Transcript Highlights:

• Smaller cities and counties tend to use fewer funding sources, and some of these funding sources simply
• Fewer funding sources, and some of these funding sources simply don't generate sufficient revenue for
• So this makes this funding source more difficult to implement.
• So this makes this funding source more difficult to implement.
• Cities have seen increased revenues from local transportation restricted sources and federal sources.

Summary: The committee began with member introductions, then heard a presentation on a draft final report studying alternative funding mechanisms for sidewalks and related pedestrian infrastructure. Consultants said current local funding sources are insufficient, with most jurisdictions unable to complete planned sidewalk networks within 50 years. They evaluated four options: a sidewalk utility fee, a modified transportation benefit district sales tax, a new real estate excise tax option, and expanded stormwater fee use for ADA sidewalk ramps. The consultants recommended authorizing the modified TBD sales tax and new REET option, considering a sidewalk utility despite legal uncertainty, broadening any authorization to all pedestrian improvements, and not pursuing the stormwater fee option. Members asked about legal authority, fairness, revenue adequacy, and whether jurisdictions had been consulted; the presenters said state enabling legislation would likely be needed for a sidewalk utility and that fairness could be defined either by direct benefit or by need. The committee then received an update on the 2025 assessment of city transportation funding needs. The consultants reported that city transportation revenues have grown in some local and federal categories since 2019, but state revenues have remained relatively flat and smaller cities are especially affected by declining fuel tax revenues and limited tax bases. They estimated annual city transportation needs at $4.25 billion, average annual spending at $1.89 billion, and a funding gap of $2.37 billion, larger than in the prior study because of updated data, inclusion of system improvements, and higher preservation costs. Draft recommendations focused on reducing costs and improving efficiency, preserving and increasing state support, and expanding local funding options, including preservation-first spending, a permanent federal fund exchange program, streamlined review processes, better coordination with WSDOT, possible property tax flexibility, and exploration of new local tools. Members raised questions about design standards, the role of density and transit, federal compliance, and whether the report would identify specific consolidation or process changes. The committee also heard a project update on evaluating zero-emission vehicle and electrification programs funded by the Climate Commitment Act. Consultants said they had reviewed roughly 23 programs and projects across seven agencies and were now evaluating options to improve delivery, including process improvements, reorganizing programs, or consolidating governance and administrative functions. Early findings highlighted staffing shortages, duplication and variation across agencies, differing levels of risk, and the challenge of coordinating climate priorities across agencies with other core missions. Members asked about program outcomes, administrative costs, whether some programs should have exit strategies, and how to strengthen the EV Coordinating Council. Finally, WSDOT provided an implementation update on its new public-private partnership authority under SB 5801, saying work is underway to prepare governance, legal, policy, and organizational structures ahead of the January 1, 2027 effective date.

Transcript Highlights:

• So collectively, is this a source of great emissions? Absolutely.
• Recognize contributions of sources of air pollution outside the control of the ports.
• Costs, funding source, workforce, and environmental impacts associated with the action.
• So there's a number of different energy sources.
• It has one electrical source: Southern California Edison. The Port of Long Beach has two.

Summary: The committee first heard SB 14, which would direct state agencies to reduce single-use plastics and improve waste diversion at state facilities by updating integrated waste management plans, increasing reusable foodware use, reducing paper purchasing, and requiring better employee education and recycling/composting practices. Supporters from the California Compost Coalition, Republic Services, Waste Management, and others said the bill would help build composting and recycling markets and let the state lead by example. Several groups that had opposed earlier versions said they were now neutral after amendments, including the removal of a 90% requirement. The bill was moved out on a due pass as amended recommendation. The committee then took up SB 326 on wildfire mitigation. The bill would create a framework for Cal Fire to evaluate the risk-reduction benefits of fuels management and landscape resilience investments, and it would accelerate implementation of Zone Zero defensible-space standards, including grants for local enforcement and broader application to rental and sale properties and post-fire reconstruction. Support came from Stanford climate researcher Michael Mastrandrea and several local government, insurance, and climate groups. With no opposition, the bill passed as amended to Appropriations. Next, SB 34 on port emissions and the South Coast Air Quality Management District drew extensive testimony. The author said the bill was narrowed by committee amendments to preserve the ports’ ability to reduce emissions while preventing cargo throughput caps and addressing concerns about automation, local control, and the timeline for port clean-air planning. Supporters included ILWU, business groups, and port-related stakeholders, while the South Coast AQMD and many environmental and community organizations opposed it, arguing it would weaken public-health protections and set a bad precedent. After lengthy debate, the committee approved the bill on a due pass as amended vote to Transportation, with some members voting no and others abstaining. The committee also heard SB 279, which would expand composting options for farmers and small community composters by allowing limited on-farm composting after large biomass events and increasing the amount small operations may process and sell. Supporters said the bill would help address agricultural waste, expand composting capacity, and reduce landfill disposal. Commercial composting representatives opposed it, warning that the bill could create regulatory inequities, strand recent investments in permitted facilities, and allow too much unregulated food waste. Despite those concerns, the bill passed to Appropriations on a due pass vote. The transcript also briefly referenced SB 613 on upstream methane emissions data, described as having no opposition and intended to improve tracking of imported oil and gas emissions.

Transcript Highlights:

• And also second sourcing and multi-sourcing are important options to be able to create more capacity.
• And the DIB has many single and sole-source suppliers due to the decade-long needs of consolidation.
• Often those are foreign adversarial sources that are cheaper but can introduce risk.
• authority to direct sources of supply, they most often do not, letting industry choose.
• often a Chinese or other adversarial source, or a more secure source.

Transcript Highlights:

• That's already used pretty regularly, but it is a source that's updated quarterly.
• That's already used pretty regularly, but it is a source that's updated quarterly.
• <00:43:32.560> that of these other data sources that of these other data sources that I<00
• <00:48:50.440> that state and federal data sources that state and federal data sources that
• not letting one conflicting data source not letting one conflicting data source determine<00:49:

Keywords: 958, all

Summary: The committee met with a quorum to consider the Senate Committee Substitute for House Bill 2, a major Medicaid bill. Members first adopted the substitute and then adopted Amendment 9770. The bill was described as a lengthy rewrite aimed at aligning Kentucky Medicaid policy with federal requirements under HR 1, while also preserving program integrity and addressing due process concerns. Senators and staff repeatedly emphasized that the measure was the product of extensive meetings with providers, associations, and work groups. The sponsor’s section-by-section summary highlighted several key changes: delaying and reducing cost-sharing requirements; pushing eligibility redetermination deadlines to the federal date; restoring some flexibility for hardship waivers; allowing self-attestation as a last resort; modifying MCO audit provisions; clarifying non-emergency medical transport GPS costs; expanding waiver attestation authority to nurse practitioners and licensed psychologists; adding qualified aliens to waiver eligibility to comply with federal law; requiring Medicaid data sharing with the oversight board; limiting changes to Medicaid benefits without General Assembly authorization; narrowing the prescription drug exclusion to drugs prescribed primarily for weight loss; and delaying the dental ASO transition until 2029. The substitute also deleted a proposed auditor review requirement and retained an emergency clause. Committee discussion focused heavily on the policy and fiscal implications of the cost-sharing and recertification provisions. Senators raised concerns about whether the co-pays would be effective or simply shift costs to providers, whether the recertification process would burden the Cabinet and cause eligible people to lose coverage, and how the bill would affect people transitioning from Medicaid into work. Supporters said the lower cost-sharing amounts were intended to encourage appropriate use of care, protect providers, and comply with federal law, and they noted that the Medicaid Oversight and Advisory Board would help shape future changes. A public witness, Maggie Chisholm, gave emotional testimony about her daughter’s experience with a Medicaid waiver and argued that policy delays and administrative disconnects can harm vulnerable families. No final vote on the bill itself was recorded in the excerpt, but the substitute and amendment were adopted and testimony continued.

Transcript Highlights:

• special revenue account that is going to be dedicated to victim services funding, that different sources
• Services funding that different sources Services funding that different sources of<00:02:40.519>
• The unstable funding source Chair Muller was referring to is the federal Victims of Crime Act funds,
• She said there is not a clear correlation because they correlate it to the source.
• uh, coming up with a solid, reliable funding source, but those are down the road.

Keywords: 1183, house

Transcript Highlights:

• at the universities; it is the largest source.
• at the universities; it is the largest source.
• at the universities; it is the largest source.
• at the universities; it is the largest source.
• The second largest source at the universities; it is the largest source.

Keywords: 1183, house

Transcript Highlights:

• that's uh 85% sourced domestically. that's uh 85% sourced domestically.
• Um right now we source high about iron.
• At present, we are, you know, sourcing iron from, you know, we source high-purity metallic iron, and
• And right now we're just sourcing high-purity iron that already meets our specs. looking to source it
• <00:47:58.000> of because it depends on other sources of because it depends on other sources

Bills: HF4059, HF76

Keywords: climate change, greenhouse gas emissions, financing, sustainability, environmental policy, renewable energy, Minnesota Climate Innovation Financing Authority, earned incentive release credit, release credits, supervised release, corrections, Minnesota Department of Corrections, sentence reduction, good time, prison time, incarceration, violent offenses, murder, criminal sexual conduct, sex offenses

Transcript Highlights:

• So it's just changing clean sources.
• All you're doing is adding the word existing to the sources that qualify for a purchase power.
• <00:33:00.799> that word existing to the sources that word existing to the sources that qualify
• It's just uh electric uh energy sources.
• new energy sources or whatever they<00:42:50.560> call<00:42:50.720> it.

Keywords: 1191, senate, all

Transcript Highlights:

• If there is anything wrong, we want to find the source of the problem.
• When we find the source, we come up with a plan to fix the problem.
• It has historically been a source of funding for SWCDs, although not without controversy.
• They have the added benefit of protecting drinking water sources, and so on.
• protracting and drinking water source protracting and drinking water source and<01:23:59.920>

Keywords: 1183, house

Transcript Highlights:

• Is it going to be... ...having this as an alternate source to the other available sources, what is that
• To follow on Senator Dunn's question, what are other sources?
• What are the sources out there that cities are looking at, and especially what are those sources that
• We might be able to leverage some water and other sources.
• mobile sources, but are unable to permit specifically for mobile sources.

Bills: HB2014, HB2031, HB2078, HB2102, HB2103, HB2117, HB2261, HB2262, HB2264, HB2278, HB2428, HB2494, HB2756, HB2758, HB2762, HB2782, HB2932, HB2933, HB2986

Keywords: air emissions, fuel blends, environmental quality, feasibility study, Arizona Department of Agriculture, water rights, groundwater, Willcox, active management area, certificate of grandfathered rights, Arizona legislature, aggregate mining, reclamation plans, environmental protection, public safety, land use, domestic water, improvement district, water delivery, water hauling

Transcript Highlights:

• That has been pulled up to the top to say 'pool' or 'common source of supply' means.
• Evans, what are other major sources of respiratory symptoms?
• it's a wastewater treatment plant, or whether it's another source.
• Would you agree that that's one of the sources of vehicular pollution? Mr.
• Greatest source of air pollution is actually the vehicles that we drive. And Mr. Chair, Ms.

Transcript Highlights:

• The river is the main source of pollution to all of us.
• The river is the main source of pollution to all of us.
• We're able to track these pollutants from these two major point sources.
• We're able to track these pollutants from these two major point sources.
• That's the source of all this.

Summary: The joint Senate and Assembly Environmental Quality/Environmental Safety and Toxic Materials informational hearing focused on the Tijuana River Valley sewage crisis, with members from both parties emphasizing that the problem is long-running, cross-border, and severe enough to require federal, state, local, and binational action. Opening remarks described the crisis as an environmental and public health emergency affecting beaches, air and water quality, marine life, tourism, and residents’ quality of life in South Bay communities. Assembly Member Boerner and Senator Jones both stressed the need for continued funding and cooperation, while Senator Padilla said the issue is underappreciated because of where it occurs but has major public health, economic, and educational consequences. Congressman Mike Levin’s office reported more than $650 million in federal funding secured for infrastructure and cleanup, along with federal legislation and requests for CDC and EPA involvement. Supervisor Paloma Aguirre gave a detailed overview of county efforts and the scope of the crisis, citing decades of sewage flows from Tijuana, nearly four years of beach closures, and the county’s expanded water-quality monitoring. She said the county is pursuing warning signs, an air purifier distribution program, an epidemiological study, soil testing, an economic impact study, and a feasibility analysis to remove the “hot spot” near Saturn Boulevard, which she described as a key local source of airborne pollution. She also pointed to binational funding for treatment plant upgrades and said the county is seeking state support, including from Proposition 4 cross-border river funds, to expand relief and mitigation efforts. Scripps researchers Dr. Sarah Giddings and Dr. Kimberly Prather presented scientific findings on water and air transport. Giddings described a high-resolution forecast model that predicts wastewater movement and beach closure risk up to five days ahead, using real-time observations and showing about 72% accuracy against county measurements. Prather said the main exposure route is through air, not just water, and reported that turbulence at the river hot spot aerosolizes pollutants, with hydrogen sulfide and other gases spiking at night and dropping when river flow is diverted. She said the team has identified thousands of gases and linked measurements closely to odor complaints, while also noting that air purifiers can reduce indoor exposure but are not a permanent solution. Dr. Paula Stigler Granados added that community health surveys and CDC assessments show widespread symptoms, sleep disruption, anxiety, and daily life impacts, especially during nighttime odor events. She said her team has found more than 900 contaminants in river water and 106 chemicals uniquely associated with the Saturn Boulevard hot spot, with passive air sampling showing similar chemical fingerprints in nearby homes. The panel discussion ended with questions about standards and accountability, and witnesses and legislators agreed that the crisis requires updated air-quality standards, more health research, and continued coordination to reduce exposure and address the source of pollution.

Transcript Highlights:

• If we rely on legacy sources of generation, then there will be a risk of additional pollution.
• If we rely on legacy sources of generation, then there will be a risk of additional pollution.
• If we rely on legacy sources of generation, then there will be a risk of additional pollution.
• If we rely on legacy sources of generation, then there will be a risk of additional pollution.
• <00:35:56.720> um Source um Source um the<00:35:58.359> small<00:35:58.680> modular<

Keywords: 1183, house

Summary: House File 9 was heard as a proposal to alter Minnesota energy policy by creating exemptions and “off-ramps” from the state’s 2023 clean energy requirements. The bill would expand hydroelectric power’s eligibility, end the moratorium on new nuclear plants, delay certain carbon-free energy compliance requirements for utilities that do not meet a retail rate benchmark, restrict demolition of fossil fuel plants under that same benchmark, support carbon capture and sequestration, and expand the sales tax exemption for residential natural gas and electricity used as primary heat year-round. The author moved the A1 amendment, which clarified that the carbon capture policy language does not create a state funding obligation; the committee took up the amendment with no discussion and proceeded to a vote, though the result was not stated in the transcript. The bill was then referred to the Committee on Taxes. The author and supporters argued the bill is needed to improve reliability and affordability, especially during extreme cold, and said current mandates are forcing coal retirements faster than replacement generation can be built. They cited MISO and NERC reliability concerns, Xcel’s proposed rate increases, and the need for an “all-of-the-above” energy approach that includes nuclear and hydro. Supporters also said the bill would help keep energy costs down for families and businesses and would allow Minnesota to use existing generation assets longer if rate targets are not met. Testimony from the Minnesota Rural Electric Association and the Minnesota Chamber of Commerce supported the bill’s emphasis on reliability, affordability, nuclear power, hydroelectric power, and carbon capture. The Chamber said Minnesota’s electricity costs have become less competitive for businesses and argued that stable, affordable power is essential for economic growth and future technologies such as AI. The Minnesota Utility Investors also supported allowing new nuclear and all hydro power to be considered. In contrast, the Prairie Island Indian Community opposed lifting the nuclear moratorium without a viable long-term waste solution, describing its long history living near the Prairie Island nuclear plant and spent fuel storage and urging continued consultation on the issue. Xcel Energy said it supports low rates and sees nuclear as one option, but emphasized that any support for lifting the moratorium depends on full participation by the Prairie Island Indian Community and that decisions about retiring fossil plants should remain within the existing Public Utilities Commission resource planning process.

Transcript Highlights:

• the Mass-usage data or drug supply data stream, MADS, going forward, would also be an incredible source
• I think, well, I think that there are probably a number of different sources of that information that
• You know, know your source, I mean, like, whatever it is, I think, I'm not sure if know your source is
• And so I think, you know, sources that you can gather, examples of trainings for each of these groups
• And I think that, you know, if you come across sources, if you come across examples, staff are going

Keywords: 995, all

Summary: The Working Group on Education and Training of the Special Commission on Xylazine held its first meeting to begin developing findings and recommendations on education and training for first responders, the medical community, the substance use treatment community, and people who use drugs. Members discussed the need for baseline information on what xylazine is, its clinical effects and harms, signs of exposure or poisoning, wound care, and immediate response steps, while also noting that training should be tailored by audience, geography, and role. Several members emphasized that the training should be practical and action-oriented, helping people recognize xylazine exposure and know what to do next, including whether naloxone is relevant and how to reduce risk and mitigate harm. A major theme was whether the group should recommend a needs assessment or survey to identify what different audiences already know and what they still need to learn. Members suggested that BSAS, DPH, local public health departments, licensing boards, and other stakeholders could help gather this information, and that existing resources such as DPH materials, MADS data, Brandeis materials, and trainings already being funded at BMC should be reviewed. The group also discussed the importance of using plain language for non-clinical audiences while still including clinical detail for providers, and of distinguishing between clinical and non-clinical training tracks. The working group agreed to divide into subgroups: Senator Keenan will focus on first responders, Dr. Simon on the medical community, and Millie Batiya on the substance use treatment community, while Chair Domb will focus on people who use drugs. Staff will send meeting notes, an early draft PowerPoint framework, and a shared Google Drive folder for materials. Members were asked to gather sources and ideas by November 25 ahead of the December 11 public meeting. The meeting ended with a motion to adjourn, a second, and unanimous thanks to staff and participants.

Transcript Highlights:

• little background, this was designed from the task force to help primary farmers provide another source
• and so ...of the Commonwealth, generate clean energy, and provide a revenue source.
• So in this particular case, alternative energy and source, in specificity, fits well.
• The inability to propose these types of infrastructure and transit revenue sources is really glaring
• And while the task force chose not to support or focus on any future revenues or other revenue sources

Keywords: 995, all

Summary: The committee heard testimony on H. 3256, a bill stemming from the Massachusetts Cranberry Revitalization Task Force that would remove Chapter 61A barriers for certain renewable energy projects on non-producing agricultural land. Supporters said the bill would let farmers separate adjacent land from Chapter 61A without a municipal right of first refusal, avoid rollback and advance tax penalties, and use small solar or other renewable projects to generate supplemental income while keeping the farm in operation. Testimony emphasized that the proposal is intended to be “farm-first,” limited to marginal or accessory land, and could also produce local tax revenue for municipalities. Some members raised concerns about whether the bill should be limited to solar, the appropriate project size, impacts on other agricultural sectors, and whether future sales or conversion back to other uses should trigger local rights of first refusal. Witnesses said the bill had been reported favorably in a prior session and noted that similar projects typically involve 20-year leases with extensions. The committee also took testimony on S. 2009, which would authorize regional transportation ballot initiatives. MAPC and Transportation for Mass argued that the bill would give municipalities and groups of municipalities a flexible tool to raise local revenue for transportation projects such as transit, roads, bridges, bikeways, and pedestrian infrastructure, with sunset provisions so the revenue ends when the project ends. They said the measure would not raise taxes on its own, but would allow local voters to decide whether to adopt a revenue source, and pointed to examples from other states where similar initiatives funded major transit and infrastructure projects. No votes were taken during the hearing. Testimony was also heard on S. 1922, which would create a Massachusetts fund allowing voluntary taxpayer donations to the UN Least Developed Countries Fund or related 501(c)(3) nonprofits supporting climate-vulnerable communities. Climate Reality Project representatives said the bill would let Massachusetts residents support climate resilience projects in the world’s poorest countries at no cost to the Commonwealth, and could serve as a model for other states. Senators questioned how recipient countries and nonprofits would be selected, what safeguards would exist regarding countries such as Yemen, and how taxpayers would know where donations would go; witnesses said the fund would be administered through the UN system and that they would provide more clarification. Rep. Michelle Ciccolo also testified on H. 3051, seeking a one-year deferral of the higher interest rate that applies when deferred property taxes become due after the death of a senior or veteran, saying the current jump to 16% can burden heirs and discourage use of the deferral program. The hearing concluded without any votes or committee actions.

Transcript Highlights:

• On estimate or just slightly under for some of the sources.
• You'll see, so four of the five sources the conference added funds to the forecast.
• sources that feed into GR, and we added funds over there as well.
• So this next slide shows some of the smaller tax sources.
• That decision-making process for that particular tax source. Thank you very much.

Bills: S0110, S0434, S0856

Keywords: property assessment, wind damage, home improvements, real estate, tax exemption, Florida statutes, ad valorem taxes, property listings, tax estimation, disclosure, Florida, residential property

Summary: The committee heard and passed three bills before moving to a staff presentation on the state revenue forecast and the federal One Big Beautiful Bill Act. SB 856, by Senator DeSantis? [sic], would require online real estate listing platforms to display estimated property taxes for residential properties using prescribed methods and DOR-developed formulas rather than the current owner’s tax bill. Supporters from county, city, and property appraiser groups said the bill would improve transparency and help homebuyers avoid surprise tax and escrow increases. The bill was reported favorably after debate about making sure the estimate appears on realtor and platform sites for first-time buyers. SB 110, by Senator Arrington, was amended and then reported favorably. The bill clarifies that people holding 98-year-or-longer residential leases remain eligible for the homestead tax exemption even if the lease ends upon the tenant’s death, aligning those leaseholds with life estates for estate-planning purposes. The amendment, supported by the Florida Bar’s real property, probate and trust law section, clarified that lease provisions terminating at death are valid under current law. SB 434, by Senator Leak, was also reported favorably; it would prevent property tax assessments from reflecting increased just value attributable to wind-hardening improvements such as stronger roof attachments, shutters, and roof-to-wall reinforcements. The committee then received an update from staff director Azar Khan on the new general revenue forecast. He said collections had been running slightly above estimate overall, but the Revenue Estimating Conference reduced corporate income tax projections because of weaker recent collections and uncertainty around tariffs, while increasing some other revenue sources. Members then discussed the federal One Big Beautiful Bill Act, which staff said would significantly reduce Florida corporate income tax revenue, with a large first-year impact driven by retroactive provisions such as bonus depreciation, research expensing, and business interest deductions. Senators and the appropriations chair said the forecast and federal changes would affect budget planning, and the committee adjourned after noting the bills had been favorably reported and the meeting was complete.

Transcript Highlights:

• Where is that funding source? Is that your federal revenue grants?
• Funding source, and there's zero on that funding sources at the bottom.
• Well, under the funding sources, would any of the source be from individuals that appear in juvenile
• All right, down under funding sources, under performance. Funding sources, under performance.
• So I'm looking now at page 241, which is funding sources.

Summary: The committee heard budget presentations and took executive recommendations on several Department of Human Services divisions, including Aging, Adult and Behavioral Health Services; Children and Family Services; County Operations; Developmental Disability Services; and Medical Services, with most divisions showing little or no significant change in total appropriations. Staff and agency witnesses repeatedly explained that many large appropriations are maintained for flexibility, federal matching requirements, or contingency needs, even when actual spending is much lower than the authorized amount. Members also raised concerns about staffing vacancies, long-vacant budgeted positions, and the use of excess appropriation authority across DHS. In Aging, Adult and Behavioral Health, members questioned federal funding levels for mental health and substance abuse grants, the status of senior centers and Meals on Wheels, the Medicaid tobacco settlement program, community alcohol safety grants, and the veterans mental health grant. Agency officials said federal block grants are largely committed, that senior center funding had been delayed by shutdown timing but was now back on track, that the tobacco settlement program had been moved internally within DHS, and that the veterans mental health appropriation remains unfunded. Senators also criticized the adequacy of support for seniors and asked for more detail on how transportation, meal services, and local contributions are funded. In Children and Family Services, members asked about rising appropriation levels, foster care and adoption subsidies, professional fees, the number of children in foster care, and the Children’s Trust Fund. DHS said increases reflect added flexibility for residential treatment, adoption subsidies, and prevention services, while the foster care population has remained fairly steady at about 3,400 children. The Children’s Trust Fund was described as supporting primary prevention programs such as Baby and Me and community schools, and members asked whether it could be administratively combined with other efforts. Questions also covered TANF subgrants, with DHS explaining that it had reduced outside subgrants after discovering over-obligation and was rebuilding reserves. In County Operations, members focused on the summer EBT program, SNAP employment and training, the farmer’s market program, and the state’s TANF reserve position. DHS said summer EBT is still being funded through temporary appropriations because it is a newer program, SNAP employment and training is largely federally funded and may expand under a pending policy change, and TANF reserves were drawn down after prior over-obligation but are now being stabilized. In Developmental Disability Services, members asked about vacancies, human development center staffing, facility construction funds, and the Booneville work program, and DHS said the program has reopened and staffing recruitment continues. In Medical Services, members asked about FMAP, the Our Kids B CHIP program, school-based Medicaid reimbursements, nursing home distress funds, and several large appropriation lines that far exceed actual spending; DHS said these are maintained for claims payment, nursing home receivership contingencies, and other flexibility needs. Each division reviewed was adopted by executive recommendation after questions concluded.

Transcript Highlights:

• Smaller cities and counties tend to use fewer funding sources, and some of these funding sources simply
• Fewer funding sources, and some of these funding sources simply don't generate sufficient revenue for
• This was the only funding source that we're going to pass it.
• So this makes this funding source more difficult to implement.
• Cities have seen increased revenues from local transportation restricted sources and federal sources.

Keywords: 904, all

Transcript Highlights:

• The data source is the health plan negotiated rates with contracted hospitals and other providers.
• The data source is the health plan negotiated rates with contracted hospitals and other providers.
• The source of the data is a hospital's chargemaster and hospitals' negotiated rates with payers.
• The source of the data is a hospital's chargemaster and hospitals' negotiated rates with payers.
• But the data source here is health plan negotiated rates with hospitals and other providers.

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• This is from a different data source: the Medical Liability Monitor.
• That's the only source of data we have. I don't have a better source.
• The Texas data was a wonderful source of data.
• It's a national data source.
• And there are various sources that come into play, including...