Transcript Highlights:

• And so we can basically come in, get access to that data, raise it up so that it can be interchanged
• And so we can basically come in, get access to that data, raise it up so that it can be interchanged
• And so we can basically come in, get access to that data, raise it up so that it can be interchanged
• And so we can basically come in, get access to that data, raise it up so that it can be interchanged
• We can basically come in, get access to that data, raise it up so that it can be interchanged at the

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:20 CRISP Shared Services 00:01:39 Rural Health Transformation Plan 00:30:55, 958, all

Summary: The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support. Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities. A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.

Transcript Highlights:

• that I might say the words network geothermal or TENS, which is the acronym, so my apologies if I interchange
• apologies<00:54:20.319> if<00:54:20.559> I<00:54:20.880> uh<00:54:21.200> interchange
• <00:54:22.640> Uh, apologies if I uh interchange them.
• Uh, apologies if I uh interchange them.
• that I might say the words network geothermal or TENS, which is the acronym, so my apologies if I interchange

Bills: HF4236, HF4122, HF4377

Keywords: public utility, interim rates, utility rates, rate case, general rate case, Minnesota Public Utilities Commission, PUC, rate increase cap, rate freeze, refunds, customer refunds, ratepayer protection, electric utility, gas utility, regulated utility, ratemaking, return on equity, rate base, test year, rate design

Transcript Highlights:

• possible dissemination of information from diverse and antagonistic sources and assure the unfettered interchange
• possible dissemination of information from diverse and antagonistic sources and assure the unfettered interchange
• antagonistic sources and assure The antagonistic sources and assure The unfettered<01:08:53.679> Interchange
• <01:08:54.159> of<01:08:54.359> ideas<01:08:54.679> for unfettered Interchange
• of ideas for unfettered Interchange of ideas for bringing<01:08:55.120> about<01:08:55.440>

Keywords: 1187, senate, all

Transcript Highlights:

• possible dissemination of information from diverse and antagonistic sources to assure the unfettered interchange
• possible dissemination of information from diverse and antagonistic sources to assure the unfettered interchange
• antagonistic sources to assure<01:29:33.960> The<01:29:34.119> unfettered<01:29:34.760> Interchange
• <01:29:35.280> of assure The unfettered Interchange of assure The unfettered Interchange of

Keywords: 1187, senate, all

Summary: The Senate Elections Committee met on February 6, 2025, and first considered the reappointment of Steven Swanson to the Campaign Finance and Public Disclosure Board. Swanson described his background in legal aid, lobbying, judging, and international rule-of-law work, and said he wanted to continue serving the public. Committee members praised his experience and discussed the importance of campaign finance oversight, including preventing corporate participation in Minnesota elections. Senator Wosinski moved to recommend Swanson’s confirmation, and the motion was adopted. The committee then heard Senate File 529, a proposed constitutional amendment to state that elections shall be free, fair, and equal, and that no civil or military power may interfere with the free exercise of the right to vote. Senator Dibble presented the bill as a way to strengthen voting rights and provide a constitutional basis to challenge voter suppression, gerrymandering, and unfair campaign practices. Testimony in support came from David Fischer of Clean Elections Minnesota and Jean Massie of Fair Vote Minnesota, both of whom argued the amendment would protect access to voting, increase confidence in elections, and align Minnesota with other states that have similar language. Members discussed whether the amendment’s broad language could invite judicial interpretation or affect future election laws. Senator Koran questioned how the proposal would improve Minnesota’s already high turnout, while Senator Grant raised concerns that the terms “free, fair, and equal” were undefined and could shift power to the courts. Senator Lucero proposed an oral amendment to add “ensuring one eligible citizen, one vote” after the word “equal,” saying it would address concerns about future voter ID laws. The amendment was restated by counsel and discussed, with Senator Dibble saying it did not significantly harm the bill but suggesting it might imply a requirement he did not intend. The transcript ends during discussion of that oral amendment, and no final vote on the bill itself is shown.

Transcript Highlights:

• the state winning discretionary federal grant awards for things like the Cape Bridges, the I-90 interchange
• If those discretionary awards go away, The I-90 interchange, things like that.

Keywords: 995, all

Summary: The inaugural hearing of the newly named House Committee on Federal Funding, Policy and Accountability focused on how federal policy changes could affect Massachusetts, especially in education, health care, research, infrastructure, climate, and business conditions. Chair LaNatra said the committee was created to monitor federal funding decisions and their impacts on state programs and services. Members introduced themselves, then heard testimony from Doug Howgate of the Massachusetts Taxpayers Foundation, Sarah Mills of Associated Industries of Massachusetts, and Quentin Palfrey, the governor’s Director of Federal Funds and Infrastructure. Howgate argued that the Trump administration and new Congress pose ideological, practical, and process-related risks to Massachusetts, citing proposed cuts to Medicaid, education, research, and other domestic programs. He said federal dollars make up about a quarter of the state operating budget and capital plan, warned against using one-time reserves to backfill ongoing federal cuts, and urged the state to prioritize core services while protecting areas where Massachusetts is especially strong, such as higher education and research. In response to committee questions, he said the House Medicaid proposal would still cost Massachusetts hundreds of millions and that international student and NIH-related changes could harm the state’s labor force and innovation economy. He also advised that the state communicate clearly without overreacting to daily federal developments. Mills testified that AIM members are most concerned about uncertainty, tariffs, Medicaid cuts, and NIH reductions. She said tariffs are raising costs, disrupting supply chains, and hurting small and medium-sized businesses, housing construction, and exporters, with AIM’s business confidence index falling to its lowest level since the pandemic. She said Medicaid cuts would raise employer health costs, reduce productivity, and strain the health care system, while NIH cuts would threaten Massachusetts’ life sciences and academic research ecosystem. In questions, she said AIM has increased federal outreach, is coordinating with the U.S. Chamber and the Massachusetts delegation, and is hearing concerns from employers about immigration compliance and workforce disruptions. Palfrey described the Healey-Driscoll administration’s efforts to maximize federal funding, including a biweekly interagency council, a municipal partnership effort, and a statewide roadshow. He said Massachusetts has secured nearly $9 billion from major federal laws for projects such as the Cape Cod bridges, Allston Multimodal, grid modernization, clean-energy school buses, and broadband. He also said the administration launched a public website to track federal impacts and is working with municipalities, nonprofits, and the Attorney General on grant changes, legal issues, and litigation. In response to questions, he warned that cuts to NOAA, NSF, Medicaid, SNAP, and other programs could affect services and the state budget, and said the administration is tracking changes to federal grant applications and conditions. No votes were taken; the hearing was informational only.

Transcript Highlights:

• stating that at the outset is a very good framing because many people use terms like hate crimes interchangeably
• stating that at the outset is a very good framing because many people use terms like hate crimes interchangeably

Keywords: 995, all

Summary: The Special Commission on Combating Antisemitism met to review and discuss draft preliminary recommendations, with the co-chairs explaining that the draft had been released publicly and that the meeting was intended for open discussion and edits rather than a final vote. They emphasized the urgency of addressing antisemitism in Massachusetts, especially in K-12 schools, while noting that the recommendations are preliminary, may be revised, and will be supplemented by further testimony and a final report later. Several members also referenced recent allegations and incidents in local schools as examples of why the commission’s work is needed. Commissioners broadly supported the draft but proposed numerous refinements. Common themes included clarifying the distinction between antisemitic incidents and hate crimes; strengthening reporting systems and privacy protections; adding clearer guidance from DESE and the Attorney General on First Amendment issues, curriculum, and investigations; expanding Holocaust and genocide education; and improving professional development for educators, school committees, and administrators. Several members urged better links to mental health and victim services, more support for the Genocide Education Trust, and stronger language on bystander training, digital literacy, and the role of school committees in addressing bias. There was also discussion of how to frame antisemitism as a distinct form of hate, how to address antisemitism related to Israel and Zionism without restricting legitimate political speech, and how to avoid unfunded mandates for school districts and municipalities. Some commissioners suggested adding timeframes, a centralized reporting or investigative mechanism, and more explicit model policies for schools. The meeting ended with the chairs thanking participants and the public for their input, and the commission then moved to adjourn.

Transcript Highlights:

• We've got some bridge projects, some landscaping, safety projects, interchange reconstruction.
• They want to make a new interstate, and instead of 6487, they want to have a new interchange from Clayton

Transcript Highlights:

• potentially a major, very big reservicing project or traditional capacity projects, whether it be interchanges
• Capacity projects would be interchanges like linear widening, etc.

Summary: The Transportation and Economic Development Budget Subcommittee heard an overview from FDOT Secretary Jared Perdue on the state’s transportation work program, with emphasis on the Moving Florida Forward initiative, major roadway projects, workforce needs, seaports, airports, spaceport infrastructure, and the role of MPOs/TPOs in planning. He said the $4 billion general revenue investment in Moving Florida Forward has been leveraged into a roughly $7 billion-plus program, with 20 projects underway and about 70% of the initiative expected to be under construction by year’s end. He highlighted I-4 as the centerpiece, describing a new procurement approach, phased delivery, and added lanes intended to provide congestion relief during construction. He also discussed a projected 38% growth in transportation workforce needs and proposed a Florida Transportation Academy and a research institute to support training and innovation. Tiffany King of the Florida Airports Council said Florida’s 128 public-use airports have about $5.7 billion in unfunded projects through 2029, and stressed that airport priorities include not only terminals and passenger capacity but also safety, security, gates, and environmental work. Michael Rubin of the Florida Ports Council said Florida’s 16 deepwater seaports now have a $195.9 billion economic impact, support about 1.2 million jobs, and generate $7.4 billion in state and local taxes; he noted that ports still have about $4 billion in project needs, including dredging and intermodal connections. Jeff Sheffield of the North Florida TPO described the value of regional, community-based planning and said his four-county TPO has helped align local priorities with FDOT funding. Members asked about whether the state is planning for advanced air mobility and “flying cars,” whether Moving Florida Forward bypassed MPOs, how long major projects take, cost escalation, regionalization of MPOs, port governance, airport governance, and the contractor qualification system. FDOT and the witnesses said the state is working on policy and planning for advanced air mobility, that Moving Florida Forward did not bypass MPOs because the projects were already locally prioritized, and that the main delay is funding rather than the planning process. They said long-range plans are updated regularly and can be amended when priorities change, and that regional MPO structures can improve coordination. The committee took no formal vote; the meeting concluded after questions and comments, including discussion of workforce training opportunities for incarcerated individuals and a motion to adjourn by the ranking member.

Transcript Highlights:

• rededicating the 110 and the 10 freeway in downtown Los Angeles as the Dosan Ahn Chung-ho Memorial Interchange

Transcript Highlights:

• It is interchange, as Tim said, we do take kids that are level four, level five, but just for the record
• It is interchange<01:10:29.640> interchange<01:10:30.880> um<01:10:31.240> as<01
• :10:31.800> um interchange interchange um as um interchange interchange um as um Tim<01:10:33.280

Keywords: 1189, house, all

Summary: The commission on the costing of special education met to review several documents and updates, including draft materials on residential placements, an LBA dispute resolution report, prior minutes, rate-setting rules, and a letter involving Senator Hassan. The minutes from March 16 were approved by motion, second, and one abstention. Members also received an update that the LBA special education performance audit is still pending; the report is expected to be very large, NHED and the Board of Education must review and comment before release, and it likely will not be available until late summer or early fall. The separate EFA audit was also noted as still unreleased, and members said they may return later to issues involving EFA costing and differentiated aid. A major focus was HB 1099, which would create a committee to study the cost and liability of providing educational services to students placed in residential facilities. The chair explained that the House version had passed unanimously and the bill was headed to a committee of conference. Members discussed a proposed amendment to add the phrase “including but not limited to” so the study would cover not only court-ordered or treatment-related placements but also other residential placements, including those tied to school district decisions. Some members said this was a substantial expansion, while others said it would simply give the committee broader latitude. Jason Stock of the Winnisquam Regional School Board described how the issue arose during budget work at Winnisquam, where the district was trying to determine who should pay for educational services for students living at Spaulding Youth Center in Northfield. He said the district had 10 students attending Winnisquam, including three foster students and seven students connected to Spaulding, and that Spaulding-specific invoicing for 2024-2025 totaled $141,417.05 for eight students. Members also discussed rising private placement tuition costs and the difficulty of determining residency and fiscal responsibility for students placed in residential settings. Department counsel explained that under RSA 193:27 and 193:28, children placed in a home for children may attend the local district school, and that special education cost responsibility depends on whether the student is identified as disabled and on the nature of the placement. Spaulding representatives had not yet presented by the end of the excerpt, and the committee was still working through the residency and funding questions.

Transcript Highlights:

• "Uh, as we discussed in some other bills, there is a um interchange fee or processing fee for credit
• charge the commensurate fees for what they're paying on credit card or debit card processing or interchange
• 08:37.759> is<01:08:38.040> a<01:08:38.759> um there is a um there is a um interchange
• fee or processing fee for interchange fee or processing fee for credit<01:08:43.240> card<01:
• or interchange fees. or interchange fees.

Keywords: MS Senate Floor - 5 March, 2026; 10:00 AM, 925, all

Summary: The Senate convened with a quorum, opened with an invocation by Dr. Ryan Wade and the Pledge of Allegiance, and then handled routine business by dispensing with the reading of the journal and committee reports. Several guests were recognized, including Leadership Jackson County, Farm Bureau members, a doctor of the day, adult educators, and other visitors in the gallery. Senator Brumfield also announced support efforts for Senator Warren Barnett, asking members to contribute to him through Ms. Anita Jackson. The chamber then considered a series of House bills, most of them taken up with strike-all amendments and passed by use of the morning roll call. Measures included HB 1390 on personal services funding allocations, HB 1571 on ARPA funds and unexpended balances, HB 1655 on the State Aid Road Construction director’s personnel status, HB 1650 on dormant state accounts and pooled investments, HB 1651 on state agencies using other agencies’ facilities and charging 50% of fair market value, HB 1345 on administrative forfeiture of illegal cigarette and vaping products, HB 1386 on allowing sidewalks as an eligible use of municipal infrastructure funds, HB 671 on alcoholic beverage delivery responsibility ending when retailers transfer possession to delivery services, and HB 1385 on eliminating paper-original homestead exemption submissions. Members asked questions on several bills, especially about whether the fairgrounds language in HB 1651 would affect youth livestock shows and whether HB 1386 or other measures would change county revenue; sponsors generally said the bills were intended to address state-agency use, municipal reporting, or administrative efficiency rather than alter those programs. The Senate also advanced HB 898, creating a sales tax diversion study committee to review misallocated municipal sales tax revenues, assess impacts, examine technology and oversight, and recommend reforms by the 2027 session; Senator Hill questioned whether counties should be included, but the sponsor said that would be a separate policy decision. Later, the Senate reconsidered HB 1265, the Mississippi Debt Management Services Act extended repealer, adopted an amendment to remove the repealer instead of extending it, and then passed the bill. The body also took up SB 2632, the local governments disaster recovery emergency loan program, and voted not to concur and to invite conference. Finally, HB 1142 on bench warrant notices was called up; the sponsor explained a strike-all that would replace certified mail with personal service or electronic transmission and include a reverse repealer for further conference work.

Transcript Highlights:

• <00:38:16.160> with<00:38:16.640> this the exit 6 and 7 interchanges with this the
• exit 6 and 7 interchanges with this project<00:38:17.599> increases<00:38:18.240> safety,
• uh exit<00:51:14.400> 6<00:51:14.559> and<00:51:14.800> 7<00:51:14.960> interchange
• <00:51:15.680> uh<00:51:15.920> construction exit 6 and 7 interchange uh construction
• exit 6 and 7 interchange uh construction projects<00:51:16.720> needed<00:51:16.960> to

Keywords: 1191, senate, all

Transcript Highlights:

• agitated delirium, and exhaustive mania because those names for excited delirium have been used interchangeably
• 00:07:10.800> have<00:07:10.960> been<00:07:11.160> used<00:07:11.600> interchangeably
• delirium have been used interchangeably delirium have been used interchangeably for<00:07:13.320

Keywords: 910, house, all

Summary: The committee heard a series of resolutions and a few bills, with testimony largely in support across the agenda. Early measures included HCR 15/HR 17 supporting Kamehameha Schools’ admissions policy, and HCR 22/HR 22 urging Congress to pass federal kidney disease legislation; both drew support and no opposition. The committee also heard HCR 146 HD1/HR 138 HD1 on “excited delirium,” with testimony from advocates urging the resolutions be broadened to include related terms such as hyperactive delirium and agitated delirium, and from family members and disability-rights advocates describing the issue as harmful pseudoscience tied to police-custody deaths and calling for a ban on the term and better mental-health responses. The committee then took up HCR 123/HR 115 on creating a coordinated support and stabilization task force for Native Hawaiians experiencing homelessness or extreme low income. Department of Hawaiian Home Lands testified in support, describing its transitional housing work and saying collaboration and data-sharing with the state homelessness office would help beneficiaries and others; members questioned whether existing entities already do similar work and whether the proposal would extend beyond beneficiaries. HCR 32/HR 32, which asks the governor’s senior advisor on mental health and the justice system to develop a plan to increase access to Hawaii State Hospital for certain criminal defendants, drew support from the Department of Health, the governor’s office, and disability-rights advocates, who emphasized coordinated planning, diversion from arrest when appropriate, and matching people to the right level of care. Additional resolutions addressed a range of policy issues: renaming Leeward Community College to Puloulou Community College (with no testimony), creating an ʻōlelo Hawaiʻi pathway under the Niʻihau dialect at UH (UH noted existing courses already cover the dialect but not a degree pathway), moving to a demerit-point driver licensing system (support only), and coordinating transportation infrastructure planning for Hawaiian home lands (DHHL supported the measure and said an expired DOT memorandum of understanding had covered related collaboration). The committee also heard support for expanding DHHL financial literacy and homeownership-preparedness programs, a resolution asking the Hawaii Civil Rights Commission to examine algorithmic discrimination, and a resolution urging the Oahu Metropolitan Planning Advisory Committee to follow its rules, comply with the Sunshine Law, review its executive director, and strengthen accountability; the last measure drew 11 written supports and no opposition. No final votes or decisions were taken in the portion provided, as the hearing focused on testimony and questions.

Transcript Highlights:

• Network Geothermal or Thermal Energy Networks, TENS for short, I use them interchangeably.
• I<00:30:05.800> use<00:30:06.000> them<00:30:06.240> interchangeably.
• I use them interchangeably. I use them interchangeably.

Keywords: 1187, senate, all

Transcript Highlights:

• new ability to pay provision, which I'll discuss in a minute, changes to aesthetics, bridges and interchanges
• minute, changes to aesthetics, bridges minute, changes to aesthetics, bridges and<00:04:35.280> interchanges
• ,<00:04:36.160> a<00:04:36.320> dimminimous<00:04:37.040> clause, and interchanges
• , a dimminimous clause, and interchanges, a dimminimous clause, drainage<00:04:38.080> and<00:

Bills: HF3131, HF3436, HF3106, HF3241, HF3531

Keywords: cancer, disability, parking certificates, transportation, state law, school bus, schoolchildren, student safety, traffic safety, stop arm, flashing red lights, amber lights, passing a school bus, 20 feet, vehicle stopping distance, driver duties, school transportation, Minnesota traffic law, school bus law, bus stop signal

Transcript Highlights:

• And I'm afraid I'm confused as to whether survey and audit are being used interchangeably.
• whether survey and audit are being to whether survey and audit are being used<01:04:10.880> interchangeably
• 11.799> do<01:04:11.960> you<01:04:12.119> have<01:04:12.240> a used interchangeably
• do you have a used interchangeably do you have a definition<01:04:13.359> between<01:04:13.720

Keywords: 1191, senate, all

Transcript Highlights:

• looked up what Maine and Minnesota are doing, it looks like there are not products that they can interchange
• what Maine and what they're doing; it looks like they're having some problems finding products to interchange

Summary: The committee held a work session covering PFAS regulation and impacts, no-cost allowance allocation for emissions-intensive trade-exposed industries (EITEs), and regional resource adequacy and data center load growth. Senator Victoria Hunt was welcomed as a new member. The Department of Ecology reviewed Washington’s Safer Products for Washington PFAS work, including completed restrictions on PFAS in outdoor furniture, carpets, rugs, stain/water-resistant treatments, and newer rules adopted in November restricting PFAS in most apparel, cleaning products, and automotive washes, with reporting requirements for some other products such as cookware and firefighting gear. Ecology also described Cycle 2 PFAS reviews now underway, including artificial turf and paints, and answered questions about compliance, online sales, sell-through periods, and how Washington’s approach differs from broader bans in states like Maine and Minnesota. The Department of Ecology also presented on PFAS in biosolids, describing a 2024 sampling study, limitations in testing methods, and a 2025 statutory amendment requiring additional sampling between 2027 and 2028 and a report to the legislature in 2029. The Department of Health then updated the committee on PFAS in drinking water, reporting that most Group A public water systems have completed sampling, that 317 sources and 188 systems are expected to exceed new contaminant levels, and that treatment costs for public systems are estimated at about $970 million, leaving a large funding gap; members also asked about private wells, health effects, bathing exposure, and home filters. The Board of Health’s new state action levels are being aligned with federal MCLs, and the department said it expects to continue monitoring and notification under state rules. Ecology also briefed the committee on no-cost allowance allocations to EITEs under the Climate Commitment Act, explaining the leakage-mitigation rationale, the current allocation schedule through 2034, and a forthcoming report on policy options for 2035-2050; members asked about industry barriers, competitiveness, and whether facilities might leave the state. Finally, E3 presented a regional resource adequacy study showing rising load, retirements outpacing additions, limited winter reliability value from wind, solar, and batteries, and a projected shortfall beginning in 2026 that could grow to about 9,000 MW by 2030 if planned projects are not built. The presentation emphasized winter cold-weather events, hydro variability, the importance of permitting and transmission, and longer-term options including nuclear, geothermal, hydrogen, carbon capture, and long-duration storage. EPRI then introduced its DC Flex initiative, which is studying how data centers can provide flexible load through workload shifting, cooling optimization, and on-site backup or bridging resources to reduce grid stress and protect ratepayers.

Transcript Highlights:

• price transparency in part because they have slightly different meanings but are sometimes used interchangeably
• price transparency in part because they have slightly different meanings but are sometimes used interchangeably

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:

• : if the walkway is along a freeway, an expressway, including any entrance ramp or exit ramp or interchange
• , regardless of the Expressway, including any entrance ramp or exit ramp or interchange, regardless of

Summary: The committee first took up PCS for HB 123, which would change the process for converting a public school to a charter school by requiring approval from a majority of parents at the school, allow municipalities to apply to convert certain schools under limited circumstances, and address surplus school property in districts with declining enrollment. The sponsor said the bill is meant to give parents the primary say and to prevent districts from holding unused property. Opponents, including the Florida PTA, several members, and public speakers, argued the bill excludes teachers, school boards, and other stakeholders, could disenfranchise parents who do not live in the municipality, and could create enrollment, transportation, and equity problems. After debate, the bill passed 13-5 and was reported favorably. The committee then heard HB 597 on diabetes management in schools. The bill would allow school districts and charter schools to procure and store glucagon pens for emergency treatment of severe hypoglycemia, permit trained personnel to administer them, require 911 to be called after use, and add limited liability protections. The sponsor said the medication is inexpensive and could save lives for the roughly 7,000 diabetic K-12 students in Florida. An amendment clarified that public and charter schools are both covered. The bill drew support from the American Diabetes Association, the American Academy of Pediatrics, and the Florida PTA, and members from both parties praised the measure. It passed unanimously and was reported favorably. Finally, the committee heard HB 85 on hazardous walking conditions, which would add walking along freeways, expressways, and their ramps as a hazardous condition requiring bus service for elementary students within two miles of school. The sponsor described personal examples of children walking near dangerous roads and said the bill is intended to prevent injuries and deaths. An amendment narrowed the language by deleting “state highway.” Public testimony included a parent who described her child being hit by a car and urged broader coverage, while members raised concerns about bus shortages and fiscal impact. Most members spoke in support, emphasizing student safety, and the bill was reported favorably after debate.

Transcript Highlights:

• THE DIVERSION DIAMOND INTERCHANGE REMOVES THE LEFT TURN COMPLEX.