Transcript Highlights:

• That's about affordability.
• We're reforming entitlement programs to get people who are ineligible off of those programs.
• You have failure with the program.
• I can't afford to... ...the state side.
• I can't afford to... ...needing food. I have no food. I can't afford food. Even gas.

Keywords: 1182, all

Transcript Highlights:

• First, they said, thank you for funding the programs that save our lives.
• Health care under our Medi-Cal program for illegal immigrants. We simply cannot afford it.
• Fact: we put in funding for behavioral health programs, which is great.
• Fact: we put in funding for behavioral health programs, which is great.
• They are crucial to make sure that this program works.

Summary: The Assembly convened after a quorum call and proceeded to floor business, with the main item being SB 101, the state budget bill. Before debate on the bill, Assembly Member Sanchez offered amendments to redirect funding toward Proposition 36 implementation, wildfire prevention, Medi-Cal provider reimbursement, developmental services, and other priorities; the majority moved to lay those amendments on the table, and the motion passed 43-18. The chamber then took up SB 101 as the budget bill for immediate effect. Debate on the budget was extensive and sharply divided. Supporters, including Assembly Member Gabriel and several committee chairs, described the budget as a difficult but responsible compromise that protects Medi-Cal, IHSS, child care, housing, wildfire prevention, and other safety-net programs while responding to a projected deficit and federal uncertainty. Opponents criticized the budget as fiscally unsound and argued it relied on accounting gimmicks, did not adequately fund Proposition 36 or wildfire prevention, and continued spending on high-speed rail and Medi-Cal coverage for undocumented immigrants. Several members also raised concerns about gas taxes, provider reimbursement, probation funding, and the impact on vulnerable Californians. After debate, the Assembly voted on SB 101 and passed it 57-19. The measure was sent immediately to the Senate. The body then announced upcoming session schedules, with no floor or check-in sessions on June 14 and 15, and a floor session set for June 16 at 1 p.m., before adjourning.

Transcript Highlights:

• The benefits it brings, while making the program all while making programs for both employment and the
• The benefits it brings, while making the program all while making programs for both employment and the
• Yes, of course, Senator Drazkowski. existing programs are less competitive existing programs are less
• These companies can afford to pay their fair share.
• data centers and convert the program data centers and convert the program from<01:14:50.440>

Keywords: 1187, senate, all

Transcript Highlights:

• more affordable by reducing the tax burden on... ...the tax burden on ...make child care more affordable
• Well, I say that we can't afford not to..." "...can't afford a tax relief package.
• Arizona cannot afford this. And for those reasons, I vote no. Representative Sandoval votes no.
• HB 2902 Appropriation Program Health, Human Services, and Appropriations.
• HB 2224 Produce Incentive Program Appropriations.

Keywords: 1182, all

Summary: The House convened with prayer, the Pledge of Allegiance, approval of the prior journal, and introductions of the Doctor of the Day and student guests, including JAG students and Hila Ben High School visitors. Attendance was recorded at 49 present, 3 absent, and 8 excused. The chamber then moved into Committee of the Whole to consider HB 2153, the annual tax conformity bill, which was described by supporters as aligning Arizona tax law with recent federal changes and providing relief through no tax on tips and overtime, a 25% increase in the child tax credit, a new child care expense deduction, and expanded senior retirement-income deductions. Opponents argued the measure would primarily benefit wealthy individuals and corporations, leave out some seniors without retirement accounts, and reduce revenue needed for public services. HB 2153 drew extensive debate and multiple questions about its effects on seniors, small businesses, wages, child care, and the timing of tax filing forms already issued by the Department of Revenue. Supporters emphasized taxpayer certainty, conformity with federal forms, and economic growth; critics said the bill was fiscally irresponsible and unfair. The Committee of the Whole approved the bill 31-26, and the House later adopted the report and referred the bill to engrossing. The House then took up the Senate mirror measure, SB 1106, substituted for HB 2153, and held floor explanations of vote. After further debate along similar lines, the House passed SB 1106 by a vote of 31-27 with 2 not voting and transmitted it to the Senate. The remainder of the session included personal privilege remarks, committee schedule announcements, a long list of first-read bills and referrals, and finally a motion to adjourn until Tuesday, January 20, 2026.

Transcript Highlights:

• Today we will hear testimony on legislation related to affordability and access to behavioral health
• I've been given more responsibility yesterday as a member of the Governor's affordability task force,
• Incredibly affordable to give these individuals access to life-saving kidney transplants.
• Unfortunately, not all Medicare beneficiaries have access to affordable supplemental coverage.
• I mentioned our financial assistance programs at AKF.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on several health care bills focused primarily on autism services and kidney disease coverage. Committee chairs John Lawn and Cindy Friedman opened by outlining hearing procedures, testimony rules, and filing deadlines, and noted the hearing would be recorded and written testimony accepted. They said the day’s topics included affordability and access to behavioral health services, provider reimbursement, Medicare coverage for vulnerable populations, and MassHealth eligibility asset exemptions. A major portion of the hearing concerned House Bill 4623, which would add board-certified assistant behavior analysts (BCABAs) as a recognized mid-level supervisory role in the MassHealth reimbursement framework to help address long wait lists for autism spectrum disorder services. Representative Lisa Field, actuaries, clinicians, and autism service providers testified that the current two-tier model limits workforce capacity, contributes to long delays, and leaves families waiting months for care. Supporters said the bill could expand access, improve retention, and potentially reduce MassHealth costs, while also helping providers meet growing demand and new administrative requirements. The committee also heard testimony on House Bill 4425 and Senate Bill 2737, which would allow Massachusetts residents under 65 with end-stage renal disease to purchase Medigap coverage. Legislators, dialysis advocates, and patients described high out-of-pocket costs under Medicare, barriers to kidney transplant eligibility without secondary insurance, and the financial strain on patients and families. Testifiers said the change would affect about 846 residents, could modestly increase premiums, and might reduce Medicaid spending by preventing asset spend-downs. Senator Gomez and others spoke from personal experience with dialysis and transplant care. Finally, the committee heard testimony on House Bill 4353 and Senate Bill 2587, which would require regular data-driven review of MassHealth ABA reimbursement rates. Providers and association representatives argued that reimbursement has not kept pace with inflation, workforce shortages, accreditation costs, and new 2026 MassHealth policy requirements, and said the bills would improve transparency and ensure rates reflect the true cost of care. No votes were taken; the hearing concluded with the chairs thanking participants, inviting additional written testimony, and adjourning the meeting.

Transcript Highlights:

• funds to be allocated through Program funds to be allocated through Program Open<00:04:04.760>
• c> which<00:04:13.520> includes dollar capital program, which includes dollar capital program
• This is approved by both the Capital Debt Affordability Committee and the Spending Affordability Committee
• Committee and the Debt Affordability Committee and the Spending<00:07:49.360> Affordability<00
• There Spending Affordability Committee.

Keywords: Senate streaming session for Monday, March 23, 2026, 960, senate, all

Summary: The Maryland Senate reconvened with a quorum and took up Budget and Taxation matters first. The chamber considered Senate Bill 283, the Maryland Consolidated Capital Bond Loan of 2026, with the capital budget subcommittee chair describing a $5.7 billion capital program focused on jobs, reliability, and infrastructure, including funding for transportation, state facilities, local projects, and legislative bond initiatives. The committee report and reprint were explained, and the bill with its 291 committee amendments was special ordered until the next day for further amendment work. The Senate then adopted the favorable committee report for Senate Bill 769, the University System of Maryland Academic Facilities Bonding Authority, and ordered it printed for third reading. On the third reading calendar, the Senate passed Senate Bills 84, 618, 932, 148, 202, and 623 by constitutional majorities. SB 84 concerned collective bargaining for graduate assistants; SB 618 addressed a public ethics exemption for General Assembly members and certain state and local employees; SB 932 dealt with social media platforms displaying user location; SB 148 created an income tax subtraction modification for public safety employee retirement income supporting 911 specialists; SB 202 reinstated an order-to-show-cause process in police discipline, which drew floor opposition from a senator who argued it would revive an unnecessary exception to the streamlined police accountability process; and SB 623 created the Maryland Premium Cigar Lounge Act of 2026. The Senate also handled Senate Bill 463, a second-reading bill on municipal vagrancy and local authority to prohibit it, which the committee chair moved to special order for the following Tuesday without objection. The session concluded with announcements about caucus meetings, a quorum call, and adjournment until Tuesday, March 24 at 11:00 a.m., along with thanks to the secretary’s office, DLS staff, and pages for their work.

Transcript Highlights:

• care programs in the single-rate system for future fiscal years.
• And climate programs is fiscally irresponsible.
• can't afford groceries and services here.
• stipends to students in teaching certification programs and funds numerous important programs and services
• served by the program that are intended to protect and strengthen the program for future years.

Summary: The Assembly met on June 4, 2025, first establishing a quorum and then moving through a long budget and concurrence session. After procedural motions, the house took up several budget trailer bills and related measures presented by Assembly Member Gabriel. SB 103, a technical budget cleanup bill addressing the Public School System Stabilization Account, a CDCR shortfall, and Middle Class Scholarship funding, passed 52-16. SB 120 on child care and preschool funding passed 65-1; SB 124 on natural resources and wildfire response passed 69-1; SB 127 on climate change and zero-emission transportation passed 53-17; SB 128 on transportation and DMV/LA Olympics implementation passed 53-17; SB 132 on taxation, veterans, wildfire settlements, film tax credits, and housing passed 64-1; SB 141 on cannabis enforcement and illicit market suppression passed 71-1; and SB 142 extending the Deaf and Disabled Telecommunications Program passed 68-1 on both urgency and the measure. The Assembly also approved a motion to re-refer several bills to committees and later suspended rules to take up Senate-amended bills without reference to file. The chamber then considered AB 102, the main budget bill reflecting the final three-party agreement with the Governor. Supporters said it balanced compassion and fiscal responsibility while preserving housing, health care, child care, education, wildfire resilience, and public safety funding. Opponents criticized it for unsustainable spending, insufficient Prop. 36 funding, and other omissions. After extended debate, the Assembly concurred in the Senate amendments by a 55-16 vote and sent the bill to the Governor. The Assembly then concurred in Senate amendments to AB 116 on health care, AB 118 on human services, AB 121 on TK-12 education, AB 123 on higher education, AB 134 on public safety, AB 136 on courts, AB 137 on general government, and AB 143 on developmental services, with each bill passing on largely party-line or broad bipartisan votes. Debate on AB 116 focused on Medi-Cal, HIV program backfills, pharmacy benefit managers, and health care cuts; opponents objected to funding for undocumented immigrants and to hospice prior authorization. AB 118 drew support for child welfare, CalFresh disaster readiness, and CalWORKs simplification. AB 121 emphasized record K-12 funding and a $1.7 billion block grant. AB 123 extended the Golden State Teacher Grant Program and supported higher education and fire-impacted career technical education. AB 134 updated CDCR and tribal policing provisions, AB 136 streamlined court reporting and funded courthouse facilities, AB 137 made technical budget adjustments and fee changes, and AB 143 made developmental services reforms while preserving the state’s entitlement commitment. The final item shown was AB 470 on telecommunications, which was presented and discussed as a transition away from copper landlines toward fiber and modern networks, with supporters emphasizing public benefits and labor concerns, but the transcript cuts off before a final vote is shown.

Transcript Highlights:

• At its core, this bill is about housing affordability and access and the relationship between affordability
• So you're branding this as an affordability program. How do you ensure affordability?
• You know, I love affordable housing. You know, I'm a huge advocate for affordable housing.
• The fact that it's being branded as an affordable housing entity, yet there's no affordability targets
• The fact that it's being branded as an affordable housing entity, yet there's no affordability targets

Bills: HB2128, HB2255, HB2397, HB2429, HB2591, HB2680, HB2834, HB2868, HB2911, HB2951, HB2979, HB2991, HB2996, HB2999, HB4001, HB4011, HB4017, HB4020, HB4026, HB4086, HB4088, HB2244, HB2342

Keywords: homeowners associations, condominiums, open meetings, governance, transparency, Arizona Teachers Academy, teacher preparation, education funding, public schools, scholarships, teacher certification, community colleges, HOA, homeowners association, planned community, condominium, CC&Rs, covenants, conditions and restrictions, resale disclosure, association disclosure

Summary: The committee heard and acted on several bills, mostly receiving due pass recommendations. HB 4020 would raise the maximum annual assessment on insurers that funds the Department of Insurance and Financial Institutions fraud unit from $1,050 to $1,350. The sponsor and an industry witness said the increase would support fraud investigations, and the bill passed 9-1 after a roll call vote; the transcript later included a correction stating HB 4020 passed 10-0 with one absent. HB 2255 would extend Arizona Teachers Academy scholarship eligibility for community college students from two academic years/four semesters to four academic years/eight semesters. Maricopa Community Colleges supported the bill, saying it would let community college teacher candidates complete bachelor’s degrees with the same funding available to university students. It passed unanimously. HB 2591, as amended, revised the definition and administration of registered apprenticeships to align with U.S. Department of Labor standards and add requirements such as written agreements, structured training, wage progression, and safety supervision; it also passed unanimously. HB 2680, as amended, narrowed and revised workers’ compensation fraud-related provisions, including insurance disclosure requirements and proof of coverage. Supporters from labor and construction groups said it would help combat premium fraud and protect honest contractors, while the sponsor said the amendment narrowed the bill to address concerns. It passed 10-1. HB 2979 modernized credit union law regarding bylaws, name changes, principal office changes, and certain powers; credit union representatives supported it as a regulatory update, and it passed 11-0. HB 2868 required manufactured-home/mobile-home installation license applicants and renewals to show insurance and fingerprint clearance, and to allow the Department of Housing to set experience, exam, and enforcement rules; it passed 8-1 with two present. The committee also approved a strike-everything amendment to HB 2429 on short-term rentals, allowing local governments to regulate overnight occupancy, extending the violation window for suspending a license from 12 to 24 months, and allowing suspension after certain building code violations. The sponsor and city/county representatives described it as a compromise that restores some local control, while short-term rental advocates and neighborhood groups said it was a step forward but still too limited; the bill passed 8-2 with one present. HB 4011, without the proposed amendment, codified HOA duties to act reasonably and fairly in enforcing rules, and after testimony from attorneys, homeowners, and HOA advocates describing abusive enforcement and the need for clearer standards, it passed 11-0. HB 2397, as amended, required more complete HOA disclosure information to buyers and escrow agents, with supporters saying it would prevent surprise assessments and defects and critics warning some language was still broad; it passed 11-0. Finally, HB 4026 would change a public infrastructure reimbursement program for advanced manufacturing by replacing a $200 million total cap with a $75 million annual cap and adding website-posting requirements for agreements; Queen Creek and economic development witnesses said it was needed to support major manufacturing projects and related infrastructure, and the bill was being discussed when the transcript ended.

Transcript Highlights:

• And there is a great program.
• , and our school-age programs.
• programs.
• programs have been effective.
• Second, affordability: are families able to afford child care for their children?

Keywords: 908, all

Transcript Highlights:

• to scale a program statewide. to scale a program statewide.
• Um great program.
• Program<01:29:23.360> eligi- Program eligi- Program eligi- bility<01:29:24.680> is<01:29
• in that program.
• funds in the program to meet program demand.

Keywords: 1187, senate, all

Transcript Highlights:

• Simply creating a new state bureaucracy will not make health care more affordable.
• My amendment would establish a task force to ensure health care is affordable.
• So I'm offering this amendment to tie it... ...health care more affordable.
• that they are unable to afford.
• President, I move the Senate to stand at recess for the anniversary years of service program.

Summary: The Senate met with 27 members present and a quorum, opened with an invocation and the Pledge of Allegiance, and then moved through a series of motions, recesses, and introductions of bills. Several new bills were read and referred, including measures affecting the Income Tax Act, Natural Resources and Environmental Protection Act, public utilities, nondisclosure agreements, data centers and community benefit agreements, zoning, Medicaid false claims, and the Neighborhood Enterprise Zone Act, with referrals mainly to finance, energy and environment, and housing and human services committees. In the Committee of the Whole, Senate Bills 592, 49, and 50 were reported without amendment and advanced. On third reading, the Senate passed Senate Bills 900, 820, 966, 967, 968, 973, 974, 975, 976, 977, and 978. SB 900 dealt with the Vehicle Code, SB 820 with election law, SB 966 and SBs 974-978 with housing and insurance-related changes, and SB 967 with the Income Tax Act. SB 966, 967, 973, 974, 975, 976, 977, and 978 all passed on 20-16 votes, while SB 900 passed 35-1. Senate Bill 973, creating a state-based health insurance exchange as a nonprofit corporation, drew the most debate. Senators Weber, Lindsay, and Halk offered amendments, all of which were defeated after recorded votes; Weber argued for cost controls and consumer savings, while supporters said the bill would give Michigan more control over health care decisions and could lower premiums. Senator Irwin spoke in support of the housing-related package, saying it would help address the state’s housing shortage. Senate Bill 592, concerning the Corrections Code, was also passed after a 31-5 vote, with Senator Lindsay explaining his no vote as concern about how the bill treats juvenile offenders. The Senate also adopted Senate Resolution 133, urging the U.S. Department of Agriculture to honor commitments to Michigan farmers participating in the Rural Energy for America Program. Senator McCann supported the resolution, citing farm losses from federal rollbacks, while Senator McBroom gave a strong no-vote explanation criticizing state energy policy and the resolution’s framing. The session ended with remarks recognizing Juneteenth and an anecdotal bipartisan exchange between senators before the chamber adjourned until June 23 at 10:00 a.m.

Transcript Highlights:

• provider in my field, I cannot afford provider in my field, I cannot afford the<00:21:44.400>
• at maybe something continued on program at maybe something continued on program is<00:43:06.640>
• But in terms of this program, this is just a one-time program.
• government rental assistance program. government rental assistance program.
• government rental assistance program. government rental assistance program.

Bills: HF3403, HF3410, HF3424

Keywords: HF3403, emergency rental assistance, rental aid, homelessness prevention, housing crisis, imminent risk of homelessness, eviction prevention, county aid, Tribal governments, local government aids, general fund appropriation, Minnesota revenue commissioner, poverty level, low-income housing, housing stability, family homeless prevention and assistance, emergency housing assistance, eviction, rent, redemption

Transcript Highlights:

• Right now, America has an affordability crisis.
• Improved affordability comes from generating abundance and embracing innovation.
• I'm not in the Ph.D. program, so I don't believe that President Trump attended Wharton's Ph.D. program
• Yes, I thought I heard you say program. Thank you for that clarification.
• a house, trying to afford a car, trying to make their lives work.

Keywords: nomination, Deputy Secretary of Treasury, economic policy, inflation, tariffs, tribal nations, government relations

Summary: The meeting convened to consider the nomination of Mike Falkender for the position of Deputy Secretary of the Treasury. During the session, multiple members voiced concerns regarding current economic policies under the Trump administration, particularly around inflation, tariffs, and the impact on small businesses. Discussions frequently centered on the administration's approach to tariffs and taxation, and how these factors contribute to the rising cost of living and potential job losses. Additionally, the importance of bolstering government-to-government relationships with tribal nations was emphasized, highlighting the need for specialized offices focused on tribal affairs within the Treasury Department.

Transcript Highlights:

• <00:31:14.760> affordability.
• <00:31:15.760> I<00:31:16.000> don't 10% affordable affordability.
• I don't 10% affordable affordability.
• and establishing new programs.
• And we are so proud of that program as well as the other programs that we, you know, we meet the needs

Bills: HF2178, HF942, HF2470, HF1043, HF1287, HF1229, HF1230, HF424, HF571, HF404, HF910, HF1055, HF318, HF319, HF401, HF609, HF306, HF1599, HF1881

Keywords: HF2178, Cohasset, capital investment, bonding bill, state bonds, public infrastructure, water tower, water infrastructure, sanitary sewer, storm sewer, street reconstruction, municipal infrastructure, Public Facilities Authority, bond proceeds fund, Minnesota bonding, local government aid, utility infrastructure, public works, infrastructure, stormwater

Transcript Highlights:

• This program also allows cargo... ...of zero emissions for heavy-duty vehicles.
• I don't think we can afford...
• I don't think we can afford it.
• If drivers still cannot afford to pay the tickets, they can then at least register for payment plan programs
• I was told I had to pay thousands of dollars, which I could not afford.

Summary: The Assembly Transportation Committee heard a series of bills focused on transportation safety, climate resilience, wildlife connectivity, parking enforcement, and EV charging reliability. AB 605 would create a pilot program allowing certain hydrogen internal combustion cargo-handling equipment at ports; supporters said it could help ports stay competitive while reducing emissions, while South Coast AQMD raised concerns about possible nitrogen oxide emissions and limits on future regulation. The bill passed on an 11-0 vote to the Natural Resources Committee. AB 1132 would require Caltrans to incorporate community resilience indicators, including socioeconomic factors, into climate vulnerability assessments; supporters from Greenlining, AARP, and others said it would better protect seniors, people with disabilities, and transit users during heat waves and disasters, while some members questioned the cost during a tight budget year. It passed 9-0 to Appropriations, with some members not voting. AB 382 would lower school-zone speed limits to 20 mph and give local agencies more flexibility in how the limit is posted and enforced; supporters cited child pedestrian deaths and safety research, and the bill passed 11-0 to Appropriations. AB 902, as amended, would require transportation projects in wildlife connectivity areas to include wildlife passage features where feasible; supporters emphasized reduced collisions and habitat fragmentation, while the California Building Industry Association and COGs moved from opposition to neutral after amendments. It passed 9-1 to Local Government. AB 1014 would give Caltrans more discretion to lower speed limits on state highways based on local conditions rather than the 85th percentile rule; supporters said it would improve safety in rural and tourist areas, and the bill passed 13-0 to Appropriations. AB 1022 would end towing or booting vehicles solely for unpaid parking tickets, with supporters describing the practice as punitive and harmful to low-income drivers, while cities and parking groups argued it would weaken enforcement and create problems for out-of-state vehicles. The bill passed 9-3 to Appropriations. AB 1423 would require publicly funded EV chargers to meet reliability standards and allow enforcement of uptime requirements; supporters said taxpayers need functioning chargers, while charging-industry opponents objected to retroactive standards and possible conflicts with existing agreements. The bill passed 14-0 to Utilities and Energy. The committee also approved a consent calendar of five bills by voice vote and held roll calls open for additional members to add on.

Transcript Highlights:

• Most people can't afford the fees.
• Nobody, hardly anybody at Nichols could afford to go to Harvard, but they can't afford to go to Nichols
• and competitive academic programs.
• Individualized education program or plan.
• This program did literally 1,000 assignments, which this program did.

Keywords: 974, senate, all

Transcript Highlights:

• is currently administering the program. is currently administering the program.
• programs to the form of egg parks. programs to the form of egg parks.
• development program which has two names. development program which has two names.
• Hawaii's State Department of Agriculture participates in that program, the RAP program.
• Hawaii's State Department of Agriculture participates in that program, the RAP program.

Bills: HB1601, HB1828, HB1616, HB1603, HB1606, HB1604, HB1605

Keywords: biosecurity, invasive species, Hawaii Invasive Species Council, Department of Land and Natural Resources, appropriation, agriculture, land use, farm dwelling, renewable energy, income qualification, solar energy, geothermal resources, hydropower, agricultural tourism, aquaculture, commercial activity, swine production, Korean natural farming, land leases, Hawaii

Transcript Highlights:

• The program that we're working with is through Lutheran Social Service, and so it's a proven program
• housing including affordable housing. housing including affordable housing.
• <02:49:30.720> Speaker, more affordable. And again, Mr. Speaker, more affordable.
• was their home and they could afford was their home and they could afford that.<03:43:22.319>
• This is not just a policy program.

Keywords: 1183, house

Transcript Highlights:

• group insurance program.
• Importantly, the EGIP program will be modeled after that current state program using the same tiered
• <00:04:50.160> every deductible I simply cannot afford every deductible I simply cannot afford
• dollars to an unproven statewide program dollars to an unproven statewide program instead<00:19:
• <00:19:55.200> We school districts and programs. We school districts and programs.

Keywords: 1183, house

Transcript Highlights:

• The department raised fees and then added staff to the program.
• The department raised fees and then added staff to the program.
• You heard that 35 states like us have a program of this sort.
• You heard that 35 states like us have a program of this sort.
• We took deep cuts to the PEBB and SEB program.

Summary: The committee heard a JLARC presentation on the Department of Health’s oversight of hospital inspections, complaints, and reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state standards, did not consistently require proof of those inspections, did not review adverse health event corrective plans, and could make hospital data more accessible. JLARC also raised a possible language-access barrier in the complaint system. Members asked about complaint filing by staff, the meaning of adverse health events, inspection outcomes, and whether the audit compared DOH to other agencies. JLARC said it had not reviewed inspection results or cross-agency comparisons, but noted inspectors were dedicated and working long hours. DOH later said it concurred with the recommendations and outlined a strategic plan with target dates for improving timeliness, verifying accreditation standards, expanding language access, reviewing adverse event laws, and improving public data access, with annual reporting to the Legislature expected. The committee then heard a Department of Health presentation on certificate of need modernization. DOH described the current certificate of need process, which reviews need, financial feasibility, quality, and cost containment for certain facility changes and new services, and said the program has not been modernized since the 1980s. DOH proposed 10 statutory modernization recommendations, including clarifying the program’s purpose, creating a planning entity, adding flexibility, reducing legal costs, updating access-to-care standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, strengthening long-term funding, and using better data systems. Members asked about oversight of freestanding urgent care and EDs, funding sources, and whether the process could be streamlined or made more responsive to complaints or other triggers. A third panel discussed artificial intelligence in health care. Lucy O’Rourke of the Coalition for Health AI described CHAI’s work on responsible AI principles, technical standards, model cards or “nutrition labels,” testing and governance tools, and educational resources for providers. She said the group is focused on trust, transparency, fairness, safety, security, and privacy, and noted Washington’s AI-related policy work as among the more progressive in the country. No questions were asked. The final portion focused on the financial impact of federal and state health care policy changes. The Washington State Hospital Association said hospitals are facing low or negative operating margins, service reductions, layoffs, and closures, and that state cuts and taxes enacted in 2025, combined with federal HR1 changes, will significantly worsen finances. Providence Swedish leaders described staffing reductions, service cuts, delayed capital investments, and pressure from denials, tariffs, and reimbursement changes, while emphasizing that frontline staffing cuts are tied to service reductions rather than nurse-to-patient ratio changes. The Washington Health Benefit Exchange then began a presentation on expiring federal ACA premium tax credits, state Cascade Care Savings assistance, and eligibility changes affecting lawfully present non-citizens, with examples showing large premium increases for customers if federal subsidies expire.