Transcript Highlights:

• That continues to happen in the state.
• However, recognizing the need for renewed support of the program, the state expanded the program again
• Grateful for the legislature's continued support of this program and the children and families that it
• Grateful for the legislature's continued support of this program and the children and families that it
• This is a specific group that can be addressed through a pilot program.

Summary: The Committee on Children, Families, and Elder Affairs met with a quorum and first took up SB 398, which would create a statewide public health awareness campaign through the Department of Elder Affairs on Alzheimer’s disease and related dementias. Senator Burgess said the campaign would focus on early detection, brain health, risk reduction, clinical trial access, and community resources. The committee heard supportive testimony from a caregiver, AARP, the Alzheimer’s Association, and others, with members discussing the need for culturally responsive outreach and continued funding. SB 398 was reported favorably by roll call vote. The committee then heard SB 106, which would strengthen Florida’s exploitation injunction law for vulnerable adults by allowing service of an unascertainable exploiter through the same communication method used to contact the victim, such as text, Facebook Messenger, or WhatsApp. Senator Martin explained the bill as a way to close a loophole that lets scammers evade traditional service, and witnesses from the Florida Bankers Association and the Florida Bar’s Elder Law Section supported it, describing how the bill could stop ongoing thefts more quickly while preserving due process. Members asked about gift card scams, clerk workload, and the definition of an unascertainable respondent. SB 106 was reported favorably. The Department of Children and Families then presented an update on the Adoption Benefits for Qualifying Adoptive Employees Program, describing its expansion over time and the current one-time lump-sum benefit structure for eligible adoptive parents. The presentation covered eligibility rules, open enrollment, funding history, and the program’s impact on adoption placements, with members asking why tax collectors were included but other constitutional offices were not, and whether foster relatives could qualify. Finally, the committee considered SPB 7012, a committee bill addressing child welfare workforce shortages, treatment foster care for high-acuity children, and improved data collection on commercially sexually exploited children. The bill would direct DCF to recruit former public safety workers for CPI and case manager roles, create a treatment foster care pilot in two judicial circuits, and require more detailed, analyzable data and capacity studies. The bill drew support from child welfare advocates, with some members urging DCF to return with a more developed framework; it was adopted as a committee bill and reported favorably.

Transcript Highlights:

• May I continue? Continue, Representative Schauer.
• Okay, may I continue? Yes, continue.
• NDIRF structures its financial program to withstand volatility while continuing to meet all obligations
• NDIRF structures its financial program to withstand volatility while continuing to meet all obligations
• If I may continue. Continue.

Keywords: 908, all

Transcript Highlights:

• our child care programs.
• The administration of the corporation's bond program will continue to receive the corporation board members
• The administration of the corporation's bond program will continue to receive the corporation board members
• . of the corporation's bond program will continue to receive the corporation board members time and attention
• I think that those programs, because they are strong, would continue.

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Summary: The committee began with Article I budget items for the Secretary of State. LBB staff outlined recommendations that would reduce the agency’s appropriation by about $40.3 million, including changes to HAVA funding, removal of one-time business system replacement money, and a rider directing the agency to use Fund 5095 first. Secretary Jane Nelson and staff then defended several exceptional items, especially additional staffing for elections and business filings, a new website, digitization of records, cybersecurity tools, and renovation of the James Earl Rudder Building. Members focused heavily on election administration, cross-checking voter rolls, Harris County complaints, call-center response times, and whether online voter registration should be expanded. No votes were taken; the discussion was informational and budget-focused. The committee then heard the Office of the Governor and trustee programs. LBB presented a recommended $2.4 million decrease for the governor’s office proper and a much larger decrease in trustee programs driven by one-time funding and unexpended balances, while still preserving major border security funding and victim assistance funding. Governor’s staff emphasized Texas’ economic growth, the importance of border security, and efforts to seek federal reimbursement for the roughly $11 billion Texas has spent on border operations. Members discussed whether shifting National Guard deployment to federal control could reduce state costs, and they also reviewed the music incubator program, the Governor’s University Research Initiative, and the semiconductor innovation consortium. Staff highlighted a $5 million late-added request for grants to protect nonprofits from violence and terrorism. Again, the exchange was largely explanatory, with no formal action. Finally, the committee took up the Texas Facilities Commission and lease payments for revenue bonds. LBB recommended major reductions overall, including removal of border wall construction funding and capital complex bond funding, but added money for higher utility costs, renovation of the Rudder Building, and additional facilities staff. George Purcell also noted stable maintenance-and-renewal funding and new riders related to the Texas State Library and Archives Commission building, tenant communications, and space utilization. For lease payments, LBB recommended a smaller appropriation tied to revenue-bond costs allocated across agencies. The discussion was informational, with members asking about the Rudder Building renovation, border wall progress, and capital complex construction timelines; no votes were recorded.

Transcript Highlights:

• The support for this program is vital in ensuring that BSC continues to provide high-quality hands-on
• The support for this program is vital in ensuring that BSC continues to provide high-quality hands-on
• for this program is vital in ensuring that BSC continues to provide high-quality hands-on training that
• for this program is vital in ensuring that BSC continues to provide high-quality hands-on training that
• But that program, I think there's a grant program, Women in Nontraditional Occupations, and other programs

Keywords: 1183, house

Transcript Highlights:

• But other programs, like SNAP and other programs like that, are programs that families have so they can
• <00:30:28.880> merge same program as the two programs merge same program as the two programs
• There is also a return on that investment through continuation in programming and creating relationships
• <01:08:02.319> in<01:08:02.559> programming<01:08:03.079> and um from continuation
• in programming and um from continuation in programming and creating creating creating relationships<

Keywords: 1187, senate, all

Transcript Highlights:

• program. On line 295 is Senate File 928. program. On line 295 is Senate File 928.
• our state version of that national program, match the requirements of the national program.
• our state version of that national program, match the requirements of the national program.
• . program. program.
• and programming for the entire family. and programming for the entire family.

Keywords: 1187, senate, all

Transcript Highlights:

• I have spoken with the agency, and they also would like to see the program continue without interruption
• And lastly, this is a continuation of a federal program.
• So, continuing a massive, expensive program Like this already puts a lot of strain on the current system
• And while that's an important program, a vital program, and a necessary program, It's a program that
• That hiccup continued and continued and continued. So on day one, I'm still in isolation.

Transcript Highlights:

• Our program will continue to conduct inspections and provide compliance assistance; however, this reduction
• Program, and Regional Conservation Partnership Program.
• We see that the packaging for home-delivered meals, unlike other meal programs, those costs continue
• program.
• Program.

Transcript Highlights:

• The Manufactured Home Park Community Redevelopment Program, the infrastructure grants part of that program
• Challenge Program.
• That's why I continued and expanded funding for both the Manufactured Home Community Redevelopment Program
• The continued investments in the Greater Minnesota Housing Infrastructure Grant Program are really critical
• Other programs, like the Challenge Program, have supported homeownership opportunities as well.

Transcript Highlights:

• for the engineering program.
• program quality and continuous improvement.
• Program advisory committee supports the CTE programs in a Program Advisory Committee supports the CTE
• Program advisory committees focus on career and technical education programs.
• In our early education and care programs, they continued their partnership with the Hale Family YMCA

Keywords: 995, all

Summary: The Joint Committee on Education held an informational hearing at Quincy Public Schools focused on career and technical education (CTE). Committee members said the visit was intended to gather input for statewide CTE legislation, including efforts to expand awareness and access, improve middle school exposure, invest in equipment and facilities, and strengthen ties to workforce boards and labor pathways. Quincy officials described their CTE system as integrated with academics and highlighted support from district, city, and state partners. School leaders outlined Quincy’s CTE offerings, including 15 Chapter 74 programs at Quincy High School and four at North Quincy High School, with about 1,360 students enrolled. Presenters emphasized curriculum aligned to DESE frameworks, work-based learning, industry-recognized credentials, safety training, business electives, dual enrollment and articulation with Quincy College, and grant funding such as Skills Capital and Perkins. They also discussed support liaisons for nontraditional careers and military pathways, advisory committees, and plans to seek Chapter 74 approval for an engineering program at North Quincy, along with new computer science and business offerings. Testimony from MassHire South Shore described workforce partnerships, YouthWorks, job fairs, resume workshops, and the Credit for Life Fair, while the assistant superintendent explained Quincy’s MyCAP planning grant and efforts to build a student-driven college and career readiness system. Three students testified about their pathways in welding, early education and care, and healthcare technology, describing hands-on learning, certifications, clinical or co-op experiences, and future plans for college and careers. Committee members praised Quincy as a model for combining CTE with general education, and the meeting ended with a motion to adjourn and unanimous adjournment.

Transcript Highlights:

• It is a federal program.
• The reporting will continue because the program is not going to go away.
• If the protections just say that it doesn't shut the program down, it just says that they can't continue
• , or they feel like the hospitals can't continue to use the program if they don't have, you know, if
• because the reporting will continue because the program<00:20:19.960> is<00:20:20.120> not

Keywords: 00:25 Call to Order/Roll Call 01:36 Discussion of 25RS SB 153 23:11 Roll Call Vote on 25RS SB 153 30:56 Adjournment, 958, all

Summary: The House Standing Committee on Health Services met on March 14, 2025, and took up a committee substitute for Senate Bill 153. The substitute deleted the original bill language and replaced it with provisions from Senate Bill 14, aimed at prohibiting pharmaceutical manufacturers from discriminating against 340B covered entities and adding reporting requirements for those entities. The sponsor explained that the protections would sunset after one year, allowing lawmakers to review data by July 1, 2026, and that Kentucky would continue to follow any future federal changes to the 340B program. Members asked several questions about the scope of the reporting, including what “total operating cost” means, how duplicate discounts are prevented, whether the reporting applies only to hospitals and not federally qualified health centers, and who would receive the data. The sponsor said the reporting is intended to help the Cabinet for Health and Family Services and the Office of Health Data Analytics at LRC assess how the program is working, including charity care and community benefits, while preserving protections for rural hospitals and allowing them to continue using contract pharmacies. A representative from LRC confirmed the data would come to the General Assembly through the Office of Health Data Analytics. The committee expressed mixed views about the balance between transparency and potential burdens on hospitals, especially rural facilities. Several members said they were supportive but had reservations about the reporting requirements and the sunset structure, while others noted concerns about unintended consequences and the possibility of changes on the House floor. The committee ultimately adopted the committee substitute, approved a title amendment, and reported Senate Bill 153 with House Committee Substitute 2 favorably. The meeting then adjourned.

Transcript Highlights:

• We have a lot of growth to continue to do.
• And also it's a continuing education program they're required to take.
• They might run the legal program. They might run a transitional housing program.
• But I struggle with our program as we interact with individuals But I struggle with our program as we
• time in looking at the programs we're doing.

Summary: The committee held a panel discussion on Florida’s domestic violence system, focusing on how state and federally funded services are coordinated, the role of the Florida Partnership to End Domestic Violence (FPEDV), the Florida Domestic Violence Collaborative, DCF, and certified domestic violence centers. Members reviewed the post-2020 restructuring after the dissolution of FCADV, the current hotline, legal services, training, and technical assistance contracts, and the Legislature’s recent work on lethality assessments under SB 1224. Panelists also described prevention, shelter, counseling, child advocacy, and legal support services, along with the statewide network of 41 certified centers serving all 67 counties. Testimony highlighted both collaboration and tension. FPEDV and Women in Distress described overlapping training and technical assistance roles, but FPEDV said its relationship with DCF has been difficult and at times obstructive, while DCF said communication and coordination are ongoing. Women in Distress and other providers emphasized the importance of direct services, the statewide hotline, injunction assistance, child welfare co-located advocates, and prevention programs. Several members asked about funding flows, certification, and whether the current structure is sufficient for rural counties; witnesses said federal FVPSA funds are formula-based, DCF contracts directly with centers, and rural programs face staffing and fundraising challenges that limit beds and services. A major portion of the discussion centered on the lethality assessment work group and implementation of the new statewide tool. FDLE explained that the work group concluded the Maryland model was copyrighted and costly to replicate exactly, so Florida adopted a statutory assessment that is not evidence-based in the same way, with training available online and 46 of about 400 law enforcement agencies having completed it so far. Senators raised concerns about multiple assessments, redacted police reports, and whether the tool will be useful without better coordination and data collection. Witnesses also discussed rising domestic violence, teen dating violence, and strangulation cases, with providers reporting increased demand, full shelters, and greater use of hotels and mobile crisis responses. No formal votes or actions were taken.

Transcript Highlights:

• a multi-year grant program.
• East Grant program.
• So I'd like to consent continue to see an expansion of those programs.
• And and as we continue to grow those programs and some Sunni ones, you know, I'd really like to see that
• I continue to serve on the International Programs Association board which is at that use highly-acclaimed

Keywords: 999, senate, all

Transcript Highlights:

• The counseling program and the psychology program at Highlands...
• Our programs are clinical psychology... Programs. It's an on-campus program here in Las Vegas.
• Beyond participating in the program, the program has grown.
• I spoke to you about this during the session, and it continues to be as we ask our state programs and
• Programming that Mr.

Transcript Highlights:

• I am the interim program administrator for the Interstate Bridge Replacement Program.
• So a five-mile program, the commitment remains to work on bringing forward the five-mile program over
• to program now, to continue to advance through that process successfully.
• , called the Puget Sound Gateway Program, is another federally funded program, a mega program within
• We do a lot of programming in East Portland, walking school bus programs, getting kids walking to school

Keywords: 904, all

Transcript Highlights:

• This program was a temporary grant program. It is time for its permanent reauthorization.
• A need this program is critical.
• This program was established... as a three-year temporary grant program to really learn from this, and
• First, program coverage and expansion.
• I hope and pray that this program the staffs aren't program will not only be continued but also expanded

Keywords: veterans, mental health, suicide prevention, Staff Sergeant Parker Gordon Fox Grant Program, HOPE Act, BRAVE Act, Every State Counts for Vets Mental Health Act, advocacy, legislation, mental health resources

Summary: The committee meeting focused primarily on the critical issues surrounding veterans' mental health and suicide prevention. Discussions centered on the reauthorization of essential programs aimed at providing non-clinical support services to veterans, particularly the Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program. Senators emphasized the urgent need for adequate mental health resources as the suicide rate among veterans remains alarmingly high. Key testimonies were provided by various advocates and officials, illustrating both successful implementations of these programs and areas needing improvement.

Transcript Highlights:

• I am the interim program administrator for the Interstate Bridge Replacement Program.
• So a five-mile program, the commitment remains to work on bringing forward the five-mile program over
• to program now to continue to advance through that process successfully.
• program will be...
• We do a lot of programming in East Portland, walking school bus programs, getting kids walking to school

Summary: The Joint Committee on Interstate 5 Bridge met remotely with Washington legislative members to receive updates on the Interstate Bridge Replacement Program, including environmental review, cost and funding, tolling, and procurement for construction. Program staff said the final supplemental environmental impact statement was published in April 2026, with a federal record of decision expected in early summer. They described the recommended design as a single-level fixed-span bridge, centered I-5 alignment, C Street ramps, one auxiliary lane in each direction, and dispersed park-and-ride parking. Members raised concerns about transparency, the closed chat function, and the decision not to include two auxiliary lanes; staff said the one-lane option was recommended through consultation with partner agencies and analysis, but the final decision would come with the record of decision. Staff also said the diversion analysis projected less than 3% traffic diversion to I-205 in 2045, though members from Oregon and Washington expressed concern about impacts to their communities and asked for more detail on mitigation and decision-making. The committee also reviewed a major cost update. Staff said the full five-mile program is now estimated at $13.5 billion to $15.2 billion, with a likely cost of $14.4 billion, up from a 2022 estimate of $5 billion to $7.5 billion, citing inflation, schedule delays, scope changes, and more detailed risk modeling. They said the first funded phase has been reduced to a $5.68 billion package focused on the Columbia River bridge replacement, connections to I-5, Hayden Island and SR-14, bridge demolition, tolling infrastructure, and advancing light rail design. Funding for that phase was described as $5.69 billion, including $2.1 billion federal funds, $1 billion from each state, and $1.5 billion in projected toll revenue. Members asked what would happen if costs rise further; staff said the estimate includes substantial contingency, the project will use progressive design-build to manage risk, and the team will continue updating the finance plan annually. A separate tolling and traffic-revenue presentation explained that four toll scenarios were analyzed using regional travel demand modeling, a toll diversion model, and a post-processing review. All scenarios assume pre-completion tolling beginning July 1, 2028, a 50% low-income discount for eligible users, and exemptions for tribal preemptions, emergency vehicles, maintenance vehicles, and organized militia. Staff said the low-income discount would affect about 4% to 6% of annual transactions and reduce annual revenues by roughly 2% to 3%. They said Scenario 2 was used for the financial analysis and is sufficient to support the $1.5 billion toll contribution in the funded phase. Members asked about toll collection costs, revenue impacts of the discount, and how the scenarios differed; staff said collection costs are expected to be in line with other WSDOT toll facilities, but exact costs are not yet set because toll rates are not final. Finally, WSDOT staff outlined procurement and delivery steps for construction. They said WSDOT will be the lead contracting agency, using progressive design-build, with a request for qualifications targeted for early July 2026, a request for proposals in October, contractor selection in April 2027, construction starting in 2028, and tolling beginning in 2028. Staff said the approach is intended to consolidate scope, reduce interface risk, and allow transparent negotiation with an independent cost estimator, while preserving an off-ramp if a fair price cannot be reached. Members asked for more detail on timing, cost allocation, and the share of the first phase funded by tolls; staff estimated tolls account for about 26% of the first phase cost.

Transcript Highlights:

• The tool also offers a dedicated program page that consolidates a program overview, related state and
• What's the participation in the program? How many students are actually enrolled in a program?
• So we can continue to focus on what we need to focus on and continue to support our staff and our students
• You get some good programs.
• community schools program.

Summary: The joint hearing focused on coherence in California’s education planning and reporting systems, especially the Local Control and Accountability Plan (LCAP) and related grant plans. Committee chairs and members described widespread frustration with duplicative, lengthy, and sometimes conflicting reporting requirements, while emphasizing that the goal was not to reduce accountability but to make planning more useful, stable, and student-centered. State Superintendent Tony Thurmond also previewed the Governor’s education budget priorities, including expanded learning, community schools, universal transitional kindergarten, literacy supports, and concerns about the proposed Prop. 98 deferral. Panelists from the State Board of Education, Fresno County Superintendent of Schools, and the Legislative Analyst’s Office said the LCAP was intended to balance local flexibility with statewide transparency, but has become overloaded by repeated revisions and additional requirements. They argued for fewer core reporting elements, more stability over time, better alignment of planning cycles, and integrated systems that reduce duplication. Fresno County staff described a multi-year calendar and support tools that help districts manage timelines, but said these tools only ease the burden rather than solve the underlying problem. The LAO noted that some newer plans, such as expanded learning and transportation plans, are narrative-heavy and often less informative than separate reporting requirements. Local district leaders and county officials described the practical effects of the current system: staff time diverted from instruction, multiple portals and forms, audit risk aversion, and planning documents that can exceed 100 pages. Several superintendents said coherent systems work best when districts have clear priorities, stable governance, and aligned budgets, and when state requirements are predictable and tied to outcomes like literacy, attendance, and student achievement. The California Federation of Teachers added that coherence also depends on meaningful collaboration with educators, classified staff, parents, and communities. Committee members repeatedly asked whether the state should streamline reporting, create a uniform portal, or develop a more unified grant-reporting structure, and Thurmond said the department was piloting a simplified common form and was willing to work with the Legislature and districts on broader solutions.

Transcript Highlights:

• In a program to really transform their lives.
• Eventually, I graduated from the program.
• And we believe that continued and expanded investment in after-school and out-of-school-time programs
• Teens continue to come to the club.
• Teens continue to come to the club.

Keywords: 995, all

Summary: The commission on Violence Prevention Services Funding opened by explaining that its purpose is to examine how state dollars for gun violence prevention are being spent, whether they are reaching the right places, and how effective they are. Chair Marjorie Decker noted the commission was created through a legislative bill as part of a broader gun ownership package, and emphasized that the commission will produce recommendations rather than new law. The hearing began with a moment of silence for the National Day of Remembrance for homicide victims, followed by introductions from commissioners and staff. A series of community-based organizations testified about violence prevention, intervention, and survivor services. Emmanuel Williams of the Transformational Prison Project described work with incarcerated and returning youth and families, stressing lived experience, relationship-building, and the impact of budget cuts on travel, staffing, and programming; commissioners asked about his budget, caseload, and funding mix. Teresa D. Grigario and Antonio Gutierrez of Lynn Youth Street Outreach Advocacy said their work focuses on youth ages 12 to 24 in Lynn and Lawrence, with outreach at courts and shooting scenes, and argued that prevention is most effective when it starts early, includes family engagement, counseling, therapy, case management, food, and basic needs support; they said a million-dollar annual budget would help them expand. Ruth Rollins of We Are Better Together/Warren Daniel Hairston Project, speaking as a survivor, called for long-term flexible funding, trauma-informed care, and a community-informed database, and said her organization would ideally need about $2.5 million annually. Ruth Zakarin of the Massachusetts Coalition to Prevent Gun Violence explained that the commission grew out of listening sessions during the firearms-law update process and said the goal is to identify gaps, support grassroots groups, and address regional equity in resource allocation. Other testimony highlighted youth development, reentry, and survivor response as violence prevention. More Than Words described its job-training and supportive-services model for court-involved, homeless, foster-care, and out-of-school youth, citing high rates of graduation, postsecondary enrollment, and employment; a participant, Jorge, shared how the program helped him avoid adult incarceration and build a career in trucking. The Louis D. Brown Peace Institute described its homicide-response and healing work, noting that it served more than 1,100 survivors in 2024, facilitated healing groups and trainings, and is seeking a permanent center in Dorchester; its leaders said the operating budget is $4.5 million and the desired budget is $8 million. The Massachusetts Alliance of Boys & Girls Clubs emphasized that gun violence is a youth health crisis and urged continued investment in after-school and out-of-school-time programs. UTEC called for multi-year, flexible funding, more training and networking support, and attention to nonprofit cost recovery, while Roca described its outreach to high-risk young people, strong outcomes, and major federal grant cuts that forced staff reductions. Portal to Hope discussed domestic violence and stalking services, the importance of on-site police-department-based advocacy, and the instability caused by funding restrictions. New North Citizens Council briefly underscored that violence prevention funding is needed to address poverty, lack of education, and mental health needs. State officials also presented on existing grant programs. Kevin Stanton of the Office of Grants and Research described the Commonwealth Project Safe Neighborhood Initiative and the state’s broader public safety grant portfolio, saying partnerships between law enforcement and community organizations are central to violence prevention and citing seizures of illegal firearms, narcotics, and suspected drug proceeds. Renee Contreras said the Shannon Community Safety Initiative is a national model built on nearly 20 years of sustained investment, with multidisciplinary collaborations in 25 communities and research partnerships guiding strategy and evaluation. Throughout the hearing, commissioners repeatedly asked about budgets, staffing, caseloads, and how organizations measure impact, and several speakers said they would follow up with written materials or additional data.

Transcript Highlights:

• The alliance will also continue to assess changes in health policy by continually reviewing data, information
• We’re also continuing to see... affordable.
• So we're continuing to think about those prices and continuing to talk about the gaps in coverage.
• I'll continue the hopefully positive spin on our opportunities for creative thinking as we continue to
• I'll continue the hopefully positive spin on our opportunities for creative thinking as we continue to

Summary: The committee first welcomed new DSHS Secretary Angela Ramirez, who introduced herself and described her background in public service, federal and state legislative work, and health and human services leadership. Members emphasized the importance of building strong relationships with her and noted her focus on protecting services, using strategic approaches in a tight budget environment, and improving partnerships with the Legislature. Ramirez said she wanted to keep communication open and that her priorities would be shaped by what she learns from lawmakers and agency partners. The next work session focused on the West Coast Health Alliance and the broader Governor’s Public Health Alliance. Department of Health and governor’s office staff said the West Coast alliance, involving Washington, Oregon, California, and Hawaii, was formed to coordinate science-based public health guidance, especially around vaccines, return-to-work guidance, and responses to federal changes. They said the alliance is intended to reduce confusion, counter misinformation, and preserve access to evidence-based recommendations, with early actions including vaccine guidance for COVID-19, flu, and RSV, a statement rejecting any vaccine-autism link, and preparation for possible ACIP changes. Members asked about workload and coordination with other regional alliances, and staff said there is informal coordination but no formal regular meetings. The committee then heard from the Washington State Health Benefit Exchange about open enrollment and the effects of federal policy changes. Exchange leaders said the expiration of enhanced premium tax credits, HR1 provisions, and immigration-related eligibility changes are affecting affordability and enrollment, with some customers facing large premium increases and some counties becoming harder to serve. They reported early open-enrollment traffic increases, nearly 10,000 new sign-ups, and nearly 12,000 active coverage drops so far, while noting that many more people may disenroll later if subsidies are not extended. They also described mitigation efforts such as silver loading, Cascade Care Savings, outreach through navigators and community partners, and planning for future HR1 requirements like ending auto-renewal and adding verification steps. In the final work session, staff from the Health Care Authority and Insurance Commissioner’s office reviewed Washington’s health reform history and the state’s current affordability and access efforts. They highlighted past ACA-related coverage gains, continued work on prescription drug affordability, PBM oversight, primary care and behavioral health access, and a pending legislative proposal to preserve access to preventive services. They also discussed federal changes affecting Medicaid and the exchange, including work requirements, six-month redeterminations, and the need to coordinate across agencies to implement new rules. Members raised concerns about network adequacy, provider access, and the complexity of the health care system, while staff said they are trying to mitigate harm, simplify administration, and keep coverage and access as stable as possible.