Transcript Highlights:

• But if we wait to say, because I just assume maybe there's some negotiation back and forth, they come
• ...maybe there's some negotiation back and forth.
• During negotiated rulemaking and the public comment period for the rulemaking, we received zero comments

Committee: House Health and Welfare

Transcript Highlights:

• As negotiations with NTIA continued over what technologies and spending would be allowed, the amount
• She added that in negotiations with NTIA, they emphasized that fiber is scalable, has lower lifetime
• And so our negotiations with NTIA, we often pointed to the fact that fiber is scalable. with NTIA, we

Bills: HB2684 , HJM4012

Committee: House Technology, Economic Development, & Veterans

Keywords: social disadvantage, business certification, state guidelines, economic equity, minority-owned businesses, combat veterans, support, military service, injury compensation, veteran affairs

Transcript Highlights:

• different legislators, different advocacy groups have gotten together and really compromised and negotiated
• different legislators, different advocacy groups have gotten together and really compromised and negotiated
• those accused of sexual assault where either the victim is unable to testify or, during a plea negotiation

Bills: HB1239 , HB2310 , HB2490 , HB2508 , HB2510 , HB2532 , HB2539

Committee: House Community Safety

Keywords: reentry, reentry readiness, recidivism, earned release time, good time credits, graduated reentry, community custody, partial confinement, home detention, work release, electronic monitoring, substance use disorder treatment, mental health treatment, corrections, Department of Corrections, DOC, prison reform, sentencing, release date recalculation, transition services

Transcript Highlights:

• Negotiating rulemaking was conducted.
• All of them went through negotiated rulemaking, in which we invited comments from the general public,
• All of them went through negotiated rulemaking, in which we invited comments from the general public,

Committee: Senate Commerce and Human Resources

Transcript Highlights:

• The bill is a negotiated glitch bill agreed to by stakeholders that protects co-ops' authority to choose
• The revisions create a streamlined public hearing process allowing for local input and a public negotiation
• Currently, under current enclave law, the negotiation process takes place between the landowner and staff

Bills: S0014 , S0016 , S0024 , S0168 , S0288 , S0548 , S0686 , S0830 , S1138 , S1234

Committee: Senate Community Affairs

Keywords: negligence, settlement, police conduct, municipal liability, personal injury, compensation, injuries, Miami-Dade County, rural electric cooperatives, energy production, Florida law, energy tariffs, regulation, impact fees, transportation capacity, local government, interlocal agreements, growth management, community planning, extraordinary circumstances

Transcript Highlights:

• Every single negotiated amendment from last year is included in...
• Every single negotiated amendment from last year is included in SB 811.
• SB 811 is the culmination of over a year's worth of negotiations between the legislature, the industry

Summary: The Senate Committee on Environmental Quality heard four bills focused on environmental regulation and public health. SB 299 by Senator Cabaldon would extend a CEQA exemption to child care facilities in residential zones, with committee amendments adding guardrails to exclude sites on natural/protected lands and within 3,200 feet of oil wells or refineries. Support came from child care, planning, local government, and county groups, while one wildlife/plant organization opposed. Members emphasized the need for more child care access and noted the bill was a narrow fix to last year’s CEQA legislation. The committee later voted the bill out on a 7-0 vote. SB 58 by Senator Padilla would update California’s hydrogen sulfide standards and response framework, citing outdated rules and monitoring gaps in the Tijuana River Valley and Salton Sea areas. Testimony from UCLA and community advocates described health impacts and undercounted exceedances, while air district representatives and business interests raised concerns about the scope and timing of the proposal. The committee accepted amendments and advanced the bill on a 7-0 vote. SB 811 by Senator Caballero would establish a regulatory framework for metal shredding facilities, clarifying DTSC enforcement authority and incorporating prior negotiated environmental justice and fire-safety amendments. Supporters included the recycling industry and labor groups; opponents from community, environmental, and local government organizations argued the bill was too deregulatory and did not adequately protect nearby communities. The bill passed 5-0. SB 501 by Senator Allen would expand the state’s battery extended producer responsibility program to include medium-format batteries such as those used in e-bikes and portable power systems. Supporters said the change would improve collection, reduce fire risks, and shift disposal costs from local governments to producers; one battery recycler expressed interest in working on implementation details. The bill was amended and advanced on a 5-2 vote. After quorum was established and votes were taken on call, all four bills were reported out of committee and the hearing adjourned.

Transcript Highlights:

• Every single negotiated amendment from last year is included in...
• Every single negotiated amendment from last year is included in SB 811.
• SB 811 is the culmination of over a year's worth of negotiations between the Legislature, the industry

Committee: Senate Environmental Quality

Transcript Highlights:

• I believe that's more for the negotiations between the tribe and the state.
• I believe that's more for the negotiations between the tribe and the state.
• But I believe that was a negotiation from the tribes and the state.

Committee: House State Government & Tribal Relations

Summary: The House State Government and Tribal Relations Committee held a field hearing at the Puyallup Reservation, hosted by Chairman Stearns, and heard three informational presentations: sports betting, tribal health data sovereignty, and the Washington State Missing and Murdered Indigenous Women and People (MMIWP) Task Force. No bills were voted on; the meeting was primarily a work session and question-and-answer discussion. On sports betting, Emerald Queen Casinos and the Washington State Gambling Commission described how sports wagering operates in Washington under tribal-state compacts, including on-premise mobile betting, compliance and anti-money laundering rules, and the use of third-party oddsmakers. Tribal representatives said sports betting supports tribal economic development and asked for future changes to allow wagering on Washington college teams and to address concerns about illegal prediction markets. Committee members asked about geo-fencing, betting limits, and why in-state collegiate betting is prohibited. Vicki Lowe of the American Indian Health Commission discussed tribal data sovereignty, emphasizing that tribes have inherent sovereignty and a government-to-government relationship with the state, and that tribes should have equitable access to their own health data. She explained that during COVID, tribes lacked access to state-held tribal affiliation data and that public records concerns led the Department of Health to stop collecting some tribal affiliation information. Members discussed how data-sharing agreements and tribal consultation should work going forward. Lucy Smartlut of the Attorney General’s office reported on the MMIWP Task Force, including updated case counts, the work of the cold case unit, forensic genetic genealogy efforts, and survey findings showing weak tribal-law enforcement coordination and inconsistent collection of tribal affiliation data. She said the task force’s immediate need is sustainability, continued collaboration, and better training and communication, while members raised questions about funding, interagency coordination, and prevention efforts.

Transcript Highlights:

• Today, I'm offering a committee substitute that's a product of thorough stakeholder negotiations that
• thorough, Today, I'm offering a committee substitute that's a product of thorough stakeholder negotiations
• As I mentioned, the committee substitute has been carefully negotiated by stakeholders.

Bills: HB1532 , HB2731 , HB3483 , HB4308 , HB4580 , HB4582 , HB5509 , HB5663

Committee: Senate Local Government

Summary: The committee heard and discussed several local-government-related bills, mostly with committee substitutes. House Bill 2731 would let certain border counties regulate roadside vendors selling live animals in unincorporated areas and along public rights-of-way; the substitute narrowed the bill to live animal sales only and excluded livestock and other roadside commerce. House Bill 3483 would streamline TCEQ review of special utility district revenue bonds by removing tax-bond requirements that do not apply to SUDs. House Bill 4308 would create a county industrial development district framework, limited in the substitute to certain counties including Fort Bend County, to help finance industrial sites and related infrastructure. House Bill 5663 would create a Wood County Hospital District memory-care-focused district with no taxing power, intended to help pursue grants and other funding for a new facility. House Bill 4582 addressed attainable housing in Dallas and Tarrant counties, allowing local reimbursement tools for developers under a uniform, optional framework. House Bill 5509 would let municipalities suspend or revoke a hotel’s certificate of occupancy if law enforcement and a criminal court both find probable cause of human trafficking, with the substitute adding due-process protections. House Bill 1532 created a Lake Houston dredging and maintenance district funded by revenue from dredged material sales and revenue bonds, with no taxing authority or eminent domain. House Bill 23, heard as pending business, would revise the process for local governments to rescind development documents and adjust third-party reviewer liability and eligibility rules. House Bill 4580, concerning property tax exemptions for charitable organizations such as the Houston Rodeo, was amended to remove language about exempting revenue from property use and instead focus on land used for agricultural, youth, and educational support. Public testimony was generally supportive on the bills heard, with witnesses including county officials, utility and water association representatives, hotel industry representatives, and housing developers. Several speakers emphasized the need for faster financing or permitting tools, flood mitigation, housing affordability, anti-trafficking enforcement, or local economic development. Some members raised concerns about scope, precedent, consultation with affected senators, and due process, particularly on House Bill 4582 and House Bill 5509, but the committee largely accepted the committee substitutes as improvements. No public testimony was offered on several bills, and most measures were left pending before later being voted out. The committee took recorded votes on multiple pending bills and reported them favorably, often with committee substitutes adopted in lieu of the filed versions. House Bills 1532, 2731, 3483, 5509, 5663, and 4580 were reported out, with 1532 and 5663 passing unanimously and 3483, 2731, and 5509 also receiving favorable votes despite one present-not-voting on 3483. House Bill 23 and House Bill 4582 were left pending subject to call of the chair. The committee then recessed until adjournment or later.

Transcript Highlights:

• So when they go to negotiate with a county, they negotiate on equal footing.
• So none of your applications, the negotiation that you are having with the school district, is not in

Summary: The Transportation Committee took up several bills and amendments related to traffic safety, utilities, schools, and motor vehicle administration. Senator Pizzo’s SB 1782, as amended, expanded reckless driving per se to include certain high-speed behaviors; the late amendment removed impound language but kept mandatory court appearance, and the bill was reported favorably. Senator McLean’s SB 818 on utility relocation was amended to include an important state interest finding; after testimony from county groups opposing the cost shift to local governments and Charter Communications supporting the bill, it was also reported favorably. The committee also approved SB 1644 on emergency vehicles, after a delete-all amendment broadened warning-signal use for volunteer firefighters, medical staff, and related vehicles. Senator Trumbull’s SB 1348 on DHSMV services was amended to streamline local delivery of motor vehicle services and remove certain fines, waiting periods, and CDL retesting provisions; it passed favorably with support from Florida Tax Collectors. Senator McLean’s SB 1188 on local governing authorities and charter schools drew the most debate, with supporters arguing local governments were using traffic and site-plan rules to block charter schools and opponents warning the bill would tie the hands of local governments and create a blanket preemption; it was reported favorably. The committee then passed SB 636, which limits use of the far-left lane on high-speed roads except for passing, exiting, move-over compliance, or traffic conditions, and requires FDOT signage. Senator Arrington’s SB 1152 increased the Florida Wildflower specialty plate fee from $15 to $25 to raise more money for wildflower research and habitat programs; it was reported favorably. Finally, the committee unanimously recommended confirmation of multiple appointments to the Greater Orlando Aviation Authority, Central Florida Expressway Authority, Jacksonville Port Authority, Jacksonville Transportation Authority, and Florida Transportation Commission, and then adjourned.

Transcript Highlights:

• lot of reservations just around it being completely in the provider, who doesn't have access to negotiations
• is about, is kind of giving it back to the patient a little bit, you know, because in that whole negotiation
• is about, is kind of giving it back to the patient a little bit, you know, because in that whole negotiation

Summary: The Health Care Facilities and System Subcommittee met with a quorum and considered five bills. HB 1101 on out-of-network providers drew the most discussion; Rep. Albert said it would require written notice when a patient is referred to an out-of-network provider and would count certain insurer payments toward deductibles. Several members and the Florida College of Emergency Physicians raised concerns about placing the burden on doctors’ offices, possible delays in referrals, and unclear enforcement, but the bill was reported favorably 16-2. Public testimony included support from AARP and concerns from emergency physicians about ER workflow and insurance-network transparency. The committee then unanimously approved PCS for HB 475, reducing fines for ambulatory surgery centers that violate good-faith estimate requirements from $1,000 to $250 per day, with a lower maximum penalty. The bill sponsor said the change was intended to right-size penalties for smaller facilities; witnesses from surgery centers and HCA supported it. HB 797, which would allow a nonprofit retirement community serving veterans and spouses to create veteran-and-spouse nursing home beds and transfer a certificate of need within 100 miles, also passed unanimously after members discussed whether it could affect access for veterans; the sponsor said it would create additional private beds rather than displace existing ones. HB 1085 on the Children’s Medical Services Program was amended and reported favorably 14-3. The bill would move managed care plan operations for medically fragile children from the Department of Health to AHCA, keep clinical eligibility at DOH, and shift PPEC services fully into managed care. The adopted amendment changed the waiver provision to require AHCA to develop and present a comprehensive redesign plan for the Medicaid model waiver for children receiving private duty nursing. Several members supported the goal but raised concerns about eliminating family choice and the impact on medically fragile children. Finally, HB 1353 on home health care services passed unanimously. The bill would remove geographic limits on home health administrators, allow more licensed RNs including contract RNs to perform visits, and revise the home health excellence award program. Supporters said it would address workforce shortages and improve access, while one member warned it could increase costs and competition for nurses. The committee adjourned after reporting all five bills favorably.

Transcript Highlights:

• I understand there have been um water agreements before uh and our state sometimes negotiates uh back
• Most interesting, most interestingly, by choosing a voluntary approach to freely negotiate negotiated

Bills: HB176 , HB180 , HB176 , HB180 , HB333 , HCR35

Committee: House S/C on State-Federal Relations

Keywords: tax, ad valorem, voter-approval, local government finance, property tax, repeal, tax rates, school finance, tax reduction, compressed tax rate, education, funding, HB 176, Texas border security, interstate compact, Government Code Chapter 794, Texas-Mexico border, border enforcement, immigration enforcement, ICE 287(g)

Transcript Highlights:

• uh well through negotiation and also is well through negotiation and also is well through negotiation
• And that was a negotiation with the And that was a negotiation with the And that was a negotiation with
• We negotiated and we was able to set the We negotiated and we was able to set the We negotiated and we
• Is that what we're negotiating here? Is that what we're negotiating here?
• in good faith with the were negotiated in good faith with the were negotiated in good faith with the

Bills: SB 1 , HB 500 , SB 1 , HB 1400 , HB 1094 , HB 365 , HB 1109 , HB 647 , HB 500

Transcript Highlights:

• I couldn't scribble out the part, and there was no negotiation.
• </c> the part, and there was no negotiation. the part, and there was no negotiation.
• </c><01:42:06.960><c> Um</c><01:42:07.480><c> the</c> They are not negotiated.
• Um, and there should be some give and take, an ability to negotiate.
• So, there it is ability to negotiate.

Committee: Senate Judiciary and Public Safety

Transcript Highlights:

• As a reminder, states that have one step still negotiate rebates on medication.
• That have one step still negotiate rebates on medication. This bill has two steps in it.
• This bill does not prevent insurance companies from negotiating rates.
• Insurers will continue to negotiate reimbursement for each service provided. ...rates.
• those negotiations do not result in cost shifting to hospitals.

Committee: House House Health & Human Services Committee of Reference

Summary: The committee heard several bills related to radiation protection in cardiac catheterization labs and later a stem cell/regenerative therapy bill. On SB 1121, which would allow hospitals with radiation protection systems to let clinicians forgo lead aprons if they work in the designated safety area and use real-time dosimetry, testimony was largely supportive or neutral after a late amendment gave radiation safety officers discretion to require protective gear if exposures approach thresholds. The committee adopted the amendment and passed SB 1121 on a 9-1 vote. SB 1120, a more prescriptive bill requiring at least 50% of cath lab rooms in hospitals to be equipped with the radiation protection system, drew divided testimony: sponsors and several physicians argued it would reduce orthopedic injury and radiation exposure and improve recruitment and retention, while hospital and radiology groups objected to the mandate, cost, limited vendor pool, and lack of clarity in the bill’s definitions. After adopting an amendment excluding children’s hospitals, the committee deadlocked 6-6 and SB 1120 failed to pass. The committee then considered SB 1118, which would appropriate $3 million to help rural hospitals install radiation protection systems in cath lab rooms. The sponsor said the funding would help rural facilities meet the same safety goals, and the committee passed the bill 6-5. The committee also heard SB 1214, a “guardrails” bill regulating non-FDA-approved stem cell and regenerative therapies, requiring informed consent, sourcing and reporting standards, advertising limits, and civil penalties for violations. Supporters said it would protect patients while allowing access to promising therapies; some members raised concerns about evidence and commercialization, but after adopting a technical amendment, the bill passed 9-3. The transcript ended as the committee moved on to SB 1630, which would seek federal approval for a home- and community-based service benefit for adults with serious mental illness; the sponsor described it as a capped, Medicaid-based community care option, and Access testified neutral while estimating a fiscal impact, but no final action on SB 1630 appears in the excerpt.

Transcript Highlights:

• I feel like the step piece is a little flimsy at this point, but why would you even need to negotiate
• As a reminder, states that have one step still negotiate rebates on medication.”
• This bill does not prevent insurance companies from negotiating rates.
• Insurers will continue to negotiate reimbursement for each service provided. Rates.
• those negotiations do not result in cost shifting to hospitals.

Bills: SB1052 , SB1115 , SB1118 , SB1120 , SB1121 , SB1124 , SB1171 , SB1172 , SB1174 , SB1175 , SB1214 , SB1233 , SB1235 , SB1316 , SB1345 , SB1372 , SB1399 , SB1458 , SB1494 , SB1496 , SB1564 , SB1602 , SB1621 , SB1628 , SB1630 , SB1631 , SB1668 , SB1672 , SB1814 , SB1821

Committees: House Health & Human Services , House House Health & Human Services Committee of Reference

Keywords: assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent, AHCCCS, remote work, state agency, employment, public health, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes, townhomes, historic preservation, radiation protection

Transcript Highlights:

• This downward pressure weakens union leverage and wage negotiations because labor cannot easily move
• This gives workers less control and ability to negotiate with these firms over these conditions.
• because labor cannot easily negotiations because labor cannot easily move<00:04:35.199><c> to</c><00
• <c> these</c><00:04:51.759><c> firms</c><00:04:52.160><c> over</c><00:04:52.400><c> these</c> to negotiate
• between somebody when that's negotiated between somebody when somebody<00:19:23.760><c> buys</c><00:

Bills: HF4080 , HF3693 , HF1857 , HF4350

Committee: House Agriculture Finance and Policy

Transcript Highlights:

• As well, every single year, our team negotiates with every single one of our managers in rotation.
• um with every single one of negotiates um with every single one of our<00:13:07.040><c> managers</c>
• And as you know, Senator Rosen was a tough negotiator and she went along with that deal.
• And as you know, Senator Rosen was a tough negotiator and she went along with that deal. Well, Mr.
• and she went along with tough negotiator and she went along with that<01:34:04.000><c> deal.

Transcript Highlights:

• They are able to negotiate rebates from the PBM, excuse me, from the drug maker.
• We have not been able to access and do negotiation for this bill.
• We have not been able to access and do negotiation for this bill.
• We have not been able to access and do negotiation for this bill.
• And I'm curious about the statement that you've been unable to access negotiation.

Bills: SB6294 , SB6211 , SB5650 , SB6033 , SB6297 , SB6343 , SB6067 , SB6082 , SB6323 , SB6324 , SB5862 , SB5923 , SB6151

Committee: Senate Ways & Means

Keywords: local government finance, Washington state, RCW, real estate excise tax, REET, sales and use tax, property tax levy, county tax, city tax, affordable housing, housing services, behavioral health, mental health, developmental disabilities, children and families services, youth services, utility tax, low-income utility assistance, veterans assistance, homelessness

Transcript Highlights:

• to negotiate rates with providers<00:36:12.320><c> to</c><00:36:12.560><c> meet</c><00:36:12.720><c>
• </c> inadequate and do not negotiate. inadequate and do not negotiate.
• Those are negotiated with providers, um, and it is common, you know, for them to potentially use the
• Those are negotiated with providers, um, and it is common, you know, for them to potentially use the
• Those are negotiated with providers, um, and it is common, you know, for them to potentially use the

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.