Transcript Highlights:

• evaluations for grants over $25,000.
• Most grant evaluations will be posted in or by the summer of 2025.
• <00:09:34.920> into soon be uploading these evaluations into soon be uploading these evaluations
• > state<00:10:02.920> of related to the evaluations the state of related to the evaluations
• c> policies Minnesota's grantee evaluation policies Minnesota's grantee evaluation policies are<00

Keywords: 1183, house

Transcript Highlights:

• As Assembly Member DeMaio mentioned, the audit request really directs my office to evaluate SANDAG's
• DeMaio mentioned, Objective 6 has us focus on evaluating the extent to which SANDAG accurately...
• And having this audit is, I think, an important step to evaluating whether that's appropriate.
• And having this audit is, I think, an important step to evaluating whether that's appropriate.
• I'm pleased to present an audit to evaluate the Department of Human Resources...

Keywords: 988, house, all

Summary: The Joint Legislative Audit Committee met to hear status updates from the state auditor and consider several new audit requests. The auditor reported 10 JALAC audits in progress, including a new 2026 audit on DMV license revocation, and noted other statutory audits on the State Bar exam rollout, CSU/UC Title IX implementation, tobacco tax, state financial statements, federal compliance, and high-risk issues such as late financial reporting, Medi-Cal eligibility, and water infrastructure safety. The committee approved a consent calendar covering audits on UC library resources, law enforcement information sharing, EDD unemployment insurance claims, and Housing and Community Development housing development monitoring. The committee then considered Assembly Member DeMaio’s request to audit SANDAG’s road project management and use of transportation funds. DeMaio argued the audit was needed to examine whether restricted funds, voter-approved revenues, and project commitments were properly used and documented, citing prior problems with tolling and financial oversight. SANDAG’s CEO and CFO said the agency already undergoes extensive oversight and audits, has improved internal controls, and believed its funding uses were appropriate. Several members questioned whether the audit duplicated existing reviews and whether the issues were already public, and the request ultimately failed on a roll call vote. Next, Senator Valadares presented an audit of the Board of State and Community Corrections’ administration of Proposition 47 grants. Supporters said the audit would assess whether grant recipients comply with requirements and whether outcome and recidivism data are reliable, while BSCC said the program already has oversight, including biennial State Controller audits, and pointed to reported reductions in homelessness, unemployment, and recidivism. The committee approved the audit. Senator Cortese’s request to audit CalHR’s dental benefits procurement and Delta Dental contract also passed, with supporters citing rising out-of-pocket costs, provider network problems, and the long-running contract’s lack of competition; CalHR responded that most members have nearby access, it recently ran an RFP, and it will add MetLife as a second carrier in 2027. The committee then approved the remaining consent items and adjourned.

Transcript Highlights:

• Madam Chair, members, Senate Bill 1113 allows the court in proceedings for court-ordered evaluation or
• court-ordered treatment to authorize an employee of a screening or evaluation agency to personally serve
• petitions, notices, and related documents on a proposed patient who is admitted to a screening or evaluation
• agency at the time the petition for evaluation or treatment is filed.
• agency to provide the personal service, and clarifies that an evaluation agency or screening agency

Bills: SB1113, SB1115, SB1122, SB1123, SB1125, SB1165, SB1188, SB1193, SB1243, SB1318, SB1477

Keywords: mental health, involuntary evaluation, service of process, court-ordered treatment, evaluation agencies, AHCCCS, remote work, state agency, employment, public health, healthcare, behavioral health, prior authorization, American Indian health program, medicaid, medical examiner, death investigation, body disposal, autopsy, veteran burial

Summary: The committee heard and advanced a series of health and human services bills, with most receiving unanimous or near-unanimous support. SB 1113 would allow screening or evaluation agency employees, under contract with a county, to personally serve court documents in involuntary mental health proceedings instead of requiring police officers; supporters said it would reduce burdens on law enforcement and be less disruptive for patients. An amendment clarifying county contracts and reimbursement was adopted, and the bill passed 12-0. SB 1122 would limit AHCCCS from imposing over-100% prepayment review on certain behavioral health providers serving American Indian Health Program members unless a corrective action plan is in place; AHCCCS was neutral and said it could implement the bill with additional staffing, and it passed 12-0. SB 1123 would remove a board-certification requirement so trained, licensed forensic pathologists can supervise pathology trainees during the period before board exam results are available; Maricopa County supported it as a workforce and efficiency measure, and it passed 12-0. SB 1125 would require DCS to make annual efforts to enter MOUs with Arizona tribes and improve communication on tribal children in state care; DCS said it was already working on several pending MOUs, and the bill passed 12-0. The committee also approved several bills related to cancer screening and mental health. SB 1165 would prohibit cost-sharing for diagnostic and supplemental breast cancer screening services in the commercial market; the sponsor and advocates said it would remove financial barriers that delay diagnosis, and it passed 12-0 amid personal testimony from members and the chair. SB 1243 would require notice to a patient’s guardian before discharge from court-ordered treatment and allow guardians to seek continuation of treatment; supporters said it closes dangerous gaps when treatment orders expire, and it passed 10-0 with two absent. SB 1318 would repeal a state breast-density notice requirement that now overlaps with a federal FDA standard; ADHS said the change would reduce confusion and duplicate notices, and it passed 11-0 with one absent. SB 1188 would align Arizona controlled-substance schedules with federal FDA/DEA scheduling changes; supporters said it would speed access to new treatments, while one member voted no over concerns about relying on federal review, and it passed 8-2. Additional bills addressed privacy and assisted-living referrals. SB 1193 would bar DHS from selling or disclosing EMT personal identifying information for commercial purposes without consent, while still allowing de-identified data; the sponsor’s representative said the bill arose after DHS said vendor access to licensee data was not prohibited, and members discussed whether broader privacy protections should apply to other workers as well. It passed 10-0 with two absent. SB 1477 would require referral agencies serving assisted living facilities or homes to verify background-screening practices, maintain insurance, and provide documentation regarding APS registry status; the bill’s supporters said it raises standards for senior placement services, a technical amendment was adopted, and the bill passed 10-0 with two absent.

Transcript Highlights:

• So, we ask for those clear standards to be part of the bill for threat evaluation, prioritization, or
• , the bill for threat evaluation, the bill for threat evaluation, prioritization,<00:14:00.399>
• effectiveness as well as to evaluate effectiveness as well as analyze<00:15:26.959> any<00:15
• <00:15:47.040> overall reporting to evaluate overall reporting to evaluate overall effectiveness
• evaluating the effectiveness. evaluating the effectiveness.

Keywords: 919, house, all

Summary: The committee heard House File 3764, as amended by the DE1 amendment, which would allow school districts and charter schools to create local anonymous threat reporting systems. Representative Nadeau described the bill as an optional framework that would support 24/7 anonymous tips through an app, hotline, or website, use trained crisis counselors and school-based teams, coordinate with 911 and law enforcement when needed, require public awareness efforts and student training, and direct districts to report usage data to the Department of Education. The chair adopted the DE1 amendment, and the bill was moved before the committee with the intent to place it on the general register. Testimony was largely supportive. Chris Linquist of St. Francis Area Schools said his district has used the Sandy Hook Promise reporting system since 2023-24 and credited it with helping identify bullying, mental health crises, and other safety concerns outside school hours. Alexandra Fitz Simmons of Children’s Defense Fund Minnesota said anonymous reporting systems are an important prevention tool because students are often the first to see warning signs before violence occurs. Representative Lawrence also praised the bill for being encouraged rather than mandated and emphasized local control. Rick Kaufman, speaking for several school organizations, supported the concept but said the bill still lacked clear standards for how tips are evaluated and shared with school officials, and he urged stronger coordination and funding for staffing and training. Joe Oonie of the Department of Education said the department supports anonymous reporting systems but raised concerns about the costs of building data collection and reporting infrastructure, FERPA safeguards, and the need for resources to implement the bill effectively. Chair Bennett pushed back on the funding objection, arguing the department should be able to handle the reporting within existing resources, and Representative Roach later asked whether the department had higher-priority uses for its carryover funds. No final vote on the bill itself was taken in the portion provided, beyond adoption of the DE1 amendment.

Transcript Highlights:

• So we have, as Sunny said, program evaluation; we look at that, we study it, and then after those three
• component to this because, as you know, the best type of evaluations are more of providing a treatment
• the moving forward into the economy so as i took this position on in evaluating the operation it was
• So that is something that we're evaluating right now.
• So that is something that we're evaluating right now. Thank you. And my last question, Mr.

Keywords: 996, all

Bills: HCR1, HCR2, SB2001, SB2002, SB2003, SB2004, SB2005, SB2006, SB2007, SB2008, SB2009, SB2010, SB2011, SB2012, SB2013, SB2014, SB2015, SB2016, SB2017, SB2018, SB2019, SB2020, SB2021, SB2022, SB2023, SB2024, SB2025, SB2026, SB2027, SB2028, SB2029, SB2030, SB2031, SB2032, SB2033, SB2034, SB2035, SB2036, SB2037, SB2038, SB2039, SB2040, SB2041, SB2042, SB2043, SB2044, SB2045, SB2046, SB2047, SB2048, SB2049, SB2050, SB2051, SB2052, SB2053, SB2054, SB2055, SB2056, SB2057, SB2058, SB2059, SB2060, SB2061, SB2062, SB2063, SB2064, SB2065, SB2066, SB2067, SB2068, SB2069, SB2070, SB2071, SB2072, SB2073, SB2074, SB2075, SB2076, SB2077, SB2078, SB2079, SB2080, SB2081, SB2082, SB2083, SB2084, SB2085, SB2086, SB2087, SB2088, SB2089, SB2090, SB2091, SB2092, SB2093, SB2094, SB2095, SB2096, SB2097, SB2098, SB2099, SB2100

Keywords: recess, legislative session, Hawaii State Legislature, 2026, Governor address, joint session, legislature, Hawaii, state of the state, Banyan Drive, Waiakea peninsula, Makaokū, Hilo, Hawaii Island, HCDA, Hawaii Community Development Authority, community development district, redevelopment, urban renewal, blight

Transcript Highlights:

• And in closing, I will say that in our sunset evaluation, self-evaluation report that we submitted, uh
• Um, from an empirical standpoint, the collection and evaluation criteria put forth in Section 10 are
• However, um, some improvements are still needed that would benefit future program evaluation.
• First, it is essential to specify in detail what is being evaluated and how.
• and useful for evaluating performance.

Bills: HB153

Transcript Highlights:

• I'm not going to go over all the evaluation criteria.
• So, again, one of the overarching evaluation criteria for CalCompetes is ensuring that this credit or
• RISE, which was evaluated by an external evaluator between and 2018, did not lead to higher long-term
• And by having a rigorous evaluation, we can learn that.
• We will have a midterm evaluation. that will be before the end of the process.

Keywords: 988, house, all

Transcript Highlights:

• to be evaluated here. to be evaluated here.
• forward for the site evaluation forward for the site evaluation committee<04:20:48.560> part<
• liked the idea of a site evaluation liked the idea of a site evaluation committee<04:22:33.359><
• as wanting a site evaluation committee. as wanting a site evaluation committee.
• fully evaluate. fully evaluate.

Keywords: 1189, house, all

Transcript Highlights:

• Again, evaluate the organization, identify.
• And every step of that progress will have to evaluate: Is it working?
• We're currently evaluating certain...
• My job is to go out and evaluate, review, assess, verify.
• We're always evaluating our Century Code, our Chapter 54-10.

Summary: The committee convened, approved the prior meeting minutes, and received a memo summarizing major audit items. The State Auditor’s office and outside auditors then presented a series of audits, many of which were clean with unmodified opinions and no findings, including the Bank of North Dakota, the Guaranteed Student Loan Program, the Office of the Governor, the State Treasurer, the Office of Management and Budget, the Department of Transportation, the Department of Environmental Quality, Lake Region State College, and the Office of the Governor. The North Dakota Stockmen’s Association audit was also clean overall, but it repeated findings about limited segregation of duties and auditor assistance in preparing financial statements, which the auditor said were expected to continue because of the organization’s small size. Committee members asked about out-of-state board addresses, and the association explained those members were North Dakota residents using South Dakota mailing addresses. Several audits did include findings. The Council on the Arts audit identified two issues: payroll charged to federal awards without supporting time records, and $12,825 in Cultural Endowment Fund spending that was not allowable under state law, including staff training, retreats, and executive director candidate travel. The Department of Public Instruction audit found unsupported scholarship applications in the paraprofessional-to-teacher program, but additional testing confirmed the funds were credited properly and students completed required school district work, so no improper payments were identified. The University of North Dakota audit found a lack of documentation and transparency in School of Law admissions decisions; the auditor said the law school used a holistic process but did not keep notes or evaluation tools to show why applicants were admitted, waitlisted, or denied. UND leadership said the school is in good standing with the American Bar Association and agreed better documentation is needed, and the auditor said the issue was the missing documentation, not ABA accreditation itself. The most extensive discussion centered on the North Dakota Racing Commission audit, which found four findings: overspending the promotion fund’s 25% operating cap, grant conditions not being met, improper breeder fund awards, and improper procurement. The auditor said promotion fund spending exceeded the cap by $327,447 and the fund balance dropped sharply over the audit period. Racing Commission director Bruce Johnson said the agency had become complacent, that grant requests were treated as routine, and that controls and documentation need to be tightened. He also explained that the breeder fund overpayments involved two horses whose ownership transfers were not properly documented before racing, and that the procurement issue stemmed from an advertising contract that proceeded without proper written procurement procedures after a misunderstanding with the State Procurement Office. The auditor said the Racing Commission will now be audited every two years because of the findings. The committee also received updates on Dakota College at Bottineau’s bank reconciliations, which Minot State University said had been brought current after an 18-month backlog, with only one account still needing cleanup; members asked for a written report on the corrective actions. The North Dakota Fair Foundation was reported to have dissolved, with remaining funds transferred to another nonprofit account for continued support of the state fair. Finally, the Department of Public Instruction provided an update on school meal debt, revising the earlier estimate to about $1.1 million based on incomplete district survey responses, and said the Anti-Lunch Shaming law likely increased meal debt because schools must feed students regardless of account balance. Members discussed the need for a more accurate year-end debt figure and possible future reporting at a later committee meeting.

Transcript Highlights:

• This evaluation needs to be comprehensive to look at all areas of need for a student.
• initial special education evaluation initial special education evaluation this<00:14:56.160>
• evaluation<00:14:56.839> needs<00:14:57.079> to<00:14:57.240> be this evaluation
• <00:15:35.720> also evaluation uh a re-evaluation is also evaluation uh a re-evaluation is
• education services the re-evaluations education services the re-evaluations don't<00:15:55.279><

Keywords: 1187, senate, all

Transcript Highlights:

• From that, MnDOT has a list of projects and goes through an evaluation and scoring process.
• From that, MnDOT has a list of projects and goes through an evaluation and scoring process.
• other report there's a an evaluation other report there's a an evaluation that<00:13:54.040>
• <00:36:13.119> and counties uh would you know evaluate and counties uh would you know evaluate
• complete and then we can evaluate complete and then we can evaluate whether<01:04:06.960> Blue

Keywords: 1183, house

Transcript Highlights:

• Three specific kinds of evaluations are required.
• <00:05:20.080> visits<00:05:21.080> three home care care evaluation visits three home
• care care evaluation visits three specific<00:05:21.960> kinds<00:05:22.199> of<00:05:
• 22.400> evaluations<00:05:23.039> are specific kinds of evaluations are specific kinds
• Hours, expecting providers to cover the cost of the mandated evaluation visits adds to the challenge

Bills: HF729, HF728

Keywords: human services, provider enrollment, medical assistance, healthcare, housing stabilization, substance use disorder, vulnerable adults, fraud prevention, respite care, children, licensed settings, home and community-based services, 1183, house

Transcript Highlights:

• The review of existing data then the evaluation process.
• I'm only dealing with what's available through this evaluation process.
• No, the district is responsible and obligated to do the evaluation.
• The evaluation applies equally; there's no difference in the way these students are evaluated than any
• The evaluations on all the children, no matter what their ultimate school becomes, is all the same.

Bills: SR44, HCR1027, SJR50, SJR52, SJR53, HB1185, HB1937, HB2035, HB2137, HB2166, HB3148, HB3323, HB3466, HB3498, HB3661, HB3678, HB3710, HB3977, HB3986, HB4104, HB4108, HB4142, HB4191, HB4274, HB4275, HB4322, HB4336, HB4484, HB3880, HB1687, HB3673, HB1170, HB2959, HB3718, HB3021, HB3443, HB3501, HB4143, HB4326, HB2992, HB3660, SB171, SB1325, SB1980, SB2045, HB4422, HB4423

Keywords: Medicaid, federal funding, state law, healthcare, low-income adults, Oklahoma Constitution, Oklahoma Health Care Authority, OHCA, health care rules, administrative rules, major rule, Title 75, Title 317, Oklahoma Administrative Code, OAC 317:30, health policy, state health programs, provider regulations, benefits administration, rule approval

Transcript Highlights:

• Public school districts are responsible for evaluation.
• They do have to do the IEPs, but the evaluations fall on the public schools.
• Despite this, the district failed to properly evaluate him.
• Our family paid out of pocket for a private psychological evaluation.
• The evaluation was completed in a whole two days.

Transcript Highlights:

• The need for forensic medical evaluations in criminal and civil commitment cases has really surged in
• The need for forensic medical evaluations in criminal and civil commitment cases has really surged in
• The need for forensic medical evaluations in criminal and civil commitment cases has really surged in
• The need for forensic medical evaluations in criminal and civil commitment cases has really surged in
• so we are seeking 7.2 evaluations so we are seeking 7.2 million<00:20:10.000> in<00:20:10.200

Keywords: 1183, house

Summary: The House Judiciary Finance and Civil Law Committee heard a presentation from State Court Administrator Jeff Shorba on the Minnesota judicial branch’s 2026-27 budget request. He outlined the courts’ structure and workload, noting 322 judges, about 2,800 staff, roughly 1 million district court cases annually, and a current budget of about $479 million. Shorba emphasized the courts’ constitutional role, the fact that court fines and fees are deposited into the general fund rather than retained by the branch, and recent legislative investments that helped reduce pandemic-era backlogs, improve technology, sustain treatment courts, and raise interpreter and examiner pay. The budget request focused on several areas: a 6% judicial salary increase to address recruitment and retention problems, including a 15% rise in turnover and a 27% drop in applicants since 2020; funding for health care and office lease cost increases; digital accessibility compliance work required by new federal ADA rules; a modernized justice partner access system for court records; higher pay for forensic psychological examiners, whose workload has risen sharply; increased juror compensation from $20 to $100 per day and mileage adjustments; and ongoing funding for interpreters, jury services, and cybersecurity. Shorba said the total request would be a 12% increase over the FY 2026-27 base budget. Members asked follow-up questions about funding for newly launched treatment courts and how those courts are financed after federal grants expire. Shorba said he would provide more detail later and noted the branch generally starts treatment courts with federal funding before seeking state support. Representative Ric also asked about labor negotiations, and Shorba explained that the judicial branch negotiates its own contracts rather than using the executive branch, with three unions involved and many unrepresented employees. No votes or formal actions were taken during the discussion.

Transcript Highlights:

• My psychological evaluation was done with a psychological evaluator.
• My psychological evaluation was done with a psychological evaluator.
• evaluation?
• My psychological evaluation was done with a psychological evaluator.
• evaluation?

Bills: HB2047, HB2136, HB2198, HB2411, HB2662, HB2966, HB2970

Keywords: forcible entry, detainer, writ of restitution, criminal trespass, judgment enforcement, civil terrorism, disorderly conduct, vandalism, political activism, public order, subversion, government security, criminal records, sealing records, civil rights, expungement, rehabilitation, coerced abortion, abortion-inducing drugs, felony

Summary: The committee heard several bills dealing with criminal penalties, probation, record sealing, fraud jurisdiction, reproductive coercion, and family court evidence. HB 2047 would elevate trespass after service of a writ of restitution from third-degree to first-degree criminal trespass; supporters, including the Arizona Constables Association, said the current misdemeanor classification leads law enforcement to deprioritize unsafe eviction-related situations. The bill passed with a do pass recommendation on a 6-2 vote. HB 2136 would create offenses for civil terrorism and subversion, expand racketeering predicates, and increase penalties for certain coordinated disorderly conduct and highway obstruction; supporters said it targets organized intimidation and violent disruption, while opponents from the ACLU and immigrant-rights groups argued it is vague, viewpoint-discriminatory, and would chill protest. After extensive debate over January 6th, ICE protests, and Arizona protest examples, it also received a do pass recommendation, 6-3. HB 2970 would clarify that Arizona can prosecute fraudulent schemes and artifice even if every act occurred outside a single county or subdivision, so long as there is an Arizona nexus. The sponsor said local law enforcement and the FBI often decline smaller mortgage-fraud cases because the bank is out of state; opponents said existing law already provides jurisdiction and warned of forum shopping. The bill passed 6-3. HB 2411 would make secretly administering abortion-inducing drugs to a pregnant woman without her knowledge or consent a class 2 felony; supporters framed it as a protection against coercion and abuse, while opponents said existing assault laws already cover the conduct and warned about unintended effects on access to miscarriage care. It also passed 6-3. HB 2198 would allow people convicted of petty offenses to petition to seal their records immediately after completing their sentence. Supporters described it as a cleanup measure to extend sealing relief to minor offenses like truancy or low-level misdemeanors, and the bill passed unanimously. HB 2966 would prohibit early termination of probation for people convicted of dangerous crimes against children; the sponsor argued that child victims should not have to repeatedly return to court, while opponents raised ex post facto concerns, juvenile-offender issues, and resource burdens. After testimony from victims, defense advocates, and the Maricopa County Attorney’s Office, it passed 5-4. Finally, HB 2662 would tighten expert-evidence standards in parenting-time cases involving alleged domestic violence or abuse by requiring qualified experts, empirically supported methods, and excluding polygraph-type evidence; the sponsor and a domestic violence advocate said it would reduce reliance on junk science in family court.

Transcript Highlights:

• document and maintain the factors that were evaluated for each applicant.
• Again, evaluate the organization, identify.
• And every step of that progress will have to be evaluated: is it working?
• My job is to go out and evaluate, review, assess, verify.
• We’re always evaluating our Century Code, our chapter 54-10.

Keywords: 908, all

Transcript Highlights:

• If they don’t stabilize, I evaluate the person, sorry, evaluate if the person needs a higher level of
• During that time, I evaluated and treated more than a thousand patients across all of those units.
• As far as requesting independent medical evaluations, I certainly support the process.
• As the bill specifies a request for an independent medical evaluation, Process.
• Then there are often delays in getting the independent medical evaluation.

Keywords: 995, all

Summary: The committee held its fourth public hearing of the 2025-2026 session on bills dealing with involuntary commitment and access to addiction treatment, especially proposals to move Section 35 civil commitments away from jails and prisons and into facilities licensed or approved by DPH or DMH. Chairs Velis and Domb framed the hearing as a discussion of how to support people in crisis with compassion, while also warning against using involuntary commitment as a way to remove unhoused people from public view. The hearing also touched on related concerns about discharge practices, treatment capacity, and the need for a broader continuum of care. Testimony split largely along two themes. Addiction researcher Keith Humphreys argued that many people enter treatment under pressure, that involuntary treatment can be ethically justified in the face of overdose risk, but that it should not be mandated unless high-quality services exist first; he emphasized the need for inpatient care when someone is a grave danger, followed by case management and outpatient support. MAMH’s Kate Alicante supported the bill, saying Massachusetts is the only state that commits people with substance use conditions to jails or prisons and that carceral settings add trauma and stigma; she pointed to prior legislative steps, including the Section 35 commission and the planned closure of DOC’s MESAC facility, as evidence that the Commonwealth is moving toward health-based settings. A major portion of the hearing focused on Stony Brook, a sheriff-run stabilization and treatment center in Hampden County. Boston City Councilor John Fitzgerald, several committee members, and multiple people in recovery described the facility as humane, well-run, and effective, with longer stays, medical monitoring, medication-assisted treatment, counseling, and warm handoffs to aftercare. Several witnesses said Stony Brook saved their lives or helped family members recover, and they argued that the sheriff’s office model should be expanded rather than eliminated. Others, including family members and advocates, countered that even a well-run correctional setting remains stigmatizing and that people should not be treated in facilities run by sheriffs or corrections when they have committed no crime. No vote was taken. The hearing concluded with continued testimony, including Senator Friedman’s support for Section 35 as a civil commitment tool but not in a criminal justice setting, and her separate support for a bill to speed inpatient mental health treatment.

Transcript Highlights:

• We get a referral from the provider, but the evaluation goes through a multidisciplinary team.
• , imaging, and psychosocial evaluation.
• to be expanding into evaluating them for liver and heart transplant as well. and are evaluated in the
• to be expanding into evaluating them for liver and heart transplant as well.
• And we are going to be expanding into evaluating them for liver and heart transplant as well.

Summary: The committee met to hear introductory briefings from the Department of Health and the Health Care Authority on agency priorities, federal changes, and implementation challenges. Secretary of Health Dennis Worsham said his department’s listening tour is focused on strengthening governmental public health, improving health care quality and access, and responding to federal funding disruptions and the shutdown’s effects on programs such as WIC. HCA Director Ryan Moran said the agency is prioritizing coverage preservation, oversight of major contracts, affordability, behavioral health integration, rural health transformation, and internal agency operations. Members asked about licensure delays; Worsham said the backlog had been reduced from about four months to six weeks and should be caught up by January 1, with possible further process changes if needed. A major portion of the meeting focused on H.R. 1 and its Medicaid-related implementation. Governor’s health policy advisor Caitlin Stafford, HCA staff, and interim Medicaid Director Trinity Wilson said the state is working with DSHS, the Health Benefit Exchange, tribes, and other partners to prepare for eligibility changes, work requirements, and six-month redeterminations. They said the state expects up to 30,000 Apple Health enrollees could lose coverage under the law’s non-citizen eligibility changes, and that the work requirement/redetermination provisions could affect about 620,000 adults, with roughly 80,000 also enrolled in SNAP. HCA said it hopes to automate most verification, but about 15% to 20% of cases may require manual review, with technology costs estimated at up to $30 million. Staff also said they are trying to keep H.R. 1 implementation mostly in budget language rather than statute, and that communication and navigator support will be important to minimize confusion and coverage loss. The committee also received an update on the Rural Health Transformation Program created in H.R. 1. HCA said Washington submitted its application to CMS on November 5 after extensive stakeholder engagement, including more than 310 written comments, webinars, and tribal consultation. The application centers on six initiatives: rural hospital innovation, community care and prevention, tribal investments, technology and data, workforce development, and rural behavioral health. HCA said the state is likely to receive less than the full $200 million annual amount assumed in the federal program, and that an advisory committee may be created to help guide spending over the five-year program. Members asked about palliative care, small business impacts, and communication with enrollees; HCA said it expects to share outreach toolkits and that no 2026 statutory changes are currently anticipated, though that could change. The final panels covered organ donation and transplant services. Department of Health staff explained the 2023 “Lights and Sirens” law for organ transport vehicles, including licensing, driver qualifications, insurance requirements, and use of emergency lanes and traffic preemption; the department said one company is currently licensed and there have been no complaints. LifeCenter Northwest described the organ procurement process, the legal framework under the Uniform Anatomical Gift Act, and the rarity and complexity of deceased donation, noting Washington has seen strong growth in donation and transplants over the past decade. University of Washington Medical Center staff then outlined its transplant programs for kidney, liver, heart, lung, pancreas, and multi-organ transplants, describing the multidisciplinary evaluation and waitlist process and the coordination required with donor organizations and hospitals.