Transcript Highlights:

• Will they be entitled to deny claims using prior authorization?
• So this would work just as if... ...the prior authorization.
• We have provided the committee three specific requests to fix these concerns.
• So it's about, because this is, I understand the specific intent about... ...about the specific intent
• Madam Chair, I have a question specifically about CBI. I have a question specifically about CBI.

Bills: SB1086, SB1193, SB1318, SB1345, SB1346, SB1451, SB1496, SB1611, SB1630, SB1631, SB1632, SB1672

Keywords: reimbursement, healthcare, laboratory services, noncontracting providers, Arizona health care cost containment, personal identifying information, PII, privacy, confidential records, public records exemption, commercial disclosure, data privacy, licensure, certification, health professions, health care licensing, Arizona Department of Health Services, ADHS, emergency medical care technician, EMCT

Summary: The committee first approved the February 4 minutes and then heard Senate Bill 1086, which would require AHCCCS contractors to reimburse non-contracting providers for certain laboratory services when a member was referred by a contracting provider, and would bar prior authorization for diagnostic services and retaliation tied to such referrals. AHCCCS testified neutral but warned the prior-authorization ban could increase utilization and create fiscal and federal compliance concerns. The committee adopted the Warner amendment limiting non-contracting reimbursement to no more than contracting-provider rates, then passed SB 1086 as amended on a 4-2 vote. The committee next took up Senate Bill 1611, an emergency measure to require AHCCCS to contract with an administrative services organization for program integrity and case management functions for the American Indian Health Plan, while keeping AHCCCS ultimately responsible. The chair’s amendment expanded the ASO’s duties to include provider support, quality improvement, and data analytics, removed AHCCCS claims payment authority, added more tribal observers, and exempted IHS and tribal facilities. Testimony strongly supported reforming the system after fraud and overcorrection harmed Native members and providers, but AHCCCS raised concerns about the fast timeline, possible duplication of fraud-fighting functions, and the need for 45 days of tribal consultation. The committee adopted the amendment and passed SB 1611 as amended on a 5-2 vote. Senate Bill 1630 would create a Medicaid-funded home and community-based services program for adults with serious mental illness, capped initially at 250 members under the Angius amendment, with semiannual reporting and a process for future expansion only if costs are reduced or neutral. Supporters said the bill would help the sickest SMI patients avoid repeated hospitalizations, jail, and homelessness, and could save the state general fund by shifting costs to federal Medicaid funding; AHCCCS was neutral and said it was finalizing the fiscal estimate. The committee adopted the amendment and passed SB 1630 unanimously. The committee also passed SB 1193, protecting emergency medical care technician personal information from disclosure; SB 1318, repealing an outdated state dense-breast notification requirement to align with FDA language; and SB 1345, restricting anonymous complaints against health care institutions, though AHCCCS warned that federal law may still require investigation of complaints from any source and that the bill could reduce reporting and invite litigation.

Transcript Highlights:

• With that, we will begin today's hearing, but we can't because we have no authors.
• With that, we will begin today's hearing, but we can't because we have no authors.
• Ironically, it's because you're the only author here to present a bill.
• I just wanted to thank the author for his work on this bill.
• I'd love to be added as a co-author. And thank you for the importance of support.

Summary: The Assembly Business and Professions Committee held its first regular bill hearing of 2025 and considered a wide range of measures on health care access, professional regulation, animal welfare, and consumer protection. Early in the hearing, the committee adopted its rules and then approved a consent calendar of several bills, including measures by Chen, Caloza, Carrillo, Arreguín, Berman, and Flora. The committee also took up AB 1082, which would allow California nursing students enrolled in out-of-state programs to complete clinical training in California; supporters said it would help address the nursing shortage and keep students closer to home, while opponents warned it could worsen already limited clinical placement capacity and reduce oversight. The bill passed on a do pass recommendation to Appropriations after a quorum was established. The committee then heard and advanced several health-related bills. AB 50, by Assembly Member Bonta, would ease Medi-Cal access to over-the-counter hormonal contraception by removing the need for a prescription for coverage purposes; pharmacists, reproductive health advocates, and medical groups supported the bill, and it passed unanimously to the Committee on Health. AB 489, also by Bonta, would prohibit AI systems from misrepresenting themselves as licensed health professionals; supporters from medical, psychiatric, behavioral health, and other professional groups said the bill would protect patients from misleading chatbot advice, and it passed to Privacy and Consumer Protection. AB 481, by Assembly Member Rubio, would expand the tasks that federally qualified lab personnel can perform under CLIA supervision to help address lab staffing shortages; labor groups raised concerns about training, certification, and supervision, but the bill passed to Appropriations with an amended do pass recommendation. The committee also considered animal welfare and access-to-care measures. AB 631, by Assembly Member Lee, would require animal shelters to post intake and outcome data online; supporters said the reporting would improve policy and resource allocation, while members discussed how the requirement would work for shelters without websites, and the bill passed to Appropriations. AB 867, also by Lee, would prohibit cat declawing except when medically necessary for the animal; animal welfare groups strongly supported the bill, while the veterinary association opposed it as an improper legislative regulation of veterinary surgery, and the bill passed to Appropriations. Finally, AB 1307 would create a pilot program allowing a limited number of qualified dentists trained in Mexico to practice in underserved California areas; supporters framed it as a cost-neutral way to address major dental access gaps, the California Dental Association remained opposed unless amended, and the bill passed to Appropriations. Several members later added their votes on the various items after the hearing, and the committee kept the hearing open briefly to allow additional add-ons.

Transcript Highlights:

• Thank you to the author.
• Thank you to the author for being open to work with local government, specifically in our region.
• SB 549 will authorize L.A.
• Thanks to the author. Mr.
• I trust you as an author.

Summary: The committee first heard SB 753, which would modernize California’s shopping cart recovery rules by allowing cities and counties to return abandoned carts directly to retailers, recover documented retrieval costs, and avoid the current impound-and-wait process. The author and supporters, including San Jose officials and the League of California Cities, said the bill would help clear streets, sidewalks, and waterways and reduce local costs. Grocers and retailers opposed the measure unless amended, arguing it would turn cart retrieval into a new cost burden and could create incentives for cities to charge too much for stolen property. After extensive discussion about notice periods, cost caps, and local ordinances, the committee adopted amendments and passed the bill 6-0 as amended. The committee then took up SB 445, which would speed up permitting and approvals needed for high-speed rail by requiring early engagement, setting rules for third-party coordination, and creating a dispute-resolution process. The author said the bill was narrowed from an earlier, broader transit proposal and was intended to reduce delays caused by utilities, local governments, and other entities. Supporters said permitting bottlenecks add major costs and delays to infrastructure projects, while opponents from utilities, cities, counties, telecoms, and special districts raised concerns about safety, reliability, affordability, and the need to review the pending amendments. The bill passed 8-1 to the Utilities and Energy Committee. The committee also heard SB 9, a narrower housing bill focused on accessory dwelling units. The author explained that it would require local ADU ordinances to be submitted to HCD for review and would make state standards control if a local agency fails to submit a compliant ordinance or respond to HCD findings. Supporters from housing and YIMBY groups said the bill would improve enforcement of state ADU law and prevent local barriers from slowing housing production. There was no opposition, and the bill passed 6-0. The committee then began hearing SB 79, which would allow more housing near major transit stops; the author and supporters framed it as a response to the housing shortage and transit underuse, and the hearing continued with extensive support testimony as the transcript ended.

Transcript Highlights:

• So the statement that the author made was, imagine living with $179 a month, right?
• There is not a specific mandated ratio. It's adequate staffing at all times.
• So my question would go back to the author then.
• And I believe that the author fully has taken the amendments in committee.
• And I believe that the author fully has taken the amendments in committee.

Summary: The Assembly Aging and Long-Term Care Committee met on June 24 with a substitute chair presiding and considered three measures. SB 352 by Senator Reyes was placed on the consent calendar and approved unanimously, 7-0, to be re-referred to the Committee on Emergency Management. SB 433 by Senator Wahab, presented on behalf of Senator Stern, was heard next and focused on room-and-board protections for participants in the assisted living waiver and CalAIM assisted living transition community support programs. Supporters, including Justice in Aging, CANHR, the Western Center on Law and Poverty, the California Commission on Aging, and the Long-Term Care Ombudsman Association, argued the bill would prevent low-income Medi-Cal residents from being charged unaffordable rates and losing their housing. Opponents, including the California Assisted Living Association, LeadingAge California, and Six B’s, said they remained concerned about the bill’s rent-control implications and statutory scope, though they acknowledged recent amendments addressed some eligibility issues. After committee discussion, SB 433 was approved 5-1 with one abstention and re-referred to the Committee on Human Services. The committee also heard SB 582 by Senator Stern, presented by Senator Wahab, which would allow state departments to issue disaster suspensions of active licenses for facilities rendered inoperable by declared emergencies, waive some licensing fees, and provide temporary flexibility for community-based adult services, child care, and evacuation planning requirements for skilled nursing and residential care facilities. Support came from the California Assisted Living Association, LeadingAge California, the California Commission on Aging, the Long-Term Care Ombudsman Association, CANHR, and a child care resource center, all describing the bill as helpful for rebuilding and continuity of services after disasters. There was no recorded opposition, and SB 582 passed unanimously, 7-0, to the Committee on Health. The meeting then adjourned.

Transcript Highlights:

• Again, we authorize the hours and we do provide services like the public authorities that offer opportunities
• So one of the requests is for position authority.
• Establishing this budget authority and authorizing these positions will enable the Bureau to carry out
• Additionally, the statutory changes address the authority to authorize AAP payments to cover the cost
• We would just ask for this federal fund authority so that we can match expenditures to our authority.

Keywords: 988, house, all

Transcript Highlights:

• So the next page just goes into youth work specifically.
• Procurement authority in this agency lived in one person.
• They specifically do not go month by month by month.
• They don't have release authority. But what they have and what they call it is placement authority.
• And that's a lot of authority, and a lot of people don't want to have legislative limits on their authority

Summary: The committee opened with a moment of silence for a deceased member, then approved the April minutes and heard a presentation from HHS on the Diversion Task Force and related youth services grants. Chelsea Florey described the $750,000 one-time appropriation from HB 1012, the five awarded grants, and how programs in Bismarck, Fargo, Grand Forks, and Minot are using the funds for youth diversion, including school-based groups, physical activity, and services for problematic sexual behavior. Members raised concerns about staffing shortages, family engagement, service silos, and whether diversion eligibility rules are too rigid; Florey said the task force is focused on better coordination, broader education about available services, and possible changes to diversion criteria, with the Children’s Cabinet likely to drive broader recommendations. The committee then received a North Dakota Lottery biennium report from Director Thomas Lawler, who reviewed the lottery’s history, games, retailer commissions, player programs, and revenue distribution. He reported about $67 million in ticket sales for the 2023-2025 biennium, about $16.2 million transferred overall, including roughly $13.6 million to the general fund, plus transfers to drug task force and compulsive gambling funds. Members asked about the compulsive gambling allocation and whether it is set by statute. Next, the Department of Corrections presented on criminal justice data sharing and reentry. Adam Anderson explained that jails, courts, DOCR, HHS, and other entities use separate systems with limited interoperability, making real-time communication largely manual. He outlined possible hub or point-to-point IT solutions, but noted cost, vendor, identifier, and data-definition challenges. Robin Schmolenberger followed with an update on a Medicaid data exchange project between DOCR and HHS to suspend and reactivate inmate Medicaid coverage automatically and improve care coordination, with full bi-directional exchange expected in fall 2026. The committee also heard from county representatives on 24-7 sobriety program fees and an AG opinion allowing local sheriffs to use cheaper testing options when courts waive fees. Finally, the North Dakota Racing Commission reviewed a troubling audit. Bruce Johnson acknowledged serious findings involving overspending from the promotion fund, missing grant documentation, a reversed decision on breeders fund eligibility, and repeated procurement violations. He said the commission has begun corrective actions, including monthly tracking of the promotion fund cap, stricter grant documentation, written procurement procedures, and clearer eligibility rules in condition books. Members pressed him on how the overspending occurred, whether the commission board would impose consequences, and whether statutory clarification is needed on the promotion fund limit and related spending rules.

Transcript Highlights:

• Authority request. Upper Guadalupe River Authority asked for... Yes, sir.
• river authorities.
• You're the river authority.
• The River Authority again.
• We don't have any authority.

Keywords: flooding, emergency response, communication systems, first responders, disaster management, Texas Water Development Board, regional planning, public safety

Summary: The meeting primarily focused on discussions around the recent floods in Texas, specifically addressing emergency preparedness, response coordination, and recovery efforts. Officials from various agencies provided testimonies on the challenges faced during the emergency, including issues with communication systems among first responders. Notably, the need for improved inter-agency communication and technology integration was emphasized, with recommendations for establishing regional communications units for better coordination during disasters. The audience included local government representatives and emergency management partners, who shared insights and experiences from the recent flooding events.

Transcript Highlights:

• Pharmacists are highly accessible health care professionals, expanding prescribing authority for specific
• Pharmacists are highly accessible health care professionals, expanding prescribing authority for specific
• sometimes there's specific >> specific sometimes there's specific training<00:08:36.240> that
• put in when that section was authored. put in when that section was authored.
• <00:10:58.720> to were first being given the authority to were first being given the authority

Bills: HB0143, HB0129

Keywords: health care providers, free speech, discrimination, governmental agencies, civil remedies, physician access, internationally trained physicians, medical licensing, provisional license, healthcare workforce, 916, all

Transcript Highlights:

• Well, I think right now, and I don't have specific examples from specific cases.
• So, I have a few specific questions.
• Our laws aren't specifically, but we make them for specific, weird, strange circumstances often, where
• That authority rests with the parent.
• You are also hamstringing governmental authority in the form of our courts in how they deal with specific

Keywords: 959, house, all

Summary: The House convened with prayer and the Pledge of Allegiance, approved the House Journal for the previous day by a vote of 123-1, and then recognized a series of special guests, including a physician, several sheriffs, school groups, interns, and other visitors. The chamber then moved into third reading and perfection of bills, with some measures sent to the informal calendar before debate began on House Bill 1758, which would make daylight saving time permanent in Missouri. Supporters argued it would end the twice-yearly clock change and could improve productivity and convenience, while opponents raised concerns about dark winter commutes, safety, and health effects. The bill passed third reading by a vote of 107-31 with two present. The House next took up House Bill 3329, which repeals expired or unused tax credits to clean up the statutes and reduce Department of Revenue reporting work. Members from both parties generally supported the bill as a government-efficiency and accountability measure, though one member questioned whether removing credits from statute could make them harder to revive later. The bill was perfected and printed without opposition. The chamber then considered House Bill 3405, which clarifies that the state and local tax (SALT) pass-through entity provision is a deduction rather than a tax credit, with sponsors saying the change would streamline Department of Revenue processing and improve the accuracy of tax credit reporting. That bill was also perfected and printed after discussion about tax administration and fiscal note implications. Finally, the House debated House Bill 2426, a parental rights bill covering education, medical, privacy, and related decisions for children, and applying a strict-scrutiny standard to government actions affecting those rights. Debate focused heavily on whether the bill merely codified existing protections or expanded parental authority in ways that could affect school records, recordings, evaluations, truancy, medical consent, and district transparency requirements. The House adopted House Amendment 1 by a vote of 98-25 with six present, an amendment addressing IEP procedures and requiring parental consent for certain major changes unless due process requirements are met. Further debate continued on the underlying bill, with supporters emphasizing parental involvement and opponents warning about unintended consequences for schools, child welfare, and existing legal standards.

Transcript Highlights:

• as well however the eider also notes specific projects within these categories that are authorized for
• If you had the authority.
• What authority?
• We're speaking of a specific enforcement case.
• Supporting water specific specific water related budget requests for the Water Development Board TCEQ

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• <00:09:23.040> school outs in statute for specific school outs in statute for specific school
• We know that there are grants available not just... pretty specific uh course courses of pretty specific
• <00:26:35.240> for submitted to the authorizer for submitted to the authorizer for approval
• subdivision 2A sets some pretty specific subdivision 2A sets some pretty specific uh<00:45:22.400
• a citation back to a specific a citation back to a specific subdivision<01:19:26.600> of<

Keywords: 1187, senate, all

Transcript Highlights:

• And we actually have a very specific process for that.
• “I’m not aware specifically.
• Can you specifically tell me? I think I heard that.
• I thank Representative King for authoring this essential bill.
• Their law specifically states that information will not be shared with federal immigration authorities

Bills: HB216

Keywords: HB216, Texas abortion law, abortion-inducing drug, medication abortion, mifepristone, misoprostol, telemedicine, in-person exam, physician presence, out-of-state physician, reproductive healthcare, abortion regulation, Health and Safety Code, Occupations Code, consultation services, remote prescribing, pro-life, pro-choice

Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.

Transcript Highlights:

• They might just need one specific visit or for specific treatment.
• This would have to be authorized by the patient... ...this would have to be authorized by the patient
• The vote on this specific issue was 9-4.
• I don't know the specifics on the why.
• So let's give a specific example.

Summary: The committee first took up CS/SB 1606 on patient access to records. The sponsor explained that the bill, as amended, would align Florida law more closely with HIPAA by defining “designated record set,” requiring providers to furnish requested records within set timeframes, allowing a limited extension with notice, and requiring records to be produced in the requested form if readily producible. Several members asked about patient portals, legal representatives, and whether the bill affected meaningful-use rules or post-mortem access. Multiple witnesses opposed the bill, arguing it could create cybersecurity risks, conflict with existing privacy rules, and burden providers; supporters said it would improve patient access and consistency. The committee adopted the amendment and then reported the bill favorably. The committee then considered CS/SB 712 on construction regulations. The bill would direct DEP to establish rules for synthetic turf and limit local governments from banning it if state rules are followed, while also addressing change orders, public works bidding, elevator rails, alarm contractor work, building code updates, spaceport exemptions, permit document limits, and single-trade inspections. Amendments removed the pool and spa contractor provisions and the tall mass timber language. Testimony on the bill centered heavily on the pool industry, with contractors and the Florida Swimming Pool Association opposing expansion of scope to general and building contractors, while some speakers supported other parts of the bill. After adopting the amendments, the committee reported the bill favorably. Finally, the committee heard CS/SB 1288 on parental rights. The bill would allow minors to be tested for STDs without parental consent but require parental consent for treatment, expand parents’ rights to access records and control certain health decisions, and restrict health care services, medical procedures, and biofeedback devices for minors absent consent or an exception. An amendment moved survey and questionnaire provisions into the education code, added an explicit court-order exception, clarified DNA and biofeedback provisions, and added emergency behavioral health exceptions. The committee heard extensive public testimony both for and against the bill, with supporters emphasizing parental authority and opponents warning it could delay STI treatment, mental health care, and other services for vulnerable minors. The transcript ends during public testimony on the bill, before any final committee action is shown.

Transcript Highlights:

• Specifically there, thank you, Mr. Chair. Great, thank you all.
• And that specific one is only available for school districts. Mr.
• Appropriate it to a specific department or agency for specific purposes.
• Benefit Fund to a specific department.
• So I'm showing 123 and 124 as the Health Care Authority.

Keywords: 996, all

Transcript Highlights:

• I just want to thank the author and also as a co-author to this bill as well.
• I just want to thank the author and also as a co-author to this bill as well.
• I would recommend to the author, and first of all, I appreciate it.
• I love this bill, and I’d like to be a co-author, please. Would you present? That means co-author.
• Specifically, AB 947 will expand... ...across our state.

Summary: The Assembly Agriculture Committee met as a subcommittee at first because a quorum was not yet present, then adopted its committee rules for the 2025-2026 legislative session by a 5-0 vote. The committee heard a series of agriculture-related bills, with most measures receiving broad support and moving forward. AB 1142 by Assemblymember Hoover would raise the fee thresholds for small public horse events that are exempt from equine medication monitoring rules; supporters said the current limits are outdated and hurt small riding clubs, and the bill passed to Appropriations. AB 411 by Assemblymember Papin would allow ranchers to compost livestock carcasses on-farm; supporters cited cost, environmental, and predator-control benefits, while rendering industry representatives asked for amendments to protect existing services and limit the bill’s scope. The bill passed to Natural Resources. AB 482 by Assemblymember Solache would modernize the California Table Grape Commission law and raise assessment caps without increasing assessments themselves; it passed to Appropriations. AB 312 by Vice Chair Alanis would shorten the holding period for ag theft property from six months to three months; it also passed to Appropriations. The committee also heard AB 937 and AB 947 by Assemblymember Connolly. AB 937 would make technical changes to the Organic Transition Pilot Program to improve access to organic transition support, with testimony from a farmer who said the program helped him pursue organic certification; the bill passed to Appropriations. AB 947 would expand and refine technical assistance under the Healthy Soils/Climate Smart Agriculture programs, including training, grant writing, matching funds coordination, equipment sharing, and outcome monitoring; supporters said the changes would help small and organic producers access state climate programs, and it also passed to Appropriations. AB 1486, presented by the chair, would use Proposition 4 funding to start grants for public postsecondary agricultural research farms focused on climate resiliency; members praised the role of CSU and UC research farms, and the bill passed to Natural Resources as amended. The most extensive discussion centered on AB 928 by Assemblymember Rogers, the California Cockfighting Cruelty Act. Supporters argued the bill would help law enforcement target cockfighting and rooster trafficking, reduce avian disease risks, and protect public health and animal welfare; opponents, including poultry hobbyists, breeders, and 4-H-related participants, said it would overreach into lawful poultry keeping and harm heritage-breed and youth programs, urging instead that cockfighting penalties be increased to a felony. Committee members echoed concerns about unintended impacts on legitimate poultry owners and requested continued work on exemptions and language. The bill passed to Judiciary on a 5-2-1 vote, with one no vote and one abstention, and the chair noted that further committee review would continue as the bill advances.

Transcript Highlights:

• This is something that other states are looking at specific to Medicaid.
• For the record, Evan Klein with the Health Care Authority.
• service at a specific facility.
• It's administered by us here at the State Health Care Authority.
• It's administered by us here at the state health care authority.

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• by the author of the ACA.
• Madam Chair You The author is Rivas and McGuire in section two we authored this actually.
• Both testimony from the author...
• And you're a co-author? I saw it yesterday. You were a co-author on it immediately? Yeah.
• And I'm not saying general groups, I'd like specific names. Who specifically drew these maps?

Keywords: 988, house, all

Transcript Highlights:

• THE LEGISLATURE DEALT WITH CATASTROPHIC DAMAGE THROUGH BY ADDRESSING SPECIFIC POPULATIONS AND STORMS.
• IT BECAME WITH HURRICANE IAN AND NICOLE AND WAS SPECIFIC TO THE COUNTIES IMPACTED BY THE STORM.
• THE NEWEST CATASTROPHIC EVENT REFUND WENT INTO PLACE IN 2022 AND IT WAS NOT SPECIFIC TO STORMS, IT WAS
• SPECIFIC TO ALL CATASTROPHIC EVENTS SO IT PROVIDES A REFUND IF THE PROPERTY BECOMES UNINHABITABLE FOR
• EACH TAXING AUTHORITY MUST BE SURE THEY ARE REGISTERED WITH THE STATE VENDOR INFORMATION PORTAL.

Keywords: 999, senate, all

Transcript Highlights:

• STR7<00:32:57.840> authorizing<00:32:58.679> another<00:32:59.679> authorizing<00
• :33:00.399> an STR7 authorizing another authorizing an STR7 authorizing another authorizing an
• resolution 76 or in uh or specifically resolution 76 or specifically<01:10:45.040> the<01:10:
• Alani property specifically the whole Alani property specifically?
• <01:11:22.880> Uh front of their specific property. Uh front of their specific property.

Keywords: 910, house, all

Summary: The committee heard testimony on several shoreline easement resolutions and a water-supply study resolution. For the easement measures, the Department of Land and Natural Resources supported each item, and testimony also came from affected landowners and community members. Members asked about why some easements were granted gratis to public agencies, with DLNR explaining that those cases involved public infrastructure such as stormwater management and did not require bonds or rent. For private properties, DLNR described the standard process of monthly rent during the legislative approval gap, followed by a one-time appraised payment for a 25-year easement once the appraisal is completed. A substantial portion of the discussion focused on shoreline erosion and whether hardened shoreline structures or seawalls were contributing to beach loss. On one measure, DLNR explained that a large sandbag shoreline structure was tied to a nearby boat harbor that had altered sand movement over time, causing flanking erosion on adjacent unarmored property. On another, DLNR said a wall built under a valid 1960s permit was originally a boundary or landscaping wall, but now functions as a seawall as the shoreline has migrated landward. Members raised concerns about fairness, public beach access, and whether adjacent owners should share costs, and DLNR responded that shoreline matters are handled parcel by parcel under existing statute. The committee also heard support for a resolution creating a task force or study on desalination. DLNR’s Commission on Water Resource Management supported the intent but asked for more time to complete a comprehensive report, noting the work would require substantial staffing and coordination. The Board of Water Supply and CARES also testified in support, with CARES emphasizing future water-supply needs, cultural and historic preservation concerns, and the importance of coordinating with other agencies. DLNR said it would rely on existing studies and work with county agencies and the Department of Health. No votes or final committee actions were taken during the portion of the hearing provided.

Transcript Highlights:

• All those in favor, the author the A3.
• and requiring the the Authority and requiring the the authority<00:08:54.959> to<00:08:55.120
• It talks about the sale and use tax authorization, authorizing the city to impose a local sales tax of
• > on<00:58:49.520> our author authoring this legislation on our author authoring this legislation
• focusing just specifically on one. focusing just specifically on one. Correct.

Keywords: 1187, senate, all