Transcript Highlights:

• Most have experienced too little system contact their entire lives, his government has much system contact
• We’re also opposed to the moratorium on electronic shelf label systems.
• Our system feels like more of a group of disconnected islands.
• Our system feels like more of a group of disconnected islands.
• Total payments made under the program for any fiscal year may not...

Bills: HB2675 , HB2681 , HB2714 , HB2688 , HB2481 , HB2116 , HB1408

Committee: House Appropriations

Keywords: accounts, finance, business regulation, transparency, audits, cannabis, license fees, regulatory framework, revenue generation, legalization, HB 2714, caseload forecasting, food assistance, SNAP, Supplemental Nutrition Assistance Program, state food assistance, budget forecasting, caseload forecast council, caseload forecast supervisor, Washington State

Transcript Highlights:

• It's the Luma finance system.
• so that supplemental payment available to hospitals.
• And just to comment, we'll spend more time on upper payment limit.
• payments as opposed to subgrants that go out.
• or claims payments.

Summary: JFAC began with a presentation from Legislative Services on the general fund and the “green sheet,” explaining how the committee tracks starting cash, revenue forecasts, transfers, appropriations, and ending balances. The analyst walked through general fund revenue sources, the difference between transfers and expenditures, structural balance, and how the green sheet is used to compare current-year collections against forecasts. Members asked about continuously appropriated funds, federal dollars, sales tax exemptions, and cash reconciliation issues tied to the state’s new Luma finance system and interest allocations. The discussion also covered the revenue monitor and how the committee can use it to track collections against forecasted amounts. The committee then moved into the Department of Health and Welfare’s overall budget overview. Legislative Services reviewed the department’s size, organizational structure, vacancy rate, five-year spending trends, and the role of continuously appropriated funds such as the Idaho Children’s Trust Fund and Rural Physician Fund. Members asked about personnel vacancy rates, reverted funds, and whether the department could provide a list of subgrants and trustee-and-benefit payments. Department officials explained that some vacancies reflected a department-wide review, hiring freeze, and FTP realignment, including moving positions to State Hospital South and reverting some federal spending authority. They also said the department was actively filling funded positions and would provide additional information on grants and other payments. The committee then heard the first division-level budget presentation for Indirect Support Services. The analyst described the division’s role in centralized administration, IT, legal, communications, and management support, along with its staffing, historical expenditures, and base budget changes. The division’s budget request included a one-time irrigation system project at State Hospital West, a fund adjustment for the background check unit, the transfer of 58 FTP and related costs to the Office of Information Technology as part of modernization, and a request to remove restrictive budget language on personnel and trustee-and-benefit transfers. The governor’s recommendation also included support for some replacement items and a major new item tied to Idaho’s Rural Health Transformation Program, including 12 limited-service FTP in 2026, ongoing FTP in 2027, and $294 million in one-time operating funds. Members questioned the need for the new FTP, the use of AI, the definition of “rural,” and the mechanics of the IT transfer; department and ITS officials explained the transfer was a budget shift of personnel and operating costs, not a net increase in staffing. The committee adjourned after members also raised broader concerns about public input on Health and Welfare budgets and suggested a joint public meeting with the Health and Welfare committees.

Transcript Highlights:

• I am pleased to present PCS for HB 175, Payment Stable Coin, to you today.
• more efficient, and create additional payment options.
• Another one: kids who are aging out of the foster care system.
• That's very important to me, and those kids who are aging out of the foster care system.
• We have a great university system.

Summary: The Insurance and Banking Subcommittee met to hear and vote on several bills, with all measures reported favorably. The first major item was PCS for HB 175 on payment stablecoins, which would create a Florida regulatory framework aligned with the federal GENIUS Act so issuers can choose state regulation instead of federal licensing. Members asked extensive questions about how stablecoins differ from other digital assets, whether Florida would need federal approval, and what impact the bill would have on the Office of Financial Regulation; the sponsor and OFR said the state framework would mirror federal standards and that any workload increase was currently indeterminate. The PCS passed unanimously after testimony from OFR and the Florida Blockchain Business Association in support. The committee then approved CS for HB 961, which streamlines electronic signature requirements for salvage titles and certificates of destruction, and HB 1415, a DFS stablecoin pilot program allowing certain stablecoins to be used for licensing and regulatory fees. HB 1415 was amended to remove authority for a Florida coin, limit the pilot to established stablecoins with at least $1 billion market cap, and require secure custody through a public depository or custodial bank. Members discussed how any interest or revenue would be used, with sponsors saying the pilot was still exploratory and intended mainly to cover program costs. Both bills passed favorably. HB 1039, establishing a state cryptocurrency reserve, also passed after a strike-all amendment moved administration of the reserve from the CFO’s office to the State Board of Administration and tightened eligibility to cryptocurrencies with a $100 billion market cap over the prior 12 months. Supporters argued the bill would create a framework for future diversification and investment in established digital assets, while several members raised concerns about volatility, reporting frequency, and the meaning of new terms such as qualified liquidity provider and secure custody solution. The committee also passed CS for HB 951 on penny rounding for cash transactions, with an amendment clarifying cash transaction definitions and treating money orders and gift cards like credit-card transactions for rounding purposes.

Transcript Highlights:

• Senate File 1599 relates to the mobile crisis system and services that we have in Minnesota.
• They may ask for the co-payment, but they do not charge an individual for the full cost.
• They may ask for the co-payment, but they do not charge an individual for the full cost.
• They may ask for the co-payment, but they do not charge an individual for the full cost.
• They may ask for the co-payment, but they do not charge an individual for the full cost.

Committee: Senate Health and Human Services

Transcript Highlights:

• </c> about reducing the payment error rate. about reducing the payment error rate.
• </c> payment error rate lower than 6%. payment error rate lower than 6%.
• Our system is outdated. But folks in 2013 Minnesota, we had a 4% error rate using the same system.
• Our system is outdated. But folks in 2013 Minnesota, we had a 4% error rate using the same system.
• Our system is outdated. But folks in 2013 Minnesota, we had a 4% error rate using the same system.

Bills: HF3831 , HF3603 , HF1900 , HF495 , HF3750 , HF4316 , HF2136 , HF4384

Committee: House Children and Families Finance and Policy

Transcript Highlights:

• Luckily, I was able to make the payment and sign the agreement after the payment was made, and my debt
• A terrible system.
• In reality, the current system is what creates those barriers.
• manage complications across organ systems.
• It's a systemic failure.

Summary: The committee heard a long agenda of bills, with members repeatedly noting the lack of quorum while testimony continued. AB 1693 by Assemblymember Zbur would streamline local permitting for retail tenant improvements by allowing qualified professional certifiers to review plans and requiring local action within set deadlines; the California Retailers Association supported the bill, citing lengthy permit delays, and there was no opposition. AB 2010 by Assemblymember Soria would expand access to high-volume spay and neuter services, including mobile clinics, to address pet overpopulation; supporters said it would improve access in rural and underserved areas, while opponents and the Veterinary Medical Board raised concerns about safety standards and asked for amendments. AB 2195 by Assemblymember Rodriguez would stop automatic occupational license suspensions for low-income parents behind on child support; supporters argued the policy is counterproductive and hurts earning capacity, while the California Child Support Association and others said license suspension is an effective enforcement tool that brings parents to the table. The committee also heard AB 2311 by Assemblymember Chiu, which would let public health care district hospitals directly employ physicians; supporters said it would improve recruitment and access to care, while medical groups warned about physician autonomy and institutional influence. AB 1796 by Assemblymember Jackson would create a licensure pathway for professional interior designers and add an interior designer to the California Architects Board; supporters framed it as a public safety and professional recognition measure, while opponents said it would create confusion, unnecessary regulation, and no demonstrated public harm. AB 1739 by Assemblymember Ward would make it a crime for clergy providing therapeutic services to engage in sexual contact with a counselee, closing a gap in existing law; it drew strong support from survivor advocates and no opposition. Finally, AB 2497 by Assemblymember Johnson began testimony on modernizing the physical therapy practice act, with the author noting committee amendments that removed imaging and other provisions, but the transcript cuts off before testimony or action on that bill was completed.

Transcript Highlights:

• There are many more examples that show that this accounting system is systemwide and systemic.
• So accompanies systemwide and systemic.
• There was an their fire alarm system.
• applying payments first to a money judgment.
• applying payments first to a money judgment.

Summary: The committee heard testimony on SB 2294, which would require condominium associations, boards, and managing agents to comply with declarations, bylaws, county ordinances, and state and federal laws, including mortgage lending requirements. The Community Associations Institute opposed the bill as redundant, arguing existing law already requires compliance and provides penalties. Supporters, including condominium owners and board members, said the measure would clarify that associations are not “self-governing” in a way that exempts them from outside laws, and cited examples where local officials or police told residents to take issues back to their boards. Several supporters said the bill would reinforce board responsibility for permits, safety, and legal compliance. The committee noted 27 pieces of testimony, with 10 in support and 17 in opposition, and then moved on without taking a vote on the measure in the transcript provided. The committee also took up SB 2298, which would require common interest community proxy forms to include additional language explaining proxy selection options. The Community Associations Institute opposed the bill, saying the proposed language was inaccurate and would not improve consumer clarity unless significantly revised. Supporters argued that proxy forms are confusing and that clearer instructions would help homeowners understand how their votes are being used. Opponents said the added language would make the forms longer and more confusing, and suggested a separate instruction sheet or other educational material instead. Testimony also raised broader concerns about proxy voting being misused in some associations, with one witness urging that proxy voting be eliminated altogether. The committee reported 29 written testimonies, including seven in support, 19 in opposition, and three with comments, and again did not record a final vote in the excerpt. For SB 2300, which would shorten condominium reserve cash-flow projections from 30 years to 25 years, the Community Associations Institute opposed the bill, saying it would not make housing more affordable, would reduce transparency, and would increase the annual burden by giving associations less time to save for long-life components. The group suggested that if affordability is the goal, lawmakers should consider allowing future loans or special assessments with guardrails. Supporters of the bill said the shorter projection period would better reflect practical budgeting and help associations plan more realistically, though some supporters also warned against relying too heavily on loans and emphasized accountability and fiduciary responsibility. Other testimony stressed that the impact of changing the projection period would vary by association and that many owners are already struggling with rising fees. The discussion remained focused on testimony and policy concerns, with no final action on SB 2300 shown in the transcript.

Transcript Highlights:

• But that's the only material that our school systems have.
• So, you know, I think that is system-wide, North Dakota Tribal College system, if it's something that
• We've increased payments for residential services by over 1,700% and payments for outpatient services
• We've increased payments for residential services by over 1,700% and payments for outpatient services
• First, it forces an inefficient, fragmented system of care.

Committee: Joint Tribal and State Relations Committee

Summary: The committee met at Spirit Lake Tribe and heard an extended discussion with Spirit Lake tribal leaders and program directors about government-to-government relations with the state. Chairwoman Street and others outlined a number of concerns and requests, including taxation of tribal and trust lands, state school support for non-beneficiary students, homelessness services, Indian-managed health care, gaming/e-tabs, the Feather Alert system, industrial farming near waterways, tourism and cultural issues, and the need for more consistent tribal consultation. Committee members responded that many of these issues had previously been passed along without direct action, and several members emphasized the committee’s role in education, communication, and preparing possible legislation or resolutions for the next session. Tribal representatives also offered to provide training on treaties, IHS 638, and compact services to help legislators better understand tribal jurisdiction and billing issues. A major portion of the meeting focused on Spirit Lake Fish and Wildlife concerns, especially jurisdictional “gray areas” around hunting and fishing on the reservation, recognition of tribal licenses, and the boundary of the reservation around Spirit Lake/Devils Lake. Tribal officials said they wanted a co-stewardship agreement or MOU with the state to clarify jurisdiction, improve cooperation, and address invasive species and aquatic nuisance species. Committee members discussed whether to draft legislation or a resolution directing the executive branch and state agencies to negotiate such an agreement, and they asked for further input from the North Dakota Game and Fish Department at a future meeting. The committee also discussed county involvement in land status changes and trust land issues, with Spirit Lake leaders describing a past Benson County resolution that tried to block fee-to-trust transfers and saying it was later rescinded. The committee then heard from Benson County tax equalization director Randy Thompson, who explained how the county values land and handles tax-exempt, inundated, and fee-to-trust parcels. Members asked about the impact of tax-exempt lands on county services and discussed prior legislation that helped counties with large tax-exempt bases. The committee also received a presentation from Dr. Steven Smith of Sisseton Wahpeton College, who described the college’s programs, economic impact, and funding needs, including support for non-beneficiary students and workforce training. Members asked about expanding tribal college education into correctional settings, and Smith said the idea was worth exploring through the tribal college system. Finally, HHS interim medical services director Christoph Framing presented remotely on 1115 Medicaid waivers and the IMD exclusion, explaining current state funding mechanisms for inpatient and residential behavioral health services and the bill draft directing HHS to pursue a waiver for IMD payments.

Transcript Highlights:

• rules to be implemented and recognizes gold and silver species as legal tender that may be used for payment
• Madam Chair and members, it's our understanding that, yes, photo enforcement systems are electronic,
• that unnecessarily restrict AI systems innovation.
• It also prohibits a budget... systems innovation.
• , or engaging in any regulation of the ownership or operation of an unmanned aircraft system.

Summary: The committee worked through a long Minority Caucus calendar covering a wide range of bills, with many items on consent and several pulled for discussion. Early items included resolutions on Judea and Samaria, bullion depository bills, a produce incentive appropriation, a biennial budget proposal, and a veterans services appropriation. Members also heard transportation-related bills on driver permits, citations, boat insurance, English proficiency for commercial drivers and motor carriers, photo enforcement, and a measure restricting incarceration for unpaid fines and fees. Several members raised concerns about constitutional issues, public safety, or whether bills were duplicative or targeted at specific groups. A large portion of the meeting focused on education and school governance bills. These included proposals on school district bond advisors, restrictions on school property leases and purchases, public meeting requirements, term limits and training for school board members, patriotic youth group access to students, computer science proficiency, and a bill requiring fingerprint clearance cards for traffic school instructors. Members repeatedly criticized what they described as inconsistent treatment of public schools versus ESA/private school programs, and several education bills were pulled from consent for further discussion. Other bills addressed child safety and family law, including DCS credit freezes, recorded child interviews, parents’ rights notices, mandatory reporting of threats by minors, sex offender residency and GPS monitoring, and a bill on guardianship rights during DCS investigations. The committee also considered a number of social services, health, and labor/consumer bills. These included SNAP work requirement and verification measures, a SNAP error-rate audit, dementia care telemonitoring funding, a Braille transcription appropriation, court fee limits, a physician assistant compact, pediatric licensure compact, and a kratom regulation bill. Members debated an earned wage access licensing bill at length, with opponents calling it predatory and akin to payday lending, while supporters argued it provided a regulated consumer option. Other measures covered cash acceptance by businesses, 529-to-Roth IRA rollovers, AI rules for state agencies, and a bill on public nuisance actions by the Attorney General. Several of these drew warnings about constitutional problems, preemption, or burdens on vulnerable populations. Energy, water, and tax policy also featured prominently. The committee heard bills on fuel formulations, gas tax relief, data centers and small modular nuclear reactors, utility reporting, and a Commerce Authority mandate to reduce fuel prices. Members criticized some proposals as favoring industry, preempting local control, or lacking a clear funding plan. The meeting ended after additional items on veterans, sample ballot mailing dates, and other miscellaneous measures, with multiple bills noted as pulled from consent or subject to later votes; no final roll-call results were detailed in the transcript excerpt.

Transcript Highlights:

• AB 1039, Hart, advanced payments: do pass out on an A roll call.
• AB 249, Ramos, coordinated entry system: holding committee.
• AB 228, Sanchez, epinephrine delivery system: two-year bill.
• AB 228, Sanchez, epinephrine delivery system: two-year bill.
• AB 1180, Valencia, DFPI Payments: do pass on an A roll call.

Summary: The Assembly Appropriations Committee held its May 23, 2025 suspense hearing and opened by emphasizing the difficult budget environment, rising costs for constituents, and the need to make tough choices. The chair said many bills would be held, amended to reduce costs, or made two-year bills because the state could not afford broad program expansions this year. The committee also noted the agenda was organized alphabetically by author and that results would be posted later that day. The committee then acted on a large suspense file, taking up hundreds of Assembly bills across topics including housing, health care, education, labor, public safety, climate, water, transportation, elections, and technology. Many bills were held in committee, while many others were approved with cost-saving, clarifying, or author’s amendments. Examples included measures on CalABLE, Covered California enrollment, wildfire and insurance issues, reproductive health, school and college programs, prison and juvenile justice matters, AI and data privacy, and local government and utility regulation. Several bills were converted to two-year bills to continue discussion. Throughout the hearing, the committee repeatedly voted on bills by A roll call or B roll call, often with Republicans not voting on amended measures. Some bills were advanced with notable amendments, such as narrowing scope, removing appropriations, delaying implementation, or striking costly provisions. The committee also approved a number of committee bills and omnibus measures, including emergency management, judiciary, insurance, and water-related bills. At the end of the hearing, the chair stated that the committee had moved 435 bills to the Assembly floor, either as do pass or do pass as amended, and adjourned the meeting.

Transcript Highlights:

• SB 6103 relates to payments for rural emergency hospitals.
• SB 6103 relates to payments for rural emergency hospitals.
• system rate for Medicare patients. 105% of the outpatient prospective payment system rate for Medicare
• patients, but payments for Medicaid clients are up to the state.
• Senate Bill 6103 makes payments for medical assistance program services by a rural hospital designated

Bills: SB6103

Committee: House Appropriations

Keywords: rural healthcare, emergency services, hospital payments, state appropriation, public health

Transcript Highlights:

• And I wanted a centralized system. system that made more sense and could reduce errors, make everything
• that ties into our system.
• If that's on system or off system, I'm assuming it may be on our system and one that we need to be able
• . system.
• system.

Committee: House Appropriations - S/C on Articles VI, VII, & VIII

Transcript Highlights:

• You're looking for the payments.
• </c> coordinating premium subsidy payments coordinating premium subsidy payments with<00:36:41.280><c
• </c> they could um make the um payments they could um make the um payments happen,<00:41:29.599><c> collect
• </c><00:43:05.359><c> will</c> the the you know the payments will the the you know the payments will
• owned by a system and that system<01:12:21.520><c> is</c><01:12:21.760><c> now</c><01:12:22.000><c> losing

Committee: Senate Finance

Transcript Highlights:

• Efficiencies with the driver's license systems are essential.
• The first page of the lease payments is also a high-level overview.
• Payments for the last four biennia.
• That concludes my presentation on lease payments for revenue bonds.
• offsets funding for lump sum retirement payments.

Bills: SB1 , SB 1

Committee: Senate Finance

Transcript Highlights:

• And all of those programs target system peak, strictly system peak.
• or the university system.
• or the university system.
• </c> these systems. these systems.
• to our system.

Committee: House Science, Technology and Energy

Transcript Highlights:

• Sandy Stiff continued: “This is relating to allowing payments to be made based on allowable costs for
• And prospective payment system hospitals, or PPS hospitals, are paid at the fee schedule.
• There's a fiscal note from the Department of Retirement Systems showing one-time costs of $11,000.
• Senate Bill 5834, concerning payment of expenses from the earnings of retirement system trust funds.
• Senate Bill 5835, concerning the threshold for payment of a lump sum retirement allowance.

Summary: The Ways and Means Committee held public hearings on several bills before moving into executive session. Substitute Senate Bill 6037 would change how single-city fire protection districts are funded by ending the requirement that a city reduce its levy dollar-for-dollar and instead reducing the city’s statutory maximum rate; testimony was generally supportive from cities and firefighters, while public hospital districts opposed it over prorationing concerns and some witnesses sought amendments on governance and accountability. Senate Bill 6194 would allow cost-based Medicaid reimbursement for rural hospitals on federally recognized Indian reservations, with strong support from Toppenish/Astria representatives and the Yakama Nation, who said the bill is needed to address severe funding inequities and preserve services. Senate Bill 5963 would make Passport to Careers students automatically income-eligible for the Washington College Grant; it drew support from student advocates and foster-youth advocates, with staff noting modest estimated costs. Senate Bill 5909 would require public universities to review and report low-enrollment undergraduate programs and potentially discontinue them after repeated low enrollment; Eastern Washington University supported it as an accountability measure, while faculty and student representatives opposed it as unnecessary, costly, and potentially politicized. Senate Bill 5826 would require public postsecondary student health centers to provide access to medication abortion or referrals and related web information; testimony was sharply divided between supporters who framed it as needed student health access and opponents who raised moral, safety, and budget objections. In executive session, staff briefed a series of bills, including measures on opioid treatment accreditation fees, a pre-K donation account, JLARC report elimination, retirement trust fund expense authority, pension lump-sum thresholds, port employee retirement exemptions, lemon law arbitration fees, LEAP website disclosures, limits on corporate ownership of single-family homes, a permanent senior center property tax exemption, timber tax distributions for school districts, capital project administration rules, and a real estate excise tax exemption for affordable housing. The committee then took action on the listed bills. The committee voted to give due pass recommendations to the Rules Committee for Senate Bills 5872, 5879, 5834, 5835, 5905, 5832, 6177, 5496, 5970, 5994, 6047, and 5647. Amendments were adopted on SB 5834, SB 5905, SB 6047, and SB 5647 before those bills were advanced as substitutes. SB 5988 was noted as taking action later, but no vote on it was recorded in the transcript excerpt.

Transcript Highlights:

• As transfer calls are sent, they are sent to many systems at one time.
• The bill does not mandate payment or approval of services.
• The bill does not mandate payment or approval of services.
• Come into the system, some kids also are just in the system for a very short period of time versus others
• you pass through that system and you are in that system for an extended period of time, the amount of

Committee: House House Health & Human Services Committee of Reference

Summary: The committee heard a JLBC presentation on H.R. 1’s SNAP impacts, including expanded work requirements, higher state administrative costs, and a potential state share of benefits if Arizona’s payment error rate remains above 6%. JLBC estimated the administrative cost increase at about $33 million in FY 2027 and $44 million in FY 2028, and said a 2024 error rate of 8.8% could expose the state to about $139 million in benefit costs starting in FY 2028. The chair also opened the meeting by asking members and speakers to keep remarks shorter to improve efficiency. The committee then considered several SNAP-related bills. HB 2797, which requires DES to more frequently verify eligibility through data matching, post fraud/noncompliance data, and address out-of-state EBT purchases, passed 7-5. HB 2442, requiring certain able-bodied SNAP adults with school-age children to participate in employment and training unless exempt, also passed 7-5. HB 2448, which limits DES’s ability to seek work-requirement waivers or discretionary exemptions without legislative authorization, passed 7-5. HB 2206, which sets a goal of reducing the SNAP payment error rate to 3% by 2030 and adds reporting and corrective-action requirements, passed 7-5 after debate over staffing, technology, and whether the target was realistic. The committee also advanced HB 2180, appropriating $2.5 million to the University of Arizona for AZ REACH, a hospital transfer coordination program serving rural facilities. Supporters said it improves patient transfers and reduces burdens on rural hospitals; some health system representatives were neutral but asked for operational improvements. HB 2180 passed 11-1. HB 2184, as amended, passed 7-4-1; it would extend fetal death certificate filing and require patients to be informed of the option to transfer fetal remains to a funeral home, with supporters describing it as a matter of parental dignity and closure. HB 2188, as amended, creating a Language Acquisition Grant Program for deaf or hard-of-hearing infants and toddlers, passed unanimously after testimony about balancing spoken-language and ASL options. The committee then began hearing HB 2194, a bill requiring insurers to provide a contact for detailed explanations after claim or prior-authorization denials, but the transcript ends before action on that bill.

Transcript Highlights:

• . ...of things that are funded in other ways in the public school system.
• It's also going to be geared toward workforce and also toward data systems.
• And meanwhile, we've got to make payments to providers.
• Like, when we look at projected fund balance and reserves, we're payment to payment.
• If you don't have someone enrolled, you don't get that payment.

Committee: All EDUCATION- HOUSE EARLY CHILDHOOD SUBCOMMITTEE

Transcript Highlights:

• Those drove the state's payment error rate higher.
• We are working very hard on bringing that payment error rate down. New Mexico.
• Policy initiatives to systems work to staffing, so all of those things.
• The payment error rate is always calculated on a look-back period.
• Then we may have some financial liability related to the payment error rate.

Committee: Senate Senate Finance

Transcript Highlights:

• SB 6103 relates to payments for rural emergency hospitals.
• SB 6103 relates to payments for rural emergency hospitals.
• system rate for Medicare patients.
• system rate for Medicare patients, but payments for Medicaid clients are up to the state.
• Senate Bill 6103 makes payments for medical assistance program services by a rural hospital designated

Summary: The House Appropriations Committee held a public hearing on Senate Bill 6103, which would make Medicaid payments for services provided by rural emergency hospitals subject to appropriation. Committee staff explained that rural emergency hospitals are a federal Medicare provider type created in 2020, that they may provide emergency and limited outpatient services but not general inpatient care, and that Washington currently has no designated rural emergency hospitals. The bill would update state law so these facilities can be recognized in the Medicaid statute; staff said the fiscal note showed no fiscal impact. Public testimony was entirely in support. Lisa Thatcher of the Washington State Hospital Association said the bill is needed to align state law with the federal designation, allow cost-based reimbursement similar to critical access hospitals, and preserve eligibility for SNAP-related payment treatment. Todd Nida, CEO of East Adams Rural Health Care, said his facility is seeking to become the first rural emergency hospital in Washington and warned that without the bill, conversion would reduce reimbursement and threaten financial viability. No opposition was presented, and the chair closed the public hearing on SB 6103. The committee then announced upcoming budget release, hearing, amendment, and executive action dates, and adjourned.