Transcript Highlights:

• My second question on this is the only piece of that that is not already contained is that the possession
• </c><02:34:33.359><c> law</c><02:34:34.479><c> uh</c><02:34:34.560><c> that</c><02:34:34.880><c> contains
• </c> comprehensive condo law uh that contains comprehensive condo law uh that contains very<02:34:35.600
• Um, while this bill would require information to be shared with homeowners, it does um contain exemptions
• </c> with homeowners, it does um contain with homeowners, it does um contain exemptions<02:36:47.359>

Committee: House Housing

Summary: The Housing Committee opened with a public hearing on HB 196, which would repeal the Housing Champion program. Representative Matt Drew, the prime sponsor, argued the program is an unnecessary and poorly targeted subsidy, saying it rewards municipalities after projects are completed and may not be limited to new housing production. He questioned the transparency of the program, cited difficulty finding required annual reports, and noted a fiscal note suggesting the state could recover up to $3 million if obligations are terminated. Committee members and witnesses debated whether the program’s criteria amount to political favoritism or a standard grant process; supporters said the rubric is specific and that municipalities are evaluated against objective requirements. Representative Priest, Nick Taylor of Housing Action New Hampshire, and Karen Benfield of Stay Work Play New Hampshire all opposed repeal, saying the program encourages local zoning and regulatory changes, helps smaller communities participate, and supports housing supply and young people’s ability to stay in the state. The hearing on HB 196 was then closed. The committee then opened a hearing on HB 1405, a bill establishing an affordable housing guarantee program within the Housing Finance Authority. Prime sponsor Representative Chris Muns said the bill would reduce lender risk by guaranteeing up to 80% of principal on qualifying loans for affordable housing, with a cap of $30 million per lender per year and $300 million outstanding at any time. He described the measure as a low-cost public-private partnership backed by the full faith and credit of the state, and said it was identical to a prior Senate bill that had received unanimous bipartisan committee support before dying later in the process. He framed the bill as one part of a broader housing package aimed at financing, infrastructure, workforce, zoning reform, and other housing-related issues. No votes were taken during the portion of the meeting provided. The only formal actions were opening and closing the public hearing on HB 196 and opening the public hearing on HB 1405, with testimony continuing on HB 1405 at the end of the transcript.

Transcript Highlights:

• last year that mandated the assessment of a $5 registration fee assessed at the county level to be deposited
• assessed as of January 1. assessed at the county level to be assessed at the county level to be deposited
• 39.920><c> the</c><01:03:40.079><c> special</c><01:03:40.400><c> safe</c><01:03:41.039><c> school</c> deposited
• into the special safe school deposited into the special safe school fund<01:03:41.920><c> estimated<

Summary: The committee heard testimony on HB 1783, which would expand public-private partnership options for charter school facilities. The Department of Education offered comments, the Charter School Commission and SFA supported the bill, and Hawaii Technology Academy, Hawaii Kids, Hawaii Children’s Action Network, HGA, Aloha Project, and several individuals testified in support, while UPW opposed it. Supporters said charter schools need faster and more flexible ways to address severe facility shortages and high costs, and SFA described the bill as a pilot model that could leverage developer partnerships and state contributions, citing Maryland as an example. Members asked whether the bill was limited to charter schools; DOE said the language could be read to include other public school facilities, but if focused only on charter schools, DOE was less concerned. The Charter School Commission also described an existing public-private preschool model through Parkway Village Preschool and PACTED. The committee then took up HB 1778, which would establish a CIP database for school facilities. SFA supported the bill, saying it would create a more disciplined, transparent basis for funding decisions by documenting facility condition, needed repairs, classification, and timing. DOE initially said it rested on its comments, then responded to questions by saying it already maintains deferred maintenance lists, uses systems such as Maximo, CPT, GIS, and finance software, and sends legislators project-status letters twice a year. DOE said it is working on improving its outward-facing dashboard and integrating its systems, but questioned whether the bill would add value beyond existing tools. Members emphasized the need for a publicly accessible, real-time transparency tool, while DOE said it was still evaluating its current systems and was not yet seeking funding for a new IT program. For HB 2344, creating an Independent Public School Realignment and Closure Commission, DOE said it wants to remain part of any consolidation process to keep students and education central, while SFA said the bill is timely and framed it as a restructuring response to changing conditions and possible federal funding cuts. SFA compared the proposal to the federal BRAC process for military base closures and said Hawaii has the same enrollment as in 1961 but many more schools, arguing that the state needs a more deliberate approach to school closures and land reuse. The Attorney General’s office raised technical concerns about several sections, including unclear references to administrative support, a governor-approval sequence, a possible conflict with existing statutes governing closed-school disposition, and a missing section number. Testimony on HB 2345, which would establish a geographic CIP district, began with DOE in opposition; DOE said the bill would duplicate existing work, add confusion by creating two agencies doing the same thing, and spend money inefficiently because district project coordinators and project lists already exist.

Transcript Highlights:

• Um, Senate Bill 2180 relating to deposits of public funds.
• Um, Senate Bill 2180 relating<01:27:19.199><c> to</c><01:27:19.360><c> deposits</c><01:27:20.159><c>
• </c> relating to deposits of public funds. relating to deposits of public funds.

Summary: The committees heard testimony on five housing-related measures. SB 2232 would create a three-year tiny home grant pilot program within HHFDC, with annual reporting to HHFDC and the Legislature; testimony was mixed, and the bill was later recommended for passage with amendments, including a full-time housing development specialist, a residential-use-only restriction for the tiny homes, and a blanked appropriation. SB 2192 would bar county down-zoning that reduces housing capacity unless equivalent capacity is added elsewhere in the county; it drew support from housing advocates and comments from planning officials, and was also recommended for passage with amendments. SB 2378 would clarify insurance requirements for single- and multifamily projects seeking expedited county permitting; engineers and housing groups supported it, while one testifier opposed it, and it was recommended for passage with a technical amendment. SB 2524 would appropriate funds to the City and County of Honolulu for housing-related departments to comply with prior acts; the Honolulu department supported it, and members asked about prior spending and funding sources. SB 2398 would require residential housing utility availability maps; the Honolulu Board of Water Supply opposed the bill as written, citing infrastructure security, accuracy, liability, and administrative burden concerns, while supporters said it would improve transparency for developers. The chair proposed amendments to make the maps broad and geographic rather than parcel-specific, remove contested-case and reliance provisions, allow disclaimer language, and change the date; the bill was then recommended for passage with amendments, with one member noting reservations. All five measures were ultimately passed out of committee with amendments, with votes recorded and some members excused.

Transcript Highlights:

• First request is to deposit whatever amount you choose into the Wyoming Natural Resource Trust Fund account
• First<02:19:00.719><c> request</c><02:19:01.200><c> is</c><02:19:01.439><c> to</c><02:19:02.080><c> deposit
• </c><02:19:02.639><c> whatever</c> First request is to deposit whatever First request is to deposit whatever

Committee: Joint Appropriations

Transcript Highlights:

• scams that are being perpetrated against our senior adult population, telling them to go and, uh, deposit
• scams that are being perpetrated against our senior adult population, telling them to go and, uh, deposit
• scams that are being perpetrated against our senior adult population, telling them to go and, uh, deposit
• scams that are being perpetrated against our senior adult population, telling them to go and, uh, deposit

Summary: The committee met in a special-called session of the Interim Joint Committee on Banking and Insurance and first took up three Department of Insurance regulations tied to House Bill 256, the Strengthen Kentucky Homes program: 806 KAR 22:00, 22:10, and 22:20. Commissioner Sharon Clark said the program would provide $5 million in grants to help homeowners strengthen roofs, with regulations covering eligibility and operations, contractors and evaluators, and reinspections in cases of suspected fraud. A committee substitute to 806 KAR 22:10 was explained as a technical correction to conform to the statutory preference for in-state contractors and evaluators. Representative Hampton moved and Representative Rudy seconded approval of the substitute, and it was adopted by voice vote; the amended regulations were then reviewed. Clark also said the grant money would be distributed statewide rather than targeted to storm-prone areas. The committee then heard an update from Commissioner Clark on mental health parity in response to questions from Representative Pollock. Clark said the department reviews insurer filings and conducts market conduct examinations, but does not have authority over provider reimbursement rates or to require providers to join insurer networks. She said complaints are investigated and, when needed, teams review claims and data on site to check compliance with parity requirements. No action was taken on that discussion. After approving the November 4 meeting minutes, the committee heard testimony on a proposed PIP reform package from Representative Josh Bray, the Kentucky Hospital Association, the Kentucky Justice Association, and State Farm. Supporters said the bill would apply the workers’ compensation fee schedule to most PIP medical claims, keep the $10,000 PIP limit in place while stretching benefits further, reduce balance billing, modernize benefit amounts, and address fraud and delayed billing. They noted hospitals would be exempt from the fee schedule, while hospital-based physical therapy would be included, and said the compromise reflected negotiations among stakeholders. Some members questioned whether exempting hospitals undercut the bill’s purpose and asked about possible rate effects; proponents said they had not done a rate analysis and that the bill could lead to more treatments within the existing PIP limit. No vote was taken on the PIP proposal during this meeting.

Transcript Highlights:

• Also deposited into that account are line 349 revenues from increased fees and fines for marriage license
• </c><00:23:47.200><c> Also</c><00:23:47.760><c> deposited</c> victims of crime account.
• Also deposited victims of crime account.
• Also deposited into<00:23:48.640><c> that</c><00:23:48.960><c> account</c><00:23:49.360><c> are</c><00

Summary: The conference committee met late on Friday evening to discuss the Public Safety and Judiciary budget agreement, beginning with a brief exchange among members about concerns that the executive branch had been delaying the committee’s work by waiting to approve legislative decisions. Members emphasized that the legislature should retain its independence while still allowing normal collaboration with the governor’s office. The committee then moved through several outstanding policy items and adopted them without opposition, including the A38 amendment addressing data-sharing concerns involving disability-related information, a study of firefighting services by the state fire marshal, and an A46 amendment governing access to unredacted portable recording system data in collision investigations, with guardrails on disclosure and use. The committee next reviewed the spreadsheet and budget targets. Fiscal staff explained the judiciary side of the agreement, including funding for court operating costs, a one-time Justice Partner Access Program appropriation, forensic exam rate increases, guardian ad litem funding, public defense, human rights, the competency attainment board, the cannabis expungement board, and fee increases for civil filings and motions. On the public safety side, staff described the target as well as the discretionary items funded, including nonprofit security grants, BCA staffing changes, fire marshal initiatives, a 10-year arson statute of limitations, prosecutor training grants, legal representation for children, E911 funding for critical infrastructure, Philando Castile Training Fund support, corrections-related savings from the Stillwater phased closure and sentence-to-serve elimination, a mandatory minimums task force, a victims of crime account transfer, a decommissioning study, in-service use-of-force training, and extensions of several expiring appropriations. The committee also noted a correction to a spreadsheet label related to the Stillwater closure item. After the spreadsheet walkthrough, the committee took testimony from Chief Justice Natalie Hudson and State Court Administrator Jeff Shorban on behalf of the Minnesota Judicial Branch. Hudson thanked the committee for its work and said the agreement covers some unavoidable costs, including insurance, lease expenses, forensic examiner pay, and the new access system, but argued it does not adequately address the judiciary’s most urgent problem: staffing and judicial compensation. She said court employees are leaving for better-paying jobs, judicial salaries are frozen for two years, and applicant pools for judgeships have declined, especially in greater Minnesota. She also said the judicial branch was not meaningfully consulted on the budget target and urged lawmakers to recognize the courts as a constitutional obligation rather than a discretionary program.

Transcript Highlights:

• There is an advanced deposit wagering provision to help keep our resourcing industry free of drugs.
• there<00:43:55.760><c> is</c><00:43:55.920><c> an</c><00:43:56.079><c> advanced</c><00:43:56.560><c> deposit
• </c><00:43:56.960><c> wagering</c><00:43:58.000><c> um</c> there is an advanced deposit wagering um there
• is an advanced deposit wagering um provision<00:43:59.040><c> to</c><00:43:59.359><c> help</c><00:43

Bills: HF2431 , HF2438 , HF2783 , HF1943

Committee: House Ways and Means

Transcript Highlights:

• baseline, if inflation will be taken into account, or if the surplus will be assessed before or after deposits
• /c><00:07:26.599><c> after</c> will be assessed before or after will be assessed before or after deposits
• c> the</c><00:07:27.960><c> budget</c><00:07:28.240><c> Reserve</c><00:07:28.680><c> account</c> deposits
• into the budget Reserve account deposits into the budget Reserve account the<00:07:29.840><c> forecast

Committee: House Rules and Legislative Administration

Transcript Highlights:

• providing him with estrogen to feminize the appearance of his body by stimulation of breast tissue and deposition
• </c><00:24:45.320><c> and</c> stimulation of breast tissue and stimulation of breast tissue and deposition
• 46.520><c> does</c><00:24:46.760><c> not</c><00:24:47.120><c> undo</c><00:24:47.840><c> the</c> deposition
• of body fat does not undo the deposition of body fat does not undo the skeletal<00:24:48.880><c> and

Committee: House Education Policy

Transcript Highlights:

• We wanted to mention that the funds that are deposited in the existing certification service revolving
• to mention that uh the funds<00:12:12.639><c> that</c><00:12:12.839><c> are</c><00:12:13.240><c> deposited
• c><00:12:13.920><c> in</c><00:12:14.079><c> the</c><00:12:14.279><c> existing</c> funds that are deposited
• in the existing funds that are deposited in the existing certification<00:12:15.519><c> service</c><

Committee: House Agriculture & Food Systems

Transcript Highlights:

• Right now, once the money is deposited in one of these accounts, it's essentially gone.
• out</c><02:26:26.560><c> of</c><02:26:26.720><c> that</c><02:26:27.520><c> 195</c> 195 would be deposited
• out of that 195 195 would be deposited out of that 195 into<02:26:28.479><c> a</c><02:26:28.800><c>
• c><02:26:32.080><c> $15</c><02:26:32.880><c> of</c><02:26:33.040><c> that's</c><02:26:33.439><c> deposited
• </c><02:26:34.080><c> into</c> and then $15 of that's deposited into and then $15 of that's deposited

Transcript Highlights:

• We have the largest, second-largest lignite deposit in the world here in North Dakota.
• Estimates are on $6.5 trillion annually of actual production of finished goods that contain these metals
• estimates are on six and a half trillion dollars annually of actual production of finished goods that contain

Committee: Joint Energy Development and Transmission Committee

Transcript Highlights:

• The witness said the first administrative section contains the state staff VSO FTEs.
• That money is deposited into the homes fund, and when we need to make up the difference with state support
• Those are not contained in House Bill 5.

Summary: Attorney General Catherine Hanaway presented the Office of the Attorney General’s FY 2027 budget request and outlined her office’s priorities: reducing violent crime, targeting illegal and unregulated activities she described as a “vice squad” focus, protecting Missourians from fraud, and improving the office’s legal work. She highlighted major cases and enforcement efforts, including litigation over insulin pricing, Dollar General pricing practices, a criminal prosecution in Hermann, the Jackson County assessment dispute, and a new lawsuit involving Misha’s board policy. Committee members asked about cybercrime enforcement, cooperation with federal authorities, VLTs, ballot and referendum litigation, and the office’s approach to diversity-related legal issues. Hanaway said cybercrime and no-call enforcement rely heavily on multi-state and federal cooperation, and she emphasized that many cases begin with citizen reports. Members also questioned the cost and scope of ongoing election-related litigation, including redistricting and referendum cases, and Hanaway said her office is defending the laws and ballot processes as required. She estimated roughly $600,000 in staff time over about six months for the referendum/redistricting work combined. Several members raised concerns about the Misha lawsuit and whether similar statutory provisions elsewhere in state government could raise the same legal issues; Hanaway responded that the case involved a board rule, not a statute, and turned on whether the requirement functioned as a quota. The committee also discussed child sexual exploitation, human trafficking, Medicaid fraud, and the use of outside counsel and pro hac vice fees. Hanaway said the office is using non-GR funds where possible and is not requesting pay increases this year. The Missouri Office of Prosecution Services then presented its budget. Officials explained that MOPS trains and supports prosecutors statewide, including on DWIs, child sex cases, and new prosecutor training, and that its budget request matches the governor’s recommendation. Members asked about support for local prosecutors, the nine counties without elected prosecutors, and the new conviction integrity unit; staff said the unit’s positions were shifted between line items and that the office can help answer prosecutorial questions through its general counsel. The committee then moved to the Department of Public Safety budget. DPS reviewed funding for crime victims notification, law enforcement recruitment and retention, drug task forces, academy scholarships, Blue Star grants, local crime prevention, school safety, World Cup security, 988 trainings, wastewater testing in schools, and other programs. Members asked about the $59 million federal FIFA World Cup grant, school safety app funding, and wastewater testing participation; DPS said the World Cup funds require no state match, the app funding is being phased out, and schools opted into the testing program. The committee recessed before finishing the DPS book, with plans to return later.

Transcript Highlights:

• fresh eyes, because, you know, last week we might have been working on a project on the future of beverages

Committee: House Joint Committee on the Arts

Summary: The Joint Committee on the Arts held an informational hearing on California’s first sector-specific creative economy strategic plan, “California’s Future Is Creative,” developed under AB 127 and related legislation. Chair Allen framed the plan as a response to California’s large but vulnerable creative economy, citing workforce losses, federal funding headwinds, and the need to support artists, cultural organizations, public media, museums, cultural districts, and film/TV production. He also highlighted budget asks including support for California Humanities, museums, public media, cultural districts, a post-production incentive proposal (AB 2319), and funding to implement the strategic plan. California Arts Council Director Danielle Brazel, Institute for the Future’s Rachel Hatch, CDE’s Allison Frenzel, and CWDB’s Michael Weoff described the planning process, which included a 30-plus-member work group, interagency coordination, and a phased approach from framework development to implementation and evaluation. They identified major forces shaping the sector over the next decade, including AI, climate disruption, affordability, access to capital, and social cohesion, and outlined six action areas: workforce preparation, business stabilization, cultural identity/tourism, cross-sector incentives, ROI/data tracking, and state capacity/infrastructure. Members and panelists repeatedly emphasized that the plan must be resourced and integrated across agencies rather than left siloed. A second panel of practitioners and advocates focused on workforce pathways and local implementation. Ricarlo Handy described the Handy Foundation’s registered apprenticeship pipeline into film and TV jobs and argued that current data systems undercount gig, 1099, and LLC-based creative work. Joanna Reynolds discussed Arts for LA’s Creative Jobs Collective, which aims to create 10,000 living-wage creative jobs in Los Angeles County by 2030, while Alejandro Gutierrez Chavez urged embedding artists in health, aging, and behavioral health systems as community problem-solvers. Roxanne Messina Kaptur spoke about the need to normalize arts careers and expand residency and school-based models. Senator Rubio, who joined later, shared her own arts and teaching background, supported arts access in schools and small theaters, and raised concerns about AI, asking how schools and educators can adapt. In the final panel, Rebecca Ratzkin reported on 26 statewide town halls with more than 1,100 attendees, which confirmed support for the plan but also highlighted needs for better information access, new financial models, stronger definitions and data, and more partnerships. Julie Baker of California for the Arts and California Arts Advocates urged sustained public funding, saying the plan is actionable only if the Legislature and administration provide resources, including increased California Arts Council funding and support for implementation. No formal votes were taken; the hearing was informational and concluded with calls for continued legislative and cross-agency collaboration.

Transcript Highlights:

• House Bill 818, Representative Osborne, an act relating to alcoholic beverages.

Transcript Highlights:

• Robinson and over there, you are recognized to explain PCS for HB 1137, Adoptions for Alcoholic Beverages

Committee: House Commerce Committee

Summary: The committee first took up PCS for HB 1137, which would codify a long-standing DBPR rule allowing alcohol distributors to deduct excise tax for broken or spoiled products. The sponsor said the rule had been nullified for lack of statutory authority, and industry representatives waved in support. The bill passed unanimously and was reported favorably. Members then approved PCS for HB 797 on nonprofit corporations, described as a broad update to the nonprofit statute that tracks prior for-profit corporation changes and model act language. A technical amendment was adopted, and testimony from the Florida Nonprofit Alliance and a Bar business law section representative was supportive. The bill passed unanimously and was reported favorably. The committee also passed CS for HB 679 on trademark registration, which updates the state trademark system to align with federal classifications and create an online application; an amendment extending the implementation date was adopted before the bill passed. The committee next heard several bills related to licensing and regulation. CS for HB 1433 would create an optional high school financial literacy course focused on property and casualty insurance and allow graduates to satisfy pre-licensure requirements for an entry-level license; it passed with support from insurance and free-market groups. HB 929 clarified local permitting for tiki huts, including electrical and plumbing permits, decks, fasteners, and setbacks, and passed without opposition. HB 99 exempted certain underwriting managers handling limited reinsurance business from reinsurance intermediary manager licensing requirements and also passed. A major portion of the meeting focused on gambling enforcement in the strike-all for CS for CS HB 155, which would strengthen penalties for illegal gambling operations, expand oversight of the Florida Gaming Control Commission, clarify fantasy sports and internet sports wagering language, and allow destruction of seized slot machines. Supporters argued the bill would help shut down repeat illegal internet cafés and related criminal activity; one homeowner group opposed it. The committee adopted the strike-all and the bill passed, with several members speaking in favor and a few voting no. The committee also passed HB 1307 on unauthorized aliens after adopting a strike-all that clarified provisions affecting licensing, housing assistance, workers’ compensation, employment enforcement, and related financial services; the bill drew substantial opposition testimony about language barriers and immigrant families, but also support from proponents citing public safety and victim stories. Later, the committee approved DS for HB 387, which would restrict the use of ADS-B aviation data for automatic billing at airports while preserving landing fees and safety functions. It passed after supportive testimony from a private pilot. HB 865, as amended, would require professional management for community associations above a higher budget threshold, add timeshare-specific language, and impose additional licensing and insurance requirements for managers; supporters cited fraud and lack of enforcement in large associations, while one member opposed it as government overreach. The bill passed with one recorded no vote. Finally, the committee passed PCS for HB 885, a transportation facility designation bill naming several roads and bridges, and began debate on CS for HB 33, which would designate a portion of SR 895 near FIU as Charlie Kirk Memorial Avenue and also codify a Donald Trump boulevard designation. That bill prompted sharp debate, with supporters praising Kirk’s influence and opponents objecting to honoring a non-Floridian and to his public statements; the transcript ends during that debate.

Transcript Highlights:

• However, if I also know House Bill 1563, which appears next in the calendar, contains reasonable and
• in HB2 as passed for the 2627 contained in HB2 as passed for the 2627 bianium. bianium. bianium.
• 36:04.879><c> even</c> often contain inaccurate and even often contain inaccurate and even scandalous
• </c> covered batteries or battery containing covered batteries or battery containing products<06:21:31.360
• products in or into the containing products in or into the state. state. state.

Transcript Highlights:

• They are scoring fiscal impacts for tax rate changes on malt beverages.
• in the source of funds used to create it, the messaging and the language, the syntax and diction contained

Summary: The Committee on Appropriations took up SJR 2-F, a proposed constitutional amendment to reduce property taxes by lowering assessment caps on non-homestead property, expanding homestead exemptions over time, and allowing local governments to increase exemptions further. The sponsor argued the measure would provide broad property tax relief while requiring revenues to be directed to core services such as public safety, education, infrastructure, and natural resource projects, with a trust fund intended to help local governments transition. Senators raised concerns about the lack of a fiscal score, the effect on counties, cities, school districts, and special districts, and whether the proposal would shift costs to fees or other taxes. Several amendments were debated. Senator Polsky’s amendment to explicitly authorize user fees and non-ad valorem assessments to offset lost property tax revenue failed. Senator Avila’s amendment broadening permissible uses of ad valorem revenue to include county constitutional officers and other expenditures approved by local governing bodies was adopted after debate over whether the bill would otherwise underfund essential functions. Senator Smith’s sunset amendment, which would have made the constitutional changes expire after five years, failed. Senator Smith’s amendment to allow tourism development tax revenue to support public safety and education also failed. Senator Graal’s amendment removing the constitutional trust fund language was adopted, with supporters arguing the Constitution should not promise an unfunded account. Additional late-file amendments were considered. Senator Berman’s proposal to change the ballot title to more neutrally describe the measure as affecting property taxes and local community service reductions failed. Senator Trumbull’s amendment removing school board ad valorem taxes from the proposal was adopted, preserving school taxes. Senator Smith’s amendment narrowing the non-homestead assessment cap reduction to small businesses only failed. The committee then returned to the bill as amended and continued questioning the sponsor about eligibility, fiscal impacts, and whether the proposal could lead to local governments offsetting lost revenue through special assessments or other charges.

Transcript Highlights:

• This is about ensuring that the resources are used to provide nutritional food and beverage to people
• Representative Cooper asked whether the witness meant Arizona Health Cost Containment System access.

Committee: House House Health & Human Services Committee of Reference

Summary: The committee began with a presentation from the Alzheimer’s Association Desert Southwest Chapter and Dr. Anna Burke of Barrow Neurological Institute on the growing impact of Alzheimer’s and dementia in Arizona, the need for earlier diagnosis, better provider education, caregiver support, and continued research funding. They described current gaps in training and access to specialists, but also highlighted new therapies, lifestyle interventions, and Arizona-based research efforts. Members expressed support and optimism, but no action was taken on the presentation. The committee then heard HB 2202, which appropriates $300,000 from the general fund over fiscal years 2027 through 2029 for a dementia care tele-mentoring grant program through the Department of Health Services. Supporters, including the Alzheimer’s Association, a dementia specialist, and a patient advocate, said the program would help primary care providers diagnose dementia earlier and improve care. The bill was passed out of committee on an 11-0 vote. Next, the committee took up HB 2251, the midwifery bill, which would authorize certain licensed midwives to dispense and administer specified medications and devices, require liability insurance disclosure and annual reporting, and create a Midwifery Advisory Committee. A committee amendment removed some medications and renamed the bill the Jordan and MacTerry Act. ACOG and the Arizona Osteopathic Medical Association opposed the bill as drafted, citing concerns about oversight, peer review, and the medication list, while licensed midwives and other supporters argued the bill would improve safety, transparency, and alignment with national standards. The bill was held for further stakeholder work, with members indicating more amendments were likely. The committee then heard HB 2252, which would allow certified nurse midwives, certified professional midwives, or licensed midwives to accompany a patient in a ground ambulance during an out-of-hospital birth if approved by medical direction. Supporters described cases where continued midwife involvement during transport helped newborns and mothers, while firefighters and EMS representatives opposed the bill as written, saying it created ambiguity about command and scene control and could raise safety concerns. The chair said the bill would be held for further stakeholder meetings and possible language changes. After a recess, the committee reconvened for presentations on federal Medicaid and rural health funding impacts, beginning with JLBC’s overview of H.R. 1’s Medicaid provisions and the rural health transformation grant program.

Transcript Highlights:

• This is about ensuring that the resources are used to provide nutritional food and beverage to people
• Do you mean the Arizona Health Cost Containment System?” Witness: “Yes, I do.”

Bills: HB2190 , HB2202 , HB2233 , HB2251 , HB2252 , HB2396 , HB2437 , HB2689 , HB2796

Committees: House Health & Human Services , House House Health & Human Services Committee of Reference

Keywords: physician assistants, licensure compact, medical services, multistate practice, patient care access, healthcare workforce, military families, adverse actions, dementia care, telementoring, healthcare education, rural communities, grant funding, HB 2233, rural health transformation, rural health transformation program, AHCCCS, Arizona Health Care Cost Containment System, Joint Legislative Budget Committee, JLBC