Transcript Highlights:

• established a residential treatment facility (RTC) designed to serve DFPS children and youth with very high acuity
• As you all remember, a lot of that was high needs, high acuity youth that we were unable to find safe
• The next slide, which many of you have probably seen before, is a visual snapshot of how this works.

Keywords: 1184, house, all

Transcript Highlights:

• tirelessly to meet community needs, yet it is under constant strain from staffing shortages, high-acuity
• Pharmacists manage protocol-driven, low-acuity conditions, allowing NPs and physicians to focus on complex

Bills: HB1621, HB1624, HB1623, HB1622, HB1625, HB1626, HB1627, HCR3038

Keywords: presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards

Summary: The North Dakota House convened in special session with prayer, roll call, and a quorum present, then took up several rural health-related bills. Senate Bill 2401, as amended, required physicians to complete one hour of continuing education in nutrition and metabolic health each renewal cycle and also added language allowing criminal history background checks for the Board of Occupational Therapy Practice. Supporters emphasized the role of nutrition in reducing chronic disease, and the bill passed 92-0. The House then considered Senate Bill 2402, which expanded pharmacists’ limited prescriptive and therapeutic substitution authority for certain low-acuity conditions and clarified related lab-test and communication requirements. Members discussed examples such as motion sickness, cold sores, lice, hypoglycemia, COVID and flu testing, emergency access to medications and supplies, and limits excluding certain drug classes; the bill passed 91-1. Senate Bill 2403 created a temporary medical facility emergency operating loan option through the Bank of North Dakota for qualifying rural hospitals facing severe financial distress, with extensive debate over the targeted nature of the aid, anti-gifting concerns, repayment terms, and the hospital’s turnaround plan; it passed 80-12. Senate Bill 2404 appropriated funds for NDIT to address federal digital accessibility requirements and for the Public Service Commission’s litigation efforts related to transmission costs, with a backup loan authorization available if needed; it passed 92-0. At the close of the session, leaders thanked members and staff for their work on the rural health transformation package, a committee notified the Governor and the Senate that the House had completed its business, absent members were excused, and the House adjourned sine die.

Transcript Highlights:

• These increases have enabled us to be funded with a new methodology consistent with the level of acuity

Keywords: 1184, house, all

Transcript Highlights:

• It covers seven modes of transportation based on the person's acuity and need.
• It covers seven modes of transportation based on the person's acuity and need.
• I should note that it's administered: the lower levels of acuity are administered by local agencies.
• It covers seven modes of transportation based on the person's acuity and need.
• I should note that it's administered: the lower levels of acuity are administered by local agencies.

Keywords: 1183, house

Summary: The committee met on March 2 and approved the February 23 minutes after a quorum was reached. The main presentation was from the Department of Human Services on non-emergency medical transportation (NEMT), a federally required Medicaid benefit that helps Minnesota Health Care Program enrollees get to medically necessary appointments. DHS said the program served more than 250,000 people in 2025 at a cost of $127 million, with participation up about 14% over five years, and described the seven transportation modes, provider enrollment requirements, STS certification, background checks, prior authorization rules, and planned transitions to a single administrator for parts of the program in 2026 and 2027. DHS officials emphasized fraud prevention efforts, saying NEMT is one of the agency’s high-risk Medicaid services. They described enhanced prepayment review, provider revalidation and site visits, removal of inactive providers, and a provider moratorium in metro counties. Inspector General James Clark said the governor’s anti-fraud proposal would add pre-enrollment risk assessments, more staffing and technology, and electronic visit verification. He also noted that about 80% of NEMT spending is in managed care and that managed care organizations have their own compliance and special investigations units. Committee members raised concerns about fraud, oversight, and privatization. Chair Robbins questioned DHS about the absence of the commissioner and the program’s use of brokers, citing past concerns and asking about the vendor MTM’s history; DHS said the RFP for the new broker had closed and the vendor selection was still underway. Representative Pinto questioned why oversight is outsourced to managed care organizations and suggested bringing more oversight back in house. MTM representative Phil Stahlberger defended the company’s record, said the Missouri dispute was about contract terms from about 15 years ago, and said MTM currently works in Minnesota counties and many other states, with on-site reviews, trip verification, and complaint review processes. No further votes or final actions on the NEMT policy were taken in the portion provided.

Transcript Highlights:

• our community capacity to meet the needs of individuals who are in jail waiting with the highest acuity
• our community capacity to meet the needs of individuals who are in jail waiting with the highest acuity
• our community capacity to meet the needs of individuals who are in jail waiting with the highest acuity
• our community capacity to meet the needs of individuals who are in jail waiting with the highest acuity
• the medical director and staff to make those decisions about triaging individuals with the highest acuity

Keywords: 1183, house

Transcript Highlights:

• To give you an idea of the acuity of the needs, let me tell you some data points that we've...
• To give you an idea of the acuity of the needs, let me tell you some data points that we track in our

Keywords: 995, all

Summary: The committee heard testimony on several retirement and workforce-related bills. House Bill 2980 would place county correctional nurses and certain medical staff into Group 4 retirement. Representative Trino, Middlesex Sheriff Peter Koutoujian, and nurse manager Leanne Cameron argued that correctional nurses work in dangerous, high-stress settings with frequent contact with incarcerated people, high rates of mental illness and substance use in the jail population, and significant workplace violence, and that the change would help recruitment and retention with limited statewide fiscal impact. The committee also heard Senate Bill 210, which would create a commission to study additional regular compensation and annual expenses for members of the General Court. Senator John Keenan said Massachusetts has high leadership stipends compared with other states and argued the current structure can affect independence and public trust. Representative O'Day testified on House Bill 2928 to extend Group 2 retirement to additional Department of Children and Families social workers, and SEIU 509 witnesses described frequent transport of children, crisis response, threats, assaults, and other high-risk duties that they said match Group 2 work. Additional testimony supported House Bill 2943 for DDS service coordinators and supervisors, with witnesses describing home visits in unsafe conditions, transport of vulnerable individuals, direct care during staffing crises, and exposure to violence. House Bill 2899 drew support from the Association of Social Work Boards for social work field placement grants, incentives for supervisors, and expanded retirement benefits for DCF social workers. The committee also heard Senate Bill 2613, a local retirement bill for Salem police officer Kathleen Roachville, who described a severe line-of-duty injury during an arrest involving a combative person in a mental health crisis. Finally, Susan Smith Campbell testified for reclassifying certain DYS administrative officers into Group 2 because of their direct involvement in restraints, assaults, and crisis management. After testimony concluded, the committee adjourned without taking any votes.

Transcript Highlights:

• , but unfortunately, there aren't enough. placements that can adequately serve children with high acuity
• treatment foster care pilot program that will increase family-like placements for children with high acuity

Bills: SCR5, SCR13, SB3, SB6, SB10, SB12, SB13, SB15, SB17, SB18, SB19, SB24, SB35, SB57, SB65, SB112, SB284, SB290, SB388, SB400, SB402, SB412, SB495, SB499, SB502, SB509, SB621, SB706, SB740, SB815, SB842, SB854, SB875, SB893, SB917, SB974, SB1025, SB1061, SB1073, SB1106, SB1268, SB1281, SB1300, SB1362, SB1379, SB1447, SB1451, SB1555, SB1902, SJR36, SJR12, SCR13, SCR25, SCR5, SCR22, SCR12, SCR24, SB495, SB412, SB10, SB18, SB565, SB372, SB842, SB765, SB62, SB19, SB666, SB707, SB888, SB687, SB706, SB847, SB290, SB13, SB1248, SB740, SB14, SB1006, SB504, SB917, SB925, SB388, SB1902, SB1121, SB995, SB857, SB305, SB296, SB284, SB35, SB6, SB815, SB3, SB1281, SB1379, SB1300, SB1497, SB1499, SB1498, SB1451, SB1061, SB15, SB65, SB241, SB304, SB402, SB499, SB621, SB974, SB1023, SB1024, SB1025, SB1106, SB686, SB112, SB371, SB204, SB400, SB609, SB1447, SB670, SB502, SB427, SB850, SB854, SB413, SB1555, SB1362, SB1346, SB1033, SB1220, SB1073, SB810, SB987, SB1539, SB893, SB447, SB875, SB406, SB509, SB985, SB965, SB17, SB1119, SB1505, SB12, SB24, SB57, SB1194, SB1253, SB1215, SB1532, SB1268, SB1302, SB856, SB650, SB583, SB673, SB840, SJR57, SCR8, SB213, SB681, SB1172, SB1252, SB378, SB610, SB918, SB1343, SB608, SB487, SB955, SB957, SB988, SB990, SB1019, SB1021, SB1120, SB251, SB958, SB535, SB761, SB1, SB541, SB315, SB379, SB1018, SB1737, SB266, SB1415, SB3, SB6, SB15, SB35, SB290, SB706, SB842, SB917, SB1281, SB1451, SB1902, SB12, SB13, SB17, SB19, SB388, SR261, SR265, SR276, SR277, SR281, SR286, SR293, SCR5, SCR13, SB2425, SB2880, SB10, SB12, SB13, SB17, SB18, SB19, SB388, SB412, SB495, SB2425, SB2880

Keywords: SCR 5, Senate Concurrent Resolution 5, Texas School for the Deaf, TSD, Robert Rives, gymnasium naming, building naming, honorary resolution, commemorative resolution, deaf education, hard of hearing, Gallaudet University, alumni hall of fame, football coach, school facility naming, education K-16, State Affairs, Texas Legislature, public school tribute, water rights

Transcript Highlights:

• mentioned, they are more likely to be unhoused, more likely to have suicidal ideation, have high-acuity
• do we provide on-site support services for the veterans most in need, those who are aging and high acuity
• And that program is designed to improve on-site delivery to veterans 55 and over who are high acuity

Summary: The Assembly Committee on Military and Veteran Affairs held an informational hearing focused on the effects of federal budget cuts and policy changes on veterans, military readiness, and California’s veteran support systems. The chair and members emphasized that federal reductions to the VA, Medicaid/Medi-Cal, SNAP, and the federal workforce are disproportionately harming veterans by threatening health care, employment, housing, crisis lines, and suicide prevention services. The chair also highlighted California’s progress on veteran homelessness and the importance of preserving state programs that leverage federal dollars. Major General Matthew Beavers of the California Military Department described the department’s structure, its response to the Los Angeles fire emergency, and concerns that federal cuts could reduce readiness through less training, older equipment, and fewer resources. He also discussed state programs such as Work for Warriors, STARBASE, youth and community schools, and the counterdrug task force, saying they are valuable but vulnerable if funding is redirected away from readiness. Members asked about the impact of federal changes on the Guard and how the Legislature could help, and Beavers said the state should advocate for recapitalized equipment and continued support for key programs. A second panel focused on veterans’ benefits and claims support. CalVet, Los Angeles County, and Swords to Plowshares testified that county veteran service officers, legal aid, and community-based partnerships are essential to helping veterans access VA benefits, especially after the PACT Act expanded eligibility and increased claims volume. Witnesses said these services bring substantial federal dollars back to California, but county offices and legal providers are underfunded and overburdened. Members discussed data sharing, staffing shortages, and the need for more resources to reach veterans who are not connected to VA care. In the final panel on mental health and suicide prevention, CalVet and nonprofit providers described state-funded programs such as the Veterans Support Self-Reliance program and the California Veterans Health Initiative, which place services in permanent supportive housing and provide no-cost counseling statewide. Witnesses said these programs are showing measurable improvements in health, medication adherence, and emergency room use, but they depend on sustained funding and are vulnerable to step-down grants and federal instability. Committee members expressed support for the programs and raised questions about access, staffing, and the role of non-veteran family members in Vet Center services.

Transcript Highlights:

• To set staffing levels and have the ability to staff based on acuity and also have flexibility.
• Within the last five years, patient acuity has increased dramatically.
• And the amount of work and effort that it takes to take care of our patients with the high acuity that

Transcript Highlights:

• and request the Department of Health and the State Department of Education to provide de-identified visual
• acuity screening data, reported favorably by Health and Welfare.

Bills: HR275, HR276, HR277, HR278, HR279, HR280, HR281, HR282, HR283, HR284, HCR112, HCR113, HR265, HR266, HR267, HR268, HR269, HR270, HR271, HR272, HR273, HCR107, HCR108, HCR109, HCR110, HCR111, SCR63, SCR66, SCR67, SB414, SB484, SB513, HR168, HR174, HR194, HR216, HR264, HCR54, HCR74, HCR79, HCR85, HCR87, HCR94, HCR95, HCR97, HCR98, HCR104, SCR23, SCR29, SCR33, SCR38, HB75, HB705, SB54, SB56, SB72, SB79, SB97, SB105, SB123, SB125, SB129, SB163, SB171, SB252, SB287, SB375, SB386, SB461, SB466, HR84, HR188, HR205, HR3, HR197, HR243, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, SCR20, SCR24, SCR35, HCR6, HB301, HB359, HB657, HB675, HB680, HB727, HB39, HB58, HB112, HB134, HB155, HB187, HB287, HB462, HB782, HB825, HB846, HB903, HB904, HB929, HB941, HB962, HB1200, HB4, HB623, HB944, HB986, HB1098, HB1222, SB45, SB58, SB71, SB81, SB92, SB100, SB109, SB141, SB156, SB181, SB203, SB204, SB205, SB207, SB213, SB214, SB216, SB229, SB257, SB274, SB290, SB304, SB374, SB379, SB396, SB410, SB425, SB427, SB429, SB479, SB522, SB34, SB164, SB172, SB198, SB208, SB232, SB281, SB286, SB317, SB322, SB334, SB380, SB385, SB409, SB417, SB421, SB430, SB439, SB447, SB458, SB510, HB842, HB633, HB1191, HB625, HB1255, HB251, HB582, HB646, HB819, HB998, HB1257, SB197, SB436, SB78, HB901, HR20, HR74, HCR65, HCR71, HB284, HB302, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB82, SB89, HB258, SB149, SB382, SB441

Keywords: highway maintenance, signage, transportation safety, DOTD, infrastructure, public safety, federal grants, job creation, carbon storage, carbon dioxide storage, carbon capture and storage, CCS, mineral rights, mineral owners, oil and gas, disposal wells, injection wells, advanced drilling, carbon sequestration, Louisiana energy policy

Transcript Highlights:

• and request the Department of Health and the State Department of Education to provide de-identified visual
• acuity screening data collected annually in Louisiana schools.

Bills: HR192, HR193, HR194, HCR80, HCR81, HCR82, HCR83, HCR84, HCR85, HR188, HR189, HR190, HR191, SB134, SB140, SB281, SB331, SB384, SB389, SB415, SB451, SB458, SB479, SB504, SB523, HR38, HR96, HR160, HCR31, HCR61, SCR19, HB316, HB549, HB578, HB646, HB748, HB798, HB824, HB988, HB989, HB1001, HB1032, HB1081, HB1108, HB1129, HB1140, HB1157, HB1186, HB1192, HB1195, HB1198, HB1222, HB1244, SB73, SB89, SB128, SB149, SB191, SB196, SB238, SB318, SB340, HB225, HR1, HR17, HCR5, HCR4, HCR47, HCR32, HB362, HB893, HB990, HB1007, HB1153, HB1243, HB12, HB42, HB205, HB222, HB267, HB324, HB325, HB350, HB478, HB610, HB617, HB745, HB749, HB752, HB797, HB807, HB821, HB896, HB979, HB992, HB1000, HB1024, HB1050, HB1166, HB1172, HB1173, HB1207, HB1218, HB1223, SB162, SB349, SB350, SB382, SB383, SB127, SB244, SB256, HB911, HB306, HB366, HB1161, HB1230, HB59, HB481, HB772, HB897, HB1003, HB1008, HB1112, HB1180, HB1189, HB181, HB1118, HB901, HR20, HR74, HB284, HB393, HB458, HB459, HB525, HB577, HB582, HB605, HB614, HB682, HB733, HB773, HB864, HB996, HB1035, HB1058, HB1082, HB1113, HB1234, HB1240

Keywords: ACOG, maternal health, healthcare professionals, patient-physician relationship, obstetrics, gynecology, condolences, military service, veteran, community, memorial, visual acuity, student health, de-identified data, longitudinal analysis, education policy, property rights, carbon dioxide sequestration, expropriation, Landowner Bill of Rights

Transcript Highlights:

• Madam Chair, Representative Brantley, on page 4 of your brief, there's a visual, it's primarily focused
• workers who are dealing with children with the most, the hardest to place, with probably the most acuity

Transcript Highlights:

• our community capacity to meet the needs of individuals who are in jail waiting with the highest acuity
• To make those decisions about triaging individuals with the highest acuity first, the way it was prior

Transcript Highlights:

• But unfortunately, there aren't enough placements that can adequately serve children with high acuity
• treatment foster care pilot program that will increase family-like placements for students with high acuity

Keywords: 998, house, all

Transcript Highlights:

• because I think 55 is a... old, but we monitor our 55 and older population because of the medical acuity
• cases that are coming over, and the majority of those are assaults on TJJD staff. testimony about the acuity

Keywords: 1184, house, all

Transcript Highlights:

• sales tax does support us through the ability to retain the specialized workforce required for high acuity
• sales tax does support us through the ability to retain the specialized workforce required for high acuity
• sales tax does support us through the ability to retain the specialized workforce required for high acuity
• sales tax does support us through the ability to retain the specialized workforce required for high acuity
• The workforce required for high-acuity care and our level one trauma status, the stability to maintain

Keywords: 1187, senate, all

Transcript Highlights:

• seeing a decrease in the numbers of people served through seven counties, but we also see a higher acuity
• 00:10:41.680> higher counties, but we also see a higher counties, but we also see a higher acuity
• of those who are served by seven acuity of those who are served by seven counties.<00:10:45.440>
• Um, but we also have a higher acuity of folks being served.
• "Explain what you mean by higher acuity." "Yes. That means that people need longer-term services.

Keywords: 958, all

Summary: The Government Contracts Committee met with a quorum and approved the July 8 minutes. It then deferred several items from the July agenda, including a Kentucky Education Television contract because the vendor was not yet registered with the Secretary of State, and a University of Louisville contract at the university’s request. The committee also deferred a behavioral health memorandum of agreement and later a Department of Community Based Services contract after questions were raised about the scope of services and the need for additional information. The most extensive discussion involved the Seven Counties Services contract with the Department for Behavioral Health, Developmental, and Intellectual Disabilities. Committee members questioned why the state continues to contract with Seven Counties despite its bankruptcy and pension-related liabilities, how the funding split was determined, whether the services are statutorily required, and whether the state or another provider could deliver the services more efficiently. Agency representatives said Seven Counties is the sole provider of core community mental health services in its region, serves about 24,500 people, and that service needs and acuity remain high even as the number served has declined. A cabinet attorney said the bankruptcy dispute is ongoing and involves roughly $20 million in contested retirement contributions, though members suggested the amount may be higher. Members also raised broader concerns about whether local governments, especially Metro Louisville, should contribute more toward services tied to social determinants of health, and whether the contract includes services beyond what statute requires. The committee requested additional information on the contract scope and possible offsets or recovery of unfunded liabilities, and then voted to defer the Seven Counties contract to the next meeting. The committee also heard a separate DCBS presentation on the Youth Villages Intercept program, where staff explained it was selected because it is an approved evidence-based Family First prevention service, provides intensive in-home and foster care stabilization services, and is headquartered in Tennessee but operates across Kentucky; members asked for clarification on Medicaid billing and additional funding needs.

Transcript Highlights:

• We're here that it's a strategy to reduce the total Medicaid budget by decreasing the long-term acuity
• 43:32.240> long-term budget by decreasing the long-term budget by decreasing the long-term acuity
• <00:43:35.760> and<00:43:36.319> um acuity of the patient population. and um acuity

Keywords: 958, all

Summary: The Senate Standing Committee on Health Services heard Senate Bill 18, a bill described by the sponsor and podiatry witnesses as a modernization of Kentucky’s podiatry laws. The bill would recognize and regulate podiatric assistants, podiatric residents, and supervising podiatrists; allow podiatrists to supervise physician assistants in podiatry practices with approval from the relevant licensing boards; require new podiatrists licensed after January 1, 2027 to complete at least two years of residency; and extend disciplinary authority to the new categories. Witnesses said the measure would improve access to foot and ankle care, especially in rural areas, without expanding scope of practice. The Kentucky Medical Association was said to be neutral after working on the language with the sponsors. Committee members raised concerns about the meaning of “supervision,” whether it required direct or indirect oversight, and whether the bill could broaden billing or coding privileges. Dr. Roberts said supervision could mean direct supervision or indirect supervision, including being available by telephone, and noted the bill mirrors language used in allopathic PA supervision. He also said the bill would not change office staff billing roles and that podiatric assistants would not bill separately. Several senators said they supported moving the bill forward but remained concerned about workforce, cost, and scope creep. The committee adopted a committee substitute, then voted on the bill. The motion passed unanimously with favorable expression. After the vote, the committee moved on to a presentation on outpatient pediatric therapies, where providers described Medicaid reimbursement pressures, workforce turnover, and long waiting lists for children’s therapy services, but no action was taken on that presentation in the portion provided.

Transcript Highlights:

• The acuity of cases on our... student support team we have.
• The acuity of cases on our Funding structures mean we cannot meet that need.
• The acuity of cases on our campuses has changed dramatically.
• I mean, as a hospital, if it's not meeting the complexity or acuity, we shouldn't be having kids come

Summary: The hearing focused on youth mental health and treatment access in California, with opening remarks emphasizing that youth distress, self-harm-related emergency visits, and difficulty obtaining care remain elevated, while workforce shortages and reliance on one-time funding continue to limit access. Assemblymember Lori Davies echoed concerns about unstable funding and said lawmakers need to hear directly from providers and families as they prepare for the budget and legislation. The chair framed the hearing as a chance to hear from county, school, provider, and student perspectives, especially in San Diego County, where needs are high and investments have not always matched demand. County and school officials described the current system and recent state initiatives, including the Children and Youth Behavioral Health Initiative, school-linked fee schedules, payment reform, and the Behavioral Health Services Act transition. San Diego County Behavioral Health said it serves Medi-Cal youth with specialty mental health needs through a broad continuum of care, including outpatient clinics, school-based services, crisis response, residential treatment, and new crisis and residential facilities. San Diego County Office of Education and San Marcos Unified School District described efforts to expand school-based services and reimbursement through CYBHI, but said implementation is slowed by complex billing rules, insurance-data collection concerns from families, administrative burden, and uncertainty about sustaining staff positions funded by grants or soft money. School counselor testimony highlighted reduced stigma through campus outreach and clubs, but also noted that counselor-to-student ratios remain well above national standards and that budget cuts threaten supports. Provider testimony stressed that the system remains fragmented and that youth often move between emergency rooms, inpatient care, outpatient therapy, schools, and county programs without smooth handoffs. A child psychiatrist described crisis cases in which the main choices are brief hospitalization or discharge with limited follow-up, and argued for stronger warm handoffs, more outpatient and intensive outpatient options, better school-clinic coordination, and broader use of mobile crisis and 988. Rady Children’s Hospital and Aurora Behavioral Health described large increases in behavioral health demand, expansion of integrated care, and major barriers tied to low reimbursement rates, delayed payments, and administrative complexity. Across the panel, witnesses called for more stable funding, clearer reimbursement rules, better parent education on warning signs, and stronger collaboration among schools, counties, hospitals, and community providers to reduce stigma and improve timely care for youth.

Transcript Highlights:

• attestation process that a patient is suitable for licensed health aide-level care based on the patient’s acuity
• to participate in the training program, rather than an attestation process based on the patient’s acuity

Bills: HB2048, HB2189, HB2248, HB2403, HB2728, HB2729, HB2730, HB2731, HB2906, HCR2058

Keywords: orders of protection, domestic violence, court procedures, legal guardian, enforcement, healthcare, licensed health aides, scope of practice, ventilator care, training standards, medical freedom, healthcare mandates, employment requirements, public health, government regulation, elderly, physical disabilities, Arizona Health Care Cost Containment System, home and community based services, funding increase

Summary: The committee first heard a presentation from Central Arizona Shelter Services (CASS) on homelessness in Maricopa County and CASS programs for single adults, families, and older adults. The witness described rising homelessness, especially among older adults, and said recent declines were linked to American Rescue Plan Act funding for shelters and flexible rental assistance. Members asked about CASS partnerships with mutual aid and service organizations; the witness described collaborations for food, banking, haircuts, digital access, and behavioral health. No vote was taken on this presentation. The committee then considered HB 2248, the Arizona Medical Freedom Act, which would bar businesses, schools, and government entities from denying services or employment based on medical interventions and limit employer medical requirements, with a school outbreak amendment adopted. Proponents framed the bill as protecting bodily autonomy and informed consent, while opponents argued it would weaken employers’ ability to control communicable diseases and protect public health. The committee adopted the amendment and advanced the bill on a 4-3 vote. It also advanced HB 2906, requiring one oral and maxillofacial surgeon on the State Board of Dental Examiners, and HB 2189, directing the Nursing Board to implement rules for licensed health aides performing routine ventilator care; both passed with amendments and strong support from sponsors and board representatives. Later, the committee approved HB 2403, appropriating $2.5 million in FY2027 for home- and community-based services providers serving elderly and physically disabled Arizonans. Supporters said the funding would help retain caregivers and reduce more expensive hospital or facility care. The committee also passed several continuation bills, including HB 2731 for the Physician Assistants Board, HB 2730 for the Occupational Therapy Board, and HB 2729 for the Nursing Board, all on largely party-line or near-unanimous votes after testimony from board staff emphasizing public protection and oversight. The committee then took up HB 2728, a DES continuation bill that also incorporated nine previously vetoed policy bills affecting SNAP, unemployment, and related benefits. Opponents argued it would make access to essential benefits harder and turn a routine continuation bill into a vehicle for controversial policy changes; supporters said it was needed for oversight and program integrity. The bill advanced on a 4-3 vote. Finally, the committee approved HB 2048, a strike-everything amendment requiring AHCCCS to treat a new non-opioid pain medication no more restrictively than opioids in utilization controls, and ACR 2058, which would require a comprehensive Medicaid claims audit funded by recoveries. Both measures drew support from sponsors and some personal testimony, while opponents warned about cost, duplication of oversight, and incentives that could bias audits; each advanced on 4-3 votes. The committee then adjourned.