Transcript Highlights:

• And you can, you know, if you start any time in your life, you can change your life.
• Having their physical health, financial security, a safe community to live in, and family and community
• To support and improve the quality of life for all patients and in all communities, I urge Congress to
• It is critical that research is happening in our communities, in my communities that have black and brown
• Connection with communities, and we really see that those are opportunities within communities like mine

Keywords: health policy, lifespan, quality of life, community health, public testimony

Summary: The committee meeting was marked by discussions surrounding health policies aimed at enhancing the lifespan and quality of life for the community members. The chairperson initiated the session with personal reflections on the importance of extending not just the years of life but also the quality of those years, especially from the perspective of parents and grandparents. Members engaged in thoughtful dialogue regarding potential legislative measures that could address public health in a more holistic manner, emphasizing the need for community outreach and effective health education programs.

Transcript Highlights:

• qualified health plans.
• So I want to be very specific about how we would plan to use this authority for plan year 2027.
• public option plan in 23 counties.
• Every year during open enrollment, they log on to Health Plan Finder and try to find a plan.
• that have the most robust, what are called life care plans and contracts.

Bills: HB2564, HB2599, HB1809, HB2242, HB2261, HB2384, HB2505

Keywords: healthcare, insurance, certification, state regulation, health plan, therapy, psychotherapy, mental health, regulation, professional standards, behavioral health, mental health crisis, crisis response, co-response, co-responder, first responder, EMS, emergency medical services, paramedic, EMT

Summary: The House Health Care & Wellness Committee held public hearings on House Bill 2564, concerning the health benefit exchange, and House Bill 2599, concerning the use of AI in therapy services. HB 2564 would let the exchange adopt annual market-factor certification criteria to address access and affordability issues, including requiring more meaningful plan differences, broader county participation, and availability of lower-premium options. Supporters, including the exchange, former Sen. Karen Kaiser, consumer advocates, rural and tribal representatives, and some brokers, said the bill could help prevent bare counties, improve affordability, and reduce confusing plan duplication. Opponents, including carrier groups, insurers, the hospital association, and insurance producers, warned it could reduce carrier participation, create uncertainty, overlap with OIC authority, and raise provider costs. HB 2599 would restrict licensed therapy providers from using AI to make independent therapeutic decisions, directly interact with clients, generate treatment plans without review, or advertise AI as therapy; supporters said it was needed to prevent deceptive or dangerous chatbot therapy, while several professional groups and Teladoc supported the intent but asked for narrower definitions and clearer carveouts for routine clinician-supervised tools. The committee also heard testimony on the bills’ details and possible amendments, but took no public-hearing votes on either bill. In executive session, the committee considered five bills. HB 1784, on certified medical assistants entering and activating orders, passed with a proposed substitute that added standing written protocols, annual review requirements, and a 24-hour countersignature deadline; it was reported out 18-0. HB 2242, on preventive services and immunization recommendations, had three amendments considered: two were rejected and one JLARC study amendment was adopted, after which the substitute bill passed 11-7. HB 2384, on actuarial reviews for continuing care retirement communities, passed as a substitute after technical changes and was reported out 16-2. HB 2505, creating an exemption from adult family home licensure for certain foster family situations, adopted an amendment adding disqualifying conditions and then passed 18-0. The committee deferred action on HB 1809 and HB 2261, and adjourned after completing its work.

Bills: SB43, SB50, SB145, SM2

Keywords: parole, life imprisonment, rehabilitation, criminal justice, victim rights, law enforcement, training requirements, mental health, domestic abuse, child abuse, public safety, crisis intervention, auditing, financial reporting, state auditor, public agencies, capital outlay, compliance, federal audits, pediatric palliative care

Bills: SB43, SB50, SB145, SM2

Keywords: parole, life imprisonment, rehabilitation, criminal justice, victim rights, law enforcement, training requirements, mental health, domestic abuse, child abuse, public safety, crisis intervention, auditing, financial reporting, state auditor, public agencies, capital outlay, compliance, federal audits, pediatric palliative care

Transcript Highlights:

• House Bill 2384 relates to conducting actuarial reviews for continuing care retirement communities, or
• Continuing care retirement communities, or CCRCs, are facilities that provide a continuum of care and
• A life care contract is defined as a contract to provide the resident with nursing services, medical
• life care contract.
• We support defining life care or type A contracts and developing reporting specific to these communities

Bills: HB2384, HB2402, HB2505, HB1904, HB2145, HB2182, HB2211, HB2242, HB2247, HB2329, HB2339

Keywords: continuing care retirement community, CCRC, life plan community, senior housing, retirement community, long-term care, assisted living, nursing home, actuarial analysis, solvency, financial oversight, resident contracts, entrance fee, disclosure statement, registration, insurance commissioner, DSHS, consumer protection, elder care, aging services

Summary: The committee held public hearings on three bills. HB 2384 would require continuing care retirement communities that offer life care contracts to submit actuarial analyses every other registration cycle for review by the Office of the Insurance Commissioner, with results sent to DSHS for registration decisions and an appeal process through DSHS. Supporters said the bill would improve transparency and protect residents’ financial security; LeadingAge Washington supported transparency but raised cost and implementation concerns. HB 2505 would exempt certain foster parents and child-specific foster care providers from adult family home licensure when former foster youth remain in the home as adults and other conditions are met. The sponsor and DSHS said the bill would help vulnerable young adults stay with caregivers and avoid unnecessary licensure barriers. HB 2402 would phase out DEHP in IV solution containers and later IV tubing, with exemptions for certain blood and cell therapy products; testimony largely supported removing phthalates for health and environmental reasons, while manufacturers, hospitals, and AdvaMed raised supply chain, timing, and implementation concerns and requested later phase-out dates and exemptions. In executive session, the committee adopted amendments and advanced several bills. HB 1904, prohibiting cat declawing, was amended to remove recordkeeping, reporting, fines, and disciplinary references tied to declawing and was reported out with a do pass recommendation. HB 2145 on the 340B drug pricing program was advanced as a proposed substitute after a lengthy discussion about transparency, reporting, and concerns over authority and litigation. HB 2182, concerning abortion medications held and distributed by the Department of Corrections, was amended to require appropriations for purchases, restore cost-based distribution language, prioritize Indian health providers, add annual reporting, and remove the emergency clause; the substitute bill then passed out of committee. HB 2211 on medically tailored meals also passed out, with one member opposing due to concerns about limiting participation to certain nonprofits. The committee also passed out HB 2247 on veterinarian-client-patient relationships and telehealth after adopting a substitute that clarified recordkeeping, telehealth prescribing, clinical practice requirements, and the effective date. HB 2329 on supervision of medical assistants and lactation consultants by licensed midwives passed after a cleanup amendment clarified that midwives are not prohibited from coordinating with lactation consultants. HB 2339 on nurse licensing passed after a technical amendment updated definitions and terminology for nurse practitioner and clinical nurse specialist credentials. The meeting concluded with all of these measures reported from committee, mostly on strong bipartisan votes, though several bills drew mixed votes or dissent over scope, costs, or implementation.

Transcript Highlights:

• Medical conditions that limit life expectancy.
• Palliative care is not end-of-life care. It is a philosophy of care that focuses...
• Palliative care is a philosophy of care that focuses on comfort, quality of life, and family support.
• for as long as their life is.
• Not all palliative care is limited to the end of life.

Bills: SJR1, SM2

Keywords: school elections, partisan elections, voting rights, constitutional amendment, New Mexico, elector registration, pediatric palliative care, pediatric hospice, Medicaid, state plan amendment, Health Care Authority, children with serious illness, life-limiting conditions, complex medical conditions, curative care, concurrent care, family-centered care, hospice services, managed care, pain management

Transcript Highlights:

• that the county formally authorize the land bank, establishment advisory boards, development of planning
• that the county formally authorize the land bank, establishment advisory boards, development of planning
• House Bill 2118 is the bill prohibiting common interest community unit owners associations from entering
• and raising the property taxes for everyone else in those communities.
• So on that larger ...the property taxes for everyone else in those communities.

Bills: HB1974, HB2118, HB2236, HB2269

Keywords: land bank, land banking authority, affordable housing, housing crisis, housing supply, public corporation, public housing authority, nonprofit housing, tax-foreclosed property, blight remediation, redevelopment, anti-displacement, equity, redlining, racial segregation, deed restriction, affordability covenant, property tax exemption, excise tax exemption, predevelopment

Summary: The House Housing Committee met to executive several bills after a staff briefing on proposed substitutes and amendments. House Bill 1974, the land bank bill, was explained as being narrowed from the original version by removing several county oversight and grant-program provisions, while adding annual reporting and a real estate excise tax exemption. Members discussed land banking as a tool to support affordable housing, but some raised concerns about expanding tax exemptions and the effect on private developers and local tax bases. The committee voted 10-7 to report the substitute bill out with a due pass recommendation. House Bill 2236, dealing with Housing Finance Commission authority, was presented with a substitute clarifying that the commission may not make residential mortgage loans directly to individual homebuyers for owner-occupied housing, while allowing certain down-payment assistance and emphasizing that the commission is not intended to function as a retail mortgage lender. Discussion focused on whether removing language about using public funds could create concern about state-backed lending; supporters said the bill modernizes outdated law and clarifies intent, while opponents worried about taxpayer exposure and competition with private lenders. The committee voted 13-4 to advance the substitute. House Bill 2269, on middle housing and on-site sewage systems, was described as restoring current law so any county may allow middle housing in LAMIRDs, while limiting septic use to middle housing in LAMIRDs and requiring public sewer in non-rural counties. The sponsor said the substitute reflected collaboration with stakeholders and was a step toward expanding middle housing in rural areas. The committee unanimously approved the substitute 17-0. House Bill 2118 was discussed in staff briefing but was not moved during the executive session.

Transcript Highlights:

• The premise is to get on with your life. If you...
• Your life, if you... excuse me, why do we make children, if they're ready to move on and they've got
• So, my point that I want to suggest is that this is a good plan.
• Community colleges were trying to outsource and hire in different range platforms.
• With that, we were going to pilot one or two community colleges, but that turned into ten.

Bills: SB175, SB195, SB196, SB199

Keywords: aircraft, tax exemption, sales tax, lease tax, maintenance, Alabama, health insurance, Medicare, retirees, public education, contracts, education, high school, community college, dual enrollment, secondary credit, Move on When Ready, parental leave, state employees, local education agencies

Bills: SF0025, SF0026, SF0066, SJ0009

Keywords: landowner licenses, hunting, wildlife management, quota hunt areas, game and fish commission, property tax, Wyoming Game and Fish Commission, tax exemption, employee residences, hunting licenses, donated licenses, life-threatening illness, vision impairment, nonprofit organizations, public lands, local governance, land management, resource development, federal agency, agriculture

Bills: SF0025, SF0026, SF0066, SJ0009

Keywords: landowner licenses, hunting, wildlife management, quota hunt areas, game and fish commission, property tax, Wyoming Game and Fish Commission, tax exemption, employee residences, hunting licenses, donated licenses, life-threatening illness, vision impairment, nonprofit organizations, public lands, local governance, land management, resource development, federal agency, agriculture

Transcript Highlights:

• I mean, I come from a community in the suburbs that is, you know, pretty well-off.
• </c><01:07:44.920><c> in</c> I I mean I I come from a community in I I mean I I come from a community
• What time do we plan to be out of floor?
• 01:46:30.600><c> to</c><01:46:30.720><c> be</c><01:46:30.840><c> out</c> What time What time do we plan
• to be out What time What time do we plan to be out of<01:46:31.040><c> floor?

Bills: HF4252

Keywords: higher education, student aid, financial aid, grant programs, scholarships, Office of Higher Education, Minnesota State, University of Minnesota, community college, technical college, postsecondary institution, college affordability, student fees, athletic facilities, competitive athletics, developmental education, remedial courses, pregnant students, parenting students, priority registration

Transcript Highlights:

• It requires OIR to collaborate with DCF and community-based care lead agencies to review data from the
• in every single moment, someone who utilizes my lived experiences, my lessons from my upbringing in life
• in every single moment, someone who utilizes my lived experiences, my lessons from my upbringing in life
• Lessons from my upbringing in life, my experiences through volunteerism, and my professional career;
• And I get excited about that because of the work and partnership that we did with the community-based

Bills: S0556, S0794, S1600

Keywords: high school diploma, graduation requirements, physical education credit, performing arts credit, marching band, Special Olympics, students with disabilities, IEP, individual education plan, 504 plan, Florida education, school credits, diploma substitution, ROTC, dance class, State Board of Education, public schools, graduation pathways, adaptive physical education, Agency for Persons with Disabilities

Summary: The Committee on Children, Families, and Elder Affairs considered three bills and a confirmation. On SB 1600, the committee adopted a strike-all amendment and a technical amendment that shifted the bill from creating an accreditation process to requiring the Office of Insurance Regulation, DCF, and community-based care lead agencies to study liability insurance coverage and availability in the child welfare sector and report findings to the legislature by January 1, 2027; the bill also included enforcement provisions for failure to provide requested information. Support was noted from child and family advocacy groups, and the committee reported the bill favorably. The committee also heard CS for SB 556, which would allow students with disabilities to satisfy a physical education graduation requirement through participation in Special Olympics, if included in the student’s IEP, and would clarify that two years of marching band participation can satisfy both PE and fine arts credit. Special Olympics Florida, families, and other supporters testified in favor, emphasizing flexibility, access, and recognition of rigorous activity. The bill was reported favorably. The committee then considered CS for SB 794, which requires background screening for employees of residential facilities and day training programs serving people with developmental disabilities and directs a review of waiver support coordination, including quality, consistency, access, competencies, recruitment and retention, caseloads, and geographic gaps in services. An amendment to conform to the House version was adopted, and the bill was reported favorably. Members then questioned Secretary Taylor Hatch regarding her confirmation as Secretary of the Department of Children and Families. Senators raised concerns about child welfare system performance, parent notification and rights, CBC funding formulas, managing entities, opioid settlement spending, peer support expansion, and technology/interoperability improvements. Hatch described DCF’s recent data and initiatives, including reductions in out-of-home care entries, youth advisory efforts, missing children recovery operations, expanded behavioral health capacity, and technology upgrades for benefits processing. Public comment included support from family and provider organizations and concerns from a former foster care worker about medical misdiagnosis cases. The committee voted to recommend Hatch’s confirmation favorably, with Chair Grall voting no, and adjourned after allowing Senator Sharief to be recorded as voting in favor of SB 1600.

Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures

Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures

Bills: HB 109, HB 136, HB 694, HB 1201, HB 1716, HB 2071, HB 2216, HB 2358, HB 2807, HB 2886, HCR 78

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, child welfare, notification, Department of Family and Protective Services, conservatorship, parental rights, legal representation, child placement, doula services, pilot program, medical assistance, mortality rates, child protection, healthcare procedures

Transcript Highlights:

• Chairman, did they have a feasibility plan?
• Do they have a plan to build all these major things for $100 million? Oh, they...
• I don't think they do have some plans.
• And so you're trying to plan if something happens.
• I think the plan that has been worked out locally I think the plan that has been worked out locally with

Bills: SB190, HB247, HB8

Keywords: cancer treatment, revenue bonds, Gila Regional Medical Center, Nor-Lea General Hospital, healthcare funding, capital outlay, capital projects, appropriations, reversion, encumbrance, reauthorization, reappropriation, general fund, capital development and reserve fund, tribal infrastructure project fund, Department of Finance and Administration, DFA, state board of finance, severance tax bonds, tax-exempt bonds

Transcript Highlights:

• Infrastructure Capital Improvement Plan, ICIP, to receive capital appropriations.
• So folks will come to us, and some have done an ICIP plan. Some have not.
• I remember being at the state and going through that planning process, and it was painful.
• sure that doing that planning, you know, is not ultimately a barrier.
• More input, allows them to plan for what they're going to have.

Bills: SB190, HB247, HB8

Keywords: cancer treatment, revenue bonds, Gila Regional Medical Center, Nor-Lea General Hospital, healthcare funding, capital outlay, capital projects, appropriations, reversion, encumbrance, reauthorization, reappropriation, general fund, capital development and reserve fund, tribal infrastructure project fund, Department of Finance and Administration, DFA, state board of finance, severance tax bonds, tax-exempt bonds

Transcript Highlights:

• It relates to developing a strategic plan for improvement and expansion of early learning educational
• school district and open enrollment charter school policies regarding student use of personal communication

Bills: HB322, HB126, HB3062, HB1481, HB2310, HB2674, HB121, HB2243, HB3627, HB1178, HB367, HB5515

Keywords: JET Grant Program, career education, technical education, community colleges, technology solutions, high demand jobs, student athletes, name image likeness, compensation, intercollegiate athletics, representation, fentanyl prevention, drug poisoning awareness, higher education, mental health resources, substance abuse education, student policy, communication devices, school regulations, disciplinary measures

Transcript Highlights:

• Let us first acknowledge the sanctity of life.
• Science and faith alike affirm that life begins at conception.
• I'm pro-life, and so is God.
• It's a death sentence, or natural life, or life with the possibility of release.
• I've never had a gun in my life.

Bills: HB2043, HB2045, HB2046, HB2048, HB2064, HB2074, HB2126, HB2133, HB2144

Keywords: felony murder, unborn child, homicide, Arizona Revised Statutes, life imprisonment, death penalty, drive-by shooting, gun violence, firearms, felony, vehicle forfeiture, driver license revocation, drive by shooting, public safety, criminal penalties, education, funding, school districts, state aid, education reform

Transcript Highlights:

• The minimum medical loss ratio for individual and small group plans is 80%, and for large group plans
• health plans on the state's marketplace exchange.
• Smaller health plans like Premera will be squeezed out, and the larger national plans will have an advantage
• We want to have good medical services in rural communities and all communities.
• We want to have good medical services in rural communities and all communities.

Bills: HB2261, HB2283, HB2425, HB2110, HB2113, HB2122, HB2152

Keywords: healthcare, transparency, patient communication, credentials, professional standards, medical loss ratio, insurance, health plans, cost management, nursing delegation, registered nurse, RN, home care aide, nursing assistant, certified nursing assistant, CNA, medical assistant, home health, hospice, community-based care

Summary: The House Health Care and Wellness Committee held public hearings on House Bills 2261, 2283, and 2425, then took executive action on House Bills 2110, 2113, 2122, and 2152. HB 2261 would require health care providers to wear badges showing name, credential, and degree initials, require similar disclosures in advertising, and restrict use of the title “physician surgeon”; supporters framed it as a patient transparency measure, while many providers and associations opposed it as burdensome, confusing, and harmful to access, especially for adult family homes and solo practices. HB 2283 would raise the medical loss ratio for fully insured plans to 90%; supporters said it would direct more premium dollars to care and lower costs, while insurers warned it could destabilize markets and reduce flexibility for administrative services. HB 2425 would modernize nurse delegation rules, expand what tasks can be delegated, and broaden liability protections; supporters said it would reduce barriers and help address workforce shortages, while opponents raised patient safety and accountability concerns. During executive session, the committee advanced all four bills. HB 2110, allowing certain nurses without EMT certification to provide care on inter-facility specialty care transport, was amended and reported out with a due pass recommendation. HB 2113, which addresses radiological technicians performing IV contrast procedures under certain supervision arrangements, was reported out without amendment. HB 2122, requiring hospitals to offer flu vaccines under specified conditions, was amended three times and then reported out. HB 2152, requiring certain facilities to allow medical cannabis use by qualifying patients with terminal conditions, was amended to include exemptions and policy details, including naming it Ryan’s Law, and was then reported out as amended. The committee adjourned after these votes.