Transcript Highlights:

• Um, we are intermediate care, long-term care facility. So we don't take skilled care.
• Um, we are intermediate care, long-term care facility. So we don't take skilled care.
• intermediate care, long-term care intermediate care, long-term care facility.<00:07:42.160> So
• So we don't take skilled care. facility. So we don't take skilled care.
• Child care care Thank you.

Keywords: 1191, senate, all

Transcript Highlights:

• models back to<00:14:25.279> America?
• It represents how a collaboration It represents how a collaboration between<00:26:54.640> utility
• The Earth doesn't really care about our politics. Physics just happens.
• I don't care.
• I don't care. But the together on it. I don't care.

Keywords: 1183, house

Transcript Highlights:

• It prohibits lodging establishments from providing personal care products in small plastic containers
• recommend that the definition of personal care product align with SB 670.
• What we recommend is that personal care product means shampoo, hair conditioner, bath soap, or lotion
• <00:29:07.240> product the definition of personal care product the definition of personal
• Angela Melody Young, Roar Cares. I'm neutral. I neither support nor oppose it.

Keywords: 910, house, all

Transcript Highlights:

• This means that fraud is becoming a business model.
• Nevertheless, we're continuing to collaborate with law enforcement.
• But that came on the heels of reporting by CARE 11.
• We do that in some statutes, like the personal care assistance statute.
• What model should we be looking at? What should we be exploring?

Transcript Highlights:

• In their account for cost associated with the monthly cost of care plus payments.
• I have a bill that is proposing a new corporate tax to support affordable child care.
• For the collaborative enterprise resource planning project, otherwise known as the collaborative ERP,
• There's roughly 160 million from the part-time faculty health care program.
• of your family, taking care of your needs, you opt for that over the educational pathway.

Keywords: 988, house, all

Transcript Highlights:

• This legislation replaces hidden incentives with a flat-fee model by requiring full transparency into
• PEOPLE ENTRUSTED WITH THE CARE OF THIS NATION AND OF ONE ANOTHER.
• This bill builds on a model that already works.
• To the critics of ALERT, I just say that legislating is a collaborative process.
• That recommendation reflects years of accident investigation and careful analysis.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, February 23, 2026, 1012, house, all

Transcript Highlights:

• home models.
• child care home in Alameda County, infant care is already above the cost of care.
• For infant care? For a large family child care home.
• access to child care and providing 44,000 new child care slots.
• Adopting a prospective pay model will pay providers before care is delivered, just as private-pay families

Keywords: 987, senate, all

Summary: The committee heard a lengthy budget and policy discussion on child care, child welfare, and related early education issues, beginning with child care funding and slot utilization. Department of Social Services officials outlined the Governor’s proposed 2026-27 child care budget, including $6.8 billion for child care programs, an $11.5 million Prop. 64-funded disaster repair mini-grant program for licensed facilities affected by 2025 disasters, and projected reductions tied to federal CCDF formula changes and lower Prop. 64 revenues. DSS said the reductions could mean about 4,176 CCTR slots, but emphasized they were assessing how to absorb the cuts without disrupting children currently in care. The LAO supported aligning funding to lower revenues and asked for more detail on the disaster grant program. Senators pressed the department on why so many slots remain uncontracted or unfilled, why unspent funds revert to the General Fund, and whether more flexibility could move dollars from contracts to vouchers; DSS said delays are largely due to infrastructure, licensing, staffing, and enrollment ramp-up, and that it is working on readiness reviews, technical assistance, and possible reallocation of relinquished slots. The committee also discussed Emergency Child Care Bridge reallocations among counties and confirmed that no currently enrolled children would be disenrolled under the proposed slot reductions. A second panel focused on the state’s broader commitment to expand child care and reform reimbursement rates. DSS said California has nearly doubled child care funding in five years and increased monthly children served from about 294,100 in 2019-20 to more than 366,700 currently, while also advancing the single rate structure process through the alternative methodology and a joint labor-management committee report. Stanislaus County Office of Education described local shortages, especially for infant and toddler care, and argued that rate disparities between programs make it harder to sustain mixed delivery systems. Parent Voices California testified that the current system is confusing, unstable, and inequitable, with one speaker describing repeated paperwork burdens, waiting lists, and periods of homelessness while trying to maintain child care. The California Budget and Policy Center argued that only 16% of eligible children were enrolled in 2024, that Universal TK has drawn major resources into school-based care, and that providers remain paid far below the cost of care; it urged more revenue, faster rate reform, and expansion across the mixed delivery system. The LAO estimated that aligning CCTR adjustment factors for three-year-olds and children with disabilities with CSPP would cost $88 million to $131 million ongoing. Senators and staff also discussed the need for deadlines on automation and implementation of the single rate structure, with DSS and CDE noting that policy decisions, system changes, and collective bargaining issues are still being worked through. The committee then reviewed several child care trailer bill proposals. DSS proposed applying the 2026-27 COLA as an increase to cost-of-care-plus payments rather than as a traditional COLA, with $87.8 million General Fund initially proposed; DSS later acknowledged it had omitted CalWORKs Child Care and the Emergency Child Care Bridge from the calculation and said the amount would be revised upward. The LAO recommended making the COLA treatment uniform across child care and state preschool programs. DSS also proposed replacing the market rate survey with the federally approved alternative methodology survey on a triennial schedule, limiting temporary absences for licensed family child care homes to 20% of care hours in a month, defining excessive unexplained absences as more than 30 days in a 12-month period, and aligning family fee collection so contractors collect the fee without reducing the voucher value. The department said these changes are intended to bring state law into compliance with federal requirements and to better reflect current practice. Finally, the committee discussed the Early Childhood Policy Council, including a reappropriation of previously unused funds and a new reporting requirement under AB 563; members questioned staffing needs and whether existing contractor support could absorb the work, while DSS said the funds are used for stipends, facilitation, translation, and contract oversight and may still be needed as participation patterns change.

Transcript Highlights:

• Home care aides support people who need extended care due to age or disability in many different settings
• Home care aides support people who need extended care due to age or disability in many different settings
• While home care aides often provide care in clients' homes, they also work in adult family homes and
• It mandated FBI background checks for all long-term care workers, which includes home care aides, nursing
• care hours designated by DSHS.

Summary: The Joint Legislative Audit and Review Committee held a public hearing on the State Auditor’s Office performance audit of Washington’s Restoring Quality Home Care Initiative (I-1163). Auditors said the initiative’s background checks and 75-hour training requirement are widely viewed as safety measures, but the state lacks pre-2011 data to directly measure safety outcomes. They also found Washington’s long-term care workforce is still short, though the state ranks better than many others in workers per disabled person, and that some groups and regions have larger gaps between authorized and actually used Medicaid care hours, suggesting access problems for certain clients. The audit focused heavily on the certification process for home care aides. Auditors reported that many applicants never finish certification, that the process often exceeds the 200-day legal deadline, and that delays can cause lost income, job loss, and in some cases repeated employer changes that allow aides to keep working without becoming certified. They recommended that the Department of Health accept applications only after training and testing are completed, move testing into training programs more broadly, and eliminate redundant DOH verification of FBI background checks. Committee members asked about testing contract incentives, language access, and the role of immigration in workforce shortages; auditors said they found no financial performance standards in the Prometric contract, did not specifically study immigration status, and did not focus on language barriers in this audit. Department of Health and Department of Social and Health Services officials largely agreed with the audit’s findings and recommendations. They said they have already made improvements, including expanded in-program testing, more staffing, and rule changes, and that testing has been integrated into more than 110 training programs. DSHS noted testing is offered in 13 languages. Both agencies said they support further streamlining and expect continued collaboration, including possible budget or legislative requests. No public testimony was offered, and the committee adjourned without taking any vote or formal action on the audit.

Transcript Highlights:

• the Oronco rotisserie model, which is to set it and forget it.
• This is the simplest of a model, and it works quite effectively.
• Careful there. Thank you. My name is Richard Murphy.
• When they see us protect what's fragile, they learn to care for it.
• Mary cares deeply for dogs and cats as well as all wild animals.

Keywords: 995, all

Summary: The Joint Committee on Environment and Natural Resources held a hybrid hearing on a large slate of bills focused on pesticides, pollinators, rodenticides, mosquito control, invasive species, and local authority over pesticide regulation. Chair Becca Rausch set strict two-minute testimony limits due to the very large number of speakers. Early testimony from Senator Moore and Representative Hawkins strongly supported a bill to restrict second-generation anticoagulant rodenticides, citing harms to wildlife, pets, and public health, and noting that California has already adopted a similar model. Testimony also supported a Lowell home rule petition to allow the city to prohibit or restrict these rodenticides, with local officials describing documented raptor poisonings and municipal efforts to phase out use on city property. A major portion of the hearing focused on pollinator protection and neonicotinoid-treated seeds. Witnesses from environmental groups, conservation organizations, academics, and beekeepers argued that neonics harm bees and other beneficial insects, contaminate soil and water, and provide little or no economic benefit in most corn and soybean fields. Several speakers pointed to New York, Vermont, and Quebec as models for restricting treated seeds, and one panel cited research showing only a small percentage of fields benefit economically from the treatments. Support was also voiced for a bill establishing an ecologically based mosquito management program, with advocates criticizing aerial and truck spraying and urging non-chemical, locally tailored approaches. Other testimony supported bills to reform the pesticide board and pesticide regulation process, to give vulnerable municipalities more local control over pesticide use, to protect schoolchildren from pesticides on school grounds, and to respond to invasive species through a centralized state office, coordinator, strategic plan, and trust fund. Many speakers, including representatives from Mass Audubon, MSPCA, the Xerces Society, the Sierra Club, watershed groups, and local wildlife rehabilitators, described impacts on hawks, owls, pets, fish, and broader ecosystems. No votes were taken during the hearing, and committee members generally asked few questions, with the hearing remaining in testimony mode throughout.

Transcript Highlights:

• Chief among them is a funding model that penalizes growth.
• And unlike K-12, a model where funding follows the students, Florida's college system does not.
• So thank you for being such a model for what we should hope others would enjoy as well.
• And as a national leader in engineering, health care, cybersecurity, and the humanities, based on all
• I'm firmly planted in our community and have served through patient care and community service.

Summary: The committee heard and voted on two higher education bills before moving to a long series of university and college board appointment confirmations. CS/SB 742 would let charter schools directly access the Workforce Development Capitalization Incentive Grant Program for career and technical education programs tied to industry certifications, and would expand the money-back guarantee requirement from three to six programs at career centers and Florida College System institutions. A question was raised about whether the charter school access could reduce district funding or grant availability; the sponsor said it could, depending on available funds. The bill was supported by one appearance form and was reported favorably. The committee also heard SB 892, which codifies the Florida State University Election Law Center so it can continue and receive recurring funding. The sponsor and FSU witnesses said the center is nonpartisan and focused on evidence-based research, especially on election administration issues related to natural disasters and public confidence in elections. After testimony and questions, including about the center’s scope and funding, the bill was reported favorably. The remainder of the meeting consisted of testimony from numerous appointees to boards of trustees for state colleges and universities, including Tallahassee State College, Valencia College, New College, Pensacola State College, Florida Gulf Coast University, University of North Florida, St. Johns River State College, Palm Beach State College, Santa Fe College, Daytona State College, and Florida Atlantic University. Most nominees emphasized their personal ties to the institutions, support for workforce education, student success, and local economic development. Several highlighted priorities such as keeping tuition affordable, expanding internships and career pathways, strengthening nursing and other workforce programs, and improving graduation and retention rates. Some appointees also described campus-specific goals, including research growth at FAU and Harbor Branch, community engagement at New College, and continued support for health care workforce partnerships at FGCU. The most notable exchange came during testimony from Dr. Joel Rudman for the Pensacola State College board, where Senator Leek questioned him extensively about prior public comments that appeared to reference threats and drug testing legislators. Rudman said his remarks were aimed at Florida House members and not the Senate, denied any knowledge of illicit drug use by current or former senators, and said he was speaking candidly as a private citizen. Public testimony on his nomination included both support and strong opposition, with one speaker praising his community service and another warning about his alleged disruptive behavior and social media posts. The committee also heard from several supporters and appointees who were not questioned further, and the meeting ended with plans to vote on the appointments after all testimony was completed.

Transcript Highlights:

• ' electronic health record system to improve patient care outcomes, to improve access to health care
• Care clinics.
• home care clinics.
• That's not trauma-informed care.
• And in the foster Care Plus model that we're implementing, there is already training expectations for

Keywords: 996, all

Transcript Highlights:

• EOHLC is your partner, and we look forward to our continued collaboration.
• They are the most cost-effective model for housing our state’s most vulnerable residents.
• People want to collaborate with people. They love the program and they want to see it succeed.
• So this is that kind of a model that centralizes some of these functions and gets the work done.
• , and health care.

Keywords: 995, all

Summary: The Joint Committee on Housing opened its second hearing of the session with remarks from Chairs Haggerty and Cyr emphasizing that the hearing was a broad look at Massachusetts’ housing crisis rather than a single bill. They highlighted topics including zoning, permitting, rental assistance, public housing, homelessness prevention, and housing production. The first witness, Housing and Livable Communities Secretary Augustus, reviewed implementation of the Affordable Homes Act and the state’s new housing plan, citing a 1.6% vacancy rate, a projected need for 222,000 new homes over 10 years, and ongoing efforts such as ADUs by right, fair housing enforcement, eviction record sealing, seasonal communities planning, and new funding for affordable housing, public housing, and the Momentum Fund. He also discussed infrastructure support for municipalities, technical assistance for ADUs, and concerns about possible federal funding cuts. Committee members questioned the secretary about ADU financing and technical assistance, the likely unit yield from the Affordable Homes Act, infrastructure barriers in suburban and rural communities, public housing waitlist management, supportive housing, and federal budget risks. MassNAHRO then testified that public housing authorities are facing rising operating and capital costs, a statewide waitlist nearing 300,000, and uncertainty over federal Section 8 and HUD funding. Witnesses described recent state support for operating subsidies, capital improvements, vacancy turnover teams, and resident service coordinators, while warning that proposed federal cuts could sharply affect voucher issuance and agency operations. CDAC’s executive director Roger Herzog described the agency’s role as a quasi-public source of early-stage financing and technical assistance for nonprofit housing developers, noting its loan capital, supportive housing bond programs, home modification loans, and preservation work under Chapter 40T. He said CDAC has helped produce or preserve more than 55,000 units and stressed the importance of patient capital and preservation tools. CHAPA CEO Rachel Heller urged the committee to focus on production, preservation, planning, and political will, supporting goals for affordability, supportive housing, and homeownership, and endorsing policy changes such as YIGBY, clearer site plan review rules, stronger fair housing funding, and more support for vouchers and public housing. MassHousing then outlined its financing role, including mortgage lending, down payment assistance, the Community Climate Bank, and the Momentum Fund, while noting that permitting delays, capital gaps, and possible federal changes could affect production. Members also asked about transparency, prevailing wage compliance, and a recent internal restructuring related to diversity and business engagement.

Transcript Highlights:

• In a universal primary care model, a practice would get monthly payments for each patient attributed
• in Vermont and implementation of payment models addressing health care capacity, volume, quality, and
• > the<00:36:52.720> Blueprint care payment models should the Blueprint care payment models
• in Vermont and implementation of care in Vermont and implementation of payment<00:37:20.160> models
• It is the intent of S.197 to design a payment reform model for primary care in Vermont.

Keywords: 926, house, all

Summary: The House first took up S. 298, the Vermont Voting Rights Act. Members explained the Senate’s further proposal of amendment, including changes to language about how the State Ethics Commission may respond to ethics inquiries, a directive for the Secretary of State and Ethics Commission to work out a shared process for the candidate financial disclosure form by January 30, and a technical PAC-related wording change. The committee reported an 11-0-0 vote in favor, and the House concurred in the Senate proposal of amendment. The chamber then suspended rules to take up S. 328, the omnibus housing bill, and heard detailed committee reports from General and Housing, Ways and Means, and Appropriations. The bill addresses common interest community resources, a service-supported housing advisory council, expansion of the 10% for Vermont program to 12.5%, an off-site construction accelerator pilot, VHFA’s rental housing revolving loan program, special assessment districts, municipal housing planning requirements, and several reports on housing-related issues. Ways and Means described revenue impacts from the cash-balance expansion and revised the off-site construction pilot and loan program language; Appropriations removed a section already included in the budget and adjusted advisory council per diem funding. The House adopted the amendments, ordered third reading, suspended rules to place the bill in all remaining stages, passed it in concurrence with proposal of amendment, and messaged the action to the Senate forthwith. The House then suspended rules to take up S. 197, relating to payment reform for primary care. The House Health Care Committee recommended a strike-all amendment, saying the health care system is in crisis, premiums are rising, access to primary care is limited, and clinicians are burdened by documentation and administrative work. The committee vote on its amendment was 10-0-1, and the bill was also referred to Ways and Means and Appropriations because of fiscal implications. The transcript cuts off as the House was beginning consideration of the bill.

Transcript Highlights:

• The first recommendation was to continue collaboration between the Health Care Authority and DSHS to
• Additional analyses of forecasted climate information, as well as broader collaboration, could both help
• Information as well as broader collaboration could both help with those efforts.
• SEPA covers a huge variety of projects and developments in our state, and we want to be careful about
• Commerce could consider changes to its guidance and model policies to help counties and cities assess

Summary: The Joint Legislative Audit and Review Committee I-900 Subcommittee heard JLARC’s annual update on the status of legislative implementation of State Auditor recommendations, followed by two State Auditor performance audits. JLARC staff reported that for the 2024 review period there were three new legislative recommendations and three unresolved older recommendations. They said the legislature did not convene a work group on civil asset forfeiture, and no formal action was taken on two water-use-efficiency recommendations. Two recommendations related to concurrent Medicaid enrollments were addressed in a bill introduced this session, but that bill was not adopted. The first audit examined how Washington can ensure climate-resilient electricity infrastructure. The State Auditor found the state has opportunities to better adapt new energy infrastructure by using more site-specific climate information, broader collaboration, and vulnerability assessments. The report recommended expanding climate analyses through the University of Washington Climate Impacts Group if funding is available, using forecasted information in DNR wildfire maps, designating a non-regulatory office to coordinate siting and conflict resolution, and expanding vulnerability assessments in Ecology and Commerce processes. Agency witnesses generally agreed resilience is important but emphasized existing efforts, the need to avoid duplicative requirements, the importance of affordability and efficiency, and the role of current forums such as the Clean Energy Siting Council and SEPA processes. The second audit reviewed fines for human trafficking and related sexual exploitation crimes. Auditors found courts assessed fines inconsistently, collection rates varied, some revenues were sent to the wrong local government, and some jurisdictions did not use the money as required for enforcement, prevention, or survivor services. The audit recommended courts work with prosecutors to improve awareness of mandatory fines, and that King and Pierce County improve coding, templates, and tracking so revenues are routed and used correctly. King County testified that it appreciated the audit and described its existing prevention and survivor-support work. The committee took no votes or formal actions and adjourned after the presentations and testimony.

Transcript Highlights:

• demands of care in this state, especially now.
• It would disenfranchise thousands of trusted care relationships and directly reduce access to care services
• Care relationships and directly reduce access to care services in California. Thank you.
• District, Palomar Health Care District, El Camino Health Care District, Desert Health Care District,
• District, Palomar Health Care District, El Camino Health Care District, Desert Health Care District,

Keywords: 987, senate, all

Summary: The committee heard several health, professional licensing, consumer protection, and animal welfare bills. Early items included AB 1307, which would create a pilot program allowing up to 30 qualified dentists from Mexico to work in underserved California areas; the California Dental Association moved from opposition to neutral after amendments, and members discussed access to care and oversight. AB 1703 would restrict use of osteopathic titles and the practice of osteopathic manipulative treatment to licensed DOs; it drew strong support from the Osteopathic Medical Board and physician groups, but non-physician osteopaths opposed it, arguing they have long provided safe care and that the bill would criminalize their work. AB 2250 made technical cleanup changes to hemp enforcement laws and AB 1758 raised the seller-of-travel assessment for the Travel Consumer Restitution Fund; both had support and no opposition. AB 1794 would allow prescribed enteral formula to be shipped directly to patients’ homes, and AB 1939 would allow licensed professional fiduciaries to form corporations, both with support and no opposition. AB 1775 would expand expedited licensing and other state support for service members discharged under a federal transgender military policy; it received emotional support testimony and some committee concern about expanding priority categories, but no opposition. AB 2477 would create a limited provisional period for new pest control employees to work under supervision while licensing is pending, and members discussed amendments and oversight before moving it forward. AB 1999 would modernize veterinary law by creating shelter-veterinarian and retired-volunteer pathways, changing VCPR rules, and narrowing the owner exemption for surgery; it was strongly supported by veterinary and animal welfare groups, with some discussion of autonomy and implementation. AB 2010 would permit high-quality, high-volume spay/neuter clinics and mobile sterilization units without a separate surgical suite; the Veterinary Medical Board opposed unless amended, while animal welfare groups supported it, and members emphasized the need for safety and clarity. AB 2311 would let public health care district hospitals directly employ physicians, with amendments intended to protect physician autonomy; CMA remained opposed unless amended, while district hospitals and other supporters said it would improve recruitment and access. The committee also heard AB 2402, which would update the definition and fee structure for multi-service health club studios, but the discussion was cut off in the transcript. After quorum was established, the committee voted to pass several bills out on call, including AB 1307, AB 1598 consent, AB 1703, AB 1758, AB 1775, AB 1794, AB 1939, AB 1999, AB 2010, AB 2250, AB 2311, and AB 2477, sending them to the appropriate fiscal or policy committees, with some recorded no votes on a few measures.

Transcript Highlights:

• AB 2282 would allow DelPuerto Health Care District to provide emergency health care to rural communities
• AB 2282 would allow DelPuerto Health Care District to provide emergency health care to rural communities
• In Australia, they have a number of interesting models.
• In Australia they have a number of interesting models.
• And I think it is something that we should all model.

Summary: The Assembly convened, established a quorum, and opened with prayer and the Pledge of Allegiance before moving through the daily file. Several measures were taken up and passed, including bills on county jail accountability (AB 2257), claims against public agencies (AB 2529), affordable housing management metrics (AB 2689), digital wellness instruction in schools (AB 2071), pedestrian and bicycle safety project streamlining (AB 1976), manufactured home transport permits (AB 2012), a Surplus Land Act amendment tied to an Inland Empire soccer project (AB 2139), a Monterey Bay stewardship authority (AB 1548), online electrician licensing (AB 1707), a Caltrans study of navigation apps’ traffic impacts (AB 2105), coastal resiliency permitting reforms (AB 2051), downtown housing streamlining and financing (AB 2074), Cal Fire compensation (AB 2129), emergency care authority for Del Puerto Health Care District (AB 2282), charter school facilities hardship relief (AB 2316), theft by a peace officer under color of authority as serious misconduct (AB 2337), an Asian American and Native Hawaiian/Pacific Islander-serving institution designation (AB 2374), energy and cannabis support bills (AB 2464, AB 2537), and a suicide prevention plan requirement for treatment facilities (AB 2562). Most of these measures passed with broad bipartisan margins, and several were described as support bills with no opposition. The floor also debated a major criminal justice measure, AB 2727, which would raise the threshold for elderly parole eligibility for people serving sentences for violent sex offenses and add screening safeguards. Supporters from both parties emphasized child protection, survivor trauma, and specific local cases involving offenders who had become eligible for release; the bill passed 66-0. Another significant debate centered on AB 1958, which would clarify procedures under the California Racial Justice Act by refining how disparity claims are established and rebutted; the author said he would take Senate amendments to address concerns from district attorneys. The Assembly also considered AB 2313, a gas-to-electric transition bill allowing customers with planned service line replacements to opt out of gas service and use funds to electrify their homes. Members raised concerns about cost shifts and equity, and the author responded that the bill includes no-cost-shift language, larger credits for disadvantaged communities, and would not proceed if the math does not work; it passed 41-21. The final major item was AB 1709, a high-profile social media safety bill creating a minimum age of 16 for accounts on platforms using addictive features and establishing an e-safety commission. The author and many supporters from both parties framed the bill as a response to youth mental health harms, addictive design, and the need for age-based safeguards, while some members raised concerns about impacts on LGBTQ youth and other isolated young people who rely on online spaces. Supporters said the bill targets addictive design rather than speech and is intended to preserve safe online connection while limiting harmful features. The measure drew extensive bipartisan support and was still under debate at the end of the transcript.

Transcript Highlights:

• So in collaboration with a majority leader in the House, we set out to identify So in collaboration with
• You know, sober living homes are essentially the lowest level of care that we license.
• Which providers are being terminated for fraud versus quality-of-care concerns?
• Versus quality-of-care concerns?
• The quality-of-care referral source is not tracked.

Keywords: 1182, all

Summary: The Senate Committee on Health and Human Services held a fourth hearing in its ongoing review of alleged fraud, waste, and abuse involving AHCCCS/Access and DHS, with a major focus on Medicaid eligibility verification for the aged, blind, and disabled (ABD) population, behavioral health and sober living oversight, and payment delays to providers. Senator Shamp presented findings she said showed major gaps in ABD asset verification, including claims that only a fraction of enrollees were checked and that many ineligible members may remain on the rolls. She urged referrals to law enforcement, tighter verification requirements, better PARIS data sharing, and legislative changes to close what she described as a compliance and taxpayer-risk gap. Reva Stewart also testified that patient brokering and fraudulent recruitment of vulnerable people, including Native Americans, continues through social media and other channels, and she called for stronger enforcement and transparency. Heather Dukes, representing behavioral health and sober living operators, argued that the state’s response to fraud has become overly punitive toward legitimate providers. She said ADHS often sends technical paperwork deficiencies straight to enforcement instead of allowing plans of correction, that zoning approvals are being questioned despite not being within ADHS authority, and that long Access approval timelines are creating licensing and billing delays. ADHS Deputy Assistant Director Tiffany Slater said the department has seen a large volume of unlicensed complaints, that it is trying to improve staffing and data systems, and that some enforcement tools have been expanded for sober living homes. She also said many sober living operators are in recovery themselves and provide low-cost housing and support rather than direct billing to Access. Access Director Virginia Roundtree said the agency is trying to balance fraud prevention with support for legitimate providers. She reported steps such as daily internal huddles, live dashboards, added project management support, an outside review of the Division of Fee-for-Service Management, and a new external claims vendor to help reduce backlogs. Senators pressed her on a specific provider’s long-delayed payments and prepayment review, and she said the agency would provide answers early the following week. Access staff also described provider resolution roundtables and said unadjudicated claims had been reduced to zero, though members questioned whether that was due to denials rather than resolution. The hearing ended with the chair announcing legislation to preserve the American Indian Health Plan as a fee-for-service option while requiring Access to contract administrative and care management functions to another entity, citing structural failures in Access’s ability to operate the plan safely and effectively.

Transcript Highlights:

• They become more confident, creative, and collaborative learners.
• I don't care.
• It also funds math academies for K-8 educators, a proven model for improving. Instruction.
• My biggest concern about this bill is that there will be insufficient funds to take care of all those
• This model doesn't just address workforce shortages; it creates pathways to economic mobility.

Bills: HB2

Keywords: public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, 1185, senate, all

Transcript Highlights:

• <00:58:36.240> of positive effect on on taking care of positive effect on on taking care of
• So, if there are to be taken care of.
• state and how can we look at new models state and how can we look at new models and<01:30:34.080
• How does models that they could look at.
• collaborating with the emblemold collaborating with the emblemold coalition<01:35:28.880> on<

Keywords: 1183, house

Transcript Highlights:

• And I don't want to, and I want to be very careful.
• and formulas. approaches, models, and formulas.
• The reason why that is the case is that we're still going through the conceptual model.
• That conceptual model allows us an opportunity to do several things.
• Funding as the adequacy modeling for the base funding.