Transcript Highlights:

• , This program provides, as you've heard before, direct services, diversion from incarceration, case
• Nursing home services are critical in our community, and it's time to put dignity in long-term care.
• As someone who receives home and community-based services for all my personal care and daily living needs
• Community-based services for all my personal care and daily living needs.
• Cuts to Medicaid, even when intended as cost savings, undermine access to essential primary care services

Bills: SB5998

Committee: Senate Ways & Means

Keywords: fiscal appropriations, budget, state funding, financial management, operating expenses, 904, all

Transcript Highlights:

• services?"
• "For health care services? Secretary Harris, you're recognized. Thank you, Madam Chair.
• Victoria Zep, Family Support Services, waving in support, and Thomas Parker, Florida Health Care Association
• We've moved behavioral services into managed care. They've built risk.
• We've moved behavioral services into managed care.

Summary: The committee first heard Senate Bill 1414 by Sen. Polsky on congenital cytomegalovirus (CMV) education. The bill would require the Department of Health, working with medical experts, to create and distribute CMV educational materials to expectant and new parents or caregivers through hospitals, birth centers, and OB/GYN practices. An amendment removed a section that would have required instruction for medical professionals, and the amended bill was reported favorably as a committee substitute. The committee then took up a block of confirmations. Appointees on tabs 2 through 7 were recommended favorably in one vote, and Chavon Harris was separately confirmed as Secretary of the Agency for Health Care Administration after extensive questioning. Senators praised her leadership and experience, while others raised concerns about Medicaid redeterminations, the state’s CORE modernization project, Hope Florida, and a DCF anti-marijuana ad campaign; Harris said she would follow up on some issues and defended the agency’s work on transparency, managed care oversight, and access to care. Her confirmation was recommended favorably, with Sen. Berman noting opposition. Several health-related bills were then heard and advanced. SB 186 by Sen. Garcia expanded epilepsy training requirements for school personnel, including charter school bus drivers, and was reported favorably. SB 902 by Sen. Garcia, after amendments narrowing dental workforce provisions and allowing certain seizure rescue medication delegation to family home health aides, was reported favorably; testimony focused on medical marijuana regulation, practitioner accountability, and concerns about park and child-care proximity restrictions. SB 196 by Sen. Sharif created a uterine fibroid research database with privacy protections and was reported favorably after emotional testimony from a patient and supporters. SB 688 by Sen. Rodriguez would reestablish licensure of naturopathic doctors; it drew both support and skepticism about diagnosis and treatment boundaries, but was reported favorably. SB 1574, Maddie’s Law, would add biliary atresia screening to newborn screening and was strongly supported by parents describing a delayed diagnosis; it was reported favorably. SB 878 on clinical laboratory personnel, SB 1092 on podiatric medicine and certain cellular/tissue-based products, and SB 1032 on medical marijuana registry timelines and veteran fee waivers were also reported favorably, while SB 1032 drew debate over longer renewal/supply periods. The committee then began SB 1760 on Medicaid oversight and program transparency, with the sponsor describing the bill’s creation of a joint legislative oversight committee and a legislative actuary.

Transcript Highlights:

• So they're eligible or need nursing facility or intermediate care facility services.
• care, screening, substance use disorder treatment services, things like that.
• State directed payments are additional payments that states make to providers through managed care delivery
• isn't a Medicare service, home and community-based services, behavioral health services, pediatric and
• And innovative care.

Keywords: 958, all

Summary: The committee met and approved the minutes from its August 27 meeting. It then received a presentation from Katherine Castanza of the National Conference of State Legislators on the Medicaid provisions in the 2025 budget reconciliation bill, referred to as HR1. She explained that the bill is estimated by CBO to save the federal government $911 billion over 10 years, with more than 20 Medicaid-specific provisions, most of the savings concentrated in five policies and largely backloaded into 2030-2034. She emphasized that the bill’s effects will vary by state, but that expansion states and hospitals are expected to be most affected, in part because of changes to eligibility, provider taxes, and state-directed payments. Castanza highlighted several new funding and flexibility provisions, including a $50 billion Rural Health Transformation Fund for 2026-2030 and a new home- and community-based services waiver option effective July 1, 2028, with $100 million in grants in fiscal year 2027. She also outlined major eligibility changes for Medicaid expansion adults: work or community engagement requirements effective January 1, 2027; twice-yearly redeterminations for the expansion population effective the same date; and new cost sharing for certain expansion adults effective October 1, 2028. She noted that Kentucky, as an expansion state, would be subject to these changes and that state agencies would face significant implementation demands, especially because federal guidance and timelines are tight. A substantial portion of the presentation focused on financing changes. Castanza described new limits on provider taxes, including a 0% safe harbor for new taxes and a phased reduction for existing taxes in expansion states beginning in 2028, while nursing facilities and intermediate care facilities are exempt from the reduction if already taxed. She also explained that state-directed payments will be capped and phased down over time, with existing arrangements grandfathered only briefly; she said Kentucky has 11 approved state-directed payments and could see significant fiscal effects. She added that the bill also bars Medicaid payments to Planned Parenthood or similarly situated providers for one year, changes immigrant eligibility rules effective October 1, 2026, lowers the federal match for certain emergency services, and expands the scope of the federal erroneous payment recoupment provision effective October 1, 2029. Throughout, she stressed that federal savings may translate into state cost shifts and that implementation timing will be critical.

Transcript Highlights:

• The use of physician assistants is a key strategy for our health care partners to meet health care demand
• Growing our health care and mental health care workforce presents a pragmatic and principled strategy
• We do now have basic needs services, we're trying to improve and increase STEM programs, health care
• Our state also has gaps in eye care.
• The direct costs.

Summary: The committee heard testimony on three education budget items: the Expanded Learning Opportunities Program (ELOP), differentiated assistance/statewide system of support, and universal school meals plus kitchen infrastructure grants. For ELOP, the Department of Finance described the Governor’s proposal to provide $4.7 billion ongoing Proposition 98 funding and $62.4 million to set a minimum Tier 2 rate of $1,800 per pupil. The LAO recommended instead fixing the Tier 2 rate at $1,579, and committee members questioned how the rate was determined, how much funding is actually spent, and whether overlapping funding from ELOP, ACEs, and 21st Century programs is being tracked. CDE said ELOP is showing positive attendance and math outcomes, but some requested data will not be available until mid-2027; members also raised concerns about double-funding, transparency, and whether middle and high school students are being equitably served. On differentiated assistance, CCEE outlined the statewide system of support and the various tiers of universal, targeted, supplemental, and intensive assistance. Finance explained the Governor’s proposal to replace the current DA structure with a more stable universal and targeted assistance model, funded at $131.9 million ongoing, with a three-year support cycle aligned to LCAP and ESSA timelines and broader State Board authority to revise eligibility criteria. The LAO objected to considering the proposal before the State Board finalizes the new performance criteria, and committee members expressed concern that moving to a three-year cycle could delay support for LEAs that newly fall into need mid-cycle. There was also discussion about whether the proposal would weaken subgroup-based equity guardrails or give the State Board too much discretion over who qualifies for support. For school meals and kitchen infrastructure, Finance proposed $1.8 billion ongoing for universal meals and an additional $100 million ongoing plus $100 million one-time for a fourth round of kitchen infrastructure and training grants. The LAO recommended rejecting the new kitchen grant round because prior rounds are still being spent and the unmet need is not yet clear. CDE said prior investments have improved meal participation, efficiency, and menu variety, but many schools still lack the facilities for scratch cooking and face construction, electrical, and procurement barriers. Members asked for more data on how prior grants were used, which schools are benefiting, and whether funds could also support lower-cost food access strategies such as pantries, while noting federal restrictions on some meal-service innovations.

Transcript Highlights:

• Nobody in the service industry who cares for people—that's for the most part.
• We need a system that can help all of them and their families get the care, services, support, and guidance
• of care for them to go to with all those services is very attractive, and it sounds like you see no
• By redesigning structures and programs and services that will improve access to health care, education
• In almost 20 years providing direct care in the private sector, it was really the first time I'd ever

Keywords: 1212, all

Summary: The hearing focused on the future of Pappas Rehabilitation Hospital for Children, with commissioners, agency officials, workers, and families describing the hospital as a unique integrated setting combining medical care, rehabilitation, education, residential services, and adaptive engineering. Opening remarks from legislators emphasized continued budget funding, the legal requirement that Pappas not close before the commission reports, and a request to extend the commission’s deadline. Several commissioners and witnesses argued that admissions have effectively been curtailed while discharges continue, creating what they described as a de facto closure. Union leaders from AFSCME, SEIU, and the Massachusetts Nurses Association said staff are experiencing uncertainty, morale problems, and loss of confidence because referrals are being discouraged and the census is shrinking. They urged immediate action to stop admission denials and unnecessary discharges, and some proposed temporary modular units or other short-term investments to restore admissions while longer-term plans are developed. Parents and former patients testified that Pappas provided life-changing opportunities and supports that they could not find elsewhere, and that alternative programs or proposed Western Massachusetts options would not meet the same needs. Department of Public Health Commissioner Robert Goldstein said the administration supports keeping Pappas open and stable during the commission’s work, but argued that admissions must comply with hospital-level-of-care rules and that the campus’s deteriorating infrastructure limits who can be safely served. He said DPH is continuing admissions where appropriate, backfilling staff, and exploring ways to expand services, including outpatient therapies and adaptive engineering, while also acknowledging that Pappas is a one-of-a-kind system with no true in-state duplicate. Commissioners requested de-identified admissions and denial data and continued to press the department on whether the current operational changes amount to a silent closure.

Transcript Highlights:

• He'll be discussing the topic of family court services and some of the services and financial support
• parties to court programs such as family court services for mediation and other services for help in
• So, sir, thank you for your service in the military, but also your service here in the courts.
• Thank you for your service in the military, but also your service here in the courts.
• The right direction.

Committee: House Judiciary, Rules and Administration

Keywords: 989, all

Transcript Highlights:

• Tarr, rate ban limits for outpatient primary care services. All those in favor... Oh, what a shock.
• services, primary health care services, For contracted health care services, primary health care services
• Todd, direct primary care arrangements. Senator Todd. Well, well, well, Madam President.
• The first one deals with direct primary care arrangements.
• They're going to have a direct relationship with a primary care physician.

Summary: The Senate first considered several amendments to a primary care/health care bill. Amendment 1, on artificial intelligence in health care and mental health services, was withdrawn by unanimous consent. Amendment 37, which would have required a rate band for outpatient primary care reimbursement, was debated and then defeated on a roll call, 5-33. Amendment 39, on direct primary care arrangements and deductible credits, was also defeated 5-33. The chamber then took up and passed the conference report for An Act Relative to Teachers Preparation and Student Literacy (H. 5511), with senators emphasizing the need for evidence-based literacy instruction, universal screening, dyslexia screening, teacher training, and implementation funding; the bill was enacted and sent to the Governor after a 39-0 roll call. The Senate then returned to Amendment 60 on the primary care bill, which would have created a “safety valve” allowing alternative payment systems to be proposed to the Health Policy Commission. After debate over whether the bill already allowed flexibility, the amendment was defeated 5-33. Amendment 50, requiring stronger health equity reporting, was adopted. Amendment 66, a technical fix setting commercial payment rates for community health centers at the MassHealth PPS rate, was adopted. Amendment 24, excluding pharmaceutical spending from the primary care spending baseline and target, was adopted. Amendment 45, a study on expanding the role of allied health professionals, was withdrawn. Amendment 48, a group purchasing cooperative pilot, and amendments 53, 61, and 63 were also withdrawn. The Senate adopted Amendment 64, which prohibits prior authorization from delaying FDA-approved medications for serious mental illness, and rejected Amendment 68 on reporting private equity investment in primary and specialty care, as well as Amendments 71 and 72 on scope of practice and ownership disclosure. Amendment 62, a technical change modernizing the definition of primary care and clarifying the care team, was adopted. Amendment 21, the Senate Ways and Means amendment, was then adopted, the bill was ordered to a third reading, and the Senate passed An Act relative to primary care for you (S. 3116) to be engrossed on a 35-4 roll call. The Senate then adjourned to a later date, with memorial references at adjournment.

Transcript Highlights:

• HAVE ACCESS TO THE SERVICES THEY NEEDED AND DIRECTS APD ALONGSIDE ACHA TO SEEK FEDERAL APPROVAL FOR
• CARE.
• BUT A ONE SIZE FITS ALL MANAGED CARE PLAN IS NOT JUST A BAD FIT BUT AT A DIRECT PATH TO ISOLATION, AND
• WHAT PEOPLE WHO ARE NOT RECEIVING SERVICES FROM MANAGED CARE ARE NOT GETTING.
• THESE STRUCTURED PROGRAMS PROVIDE JOB SHADOWING, CLINICAL AND NONCLINICAL TRAINING, DIRECT PATIENT CARE

Keywords: 999, senate, all

Transcript Highlights:

• , providing care. ...can be done to prove the person is safe to continue care, providing care.
• and services.
• And places in order to have great family care and services.
• Health care.
• Health care.

Summary: The House first established a quorum after introductions of the Freedom of the Road Riders and Warsaw High School students. Members then took up House Bill 1855, a reporting bill on alpha-gal syndrome. The sponsor described the bill as a public health surveillance measure to add alpha-gal to Missouri’s reportable conditions, require lab reporting to the Department of Health and Senior Services, and send aggregated data to the CDC. Supporters said the bill would help identify hotspots, guide education and funding, and address a serious tick-borne condition affecting rural and urban Missourians alike. Opponents raised concerns about cost, false positives/negatives, and privacy, but the sponsor and others said the system would be HIPAA-compliant and de-identified at the federal level. Two amendments to HB 1855 were debated. An amendment changing the department’s follow-up authority from “may” to “shall” was adopted, with supporters arguing that if the legislature funds follow-up, the department should be required to do it. A second amendment creating an opt-in/opt-out consent process for reporting was rejected 41-10 after extensive debate over privacy, data collection, and whether consent would undermine disease surveillance. The House then adopted the House committee substitute for HB 1855 as amended and ordered it perfected and printed. The chamber next considered House Bills 2230 and 2978, a revised education measure aimed at reducing screen time in K-5 classrooms and encouraging handwriting and cursive instruction. The sponsor said the bill was based on research linking heavy screen use to poorer educational and behavioral outcomes, and supporters emphasized local control, parent access to screen-time policies, and the need to bring experts together through a state-level focus group. An amendment to exclude virtual school programs was adopted. The House then adopted the committee substitute for HB 2230 and 2978 as amended and ordered it perfected and printed. Finally, the House began debate on House Bill 2355, the Food Is Medicine Initiative. The sponsor said the bill would let Missouri use federal funds through 1115 waivers to pilot medically tailored meals, produce prescriptions, nutrition counseling, and related interventions to improve health and lower Medicaid costs. Members generally supported the concept, citing food deserts and the benefits of better nutrition, but an amendment adding vitamin therapies and cleanup language prompted concern from one member about supplement quality and regulation; the transcript ends during that amendment discussion.

Transcript Highlights:

• services, primary health care services, ...for contracted health care services, primary health care
• so that there's a window of reimbursement for primary care services.
• Todd, direct primary care arrangements. Senator Todd: Well, well, well, Madam President.
• The first one deals with direct primary care arrangements.
• They're going to have a direct relationship with a primary care physician.

Keywords: 995, all

Summary: The Senate considered a series of amendments to a primary care health care bill and also took up a separate literacy bill. Several amendments were withdrawn, including one on artificial intelligence in health care and others related to cost controls, direct primary care, and provider studies. The Senate adopted amendments on preserving access to treatment for serious mental illness, modernizing the definition of primary care, clarifying payment rates for community health centers, excluding pharmaceutical spending from primary care expenditure calculations, and strengthening health equity reporting. Other amendments on rate bands, alternative payment systems, private equity reporting, scope of practice, and ownership disclosure were rejected. The Senate then approved the Ways and Means amendment and ordered the primary care bill to a third reading. The chamber also took up final passage of An Act Relative to Teachers Preparation and Student Literacy, with senators describing it as a long-awaited compromise focused on improving early reading outcomes. Supporters said the bill requires evidence-based K-3 literacy curricula, regular student screening and family notification, dyslexia screening protocols, professional development for teachers, and a free state-developed curriculum option. Senators emphasized the need to address declining third-grade reading proficiency and equity gaps. The bill passed to be enacted by a unanimous roll call and was sent to the Governor. After the literacy bill, the Senate returned to the primary care bill, where senators again debated cost containment, innovation, and access. The final version included the adopted amendments and was passed to be engrossed by a roll call vote of 35-4. The Senate then adopted an adjournment order and recessed, adjourning in memory of Henry Thomas III, former Representative Ben Swan, and Mr. Dennis Frane.

Transcript Highlights:

• TRC services help survivors stabilize housing, access medical care, navigate the legal system, and return
• And then question two would be: Do you offer services to folks that aren't necessarily the direct victim
• Core services are the traffic control, which direct vehicles based on verified addresses; the geographic
• Funding this proposal ensures continuity of care, prevents service disruptions, and positions the state
• Funding this proposal ensures continuity of care, prevents service disruptions, and positions the state

Summary: The subcommittee met to hear budget-related updates from the Judicial Branch and the Office of Emergency Services, with no votes taken. The Judicial Council supported the Governor’s proposed budget, highlighting $70 million for increased trial court operating costs, additional funding for court-appointed counsel, Court of Appeal case processing, and courthouse construction and facilities. Trial court representatives emphasized staffing retention problems, especially in counties like San Bernardino, and said stable funding is needed to avoid delays and maintain access to justice. Members also discussed the branch’s remote proceedings program, which has been used in more than 6 million hearings statewide since 2022 and was described as especially important in rural areas and for vulnerable litigants; several members urged making the authority permanent rather than extending it temporarily. A major portion of the hearing focused on Proposition 36 implementation. Finance said the Governor’s budget maintains the $130 million provided in the 2025 Budget Act for court workload and pretrial services, but adds no new Prop. 36 court funding. Judicial Council staff reported nearly 35,000 felony Prop. 36 filings in 2025, with most cases still pending and only a small share of treatment-mandated cases already dismissed after treatment. Witnesses said courts are using the funds for staffing, coordinators, clerks, and treatment-court operations, but that workload varies widely by county and that data collection is limited because courts report aggregate information rather than case-level outcomes. The LAO raised a technical concern about the Department of Finance’s Prop. 47 savings estimate and recommended revising the methodology at May Revision. The committee also reviewed the Orange Central Justice Center facility modification project, where the Judicial Council explained that hidden construction deficiencies and fire-life-safety issues caused costs to rise substantially after demolition began. The LAO said the project itself was supportable but recommended that the Legislature set an ongoing funding level for court facilities, require a long-term facilities plan, and consider more oversight of facility modification projects. Finance said it continues to fund courthouse projects individually and through the State Public Works Board, while acknowledging project delays and cost increases. Finally, Cal OES and advocates discussed victim services funding. Cal OES said it administers about $315 million annually for victim service programs, including VOCA-funded services, but federal VOCA allocations have fluctuated sharply and the state has used one-time General Fund backfills to maintain services. Trauma recovery center advocates warned that an 85% reduction in funding would sharply reduce services for survivors of violent crime, while human trafficking advocates urged reauthorization of the Human Trafficking Victim Assistance Program before funding reverts to pre-pandemic levels in July 2026. Members asked about federal and state funding stability, referral pathways, and the long-term value of these programs in preventing worse outcomes and reducing public costs.

Transcript Highlights:

• care.
• It also allowed them to prioritize direct services and allocate their time and resources more effectively
• It also allowed them to prioritize direct services and allocate their time and resources more effectively
• Rose Luna: ...the board and wrong initiative has been successful in providing direct services to certain
• Rose Luna: ...the board and wrong initiative has been successful in providing direct services to certain

Bills: SB1

Committee: Senate Finance

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards

Summary: The committee heard a Legislative Budget Board presentation and then testimony from the Department of Public Safety on the Article 5 public safety budget. LBB said DPS’s 2026-27 recommendation totals $3.7 billion, down from the prior base, while FTEs rise by 856.7. Major items included increased funding for driver license services and customer support, new trooper funding and recruit schools, crime lab operations, border security, and reductions tied to one-time facility, vehicle, and aircraft spending. The committee also discussed new riders, including one to lapse unused trooper funds and require reporting after recruit schools. Members focused heavily on driver license operations, questioning why prior staffing increases and a prior efficiency study had not solved long wait times, high call abandonment, and appointment delays. DPS and LBB said the agency receives about 22,000 calls per day, answers only about 9 percent, and is seeking more staff plus technology upgrades such as automation, kiosks, and better online processing. Senators also raised concerns about rural access, REAL ID document requirements, and whether the department should rethink its processes rather than simply add employees. DPS leadership then described needs for the Williamson County training academy, additional troopers, Capitol and Alamo security, border operations, aircraft and vehicle replacement, and regional headquarters in El Paso and San Antonio. Members asked about Operation Lone Star costs, overtime, pursuit safety, border crime, oilfield theft, and sexual assault kit and toxicology backlogs. DPS said border deployments remain focused on criminal threats, that overtime is partly driven by deployments and staffing shortages, and that the sexual assault kit backlog is down to 118 cases with a goal of zero by April. The committee later recessed and began the Texas Alcoholic Beverage Commission budget presentation, where LBB outlined a $115.1 million recommendation and noted ongoing costs for the AIMS technology project.

Transcript Highlights:

• service Note that the confirmation of the Secretary of the Agency of Health Care Administration on tab
• services?
• For health care services? Secretary Harris, you are recognized. Thank you, Madam Chair.
• We've moved behavioral services into managed care.
• We've moved behavioral services into managed care.

Committee: Senate Health Policy

Keywords: 999, senate, all

Transcript Highlights:

• </c> services in Minnesota. services in Minnesota.
• </c> care for them tomorrow. care for them tomorrow.
• We've seen disrupted access to preventative care like prenatal services and vaccinations.
• in care.
• </c> direction and support. direction and support.

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• He'll be discussing the topic of family court services and some of the services and financial support
• parties to court programs such as family court services for mediation and other services for help in
• So, sir, thank you for your service in the military, but also your service here in the courts.
• Thank you for your service in the military, but also your service here in the courts.
• I think this is a good step in the right direction.

Summary: The Idaho Judiciary, Rules and Administration Committee began with introductions of a new page and visiting family members, then unanimously approved the minutes from February 19, 2026. The committee heard presentations from court administrators on court assistance offices, family court services, and treatment courts. Testimony described services for self-represented litigants, family law support, mediation and fee assistance, and the structure and outcomes of treatment courts. Members asked questions about recidivism, sanctions, and court procedures, and one line of questioning about child interviews in family cases was cut short because of pending legislation in that area. The committee then took up House Bill 692, which would expand access to child protection hearings and create a rebuttable presumption for attendance by children, relatives, foster parents, fictive kin, service providers, and legislators unless the judge finds exclusion appropriate. The sponsor and advocates said the bill would improve transparency and allow children and caregivers to be heard; opponents raised concerns about overbreadth, confidentiality, and the inclusion of legislators and broad categories of service providers. After discussion, the committee rejected a motion to send the bill directly to the floor and instead approved a substitute motion to send it to general orders by a 15-1 vote. Next, House Bill 23, a House rule change for procedures during a call of the house, was explained as allowing members and staff access to offices and restrooms while still requiring attendance and voting. It passed unanimously. House Bill 683, concerning sex offender residency definitions and removing a care-facility exemption near schools or daycares, also passed unanimously after testimony from the sponsor and a sheriff. House Bill 684, shifting transport costs for escaped state prisoners from counties to the state, passed unanimously as well. Finally, House Bill 615, which would add religious gatherings and houses of worship to the disturbing-the-peace statute, drew both support and constitutional concerns about vagueness and First Amendment issues; it passed the committee 9-2 and was sent to the floor.

Transcript Highlights:

• provide information regarding dementia care and best practices to health care providers statewide.
• provide information regarding dementia care and best practices to health care providers statewide.
• The grant is to train health care providers on dementia care and best practices.
• The grant is to train health care providers on dementia care and best practices.
• The grant is to train health care providers on dementia care and best practices.

Keywords: 1182, all

Summary: The meeting covered a long series of bills, mostly in health, education, commerce, federalism, and government. In health, members discussed radiology technology updates (HB 2050), a tribal Medicaid waiver/drawdown measure with no state cost (HB 2177), an emergency medicine study committee (HB 2183), fetal death certificate and remains-transfer requirements (HB 2184), a physician assistant licensure compact (HB 2190), dementia care telemonitoring funding (HB 2202), SNAP error-rate reduction and fraud/eligibility oversight bills (HB 2206, HB 2442, HB 2797), child welfare protections like credit freezes and recorded interviews (HB 2321, HB 2322), and podiatric licensure compacts (HB 2438). Several of these were described as consent-calendar items, while HB 2206 and the SNAP-related measures drew discussion about fraud reduction, administrative burden, and work requirements. In commerce and finance, the committee heard bills on mobile food vendors and local permits (HB 2118), earned wage access services with fee caps and disclosure rules (HB 2309), CPA licensure changes (HB 2476), cash acceptance for retail purchases under $100 (HB 2555), drone delivery and unmanned aircraft guardrails (HB 2875), timeshare salesperson licensing (HB 2877), and a prohibition on state-mandated social credit scoring in lending decisions (HB 2903). The tax and retirement-related items included 529 plan conformity and Roth IRA transfer rules (HB 2477), annual tax conformity to the Internal Revenue Code (HB 2785), ASRS technical and disability-related changes (HB 2089, HB 2090, HB 2092), and a bill on employee health insurance definitions (HB 2089). The Arizona Commerce Authority bill (HB 2754) would add legislative members to the board and shift more control over trade offices and Arizona Competes Fund spending to the legislature. The education section focused heavily on school governance and finance. Bills included patriotic youth group presentations in schools (HB 2312), school board term limits (HB 2318), mandatory training for governing board members (HB 2379), independent municipal advisors for bond elections (HB 2320), restrictions on districts buying operating charter/private school sites to game enrollment formulas (HB 2376), conflict-of-interest limits for school facilities board architects and engineers (HB 2378), public meeting and travel transparency rules for districts (HB 2380), limits on long-term school property leases and reporting requirements (HB 2384), tighter bidding rules for school construction job orders using Building Renewal Grant funds (HB 2482), and a voluntary computer science proficiency seal (HB 2764). Sponsors repeatedly framed these as transparency, accountability, and anti-abuse measures, while some opposition centered on local flexibility, housing use, and existing training providers. In federalism and government, the committee heard bills to give counties more time to mail sample ballots (HB 2006), require courts to identify veterans at first appearance for possible veterans court referral (HB 2226), study veterans’ awareness of benefits (HB 2406), broaden military leave protections (HB 2663), require SAVE verification for voter registration and certain state services (HB 2806), require U.S.-sourced voting machine components by 2029 (HB 2901), affirm the Electoral College (HB 2902), and establish due process protections for justice of the peace courts against outside administrative action (HB 2976). Government committee items included a later deadline for library trustees’ annual reports (HB 2129), a two-year limit on certain adult protective services reports to the Attorney General (HB 2228), and an exemption for public and semi-public cold plunges from ADEQ spa rules (HB 2439). Several bills were reported as consent-calendar items, and a number of sponsors noted committee votes, fiscal neutrality, or favorable testimony in support of the measures.

Transcript Highlights:

• I receive these services through the Medicaid home and community-based waiver, APD consumer-directed
• With regard to emergency authority and continuity of care, it authorizes DOEA to provide temporary direct
• services during declared emergencies or lead agency failures, preventing gaps in community care for
• the elderly, home care for the elderly, and Alzheimer's Disease Initiative services.
• is seeking to add levels of care at an existing location or at one or more new locations if that service

Committee: Senate Children, Families, and Elder Affairs

Keywords: 999, senate, all

Transcript Highlights:

• UNCOMPENSATED CARE INCLUDES CARE FOR THE UNINSURED BUT NOT COSTS FOR INSURED INDIVIDUALS BAD DEBTS OR
• OF THE TRANSFER FROM THE KID CARE PROGRAM FROM MEDICAID OVER TO THE KID CARE TO THE CHIP PROGRAM.
• LIKE THE KID CARE AMENDMENT THIS REQUEST IS TO REALIGN THE MEDICAID SERVICES CATEGORIES TO THE DECEMBER
• PAYMENT PROGRAM PPP FOR HOSPITALS PROVIDING INPATIENT AND OUTPATIENT SERVICES TO MEDICAID MANAGED CARE
• THOSE SERVICES.

Keywords: 999, senate, all

Transcript Highlights:

• to provide ambulance services if they demonstrate the ability to provide all services a certificate
• The bill also creates the Child Care Infrastructure Fund to support various child care infrastructure
• The bill also creates the Child Care Infrastructure Fund to support various child care infrastructure
• care services to live with a resident in an assisted living center or home if authorized by the facility
• care services to live with a resident resident in an assisted living center or home if authorized by

Summary: The meeting reviewed two caucus packets covering a wide range of bills, with most items described by staff and then passed over without questions. Topics included appropriations for pregnancy resource centers, home- and community-based services for seniors and people with disabilities, veteran specialty courts, child care grants and infrastructure, emergency shelter grants, language acquisition services for deaf or hard-of-hearing infants and toddlers, and uranium contamination monitoring. Other measures addressed utility plant replacement, local government investment pools, task-order contract posting, ambulance reporting and certificate-of-necessity changes, short-term rental regulation, tuition waivers for dependents of disabled veterans, memorial authorization, manufactured home installer licensing, CPR/AED training in schools, national park fee exemptions for military members and veterans, and a tourism improvement area funded by lodging businesses. Several bills focused on child welfare and family law, including expanded kinship placement notification, a neglect definition change tied to poverty, evidence rules in custody and dependency matters, DCS investigations when a protective parent is involved, and parenting-time supervision requirements. Health-related bills included midwife practice changes, controlled substance monitoring program updates, interstate EMS licensure, prostate cancer screening coverage, sleep apnea coverage, and resident electronic monitoring in care facilities. Judiciary and property-related bills included enhanced trespass penalties, post-nuptial agreement rules, tax lien excess proceeds procedures, and unlawful entry into residences occupied by vulnerable adults. A few members briefly explained or defended selected bills, including the child protection measures, the CPR training requirement, the ambulance reporting bill, the tourism improvement area bill, and the bill moving inter-facility transports away from police. The sponsor of HB 2950 emphasized it was a voluntary, opt-in lodging assessment with local approval and statutory guardrails. No roll-call votes were described in the transcript, and most bills were noted as being on consent or third-read consent calendars, with several removed from consent or not yet on a calendar.

Transcript Highlights:

• </c> jury service. Representative Maserone. jury service. Representative Maserone.
• House Joint Resolution 24, a joint resolution directing the Cabinet for Health and Family Services to
• </c><00:14:52.880><c> the</c> concurrent resolution directing the concurrent resolution directing the
• directing the Cabinet for Health and Family Services to immediately withdraw the 1115A waiver application
• </c><00:15:22.160><c> state</c> medicine state and directing state medicine state and directing state

Keywords: Convene 00:00 Motions, Petitions, and Communications 05:54 Introduction of New Bills and Resolutions 12:03 Recess for ConC and Rules Meeting 16:14 CoC and Rules Report 18:21 Adjournment 18:57, 958, all