Transcript Highlights:

• No, it doesn't go to the historical sites.
• We manage 30 historical sites across the state.
• And then looking at how we acquire, or we're asked to pick up, historic sites or heritage sites...
• Or were asked to pick up historic sites or heritage sites.
• Those surrender sites have never been found.

Bills: SB 1

Committee: Senate Finance

Summary: The committee heard budget presentations from the Legislative Budget Board and agency officials on several agencies, starting with the Texas Historical Commission. LBB described a large biennial reduction driven mainly by the removal of one-time funding and discussed capital projects, rider changes, and exceptional items including Presidio La Bahia and the National Museum of the Pacific War. Senators asked about heritage trails, courthouse grants, unexpended balance authority, and the status of historical-site funding. Historical Commission leadership emphasized preservation, courthouse restoration, heritage tourism, coordination with the Alamo and other Texas Revolution sites, and requested additional IT, staffing, and vehicle funding. No votes were taken. The committee then reviewed the Pension Review Board and the Employees Retirement System. The Pension Review Board’s budget was largely unchanged aside from IT maintenance and salary adjustments, with an exceptional item for additional IT enhancements. Members discussed the Dallas Police and Fire Pension System’s funding dispute and the need for a workable restoration plan. ERS presented a much larger budget, including funding for the retirement system, the group benefits plan, and the legacy payment intended to reduce unfunded liability. Senators focused heavily on pension investment returns, benchmark comparisons, and rising health-care costs, especially pharmacy spending driven by GLP-1 drugs; ERS said the plan covers about 540,000 lives and that premiums would rise 8% while benefits remain unchanged. ERS also said it had no exceptional items, and committee members requested more detailed benchmark information. The committee also heard from the Texas Emergency Services Retirement System and the Cancer Prevention and Research Institute of Texas. TESSORS reported an unfunded liability, an infinite amortization period, and requested additional state support, staffing, and IT funding, including a statutory change to allow a higher contribution level; the agency warned that without more funding it may have to cut benefits. CEPRIT’s presentation covered its bond-funded cancer research and prevention portfolio, revenue-sharing from funded projects, and a request to increase salary limits for its CEO and chief scientific officer. Senators questioned CEPRIT’s accomplishments and return on investment, while CEPRIT cited screening, prevention, and research outcomes, including tens of thousands of detected cancers and precursors and hundreds of thousands of first-time screenings. The meeting ended after these presentations and questions, with no recorded committee action or vote.

Transcript Highlights:

• We had a very valuable piece of land that the city of San Diego held, the Qualcomm Stadium site, and
• Because even through that program, some sites are... ...the operational hours, because even through that
• program, some sites are 24 hours, but some are not.
• have received their credentials from 2021 through 2022, marking a 26% increase since the program launched
• have chosen to forego submitting a FAFSA or CADA application this year, reeling from last year's launch

Summary: The committee first adopted its 2025-26 rules on a 7-0 roll call, then approved three consent items—AB 88, AB 240, and AB 313—on a due-pass motion to Appropriations. The hearing then moved to AB 648, which would give community college districts the same zoning authority as the UC and CSU systems to build student and staff housing on property they own or lease. The author and supporters argued the bill would help address severe housing insecurity and homelessness among community college students, while opponents and some members raised concerns about local control, zoning exemptions, and the impact on nearby communities. AB 648 passed the committee on a 5-2 vote and was sent to the Local Government Committee. The committee next heard AB 466, which would require California Community Colleges and CSU campuses to provide organ and tissue donor registry information during student orientation, and request UC campuses to do the same. Supporters shared personal stories about transplants and donation, saying college orientation is a good opportunity to increase registrations. Some members worried about information overload during orientation and suggested campuses have flexibility in how they present the material, but the bill advanced on a unanimous 7-0 vote to Appropriations. AB 326 followed, proposing campus-by-campus external audits of the CSU every three years and public release of the audits. The author, faculty supporters, and a student argued that systemwide audits do not provide enough transparency about how money is spent at individual campuses, citing examples of financial mismanagement and fee increases. CSU opposed the bill, saying it already conducts annual consolidated external audits and that campus-level audits would add cost without added benefit. After extensive discussion about transparency, audit scope, and implementation, the bill passed 6-1 to Appropriations. The committee then took up AB 335, which would create a California Black-Serving Institution Grant Program to support Black student success and broader underserved student services; supporters emphasized persistent equity gaps and low completion rates, while an opponent argued the bill needed to be carefully amended to comply with Proposition 209 and equal protection requirements. The transcript ends during that item’s discussion, before a final vote is shown.

Transcript Highlights:

• </c><01:27:19.760><c> of</c><01:27:19.920><c> service</c> to get into the site of service to get into
• the site of service situations<01:27:21.120><c> that</c><01:27:21.360><c> gets</c><01:27:21.600><c>
• And when they started to launch into adulthood, they obtained full-time employment at a local nursing
• ,</c><02:57:49.920><c> they</c><02:57:50.240><c> obtained</c> to launch into adulthood, they obtained
• So, as this person was starting to launch into adulthood in a time when it was critical to have these

Committee: Senate Health and Human Services

Transcript Highlights:

• We have to make sure that we respond to the site.
• The scenario, the site, all is going to inform this conflict.
• Thank you. the end just clapping was enough for this guy to leave the site.
• Yeah, for us it's easier to operate in all our study sites.
• So we have more communication with ranchers and livestock owners in those sites.

Summary: The hearing focused on human-wildlife conflict in California, especially predator management involving bears, mountain lions, coyotes, and wolves. The chair and Assemblymember Hadwick framed the issue as a balance between protecting people, livestock, and property while preserving wildlife and biodiversity, citing habitat loss, development, drought, wildfire, and climate change as drivers of conflict. Department of Fish and Wildlife officials described their conflict-response work, including public education, depredation permits, wildlife incident reporting, and coordination with sheriffs, counties, and other agencies. They also noted that wildlife sightings and conflicts are increasingly common in both rural and urban areas, including recent mountain lion activity in San Francisco and ongoing bear conflicts in places like Tahoe and Sierra Madre. CDFW staff outlined the department’s human-wildlife conflict program, including the WEIR reporting system, a public toolkit, limited-term staff, and regional response efforts. They said the program grew out of drought-related incidents and later state funding, but that one-time money has expired, creating service gaps. Officials also discussed specific management approaches such as Tahoe’s trap-tag-haze bear program, DNA-based incident tracking, and the use of nonlethal deterrents before lethal action. For wolves, they explained that the species is protected and managed differently from bears and lions, that there is no general depredation-kill process for wolves, and that the department is working on data-sharing agreements, county liaisons, compensation programs, and improved coordination with ranchers and local law enforcement. Members pressed the department on underreporting, trust in state agencies, the need for sheriffs to participate in investigations, and whether more authority should be given for public-safety removals or hazing. Assemblymember Gonzalez also raised wildlife trafficking and border enforcement issues in Southern California. The panel repeatedly emphasized that more resources, technology, and local partnerships are needed. Officials gave budget context, saying roughly $17 million in one-time funding over several years supported conflict response and wolf compensation efforts, but that staffing and program capacity remain limited. The chair concluded by noting interest in further work on technology, funding, and institutionalizing collaboration, and the hearing then moved to a second panel of university researchers who presented on wolf and mountain lion conflict, habitat planning, trust, and the need for flexible, science-based, locally tailored mitigation strategies.

Transcript Highlights:

• members, I think we also should mention that uh the community grants program has uh approached its launch
• 00:03:16.840><c> uh</c><00:03:17.160><c> approached</c><00:03:18.080><c> its</c><00:03:18.400><c> launch
• c><00:03:19.040><c> in</c><00:03:19.160><c> a</c><00:03:19.200><c> very</c> has uh approached its launch
• in a very has uh approached its launch in a very novel<00:03:19.880><c> way</c><00:03:20.880><c> in<

Summary: The committee took up House File 3426, the annual LCCMR appropriation bill funding projects from the Environment and Natural Resources Trust Fund (ENRTF), which is supported by state lottery proceeds and does not affect the general fund. The bill was described as containing 108 appropriations totaling $102.036 million, including 11 extensions of prior appropriations, and a new community grants program funded at $28.18 million under the constitutional limit. The author noted the bill is the second year of funding after the 2024 voter-approved amendment renewing the ENRTF and community grants program. Members discussed the bill’s scope and purpose, including projects for scientific research, PFAS mitigation and testing, rapid testing for chronic wasting disease, parks and trails, outdoor recreation, and solid waste/recycling innovation. Co-Chair Heintzeman said the bill had involved many conversations, thanked the author for working with the caucus, and noted that a missing project issue had been addressed to improve the bill’s path forward. He also said statutory changes were being made to the community grants program to reduce fraud risk and incorporate suggestions from the Office of the Legislative Auditor. Co-Chair Koznick asked about whether lottery-funded ENRTF dollars had ever been considered for proportional returns to districts, but the author said he was not aware of such discussions and emphasized that the fund benefits all Minnesotans through projects across the state. After no further questions, the chair renewed the motion to recommend House File 3426 for placement on the general register, and the committee approved it by voice vote with no opposition recorded.

Transcript Highlights:

• And then I launched my own consulting practice since then.
• And then I launched my own consulting practice since then.
• Prior to True, I launched an innovation consultancy together with Forbes Media based out of New York
• Give us your ideas on what are some of the struggles that Hawaiʻi faces in actually launching a diversified
• Give us your ideas on what are like some of the struggles that Hawaii faces in actually launching a diversified

Committee: Senate Economic Development and Tourism

Summary: The Senate Committee on Economic Development and Tourism heard several governor’s nominations for advisory and regulatory boards. The first group included William Smith, Michelle Ige, and Kayana Neman for the Community-Based Economic Development Advisory Council; Leland Park and Cynthia Hobson for the Small Business Regulatory Review Board; and Nicole Kacal for the Hawaiʻi Technology Development Corporation board. DBEDT and related witnesses testified in support of all nominees, and each nominee described experience in small business, finance, community engagement, or technology. Much of the discussion focused on strengthening Hawaiʻi’s economy through small business support, financial literacy, and better access to capital and grants. Committee members questioned nominees about priorities for Hawaiʻi Island and the state more broadly. Topics included agricultural infrastructure, value-added food production, shared processing facilities and commercial kitchens, workforce housing, and ways government and nonprofits can partner to help small businesses navigate permitting, licensing, and grant processes. Several nominees emphasized community impact, measurable outcomes, and practical regulatory reform. Nicole Kacal also discussed diversifying the economy beyond tourism, expanding technology and AI opportunities, and creating locally governed training and research pathways so workers can adapt to changing jobs. At the end of the hearing, the committee voted to recommend advice and consent for all nominees. The nominations for GM 608, GM 609, GM 612, and GM 613 were adopted by voice vote, with Senators Kim and Fevella excused. The committee then voted separately on GM 794 for Nicole Kacal, and that recommendation was also adopted. The hearing concluded with adjournment.

Transcript Highlights:

• </c> launch and then we can stop right now. launch and then we can stop right now.
• </c><00:10:51.360><c> and</c> HHRF is very successful at launch and HHRF is very successful at launch
• </c><00:55:07.599><c> with</c><00:55:08.640><c> uh</c> approval to launch with uh approval to launch
• </c><01:25:59.120><c> the</c> initial capital base to launch the initial capital base to launch the commercial
• Right now launch the commercial product.

Transcript Highlights:

• For example, at Santa Barbara, we noted the campus had loaned items from 10 different sites over two
• This module is now available to anyone with UC credentials and is scheduled for an official launch in
• Ancestors excavated from our shell mounds and village sites in Huchun and the Chochenio-Aloney lands
• UC NAGPRA coordinator took the initiative to locate archaeological reports connected to a specific site
• The coalition was, and we completed 82 out of the 100 sites for our first of two claims, three because

Summary: The joint hearing focused on the University of California’s compliance with the Native American Graves Protection and Repatriation Act (NAGPRA) and CalNAGPRA, based on the California State Auditor’s April 2025 report and updates from UC and tribal representatives. Committee members and tribal witnesses emphasized the moral urgency of returning ancestral remains and cultural items, criticized the lack of clear timelines and accountability, and noted that other institutions have repatriated collections more quickly. The State Auditor said UC still has major gaps in identifying collections, completing campus searches, setting measurable deadlines, securing items, and fully using repatriation funding; the auditor projected that some campuses could take until 2037, 2041, 2053, or even 2089 to finish at current rates, and said 12 of 19 audit recommendations remained open. The Native American Heritage Commission said progress has been too slow and that new CalNAGPRA enforcement regulations are being finalized. UC Office of the President and campus leaders responded that the university has made substantial changes since 2019, including a revised NAGPRA policy, expanded staffing, new committees with tribal representation, more consultation, and more financial support for tribes. UC said it has repatriated more than 9,000 ancestors, 280,000 associated funerary objects, and 59,000 other cultural items systemwide, and that it is continuing to implement audit recommendations and improve transparency through a repatriation dashboard and funding information. Berkeley, San Diego, Riverside, and Santa Barbara each described campus-specific progress, including more staff, more consultations, more site reviews, and updated timelines; Berkeley said it is on track to publish remaining ancestors by the federal deadline, San Diego said it has repatriated 73% of remains and about 53% of cultural items, Riverside said nearly all known ancestors and associated funerary objects have been noticed or repatriated, and Santa Barbara said it has restructured its program and added staffing and tracking systems. Members pressed UC on why timelines remain so long, why some campuses still lack clear completion dates, and whether the Legislature should use budget tools to increase accountability. The auditor suggested the Legislature could consider stronger funding conditions and clearer expectations, while some members noted constitutional limits on earmarking UC’s base budget. UC said repatriation must be tribally led, that consultation and reburial can take time, and that some delays stem from incomplete records, overlapping tribal claims, and the need to reunite items with ancestors. No formal vote or action was taken at the hearing.

Transcript Highlights:

• This slide highlights several newly launched projects, meaning they've completed their planning phases
• So we did set up a temporary tower site, dual circuits, dual radios, antennas, everything.
• We did set up a temporary tower site, dual circuits, dual radios, antennas, everything.
• The temporary network, the temporary site, was set up to become a potential permanent tower site.
• But the infrastructure for a tower site will remain.

Summary: The committee approved the March 26 minutes and then received a quarterly update on major IT projects from NDIT. Staff reported the portfolio included 116 major projects totaling about $546 million, with the overall portfolio under budget but slightly behind schedule. They reviewed projects over the 20% variance threshold, including an Industrial Commission grants management system and DOT’s roadway pre-construction replacement, and then heard startup and closeout reports from HHS, OMB, DPI, and DOT. Several previously troubled projects were closed, including HHS bed management, vital records modernization, and DOT roadway capital planning; some projects finished under budget and ahead of schedule, while others were significantly behind schedule or over budget but were now closed or being remediated. The committee also reviewed NDIT’s annual report, including service-fund financials, peer-state rate comparisons, records management, and customer satisfaction efforts. Members asked about how service-fund revenue and grant administrative charges are accounted for, how chargebacks work, and whether NDIT tracks customer satisfaction scores. NDIT said it does track CSAT-type measures in some service areas and has survey data, but it is not planning another customer survey this summer. Members encouraged more regular reporting of customer satisfaction, service-level metrics, and performance data to help guide future improvements. A major portion of the meeting focused on the state’s mainframe modernization effort. NDIT said the overall effort is still targeting about 2030, with multiple HHS and DOT projects underway and a $15 million tech-debt appropriation already removing some components. Staff described the main obstacles as data cleanup, complex integrations, limited staff capacity, retirements, and vendor constraints, and said they are seeking a vendor with modernization support in the next contract cycle. Members pressed for clearer accountability and faster progress, and NDIT and HHS emphasized that they are working jointly but need continued support and better tools. The committee then heard a cybersecurity update on NDIT’s statewide services and maturity assessments. NDIT explained that it provides vulnerability scanning, endpoint protection, security awareness training, threat briefings, and penetration testing, and that these services are tied to a cybersecurity maturity assessment based on CIS controls. Members questioned the sharp drop in participation since 2020 and whether the self-assessment should be mandatory or tied more strongly to StageNet access or insurance incentives. NDIT said participation is voluntary, but Enderf is now requiring annual assessments to keep a 4% insurance discount, and members discussed whether stronger requirements or audit authority may be needed. The meeting ended as the committee began a follow-up discussion on BEAD broadband connection costs and why some locations are much more expensive to connect than others.

Transcript Highlights:

• </c><01:32:23.120><c> a</c> want to launch a want to launch a GoFundMe<01:32:24.960><c> so</c><01:32:
• </c><01:49:18.560><c> in</c><01:49:18.800><c> the</c> one of the veterinarians on site in the one of
• And I think we all agree that taking care of an animal at its site is better than taking it off its site
• And I think we all agree that taking care of an animal at its site is better than taking it off its site
• And I think we all agree that taking care of an animal at its site is better than taking it off its site

Committee: Senate Judiciary

Transcript Highlights:

• Cass has been the subrecipient of $100,000 in funding granted to the city of Somerville to launch this
• The on-site staff helped me to get inexpensive transportation, like the ride, to doctor's appointments
• Better yet, come on out and visit us on site. See our facility in person, please.
• And assisted living communities have staff on site 24 hours a day, seven days a week.
• And assisted living communities have staff on site 24 hours a day, seven days a week.

Summary: The committee heard testimony on several aging-related bills, with most speakers focusing on housing stability, home-based services, and care transitions. Representative Badger and a commissioner testified in support of H4039, which would create a universal breakfast and lunch program at senior centers funded through a new Senior Breakfast and Lunch Fund, arguing it would reduce food insecurity and social isolation among older adults. Representative Lipper-Garabedian and multiple providers then supported H780/S495, the hospital-to-home partnership program, describing how embedded aging-services liaisons help older patients transition safely from hospitals to home, reduce readmissions, and avoid nursing facility placement; witnesses from Mystic Valley Elder Services and Mass Aging Access cited pilot results, including hundreds of patients served and examples of substantial cost savings and successful discharge planning. The committee also took testimony on S478, which would require continuing care retirement communities to disclose entrance-fee refund policies more clearly at enrollment. Senator Lovely and LeadingAge Massachusetts said the bill would improve transparency for residents and families, while a consumer witness said her family experienced delays and confusion in getting a refund after her mother left a CCRC. Members noted the issue is also being examined by a special commission on CCRCs. A large portion of the hearing focused on S475, a statewide bridge subsidy program for older adults facing housing instability. Advocates from the Massachusetts Coalition for the Homeless, Western Massachusetts, Somerville, Northampton, East Hampton, Old Colony Elder Services, and Somerville’s Office of Housing Stability described rising senior homelessness, long waitlists for subsidized housing, and cases where short-term rental assistance kept older adults housed while they waited for permanent housing. Somerville witnesses said the pilot program helped nine households remain housed and that some participants have since moved into permanent housing. Members asked about wait times, program design, and how to prioritize applicants; witnesses emphasized flexibility, emergency risk, and the need for a statewide expansion. The hearing also included testimony on S465, an ALS bill that would expand home care access regardless of age and bar the use of quality-adjusted life-year metrics in coverage decisions, with the sponsor and ALS Association arguing the measure would reduce discriminatory treatment and better center patient care. No votes were taken during the hearing.

Transcript Highlights:

• President, colleagues, is we are investing again $20 million in cleaning up abandoned uranium mine sites
• And then sites left abandoned when the market went away.
• This budget makes another investment in cleaning up sites, of which we clean...
• This budget makes another investment in cleaning up sites, of which we cleaned up, I think, four, and
• then also non-uranium sites.

Summary: The Senate convened with a quorum, prayers and pledges, and several procedural announcements, including permission for cameras, a relaxed dress code for guests, and excusing a few senators. Members also recognized numerous guests and honorary lieutenant governors, and discussed a planned bolo tie contest tied to New Mexico tradition and state history. The chamber then moved to business, including the confirmation of Anna Silva as Secretary of the General Services Department. The confirmation drew broad support from senators on both sides, who praised Silva’s long career in state government, her management experience, and her work on major projects such as the executive office building, procurement reforms, and facilities management. After debate, the Senate voted unanimously to confirm her appointment. Silva’s family and guests were recognized from the floor after the vote. The Senate then took up House Bill 2 and 3, the state budget. Senator Muñoz presented the Senate Finance version as a balanced budget with about $11.1 billion in spending, 27% reserves, recurring investments in health care, early childhood, public safety, education, roads, housing, and economic development, and targeted nonrecurring spending for items such as water, universities, and innovation sectors. Supporters emphasized affordability, teacher health insurance parity, medical residency funding, rural and community investments, and public safety funding. Critics raised concerns about the size of the budget, the late availability and complexity of the bill, the removal of a proposed 1% pay raise for state employees, and whether spending priorities and education dollars were being allocated effectively. No final vote on the budget was shown in the transcript excerpt.

Transcript Highlights:

• Child care programs that had one site, so you could see that the breakdown went to family child care.
• She is a graduate of our training program, launched and growing, and is involved in our food system and
• ><00:46:59.680><c> program</c> graduate of our training program graduate of our training program launched
• and growing and is involved in launched and growing and is involved in our<00:47:01.920><c> food</c>
• I completed their Launch and Growing program, received business consultations, and used their guidance

Bills: HF2582 , HF2266 , HF2518 , HF2039 , HF1941

Committee: House Workforce, Labor, and Economic Development Finance and Policy

Transcript Highlights:

• That can be bare land, a farm site, or 5 acres with a barn on it.
• Or is this only for construction of buildings at a farm site?
• This project is phase one of site redevelopment.
• </c> amount of money also include like site amount of money also include like site preparation?
• </c> because we have been to these sites because we have been to these sites across<01:36:43.360><c>

Committee: Senate Capital Investment

Transcript Highlights:

• It has become more expensive to launch into adulthood, and we keep the true costs hidden.
• This tax bill is supporting more equitable practices and supporting healthy and successful launch into
• </c> a successful launch to adulthood. a successful launch to adulthood.
• </c> It has become more expensive to launch It has become more expensive to launch into<00:41:21.720>
• </c> supporting healthy and successful launch supporting healthy and successful launch into<00:41:29.400

Transcript Highlights:

• Okay, the third site is called the Red Bluff Number One site.
• be used for abandoned, just contaminated sites that were not uranium mine sites.
• It's going to depend on the site.
• With those types of sites, the acid injection sites in Class 6, could we...
• Adaptive site management.

Committee: Joint Radioactive & Hazardous Materials Committee

Transcript Highlights:

• Uh, this state, uh, funding is gonna just really help us launch to that next level, and I really wanna
• is, uh, that new one of the resources that we have found over, you're gonna, we're gonna tour the launch
• Like I said, you'll hear a little bit more about the launch pad when we give you the tour, and I just

Transcript Highlights:

• And in our state, we didn't just increase rates, but we also built infrastructure with the launch of
• Increased rates, but we also built infrastructure with the launch of a statewide doula hub.
• We did launch the Apple Health Medicaid benefit.
• We launched this benefit January 1, 2025, so it's very new.
• Remember that this doula benefit just launched in January. It's an infant still.

Committee: Senate Health & Long-Term Care

Summary: The committee opened with an extensive update on the expected effects of federal HR1 on Washington’s health care system, especially Medicaid and the individual market. Governor’s office and Health Care Authority staff said the bill is likely to cause immediate coverage losses in the exchange beginning in January, followed by larger Medicaid impacts over the next several years. They highlighted likely premium increases, administrative burdens from more frequent eligibility checks and work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, and possible effects on rural hospitals and safety-net providers. They also noted separate CMS rules already being implemented in Washington on prior authorization, managed care access, home- and community-based services, and eligibility/enrollment, and explained how those rules interact with HR1’s new requirements and timelines. Members asked about Planned Parenthood funding, work requirements, rural health grants, provider impacts, and how the state will use existing systems and a forthcoming timeline to prepare for implementation. The committee then received an update on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Presenters described the state’s clinical experience license, the clinical evaluation tool used to assess readiness, a grant program for career guidance and clinical training, and a 2025 law adding a hardship waiver process. National presenters from World Education Services and the Federation of State Medical Boards said many states have adopted similar pathways because of physician shortages, but approaches vary widely. They recommended clear guardrails, employment offers before application, ECFMG certification, supervised provisional practice, data collection, and protections against exploitation. Committee members asked about portability across states, retention of IMGs, and whether Washington should pursue additional options such as dedicated residency slots, preceptorships, or practice-ready assessment models. The final topic was an update on the Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles praised the state’s work, noting Washington’s high Medicaid reimbursement rate for doulas and the importance of building infrastructure to support equitable maternal care. Health Care Authority staff said the benefit launched on January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled with Apple Health, 287 clients served, and 641 claims paid so far, while also acknowledging barriers such as provider enrollment, claims submission, client matching, and language access. Doulas for All described the hub as part of a broader effort to expand access, support community-based birth workers, and reduce maternal and infant mortality disparities, especially for Black and Indigenous families.

Transcript Highlights:

• And in our state, we didn't just increase rates, but we also built infrastructure with the launch of
• We did launch the Apple Health Medicaid.
• We launched this benefit January 1, 2025, so it's very new.
• Remember that this doula benefit just launched in January. It's an infant still.
• Remember that this dual benefit just launched in January. It's an infant still.

Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.

Transcript Highlights:

• As the North Vietnamese army launched its final offensive into Saigon, fear and uncertainty gripped the
• And as the North Vietnamese army closed in, they were actively launching rockets and artillery, even
• As the North Vietnamese<00:06:16.800><c> army</c><00:06:17.199><c> launched</c><00:06:17.520><c> its<
• /c><00:06:17.759><c> final</c> Vietnamese army launched its final Vietnamese army launched its final
• </c><00:07:50.960><c> rockets</c> in, they were actively launching rockets in, they were actively launching