Transcript Highlights:

• Telehealth, including teleaudiology, plays a critical role in expanding access to care, particularly
• adamant that this bill should be passed because it rightly acknowledges telehealth, including teleaudiology
• , including older adults, rural residents, veterans, and individuals with mobility challenges, teleaudiology
• And today, audiologists are just as likely to take care of their patients using teleaudiology.
• And today, audiologists are just as likely to take care of their patients using teleaudiology and portable

Bills: SB6226, SB6305, SB5924, SB5990, SB5185, SB5845, SB6071, SB6258

Keywords: SB 6226, Washington, audiology, audiologist, hearing aid specialist, speech-language pathologist, telehealth, teleaudiology, clinical autonomy, clinical judgment, in-person care, remote care, Board of Hearing and Speech, hearing instruments, hearing aids, dispensing hearing aids, standards of care, professional licensure, health professions regulation, patient-centered care

Summary: The Senate Health and Long-Term Care Committee met on January 30 and first moved through executive session on five bills. The committee adopted proposed substitutes and advanced Senate Bills 5999, 5185, 5845, 6071, and 6258 to the Rules Committee, all by voice vote and subject to signatures. SB 5999 would let smaller rural counties appoint an APRN or PA as an acting local health officer; SB 5185 creates a pilot pathway for international medical graduates toward physician licensure; SB 5845 revises timely payment rules for health carriers; SB 6071 standardizes overpayment recovery timelines; and SB 6258 creates a non-disciplinary pathway for relinquishing certain medical licenses. Several sponsors noted that SBs 5845 and 6071 were still being worked on with stakeholders. The committee then held a hearing on SB 6226, which would protect the clinical autonomy of audiologists and require the Board of Hearing and Speech to apply hearing-instrument rules consistently across care modalities, including telehealth. Testimony was overwhelmingly supportive, with witnesses emphasizing teleaudiology’s role in expanding access, especially for rural residents, older adults, and people with mobility challenges. One association witness supported the bill’s goals but warned it could be read too broadly and affect other regulatory standards. The hearing closed with 54 people signed in pro, none opposed, and two other. Next, the committee heard SB 6305, the Truth in Mental Health Coverage Act, which would require carriers to submit standardized annual data to the Office of the Insurance Commissioner on behavioral health coverage, access, reimbursement, utilization, and network participation, with public posting in raw files and dashboards. Supporters said the bill would make parity and access problems visible and help consumers compare plans; the OIC said it supported the transparency approach and was already engaged in parity oversight. Opponents argued the bill was premature given implementation of recent parity legislation and could add burdens without addressing workforce or network adequacy. The hearing closed with 396 signed in pro, two con, and zero other. Finally, the committee heard SB 5924, a proposed substitute expanding pharmacists’ prescriptive authority and limited diagnostic authority for certain drugs and conditions, consistent with a Department of Health sunrise review. Supporters from pharmacy, health care, retail, and rural access perspectives said it would reduce administrative barriers, improve access in underserved areas, and better use pharmacists’ training; some cited examples such as immunizations, contraception, opioid use disorder treatment, and minor illnesses. The Washington State Medical Association opposed the bill, saying it moved away from collaborative practice and needed more time to resolve concerns about coordination, pediatrics, and complex patients. A few testifiers raised objections to psychiatric prescribing or specific drugs, while others asked about reporting back to primary care. The hearing closed with 279 signed in pro, six con, and four other, and the committee adjourned after concluding its business.

Transcript Highlights:

• Telehealth, including teleaudiology, plays a critical role in expanding access to care, particularly
• adamant that this bill should be passed because it rightly acknowledges telehealth, including teleaudiology
• , including older adults, rural residents, veterans, and individuals with mobility challenges, teleaudiology
• rapidly advancing, and today audiologists are just as likely to take care of their patients using teleaudiology
• And today, audiologists are just as likely to take care of their patients using teleaudiology and portable

Summary: The Senate Health and Long-Term Care Committee first met in executive session and advanced five bills out of committee. SB 5999, as amended by a substitute, would let rural counties under 100,000 population appoint an APRN or physician assistant as an acting local health officer; SB 5185 would create a pathway for international medical graduates to physician licensure through a Washington Medical Commission pilot; SB 5845 would revise timely payment rules for health carriers, including longer acknowledgment and payment timelines and clarifications on scope; SB 6071 would standardize overpayment recovery timelines for carriers; and SB 6258 would create a non-disciplinary pathway for relinquishing Washington Medical Commission licenses. Each bill received a due pass recommendation and was sent to Rules, with the bills passed subject to signatures. The committee then heard SB 6226, which would protect the clinical autonomy of audiologists and ensure hearing-instrument and communication-device rules are applied consistently across care modalities, including telehealth. Testimony was overwhelmingly supportive, emphasizing access for rural and mobility-limited patients and the importance of teleaudiology, though one association cautioned the bill could affect broader regulatory authority. The hearing closed with 54 pro, zero con, and two other sign-ins. Next, the committee heard SB 6305, the Truth in Mental Health Coverage Act, which would require carriers to submit standardized annual data to the Office of the Insurance Commissioner on mental health and substance use disorder coverage, access, utilization, reimbursement, and network participation, with public posting in raw and dashboard form. The sponsor and supporters said the bill would improve transparency and accountability without changing benefits, while opponents argued it could duplicate recent parity reforms and add administrative burden. The hearing closed with 396 pro, two con, and zero other sign-ins. Finally, the committee heard SB 5924, a proposed substitute expanding pharmacists’ prescriptive authority for certain limited conditions and products, including some preventive and minor-illness treatments, and allowing limited diagnosis within defined bounds. Supporters said it would improve access, especially in rural and underserved areas, reduce administrative barriers from collaborative drug therapy agreements, and align with the sunrise review; opponents, including the medical association, said the bill went beyond the review and needed more time, while some testimony raised concerns about psychiatric prescribing. The hearing closed with 279 pro, six con, and four other sign-ins, and the committee adjourned after concluding its business.

Transcript Highlights:

• Telehealth, including teleaudiology, has become an essential tool for delivering timely, cost-effective
• I have personally been providing teleaudiology services since 2021 and have worked in this model for
• Through this experience, I have seen firsthand how impactful and effective teleaudiology can be, and

Bills: SB5915, SB6025, SJM8002

Keywords: SB 5915, health technology assessment, HTA, clinical committee, medical technology review, coverage determination, state-purchased health care, Washington health care, RCW, evidence-based medicine, cost-effectiveness, safety and efficacy, Medicare coverage, national coverage determination, clinical guidelines, patient advocacy, public comment, medical necessity, rare disease, life-threatening disease

Transcript Highlights:

• Telehealth, including teleaudiology, has become an essential tool for delivering timely, cost-effective
• I have personally been providing teleaudiology services since 2021 and have worked in this model for
• Through this experience, I have seen firsthand how impactful and effective teleaudiology can be, and

Summary: The committee held public hearings on Substitute Senate Bill 6183, which would require health plans to cover all FDA-approved HIV antiviral drugs without prior authorization, step therapy, or other utilization management, with only one therapeutically equivalent option required if equivalents exist. The prime sponsor said the bill is part of Washington’s effort to end HIV/AIDS, citing ongoing new diagnoses and the need for immediate access to treatment, especially for late-stage cases. No one testified in person or remotely, and public testimony was closed with written comments invited. The committee also heard Substitute Senate Bill 6226, which limits the Board of Hearing and Speech from adopting rules that would prevent licensed audiologists, speech-language pathologists, and hearing aid specialists from using clinical judgment to choose telehealth or in-person care. Supporters said teleaudiology improves access, especially in rural areas and for patients with mobility barriers, and that the bill preserves professional autonomy. Some testifiers raised patient-safety concerns about first-time hearing aid fittings and asked for amendments or more time to study safeguards, while others said the bill should move forward to protect access. In executive session, the committee advanced several measures. It adopted amendments and reported out Substitute Senate Bill 5185 on international medical school graduate physician licensing, Engrossed Substitute Senate Bill 5845 on claims payment timing and refund requests, Senate Bill 5915 on the health technology assessment program, Senate Bill 6025 on the definition of fetal death, and Senate Joint Memorial 8802 requesting federal Medicare changes. The committee recessed briefly for caucus before taking final votes, and each bill or memorial was reported out with a do pass recommendation; 5845 and 5185 were reported out as amended.

Transcript Highlights:

• I'm proud to say that the RPSC funds for this year, 140,000 for the teleaudiology program, went extremely
• We are expanding now to seven teleaudiology centers around the state in rural areas.
• We have also a mobile teleaudiology for the northern part of the state, Breton, in the northeast particularly
• So basically, we will now be everywhere thanks to your contribution towards our teleaudiology centers

Keywords: 996, all

Bills: SB5899, SB6292, SB6094, SB6182, SB5947, SJR8206, SB5933, SB6138, SB5823, SB6210, SB5921, SB6226, SB6159, SB5924, SGA9291, SGA9307

Keywords: chiropractic, animal care, veterinary medicine, license endorsement, nonhuman animals, health care, financing, legislative committee, joint committee, policy management, pediatric care, transitional services, healthcare, licensing, children's health, abortion, reproductive health, pregnancy termination, clinic access, abortion access fund

Summary: The Senate Health and Long-Term Care Committee began with confirmation hearings for Ryan Moran, nominated to lead the Washington State Health Care Authority, and Dennis Worsham, nominated as Secretary of Health. Both nominees gave extensive opening statements about their backgrounds, priorities, and commitment to improving access, equity, public health, and agency operations amid federal policy changes. Senators asked about Washington’s health care system, social determinants of health, behavioral health, communication and public trust, and how each nominee would respond to federal disruptions such as HR1 and CDC changes. At the close of the hearings, the committee voted to recommend both appointments for confirmation. The committee then moved through executive session on a series of bills. It advanced measures including a chiropractic animal care endorsement bill, a joint legislative-executive health care financing committee bill, a pediatric transitional care facilities bill, an abortion savings program bill, a Washington Health Care Board bill, a constitutional amendment establishing a right to affordable health care, and an overdose mapping information bill. The abortion savings program bill drew the most debate, with several proposed amendments offered by Senator Christian; most were rejected, one amendment was withdrawn, and one amendment clarifying funding for contracted providers was adopted before the bill was sent forward. The committee also approved the gubernatorial appointments of Moran and Worsham in executive session. In the second group of bills, the committee advanced a patient advocate bill, a health plan certification process bill, a psilocybin bill, an audiologist clinical autonomy bill, and a pharmacist prescriptive authority bill. The pharmacist bill prompted comments about access, affordability, rural workforce shortages, and the role pharmacists already play in care delivery. All measures considered in executive session received do-pass recommendations or confirmation recommendations and were reported out of committee, and the committee then adjourned.

Transcript Highlights:

• The use of teleaudiology is currently allowed in Florida and offers the same standard of care as traditional

Summary: The Senate Committee on Health Policy met with a quorum and heard five bills. SB 126, on prescription hearing aids, would remove Florida’s prohibition on mailing hearing aids when required tele-audiology testing and procedures are completed before sale. The sponsor said the bill would improve access, especially for people with travel or geographic barriers. The Florida Academy of Audiologists expressed support in concept but said it was still working with the sponsor on an amendment for consumer safety. The committee voted the bill favorably. SB 152 would require hospitals and ambulatory surgical centers to adopt policies using smoke evacuation systems during certain surgical procedures. Supporters, including the Florida Nurses Association and several nurses, described surgical smoke as a workplace and patient safety hazard containing harmful chemicals, viruses, bacteria, and other contaminants, and said evacuation technology is available and already required in some settings. The committee voted the bill favorably. SB 264 would expand step-therapy exemptions for severe mental illness, including certain postpartum and pregnancy-related mental health conditions, so physicians would not have to require patients to fail preferred drugs in specified circumstances. Support came from Otsuka Pharmaceuticals, NAMI Florida, and several medical and pharmacy groups, who argued that delays in effective treatment can worsen crises and increase hospital and crisis-care costs. The committee voted the bill favorably. SB 342 would create a public-records exemption for current and former AHCA employees and certain family information, citing threats and harassment directed at inspectors and regulators. President Gaetz said he generally opposes such exemptions but supported this one because the employees are not elected officials and face real safety risks. The committee voted the bill favorably. SB 294 would limit the Board of Pharmacy’s ability to add heart failure, coronary heart disease, and cardiac rhythm disorders to the list of chronic conditions eligible for collaborative pharmacy practice, keeping those conditions under direct physician management. The Florida Society of Thoracic and Cardiovascular Surgeons, Florida Medical Association, and the Florida chapter of the American College of Cardiology supported the bill, while the Florida Society of Health System Pharmacists opposed it. The committee voted the bill favorably. Senator Trumbull asked to be recorded in support of SB 126 and SB 152, and the meeting adjourned without further business.

Bills: SB5223, SB5831, SB5928, SB6183, SB6071, SB5995, SB5966, SB5841, SB5840, SB6061, SB6058, SB5931, SB5944, SB5520, SB6011, SB6087, SB6076, SB5916, SB6016, SB5936, SB6137, SB5956, SB6025, SB6009, SB5833, SB6161, SB6188, SB5890, SB5917, SB5820, SB5973, SJM8015, SB5816, SB6136, SB6091, SB6024, SB5053, SB5249, SB5536, SB5834, SB5837, SB5872, SB5879, SB5899, SB5925, SB6019, SB6148, SB6184, SB6190, SB6237, SB6086, SB5574, SB5873, SB5992, SB5924, SB6134, SB6263, SB5395, SB6282, SB5905, SB6302, SB5950, SB6074, SB6226, SB6096, SB5970, SB6269

Keywords: criminal offense, fingerprinting, law enforcement, state regulations, public safety, mortgage modification, uniform regulations, homeowners, financial stability, foreclosure prevention, wildfire risk, disclosure, safety, environmental policy, risk assessment, SB 6183, HIV, antiviral drugs, antiretroviral therapy, AIDS

Bills: SB5223, SB5831, SB5928, SB6183, SB6071, SB5995, SB5966, SB5841, SB5840, SB6061, SB6058, SB5931, SB5944, SB5520, SB6011, SB6087, SB6076, SB5916, SB6016, SB5936, SB6137, SB5956, SB6025, SB6009, SB5833, SB6161, SB6188, SB5890, SB5917, SB5820, SB5973, SJM8015, SB5816, SB6136, SB6091, SB6024, SB5053, SB5249, SB5536, SB5834, SB5837, SB5872, SB5879, SB5899, SB5925, SB6019, SB6148, SB6184, SB6190, SB6237, SB6086, SB5574, SB5873, SB5992, SB5924, SB6134, SB6263, SB5395, SB6282, SB5905, SB6302, SB5950, SB6074, SB6226, SB6096, SB5970, SB6269

Keywords: criminal offense, fingerprinting, law enforcement, state regulations, public safety, mortgage modification, uniform regulations, homeowners, financial stability, foreclosure prevention, wildfire risk, disclosure, safety, environmental policy, risk assessment, SB 6183, HIV, antiviral drugs, antiretroviral therapy, AIDS

Summary: The Senate briefly convened to approve the previous day’s journal, then moved through the fifth order for introduction and first reading of bills. Senate Bill 6351 was introduced and referred to the Committee on Ways and Means. The chamber then went at ease in anticipation of fiscal cutoff committee report activity later in the day. When the Senate reconvened, it took up reports of standing committees and supplemental standing committee reports. Substitute Senate Bill 5292, concerning family and medical leave rates, and engrossed substitute House Bill/Senate Bill 5466 were both reported and referred to the Committee on Rules. The referrals were approved without objection. No substantive debate or votes on the bills occurred in this transcript beyond the referral motions. The Senate adjourned at the end of the session until 10:00 a.m. on Tuesday, February 10, 2026.