Transcript Highlights:

• of special education students given the rates of these various factors in the school district.
• Shown on the horizontal axis, with the actual identification rate shown on the vertical axis.
• We applied a binary variable to each school, With the rate of special education students, we applied
• We then looked at whether the difference between rates in other states and Washington's rate were statistically
• Similar to what we showed in the previous slides, Washington's rates were statistically similar to 18

Summary: The JLARC I-900 Subcommittee heard a State Auditor’s Office performance audit on special education services, focused on comparing student needs, district identification practices, and funding. Auditors said Washington does not appear to under-identify any particular population for special education, though districts face ongoing challenges with identification, documentation, staffing shortages, and inconsistent referral tracking. They explained that their analysis used statistical models because the true prevalence of disabilities is unknown, and found Washington districts generally clustered near the national average, with little evidence that any demographic group was systematically under-identified. The audit also found that special education funding has historically been insufficient, with districts collectively covering about $500 million in costs not paid by state or federal sources, and that districts spent about 26% more per student than they received in funding. Auditors noted recent legislative changes that removed the special education enrollment cap and changed the safety net process, but said it was too soon to assess their effects. Their recommendations to OSPI included clarifying what counts as an official special education referral, requiring districts to report referral data even when no evaluation follows, and ensuring the new statewide data system is developed with district input, training, and possibly a mandate for uniform use. OSPI staff said they concurred with the report and appreciated the work of the auditor’s office and JLARC. During member questions, Representative Paulette raised concerns that the audit did not directly examine prevalence of specific disabilities, such as autism and dyslexia, in vulnerable populations or compare Washington’s identification practices to medical and peer-reviewed prevalence data. Auditors responded that medical prevalence is not known in a systematic way, that educational eligibility differs from medical diagnosis, and that the report’s conclusions should not be read as proving no populations are under- or over-identified. No public testimony was offered, and the meeting adjourned.

Transcript Highlights:

• Including the cost of reinsurance in their rates.
• Insurance rates increased because homeowners' losses increased even more.
• insurance rate increases.
• Homes built to 2008 standards have a much higher survival rate.
• insurance rates.

Keywords: homeowners insurance, natural disasters, insurance costs, climate change, disaster preparedness, federal policies, bipartisan solutions

Summary: The meeting reviewed critical issues surrounding the rising costs and accessibility of homeowners insurance across the United States, particularly in light of increasing natural disasters linked to climate change. Members engaged in extensive discussions regarding the implications for families and the economy, citing significant increases in premiums and decreasing availability of policies in high-risk areas. Supervisor Peysko highlighted the direct impact of federal policies on local communities, emphasizing the growing burden on homeowners as they face skyrocketing insurance costs amidst a backdrop of environmental challenges and regulatory constraints. The committee expressed a unified call to action for bipartisan solutions, focusing on improving building codes and enhancing disaster preparedness measures.

Transcript Highlights:

• rates in the nation, and has been so for decades.
• We have seen a dramatic increase not only in the rate of felony cases sentenced, but also in the rate
• rate has exploded by 180% between 1981 and 2022.
• . increase not only in the rate of felony increase not only in the rate of felony cases<00:03:40.080>
• that rate sentenced for person crimes that rate has<00:04:10.879> exploded<00:04:11.519> by

Keywords: 1183, house

Transcript Highlights:

• BUT I BELIEVE IT IS HOW WE ANALYZE A RATE CASE.
• AND THAT IS ON TOP OF RATE REQUESTS, YOU ALSO GET FROM UTILITY COMPANIES REQUESTS FOR ADDITIONAL RATES
• AND AS WE LOOK AT THOSE PROGRAMS WE THEN COMPARED THEM TO RATE AND ASK SO WHAT IS THE RATE IMPACT AND
• >> Mike LaRosa: I THINK EVERY TIME THERE IS A RATE CASE THERE IS A MODIFICATION.
• THE YEAR LETTER WOULD SAY WE ARE GOING TO FILE A RATE CASE.

Keywords: 999, senate, all

Transcript Highlights:

• rate of return. rate of return.
• and also reduce SNAP error rates. and also reduce SNAP error rates.
• , corporate tax rates, or both.
• rates, corporate tax rates, or both. rates, corporate tax rates, or both.
• nation rate of 11.5%. nation rate of 11.5%.

Keywords: 1183, house

Transcript Highlights:

• Representative Bray asked how those rates are set.
• Rates are set by category and type of job, and they are reviewed annually.
• Representative Bray asked whether the recidivism rate was 30.8 percent and down 1 percent.
• of reduction and what the largest contributing factors are to lowering that rate.
• <00:13:12.000> of years in terms of an average rate of years in terms of an average rate of

Keywords: 958, all

Summary: The Budget Review Subcommittee on Justice, Public Safety, and Judiciary heard an update from the Department of Corrections on Kentucky Correctional Industries (KCI), sentence-credit payments for program completion, and the expansion of the Little Sandy Correctional Complex. Department officials said KCI, the department’s long-running re-entry program, operates 15 industries in 11 institutions, employs more than 400 inmates and 37 staff, and had $5.8 million in expenditures against $6.8 million in revenues through January 31. Members asked about inmate pay, the role of the Prison Industries Enhancement Certification (PIE) program, and whether KCI generates profit; the department said it aims to break even while supporting state government, with PIE participants earning prevailing wages and some programs offering certificates tied to post-release employment opportunities. The subcommittee also reviewed the budget-authorized sentence-credit program for county jails. Officials reported 37,300 program completions in fiscal year 2024 and, through January, $6.128 million paid for 90-day sentence credits and $1.6548 million for 60-day credits, with total county jail expenditures of $8.1 million and 67 jails participating. They said additional participation would require more funding and that they do not expect many more jails to join, though attendance and population levels can affect costs. Members asked how jails opt in, whether there are added costs, how inmate earnings are handled, and whether deductions are made for child support or victim compensation; the department said jails apply through an approved program matrix, inmate earnings are tracked in individual accounts, and required deductions are made when ordered. Questions from members focused on re-entry outcomes and program structure. Officials said evidence-based programming and employment opportunities are major contributors to lowering recidivism, and they cited a recent recidivism rate of 30.8 percent, down about 1 percentage point, while noting they would provide additional trend and savings data later. The department also clarified that adult education and GED programming are separate from KCI and are handled by a different education division. For the Little Sandy expansion, officials said the project remains on schedule for completion on June 25, 2025, with inmate transfers expected to begin at about 50 per week and roughly 200 additional staff eventually needed; they said hiring is being phased in as inmate population increases. The committee asked for the total construction cost of the expansion, which the witnesses said they did not have at the meeting and would report back. The meeting adjourned with the next meeting set for February 18.

Transcript Highlights:

• no less than the MassHealth contracted per diem rate.
• However, the behavioral health carve-outs would not match that rate.
• What are they setting the rate to?
• Reimbursement rates are a key factor.
• It's just a challenge to increase reimbursement rates in general.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket of bills focused on MassHealth benefits and reimbursement, health equity, behavioral health, public health, dental access, 340B drug pricing, tobacco cessation, and coverage for children. The chairs emphasized rising health care costs, provider shortages, administrative burdens, and persistent inequities by income, race, geography, and immigration status. Much of the testimony centered on H.1416/S.901, an act to advance health equity, with legislators and members of the Health Equity Compact arguing for statewide benchmarks, stronger health equity leadership, reimbursement for interpreter services, community health workers and patient navigation, Medicaid graduate medical education support, and a health equity zone trust fund. Witnesses described disparities in life expectancy, maternal mortality, access to primary care, and the impact of federal Medicaid and social service cuts, and urged the committee to report the bill favorably. The committee also heard strong support for H.1368/S.847 on rapid whole genome sequencing for critically ill MassHealth children. Testifiers from industry, academia, hospitals, and families said early sequencing can end long diagnostic odysseys, improve treatment decisions, shorten hospital stays, and save money, while also providing emotional relief and information for families. The hearing then moved to H.1407 on MassHealth rate parity for inpatient behavioral health providers, where Rep. Scanlan and the Massachusetts Association of Behavioral Health Systems said the bill would codify existing administrative parity so managed care plans cannot pay less than the MassHealth fee-for-service rate. On H.1392/S.853 to preserve and protect public health, witnesses supported higher vaccine administration fees to improve provider participation and immunization rates. The committee also heard testimony on H.770/845 to protect 340B providers in MassHealth, and on S.848 to require reporting and transparency around 340B revenues and outside administrative costs. Additional bills drew testimony on tobacco cessation coverage for MassHealth members, with advocates supporting broader access to counseling and medications through medical, behavioral health, and dental providers. On H.1409, a nursing home operator asked for more flexibility in a MassHealth staffing-related penalty tied to patient days per resident. On H.1401/S.888, supporters of the “Take 10” dental access proposal said adult MassHealth dental coverage is underused because too few dentists accept MassHealth, leading to long travel times and avoidable emergency room visits; they urged incentive payments for dentists serving new adult MassHealth patients. Finally, on H.1403/S.855, “Cover All Kids,” advocates and immigrant community members urged removal of immigration status as a barrier to full MassHealth coverage for children, while also backing a related bill to ensure 12 months of continuous coverage for children. No votes were taken during the hearing; the committee primarily received testimony and asked questions on costs, reimbursement levels, and implementation details.

Transcript Highlights:

• So what is the error rate right now, and what are you proposing that the error rate is going to go if
• And if you're based on the error rate.
• >> So what is the error rate right now and >> So what is the error rate right now and what
• <01:08:05.760> is uh can tell you what the error rate is uh can tell you what the error rate
• >> Our error rate is currently at 7.57%. >> Our error rate is currently at 7.57%.

Keywords: 10:00am HB 1260 11:00am HB 1574 12:00pm HB 1816 2:30pm HB 1499 2:45pm HB 1709, 928, house, all

Summary: The conference committee first met on HB 1260, a bill requested by municipal clerks to allow certain divorce-related records to be kept confidential. House members argued the Senate amendment would reverse the presumption of openness established in the Keene Sentinel case and raise constitutional issues under the state constitution’s privacy and open-government provisions. Senate members responded that the 2018 privacy amendment, the limited scope of the proposal, and modern internet risks justified the change, but the House maintained the issue needed a full hearing in a separate bill. The committee ultimately voted unanimously for the Senate to recede and adopt the House version, preserving the underlying bill without the Senate amendment, and both sides said they would revisit the topic in a future session. The committee then took up HB 1574, which extends free and reduced-price breakfast and lunch programs and provides funding for SNAP administrative costs. The main dispute was the Senate’s addition of $4.4 million for SNAP administration, which DHHS said was needed because federal law would shift more administrative costs to the state and could increase the state’s SNAP error rate, potentially triggering much larger future penalties. DHHS officials reported the current error rate was 7.57% for federal fiscal year 2024, below the national average, and estimated that if the rate rose above 8%, the state could owe about 10% of SNAP benefits, or roughly $12 million for a partial year and nearly $16 million for a full year. Some House members supported the added funding as a preventive measure, while others objected that the underlying bill was modest and the amendment resembled a previously rejected proposal. The discussion ended with the committee moving toward the House position and the bill’s future depending on the chamber’s vote on the Senate amendment.

Transcript Highlights:

• Though we don’t have five-year rates yet, our teacher residents have a two-year retention rate of 91%
• and three- and four-year rates of 86%.
• If a campus receives a not rated rating for any reason, the commissioner will continue the intervention
• doesn't want to be rated, maybe.
• , and there are other ratings.

Summary: The committee continued hearing testimony on Senate Bill 2252, which would expand early literacy and numeracy screening, parent notification, intervention supports, and teacher training, including math academies and early childhood supports. Supporters from Texas 2036, Good Reason Houston, Texas Business Leadership Council, and several parents argued that early identification of skill gaps, clearer data for families, and stronger teacher preparation would improve student outcomes, workforce readiness, and long-term earnings. They cited low math proficiency statewide, the importance of early intervention, and examples of districts using screeners and data dashboards to guide instruction and resource allocation. One witness also highlighted home visiting as a family-support model, while another urged more funding for pre-K partnerships and stronger support for parents with reading materials and guidance. A district special education administrator testified neutrally, saying the bill reflects practices already used in her district but expressing concern that it could reduce local control and teacher discretion by standardizing screening and tying it to funding. A Texas Classroom Teachers Association representative supported the intent but warned that mandatory math academies and intervention academies could burden teachers if implemented like prior reading academies, and a substitute teacher/teacher-of-the-year witness asked for clearer protections around special education information and pay for alternative certification candidates. After public testimony closed, SB 2252 was left pending. The committee then took up Senate Bill 2253, as substituted, which would phase out routine hiring of uncertified teachers over time, require parent notification when a teacher is uncertified, and expand high-quality preparation pathways such as university programs, residencies, improved alternative certification, and grow-your-own programs. Senator Creighton said the bill responds to the rise in uncertified teachers and aims to strengthen the teacher pipeline with more structured preparation, mentorship, and oversight by SBEC. Invited testimony strongly supported the measure: a Texas Tech researcher said uncertified teachers and fast-track programs are associated with significant learning losses, while year-long residencies and mentored pathways produce stronger outcomes and higher earnings for students. Leaders from Dallas College and Sam Houston State University described successful residency and grow-your-own models, high completion and retention rates, and the need for paid residencies and stipends so candidates can afford to enter the profession. Committee members asked about the difference between mentorship and residency, the cost-effectiveness of paid residencies, retention incentives, and how to scale the model statewide. The committee also adopted the substitute for SB 2253 and later paused to vote out several other bills, including SB 1191, SB 1786, SB 226, SB 326, SB 570, SB 870, SB 991, SB 60, SB 365, SB 1401, and SB 1067, all of which were reported favorably, many with unanimous votes and some placed on the local and uncontested calendar.

Transcript Highlights:

• entrepreneurship rates are especially entrepreneurship rates are especially high<00:54:02.480>
• Um, but it basically says that the growth rate of real per capita GDP is a sum of the growth rate in
• points below the national rate.
• And you'll see that national rate.
• You know, the rates vary across.

Keywords: 1183, house

Transcript Highlights:

• But no new rate increases.
• So the proposal is to cap the rates at the lower bound of the actuarially sound rate.
• And $300 million for rate increases, but not rate increases associated with Prop. 35, correct?
• They will have their rate increases maintained since the 2024 rate increases.
• can be provided at that rate.

Summary: The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits. The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements. The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually. The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.

Transcript Highlights:

• It explains how to use long-distance rates to support local rates, how business rates can support residential
• rates, and how higher rates for urban populations can support... for rural rates in rural areas for
• That's a participation rate of about 1.5 percent. rate of about 17 percent.
• So you can see rates for.
• E-Rate does continue.

Transcript Highlights:

• compete with each other on fee rates.
• Visa and MasterCard set fee rates.
• fee rate and allow a much higher fee rate to be charged than the actual cost of processing the transactions
• They got a much higher fee rate.
• It wasn't more..." make a much higher fee rate and allow a much higher fee rate to be charged than the

Summary: The Assembly Banking and Finance Committee heard several bills, beginning with AB 407, which would expand the California Pollution Control Financing Authority. The author said the measure would increase flexibility and access to resources, and the bill was approved 7-0 and sent to the Committee on Local Government. The committee also adopted the consent calendar, which included AB 76, by a 7-0 vote. A lengthy portion of the meeting focused on AB 1065, which would prohibit swipe fees on the sales tax portion of credit card transactions. Supporters, including small business owners, restaurant and grocery representatives, and a payments-policy expert, argued the bill would reduce costs for merchants and consumers and rein in dominant card networks. Opponents, including banks, credit unions, and payment industry groups, argued the bill is likely preempted by federal law, would be difficult to implement, and could disproportionately affect community banks and credit unions. After extensive questioning about preemption, fraud, implementation, and consumer impacts, the committee rejected the bill on a 6-0 vote, but then granted reconsideration by a 7-1 vote. The committee then heard AB 1365, which would create the Cal Account Program, a zero-fee, zero-penalty state banking account for unbanked and underbanked Californians. Supporters said the program would help low-income households, survivors of abuse, and others facing barriers to traditional banking, while opponents from community banks and credit unions argued existing low-cost accounts and the Bank On program already address the need and raised concerns about cost, feasibility, and duplication. The bill advanced on a 6-0 vote and later received enough votes on the reopened roll to move forward to the Committee on Labor and Employment. The committee also approved AB 1052, which would create a legal framework for digital assets and address unclaimed digital property and restrictions on public officials issuing or promoting digital assets, and AB 1180, which would create a pilot program for paying state fees with digital financial assets and require a report on broader adoption. Both bills passed with broad support after brief testimony and discussion. Final roll calls later confirmed AB 1052 and AB 1180, along with AB 407 and AB 1365, were moved out of committee.

Transcript Highlights:

• that we're paying on government debt those are the rates that are the base rate when you set mortgage
• rates and when you set other consumer credit rates.
• It's the pass-on rate to consumer credit rates that are a much more significant impact on family budgets
• , a car note rate?
• rates continue to rise.

Keywords: nomination, Deputy Secretary of Treasury, economic policy, inflation, tariffs, tribal nations, government relations

Summary: The meeting convened to consider the nomination of Mike Falkender for the position of Deputy Secretary of the Treasury. During the session, multiple members voiced concerns regarding current economic policies under the Trump administration, particularly around inflation, tariffs, and the impact on small businesses. Discussions frequently centered on the administration's approach to tariffs and taxation, and how these factors contribute to the rising cost of living and potential job losses. Additionally, the importance of bolstering government-to-government relationships with tribal nations was emphasized, highlighting the need for specialized offices focused on tribal affairs within the Treasury Department.

Transcript Highlights:

• Returning profit to members through lower loan rates, higher savings rates, and improved financial services
• we're paying in increased rates.
• we're paying in increased rates.
• favorable rate possible.
• Federally, they'll have to deal with the interchange rates issue.

Keywords: 995, all

Summary: The commission met for its second hearing to study the future of credit card payments and sales transactions and their impacts on small businesses. Members heard extensive testimony from credit unions, retailers, restaurants, and payment-industry representatives on interchange fees, processing fees, fraud, chargebacks, rewards programs, and the ability of businesses to pass fees on to customers. Several witnesses argued that swipe fees have risen sharply, are especially burdensome for restaurants and other small businesses, and are charged on taxes and tips that are merely pass-through amounts. They urged state action to prohibit fees on tax and tip portions, improve transparency, and allow surcharging or convenience fees, while opponents warned that state regulation could reduce fraud protections, increase compliance costs, and threaten consumer rewards programs. Business owners and trade groups described thin margins, rising costs, and the difficulty of understanding merchant statements or negotiating with processors. Restaurant witnesses said card-not-present and online transactions create the greatest fraud and chargeback risk, with money often removed immediately from merchants’ accounts and disputes rarely resolved in their favor. Retail witnesses gave examples of rising effective rates, higher fees on rewards cards, and the burden of processing fees on low-value transactions. A representative from the Massachusetts Restaurant Association and others said restaurants are effectively paying fees on meals tax and gratuities, which they argued should not be subject to interchange charges. On the other side, the Cooperative Credit Union Association said interchange revenue helps credit unions fund fraud prevention, rapid card replacement, and member protections, and warned that state limits on interchange could weaken those safeguards and lead to higher consumer costs or reduced services. Airlines for America testified that airline credit card rewards are popular, support travel and jobs in Massachusetts, and could be harmed by interchange reform. The National Restaurant Association and a payments-policy attorney countered that interchange fees are set by card networks rather than competitive markets, that banks remain highly profitable even with rewards, and that states can act after recent court decisions. No votes were taken; the hearing consisted of testimony and questions from commissioners.

Transcript Highlights:

• , to rate litiga uh rate case litigation, to rate litiga uh rate case litigation, which<00:07:16.800
• <00:07:20.880> requests<00:07:21.599> rate utility request rate requests rate utility
• rate structures and the other on uh rate rate structures and the other on uh rate design<00:14:18.240
• We agree rate cases recent rate case.
• It does say in rates, but >> Yes, in rates.

Keywords: 1189, house, all

Transcript Highlights:

• And that's a rate between 0% and 8.9%. That's a rate between 0% and 8.9%.
• the experience rating.
• the experience rating.
• The seasonally adjusted rate flattens the rate significantly.
• rate flattens the rate significantly. rate flattens the rate significantly.

Keywords: 1187, senate, all

Transcript Highlights:

• That is to support rates that are actuarially sound.
• The first one is around provider rate increases.
• on the SNAP error rate and how we need to quickly fix that.
• But what is your goal then for our error rate?
• We know many of the drivers for the payment error rate.

Keywords: 996, all

Transcript Highlights:

• Home care rates, Just one example here, home care rates in particular are, you know, run and developed
• through the Consumer Direct rate-setting board.
• The Consumer Direct rate is a straight labor and administration.
• The Consumer Direct rate is a straight labor and administrative rate.
• best rating because then the consumer will choose the one that's got the best rating because, again,

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:

• rate dropped as far as $3. rate dropped as far as $3.
• um real estate tax rate in the state. um real estate tax rate in the state.
• the rates are set in November. the rates are set in November.
• or municipal rate.
• to a rate and then um then add cola. to a rate and then um then add cola.

Keywords: 1189, house, all