Transcript Highlights:

• Certificate of Appreciation, Certificate Number Six.
• Certificate of Condolence, Certificate Number Two.
• Certificate of Congratulations, Certificate Number Three. Certificate Number Four.
• Certificate of Recognition, Certificate No. 13. Certificate No. 14. Thank you, Mr. President.
• Certificate Number 15. Certificate Number 16. Certificate Number 17. Certificate Number 18.

Transcript Highlights:

• You think it's easy for folks to access birth certificates, marriage certificates...
• You think it's easy for folks to access birth certificates, marriage certificates, death certificates
• , all of these certificates?
• You think it's easy for folks to access birth certificates, marriage certificates.
• You think it's easy for folks to access birth certificates, marriage certificates, death certificates

Summary: The House opened with prayer, the Pledge of Allegiance, and approval of the House Journal for the 51st day by roll call vote, 117-1. Members then spent a long portion of the morning on personal privileges and introductions of guests, including students, local officials, university visitors, fraternity and sorority members, county officials, banking association representatives, and other constituents. The Speaker also suspended business several times so the Speaker could sign enrolled bills and a Senate substitute, including HB 2061, HB 2641, HB 2423, and HB 2934. The main floor debate centered on House Concurrent Resolution 48, which urges Congress to pass the SAVE America Act requiring documentary proof of citizenship to register to vote. Supporters argued it would protect election integrity and prevent non-citizen voting, while opponents said it would function as a poll tax, create burdens for women, seniors, students, military members, immigrants, and others who may need to re-register, and would be unnecessary given existing verification systems and the rarity of non-citizen voting. After extended debate and a motion for the previous question, HCR 48 passed third reading 92-43. The House then took up House Concurrent Resolution 23, a federalism resolution urging Congress to reaffirm state authority over elections; it passed unanimously, 137-0. The House also perfected and printed House Bill 2855, which adjusts workers’ compensation and second injury fund tax rate changes from 0.5% increments to 0.1% increments to better match receipts and expenditures. An amendment dealing with permanent total cases and replacement of attorneys in long-running cases was adopted, and the bill was then perfected and printed. House Bill 1906 was also perfected and printed; it would allow township counties to offer annual, semi-annual, or quarterly payment options for real and personal property taxes, a change supporters said would help taxpayers and modernize outdated statutory language. The House ended the morning session by announcing committee and event notices and then recessed until 2 p.m.

Transcript Highlights:

• A proof of change of names, such as a marriage certificate, is sufficient to tie with the birth certificate
• You think it's easy for folks to access birth certificates, marriage certificates, death certificates
• , all of these certificates.
• You think it's easy for folks to access birth certificates, marriage certificates, death certificates
• , all of these certificates.

Keywords: 959, house, all

Summary: The House opened with prayer, the Pledge of Allegiance, and approval of the previous day’s journal by roll call vote, 117-1. Members then spent much of the morning recognizing guests and groups in the chamber, including students, local officials, fraternity and sorority members, banking and county association representatives, and other visitors. The Speaker also suspended business several times to sign enrolled bills, including House Bill 2641, House Bill 2934, and Senate substitutes for House Bills 261 and 2423. The main floor debate centered on House Concurrent Resolution 48, which urges Congress to pass the SAVE Act requiring proof of citizenship to register to vote. Supporters argued it would protect election integrity and prevent non-citizens from voting, while opponents said it would create burdensome documentation requirements, function like a poll tax, and disenfranchise eligible voters, especially women, rural residents, the elderly, students, military members, and people with limited access to records. After extended debate and a successful previous-question motion, the House passed HCR 48 by a vote of 92-43. The House then took up House Concurrent Resolution 23, which calls on Congress to reaffirm state authority over elections under the Constitution’s Elections Clause. It was presented as a federalism measure, and members discussed the tension between state control and federal election standards. The resolution passed overwhelmingly, 137-0. The chamber also perfected and printed House Bill 2855, which adjusts workers’ compensation fund tax increments from 0.5% steps to 0.1% steps and included an amendment allowing replacement of attorneys in long-running permanent total cases; and House Bill 1906, which lets township counties offer annual, semi-annual, or quarterly property tax payment options. The House then recessed until 2 p.m.

Transcript Highlights:

• I'm happy to present SB 1398, Green Globe Certification.
• However, we do not believe the solution is to bypass the DGS for just one certification.
• However, we do not believe the solution is to bypass the DGS for just one certification.
• For these reasons, USGBC respectfully, ...pass the DGS for just one certification.
• ...make a project-based decision on which certification system is best in that case.

Keywords: 988, house, all

Transcript Highlights:

• We review these service-disabled veteran-owned businesses for certification.
• And I about the certification process.
• The certification process is managed through the unified certification program in each state.
• A DBE applies once, and the certification is recognized by all U.S.
• process<00:26:30.320> is certification and compliance process is certification and compliance

Keywords: 958, all

Summary: The August 2025 interim meeting of the Commission on Race and Access to Opportunity began with roll call, confirmation of a quorum, approval of the June meeting minutes, and welcoming a new member, Ivonne Smith, who noted her background in MWBE and DBE work. The chair also offered condolences to a member whose father recently passed away and explained that the committee had invited agency officials to answer questions raised at the prior meeting. The first presentation was from Singer Buchanan of the Kentucky Finance and Administration Cabinet, who described the state’s equal opportunity and contract compliance office and its certification programs for service-disabled veteran-owned small businesses and minority/women business enterprises. He outlined outreach efforts, including partnerships with veterans’ organizations, the Kentucky Department of Veterans Affairs, UK, and transportation-related groups; explained that the programs are intended to expand market access rather than provide grants; and said the office has moved to an online application portal that has processed 227 new applications since December 2023. He reported 536 total vendors across the programs, including 29 service-disabled veteran-owned small businesses, and said the office is considering website testimonials to improve outreach. Members asked about staffing, application assistance, and whether the state program conflicts with federal policy; Buchanan said the office has three staff members and that the program is state-funded and, based on legal advice, should continue under Kentucky law. Tony Yusefi of the Kentucky Transportation Cabinet then presented on the federal Disadvantaged Business Enterprise program. He explained the program’s legal basis under federal DOT regulations, its eligibility standards, and its purpose of creating a level playing field while helping firms grow and eventually compete without assistance. He described certification requirements, annual documentation, prompt-payment protections, commercially useful function reviews, good-faith effort requirements, and sanctions for violations. He also discussed barriers facing DBEs, including access to capital, bonding, insurance, training, and prequalification requirements, and noted that 50 firms were removed last month for noncompliance with annual documentation rules. Yusefi said the cabinet has expanded supportive services, including an online application platform, bid notifications, and a nine-class business development program; 95 DBEs are enrolled this year, and the bid-matching system reaches an average of 377 DBEs monthly.

Transcript Highlights:

• Davis explained that entities may transact on a number of energy certificates or ammonia certificates
• and certificates or ammonia certificates and certificates or ammonia certificates and then<00
• , then retire those ammonia certificates, then retire those ammonia certificates, and<00:13:35.720
• all the green ammonia certificates all the green ammonia certificates issued<00:14:22.440> whether
• <00:15:38.880> We certificates in other states. We certificates in other states.

Keywords: 1183, house

Transcript Highlights:

• just have to go through the certificate just have to go through the certificate of<00:08:24.479>
• provide as many child care certificates provide as many child care certificates as<00:16:46.720>
• one-year certificate.
• one-year certificate.
• certificate program. certificate program.

Keywords: Public Health and Welfare - Room 216, 21 January, 2026; 3:30 PM, 925, all

Summary: The committee first took up House Bill 3, a certificate-of-need measure that had passed last year but was vetoed by the governor because of one objectionable provision. The chair explained that the House had just passed the bill unanimously and urged quick Senate action so it could be sent to the governor again. He said the bill is intended to restore the prior law, with the main policy focus on rural hospitals and other future certificate-of-need changes. A question was raised about language affecting the University of Mississippi Medical Center’s academic exemption; the chair said the intent was to preserve the teaching hospital’s core exemption around its main campus while requiring certificate-of-need review for facilities it operates elsewhere, and the committee then voted title sufficient, due pass. The committee then considered Senate Bill 2476, requested by the Board of Pharmacy. Senator Hill explained that it would let licensed pharmacists self-report substance abuse or mental health issues and enter treatment before disciplinary action, similar to programs already available for nurses and with comparable provisions for physicians and dentists. Board representatives said participants would have to stop practicing until cleared, and that failure to comply would trigger discipline; the bill was described as an alternative to professional discipline, not immunity from criminal law. After questions about definitions and how many times a person could use the program, the committee voted title sufficient, due pass. The meeting concluded with an informational presentation from Mr. Anderson on child care funding and program operations. He said the state used ARPA funds during the pandemic to support child care certificates and providers, but those funds were exhausted, leading to a pause and a waiting list of about 20,000 families; the program currently serves about 18,000 children. He said the department is continuing $15 million in state support, is converting 30% of the TANF state assistance grant to child care, and is exploring additional TANF direct-assistance options, though cautiously because the state has not done that before. He also discussed child care tax credits, employer-based child care, and efforts to expand capacity through provider support and technical assistance.

Transcript Highlights:

• The first are career certificates.
• And then we have our advanced technical certificate, and the advanced technical certificate is often
• When we look at the industry certification passage rates, if we look at our welding certificates, we're
• For our tech certificates, 88%, and our NCCER construction certifications, we're at 90%.
• less for each certification.

Summary: The Appropriations Committee on Higher Education received an overview of Florida’s career and technical education (CTE) system from Chancellor Kevin O’Farrell, who described the state’s CTE pathways, program types, enrollment and completion growth, quality audit metrics, and the Master Credentials List used to identify credentials of value. He highlighted record postsecondary CTE enrollment and completions, strong statewide performance in talent attraction, and several funding tools supporting expansion, including Open Door, the Florida First Responder Scholarship, Workforce Development Capitalization grants, Perkins funding, CAPE performance incentives, and apprenticeship grants. Senators asked about eligibility for Open Door and first responder aid, top industry certifications, and the teacher apprenticeship initiative. A panel of college and technical school leaders then described how state and federal funding has supported local program growth and facility expansion. Santa Fe College, Palm Beach State College, North Florida Technical College, Lake Technical College, Florida Gateway College, and Manatee Technical College each cited increases in enrollment, high placement or licensure pass rates, and new or expanded programs in nursing, welding, CDL, automotive, manufacturing, public safety, and apprenticeship. Several speakers emphasized partnerships with hospitals, employers, school districts, and local governments, and noted that grants helped fund equipment, renovations, and new training hubs. Palm Beach State also raised a request to broaden line funding beyond nursing to other health science fields, and multiple presenters asked for more flexibility, multi-year support, and continued or increased funding to sustain growth. Members discussed broader challenges, including the difficulty of sustaining grant-funded growth after initial awards, the lag between enrollment growth and funding formulas, and alignment problems for dual enrollment and technical programs with high school schedules. Senators also noted the need to balance support for high-demand core programs like nursing and welding with the ability to respond quickly to emerging industries such as AI and space. The meeting ended with no formal action beyond adjournment after Senator Davis moved to adjourn.

Transcript Highlights:

• One is the pre-election certificate and one is the post-election certificate, and from my perspective
• and one is the pre-election certificate and one is the post-election<01:40:15.040> certificate
• the L the naming of these certificates the L the naming of these certificates<01:40:24.080> was
• <01:40:30.760> specifically pre-election certificate specifically pre-election certificate
• the pre-election certificate certificate the pre-election certificate also<01:41:06.679> requires

Keywords: 928, house, all

Summary: The House Election Law Committee held an orientation and then opened a public hearing on House Bill 67-FN-A, which would make permanent the use of accessible voting machines in local elections and provide funding for additional systems. The chair outlined committee procedures, noting a heavy workload of roughly 70 to 80 bills, mostly Tuesday meetings, likely time limits on testimony, and a default of executive session unless a bill is specifically noticed. Members and staff were introduced, and the Secretary of State’s office described its election-related responsibilities, including voter registration, cybersecurity, ballot-counting equipment, and the Help America Vote Act (HAVA) program. Secretary of State David Scanlan and Deputy Secretary Aon Hennessy explained the current pilot program created by last year’s law, which requires accessible voting systems for local elections and allows the state to share machines with municipalities during the first half of 2025. They said the office has made hardware available, but towns have raised concerns about the speed of implementation and the cost of programming each election, especially for towns with multiple ballot questions. Scanlan said the state is also vetting longer-term options, including devices that could remain in polling places year-round, and suggested the committee consider delaying the bill’s effective date to January 1, 2026 to better align with implementation needs. Hennessy said the current state devices are older and complicated to reset for each election, and estimated programming costs could be about $600 for a small single-election ballot and much higher for towns with multiple elections. Supporters of the bill emphasized the importance of accessible voting for people with disabilities. Representative Robert Wy said the measure builds on 2024 law and would move the pilot into a permanent agreement, citing ADA concerns and prior testimony about discriminatory voting experiences. Fred Forier, a legally blind voter from Exeter, testified that accessible voting systems allow him to vote privately and independently and urged support for the bill. Committee members asked about the gap if the pilot ends before a permanent system is in place and about the cost range for programming. No vote was taken during the hearing, and the committee moved on after public testimony began.

Transcript Highlights:

• The first is our career certificate programs.
• The first is our career certificate programs.
• It is the top industry certification, just over 4,700 certifications, representing about 13% of all the
• for industry certifications, just over 2,650.
• , the career certificates, the college credit certificates, industry certifications, apprenticeship programs

Summary: The Education Postsecondary Committee met to hear an overview of Florida career and technical education (CTE) from Chancellor Kevin O’Farrell and presentations from Big Bend Technical College and Santa Fe College. O’Farrell described Florida’s CTE structure, including career clusters, postsecondary program types, enrollment and completion growth, apprenticeship expansion, and the state’s credentials review process. He said postsecondary CTE enrollment is near 480,000 students and completions reached a record 76,806, with strong growth in nursing, law enforcement, EMT, and other public-safety credentials. He also discussed the CTE audit, which uses retention/success, employment or continued education, and labor-market demand metrics; programs not meeting thresholds would eventually require phase-out plans beginning in 2026. He highlighted the workforce development capitalization grant as a major driver of program expansion and facility renovation, and answered questions about business outreach, construction trades, apprenticeships, and space-industry training. Shelby McCall of Big Bend Technical College described how the college responded to hurricanes, mill closures, and regional economic disruption by expanding rural workforce training. She highlighted aluminum welding, millwright, welding technology, health sciences, and a new advanced manufacturing facility funded by state grants and local partnerships, along with a new LPN-to-RN bridge program. She said the college has strong placement and certification results and is working with employers such as Lippert, NAMO, and others to align training with local demand. Senator Simon praised the college’s role in Taylor County’s recovery and workforce development. Dr. Paul Brody of Santa Fe College said state workforce grants have helped the college expand nursing, skilled trades, apprenticeship, automotive, diesel, and manufacturing programs, including partnerships with Bradford County Technical College, UF Health, Habitat for Humanity, and local employers. He reported growth in CTE enrollment, nursing credentials, apprenticeship enrollment, and job placement rates, and described new efforts in semiconductor training, CDL training, and a charter school model that combines high school, an AS degree, and industry credentials. The committee took no formal action beyond hearing the presentations and adjourned after Senator Berman moved to adjourn.

Transcript Highlights:

• I'm happy to present SB 1398, Green Globe Certification.
• State and local jurisdictions are also increasingly recognizing multiple certifications side by side.
• I want to be clear that USGBC's concern today is not competition between green building certification
• However, we do not believe the solution is to bypass the DGS for just one certification.
• However, we do not believe the solution is to bypass the DGS for just one certification.

Summary: The Governmental Organization Committee met as a subcommittee for much of the hearing because a quorum was initially absent, and it heard several bills focused on nonprofit support, alcohol regulation, immigration-related funding restrictions, outdoor advertising, and green building standards. SB 1240 by Senator McNerney would create an Office of Nonprofit Empowerment to help nonprofits navigate state procurement, grants, and reimbursement processes; supporters, including the Child Care Resource Center and the Little Hoover Commission, said nonprofits provide essential services but face delayed payments and burdensome bureaucracy. Committee members raised accountability concerns, but the author emphasized the bill does not dispense grants and would cost about $1.7 million in the first year. The bill was later approved and sent to Appropriations. The committee also heard SB 917 by Senator Laird, which would remove the estate-grown grape requirement for wineries selling at farmers markets, allowing more family wineries to participate; winery and grape grower representatives said the change would help direct-to-consumer sales and local growers. SB 1171 by Senator Caballero would make private entities that contract with ICE ineligible for state-funded loans or grants; supporters from immigrant-rights groups described ICE detention and raids as harmful and inhumane, while some members spoke in favor of using state funds to avoid indirectly supporting ICE-related activity. Both bills advanced on party-line or near-party-line votes and were sent to Appropriations or Local Government as noted in the roll calls. Senator Rubio presented SB 1195, which would expand tied-house exemptions for certain entertainment, convention, and sports venues in specified counties, and SB 1228, which would allow a small number of existing outdoor advertising displays to continue operating despite a statutory sunset. Supporters said SB 1195 would create economic opportunity and clarify current law, while SB 1228 was described as a narrow fix to preserve legally permitted signs and local revenue; both bills passed the committee and were sent to Appropriations. The committee also considered SB 1398, which would recognize Green Globes as an alternative green building certification for state projects alongside LEED; supporters argued it would add flexibility and competition, while the U.S. Green Building Council opposed bypassing the Department of General Services’ equivalency review. The bill was approved and sent to Appropriations. The committee also took up a consent calendar and adjourned at 2:55 p.m.

Transcript Highlights:

• and many high-demand, high-skill, industry-recognized workforce certifications.
• In the AS in engineering technology, we have short-term certifications.
• start working, you know, at $18 to $22 an hour and then continue getting certifications.
• start working, you know, at $18 to $22 an hour and then continue getting certifications.
• And we use the Open Door funds for that certification. Yes, Ms. Thomas.

Summary: The Careers and Workforce Subcommittee heard a panel discussion focused on how Florida schools and colleges are exposing students to in-demand careers in manufacturing, semiconductors, transportation, and related fields, and how they are building pathways from middle school through postsecondary training. Panelists from Seminole County Public Schools, Lake Technical College/Lake County Schools, and St. Petersburg College described their career academies, dual enrollment options, industry certifications, and partnerships with employers, local governments, and state colleges. They emphasized early career awareness, counseling, and parent outreach as key to helping students understand technical education as a viable and prestigious path. Seminole County highlighted 51 career and professional education academies and new offerings in agricultural biotechnology, global finance, firefighting, and planned aerospace engineering. Lake County described Lake Technical College’s programs, strong completion and placement outcomes, and three partnerships: a flexible-day high school/workforce model at Lincoln Park Education Center, the Lake Works pathway collaboration with Lake Sumter State College, and a Transportation Innovation Hub with the City of Tavares that trains students on municipal vehicles and serves multiple local governments. St. Petersburg College discussed its manufacturing and engineering technology programs, including semiconductor processing, mechatronics, soldering, and clean-room training, along with new grant-funded expansion at its Midtown campus. Members asked about wages, the semiconductor workforce, how to change perceptions of technical education, how parents are engaged, and how Bright Futures CAPE and Gold Seal scholarships are communicated. Witnesses said school counselors, CTE teachers, parent nights, and district communications are used to promote these options, and that many students can earn strong wages through short-term certifications or two-year degrees. Lake Technical College also raised concerns about workforce funding not keeping pace with teacher pay increases and inflation, noting that funding covers only about 80% of what it earns and tuition has remained unchanged for 18 years. The meeting ended with members praising the programs, and the subcommittee adjourned without any vote or formal action beyond rising and adjournment.

Transcript Highlights:

• Uh deny applications for certificate Uh deny applications for certificate based<00:08:52.960>
• There may be in that certificate initial certificate denial information about what would be needed to
• 11:30.640> denial certificate initial certificate denial certificate initial certificate denial
• certificate issuance. certificate issuance. Um Um Um Okay.<00:13:10.720> So, Okay.
• whether or not to issue a certificate. whether or not to issue a certificate.

Keywords: 1191, senate, all

Transcript Highlights:

• The first is our career certificate programs.
• by that by earning that particular certification.
• It is the top industry certification just over a 4700 certifications representing about 13% of all the
• for industry certifications just over a 2,650.
• , the career certificates, the college credit certificates, industry certifications, apprenticeship programs

Keywords: 999, senate, all

Transcript Highlights:

• Certificates of obligation debt in El Paso have been on the rise.
• Certificates of obligation can extend from 40 to 30 years.
• And we have liabilities associated with certificates of participation.
• So we had a Certificate of Obligation, but we did a refunding of our 2013 Certificate of Obligation.
• Governmental bodies and is it we control just the certificate?

Bills: HB1453, HB1718, HB2043, HB2207, HB2798

Keywords: local governments, anticipation notes, certificates of obligation, public works, flood control, financial management, local government, municipal financing, private activity bonds, closing definition, real estate finance, bond issuance, government regulation, bond election, general obligation bonds, GO bonds, political subdivision, city bonds, county bonds, school district bonds

Transcript Highlights:

• One is the pre-election certificate and one is the post-election certificate.
• From my perspective, looking at these certificates, the naming of these certificates was very helpful
• One is the pre-election certificate and one is the post-election certificate.
• From my perspective, looking at these certificates, the naming of these certificates was very helpful
• One is the pre-election certificate and one is the post-election certificate.

Keywords: 1189, house, all

Transcript Highlights:

• THIS HAS BEEN INSTRUMENTAL IN DRIVING THE INCREASE IN STUDENTS EARNING INDUSTRY CERTIFICATIONS.
• ONE OF THE GRAPHS SHOWED THE INDUSTRY CERTIFICATIONS.
• WHEN WE LOOK AT THE INDUSTRY CERTIFICATION PASSING RATES WE LOOK AT THE WELDING CERTIFICATES WERE AT
• 85 PERCENT PASSING RATE FOR OUR TECH CERTIFICATES AND 88 PERCENT FOR THE NCC ER CONSTRUCTION CERTIFICATIONS
• LOOKING AT INDUSTRY CERTIFICATIONS I LOOKED AT THE CHART AND AS WE INCREASE INDUSTRY CERTIFICATIONS IF

Keywords: 999, senate, all

Transcript Highlights:

• Under current law, students are only allowed to receive a single reimbursement for certification exam
• expands this to all CTE-related certifications.
• And so we had a reimbursement for cybersecurity certification, but no other, correct?
• 1061 expands this to all CTE related certifications.
• And so we had, we had a reimbursement for cybersecurity certification, but no other, correct?

Summary: The Subcommittee on Academic and Career-Oriented Education met briefly and considered only House Bill 1061, laid out by Representative Bojani. The bill would expand reimbursement for career and technology education (CTE) certification exam costs for students, teachers, and school districts. For students, it removes the current limit of one reimbursement so they can be reimbursed for multiple certification exams if they pass. For teachers, it broadens reimbursement beyond cybersecurity certifications to all CTE-related certifications. It also allows school districts that pay exam-related costs, including application or processing fees, to seek reimbursement from the Texas Education Agency (TEA) through an application process. During questions, members clarified that reimbursement would not be available if an individual failed the certification exam. Representative Schoolcraft asked about how the subsidy amount is determined and how the program is funded; the bill author said the amount is unchanged from current law and said he would follow up on funding details. No one testified for or against the bill. Representative Bojani closed on the bill, and the subcommittee left HB 1061 pending without objection. With no further business, the meeting adjourned.

Transcript Highlights:

• Under the law, it says, "Hey, you can't issue a certificate of obligation."
• What maybe this bill touches: a certificate of obligation is a certificate of obligation. Yes.
• Only certificates. Obligation?
• To the tax notes, Section Two is the certificate of obligation portion.
• No, so a bond is a certificate of obligation or a general obligation. Bonds.

Bills: SB512, SB1024

Keywords: SB 512, Texas Finance Code, money transmission, money services business, money transmitter, money transmission licensee, terms of service, consumer protection, civil penalty, attorney general enforcement, account closure, refund of balance, financial services regulation, payments industry, fintech, prepaid accounts, remittance, licensee compliance, local government debt, municipal finance

Transcript Highlights:

• But we've got to move on to the certificate of need modernization report.
• You know, we have had certificate of need on the books since the '80s.
• of need process and your for us to modernize the certificate of need process.
• Seventy percent of our states have a certificate of need process.
• So yes, it's an application process that funds a certificate of need program.

Summary: The committee heard a JLARC presentation on the Department of Health’s oversight of hospital inspections, complaints, and reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state standards, did not consistently require proof of those inspections, did not review adverse health event corrective plans, and could make hospital data more accessible. JLARC also raised a possible language-access barrier in the complaint system. Members asked about complaint filing by staff, the meaning of adverse health events, inspection outcomes, and whether the audit compared DOH to other agencies. JLARC said it had not reviewed inspection results or cross-agency comparisons, but noted inspectors were dedicated and working long hours. DOH later said it concurred with the recommendations and outlined a strategic plan with target dates for improving timeliness, verifying accreditation standards, expanding language access, reviewing adverse event laws, and improving public data access, with annual reporting to the Legislature expected. The committee then heard a Department of Health presentation on certificate of need modernization. DOH described the current certificate of need process, which reviews need, financial feasibility, quality, and cost containment for certain facility changes and new services, and said the program has not been modernized since the 1980s. DOH proposed 10 statutory modernization recommendations, including clarifying the program’s purpose, creating a planning entity, adding flexibility, reducing legal costs, updating access-to-care standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, strengthening long-term funding, and using better data systems. Members asked about oversight of freestanding urgent care and EDs, funding sources, and whether the process could be streamlined or made more responsive to complaints or other triggers. A third panel discussed artificial intelligence in health care. Lucy O’Rourke of the Coalition for Health AI described CHAI’s work on responsible AI principles, technical standards, model cards or “nutrition labels,” testing and governance tools, and educational resources for providers. She said the group is focused on trust, transparency, fairness, safety, security, and privacy, and noted Washington’s AI-related policy work as among the more progressive in the country. No questions were asked. The final portion focused on the financial impact of federal and state health care policy changes. The Washington State Hospital Association said hospitals are facing low or negative operating margins, service reductions, layoffs, and closures, and that state cuts and taxes enacted in 2025, combined with federal HR1 changes, will significantly worsen finances. Providence Swedish leaders described staffing reductions, service cuts, delayed capital investments, and pressure from denials, tariffs, and reimbursement changes, while emphasizing that frontline staffing cuts are tied to service reductions rather than nurse-to-patient ratio changes. The Washington Health Benefit Exchange then began a presentation on expiring federal ACA premium tax credits, state Cascade Care Savings assistance, and eligibility changes affecting lawfully present non-citizens, with examples showing large premium increases for customers if federal subsidies expire.