Transcript Highlights:

• It became a Steward facility, and then it closed, and there really wasn't a whole people.
• to gain greater control over the cost of prescription medications, including manufacturing and distribution
• I am with the Healthcare Distribution Alliance, and I want to thank you for the opportunity today to
• Cusack, an act strengthening oversight of health care facility spending; House Bill 1356, also filed
• An act strengthening oversight of health care facility spending.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a broad set of health care bills focused on cost, market oversight, pharmaceutical access, transparency, hospital closures, and pharmacy access. Chairs John Lawn and Cindy Friedman opened by emphasizing recent health care reforms and the need for further action on the drug supply chain, PBMs, private equity, and affordability. The committee heard testimony on several measures, including a Betsy Lehman Center bill to make technical changes and create a permanent trust account for federal and private funding, and bills on hospital profits and fairness, hospital closures and health planning, pharmacy deserts, and health care market oversight and pharmaceutical access. No votes were taken during the hearing. On the hospital profits bill, physicians and labor advocates strongly supported capping hospital CEO compensation at 50 times the lowest-paid worker, requiring greater financial transparency, and directing penalties from high-margin public hospitals into a Medicaid reimbursement fund. Testifiers argued that executive pay is excessive while frontline staff and safety-net services are under strain. Committee members raised concerns about unintended consequences, including whether hospitals might shift workers to contract status or lose executive talent, and whether the bill would actually direct money to the safety net. Supporters responded that the measure is one piece of a larger effort and that the bill’s Medicaid reimbursement provisions would help underserved hospitals. Testimony on market oversight and pharmaceutical access centered on rising health care and drug costs, PBM practices, and the proposal to give the Health Policy Commission authority to set upper payment limits for certain drugs. Consumer advocates, disability advocates, an independent pharmacist, the Attorney General’s office, and others supported stronger oversight, citing premium increases, affordability problems, and the impact of high drug prices on patients and community pharmacies. Pharma and some industry witnesses opposed parts of the bill, warning that upper payment limits could disrupt access, create legal issues, and fail to address the broader supply chain. The committee also heard support for stronger hospital closure notice and public hearing requirements, and for a pharmacy deserts bill aimed at identifying and addressing closures like the one in Roxbury that affected thousands of patients.

Transcript Highlights:

• It caps the total state directed payment amounts for inpatient hospital and nursing facility services
• The proportion of rural health facilities in the state relative to the number of rural health facilities
• We do not have a sort of a distributional analysis, as you're referring to, that's specific to California
• Yeah, Brian Mueller with the LAO so the CBO recently published a distributional analysis of the bill
• And I imagine that that you know, percentage is also geographically distributed in different ways and

Keywords: 988, house, all

Transcript Highlights:

• Between the two facilities, and look forward to that facility opening sometime this summer.
• And that's at my facility in Lawton That's only a 23-year-old facility, and I think we're on re iteration
• It's a beautiful facility.
• And the only way we can co-share because it's also a VA facility I can only bring into that facility
• It is a 52-bed facility.

Keywords: 914, all

Bills: HR320, HR321, HR308, HR309, HR310, HR311, HR312, HR313, HR314, HR315, HR316, HR317, HR318, HR319, SCR65, SCR74, SCR76, HR245, SCR30, SCR40, HB1259, SB4, SB52, SB57, SB83, SB145, SB152, SB194, SB276, SB319, SB333, SB448, SB450, SB465, SB484, SB501, SB509, HR73, HR118, HR144, HR196, HR237, HR249, HR260, HR267, HR272, HR278, HCR85, HCR100, HCR105, HCR107, HCR114, SCR5, SCR29, SCR33, SCR37, SCR63, HB62, HB193, HB210, HB220, HB246, HB364, HB420, HB475, HB584, HB622, HB772, HB784, HB949, HB953, HB1043, HB1070, HB1092, HB1134, HB1162, HB1176, HB1196, HB1214, HB119, HB129, HB233, HB283, HB538, HB789, HB850, HB870, HB1236, HB1241, HB378, HB509, HB1090, SB80, SB131, SB143, SB251, SB254, SB279, SB367, SB384, SB388, SB389, SB398, SB408, SB431, SB468, SB469, SB496, SB149, HB463, HB998, SB123, SB353, SB479, SB495, SB82, SB97, SB283, SB326, SB518, SB197, SB268, HB901, HR20, HR74, HR168, HCR65, HCR71, HCR98, HB284, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB625, HB646, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1191, HB1240, HB1255, SB89, HB74, HB134, HB258, HB359, HB468, HB956, HB1117, SB29, SB42, SB43, SB78, SB217, SB274, SB300, SB379, SB382, SB441, SB449

Keywords: Arsenal, Arsenal F.C., Premier League, English football, soccer, football club, Mikel Arteta, Emirates Stadium, North London, Tottenham Hotspur, Gunners, sports resolution, commendation, celebration, championship, silverware, Louisiana House Resolution, ceremonial resolution, domestic violence, forensic medical examinations

Bills: HR320, HR321, HR308, HR309, HR310, HR311, HR312, HR313, HR314, HR315, HR316, HR317, HR318, HR319, SCR65, SCR74, SCR76, HR245, SCR30, SCR40, HB1259, SB4, SB52, SB57, SB83, SB145, SB152, SB194, SB276, SB319, SB333, SB448, SB450, SB465, SB484, SB501, SB509, HR73, HR118, HR144, HR196, HR237, HR249, HR260, HR267, HR272, HR278, HCR85, HCR100, HCR105, HCR107, HCR114, SCR5, SCR29, SCR33, SCR37, SCR63, HB62, HB193, HB210, HB220, HB246, HB364, HB420, HB475, HB584, HB622, HB772, HB784, HB949, HB953, HB1043, HB1070, HB1092, HB1134, HB1162, HB1176, HB1196, HB1214, HB119, HB129, HB233, HB283, HB538, HB789, HB850, HB870, HB1236, HB1241, HB378, HB509, HB1090, SB80, SB131, SB143, SB251, SB254, SB279, SB367, SB384, SB388, SB389, SB398, SB408, SB431, SB468, SB469, SB496, SB149, HB463, HB998, SB123, SB353, SB479, SB495, SB82, SB97, SB283, SB326, SB518, SB197, SB268, HB901, HR20, HR74, HR168, HCR65, HCR71, HCR98, HB284, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB625, HB646, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1191, HB1240, HB1255, SB89, HB74, HB134, HB258, HB359, HB468, HB956, HB1117, SB29, SB42, SB43, SB78, SB217, SB274, SB300, SB379, SB382, SB441, SB449

Keywords: Arsenal, Arsenal F.C., Premier League, English football, soccer, football club, Mikel Arteta, Emirates Stadium, North London, Tottenham Hotspur, Gunners, sports resolution, commendation, celebration, championship, silverware, Louisiana House Resolution, ceremonial resolution, domestic violence, forensic medical examinations

Summary: The House met with a quorum, opened with prayer and the Pledge of Allegiance, and then received a series of Senate messages, conference committee appointments, and enrolled bill reports. The chamber also noted Senate concurrence in several House concurrent resolutions and the adoption of conference reports, while multiple Senate bills and resolutions were signed by the Senate President. Senate Bill 480, dealing with butterfly bottom nets and vessel use/anchorage, was referred to the Natural Resources Committee without objection. Members introduced several House resolutions, including measures to commend Arsenal Football Club, recognize Pope Leo XIV and 4-H honoree Margaret Mimi Stoker, study forensic medical exam protocols for domestic violence survivors, create a task force on second-degree murder sentencing, review miscarriage and pregnancy-loss terminology, commemorate the 250th anniversary of New Orleans, and support the National Guard Youth Challenge Program. Committee reports also moved forward bills on child welfare, water quality, scenic rivers, orphan wells, gravel mining reclamation, groundwater conservation, agricultural production, railroad hazards, and retirement system merger feasibility, along with resolutions on Pope Leo XIV and the LaMelle family. The House took up numerous Senate bills returned from the Legislative Bureau, adopting amendments and advancing many to third reading, including bills on health and welfare, education, insurance, and criminal justice. The chamber also reported favorably on resolutions condemning political violence and honoring public figures and organizations, and it scheduled several committee meetings for the following day, including Health and Welfare, Appropriations, Natural Resources, Civil Law, Transportation, and Ways and Means. The session ended with announcements about upcoming committee agendas and delegation meetings, and the House adjourned on motion to reconvene at 1:00 p.m. the next day.

Transcript Highlights:

• to be able to use these facilities to be able to use these effectively. effectively. effectively.
• I'll distribute the responses. Okay?
• <00:59:15.080> well<00:59:15.320> I'll make sure that we distribute well I'll make
• sure that we distribute well I'll send<00:59:15.720> them<00:59:15.880> to<00:59:16.320
• distribute the the responses.<00:59:21.160> Okay?

Bills: HB20, HB276, HB644, HB812, HB816, HB916, HB1131, HB1247, HB1518, HB1525, HB1537, HB1541, HB1546, HB1553, HB1562, HB1565, HB1566, HB1576, HB1577, HB1591, HB1605, HB1612, HB1613, HB1614, HB1618, HB1620, HB1650, HB1656, HB1658, HB1661, HB1664, HB1668, HB1676, HB1707, HB1711, HB1713, HB1715, HB1718, HB1727, HB1749, HB1756, HB1774, HB1776, HB1801, HB1802, HB1805, HB1813, HB1815, HB1831, HB1838, HB1853, HB1854, HB1859, HB1863, HB1871, HB1872, HB1918, HB1920, HB1952, HB1965, HB1966, HB1967, HB1969, HB1972, HB1973, HB1974, HB1975, HB1980, HB1985, HB2005, HB2023, HB2031, HB2033, HB2062, HB2113, HB2114, HB2116, HB2138, HB2139, HB2156, HB2158, HB2159, HB2171, HB2208, HB2268, HB2270, HB2272, HB2273, HB2276, HB2289, HB2310, HB2315, HB2335, HB2338, HB2339, HB2340, HB2343, HB2361, HB2384, HB2387, SB2338, SB2431, SB2438, SB2593, SB2907, SB2671, SB2321, SB3084, SB2401, SB3033, SB2972, SB3032, SB2806, SB3014, SB2108, SB2981, SB2973, SB2423, SB2078, SB2322, SB2397, SB2896, SB2088, SB2347, SB2408, SB2970, SB2851, SB2713, SB2697, SB2312, SB2192, SB2363, SB2530, SB3028, SB2024, SB3007, SB2599, SB2596, SB2662, SB2930, SB3334, SB2378, SB3019, SB3231, SB2240, SB2372, SB2175, SB2046, SB2298, SB2922, SB2835, SB3263, SB2174, SB2128, SB2006, SB2489, SB3134, SB2982, SB2425, SB2849, SB2797, SB2795, SB2575, SB2521, SB2765, SB2386, SB2852, SB2022, SB2117, SB2277, SB2387, SB2688, SB2885, SB3132, SB3219, SB2169, SB2591, SB2090, SB2983, SB888, SB3249, SB2611, SB2429, SB2463, SB3154, SB3131, SB3152, SB3315, SB2448, SB2054, SB2140, SB2520, SB2377, SB2986, SB2010, SB2189, SB2026, SB3010, SB2818, SB2002

Keywords: lava insurance, homeowners, insurance market, subsidy, Hawaii, condominiums, annual report, filing fee, real estate, developer, residency, property regime, PFAS, single-use plastics, environmental health, food ware, pollution reduction, local produce, agriculture, Hawaii Revised Statutes

Transcript Highlights:

• :08:25.320> relating<00:08:25.680> to<00:08:25.800> state<00:08:26.040> facilities
• 2074 relating to state facilities. 2074 relating to state facilities.

Bills: HB20, HB276, HB644, HB812, HB816, HB916, HB1131, HB1247, HB1518, HB1525, HB1537, HB1541, HB1546, HB1553, HB1562, HB1565, HB1566, HB1576, HB1577, HB1591, HB1605, HB1612, HB1613, HB1614, HB1618, HB1620, HB1650, HB1656, HB1658, HB1661, HB1664, HB1668, HB1676, HB1707, HB1711, HB1713, HB1715, HB1718, HB1727, HB1749, HB1756, HB1774, HB1776, HB1801, HB1802, HB1805, HB1813, HB1815, HB1831, HB1838, HB1853, HB1854, HB1859, HB1863, HB1871, HB1872, HB1918, HB1920, HB1952, HB1965, HB1966, HB1967, HB1969, HB1972, HB1973, HB1974, HB1975, HB1980, HB1985, HB2005, HB2023, HB2031, HB2033, HB2062, HB2113, HB2114, HB2116, HB2138, HB2139, HB2156, HB2158, HB2159, HB2171, HB2208, HB2268, HB2270, HB2272, HB2273, HB2276, HB2289, HB2310, HB2315, HB2335, HB2338, HB2339, HB2340, HB2343, HB2361, HB2384, HB2387, SB2338, SB2431, SB2438, SB2593, SB2907, SB2671, SB2321, SB3084, SB2401, SB3033, SB2972, SB3032, SB2806, SB3014, SB2108, SB2981, SB2973, SB2423, SB2078, SB2322, SB2397, SB2896, SB2088, SB2347, SB2408, SB2970, SB2851, SB2713, SB2697, SB2312, SB2192, SB2363, SB2530, SB3028, SB2024, SB3007, SB2599, SB2596, SB2662, SB2930, SB3334, SB2378, SB3019, SB3231, SB2240, SB2372, SB2175, SB2046, SB2298, SB2922, SB2835, SB3263, SB2174, SB2128, SB2006, SB2489, SB3134, SB2982, SB2425, SB2849, SB2797, SB2795, SB2575, SB2521, SB2765, SB2386, SB2852, SB2022, SB2117, SB2277, SB2387, SB2688, SB2885, SB3132, SB3219, SB2169, SB2591, SB2090, SB2983, SB888, SB3249, SB2611, SB2429, SB2463, SB3154, SB3131, SB3152, SB3315, SB2448, SB2054, SB2140, SB2520, SB2377, SB2986, SB2010, SB2189, SB2026, SB3010, SB2818, SB2002

Keywords: lava insurance, homeowners, insurance market, subsidy, Hawaii, condominiums, annual report, filing fee, real estate, developer, residency, property regime, PFAS, single-use plastics, environmental health, food ware, pollution reduction, local produce, agriculture, Hawaii Revised Statutes

Bills: HB20, HB276, HB644, HB812, HB816, HB916, HB1131, HB1247, HB1518, HB1525, HB1537, HB1541, HB1546, HB1553, HB1562, HB1565, HB1566, HB1576, HB1577, HB1591, HB1605, HB1612, HB1613, HB1614, HB1618, HB1620, HB1650, HB1656, HB1658, HB1661, HB1664, HB1668, HB1676, HB1707, HB1711, HB1713, HB1715, HB1718, HB1727, HB1749, HB1756, HB1774, HB1776, HB1801, HB1802, HB1805, HB1813, HB1815, HB1831, HB1838, HB1853, HB1854, HB1859, HB1863, HB1871, HB1872, HB1918, HB1920, HB1952, HB1965, HB1966, HB1967, HB1969, HB1972, HB1973, HB1974, HB1975, HB1980, HB1985, HB2005, HB2023, HB2031, HB2033, HB2062, HB2113, HB2114, HB2116, HB2138, HB2139, HB2156, HB2158, HB2159, HB2171, HB2208, HB2268, HB2270, HB2272, HB2273, HB2276, HB2289, HB2310, HB2315, HB2335, HB2338, HB2339, HB2340, HB2343, HB2361, HB2384, HB2387, SB2338, SB2431, SB2438, SB2593, SB2907, SB2671, SB2321, SB3084, SB2401, SB3033, SB2972, SB3032, SB2806, SB3014, SB2108, SB2981, SB2973, SB2423, SB2078, SB2322, SB2397, SB2896, SB2088, SB2347, SB2408, SB2970, SB2851, SB2713, SB2697, SB2312, SB2192, SB2363, SB2530, SB3028, SB2024, SB3007, SB2599, SB2596, SB2662, SB2930, SB3334, SB2378, SB3019, SB3231, SB2240, SB2372, SB2175, SB2046, SB2298, SB2922, SB2835, SB3263, SB2174, SB2128, SB2006, SB2489, SB3134, SB2982, SB2425, SB2849, SB2797, SB2795, SB2575, SB2521, SB2765, SB2386, SB2852, SB2022, SB2117, SB2277, SB2387, SB2688, SB2885, SB3132, SB3219, SB2169, SB2591, SB2090, SB2983, SB888, SB3249, SB2611, SB2429, SB2463, SB3154, SB3131, SB3152, SB3315, SB2448, SB2054, SB2140, SB2520, SB2377, SB2986, SB2010, SB2189, SB2026, SB3010, SB2818, SB2002

Keywords: lava insurance, homeowners, insurance market, subsidy, Hawaii, condominiums, annual report, filing fee, real estate, developer, residency, property regime, PFAS, single-use plastics, environmental health, food ware, pollution reduction, local produce, agriculture, Hawaii Revised Statutes

Transcript Highlights:

• I'm here today to talk about a groundbreaking project: a treatment facility at our treatment facility
• Cloud does have excess renewable energy being produced at the facility. We have four solar arrays.
• Many of you from this committee actually visited our facility back in November of 2023.
• that hydrogen to be used at our facility that hydrogen to be used at our facility and<00:42:03.520
• <00:52:23.680> like methane produced off the facility like methane produced off the facility

Keywords: 1183, house

Transcript Highlights:

• In the first four months since receiving this, we have utilized, distributed over 40% of our coupons.
• They're in charge of these grants and the distribution of them.
• As anticipated, when the board voted to distribute funds, opponents attempted to add the board to the
• When the board voted to distribute funds, opponents attempted to add the board to the litigation.
• Additional funds remain in escrow and are ready for future distribution.

Bills: HB25, SB38, SB101, HB199

Keywords: juvenile delinquency, firearm possession, criminal background checks, state law, gun control, youth offense, conviction, public safety, SB38, pet food, registered pet food, registration fee, fees, sunset repeal, repeal of repeal, revenue, state fee, business regulation, animal feed, pet food registration

Transcript Highlights:

• And, you know, with the health care facility, maybe urgent care, there are all different types of facilities
• Question about the health care facility.
• So, you're now established as a 638 facility.
• How far is the next facility? The next medical facility... I'm sorry.
• The next facility is just our neighbor, Laguna Center.

Transcript Highlights:

• While we've seen a decrease at our pantries, our weekly drive-through distribution at Oxnard College
• Our clients consider this drive-through distribution a safe space where they can wait in their car with
• Today, as we plan how many truckloads of food we need to deliver for this distribution, we've also had
• , and $2.9 million... $8.5 million of financial aid was distributed and $2.9 million in goods, totaling
• Funds that actively collect and distribute monies to survivors and nonprofits in the fires.

Summary: The joint Senate and Assembly select committee hearing focused on the challenges facing California nonprofits in 2025 and possible state responses. Opening remarks emphasized the sector’s size and importance, the impact of federal funding disruptions and tax policy changes, and the need for stronger public-private partnerships, especially in disaster response and recovery. Witnesses from community foundations, food banks, Cal OES, long-term recovery groups, CalNonprofits, and nonprofit finance organizations described funding uncertainty, delayed reimbursements, reduced indirect cost coverage, staffing strain, and the effects of climate disasters and immigration-related fear on service delivery. Testimony highlighted several policy ideas, including advance payments for state grants and contracts, prompt payment standards, sustainable indirect cost rates, contract flexibility in emergencies, streamlined registration and reporting, and a possible new Office of Nonprofit Empowerment to serve as a central point of contact and coordination within state government. Speakers also described how nonprofits and VOAD networks support wildfire response and long-term recovery, but noted that recovery groups often lack stable operating funding even when they are recognized as best practice. A food bank leader described federal food aid cuts and disruptions to deliveries, while other witnesses stressed that nonprofits are increasingly forced to use reserves, loans, or service reductions to manage cash flow gaps. Committee members generally expressed support for the sector and asked how the state could better partner with nonprofits during both disasters and budget crises. Several members raised the possibility of incremental steps if full legislative changes are not immediately feasible, and witnesses suggested pilots, better sharing of best practices, and stronger state leadership on payment timelines. Public commenters echoed the need for better contracting practices, support for community-based organizations, and attention to nonprofit worker compensation and protections. No formal votes or committee actions were taken in the hearing, which concluded with adjournment.

Transcript Highlights:

• We no longer print, copy, or distribute applications via mail.
• Is there is there any other county in the state that has that, or as far as facilities and separate facilities
• I don't believe there are other locations with a separate facility.
• The facility upgrades would be $370 and then these are all one-time requests and then $250.
• The facility is in really good shape; they've maintained it well over the last 20 years.

Keywords: 914, all

Transcript Highlights:

• These facilities aim to prevent deaths, injuries, and infections among people who use illegal drugs and
• These facilities aim to prevent deaths, injuries, and infections among people who use illegal drugs and
• These facilities aim to prevent deaths, injuries, and infections among people who use illegal drugs and
• She said these facilities are associated with reduced public drug use, lower demand on local health care
• Any hemp processor with a permit pursuant to section 328G-2 may sell, hold, offer, or distribute for

Keywords: 912, senate, all

Summary: The Health and Human Services Committee heard testimony on several measures related to child welfare, health care access, overdose response, disability services, and waste management. For SB 710 on child welfare, the Department of Human Services, the Office of Wellness and Resilience, the Attorney General’s office, and multiple advocacy groups testified in support, with the Governor’s office noting support but deferring to the Attorney General on implementation because of separation-of-powers concerns. For SB 952 on child welfare services, DHS, the Governor’s office, and child- and trauma-informed care advocates supported the bill, saying it would help families access services, provide basic material support, and reduce strain on the child welfare system. SB 954 on a home health services rate study also drew support, including from DHS, the Hawaii Healthcare Association, and a public testifier who said the study would help ensure funds reach low-income, disabled, and kupuna recipients. SB 957 on overdose prevention received support from the Department of Health and the Attorney General, who said overdose prevention centers are evidence-based but raised federal-law concerns and recommended amendments; the Hawaii Health and Harm Reduction Center and others also testified in support. The committee then moved to the 1:00 regular calendar and heard SB 850 on disability health disparity, which was supported by the Executive Office on Aging, the Hawaii State Council on Developmental Disabilities, the Hawaii Disability Rights Center, self-advocates, and others. Testimony emphasized that a disparity study could improve workforce development, training, and services for people with disabilities. SB 838 on continuous glucose monitoring drew support from health agencies and advocates, with testimony stressing that monitors can be critical for some diabetes patients. SB 829 on health care was supported by the Department of Health and health care stakeholders, who said it would help rotating physicians serve neighbor islands without local hospital privileges and align with CMS rules. SB 446 on waste management drew mixed testimony: the Department of Health and several public entities provided comments, the County of Maui opposed, and environmental advocates urged stronger aquifer protections and limits on ash reuse. During decision making, the committee adopted recommendations to pass SB 298, SB 322, SB 299, SB 450, SB 451, SB 949, SB 710, SB 957, SB 69, and SD 952 with various amendments, including technical changes, blank appropriations, and defective dates. SB 323, SB 324, SB 712, SB 950, SB 954, and SB 959 were deferred, largely because companion House measures were moving or similar Senate measures had already passed. The chair also announced recesses to find quorum and noted that some bills from the earlier Monday calendar were being deferred to avoid duplication.

Transcript Highlights:

• To unaffiliated, we didn't want it to simply be that a generation facility and maybe a large tech. company
• the word transmission voltage so that the statute would apply to large. loads that are on both distribution
• Yeah, so the reason it applies to distribution and transmission is we found that one utility in particular
• was also putting some of these large loads. their distribution system in kind of a unique way and so
• utilities. would work with each large load to develop something that unique for that particular facility

Keywords: 1185, senate, all

Transcript Highlights:

• Treatment often occurs in an office, clinic, or treatment facility.
• Our naloxone distribution includes both one-on-one distribution to clients and individuals as we encounter
• We do a lot of distribution with community partners who are willing to accept naloxone and distribute
• And we don't know if these are evenly distributed across the state.
• I think the Chief of Staff has the electronic copy to distribute.

Keywords: 959, house, all

Transcript Highlights:

• As you can see, a lot of those are concentrated around Department of Defense facilities.
• So the biggest categories are facilities—these are large manufacturing facilities mostly—but then fuel
• So the biggest categories are facilities.
• A small number of facilities have a mass-based baseline.
• That's only if they A small number of facilities have a mass-based baseline.

Summary: The committee held a work session covering PFAS regulation and impacts, no-cost allowance allocation for emissions-intensive trade-exposed industries (EITEs), and regional resource adequacy and data center load growth. Senator Victoria Hunt was welcomed as a new member. The Department of Ecology reviewed Washington’s Safer Products for Washington PFAS work, including completed restrictions on PFAS in outdoor furniture, carpets, rugs, stain/water-resistant treatments, and newer rules adopted in November restricting PFAS in most apparel, cleaning products, and automotive washes, with reporting requirements for some other products such as cookware and firefighting gear. Ecology also described Cycle 2 PFAS reviews now underway, including artificial turf and paints, and answered questions about compliance, online sales, sell-through periods, and how Washington’s approach differs from broader bans in states like Maine and Minnesota. The Department of Ecology also presented on PFAS in biosolids, describing a 2024 sampling study, limitations in testing methods, and a 2025 statutory amendment requiring additional sampling between 2027 and 2028 and a report to the legislature in 2029. The Department of Health then updated the committee on PFAS in drinking water, reporting that most Group A public water systems have completed sampling, that 317 sources and 188 systems are expected to exceed new contaminant levels, and that treatment costs for public systems are estimated at about $970 million, leaving a large funding gap; members also asked about private wells, health effects, bathing exposure, and home filters. The Board of Health’s new state action levels are being aligned with federal MCLs, and the department said it expects to continue monitoring and notification under state rules. Ecology also briefed the committee on no-cost allowance allocations to EITEs under the Climate Commitment Act, explaining the leakage-mitigation rationale, the current allocation schedule through 2034, and a forthcoming report on policy options for 2035-2050; members asked about industry barriers, competitiveness, and whether facilities might leave the state. Finally, E3 presented a regional resource adequacy study showing rising load, retirements outpacing additions, limited winter reliability value from wind, solar, and batteries, and a projected shortfall beginning in 2026 that could grow to about 9,000 MW by 2030 if planned projects are not built. The presentation emphasized winter cold-weather events, hydro variability, the importance of permitting and transmission, and longer-term options including nuclear, geothermal, hydrogen, carbon capture, and long-duration storage. EPRI then introduced its DC Flex initiative, which is studying how data centers can provide flexible load through workload shifting, cooling optimization, and on-site backup or bridging resources to reduce grid stress and protect ratepayers.

Transcript Highlights:

• Of this nice new facility, and we want you to see that.
• cannot have more than 30% control of any entity within that facility. within that facility.
• So, it's a facility within a facility where certain communications are held.
• in that facility over on the Midtown campus here in Santa Fe.
• Facilities.

Transcript Highlights:

• facility.
• equal, the distribution should be too. equal, the distribution should be too.
• multi-level, multi-unit facilities. multi-level, multi-unit facilities.
• . facilities. facilities.
• . facilities. facilities.

Bills: HF4110, HF4101, HF4144, HF3546

Keywords: workplace regulations, employee rights, meal breaks, rest breaks, exemptions, medical assistance, data matching, eligibility, reporting, human services, assisted living, health regulations, inspection authority, vulnerable adults, local government, program integrity, high-risk providers, enrollment requirements, fraud prevention, compliance

Transcript Highlights:

• the money is distributed back to those hospitals based on their Medicaid patient load.
• We have nine clients that are Living Choices waiver clients in the facility.
• You said that there were nine that were under Living Choices at this facility?” “Yes, sir.
• There are nine clients under our waiver program at the facility.” “All right. Thank you.”
• Has this facility always filed timely, and do you have—” “Um, has this facility always filed timely,

Summary: The subcommittee met to review Department of Human Services hospital payments in Arkansas Medicaid, with DHS Secretary Janet Mann and Deputy Secretary Misty Eubanks presenting first, followed by Arkansas Hospital Association Executive Vice President Jody Ann Tritt and a brief comment from Arkansas Children’s. DHS outlined the main hospital payment streams: fee-for-service per diem payments, upper payment limit (UPL) supplemental payments, cost settlements, and smaller payments such as graduate medical education and disproportionate share hospital funds. Members asked for plain-language explanations of cost settlements, why per diem rates vary by hospital type, and why UPL applies to private hospitals. DHS said cost settlements and UPL are mechanisms to help offset Medicaid underpayment, with SFY 2025 hospital payments totaling hundreds of millions of dollars and no general revenue used for supplemental payments beyond the state share funded through hospital assessments and related financing structures. Committee members focused heavily on whether Arkansas hospitals are adequately reimbursed and why rural hospitals struggle. Tritt explained that critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals operate under different federal and state rules, and said lower per diem rates for some facilities help with cash flow and later cost settlement adjustments. She said Arkansas hospitals are under financial strain, citing a negative patient services margin statewide and noting that Medicaid, Medicare, and commercial payers all contribute to the problem. She also said the association had just authorized a statewide survey of hospital finances and costs, which she expected would take about a year to complete. A major theme was commercial insurance reimbursement. Tritt argued Arkansas hospitals are paid far less than hospitals in neighboring states even though premiums are similar, and said administrative burdens, prior authorizations, and denials add to the problem. She said hospitals receive about 52 to 53 cents on the dollar for Medicaid costs without UPL and about 78 cents with UPL, still below cost. Members also discussed Medicare wage index issues, Medicare Advantage, and whether hospitals could use technology or alternative arrangements to improve finances. No votes were taken on the hospital presentation. At the end of the meeting, DHS provided a brief update on Living Choices and assisted living reimbursement. Officials said one assisted living facility, Pillars of the Community in Crossett, had announced closure, with nine waiver clients being transitioned to other settings. DHS said the current cost reporting period was underway and that a new rate study could be ready for review before the end of the fiscal year if reports were submitted on time. Members also asked about the broader waiver plan, and DHS said the next waiver iteration would likely be brought back to the committee in the summer.