Transcript Highlights:

• uses a standard and consistent process.
• It's a very labor-intensive process.
• So it was about redacting data.
• Currently, we start processing ballots as soon as we have ballots to process.
• During the process, but the ballot board is the one that starts this whole process.

Bills: HB569, HB766, HB1638, HB2316, HB2773, HB2785, HB3113, HB3709, HB3775, HB4275

Keywords: early voting, ballot correction, voting rights, election integrity, mail-in voting, voter notification, HB 766, precinct chair, precinct chair candidate, ballot application, Texas Election Code, Section 172.021, election administration, candidate filing, party precinct chair, county party, political party office, email address, telephone number, confidential candidate information

Transcript Highlights:

• process. I hope you're hearing my voice. process. I hope you're hearing my voice.
• So I urge you to support this measure. law, and due process. And the 10th law, and due process.
• > the is then um generally processed um at the is then um generally processed um at the Disney
• We also have a data and AI office.
• We're going to move now to HP 2499 relating to demographic data. Relating to demographic data.

Bills: HB1838, HB1870, HB2445, HB2540, HB1886, HB1839, HB2269, HB1939, HB2037, HB1635, HB1941, HB1576, HB2568, HB2267, HB2590, HB2266, HB2597, HB2499, HB2500, HB2502, HB2607, HB2137, HB2357, HB1782

Keywords: HB1838, Hawaii, Act 142, U visa, T visa, U nonimmigrant status, T nonimmigrant status, immigration certification, visa certification, Form I-918 Supplement B, Form I-914 Supplement B, noncitizen victims, crime victim, human trafficking, victim helpfulness, law enforcement certification, prosecutor certification, judicial review, circuit court, confidentiality

Summary: The committee opened testimony on House Bill 1838, relating to visas. Testifiers from the State Health Planning and Development Agency, the legal clinic, the Hawaii State Coalition Against Domestic Violence, the ACLU, CARES, and immigrant-rights groups strongly supported the bill, saying it would bring Hawaii into compliance with federal law, standardize and speed up certification for U and T visa applicants, and better protect survivors of crime and trafficking. Supporters emphasized that delays in certification can leave eligible survivors waiting years for federal visa access and can undermine public safety by discouraging victims from reporting crimes. The chair announced there were 103 testimonies in support and one in opposition, and the committee then moved on without taking a vote on the bill in the hearing. The committee next heard House Bill 1870, concerning protected locations and immigration enforcement. Testimony from the Hawaii Coalition for Immigrant Rights, ACLU of Hawaii, educators, students, and community advocates supported limiting immigration enforcement at schools and other essential-service sites, arguing that families should be able to access education, health care, shelters, libraries, and social services without fear. The Department of Education said it had already issued guidance in March 2025 for how staff should respond when law enforcement comes onto campus, and the Public Charter School Commission noted implementation would need to occur at the school level. Testifiers said the bill would create standardized protocols and protect students and families from fear and disruption; the chair reported 142 testimonies in support, one in opposition, and five comments. The committee then took up House Bill 2445, relating to student safety and law enforcement on campus. The Department of Education again said it had already rolled out statewide guidance and described its process for staff to notify administration, verify law enforcement identification and purpose, and route matters through the complex area superintendent and attorney general, while noting emergencies would be handled differently. A committee member questioned whether the procedures were sufficiently standardized and whether staff were trained for unusual situations. Student and community testifiers supported the bill, saying schools should remain safe havens and that clear procedures are needed if federal immigration enforcement appears on campus. The Department of Law Enforcement testified in opposition to parts of the measure, raising concerns about masking requirements, vehicle markings, officer safety, doxxing, retaliation, costs, and possible supremacy-clause conflicts, and suggested more exemptions and a compromise approach. The chair reported 106 testimonies in support, two comments, and no opposition for the bill before moving on to the next measure.

Bills: SB2969, SB3263, SB2602, SB3229, SB3199, SB2550, SB2877, SB3325, SB2024, SB2614, SB2613, SB3063, SB2319, SB2800, SB2892, SB2321, SB2407, SB2805, SB2153, SB2595, SB2781, SB3233, SB2360, SB1432, SB2543, SB2599, SB3053, SB2001, SB2041, SB3247, SB3253, SB2401, SB2673, SB3067, SB411, SB2934, SB3219, SB2919, SB2239, SB2532, SB2601, SB1032, SB2446, SB2152, SB2721, SB3076, SB3140, SB2671, SB2338, SB2268, SB99, SB2930, SB3069, SB3096, SB3097, SB3090, SB2060, SB3028, SB2544, SB2069, SB2552, SB3218, SB3022, SB148, SB2259, SB2578, SB2928, SB2816, SB2580

Keywords: SB2969, Maui wildfire, Maui wildfires, wildfire exposure, Maui Health Registry, University of Hawaii, public health, biomonitoring, medical screening, mental health services, trauma recovery, disaster recovery, first responders, kupuna, children's health, medically vulnerable, environmental exposure, toxic exposure, respiratory illness, community health

Transcript Highlights:

• documentation to support those appeals and not being able to sort of close the door on allowing the appeals process
• we have providers in Oklahoma doing that but these folks were excluded from the most recent grant process
• Madam Chair, members, this makes some modifications to the use of certain state funds and facilities
• specific individuals who are adults who will be impacted by this legislation because they utilize facilities
• And some of these entities have marketers that are walking through facilities and looking in the door

Bills: SB667, SB904, SB1344, SB1380, SB1423, SB1425, SB1484, SB1500, SB1502, SB1503, SB1555, SB1561, SB1562, SB1565, SB1572, SB1644, SB1749, SB1833, SB2007, SB2044, SB2074

Keywords: chiropractic, licensure, animal chiropractic, Board of Chiropractic Examiners, licensing requirements, gender transition, gender-affirming care, transgender, puberty blockers, cross-sex hormones, hormone therapy, sex reassignment, transition surgery, Medicaid, public funds, state facilities, state hospital, Oklahoma, intersex, DSD

Bills: SB197, SB84, SB197, SB84

Keywords: business regulation, nonprofit entities, electronic filing, merger agreements, limited liability companies, partnerships, property transfer, termination fees, SB84, agricultural nonprofit, farm bureau, nonprofit agricultural organization, health benefits, member benefits, family coverage, health insurance exemption, insurance regulation, Title 27, Alabama insurance code, risk transfer

Bills: SB241

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Bills: SB241

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Bills: SB241

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Transcript Highlights:

• Tomorrow we have scheduled for noon time or upon Senate recess: Senate File 37K to2 School Facilities
• 53.199> school recess of Senate file 37 K to2 school recess of Senate file 37 K to2 school facilities
• <00:14:54.079> maintenance<00:14:54.720> and facilities maintenance and facilities maintenance

Bills: HB0105, HB0107, SF0002

Keywords: K-12 education, school facilities, security improvements, public funding, state appropriations, school construction, local government funding, sales tax distribution, municipal funding, economic equity, state revenue, Wyoming Legislature, legislative appropriations, Legislative Service Office, LSO budget, general fund, biennial budget, legislative branch, legislator travel, per diem

Transcript Highlights:

• appropriated to the school facilities appropriated to the school facilities commission<00:03:55.440
• committee on school facilities and we're committee on school facilities and we're usually<00:13:01.600
• a long time to put this process a long time to put this process together.<00:13:44.720> Um,
• So it's an important facility. Wyoming. So it's an important facility.
• <00:20:05.440> The go through an audit process. The go through an audit process.

Bills: HB0105, HB0107, SF0002

Keywords: K-12 education, school facilities, security improvements, public funding, state appropriations, school construction, local government funding, sales tax distribution, municipal funding, economic equity, state revenue, Wyoming Legislature, legislative appropriations, Legislative Service Office, LSO budget, general fund, biennial budget, legislative branch, legislator travel, per diem

Transcript Highlights:

• The idea I had was for instance, everybody, when you come into a healthcare facility, whether it's an
• I was actually in a bathroom recently at one of our healthcare facilities, and they had a red sharpie
• The only thing that's going to change is the billing process because now they're unable to charge for
• You know, we've got this looming danger of them closing the state-run facilities.
• Do we know what data they do collect.

Bills: HB3287, HB2947, HB3784, HB3901, HB4275

Keywords: public health, domestic violence, human trafficking, healthcare facilities, hospital protocols, behavioral health, Medicaid expansion, clinical interns, mental health services, licensing requirements, micropigmentation, medical procedure, physician oversight, nursing certification, state regulations, psychological autopsy, mental health, suicide prevention, state health department, investigation

Transcript Highlights:

• So I'm trying to get some data to kind of break out what's going on with the Waterford program.
• I've requested additional data, or what I just said. So that really is where it's at.
• Behavioral health facility grant, $5 million. Behavioral Health Facility Grant, $5 million.
• Section 6 is the Behavioral Health Facility Grant.
• But, Keith, you see the same thing in the higher-ed budget when I review their data.

Bills: SB2015

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The Senate Appropriations Human Resources Division met with all members present and took up several bills, focusing most of the discussion on SB 1577 and SB 1619, along with a detailed review of the HHS budget bill draft. On SB 1577, Senator Magrum explained that the bill was being revised to focus on wastewater rather than raw water, possibly shifting the Washburn project to the Department of Water Resources so it could access matching funds, and potentially converting the bill into a line of credit if federal money is restored later. Members discussed whether to keep an emergency clause or instead use a date-based approach, and agreed the bill would likely be handled through the full committee and possibly reconsidered later. On SB 1619, Senator Davison said amendments were still being worked on, including changes requested by the Bank of North Dakota, and the committee planned to hold it for possible amendment before full committee consideration. The bulk of the meeting was a section-by-section review of the HHS appropriations bill draft. Members discussed one-time funding items such as technology projects, child care programs, housing programs, behavioral health facility grants, infant and toddler care provider support, juvenile justice diversion, medical housing, and other public health and human services projects. Several adjustments were noted, including reductions or changes to IMD-related funding, incarcerated-person treatment funding, the child welfare technology project, and the provider rate increase. The committee also discussed the FTE block grant structure at length, with staff explaining that the apparent increase in positions reflected budgeting mechanics, zero-dollar “phantom” positions, and positions approved previously but not counted in the FTE total. Members raised concerns about transparency and whether the bill should list FTE numbers, but staff said the block grant was intended to give the department flexibility while quarterly reporting would provide oversight. Other topics included Medicaid expansion funding and provider reimbursement rules, the move toward certifying human service centers as certified community behavioral health clinics, a moratorium on new ICF beds, and studies or reports on Medicaid, obesity, disability services, truancy, and behavioral health facility grants. The committee also discussed removing or revising broad intent language in Section 31 so the department would report findings rather than implement changes without further legislative action. No final votes were taken in the transcript; instead, members agreed to make a few technical adjustments, continue reviewing the bill, and likely revisit it the next day before moving it to conference committee.

Transcript Highlights:

• And then there was also a requirement that they operate the facility for a minimum of 10 years.
• with that okay I'll remove that part and then there was also a requirement that they operate the facility
• Another one might be the first set of deliverables might be data structure.

Bills: SB2015

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The Senate Appropriations Human Resources Division met to finalize changes to the human services budget bill and related amendments. Members discussed several items, including a proposed $5 million appropriation for the Altru Hospital project to address inflationary costs, with the rest of the funding question left for conference committee. They also agreed to keep the 10-year operating requirement language for the project and remove a matching-funds provision that was no longer needed. The committee spent considerable time on the OASIS child welfare IT system. Donna Auckland explained that the project is still in the RFP stage, with vendor selection and contract negotiation likely taking months, and that the system will require 50-50 federal matching authority. Based on that testimony, the committee agreed to reduce the general fund amount from $14 million to $6 million and use a line of credit for the remaining authority, while preserving the federal match authority so the contract can be signed and the project can proceed. Members also approved a technical fix to add governor’s designee language for the Children’s Cabinet, which had been missed in another bill already on the governor’s desk. Keith reviewed updated long sheets showing additional budget adjustments, including provider inflation changes, a $50,000 Family Voices grant, reductions to CARES Act COVID funds, and moving the $5-per-day basic care rate increase from ongoing to one-time funding. No formal votes were recorded in the transcript, and the committee adjourned with plans to reconvene Monday if the final bill version was ready.

Transcript Highlights:

• The first section sets up the design process. The second section sets up the loan process.
• So the first section sets up the design process. The second section sets up the loan. The process.
• may be provided separately from the facility ownership interest.
• It's all based on data.
• It's all based on data.

Bills: SB2015

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The committee first discussed a wastewater infrastructure bill, centered on whether state support should be provided as a grant or through the existing Clean Water State Revolving Fund as a low-interest loan program. Department of Environmental Quality official David Brushwine explained that the SRF already finances wastewater projects, can leverage federal funds with state bond proceeds, and could accommodate the Washburn, Lincoln, and Peasant projects if they are ready to proceed. Members noted that losing federal grant support would make projects harder for local residents to afford because costs would be recovered through utility rates or special assessments, but the projects would still be eligible for loans. Senator Magrum indicated he would likely concur with the budget after this discussion, and the bill was set aside for later consideration. The committee then turned to a proposed amendment for a four-plex housing project for people with disabilities or other special needs. Senator Mathern described Sections 7 and 8 as creating a design consultation appropriation and a revolving loan fund modeled on existing hospital and nursing home loan programs, while Section 9 would transfer $3.3 million from the state infrastructure fund. Members debated ownership, rent subsidies, repayment terms, and whether the state should finance the project directly or leave it to a private developer with Department of Human Services oversight. Concerns were raised that the state should not own the housing and that the proposal needed more work to be workable, but the committee ultimately reached consensus to adopt Sections 7 and 8 and leave out Section 9 for further conference committee discussion. The committee also reviewed provider inflation and long-term care rate issues, with members discussing whether to support a 2% and 1.5% inflation adjustment and how to handle the $5-per-day basic care rate. Staff explained that the $5 payment was already in the base budget, but members debated whether it should remain ongoing or be treated as one-time funding and paired with a study of rate rebasing. The committee agreed to have draft language prepared to remove the $5 from the base budget and add study language, then moved the bill forward for drafting.

Transcript Highlights:

• You know, that process for that proposal is more advanced than All True.
• is the provider rate increase, and we're going to get more information; the other is the All True facility
• best practices for permanent supportive housing, recovery-oriented and person-centered services, processes
• And nobody talked about any ICF facilities intending to build in the coming biennium.
• And nobody talked about any ICF facilities intending to build in the coming biennium.

Bills: SB2015

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The committee met to review revised long sheets and section-by-section language for a human services/health budget bill, with much of the discussion focused on how to present block grant funding and full-time equivalent (FTE) positions for behavioral health clinics and CCBHCs. Members debated whether to keep FTE counts in the budget at all, ultimately leaning toward removing or zeroing out the FTE references while keeping the dollar authority, and reducing the salaries-and-wages block grant by about $4.75 million. They also discussed public health federal authority, agreeing to remove about $60 million in unused federal spending authority tied to COVID-era funds, and clarified that if federal money later becomes available it could be requested through the Emergency Commission. A major topic was the provider inflation increase. The House version had 2% and 2%, while members debated alternatives and appeared to settle, at least for further work, on 2% in the first year and 1.5% in the second year, with staff asked to recalculate the fiscal impact. The committee also reviewed FMAP changes, noting a revised 2027 FMAP estimate and its effect on general fund and other funds, and discussed whether to adjust public health and other line items accordingly. Several members emphasized that many of these numbers are still tentative and will be refined before final action. The committee also touched on several policy items and capital-related provisions, including behavioral health services, Medicaid expansion, the moratorium on new ICF beds, and a proposed amendment for a medical homes/fourplex-related item that would show a $400,000 legislative investment with repayment from a developer. There was extended discussion of the All True hospital/facility proposal, with some members favoring leaving it in with a smaller initial commitment and others preferring to remove it and revisit later in conference committee. The meeting ended with staff asked to continue updating the bill language and members instructed to review remaining sections before the next meeting; no final votes were taken in the portion provided.

Transcript Highlights:

• Intermediate care facilities.
• Is this outline here for one facility?
• This is for one facility, about a 5,000-square-foot facility, which would house four individuals.
• care facilities that we've done out in Dickinson or the hospice facilities.
• care facilities that we've done out in Dickinson or the hospice facilities.

Bills: SB2015

Keywords: corrections, rehabilitation, prison budget, department of corrections, adult services, youth services, correctional facilities, Heart River correctional center, Missouri River correctional center, James River correctional center, minimum security facility, county jails, regional jails, deferred maintenance, capital construction, strategic investment and improvements fund, Bank of North Dakota, line of credit, tasers, body cameras

Summary: The Senate Appropriations Human Resources division met with a quorum and spent much of the meeting on a proposed “medical home” concept for people with significant disabilities and medical needs. Matt Schwartz described the need for small, community-based homes so adults like his daughter could live in a least-restrictive setting without losing housing if service providers change. Architect Jeff Eubel presented a conceptual budget for one roughly 5,000-square-foot facility for four residents, explaining that the design would likely include four large sleeping units, common space, support areas, and medical infrastructure such as emergency power, oxygen, sprinklers, and accessibility features. Committee members and George Sink, joining by phone, raised questions about layout, zoning, ownership, staffing, and whether families would actually move loved ones into such facilities if they were far from home. The department said the concept was not in the governor’s budget and identified staff who could continue discussions; the committee did not take final action and instead discussed refining the language with interested members. The committee then turned to amendments related to long-term care and behavioral health funding. One amendment would reduce a planned $4 million general fund incentive payment and instead create a withhold-based quality program for nursing facilities, to be developed collaboratively by the department and providers and reported to Legislative Management by September 2026. The department said it could live with the language but preferred the governor’s timing; several senators questioned whether the committee should be directing an operational policy change and whether the study would simply delay implementation. No vote was taken, and the amendment was set aside for later consideration. A second amendment would clarify use of an existing $2 million general fund item for behavioral health services in nursing homes and basic care facilities, directing it toward training, technical assistance, consultation, and direct patient care for residents with medically based behavioral health disorders. Members noted the funding was already in the bill and discussed it in the context of other budget items, but again deferred action. The committee also clarified that a separate $750,000 juvenile justice diversion appropriation in House Bill 1425 was distinct from a similar amount in the budget and should likely remain in that separate bill. The chair indicated a goal of having amendments ready by the end of the week, and the committee recessed without final votes on the discussed items.

Transcript Highlights:

• , assuming this facility is built.
• So we lose a child care facility.
• Um, so we lose a child care facility. Um, so we lose a child care facility.
• This is a joint facility, a regional facility, including MnDOT, our city, and our county.
• We operate out of a facility that's 48 years old and another facility that's 70 years old.

Bills: HF604, HF1972, HF578, HF1951, HF629, HF864, HF874, HF1155, HF884, HF2365, HF643, HF234, HF2655, HF2637, HF2535, HF2530, HF2344, HF584, HF524

Keywords: airport funding, bonds, transportation, capital investment, Karlstad, community center, Breckenridge, state bonds, economic development, HF578, Faribault, River Bend Nature Center, bonding bill, bond proceeds fund, Minnesota Department of Natural Resources, DNR grant, nature center, visitor center, environmental education, multicultural center

Transcript Highlights:

• We have a pilot project working with them now at two of our facilities, the Women's Correctional Facility
• and the Waiawa Correctional Facility for that purpose.
• We have a pilot project working with them now at two of our facilities, the Women's Correctional Facility
• and the Waiawa Correctional Facility for that purpose.
• The passing of Facility with backpacks full of basic Facility with backpacks full of basic toiletries

Bills: HB1518, HB1699, HB1747, HB1705, HB1565, HB1801, HB1645, HB2115, HB2114

Keywords: HB1518, Hawaii SNAP, Supplemental Nutrition Assistance Program, food stamps, Department of Human Services, DHS, pre-release SNAP, pre-release application process, incarcerated individuals, prisoner reentry, reentry services, formerly incarcerated, jail release, prison release, recidivism, food security, benefits eligibility, controlled substance felony, drug felony, drug conviction

Summary: The committee opened its first meeting of the 2020 session and heard testimony on several measures, beginning with HB 1518, which would allow people incarcerated and nearing release to apply for SNAP benefits before release. The Department of Corrections and Rehabilitation and the Department of Human Services said they support the bill and are already piloting a pre-release application process at two facilities, with plans to expand it. The Attorney General’s Office supported the intent but noted a technical issue: one section of the bill appears to affect TANF as well as SNAP, while the title refers only to SNAP. A wide range of advocates, including Catholic Charities, the Hawaii Public Health Institute, Hawaii Hunger Action Network, Drug Policy Forum of Hawaii, Hawaii Children’s Action Network, ACLU of Hawaii, and others, testified in strong support, emphasizing food insecurity after release, reentry stability, and reduced recidivism. The committee did not take a vote during the hearing. The committee then heard HB 1747, which would direct the Department of Human Services to seek federal waivers or extensions related to restricting certain SNAP purchases, including sugary drinks. DHS said it had already been approved for a narrow demonstration waiver and was working with retailers on implementation, with a target date of August 1. Supporters of the measure argued it would promote healthier choices, while opponents, including Hawaii Appleseed, the Hawaii Public Health Institute, Hawaii Children’s Action Network, and the Hawaii Food Industry Association, said such restrictions are ineffective, stigmatize low-income residents, create burdens for retailers and DHS, and may be difficult to implement. Members asked DHS to clarify the scope of the waiver and confirmed it applies to sugary drinks and beverages containing more than 10 grams of sugar. Finally, the committee took up HB 1705, which would allow licensed mental health counselors to serve as child custody evaluators, but there was no testimony from the relevant agencies and the item was quickly set aside. The committee also heard HB 1565, which would establish a judiciary working group to improve family court processes and legal representation for youth in the child welfare system. The Attorney General’s Office offered minor technical amendments, and supporters from the Office of Wellness and Resilience, High Hopes Hawaii, Hawaii Children’s Action Network, and a social work student described the need for legal representation, citing better reunification and stability outcomes and the importance of youth voice in court proceedings. No votes or final actions were taken in the portion of the meeting provided.

Transcript Highlights:

• Um and I just decided to in the process.
• ever been appointed using the process ever been appointed using the process currently<01:15:04.239
• ,<01:15:36.159> why been selected using this process, why been selected using this process
• Updating the language not only establishes a viable process for the selection of Dr.
• Updating the language not only establishes a viable process for the selection of Dr.

Bills: HF3698, HF4243, HF4239, HF4241, HF4242, HF4240

Keywords: libraries, electronic books, digital audiobooks, licensing agreements, public access, campaign finance, elections, political contributions, disclosure, reporting thresholds, economic interest statements, financial disclosure, ethics, public officials, local officials, metropolitan governmental unit, metropolitan area, candidate filings, principal campaign committee, political committee

Transcript Highlights:

• 638 facilities. or non 638 facilities for care, there will be no pre-authorization requirements for services
• Both IHS and 638 facilities, as well as patients who are referred out to non-IHS and non-638 facilities
• In general, yes, providers have due process.
• How long is that process, do you think?
• We always stand on the side of more data is always good.

Bills: SB1086, SB1193, SB1318, SB1345, SB1346, SB1451, SB1496, SB1611, SB1630, SB1631, SB1632, SB1672

Keywords: reimbursement, healthcare, laboratory services, noncontracting providers, Arizona health care cost containment, personal identifying information, PII, privacy, confidential records, public records exemption, commercial disclosure, data privacy, licensure, certification, health professions, health care licensing, Arizona Department of Health Services, ADHS, emergency medical care technician, EMCT

Summary: The committee first approved the February 4 minutes and then heard Senate Bill 1086, which would require AHCCCS contractors to reimburse non-contracting providers for certain laboratory services when a member was referred by a contracting provider, and would bar prior authorization for diagnostic services and retaliation tied to such referrals. AHCCCS testified neutral but warned the prior-authorization ban could increase utilization and create fiscal and federal compliance concerns. The committee adopted the Warner amendment limiting non-contracting reimbursement to no more than contracting-provider rates, then passed SB 1086 as amended on a 4-2 vote. The committee next took up Senate Bill 1611, an emergency measure to require AHCCCS to contract with an administrative services organization for program integrity and case management functions for the American Indian Health Plan, while keeping AHCCCS ultimately responsible. The chair’s amendment expanded the ASO’s duties to include provider support, quality improvement, and data analytics, removed AHCCCS claims payment authority, added more tribal observers, and exempted IHS and tribal facilities. Testimony strongly supported reforming the system after fraud and overcorrection harmed Native members and providers, but AHCCCS raised concerns about the fast timeline, possible duplication of fraud-fighting functions, and the need for 45 days of tribal consultation. The committee adopted the amendment and passed SB 1611 as amended on a 5-2 vote. Senate Bill 1630 would create a Medicaid-funded home and community-based services program for adults with serious mental illness, capped initially at 250 members under the Angius amendment, with semiannual reporting and a process for future expansion only if costs are reduced or neutral. Supporters said the bill would help the sickest SMI patients avoid repeated hospitalizations, jail, and homelessness, and could save the state general fund by shifting costs to federal Medicaid funding; AHCCCS was neutral and said it was finalizing the fiscal estimate. The committee adopted the amendment and passed SB 1630 unanimously. The committee also passed SB 1193, protecting emergency medical care technician personal information from disclosure; SB 1318, repealing an outdated state dense-breast notification requirement to align with FDA language; and SB 1345, restricting anonymous complaints against health care institutions, though AHCCCS warned that federal law may still require investigation of complaints from any source and that the bill could reduce reporting and invite litigation.