Transcript Highlights:

• over at Kapiʻolani Medical Center.
• happens over at Kapiʻolani Medical Center.
• </c><01:31:12.199><c> forensic</c> changed trained in the medical forensic changed trained in the medical
• Facility where that is not necessary Facility where that is not necessary because<01:32:16.119><c> it's
• <01:34:04.800><c> to</c><01:34:05.000><c> address</c> necessary to address necessary to address it<01

Committee: House Human Services & Homelessness

Summary: The committee heard testimony on several measures related to housing, homelessness, caregiving, and tax relief. On HB 431, which appropriates funds for the CAL initiative and HHFDC, the Department of Human Services supported the bill and noted the Governor’s request for $50 million per year for HMS, the need for more permanent supportive housing, and a technical issue with establishing a special fund in session law. The Statewide Office on Homelessness and Housing Solutions strongly supported the measure, describing it as unprecedented funding for CAL projects and linking it to goals of reducing homelessness and expanding housing inventory. Catholic Charities Hawaii, the ACLU of Hawaii, and the Reimagining Public Safety in Hawaii Coalition also supported the bill, emphasizing permanent supportive housing, diversion from jail, and public safety benefits. The chair redirected one testifier to stay on the measure when testimony drifted to another program. Written support was also noted from several organizations and agencies. The committee then heard HB 225 on squatting. DHS said it appreciated the intent and deferred to the Attorney General and task force members, while noting that outreach on public lands differs from private land, where owner consent is required. The Office of the Public Defender supported the bill and wanted a voice in finding a solution. The Statewide Office on Homelessness and Housing Solutions also said it supported the intent, while opposition from the Kingdom of the Hawaiian Islands and support from one individual were noted. For HB 280, which would make the community outreach court permanent and appropriate funds, the Judiciary strongly supported the bill, describing the court as a mobile, community-based program serving vulnerable populations and connecting participants to services. The Office of the Public Defender also supported the measure, saying the program has helped people move off the streets and into stable housing and that permanent funding would allow expansion. Written support from the Hawaii Substance Abuse Coalition was noted. The committee then moved to HB 71, creating a refundable family caregiver tax credit, where the Department of Taxation provided comments, the Executive Office on Aging and AARP Hawaii supported the measure, and the Tax Foundation of Hawaii raised concerns about duplication with an existing dependent care credit and the lack of incentives for cost control. The committee next heard HB 753, which would increase the applicable percentage for the household and dependent care services tax credit. Support came from the Executive Office on Aging, Catholic Charities Hawaii, AARP Hawaii, and Hawaii Children’s Action Network, while the Tax Foundation again raised technical concerns about complexity and administration but noted the bill adds guardrails against abuse. No votes were taken during the portion of the hearing provided.

Transcript Highlights:

• care and away from their life-saving medications.
• There are 16,000 people out of medical care and away from their life-saving medications.
• needy program to get their medication, because they can show the cost of the medication exceeds their
• Have they applied through the medically needy program?
• currently getting medical care.

Bills: S0068 , S0096 , S0340 , S0428 , S0606 , S1480 , S7018

Committee: Senate Appropriations Committee on Health and Human Services

Keywords: pediatric care, emergency departments, hospital regulations, patient safety, health care standards, veterans, dental care, healthcare, grant program, income assistance, human trafficking, nurse licensure, registered nurse, RN, licensed practical nurse, LPN, Florida Board of Nursing, Department of Health, licensure by examination, nursing education

Summary: The Senate Appropriations Committee on Health and Human Services heard public testimony on concerns about changes to the AIDS Drug Assistance Program and the iBudget waiver, including warnings that HIV patients could lose access to medications and that direct support providers need a rate increase. Senators discussed possible alternatives such as medically needy coverage and FQHC/340B access, and a witness urged the legislature to delay implementation of the HIV-related changes and restore funding. Another witness asked for support for a modest increase for iBudget direct care providers. The committee then considered and reported favorably several bills. SB 428, by Sen. Yarborough, expands the state swimming voucher program from ages 0-4 to ages 1-7 to align with drowning-prevention guidance; it passed without opposition. CS/SB 68, by Sen. Harrell, requires hospitals with emergency departments to adopt pediatric emergency care policies, training, equipment standards, and readiness assessments; an amendment aligning reporting dates with the House version was adopted, and the bill passed favorably. CS/SB 1718, by Sen. Grall, makes the Step Into Success foster youth pilot permanent, adjusts visitor/background screening rules for out-of-home placements, and modifies stipend provisions; it also passed favorably. The committee also approved CS/SB 606, by Sen. Smith, which adds drowning-prevention and safe-bathing education to postpartum materials and requires hospitals and birthing centers to keep compliance records. CS/CS/SB 96, by Sen. Sharief, expands eligibility for the Veterans Dental Care Grant Program up to 400% of the federal poverty level; an amendment removed the $500,000 appropriation so funding can be handled in the budget process, and the bill passed. CS/SB 340, by Sen. Harrell, requires nursing education to include a human trafficking course before licensure, and CS/SB 1480, by Sen. Burton, creates a grandfathering process for certain health care providers in areas of critical need if federal designations change; both were reported favorably. The committee adjourned at the end of the agenda.

Transcript Highlights:

• from all other types of medical care in the state.
• practice claims, creating an extension only for medical care that is necessary to alleviate the symptoms
• the medications that they were taking prior to that.
• Well, I'm not a medical professional, of course.
• I like this bill a lot and think it's necessary.

Bills: HB 1239 , HB1990 , HB1748 , HB1749 , HB2578 , HB2986 , HB1970 , HB3163 , HB2733 , HB1922 , HB 113 , HB 1088 , HB1938 , HB3004 , HB2637 , HB2960 , HB113

Committee: House Judiciary & Civil Jurisprudence

Keywords: public health, access to healthcare, insurance reforms, medical expenses, healthcare providers, mental health, protective custody, preliminary examination, detention period, emergency circumstances, emergency detention, legal framework, detention, healthcare, liability, landowners, nonagricultural land, trespassing, public safety, interpreters

Transcript Highlights:

• necessary care for which an interruption can be really... ...life-altering.
• Madam Speaker, we have Damon Carpenter, if necessary.
• Madam Chair, we have Damon Carpenter, if necessary. Awesome.
• record, except in cases of emergency medical care.
• The bill defines medical intervention as a medical procedure, treatment, device, drug, injection, medication

Bills: HB2408 , HB2434 , HB2725 , HB2728 , HB2729 , HB2730 , HB2731 , HB2732 , HB2733 , SB1192 , SB1398 , SB1399 , SB1494 , SB1557 , SB1813 , SB1821

Committees: Senate Health and Human Services , Senate Senate Health and Human Services COR

Keywords: controlled substances, prescription monitoring, opioid crisis, healthcare regulations, patient safety, prescription drugs, opioids, healthcare, pain management, utilization controls, AHCCCS, Department of Economic Security, social services, welfare programs, vocational rehabilitation, employment services, developmental disabilities, Arizona Revised Statutes, occupational therapy, board regulation

Transcript Highlights:

• </c> is necessary to protect our children. is necessary to protect our children.
• </c> necessary to protect our children. necessary to protect our children.
• </c> Psychiatric, psychological, and medical Psychiatric, psychological, and medical associations,<00
• What you are doing now is denying life-saving, medically necessary health care to an untold number of
• What you are doing now is denying life-saving, medically necessary health care to an untold number of

Summary: The committee first took up administrative regulations, found no concerns, and then passed House Bill 389 with a favorable expression by a 9-0 vote. HB 389 was described as a cleanup bill for the CASPER prescription monitoring program: it clarifies that practitioners must have active CASPER accounts, exempts charitable health care providers from e-prescribing requirements, allows sharing CASPER data with certain federal entities such as military-base providers, and updates references to hydrocodone’s Schedule II status. The sponsor said there was no expected fiscal impact. The committee then passed House Bill 392, also by a 9-0 favorable expression. HB 392 would streamline payment for non-elective medical care for patients in state mental facilities when the facility cannot provide the needed treatment, allowing care in community-based settings and payment to those providers. The sponsor said the bill was intended to improve efficiency and would not have a fiscal impact on the cabinet. House Bill 501 was next and likewise passed 9-0 with favorable expression. The bill would allow pharmacists, in their professional judgment, to refill certain prescriptions for up to 180 days when a physician has died, while excluding controlled substances and preserving pharmacist discretion to require follow-up care. Senators raised concerns that the bill does not require patients to seek a new provider during that period, but supporters said the longer window addresses rural provider shortages and access delays. The committee then heard House Bill 495, as amended by a committee substitute. The substitute would prohibit Medicaid services and managed care organizations from covering cross-sex hormones above normal levels and gender reassignment surgery. Testimony on the bill was overwhelmingly opposed, with speakers including a former senator, psychologists, advocates, and legal and social work representatives arguing that conversion therapy is harmful, that the substitute would deny medically necessary gender-affirming care, and that the measure could increase suicide risk and litigation. One witness from the Family Foundation of Kentucky spoke in favor, arguing the executive order on counseling limits free speech and that counseling should not be restricted by government. The transcript ends during testimony, with no final committee vote on HB 495 shown.

Transcript Highlights:

• This is parental rights and medical decision-making. To 1015.
• This is parental rights and medical decision making.
• Court records should function like medical records.
• The education, the, you know, any medical. We have parents.
• That doesn't mean it's not necessary.

Committee: House Judiciary, Rules and Administration

Transcript Highlights:

• , and there is a concurring medical opinion approving the medication.
• opinion for involuntary medication under an LRA order.
• Specifically on the medication, the forced medication pieces and things like that. Thanks.
• We are all under a collaborative drug therapy agreement with our medical director or our chief medical
• A pharmacist's top priority is medication safety, and given the complexities of psychiatric medication

Bills: HB2453 , HB2590 , HB2445 , HB2386 , HB2585

Committee: House Civil Rights & Judiciary

Keywords: psychiatric pharmacists, mental health, pharmacy regulations, healthcare, pharmacological treatments, limited equity cooperatives, common interest ownership, housing, exemption, community ownership, probate, estate administration, inheritance, heir finder, heir locator, beneficiary interest, transfer of inheritance rights, probate for profit, personal representative, executor

Transcript Highlights:

• </c><00:07:21.440><c> and</c><00:07:21.759><c> also</c> taking medications and also taking medications
• We are the Kauai medical cannabis licensee.
• The Hawaii medical market is only 1% of that large number currently.
• The medical marijuana card has been abused as well.
• </c><00:55:18.799><c> marijuana</c> in our schools uh the medical marijuana in our schools uh the medical

Committee: Senate Health and Human Services

Summary: The joint Health and Human Services and Judiciary meeting heard testimony on several measures, with most of the discussion focused on SB 709 and SB 955. On SB 709, relating to mental health data and related appropriations, the Department of Health supported the bill’s intent and said the funding would help maintain a data dashboard and positions, though it had no suggested amount for one blank appropriation. Members also discussed whether sections of the bill were duplicative of existing data reporting. The committees later recommended SB 709 be passed with amendments, including technical changes, deferring the date to December 31, 2050, and blanking out the appropriation for later clarification. SB 955, relating to fitness to proceed, drew mixed testimony. Judiciary opposed portions of the bill, saying some changes could have unintended practical consequences. The Office of the Public Defender supported the bill’s intent but urged keeping a three-member evaluation panel rather than reducing it to two, warning that a two-panel process could create delays if a third evaluator had to be added later. A former Hawaii State Hospital clinician said the bill placed too much blame on the courts and should address institutional and administrative problems at the hospital more directly. The Department of Health supported the intent and said it appreciated efforts to address overcrowding. After discussion about examiner shortages and status hearings, the committees recommended SB 955 be passed with amendments reducing the number of qualified examiners from three to one and making related technical changes. The committee also heard SB 1228, a child welfare services measure creating a working group related to youth legal representation and child welfare reform. DHS requested adding a Child Welfare Services representative to the work group, and multiple advocates, including the National Center for Youth Law and Hawaii Youth Services Network, testified in strong support, emphasizing the need for youth voice and implementation of Malama Ohana recommendations. Members asked whether this working group overlapped with another recently passed working group bill; testimony indicated the two measures addressed different issues. The meeting then recessed and later resumed for decision-making on the 9 o’clock calendar, where SB 709 was adopted with amendments and SB 955 was adopted with amendments.

Transcript Highlights:

• But despite being effective and medically appropriate, the non-opioid treatments that are necessary for
• necessary and better alternative.
• Pain parity empowers patients. ...there is another medically necessary and better alternative.
• necessary.
• This might seem obvious, but in 2026 is there a medically necessary reason why we would prefer an opioid

Bills: SB5845 , SB5916 , SB6102 , SB6071 , SB6103 , SB6159 , SB5877 , SB5967 , SB5904 , SB5915 , SB6025

Committee: Senate Health & Long-Term Care

Keywords: health insurance, health carrier, insurance carrier, prompt pay, timely payment, claims processing, clean claim, remittance advice, provider reimbursement, hospital billing, medical billing, prior authorization, claims denial, interest on late claims, administrative penalty, Washington insurance commissioner, RCW 48, public employees benefits board, school employees benefits board, Medicaid managed care

Transcript Highlights:

• necessary.
• According to the American Medical Association, 95% of physicians report prior authorization delays necessary
• For someone on chemotherapy or insulin or any other very important medically necessary medication, that
• Prior authorization is a targeted tool used to ensure care is medically necessary, evidence-based, and
• Most importantly, it would protect their ability to access medically necessary care without sacrificing

Summary: The committee heard AB 1887, which would speed prior authorization for FDA-approved rare disease treatments prescribed by specialists and, if a plan does not act within 30 days, deem the request approved. The author and supporters, including patients and clinicians, said delays can cause irreversible harm, hospitalizations, and death, especially for children and people with progressive rare diseases. Health plans and insurers opposed the bill’s automatic-approval provision and said the measure lacked safeguards for incomplete requests and shared responsibility for timely information. The chair encouraged continued work with opponents, and the author said the bill was narrowed from an earlier version that would have waived prior authorization entirely. The committee also heard AB 1979 on artificial intelligence in health care, AB 2161 on Medi-Cal work requirements, AB 539 on extending approved prior authorizations, AB 2311 on physician employment at public hospital districts, AB 1148 on banning phthalates and bisphenols in food packaging, AB 1825 on mental health offender reentry coordination, and AB 2282 on a temporary emergency stabilization unit in Patterson. AB 1979 would preserve licensed clinicians’ professional judgment, bar AI from directing unlicensed clinical functions, and protect medical records used by consumer chatbots; after amendments, several hospital, medical, and industry groups moved from opposition to neutral. AB 2161 would limit the harm of federal Medi-Cal work-reporting rules by using existing data, improving notices, and protecting due process; it drew broad support from patient, provider, and advocacy groups. AB 539 would keep prior authorization approvals valid for up to one year or the course of treatment, with supporters citing continuity of care and opponents warning about utilization, fraud, and cost concerns. AB 2311, as amended, would let certain high-payer-mix or distressed public health care districts directly employ physicians; CMA withdrew opposition after the bill was narrowed, while some hospital interests still objected to the carve-out. AB 1148 would prohibit two chemicals commonly used in food packaging, with supporters citing cancer and endocrine-disruption risks and opponents arguing DTSC should handle the issue through its existing regulatory process. AB 1825 would improve transition planning and Medi-Cal enrollment for offenders with mental health disorders leaving state hospitals, and AB 2282 would authorize a temporary rural emergency stabilization care unit in Patterson until a permanent hospital is built. Several bills were held for later action because the committee lacked a quorum, and the chair repeatedly noted that motions would be taken once enough members returned.

Transcript Highlights:

• They need medical supervision.
• I'm obviously all about patient access and being able to make medically necessary medications accessible
• So someone has deemed it medically necessary, and therefore a prescription was written.
• Yeah, so I really care about access to health care and medically necessary treatment.
• I really care about access to health care and medically necessary treatment.

Bills: HB2746 , HB2750 , HB2765 , HB4036

Committees: House International Trade , House House International Trade Committee of Reference

Keywords: trade offices, committee, Arizona commerce authority, stakeholder input, efficiency, Arizona-Sonora, Sonora, Mexico, trade commission, cross-border trade, bilateral trade, international trade, economic development, foreign relations, border economy, investment, infrastructure, business exchange, academic exchange, legislative commission

Transcript Highlights:

• Hi, Angela Hill, the California Medical Association, in respectful opposition.
• But the underlying goal is absolutely necessary.
• This is enabled through electronic medical record platforms.
• George Sorries with the California Medical Association in opposition. Mr.
• George Sorries with the California Medical Association in opposition. Mr.

Committee: House Labor and Employment

Transcript Highlights:

• It means more than $200,000 in added medical costs. It means 20 missed...
• medical guidance, which I think is the most important part.
• With their medication.
• We call them, in the medical world, very low birth weight babies.
• I'm a pharmacist, so I deal a lot with medications and medication errors, but a lot of it has to do with

Bills: HB321 , HB 1027 , HB 1295 , HB1782 , HB2295 , HCR29 , HCR56

Committee: House S/C on Disease Prevention & Women's & Children's Health

Keywords: Medicaid, child health, express lane option, income verification, supplemental nutrition assistance, telepharmacy, healthcare access, remote dispensing, rural clinics, pharmacy regulations, health literacy, state health plan, health care, patient outcomes, public health, economic impact, healthcare, breast cancer, cervical cancer, insurance eligibility

Transcript Highlights:

• We have plenty of appropriation to expend the funds for the necessary mediation.
• I'm the director of the Arkansas State Medical Board. Thank you.
• Necessarily necessary.
• It talks about the definition of ordinary and necessary.
• It talks about the definition of ordinary and necessary.

Committee: All ALC-ADMINISTRATIVE RULES

Transcript Highlights:

• medical school.
• So our medical students will be educated about those things.
• Medical school, y'all are taught more about...
• The aspects of having a medical practice, would that be correct?
• No, I think in medical school, we learn biochemistry.

Committee: House Higher Education

Transcript Highlights:

• Access already generally covers medically necessary sleep apnea treatment and related equipment under
• This review ensures that members have access to medically necessary, clinically effective treatments,
• Pete Seiple, an orthopedic surgeon and chief medical officer at Cobra Valley Regional Medical Center,
• And these would be devices that would be medically necessary.
• necessary.

Committee: House House Health & Human Services Committee of Reference

Summary: The committee heard testimony on several health-related bills. HB 2726 would require coverage for diagnosis and treatment of mild obstructive sleep apnea, including a tongue-muscle stimulation device. The sponsor and medical witnesses said the device is a less burdensome alternative to CPAP and could improve adherence and reduce long-term complications, while Access said it already covers medically necessary sleep apnea treatment but was neutral and concerned the bill could narrow review and limit cost-effectiveness analysis. The committee adopted the Bliss amendment and then gave HB 2726 a due-pass recommendation by an 8-4 vote. HB 2435, as amended, would create a provisional licensing pathway for internationally trained physicians who meet specified ECFMG-related criteria, with supervision, fees set by the Medical Board, and automatic conversion to a full license after four years if conditions are met. Supporters argued Arizona faces severe physician shortages, especially in rural and tribal areas, and that the bill would bring in experienced doctors while preserving oversight. Opponents, including the Arizona Medical Board, said current law already allows case-by-case licensure review and warned the bill could weaken safeguards and bypass existing scrutiny. After adopting the amendment, the committee approved HB 2435 on a due-pass recommendation. HB 2958 would require Access coverage for comprehensive dental care for pregnant women age 21 and older, with a $500,000 general fund appropriation for a pilot program. The sponsor and public health witnesses said dental care during pregnancy is linked to better maternal and infant outcomes and could reduce emergency room use and complications. The committee adopted the bill and sent it out with an 11-1 due-pass recommendation. HB 2176, which sets timelines and standards for health care institution complaint investigations and dispute resolution, also received broad support from hospitals and was approved unanimously on a 12-0 due-pass recommendation. The committee then heard HB 2447, which would bar insurers from reimbursing certified registered nurse anesthetists at a lower rate than anesthesiologists for the same service. Opponents argued the bill would interfere with private contracting, ignore differences in training and liability, and likely raise costs for the state and taxpayers; supporters said anesthesia demand has outpaced reimbursement and that parity is needed to protect access, especially in rural areas. The transcript ends during testimony on HB 2447, before any vote is taken.

Transcript Highlights:

• We're also going to insert language to include any other related subject matter items necessary to effectuate
• to implement a paid family leave and medical program.
• going to insert that the chair of the working group has discretion to add other stakeholders as necessary
• ><c> and</c><00:02:47.280><c> medical</c> family leave and medical family leave and medical program.<
• into the working group and any necessary into the working group and any technical<00:03:26.319><c> non

Committee: Senate Labor and Technology

Summary: The Committee on Labor and Technology met for decision making on Friday, March 28, 2025, and considered two related resolutions, STR 145 and SR 117, concerning the creation of a legislative working group to develop recommendations for establishing and implementing a paid family and medical leave program for Hawaii. The chair explained that the committee would move the measures as a Senate draft with several amendments to clarify that the Department of Labor would convene the working group and could contract with an independent third-party consultant for facilitation, legal and regulatory review, comparative analysis, compliance and eligibility analysis, staffing and operating requirements, drafting recommendations, and the final report. The committee also amended the resolutions to require review of relevant federal and state laws and existing programs, specifically including the Orisa prepaid healthcare act family leave reference as stated in the transcript, and to add an actuarial study or analysis of Hawaii’s workforce, employers, and potential beneficiaries. Another amendment removed LRB as a technical assistance resource because of budget concerns raised in testimony, while clarifying that the Department of Labor may contract for those services. The chair also noted that a representative would be added as a member of the working group, and that the chair of the working group could add other stakeholders as needed, along with any technical, non-substantive amendments for clarity and consistency. No questions or concerns were raised, and the committee voted to recommend passage of STR 145 and SR 117 with amendments. The votes were unanimous, and the recommendations were adopted, concluding the agenda.

Transcript Highlights:

• Since newborn hearing screening was adopted in 1998, only 9% of plans cover medically necessary hearing
• necessary.
• When making a determination about whether menopause care is medically necessary, health plans are required
• necessary by the treating provider.
• Since the launch of CalAIM, specifically the medically tailored meals and medically supportive food,

Summary: The hearing began with a stakeholder presentation from Let California Kids Hear urging coverage of pediatric hearing aids for children in the large group market. Advocates described the issue as a long-running developmental emergency, argued that existing state efforts have been inefficient, and said the new proposal would cover about 70% to 80% of affected children without new spending by redirecting existing dollars. Public commenters, including parents, audiologists, and children’s advocates, strongly supported the proposal and emphasized the need for timely access to sound. The chair thanked the group and noted hope for a future fix, including continued work on the exchange market. The Department of Finance then gave a broad budget warning about the state’s more than $20 billion structural deficit and said new investments must be weighed against out-year shortfalls. HCAI followed with an overview of its programs, including CalRx insulin and naloxone, reproductive health grants, the Office of Health Care Affordability, seismic hospital compliance, workforce programs, and the Data Exchange Framework. Members asked about geographic targeting of workforce funds, behavioral health pipeline programs, the status of the 21st Century Nursing Initiative, and future CalRx products such as EpiPens and GLP-1s. HCAI also described its enforcement approach for health care spending targets, saying the board would not change the targets in response to H.R. 1, and outlined the diaper access initiative, which will distribute diapers through hospitals in higher-need areas. Several HCAI budget items were discussed and held open, including additional expenditure authority, the transfer of the Data Exchange Framework and Office of the Patient Advocate, long-term care payment transparency staffing, and reporting on health care worker waiting periods. The department also presented its Behavioral Health Services Act workforce initiative and a proposed $100 million General Fund offset, which both the LAO and the chair questioned as unclear and potentially one-time in nature. HCAI said the final workforce plan would be adjusted after stakeholder consultation if the offset proceeds. The department also described the Rural Health Transformation Program, saying California received $233.6 million in federal funds, had to revise its proposal to satisfy CMS, and must obligate the money by October 30; the program will fund rural care models, workforce development, and technology, with grants rolled out on a phased basis. The Department of Managed Health Care then presented its budget and three legislative implementation requests: SB 41 on PBM reform, SB 306 on prior authorization transparency, and AB 1041 on provider credentialing timelines. Finally, the administration outlined a menopause care proposal requiring coverage and education for menopause-related services, provider training, and an outreach campaign, with DMHC requesting staffing and funding to implement and enforce the new requirements. Throughout the hearing, most items were held open for later action, and no final votes were taken in the portion provided.

Transcript Highlights:

• They then determine the necessary number of nursing hours based on medical necessity review.
• They're keeping these kiddos out of the hospital, reducing medical costs, and allowing medically fragile
• A 16-year-old who has extensive medical needs.
• Vial care involving medication administration goes with PCCA.
• necessary.

Summary: The House Health Care and Wellness Committee met at policy cutoff and first took up executive session on four bills. It considered a proposed substitute for HB 1589 on health carrier contracting practices, which would require carriers to provide providers advance notice and clean copies of contract changes and payment methodologies, and would also add notice requirements for significant payer contract modifications. The committee also considered HB 2402 on phthalates in IV solution containers and tubing, with a substitute delaying implementation dates and creating shortage and FDA-related exemptions. HB 2555, concerning Medicaid coverage of traditional health care practices, and HB 2685, concerning tribal data and disease reporting to tribal health jurisdictions, were also before the committee. HB 2599 was deferred. The committee reported HB 1589, HB 2402, HB 2555, and HB 2685 out of committee with do pass recommendations, with recorded votes showing some members voting no or no without recommendation on the more contested bills. The committee then held a work session on private duty nursing in the Medically Intensive Children’s Program. Health Care Authority and DSHS staff described how the program serves children with complex medical needs through managed care and fee-for-service pathways, the role of prior authorization and medical necessity review, and the ongoing shortage of nursing staff. They said many approved hours are not filled, especially in rural areas, and that family members often provide unpaid care to fill gaps. Committee members asked about the structure of the children’s and adult PDN programs and about how many authorized hours are actually being served. The committee also heard testimony from a home care agency representative and a parent caregiver, both of whom described severe staffing shortages and the burden on families when nursing shifts go unfilled. They supported models that would allow trusted family caregivers to be paid for some of the skilled care they already provide. The committee then heard examples from Montana and Massachusetts of similar family caregiver or complex care assistant programs. Montana described its pediatric complex care assistant model as a gap-filling service with prior authorization and a set hourly rate, while Massachusetts outlined its complex care assistant program, including training, supervision, wage pass-through requirements, and early growth in participation. The meeting concluded after the work session.

Transcript Highlights:

• All right, well, we don't call if necessary.
• DHS did sign in as if necessary, so it looks like we have Mr.
• I had food stability and access to medical care.
• The first, it reduces the number of medications included.
• Christina Corey, you're representing the Arizona Medical Society, or Medical Association.

Summary: The committee first heard House Bill 2307, as amended by a strike-everything amendment, which would require the Department of Health Services to contract with an out-of-state facility when a person found dangerous and incompetent under a court commitment order cannot be placed in an Arizona secure mental health facility. Supporters, including the sponsor and Senator Angus, said the measure was a temporary stopgap to prevent dangerous individuals from being released because Arizona lacks secure behavioral health beds. Opponents raised due process, disability rights, family access, cost, and interstate-legal concerns, and DHS said it had no fiscal estimate and little experience with such contracts. The committee adopted the amendment and then passed the bill 6-5. The committee then took up House Bill 2083, which updates diabetes-related insurance coverage to include items such as continuous glucose monitors, insulin pumps, smart insulin pens, and certain injectable medications. Supporters said the bill reflects modern diabetes care and can prevent serious complications, while an insurer representative warned that putting the coverage in statute could create state-mandated costs and raised concern that the language might be read to include GLP-1 drugs. The committee adopted the amendment and passed the bill 11-1. House Bill 2673, dealing with mental illness screening and treatment for incarcerated people, would require sheriffs to ensure prisoners showing symptoms of mental disorder are examined within 24 hours and, if appropriate, referred for evaluation and treatment. Representative Hernandez said she intended to revise it into a study committee-style measure after stakeholder feedback, and a family member testified about her son’s death after untreated psychosis in jail. Opposition focused on competency and civil-commitment concerns, costs, and the burden on jails, but the committee passed the bill 12-0. House Bill 2923, which revises timelines and notice procedures for judicial review of court-ordered mental health treatment, also passed 12-0 after supporters said it would clarify outdated language and improve communication with families and guardians; opponents argued it shifted burdens onto patients and could prolong confinement. The committee next passed House Bill 2251, as amended, which expands licensed midwives’ authority to dispense certain medications and devices, adds reporting and oversight requirements, and creates an advisory committee. The sponsor said the amendment narrowed the medication list, clarified transfer-of-care triggers, strengthened oversight, and added sentinel-event reporting after stakeholder discussions with medical groups. Finally, the committee heard House Bill 2914 on electronic monitoring in resident rooms at nursing care and assisted living facilities, with the sponsor’s statement emphasizing the bill as a protection against abuse or neglect and noting similar laws in other states; the transcript cuts off before testimony or a final vote on that bill.