Transcript Highlights:

• What is the training pipeline? What is the outlook?
• and trained employees.
• employees.
• employees.
• employees.

Committee: House Higher Education and Workforce Development

Transcript Highlights:

• AB 1 extends PERB's jurisdiction to include employees of the Legislature.
• The Legislature Employee Relations Act provides employees, as specified, the right to form, join, and
• , in all matters of employer-employee relations.
• The Employee Assistance Program is a union-negotiated benefit for all state employees.
• training, and that's correct, yes.

Transcript Highlights:

• it into their existing sexual harassment training.
• incorporating it into their existing sexual harassment training.
• , which resulted in a need for additional training and time.
• Assembly Bill 1564 by Assembly Member Arons and Accuades from Employee, Employee Relations.
• AI so that employee organizations are Notice of the proposed use of generative AI so that employee organizations

Summary: The Assembly convened, established a quorum, and proceeded through a large House of Origin floor file, with the Speaker repeatedly urging members to be at their desks and keep support bills brief. Early actions included dispensing with the journal, re-referring AB 2285 to the Banking and Finance Committee, and then taking up dozens of third-reading items, with many bills passed by voice or recorded vote and others passed temporarily or retained on file. The floor debated and passed a wide range of measures on land use, housing, labor, public safety, health care, utilities, taxation, and consumer protection. Among the bills approved were measures on land surveyor review (AB 1933), nurse midwife access for pregnant and postpartum patients (AB 1696), historic-district transit zoning flexibility (AB 2415), EV charging infrastructure fees and timelines (AB 1820), foreclosure bidding protections (AB 1957), tribal cannabis commerce (AB 2506), outdoor advertising permitting (AB 2024), commercial building permit timelines and third-party plan checkers (AB 2418), DUI penalties (AB 1685 and AB 1687), utility rate transparency (AB 1715), CalWORKs work-penalty changes (AB 1755), dynamic electricity rates (AB 1787), interior designer licensure (AB 1796), compost labeling and contamination rules (AB 1812), modular housing standardization (AB 1815), small claims limits for businesses (AB 1827), Native American Day as a paid state holiday (AB 1841), hospital staffing and maternity access bills (AB 1868 and AB 1882), protective orders tied to release dates (AB 1889), and a series of public health, missing persons, and teacher credentialing measures later in the file. Several high-profile bills drew extended debate. AB 2624, expanding Safe at Home privacy protections to immigrant service providers, prompted sharp disagreement over free speech and alleged limits on online posting, but supporters said it protected workers facing threats and doxing; it ultimately passed 49-19. AB 2023, creating a framework for regulating AI chatbots used by children, was framed as a child-safety measure after testimony about chatbot-related harms and suicide risks, and passed 58-8. Other notable votes included AB 2208 on Medi-Cal protections against federal cuts, AB 2299 on CalFresh/SNAP losses, AB 2115 apologizing to California Native peoples for historic state harms, and AB 2311 on public hospital physician employment; the transcript ends as the Assembly continues working through the remaining file.

Transcript Highlights:

• And word is spreading across state employees very quickly.
• And word is spreading across state employees very quickly.
• only has 600 employees.
• only has 600 employees.
• Healthcare costs for employees are rising.

Bills: SB6061 , SB6234 , SB6170 , SB6176 , SB6182 , SB6335 , SB5647 , SB6047 , HB2367 , HB2606 , SB5998 , SB6005 , SB6003 , SB6129 , SB6225 , SB6228 , SB6231

Summary: The Senate convened with roll call, prayer, and approval of the previous day’s journal, then moved to a resolution honoring piano teachers. Senate Resolution 8698 was adopted after remarks from Senator Conway and others describing the role of piano teachers in music education, family life, and community service. Members of the Washington State Music Teachers Association and the National Guild of Piano Teachers were recognized in the gallery. The chamber then took up the operating budget and considered a long series of amendments. Several amendments focused on housing costs and local planning, utility and energy policy, ballot measure costs, state spending growth, tort liability, and paid family and medical leave. Some amendments were adopted, including a study of utility cost impacts from climate laws, a grid-related funding amendment, a tort liability oversight/reporting amendment, and a workgroup on services for people with intellectual and developmental disabilities. Others were rejected, including proposals to create a housing task force, cap state spending growth, fund ballot initiative costs, restore local planning grants, and change paid family and medical leave usage rules. Debate on the budget amendments was often partisan and detailed, with supporters arguing for fiscal restraint, cost transparency, and relief for taxpayers and local governments, while opponents emphasized existing work, program solvency, and the need to preserve services. The Senate also heard amendments on zero-based budgeting, federal education tax credit opt-in language, reproductive health funding, food assistance work requirements, and support for the Pediatric Interim Care Center; some were defeated and some were adopted. Roll-call votes were taken on certain amendments, and the transcript ends during consideration of Amendment 0787, which would restore funding for the Pediatric Interim Care Center.

Transcript Highlights:

• That went to train more than 142,000 workers and help create more than 61,000 jobs across the state.
• It relocated to Texas, didn't take any employees with it.
• In fact, grew employee base here in California, and then came back.
• Benefits usually accrue to one of three classes: employees, consumers, or the environment.
• Oh, I'm a small business owner, and they've got this free training on digital marketing.

Summary: The subcommittee heard an overview from Go-Biz Director D.D. Myers on the administration’s economic development strategy, centered on the California Jobs First framework. Myers described regional planning across 13 regions, the Jobs First Council, and pilot sectors including ag-tech, space and defense, life sciences, and semiconductors. She also outlined budget requests for CalCompetes, CalExport, the California Film Commission, innovation/emerging technologies, and the California Civic Media Fund, along with the new California brand campaign. Committee members raised questions about misinformation about California, regulatory burdens, tourism versus broader economic messaging, and how the brand campaign would highlight underrepresented communities. No vote was taken; the item was informational. The committee then reviewed CalOSBA’s work on small business support, including California RISE, the Performing Arts Equitable Payroll Fund, and TAP/SIP technical assistance and capital infusion programs. CalOSBA reported that California RISE’s first cohort awarded $16.9 million to 61 employment social enterprises, with growth in revenue, contracts, and jobs; the performing arts payroll fund paid all 100 recipients but was heavily oversubscribed; and TAP supported more than 112,000 businesses in the past year, helping leverage federal and local funds. Testimony from program partners emphasized the importance of small business counseling, community-based outreach, and support for arts organizations facing post-pandemic and AB 5-related cost pressures. Senators pressed for more data on long-term job retention, better outreach to smaller and ethnic media, and possible program changes to speed grants and stretch funding further. Finally, the committee heard Go-Biz’s request for additional staff and funding for the California Film and Television Tax Credit Program. Staff said the request would support application review, DEIA implementation, and data tracking. The Film Commission reported that about 147 productions had been approved and roughly 90% were opting into the new diversity provisions, with career pathways reporting to include demographic and participation data and a future report expected in 2027. Senators asked about accountability, apprenticeship and internship hours, and whether the program was producing real career pathways and inclusive hiring outcomes. The item remained informational, with no vote or action taken during the hearing.

Transcript Highlights:

• And this availability, along with appropriate training, is also part and parcel of the bill before you
• The first point I'd like to address is the importance of Narcan trainings.
• The first point I'd like to address is the importance of Narcan trainings.
• This bill also requires overdose prevention training and access to naloxone on every campus.
• You still had to attend all of these trainings.

Committee: Joint Joint Committee on Higher Education

Summary: The Joint Committee on Higher Education held its fourth public hearing, opening with remarks about the importance of protecting and expanding access to higher education amid federal disinvestment. The chairs also announced future informational hearings on the impact of federal cuts and on ASAP models. The hearing then focused on several bills, beginning with S. 951/H. 1462, An Act to Support College Students in Recovery, which would require recovery-focused housing on public campuses and expand naloxone access and overdose training. Senator Rausch, medical professionals, students, and advocates testified in support, emphasizing the prevalence of overdose risk among college students, the value of recovery housing, and the need for campus naloxone; committee members asked about implementation details and the existing state pilot program. Deb Schmill and Rep. Tarski gave especially personal testimony in favor of the bill, and the committee discussed broadening the naloxone language to opioid reversal agents. The committee also heard testimony on H. 1461, which would expand MassReconnect scholarships to practical nursing students at vocational and technical schools to help address the long-term care workforce shortage. Rep. Stanley argued that vocational schools graduate more practical nursing students than community colleges and serve many low-income students in areas without nearby community college programs. The committee then took up H. 1433, which would require public higher education institutions to accept IEPs and 504 plans as sufficient documentation for disability accommodations. Advocates from the National Center for Learning Disabilities described the high cost and burden of repeat testing, the lifelong nature of disabilities, and the need for more uniform access across campuses; committee members raised questions about documentation freshness, campus autonomy, and how to preserve the integrity of accommodations. Later, the committee heard S. 919/H. 1454 on modernizing the Community College Endowment Match Program so community colleges could receive state matching funds for current-use donations as well as endowments and capital gifts. Community college foundation leaders said the change would help fund immediate student needs such as food pantries, child care, emergency aid, and equipment. The hearing then moved to faculty-related bills: S. 933 on UMass faculty rights and tenure transparency, S. 930/H. 3948 on contingent faculty rights and career advancement, and S. 940/H. 1429 on an Adjunct Bill of Rights. Testimony from faculty and union representatives focused on low pay, lack of benefits, job insecurity, and the need for clearer pathways to full-time positions and fairer treatment for adjuncts who teach large shares of courses. No votes were taken during the hearing; the committee primarily received testimony and asked clarifying questions.

Transcript Highlights:

• and employees.
• Second point I do want to make is that when I was at IBM, we were required to take EEOC training as employees
• </c> the student completes the training. the student completes the training.
• Kapela's bill required training, but it did not require registration with training.
• >> Of training?

Committee: House Education

Summary: The committees heard testimony on HB 1872, which would create an early learning apprenticeship grant program to help early childhood providers participate in approved apprenticeship programs, require annual reporting, and appropriate funds. Testifiers in support included the University of Hawaiʻi, the Executive Office on Early Learning, the City and County of Honolulu, Commit to Keiki, the Chamber of Commerce Hawaiʻi, the Commission on the Status of Women, Hawaiʻi Children’s Action Network Speaks, Parents for Public Schools of Hawaiʻi, and Kīʻoka Family Learning Centers. Supporters said the bill would reduce financial barriers, strengthen recruitment and retention, improve compensation and career pathways, and help address child care shortages and workforce instability. The committee then voted to pass HB 1872 with amendments, including an HD1 and a defective date to allow further discussion. The committee next took up HB 2489, which would appropriate funds for the University of Hawaiʻi to establish a bachelor’s degree program in American Sign Language interpretation, with a longer-term plan for a master’s program. Testimony in support came from the Disability Communication Access Board and the University of Hawaiʻi, and members also heard detailed support from DECAP and other advocates describing a statewide shortage of ASL interpreters, long waiting lists for ASL courses, and the need for locally trained interpreters who understand Hawaiʻi’s cultural and community needs. Witnesses said the shortage affects schools, courts, hospitals, emergency services, and other settings, and that the program could be expanded through articulation with other campuses. The committee voted to pass HB 2489 with amendments, again using an HD1 and defective date. After those two measures, the committee moved to HB 441 on campus safety, which would require students, including transfer students, to complete training on federal laws and university policies regarding sexual misconduct before initial registration and would change how often training is provided to students and employees. The University of Hawaiʻi stood on its written testimony, while supporters including IMUA Alliance and other testifiers urged passage, citing survivor experiences, national best practices, and the need for prevention before harm occurs. No vote on HB 441 was reached in the portion provided.

Transcript Highlights:

• The High Road Training Partnership Program is one that my colleagues speak to.
• And so those employees, if we kept them on, would be doing essentially overlap of what other employees
• Issue eight is the apprenticeship training grant augmentation.
• They gave me a new career through the CDL training.
• They gave me a new career through the CDL training.

Summary: The subcommittee heard a series of budget and trailer bill presentations focused on labor and public employment programs. The first item covered EDD Next modernization, where EDD described progress on customer service improvements, fraud prevention, language access, and the Integrated Claims Management System. The LAO urged stronger legislative oversight as the project enters its most difficult phase, and members questioned the revised schedule, total cost, change orders, stress testing, SB 1090 implementation, and how race and ethnicity data will be protected. EDD said the overall project cost remains about $1.2 billion, that the work is being phased with disability insurance and paid family leave first, and that fraud has been greatly reduced since pandemic-era programs ended. Members also asked for follow-up information on SB 590 outreach and equity impacts. The committee then reviewed the California Workforce Development Board’s request to reduce staffing as one-time grant workloads wind down, along with trailer bill language to streamline reporting requirements. The board and Department of Finance said the staffing reductions reflect the end of surge funding and that the proposal would consolidate roughly 10 to 12 reports into one annual report, with additional reporting only if new funds are appropriated for certain programs. Senator Durazo questioned the policy direction of reducing workforce staffing, while the administration said the positions were tied to temporary grant programs and that current staffing is sufficient for ongoing duties. Members also asked about the board’s role in AI-related workforce planning and the rationale for using state funds for the High Road Construction Careers Program. A major portion of the hearing focused on the Subsequent Injury Benefits Trust Fund reforms and related staffing request at DIR. The administration and LAO described rapid growth in applications, backlog, and liabilities, saying the program’s eligibility has expanded beyond its original intent and that liabilities could reach about $30 billion by 2030 without reform. The trailer bill would tighten eligibility, apply the changes to open cases, and use the QME process and contemporaneous evidence to document preexisting disabilities. Members raised concerns about fairness to pending claimants, evaluator capacity, and the relationship to other SIBTF legislation, while the LAO said the proposal largely aligns with its prior recommendations. DIR also presented a request to eliminate vacant positions under a statewide vacancy sweep, which drew criticism from members who argued the cuts could weaken enforcement and backlog reduction efforts; the committee asked DIR to return with more detail on impacts and on its use of temporary-help authority. The final items addressed a request for additional Cal/OSHA investigative staff and a trailer bill to make permanent the revised Workers’ Compensation Appeals Board petition timeline. DIR said the BOI staffing would help investigate fatalities and serious injuries more quickly, while members emphasized the importance of family contact and timely investigations. For the WCAB item, the chair explained that the 2024 change to Labor Code section 5909, which starts the 60-day decision clock when a case is transmitted rather than when a petition is filed, has reduced pending cases and should be made permanent; the remaining backlog was reported at 460 cases, down from 637 before the change.

Transcript Highlights:

• He now wants to write the hate speech training.
• We also have workplace violence training.
• workplace violence training.
• Hate speech and anti-hate speech training, yes.
• Local 1000 is California's largest state employee union.

Committee: House Governmental Organization

Transcript Highlights:

• </c><00:10:31.600><c> causing</c> being misused by employees causing being misused by employees causing
• </c> critical relationship between employees critical relationship between employees and<00:42:17.800
• temporary or employees retaining temporary or substitute<00:48:07.200><c> employees</c><00:48:08.160
• paid medical leave. bartender a barback a kitchen employee bartender a barback a kitchen employee if<
• </c><00:52:49.599><c> had</c> employees 28% of motan employees had employees 28% of motan employees had

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

Transcript Highlights:

• The position will be tasked with implementing statewide guest service training for Welcome Center staff
• to be trained by the outgoing employee.
• the right thing, we thought it would be very prudent to hire someone in advance so that they could train
• It seemed very reasonable that we were looking at about six months at the most for that training period
• for another vice president if the position warranted, or we had a chance for an on-ramp there for training

Committee: All ALC-PERSONNEL

Summary: The committee met with a quorum and considered several personnel and position requests. Item B from Parks, Heritage and Tourism was a one-for-one swap of an administrative coordinator for a Parks and Tourism Program Supervisor Expert to support statewide guest service training; it was reviewed and approved. Item C from the Department of Correction requested a new administrative law judge at the Post-Prison Transfer Board due to increased workload from federal parole revocation changes; it was approved. Item D from Black River Technical College requested a higher education central growth pool position for an associate vice president to serve as a temporary transition role during a CFO retirement. College officials testified that the position would be used only during the training/on-ramp period and could be left vacant otherwise; after questions from members, the request was reviewed and approved. Item E from Parks, Heritage and Tourism sought certification differentials of up to 10% for employees holding required Class A and B CDL licenses; the committee reviewed and approved the request. Item F from the Department of Labor and Licensing asked to use a previously frozen administrative coordinator position in the OSHA division because of increased inspection-related workload; the committee approved the request. Items G and H were continuation requests for higher education positions previously reviewed by the committee, and the committee voted to review them together and approved that review. Items I through N were reports requiring no committee action. Members were told that one packet item had a typo and a corrected version was provided. No further questions or business were raised, and the meeting adjourned.

Transcript Highlights:

• I have represented employees in the workplace for over 25 years.
• imposed on those employees.
• We're asking for a narrow exemption for training programs that are initiated by the employee, are completely
• These programs help employees who otherwise couldn't afford training and are critical for improving access
• It broadens that to cover all transit employees.

Summary: The committee heard several bills, beginning with AB 1521, the Judiciary Committee’s civil law omnibus measure. The bill makes a number of minor, mostly clarifying changes, including repealing obsolete Government Code provisions, allowing juvenile courts to hear petitions to establish records of birth, death, or marriage, requiring notice of probate petitions to the Department of Child Support Services, and correcting typos in existing law. It had no opposition and was moved on a do-pass basis to Appropriations, though it was later placed on call pending additional votes. Members then heard AB 57, which would reserve at least 10% of California’s Home Purchase Assistance Program funds for descendants of formerly enslaved people. The author and supporters framed it as a reparative, race-neutral-by-lineage effort to address historic housing discrimination and the racial wealth gap, while opponents argued it was an unconstitutional racial proxy and should instead be based on individual injury. The bill drew strong support and opposition testimony, was amended, and was approved on a do-pass as amended vote to Appropriations, then placed on call. AB 495, the Family Preparedness Plan Act, was heard next. The bill would expand and standardize caregiving and guardianship tools for families facing immigration-related separation, including broader use of caregiver authorization affidavits, recognition of non-relative extended family caregivers, and a new short-term guardianship process that preserves parental rights. Supporters said it would reduce trauma and help children remain with trusted caregivers; there was no opposition testimony. The committee approved it on a do-pass to Human Services vote and placed it on call. The committee also heard AB 392, which would address non-consensual sharing of sexually explicit media by requiring uploader consent certifications, faster takedown procedures, and civil remedies against uploaders and hosting sites. A survivor testified in support, and members discussed implementation details and possible amendments; the bill was moved on a do-pass as amended basis to Appropriations and placed on call. AB 692, which would prohibit employer “stay-or-pay” debt agreements that require workers to repay training or other costs if they leave or are terminated, also advanced despite opposition from business and industry groups concerned about impacts on signing bonuses and voluntary training programs. It was sent to Appropriations on a do-pass as amended vote and placed on call, along with AB 1234, a wage-claim enforcement bill aimed at reducing Labor Commissioner delays and adding consequences for employers who fail to participate in the process. The committee also heard AB 394, which expands protections for transit workers and allows transit agencies to seek restraining orders against violent riders; it received broad support, some concern about system-wide bans, and was discussed with amendments that preserved judicial discretion.

Transcript Highlights:

• Where we have made AI training available to all residents free of cost.
• We've also made it available to state employees.
• You're a foreign internationally trained physician or internationally trained nurse, yeah, you'd be..
• So then isn't it, wouldn't you say that it holds an employee back?
• We are helping retrain the workforce, not just tech employees, but all employees in the Commonwealth

Committee: Joint Joint Committee on Economic Development and Emerging Technologies

Summary: The committee held a hearing on Governor Healey’s economic development proposal, H.5386, the Mass Winds Act, with the governor and administration officials describing it as a follow-on to the 2024 Mass Leads Act. They said the bill is intended to help Massachusetts compete globally for capital, talent, and companies by creating a Global Mass initiative, including a proposed $50 million innovation access fund and $20 million for site development to help international firms locate or expand here. The administration also highlighted about $305 million in new bond authorizations, plus operating proposals such as lowering the LLC filing fee, expanding the small business energy tax exemption, funding internship incentives, and supporting downtown revitalization and the creative economy. Committee members and witnesses focused on several policy areas within the bill. On talent, Northeastern University supported the internship tax credit, and the Latino Empowerment Advisory Council backed a provision waiving redundant English testing for internationally trained nurses who have already demonstrated proficiency in practice. On labor mobility, the governor defended changes to the non-compete law as closing a loophole, while attorney Russell Beck opposed the revisions, arguing they would upset the 2018 compromise and could reduce employer-provided compensation. Municipal and housing witnesses supported codifying site plan review and broader zoning reforms, while others urged attention to affordable housing, tiny homes, and commercial-to-residential conversions. Local officials and municipal groups generally supported the bill’s downtown, arts, and planning provisions but asked for more detail on implementation and infrastructure, especially around energy, water, and data centers. The Massachusetts Municipal Association said the bill’s standardized site plan review and downtown investments could help communities, but stressed the need for close state-municipal partnership. The AFL-CIO asked for trigger language to preserve labor rights if federal protections weaken. The Secretary of the Commonwealth’s office opposed the LLC fee reduction, warning of significant revenue loss and possible fraud concerns. No votes were taken; the hearing was informational, with the committee accepting written testimony afterward.

Transcript Highlights:

• and Amendment O, sponsored by Senator Wilson, require the Secretary of State to create an online training
• program for signature gatherers and for them to carry a certification of training on their person when
• Speaking to the amendment, wouldn't it be nice if there were some training on this?
• Training is just darn good, Mr. Chairman. Training is just darn good, Mr. Chairman.
• Training is good, and I think we can all agree on that.

Summary: The Senate State Government, Tribal Affairs & Elections Committee met on January 23, 2026, first taking executive action on several bills. The committee held SB 6035 and SB 5842 for another week, then worked through SB 5973 on initiative and referendum signature gathering rules. Members debated 12 amendments to a proposed substitute and the underlying bill, but none were adopted. The substitute would prohibit pay-per-signature and require 1,000 pre-filing signatures for initiatives; opponents argued it would burden the initiative process, while supporters said it would curb fraud and improve accountability. The committee then advanced SB 5892, SB 6081, SB 5877, SB 5968, and SB 6034, each on a due pass recommendation, with SB 6081 referred to the Transportation Committee and the others sent to Rules or Ways and Means as noted in the motions. During public hearing, the committee heard SB 5888, which would remove Senate confirmation for members of the Washington State Women's Commission. Senator Wellman said the change would align the commission with similar bodies and correct an inconsistency, and commission staff testified in support, saying the appointment process is already thorough and that the governor would retain appointment authority. The committee also heard SB 6123, expanding a public-records exemption for voluntarily supplied demographic information to local government employees; a Pierce County HR director supported the bill, saying it would help build trust while preserving aggregate reporting. The hearing on SB 5853, sponsored by Senator Wilson, drew strong support and no opposition; it would create a statewide emergency notification system for public officials to alert them to targeted threats, with the Secretary of State and Military Department involved in administration. Secretary of State staff said they supported the concept but wanted to work with the sponsor on implementation details, and the sponsor said he was willing to amend the bill to address those concerns.

Transcript Highlights:

• Education and Training is part of the... ...Education and Training is part of the SNAP program.
• I know, yeah, state employees.
• The problem with the cuts to state employees is you've got defined benefit employees and a health insurance
• We spend a significant amount on employee benefits as well.
• Mental health treatment and job training are crucial.

Transcript Highlights:

• So those mentors get significant training.
• So residential mentors get training from our housing office and peer mentors get training, obviously
• , part-time employee at Chick-fil-A.
• They're employees of a provider like SLS.
• It's a whole wide range, but that's the starting point of the trained staff that are constantly trained

Committee: All TASK FORCE ON AUTISM

Transcript Highlights:

• Can be gained with just 5% of the training.
• The standard is the physician; with 5% of the training, can they be a doctor?
• APRNs have a fraction of that training.
• He was trained to be independent. Yes, to be trained to be on your own. Correct.
• I mean, when they are trained in school, they're not necessarily trained in a particular culture.

Bills: SB128 , SB640 , SB672 , SB904 , SB1141 , SB1263 , SB1525 , SB1528 , SB2041 , SB2306 , SB2308 , SB2357 , SB2446 , SB2695 , SB2857 , SB2891 , SB2583

Committee: Senate Health & Human Services

Transcript Highlights:

• and around training standards as well. ...especially around system-wide procurement for training and
• around training standards as well.
• The bill will add and explicitly require that a faculty employee, which includes professor, lecturer,
• of record for a course of instruction shall be a person who meets the role to serve as a faculty employee
• SB 928 would enact guardrails to prevent instructional and non-instructional faculty employees of the

Committee: House Higher Education

Transcript Highlights:

• First, reducing training barriers by modernizing home care aide training and integrating testing into
• Home care aide training and integrating testing into training networks will be essential for longevity
• Currently, employers are only allowed to train their own employees and are unable to train other local
• Specialized training and education.
• employee data.

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:

• Implement a program to mitigate the exposure of employees who occasionally, frequently, or constantly
• to poor air quality from wildfire smoke, to implement a communication system to inform employees when
• they are exposed to poor air quality, and provide training to employees who work outdoors and may be
• they are exposed to poor air quality, and provide training to employees who work outdoors and may be
• exposed to poor air quality. ...poor air quality and provide training to employees who work outdoors