Transcript Highlights:

• access programs they were called student exchange program but we are excuse me, student access programs
• , especially a program as important as the school safety program.
• There was an issue around training that some folks on the program who receive required training did not
• that hasn't received the training, but the only way they can continue in the program is to receive that
• training.

Keywords: 1182, all

Summary: The Senate Education Committee of Reference met for sunset reviews and first heard a presentation on the Credit Enhancement Eligibility Board from the Governor’s Office. The presenter explained that the board, created in 2016, has no dedicated staff or administrative budget and is supported by existing budget and policy staff and the Treasurer’s Office. The board’s purpose is to lower borrowing costs for qualifying schools by using a guarantee fund to enhance credit ratings, and it has largely been used by charter schools. Because the board has reached its statutory leverage cap and has not met since 2022, it is currently in a monitoring role, but it must remain in place to honor guarantees if any approved financing defaults. The committee asked about financing maturities, demand from schools, and whether a shorter continuation period would make sense. No public testimony was offered, and the committee voted to recommend continuing the board for 10 years, until July 1, 2036. The committee then reviewed the Western Interstate Commission for Higher Education (WICHE). WICHE’s president described the interstate compact, its regional role in higher education access, workforce development, and data services, and its major student programs: the Western Undergraduate Exchange, the Western Regional Graduate Program, and the Professional Student Exchange Program. She highlighted tuition savings for Arizona students and the state, the return of many PSEP graduates to practice in Arizona, and additional cost savings through cooperative purchasing and technology contracts. The committee asked no substantive questions, and it voted to recommend continuing WICHE for 10 years, until July 1, 2036. The final major item was the Arizona Department of Education School Safety Program performance audit, followed by testimony from the department. The Auditor General reported that the program has grown substantially, especially after expansion to counselors and social workers and increased appropriations, but that ADE did not consistently ensure schools complied with program requirements. In a sample of 16 schools, most had issues such as missing or incomplete operational plans, inadequate safety team activity, incomplete required training, missing activity logs, or reimbursement requests lacking expenditure reports. The audit said these problems reduced the program’s effectiveness and increased the risk of improper spending, and it recommended stronger monitoring, written procedures, and better documentation review. ADE accepted the findings and said it is implementing the recommendations through more direct staff oversight, training requirements tied to funding, encrypted submission of emergency plans, site visits, and representative desk reviews. The discussion then shifted to whether emergency plans should address federal law enforcement actions; the director said the plans are designed for campus safety threats generally and do not specifically contemplate ICE enforcement. The committee took no vote on the audit presentation and adjourned after discussion.

Transcript Highlights:

• <00:34:36.079> programs implementing dementia training programs implementing dementia training
• program.
• program.
• space program, aerospace program, and space program, aerospace program, and prove<00:44:48.319> that
• provide dementia training for employees. provide dementia training for employees.

Keywords: 910, house, all

Summary: The joint hearing covered several bills focused on economic development, tourism, business climate, and related policy areas. On HB 1943, which would support a DBEDT office in Korea, DBEDT and the Retail Merchants of Hawaii testified in support, emphasizing Korea’s importance as a market for investment, trade, and tourism and the value of helping small and midsize Hawaii businesses access Asian markets. A later witness also tied the proposal to broader free-trade and APEC-related goals. The committees heard no opposition on that measure. The committees then heard HB 1612 and HB 1614, both supported by multiple organizations and agencies. Testimony for HB 1612 stressed Hawaii’s weak business climate and the need for policies that improve economic growth and competitiveness; the Hulamua Collaborative cited survey results showing only 19% of respondents viewed Hawaii as a good place to do business. HB 1614 also drew support, with HTC saying its focus is on economic growth. For HB 1968 and HB 1967, the Office of Planning and Sustainable Development, the University of Hawaii, the Chamber of Commerce, and Hulamua Collaborative largely stood on written testimony in support; the hearing notes reported nine supporters and one opponent on HB 1968, and seven supporters with one comment on HB 1967. A substantial portion of the hearing focused on HB 1589, a bill to create dementia training and recognition for businesses. Testifiers included a private citizen sharing a personal family story, the Alzheimer’s Association, and DBEDT. Supporters said the measure would help families affected by dementia, reduce stigma, and make businesses more dementia-friendly. DBEDT said the issue would be better handled by an agency with dementia expertise, while the Alzheimer’s Association said it could provide training at no cost and suggested amendments to shift implementation toward the Executive Office on Aging and to use the term “dementia business champion.” The final major topic was HB 1608, involving a space-related project and financing. Phoenix Space testified that the bill would help launch responsive space access operations at Hilo International Airport, create local jobs, and support partnerships with Hawaii institutions, while another supporter said the project could diversify the economy. A committee member raised a timing concern, noting bond cap capacity was already allocated through 2028, and the witness said they were willing to work on a solution. The hearing also included HB 1850 on capital gains taxation, where supporters argued the bill would make the tax system fairer by increasing taxes on investment income, while the Chamber of Commerce opposed it. No votes or final committee actions were taken during the hearing.

Transcript Highlights:

• <01:06:21.559> pilot<01:06:21.960> program Foods production training pilot program
• <01:09:37.279> programs<01:09:37.759> including training programs including training programs
• one<01:15:31.880> of Dual training grant program is one of Dual training grant program is
• a<01:18:09.520> source Dual training program has been a source Dual training program has
• a in the Dual training program has been a in the Dual training program has been a vital<01:20:48.000

Keywords: 1183, house

Transcript Highlights:

• programs following implementation of the CERT program.
• that particular program.
• into that training.
• Their top-tier leadership team on their horse training program make well over minimum wage.
• programs. ...has not worked in the areas of workforce training programs, and I can think of no better

Summary: The Careers and Workforce Subcommittee met with a quorum and took up four bills. The first, HB 875 on educator preparation, would align teacher-prep programs under a uniform core curriculum, create a competency-based coaching program (CERT), standardize mentor and clinical educator requirements, allow certain certification waivers, and establish a Florida Institute of Teaching Excellence at Miami-Dade College subject to appropriation. Debate focused heavily on language in the bill related to systemic racism, identity politics, privilege, and historical distortion, with supporters saying the bill is about pedagogy and opponents warning it could limit discussion of important historical and social topics. The committee adopted a strike-all amendment and then reported the bill favorably, 12-4. The committee then considered PCS for HB 541 on minimum wage requirements, which would allow employees to knowingly and voluntarily waive the state minimum wage for up to 12 months in certain structured work-based training settings. Supporters argued it would expand access to training and career pathways for inexperienced workers and help address labor shortages, while opponents said it could depress wages, invite coercion, and conflict with the state constitution’s minimum wage provisions. Public testimony included opposition from workers and labor groups and support from NFIB. The bill was reported favorably, 12-4. Next, PCS for HB 681 on apprenticeship and pre-apprenticeship program funding was presented as a transparency and accountability measure to improve funding reporting and address bargaining issues between education agencies and program providers. Support came from industry groups and the ranking member, and the bill was reported favorably without opposition, 16-0. Finally, PCS for HB 1105 on education and Bright Futures would broaden Gold Seal Vocational eligibility, align CTE diploma requirements with Bright Futures, add AP Capstone as an automatic qualifier, and remove barriers for certain military and public service families. The committee supported the bill, which was reported favorably, 15-0. The meeting ended after a correction to the record on one public comment card and adjournment.

Transcript Highlights:

• via a sector-based approach to support job training programs for formerly incarcerated individuals.
• To date, the program has supported more than 1,000 training opportunities, and participants have reported
• The municipal security training program I mentioned is provided to municipal organizations, including
• This training program provides required foundational training for all users, followed by more advanced
• This training program provides a required foundational training for all users, followed by more advanced

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held a public FY27 budget hearing at Barnstable Town Hall, with opening remarks emphasizing the Cape and Islands’ seasonal infrastructure, housing, transportation, workforce, and digital needs. The hearing began with testimony from the Executive Office of Labor and Workforce Development, which outlined the Healey-Driscoll administration’s budget priorities for job training, apprenticeship, youth employment, reentry programs, and unemployment insurance modernization. The secretary highlighted proposed funding for the Workforce Competitiveness Trust Fund, Career Technical Initiative, YouthWorks, reentry workforce development, and services for young adults with disabilities, along with a proposal to streamline youth work permits. Members also discussed the unemployment trust fund, the COVID assessment on employers, rising unemployment, and the need to improve DUA customer service and claims processing. Committee members asked about job seeker barriers such as child care, housing, transportation, and out-migration of young workers, as well as how to keep Cape Cod graduates and seasonal workers in the region. The administration said its strategy is to pair training with broader affordability investments and to expose students to career pathways earlier, including through middle school, early childhood STEM, YouthWorks, pre-apprenticeships, and Building Pathways. Senators and representatives also raised concerns about regional funding disparities, especially for Hampshire Franklin MassHire, and the administration said it is reviewing MassHire funding and service equity through a policy committee and statewide workforce board. On unemployment assistance, officials reported major improvements in wait times and claims processing, but said they are still working through backlogs and staffing challenges while maintaining program integrity. The committee then heard testimony from the Executive Office of Economic Development. The secretary described House 2 as a fiscally restrained budget with no new taxes or fees, while preserving core programs and using the Mass Leads Act tools to support competitiveness. EOED’s proposal included funding for the Community One Stop for Growth, rural economic development, social enterprise operating grants, regional economic development organizations, the Workforce Investment Trust Fund, Community Workforce Partnerships, Pathmaker, advanced manufacturing training, life sciences, innovation vouchers, AI initiatives, small business assistance, and tourism and live theater support. The Office of Consumer Affairs and Business Regulation also testified on its FY27 request, focusing on consumer protection, licensing, banking, insurance, and public safety regulation. No votes were taken during the hearing.

Transcript Highlights:

• programs.
• Program.
• program to life.
• programs and fellowships, and much of the kind of training that you're referring to actually happens
• So, Madam Chair, for those in general across all of our health profession training programs, we're at

Transcript Highlights:

• And it also impacts school bus use for training and behind-the-wheel training for school bus drivers.
• <00:02:50.560> and impacts school bus use for training and impacts school bus use for training
• So, if you have a CDL testing or training program that wants to use a school bus for training purposes
• <00:04:08.840> program have a CDL testing or training program have a CDL testing or training
• additional funds to these two programs. additional funds to these two programs.

Keywords: 1187, senate, all

Transcript Highlights:

• This is an education and training bill. This is an education and training bill.
• It requires them to undergo training on that program as part of their normal certification or recertification
• driver training school licensed by the state. ...to any driver training school licensed by the state.
• day, if they’re better trained, perhaps the quality of care... ...every day, if they’re better trained
• Any of these organizations that run day support programs—day support programs are staffed by DSPs.

Keywords: Disability Commission, 976, house, all

Transcript Highlights:

• The New Mexico ERO State Police, excuse me, ERO training program trained 136 students.
• The Department of Health trained 266 students, and the EMNRD Fire Services Training Program trained 2,747
• shutdown, and I conveyed that yes, the training program, as far as on the state side, was still going
• their training program as well.
• It was the first one that we did was a technician training program specifically for what we call radioactive

Summary: The committee first heard a presentation from the Environment Department on PFAS contamination in private wells in La Cienega, Santa Fe County. Staff said the plume likely came from historic use of firefighting foam associated with airport and National Guard fire-training activities, with possible additional contribution from septic systems and consumer products. They described the contamination as affecting about 200 private wells, the short-term response of providing residential filters through a $2 million legislative appropriation, and ongoing work to define the plume’s full extent, identify responsible parties, and consider longer-term regional water solutions. Members asked about filter costs, replacement schedules, disposal of used cartridges, follow-up testing, health studies, and whether cleanup or containment had begun; the department said cleanup would follow once the plume is fully mapped and that DOH is soliciting interest in a blood study. The committee also discussed the need to track disposal of PFAS filters and the possibility of broader statewide capacity for similar work. The committee then took up abandoned uranium mine cleanup. NMED and EMNRD staff reviewed the new uranium mine reclamation program created by HB 164, the state dashboard tracking sites, and the FY26 appropriation of $20 million for neglected contaminated sites, of which $12 million is being used for neglected uranium mines and the remainder for other contaminated sites. They said six contractors were hired, three priority sites in Grant County are moving forward quickly, and additional sites are being prepared for possible FY27 work. Members pressed for details on how funds are spent, why the revolving fund remains unfunded, how federal, state, tribal, and landowner requirements are coordinated, where contaminated material will be moved, and whether cleanup could also address homes built with contaminated materials. Staff said the work is governed by multiple regulatory layers, that the state is seeking an additional $25 million for FY27-FY28 plus a time extension, and that partnerships with tribes would require longer-term agreements. The committee also discussed federal cleanup efforts and the new Good Samaritan law, with members urging stronger advocacy for New Mexico sites, including tribal lands, and asking whether the Attorney General should pursue legal action against federal parties responsible for legacy contamination. Staff explained that some sites are already covered by settlement funds tied to responsible parties, while neglected sites are those with no responsible party and no other cleanup program. The committee then heard from EMNRD on Class VI carbon sequestration primacy. Staff said New Mexico currently has no operating Class VI wells, about 27 Class II acid-gas injection wells are operating, and only a small number might be candidates for conversion. They explained that the state’s primacy application would require more public outreach than federal rules alone, and that cost estimates for post-injection site care are based on long planning horizons, with some costs borne by operators and some by the state after closure. No votes were taken on the substantive items discussed; the committee approved the prior meeting minutes and took a brief recess between presentations.

Transcript Highlights:

• This would simply be establishing the program and then if we choose to use the program, we could then
• this healthcare workforce grant program. this healthcare workforce grant program.
• sizes, and delay entry into the workforce, even though these are already 6- to 8-week training programs
• When you train locally at the CNA programs at the hospital, it's a very innovative model where they're
• train locally at like the CNA programs train locally at like the CNA programs at<00:09:09.680>

Keywords: 919, house, all

Summary: The committee took up House File 3732, with the author moving both the bill and two separate amendments. The DE1 amendment would create a healthcare workforce grant program to let the Department of Employment and Economic Development identify and fund healthcare workforce shortage areas, while the A1 amendment would establish an Office of Community Investment to provide strategic grant management and help align grants with legislative priorities. Both amendments were adopted, and the bill was laid over for later consideration. The bill author explained that the healthcare workforce proposal is meant to address shortages that market forces alone have not solved, citing examples such as CNA training and rural oncologist recruitment. The Office of Community Investment was described as a way to improve grant oversight, set clearer goals, and strengthen collaboration between agencies and the legislature, drawing on the model of the Office of Justice Programs. Testimony from the Mong American Partnership strongly supported the healthcare workforce grant program, describing successful CNA and phlebotomy pathways, but also noting long waitlists and the need for flexible funding. Members discussed the importance of locating training opportunities in greater Minnesota and in communities with workforce gaps, so distance and travel barriers do not limit access. Several legislators said the proposal would help create good-paying jobs, strengthen healthcare access, and support overworked healthcare workers. The bill’s sponsors also emphasized that codifying grant programs can speed up future funding decisions and improve accountability, and they said the measures would return for further consideration in a few days.

Transcript Highlights:

• This is a voluntary program.
• This is a voluntary program.
• in the APD program.
• Persons are securely housed in the APD program and provided competency training to return to court to
• Persons are securely housed in the APD program and provided competency training to return to court to

Summary: The Health and Human Services Committee heard and advanced four member bills. CS/HB 303 would require nurses to complete the existing two-hour human trafficking prevention course before initial licensure, rather than waiting until renewal; the sponsor said this closes a gap for new nurses, and supporters from the Florida Nurses Association and other groups said it would improve early identification and reporting of trafficking victims. Members asked whether the bill changed reporting duties, and the sponsor said it did not. The bill passed unanimously, 24-0. PCS/HB 1069 would treat independent sanctioning authorities as qualified entities for background screening purposes and allow an unscreened athletic coach to work only if directly supervised by a screened coach. The sponsor said the measure is intended to help families and youth sports organizations while keeping children safe, and members discussed how it would apply to Little League and whether disqualifying offenses would still bar work with children. The bill received support from several organizations and passed 25-0. HB 491 would allow batterers intervention programs to offer voluntary faith-based content alongside required cognitive behavioral therapy, without mandating participation. Supporters argued the bill restores options for clients seeking faith-based counseling and said it does not use taxpayer funds or impose religion; members emphasized the voluntary nature of the program. The bill passed 24-0. HB 569 would change how the Agency for Persons with Disabilities organizes forensic client services by grouping clients based on clinical needs rather than legal charges, which the sponsor said would improve efficiency and reduce duplication. The agency and Florida Smart Justice Alliance supported the bill, and it also passed unanimously, 24-0. The committee then adjourned.

Transcript Highlights:

• Mahalo. service of our employment and training service of our employment and training program<01:00:25.920
• Our $170,000 request will fund statewide training and career advancement programs that help furloughed
• training program has had overwhelming training program has had overwhelming impacts<01:42:22.480
• <03:04:52.800> lead train a new education program lead train a new education program lead
• <03:09:05.439> Uh, training programs statewide. Uh, training programs statewide.

Keywords: 912, senate, all

Summary: This joint informational briefing focused on Act 310 grants and aid, with committee members hearing one-minute testimony from organizations first in person and then by Zoom. At the outset, the chairs explained there would be no Q&A during the briefing and asked testifiers to focus on how federal cuts were affecting their work. The meeting was organized by registration number and included both neighbor island and Oʻahu applicants. Testimony centered on organizations seeking state support to offset federal funding losses or anticipated reductions. Health and social service providers described impacts from Medicaid, SNAP, ACA subsidy, Title X, and other federal changes, including Aloha Care, Community Clinic of Maui, Healthy Mothers Healthy Babies, West Hawaiʻi Community Health Center, Hawaiʻi Disability Rights Center, Hawaiʻi Youth Services Network, Alcoholic Rehabilitation Services of Hawaiʻi, and Kokua Kalihi Valley. Other groups highlighted losses affecting food security, housing, disaster preparedness, and climate resilience, including the Kohala Center, Feeding Hawaiʻi Together, Hawaiian Lending and Investments, Dynamic Community Solutions, and the Pacific Tsunami Museum. Several arts, youth, and education organizations also testified, including Hawaiʻi Literacy, Hawaiʻi Youth Symphony, Honolulu Theatre for the Youth, Sounding Joy Music Therapy, Big Brothers Big Sisters Hawaiʻi, Girl Scouts of Hawaiʻi, Kids Hurt Too Hawaiʻi, and US Vets, each requesting funding to preserve programs and staffing. No votes or formal committee actions were taken during the briefing. The only action was procedural: the chairs moved through the applicant list, limited testimony time, and then transitioned from neighbor island in-person testimony to Oʻahu and later Zoom participants.

Transcript Highlights:

• tremendous demand on on our programs. tremendous demand on on our programs.
• 380 deliveries last year of of programs. 380 deliveries last year of of programs.
• potentially shutting down some programs. potentially shutting down some programs.
• federal grant program.
• training that we got to have. training that we got to have.

Keywords: Appropriations - Room 210; 22 January, 2026: 1:30 PM, 925, all

Summary: The meeting began with a budget presentation from the insurance commissioner’s office. The commissioner said most of the request was for personnel costs, including an increase above LBO and two additional IT positions tied to a possible conversion to a state-based system and cybersecurity needs. The office also discussed travel costs, contractual expenses, vehicle replacement, and hurricane mitigation funds, noting that some funds are in trust accounts and require legislative authority to spend. The commissioner also briefed members on possible policy changes affecting the ACA exchange and a proposed low-cost plan for the high-risk pool, warning that if coverage options are not developed, more people could shift into uncompensated care. Members asked about the budget request, the IT positions, and a constituent question about propane meter regulation, which the commissioner said falls under the Department of Agriculture and Commerce, though his office sometimes checks related issues informally. The committee then moved to the State Fire Academy hearing. The academy director described a workforce stabilization proposal focused on retaining and recruiting fire instructors, citing competition from local fire departments that pay more, a shrinking applicant pool, and a growing number of retirement-eligible staff. He said the academy’s instructors are being recruited away by municipalities, that recent applicant pools have produced very few qualified candidates, and that the academy may soon have to cut advanced courses if staffing does not improve. He referenced a State Personnel Board review that supported the need for compensation changes and said the academy is trying to remain competitive while continuing to train firefighters, hazmat responders, EMS personnel, and fire officers statewide. No formal votes or legislative actions were taken in the portion provided. Members mainly asked questions, requested written follow-up on some budget items, and indicated they would work with the agencies later in the session if pending bills or funding needs changed.

Transcript Highlights:

• in accredited programs.
• The program from the Mexico program or the proposed Salvadorian program assured that they're just going
• an accredited training program, and that is the norm.
• that was done in an accredited training program and that is the norm Graduate training that was done
• in an accredited training program, and that is the normative requirement right now for somebody to obtain

Keywords: 987, senate, all

Transcript Highlights:

• We have in-person training as well as online training.
• We have in-person training as well as online training.
• She said her question was about the training program because she really appreciated it and was glad they
• This means also having better training programs for our volunteers, because most of our houses of worship
• This means also having better training programs for our volunteers, because most of our houses of worship

Keywords: 1183, house

Transcript Highlights:

• <00:01:20.520> but at a couple of specific programs but at a couple of specific programs but
• One of them had to do with directing OGM to develop a grants management training program and then requiring
• That's why training is important.
• , to provide the training, and then require all folks who manage grants to take the training.
• <00:29:26.279> and training to provide the training and training to provide the training and

Keywords: 1183, house

Summary: The committee heard a presentation from State Auditor Judy Randall and Deputy Legislative Auditor Jody Mason Rodriguez on the Office of the Legislative Auditor’s 2023 report, “Oversight of State-Funded Grants to Nonprofit Organizations.” Randall explained that the report takes a broad look at how Minnesota manages grants, building on earlier work that helped lead to the Office of Grants Management (OGM) in 2007. She emphasized that the new recommendation-tracking booklet in members’ packets is meant to help the legislature see which audit recommendations have been implemented, partially implemented, or not implemented, and to support oversight rather than assign blame. Rodriguez summarized the report’s findings: Minnesota’s grants management policies contain many important practices, but they often lack enough detail for agencies to implement them consistently. The office found pervasive noncompliance in recent years and identified weak statutory enforcement as a major reason. She reviewed how grants flow from the legislature to agencies and then to nonprofit grantees and subgrantees, and noted that state agencies spent an average of about $514 million annually on nonprofit grants from fiscal years 2018 through 2022, awarding grants to about 2,400 nonprofits. The report found OGM policies partially reflected 17 of 24 recommended grant-management practices, but examples of missing detail included no required risk-based monitoring, no minimum standards for progress reports, telephone-only monitoring visits allowed, and no deadline for closeout reviews. The auditors said some recommendations have been acted on since the report, including 2023 statutory changes that led OGM to revise its pre-award financial review policy and set a timeline for closeout reviews, though other recommendations remain only partially implemented. They also discussed repeat compliance problems across agencies, including conflict-of-interest documentation, and said agencies are beginning to improve by automating checklists and disclosure processes. In response to member questions, the auditors said training is important and should likely be required for grants staff, though not necessarily with highly specific statutory language; they also said grant managers vary widely across agencies, making baseline training especially useful. No votes or formal committee actions were taken during the presentation, and the chair noted that OGM would be invited for a future presentation.

Transcript Highlights:

• Our program broadly focuses on career and technical education training, so we're serving primarily adult
• In addition to the technical training program We offer literacy programs, high school diploma programs
• area that they teach, high school equivalency programs, life-saving programs. skills programs, you heard
• There's a program, it's a multi-disciplinary program.
• Our program is a tiered program. We have five total tiers.

Keywords: 1184, house, all

Transcript Highlights:

• In 2024, the legislature made the program portable, meaning that if workers pay into the program for
• So it makes the program, it fulfills the promise of the program, such that anyone who pays into WAC Cares
• not enough, and a lot of the training is not relevant for the workers. ...not a lot of the training
• The third program is peer bridgers.
• In the training and credentialing space, there are some goals to try to get testing embedded into training

Summary: The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population. On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications. The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.

Transcript Highlights:

• Celiac Disease Screening Pilot Program.
• I am a board-certified, Harvard-trained plastic surgeon.
• And recently, I created the first certificate program for training in aesthetics associated with the
• But they have no training.
• They haven't had a single aesthetic course during their RN training or during their NP training.

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on four bills: H. 5013 and S. 2928, which would establish a three-year celiac disease screening pilot program for children during routine cholesterol/lipid screening at ages 8 to 12; H. 5087, regulating medical spas; and H. 5115, establishing statewide food truck regulations, though the transcript focused almost entirely on the celiac and medical spa bills. For the celiac proposal, Rep. Badger and Sen. Lovely described long diagnostic delays, the lack of a cure, and the potential for a simple blood test to identify children earlier and reduce long-term harm. Multiple patients, clinicians, and researchers supported the pilot, saying celiac is frequently missed because symptoms vary widely or are absent, and that early detection could prevent malnutrition, growth problems, osteoporosis, and other complications. Testifiers also emphasized that the bill would study feasibility, accuracy, cost, and acceptability, and would include family education and support resources if diagnoses are made through the program. Several experts and advocates backed the celiac screening pilot, including a pediatric gastroenterologist from Italy who described successful national screening efforts there, a Celiac Disease Foundation representative, pediatric gastroenterologists from Massachusetts and Colorado, a pediatric dietitian, and a parent whose child was diagnosed after severe malnutrition. They argued that routine screening alongside existing pediatric bloodwork could identify many undiagnosed children and improve health equity, since celiac disease is often overlooked in people of color and lower-income patients. Committee members asked about how the screening would work, and witnesses explained it could begin with a blood test, followed by confirmatory endoscopy if needed. No vote was taken in the hearing. On H. 5087, witnesses from the medical aesthetics industry largely opposed the bill as written, saying it was outdated, redundant with existing Massachusetts licensing and board oversight, and too restrictive for nurse practitioners, physician assistants, and other licensed providers. Testifiers, including a retired lobbyist, a nurse practitioner, a PA, a plastic surgeon, and a clinic owner, said the bill could reduce access, raise costs, and push care into less regulated settings, while not addressing the real issues of training, compliance, and patient safety. Committee members pressed for more specific feedback on what provisions were unnecessary or duplicative, and witnesses said they had submitted position papers and written testimony identifying conflicts with current law. The hearing ended with the chair noting that all oral and written testimony would be reviewed before any decisions are made.

Transcript Highlights:

• The program itself is a post-Thunderbird program for workforce development training.
• This is a great program.
• It is a direct follow-on program to the Thunderbird Youth Challenge Program.
• program.
• So, the programs that we've looked at it would be a cost for the software as well as the training of

Keywords: 914, all