Transcript Highlights:

• in the systems. >> Okay.
• have some accountability in the systems. have some accountability in the systems.
• Marshall Smith and I'm the health system Marshall Smith and I'm the health system CEO<00:21:05.440
• Minnesota is known for having one of the strongest healthcare systems in the country, but that system
• <00:34:48.639> in great strongest healthcare systems in great strongest healthcare systems

Bills: HF729

Keywords: human services, provider enrollment, medical assistance, healthcare, housing stabilization, substance use disorder, vulnerable adults, fraud prevention, 1183, house

Transcript Highlights:

• cause the safety system to engage.
• Fortunately, the new safety systems are what's called passive safety systems, which is exactly the opposite
• agreements for operating the system over the life of the system to be acknowledged and initialed by
• of photovoltaic systems or not. the roof system, and I'm not talking about whether the viability of
• photovoltaic systems or not.

Bills: SB1041, SB1363, SB1418, SB1419, SB1445, SB1447, SB1488, SB1519, SB1523, SB1560, SB1580

Keywords: electronic monitoring, nursing care, assisted living, resident rights, privacy, consent, surveillance, marijuana, rural opportunity, dispensary, economic development, licensing, social equity, unserved communities, Arizona, small modular reactors, energy regulation, environmental compatibility, utility construction, agricultural use

Transcript Highlights:

• system.
• Thank you for... ...to a system that impacts thousands of lives.
• Really, many people are out of the system.
• It moves our system away from punishment and toward possibility.
• In our view, that's really the key to restoring trust in the system.

Summary: The committee heard a series of child care, social services, immigrant support, disability services, and language access bills, with many measures drawing strong support and no opposition. Early in the hearing, AB 450 proposed a Department of Aging task force to study and recommend policies for undocumented adults age 55 and older; AB 593 would let CDSS identify data-sharing opportunities to improve CalFresh administration and participation; and AB 904 would clarify child care subsidy eligibility so families do not lose care during pregnancy leave, family leave, caregiving, or job search periods. All three were presented as ways to reduce barriers and improve access to essential services, and AB 904 was moved out on a 1-0 call after support testimony from child care advocates and a member of the public. AB 617, which would expand and standardize respite care access for people with intellectual and developmental disabilities by requiring licensing and registry participation, drew both support and significant opposition from respite providers and disability service organizations concerned about added regulation, cost, and possible delays; the author said she would continue working with opponents, and the bill was moved out on a 2-0 call. The committee also heard AB 1220, which would require regional centers to document denials, notices of action, and appeals in individual program plans and include that data in annual reports to improve transparency and equity in developmental services. The bill drew extensive public support from parents, advocates, and disability organizations, with no opposition, and passed 5-0. AB 752 would make child care centers by right in certain residential zones when co-located with multifamily housing or institutional uses, and supporters argued it would reduce zoning barriers and help expand child care capacity; it also passed 5-0. AB 1242 would create a CalHHS language access director, require human review of machine translation, and improve language coverage determinations for state and local agencies; supporters emphasized health equity and the need for better access for limited-English communities, and the bill was moved out on a 4-0 call. Later, AB 548 would continue and expand the Asylee and Vulnerable Non-Citizen Program, which provides case management and integration services for asylees and certain visa holders; supporters said the program had been effective but had run out of funding, and the bill passed 4-0. AB 495, the Family Preparedness Plan Act, would strengthen family safety planning for immigrant families, standardize acceptance of caregiver authorization affidavits, and create a joint guardianship process for temporary separations; testimony focused on fear of family separation and the need for clear school and medical procedures, and the bill passed 4-0. AB 1357 would exclude guaranteed income payments from being counted as income for state public assistance eligibility, with supporters arguing it would prevent recipients from falling off the “benefits cliff”; it passed 4-1. Finally, AB 1201, the Reunity Act, was introduced to require individualized court assessments before denying reunification services to parents with certain violent felony convictions after a five-year period, with the author and a witness describing the bill as a trauma-informed approach to family reunification.

Transcript Highlights:

• This does not apply to cooling systems that don't require a permit.
• , who’s responsible to upgrade that system, the electrical system within that unit?
• , the water systems, and who’s in charge of what?
• You think about the term, the term rigged system, you know.
• You know, you need to upgrade this system, you need to do this thing, your water system is going to be

Keywords: 987, senate, all

Transcript Highlights:

• the system. the system.
• This hybrid system fostered stewardship guidance inside a deliberative democratic system.
• to guide government and its systems. to guide government and its systems.
• competition for the resources system. competition for the resources system.
• system system, a publicly funded system I<00:33:51.600> believe<00:33:52.040> it<00:33

Bills: HB2241, HB1163, HB1514, HB1696, HB2021, SB2135, SB2466, SB2727, SB3082, SB3097, SB2861, SCR100, SB3096, SB99, SB2138, HB2289, HB2319, HB1711, HB2270, SB3138, SB3076, HB1642, HB2338, HB2171, HB1785, SB2881, HB2505, SB2552, HB1518, HB1815, SB3125, SB3234, SCR162, SB2614, SB3118, SB2053, SB2494, SB2851, SB3073, HB1678, HB1721, HB2475, HB2246, HB1667, HB1516, SB2532, SB3131, SB3154, HB2297, HB1737, SB2143, SB2398, SB2623, HB1740, HB1920, HB1682, SB2153, SB3140, HB2158, HB1718, HB2207, HB1801, SB3229, SB2338, SB3069, SB2600, HB2300, HB1800, HB1960, SB2999, SB2060, SB2866, SB2239, HB1741, HB1713, HB2023, HB2417, SB2877, SB2598, SB2921, SB2645, HB2547, HB2275, HB2452, HB2329, HB2339, HB1838, HB1509, HB1661, HB2271, HB2272, HB2344, HB1888, HB1707, SB2340, HB2474, HB1576, HB1853, HB1804, HB1854, HB2095, HB2050, HB472, SB3215, SB2247, SB2400, HB1618, HB1802, HB1969, HB1541, HB2310, HB2498, HB2443, HB2218, HB649, HB2104, HB1710, SB2802, HB1973, HB1974, HB1894, HB1891, HB1890, SB177, SB2101, SB3320, SB2487, HB2429, HB1870, HB1839, HB2583, HB1391, HB2094, SB2671, SB2673, SB2892, SB2057, SB3245, HB306, HB2592, SB3157, SB3204, SB3324, SB2580, SB2074, SB411, SB3025, SB2934, SB2567, SB2125, SB3238, SB2367, SB2599, SB3007, SB2001, SB2756, SB3029

Keywords: renewable energy, income tax credit, solar energy, wind energy, low-income households, energy policy, commercial drivers license, non-domiciled, federal regulations, commercial learner's permit, citizenship, lawful residency, Department of Transportation, workers' compensation, vocational rehabilitation, injury recovery, employment services, return to work, commercial driving, driver's license

Transcript Highlights:

• High-risk patterns and systemic gaps were identified.
• The system is failing our people. People are dying.
• We believed getting him into the system was the answer.
• We will need system changes to automate data matching with members in our system and send them the required
• We will need system changes to automate data matching with members in our system and send them the required

Bills: SB1051, SB1114, SB1115, SB1122, SB1132, SB1162, SB1169, SB1171, SB1172, SB1173, SB1174, SB1175, SB1179, SB1188, SB1233, SB1236, SB1242, SB1316, SB1368

Keywords: SB1051, Arizona hospitals, immigration status, patient intake, admission forms, registration forms, health care reporting, uncompensated care, emergency department, lawfully present, undocumented immigrants, noncitizen patients, hospital funding, Arizona Department of Health Services, ADHS, border security, health care institutions, patient privacy, medical access, immigration policy

Transcript Highlights:

• through the Integrated Claims Management System that I believe we'll be talking about today.
• are improving services for employers as well, including stronger security, simplified payroll tax systems
• Yes, every product, every change that we make to our production systems goes through a very rigorous
• And we do track it in our system, so we can do that analysis and follow up with you about that.
• And yet, EDD moves forward with implementing these systems on the UI program.

Keywords: 987, senate, all

Transcript Highlights:

• We really started doing heavy-duty monitoring of our water systems in 2019.
• We all are proud of our most amazing higher education system, the greatest public university system in
• the world: the UC, the CSU, and the community college system.
• Across the UC system, 20,000... The situation here is far from unique.
• What we find oftentimes is that the systems that we have aren't necessarily compatible with the systems

Keywords: 987, senate, all

Transcript Highlights:

• New England election systems can incorporate EDR without abandoning orderly administration.
• The practical question is how it would fit into the system.
• Systems were implemented, they were tested, and they worked.
• Systems were implemented, they were tested, and they worked.
• Second, just to brief, Systems were implemented, they were tested, and they worked.

Keywords: 995, all

Summary: The Special Joint Committee on Initiative Petitions held a hearing on Initiative Petition 25-01, H.5-001, an act relative to election day registration. The co-chairs explained the Article 48 initiative process and noted that the committee must report on the petition to the legislature. The hearing focused on how election day registration differs from same-day registration, how it is used in other states, and what implementation would require in Massachusetts. Three expert witnesses testified in support of the concept. A Northeastern University political science professor said the research shows election day registration would likely increase turnout, especially among younger voters, renters, recent movers, and other underrepresented groups, while requiring planning, training, and funding. A National Conference of State Legislatures policy analyst described how election day and same-day registration work in other states, including proof-of-residency and ID requirements, provisional ballot options in some states, and the need for updated voter systems and staffing. An MIT election administration professor said the proposal is mainstream, likely popular with Massachusetts voters, and administratively workable if the state addresses workload, wait times, and system integration. Committee members asked about costs, residency documentation, use of Real ID, provisional ballots, rural polling places, and whether election day registration could increase lines or discourage advance registration. Secretary of the Commonwealth William Galvin and volunteer proponent Norma Shulman testified in favor of the petition. They argued that election day registration would help eligible voters who miss deadlines or move before an election, reduce reliance on provisional ballots, and improve participation. Galvin said the proposal includes a 10-day reconciliation period and would likely require additional staffing and possibly technology, but he viewed the reform as worth the cost and consistent with broader election reforms. Shulman said voters she encountered during the signature drive strongly supported the measure and viewed it as common sense. In questioning, Galvin said the measure would help voters who move within a community or arrive at the polls unregistered, and he said many provisional ballots are not counted because of eligibility or registration problems. Opponents from the Massachusetts Municipal Association and the Massachusetts Town Clerks Association argued that while expanding access is important, election day registration would add to already heavy workloads for local clerks, who are managing early voting, vote-by-mail processing, and election-day operations with limited staff and resources. They said any major election change should be developed through the traditional legislative process with direct input from local officials, and they urged caution until municipalities receive more administrative and financial relief. The hearing then moved into the public testimony section, beginning with a representative from Mass for Fair Elections.

Transcript Highlights:

• As mentioned previously, the proposal aims to better integrate within the larger statewide system of
• California multi-tiered system of support funding. Thank you very much, Madam Chair.
• More than 30 local and sustain the California multi-tiered system of support.
• and equity guardrails, which focus the improvement system on student subgroup performance.
• and equity guardrails, which focus the improvement system on student subgroup performance.

Summary: The Senate Budget Subcommittee on Education heard the Governor’s proposals for universal school meals, the Expanded Learning Opportunities Program (ELOP), and community schools. On universal meals, the Department of Education supported continued funding for the Universal School Meals Program and a fourth round of Kitchen Infrastructure and Training Grants, citing meal-count growth, improved meal service, and the need to offset federal uncertainty, inflation, and reduced direct certification tied to immigration-related policy changes. The LAO recommended rejecting another kitchen grant round, arguing prior rounds are still being spent and the state has not clearly defined unmet need. Members also raised concerns about the state’s ability to backfill federal meal funding and about how federal requirements affect programs like Summer EBT/SUN Bucks. Public commenters largely supported school meals and kitchen investments, with some urging support for plant-based milk options and continued infrastructure funding. For ELOP, the Department of Finance proposed $4.7 billion ongoing Proposition 98 funding, including $62.4 million to set a minimum Tier 2 rate of $1,800 per pupil. The LAO recommended going further and fully fixing the Tier 2 rate, saying rate uncertainty complicates district planning. CDE supported the proposal and said the program has improved attendance and academic outcomes, while noting new CalPADS reporting will provide more data soon. Senators discussed whether ELOP should remain a standalone program or be folded into LCFF, and whether the state should require stronger outcome reporting. Public testimony generally backed stabilizing Tier 2 funding, but some speakers urged more support for older youth and more timely, user-friendly reporting. On community schools, the administration proposed $1 billion ongoing Proposition 98 funding to expand the model to thousands more schools and to support existing grantees, along with stronger technical assistance, statewide alignment, and an accreditation/self-certification framework. The LAO recommended continuing the current one-time grant approach instead of creating a new ongoing categorical program, warning about reduced flexibility, administrative burden, and the state’s capacity to support a much larger cohort. CDE supported the ongoing investment but asked for additional county office and technical assistance funding. Senators and public commenters were broadly supportive of community schools, emphasizing improved attendance, graduation, and student engagement, while also debating accountability, accreditation, and whether non-classroom-based charter schools should be eligible. Public testimony strongly favored ongoing funding and highlighted community schools’ role in mental health, family engagement, and wraparound supports.

Transcript Highlights:

• Would There be a need then for the individual health systems to have their separate system?
• What the goal is, or is the goal just for an individual health system to have their own systems, but
• systems?
• There is no perfect solution, and systems vary state to state.
• Methamphetamine had been an out-of-the System.

Keywords: 996, all

Transcript Highlights:

• At the time, we were running our old offender management system, version four of that system, and it
• <00:02:59.120> and system, version four of that system and system, version four of that system
• Uh the name offender management system.
• So we're now on of the system is chorus.
• Um so those forms licensing system.

Keywords: 1189, house, all

Summary: The committee first approved the minutes from its October 3 meeting unanimously. It then reviewed follow-up status on prior performance audits, beginning with the Department of Corrections’ sex offender treatment program. DOC said all audit items from the 2016 review were resolved except one related to tracking benchmarks, progress, and recidivism. Officials explained that a new offender management system, Chorus, was recently implemented but has had rollout problems affecting operations, including restitution checks, and that they hope the system will be stable enough within about six months to begin tracking the needed metrics. Members asked about treatment inside prison and after release; DOC described in-prison treatment, parole aftercare, probation and parole oversight, administrative restrictions, and reassessment if conditions are not met. The committee next heard from OPLC on the Real Estate Commission audit. OPLC reported that all but one finding is substantially or fully resolved, with the remaining issue involving review of applicants’ adverse financial history and liabilities. The delay is tied to ongoing rulemaking, and OPLC said the commission is amending its criteria and integrating universal application procedures into board rules. The office estimated substantive completion by March 2027, with rule filing expected sooner. The committee then took up the Board of Pharmacy audit, where OPLC said most findings remain partially resolved because the board is in the middle of a major rule overhaul and a new licensing software project. Officials described a shift toward a compliance bureau and more routine, risk-informed inspections, rather than inspections driven only by complaints, and said updated manuals and forms will follow the new rules and technology. Finally, the Legislative Budget Assistant reported on ongoing audits. For special education, staff said they are writing the report, have 25 completed observations, and have expanded to 70 identified observations, with a full draft expected in the first quarter of 2026 and a final report by summer 2026. For education freedom accounts, 40 observations have been identified, 15 finalized, and a draft is expected by midspring with a fiscal committee presentation in summer. For the Doorway program, the audit plan was finalized with DHHS help, financial activity was isolated, fieldwork is expected to finish by Thanksgiving, and a draft report is planned for January or February 2026, with a final report by March or April 2026. The committee discussed scheduling its next meeting for February 6 at 10 a.m. and emphasized the value of follow-up on older audits; the meeting adjourned after members agreed the follow-up process should continue.

Transcript Highlights:

• But upgrading or building these systems is costly and complex.
• At an individual level and that comes at community system and business levels.
• And as you know, many rural river systems in Flash Flood Alley are home.
• system is not going to create a non-interoperable situation with your adjoining counties.
• Laid out today regarding a working group to study alert notification systems.

Bills: HB48, HB 66, HB 68, HB71, HB75, HB164, HB171, HB254, SB 3, SB 18, HB123, HB149, HB117

Keywords: HB 48, Texas alert notification systems, emergency alerts, public warning systems, alert fatigue, notification fatigue, Texas Division of Emergency Management, Department of Public Safety, DPS alerts, emergency management, State of Texas Emergency Assistance Registry, STEAR, disaster notifications, weather alerts, Amber Alert, Silver Alert, Blue Alert, missing persons alerts, accessible alerts, hearing impaired

Transcript Highlights:

• those looming cuts, our first decision points may involve whether to conform our state income tax system
• Are we hearing anything from any of our departments or university systems when it comes to how would
• H.R. 1 threatens the foundation of California's safety net systems.
• That public hospital system is really key to providing the health care needed by Californians.
• Also you need to really talk about CALSOLS and the data system and what is able to do throughout.

Keywords: 988, house, all

Transcript Highlights:

• We have a fantastic system. We are number one in the country.
• from DMS to create an agency for state systems and enterprise technology.
• **Senator Harrell:** We are seeing an average across the state system.
• It's such a key component of why people wind up in our criminal justice system.
• It requires the Department to develop a reimbursement invoicing system.

Keywords: 999, senate, all

Transcript Highlights:

• It's the system, it's your supervisor, it's the training.
• There are other systems of care as well, the health care systems, criminal justice systems, that have
• The HMIS system that Mr.
• The HTS system that Mr.
• client-level data into our statewide HDIS system, and so you can see Data into our statewide HDIS system

Summary: The Assembly Budget Subcommittee on Accountability and Oversight held a hearing on California’s homelessness funding, focusing on the Homeless Housing Assistance and Prevention (HAP) Grant and the Encampment Resolution Grant Program. HCD described new accountability requirements, including regional action plans, stronger reporting and expenditure conditions, housing-element compliance, encampment response plans, and public dashboards that track fiscal spending, service outcomes, and encampment resolution status. Officials said the goal is to use the data to identify underperforming grantees, provide technical assistance, and, if needed, withhold or reallocate funds. Local officials from San Diego, Fresno, and Santa Cruz said the programs have helped expand shelter, outreach, and permanent housing, and that state dollars have leveraged local and federal resources. Mayor Todd Gloria said San Diego has used HAP to expand shelter and safe sleeping options, reduce downtown encampments, and increase housing production, but argued the state’s new accountability website is too high-level and does not fully reflect countywide conditions, behavioral health outcomes, or the role of continuum-of-care partners. Fresno officials said HAP and other state funds helped the city add shelter beds and reduce homelessness, while Santa Cruz emphasized that state funding helped build local coordination and draw in federal vouchers. Members pressed the panel on whether HAP is actually reducing homelessness, what the best success metrics should be, and whether the state is getting full, usable data from grantees and subcontractors. Several members asked for more granular jurisdiction-level reporting, better tracking of nonprofit spending, and clearer measures beyond point-in-time counts and “people served.” HCD said it is still improving HMIS participation and data quality, but can already show outcomes such as exits to permanent housing and returns to homelessness. The hearing ended with broad agreement that transparency is important, but disagreement remained over the best measures of success and how much emphasis should be placed on housing, prevention, shelter, and treatment.

Transcript Highlights:

• <00:13:44.240> actually Hampshire retirement system actually Hampshire retirement system actually
• And what this bill is trying to do is to make everybody in the system whole.
• Looking at the calculation prior to the entire system being redone, when it was delinked, because it
• is to make everybody in the system is to make everybody in the system whole<00:24:19.880> well
• years in the retirement system years in the retirement system $836<00:28:41.640> I<00:28:

Keywords: 928, house, all

Summary: The subcommittee met on House Bill 637, which was described as a measure to make whole certain New Hampshire Retirement System retirees who were not included when Senate Bill 57 was incorporated into the 2023 budget. The chair and several members reviewed the bill’s legislative history and fiscal impact, citing estimates that the broader change would cost about $1.4 million to the state and $5.74 million to municipalities, with an actuarial liability increase of about $45 million. The chair argued that the omission of already-retired members was not an oversight but a policy choice made in the Senate, based on the bill’s prospective language and the budget process used in 2023. Testimony and discussion focused on whether the bill should be treated as a fairness correction or as an expensive policy expansion. Supporters, including retirees and representatives of employee groups, said the language was unclear, the fiscal note did not match the bill’s effect, and the change would unfairly leave out actual retirees who had expected the same treatment as active members. They also argued that the retirement system historically linked benefits to Social Security and that the bill would restore equity for those affected. Opponents emphasized the cost, the prospective nature of the original language, and the view that the Senate knowingly chose not to extend the change retroactively. After discussion, the chair moved to recommend the bill inexpedient to legislate, and the motion was seconded. Members then heard brief public comments after the motion was withdrawn and reintroduced because of the weather and the public’s travel. At the final vote, the subcommittee recommended inexpedient to legislate on a 3-2 vote, with the chair noting that the full committee would take up other bills at a later subcommittee hearing.

Transcript Highlights:

• . suppliers to help build our weapon systems.
• If we think about the American system, this is about David versus Goliath.
• To how do we digitize this entire system?
• I was a program manager in the Global Positioning System.
• They have not been incentivized or rewarded for moving outside the system.

Transcript Highlights:

• We can size that system essentially to operate as a slipstream.
• That system is literally getting installed this week in Yakima.
• That system is literally getting installed this week in Yakima.
• Without that data, we risk designing a system around assumptions rather than reality.
• Those products are now entering the system all at once.

Keywords: 904, all

Summary: The committee’s interim work session focused first on carbon capture, utilization, and sequestration (CCUS), with presenters from industry, nonprofits, and state agencies describing Washington’s geologic potential, the role of basalt formations, and the difference between point-source capture, direct air capture, utilization, and permanent storage. Industry and project developers emphasized that Washington has major opportunities to reduce industrial emissions, create jobs, and support hard-to-electrify sectors, while state agencies explained current policy touchpoints in the Cap and Invest Program, emissions exemptions for permanently stored CO2, and the Clean Energy Transformation Act. Several presenters urged clearer statutory and regulatory pathways, including rules for pore space, subsurface rights, pipeline siting, and long-term liability; others cautioned that CCUS should be limited to real emissions reductions and not treated as a substitute for broader clean energy measures. Committee members asked about public comment opportunities, whether mineralized carbon would qualify for exemption under the Climate Commitment Act, the energy intensity of capture systems, aquifer protection, and liability if storage later proves problematic. Ecology said it is developing guidance through a public engagement process running through late June and that mineralized or otherwise permanently stored CO2 would likely qualify if it meets the 1,000-year permanence standard. DNR and outside experts also discussed trust lands, water rights, and the need for additional geophysical surveys and test wells. The panel did not take any votes or formal actions. The second half of the meeting turned to hazardous waste and extended producer responsibility. Ecology reviewed existing product stewardship programs for electronics, paint, batteries, and mercury lights, and described how moderate risk waste and household hazardous waste are currently collected through county facilities and events. Ecology said the electronics program is its best model, while the mercury lamp program is currently in transition after the prior stewardship organization exited and a new organization is seeking approval. Ecology recommended that future EPR programs have clear producer and product definitions, full producer funding, convenience standards, annual reporting, and strong enforcement authority. Local government witnesses from King County and Douglas County described rising costs, access barriers in rural areas, and the need for stable funding and flexible local delivery models. King County said it collected over 3 million pounds of hazardous products in 2025 and argued that EPR could reduce costs for ratepayers and improve equity. Douglas County stressed that rural residents are willing to participate when services are available, but travel distance and operating costs make access difficult. An industry representative supported narrowly scoped stewardship programs like PaintCare but warned that broad household hazardous waste EPR systems can become difficult to administer and may require legislative revisions if responsibilities are not clearly defined. No votes were taken on the hazardous waste topic either.

Transcript Highlights:

• Piloting all of our IT systems next January.
• to support service delivery, and our provider payment systems.
• One of the issues that we really focus... ...service system.
• So, again, in the forensic system, repeated reinstitutionalization, and in the civil system, repeated
• Fixing the funding system.

Summary: The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population. On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications. The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.