Transcript Highlights:

• EPA's programs.
• Chairman, Representative Hernandez, I believe the EPA has a monitoring program. monitoring program, and
• The program you had mentioned...
• Like, they enter the program, we don't really have the ability to say no, you can't enter the program
• to strengthen that program.

Keywords: 996, all

Transcript Highlights:

• So for the different program practice types that are in our program, you can see that there's always
• They continue to come into the program for new practice sites.
• That may come into the program.
• The provider had a baby, and when she came back to the next to the program, the program... 2025, the
• For us to have a fall discussion on that program as well.

Keywords: 962, all

Summary: The Care Management Committee met to receive a status update on the DSS/CHN PCMH program and to discuss implementation of HR1, especially the new medical frailty requirements. CHN reported the PCMH program remained steady at 124 practices and 553 sites, with 54.6% of the HUSKY population attributed to PCMH providers, and noted ongoing recruitment, provider turnover, and recent practice consolidations/acquisitions that will shift some sites to Yale and Hartford HealthCare. CHN also reported strong quality improvement engagement for 2026, with 83% of contacted PCMHs engaged, and said preliminary 2025 results showed improvement across measures. The bulk of the meeting focused on DSS’s response to the June 1 CMS interim final rule on HR1. DSS explained that it had been building a medical frailty definition based on diagnosis codes and comparisons with other states’ approaches, but the new federal rule adds a requirement that the condition significantly impair a person’s ability to work or comply with community engagement requirements. DSS said it is still evaluating how to combine claims-based data with the new federal overlay, may submit comments to CMS during the open comment period through July 31, and is considering options such as self-attestation, especially given CMS’s allowance of self-attestation for calendar year 2027. Committee members raised concerns about the rule’s complexity, possible legal challenges, the need for a good-faith waiver or implementation delay, and the risk of noncompliance if the state gets the process wrong. Members also pressed DSS for broader outreach, clearer public communication, training, and better reporting on implementation impacts and costs. DSS said it is developing a website, webinars, and a communications plan, and is working with community-based organizations, community health workers, and administrative services organizations to reach potentially affected members. DSS said it is also building a Medicaid pre-screener to help people determine whether they may be subject to work requirements. In the PCMH Plus discussion, DSS said it was not yet ready to present the 2024 quality data but would try to bring the Wave 3, Year 5 results and related quality/shared savings information to the July 8 meeting, along with the regular PCMH update and another HR1 update. The committee also discussed future agenda items including community health worker reimbursement, peer support services, and the inmate medical program.

Transcript Highlights:

• see how successful these programs are, do we have data on how successful the reentry programs have been
• It's a reentry program. It's very successful. It gives three months. It's a reentry program.
• Very important reentry program.
• But they have up-and-running programs. Those programs are not new. Maricopa didn't and Pima didn't.
• But they have up-and-running programs. Those programs are not new, right?

Bills: SB1317, SB1655, SB1656, SB1751, SCR1049

Keywords: reentry programs, criminal justice, funding, grants, recidivism, attorney general, jury duty, election worker, Arizona Revised Statutes, temporary appointment, civic duty, family court, professional personnel, parenting time, legal decision-making, evidentiary hearings, child custody, ethical standards, capital punishment, death penalty

Transcript Highlights:

• That is a program through the U.S. Department of Justice, Office of Justice Programs.
• There’s another program that we work on that we call API.
• These programs focus on cultivating...
• So are your programs like the pastor's program that you have and the gentlemen's and ladies clubs that
• It's a youth diversion program. It's a national program that we're working with right now.

Summary: The meeting began with a report on institutions of higher education for annual certification/solvency, which required no action and was noted as coming later in the week. The main presentation featured students from Arkansas State University, Valley View High School, and the University of Central Arkansas discussing artificial intelligence in education and the workforce. They argued that AI should be taught responsibly in K-12 and higher education to prepare students for jobs, support Arkansas’s growing tech sector, and reduce misuse such as cybercrime, scams, plagiarism, and academic dishonesty. They also cited survey results from teachers showing broad support for responsible AI instruction, district-level management, and teacher training, while noting concerns about critical thinking, ethics, and unequal access. Examples were given of AI already being used at UCA and the University of the Ozarks, and the group suggested a statewide AI library and related training built on the Access Act framework. Committee members asked about student reactions, and the presenters said responses are mixed, especially in the arts, but that AI is already being used in real-world careers and should be integrated with clear standards. The committee then heard from a Pine Bluff community coalition led by Pastor Jesse Turner about school-based outreach and youth support programs. The group described long-running work in Pine Bluff schools and Watson Chapel, including Pass on Patrol, mentoring, anti-bullying and nonviolence efforts, drug and vaping education, gun-violence prevention, and leadership clubs for students. They emphasized that their approach is nonreligious in the schools, focused on encouragement, citizenship, scholarship, and keeping students engaged in class. They also highlighted the use of free curriculum resources on African American history and said they help students see themselves as having promise rather than being “at risk.” Members asked about whether the programs could be shared elsewhere and about impacts on behavior; the group said some materials are trademarked but can be adapted with support, and cited reported reductions in negative behavior and referrals in participating schools. The meeting ended after members praised both the AI presenters and the Pine Bluff outreach group, and the committee adjourned with no votes taken.

Transcript Highlights:

• House Bill 3497 would then rename the program to the Rio Grande Vegetative Management Program and expand
• Two of the most influential programs from the authority are the Young Farmers Grant Program and the Interest
• Rate Reduction Program.
• We lost a couple of federal programs already.
• , but looking at microloan programs.

Bills: HB43, HB519, HB1275, HB1592, HB2842, HB3088, HB3479, HB4163, SB823, HB609

Keywords: agriculture, finance, young farmers, financial assistance, pest control, honey production, beekeeping, food safety, local regulation, bovine producers, dairy farms, permits, bovine tuberculosis, public health, wildlife management, disease prevention, alert system, Texas A&M, white-tailed deer, public safety

Transcript Highlights:

• AB 2182 will restructure the industrial energy efficiency program in the following ways: shift program
• These programs work.
• We're actually the ones that run the programs, operate the programs, to try to help incentive programs
• to a voucher program.
• These program deficiencies require several statutory fixes to ensure the program meets environmental

Summary: The committee heard a long series of bills, beginning with AB 2026 on groundwater recharge. The author and supporters said the bill would streamline permitting for recharge projects, codify long-standing CEQA exemptions for flood diversions to recharge, and add tribal consultation and other guardrails. Water agencies and local districts supported the measure as a way to capture high-flow water and reduce groundwater subsidence, while environmental groups and some irrigation districts opposed it, warning that the bill’s exemptions and broader diversion authority could harm rivers, Delta resources, and public trust values. The bill was discussed but not voted on because the committee lacked a quorum at that point. The committee then took up AB 1577 on data center energy accountability, which would require monthly reporting of energy-use data and permit-related estimates of energy and water demand. The author and the Little Hoover Commission argued the bill would improve transparency, help protect ratepayers, and give regulators better information for grid planning. Data center industry representatives opposed it as duplicative, burdensome, and uniquely targeted, while local governments, environmental groups, and some utilities supported it or supported it if amended. The bill was later reported out with a due pass recommendation once a quorum was established. Members also heard AB 2245 on a producer responsibility program for lubricant products and containers, AB 2170 on CEQA language-access and environmental review protections for overburdened communities, AB 2059 on rural transportation and VMT mitigation, AB 1808 on Western Joshua tree permitting and fee relief, AB 2182 on industrial energy efficiency program changes, and AB 2231 on streamlining two hospital projects. Testimony was mixed on most of these bills: supporters emphasized affordability, local control, environmental justice, or project urgency, while opponents raised concerns about CEQA scope, regulatory duplication, costs, and environmental impacts. Several measures received due pass recommendations and roll-call votes, including AB 2170, AB 2059, AB 1808, AB 2182, and AB 2231, with some members voting no or not voting and some bills left open for absent members.

Transcript Highlights:

• Whereas if you take the program away, in the places that have taken the program away, they've seen the
• I use this program, which is an optional program. It's not an automatic program.
• Yeah, there's other programs that we can use, but this program gets people into my court. ...that the
• Tickner replied that he was aware and referenced an early-2000s program called JTF5, a joint program
• Now, I will tell you, they have a great reserve program. This reserve program is so great.

Summary: The committee heard testimony on several public safety, criminal justice, and regulatory bills. HB 4995 would create a training and certification program allowing licensed physicians and certain EMS personnel assigned to tactical units to carry firearms during high-risk deployments, with supporters saying it would let tactical medical staff protect themselves while providing immediate care; the bill was left pending. HB 2609 would repeal the failure-to-appear-or-pay/OmniBase license-hold program, with the author and advocates arguing it creates compounding debt and unnecessary barriers to driving, while judges and municipal court representatives said the program is a voluntary, cost-effective tool that improves court appearances and reduces warrants; the bill was also left pending. HB 4879 would create a grant program to help local law enforcement pay for lab testing of suspected hemp/Delta-9 THC substances, and HB 5436 would let licensed auto recyclers buy certain untitled vehicles for scrap or parts to curb illegal sales, VIN cloning, and chop shops; both measures were left pending after brief testimony in support. The committee also heard HB 1777, which would require a discrete designation on driver’s licenses and state IDs for people required to register as sex offenders. The author and supporters argued the marker would help law enforcement and businesses quickly identify potentially dangerous offenders and prevent harm, while opponents called it a stigmatizing “scarlet letter” that would increase harassment, family harm, and reintegration barriers. The bill was left pending. HB 4155 would create a two-year Family Violence Criminal Homicide Prevention Task Force in the Governor’s Office to study family violence homicides, gather stakeholders, and recommend policy changes; the author, HHSC, the Texas Council on Family Violence, and a survivor testified in support, and the bill was left pending. The committee also heard HB 4514, which would authorize DPS to use facial image verification, with consent and privacy safeguards, to help businesses confirm identities and combat fraud; supporters from the lumber and identity-verification industries said it would reduce theft and fraud, and the bill was left pending. Finally, HB 5139 would clarify that peace officers and jailers are justified in using less lethal force weapons when acting within training and official duties; law enforcement groups supported the measure as a way to encourage use of less lethal tools without fear of prosecution, and testimony was underway when the transcript ended.

Transcript Highlights:

• What this program does...
• What this program does, and what it required after four years of a study program, is if there's a problem
• Both programs are supposed to be the school safety interoperability program.
• The 1583 program mentioned is meant to be the program in this bill.
• All the programs happen in schools.

Bills: SB1074, SB1327, SB1475, SB1582, SB1583, SB1598

Keywords: student discipline, classroom management, temporary removal, administrative action, education policy, foreign relations, university governance, research security, international agreements, Arizona Board of Regents, interscholastic activities, student eligibility, criminal offenses, school district, youth sports, academic participation, conduct, planned communities, homeowners association, HOA

Transcript Highlights:

• The one pay-as-you-go is a closed program, a legacy program called.
• That's an optional program. It's funded with a hundred percent of employees.
• Health Select program that we administer.
• That's a significant milestone for this program.
• Of members in the program does that that doesn't alter the number?

Keywords: 1184, house, all

Transcript Highlights:

• the program.
• or a summer program.
• . program. program.
• start operating the program. start operating the program.
• And that's what this program is. And that's what this program is.

Bills: SB8

Keywords: utilities, public service commission, energy regulation, appointment, emergency declaration, tax increases, consumer protection, The first couple minutes of the livestream was cut off. This recording restored the beginning of the meeting Meeting Start 00:00:00 Attendance Roll Call 00:00:51 Approval of Minutes 00:02:07 Legislator Comments 00:02:18 LIHEAP Public Hearing 00:04:19 PSC Update on RS 26 SB 8 00:32:18 WaterStep Presentation 01:04:08, 958, all

Transcript Highlights:

• This funding allowed us to offer critical programs, including our car seat program, which ensured every
• This funding allowed us to offer critical programs, including our car seat program, which ensured every
• continues in our life coaching program continues in our life coaching program baby<00:35:28.800>
• she told me several times that program she told me several times that our<00:35:45.800> programs<
• They went to the Jeremiah program from us. We were directly affiliated with many other programs.

Keywords: 1183, house

Transcript Highlights:

• So to the detriment particular program.
• And so, good handle on this program?
• And that's another piece of the program: the people who build the program have to be licensed by our
• individual cannot supervise your program individual cannot supervise your program or<00:47:27.599
• community college and our CTE programs. community college and our CTE programs.

Keywords: 1189, house, all

Summary: The subcommittee met to begin work on HB 742, which would require catastrophic special education aid to be drawn from the education trust fund, and more broadly to study special education aid/differentiated aid and related costing issues. The chair said the group was starting early because the issue has been debated for years without resolution, local districts are being forced to absorb prorated costs, and the committee wants to send the Department of Education and HHS Medicaid a clear request for data and recommendations before retained bills return in the fall. A committee clerk was also selected, with Representative Reverend volunteering to take notes for the meeting. Members reviewed background materials on special education enrollment, high-cost students, and possible funding formulas, including data on students in high-cost brackets and prior ideas such as category-based funding and caseload-based approaches. The chair also referenced research on other states, including Arkansas, which uses a different special education funding structure and audits IEPs. The committee emphasized that it was focused on the funding mechanics and costs, not on questioning whether services should be provided. Henry Lipman of HHS explained how Medicaid-to-schools currently works in New Hampshire. He said 172 school districts participate, but utilization dropped during the pandemic and remains below historical levels, in part because districts need the capacity to bill Medicaid. Under the current system, schools receive reimbursement based on half of the Medicaid fee schedule, with the school district effectively providing the state share. He said the federal government is requiring a shift by July 1, 2026, to a true certified public expenditure model based on actual costs, which should allow schools to recover 50% of their true costs and some administrative overhead. The department has received a roughly $2.5 million grant to hire a vendor and support districts through the transition, and an RFP and stakeholder meetings are underway. Committee members asked about how costs would be determined, whether the new system would use actual district-specific costs rather than averages, and how the department would support districts that do not currently participate. Lipman said the cost model would be based on each district’s own reasonable costs, subject to audit standards, and that the department expects to provide templates and technical assistance through the vendor because its staff is limited. He also said about one in four New Hampshire children are enrolled in Medicaid, that child enrollment has been relatively stable, and that continuous coverage rules should reduce churn. No votes or formal actions on HB 742 were taken during the meeting beyond organizing the subcommittee and beginning testimony and discussion.

Transcript Highlights:

• <00:14:07.839> fiscal planning academic programs fiscal planning academic programs fiscal
• <00:16:04.759> high to an applied doctoral program high to an applied doctoral program high
• provided is our emergency grant program provided is our emergency grant program last<00:31:23.240
• <00:42:48.559> so administer the application program so administer the application program
• assistance in dental hygiene programs assistance in dental hygiene programs four<00:48:03.160>

Keywords: 1183, house

Transcript Highlights:

• > to<00:05:24.520> work and residence program an effort to work and residence program an effort
• and we're trying to do these programs and we're trying to do these programs based<00:18:30.039><
• with youth to get kids in the program beyond the program and outdoor more—whomever would respond to
• Our naturalist programs, though, have like 8,000 programs with 245,000 participants, and we delivered
• <01:06:59.400> and program as a skill building program and program as a skill building program

Keywords: 1183, house

Transcript Highlights:

• , such as under the EPA's programs.
• I'm the program manager for the Mining Act Reclamation Program.
• Behalf of the program with the state because we don't have a program in place that's funded to do so.
• The program you had mentioned, the DOD program that was actually dealing with DOD sites that you said
• They enter the program.

Summary: The committee first heard a presentation from the Environment Department on PFAS contamination in private wells in La Cienega, Santa Fe County. Staff said the plume likely came from historic use of firefighting foam associated with airport and National Guard fire-training activities, with possible additional contribution from septic systems and consumer products. They described the contamination as affecting about 200 private wells, the short-term response of providing residential filters through a $2 million legislative appropriation, and ongoing work to define the plume’s full extent, identify responsible parties, and consider longer-term regional water solutions. Members asked about filter costs, replacement schedules, disposal of used cartridges, follow-up testing, health studies, and whether cleanup or containment had begun; the department said cleanup would follow once the plume is fully mapped and that DOH is soliciting interest in a blood study. The committee also discussed the need to track disposal of PFAS filters and the possibility of broader statewide capacity for similar work. The committee then took up abandoned uranium mine cleanup. NMED and EMNRD staff reviewed the new uranium mine reclamation program created by HB 164, the state dashboard tracking sites, and the FY26 appropriation of $20 million for neglected contaminated sites, of which $12 million is being used for neglected uranium mines and the remainder for other contaminated sites. They said six contractors were hired, three priority sites in Grant County are moving forward quickly, and additional sites are being prepared for possible FY27 work. Members pressed for details on how funds are spent, why the revolving fund remains unfunded, how federal, state, tribal, and landowner requirements are coordinated, where contaminated material will be moved, and whether cleanup could also address homes built with contaminated materials. Staff said the work is governed by multiple regulatory layers, that the state is seeking an additional $25 million for FY27-FY28 plus a time extension, and that partnerships with tribes would require longer-term agreements. The committee also discussed federal cleanup efforts and the new Good Samaritan law, with members urging stronger advocacy for New Mexico sites, including tribal lands, and asking whether the Attorney General should pursue legal action against federal parties responsible for legacy contamination. Staff explained that some sites are already covered by settlement funds tied to responsible parties, while neglected sites are those with no responsible party and no other cleanup program. The committee then heard from EMNRD on Class VI carbon sequestration primacy. Staff said New Mexico currently has no operating Class VI wells, about 27 Class II acid-gas injection wells are operating, and only a small number might be candidates for conversion. They explained that the state’s primacy application would require more public outreach than federal rules alone, and that cost estimates for post-injection site care are based on long planning horizons, with some costs borne by operators and some by the state after closure. No votes were taken on the substantive items discussed; the committee approved the prior meeting minutes and took a brief recess between presentations.

Transcript Highlights:

• 26:54.200> program<00:26:55.000> and<00:26:55.240> Elder tribal assistance program
• <00:49:38.839> has since its Inception this program has since its Inception this program has
• First, in our view, the ag water quality program is a nation-leading program that has a lot of buy-in
• <01:02:45.520> we<01:02:45.680> know new program we know this program we know new program
• <01:03:07.680> in the definition of uh Grant programs in the definition of uh Grant programs

Keywords: 1187, senate, all

Transcript Highlights:

• Um um as as good program evaluations.
• That's more is a more recent program.
• Senator Rest asked whether, from what she gathered, the emergency program, topic 30, is the program used
• <00:15:27.760> evaluation just done as a um a program evaluation just done as a um a program
• problems in that program legislatively. problems in that program legislatively.

Keywords: 919, house, all

Summary: The Legislative Audit Commission Evaluation Subcommittee met on October 6, 2025, to choose additional program evaluation topics for the Office of the Legislative Auditor. Deputy Legislative Auditor Jody Mson Rodriguez explained that the commission had previously selected seven topics from an initial list of 11, with background papers already prepared on five of those items, and that the subcommittee was now being asked to select five more topics for background papers before narrowing the full set to four recommendations later in the fall or early spring. Members discussed several possible topics, especially emergency medical services, non-emergency medical transportation, MinnesotaCare eligibility, child care assistance, medical assistance fraud prevention, and U.S. Bank Stadium. David Kersner of OLA said emergency medical services and non-emergency medical transportation are distinct programs, and noted the EMS topic was evaluated in 2022 while non-emergency medical transportation had not been reviewed since 2011. Auditor Judy Randall said MinnesotaCare eligibility, child care assistance, and medical assistance fraud prevention are better suited to OLA’s financial audit division or special review unit rather than program evaluation, and that financial audits and special reviews do not require Legislative Audit Commission nomination. On process, Mson Rodriguez said the subcommittee had already met its minimum required selections under the commission’s policy and was free to choose additional topics. The discussion also covered whether to broaden the stadium topic beyond U.S. Bank Stadium; staff said the U.S. Bank financing structure alone would be a major undertaking, but they could help craft a future topic focused on maintenance across multiple facilities. No final vote or motion was taken in the portion of the meeting provided, and the chair indicated the committee would continue nominations and discussion.

Transcript Highlights:

• just be another ask of the Loan program just be another ask of the Loan program office<00:26:22.480
• Loan program office staff on both the Loan program office staff on both the solar<00:27:50.519> for
• 400,000 students are touched by programs 400,000 students are touched by programs and<00:41:54.960
• <00:57:21.960> under proposal for this grant program under proposal for this grant program
• <00:57:59.240> to geothermal planning grant program to geothermal planning grant program to

Bills: HF1013, HF1598, HF1656, HF2162

Keywords: energy, economic development, funding, renewable resources, Clean Energy Economy Minnesota, air ventilation, geothermal, school financing, Minnesota Climate Innovative Finance Authority, geothermal energy, renewable energy, construction funding, Como Zoo, energy efficiency, HF2162, Minnesota, planning grants, renewable development account, clean energy, Department of Commerce

Transcript Highlights:

• for the Promise Program.
• of the Promise Program.
• would be the Arizona LEAP Program, the Community College Promise Program, the Arizona Promise Program
• It's a government-funded program.
• Ending the program. We're not changing the program. We're not telling them what to do.

Summary: The joint appropriations committee met on April 28 to review the FY 2027 budget package, including the general appropriations feed bills (HB 4138 and SB 1831) and related budget reconciliation measures. Staff described the budget as including about $17.96 billion in general fund appropriations, a one-time transfer of state monies to increase revenues, a 5% lump-sum reduction to most agencies’ discretionary general fund budgets, and several one-time restorations or continuations for items such as school facilities, child care, child safety, corrections stipends, and public safety operating costs. Members spent much of the meeting debating how the across-the-board cuts would be implemented, which programs might be affected, and how fund sweeps from prior-year appropriations and special funds would work, including questions about universities, public safety, rural hospitals, transportation grants, the Corporation Commission, and health insurance costs for state employees and troopers. A major point of discussion was the impact on universities and higher education. Arizona Board of Regents representatives said the proposed reductions and fund sweeps would affect already obligated dollars, research, staffing, and student aid programs, and could force difficult decisions about programs such as the Promise Program, Teachers Academy, and other pass-through funds. Committee members also raised concerns about whether the cuts could lead to tuition increases or reductions in services, while majority members emphasized that agencies and the executive branch should decide how to absorb the reductions. Another major topic was health care and the state employee health plan: staff explained that the budget includes a $228 million general fund infusion to stabilize the plan, while a separate reconciliation bill would raise employee premiums over three years. Members also discussed whether the budget’s changes to AHCCCS/Access and hospital eligibility rules could increase costs for hospitals and reduce coverage. Public testimony largely opposed the budget. Speakers from Opportunity Arizona, the Arizona Board of Regents, and local governments argued that the proposal would shift costs onto working families, reduce support for education, housing, SNAP, health care, and rural infrastructure, and protect tax benefits for data centers and higher-income taxpayers. A mayor from Globe asked for state help after severe flooding damaged roads, water lines, and homes, while a motorcycle safety advocate asked the committee to review a DPS motorcycle safety fund appropriation. Committee members and staff repeatedly clarified that some items discussed were one-time appropriations not continued into FY 2027, that some fund sweeps were from unspent or unencumbered balances, and that the committee planned to take a mass roll-call vote on the budget bills at the end of the meeting.

Transcript Highlights:

• We spent an entire summer building this program. We spent an entire summer building this program.
• Our infants and toddler program operates under a daycare license, and we offer appropriate academic programming
• Then our pre-K program is part of our academic institution, transitioning from our daycare program.
• I went to, in March, an accreditation program in Memphis called the National Early Child Program accreditation
• National Early Child Program accreditation.

Summary: The committee first heard SB 206, which would require cardiovascular pre-screening and blood pressure testing for student athletes beginning in the 2026-2027 school year. Chairman Miller said the bill was prompted by concerns about undiagnosed hypertension and sudden cardiac arrest in young athletes, and Coach Marcus Scott testified about his own kidney transplant after years of untreated high blood pressure. Members asked about who would perform the screenings and how follow-up would work; the American Heart Association said existing athletic physical processes and referral networks could handle it. An amendment was adopted, and the committee reported SB 206 favorably as amended. The committee then took up SB 305, which would require a publicly available statewide career-alignment dashboard showing how degree programs connect to workforce outcomes, including completion, employment, wages, and high-demand jobs. Chairman Edmonds and student task force member Cruz Cassard said the goal was to help students understand job opportunities in Louisiana and reduce the number leaving the state after graduation. Workforce and higher education stakeholders supported the measure as a transparency and workforce-planning tool. The committee reported SB 305 favorably. Next, the committee considered HB 624, a school safety cleanup bill updating references from crisis management plans to emergency operations plans and aligning school emergency language with national standards. Representative Johnson and the Louisiana Center for Safe Schools said the bill would not create new mandates or costs, but would clarify existing requirements. The committee reported HB 624 favorably. The committee then heard HB 1022, as substituted, concerning school-based health care services. Representative Jackson said the bill was intended to clarify that medical decisions in school-based health centers should be made by licensed health professionals, not school staff, while preserving parental consent. Testimony from school-based health center providers supported the bill, but several members raised concerns about consent, parental authority, and whether the language shifted too much responsibility away from schools; the Charter School Association suggested adding more collaborative language. After discussion, the committee adopted the substitute and reported HB 1022 favorably by a 10-4 vote.