the individual income tax and business taxation. They explained that Minnesota’s individual income tax starts with federal adjusted gross income, then applies state additions, deductions, subtractions, and credits, and that the state’s income tax brackets and rates are set separately from federal law. They also outlined the difference between corporate franchise taxes for C corporations and individual income tax treatment for pass-through entities, and discussed how the federal SALT cap led Minnesota and other states to adopt pass-through entity taxes so businesses could preserve federal deductibility of state taxes. Members asked questions about a duplicate “marriage penalty” entry on a slide, the purpose of Minnesota’s marriage penalty credit, comparisons with other states, and the timing and effect of the pass-through entity tax; staff answered that the duplicate was a mistake, the credit offsets bracket-related marriage penalties, and the pass-through entity tax was adopted in response to the federal SALT cap.

Transcript Highlights:

• So this is just the rate piece, doing the rate increase for those three populations.
• Yes, that's what you call a bifurcated rate. They would be the two different rates.
• They get 80% of the physician rate; that’s just their rate.
• rates.
• We did not change the rates.

Summary: The committee reviewed a series of Arkansas DHS and Department of Health rules, most tied to 2025 legislation. Early items covered Medicaid changes including presumptive eligibility application timing, adding a fictive kin definition for foster child eligibility, raising the able account disability onset age to 46, allowing continuous glucose monitors to be billed by both pharmacy and DME providers, increasing the RSV vaccine administration fee for children, a telemedicine exemption for ET3 ambulance services, and a physical therapy access rule that also included occupational therapy. Members generally asked limited questions and most rules were reviewed without objection. A major portion of the meeting focused on the dental rate increase rule under Act 1025. DHS said it implemented rate increases for certain pediatric, special-needs, and oral surgeon services, but not orthodontics, and it interpreted the act as applying only to oral and maxillofacial surgeons, not general dentists. The Arkansas State Dental Association and legislative sponsors testified that the intent was to cover general dentists performing oral surgery procedures for special-needs patients, estimating the broader interpretation would add about $1.5 million annually. Committee members debated the plain language of the act versus legislative intent, and the rule was reviewed, but with testimony noting the issue should be fixed in future legislation. Later items included the Healthy Moms, Healthy Babies rule adding doula and lactation consultant billing and remote monitoring benefits; an adverse decisions rule extending provider appeal time from 35 to 65 days; CNA training program updates; PASSE network-status disclosure rules; certification rules for community-based doulas and community health workers; cosmetology, massage therapy, lead-based paint, radiation, radiologic technology, and RV park rule updates. Most of these were described as technical, statutory, or federally driven changes and were reviewed without objection. The committee briefly reopened the CGM rule after a motion to expunge the prior vote, and Representative Wardlaw said he would hold the rule for further review because he believed the billing changes did not match the law’s intent. The meeting ended with no further business and adjournment.

Transcript Highlights:

• So, um, there are some rates that are above 100% right now, and some are at 70% of the recommended rate
• that rate study.
• rate.
• Steve added that the rate study was what was in the budget, about the 70th percentile of that rate study
• rate.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services held its first meeting and received an overview from the Department for Medicaid Services on Medicaid’s behavioral health and substance use disorder services. Commissioner Lisa Lee and CFO Steve Beal said Kentucky Medicaid serves about 1.4 million members, including over half of Kentucky children, with 485,000 expansion members, more than 69,000 enrolled providers, and total fiscal year 2024 expenditures of $18.5 billion. They said Kentucky covers a broad range of behavioral health services, and behavioral health provider enrollment has grown from a little over 4,500 in 2019 to nearly 8,000 in 2024. They also described how Medicaid spending and utilization are tracked through claims and encounter data, with most members served through managed care organizations. Members focused on sharp increases in certain behavioral health billing codes, especially peer-to-peer services, and asked about reimbursement, utilization review, and whether the growth reflected increased need or expanded coverage. DMS said the rise was partly tied to combining facility and nonfacility behavioral health fee schedules in 2023, choosing the higher reimbursement rate to avoid cuts, and that the department has seen an uptick in peer-to-peer services. In response to concerns about overutilization, DMS said it mailed a letter to behavioral health providers, is considering limits and prior authorizations for some services, and plans to create a standardized monthly behavioral health report to monitor trends consistently and identify when controls may be needed. Lawmakers also asked whether the provider network is sufficient and whether access is adequate, especially for children. DMS said provider enrollment has expanded because behavioral health services were added to Medicaid in 2014 and because demand increased after COVID, but acknowledged studies showing children have less access than adults and said that would be an area of focus. The department said managed care organizations are required to ensure access to needed services and that current trends indicate access is available, though one member disagreed and said workforce shortages remain a major concern. Another member asked about non-emergency medical transportation spending, and DMS explained that it is handled through a capitated arrangement administered by the Transportation Cabinet rather than directly by the managed care organizations.

Transcript Highlights:

• Slide Six is, um, our staffing and vacancy rate, so you can see we're pretty proud of our vacancy rate
• increases or rate prioritizing rate increases or rate adjustments<01:24:45.320> to<01:24:45.480
• to do a rate study.
• increase, the guardianship rate increase, the BDS service rate increase.
• service rate incre the rate increased service rate incre the rate increased the<01:53:51.679>

Keywords: 928, house, all

Summary: The Division of Long-Term Supports and Services presented its budget and program overview as part of the Department of Health and Human Services operating budget review. Leadership described the division’s three bureaus—Aging and Adult Services, Developmental Services, and Family-Centered Services—and explained that the division provides guidance, technical assistance, quality monitoring, and contracted provider oversight across the lifespan. Members also discussed staffing, with reported vacancy rates of 4% in Aging and Adult Services, 15% in Developmental Services, and 6% in Family-Centered Services; the division said the higher BDS vacancy rate is partly due to the small number of authorized positions. The governor’s budget had left eight positions unfunded in the division, including three in Aging and Adult Services and five in BDS. A major topic was the division’s roadmap initiatives, especially building a system of care for healthy aging and strengthening developmental disabilities systems through a new reimbursement rate structure. The division said it contracted with an actuary to study DD service costs and found rates had not been reviewed since 2017 and were significantly below actual costs and other states’ rates, contributing to provider shortages even when services are authorized. Members asked about the impact on service delivery and whether rates would need to rise overall; the division said its strategy is to focus on lower-cost services that help people remain in the community. The division also reported waiver enrollment figures, including about 4,161 people on the Choices for Independence waiver, 3,688 average nursing facility residents, 5,061 people on the DD waiver, 228 on the acquired brain disorder waiver, and 488 children on the in-home support waiver, while noting there is no funding waitlist but provider availability remains a constraint. The division highlighted IT modernization as a major accomplishment, especially moving Adult Protective Services and Developmental Services into the New Heights system. Officials said these changes improve case-note access, data retrieval, service authorization tracking, and transparency for providers, and they asked for future oversight discussion focused on IT leverage. Members noted that New Heights maintenance is budgeted in the Office of the Commissioner under class 27 and suggested better transparency on system costs and benefits. The division also reported that it closed out a long-running CMS corrective action plan for BDS on July 1, 2023, and said it is now focused on strengthening the system rather than compliance alone. Other discussion covered the Aging and Adult Services bureau’s name change from Elderly and Adult Services to Adult and Aging Services, intended to avoid negative connotations and better reflect preventative services. The bureau described Adult Protective Services trends involving scams, financial exploitation, self-neglect, and isolation, and explained that it administers the CFI waiver, determines medical eligibility for nursing facility level of care, and braids funding from Medicaid, state funds, Older Americans Act money, Social Service Block Grants, and other grants. Members asked about waiver growth targets and federal consequences if enrollment remains below projections; the division said it would explain the shortfall in a future waiver amendment and did not anticipate a federal penalty. The meeting ended without any votes or formal actions taken.

Transcript Highlights:

• And then the next one is the alternative payment admin rate.
• are set under the single rate structure.
• were put into the base rate rather than in the cost-of-care-plus rate, which is paid outside of contract
• Terms of the age rate categories are as follows.
• elements by defining age rate categories and details around the enhanced inclusion rates.

Summary: The Assembly Budget Subcommittee on Human Services held a hearing on the Governor’s May Revision, with no votes taken. The first major topic was child care and early education, where the Department of Social Services and Department of Finance outlined proposed changes to absorb federal Child Care and Development Fund and Proposition 64 revenue reductions, shift some funding between child care programs, end funding for prospective pay implementation now that the federal requirement has been rescinded, adjust the alternative payment administration structure, and fund child care infrastructure grants and a Low-Income Investment Fund contract closeout. The Legislative Analyst’s Office said the budget makes progress on the structural deficit but recommended maintaining the administration’s solution level, making reserve deposits, and avoiding new ongoing commitments; it also raised concerns about shifting reductions to the California Alternative Payment Program and about the proposed administrative-rate change. Committee members strongly criticized the proposed loss of child care slots and said they would oppose eliminating those slots, while also expressing support for child care as essential infrastructure. The committee then reviewed California State Preschool Program proposals. Finance and CDE described reductions to the preschool COLA from 2.41% to 2.01%, removal of prospective pay funding, and increases for the QRIS block grant, audit support, and rate reform implementation. Trailer bill language would codify age-based rate categories, inclusion-rate documentation, family fee collection rules, portability, and excused absences. CDE supported the QRIS increase and some attendance and family-fee changes, but warned that aligning three- and four-year-old rates could reduce support for three-year-olds and that the budget does not fully cover enrollment growth. Members also questioned whether the preschool and child care slot reductions should be reallocated rather than terminated, and the administration said the reductions were intended to reflect current utilization and avoid harm to currently enrolled families. The hearing then moved to CalFresh and nutrition programs. CDSS said the May Revision includes a one-time CalFood augmentation, funding to cover federal SNAP administrative cost-share pressures, and additional staffing and technical assistance to implement HR 1 changes, including the able-bodied adults without dependents time limit and new non-citizen eligibility rules. The department estimated HR 1 could cut CalFresh funding by $2.3 billion to $3.7 billion annually and affect about 500,000 people, with roughly 806,000 adults potentially subject to the time limit and about 34,000 non-citizens expected to lose eligibility once fully implemented. Members pressed for stronger harm mitigation, including a $98 million backfill to protect families from losing food benefits, and raised concerns about county workload and the “chilling effect” on immigrant participation. The final portion of the transcript began the IHSS presentation, noting a revised budget of $33.7 billion total funds and $12.8 billion General Fund, with proposed reductions tied to Medi-Cal asset-limit changes and other federal conformity items.

Transcript Highlights:

• urban rate.
• touched these rates in a very long time. touched these rates in a very long time.
• There have been rate cuts since then, iterative rate cuts.
• <00:18:31.840> Uh there has been no rate increases. Uh there has been no rate increases.
• Um, in the last few years, they've developed a rural rate and a super rural rate, and it does create

Bills: HB0004

Keywords: medical assistance, birthing centers, healthcare, Medicaid, Wyoming, 916, all

Transcript Highlights:

• The alternative rate proposed in the October actuarial analysis had a contribution rate of 78% in the
• The alternative rate proposed in the October actuarial analysis had a contribution rate of 78% in the
• The alternative rate proposed in the October actuarial analysis had a contribution rate of 78% in the
• actual analysis had a contribution rate actual analysis had a contribution rate of<00:08:41.159>
• <00:48:41.079> was the premium rate if the premium rate was the premium rate if the premium

Keywords: 1187, senate, all

Summary: The Senate Finance Committee held a hearing on the fiscal note process, prompted by concerns raised in a prior hearing about the fiscal note for the Paid Family and Medical Leave law. Chair Marty, Senator Pratt, and Senator Wiklund said the goal was not to revisit the bill itself but to strengthen understanding of fiscal note standards, the role of the Legislative Budget Office (LBO), and communication with agencies. They emphasized bipartisan concern that fiscal notes must be respected and that the process should be clearer going forward. Christian Larison of the LBO explained that the 2024 fiscal note issues stemmed from three main problems: choosing the proper baseline for a program that had not yet started, interpreting the seven-day qualifying event/waiting period, and determining whether DEED could adjust the first-year premium rate. He said the LBO, DEED, MMB, and House fiscal staff ultimately used the October 2023 actuarial analysis as the baseline because it was the most recent and likely most accurate estimate, but that choice meant the fiscal note did not show the difference from the 2023 enacted budget. He also described how DEED later interpreted the seven-day provision as a waiting period and how the premium-rate assumptions affected the fiscal impact. Larison outlined possible responses, including more assertive early communication from the LBO, providing more detailed analysis in unusual cases, and possibly creating a working group through the LBO Oversight Commission to consider new standards for substantial assumption changes, complex new programs, and third-party actuarial work. He also noted the LBO has authority to issue unapproved fiscal notes if standards are not met, though it has not used that authority. In questions, Senator Murphy asked about protecting the credibility of fiscal notes, and Larison said maintaining independence, objectivity, and consistent standards is central to the LBO’s role. No votes or formal actions were taken at the hearing.

Transcript Highlights:

• Those drove the state's payment error rate higher.
• The payment error rate is always calculated on a look-back period.
• in their error rate at all?
• We can track our error rate and fix our error rate, but the federal government has to say, here's the
• rules and here's the error rates you have to target and come to.

Transcript Highlights:

• So from commercial carriers, not to Medicaid, what's the rate? Why is the rate?
• Medicaid, what's the rate? Why is the rate so low?
• The rate is what it is. The last time we had a rate change for inpatient Medicaid was in 2007.
• So where does the rate that we get for our per diem rate come from?
• And we'll look at the per diem rate.

Summary: The subcommittee met to review Arkansas DHS hospital spending and reimbursement methods, with Secretary Janet Mann and Deputy Secretary Misty Eubanks explaining Medicaid hospital payments. They described fee-for-service per diem payments, cost settlements, and the upper payment limit (UPL) program, noting that SFY 2025 hospital payments included $688 million in inpatient/outpatient claims, $473 million in UPL payments, $248 million in cost settlements, and about $47 million in other payments such as graduate medical education and disproportionate share hospital funds. Members asked about why per diem rates vary, how cost settlements work, why UPL applies mainly to private hospitals, and how assessment fees are structured and funded. DHS said the hospital assessment fee is broad-based and uniform, used as the state share to draw federal funds, and that supplemental hospital payments after federal match totaled $548 million with no general revenue used. The Arkansas Hospital Association’s Jody Ann Tritt then gave a broader overview of the hospital landscape, explaining the different hospital types in the state, including critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals. She said Arkansas hospitals face financial strain, citing a negative 5.18% patient service margin statewide and lower reimbursement than surrounding states. She argued that Arkansas hospitals are paid less than hospitals in neighboring states for similar services, that commercial payer rates and administrative burdens are a major problem, and that Medicaid and Medicare rates remain below cost even with UPL support. She also said hospitals are the backbone of community care, provide emergency and public health functions, and are looking for ways to invest in technology and telehealth but often lack the revenue to do so. Members pressed for clearer data on hospital finances, reimbursement adequacy, and the impact of commercial insurers. Tritt said the association had just authorized a statewide survey to gather updated financial information from hospitals, which she said would take about a year to complete. She also explained that Medicaid pays weekly, Medicare and commercial plans can involve delays and denials, and that hospitals often spend significant resources on revenue cycle work. The discussion ended with a brief update on assisted living reimbursement: DHS said one facility, The Pillars of the Community in Crossett, had announced closure, nine Living Choices waiver clients were being transitioned, and the updated rate study would be available after cost reports are collected, likely before the end of the fiscal year. The meeting then adjourned.

Transcript Highlights:

• The bill requires the rate of towing to be the rate published in DPS's tow service agreement for the
• The bill requires the rate of towing to be the rate published in DPS's tow service agreement for the
• It will be more sales, and the same rate will apply to the higher base.
• It will be more sales and the same rate will apply to the higher base.
• And we still have the lowest rates again in the Valley.

Keywords: 1182, all

Summary: The meeting was a rapid review of a very large bill package, with the chair repeatedly asking staff to keep descriptions high level and many bills placed on third-read consent or consent calendars. A major theme was artificial intelligence: bills would require minors to be told when they are interacting with AI, allow AI-assisted divorce arbitration by consent, create an AI education program, privilege certain AI communications, and require K-12 instruction on ethical and practical AI use. Other education measures addressed school district superintendents, health instruction, anti-Semitism prohibitions, fetal development standards, and school safety, including a bill allowing concealed firearms on school grounds under specified conditions. Several health and public safety bills were also discussed. These included funding and oversight measures for childhood cancer research, nursing care complaint timelines, firefighter cancer data collection, limits on pharmacy penalties, and a bill making it a felony to administer abortion-inducing drugs without consent. Members also heard bills on overtime wage enforcement, domestic violence evidence standards in parenting cases, probation limits for dangerous crimes against children, and a measure expanding manslaughter liability to online encouragement of teen suicide. One sponsor strongly opposed a provisional medical licensing bill for foreign-trained applicants, while other sponsors emphasized rural health access, nurse anesthetist reimbursement parity, and the need for a dental board member who is an oral surgeon. A large portion of the meeting focused on water, land, energy, and state agency oversight. Bills would streamline or change rules for small modular reactors, new power plants, water supply determinations, groundwater transportation fees, water hauling, and state land disposition. Members also considered measures affecting the State Land Department, including audits, oversight boards, continuation, land-use maps for data centers and energy projects, and rules for mineral leases and solar or wind siting. Other topics included wildlife and ranching, Mexican wolf policy, annexation, housing and development incentives, transportation and towing rules, digital driver licenses, and a proposed four-year moratorium on municipal and county fee, tax, and utility-rate increases, which drew questions about stakeholder input and the impact on enterprise funds and local utilities. No recorded roll-call votes were taken in the transcript; most items were simply presented, briefly discussed, and left on consent or calendar status, with one bill noted as held in rules and another pulled for further discussion.

Transcript Highlights:

• rate, is $1,637 a day.
• Medicaid rates don't reflect today's cost of care.
• Increasing pay for many comes through Medicaid rates.
• There was $450 per day on top of your assessed rate.
• There was $450 up to $450 per day on top of your assessed rate.

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.