Transcript Highlights:

• And 10 million to the Norman Fixel Institute for Neurological Diseases at the University of Florida.
• Do you have the figures on how many people are on the wait list currently for the Alzheimer's Disease
• Right now, there's, I think, 3.5 allocated to serve the seniors in the Alzheimer's Disease Initiatives
• Do you have the figures on how many people are on the wait list currently for the Alzheimer's Disease
• Are you familiar with what those programs provide in terms of Alzheimer's disease initiatives, community

Summary: The House met on the final day of session, swore in Representatives Boyles and Hodgers, and observed a moment of silence for the Minnesota House Speaker Melissa Hortman and her husband, as well as for Representative Rosenwald’s father. The chamber then moved into final budget work, with leaders outlining the plan to take up H.J.R. 5019, HB 7031, HB 5017, HB 5015, and then the general appropriations act once the Senate transmitted it. H.J.R. 5019, a proposed constitutional amendment to expand the budget stabilization fund, was explained and amended to raise the rainy day fund cap, require annual deposits, and allow withdrawals for critical state needs by a two-thirds vote; it passed 100-1. The House then adopted the conference report on HB 7031, the tax package. The bill repeals the business rent tax and aviation fuel tax, delays the natural gas fuel tax, creates or expands several sales tax holidays and exemptions, including permanent exemptions for disaster-preparedness items, hunting/fishing/camping items, and ammunition and firearms-related purchases, and makes changes to property, corporate income, local tax, and economic development provisions. Members debated the removal of recurring housing trust fund and transit-related revenue streams, the new ammunition exemption, and the data center tax changes; supporters argued the package reduces taxes and preserves annual budget flexibility, while opponents raised concerns about housing, transportation, and gun violence. The conference report passed 93-7. HB 5017, creating a debt reduction program funded by a recurring transfer to retire state bonds early, passed unanimously. HB 5015, the state group insurance conforming bill, which directs DMS to develop a formulary management plan and codifies the administrative health insurance assessment, also passed. The House then began explanation and questions on the fiscal year 2025-26 general appropriations act, described as a $115.1 billion budget that is down $3.8 billion from the current year and includes more than $12 billion in reserves. Subcommittee chairs summarized major spending areas, including pre-K-12 funding increases, health care funding for Medicaid, KidCare, nursing homes, opioid treatment, and mental health, transportation and economic development funding, environmental and water projects, higher education, state administration, justice, and information technology. Questions focused on school vouchers, inflationary pressures on school districts, and the adequacy of funding for housing, transportation, and other priorities.

Transcript Highlights:

• lists and provide in-home services, including $3 million to serve 288 seniors in the Alzheimer's Disease
• Do you have the figures on how many people are on the wait list currently for the Alzheimer's Disease
• Right now, there's, I think, 3.5 allocated to serve the seniors in the Alzheimer's Disease Initiatives
• Do you have the figures on how many people are on the wait list currently for the Alzheimer's Disease
• Are you familiar with what those programs provide in terms of Alzheimer's disease initiatives, community

Summary: The House convened on the final day of session, observed a moment of silence for the Minnesota House Speaker Melissa Hortman and her husband, and for Representative Rosenwald’s father, then swore in and seated new members Boyles and Hodgers. The Speaker also outlined the chamber’s end-of-session priorities, including action on the budget and related conforming bills. The House then took up H.J.R. 5019, a constitutional amendment to expand Florida’s budget stabilization fund by raising the cap, requiring annual transfers, and allowing withdrawals for critical state needs. After sponsor explanations and questions about what would qualify as a critical need and how the fund might respond to possible federal funding cuts, the House adopted an amendment that added more flexibility for suspending transfers and withdrawals. The joint resolution then passed on final passage. Members next considered HB 7031, the tax package conference report. The bill repeals the business rent tax and aviation fuel tax, delays the natural gas fuel tax, creates or extends several sales tax exemptions and holidays, and makes changes affecting property taxes, local taxes, pari-mutuel taxes, and revenue distributions. Debate focused heavily on the new permanent exemption for ammunition and hunting-related items, the elimination of recurring housing trust fund and transit-related distributions, and the shift of some funding from recurring to nonrecurring status. Supporters argued the package provides tax relief and preserves annual budget flexibility, while opponents criticized the ammunition exemption and the reductions in recurring housing and transit support. The conference report was adopted and the bill passed. The House then passed HB 5017, which creates a debt reduction program funded by a recurring transfer from general revenue to retire state bonds early, and HB 5015, the state group insurance conforming bill, which directs DMS to develop a formulary management plan and codifies the administrative health insurance assessment. Finally, the chamber began explanation and questions on the General Appropriations Act conference report for fiscal year 2025-26, described as a $115.1 billion budget that is down from the current year and includes more than $12 billion in reserves. Subcommittee chairs summarized major budget areas, including K-12 education, health care, transportation and economic development, agriculture and natural resources, higher education, state administration, justice, and information technology, highlighting funding for school choice, Medicaid, housing, transportation infrastructure, Everglades restoration, workforce programs, cybersecurity, and technology modernization.

Transcript Highlights:

• I have a condition called trigeminal neuralgia, which is a severe facial nerve disease.
• It's often nicknamed the suicide disease.
• Henningfield, even the Centers for Disease Control in the report that was referenced earlier had, thank
• As an example outside of overdoses, a person may have longstanding chronic obstructive pulmonary disease
• But chronic obstructive pulmonary disease would likely be identified as a contributing factor on the

Summary: The Kratom Working Group met to hear public testimony and expert presentations on whether North Dakota should prohibit or regulate kratom and 7-OH products. Early testimony split sharply between speakers who described natural kratom as a helpful, lower-risk alternative for chronic pain, opioid withdrawal, PTSD, and recovery, and speakers who urged prohibition because of dependence, overdose risk, and the growth of concentrated or synthetic 7-OH products sold in gas stations, smoke shops, and online. Several witnesses, including consumers and shop owners, argued that banning kratom would push people to more dangerous drugs or unregulated internet sources, while public health and medical witnesses said the marketplace is confusing and inadequately controlled. A number of witnesses, including representatives of the North Dakota Public Health Association, the state crime lab, and addiction-treatment and pediatric clinicians, emphasized risks from adulterated or concentrated products, lack of labeling and age restrictions, contamination concerns, and harms to adolescents, pregnant patients, and newborns. The crime lab described recent cases involving mitragynine, 7-OH, and pseudoindoxyl, and said products purchased in a smoke shop were inaccurately labeled. A Sanford pediatric hospitalist testified that kratom exposure in pregnancy can cause severe neonatal withdrawal and that adolescents are using the product. By contrast, American Kratom Association representatives and other advocates argued that natural leaf kratom should be distinguished from synthetic 7-OH, that deaths usually involve other substances, and that a regulatory framework with testing, labeling, age limits, and product registration would better protect consumers than a blanket ban. No formal bill was debated or voted on in this transcript. The working group heard testimony, asked questions, and took no final action before breaking for lunch and later resuming with additional presentations.

Transcript Highlights:

• Berklee, students complete a nationally accredited program with coursework in human development, disease
• In 2006, I was diagnosed with an autoimmune disease called sarcoidosis.
• others I have worked with, are currently going through chemotherapy and radiation to eradicate the disease
• Feldenkrais practitioners do not diagnose, prescribe medicine, do massage, or promise to cure any disease
• I saw Reiki as a calming force for my mom, who suffers from Parkinson's disease.

Keywords: 995, all

Summary: The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure and reviewed a broad agenda including credit card fees, event ticketing, music therapy licensure, senior psychologist licensure, CPA pathways, school mental health licensure, and a bill regulating alternative healing therapies. The chairs explained hearing logistics, including three-minute testimony limits and submission of written testimony, and noted that more than 70 people had signed up to testify. Legislators and advocates were heard out of order throughout the day. A major portion of the hearing focused on credit card surcharge and interchange legislation. Restaurant owners, the Massachusetts Restaurant Association, NFIB, and other small-business witnesses supported bills allowing merchants to add convenience fees and, in one proposal, preventing card companies from charging fees on tax and tip portions of transactions. They argued that swipe fees are a major and growing cost, especially for restaurants, and that Massachusetts is one of only two states that bars surcharges. Opponents from the Cooperative Credit Union Association, the Electronic Payment Coalition, and the Electronic Transactions Association warned that the proposals would create compliance burdens, fragment the payment system, raise legal preemption issues, and disrupt a system they described as efficient and secure. The committee also heard competing testimony on ticket transferability and ticket resale. Supporters, including the National Consumers League and Sports Fans Coalition, said bills on ticket transferability would protect consumers who cannot attend events and would increase competition and savings in the secondary market. Opponents, including United Musicians and Allied Workers and theater owners, argued that mandatory transferability would weaken artists’ and venues’ ability to prevent scalping and predatory resale, and that some ticket sellers should be exempt from the broader ticketing regulations. Separate testimony supported music therapy licensure, senior psychologist licensure, and new CPA education pathways, with witnesses saying these measures would expand access to care and strengthen the workforce while maintaining professional standards. The hearing also drew extensive opposition to S.261 on alternative healing therapies, with practitioners and clients arguing it would overregulate spiritual and holistic practices and was not an effective response to human trafficking concerns.

Transcript Highlights:

• ranging from those that you might expect, protecting plants and animals from invasive pests and diseases
• detected in dairy cows in early 2024, it marked a troubling evolution of an already devastating animal disease
• The state invested in expanded diagnostic devastating animal disease in the poultry sector.
• Having an appropriately staffed CDFA is essential for food safety, pest and disease, animal health, and
• Having an appropriately staffed CDFA is essential for food safety, pest and disease, animal health, and

Summary: The subcommittee heard a series of budget presentations from the Department of Food and Agriculture (CDFA), the Department of Cannabis Control (DCC), and related agencies. CDFA discussed its overall budget, ongoing support for the Farm to School program and climate-smart agriculture, and a proposed climate bond expenditure plan. Members focused heavily on whether the Farm to School proposal should become ongoing, how schools and suppliers are selected, whether the program is reaching disadvantaged and food-insecure communities, and whether the trailer bill language creates new duties. The LAO recommended rejecting the ongoing Farm to School proposal as presented, suggesting the Legislature consider Prop. 98 funding instead, while CDFA argued the program supports children, farmers, and local economies and helps build long-term supply-chain infrastructure. Several members also questioned the bond plan’s timing, program metrics, and workforce impacts, while LAO said the bond plan was generally reasonable and should be guided by legislative input. The committee also discussed CDFA’s proposal to eliminate vacant positions; the department said the positions were largely long-vacant or unfunded and could be reclassified if needed, while LAO recommended retaining the special-fund positions and weighing the General Fund positions on their merits. CDFA’s IT support request for additional ongoing funding and four positions was presented as necessary to address staffing shortages, legacy systems, and cybersecurity risks, and LAO had no concerns. The committee then took public comment and voted to approve items 9 through 13, including CDFA dog importation and carcass disposal items, a Gambling Control Commission IT item and tribal grant fund item, and an ABC office relocation item. DCC presented a request to strengthen enforcement against the illicit cannabis market by opening a North State office in Redding and adding sworn and non-sworn staff. The department said most cannabis consumed in California still comes from the illicit market, that it receives about 1,500 complaints annually but can close only about 400 cases, and that it has a backlog of roughly 4,000 cases. DCC argued that a northern office would reduce travel time, improve coordination with local agencies, and help target cross-county and cross-border criminal networks. Finance supported the request as a targeted investment, and LAO had no comment. Members asked about public safety, office security, and whether a North State presence would increase complaints or referrals; DCC said safety is considered in every office opening and that a local presence would likely improve case development. The director also described the broader regulatory strategy as balancing consumer safety, illicit-market enforcement, consumer awareness, and reducing friction for legal operators. The discussion continued into broader concerns about the size of the illicit market and the long-term goals for the cannabis program.

Transcript Highlights:

• And are those restrictions anticipated to be for chronic diseases, or what type of restrictions do you
• So the restrictions are monetary, not necessarily on the care that they need if it's a chronic disease
• how we can do our core mission, which is identifying, preventing, and responding to communicable disease
• local public health departments are forced to move slower like they are now, I mean, communicable disease
• people will go uninsured and be forced to the ER for basic care or die younger from preventable diseases

Summary: The joint informational hearing focused on the impacts of H.R. 1 on California’s Medi-Cal program and on community health effects from recent immigration enforcement actions. Committee leaders said H.R. 1 would sharply reduce federal funding, increase administrative burdens, and worsen access to care, especially for Medi-Cal enrollees, immigrant families, rural communities, and reproductive health patients. The second half of the hearing examined how ICE raids and related federal actions are creating fear, reducing clinic and emergency department use, and disrupting children’s access to schools and early childhood education. Department of Health Care Services Director Michelle Bass outlined the main H.R. 1 provisions affecting Medi-Cal: work requirements, semiannual eligibility redeterminations, shorter retroactive coverage, new cost-sharing, limits on provider taxes and state-directed payments, reduced federal support for emergency and lawful immigrant coverage, and a one-year ban on Medicaid funding for prohibited abortion providers. She estimated millions could lose coverage, with tens of billions of dollars in federal funding at risk. Planned Parenthood Affiliates of California warned the defunding provision could force clinic closures, service reductions, and loss of access to family planning, STI testing, and cancer screenings. The California Hospital Association said the financing changes could cut hospital revenue by tens of billions over 10 years and threaten access, especially for rural and safety-net hospitals. The Western Center on Law and Poverty argued the law would increase churn, paperwork, and uninsured rates, disproportionately harming working adults and people experiencing homelessness. Committee members asked about implementation timelines, notification systems, administrative costs, the effect on immigrant eligibility, and whether California could delay or mitigate some provisions. Bass said the state was still assessing federal guidance, planning county and provider outreach, and exploring a possible delay for work requirements and a transition period for provider-tax changes. Members also discussed how state budget actions may need to be revisited in light of H.R. 1, and how California might preserve access through state-only funding or other policy changes. In the second panel, CHIRLA, Los Angeles County Department of Health Services, and the Children’s Partnership described the health consequences of immigration enforcement. Speakers said raids and data-sharing fears are causing anxiety, trauma, and avoidance of care, with Los Angeles County reporting declines in emergency, urgent care, and clinic visits after enforcement actions. The Children’s Partnership said school and early childhood absences are rising in some communities and that enforcement is undermining children’s emotional well-being and access to education. Members asked for more data and discussed possible state protections, telehealth, mobile care, and legal and policy responses to reduce fear and preserve access to health and education services.

Transcript Highlights:

• How are we able to prevent disease rather than simply reacting to it?
• How are we able to prevent disease rather than simply reacting to it?
• Just as a reminder, I spent a previous lifetime as an emergency room doctor, and many of these disease
• Disease processes that were under control...
• Disease processes that were under control become unmanageable, and the need for emergency rooms to help

Summary: The hearing focused on the expected health coverage losses tied to H.R. 1, the resulting pressure on California’s county indigent care systems, and what data and policy changes the Legislature may need before the next budget cycle. Chair Hart and Assemblymember Addis framed the issue as a major rollback in coverage that could leave more Californians uninsured and push more people into county safety-net programs. Members repeatedly emphasized the need for baseline, county-by-county data on eligibility, benefits, caseloads, and funding before making larger structural decisions. The Legislative Analyst’s Office explained the history of county indigent care under Welfare and Institutions Code 17000, the shift in funding through 1991 realignment, and the later redirection of funds to CalWORKs. LAO said county programs vary widely in scope and eligibility, that current realignment funding does not automatically rise with demand, and that the Legislature faces tradeoffs if it changes the funding structure. Administration witnesses from Finance and DHCS projected large Medi-Cal and Covered California enrollment losses, with DHCS estimating more than 1 million Medi-Cal members could eventually lose coverage under work requirements and redeterminations, and noting that a new federal rule could make exemptions more restrictive. Officials also said there is no single statewide real-time data system for uninsured or indigent care populations, though some hospital and utilization data exists with significant lags. County representatives from Santa Barbara, San Diego, and Tulare described how their indigent care programs are being rebuilt or strained after years of low demand. They warned that many newly uninsured residents will need only basic, emergency-oriented care under county programs, not the preventive and continuous care available through Medi-Cal, and said that without new state support counties may have to divert funds from public health or reduce other services. Several counties asked for bridge funding, technical statutory changes, and flexibility to adjust realignment methodology. The California Health Care Foundation closed by arguing that the problem is statewide and needs a statewide solution rather than a patchwork county response.

Transcript Highlights:

• House Bill 393 strengthens Kentucky's response to Alzheimer's disease. This bill does three things.
• First, it cleans up statute by governing the Alzheimer's disease and related disorders council by removing
• :20.079><c> to</c><00:14:20.320><c> address</c><00:14:20.560><c> Alzheimer's</c><00:14:21.199><c> disease
• </c><00:14:21.920><c> The</c> plan to address Alzheimer's disease.
• The plan to address Alzheimer's disease.

Keywords: Convene 00:00 Senate Message 04:18 Report of Committees 05:09 Orders of the Day 06:40 HB 169 06:50 HB 393 13:08 HB 194 15:43 Motions, Petitions, and Communications 24:38 Introduction of New Bills and Resolutions 35:23 Recess for ConC/Rules Meeting 38:09 ConC/Rules Report 40:57 Floor Amendments 42:04 Adjournment 42:20, 958, all

Transcript Highlights:

• Kentucky is carrying a heavy chronic disease burden.
• Conditions like diabetes and heart disease are deeply connected to diet and access.
• They also know we cannot outspend chronic disease. This is a crisis.
• Kentucky is carrying a heavy chronic disease burden.
• They also know we cannot outspend chronic disease. This is a crisis.

Keywords: 958, all

Summary: The Senate convened with an invocation and Pledge of Allegiance, then established a quorum and approved the journal. The House clerk communicated that the House had passed House Bills 34 and 306 and requested concurrence. The State and Local Government Committee reported Senate Bills 20 and 68 favorably, and several new bills and resolutions were introduced, including measures on Kentucky-grown agricultural procurement, an endowed research fund, unemployment insurance, postsecondary education, wrongful conviction compensation, massage therapy, local fiscal reporting, and a resolution honoring John and Debbie Rogers. The main floor action was on Senate Joint Resolution 23, as amended by Senate Committee Substitute 1, declaring Kentucky a “food is medicine” state and directing state agencies to advance food-as-medicine initiatives. The sponsor described the resolution as a statewide framework to connect nutrition, health care, agriculture, and local food systems, emphasizing partnerships with the Kentucky Hospital Association and the Kentucky Department of Agriculture, better health outcomes, and support for Kentucky farmers and rural communities. Senators from Taylor and Callaway spoke in support, citing local examples and the goal of building Kentucky-based solutions rather than importing them. The committee substitute was adopted by voice vote, and the resolution then passed 35-0. The Senate also adopted Senate Resolution 56 honoring Elder Nathan Craig and Sister Amy Craig, and Senate Resolution 33 honoring Robert E. “Bob” Pernell, Sr. Senate Resolution 22, honoring Brian J. Hat, was likewise adopted. After the day’s business, the Senate recessed for meetings of the Rules Committee and the Committee on Committees. Later, the Committee on Committees referred Senate Bills 1-4 to Education, Senate Bill 48 to Judiciary, and Senate Bills 84 and 102 to Veterans, Military Affairs, and Public Protection. Several members made announcements about upcoming committee meetings and events, including the VMAP committee, Judiciary, the Kentucky Japan Caucus, the Kentucky Israel Caucus, and an American Cancer Society action day.

Transcript Highlights:

• University of Kentucky School of Medicine, with specific experience in or expertise in Parkinson's disease
• Yes, so as you recall, this bill would set up a Kentucky Parkinson's disease research registry.
• this bill would set up a Kentucky the this bill would set up a Kentucky Parkinson's<00:03:43.959><c> disease
• </c><00:03:44.400><c> research</c><00:03:45.120><c> registry</c> Parkinson's disease research registry
• Parkinson's disease research registry and<00:03:46.239><c> Parkinson's</c><00:03:46.760><c> is</c><00

Keywords: 958, all

Summary: The committee first took up Senate Bill 27, as amended by committee substitute, which would create a Kentucky Parkinson’s disease research registry. The sponsor said the substitute was developed with UK, U of L, the Michael J. Fox Foundation, and Parkinson’s in Motion to better define a movement disorder center, add Parkinson’s experts from both universities to the advisory committee, require automated reporting, and delay implementation until 2027. Testimony emphasized the need to track diagnoses and testing while protecting confidentiality and allowing people to opt out. The committee adopted the substitute and then voted unanimously to pass SB 27 with a favorable expression. The committee then heard Senate Bill 93, dealing with hearing aid coverage for children. A parent described the high cost of hearing aids for her son and the financial burden created by insurance limits, while a pediatric audiologist explained that early identification and treatment improve language outcomes and that families can spend about $30,000 on hearing aids from birth to age 18. The committee substitute removed adults from the bill and added an in-network requirement for pediatric audiologists, along with a replacement interval consistent with Medicaid guidelines and repair/loss coverage provisions. After questions about costs, replacement timing, and insurer practices, the committee voted unanimously to pass SB 93 with a favorable expression. Finally, the committee considered Senate Bill 153, a transparency and due-process bill concerning Medicaid prepayment review. The sponsor and witnesses from Addiction Recovery Care and Frontier Behavioral Health said prepayment reviews can be imposed with little notice or explanation, disrupt cash flow, and burden rural and smaller providers; they argued the bill would require clearer notice, reasons, and timelines without stopping legitimate reviews. Members asked about managed care organizations, contract issues, and whether the bill would conflict with existing agreements, and the sponsor said it would not. After discussion and an explanation of vote from Senator Douglas, the committee voted to pass SB 153 with a favorable expression.

Transcript Highlights:

• Childhood cancer is the leading cause of death by disease among children in the United States.
• It is not a single disease, but more than 13 major types and over 200 subtypes of pediatric cancer, each
• the most common childhood cancer, brain and central nervous system tumors remain... ...not a single disease
• Everyone in this chamber has a connection to this terrible disease, and today I want to highlight a story
• Everyone in this chamber has a connection to this terrible disease, and today I want to highlight a story

Keywords: 988, house, all

Transcript Highlights:

• And that's why biosimilars are so important for illnesses like sickle cell, Crohn's disease, some cancers
• , anything that's going to be long-term. ...long-term effects of some type of disease.
• I know Humira for Crohn's disease, right? Great.
• I'm just curious, I know Humira for Crohn's disease, right?
• If you're specific for Crohn's disease. Yeah. Okay. I, we had a young man testify.

Summary: The committee heard several bills, but much of the meeting focused on House Bill 306, which would require disclosure when a consumer is interacting with a chatbot rather than a human. Sponsor Senator Townsend described it as a consumer protection measure and said the bill is meant to keep pace with rapidly changing AI technology. Committee members and witnesses raised concerns about the bill’s enforcement structure, especially private rights of action and penalties that could apply even without actual consumer harm. The Department of Justice said the bill would apply where the conduct has a Delaware nexus, and that the disclosure requirement is the key consumer protection. Industry witnesses and chambers of commerce opposed the bill as drafted, arguing it would create broad compliance burdens and expose businesses to excessive litigation risk without a harm requirement or clearer safe harbor language. Earlier in the meeting, the committee discussed House Bill 429, which would update Delaware’s step therapy exception process to include biosimilars and interchangeable biologics. Senator Poore and supporters from Highmark and the Department of Insurance said the bill would modernize insurance law, improve access to effective treatments, and reduce costs; they cited national savings from biosimilars and said the bill has agency support. Members asked about Delaware-specific savings, patient switching, and how the process would work, but no vote was taken during the discussion. The committee also heard House Bill 310, which would exclude large data centers from Blue Collar Jobs Act tax credits; the sponsor said the bill is intended to ensure large energy users contribute more to state and local revenues, while supporters and opponents debated competitiveness and community impacts. House Bill 406, on allowing insureds to choose their auto repair shop, and Senate Bill 347, a cleanup bill related to medical debt collection and personal property levies, were also presented without opposition in the hearing. House Bill 253, concerning who may receive letters testamentary or of administration, was described as a cleanup to align statute with existing practice. The committee approved the meeting minutes, but the transcript does not show final votes on the bills discussed.

Transcript Highlights:

• If there are injuries to the eye or there are eye diseases or other issues, that falls under your medical
• If there are injuries to the eye or there are eye diseases or other issues, that falls under your medical
• They don't actually address the underlying causes of these diseases.
• They don't actually address the underlying causes of these diseases.
• have been linked to the reduction in chronic inflammation, which is the number one cause of chronic disease

Bills: SCR37, SB145, SB237

Keywords: informed consent, healthcare, medical procedures, patient rights, surgeon general, regulatory review, adult residential care, generators, emergency power, health safety, Louisiana Department of Health, compliance, regulations, child welfare, Department of Children and Family Services, mandatory reporting, abuse prevention, investigative teams, child ombudsman, forensic interviews

Transcript Highlights:

• And since then, he has something, it's a genetic disease called polycystic kidney disease, which was
• So from that, he has now had his two remaining diseased kidneys removed.
• As you probably already remember, my sister had polycystic kidney disease, and she passed.
• You probably already remember my sister had polycystic kidney disease, and she passed two years ago.

Summary: The committee first took up House Bill 2535 in executive session. Members adopted a House committee substitute and two cleanup amendments, including clarifications related to Gold Star spouses and a correction to a property tax exemption amount for veterans. The substitute was then approved, and the committee voted the House Committee Substitute for HB 2535 do pass by a recorded vote of 15 ayes and 1 no. The committee then held a public hearing on Senate Committee Substitute for Senate Bill 974, which Senator Black described as a consumer-protection measure aimed at preventing exploitation of veterans by unaccredited claims assistance companies. The bill would restrict compensation for referrals and certain claims work, require written agreements, cap fees tied to benefit increases, and prohibit upfront fees and misleading practices. Supporters, including a former VA official and several veterans, argued the bill would provide needed guardrails and choice for veterans navigating a difficult claims process. Opponents, including the VFW and Missouri veterans groups, argued the bill conflicts with federal law and could legitimize paid claims assistance outside the VA accreditation system; they urged striking the contested section and relying on existing federal rules and Missouri consumer-protection law instead. Testimony also covered several other provisions folded into SB 974, including military leave for public employees, National Guard-related items, survivor benefit tax deductions, and the MoGives living organ donor language. Witnesses on the organ donor provision said it would help service members avoid financial hardship while donating organs. The hearing ended without a vote on SB 974, and the chair announced the committee was out of time and adjourned.

Transcript Highlights:

• voting no on this bill today because I think that we're treating a symptom and not the underlying disease
• voting no on this bill today because I think that we're treating a symptom and not the underlying disease
• The underlying disease. I think the sponsor of the bill would say this is not a fix for everything.
• losing tools, and the behavior is getting worse, and we are treating the fever and not the underlying diseases
• Diseases that cause the problems that we see in the education system and with behavior and with academic

Bills: HB1160, HB1289, HB1339, HB1798, HB1065, HB1795, HB2107, HB2113, HB2124, HB2125, HB2133, HB2134, HB2140, HB2185, HB2191, HB2205, HB2211, HB2219, HB2245, HB2253, HB2283, HB2343, HB2406, HB2501, HB2531, HB2574, HB1170, HB1544, HB1834, HB2156, HB2188, HB2206, HB2360, HB2471, HB2478, HB2525, HB2605, HJM4012, HB1104, HB1152, HB1254, HB1443, HB1710, HB1750, HB1903, HB1941, HB1974, HB1982, HB1983, HB2006, HB2034, HB2105, HB2179, HB2203, HB2215, HB2223, HB2239, HB2247, HB2297, HB2303, HB2322, HB2329, HB2334, HB2338, HB2345, HB2348, HB2350, HB2353, HB2355, HB2363, HB2367, HB2379, HB2388, HB2399, HB2418, HB2420, HB2428, HB2441, HB2462, HB2464, HB2467, HB2495, HB2505, HB2534, HB2539, HB2544, HB2551, HB2554, HB2557, HB2575, HB2577, HB2588, HB2594, HB2604, HB2636, HB2714, HB1160, HB1289, HB1339, HB1798, HB1065, HB1795, HB2113, HB2124, HB2125, HB2134, HB2140, HB2185, HB2191, HB2205, HB2211, HB2219, HB2245, HB2253, HB2283, HB2343, HB2406, HB2501, HB2574, HB1170, HB1544, HB1834, HB2156, HB2188, HB2206, HB2471, HB2478, HB2605, HJM4012, HB1104, HB1152, HB1254, HB1443, HB1903, HB1941, HB1982, HB2006, HB2034, HB2105, HB2179, HB2203, HB2297, HB2303, HB2322, HB2329, HB2345, HB2350, HB2379, HB2388, HB2399, HB2418, HB2462, HB2464, HB2495, HB2539, HB2544, HB2551, HB2554, HB2588, HB2636, HB1128, HB1408, HB1570, HB1742, HB1823, HB2089, HB2104, HB2114, HB2172, HB2192, HB2207, HB2251, HB2262, HB2266, HB2294, HB2298, HB2319, HB2320, HB2323, HB2351, HB2354, HB2374, HB2401, HB2405, HB2429, HB2431, HB2442, HB2451, HB2479, HB2496, HB2515, HB2523, HB2540, HB2593, HB2632, HB2661, HB1496, HB1898, HB2095, HB2157, HB2225, HB2274, HB2311, HB2325, HB2333, HB2476, HB2508, HB2552

Keywords: design review, local government, land use, zoning, project permits, housing density, middle housing, affordable housing, parking minimums, single-family zoning, infill development, growth management, comprehensive plan, permit streamlining, objective development regulations, architectural review, administrative review, transit-oriented development, accessory dwelling units, ADU

Transcript Highlights:

• Washington's workers' compensation system, a worker who is injured or suffers from an occupational disease
• workers' compensation claim adjudication for employees seeking treatment for PTSD as an occupational disease
• across all risk classes for which there is a presumption of coverage for PTSD as an occupational disease
• last decade or so, you all have extended coverage through the workers' comp system for occupational diseases
• to do here is create a pilot for those four occupations that are eligible to file an occupational disease

Bills: HB2405, HB2406, HB2471, HB2478, HB2492

Keywords: mental health, PTSD, treatment program, research, pilot program, veteran support, trauma, healthcare funding, labor, communication, Department of Labor and Industries, workplace standards, modernization, collective bargaining, labor relations, employee rights, union representation, non-covered employees, wage enforcement, labor standards

Transcript Highlights:

• Washington's workers' compensation system, a worker who is injured or suffers from an occupational disease
• workers' compensation claim adjudication for employees seeking treatment for PTSD as an occupational disease
• across all risk classes for which there is a presumption of coverage for PTSD as an occupational disease
• last decade or so, you all have extended coverage through the workers' comp system for occupational diseases
• to do here is create a pilot for those four occupations that are eligible to file an occupational disease

Summary: The committee held public hearings on several Labor and Workplace Standards bills. HB 2492 would require building and construction apprenticeship programs, beginning in 2027, to include two hours of behavioral health and wellness training covering topics such as suicide prevention, substance use disorder, recognizing distress, peer support, and connecting to resources. The prime sponsor and many labor, apprenticeship, and contractor witnesses supported the bill, describing high suicide and overdose rates in construction and sharing personal stories about losses and struggles in the trades. No vote was taken on the bill during the hearing. The committee then heard HB 2405, a Department of Labor and Industries request bill creating a pilot to allow earlier treatment for PTSD claims in workers’ compensation, including up to 11 treatment sessions before claim adjudication and limited follow-up treatment after closure. L&I and NFIB supported the measure as a way to speed treatment and reduce barriers, while one legal advocate supported it but raised technical concerns about pre-claim treatment and urged more focus on workplace prevention; another witness cautioned against emphasizing psychiatric drug treatment. The bill was heard only; no action was taken. HB 2406 would expand L&I’s ability to send notices electronically, with opt-in/opt-out provisions and some changes to timing rules for workers’ compensation and WISHA notices. L&I supported the bill as a modernization measure, while labor and workers’ advocates opposed changes affecting workers’ compensation notices, arguing that email should not become the default for vulnerable workers who may miss deadlines. HB 2478 would give L&I discretion, rather than a mandate, to investigate wage complaints and allow penalties when the department initiates an investigation; L&I supported it as a more efficient enforcement tool, and the committee discussed how complaints would still be handled and communicated. Finally, HB 2471 would create a state collective bargaining framework for private-sector workers if federal labor law or the NLRB no longer covers them. Supporters said it would preserve organizing and dispute-resolution rights if federal protections fail, while agricultural employers and NFIB opposed it, arguing it would inappropriately apply to agriculture and small businesses, could disrupt perishable harvests, and should rely on secret-ballot elections rather than card check. No votes were taken on any of the bills in the hearing.

Transcript Highlights:

• The standard lead apron incompletely addresses radiation exposure, but has created a whole new disease
• The standard lead apron incompletely addresses radiation exposure, but has created a whole new disease
• A whole new disease process in our profession is spinal problems: cervical spine, lumbar spine, etc.
• And just from a very pragmatic perspective, cardiovascular disease is a major issue in our country, and
• Heart disease is on the rise, so protecting med school students as they're coming up so that we don't

Bills: SB1001, SB1011, SB1016, SB1052, SB1072, SB1100, SB1112, SB1113, SB1116, SB1118, SB1120, SB1121, SB1122, SB1123, SB1124, SB1125

Keywords: appropriation, economic security, blind individuals, older adults, state funding, medical examiners, sudden infant death, autopsy protocols, forensic pathology, public health, religious exemption, employment practices, COVID-19 vaccination, accommodation, discrimination, assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent

Transcript Highlights:

• I'm an Ehlers-Danlos syndrome rare diseases patient and disability advocate. I was also Ms.
• I'm also a rare disease patient myself. I'm here in support, obviously.
• My name is Chanel Cordova, and I'm here representing the Northwest Rare Disease Coalition in support
• I speak to you as an advocate for others, as well as a patient and mother to a child with rare disease
• I cannot take NSAIDs due to my Crohn's disease and the blood thinners that I take daily.

Summary: The Senate Health and Long-Term Care Committee heard testimony on several bills. SB 6159 would create a public hospital infrastructure account funded by a new annual coverage assessment on insurers and other businesses subject to the premium tax, and would allow public hospital districts and other public health entities to collaborate more freely and access capital financing for major construction or modernization projects. Senator Dhingra said the bill is intended to help public hospitals compete and modernize, especially amid federal Medicaid and ACA subsidy cuts. Supporters included UW Medicine, while hospital districts supported the general concept but said Section 2 could unintentionally narrow existing cooperative agreements with nonpublic entities. Health plans and insurers opposed the bill, arguing it would raise premiums, increase consolidation, and improperly sweep in property and casualty insurers and mutual companies; testimony also raised concerns about pass-through costs and retaliatory tax effects. The hearing on SB 6159 closed with 5 pro, 74 con, and 2 other sign-ins. The committee then heard SB 5845, which would modernize timely payment rules by requiring carriers and public employee plans to pay or deny all clean claims within 30 days, require prompt notice and a single request for additional information on incomplete claims, and impose interest or penalties for missed deadlines. Senator Slaughter said the bill would reduce uncertainty for providers and stabilize payments without increasing patient costs. Hospitals, physicians, and health systems strongly supported the measure, citing large volumes of late clean claims and examples of prolonged delays, including a Harborview claim that remained unpaid more than a year after billing. Health plans opposed the bill, saying the current 95% standard is workable, that they already meet high compliance rates, and that the bill could limit fraud, waste, and abuse review on high-dollar claims; they also sought more flexibility and additional time for responses. The hearing closed with 69 pro, 4 con, and 2 other sign-ins. The committee also heard SB 5916, which would prohibit health plans from disadvantaging non-opioid pain treatments relative to opioids in formularies and utilization management, and would require a Department of Health educational pamphlet on non-opioid alternatives. Senator Harris described the bill as a response to opioid deaths and a way to encourage safer pain treatment options. Patients, recovery advocates, and rare disease advocates testified in support, saying insurance barriers and step therapy often make non-opioid care harder to access and can push patients toward opioids. The Health Care Authority and an association of health plans opposed the bill, arguing it could reduce formulary flexibility, increase costs, and limit tools such as prior authorization and step therapy. The hearing closed with 8 pro, 1 con, and 2 other sign-ins. Finally, the committee heard SB 6102 and SB 6103, both sponsored by Senator Muzzall, and SB 6071. SB 6102 would align the ambulance transport quality assurance fee with federal rules after H.R. 1 barred new provider taxes, preserving the existing fee rate and adjusting the Medicaid add-on rate annually; the Washington Ambulance Association supported it, saying the program had improved wages and benefits for EMS workers. SB 6103 would make Medicaid payments for services provided by a rural emergency hospital subject to appropriation, creating a framework for East Adams Rural Health Care to convert to the new federal rural emergency hospital model; East Adams and the Washington State Hospital Association supported it as a way to preserve rural access. SB 6071 would shorten overpayment recovery timelines for all services to six months, or nine months for coordination-of-benefits cases, matching the shorter timelines already enacted for behavioral health services; providers and specialty associations supported the bill as a way to reduce destabilizing clawbacks, while the remaining testimony was still underway when the transcript ended.

Transcript Highlights:

• being heard, that there are solutions for them and for their neighbors that are suffering with the disease
• Adoptees may also face increased health costs to treat diseases which could have been prevented with
• Adoptees may also face increased health costs to treat diseases which could have been prevented with
• Lacking... ...health costs to treat diseases which could have been prevented with the knowledge of their
• Sealing only takes place at adoption because the intent is to protect... ...health costs to treat diseases

Keywords: 987, senate, all