Transcript Highlights:

• Compare and contrast that with the process in Texas.
• And the good thing is, we do have an election process.
• It's a process. The notice has to be perfect.
• Senate Bill 264 will provide TDI oversight during the process.
• They could opt out of... processing and collection.

Bills: HB 1087, HB2504, HB4113, HB5144, HB5146, HB5377, HB5543, SB140, SB264, SB1244, SB1343, SB2121, HR868

Keywords: property owners, board vacancy, special election, association governance, community management, property owners' association, resale certificate, fees, real estate regulation, homeowners, HB 4113, Texas Rising Star Program, child care, child-care providers, Texas Workforce Commission, TWC, safety barriers, crash-rated bollards, bollards, playground safety

Transcript Highlights:

• And, uh, we just got through or, we're in the process of finishing two behavioral health hospitals that
• , uh, due on the property.
• And a lot of times that happens because you have this massive bill due at one time.
• The whole process is truly a blessing for everyone involved, for Texas.
• We saw saw a sharp rise in 2022 due to the volatility of property values during that time.

Bills: HB249

Keywords: real property, ad valorem tax, tax appraisal, property value limitation, real estate taxation, property ownership

Transcript Highlights:

• At the hospital, I had time to process.
• Once I started my adoption process, I was well informed of how the process would go before and after
• We don't just rush this process.
• It goes through a fairly rigorous process.
• This is largely due to access barriers.

Bills: HB163, HB216, HB721, HB2035, HB2038, HB3057, HB3153, HB3233, HB3595, HB3801, HB3812, HB4076, HB4129, HB4377, HB4535, HB4666, HB4730, HB4743, HB4903, HB5149, HB5155, HB1534

Keywords: epinephrine, healthcare, emergency response, administration, medical policy, health care, itemized billing, patient rights, provider regulations, Texas Health and Safety Code, cost disclosure, insurance, benefit plan, administrators, chemical dependency, treatment facilities, minor admissions, parental notice, mental health, medical licensing

Summary: The committee met without a quorum at first, then established a quorum with five members present. Members heard and left pending several House bills, including HB 4743 on allowing hospitals to license mobile stroke units under a hospital license, HB 4129 on earlier DFPS enforcement tools for single-source continuum contractors in community-based foster care, HB 4903 creating a Quad Agency Child Care Initiative to coordinate child care regulations across state agencies, HB 3812 revising the gold card/prior authorization process for physicians, HB 4535 requiring written informed consent before COVID-19 vaccination and a standardized state information sheet, and HB 4666 reducing the frequency of some HHSC reports to the legislature. The chair also noted HB 35 would be voted on later after a subcommittee back was received, and that a large number of bills would be heard the next day. Most of the testimony focused on HB 4535 and HB 4730. On HB 4535, supporters argued the bill would strengthen informed consent for COVID vaccination by requiring written consent and clearer state-level information about risks, manufacturer liability protections, and adverse-event reporting; opponents, including a pediatrician and medical groups, said existing federal and state informed-consent materials already cover these topics and warned the bill could create duplicative paperwork and penalties. On HB 3812, the Texas Medical Association supported changes that would extend the gold-card evaluation period to one year, raise transparency, and make prior authorization exemptions easier to administer, while health plans said they were neutral and viewed the bill as a balance between reducing burden and preventing fraud or unsafe care. HB 4730 drew extensive testimony from adoption professionals, birth mothers, adoptive parents, and child welfare advocates. The bill would require DFPS to create a relinquishment form, train child-placing agency staff, and extend the minimum waiting period for voluntary relinquishment from 48 hours to seven days. Supporters of the current law argued the 48-hour period aligns with hospital discharge, allows informed decisions, and helps birth parents and adoptive families begin healing and bonding without pushing children into foster care or creating legal and Medicaid complications. The author said the bill would be revised and that the seven-day provision was a work in progress. No votes were taken on the bills during the meeting; each bill was left pending after public testimony closed.

Transcript Highlights:

• this by requiring completed mitigation discount forms, 1802, be provided to the office so that a process
• The due-outs from this meeting related to CCRCs: OIR has received a letter from LeadingAge Southeast.
• data associated with the date, the data is due, and then a time period before it's, it's, it's, the,
• So a bunch of stakeholders reached out to me, a lot to process.
• months to calculate their assets and determine the payment amount due.

Summary: The committee heard and advanced several insurance, financial regulation, and public safety bills. The most extensive discussion centered on SB 1656, a major Office of Insurance Regulation bill covering reciprocal insurers, rate transparency, data calls, cybersecurity notification, and stronger oversight of continuing care retirement communities (CCRCs). The sponsor and OIR described the bill as aimed at transparency and preventing insolvencies, especially after recent CCRC failures. CCRC residents and industry representatives testified both in support and in opposition, with supporters emphasizing resident protection and opponents warning about liens, reserve requirements, management-company regulation, and higher costs. After debate and assurances that problematic provisions would be refined, the committee adopted a delete-all amendment and then reported the bill favorably. The committee also passed SB 1658, which creates a public records framework for the uniform mitigation verification of inspection form database while protecting policyholders’ personal information; a clarifying amendment was adopted before the bill was reported favorably. SB 1612 on financial institutions was approved after a substitute amendment restored current limits on credit union investments and kept only reimbursement, not salary, authority for certain board members and officers. SB 1740, an insurance bill intended to reduce premiums and insurer insolvency risk, was amended to prioritize rate-decrease filings and prohibit claim denials based solely on AI, then reported favorably. Two public-safety bills also moved forward. SB 1212 on firefighter health and safety would update OSHA-related protections, address toxic exposure in gear, encourage safer replacement equipment, and support best practices and mental health resources; an amendment refined terminology and added related provisions, and the bill was reported favorably. SB 1184 on residual market insurers was amended to preserve existing consumer protections and disclosure rules for excess and surplus lines and to clarify Citizens-related appointment requirements before being reported favorably. Throughout the meeting, members repeatedly noted ongoing stakeholder negotiations and intent to refine several bills further in later committee stops.

Transcript Highlights:

• or approved to be reused by other patients, they are simply discarded, wasting valuable medication due
• We also believe that the state already has a process in which social workers from out of state already
• So that's definitely an area that we're looking at doing in this process as well.
• On AB 873 Alanis, the motion. is due pass as amended to the Committee on Appropriations. Berman?
• On AB 742, El Hawari, the motion is due passed to the Committee on Judiciary. Berman. Aye.

Keywords: 988, house, all

Transcript Highlights:

• we'll work with the broker on a process. we'll work with the broker on a process.
• RFP process.
• <00:20:40.960> There curious about the RFP process. There curious about the RFP process.
• to latitude in the RFP uh ultimately due to latitude in the RFP process.<00:20:49.679> I'm<00
• Uh thank you whole process works.

Keywords: 928, house, all

Summary: The Fiscal Committee met on Friday, November 21st and first approved the October 17th minutes, with one member abstaining because she was not present. The committee then adopted the remainder of the consent calendar after removing two items for separate consideration. On tab four, members discussed item 25282 with the Commissioner of Administrative Services and Public Works staff; the project had been delayed after testing revealed design errors and flaws, and the committee was told the work would restart with test piles the following week and was projected for completion in fall 2027. The item was approved. On tab five, item 25279 concerned a Health and Human Services facility project and a federally required element added late in the process. Commissioners explained that the project had originally been funded at $21 million, later required additional financing, and that the legislature had recently lifted a restriction so non-ARPA funds could be used. They also said the sale of the existing Manchester property would not be needed to complete the build, that a broker RFP was about to be issued, and that any sale would require further approvals. The committee approved the item. The committee then approved item 25280 after a brief exchange about rainy day fund estimates and prior budget assumptions, and approved item 25278 without discussion. Item 25272 drew questions about the consumer advocate’s RFP for outside utility-rate-case assistance; the office said it eliminated proposals focused only on return on equity work after the Eversource decision, selected a Michigan firm for spreadsheet and operating-cost analysis, and noted there were no in-state firms doing this specialized work. The committee approved the item, with one member recorded in opposition. On tab nine, item 25261 concerned a new judicial council budget obligation tied to legislation and public defense staffing needs. The presenter said the request reflected a late-added obligation from the judicial branch, that more requests may still be needed, and that public defense staffing was strained by vacancies and competition from Massachusetts. The committee approved the item. Under informational items, members received an update on 529 plan distributions and on interest and dividends tax refunds, with Revenue Administration saying roughly $21 million more in refunds remained and that the repeal-related refunds were nearly finished. The committee also noted an environmental services item for which questions would be submitted separately. The next meeting was set for December 19th at 11:00 a.m., and the committee adjourned.

Transcript Highlights:

• I move Senate Bill 1116 receive a due pass recommendation.
• I move Senate Bill 1122 as amended receive a due pass recommendation.
• what's kind of going through that final vetting process.
• of it is what's kind of going through that final vetting process.
• I move Senate Bill 1455 is amended, and receive a due pass recommendation.

Bills: SB1072, SB1111, SB1114, SB1116, SB1122, SB1179, SB1250, SB1308, SB1455, SB1456, SB1457, SB1487, SB1547, SB1549, SB1551, SB1552

Keywords: reimbursement rates, intellectual disabilities, community services, economic security, funding appropriations, automated license plate readers, law enforcement, privacy, data access, public records, behavioral health, patient brokering, appropriation, state funds, Maricopa County, claims review, medical necessity, American Indian health program, healthcare regulations, healthcare

Summary: The committee first approved the February 3, 2026 minutes and reordered the agenda to accommodate sponsors and speakers. SB 1114, which would appropriate $1 million to the Maricopa County Attorney’s Office to investigate behavioral health patient brokering statewide, was presented as a response to Medicaid fraud and exploitation of vulnerable Native American patients. After brief questions about why Maricopa County would handle statewide oversight, the bill received a do pass recommendation on a 9-0 vote with one member not voting. The committee then took up SB 1111, as amended by a strike-everything amendment regulating automated license plate readers. The amendment limited use to specified law enforcement purposes, required verification of alerts when feasible, imposed data-retention and handling responsibilities on agencies, and created a misdemeanor penalty for unauthorized release of data. Supporters from Phoenix, Tempe, Prescott Valley, the Arizona Chiefs of Police, and the Arizona Sheriffs’ Association argued the bill provides needed statewide guardrails while preserving a valuable investigative tool for missing persons, stolen vehicles, and serious crimes. Opponents from the ACLU, Institute for Justice, and private citizens raised privacy and Fourth Amendment concerns, warning about dragnet surveillance, unclear terms like “legitimate” law enforcement purposes, lack of public access to records, and the risk of misuse for immigration or abortion-related tracking. The committee adopted the amendment and then gave SB 1111 as amended a do pass recommendation on a 7-2 vote, with one not voting. Next, SB 1116, as amended, was approved. The bill requires appeals or adverse determinations on behavioral health claims under AHCCCS fee-for-service to be reviewed by someone with relevant clinical experience, and the amendment broadened the requirement to include medical-necessity denials and specified at least two years of similar clinical experience. Senator Werner said the measure was intended to curb inappropriate denials and improve payment for behavioral health providers serving Native communities. Access was neutral but said the bill’s terms were too broad and could require additional staff; the committee nonetheless adopted the amendment and passed the bill 10-0. Finally, SB 1122, as amended, was approved 10-0. The bill bars AHCCCS from requiring prior authorization for behavioral health services under the American Indian Health Plan, while the amendment prohibited 100% prepayment review and adjusted the corrective-action language. Senator Werner and provider representatives said the measure was needed because providers were being delayed or denied payment, contributing to closures, workforce shortages, and patient brokering. The committee then began hearing SB 1072, a major appropriation to increase reimbursement rates for home- and community-based services for individuals with intellectual and developmental disabilities, with testimony focused on severe caregiver shortages, overtime costs, and unassigned service authorizations.

Transcript Highlights:

• process more efficient.
• And we're going to make that a much more streamlined process, which will then make the review process
• the rulemaking process.
• the rulemaking process.
• Has that been done in this process, where through the legislation or through the rule process, do quorum

Keywords: 1204, all

Transcript Highlights:

• <00:03:56.720> pass move title sufficient due pass move title sufficient due pass >>
• >> Motion is title sufficient due to pass.
• Uh total firefighters in that process.
• Title sufficient due pass. Title sufficient due pass is a motion for Senate Bill 2704.
• >> Title sufficient due pass. >> Title sufficient due pass.

Keywords: Insurance - Room 216, 3 February, 2026; 9:00 AM, 925, all

Summary: The committee took up several insurance and health-related bills. Earlier discussion focused on metastatic cancer step therapy and biomarker testing, with the sponsor explaining that the bills would prevent insurers from requiring patients to try less effective treatments first and would require coverage for biomarker testing to better target treatment. The biomarker bill was described as a product of a summer study committee and was reported favorably. The committee also advanced a bill setting standards tied to the National Association of Insurance Commissioners, and a private residence elevator bill requiring licensing, inspection, and permitting for elevator installers, with an amendment exempting those elevators from annual inspections after the initial inspection. Members then considered a mitigation program for retrofitting homes, with the sponsor saying the Department of Insurance and industry were close to a workable statewide program. The bill would be funded by increasing a fee paid by insurance companies, not policyholders, and would allow use of a third-party administrator capped at 5% of program funds. The committee also reported bills extending the state health plan repealer, extending the LOSAP volunteer firefighter program repealer, and creating a fraud detection trust fund at the Insurance Department to address AI- and cyber-related fraud. The fraud fund bill drew questions about whether it would raise premiums and how it would help investigators; supporters said the fund would support staffing and equipment and that the existing fund had been dormant. Additional bills included a transparency measure for dental insurance spending, which would require reporting on the share of premiums spent on dental services beginning in 2027, and a bill expanding access to self-funded group health plans for members of legitimate professional and trade associations. The committee also heard a Mississippi Patient Protection Act aimed at strengthening willing-provider protections and limiting insurer discrimination against qualified providers; an amendment was proposed to clarify that vision benefit managers would not be treated as pharmacy benefit managers. Most measures were moved by title sufficient due pass and reported without opposition.

Transcript Highlights:

• And fifth, it protects due process.
• restoration to due process of the people restoration to due process of the people both<01:19:38.960
• Their due process is met present.
• level of due process.
• level of due process.

Keywords: 1189, house, all

Transcript Highlights:

• process.
• And then as a budget process.
• um through a separate process.
• There's a separate process that's allowed and I believe that LBB has to be involved in that process,
• There's a separate process.

Keywords: 1184, house, all

Transcript Highlights:

• It's quite an expensive process. It's something that we have wanted to do.
• With that, this is an item that needs a motion due pass. So I need a motion due pass.
• No, they're just saying due pass. Okay. We've got a motion due pass. House Bill 1079.
• I am against the process. Does that make sense?
• I am against the process. Does that make sense? He does. These issues. I am against the process.

Summary: The committee first received a report on the executive protection detail, which was filed without questions. Members were then given a long advance list of House and Senate bills ready for consideration, followed by several amendment requests from agencies. The committee adopted amendments for the Auditor of State to increase special deputy expense allowance, the Administrative Office of the Courts for court interpreters and substitute court reporters, and several other items including local sales tax refunds, county property tax redistribution, and local law enforcement funding. It also held one amendment on House Bill 1034 and moved a Northwest Arkansas Community College cash fund increase tied to tornado-related campus repairs. The committee then considered a series of member amendments and appropriation items, including increases for the Public Defender Commission and deputy prosecuting attorneys to cover higher bar license fees, and a $12 million federal appropriation-only item. A lengthy discussion followed on a proposal from Senator Wallace and Representative Tosh to fund a pilot program for prison cell-phone detection/jamming technology at two correctional facilities. Sponsors and Department of Corrections officials said the system would target illegal contraband phones, would be procured through an RFP, and would be a two-year pilot; members raised questions about legality, cost, scope, data, and whether the department should use existing budget authority. The committee ultimately advanced the item by motion. The committee also took up an amendment from Senator Caldwell for the University of Arkansas Division of Agriculture, seeking a $4 million appropriation increase. Testimony emphasized that the division’s extension offices and research functions are underfunded, that salaries are not competitive, and that the request would help with staffing and flexibility; other members questioned why the division needed more appropriation authority when it already had room under current limits and noted that the request exceeded the higher education board’s recommendation. The amendment was adopted after extended debate. Finally, the committee began acting on governor’s letters, adopting amendments for a $150 million increase to the homestead property tax credit, a $23,000 reallocation for the Insurance Department’s conference costs, $100,000 for property appraisal review work, $1.5 million for career and technical education professional development, $300,000 for DFA regulatory federal spending, $5 million for Inspector General fraud investigations, a consolidation of appraiser/abstractor/home inspector appropriations, deletion of a completed Fort Chaffee readiness center appropriation, and a revised reappropriation for corrections capital projects that would add special language restricting use of the $73.7 million prison-expansion reappropriation. The committee also heard a summary of a supplemental appropriations package involving fund transfers for pregnancy resource centers, senior centers, assistance grants, used tires, and UAMS pregnancy/stroke programs.

Transcript Highlights:

• As a result, local jurisdictions often raise new mandates late in the process.
• There are due diligence costs that are associated with it.
• We have to do that in a fair and open and public process.
• We have to do that in a fair and open and public process.
• Item number three, SB 799, due pass.

Keywords: 988, house, all

Transcript Highlights:

• They really want to make sure that they're doing their due diligence of what is identifying neglect on
• We applaud the inclusion of youth with lived experience in the stakeholder consultation process.
• The process should be child-focused, streamlined, and transparent, providing a clear appeals process.
• Due to our implementing statewide at one time.
• The second group includes cases where the person due to receive payment has deceased.

Keywords: 988, house, all

Transcript Highlights:

• It dictates that we should have balance in the prior authorization process.
• What causes the delay in the pre-authorization process?
• It's a pretty simple prior authorization process.
• Prior authorization is that process to do that.
• There's going to be something moving through that goes through this process.

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• process.
• H the victim now has a way to achieve due process. Is that correct?
• Senator Osgood doesn't deal with the due process component.
• Please allow due process. >> Thank you.
• and the disciplinary hot process inside hospitals in the process of peer review in the process of making

Keywords: 999, senate, all

Transcript Highlights:

• The total claims per year that we process are around $4 billion.
• Senator: The ERS Investment Advisory Committee is in process.
• Looks like savings due to a competitive contract rebidding process for PBM.
• It was an arduous process.
• Nau: So we have this bifurcated Public Information Act process due to the legislative direction, specifically

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• Where are we in that process right now? Where are we in that process right now?
• Um, we Because I know it's a process.
• <00:37:46.880> of critical to begin the process of critical to begin the process of returning
• What’s your thought process on that? I’ll be as clear as possible.
• department of budget and finance due department of budget and finance due diligence<01:26:37.920

Keywords: 912, senate, all

Summary: The joint Senate committees heard HB 108 HD2, which would allow direct shipment of beer and distilled spirits by certain licensees and require liquor commissions to adopt rules. Most testimony came from craft brewers and distillers in support, who said the bill would help small and fragile producers reach customers, move limited or specialty products that wholesalers do not carry, and maintain relationships with visitors after they leave Hawaii. Supporters also argued that direct-to-consumer shipping would not meaningfully increase underage access because common carriers age-gate deliveries and require adult signatures, and that the measure would supplement rather than replace the three-tier system. Opposition came from the Hawaii Food Industry Association and the Hawaii Liquor Wholesalers Association, which said the bill could create problems with minor access and tax revenue and would allow out-of-state manufacturers to ship directly to Hawaii households. Supporters responded that similar concerns were raised when wine direct shipping was adopted and said the existing shipping and reporting systems can track and tax these sales. Several witnesses, including Maui Brewing, Ola Brew, Koloa Rum, Hana Rum, Koulana Rumworks, Koval Distillery, and the Brewers Association, described their small-batch operations, limited distribution options, and the potential for direct shipping to expand sales and jobs. Committee members questioned witnesses about underage access, tax collection, and the impact on the three-tier system. One witness discussed efforts to protect and potentially scale the Hawaiian spirit Okolehao through geographic and sourcing rules. The transcript does not show a final vote or disposition on HB 108 HD2 in the excerpt provided.

Transcript Highlights:

• it came from, and it was to preserve EMS funding in communities facing the discontinuance of service due
• Uh, we're still having communities facing the discontinuity of service due to lack of adequate funding
• to lack of adequate of service due to lack of adequate funding.<00:04:30.160> And<00:04:30.320
• service due to lack of adequate funding. service due to lack of adequate funding.
• And then you look at grant processes.

Keywords: Meeting Start 00:00:00 Kentucky Board of Emergency Medical Services (KBEMS) 00:00:53 Approval of Minutes 00:23:37, 958, all

Summary: The Kentucky Board of EMS presented an additional budget request focused on grant funding for local EMS agencies, not agency operations. Officials said the board has 13 full-time staff after losing employees in the 2022 transition back to state government, and that the request would be a 100% pass-through to providers. They initially described two requests totaling $12.91 million: $10.8 million for the EMS block grant and $2.1 million for workforce education tied to House Bill 484, but later said they would withdraw the $2.1 million request because rural health transformation funding appears likely to cover those education needs. Most of the testimony explained why the EMS block grant should be increased. The board said the grant began in 1980 at about $1.2 million and has remained largely unchanged while EMS costs have risen sharply. They cited higher prices for ambulances, stretchers, and cardiac monitors, along with increased labor and reimbursement pressures. Board members emphasized that modern EMS now provides much more advanced care in the field, especially in rural areas, and argued that equipment such as 12-lead cardiac monitors can significantly improve patient outcomes. They said the current grant provides about $10,000 per county, while the request would raise funding to about $100,000 per county and increase the per-capita amount from roughly 26 cents to $2.60. Members also discussed whether the block grant statute should be reformed to target need more directly. Board officials said they had considered making the grant more competitive, but decided against it for now because many counties rely on the annual funding and shifting money away from some areas would create hardship. In response to questions, they said Kentucky has about 160 class one EMS agencies providing 911 response across 120 counties, and that grant awards in recent years reached 91 counties, then 108, then 110 counties. They also highlighted the cost and safety benefits of power loading systems for stretchers, saying they can reduce back injuries and help retain EMS workers, but are often unaffordable for smaller departments. No votes were taken on the budget request during the hearing. After the testimony and questions, the committee approved the minutes from the prior meeting by motion and second, with no opposition, and then adjourned.

Transcript Highlights:

• For DD, this is a four-step process, and for long-term care, it's a three-step process.
• So that process would still have to take place every six months. And Senator Wilson has a question.
• The work requirements are due December 31, 2026, for Medicaid.
• Lastly, DSHS is scoping the process and system changes needed to implement the bill.
• You'll notice down below there's no change because of H.R. 1, and that's partly due to the timing.

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.