Transcript Highlights:

• able to step in and negotiate a purchase able to step in and negotiate a purchase agreement<00:13
• Cloud able to purchase a median-priced home at $39,000. So need is extremely high.
• Cloud able to purchase a median-priced home at $39,000. So need is extremely high.
• Cloud able to purchase a median-priced home at $39,000. So need is extremely high.
• Cloud able to purchase a median-priced home at $39,000. So need is extremely high.

Bills: HF2148, HF2693, HF2542, HF1141, HF1770, HF1489, HF1709, HF244, HF1266, HF807, HF2619, HF1340

Keywords: affordable housing, local control, revolving loan fund, community partnerships, Minnesota housing policy, housing, locally controlled housing, Minnesota Housing Finance Agency, housing infrastructure bonds, state bonds, bonding bill, supportive housing, permanent supportive housing, homelessness, veterans housing, senior housing, manufactured home parks, community land trust, single-family housing, multifamily housing

Transcript Highlights:

• Jenny Goens, National Alliance of Healthcare Purchaser Coalitions.
• that drug for a hospital can purchase that drug for a 50%<01:16:36.880> discount<01:16:37.400
• Hospitals now have an incentive to go into communities that are higher-income communities and purchase
• Hospitals now have an incentive to go into communities that are higher-income communities and purchase
• Hospitals now have an incentive to go into communities that are higher-income communities and purchase

Keywords: 00:00:00 Call to Order/Roll Call 00:01:19 Discussion of 25RS HB 785 00:30:25 Roll Call Vote on 25RS HB 785 00:32:15 Discussion of 25RS HB 61 00:36:42 Roll Call Vote on 25RS HB 61 00:38:07 Discussion of 25RS HB 788 00:51:01 Discussion of 25RS SB 14 01:11:09 Discussion of 25RS HB 685 01:44:57 Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and took up House Bill 785, as amended by a committee substitute that combined language from HB 785 and HB 787. The bill was described as addressing Medicaid managed care organization (MCO) audits, provider contract notice and amendment procedures, mental health parity compliance, and related transparency requirements. Supporters said the measure would tighten notice to providers, limit repeated contract amendments and rate reductions, require more standardized audit procedures, and add reporting on Medicaid claims, appeals, and grievances. It also includes a provision requiring coverage of at least two evaluation-and-management billable services per physician per recipient per date of service, and a section addressing narcotic/opioid treatment program licensing and reimbursement language. Testimony in support came from Representative Kim Moore, John Inman of BrightView Health, Michelle Sandborne of the Children’s Alliance, and Kelly Cormic of RYSE. They argued that MCOs often use audits and recoupments in ways that are burdensome, opaque, and financially damaging to providers, especially smaller and rural ones. They cited examples of multiple audit requests in short timeframes, large record requests with short deadlines, delayed or absent feedback, and recoupments taken before appeals are resolved. They also said parity laws are not being consistently enforced and that the bill would give the Department of Insurance authority to suspend or revoke an MCO certificate of authority for willful or repeated parity violations. Committee members generally expressed support for provider protections and transparency, while asking for clarification on the narcotic treatment and E/M billing provisions. Tom Stevens of the Kentucky Association of Health Plans testified in opposition, saying the bill is complex to implement and should be handled through the broader Medicaid oversight work of House Bill 9, the MOAB. He said the issues raised were better suited for that bipartisan stakeholder process and noted the committee substitute had not yet been fully reviewed by his group. After discussion, the committee adopted the committee substitute and then moved to a vote on the bill; the roll call began, with several members recorded as voting yes, but the transcript cuts off before the final vote result is shown.

Transcript Highlights:

• has been done so with taxpayer dollars, so having a full account of what has been purchased, just to
• say, here's what we purchased, we have that list, and we know where they are.
• has been done so with taxpayer dollars, so having a full account of what has been purchased, just to
• say, here's what we purchased, we have that list, and we know where they are.
• say, here's what we purchased, we have that list, and we know where they are.

Bills: HF1060, HF1062

Keywords: sports facilities, Minnesota, legislative commission, financial oversight, accountability, HF1062, driver and vehicle systems oversight committee, MNLARS, VTRS, vehicle title and registration system, driver's license system, Minnesota Department of Public Safety, MN.IT, legislative oversight, transportation finance, state government, committee repeal, sunset provision, information technology audit, vehicle registration

Transcript Highlights:

• And when I went to purchase that vehicle, there was no option on the lot other than that option that
• was put out there to purchase an EcoBoost.
• And when I went to purchase that vehicle, purchase a new truck, there was no option on the lot other
• than that option that was put out there to purchase an eco-boost.

Bills: HB214, HB217, HB514, HB593, HB618, HB732, HB908, HB961, HB1010

Keywords: property tax, blighted properties, urban rehabilitation, tax exemption, local government, financial incentives, blighted property, derelict property, property tax exemption, local redevelopment plans, rehabilitation standards, ad valorem tax, community development, senior citizens, homestead exemption, Louisiana Constitution, motor vehicles, local fees, transaction fees, funding

Transcript Highlights:

• Majority of our licensees offer online platforms where you can exchange and purchase.
• it actually would put more financial burden on the aesthetic students because they would have to purchase
• You know, when you start college, you have to purchase books, all of that. Those fees would go up.
• So that was something that we discovered over the phone was that he had purchased...
• That was something that we discovered over the phone was that he had purchased a gift card for his wife

Summary: The House Committee on Commerce met on May 11, 2026, with a quorum present and took up a series of Senate bills, a resolution, and one House bill. The committee reported favorably Senate Bill 79 to recreate Louisiana Economic Development, Senate Concurrent Resolution 5 to establish the Louisiana-Ireland Trade Commission, Senate Bill 375 on firefighting foam with amendments clarifying use in declared emergencies, Senate Bill 398 moving manufactured and modular housing oversight under the Contractors Licensing Board with technical and substantive amendments, Senate Bill 163 on virtual currency business licensing with an amendment providing for federal preemption if Congress enacts a national licensing regime, and Senate Bill 287 on virtual currency kiosks with consumer-protection provisions and technical amendments. The committee also reported favorably House Resolution 197, as amended, urging the Public Service Commission to study distributed energy generation and storage resources with LSU involvement, and Senate Bill 54, which would allow estheticians to blow-dry hair after certain services; that bill drew extensive testimony from supporters and opponents in the cosmetology and aesthetics industries before being reported favorably. Several bills prompted detailed discussion and testimony. On Senate Bill 398, the sponsor and Contractors Licensing Board representatives said the change would improve enforcement and consumer safety for manufactured-home installation, especially tie-downs, leveling, and foundation blocking, while not affecting HUD-regulated construction. On the virtual currency bills, OFI said it currently licenses 37 virtual currency businesses with 33 pending applications, and supporters described the kiosk bill as a response to fraud complaints by requiring clearer disclosures, refund procedures, live customer support, and reporting to OFI. For House Resolution 197, the sponsor, PSC officials, and energy stakeholders said the study would examine the value of distributed energy resources, including rooftop solar and battery storage, in light of rising demand and grid reliability concerns; PSC staff and LSU energy experts described the study as focused on market value and avoided-cost benefits. House Bill 744, which would have shifted regulation of certain New Orleans utilities from the city council to the PSC, generated discussion about constitutional history, rate impacts, and utility consolidation. PSC officials and the sponsor said the current city-council regulation is a constitutional exception dating back to 1921, and they argued that PSC regulation could reduce costs and simplify oversight, but the sponsor ultimately moved to defer the bill rather than force a floor fight, and the committee agreed. The committee then began consideration of Senate Bill 386, the Louisiana Data Privacy Act, adopting technical amendments and then a larger amendment package that revised definitions and compliance provisions; the transcript ends while that bill’s amendment process is still underway, with no final action shown in the excerpt.

Transcript Highlights:

• Majority of our licensees offer online platforms where you can exchange and purchase.
• it actually would put more financial burden on the aesthetic students because they would have to purchase
• You know, when you start college, you have to purchase books, all of that. Those fees would go up.
• So that was something that we discovered over the phone was that he had purchased.
• That was something that we discovered over the phone was that he had purchased a gift card for his wife

Bills: HB744, HR197, SB54, SB79, SB163, SB287, SB375, SB386, SB398, SB469, SCR5

Keywords: public utility, common carrier, regulation, Public Service Commission, New Orleans, constitutional amendment, distributed energy, energy storage, electricity demand, virtual power plants, reliability, hurricane resilience, esthetics, cosmetology, hair services, beauty industry, Louisiana regulation, Louisiana Economic Development, sunset law, legislative authority

Summary: The House Committee on Commerce met on May 11, 2026, and first advanced several Senate measures with little or no opposition. It reported favorably Senate Bill 79 recreating Louisiana Economic Development, Senate Concurrent Resolution 5 establishing the Louisiana-Ireland Trade Commission, and Senate Bill 375 on Class B firefighting foam, after adopting a technical amendment clarifying use in declared emergency firefighting operations. The committee also advanced Senate Bill 398, which moves manufactured and modular housing regulation under the Louisiana Contractors Licensing Board and expands inspection and enforcement provisions, after adopting two sets of mostly technical amendments and hearing testimony that the change would improve consumer safety and increase inspection coverage without adding net cost to locals. It then reported favorably Senate Bill 163 on virtual currency business licensing, after adopting an amendment providing that any future federal licensing law would preempt the state act, and Senate Bill 287 on virtual currency kiosks, which adds refund timelines, disclosure requirements, customer support, and reporting duties; witnesses from the banking and law enforcement community said the bill responds to common fraud complaints and improves consumer protection. The committee also reported favorably Senate Bill 54, which allows estheticians to blow-dry hair after certain services, despite strong opposition from cosmetology board representatives and industry witnesses who argued the service is outside esthetics training, could create scope-of-practice and facility issues, and should instead be addressed by lowering or revising separate blow-dry licensing requirements. The committee then considered House Resolution 197, which urges the Louisiana Public Service Commission to study the feasibility and value of distributed energy generation and storage resources. After adopting technical amendments and a second amendment changing mandatory language to requests and urging the PSC to coordinate with the LSU Energy Institute, the resolution was reported favorably. Testimony from solar and energy industry representatives, the PSC, and LSU focused on how distributed resources, batteries, rooftop solar, and virtual power plants could improve reliability, reduce costs, and help meet rising demand; members also discussed how the study would evaluate market value, avoided costs, and capacity benefits. Questions centered on methodology, grid impacts, and comparisons to Texas’s ERCOT system and Winter Storm Uri, with PSC officials emphasizing that the study would help determine whether such resources benefit ratepayers. Representative Wright presented House Bill 744, a proposed constitutional amendment to transfer regulation of certain New Orleans utilities from the city council to the Public Service Commission. He argued the change could reduce rates through consolidation and eliminate duplicative regulatory costs, while PSC officials explained the city’s authority is a constitutional exception dating back to 1921 and that Entergy New Orleans and Entergy Louisiana operate as separate companies with different regulatory environments. After discussion of rate impacts, utility structure, and whether the proposal should instead become a study, the bill was deferred. The committee then began Senate Bill 386, the Louisiana Data Privacy Act, which would give consumers rights to access, correct, delete, and opt out of certain uses of personal data; the sponsor introduced the bill and the committee started considering technical and substantive amendments, but the transcript ends before final action on that measure.

Transcript Highlights:

• Children program, which serves all Medi-Cal-eligible children as well as uninsured children, any state-purchased
• vaccines, and then federally purchased vaccines that support outbreak management, such as what we would
• Children program, which serves all Medi-Cal-eligible children as well as uninsured children, any state-purchased
• vaccines, and then federally purchased vaccines that support outbreak management, such as what we would
• And I will stop there, and I'm happy to take any questions. purchase vaccines that support outbreak management

Summary: The Assembly Subcommittee on Health heard an overview of the California Department of Public Health budget, including a $5.1 billion department budget and 19 non-IT budget change proposals spanning environmental health, healthcare quality, infectious disease, healthy communities, health statistics, preparedness, and laboratory sciences. CDPH also presented estimates for WIC and the Genetic Disease Screening Program, both of which were described as relatively stable, with WIC food costs rising mainly due to inflation and participation holding near 1 million monthly participants. Members and public commenters raised support for several proposals, including funding for the California Reducing Disparities Project, AB 1264 implementation on school food standards, childhood lead poisoning prevention, the hospital bed capacity registry, sickle cell care networks, and WIC protections amid federal policy changes and shutdown-related uncertainty. Dr. Erica Pond then presented the 2026 State of Public Health report, highlighting major gains such as record-low mortality rates, all-time high life expectancy, and the first decline in overdose deaths in 14 years, while warning about persistent disparities in maternal and infant outcomes, rising severe maternal morbidity, and worsening mental and behavioral health trends, especially among younger adults. She emphasized racial and geographic inequities, the role of social drivers like poverty and education, and the importance of prevention investments through the Behavioral Health Services Act. Members discussed the need for upstream public health spending, environmental health preparedness, and how to translate data into action, while public comment largely focused on sustaining community-based prevention and equity programs. In a separate update on federal actions and public health partnerships, Dr. Pond and CDPH staff described California’s response to federal funding threats, vaccine policy changes, and measles outbreaks. They outlined new collaborations such as the West Coast Health Alliance, the Governor’s Public Health Alliance, the WHO outbreak network, and the FACT Coalition, along with CDPH’s process for reviewing and updating immunization and preventive service recommendations under AB 144. Members questioned the rise in measles and declining vaccination coverage, and CDPH said it is using trusted messengers and tailored outreach while continuing to evaluate federal recommendations. The committee then heard an ADAP estimate showing lower projected budget authority needs due to reduced caseload and one-time funding expiring, followed by public support for using ADAP rebate funds to expand HIV prevention, PrEP, testing, and disease intervention staffing. The final issue focused on public health information technology systems, including Sapphire, CalReady, CalConnect, CARE, MyTurn, MyCAVAC, and the digital vaccine record. CDPH explained how these systems support disease reporting, contact tracing, immunization tracking, vaccine ordering, and outbreak response, while the Department of Finance said only Sapphire and CalReady are funded in the Governor’s budget and the rest are under review because of the state’s budget deficit and declining utilization. Local health department representatives strongly opposed losing the systems, arguing that lower usage reflects post-pandemic conditions and that the tools save staff time, improve outbreak response, and prevent a return to manual spreadsheets and phone calls. Members echoed concern that cutting the systems would undermine public health capacity and waste prior state investment, and urged the administration to present a funding plan that matches its stated commitment to public health.

Transcript Highlights:

• So are we moving as a legislature toward not purchasing lands outright through the Florida Forever program
• So the $4.5 million is for a subgrant program for small-sized counties to purchase, in whole or in part
• to provide efficiencies, and proviso lines 742 to 755, it directs the Department of Correction to purchase
• If a veterinarian determines an animal is unfit for purchase, any financing arrangement is terminated
• This amendment eliminates the three-day waiting period for dogs and cats purchased through financing

Summary: The Senate took up the 2026-2027 budget package, beginning with an overview of the $115 billion General Appropriations Bill (SB 2500/HB 500). Appropriations Chair Hooper said the budget is smaller than last year’s, maintains strong reserves, and includes a 3% pay raise for all state employees and 5% raises for state law enforcement, firefighters, correctional officers, and park rangers. Committee chairs then highlighted major spending in their areas, including $34.9 billion for Pre-K-12 education, $11.9 billion for higher education, a $2.1 billion-plus increase in health and human services, $7.9 billion for criminal and civil justice, $16.8 billion for transportation/tourism/economic development, and major environmental and regulatory investments such as Everglades restoration, water quality, and land acquisition. Members asked detailed questions about several items. Topics included the Emergency Management Trust Fund, arts and cultural grants, Florida Forever land acquisition versus conservation easements, teacher salaries and charter school funding, New College funding, ADAP/HIV drug assistance, Medicaid rate reductions for non-critical access hospitals, DOC operational deficits and inmate health/food costs, judicial staffing, and school enrollment supplements. Chairs explained that some reductions reflected shifts in how scholarship and categorical funds are tracked, that the ADAP appropriation would take effect immediately upon enactment but would only cover part of the year, and that hospital reductions were tied to a broader DPP funding increase. Questions also covered lottery staffing, concealed carry licensing workload, and whether vacant positions were being eliminated as part of budget right-sizing. After the budget discussion, the Senate substituted House bills for the Senate budget bills and adopted amendments placing the Senate language onto the House vehicles. The chamber then passed HB 500, HB 503, and HB 5201, and agreed to conference on each. It also passed SB 7028/HB 5205 on retirement, SB 2506 on fuel taxes, SB 2508 on the state agency law enforcement radio system, SB 2510/HB 5401 on court trust funds, SB 2512 on judgeships, SB 2514 on K-12 education, SB 2516 on higher education, and SB 2518 on health, with each bill passing by unanimous or near-unanimous votes and then being sent to conference or requested of the House for concurrence.

Transcript Highlights:

• So are we moving as a legislature toward not purchasing lands outright through the Florida Forever program
• The $4.5 million is for a sub-grant program for small-sized counties to purchase, in whole or in part
• service to provide efficiencies, and proviso lines 742 to 755 direct the Department of Corrections to purchase
• If a veterinarian determines an animal is unfit for purchase, any financing arrangement is terminated
• This amendment eliminates the three-day waiting period for dogs and cats purchased through financing

Summary: The Senate began with prayer and the Pledge of Allegiance, then moved into floor consideration of the 2026-2027 budget. Appropriations Chair Hooper presented Senate Bill 2500, describing a $115 billion budget that reduces overall spending from the prior year, maintains reserves, and includes a 3% pay raise for state employees and 5% raises for state law enforcement, firefighters, correctional officers, and park rangers. Committee chairs then outlined major spending in their areas, including K-12 education, higher education, health and human services, criminal and civil justice, transportation/tourism/economic development, and environmental and agricultural programs. Highlights included increased funding for school scholarships and safety, workforce and university programs, Medicaid and child welfare, corrections operations, affordable housing, rural communities, Everglades and water quality projects, and infrastructure. Members then asked detailed questions about several budget items. Senators sought clarification on the Emergency Management Trust Fund, arts and cultural grants, Florida Forever land acquisition versus conservation easements, teacher salaries, charter school capital outlay funding, EASE grants, New College funding, DOC inmate counts and reimbursement, lottery staffing, concealed weapons licensing positions, election security funding, iBudget waiver support, ADAP funding, Medicaid hospital rate reductions, and scholarship and enrollment supplements in K-12 education. Chairs explained that some reductions reflected technical shifts or right-sizing, that some funds were being moved below the line for better tracking, and that several items—such as ADAP and corrections operations—would likely remain conference issues with the House. After questions, the Senate substituted House bills for the budget and implementing measures and adopted amendments placing the Senate language onto the House vehicles to prepare for conference. The chamber passed the budget-related bills and several conforming measures, including bills on retirement, fuel taxes, the state agency law enforcement radio system, court trust funds, judgeships, and K-12 and higher education conforming changes. Votes on the major bills were overwhelmingly unanimous or near-unanimous, and the Senate repeatedly voted to accede to the House’s request for conference on the substituted bills.

Transcript Highlights:

• Does this bill require 100% purchase of easements, or is that even addressed?
• Chair Jacques: It also prohibits governmental entities from adopting 100% EV vehicle and appliance purchasing
• But it stands to reason if we're saying you can only purchase these types of vehicles as part of your
• So From your last comment, Representative, does that mean that counties could not purchase electric garbage
• Some examples of that are purchasing preference policies and policies that strive to reduce carbon pollution

Transcript Highlights:

• Because the legislature purchases insurance coverage through SEGIP, the LCC adopted the insurance coverage
• Because<00:02:38.000> the<00:02:38.239> legislature<00:02:38.879> purchases Because
• the legislature purchases Because the legislature purchases insurance<00:02:40.000> coverage<
• 00:16:28.880> updated<00:16:29.440> the ...software library, and then updated the purchasing

Keywords: 918, senate, all

Summary: The Senate Committee on Rules and Administration met virtually on January 6, 2026, and took up four administrative policy items. Darren Hoff, Senate Human Resources Director, presented updates to the Legislative Coordinating Commission benefit book, including insurance changes tied to SEGIP, mental health and substance use office visit cost sharing, dental plan updates, dependent eligibility clarifications, a new voluntary legal services benefit, a 17% increase in Medicare premiums, and multiple leave-policy revisions to conform with the new paid leave law and other employment rules. Senator Pappas moved adoption of the benefit book with the LCC’s November 10, 2025 changes and staff technical corrections, and the motion passed. Secretary Tom Bern described a proposed Senate Policy 1.56 allowing written rules of conduct for visitors in Senate spaces, aimed at setting clear expectations for behavior such as not blocking hallways or using shouting and profanity, while being developed with consultation to address First Amendment concerns. Senator Marty moved adoption, and the committee approved the policy. Council Lexi Stangle then presented a change to Senate Policy 2.47 on severe weather emergencies that would allow employees who work remotely on severe weather days to accrue compensatory time with supervisor approval; Senator Johnson moved adoption, and the motion passed. The committee also considered a modernization of the Senate information systems policy. Secretary Bern and staff explained that the policy had not been substantially updated in about 20 years and was being condensed and updated to reflect current technology and practices. The revisions reduced the policy from 29 pages to 10, removed obsolete references, added a purpose statement, clarified email inspection and hardware/software procedures, updated website rules and accessibility guidance, and removed the secondary member page option. Senator Coleman moved adoption of the Senate information systems update, and it was approved. After the Rules Committee adjourned, the Subcommittee on Committees met and approved two appointments: one public member to the Legislative Citizen Commission on Minnesota Resources through December 31, 2030, and Senator Gustafson to the Financial Crimes Advisory Board Task Force. Members asked about the task force’s scope and the public appointee’s background; staff explained the task force advises on identity theft and financial crimes, and identified the public appointee as Sha Lang of Preston, Minnesota. Senator Pappas moved adoption of the appointment list, and the subcommittee approved it before adjourning.

Transcript Highlights:

• 2025 legislative session that gave all five food banks the flexibility to accelerate their food purchases
• to respond to... ...food banks the flexibility to accelerate their food purchases to respond to the
• So that's food that they don't have to purchase through other means.
• companies that we work with, some of the regional food hubs that we're engaging with, both as a purchaser
• and also as a... ...of the regional food hubs that we're engaging with, both as a purchaser and also

Summary: The committee heard a lengthy presentation from the New Mexico Rural Library Initiative in support of fully funding the rural library endowment with an additional $29.5 million. The presenters described rural libraries as essential community infrastructure that provide not only books and internet access, but also early childhood programs, adult education, workforce support, telehealth, disaster response, and civic meeting space. They argued that the endowment would provide stable annual support for staffing and operations, help sustain libraries in very small towns and tribal communities, and support new or developing libraries. Members asked about eligibility, county coverage, how funds are distributed, and whether the state tracks broader outcomes such as job placements or certifications; the presenters said the State Library administers the funds and that the initiative itself is a nonprofit capacity-building organization, not the fund manager. Some members raised concerns about whether an endowment is the best long-term model versus recurring annual appropriations, and about the need for better reporting and state-library involvement. The committee then heard from food bank leaders Jill Dixon and Katie Anderson about food security and its economic impact. They said New Mexico’s five food banks and more than 500 partner agencies serve all 33 counties, distribute over 45 million meals, and rely mostly on philanthropy, with some state and local support. They emphasized that SNAP is a major economic driver, supporting grocery access, jobs, and local spending, and that recent legislative growth funding helped food banks respond to a surge in demand during a SNAP disruption. They also highlighted food banks as community hubs that can connect people to health care, job training, and other services, including through clinic referrals and closed-loop systems. In response to questions, they said food access gaps remain in some rural areas, that clients can generally seek food at other distribution sites without barriers, and that longer-term solutions should include more grocery access, healthy corner stores, and stronger broadband and health care infrastructure. The final presentations came from the Gallup-McKinley County Chamber of Commerce and the Artesia Chamber of Commerce. Gallup-McKinley described a shrinking workforce, youth outmigration, crime, health care shortages, malpractice costs, and gross receipts tax burdens as major barriers to rural economic growth, and urged action on workforce pipelines, housing, public safety, malpractice reform, and tax/regulatory changes. Artesia highlighted its murals, library, sports tradition, oil and gas, agriculture, federal training center, and refinery, while also noting workforce shortages, health care recruitment challenges, housing constraints, and the need for quality-of-life investments and more flexible regulation. The committee also briefly heard a bill presentation proposing a New Mexico-Ireland Trade Commission to promote bilateral trade and investment, especially in technology, agriculture, and energy sectors. No votes were taken because quorum was not reached, and the endorsement item was not acted on.

Transcript Highlights:

• They can still purchase qualified health plans, but they will not be eligible for federal tax credits
• day with a focus on the affordability challenges that all of our consumers face and all of us as purchasers
• We're participating in that as well as the purchaser for Cascade Select.
• We're participating in that as well as the purchaser for Cascade Select.
• We're participating in that as well as the purchaser for Cascade Select.

Summary: The committee first welcomed new DSHS Secretary Angela Ramirez, who introduced herself and described her background in public service, federal and state legislative work, and health and human services leadership. Members emphasized the importance of building strong relationships with her and noted her focus on protecting services, using strategic approaches in a tight budget environment, and improving partnerships with the Legislature. Ramirez said she wanted to keep communication open and that her priorities would be shaped by what she learns from lawmakers and agency partners. The next work session focused on the West Coast Health Alliance and the broader Governor’s Public Health Alliance. Department of Health and governor’s office staff said the West Coast alliance, involving Washington, Oregon, California, and Hawaii, was formed to coordinate science-based public health guidance, especially around vaccines, return-to-work guidance, and responses to federal changes. They said the alliance is intended to reduce confusion, counter misinformation, and preserve access to evidence-based recommendations, with early actions including vaccine guidance for COVID-19, flu, and RSV, a statement rejecting any vaccine-autism link, and preparation for possible ACIP changes. Members asked about workload and coordination with other regional alliances, and staff said there is informal coordination but no formal regular meetings. The committee then heard from the Washington State Health Benefit Exchange about open enrollment and the effects of federal policy changes. Exchange leaders said the expiration of enhanced premium tax credits, HR1 provisions, and immigration-related eligibility changes are affecting affordability and enrollment, with some customers facing large premium increases and some counties becoming harder to serve. They reported early open-enrollment traffic increases, nearly 10,000 new sign-ups, and nearly 12,000 active coverage drops so far, while noting that many more people may disenroll later if subsidies are not extended. They also described mitigation efforts such as silver loading, Cascade Care Savings, outreach through navigators and community partners, and planning for future HR1 requirements like ending auto-renewal and adding verification steps. In the final work session, staff from the Health Care Authority and Insurance Commissioner’s office reviewed Washington’s health reform history and the state’s current affordability and access efforts. They highlighted past ACA-related coverage gains, continued work on prescription drug affordability, PBM oversight, primary care and behavioral health access, and a pending legislative proposal to preserve access to preventive services. They also discussed federal changes affecting Medicaid and the exchange, including work requirements, six-month redeterminations, and the need to coordinate across agencies to implement new rules. Members raised concerns about network adequacy, provider access, and the complexity of the health care system, while staff said they are trying to mitigate harm, simplify administration, and keep coverage and access as stable as possible.

Transcript Highlights:

• They're mostly for the commercial markets and sophisticated purchasers of insurance.
• For example, in the earthquake realm, let's say Company A purchases $50,000 worth of coverage, and they
• , which coincide nicely with David and Lauren's statistics of where earthquake coverage is being purchased
• Tri-Cities, which coincide nicely with David and Lauren's statistics of where earthquake is being purchased
• producers and account execs, we were always concerned about where the gaps are and if you cannot purchase

Summary: The committee heard a work session on earthquake insurance, beginning with background from the Office of the Insurance Commissioner. OIC staff explained that earthquake and earth movement are generally excluded from standard property policies, that earthquake coverage is usually purchased through endorsements or standalone policies with high deductibles and relatively high premiums, and that surplus lines are a limited backstop market not covered by the state guarantee fund. They also described parametric insurance and captive insurance as more specialized products generally suited to commercial or governmental buyers rather than ordinary consumers. A second panel of insurance and banking experts focused on commercial earthquake exposure, especially for older buildings, collateralized loans, and potential knock-on effects to banks and consumers if a major quake caused widespread damage. Members asked about consumer impacts, mitigation incentives, inventories of vulnerable buildings, and whether legislation such as prior work on unreinforced masonry could help reduce risk. The Washington Bankers Association said earthquake insurance is expensive and that affordability is a major concern, while also noting banks participate in disaster-recovery planning and would be affected by major regional losses. No votes or formal actions were taken. The committee then received a presentation from the Washington State Institute for Public Policy on its cannabis and Initiative 502 research. WSIPP staff described the agency as a nonpartisan research institute that conducts legislative-directed studies and explained that its long-term I-502 assignment includes periodic reports leading to a final benefit-cost evaluation in 2032. Staff summarized findings from a 2023 report showing that cannabis possession convictions fell sharply after legalization, though some racial disproportionalities persisted, and that closer retail access was associated with higher reported adult cannabis use, more fatal traffic crashes involving drivers from nearby areas, and higher rates of cannabis use disorder diagnoses among Medicaid enrollees. A 2023 youth-focused report found that students attending schools near retailers were more likely to report cannabis use, had more unexcused absences, and were less likely to graduate on time. In the newest 2025 Medicaid study, staff said retail access was associated with higher probabilities of cannabis use disorder diagnoses, related hospitalizations, inpatient treatment, and co-occurring mental health diagnoses, with event-study analysis suggesting the increases appeared after retailers opened rather than before. Members asked about racial disproportionality, the meaning of cannabis use disorder diagnoses, THC and impairment, whether the findings reflected medical versus recreational use, and how the results should be interpreted in light of broader trends and data limitations. No formal committee action was taken.

Transcript Highlights:

• equity acquisitions are typically leveraged buyouts, or LBOs, and this means that private equity purchases
• the asset with debt and uses the purchased entity's own assets as collateral for the debt.
• So in other words, the purchased hospital takes on most of the risk, but with no guaranteed benefit.
• include requirements for investment in the hospital infrastructure, time requirements to ensure the purchaser
• In my own personal life, after the purchase of—well, I had an appointment with my primary care that I

Transcript Highlights:

• We're in conversation with the city of Gallup to purchase a building in the downtown area to Renovate
• Using federal funds to purchase a building that was renovated by state funds seems questionable.
• Purchasing a building that was renovated by state funds seems questionable.
• So this building that we were in previously, the governor shut down, was purchased through a HUD...
• Block grant through HUD back in the 80s, and so since that purchase, no improvements were made on that

Transcript Highlights:

• access to accurate and timely information about what's in these products before a recommendation or a purchase
• perhaps more importantly, we're very concerned that the bill would attract expectant mothers to purchase
• prenatal vitamins that contain no or insufficient... ...expectant mothers to purchase prenatal vitamins
• And so if I see a key ingredient missing, then I would not purchase it.
• If you go to one that doesn't have what you're looking for, you won't purchase it.

Summary: The committee heard several health-related bills, with extensive testimony on maternal health, prenatal safety, privacy, valley fever, Medi-Cal contracting, anti-discrimination protections, and health data sharing. SB 32 would require time-and-distance standards for labor and delivery units in health plan networks; the author and supporters said it would address maternity care deserts and improve access, while health plans opposed. SB 646 would require testing and public disclosure for toxic elements in prenatal vitamins; supporters emphasized fetal and maternal safety and transparency, while industry opponents warned it could confuse consumers or lead to reduced nutrient content. Both bills drew broad support from medical and public health groups, and both were advanced on party-line or near-unanimous votes after committee discussion. The committee also approved SB 313, which moves a parent’s birthplace on birth certificates into the confidential section to protect privacy, and SB 297, which directs CDPH to identify high-incidence valley fever regions and publish them for screening and awareness; valley fever experts and supporters stressed rising cases and the need for earlier diagnosis, while local health jurisdictions raised concerns about mandates. SB 324, dealing with Medi-Cal enhanced care management and community supports, would prioritize local community-based organizations and clarify contracting and data practices; it received strong support from nonprofits and community health advocates, with children’s hospitals and health plans seeking amendments, and it was sent forward after amendments were discussed. The committee then considered SB 418, which would codify ACA nondiscrimination protections in state law and allow up to a 12-month prescription supply for hormone therapy when medically necessary. Supporters framed it as protecting continuity of care for transgender patients and others using hormone therapy, including IVF and menopause patients, while opponents argued it would conflict with federal policy and promote harmful treatments. The bill passed to the next committee. Finally, SB 660 would strengthen the California Health and Human Services data exchange framework by creating governance and accountability for data sharing across health and social service entities; supporters said it would reduce duplication and improve care coordination, while some providers and hospital groups raised concerns. It was approved and sent to the Privacy and Consumer Protection Committee. The consent calendar and the other measures were also voted out, with the committee recording the required roll-call votes and sending the bills onward.

Transcript Highlights:

• the deductible and seamlessly extends benefits to a higher coverage amount that consumers could purchase
• Yet some corporations continue to expand their business here in Washington by purchasing more facilities
• Yet, some corporations continue to expand their business here in Washington by purchasing more facilities
• And we were first purchased by corporate investors, which has happened across Washington about two and
• And there is money, actually, in the capital budget to help folks purchase the land that their homes

Summary: The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population. On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications. The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.

Transcript Highlights:

• has a few different dealer and license plate provisions to make it easier, smarter, and safer to purchase
• vehicles and... when you purchase vehicles, the plates on them; he'll talk about those a little bit
• Representative Joy helps the road system with the blackout plates that people are purchasing, putting
• over a hundred million dollars, so that our trains can continue to operate, get new trains, and purchase
• Excuse me, new buses, tires on the buses when the buses age out, and purchase new buses.

Transcript Highlights:

• However, under current law, UAPRs can only purchase vehicles that have proper titles, regardless of their
• House Bill 5436 closes a dangerous loophole by allowing only licensed and regulated UAPRs to purchase
• When these illegal operators purchase these non-titled vehicles, they disappear, but the titles remain
• HB 5436 will allow licensed and regulated used automotive parts recyclers to purchase non-titled vehicles
• They're purchased solely for parts dismantling and end of life.

Bills: HB1455, HB1777, HB2101, HB2136, HB2609, HB3142, HB3552, HB3846, HB4155, HB4514, HB4879, HB4995, HB5014, HB5139, HB5228, HB5436, HCR40

Keywords: mental health, jail diversion, law enforcement, reporting requirements, criminal justice, data collection, criminal justice reform, intellectual disability, mental illness, data reporting, public safety, reporting, substance abuse, sex offender, driver's license, identification, gunshot detection, unreported gunshots, municipal police, crime investigation