Transcript Highlights:

• For adults, we assess criminal responsibility.
• Varela, who is also going to be providing bilingual competency assessments.
• They're in custody, and I'm asking a new provider to make a new assessment.
• Assessment, and then we've been able to move forward on a few of those.
• The joke in practicing law is that immigration and tax law are equally complicated.

Transcript Highlights:

• And the last service type that we identified as a leading practice was supervision.
• We did not include monitoring tools as a leading practice because research on their effectiveness we
• In November of 2021, we established our pretrial service unit based upon recommended practices and best
• practices associated with the National Association of Pre-Trial Service Agencies.
• Within 24 hours, we're assessing risk and needs.

Keywords: 904, all

Summary: The Joint Legislative Audit and Review Committee held a hearing on a State Auditor’s Office performance audit about expanding pretrial services in Washington. Audit staff said most of the 14 courts reviewed wanted to expand or implement pretrial services but faced barriers such as funding, limited community resources, and public safety concerns. They also reported that only three courts could provide usable data, that pretrial service use varied across courts, and that some demographic disparities appeared in the data, including lower rates of pretrial services for Hispanic defendants at two Spokane courts and for Black defendants at Spokane Superior Court. The audit also found that many courts do not collect pretrial data in an accessible format and recommended clearer guidance, better data systems, stakeholder outreach, and evaluation of program effectiveness. The State Auditor’s Office also noted that the Administrative Office of the Courts’ pretrial pilot program had received legislative funding and was being expanded. Representatives from Spokane Municipal Court, Grays Harbor County District Court, and Yakima County discussed their local programs and data. Spokane officials described a robust integrated system and said their pretrial services unit, launched in 2021, had reduced bail use, jail time, failure-to-appear rates, and recidivism, while helping judges make quicker release decisions. Grays Harbor staff echoed the audit’s findings on cost savings and said data collection is labor-intensive for limited-jurisdiction courts, especially without dedicated staff. They also described using risk assessment tools and pilot funding to support alternatives to jail. Yakima and Spokane participants emphasized that stable funding and standalone pretrial services units would improve program consistency and outcomes. Committee members asked about how pretrial services reduce detention time, how courts can better communicate cost savings and public safety benefits, and why statewide data collection is difficult. Audit staff and court representatives said early assessments, better information at first appearance, and integrated case-management systems help reduce jail stays and improve release decisions. The hearing ended without formal committee action, and the chair adjourned the meeting after inviting written public testimony on the audit topics.

Transcript Highlights:

• administered to pupils to assess reading proficiency.
• administered to pupils to assess reading proficiency.
• administered to pupils to assess reading proficiency.
• The State Board of Education must approve such an assessment under certain conditions.
• The State Board of Education must approve such an assessment under certain conditions.

Keywords: 909, all

Transcript Highlights:

• to be included in the proportional share calculation for the total assessment.
• HCA's other administrative costs for the program may not be included in the assessments.
• Given this, federal law prohibits HCA from collecting assessments and starting the program.
• Given this, federal law prohibits HCA from collecting assessments and starting the program.
• HCA from collecting assessments and starting the program.

Summary: The House Appropriations Committee held public hearings on three bills. House Bill 2251, sponsored by Rep. Fitzgibbon, would reorganize Climate Commitment Act revenue accounts by repealing several existing accounts and creating new operating and capital accounts, changing how auction proceeds are distributed when revenues are above or below a set threshold, broadening some tribal and overburdened-community spending language, adding electric vehicles and certain housing uses, capping Ecology administrative costs, and moving some reporting from annual to every two years. Supporters said the bill would simplify a confusing account structure and improve predictability, while opponents criticized the reduced reporting frequency and said it could weaken accountability. No vote was taken. House Bill 2254 would adjust the funding model for the Partnership Access Line and related behavioral health consultation programs by allowing the cost of the third-party administrator to be included in the carrier assessment rather than paid from general funds. Committee staff said this would produce general fund savings, and testimony from HCA, UW Medicine, Seattle Children’s, and others supported the bill as a technical fix that would stabilize the programs and potentially free up funds to restore service levels. No vote was taken. House Bill 2385 would extend deadlines and the expiration date for the Medicaid Access Program created last session, after federal HR1 restrictions prevented implementation of the original program and provider assessment. The bill would push out CMS submission deadlines, update the rate-setting reference year, and extend the act’s sunset date. The sponsor and the Washington State Medical Association supported the bill as necessary to preserve the option of pursuing the program later. The committee took no action and adjourned after the hearings.

Transcript Highlights:

• even as Representative Guilhan said, this is something that it's essentially just codifying the practice
• However, this is already our practice. Yes. Members, are there any other Representative Rose?
• We may go through a through a home assessment. That certainly does not mean that.
• MNT involves a comprehensive assessment.
• So I work, um, a lot, probably 70% of my practices with eating disorders.

Bills: HB 26, HB 140, HB 141, HB 142, HB 215

Keywords: Medicaid, nutrition support, maternal health, chronic conditions, pilot program, DFPS, Department of Family and Protective Services, child protective services, child abuse investigations, child neglect, child exploitation, advisory committee, Family and Protective Services Council, council abolition, foster care, due process, investigative procedures, child welfare, parental rights, family preservation services

Transcript Highlights:

• “Just worst-case scenario, someone is in ICU practically fighting for their life.
• I think the good practice would be to interview everybody individually.
• But good practice would be: could we speak to you alone and to your child alone?
• We're here to assess and to help. Could we speak to you alone and to your child alone?
• We're here to assess and to help provide services. You're not under criminal investigation.

Bills: HR267, HCR105, HCR107, HCR110, HCR113, HCR114, SB4, SB52, SB57, SB145, SB152, SB194, SB237, SB333, SB433, SB483, SCR37

Keywords: diabetes, amputation, amputations, diabetic foot ulcer, peripheral artery disease, PAD, wound care, podiatry, vascular disease, endocrinology, limb salvage, health policy, public health, healthcare costs, insurance coverage, Louisiana Department of Health, University of Louisiana at Lafayette, Louisiana Center for Health Innovation, patient education, screening

Transcript Highlights:

• It just slows the future growth of the assessed values of those properties.
• I would probably have to agree with your assessment.
• Our property tax system has already suppressed assessed values below actual market value.
• So can you clarify what is meant by foreign law, legal code, or system in practical terms?
• So are you aware of how the liturgical practices of the Eastern Church Thank you.

Bills: HJR1024, SB1316, SB1491, SB1552, SB1679, SB1877, SB2040, SB2133, SB2153, SB2174, SB2180, SB227, SJR39, SJR47, SJR48

Keywords: Judicial Nominating Commission, congressional districts, terms of office, Oklahoma Constitution, legal qualifications, political party restrictions, family ties, administrative rules, sunset provision, state agencies, regulatory review, legislative oversight, presidential electors, vacancies, oath of office, political party, elections, county home rule charter, home rule, county government

Summary: The Senate Rules Committee met and first laid over Senate Bill 2133 and skipped several bills because the Pro Tem and Senator Hall were not present. The committee then took up Senate Bill 1552, which would expand an option for very large counties to adopt local charters; an amendment was adopted to raise the population thresholds so the bill would apply only to future growth. After discussion that the measure was optional and not a mandate, the bill passed 12-7. The committee also passed SJR 39, a proposed constitutional amendment to lower the cap on annual increases in property tax assessed value from 3% to 1% for homestead and agricultural property and from 5% to 3% for other property, despite opposition that it would worsen funding pressures and create inequities between long-term owners and new buyers. SJR 47, moving voter ID requirements into the Constitution, and SJR 48, changing how the state handles ad valorem reimbursement for tax-incentive projects, both passed 16-2. The committee next passed Senate Bill 1491, which requires replacement presidential electors to take the same oath as the original slate, and Senate Bill 2174, which changes the membership mix of the State Fire Marshal Commission to include more business-oriented voices; both measures drew little opposition and passed overwhelmingly. Senate Bill 1877 also passed unanimously; it creates a centralized reporting system for 510 reports, with members noting it should have no fiscal impact because an existing state filing system would be used. House Joint Resolution 1024, which revises the Judicial Nominating Commission by removing certain lawyer/non-lawyer and party-balance restrictions and capping service at 12 consecutive years, passed after significant debate over judicial independence and political influence. The committee then approved Senate Bill 2040, which updates the Tulsa Reconciliation Education Scholarship Program by simplifying eligibility rules, changing the income cap to $128,000 and indexing it to inflation, and clarifying that unused funds may still be used for room, board, and books; supporters said it preserves a long-standing scholarship with no fiscal impact. Senate Bill 1316 passed 17-1 and would require agencies to periodically sunset a percentage of administrative rules, though the author said he may lengthen the cycle after reviewing other states’ models. Senate Bill 1679, the Preserving Oklahoma Values Act, passed 16-2 after debate over its references to foreign law and Judeo-Christian Western values; supporters said it protects due process and equal protection, while opponents warned it could marginalize other faith traditions and create legal uncertainty. Finally, the committee passed Senate Bill 227, clarifying which oil and gas facilities are exempt from ad valorem tax and ensuring flow lines, gathering lines, and injection wells are treated consistently; Senate Bill 2153, directing state agencies to use the terms Judea and Samaria instead of West Bank in official documents; and Senate Bill 2180, a transparency measure on foreign lobbying that was amended before passing 17-0. The meeting then adjourned.

Transcript Highlights:

• is a landing, including but not limited to a touch-and-go landing, or when the fee would be assessed
• based on an aircraft entering into a specific radius of the airspace of the airport assessing the fee
• airspace of the airport assessing the fee.
• And the key part of flying that's just so, so impactful is those practices, those touch-and-goes.
• It is the most... ...that's just so, so impactful is those practices, those touch-and-goes.

Keywords: 999, senate, all

Summary: The Transportation Committee met and first took up CS/SB 86, which would make operation of a commercial motor vehicle by an unauthorized alien an imminent safety hazard and require lawful presence, a valid CDL, English proficiency, and ability to communicate with law enforcement. The bill also authorizes impoundment, a $250,000 civil penalty on the motor carrier, and an out-of-service order until violations are corrected. After adopting an amendment and hearing support from the Florida PBA, the committee reported the bill favorably on a vote with Senator Arrington voting no. The committee then considered CS/SB 706, which preempts naming of major commercial service airports to the state and would rename Palm Beach International Airport as Donald J. Trump International Airport. An amendment added FAA approval, trademark authorization, and a flexible implementation period for Palm Beach County. Palm Beach County representatives supported the measure, and the bill was reported favorably. The committee also passed CS/SB 1670, a specialty license plate bill for the “outsider” plate, after amending the distribution of proceeds so the Huber Brothers Foundation may receive up to 10% instead of 25%. Next, the committee approved CS/SB 1054, which increases penalties for traffic infractions that result in a crash after running a red light or stop sign, including higher fines, license suspensions, and a one-year bodily injury insurance requirement after an injury crash. Law enforcement testimony supported the bill. The committee also considered CS/SB 422 on ADS-B aviation surveillance data, which would bar use of that data to calculate or collect landing-related fees; an amendment narrowed the prohibition to landing and touch-and-go fee scenarios. Aviation groups and pilots supported the bill as protecting safety and preventing surprise billing, while airport representatives said they could still charge landing fees but would need to rely on more manual methods. The committee reported CS/SB 422 favorably, and the meeting adjourned after all measures were approved.

Transcript Highlights:

• What are the things within our assessment that have to be checkboxed in order to give this medication
• What are the things within our assessment that have to be checkboxed in order to give this medication
• Robin Ortenberg, and I am a pediatric pulmonologist practicing in Washington State.
• So we would have that child, you know, if they were brought to our health room, we would assess them.
• We would assess their respiratory status by listening to their lungs, looking at the color of their,

Bills: HB2246, HB2360

Keywords: firearm violations, education, student discipline, school policies, safety measures, albuterol, asthma, inhaler, rescue inhaler, respiratory emergency, school nurse, student medication, self-administration, anaphylaxis, public schools, private schools, charter schools, tribal compact schools, K-12 health, medication policy

Transcript Highlights:

• California has five fusion centers operating under the State Threat Assessment Center, embedded in a
• If you look at the phrase State Threat Assessment Center, the state-level fusion center, it comes up
• He's speaking specifically about the state threat assessment program that he has oversight of.
• He's speaking specifically about the state threat assessment program that he has oversight of.
• In practice, access was constrained by timing and conditions.

Summary: The committee met as a subcommittee because it initially lacked a quorum, heard a status update from State Auditor Grant Parks, and reviewed several new audit requests. Parks reported that 10 previously requested audits were underway, with most expected to be released in spring/summer and one pesticide audit still pending; he also noted ongoing litigation with Huntington Beach over a 2024 audit. He said the office had grown to just over 200 employees and could start about five new JALAC audits between April and July. The committee also noted that one Prop. 28 request was being held and one PUC-related request was moved off consent to the regular calendar. Senator Cervantes presented an audit request on California fusion centers, arguing they operate with little public oversight and may collect, share, and store sensitive information without adequate transparency or safeguards. Supporters, including former FBI agent Mike German and ACLU California Action, said fusion centers function as secretive intelligence-sharing hubs that can produce inaccurate or biased reports and may undermine privacy and civil liberties. Parks said the audit would examine the State Threat Assessment Center and two local fusion centers, focusing on oversight, legal authority, data quality, unauthorized disclosure controls, use of private vendors, funding, and performance metrics, while warning of likely access and public-disclosure limitations. The request drew sharp opposition from Assembly Member DeMaio, who called it a politicized “witch hunt,” but public comment included support from the Electronic Frontier Foundation. Senator Allen then presented an audit of the Public Utilities Commission’s enforcement of Rule 21 interconnection timelines for customer-sited solar and storage projects. He and witnesses said utilities have repeatedly missed deadlines, causing long delays and added costs for schools, nonprofits, and other customers; CPUC staff responded that the commission adopted timelines and compliance benchmarks in 2020, publishes quarterly data, and is already pursuing the issue through workshops and an open proceeding. Parks said the audit would assess CPUC monitoring, enforcement tools, and reasons for utility noncompliance. Public comment was mixed, with solar advocates supporting the request and PG&E objecting on process grounds and arguing the commission’s ongoing proceeding should address the issue. Senator Perez, with Senator Fong, requested an audit of Caltrans’ administration of the former SR 710 corridor property sales and affordable housing program. They described tenant complaints about mold, pests, deferred maintenance, inconsistent pricing and eligibility information, and possible failures to inform residents of purchase rights; Caltrans said it is working to complete sales and has already closed 59 properties since fiscal year 2024-25. Parks said the audit would examine compliance with the Roberti Act, pricing, appraisals, communications, rent accounting, property maintenance, and follow-up on prior recommendations. Finally, Senator Umberg requested an audit of the Orange County Board of Education, citing transparency, litigation spending, charter authorization, procurement, and whistleblower concerns; after quorum was established, Parks said the audit would review Brown Act and Public Records Act compliance, public resource use, contracting, litigation costs, charter oversight, and retaliation complaints.

Transcript Highlights:

• Some of the practice areas that we focus on are family law and criminal history repair.
• Some of the practice areas that we focus on are family law and criminal history repair.
• One other aspect of the bill is assessments in these communities consist of two types: the annual assessment
• The associations can also apply a special assessment, and that special assessment can be of some significant
• , that assessment is foreclosable on the day it is due because of the way the statute is written.

Summary: The committee opened with a lengthy chair’s statement about Department of Child Safety oversight, saying prior hearings had revealed systemic failures in communication, child placement oversight, response times, transparency, and accountability. The chair said the committee would continue pursuing reforms through legislation and ongoing reporting requirements. Members then discussed allegations involving child trafficking in congregate care settings and the need for separate legal representation for children who are victims of crimes, with one member saying the state and AG’s office were aware of trafficking issues and that outside representation was necessary. The committee then heard and voted on several bills. SB 1141, dealing with presidential electors if a candidate dies, withdraws, or becomes incapacitated before the Electoral College meets, received support from the sponsor and outside groups and passed 4-3. SB 1186, requiring disclosure of certain things of value by companies seeking government contracts or grants, also passed. SB 1808, concerning display of certain flags in HOA and planned community settings, passed after the sponsor said it was intended to protect the ability to fly the Israeli flag. SB 1050, providing a lifetime state parks pass for certain veterans, passed after adoption of an amendment expanding eligibility to some disabled veterans; Arizona State Parks testified neutral but warned of revenue impacts, while members debated the fiscal note and support for veterans. The committee also passed SB 1140, which creates a misdemeanor expungement process for certain people, including trafficking survivors, after testimony from anti-trafficking advocates and service providers who said it would help survivors rebuild their lives while excluding serious offenses. SB 1437, requiring public records to be provided in the least expensive electronic form when possible, passed over opposition from some local government groups. SB 1246, raising the delinquency threshold before a condominium lien foreclosure can occur, passed unanimously. SB 1664, lowering signature requirements for constable candidates in large counties, passed unanimously. Finally, SB 1338, making certain noncitizens ineligible for state or local public benefits, passed 4-3. The meeting ended with members offering farewells and thanks to one another and staff, and the committee adjourned.

Transcript Highlights:

• Today, we will be assessing the level of concern and issues with these mostly policy-oriented pieces.
• Account could vary across regional centers in practice. Department of Finance.
• They may be doing it based upon the latest research and best practice.
• Organizations use these... ...best practices for safe alternative service delivery.
• I hope you all have been utilizing these four or five hours to practice your one minute.

Summary: The Assembly Budget Subcommittee on Human Services heard testimony on Department of Developmental Services (DDS) and related budget and trailer bill proposals, with a major focus on the impacts of H.R. 1 on people with intellectual and developmental disabilities (IDD). DDS and the Department of Social Services (DSS) said H.R. 1 could affect Medi-Cal and CalFresh access, but that people with disabilities and caregivers are exempt from the work requirements; the administration is working on data matching and automation through the statewide eligibility system to identify exemptions, with June 1, 2026 as the implementation date for CalFresh changes. Witnesses and advocates warned that any loss of Medi-Cal could create fiscal pressure on regional centers and households, while public commenters described the real-life consequences of losing services. Committee members repeatedly expressed concern about cost shifts to counties and asked for harm-mitigation strategies before the May Revision. The committee also reviewed the governor’s IHSS-related proposals. DSS said the budget would set a baseline for authorized hours, align IHSS disenrollment/reinstatement with Medi-Cal eligibility processes, and eliminate the IHSS backup provider system, while emphasizing that individual service hours would still be based on assessed need. DDS said if a person loses IHSS or Medi-Cal, regional centers may have to step in as payer of last resort for some services, potentially at higher state cost. Members and the Legislative Analyst’s Office questioned whether counties could absorb the proposed shifts without reducing services, and asked for more detail on implementation, data quality controls, and how regional centers could help families navigate disruptions. A separate trailer bill on DDS rate reform and the Quality Incentive Program drew mixed reactions. DDS proposed extending a contract exemption and delaying final rate reform regulations to 2030, saying the changes are budget-neutral and needed for implementation. DDS reported that about 81% of providers had completed the current Quality Incentive Program requirements, but providers and advocates argued the 90-10 structure can function like a penalty and may destabilize services if providers lose 10% of funding. Committee members asked for clearer assistance to providers, possible flexibility for good-faith efforts, and a redlined version of the language before the May Revision. The committee also heard DDS’s proposed trailer bill on regional center governance and provider capacity. DDS said the language would consolidate regional center contracts and performance measures, strengthen board training and oversight, require consumer advisory committees, expand independent legal support, raise the threshold for board approval of contracts, and remove barriers such as physical-office requirements and duplicate vendorization. DDS said the goal is to improve accountability and efficiency while preserving person-centered services, and members indicated they wanted further refinement and stakeholder input before moving forward.

Transcript Highlights:

• competency and derive assessment of support coordinator provisions.
• nurses take in order to practice nationally.
• Same thing is happening with the practical nursing program.
• Sarah Brooks Fiedler: patients even as a fully self-paid practice.
• Rodriguez: practice act to allow licensure of naturopathic doctors in Florida.

Keywords: 999, senate, all

Transcript Highlights:

• These practices were 7.7 million metric tons of carbon dioxide equivalent.
• Each practice and grant program was validated and overseen by staff within our Office of Agricultural
• Those farmers that adopt climate smart agriculture practices have then gone on to participate in our
• We always make sure that each practice is grounded in a quantifiable greenhouse gas reduction.
• Have you done any kind of assessment on that end?

Summary: The subcommittee heard a series of Department of Food and Agriculture budget proposals, beginning with ongoing funding and trailer bill language for the Farm to School program and related climate-smart agriculture work. CDFA described the program’s goals of linking California producers with schools, expanding access to local and nutritious food, and supporting underserved farmers through technical assistance and outreach. The LAO recommended rejecting the proposal as presented because of the state’s budget condition and suggested that some activities might instead be supported through Proposition 98. Members questioned whether the program is reaching the schools and communities with the greatest need, how grants are scored, and whether the proposal’s goals are measurable enough to justify ongoing funding. The item was held open. The committee also discussed CDFA’s climate bond expenditure plan, which would allocate remaining Proposition 4 funds to existing programs such as SWEEP, Healthy Soils, urban agriculture, fairground emergency response upgrades, and invasive species work, as well as new or developing programs including year-round certified farmers markets, mobile farmers markets, regional farm equipment sharing, and tribal food sovereignty. CDFA said the funds would be released in stages based on program readiness, with audits and performance metrics tied to each program. The LAO found the plan reasonable and consistent with bond requirements. Members asked about audit responsibility, performance tracking, and whether the bond programs should be front-loaded or spread over a longer period. A third CDFA item addressed the elimination of vacant positions under prior budget reductions. CDFA and the Department of Finance explained that the positions were selected because they had been vacant for long periods or were hard to fill, and that departments identified the positions based on their own operational knowledge. The LAO supported retaining the special-fund positions and suggested the General Fund positions be weighed on their merits. Members raised concerns about the impact on core functions such as audits, investigations, milk marketing, and grape pricing reports, and asked for follow-up on how the department determined which positions could be removed. The committee then heard a CDFA IT proposal to add funding and four positions for information technology operations; the LAO had no concerns, and members discussed cybersecurity, legacy systems, and future risks such as AI and quantum threats. The committee took public comment and then voted to approve items 9 through 13, which included CDFA dog importation certificates, livestock carcass disposal, Gambling Control Commission IT support and tribal grant funding, and an ABC district office relocation. The hearing then moved to the Department of Cannabis Control, which presented a request to strengthen enforcement against the illicit cannabis market by adding a North State field office in Redding and three non-sworn support positions. DCC said the illicit market remains far larger than the legal market, with a large backlog of cases and significant public safety and environmental concerns. Finance supported the targeted expansion, the LAO had no comment, and members asked about regional coverage, officer safety, and whether a larger, more transformational enforcement effort might be warranted in the future.

Transcript Highlights:

• Institutions collect those assessments and then provide those assessments to the Bureau's Student Tuition
• What that rate of assessment is varies.
• It is a pretty streamlined process in terms of those assessments and the submittal of those assessments
• So that is, to me, very unfair practice.
• So that is, to me, very unfair practice.

Summary: The joint Sunset Review Oversight Hearing focused on the Bureau for Private Post-Secondary Education (BPPE) and its reauthorization, with committee chairs and members emphasizing the Bureau’s role in protecting students, overseeing private postsecondary schools, and responding to a changing federal higher education landscape. BPPE and the Department of Consumer Affairs reported that the Bureau has modernized data systems, improved enforcement, increased citations and inspections, reduced pending complaints, and is now meeting its statutory inspection mandate. They also said the Bureau faces a structural budget deficit and has reduced costs through staffing cuts, streamlined inspections, and shifting some student-relief functions to the Student Tuition Recovery Fund (STRF).

Transcript Highlights:

• I've, in my own practice, seen hallucinations.
• is used in mental health treatment and established best practices.
• These assessments mandate that developers must systematically evaluate. Risk assessments.
• SB 969 makes targeted, practical reforms.
• And when I hear... ...the people can assess to give up that privacy.

Keywords: 988, house, all

Transcript Highlights:

• In law practice, we have what we call a deposition.
• They assess one number for all of their clients.
• They don't let practitioners practice the care that they want to practice.
• That's how it's being negotiated practically.
• It's standard practice to require a tail.

Transcript Highlights:

• So in order to assess how much the state has to pay, we look to what...
• So we've come to the table today for these assessments.
• , and I also had one of these assessments conducted at my own school.
• What these assessments do is they help schools in a way that is very simple and practical.
• What these assessments do is, is they help schools in a way that is very simple and practical.

Bills: SB83, SB135, SB143, SB155, SB157, SB202, SB237, SB261, SB276, SB295, SB450, SB465, SB506, HB1070

Keywords: human trafficking, trafficking prevention, school safety, public schools, elementary and secondary education, charter schools, mandatory reporting, victim identification, victim services, child trafficking, sex trafficking, labor trafficking, commercial sexual activity, DCFS, Department of Children and Family Services, Louisiana State Police, governor's office of human trafficking prevention, counselor training, mental health professional, administrator training

Transcript Highlights:

• contain sufficient information about the change to allow the health care provider or facility to assess
• The next bill is House Bill 2555, which relates to coverage of traditional health care practices under
• The care is provided by registered nurses or licensed practical nurses.
• DSHS assesses eligibility and clinical need through medical necessity review.
• The average number of hours assessed per week has not changed significantly.

Summary: The House Health Care and Wellness Committee met at policy cutoff and first took up executive session on four bills. It considered a proposed substitute for HB 1589 on health carrier contracting practices, which would require carriers to provide providers advance notice and clean copies of contract changes and payment methodologies, and would also add notice requirements for significant payer contract modifications. The committee also considered HB 2402 on phthalates in IV solution containers and tubing, with a substitute delaying implementation dates and creating shortage and FDA-related exemptions. HB 2555, concerning Medicaid coverage of traditional health care practices, and HB 2685, concerning tribal data and disease reporting to tribal health jurisdictions, were also before the committee. HB 2599 was deferred. The committee reported HB 1589, HB 2402, HB 2555, and HB 2685 out of committee with do pass recommendations, with recorded votes showing some members voting no or no without recommendation on the more contested bills. The committee then held a work session on private duty nursing in the Medically Intensive Children’s Program. Health Care Authority and DSHS staff described how the program serves children with complex medical needs through managed care and fee-for-service pathways, the role of prior authorization and medical necessity review, and the ongoing shortage of nursing staff. They said many approved hours are not filled, especially in rural areas, and that family members often provide unpaid care to fill gaps. Committee members asked about the structure of the children’s and adult PDN programs and about how many authorized hours are actually being served. The committee also heard testimony from a home care agency representative and a parent caregiver, both of whom described severe staffing shortages and the burden on families when nursing shifts go unfilled. They supported models that would allow trusted family caregivers to be paid for some of the skilled care they already provide. The committee then heard examples from Montana and Massachusetts of similar family caregiver or complex care assistant programs. Montana described its pediatric complex care assistant model as a gap-filling service with prior authorization and a set hourly rate, while Massachusetts outlined its complex care assistant program, including training, supervision, wage pass-through requirements, and early growth in participation. The meeting concluded after the work session.

Transcript Highlights:

• I'm going to, if you go to the next page, discuss what practice transformation is.
• So, a little bit of a definition of practice transformation is looking at prevailing best practices within
• Evidence-based practices in treatment, which is really important.
• Is there any kind of information that's being shared in terms of best practice for notes?
• And that's based on this health technology assessment.