Video & Transcript : 'P3 contract' :

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MO

Missouri 2026 Regular Session

Commerce Apr 15th, 2026 at 08:00 am

Commerce

Transcript Highlights:
  • We'll just make a contract.
  • Are they bound by contracts or some other distributor?
  • Contracts or some other distributor? You mentioned the three-tier system.
  • Is there any contract or law in place that prevents them from doing that?
  • The problem is either the contracts or the laws that are being in place.
CA

California 2025-2026 Regular Session

Senate Governmental Organization Committee Apr 14th, 2026

Governmental Organization

Transcript Highlights:
  • SB 1171 would make any private entity that contracts with U.S.
  • SB 1171 is very simple: it makes any private entity that contracts with ICE ineligible for state-funded
  • are the kind of problematic contracts that everyone is focused on, but they do work with ICE.
  • And would there be a way for companies that were previously contracted with ICE to become eligible again
  • Specifically, a state agency may award an advertising or marketing contract of a specified amount to
MO

Missouri 2026 Regular Session

Local Government Mar 25th, 2026

Local Government, Elections and Pensions

Transcript Highlights:
  • You know, so, okay, you have a contract with, We have Mercy Care in my area.
  • You know, so, okay, you have a contract with Mercy.
  • How difficult is the MOU contract process? Because is that what they're circumventing?
  • Take that away, and then the bigger providers could get those contracts all day. Okay.
  • But if you have a contract with a corporation, you get to circumvent the law.
Summary: The committee first met in executive session and unanimously voted Senate Substitute for Senate Bill 914 and House Committee Substitute for House Bill 3467 due pass. HB 3467 was amended before passage; the sponsor said the changes clarified that any tax authority would apply only if a tax change is actually approved, corrected county/city references, and fixed ballot-language issues involving sheltered workshops. Members generally praised the sponsor’s work, though one member noted concern about shifting more burden to sales taxes. The main public hearing was on H.J.R. 107, which would place before voters a constitutional question allowing Jackson County to consider separating Kansas City from the county or otherwise altering its charter government. Sponsor Rep. Steinmeyer argued the measure was about voter sovereignty and local control, citing prior Jackson County ballot measures and saying entrenched local power had blocked reform. Supporters echoed that Jackson County residents were frustrated with representation, taxes, and county governance. Opponents, including Kansas City and chamber representatives, argued the proposal was unnecessary, costly, procedurally unclear, and potentially destabilizing; several members also questioned the 10-year resubmission clause, the exclusion of local officials from the transition process, and the statewide fiscal impact. No action was taken on the resolution during the hearing. The committee then heard Senate Substitute for Senate Bill 975, dealing with ambulance district mergers and community paramedic/mobile integrated health services. Senator Black and supporters said the bill would help struggling rural ambulance districts merge without disrupting billing, contracts, or service, and would expand community paramedic care for low-acuity patients and hospital-at-home models. Several witnesses from ambulance and fire districts described successful programs and said the bill would improve patient care and help rural areas. Opponents, including ambulance and fire district representatives, supported the merger provisions but objected to Senate-added language they said would let districts provide community paramedic services across jurisdictional lines without memorandums of understanding, undermining local control and negotiating power. The hearing ended with testimony still ongoing after a recess for floor session; no vote on SB 975 was reported in the transcript.
AZ

Arizona 2026 Regular Session

01/13/2026 - House Commerce

House Commerce Committee of Reference

Transcript Highlights:
  • peer support and recovery... ...awarded the state of Arizona's first-ever contract for peer support
  • The audit was conducted by an independent firm, Walker and Armstrong, under contract with our office.
  • Chair, the office's contract with Walker and Armstrong was under contract with our office, so the Office
  • Chair so the office the contract with Walker and Armstrong was under contract with our office so the
  • This audit was conducted by an independent CPA firm, Walker and Armstrong, under contract.
Summary: The committee met as the House Commerce Committee of Reference to hear sunset reviews and a performance audit covering the Department of Gaming, the Racing Commission, the Boxing and MMA Commission, the Barbering and Cosmetology Board, and the Arizona Sports and Tourism Authority. The Auditor General reported that the Department of Gaming and the two commissions generally met some statutory duties, but identified major issues: the department had not consistently reviewed independent audit reports for event wagering and fantasy sports operators, had disclosure and conflict-of-interest compliance gaps, lacked comprehensive complaint-handling processes, and was late distributing some compact trust fund payments to tribes. The Racing Commission needed better public records procedures, and the Boxing and MMA Commission had licensing and fee-setting issues. The department and commissions said they agreed with the findings and were implementing recommendations, with the department noting it had already begun look-back reviews, updated guidance, and additional staffing. Members also discussed consumer protection, illegal gambling, prediction markets, and whether out-of-state enforcement actions should affect Arizona licenses; the department said it would evaluate such matters case by case and generally wait for final adjudication or final regulatory action before acting. The committee then voted to recommend continuation of the Department of Gaming for two years until July 1, 2028, the Racing Commission for six years until July 1, 2032, and the Boxing and MMA Commission for six years until July 1, 2032. The Department of Gaming motion passed 7-4, the Racing Commission motion passed 10-1, and the Boxing and MMA Commission motion passed unanimously. The committee next heard the Barbering and Cosmetology Board audit. The Auditor General said the board timely processed many applications and complaints and had adopted curriculum rules, but it failed to enforce disciplinary guidelines consistently, sometimes issuing different sanctions for similar violations without documenting why it deviated from policy. The audit also found problems with reciprocity education requirements, application review quality control, inspections, open meeting and public records compliance, conflict-of-interest processes, fee-setting, and statutory clarity on scope of practice and training requirements. The board said it agreed with the findings, had already updated disciplinary parameters and documentation policies, and was working on the remaining recommendations and possible legislation. The committee then voted to continue the board for six years until July 1, 2032, and the motion passed unanimously. At the end of the meeting, the committee began hearing the Arizona Sports and Tourism Authority performance audit, but the transcript provided cuts off before that presentation was completed or any action was taken.
NM

New Mexico 2025 Regular Session

IC - Legislative Finance Jun 26th, 2025

Transcript Highlights:
  • Um, contract amounts aligned with RFPs does not equal a lack of negotiation.
  • The next item under tab P for Paul are the professional services contracts.
  • This is a contract, uh, where we had, is a joint contract with uh TRD and the Department of Transportation
  • So this is a very important contract for us to, to get into place.
  • Uh, there's non-defense contracts. Um, there are defense contracts.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Health Care Financing Jun 21st, 2026 at 11:00 am

Joint Committee on Health Care Financing

Transcript Highlights:
  • Just over a week ago, CIR made history by securing the first union contract ever for the residents and
  • Our union contract is the first ever union contract inside of Mass General Hospital, and that is not
  • And they sign contracts. Yes. Correct? And you negotiate that, right?
  • Clearly there's a contract, there's negotiation going back and forth, right?
  • with payers, then they cancel those contracts and submit bills as out-of-network providers.
Summary: The Joint Committee on Health Care Financing held a public hearing on a broad set of health care bills focused on cost, market oversight, pharmaceutical access, transparency, hospital closures, and pharmacy access. Chairs John Lawn and Cindy Friedman opened by emphasizing recent health care reforms and the need for further action on the drug supply chain, PBMs, private equity, and affordability. The committee heard testimony on several measures, including a Betsy Lehman Center bill to make technical changes and create a permanent trust account for federal and private funding, and bills on hospital profits and fairness, hospital closures and health planning, pharmacy deserts, and health care market oversight and pharmaceutical access. No votes were taken during the hearing. On the hospital profits bill, physicians and labor advocates strongly supported capping hospital CEO compensation at 50 times the lowest-paid worker, requiring greater financial transparency, and directing penalties from high-margin public hospitals into a Medicaid reimbursement fund. Testifiers argued that executive pay is excessive while frontline staff and safety-net services are under strain. Committee members raised concerns about unintended consequences, including whether hospitals might shift workers to contract status or lose executive talent, and whether the bill would actually direct money to the safety net. Supporters responded that the measure is one piece of a larger effort and that the bill’s Medicaid reimbursement provisions would help underserved hospitals. Testimony on market oversight and pharmaceutical access centered on rising health care and drug costs, PBM practices, and the proposal to give the Health Policy Commission authority to set upper payment limits for certain drugs. Consumer advocates, disability advocates, an independent pharmacist, the Attorney General’s office, and others supported stronger oversight, citing premium increases, affordability problems, and the impact of high drug prices on patients and community pharmacies. Pharma and some industry witnesses opposed parts of the bill, warning that upper payment limits could disrupt access, create legal issues, and fail to address the broader supply chain. The committee also heard support for stronger hospital closure notice and public hearing requirements, and for a pharmacy deserts bill aimed at identifying and addressing closures like the one in Roxbury that affected thousands of patients.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Labor and Workforce Development Jun 21st, 2026 at 10:00 am

Joint Committee on Labor and Workforce Development

Transcript Highlights:
  • , the contract is rendered unenforceable at times, and at best severely weakened.
  • The most, probably the most recent and the most frustrating one is in our contract, there's a provision
  • So we very likely had to give something up to have that language included in our contract, right?
  • And in spite of having done so and communicating our ratification of that contract on the 6th of March
  • Your embarrassment and unseemly delays in getting these contracts funded, once the General Court has
Summary: The hearing opened with the co-chairs introducing House and Senate members and explaining the hybrid format, three-minute testimony guidance, and the deadline for written testimony. The committee then heard extensive testimony on S. 2665, which would require employers to post notice to employees when an I-9 audit or similar federal immigration inspection is underway. Supporters, including immigration attorneys, a pediatrician, a labor leader, and an affected family member, argued the bill would protect privacy, give workers time to gather documents and consult counsel, and reduce fear and wrongful arrests. One witness from Illinois described a similar law there and said it had not caused the problems employers feared, while others said recent ICE enforcement has made notice especially important. The committee also heard testimony on S. 1360, a bill affecting collective bargaining rights for State Police, with the State Police Association arguing that a statutory gap lets departmental rules override their contract and that the bill would restore intended bargaining protections. A separate labor bill, S. 1305, was also briefly supported by the AFL-CIO as part of broader worker-classification protections for app-based delivery drivers. A large portion of the hearing focused on H. 2066, which would impose fines on transportation network drivers who refuse rides to people with disabilities using service animals. Testimony from blind and disabled riders, service dog users, advocates, and the Disability Law Center described repeated ride cancellations, drivers pulling away after seeing a service animal, and the difficulty of enforcing existing anti-discrimination laws through MCAD or other agencies. Witnesses said the current system leaves riders without practical recourse because drivers are hard to identify and complaints can take years, and they argued that fines on individual drivers would create a real deterrent. Several witnesses also described the impact on employment, medical appointments, and daily independence. Committee members asked about service-animal verification, whether refusals are ever appropriate, and whether penalties should target drivers or companies; witnesses said legitimate refusals are limited to misbehaving or unsafe animals and that companies already have policies and some training, but enforcement remains weak. The committee also heard from a witness supporting a related bill on rideshare accessibility and from advocates describing broader transportation discrimination issues. One witness discussed a separate proposal to study service-animal denial, and others noted that Uber’s self-identification feature and company policies have not solved the problem. No votes were taken during the hearing, and the meeting ended after the final witnesses on the service-animal bill and a brief organizational discussion about related legislation and committee business.
MO

Missouri 2026 Regular Session

Commerce Apr 15th, 2026

Commerce, Consumer Protection, Energy and the Environment

Transcript Highlights:
  • Our Missouri license offices operate under contracts that are awarded through a competitive bidding process
  • So Senate Bill 1020 authorizes the Department of Revenue to enter into a contract without rebidding when
  • We'll just make a contract.
  • Are they bound by contracts or some other distributor? You mentioned the three-tier.
  • Is there any contract or law in place that prevents them from doing that?
Summary: The Commerce Committee first heard Senate Bill 1020, which would let the Department of Revenue award a Missouri license office contract without rebidding if no qualifying bids are received on the initial solicitation. Senator Sandy Crawford and Director of Revenue Trish Vincent said the change would help keep rural license offices open, reduce repeated bidding delays, and allow the department to work with local entities such as chambers, counties, or cities when smaller offices are hard to staff profitably. Members asked about the process, the challenges in low-volume communities, and whether more online services could eventually reduce the need for offices; no opposition testified, and the hearing concluded without a vote. The committee then took up House Bill 3093, which would extend Missouri’s direct-to-consumer shipping framework from wineries to distillers and breweries. Sponsor Rep. Nick Kimball and many supporters argued the bill would create parity for Missouri craft producers, preserve age-verification and signature requirements, and keep tax collection and other safeguards in place. Supporters included distillers and brewers who said the current system favors wine, limits small Missouri businesses, and makes it harder to reach customers who want products shipped after visiting a taproom or distillery. Several members also raised questions about enforcement, the three-tier system, and whether the bill could be narrowed or paired with other changes. Opponents, including representatives of wholesalers, grocers, convenience stores, and beer wholesalers, argued the bill would weaken the three-tier system, increase competition from out-of-state producers, and create enforcement and tax-collection problems. They said wine shipping has shown compliance and auditing difficulties, cited concerns about underage access and online ordering, and urged the committee to preserve the existing distribution structure or strengthen wine-shipping rules before expanding them. Supporters countered that alcohol shipments are already tightly regulated, that direct shipping is already occurring in other forms, and that the bill would simply add another regulated avenue for Missouri-made beer and spirits. The hearing ended after extensive testimony and questions, with no final committee action reported in the transcript.
LA

Louisiana 2026 Regular Session

Civil Law and Procedure Mar 30th, 2026

Civil Law and Procedure

Transcript Highlights:
  • Members, this bill protects minors online by prohibiting interactive computer services that contract
  • It provides relative to construction contracts. Representative Reiser on your bill.
  • But for professional designers, being engineers and architects, it can be put in the contract that it
  • We're trying to make the design professional contracts the same as construction contractor contracts.
  • contracts, which are already that way.
Summary: The committee first took up House Bill 718, which would limit liability for landowners who allow free use of private property for aeronautical activities at non-public airports. The author said the bill was modeled on Arkansas law and was intended to help private airstrips. After brief questions about fees and the effective date, the bill was reported favorably without objection. House Bill 134, dealing with material harmful to minors online, was then amended to clarify that interactive computer services may not deliver harmful material to minor accounts they created, while removing algorithm restrictions and cure language; it was reported as amended. House Bill 410, which would require notification before recording direct in-person conversations, drew substantial testimony. The author said the bill was aimed at privacy concerns raised by wearable AI devices and hidden recording tools, and the adopted amendments changed the measure from consent to notification and added exceptions for first responders, evidence preservation, civil or administrative proceedings, criminal matters, and recordings in one’s own residence. Supporters said the bill protected ordinary people from secret recordings, while opponents warned it could chill family-law recordings, citizen journalism, HOA disputes, and other legitimate uses. The bill was ultimately reported as amended. House Bill 318, which would reduce the presumption of paternity period from 300 days to 150 days, was heavily criticized by family-law practitioners and a law professor who said the current 300-day rule tracks gestation and that shortening it would shift burdens onto mothers; the author then voluntarily deferred the bill. A companion study resolution, HCR 19, directing the Louisiana State Law Institute to study the presumption of parentage, was reported favorably. The committee also heard House Bill 970 on competing custody orders. The author described cases where different courts issued conflicting custody rulings for the same child, but judges and attorneys raised concerns about the bill’s “earliest order controls” rule, its effect on out-of-state orders, protective orders, and the lack of a clear mechanism for judges to discover prior orders. After testimony from judges and committee discussion about possible fixes and a unified filing system, the bill was voluntarily deferred. House Bill 163, another private-airstrip liability bill, was reported favorably, and House Bill 170 and House Bill 194, both dealing with construction/design professional contracts and preemptive periods, were reported as amended or favorably after testimony that they would align design-professional rules with contractor rules and keep Louisiana projects under Louisiana law. House Bill 254, limiting acts of donation of motor vehicles to certain relatives and charities, was reported as amended after discussion about tax treatment and possible loopholes. Finally, the committee began House Bill 485, a proposed constitutional amendment declaring parental rights fundamental and subjecting government restrictions to strict scrutiny. Supporters argued it would protect parents’ authority over children’s upbringing, education, care, and control, while opponents said the language was overly broad and could complicate child welfare, public health, and school safety measures. The author said the amendment would not protect abuse or neglect and was meant to ensure government interference meets strict scrutiny, but the transcript cuts off before final action on the measure.
LA

Louisiana 2026 Regular Session

Civil Law and Procedure Mar 30th, 2026

Civil Law and Procedure

Transcript Highlights:
  • Members, this bill protects minors online by prohibiting interactive computer services that contract
  • It provides relative to construction contracts. Representative Reiser on your bill.
  • And because the contracts have said we're going to apply Texas law.
  • We're trying to make the design professional contracts the same as construction contractor contracts.
  • contracts, which are already that way.
Bills: HCR6 , HCR19 , HB81 , HB134 , HB154 , HB163 , HB170 , HB194 , HB254 , HB318 , HB410 , HB473 , HB485 , HB718 , HB970
AZ

Arizona 2026 Regular Session

01/27/2026 - House Commerce

Commerce

Transcript Highlights:
  • More importantly, the children are usually also contracted as well. Thank you.
  • More importantly, the children are usually also contracted as well.
  • to independent contracting situations or payments or royalties?
  • We have contracts with the National Park Service, Department of the Interior.
  • So each contract is good for 10 years.
WA

Washington 2025-2026 Regular Session

House Civil Rights & Judiciary Dec 5th, 2025

Transcript Highlights:
  • The first is with respect to the limited network of contract service providers.
  • The first is with respect to the limited network of contract service providers.
  • We also can contract directly with attorneys if a jurisdiction authorizes us to do that.
  • We also provide contracted social workers to public defense teams.
  • We can also contract with attorneys, but we're not doing that. We can also contract with attorneys.
Summary: The work session began with a discussion of expanding opportunities in the legal profession, especially in response to shortages of lawyers in rural Washington and in public service roles. Washington State Bar Executive Director Tara Nevitt described a slowly growing but aging attorney population, noted that younger attorneys have declined, and outlined efforts such as supervised practice pathways to bar admission, reduced admission-by-motion experience requirements, expanded law clerk capacity, rural job fairs and grants, and a pilot program allowing innovative legal service delivery models. Members asked about bar passage score changes, loan repayment assistance, and the former Limited License Legal Technician program; Nevitt said the bar is monitoring other states and remains in dialogue with the court about paraprofessional licensing. Law school representatives from UW, Seattle University, and Gonzaga emphasized public service pipelines, financial barriers, and rural legal deserts, citing LRAPs, scholarships, stipends, clinics, and hybrid or regional programs designed to recruit and retain students in Washington. Seattle U highlighted its FlexJD and hybrid hub partnerships in underserved areas, while Gonzaga and UW reported substantial shares of graduates entering public service, though most still cluster in urban regions. The committee also heard from the Washington Association of Prosecuting Attorneys and the Office of Public Defense, both of which described severe recruitment and retention problems in rural counties, with vacancies, low applicant pools, and the need for higher salaries, housing help, internships, and loan support. The Office of Public Defense said its internship and fellowship program, created by SB 5780, has already placed interns in rural counties and produced some commitments to return after graduation. The Washington State Bar’s law clerk program was also presented as a pathway that helps people train locally and remain in their communities, including by supporting succession for aging solo practitioners. The committee then shifted to family law and guardianship issues. On Title 26 guardian ad litem practice, presenters from Northwest Justice Project and private family law practice said GALs can play an important role but that training, oversight, and consistency remain major concerns, especially in domestic violence cases. They described problems such as inadequate training, bias, inconsistent recommendations, high fees, and lack of accountability, and suggested stronger, standardized training, more use of mental health professionals for custody evaluations, and better oversight mechanisms. Members asked about county practices, including rotation systems for GAL appointments and whether King County’s family court assessors provide a useful model. The discussion then moved to minor guardianships under the Uniform Guardianship Act. A Superior Court judge said the 2021 changes increased the need for court visitors and appointed counsel, but courts are struggling to find qualified attorneys and visitors, especially in rural areas. A former commissioner said most of the bill under discussion was technical cleanup to align prior amendments, though it would add some fiscal burdens. Administrative Office of the Courts staff reported that the statewide reimbursement program for UGA implementation has repeatedly run out of money earlier each year, with minor guardianship costs making up most of the expense. The Office of Public Guardianship then described rapid growth in demand for adult guardianship and less restrictive alternatives, noting that referrals and caseloads have risen sharply, but that the office is constrained by a shortage of certified professional guardians and low compensation levels. Finally, the committee began an update on Blake implementation from the Office of Civil Legal Aid, which funds civil legal services related to the decision, before the transcript cut off.
NH

New Hampshire 2025 Regular Session

Senate Ways and Means (03/05/2025)

Ways and Means

Transcript Highlights:
  • I think that we need to honor the contract that we have in place because that's the contract, whether
  • But, as I said, I believe in honoring the contract we have at hand, so I will support it.
  • that we have in place because contract that we have in place because that's<00:28:19.640><c> the</c>
  • <00:28:19.760><c> contract</c><00:28:20.120><c> whether</c><00:28:20.279><c> it</c><00:28:20.360><c>
  • that has been made with these contract that has been made with these with<00:28:23.679><c> these</c>
KY
Transcript Highlights:
  • I only want to do a motion on a bill because I'm hoping I'll get my contract pretty soon.
  • I know under the Major League Baseball Players Association there's a minimum contract that major leaguers
  • Is there a minimum contract that minor leaguers who play professional baseball have as a salary?
  • </c> Association there's a minimum contract Association there's a minimum contract that<00:04:57.840>
  • have been exhausted provider contracts have been exhausted the<00:14:08.920><c> executive</c><00:14:
Summary: The Senate Committee for Economic Development, Tourism, and Labor heard two bills. Senate Bill 15, sponsored by Sen. Amanda Bledsoe, was presented with testimony from Major League Baseball in support of exempting minor league baseball players from Kentucky wage-and-hour treatment. Witnesses said the bill would preserve the negotiated collective bargaining structure for players, avoid impractical time-tracking requirements, and keep Kentucky aligned with other states. Senators discussed minor league salary levels, the importance of baseball to Kentucky communities, and the bill’s relationship to minimum wage law. The committee then took a roll call vote and passed the bill with unanimous support from members present. The committee next heard Senate Bill 103 from Sen. Danny Carroll, which would require the Office of Vocational Rehabilitation to adopt regulations under Chapter 13A, limit reciprocal agreements with other states until in-state provider contracts are exhausted, establish procedures for service fee memos before a new fiscal year, and require an annual report with operating and financial information. Testimony from community rehabilitation providers and disability advocates emphasized that the bill would increase transparency, protect local providers, and improve services for people with disabilities seeking competitive employment. They said Kentucky has a large disability population, that many working-age individuals with disabilities are not employed, and that better oversight could help address workforce shortages and reduce reliance on public assistance. Senators asked about the disability population, age ranges served, funding, and recent changes to provider rates and selection processes. The committee then voted to pass Senate Bill 103 unanimously.
WA

Washington 2025-2026 Regular Session

Senate Health & Long-Term Care Jul 30th, 2026

Transcript Highlights:
  • That is a federal deadline that we at the state have for contracts to be signed, so then funding can
  • So both of those organizations are contracted now.
  • The 29 sovereign tribal nations, we are in process of getting those all contracted separately.
  • We do have contracts with them.
  • So those are some of the Department of Health contracts that they are working on.
Summary: The Senate Health and Long-Term Care Committee met on July 30, 2026, to hear two main briefings. The first, from the Health Care Authority, focused on implementation of federal H.R. 1 Medicaid changes and Washington’s rural health transformation funding. HCA said the state is preparing for major eligibility changes, including the October 1 loss of Medicaid coverage for about 14,000 lawfully present non-citizens and January 1, 2027 work requirements, six-month renewals, and reduced retroactive coverage for roughly 600,000 Medicaid expansion adults. Officials described outreach efforts, new automated verification systems, a verification hub, and plans to use available data sources to reduce manual paperwork, while noting that about one-third of the affected population may still need manual processing. They also said H.R. 1 will limit state-directed payments over time, with an estimated long-term impact of up to $1.5 billion in hospital reimbursements. On rural health transformation, HCA said it is moving quickly to obligate its $181 million federal award through contracts and competitive grants for rural hospitals, workforce, behavioral health, technology, and tribal and community partners. Committee members asked about the impact on rural providers, community service as a work-requirement pathway, emergency Medicaid, tribal and federal reimbursement issues, and whether the state would submit comments on the federal work-requirement rule. HCA said it would file comments, that emergency Medicaid coverage for certain services remains available, and that it is working with tribes and other agencies to avoid erroneous terminations and to move eligible people into other coverage where possible. Members also raised concerns about the administrative burden on families and providers and the need for congressional attention on issues such as TRICARE reimbursement. The second briefing addressed maternal health and the Department of Health’s Maternal Mortality Review Panel report. DOH said maternal mortality in Washington increased for the first time in the report series, but most pregnancy-related deaths remain preventable. Nearly half were linked to behavioral health conditions, especially overdose deaths, with suicide, cardiovascular disease, and COVID-19 also significant causes; most deaths occurred postpartum rather than during delivery. The report found higher mortality rates among American Indian and Alaska Native, Black, Native Hawaiian, Pacific Islander, multiracial, rural, and Medicaid-covered populations, and identified lack of access to care, financial hardship, housing instability, discrimination, bias, and systemic inequities as major contributors. DOH highlighted existing state actions such as one-year postpartum coverage, doula reimbursement, inpatient substance use treatment coverage for birthing people, and vaccine coverage requirements, and offered 12 legislative recommendations focused on affordable and high-quality care, basic needs and community supports, and equitable, culturally responsive services. Presenters from the Suquamish Tribe and Kitsap OBGYN described how the tribe acquired and stabilized a threatened OB-GYN practice to preserve regional access amid provider shortages and hospital service losses. They said rural obstetric care is difficult to sustain because of thin margins, workforce shortages, long travel distances, and higher-risk patients, and emphasized that tribal health systems can offer stronger reimbursement and integrated family-centered care. The Foundation for Healthcare Quality and the Bree Collaborative then outlined statewide maternity-care quality efforts, including work on perinatal behavioral health, care coordination, postpartum screening, doula support, and better-aligned payment models. They said Washington has strengths in innovation but still needs more OB-GYN capacity, better transitions of care, and more culturally responsive, trauma-informed maternal and Native health services.
LA
Transcript Highlights:
  • We have already awarded three bridge maintenance IDIQ contracts.
  • The bridge maintenance contracts, I think you mentioned. Yes.
  • So before, you know, I guess it was a capital project for us to be able to contract with them.
  • First, about Act 678, Vice Chairman Fontenose's bill, IDIQ contract authority.
  • We’ve done the same thing on the general contracting side.”
Summary: The committee met for an information-only hearing with no votes or other action items. DOTD Secretary Glenn LaD and Deputy Secretary Beau Black gave an update on the department’s transformation efforts, focusing on faster project delivery, improved construction administration, and new technology. They said monthly contractor payment approvals have been reduced from roughly 35 days to 15 days or less, change orders from about 40-45 days to around five days, and that DOTD delivered 86% of its advertised projects in the last fiscal year. They also described new tools such as Headlight for field inspections, Smart PM for schedule tracking, Hall Hub for e-ticketing and work-zone mapping, and a pilot using advanced sensors on district vehicles to identify potholes, guardrail damage, and other asset issues. The department also outlined a district reorganization that replaces the area engineer model with dedicated district points of contact for construction, maintenance, and operations, with no increase in total staff. Members raised concerns about local maintenance issues, especially mowing, drainage, culverts, potholes, and communication with district offices. Several members asked for clearer coordination on jurisdictional questions, more frequent meetings with district administrators, and better public updates on long-running projects. LaD said DOTD would schedule follow-up meetings, use the coming customer service portal to track complaints, and improve public communication through project information officers, social media, and other outreach. Questions also covered contractor accountability, utility relocations, road transfer maps on the DOTD website, and whether maintenance work adjacent to capital projects should be handled by district crews or through new IDIQ contracts. The secretary also reviewed the Highway Priority Program process, saying DOTD will work between June and September to review projects not included in the prior program, explain why, and refine a five-year fiscally constrained plan before the fall road show. He said the department is using IDIQ authority to award bridge maintenance and other task-order work, and that this should help address a two-year bridge repair backlog. Members discussed whether current funding levels are enough to reduce the statewide backlog, and DOTD said the current program likely maintains rather than eliminates it absent new revenue. The hearing ended with a project-specific update that a barge struck the Black Bayou Pontoon Bridge that morning, causing significant damage; DOTD said divers and staff would inspect it and determine emergency repairs. After DOTD’s presentation, Archie Chesson of the Office of Louisiana Highway Construction gave a brief update on that office’s first year, describing its use of consultant pools, master service agreements, a public GIS map, and a data tool to prioritize rural road and bridge projects, with several early projects already completed or under construction.
AZ

Arizona 2026 Regular Session

03/25/2026 - Senate Health and Human Services

Senate Health and Human Services COR

Transcript Highlights:
  • provider referrals, and from reimbursing a non-contracting provider at a rate exceeding contracting
  • Contracted arrangements, prior authorization, and utilization management are precisely the tools that
  • the contracted arrangements that are central to Medicaid sustainable costs and member access to care
  • Banner, having a state contract to provide services to Access, also owns 51% of Sonora Quest.
  • The MCOs, including Banner, have threatened contracted providers with contract termination if they do
Summary: The committee approved the March 18 and 19 minutes and heard a presentation from the University of Arizona College of Medicine Phoenix on its new tuition-free, three-year regional medical school branch in Yuma. The presenter said the program is designed to address Arizona’s primary care shortage by training students in a high-need rural area, with 18 months in Phoenix and 18 months in Yuma, and members asked about residency placement, applicant eligibility, and whether students would be required to remain in rural Arizona after training. The program was described as open to applicants from in and out of state, with no post-graduation practice commitment, but with an emphasis on recruiting students already interested in rural care. The committee then heard several health and child welfare bills. HB 2923 would expand judicial review procedures for court-ordered mental health treatment, add timelines and counsel protections, and require clear and convincing evidence to continue treatment; supporters said it updates outdated 1970s law and preserves due process. HB 2434 would change the controlled substances prescription monitoring program by requiring updated patient utilization reports before opioid or benzodiazepine prescribing, tightening reporting rules, and replacing a task force with a compliance workgroup. HB 2035 would broaden kinship foster care to include extended family, strengthen sibling and family placement preferences, require written findings when kin placement is denied, and shift the standard from promoting to presuming kinship placement as in the child’s best interest; DCS said the policy largely matches current practice but raised an implementation concern about a report deadline before preliminary protective hearings. The committee also heard HB 2611, which would expand foster youth rights and safety protections in group homes, including anti-retaliation rules, drug-screening requirements for staff, and new safety rules for DCS and DHS; foster youth and group home staff testified in support, while DCS was neutral and noted possible fiscal and operational impacts. HB 2732 would continue the Arizona State Board of Pharmacy until 2032, and HB 2733 would make various pharmacy regulation changes, including medication delivery flexibility, continuing education timing, change-of-ownership permits, and wholesale distribution permitting. HB 2830, as amended, would require instruction on fetal and prenatal development and initially restricted abortion-provider materials in schools, but the amendment removed that prohibition; testimony split between supporters who framed it as educational and opponents who objected to its implications for reproductive rights. HB 2932, as amended, would require AHCCCS contractors to reimburse noncontracting providers for referred lab services and limit prior authorization and retaliation; health plans opposed it as a threat to managed care tools, while lab providers supported it as fair payment for covered services. Finally, HB 4004 would require DCS to investigate credible abuse or neglect reports even when one parent is considered protective, and to report annually on cases where it declined to intervene. Parents testified that abuse was minimized or left uninvestigated because of the “protective parent” concept, while supporters said the bill would close a dangerous gap. The committee also considered HB 2086, which would bar government and businesses from imposing mask or vaccination requirements, though an amendment removed the business prohibition; supporters framed it as bodily autonomy and opponents argued it would weaken public health protections. The committee voted to give do pass recommendations to HB 2035, HB 2086 as amended, HB 2434, HB 2611 as amended, HB 2732, HB 2733, HB 2830 as amended, HB 2923, HB 2932 as amended, and HB 4004, with recorded no votes on some measures, including opposition from members on HB 2086, HB 2830, HB 2932, and HB 4004.
AZ

Arizona 2026 Regular Session

03/25/2026 - Senate Health and Human Services

Health and Human Services

Transcript Highlights:
  • provider referrals, and from reimbursing a non-contracting provider at a rate exceeding contracting
  • Contracted arrangements, prior authorization, and utilization management are precisely the tools that
  • the contracted arrangements that are central to Medicaid sustainable costs and member access to care
  • Banner, having a state contract to provide services to AHCCCS, also owns 51% of Sonora Quest.
  • The MCOs, including Banner, have threatened contracted providers with contract termination if they do
ID

Idaho 2026 Regular Session

Legislative Session Day 58 Mar 10th, 2026

Idaho House Floor Meeting

Transcript Highlights:
  • If we can't hire them, we have to contract with them.
  • That's contracted. $70 an hour for a nurse.
  • These contracted fees are really hurting our school districts.
  • Or we must contract out for those services, and it's that contracting to where they enter the private
  • capacity, and those folks contracted are still getting a hundred dollars an hour.
WA

Washington 2025-2026 Regular Session

House Labor & Workplace Standards Jan 20th, 2026 at 10:30 am

Labor & Workplace Standards

Transcript Highlights:
  • House Bill 2472 relates to fire sprinkler system contracting and fitting.
  • It is just and right if we are able to have a contract.
  • We know, Families Unidas for Justice (FUJ), knows firsthand that contracts—union contracts—benefit both
  • Because those of us who have a collective contract know the difference between having a contract and
  • not having a contract.
Bills: HB2355 , HB2151 , HB2372 , HB2472 , HB2409