Transcript Highlights:

• The Public Works Board would like to work with committee staff to evaluate different options to help
• These minor works dollars are critically important.
• works.
• A lot of work was done last session to ensure that the traditional programs at the Public Works Board
• And so we're doing good work there.

Bills: HB2295

Committee: House Capital Budget

Keywords: Washington capital budget, supplemental capital budget, capital appropriations, state building construction account, taxable building construction account, climate commitment account, natural climate solutions, housing trust fund, affordable housing, supportive housing, homelessness, manufactured home communities, mobile home parks, school construction, school modernization, school seismic safety, healthy schools, school electrification, SCAP, behavioral health facilities

Transcript Highlights:

• And my vow to transit riders is that I will continue to work for you and work to get our transit system
• Or raise new revenue to work with next year.
• We have the working group, and Representative Feist has been working very hard on that, and that working
• The attendance work that Representative Keeler [member_12255] and I have worked on and started, and we
• Moderate, I'll work with you on that.

Transcript Highlights:

• It is a work in progress.
• worked through.
• They're saying, let me work, work hard, and earn my paycheck.
• Everyone is working hard.
• not working.

Committee: Senate Education

Transcript Highlights:

• We are very much committed to working within the resources that we have to do what we can and to working
• make you work harder than you are.
• So I know the work, I've done the work, but I'm really excited about being able to invest in the team
• So I know the work, I've done the work, but I'm really excited about being able to invest in the team
• Thank you for your work.

Committee: Senate Rules

Transcript Highlights:

• Um, it's a lot of work. It's a lot did. Um, it's a lot of work.
• </c> the amount of work that it takes to work the amount of work that it takes to work on<02:43:01.680
• </c> worked in the year. worked in the year.
• It's just so work.
• My employees showed up to work. We got the work done.

Transcript Highlights:

• , both projects will meet within their working groups to provide updates, and I will be working on a
• And we're working at DSS.
• We're working on it.
• Is any of the work that was done on the special commission last year being utilized in this work?
• I appreciate your work.

Summary: The meeting began with approval of the May minutes and then moved into administrative updates on several 2025 legislative workstreams. Staff reported progress on two marketing efforts tied to the youth mental health crisis: one focused on increasing awareness and use of urgent crisis centers, and another broader crisis-continuum campaign led by United Way. Both projects are refining materials based on working-group feedback and aim to have materials ready before the start of the school year. Updates were also given on the UCC private insurance review and the crisis continuum review, both of which are gathering data and reconvening working groups over the summer. The main discussion centered on a Civic Solutions Group update on Medicaid school billing. The contractor explained that the project is examining why Connecticut schools are not billing for behavioral health and related services, with the goal of maximizing federal reimbursement. Members clarified that the study is about schools billing for services, not private providers billing in schools. Questions focused on whether Medicaid has caps or authorization issues when students receive services both in school and in the community, and whether recent federal or state changes affect billing. The contractor said the work is still in data collection and analysis, and that some issues, such as reauthorization procedures, were outside his scope. Participants also raised concerns about perceived barriers, fee-for-service limitations, and the need to distinguish school-based billing from provider billing. A second major presentation came from Disability Rights Connecticut on a separate legislative study concerning behavioral health issues affecting students receiving special education. The subgroup is examining the feasibility and impact of requiring evidence-based interventions, especially for challenging behaviors that can lead to restraint and seclusion, and is also looking at monitoring and random audits of restraint and seclusion practices. The team described its project plan, including literature reviews, interviews, focus groups, surveys, and data requests from the State Department of Education and other stakeholders. Members emphasized that the work is aimed primarily at private providers under the statute, but may have broader relevance. Questions from the group focused on whether the study would include public schools, how evidence-based practices apply to students with intellectual disabilities and autism, and whether caregivers or parents would be interviewed; the presenters said caregiver input is not currently part of the charge. The meeting ended with reminders about the July 15 meeting, which will include a Solnit briefing, and a note that August TCB meetings will not be held, though a workshop on the Connecticut Children’s Behavioral Health Provider Survey is being planned for late July or early August.

Transcript Highlights:

• It is in that spirit, I pray that your work for the Commonwealth be blessed and endure as you work together
• I'm excited to work with you.
• by all of us working together.
• And for me, the Work is the fight.
• Thank you for your work on that.

Summary: The Senate convened for the opening day of the 194th General Court, with ceremonial remarks, an invocation, the Pledge of Allegiance, and the formal canvass of election returns. A special committee reported that all senators had been duly elected, and a committee was then appointed to notify the Governor, Lieutenant Governor, and Governor’s Council that a quorum of senators-elect was assembled and ready to be sworn in. Governor Maura Healey and Lieutenant Governor Kim Driscoll addressed the chamber, praised public service, and administered the oaths of office to the senators. The main business of the day was the election of the Senate President. Senator Karen Spilka was nominated by Senator DiDomenico and seconded by Senator Edwards, while Senator Bruce Tarr was nominated by Senator Durant and seconded by Senator Dooner. After nominations were closed, the roll call resulted in 34 votes for Spilka and 5 for Tarr, and the Senate declared Spilka elected president. Senator Tarr then moved that the vote be considered unanimous, and the Senate agreed. President Spilka delivered an inaugural address focused on the chamber’s recent legislative record and priorities for the new session. In her remarks, Spilka highlighted prior accomplishments including education funding, free community college, early education reforms, mental health care reform, prescription drug cost reductions, tax relief, housing, transportation, climate, and veterans’ legislation. She also outlined priorities for the new session, including a statewide listening tour, more transparency in committee and joint committee proceedings, housing and transportation affordability, health care reform, career and technical education, early education, and juvenile justice reform. She emphasized continued bipartisan work and public engagement. The Senate also adopted temporary joint rules and temporary Senate rules, authorized printing of the daily journal, and scheduled the next meeting for the following day at 11:30 a.m. Michael D. Hurley was elected clerk of the Senate and sworn in, and James DiTulio was sworn in as Senate counsel. The chamber also adopted a memorial adjournment in memory of Mary J. Hurley of South Boston before adjourning.

Transcript Highlights:

• It's just amazing work that we can be really proud of and that work has kept going.
• </c> committees and work together as a team. committees and work together as a team.
• 28.320><c> clean</c> have worked to get clean have worked to get clean water?
• Uh, but we have work to do.
• </c> you and I really worked well together. you and I really worked well together.

Transcript Highlights:

• that has to be done because Mother Nature lets us work when she wants to let us work.
• that has to be done because Mother Nature lets us work when she wants to let us work.
• </c> employees are there and and do the work employees are there and and do the work that<00:02:47.800
• co-workers work 6 many of my work co-workers work 6 assignments<00:53:46.440><c> to</c><00:53:46.599
• They could mobile work. They could choose to report to work.

Committee: House Workforce, Labor, and Economic Development Finance and Policy

Transcript Highlights:

• Also want to mention seasonal workers, those who maybe don't work all the time, but they work; if their
• So we have already been working on that. We are doing... So we have already been working on that.
• a work requirement, correct?
• The only specialized work that we have related to work requirement would be in the TANF program, where
• So this subcommittee is looking at workforce, right, and getting folks to work because we know work is

Committee: All ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE

Summary: The subcommittee met to hear from DHS Secretary Janet Mann and Mary Franklin on Arkansas’s upcoming Medicaid community engagement/work requirements for the Our Home expansion population. DHS said the federal changes, tied to the 2025 budget bill, are being soft-launched now, with full implementation set for January 1, 2027, and a shorter six-month renewal cycle for most adults. They outlined who would be exempt or excluded, including certain parents/caretakers, pregnant and postpartum individuals, former foster youth, people with disabilities or serious medical conditions, SNAP/TANF participants, inmates and recent releasees, and some others. They also explained compliance standards such as 80 hours per month of work, community service, work programs, or education, and discussed how income, student status, and caregiver hours would be counted. Members asked about the fairness of the income threshold, how part-time and non-credit education would be verified, how disability exemptions would be documented, and whether appeals would be available. DHS said notices include appeal rights and that it is using ex parte data checks, provider forms, and claims data to identify exemptions. A major theme was implementation capacity and outreach. DHS said it is preparing a customer service center and outbound verification system to contact beneficiaries by text, email, phone, and mail, and is using notices, social media, town halls, and a web page to inform recipients. Members raised concerns about manpower, low-tech access for people without internet, and whether beneficiaries could be connected to workforce or education opportunities rather than simply being screened for compliance. DHS said it is also expanding use of AI tools to automate routine eligibility tasks, while keeping a human in the loop, and that the new call center contract will include AI and closed-loop referrals. Members also asked about the interaction with SNAP/TANF work rules and whether local offices could connect clients to workforce and training resources; DHS said it is already doing some of that through SNAP E&T, TANF, and notices, and is discussing broader partnerships with Workforce Connections and local initiatives. The committee then shifted to Arkansas Medicaid expansion and the state’s waiver renewal. Secretary Mann said CMS has changed its budget neutrality rules, and Arkansas believes its current waiver will not meet the new standard. DHS has asked for a two-year extension and said it is optimistic coverage will continue on January 1 while a new delivery system is worked out. Members asked about possible alternatives, and DHS said it is considering fee-for-service and managed care options, including different managed care structures, but is not considering ending coverage for the expansion population. Questions also focused on possible effects on private insurance, hospitals, premium tax revenue, and state costs if the expansion population were moved off the current model. DHS said it is still modeling those impacts with actuaries and the Insurance Department. At the end, DHS also provided a brief update on assisted living reimbursement rate work, saying the cost report is out for public comment and a recommendation will follow. The chair closed by reviewing committee timelines, noting the DHS report is due in January and the workforce report is due to ALC on October 1, with a possible request for a short extension.

Transcript Highlights:

• I'm proud to work for BP.
• , repair work, for up to 30 days.
• We've let, we've identified 50, think of these as work orders, emergency work orders.
• We've let, we've identified 50, think of these as work orders, emergency work orders.
• We've identified 50 sites that we are. think of these as work orders, emergency work orders.

Committee: Senate Transportation

Transcript Highlights:

• </c><00:10:30.160><c> Miss</c> work, for your terrific work. Miss work, for your terrific work.
• . agencies work agencies work together?
• I'll continue to work bringing that up. I'll continue to work with<00:35:10.320><c> them.
• into the community and work.
• :53:57.200><c> working</c> was the work the idea of working was the work the idea of working together

Bills: HF2440

Committee: House Workforce, Labor, and Economic Development Finance and Policy

Keywords: labor market, employment, economic development, funding, data analysis

Transcript Highlights:

• So, they were able to continue working. working. working.
• They're behind me, if that<00:20:05.120><c> works.</c> that works. that works.
• they're</c><00:40:49.160><c> working</c><00:40:49.480><c> on,</c> working what project they're working
• And so, obviously, this remote work and in-house work, okay?
• Both work and in in-house work, okay?

Summary: The committee received testimony from Personnel Cabinet Secretary Mary Elizabeth Bailey and Deputy Secretary Robert Long on the state’s telecommuting policy. Bailey explained that telecommuting in the executive branch is governed by a statewide policy requiring eligible employees to work in the office three days a week and telecommute up to two days a week. Eligibility depends first on the position, not the person: public-facing jobs, roles requiring special equipment or insecure document handling, and other duties that cannot be performed remotely are not eligible. Employees and managers must complete training, sign agreements, comply with safety and IT requirements, and telecommuting privileges can be revoked for poor performance or discipline. She said the cabinet audits compliance and that telecommuting has helped maintain services during inclement weather, disasters, and building renovations. Bailey also said about 33% of the workforce is hybrid, 11% telecommutes full-time, and 56% does not telecommute. Members asked about cost savings, eligibility, discipline, and technology requirements. Bailey said she did not have statewide cost-savings figures and referred that question to the Finance and Administration Cabinet. She said employees must have reliable connectivity and appropriate equipment, but there is no fixed broadband speed requirement; if an employee cannot connect, they must come into the office. She also said telecommuting postings indicate whether a position is eligible, and that performance issues are handled through progressive discipline rather than being ignored. Transportation Cabinet officials then described how their agency manages remote work. Deputy Secretary Mike Hancock, along with IT and human resources leaders, said the cabinet follows the executive branch policy and actively manages telecommuting employees through Microsoft Teams, VPN access, daily standups, project tracking, and manager oversight. They said more than 2,600 of the cabinet’s 4,000 employees cannot telecommute because their jobs are public-facing or field-based, while about 35% are eligible to telecommute up to two days per week. The cabinet also has 13 state employees and 94 contract employees working full-time remotely in IT. Officials said telecommuting has improved recruitment and retention, supported emergency response and weather operations, and allowed the cabinet to continue working during storms and other disruptions. Members asked about phone equipment, monitoring, and “mouse jiggler” devices; officials said phones are often forwarded to personal or state devices, Teams shows real-time availability, and managers rely on daily accountability and project management tools to monitor work.

Transcript Highlights:

• and the work that you do with our kids.
• ground, as a former school board trustee and someone who worked closely with CSBA on working towards
• We've worked on legislation, Mr.
• work.
• well—not that it's not working at all, it's just not working well.

Transcript Highlights:

• And what I can tell you all is that this program does work, and it works for a lot of reasons.
• A lot of them do uncompensated work, so this is not to disparage the work that they're doing.
• I would be honored to work on a work group on these issues. I've been involved in this.
• So I'm happy, I would be honored to work on a work group on these issues.
• They work for the county.

Committee: House Civil Rights & Judiciary

Summary: The work session began with testimony on expanding opportunities in the legal profession, especially in response to rural attorney shortages and public service recruitment. Washington State Bar Association Executive Director Tara Nevitt described a growing but aging attorney workforce, noted that younger attorneys have declined, and outlined efforts including supervised practice as an alternative to the bar exam, reduced admission-by-motion experience requirements, expansion of the law clerk program, rural job fairs and grants, and a pilot program for innovative legal service delivery. Members asked about bar passage standards, loan repayment assistance, and the former limited license legal technician program. Representatives from the University of Washington, Seattle University, and Gonzaga discussed law school pipelines into public service and rural practice. They described early outreach to students, loan repayment assistance and scholarships, public service stipends, clinics and externships, and partnerships that place students in government, nonprofit, prosecution, and defense roles. Seattle University highlighted its Flex JD and hybrid hub model in rural communities; Gonzaga presented data showing many graduates remain in Washington and enter public interest work; and UW emphasized that unpaid internships and debt remain barriers. The Washington Association of Prosecuting Attorneys and the Office of Public Defense both testified that prosecutor and defender vacancies are severe in rural counties, and that salary, hiring bonuses, housing support, internships, and loan repayment programs are important tools. The Office of Public Defense said its new recruitment and retention program, funded by SB 5780, has already placed interns in underserved counties and helped some commit to future jobs there. The Washington State Bar’s law clerk program was also described as a pathway that helps people train and remain in their home communities. The committee then shifted to family law, guardians, and guardianships. On guardian ad litem practice in Title 26 cases, Northwest Justice Project and private family law practitioners said training has improved since 2018, but concerns remain about inconsistent investigations, bias, inadequate domestic violence training, lack of oversight, high costs, and uneven county practices. They suggested more robust training, better accountability, and possible use of mental health professionals for custody evaluations. For minor guardianships under the Uniform Guardianship Act, a Superior Court judge said filings have increased and courts struggle to find qualified attorneys and court visitors, while the Administrative Office of the Courts said its $3 million annual reimbursement program for local courts is running out earlier each year and that minor guardianship costs make up most of the spending. The Office of Public Guardianship reported rising demand for adult guardianship services, noting that recent legislation expanded its caseload capacity and added a navigator role, but that referrals and active cases continue to grow statewide.

Transcript Highlights:

• And I do feel it's pertinent to our work.
• I mean, she's just a young woman and she's doing this amazing work.
• So stay-at-work, return-to-work policies may help employees remain connected to work, reduce long-term
• So really great opportunities to keep workers at work.
• Was it 80 hours a month of either work or volunteer? Yeah.

Summary: The Disability Employment Subcommittee met with roll call, approved prior meeting minutes, and began with an inspirational quote from Jane Goodall about every individual mattering and making a difference. Members introduced themselves and described their roles in disability services, workforce policy, accessibility, and advocacy. The committee then welcomed Katia Alpanis and Dina Klumkina from the State Exchange on Employment and Disability (SEED), who explained that SEED provides technical assistance, research, peer-state examples, and policy support to help states improve disability employment outcomes. SEED presented seven broad policy areas where states are active: career readiness and work-based learning, behavioral health supports, stay-at-work/return-to-work programs, employer recruitment and accommodation supports, entrepreneurship and disability-owned business development, interagency coordination, and state-as-model-employer initiatives. They shared examples from other states, including scholarship and transition policies, peer support training, accommodation funds, procurement goals, and state hiring strategies. Members asked about SEED’s role in Massachusetts, digital accessibility, and the status of PEAT; SEED said PEAT has been refunded and that SEED’s role is policy-focused rather than implementation-focused, though it can connect Massachusetts with peer states and examples. The discussion then narrowed to two possible Massachusetts projects: developing a state-as-model-employer roadmap and creating a youth/young-adult employment and volunteer pipeline, especially for transition-age individuals. Members noted related state efforts, including the governor’s executive order reestablishing a disability policy subcommittee, the commission’s Meeting the Moment series, and the need to help people navigate upcoming work requirements and transition cliffs. SEED agreed to follow up with a questionnaire and draft briefs on Massachusetts analysis, career readiness, and state-as-model-employer policies, and the group planned an offline follow-up to define priorities and scope.

Transcript Highlights:

• Certainly, uh, we have a health care system that is not working for people, and there is a lot of work
• Certainly, uh, we have a health care system that is not working for people, and there is a lot of work
• Certainly, uh, we have a health care system that is not working for people, and there is a lot of work
• Certainly, uh, we have a health care system that is not working for people, and there is a lot of work
• Certainly, uh, we have a health care system that is not working for people, and there is a lot of work

Committee: Senate Health and Human Services

Transcript Highlights:

• This is hard work.
• This is hard work.
• We have very phenomenal educators doing really hard work, good work for our kids every single day.
• We are working to reduce restraints and we are working to absolutely eliminate isolation.
• Again, you heard it in the work session: MTSS, the inclusive practices work, all of that working, and

Summary: The House Education Committee held a work session on reducing restraint and eliminating isolation in schools, then moved into a public hearing on House Bill 1795 and its proposed substitute. Chair Sharon Santos reviewed committee procedures and emphasized the short session timeline, then framed the discussion as part of a longer-running effort to address student restraint and isolation. Representative Callan, the bill sponsor, said the committee’s pilot and demonstration sites would help identify both benefits and implementation challenges for legislation. OSPI Acting Director of Policy and Legislative Affairs Misha Cherniski presented an update on the state’s demonstration project, saying it is in its third year and has $2 million per year in the current budget for fiscal years 2026 and 2027. He described intensive, targeted, and universal supports, including grants to pilot and demonstration districts, a technical assistance manual, and statewide professional learning. He reported that 68% of project sites saw reductions in restraint and isolation compared with the prior year, and said OSPI’s immediate policy recommendations are to extend prohibitions on dangerous restraints such as prone, supine, wall, mechanical, chemical, and noxious spray restraints, and to clarify the definition of “imminent likelihood of serious harm.” Committee members asked for more detailed disaggregated data by race, ethnicity, grade level, incident type, and sample size, and raised questions about authorized entities, student movement, and whether data captures incidents in nonpublic settings. Representatives from Auburn, Bainbridge Island, and Concrete school districts described how the grant-funded work has affected their districts. Auburn reported major reductions in isolation after removing its last isolation room, expanding behavior supports, and training staff through multiple professional development options; the district said the biggest challenge has been shifting staff mindset and navigating delayed access to vendors and grant systems. Bainbridge Island said it has used grant funds for universal staff training, administrator training, social-emotional MTSS work, and partnerships with multiple providers; it reported zero isolations and sharply reduced restraints, while noting the need to monitor nonpublic agencies closely. Concrete, a much smaller district, said the grant allowed it to hire a part-time BCBA, adopt Safety-Care training, and use OSPI’s manual and tracking tools, but staffing shortages and limited substitute coverage make it hard to attend demonstration sites or training in person. During the public hearing, the substitute bill was summarized as prohibiting certain restraints, banning isolation as a planned intervention, narrowing the definition of serious harm, and extending requirements to other providers of public educational services, while preserving lawful duties of school resource officers. Proponents included disability advocates, the Washington Education Association, and public school employees, who said the bill would reduce trauma and align practice with student safety and dignity. A parent testified about a child harmed by a room that was later used for involuntary confinement. A representative from a specialized learning center testified in opposition, arguing that a complete elimination of isolation for younger students could increase danger in some settings, that medical-provider requirements could be difficult to meet, and that specialized providers need broader exemptions. No vote was taken in the portion of the meeting provided.

Transcript Highlights:

• Our program works with communities and responsible parties...
• Thank you, Chair Doglio, and how you're working out. Thank you.
• Yes, we're working through. As well. Thank you, Rep. Dye. Yes.
• WCA works extensively on the MOTCA budget that you all work on every year, and we advocate for accountability
• This work is done working closely in partnership with their local communities and state or federal agencies

Committee: House Environment & Energy

Summary: The committee first heard an update on the Model Toxics Control Act (MOTCA) and related cleanup programs. Department of Ecology staff described how MOTCA and the hazardous substance tax fund cleanup, prevention, stormwater, and other environmental work across state agencies, but warned that forecasted revenues have fallen while appropriations and transfers have outpaced incoming funds. Ecology said the operating account will require spending reductions to stay solvent this biennium, and that further cuts may be needed if forecasts worsen. Ecology also reviewed the state cleanup process and the scale of the problem, noting more sites are being discovered each year than are being cleaned up. The Pollution Liability Insurance Agency said its dedicated petroleum-tax-funded accounts remain stable, and highlighted its newer financial assurance and heating oil loan/grant programs, while noting concerns about equity for small property owners facing large cleanup liens. Practitioners and stakeholders then offered differing views on how MOTCA should work. One cleanup attorney argued the program has become too slow, expensive, and process-heavy, and urged a more risk-based, collaborative approach with less reliance on conservative assumptions. Environmental and community advocates countered that MOTCA is essential for cleanup, pollution prevention, stormwater control, and public participation, especially in communities of color and low-income neighborhoods that bear disproportionate toxic burdens; they urged stronger funding, tighter scrutiny of tax exemptions and budget diversions, and more accountability for stormwater spending. Port and city representatives emphasized that MOTCA grants are critical for large brownfield and waterfront cleanup projects that support redevelopment, but said long timelines, permitting delays, and funding uncertainty can stall projects and jeopardize existing commitments. The committee then shifted to utility wildfire risk. Staff summarized recent legislation on wildfire mitigation plans, captive insurance, securitization, and the wildfire response and resilience account. Chelan PUD described extensive mitigation work including vegetation management, grid hardening, undergrounding, AI cameras, weather stations, and partnerships on forest-health projects, and asked the Legislature to restore funding to the wildfire response and resilience account. Puget Sound Energy described similar investments across its service territory, including undergrounding, tree wire, sensors, cameras, weather stations, drones, and public safety power shutoffs, and said wildfire is its top risk. The Office of the Insurance Commissioner summarized a 2022 utility liability market study and a 2025 wildfire mitigation work group, recommending restored community resilience funding, clearer wildfire risk information for property owners, and a grant program based on recognized home-hardening standards. Committee members asked about insurance cancellations, neighborhood-level risk, and whether utilities’ or insurers’ maps are used; the commissioner’s office said insurers generally use their own data and that Washington’s FAIR Plan remains small compared with other states.

Transcript Highlights:

• So it's working. So it's working.
• really working on coming up with the diagnosis code backbone to this work, but also with the recognition
• So this is not work for naught. ...engagement requirements. So this is not work for naught.
• And I just wondered if that was in the works.
• With the job banks where people can get work.

Summary: The Care Management Committee met to receive a status update on the DSS/CHN PCMH program and to discuss implementation of HR1, especially the new medical frailty requirements. CHN reported the PCMH program remained steady at 124 practices and 553 sites, with 54.6% of the HUSKY population attributed to PCMH providers, and noted ongoing recruitment, provider turnover, and recent practice consolidations/acquisitions that will shift some sites to Yale and Hartford HealthCare. CHN also reported strong quality improvement engagement for 2026, with 83% of contacted PCMHs engaged, and said preliminary 2025 results showed improvement across measures. The bulk of the meeting focused on DSS’s response to the June 1 CMS interim final rule on HR1. DSS explained that it had been building a medical frailty definition based on diagnosis codes and comparisons with other states’ approaches, but the new federal rule adds a requirement that the condition significantly impair a person’s ability to work or comply with community engagement requirements. DSS said it is still evaluating how to combine claims-based data with the new federal overlay, may submit comments to CMS during the open comment period through July 31, and is considering options such as self-attestation, especially given CMS’s allowance of self-attestation for calendar year 2027. Committee members raised concerns about the rule’s complexity, possible legal challenges, the need for a good-faith waiver or implementation delay, and the risk of noncompliance if the state gets the process wrong. Members also pressed DSS for broader outreach, clearer public communication, training, and better reporting on implementation impacts and costs. DSS said it is developing a website, webinars, and a communications plan, and is working with community-based organizations, community health workers, and administrative services organizations to reach potentially affected members. DSS said it is also building a Medicaid pre-screener to help people determine whether they may be subject to work requirements. In the PCMH Plus discussion, DSS said it was not yet ready to present the 2024 quality data but would try to bring the Wave 3, Year 5 results and related quality/shared savings information to the July 8 meeting, along with the regular PCMH update and another HR1 update. The committee also discussed future agenda items including community health worker reimbursement, peer support services, and the inmate medical program.