Transcript Highlights:

• So you're telling me on the direct action, the way you read it is that because we now have direct action
• provider was going to bill the care account.
• And so I’m also thinking of holistic care.
• It also doesn’t pay for that holistic care.”
• And so it's like they don't care. They're ruthless.

Summary: The committee first heard Senate Bill 476, which would add clearer warning language for garnishees responding to interrogatories and create a limited procedure for a new trial when a garnishee can show it never held property or owed the debtor during the garnishment period. After brief questions about how garnishment works, the bill was reported favorably without objection. Senate Bill 260, a youth athletics coaches training bill, was then amended to remove language about the department using donated funds to purchase courses and was reported as amended. House Bill 79, by Chairman Carter, would remove the damages cap for carbon capture release claims. Carter argued carbon capture should be treated like other industries and not receive special liability protection, and the committee reported the bill favorably without objection. The committee also took up Senate Bill 424, which clarifies that electronic service applies only to counsel of record representing a party, and Senate Bill 180, a constitutional amendment allowing a surviving spouse of a deceased disabled veteran to make a one-time transfer of an expanded property tax exemption to another qualifying homestead. SB 180 received a ballot-language amendment and a 6.88 report before being reported as amended. The longest discussion centered on House Bill 1089, which creates “care accounts” for future medical damages in delictual actions. Supporters said the bill would ensure future medical awards are used for medical care, reduce abuse, and function like a restricted account with a card or similar payment mechanism; opponents raised concerns about the account being owned by the judgment debtor, possible reversion of unused funds to the wrong party, administrative confusion, and impacts on survivors of trafficking and sexual abuse who may need flexible, trauma-informed care outside standard billing codes. After extensive testimony and debate, the committee adopted an amendment set and reported the bill favorably by a 6-1 vote, with Representative Carter voting no. Finally, House Bill 437 was heard and amended. The bill would prohibit expert witnesses from having a pecuniary interest in the outcome of the case, while still allowing inquiry into an expert’s prior testimony history. An amendment excluded criminal traffic and juvenile proceedings, and the committee continued discussion with testimony from supporters and opponents as the transcript ended.

Transcript Highlights:

• House Bill 2462 directs the governor to promulgate rules for countering threats posed by UASs.
• Our state has a strong history of leading with care and foresight.
• This is a bill about improving access to health care.
• They’ve lost their health care.
• care system.

Summary: The committee held public hearings on several bills. HB 2462 would direct the governor to create rules for countering threats from unpiloted aircraft systems and authorize National Guard support for law enforcement in certain circumstances; the prime sponsor and National Guard witnesses said it would improve coordination for events like the FIFA World Cup, while one testifier supported it with amendments related to law enforcement authority, data privacy, and a web portal. HB 2401 would create a Washington State Boys and Men’s Commission, contingent on non-state funding through 2029; supporters described concerns about boys’ and men’s mental health, suicide, loneliness, education, and workforce outcomes, while some asked that physical health and fatherhood be more explicitly addressed. HB 2198 would expand and standardize statewide credential and permit reporting, require agencies to publish timelines and fee refunds for missed deadlines, and consolidate reporting; the governor’s office, business groups, labor, ports, and the Department of Health testified in support, citing faster processing, predictability, and economic benefits. HB 2419 would extend Address Confidentiality Program eligibility to administrative law judges and certain Office of Administrative Hearings staff; OAH, county officials, and county clerks supported the bill, citing threats and safety concerns, and some asked to include county clerks as well. The committee then took executive action on HB 2210, HB 2205, and HB 2249. It adopted an amendment to HB 2210 preserving existing ranked choice voting systems and advanced the bill 4-2 with one excused. It adopted an amendment to HB 2205 making threats against sports officials, coaches, or participants involved in wagered events a Class C felony and barring offenders from future wagering, and advanced the bill 5-1 with one excused. HB 2249, reclassifying certain WATEC employees performing network and security duties, was advanced unanimously 6-0 with one excused.

Transcript Highlights:

• care.
• There are health care outcomes when people don't seek care.
• Every dollar spent navigating regulatory complexity is a dollar diverted from direct patient care.
• Every dollar spent navigating regulatory complexity is a dollar diverted from direct patient care.
• care.

Keywords: 988, house, all

Transcript Highlights:

• Christiana Care yesterday.
• This bill will support hospitals, long-term care facilities, public health providers, ambulatory care
• care, child care subsidy program.
• care, education, and employment opportunities.
• automatically eligible for Purchase of Care.

Bills: HB359, HB385, HB165

Keywords: human remains, indigent, burial, cremation, next of kin, social services, environmental impact, nursing education, preceptorship programs, healthcare workforce, nurse shortage, clinical training, dry needling, physician assistant, nurse practitioner, occupational therapist, referral process, neuromusculoskeletal pain, Western medicine

Summary: The Senate Health and Social Services Committee met with a quorum, approved the minutes from the prior two meetings, and briefly acknowledged the tragedy at Christiana Care before moving to legislation. The committee heard House Bill 385, which creates a statewide nurse preceptor grant program to expand clinical training placements for nursing students; testimony from nursing organizations, health care associations, and educators emphasized workforce shortages, the need for preceptor stipends and training, and the bill’s potential to help students complete programs and remain in Delaware. Members asked about eligibility and reporting, and several senators asked to be added as co-sponsors. Public comment was uniformly supportive, and the bill was advanced out of committee. The committee then considered House Bill 424, which repeals Delaware’s Autism Surveillance and Registration Program and requires DHSS to expunge protected health information collected through the registry. The sponsor and DHSS said the registry is no longer used for research or policy development and that repeal would reduce outdated reporting burdens; Autism Delaware, the Delaware Health Care Association, and the State Council for Persons with Disabilities support the change. A committee member raised the question of whether families would be notified before records are expunged, and DHSS said that process was not yet clear and would need further verification. Members discussed the issue, and the bill also moved forward. House Bill 419 was next, making children in foster care automatically eligible for the Purchase of Care child care subsidy and extending the same treatment to certain kinship and safety-plan placements through House Amendment 1. The Children’s Department and advocacy groups said the bill would provide immediate stability for children and caregivers, reduce delays from applications and income verification, and support working foster and kinship families. The committee also heard House Bill 359, which would allow cremation as an option for unclaimed and indigent remains when there is no family objection or next of kin cannot be found, addressing a shortage of burial plots and lowering costs; funeral industry testimony focused on preserving next-of-kin rights. Finally, the committee heard House Bill 475, creating a Delaware Nursing Advancement Fund financed by a $10 surcharge on nursing licenses and disciplinary fines to support workforce data collection and analysis through a nonprofit partner, and House Bill 165, authorizing physician associates, occupational therapists, and APRNs to perform dry needling under training and practice standards set by the Board of Medical Licensure and Discipline. All of the bills received supportive testimony, several members added their names as co-sponsors, and the committee adjourned after moving through the agenda.

Transcript Highlights:

• As far as health care and home health care, aging long term, as well as HCA, if they're veterans, we
• We will have aging and long-term care. We can have DMV.
• by Reducing time to foster care.
• It's about 2,000 children in care. Sorry about that.
• I know every child in care has a guardian ad litem.

Transcript Highlights:

• And the same way with this high-complexity care.
• that the legislature wants as far as policy direction for DHS.
• You can promulgate rules to take care of that, no? We don't need rules.
• They just want to take care of patients and take care of their staff and take care of the practice and
• We're Arkansans trying to take care of Arkansans.

Summary: The Administrative Rules Subcommittee of the Arkansas Legislative Council reviewed several agency rules and requests. It approved without objection an Insurance Department amendment implementing Act 261’s holding company system requirements, two State Board of Election Commissioners rules on poll watchers/provisional voting and certified election monitors, and a Treasurer of State rule removing DEI-related membership requirements to comply with Act 938. The committee also held over for a month a Department of Education request related to excluding a rule from reporting requirements so it could be discussed further with the Department of Commerce. A major portion of the meeting focused on the Department of Human Services’ request to be excluded from rulemaking for Acts 567, 568, 967, and 1025. DHS said federal CMS guidance created comparability and other issues for the Medicaid-related dental and diagnostic lab provisions, making it difficult to implement the acts as written by their effective dates. DHS outlined possible paths, including broader adult dental coverage, waivers, or splitting the dental rate increase from the special-needs cap increase. The Arkansas State Dental Association disputed DHS’s approach, arguing Act 1025 is workable, that the pediatric rate increase should move forward separately, and that DHS should continue pursuing the law rather than stop rulemaking. Committee members questioned both sides extensively about CMS correspondence, waiver timelines, fiscal impact, and whether the acts could be severed. After testimony from DHS, the Dental Association, and a public commenter, the committee adopted a motion not to exclude DHS from reporting requirements for Acts 567, 568, 967, and 1025, meaning DHS must continue the normal rulemaking/reporting process. The committee then accepted the Division of Higher Education’s report, which recommended repealing three of its 32 rules and keeping the remaining 29 in effect. It also received routine written updates on older and newer rulemaking items and filed the monthly updates without further action.

Transcript Highlights:

• We have direct care patients that the state is responsible for providing residential care.
• I have to prioritize the direct care and direct obligation needs above the continuing WIC program.
• </c><03:35:46.080><c> obligation</c><03:35:46.720><c> needs</c> direct care and direct obligation needs
• direct care and direct obligation needs above<03:35:48.960><c> the</c><03:35:49.520><c> continuing</
• We got a lot of people at direct care.

Keywords: 928, house, all

Summary: The committee met in Division 3 work session on HB 2 and began by noting a delayed start to allow the Legislative Budget Assistant to finish a large packet of updated amendments and revisions. The chair said the goal for the day was to move as many items as possible, with any cleanup deferred to a Friday follow-up. Members also discussed the process for handling public and department testimony on selected items before votes. Several early amendments were taken up and voted on. The committee unanimously recommended items dealing with repealing the liquor transfer to the alcohol fund and redirecting liquor-related revenue to the general fund, and it also approved an amendment revising Granite Advantage funding so there would be no automatic transfer from the liquor fund, instead using a general fund appropriation. Members then approved repealing the foster grandparent program by a 5-4 vote, and later approved an amendment requiring DHS contractors to comply with the patients’ bill of rights by a 9-0 vote. The committee also approved incorporating House Bill 94 on Medicaid coverage of circumcision by a 5-4 vote, while deferring the Wick Farmers Market Nutrition Program repeal for more discussion. The committee spent substantial time on the youth risk behavior survey amendment. Supporters said the change was intended to clarify opt-out procedures and ensure parents, guardians, and students are clearly notified that they may opt out without negative consequences. Some members raised privacy concerns and said the language could add administrative burden, but the amendment was ultimately recommended to Finance by a recorded vote of 8-1. Another amendment on civil rights and contractor standards for DHHS was discussed but not voted on after concerns were raised about vague enforcement language and possible penalties. The committee also struck amendment 1026 as redundant, with members noting related work in existing law and Senate Bill 134, and then moved on to other items, including a revised equity/access-related amendment that was postponed for later discussion.

Transcript Highlights:

• to provide that care.
• patient care. to pay for clinical staff to support direct patient care.
• and quality of care.
• linguistic diversity in the health care workforce impacts health care access and care quality for our
• The graduate medical education, or GME, provisions direct critical funding toward primary care physicians

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket of bills focused on MassHealth benefits and reimbursement, health equity, behavioral health, public health, dental access, 340B drug pricing, tobacco cessation, and coverage for children. The chairs emphasized rising health care costs, provider shortages, administrative burdens, and persistent inequities by income, race, geography, and immigration status. Much of the testimony centered on H.1416/S.901, an act to advance health equity, with legislators and members of the Health Equity Compact arguing for statewide benchmarks, stronger health equity leadership, reimbursement for interpreter services, community health workers and patient navigation, Medicaid graduate medical education support, and a health equity zone trust fund. Witnesses described disparities in life expectancy, maternal mortality, access to primary care, and the impact of federal Medicaid and social service cuts, and urged the committee to report the bill favorably. The committee also heard strong support for H.1368/S.847 on rapid whole genome sequencing for critically ill MassHealth children. Testifiers from industry, academia, hospitals, and families said early sequencing can end long diagnostic odysseys, improve treatment decisions, shorten hospital stays, and save money, while also providing emotional relief and information for families. The hearing then moved to H.1407 on MassHealth rate parity for inpatient behavioral health providers, where Rep. Scanlan and the Massachusetts Association of Behavioral Health Systems said the bill would codify existing administrative parity so managed care plans cannot pay less than the MassHealth fee-for-service rate. On H.1392/S.853 to preserve and protect public health, witnesses supported higher vaccine administration fees to improve provider participation and immunization rates. The committee also heard testimony on H.770/845 to protect 340B providers in MassHealth, and on S.848 to require reporting and transparency around 340B revenues and outside administrative costs. Additional bills drew testimony on tobacco cessation coverage for MassHealth members, with advocates supporting broader access to counseling and medications through medical, behavioral health, and dental providers. On H.1409, a nursing home operator asked for more flexibility in a MassHealth staffing-related penalty tied to patient days per resident. On H.1401/S.888, supporters of the “Take 10” dental access proposal said adult MassHealth dental coverage is underused because too few dentists accept MassHealth, leading to long travel times and avoidable emergency room visits; they urged incentive payments for dentists serving new adult MassHealth patients. Finally, on H.1403/S.855, “Cover All Kids,” advocates and immigrant community members urged removal of immigration status as a barrier to full MassHealth coverage for children, while also backing a related bill to ensure 12 months of continuous coverage for children. No votes were taken during the hearing; the committee primarily received testimony and asked questions on costs, reimbursement levels, and implementation details.

Transcript Highlights:

• In managed care, their support coordinators are called care managers, and I met my care manager exactly
• Direct your questions to me. I'm a former school board member. I can take it. So direct it to me.
• because we all care.
• because we all care.
• They don't care.

Bills: S0042, S0688, S0762, S1168, S1296, S1298, S1300, S1318, S1332, S1376, S1548, S1570, S1574, S1632, S1634, S1750

Keywords: child protection, medical records, investigation, abuse, neglect, healthcare, Child Protection Team, diagnosis, criminal defense, legal representation, death penalty, indigent defense, regional counsel, conflict of interest, background screening, athletic coaches, youth sports, criminal history, expungement, Florida statutes

Summary: The committee first took up CS for SB 42 on specific medical diagnosis and child protective investigations. A late-file strike-all amendment was adopted that made only stylistic changes to align with the House version. Supporters said the bill would help DCF and child protective teams better identify rare medical conditions and give parents a chance to defend against mistaken abuse findings. The bill was then reported favorably. The committee also approved SB 1570, which restores a prior program to help locate missing persons with special needs through voluntary tracking devices and coordination with sheriff’s offices and CARD centers, with nonrecurring funding included. Members then advanced several education, disability, and public services measures. CS for CSSB 182 created a teacher training and mentoring program for high-performing current and retired teachers to mentor teachers in D- and F-rated schools, and CS for CSSB 794 required background screening for employees in residential and day training programs for people with developmental disabilities while directing APD to study support coordination quality, workforce issues, and service gaps. Testimony on SB 794 strongly supported better training, lower caseloads, and more consistent support coordination. The committee also favorably reported CS for CS SB 1168 on background screenings, CS for CS SB 214 to allow rural special districts to pay verified invoices directly, CS for SB 1376 to create grants for genetic counseling education, and SB 1574 (Maddie’s Law) to add newborn screening for biliary atresia; the latter drew emotional support and testimony that early screening could save lives and reduce transplant costs. The committee heard and passed a number of other policy bills, including CS for CS for SB 1510, the DEP agency package, after environmental groups warned that one provision could delay basin management protections and allow more septic systems in impaired watersheds; the bill still passed favorably. Members also approved CS for CS for SB 598 on funeral and cemetery regulation, SB 688 to license naturopathic doctors, SB 1318 on scholarship account reversion rules, CS for CS for SB 682 on domestic violence injunctions and penalties, SB 130 on workforce training for current and former inmates, and SB 1548, the latest Live Local affordable housing update. Several bills were briefly postponed or taken up later in the meeting. In the latter portion of the meeting, the committee approved CS for C.S. for SB 536 on criminal gang membership criteria, CS for C.S. SB 762 on assigning conflict capital cases across regional counsel offices, SB 1332 on career offender registration requirements, CS for CS for SB 1742 creating a new offense for indecent exposure of sexual organs to a child, and CS for SB 1750 increasing penalties for serious sex offenses and child sexual abuse material crimes. The committee also debated CS for SB 1226 on Public Employee Relations Commission procedures and union certification rules, including a late-file amendment setting a 60% threshold and 25% quorum for recertification; the discussion focused heavily on constitutional concerns, union rights, and differences between first responders and other public employees. The transcript ends while that bill’s debate is still underway, with the committee having already taken numerous favorable votes throughout the meeting.

Transcript Highlights:

• She's advocated for other approaches to making child care more affordable, but this will make child care
• We can make a tax deduction for the first time for child care expenses.
• as child care costs soar.
• When Arizonans can barely afford to pay their health care, That is known as the big gut health care bill
• have to hire individuals to care for their children while they work.

Keywords: 1182, all

Transcript Highlights:

• House Bill 2 directed this property to be sold during '27 and directed the proceeds to go into the settlement
• House Bill 2 directed directed directed the<00:08:06.920><c> pro</c><00:08:07.400><c> this</c><00:08:
• the proceeds to go into the and directed the proceeds to go into the settlement<00:08:16.040><c> fund
• I do understand, and we discussed this in Division Three, there is a direct conflict in House Bill 2.
• I do understand, and we discussed this in Division Three, there is a direct conflict in House Bill 2.

Keywords: 1191, senate, all

Summary: The committee of conference met on Senate Bill 481, which concerns the sale of the Sununu Youth Services Center property and where the proceeds should go. The main disagreement was between the Senate version, which would send proceeds to the general fund if the sale occurs before June 30, 2027 and to the YDC settlement fund afterward, and the House version, which would send all proceeds to the general fund. House members argued the property sale is uncertain in timing and value, and that keeping the money in the general fund preserves flexibility and follows common practice for state property sales. Senate members said the House language conflicted with the intent of House Bill 2, which directed the property to be sold in 2027 and the proceeds to the settlement fund, and they noted the Senate’s general fund language was likely left in inadvertently from an earlier appropriation structure. Members also discussed that the property is unique, potentially valuable, and may contain many buildings that could affect its sale and redevelopment. House members emphasized that victims’ settlement payments would still be funded through the established process and that the fiscal administrator would request whatever amount is needed. One member noted a direct conflict in House Bill 2 between sections referring to the general fund and to the settlement fund, and said the issue needed to be fixed. Another member observed that the relevant provisions may be session law and could become moot after June 30 of the following year. After a brief Senate caucus, the committee voted to adopt the House position on the conference committee report. The meeting then turned to procedural matters, including adding a third name to the bill, signing requirements, and a deadline for signatures by 4:00 p.m. the following Thursday. No further business was raised, and the committee adjourned.

Transcript Highlights:

• Andrew Sheeran, I'm the General Counsel for the Agency for Health Care Administration.
• , except unless otherwise directed by applicable law.
• So that directive informed the agency's decision making here.
• And the agency recognizes here that this directive is consistent with sound public policy.
• I understand that you're trying to comply with the governor's directive or executive order.

Summary: The Joint Administrative Procedures Committee reviewed several agency rules and objections under Chapter 120. First, the committee revisited prior objections to Agency for Health Care Administration rules containing sunset provisions. AHCA’s general counsel said the agency amended 26 of the objected rules but declined to amend five others, arguing sunset provisions are lawful, are not themselves rules, and were consistent with a 2019 gubernatorial directive. Committee members questioned that position, especially for licensing and certificate-of-need rules, and urged the agency to consider legislative changes; no formal action was taken on that item during the discussion. The committee then considered an objection to Department of Management Services Rule 60G-1.001 defining the Governor’s Mansion grounds. Committee staff argued the rule is vague and improperly refers to future land acquisitions without updating the rule since 1998. DMS defended the rule as a general definition tied to publicly recorded property and a master lease, but said it would not object if the Legislature chose to codify the definition in statute. After discussion, the committee voted to file the objection. Members also received informational updates from the Department of Environmental Protection on the Solaris state lands inventory system, and from the Florida Gaming Control Commission on its response to the Tampa Bay Downs unadopted-rule litigation, in which the commission said it has stopped relying on the prior tax interpretation and will not promulgate a rule on that issue. The Department of Business and Professional Regulation said it would remove an unsupported cigar wholesale dealer permit reference, repeal an obsolete excise-tax deduction rule, and amend penalty guidelines and an affirmation in its alcohol, beverage, and tobacco rules. Finally, the Division of Administrative Hearings’ interim director discussed case-processing times, possible changes to ALJ status, and whether the Florida Rules of Evidence should apply in administrative proceedings, emphasizing the need to weigh costs, independence, and impacts on pro se litigants. The chair noted this was likely the committee’s final meeting of the year.

Transcript Highlights:

• You mentioned establishing a new rural health care type.
• And if anybody knows anything about health care, almost all errors in health care come back to communication
• When we talk to our health care partners, many times...
• And then also a piece that we pulled out from those direct costs is another direct cost, but we wanted
• Then moving down, as we talked with the direct costs, we have the line that's direct costs, but then

Summary: The committee met at North Dakota State College of Science for a presentation from President Flanagan and campus leaders on the college’s mission, enrollment growth, workforce programs, facilities needs, and industry partnerships. Flanagan highlighted student success in national competitions, strong placement and retention, the college’s strategic plan, and new or expanding programs such as aviation maintenance, fire science, dental hygiene, community health worker, surgical technology, HVAC/plumbing, and precision agriculture. He also described the need for a new dorm and a remodel of the library into academic and allied health space, including a simulation center, to address capacity limits and support growth. Several committee members asked about program demand, faculty recruitment, pay competitiveness, and how the college shifts resources from lower-demand programs to high-demand ones. Industry partner Jim Albright of Comdell testified that the college has been essential to the local manufacturing workforce and that many employees and interns come from NDSCS. A major topic was dual credit. Flanagan said dual credit is important but financially challenging, noting that only a small share of dual credit students ultimately matriculate to NDSCS and that the college’s dual credit model is close to break-even. He explained that many dual credit credits are general education rather than CTE, and that the college pays instructors, supports high schools, and absorbs indirect costs. Williston State College President Bernal Herning added that his institution loses money on the front end but has shifted toward helping students complete associate degrees before high school graduation because many go directly to work after high school. Committee members questioned how dual credit is delivered, how instructors are qualified, and whether students are truly doing college-level work. The committee then received a University System presentation from Jamie Wilkie on the cost of delivering dual credit statewide. Wilkie explained the methodology used to allocate direct and overhead costs and said the analysis shows dual credit is not profitable at several institutions once tuition, instructor payments, and overhead are included. Members asked how much of the cost is borne by students, families, and the state, and whether K-12 funding should also be considered. Discussion also covered the difference between subsidized and unsubsidized dual credit, payments to high school teachers or schools, and the possibility of waiving tuition in the future. No votes were taken, and the committee mainly gathered information for the ongoing dual credit cost study.

Transcript Highlights:

• restorative care and exams.
• Traditional health care practices are exclusively offered through our Indian health care providers.
• This care.
• to the appropriate level of care.
• , timely access to care.

Summary: The subcommittee heard budget and policy updates from the Department of State Hospitals, the Commission for Behavioral Health, and the Department of Health Care Services. DSH described its proposed 2026-27 budget of $3.2 billion, including savings tied to IST solutions, higher patient-driven operating costs, and a small increase in caseload projections. Officials said the department has met court-ordered IST treatment benchmarks, with wait times reduced from a pandemic peak of 1,953 pending placements to about 250, and average treatment initiation now around five days. Members asked about the effects of Proposition 36 and SB 1323, rising outside hospitalization costs, Medicare enrollment, and whether IST solution funding was being overbudgeted; DSH said referrals are slightly down overall, aging and medically complex patients are driving outside care costs, and the IST solution savings reflect slower-than-expected program activation rather than a service gap. The department also outlined proposed funding for CONREP cost increases, a new county-by-county LPS bed allocation model, electrical infrastructure upgrades at Napa and Patton, SB 380 transitional housing feasibility work, and additional dental staffing and space at Metropolitan and Patton. The Commission for Behavioral Health reviewed its role in the Behavioral Health Services Act transition and its new Innovation Partnership Fund. Staff said the commission is shifting from county-level innovation oversight to a statewide grant strategy, with the first $20 million RFA drawing strong interest and awards expected in mid-June. Members asked how “innovation” would be defined, whether grants could be renewed after the initial three-year contracts, and how the state would ensure the money supports real service delivery rather than general outreach or training. The commission also sought a liquidation deadline extension for the Alcove youth drop-in center grants so remaining funds can be spent before they revert, allowing sites to finish implementation and support the final evaluation. DHCS provided an overview of CalAIM and BH Connect implementation, including updated specialty mental health access criteria, new ASAM-based substance use treatment standards, contingency management, traditional health care practices for tribal members, workforce investments, evidence-based practice expansion, IMD participation, and transitional rent services. The department also addressed BHSA implementation, saying it does not track specific local program cuts but will monitor county three-year plans, performance measures, and outcomes as counties shift to the new funding structure. On H.R. 1, DHCS said it is preparing outreach, eligibility simplification, and exemption strategies to reduce Medi-Cal coverage losses, including clinic navigators, a statewide outreach campaign, and possible employment supports through a future waiver. The department also reported that BH-CHIP bond funds have supported 437 infrastructure projects, creating 546 facilities and more than 9,500 residential beds, with additional outpatient capacity and tribal investments. Finally, DHCS outlined a proposed 988 trailer bill to create a statewide designation process for 988 centers and mobile crisis teams, with implementation no earlier than October 1, 2027.

Transcript Highlights:

• What this bill does is direct them not to. Does that make sense? Okay, thank you.
• Representative Garcia, does this benefit Arizonans in their health care, health care affordability, health
• care access?
• House Concurrent Memorial 2002, CARE terrorist organization urging designation.
• They looked the other way, and they didn't care.

Keywords: 1182, all

Summary: The caucus began with introductions from pages and interns, followed by a procedural reminder on consent calendars and how bills can be pulled for floor debate or amendment. Members were told that third-read consent bills bypass caucus debate, while caucus consent bills may have committee amendments adopted together unless pulled. The meeting then moved into Minority Caucus Calendar No. 2. A large number of bills were briefly presented, with several members pulling measures from consent or voicing opposition. Topics included appropriations and federal monies accounting (HB 2148), a Buffalo Soldiers memorial (HB 2062), school library funding restrictions (HB 2008), prayer at school governing body meetings (HB 2110), school safety center administration (HB 2142), parental rights and social transitioning disclosures (HB 2249), insurer assessments (HB 2091), agricultural property classification and inspection rules (HB 2104 and HB 2105), firefighter workers’ compensation definitions (HB 2138), truth-in-taxation bond notices (HB 2289), late tax filing penalties (HB 2016), engineering and professional licensing reciprocity (HB 2122), felony murder involving an unborn child (HB 2043), body concealment and mutilation penalties (HB 2044), domestic violence order-of-protection service rules (HB 2048), mandatory reporting of partial-birth abortions (HB 2074), unlawful flight sentencing enhancements (HB 2108), weapons trafficking and fentanyl sentencing changes (HB 2131 and HB 2132), drive-by shooting forfeiture rules (HB 2045), probation review notice changes (HB 2046), venue changes for cases involving court employees (HB 2126), and child support for pre-born children (HB 2144). Members repeatedly criticized several abortion-related bills, the library bill, and the tax and agriculture measures as harmful, unnecessary, or unfunded mandates. The latter part of the meeting focused on water and election legislation. Water bills included snowpack augmentation funding (HB 2024), water conservation grant disclosures (HB 2029), removal of education/research as an eligible water grant use (HB 2030), stormwater recharge mapping with an appropriation (HB 253), cesspool remediation assistance (HB 2096), groundwater pumping limits in INAs (HB 2097), Colorado River litigation funding (HB 2116), and natural resource conservation board changes (HB 2117). Election-related items included moving the primary date earlier and changing signature cure timelines and observer rules (HB 2022), a memorial urging designation of the Muslim Brotherhood as a terrorist organization (HCM 2001), a memorial urging review of CAIR for terrorist designation (HCM 2002), and a constitutional amendment on citizenship, voter ID, foreign contributions, and early voting limits (HCR 2001). Members raised concerns about voter access, anti-Muslim rhetoric, and the practical effects of the election changes. The caucus concluded with birthday acknowledgments and an announcement for Muslim Day at the Capitol before adjournment.

Transcript Highlights:

• </c><00:10:01.360><c> Those</c> participant-directed services. Those participant-directed services.
• </c> care and and participation. care and and participation. Great<00:41:21.599><c> suggestion.
• </c> is directed toward uh Commissioner Lee. is directed toward uh Commissioner Lee.
• </c> the standard of care. the standard of care.
• We are making referrals to primary care for people who did not have primary care.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board reconvened and heard a presentation from the Attorney General’s Office Medicaid Fraud and Abuse Control unit. AG staff described the unit’s structure and work: it investigates and prosecutes Medicaid provider fraud, and also handles abuse, neglect, and exploitation cases involving vulnerable adults in facility settings when asked to assist. They said the office has prosecutors, detectives, auditors, and support staff, works with federal partners, Commonwealth’s attorneys, CHFS, DMS, OIG, and MCOs, and uses a hotline and referral line for complaints. They also explained the MCO referral process, including monthly meetings, stand-down lists, and review of referrals for a “credible allegation of fraud” before the AG office decides whether to open a criminal or civil investigation. The presentation focused heavily on current fraud trends. Staff said behavioral health is a major concern, along with participant-directed waiver services, medically assisted treatment, cash billing for services, controlled-substance billing, and vision and dental fraud. They gave examples such as duplicate time sheets for family caregivers, questionable Suboxone counseling and urine drug screening practices, and a prior optometry case involving false claims for children’s glasses. They also discussed CMS’s estimate that about 5% of Medicaid payments are improper, noted that most improper payments are at the fee-for-service level, and said there is no reliable overall fraud-rate estimate. They highlighted a sharp shift in behavioral health billing after the cabinet’s November 1, 2024 policy changes, saying individual psychotherapy spending dropped while group billing increased, suggesting providers may have moved billing to different codes. Members asked about the scale and timing of cases, how MCO referrals are screened, and whether the data reflected more people being served or just higher spending. The AG office said investigations can take years, with some federal cases still awaiting sentencing from 2018 and 2019 matters, and that they currently had nine individuals awaiting sentencing in federal court. They also reported 58 hotline reports during the referenced period, six cases opened from MCO referrals, and four additional MCO referrals not accepted for active cases. Several members raised concerns about home-based services and the risk of abuse or fraud when family members are reimbursed, and asked whether the process could be streamlined; the AG office said it had no immediate recommendations but would be willing to return with suggestions after further review.

Transcript Highlights:

• And whereas the 2025 Spirit of the ADA award winners are American Meadows, August 1st, AA's Home Care
• And be it further resolved that the Secretary of State be directed to send a copy of this resolution
• And whereas the 2025 Spirit of the ADA award winners are American Meadows, August 1st, AA's Home Care
• And be it further resolved that the Secretary of State be directed to send a copy of this resolution
• access to the care and resources they<00:16:58.639><c> need.

Keywords: 926, house, all

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• providers, and these are child care centers, child care homes, and also for low-income families, those
• family child care home.
• > and</c><00:02:33.120><c> also</c> care centers, child care homes and also care centers, child care
• that family or a child care family child care<00:03:14.400><c> home.
• Same thing uh with the care home.

Keywords: 958, all

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• or medical care to a child.
• It then goes on to say, including the right to direct the upbringing, education, health care, and mental
• care, subject to government interference?
• I want to move on to health care because it says upbringing, education, health care, and mental health
• So if they're directing the health care of the child free from government interference, are you saying

Keywords: 959, house, all

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• It will increase access to care.
• By increasing demand and a generation... ...quality health care.
• So is it better to have zero access to care whatsoever?
• So the standard of care for IV administrations of antibiotics... ...from the standard of care.
• Why would the Senate propose direct election?

Summary: The committee first approved the January 28, 2026 minutes and held Senate Bill 1241 for a later hearing because a witness was unavailable. It then took up Senate Bill 1144, which would create an alternative pathway for veterinary technician certification through supervised on-the-job training and board-approved skills standards. Supporters, including the Arizona Humane Society, a high school student in a veterinary program, and other advocates, said the bill would help address workforce shortages, reduce student debt, and improve access to care, especially in rural and low-income areas. Opponents, including the Arizona Veterinary Technician Association and several veterinarians, argued the bill could weaken training standards, increase liability, and create safety risks; the Arizona Veterinary Medical Association ultimately moved to neutral after amendments added supervision and affidavit requirements. The committee adopted the amendment and then passed SB 1144 as amended on a 6-1 vote. The committee next passed Senate Bill 1247 unanimously. That bill would allow a person who does not receive care services to live with a resident in an assisted living center, and would bar the Department of Health Services from imposing requirements on that person that the resident would not face. Supporters said the bill was needed to fix a recent agency interpretation that could force spouses or other companions to separate or pay for services they do not use, and noted a possible floor amendment to extend the same treatment to assisted living homes. The committee then heard Senate Bill 1286, which would extend from 14 days to 60 days the period for veterinary prescriptions and renewals issued through telemedicine. Supporters said the change would improve access in underserved and rural areas and reflect how telemedicine is already used in human medicine, while opponents warned that longer telemedicine prescriptions could delay necessary exams and diagnostics, increase the risk of misdiagnosis, and create animal welfare and liability concerns. After testimony, the sponsor asked that the bill be held for a possible amendment next week, so no vote was taken. The committee also passed Senate Bill 1164, which would allow Medicaid claims to continue under a prior owner’s billing number during a skilled nursing or assisted living facility change of ownership until new enrollment is complete; supporters said this would prevent long reimbursement delays, while Access raised concerns about federal-law conflicts and said it needed advance notice to process ownership changes. The bill passed 6-0 with one member not voting. Finally, the committee passed Senate Bill 1181, which expands CPA licensure pathways by allowing combinations of degree and work experience and updates reciprocity and rulemaking provisions, and Senate Bill 1415, which creates a licensing path for salaried insurance adjusters with out-of-state credentials, subject to an amendment clarifying exam and employment requirements. Both bills were supported as workforce and mobility measures, and both were reported out of committee on unanimous or near-unanimous votes.