Transcript Highlights:

• So what happens is someone who provides medical care or a hospital, a physician, um, anybody in the health
• Now, 50% of hospitals, for instance, and so on, they might have a contractor that they work with, and
• </c> groups or you know or is it the hospital groups or you know or is it the hospital association<00
• :07:31.440><c> instance</c><00:07:31.759><c> and</c><00:07:32.000><c> so</c> excuse me hospitals for
• instance and so excuse me hospitals for instance and so on<00:07:33.039><c> they</c><00:07:33.360><c>

Bills: HF3521, HF1807, HF1270, HF2070, HF3136

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Transcript Highlights:

• . >> So, this bill here adds more beds to the region's hospital.
• Um, as you recall, Minnesota Statute 14451 prohibits hospitals, um, without a bed license from expanding
• um without uh bank prohibits hospitals um without uh bank bed<00:03:33.280><c> license</c><00:03:33.840
• We go back and forth on this regulation that says a hospital can't build out their beds.
• I understood the hospital isn't out of beds.

Bills: HF3521, HF1807, HF1270, HF2070, HF3136

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Transcript Highlights:

• bed. delays are harmful and costly.
• We are 1,800 beds. That's short today.
• It could be at home in bed.
• Like, she just got out of the hospital.
• Potentially. and would be taken to the hospital and you're saying the hospital. can't keep them.

Bills: HB 3772, HB 1656, HB 4504, HB 1896, HB 4420, HB 4421, HB 4076, HB 3708, HB 2806, HB 3540, HB 1586, HB 5459, HB 4553, HB 4535, HB 3811, HB 3749, HB 4255, HB 4051, HB 5098, HB 3554, HB 4539, HB 5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• Hospital do for its not-for-profit status that a for-profit hospital doesn't do.
• a for-profit hospital.
• hospitals.
• , and a poor outcome happens at the hospital, that would be reported through the hospital.
• transferred to the hospital.

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Bills: HB3772, HB1656, HB4504, HB1896, HB4420, HB4421, HB4076, HB3708, HB2806, HB3540, HB1586, HB5459, HB4553, HB4535, HB3811, HB3749, HB4255, HB4051, HB5098, HB3554, HB4539, HB5274

Keywords: e-cigarettes, health and safety, regulations, directory, penalties, regulation, certification, compliance, manufacturers, FDA, nicotine, mental health, emergency detention, paramedic authority, mental illness, healthcare facility, public health, covenants not to compete, health care practitioners, physicians

Transcript Highlights:

• During Minnesota's transition to practice period, CNSs and NPs must work in a hospital or integrated
• During Minnesota's transition-to-practice period, CNSs and NPs must work in a hospital or integrated
• 01:09:49.199><c> a</c> period, CNS's and MPs must work in a period, CNS's and MPs must work in a hospital
• or integrated clinical setting hospital or integrated clinical setting where<01:09:52.400><c> a</c><
• for diabetes and other chronic conditions, hospital stays for—oh, I'm sorry, that's not where I meant

Bills: HF3521, HF3563, HF82, HF2689, HF1794, HF3544, HF3516, HF1752

Keywords: hospital moratorium, hospital construction, bed capacity, hospital expansion, health care facilities, hospital licensing, safety-net hospital, level I trauma center, Ramsey County, Minnesota health law, hospital beds, new hospital exception, certificate of need, inpatient capacity, emergency care, trauma services, health system regulation, state moratorium, hospital modernization, health infrastructure

Transcript Highlights:

• We have 440 beds, and our total census today is 436, giving us four beds.
• We try to keep a few beds available 24... ...giving us four beds.
• Greg Waddell with the Louisiana Hospital Association.
• We had the challenge with our local hospital.
• A lot of our hospitals, particularly our rural hospitals, safety net independent facilities, need the

Bills: HB414, HB786, HB1041, HB1052, HB1118, HB1139, HB1182, HB1185, HB1214, HB1217, HB1231, SR63, SCR27, SB5, SB194, SB415, SB433, SB451, SB462, SB516

Keywords: healthcare, criminal convictions, employment, background checks, prohibited offenses, Medicaid, claim payments, extrapolation, provider audits, medical freedom, discrimination, access, medical intervention, child protection, confidentiality, multidisciplinary teams, child advocacy centers, public records, investigations, hospital

Transcript Highlights:

• Financial sense for hospitals.
• to a hospital if an admission is needed.
• We're just like pulling a hospital ER out of the hospital. ...embedding it in the community.
• hospital or healthcare provider they see.
• Respiratory virus surges push our hospitals to the brink, overcrowd our ERs, decrease our bed availability

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• And that could also lead to unnecessary emergency department visits, unnecessary hospitalization, and

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• many ways, and that could also lead to unnecessary emergency department visits, unnecessary hospitalizations

Bills: SB 227, SB 269, SB 407, SB 463, SB 527, SB 547, SB 1283, SB 1380, SB 1383, SB 1511, SB 1640, SB 1784, SB 2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• to a hospital if an admission is needed.
• to a hospital if an admission is needed.
• We're just like pulling a hospital ER out of the hospital and embedding it in the community.
• hospital or health care provider they see.
• Respiratory virus surges push our hospitals to the brink, overcrowd our ERs, decrease our bed availability

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Summary: The Senate Committee on Health and Human Services met with several members initially absent, then later established a quorum. The committee heard multiple bills, with most testimony focusing on access to care, insurance practices, senior safety, and health care worker protections. Several bills were laid out with committee substitutes, and public testimony was limited to two minutes per witness. Most bills were left pending after testimony, with no final votes taken in the portion provided. Senate Bill 2069 would create a work group to study the feasibility of a statewide acute psychiatric bed registry; the substitute shifts appointment authority to the Health and Human Services Commissioner and extends reporting and sunset dates. Senate Bill 463 would expand workplace violence protections to additional hospice, home and community support, intermediate care, and state-supported living center settings. Senate Bill 1283 would require background checks and transparency measures for senior retirement communities after testimony about the Dallas-area serial killings of elderly residents. Senate Bill 1784 would require 60 days’ written notice before medical debt is sent to collections. Senate Bill 527 would require medical insurance coverage for general anesthesia for medically necessary pediatric dental procedures for children under 13 with qualifying conditions; pediatric dentists testified that denials delay needed care. A major portion of the meeting centered on prior authorization. Senate Bill 1380 would eliminate prior authorization for a broad list of services, including emergency, primary, mental health, substance use, chemotherapy, preventive, pediatric hospice, and certain chronic-condition care. Physicians and hospice advocates supported the bill, describing delays, administrative burden, and patient harm, while health plans opposed blanket exemptions and argued prior authorization helps prevent unnecessary care and control costs. Relatedly, Senate Bill 547 would require insurers to report gold-card prior authorization exemptions to TDI and create a centralized database and annual report; TMA supported better tracking, while health plans warned of duplicative reporting and administrative cost. Senate Bill 407 would require health care facilities to honor conscience- and religion-based vaccine exemptions for employees, with testimony from a physician and vaccine-choice advocate supporting the bill. The committee also heard Senate Bill 1383, which would regulate senior living referral agencies, allow more flexible compensation structures, and add disclosure and consumer protections; an out-of-state referral company and A Place for Mom supported it. Senate Bill 1511 would allow freestanding emergency centers to provide outpatient services in addition to emergency care, with consumer protections such as estimates, limits on facility fees, and restrictions on balance billing. The chair repeatedly announced that bills were being left pending after testimony, and no final committee action or recorded votes were taken in the transcript provided.

Bills: HB1845, HB2192, HB2438, HB2529, HB2607, HB2658, HB3348, HB3505, HB3305

Keywords: rural prosecution, salary assistance, staffing grant, legal support, criminal justice, fireworks, permit requirements, sale, county regulations, public safety, hospital district, administration, elections, director qualifications, public contracts, salary supplement, county judges, judicial functions, state law, government compensation

Transcript Highlights:

• There are a variety of types of hospitals. Those types of services are those provided by hospitals.
• There are a variety of types of hospitals. One of those types are critical access hospitals.
• To be a critical access hospital, the hospital must be certified by the Centers for Medicare and Medicaid
• Only 6% of hospitals in the country were designated as five-star hospitals last year.
• We proudly support our independent public hospital.

Bills: SB5872, SB5879, SB6047, SB5988, SB5923, SB5832, SB5970, SB5994, SB5949

Keywords: preK promise account, early childhood education, child care, preschool, pre-kindergarten, DCYF, Department of Children, Youth, and Families, state treasury, trust fund, investment earnings, gift grants donations, dedicated account, general fund, nonreverting balance, appropriation, treasurer, Washington early learning, school readiness, education assistance program, legislative audit

Summary: The Ways and Means Committee held a public hearing on nine bills. Senate Bill 5872 would create the Pre-K Promise Account to receive philanthropic gifts for the ECAP preschool program; supporters including the Ballmer Group, DCYF, and the governor’s office said the account would support a 10-year commitment to expand access by up to 10,000 seats per year, while members asked how the annual funding would flow. Senate Bill 5879 would eliminate two JLARC studies, one on lodging tax revenue use and one on the training benefits program; supporters said the reports were redundant and burdensome, while the Washington Hospitality Association cautioned against losing transparency on lodging tax spending. Senate Bill 6047 would permanently codify and update capital budget administration provisions, including minor works flexibility, lapse rules for projects, and a higher eligible percentage for some early learning grants; testimony focused on technical fixes for capital and early learning projects, including nonprofit co-located developments and a cultural center’s BCF funding issue. The committee also heard Senate Bill 5988, which would authorize the Department of Health to charge fees for accrediting opioid treatment programs; DOH said the fee authority would keep accreditation services available, including for tribal programs, and would replace current funding sources. Senate Bill 5923 would allow Island Hospital in Skagit County to be paid as a critical access hospital once federally certified, which supporters said would improve rural hospital sustainability and Medicaid reimbursement. Senate Bill 5832 would raise the new motor vehicle arbitration fee from $3 to $6 to fund the Attorney General’s Lemon Law program; supporters said the program has a high consumer success rate and returns significant value, while the bill would increase receipts to the arbitration account and require system updates. Two tax-related bills drew substantial testimony. Senate Bill 5970 would make permanent the property tax exemption for multipurpose senior citizen centers; AARP supported it as a way to preserve community services for older adults and caregivers. Senate Bill 5994 would preserve timber tax distributions for school districts that recently lost qualifying levies, with forest industry witnesses supporting the school funding fix and noting possible implications for state forest transfer lands. Senate Bill 5949 would narrow the B&O tax exemption for insurance-related businesses so it applies only to the insurer paying the premium tax and would apply retroactively to 2019; the Department of Revenue and supporters said it would restore tax equity and generate about $73 million over four years, while insurers and business groups opposed it, warning of retroactive liability, higher premiums, and possible effects on health, auto, home, and life insurance costs. No votes were taken; each bill was heard and the committee adjourned after public testimony.

Transcript Highlights:

• Next, Fortner Walker County Hospital District.
• Walker County Hospital District effectively reorg bill. Any questions? All right, great.

Bills: HB 148, HB 334, HB 554, HB 762, HB 1520, HB 1593, HB 3526, HB 3810, HB 5092, SB 2215, HB 2607

Keywords: family leave, leave pool, county employee, sick leave, vacation leave, family care, pandemic, guardianship, HB 554, fireworks, Juneteenth, Juneteenth holiday, retail fireworks permit, Texas Occupations Code, Local Government Code, county commissioners court, drought conditions, Texas A&M Forest Service, fire safety, holiday sales

Transcript Highlights:

• SB 6103 relates to payments for rural emergency hospitals.
• SB 6103 relates to payments for rural emergency hospitals.
• Critical access hospitals and certain rural hospitals are eligible to convert to a rural emergency hospital
• by CMS as a rural emergency hospital subject to appropriation.
• government created the rural emergency hospital designation in 2021.

Bills: SB6103

Keywords: rural healthcare, emergency services, hospital payments, state appropriation, public health, 904, all

Transcript Highlights:

• Since hospitals are already exempt, we have to be considered, just like hospitals, as our services are
• Since the hospitals are already exempt, we have to be considered, just like hospitals as our services
• Hospitals are exempt under current law, and temporary staffing services provided to hospitals are not
• I'm the CEO of Mason General Hospital, a public hospital district and critical access hospital.
• These are hospitals that pay local, state, and federal taxes compared to 340B hospitals.

Bills: SB6294, SB6211, SB5650, SB6033, SB6297, SB6343, SB6067, SB6082, SB6323, SB6324, SB5862, SB5923, SB6151

Keywords: local government finance, Washington state, RCW, real estate excise tax, REET, sales and use tax, property tax levy, county tax, city tax, affordable housing, housing services, behavioral health, mental health, developmental disabilities, children and families services, youth services, utility tax, low-income utility assistance, veterans assistance, homelessness

Summary: The Ways and Means Committee held a public hearing on several bills, beginning with Substitute Senate Bill 6026, which would require cities and counties over 30,000 population to allow residential uses in commercial and mixed-use zones, with limits on requiring mixed-use or ground-floor retail and some height flexibility where such requirements are imposed. Committee staff described the bill as governor-request legislation with a fiscal note for Department of Commerce implementation and local zoning updates. Lieutenant Governor Denny Heck testified in strong support, calling it a major housing bill that would add needed capacity without burdening housing with retail requirements. The committee then suspended the hearing and moved to other bills on the agenda. Senate Bill 6294 drew extensive testimony. Staff said it would expand local fiscal tools in eight parts, including broader uses for certain REET revenues, a new option for cities to impose the affordable housing REET with voter approval, a county utility tax, a new local sales tax for children and family services, expanded uses for existing housing sales tax revenues, possible standalone county veterans and behavioral health levies, longer voter-authorized levy lid lifts, and expanded uses for rental car tax revenue. Supporters from cities, counties, housing, and public health groups said the bill would provide needed flexibility for housing, child care, public health clinics, and county budgets. Opponents, including wireless, water and sewer, auto dealer, realtor, and energy industry representatives, objected to the county utility tax, the new sales tax, or the REET provisions, citing regressivity, higher costs, and housing affordability concerns. The committee also heard Substitute Senate Bill 5400 on local news sustainability, which would create a Department of Commerce grant program funded by a surcharge on covered tech platforms, with revenue also supporting the Murrow Journalism Fellowship at Washington State University. News organizations, civic groups, and journalism advocates testified that local news is in decline and that the bill would help preserve reporting jobs and community accountability, while technology industry representatives warned of legal risks and argued the bill unfairly targets online platforms. Other bills heard included SB 6211, which would let voluntarily planning GMA jurisdictions impose REET-2 without voter approval; SB 5650, which would authorize local cannabis excise taxes, drawing support from local governments and opposition from cannabis businesses that said the industry is already overtaxed; SB 6033, which would waive penalties and interest for certain taxpayers who failed to collect new retail sales tax on services, supported by small business advocates; SB 6297, which would exempt temporary staffing services for nonprofit behavioral health entities from sales tax, supported by behavioral health providers; and SB 6343, which would extend and expand tax relief for property damaged by natural disasters, with support from local officials in flood-affected communities.

Transcript Highlights:

• Cloud Hospital and a new one in Willmar, which just matched its first batch of residents yesterday.
• So, um, the hospitals get a certain stipend that they're allowed per resident, and they are capped at
• Um, I was born in one of CentraCare's critical access hospitals.
• My fifth daughter was born in one of our critical access hospitals, and one thing that we are really
• Rosi will tell you, many of these residencies will rotate through non-CentraCare hospitals, and those

Bills: HF2090, HF982, HF2229

Keywords: higher education, scholarship, financial aid, state grant, tuition assistance, Pell grants, student retention, education equity, disabled veterans, veterans' dependents, dependent children, college affordability, books and fees, University of Minnesota, public colleges, Office of Higher Education, veterans benefits, military families, permanent disability, 100 percent disability

Transcript Highlights:

• already seeing that with some of our mid-level specialties, where it's hard to find nursing in our hospitals

Bills: SB1117, SB1373, SB672, SB1986, SB1098, SB626, SB1784, SB2480, SB2487, SB437, SB660

Keywords: dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness

Transcript Highlights:

• Hospital applies its own standards.
• And the hospital association's objections.
• Who trains orthopedic surgeons goes to a hospital, and the hospital, when he goes to the credentialing
• hospitals.
• Many hospitals have bollards at their ERs.

Bills: SB1117, SB1373, SB672, SB1986, SB1098, SB626, SB1784, SB2480, SB2487, SB437, SB660

Keywords: dentistry, botulinum toxin, aesthetic treatments, dental regulation, training, medical staff privileges, hospital administration, healthcare regulation, Texas Health and Safety Code, consistency in privileges, SB 672, Texas hospital emergency operations plan, hospital diversion, emergency department, cyberattack, cyber security, power outage, electrical outage, patient diversion, hospital preparedness

Bills: HB25, HB38, HB997, HB 1119, HB25, HB38

Keywords: HB 25, Texas nutrition, nutrition education, healthy living, public health, school physical activity, recess, physical education, nutrition and wellness course, health curriculum, State Board of Education, Texas Nutrition Advisory Committee, ultra-processed foods, artificial colors, food additives, chronic disease, metabolic health, culinary medicine, functional medicine, dietary guidelines