Transcript Highlights:

• Minnesota to the sports betting study. Minnesota to the sports betting study.
• to um remove the um sports betting study to um remove the um sports betting study from<00:07:07.919
• We just need to have the political and legislative will to do so.
• <00:09:06.880> will the political and and legislative will the political and and legislative
• The A20 amendment removes the section that was setting up the study of sports betting with any number

Keywords: 1187, senate, all

Transcript Highlights:

• And I certainly know I was with some Idaho legislators.
• So this study looks at doing that bundled payment.
• This is our request legislation that was enacted earlier this year.
• Ron Muzzall represents Legislative District 10. Thank you.
• I'm representing the 38th Legislative District.

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:

• So the mandate study is a best guess based off of the legislation as it was written at that time.
• is a a best guess based off of the study is a a best guess based off of the legislation<00:46:35.839
• inexpedient legislation motion. inexpedient legislation motion.
• Interim studies, we do need to have a report for interim study.
• for interim study, right? for interim study, right?

Keywords: 928, house, all

Summary: The committee first took up an insurance-related chronic pain bill and an amendment modeled on language from Massachusetts and Maine. The sponsor explained the amendment was developed after stakeholder meetings because the original bill would have created an unaffordable insurance mandate in New Hampshire. The amendment was intended to improve access to non-opioid therapies by limiting prior authorization and step-therapy barriers so they are not more restrictive than for other treatments, including opioid therapies. After questions, the committee took a straw vote and advanced the amendment. The next item was a department-sponsored bill involving the state’s all-payer claims database. Insurance Department officials explained that the bill would encourage self-funded employer plans to opt in voluntarily by giving them aggregated, deidentified claims information in return. They said self-funded plans cannot be required to report data because of federal law, but the bill would provide an incentive while protecting employee privacy. Members asked detailed questions about who would see the data, whether individual employees could be identified, and how privacy would be enforced; the department said access would be aggregated and deidentified, and employer privacy issues would be governed by ERISA and the U.S. Department of Labor. The committee also discussed a glucose-monitoring bill. Members debated whether the bill was aimed at type 1 diabetes coverage or broader access to continuous glucose monitors, and whether it would amount to an unnecessary insurance mandate that could raise premiums. Department testimony estimated the equipment cost and said the annual impact per member would be modest, but also noted that non-insulin therapies have not consistently shown clinically significant A1C reductions. The chair and some members emphasized that the bill should be considered on its own terms as a CGM coverage issue, not as a general diabetes mandate. The committee discussed the bill’s cost implications and asked the department for any prior cost analysis.

Transcript Highlights:

• Is it good practice to keep a larger proportion of legislators who will then be implementing the legislation
• Is it good practice to keep a larger proportion of legislators who will then be implementing the legislation
• , non-legislators.
• And depending on how many studies come out of this session, asking eight legislators to give, you know
• legislation.

Keywords: 908, all

Transcript Highlights:

• Is it a study that requires a third-party consultant, or did an in-department study?
• Is it a study by a legislative committee? Explain to me the study you're looking for.
• in-depth of a study are we looking at? in-depth of a study are we looking at?
• Is it a study by a in-department study? Is it a study by a legislative<00:19:54.120> committee?
• study you're looking for. Ms. Kaski? study you're looking for. Ms. Kaski?

Keywords: 916, all

Summary: The committee opened by taking roll for the Joint Transportation, Highways, and Military Affairs Committee and noting that 20 topics had been submitted for discussion, including one late addition. Members were asked to number the topics for reference, and the chair explained that each presenter should give a brief overview before the committee returned to the dais for questions and possible ranking or action. No votes were taken during the portion provided. The first topic was a request from the Associated General Contractors of Wyoming to have TRIP, a third-party transportation research organization, present a report on Wyoming’s highway system. The report is intended to identify transportation needs and 25 priority projects, and the committee generally supported hearing the report and methodology directly from TRIP. The next topic combined two similar railroad safety proposals. Representative Chestek described a bill addressing train length, wayside detectors, and track inspections, citing the East Palestine derailment and concerns about reduced inspection frequency. Committee members raised questions about federal preemption and enforcement authority; Chestek said states can be more protective of safety where federal rules leave gaps, and WYDOT said it would need additional expertise and staffing to administer such a program. No public testimony was offered on the railroad topic. The committee then heard two proposals from the Wyoming Military Department. One would study Tricare subsidies for mental health providers by comparing Tricare reimbursement rates with other insurers, gathering de-identified data on eligible members and provider participation, and then returning to the committee with findings before any legislative recommendation. Members discussed whether the issue might fit better in Labor, Health, and Social Services, but the military department said it believed the committee had a strong connection to the topic. The second military topic would study Service Group Life Insurance for state active duty, comparing state and federal death benefits for Guard members to identify any shortfalls. The committee also briefly discussed a VSO program review raised by Representative Neff, focusing on the number of veterans service officers and retention, but no action was taken in the excerpt.

Transcript Highlights:

• >> 7417. >> Move interim study. >> Interim study. >> Mhm. >> Okay. >> Second. >> I have interim study
• >> 5 in study. >> 5 in study.
• >> Motion<00:57:53.280> to<00:57:53.440> legislate >> Motion to legislate &
• have a second for the study? have a second for the study?
• We have 208. >> I'll move interim study. >> Interim study. >> 208. >> Okay.

Keywords: 1191, senate, all

Transcript Highlights:

• I think the last study that was done, let's see if I could find it here.
• I will get you that study, but the last study that was done shows that, and I think the studies that
• I will get you that study, but the last study that was done shows that, and I think the studies that
• Over the last decade, there have been several studies, peer-reviewed studies, that have shown that not
• They have to study. You know, that is part of it.

Summary: The committee took up a series of health and human services bills, beginning with CS/SB 1602, which would require emergency departments to have evidence-based pediatric care protocols, training, appropriate child-sized equipment and medications, a designated care coordinator, and participation in a pediatric readiness assessment. It was reported favorably. CS/SB 1224 followed, aligning Florida law with federal requirements so paramedics may administer controlled substances in the field under physician or nurse practitioner protocols; it also passed favorably after supportive testimony from fire chiefs. The committee then adopted a strike-all for SB 890, the Emily Adkins Family Protection Act, which addresses venous thromboembolism by creating a statewide registry, requiring screening and training in hospitals and long-term care settings, and adding assisted living facility response requirements. Assisted living representatives objected to the ALF provisions as unrealistic and potentially harmful, while supporters argued the bill would save lives; the bill was reported favorably. CS/SB 1182, requiring continuous glucose monitors to be covered as both durable medical equipment and a pharmacy benefit, also passed favorably with support from AARP. The committee next considered CS/SB 12, a claim bill for a child severely injured after a DCF home visit allegedly failed to meet standards, and it was reported favorably without opposition. CS/CS/SB 954, dealing with substance abuse treatment centers and recovery residences, drew substantial debate. The bill would limit local zoning restrictions on treatment facilities and allow larger recovery residences if staffing ratios are increased; a late-filed amendment reduced the maximum active patients from 500 to 300. Municipal and county representatives warned that the bill could override local reasonable-accommodation efforts and create institutional-scale facilities, while supporters said housing is essential to recovery and that clustering concerns are overstated. The committee ultimately reported the bill favorably. CS/SB 1050, expanding the developmental disabilities pilot program statewide and creating a statewide family care council, also passed after extensive testimony from families and advocates. Supporters emphasized the long waitlist and the need for more services, while some speakers opposed managed care and warned about provider shortages and loss of individualized supports. Later, CS/SB 614, requiring a public educational webpage about background screening clearinghouse and level two screening requirements, was reported favorably. CS/SB 1578, which would require coverage for mammograms and supplemental breast cancer screening in certain circumstances, was also reported favorably. CS/SB 1060 created a joint legislative oversight committee to review Medicaid operations and financing; members discussed the need for stronger oversight of large midyear spending adjustments, and the bill passed favorably. CS/SB 1240, a Department of Children and Families substance abuse and mental health bill, was amended to clarify Baker Act transfer timing and notification requirements after debate over whether facilities could hold patients too long; it was then reported favorably. Finally, Senator Harrell presented CS/SB 526, a major nursing education bill aimed at Florida’s low NCLEX passage rates. The bill would require nursing programs to use exit exams, remediation, reporting, and stricter oversight, and the strike-all would add graduate preceptorships for low-performing programs and temporary provisional licenses for graduates pending NCLEX passage. The transcript ended while that bill was still being explained, before final action was taken.

Transcript Highlights:

• The motion is inexpedient to legislate. The motion is inexpedient to legislate.
• The motion is inexpedient to legislate. The motion is inexpedient to legislate.
• inexpedient to legislate is adopted. inexpedient to legislate is adopted.
• to legislate on House Bill 629. to legislate on House Bill 629.
• inexpedient to legislate is adopted. inexpedient to legislate is adopted.

Keywords: 1191, senate, all

Transcript Highlights:

• The third purpose of amendment was that they want to do a study, studying all of what we had done in
• The third purpose of amendment was that they want to do a study, studying all of what we had done in
• The third purpose of amendment was that they want to do a study, studying all of what we had done in
• The third purpose of amendment was that they want to do a study, studying all of what we had done in
• We heard from Legislative Council.

Keywords: 927, senate, all

Transcript Highlights:

• The Blue Line is probably one of the most studied lines there's ever been.
• If the study comes back and says, "Great idea, move forward."
• We have been studying this. This is a project since before I came here.
• But instead, we say we have to do one more study.
• And so I would ask every member here to oppose this piece of legislation.

Transcript Highlights:

• It's a study committee.
• . legislate. legislate.
• The second is a low-grade wood study that was completed. It was a study commission.
• low-grade wood study that was completed. low-grade wood study that was completed.
• It was a uh study commission. It was a uh study commission.

Keywords: 1191, senate, all

Transcript Highlights:

• As I'm looking at some legislation now, Mr.
• With the Legislative Finance Committee.
• Why are we talking about the cost of 70% of the current study when we're not at 70% of the last study
• because it wasn't part of the rate study.
• There's an agreement between the legislative...

Keywords: 996, all

Transcript Highlights:

• transparency and legislative transparency and legislative involvement.
• to do rate studies to do rate studies every<00:23:03.320> biennium?
• rate studies.
• Uh the only rate study rate studies.
• those baseline studies are being used? those baseline studies are being used?

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on January 12, 2026, to approve the December 10, 2025 minutes and continue finalizing its findings and recommendations. Members reviewed findings on administrative inefficiencies, Medicaid and workforce participation under HR 1, Medicaid budget growth, rural health transformation fund development, and provider tax/state-directed payment changes. The board approved a motion to change “pilot” to “partnership” in the workforce-related recommendation, and also adopted a technical amendment clarifying overlapping HCBS services by removing reference to adult daycare waiver services and revising the language to focus on reducing duplication, simplifying provider contracting, and standardizing processes across programs. A separate technical correction was noted to change “DMS” to “DPH” in the rural health transformation finding, to be handled in the final edits. Several findings drew discussion but no final substantive vote during the meeting. On the rural health transformation fund, Dr. Berg said Kentucky had done well in federal funding and noted limits on what could be shared publicly, while Commissioner Lee said a public website had been created and recommended the department reference be changed to the Department for Public Health. Finding five prompted extended discussion about provider taxes, state-directed payment reductions under HR 1, and whether the board should address the relationship between actuarial studies, MCO payments, and actual provider reimbursement more directly. Senator Meredith and others argued for a broader, more transparent baseline review of rates across provider groups, while Commissioner Lee said CMS will require certain fee schedule comparisons to Medicare beginning July 1, 2026, and that quarterly expenditure reports already go to LRC. The board did not finish resolving finding five during the meeting and agreed to return to it after staff prepared more explicit language. Members also discussed the possibility of an all-payers claims database as a better way to understand what is being paid across payers and services. No final vote on the full findings package was taken in the portion of the meeting provided, but the board did adopt the noted amendments and continued working through the remaining language.

Transcript Highlights:

• ordinary course of the legislative ordinary course of the legislative process.<00:39:41.520>
• I think there is a new LSR for a study committee. I know you're tired of studying this.
• I think there is a new LSR for a study committee. I know you're tired of studying this.
• I think there is a new LSR for a study committee. I know you're tired of studying this.
• You're tired of studying this.

Keywords: 928, house, all

Summary: The House Education Policy and Administration Committee met to hear a non-germane amendment to House Bill 131, which concerns bullying and cyberbullying prevention. Representative Glenn Cordelli, the prime sponsor, said the amendment was intended to revise and improve language from last year’s SB 210 and to incorporate measures from a cyberbullying bill previously passed by the House. He described changes to school communication requirements, mandatory reporting of bullying and retaliation, stronger investigation and collaboration requirements for cross-district cases, added safety and remediation language, a required conference with the alleged perpetrator and parents if available, updated reporting deadlines, and disciplinary consequences for harassment, intimidation, retaliation, and false reports. He also noted a later amendment would be needed to insert the words “the perpetrator” in one section, and he explained that some changes were meant to align with prior legislation and legislative drafting suggestions. Committee members raised several concerns. Representative Murray questioned the treatment of private and parochial schools, the change from gross negligence to negligence, and the removal of a definition of bullying based on imbalance of power and perceived characteristics. Representative Damon also objected to deleting that definition, arguing it would narrow the scope of bullying too much. Representative Han spoke in opposition, saying the amendment was too broad, unnecessary in parts, and not ready for final action; he criticized the removal of the imbalance-of-power language, the conference requirement when parents may not participate, and the reporting obligations for bus drivers and others. Cordelli responded that some issues were already addressed in prior law or SB 210 and that private schools have their own policies. Michelle Wongran of New Hampshire Legal Assistance testified in opposition, saying the bill was being heard without enough notice and that it does far more than the committee analysis suggests. She said the amendment adds undefined retaliation language, imposes reporting duties on school vendors and contractors, may conflict with FERPA and other federal privacy rules, and includes provisions that could have serious implications for schools and students. She said she supports parental involvement and some conference provisions in concept, but urged the committee to reject the amendment or at least send it through the normal legislative process for fuller review. No vote was taken during the hearing portion described in the transcript.

Transcript Highlights:

• study would be needed to do that work. study would be needed to do that work.
• or uh interim study is another option. or uh interim study is another option.
• 1799 is not a study.
• You mentioned study. >> I did.
• uh it called for a comprehensive study uh it called for a comprehensive study on<01:54:09.440>

Keywords: 1189, house, all

Transcript Highlights:

• proposed legislation. proposed legislation.
• literature peer peer-reviewed studies. literature peer peer-reviewed studies.
• Good to study, too. Good to study, too. Thank<02:33:05.960> you.
• pieces of legislation being introduced. pieces of legislation being introduced.
• need for legislation like this. need for legislation like this.

Keywords: 1191, senate, all

Transcript Highlights:

• As legislators, your role is critical.
• Thank you, Madam Chair and legislators.
• In our study, we looked at...
• To study certain trends and things like that.
• We looked at a couple of studies on that.

Transcript Highlights:

• This legislation... Crashes, which are often much more severe than the original incident.
• So, as you all know, we have a Louisiana-Irish Legislative Caucus.
• And that's the goal with the legislation. Okay. I think you have a good bill.
• But they've never worked on any legislation or local ordinances to have them do this.
• There is a study that I will provide for you. One second, Representative Walters. Rep.

Summary: The House Transportation Committee heard and advanced a wide range of transportation, public safety, and local infrastructure measures. Several bills dealt with port and commission appointments or authority, including SB 420 adding Vermilion and Iberia Parish representation to the Lafayette Metropolitan Expressway Commission, SB 69 aligning appointments to the South Tangipahoa Parish Port Commission with redistricting, SB 438 increasing per diem for the Greater Lafourche Port Commission, and SB 170 adding qualification and Senate confirmation requirements for Caddo-Bossier Port Commission members. The committee also approved SB 449 to give the New Orleans Public Belt more flexibility in procuring specialized materials, and SB 115 to allow DOTD to assume certain federal NEPA responsibilities to speed project delivery, with testimony emphasizing long permitting delays and the need for faster project completion. Members also advanced multiple safety and enforcement measures. SB 40 expanded move-over protections for emergency and disabled vehicles, SB 55 clarified proper seat belt use, SB 278 required ignition interlock devices for DUI-related license reinstatement, SB 489 authorized third-party verification of insurance coverage through license plate inquiries, and SB 133 updated commercial vehicle parking and autonomous vehicle oversight provisions. SB 151 would flag OMV records for people who owe DNA samples tied to CODIS matches or qualifying arrests/convictions, and SB 48 would create Louisiana-Ireland driver’s license reciprocity. Most of these bills were reported favorably after brief testimony, with support from law enforcement, AAA, OMV, and other stakeholders. The committee also considered several local resolutions and infrastructure studies. Rep. Dickerson’s resolutions on widening Highway 16, studying turn lanes on Highway 1024, and constructing a roundabout on Highway 1019 were all reported favorably. HCR 53 created a study committee on oversized vehicle permits with DOTD participation, HCR 60 asked DOTD to study I-12 and I-55 corridor improvements, and HR/HCR 170 and 68 sought federal funding to remove four closed bridges on US 90 in St. Tammany Parish. HR 191, as amended, requested a DOTD study of mountable median curbs on Range Avenue in Denham Springs. HB 762, amended to make certain OMV debt referrals permissive rather than mandatory, was reported favorably over some concern about debt collection impacts. HB 714, which would have addressed abandoned railroad lines, drew extensive debate over federal preemption, blight definitions, and whether a new commission was needed; the author ultimately moved to defer it, and the committee agreed. SB 330 on school-zone automated speed enforcement markings was amended to grandfather existing compliant pavement markings and rejected an amendment that would have exempted several cities from the law. The committee adjourned after reporting the remaining measures favorably and recognizing a departing staff member.

Transcript Highlights:

• It was established by legislative action.
• I'm thinking like ethnic studies, gender studies.
• I teach music and Middle Eastern studies.
• It will narrow what Texas students can study.
• You don't see anything in the legislation.

Bills: HB2476, HB2893, HB4848, HB5062, SB37, SB60, HB2860, HB4930, SB646, SB 37

Keywords: living expenses, higher education, student support, homeless students, financial aid, grant program, baccalaureate degrees, junior colleges, workforce development, Texas Higher Education Coordinating Board, competency-based education, baccalaureate degree, cost of attendance, dual credit, computer science, course credit, foreign language requirement, curriculum review, governing board, faculty council

Transcript Highlights:

• So there was a meta-analysis, a study of a lot of other studies.
• And the studies all agree that it doesn't.
• , last legislative session.
• And we have a copy of that model legislation.
• And I've studied the history of law. Virginia studied the history of law.

Keywords: 908, all