Transcript Highlights:

• An admission, on average, we get about $1,500 per patient more if the patient is admitted versus an observation
• An admission, on average, we get about $1,500 per patient more if the patient is admitted versus an observation
• So we've had patients who, several patients who have utilized the ER in a three-month period more than
• to: OBH patient transitional housing?
• When you talk about OBH patient transitional housing, then you’re conflating the same patients to go

Summary: The committee first heard a budget presentation on LSU Health Care Services Division and Lallie Kemp Medical Center. Staff reviewed HCSD’s roughly $74.7 million budget, much of it tied to legacy obligations for former LSU hospital systems and support for Lallie Kemp. Committee members asked about prisoner care, risk management costs, declining admissions and emergency visits, and the hospital’s 340B drug program. Lallie Kemp officials explained that prisoner care serves multiple state and local facilities, that lower admissions largely reflect more patients being placed in observation status, and that the in-house 340B program provides major savings to patients and the prison system. Members also asked about care for unhoused patients and the hospital’s discharge practices, and the hospital said social services works to find placement when possible. The committee then moved to the Louisiana Department of Health budget, which was presented as just under $23.5 billion, with Medicaid making up more than 90 percent of the total. The presentation covered the Office of the Secretary, Office of Public Health, Office of Behavioral Health, Office for Citizens with Developmental Disabilities, and Medicaid. Major items included the new Rural Health Transformation Program, the transfer of several functions from DCFS to LDH under the One Door initiative, changes to SNAP administration, and large Medicaid adjustments driven by enrollment, utilization, and federal policy changes. Testimony also highlighted the statewide crisis hub and 988, the commodity food program for seniors, women’s health and maternal outcomes, and the department’s efforts to modernize technology and reorganize services. Members questioned LDH officials on a wide range of budget and policy issues, including the rural health grant, crisis services, Medicaid redeterminations, provider taxes, physician and hospital supplemental payments, nursing home rates, HCBS funding, and the impact of the federal One Big Beautiful Bill Act. LDH said the rural health grant would support workforce, technology, and care-delivery improvements; that the crisis hub and mobile crisis units are being expanded to improve access and reduce emergency room use; and that the department is working to keep the SNAP error rate below 6 percent to avoid a projected state cost increase. Officials also said they expect to return next year with additional funding requests for HCBS and other programs, while emphasizing that current budget changes are largely meant to realign funding with actual expenditures and new federal requirements. No votes or formal actions were taken in the portion provided.

Transcript Highlights:

• These all limit its ability to ensure patient safety.
• For comparison, about one in seven hospital patients, or about 100,000 patients, say they prefer a language
• So if a patient was there, they may be able to find that information.
• A website for complaint intake? Yeah. Yeah, I mean, it's on DOH's website.
• So do they, does the website Is there a website for complaint intake? Yeah.

Summary: The committee met on December 3, 2025, with a quorum present and approved the September 17 minutes. Members first voted to suspend the 2026 JLARC lodging tax expenditure report for one year, based on staff’s explanation that the report is self-reported, not verified, and less useful than State Auditor accountability audits; the motion passed. The committee also approved renaming the JLARC I-900 subcommittee to the “Committee to Hear SAO Performance Audits,” while keeping the opening script noting that the performance audit process exists under Initiative 900. The committee then heard follow-up updates on two prior performance audits. The Department of Health presented a draft strategic management plan in response to findings on hospital inspections, complaints, adverse event review, and hospital data access. JLARC staff reiterated that 72% of hospital inspections were late, that DOH did not verify third-party inspection standards or review adverse event reports, and that complaint data suggested possible language-access barriers. DOH said it concurred with the recommendations, had improved on-time inspection compliance to about 49%, planned annual updates starting in July 2026, and would work on accreditation oversight, complaint-language access, and data accessibility, though members pressed for firmer deadlines and questioned the three-year timeline for language access improvements. The Liquor and Cannabis Board also reported on its cannabis market study recommendation. JLARC staff said the agency’s data were incomplete and unreliable, limiting oversight of production, recalls, tax collection, and diversion. LCB said it had improved its current CCRS system but still relied on self-reported data, and it presented a decision package for a new traceability system estimated at about $9 million over three fiscal years. LCB described a plant-tagging and serialization approach tied to production, processing, testing, and retail, but acknowledged it did not currently have sufficient staff to fully implement the system without additional funding. The committee also received briefings on JLARC’s recommendation-tracking tools and the 2024 public records reporting summary, including a high-level review of agency response rates, request volumes, costs, and litigation. Finally, JLARC presented the proposed final report on the Office of Privacy and Data Protection, concluding that OPDP meets its statutory responsibilities and has high user satisfaction, but that its mandate should be updated to better match its current capacity and focus; the committee adopted the report for distribution. The meeting then moved into the 2025 tax preference performance reviews, where JLARC staff summarized nine reviews and noted that the Citizens Commission on Tax Preference and Performance Measurement endorsed all 17 legislative auditor recommendations, with comments on seven. Early reviews discussed included natural gas transportation fuel preferences, travel agent and tour operator B&O rates, nonprofit low-income housing development, multipurpose senior centers, disabled veteran adaptive housing, and trade convention attendance, with staff and commissioners generally recommending continuation of some preferences, modification of others, and improved objectives or performance measures where needed.

Transcript Highlights:

• This is the highest shelter intake rate per capita in the nation.
• And just again, thank you to everyone who waited so patiently.
• framework because it preserves crucial provisions of the Health Care Delivery and Access Act that help patients
• those in underserved and rural communities. ...of the Health Care Delivery and Access Act that helps patients

Summary: The committee heard testimony on SB 38, which would continue New Mexico’s affordable spay and neuter grant program. Supporters, including animal shelter officials, veterinarians, county advocates, and nonprofit representatives, said the program is needed because shelters are overwhelmed by dog and cat overpopulation, and they cited high intake and euthanasia rates, especially in rural and low-income areas. Several speakers said the grants have already funded spay/neuter and trap-neuter-release work and should not sunset. One public comment raised concerns that some money was going to private parties and could create anti-donation issues, while another witness responded that the legal challenge is still pending and no court has ruled on the law’s constitutionality. Dr. Lawrence Young of the Veterinary Medicine Board said about $1 million has been awarded to 28 organizations, with additional funds in escrow, and described the program as transparent and accountable. The chair said the bill would be taken up for a vote later, not at that meeting. The committee also heard SB 101, the Health Care Delivery and Access Act, which would repeal the program’s July 1, 2030 sunset and make it permanent. The sponsor and the Health Care Authority said the act has already helped optimize nearly $1.5 billion in federal hospital funding, which hospitals must reinvest in care, workforce, and quality improvements. Support came from the New Mexico Chamber of Commerce, New Mexico Safety Over Profit, the New Mexico Hospital Association, and the Greater Albuquerque Chamber of Commerce, all of whom said the program provides stability for hospitals, especially rural and safety-net facilities, and helps avoid service disruptions. No opposition was voiced, and the chair said the committee would return to the bill for a vote on Thursday.

Transcript Highlights:

• </c><00:14:31.560><c> do,</c> patients, the better these patients do, patients, the better these patients
• </c> patients who need it most. patients who need it most.
• . patients. patients.
• . patients. patients.
• We're going to lose patients. Patients' livelihoods are going to end.

Keywords: 1187, senate, all

Transcript Highlights:

• the country, with 50 health care organizations and 360 health centers serving over half a million patients
• At the end of the 25-26 fiscal year, DSH projects a total patient census of 8,527 patients, an increase
• of over 204 patients from what is projected at the end of the current year.
• The patient-driven operating expenses and equipment we're requesting $21.7 million in fiscal year 25-
• 26 and ongoing, tied to increased patient service costs and census.

Keywords: 988, house, all

Transcript Highlights:

• Committee on Health and Human Services, having under consideration Senate Bill 1174 relating to DCS intake
• It just corrects some wording that was in it technically, and it stipulates that if a patient objects
• to an order for continuing treatment, the treatment agency, rather than the patient, has the burden
• It just corrects some wording that was in it technically, and it stipulates that if a patient objects
• to an order for continuing treatment, the treatment agency rather than the patient has the burden of

Summary: The Senate met in several Committee of the Whole sessions to consider a large number of bills, with most measures receiving do-pass recommendations and several being amended before advancing. Early action included bills on fentanyl penalties (SB 1061), firearm suppressors/prohibited weapons (SB 1069), DCS attorney appearance and hotline/case-history access (SB 1081 and SB 1174), mandatory reporting and scrap metal theft (SB 1127 and SB 1128), and a narcotic-drug-to-minor offense bill (SB 1170). Senators Ortiz, Kuby, and others argued against the drug bills as harmful mandatory-minimum policies that would reduce judicial discretion and worsen addiction and incarceration outcomes, while supporters framed them as public-safety measures. SB 1170 ultimately failed on third reading; SB 1061, SB 1069, SB 1127, SB 1128, SB 1171, SB 1174, and SB 1188 passed, while SB 1021 later failed after concerns were raised about possible federal anti-kickback conflicts. The chamber also advanced health-care and regulatory measures, including chiropractic board compliance training (SB 1021), radiation protection and health-care institution requirements (SB 1120 and SB 1121), health care cost containment system changes (SB 1171), and pharmacy scheduling/prescription authority (SB 1188). Several of these bills were amended with technical changes or rulemaking authority, and most passed on third reading. SB 1243 and SB 1244 on court-ordered treatment also moved forward after amendments; supporters said the changes would improve notice and allow guardians or agencies to act more effectively, while opponents warned about due-process concerns and expanded coercive treatment authority. In later calendars, the Senate considered local planning and permitting (SB 1241), school access and GED preparation (SB 1166 and SB 1370), water and groundwater issues (SB 1202 and SB 1287), tax and finance measures (SB 1180, SB 1221, SB 1293, SB 1294, and SB 1429), and a constitutional resolution on legislative boundaries (SCR 1031). SB 1166 was amended to limit GED preparation to grades 11 and 12, SB 1241 and SB 1287 received technical amendments, and SB 1180 was clarified to align tax forms with federal conformity. SB 1075 on foreign entities and land sales drew the most debate: an Ortiz amendment would have shifted it toward corporate homebuyer restrictions and housing affordability, but that amendment was defeated on a roll call vote before the bill advanced as amended. Most remaining measures passed their third readings, with the Senate adopting Committee of the Whole reports and transmitting the approved bills to the House.

Transcript Highlights:

• To the patient care and patient service bottom line as it relates not only to access, but also to continuity
• that patient was not truly served.
• And I do so many intakes in my current role, inappropriate intakes, right?
• You need to graduate these patients.
• I'm a SoCal Kaiser patient myself.

Summary: The Assembly Health Committee held an informational hearing on Kaiser Permanente’s behavioral health care system, focusing on Department of Managed Health Care enforcement actions, Kaiser’s corrective action work plan, and testimony from patients, advocates, and union representatives. DMHC officials reviewed a long history of complaints, surveys, fines, and settlements involving Kaiser’s access to behavioral health services, including deficiencies found in 2012 and 2016, a 2022 non-routine survey, and a 2023 settlement that imposed a $50 million penalty and required $150 million in community investments over five years. DMHC said it continues to monitor Kaiser through quarterly meetings, complaint review, follow-up surveys, and a reimbursement process for members who could not obtain timely in-network care. Committee members pressed DMHC on what “timely access” and continuity of care mean in practice, how virtual care and group therapy fit into the standards, and what triggers a non-routine survey. DMHC said initial behavioral health appointments generally should not take more than two weeks, urgent care should be within days, and follow-up care within 10 days, with out-of-network care required when plans cannot meet standards. Officials also said Kaiser’s initial corrective action work plan lacked detail, but the revised plan was accepted and will be tracked through quarterly reporting and possible additional enforcement if Kaiser fails to comply. The second panel featured testimony from a Kaiser enrollee, a behavioral health policy expert, a Kaiser therapist, and the NUHW president. The enrollee described serious delays and inadequate treatment for his daughter after a suicide attempt, while the therapist and union leader said Kaiser’s behavioral health system is understaffed, relies too heavily on short appointments, group therapy, and webinars, and treats behavioral health as less important than medical-surgical care. They argued Kaiser’s one-appointment-at-a-time scheduling rule and limited treatment time violate parity requirements and harm continuity of care. Several members criticized Kaiser for not appearing at the hearing and said the testimony underscored the need for stronger oversight, clearer metrics, and faster remedies for patients.

Transcript Highlights:

• How would you incentivize hospitals to take Medicaid patients?
• department staff would pick it up, put it in our system, then it would be transferred to the coordinated intake
• system. ...would pick it up, put it in our system, then it would be transferred to the coordinated intake
• In addition to ensuring that patients are receiving medical care, the program ensures each patient is
• to mention as part of the BH Impact Program is we also have a referral source for providers, for patients

Summary: The Senate Health Policy Committee met to discuss maternal and infant health, beginning with a presentation from New Jersey’s Maternal and Infant Health Innovation Authority (MiHA). Pamela Taylor described New Jersey’s statewide effort to reduce maternal mortality and racial disparities through the Nurture New Jersey campaign, a strategic plan with more than 80 recommendations, universal home visiting, Medicaid-covered doula care, hospital report cards, limits on non-medically indicated early elective C-sections, and a new maternal and infant health innovation center. Senators asked about doula certification, funding, home visiting, and how New Jersey coordinates across agencies; Taylor said the authority uses quarterly stakeholder meetings, annual summits, and a tracker for recommendations, and that community input helped shape its programs. Florida Agency for Health Care Administration Deputy Secretary Brian Meyer then outlined Florida Medicaid’s maternal coverage and managed care structure. He reviewed eligibility and services for pregnant women, labor and delivery, postpartum coverage, newborn coverage, and family planning, noting 12 months of postpartum coverage, expanded benefits in managed care plans, and new contracts launching February 1 with more maternal-health-focused benefits, quality measures, and a new quality withhold incentive structure. Senators questioned doula certification and duplication with Healthy Start, provider access and network adequacy, kick payments, quality reporting, and whether Florida should consider broader eligibility standards; Meyer said many details are still plan-driven, that quality metrics are public, and that the agency is working on maternal-health work groups and incentives. Department of Health Division Director Shea Holloway followed with an overview of Florida’s maternal and child health programs and data. She cited Florida CHARTS data showing pregnancy-related deaths, severe maternal morbidity, and infant mortality trends, and described the Title V block grant, the Maternal Mortality Review Committee, the Florida Perinatal Quality Collaborative, the electronic prenatal risk screen, Healthy Babies, BH Impact for perinatal mental health, Healthy Start, WIC, family planning, telehealth maternity care, and the Pregnancy Care Network. Senators asked about delays in mortality review reporting, preterm birth, substance use disorder in pregnancy, WIC participation, cesarean rates, and the impact of the abortion ban; Holloway said the department is continuing to monitor outcomes, expand screening and telehealth, and use data and hospital partnerships to improve care. The committee then adjourned without further business.

Transcript Highlights:

• Um, also $2 million provided to support and employ personnel administering youth courts intake operations
• Um, also $2 million provided to support and employ personnel administering youth courts intake operations
• Um, also $2 million provided to support and employ personnel administering youth courts intake operations
• Um, also $2 million provided to support and employ personnel administering youth courts intake operations
• </c> obesity management, remote patient obesity management, remote patient monitoring,<00:32:24.640><

Keywords: Appropriations - Room 216, 12 March, 2026; 10:30 AM, 925, all

Transcript Highlights:

• Um, it references the intake form. Yes, the patient intake form. Yes, sir.
• if the patient is a person not lawfully present who is going to make that...
• It's actually on the patient intake form.
• Basically, the hospital has a patient intake form that when the people are in there, and actually, that's
• intake form to have a statement.

Bills: HB3902, HB4420, HB3269, HB469, HB336, HB316, HB5396, HB993, HB1342, HB5216, HB2046, HB2188, HB2450, HB2813, HB2857, HB4075, HB2911, HB4682, HB3117, HB3253, HB3442, HB4820, HB4336, HB5356, HB3669, HB3428, HB5465, HB3662, HB2590, HB2288, HB1886, HB3458, HB5603, HB5620, HB1489, HB4101, HB4990, HB5685, HB4950, HB4980, HB5684, HB3507, HB3566, HB4487, HB4462, HB4876, HB4915, HB4663, HB5570, HB2929, HB5261, HB2920, HB4642, HB4746, HB1609, HB5403, HB5453, HB3844, HB2336, HB1572, HB 1226, HB2806, HB2617, HB2827, HB3948, HB3945, HB4266, HB4542, HB3319, HB1772, HB2496, HB1970, HB3434, HB5545, HB5577, HCR59, HCR135, HB4, HB46, HB3221, HB1403, HB3892, HB4234, HB722, HB4105, HB4413, HB170, HB551, HB3053, HB3142, HB3180, HB3722, HB1794, HB1784, HB1581, HB2530, HB4308, HB1896, HB2974, HB3359, HB4580, HB2458, HB2215, HB3332, HB2278, HB3015, HB3151, HB1368, HB40, HB 101, HB 112, HB146, HB214, HB413, HB1523, HB493, HB521, HB594, HB557, HB305, HB549, HB854, HB 1057, HB 1052, HB842, HB3174, HB3196, HB824, HB 1039, HB2529, HB2713, HB4936, HB4995, HB4830, HB4864, HB5219, HB5263, HB5154, HB2674, HB5525, SB529, SB541, SB2004, SB1012, SB2269, SB1886, SB1236, SB693, SB2308, HB2486, HB4862, HB4689, HB4520, HB2225, HB168, HJR218, HB4921, HB5623, HB2494, HB2545, HB2587, HB2625, HB5520, HB5436, HB4926, HB1573, HB5165, HB4811, HB5081, HB4755, HB3179, HB4310, HB4611, HB2159, HB4626, HB3637, HB3153, HB3066, HB2786, HB2966, HB638, HB640, HB876, HB497, HB5539, HB4809, HB5308, HB4687, HB4070, HB4421, HB4412, HB3284, HB3369, HB3420, HB3449, HB4098, HB4281, HB4120, HB4504, HB4370, HB 1106, HB2370, HB2404, HB3863, HB2407, HB2253, HB2273, HB2040, HB1586, HB3788, HB3993, HB4690, HB4309, HB4696, HB2308, HB 1142, HB1533, HB1621, HB2242, HB2012, HB2193, HB2442, HB2464, HB2348, HB2313, HB2289, HB1942, HB2011, HB1629, HB2993, HB3592, HB3824, HB4076, HB4535, HB4623, HB4773, HB 1091, HB5115, HB5515, HB3372, HB5659, HB 127, HB386, HB 115, HB2868, HB 1249, HB4766, HB3720, HB4656, HB4879, HB 105, HB5383, HB4621, HB5431, HB5678, HB5534, HB4174, HB4212, HB3954, HB3966, HB3636, HB3918, HB1422, HB4765, HB4732, HB4742, HB5122, HB4518, HB5084, HB3986, HB4045, HB4144, HB3911, HB3976, HB4473, HB3425, HB3641, HB3642, HB3475, HB3509, HB3424, HB3383, HB4744, HB4531, HB4539, HB3159, HB5228, HB5370, HB4359, HB4398, HB4443, HB4466, HB3861, HB3849, HB4240, HB4706, HB4685, HB5354, HB5141, HB5686, HB3629, HB3554, HB3567, HB2015, HB3575, HB5381, HB1431, HB3514, HB4614, HB4546, HB4683, HB5681, HB5673, HB5663, HB4271, HB4350, HB4035, HB3807, HB3812, HB3552, HB3540, HB3715, HB3710, HB3664, HB4196, HB4233, HB4173, HB1998, HB3333, HB3510, HB4222, HB2070, HB2854, HB2347, HB 113, HB983, HB4847, HB1449, HB3833, HB5151, HB265, HB1845, HB782, HB 108, HB1960, HB158, HB1954, HB1955, HB2512, HB605, HB2581, HB2803, HB627, HB2667, HB1738, HB636, HB3679, HB2638, HB2655, HB871, HB2438, HB 1107, HB1765, HB1822, HB2153, HB4099, HB3732, HB3171, HB3178, HB3182, HB3749, HB2814, HB3977, HB4204, HB4207, HB4449, HB1820, HB1876, HB1939, HB1347, HB2593, HB2136, HB2132, HB2658, HB2413, HB2757, HB2080, HB3154, HB3063, HB3009, HB3448, HB3006, HB2844, HB3241, HB3680, HB3169, HB2078, HB2507, HB4559, HB3946, HB3460, HB3405, HB475, HB3463, HB3441, HB3520, HB2060, HB4731, HB4991, HB1991, HB5596, HB2014, HB2142, HB2673, HB2731, HB2417, HB2399, HB2301, HB3335, HB3234, HB3320, HB5573, HB4848, HB4748, HB4769, HB4795, HB2086, HB2234, HB2203, HB4916, HB5624, HB4505, HB139, HB5093, HB5302, HB5402, HB5606, HB2333, HB4630, HB4701, HB2583, HB2983, HB4924, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5430, HB5561, HB5611, HB5043, HB5064, HB3733, HB3781, HB3219, HB32, HB4515, HB5348, HB3902, HB4420, HB3269, HB469, HB336, HB316, HB5396, HB993, HB1342, HB5216, HB2046, HB2188, HB2450, HB2813, HB2857, HB4075, HB2911, HB4682, HB3117, HB3253, HB3442, HB4820, HB4336, HB5356, HB3669, HB3428, HB5465, HB3662, HB2590, HB2288, HB1886, HB3458, HB5603, HB5620, HB1489, HB4101, HB4990, HB5685, HB4950, HB4980, HB5684, HB3507, HB3566, HB4487, HB4462, HB4876, HB4915, HB4663, HB5570, HB2929, HB5261, HB2920, HB4642, HB4746, HB1609, HB5403, HB5453, HB3844, HB2336, HB1572, HB 1226, HB2806, HB2617, HB2827, HB3948, HB3945, HB4266, HB4542, HB3319, HB1772, HB2496, HB1970, HB3434, HB5545, HB5577, HCR76, HCR127, HCR9, HCR40, HCR118, HR559, HCR59, HCR135

Keywords: Medicaid, reimbursement, nursing facilities, ownership change, healthcare policy, mental health, psychiatric beds, inpatient psychiatric treatment, acute psychiatric care, bed availability, bed capacity, hospital reporting, HHSC, Health and Human Services Commission, state hospitals, private mental health facilities, civil commitment, competency restoration, not guilty by reason of insanity, jail diversion

Transcript Highlights:

• We have a 24-bed intake unit in Bryant, Arkansas, the Alexander facilities, most people refer to it.
• So sometimes when we don't have enough room in intake, youth will go to a juvenile detention center,
• You will see that in six years, we've only had 28 youth who showed up at intake with a low score on their
• provide both diversion and prevention services for those FINS cases that were mentioned, for those intake
• And I know we've had folks sitting out in the audience being patient.

Keywords: 1204, all

Summary: The committee first approved the December 10 minutes and then approved Representative Bentley’s appointment to the Child Maltreatment Oversight Committee. Members then received the Arkansas Infant and Child Death Review annual report, which covered unexpected child deaths in 2023. Reviewers said 170 non-natural deaths were identified, but 22 could not be reviewed because of criminal investigations, prosecutions, or missing records. Of the 148 reviewed deaths, 69 were accidents, 14 suicides, 18 homicides, and 47 were undetermined causes, including sudden unexpected infant death. Members asked how the report’s recommendations could be used, and presenters said the report is intended as a prevention tool for agencies, nonprofits, and others; they also noted that child abuse prevention grant applications are being shaped by the report’s recommendations and offered to share the RFP with the committee. A question about suicide and homicide data by age was answered by pointing members to the age breakdown in the report, with most of those deaths concentrated among 15- to 17-year-olds. The committee then took up HCR 1010 and a broader discussion of juvenile justice reform. Representative Shepard said the resolution was meant to confront data on juvenile incarceration and the cost of the system, while Senator Irvin, Judge Troy Braswell, Judge Kathy Hess, and AOC Juvenile Division Director Burke Steen described years of reform efforts built around validated risk assessments, diversion, and community-based services. They said Arkansas adopted tools such as SAVRY, the MAYSI, and substance-abuse screening to individualize juvenile court responses, and they emphasized that the goal is to keep children at home and in their communities when safe to do so. Members discussed the need for more mental health and substance-abuse services, better school collaboration, and the role of school safety dashboards and FINS/truancy cases in identifying problems earlier. Judges and staff said the reforms have reduced delinquency filings, DYS commitments, and revocations, while increasing diversions, though they noted data gaps in some counties and the need for better reporting. They also stressed that some serious offenses still require detention or commitment, and that judges must balance public safety with rehabilitation. Representative Barnes and others asked whether the numbers might be worse without judicial discretion and community programs, and the presenters agreed that individualized decision-making and graduated sanctions matter. Representative Inatt asked about tracking youth with disabilities, and the presenters said that specific diagnoses are not currently tracked but that national court data efforts may soon add behavioral-health data points. The committee then heard from DYS Director Michael Crump, who provided detailed data on DYS commitments, secure and community-based placements, detention-center use, demographics, offense levels, average length of stay, education outcomes, recidivism, dual DCFS/DYS custody, costs, and interagency coordination. He said commitments fell sharply during COVID, have since risen and then begun to decline, and that the system is working to reduce detention use, improve education and treatment, and expand community-based providers statewide.

Transcript Highlights:

• 68.0. 21 subsection 8 contains exceptions that prohibits certain parents and children of a deceased patient
• The medical professional should know the patient and not rush just to give any medication the father
• The doctors to that to stay are being left to care for more patients and a shorter period of time.
• >> Madam Chair, your recognition you based on the intake and the screening on behalf of the constituents
• now having a place to facilitate the intake of air, their concerns and the people basically use a critical

Keywords: 999, senate, all

Transcript Highlights:

• We are ultimately aiming to make health care for Washingtonians more connected, faster, and patient-centered
• And Senator Richelli, you've waited patiently. You have a question. Yeah, thank you.
• They've treated 35,000-plus patients.
• So our recommendations seek a balance between those two, if you will, while hoping to impact patient
• It elevates the patient and family and their needs and their experience.

Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.

Transcript Highlights:

• This is why this patient brokering bill is long overdue.
• Patient brokering is very real.
• And it is known as patient brokering.
• It's a voluntary admission by the patient coming in on the form.
• Immigration enforcement belongs with the federal government, not in hospitals, intake forms for patient

Summary: The committee first approved the January 21 minutes and then heard SB 1179, which would remove the delayed repeal date and appropriation contingency from the Developmental Disabilities Group Home Monitoring Program. Testimony from Disability Rights Arizona and program managers described the program’s monitoring and investigative work, including identified systemic concerns in group homes, while the sponsor said the effort should continue. SB 1179 received a do-pass recommendation on a 6-1 vote, with some members reserving their right to revisit the bill on the floor. The committee then took up SB 1114, appropriating $1 million for the Maricopa County Attorney’s Office to investigate behavioral health patient brokering. Witnesses, including Native advocates, described widespread recruitment of vulnerable people—especially Native Americans—into fraudulent treatment and sober-living schemes, often through social media and across state lines. Members and the sponsor framed the bill as an enforcement response to long-running abuse. SB 1114 passed 6-0. The committee also heard SB 1115, which would require AHCCCS/Access employees to work in person rather than remotely; supporters argued remote work had harmed oversight and service delivery, while Access said it would need substantial office space and warned of costs and staffing impacts. SB 1115 passed 4-3. The committee next considered SB 1051, requiring hospitals that accept Access payments to collect patients’ citizenship or immigration status on intake forms and report aggregate data to DHS. Supporters said it was a data-collection and accountability measure; opponents, including nurses and physicians, said it would deter care, undermine trust, and function as immigration surveillance. The bill passed 4-3. SB 1122, dealing with prior authorization and prepayment review for behavioral health services under the American Indian Health Plan, was amended to require a corrective action plan before 100% prepayment review; Access said it had minimal concerns with the amended version. It passed unanimously 7-0. SB 1132, a blank appropriation for a new Arizona State Hospital wing, drew testimony from families and advocates about the shortage of psychiatric beds and the effects of the Arnold v. Sarn consent decree; it passed 7-0. The committee also approved SB 1169 for graduate medical education funding, SB 1171 on dual enrollment checks between AHCCCS and exchange plans, and SB 1172 on DCS investigations and court notification, with votes ranging from 4-2 to unanimous support. Finally, the committee heard SB 1173, which would require owners and applicants for outpatient behavioral health facility licenses to be U.S. citizens or lawfully present, with an amendment clarifying lawful permanent resident status. The sponsor said the bill was intended to curb fraud tied to behavioral health licensing and patient brokering; discussion focused on whether the bill language matched that intent. The transcript ends before a final vote on SB 1173.

Transcript Highlights:

• So yeah, I would envision it being done through the point-in-time count and then all of their intake
• Really, HB 1164 is going to help us with the intake.
• Second, our statewide intake function, Second, our statewide intake function operates 24 hours a day,
• So it's fewer intakes. It's not better moving... Number of youth in foster care.
• So it's fewer intakes.

Keywords: 1184, house, all

Transcript Highlights:

• They're seeing 50 patients a day.
• I just want to be sure that the person, the patient, is aware.
• I’m speaking from the perspective of the patient, the client. Right.
• So if I am homeless and I go. ...perspective of the patient, the client.
• He was very patient and answered a lot of questions where we discussed it.

Bills: HB414, HB457, HB475, HB611, HB616, HB740, HB897, HB925, HB926, HB931, HB949, HB962, HB1076

Keywords: healthcare, criminal convictions, employment, background checks, prohibited offenses, homelessness, homeless shelter, emergency shelter, transitional housing, group home, halfway house, shelter standards, housing standards, sanitation, habitability, fire marshal, inspection, local permitting, parish government, Louisiana Department of Health

Bills: SCR74, SR68, SCR108, SCR76, SCR150, SR141, SCR69, SR64, SCR25, SR22

Keywords: no-bid contracts, emergency procurement, audit, state agencies, public funds, accountability, auditor, state and county agencies, government accountability, emergency declarations, easement, submerged lands, drainage, Kahala Hotel, Oahu, state land regulations, biomarker testing, health insurance, precision medicine, H.B. No. 1971

Transcript Highlights:

• Madam Chair and members, House Bill 2557 requires a health care provider to provide a patient with access
• It just has the patient and a medical provider, or is it in a different context?
• It just has the patient and a medical provider, or is it in a different context?
• Chair, Senator Hatathlie, from my understanding of the Chair's amendment, if the request is made by a patient
• requests for life insurance, requests from schools or educational institutions, requests for a deceased patient

Bills: HB2028, HB2047, HB2136, HB2244, HB2364, HB2406, HB2415, HB2557, HB2573, HB2589, HB2720, HB2749, HB2825, HB2861, HB2862, HB2870, HB2970, HB4070, HB4117, HCR2004, HCR2051

Keywords: community restitution, homelessness, indigence, court assessments, monetary obligations, forcible entry, detainer, writ of restitution, criminal trespass, judgment enforcement, civil terrorism, disorderly conduct, vandalism, political activism, public order, subversion, government security, evictions, judgment satisfaction, tenant rights

Transcript Highlights:

• And we call this patient brokering.
• The county attorney would oversee patient brokering for the entire state. Any questions?
• ...to oversee patient brokering for the entire state. Any questions? Thank you.
• Finally, Amy, thank you for being so patient. Thank you, Mr. Chair, members.
• Thank you for patiently waiting all this time. Any questions for our guest?

Bills: SB1072, SB1111, SB1114, SB1116, SB1122, SB1179, SB1250, SB1308, SB1455, SB1456, SB1457, SB1487, SB1547, SB1549, SB1551, SB1552

Keywords: reimbursement rates, intellectual disabilities, community services, economic security, funding appropriations, automated license plate readers, law enforcement, privacy, data access, public records, behavioral health, patient brokering, appropriation, state funds, Maricopa County, claims review, medical necessity, American Indian health program, healthcare regulations, healthcare

Bills: HB25, HB15, HB124, HB146, HB73, HB74, HB75

Keywords: juvenile delinquency, firearm possession, criminal background checks, state law, gun control, youth offense, conviction, public safety, medical injury, adverse outcome, health care provider, patient rights, confidentiality, settlement, legal counsel, HB124, New Americans Division, Workforce Solutions Department, immigrant workforce, refugee resettlement