Transcript Highlights:

• So, I'm actually taking his advice. Um, I asked Representative McGrath to put forward legislation.
• :59:49.120><c> actually</c><02:59:49.439><c> taking</c><02:59:49.760><c> his</c><02:59:50.000><c> advice
• </c><02:59:50.960><c> Um</c><02:59:51.439><c> I</c> So, I'm actually taking his advice.
• Um I So, I'm actually taking his advice.

Keywords: 1189, house, all

Transcript Highlights:

• Sometimes they even get conflicting advice from people within the Social Security Administration.
• 55.440><c> conflicting</c> Sometimes they even get conflicting Sometimes they even get conflicting advice
• 56.878><c> people</c><05:08:57.520><c> within</c><05:08:57.920><c> the</c><05:08:58.160><c> Social</c> advice
• from people within the Social advice from people within the Social Security<05:08:58.958><c> Administration

Keywords: U.S. House of Representatives Floor Proceedings on Monday, December 1, 2025, 1012, house, all

Transcript Highlights:

• You know, I joke with you sometimes about not getting your Medicare Advantage advice from Joe Amoth and
• about not getting your<04:45:01.360><c> Medicare</c><04:45:01.878><c> Advantage</c><04:45:02.320><c> advice
• </c><04:45:02.680><c> from</c><04:45:02.878><c> Joe</c> your Medicare Advantage advice from Joe your
• Medicare Advantage advice from Joe Amoth<04:45:03.520><c> and</c><04:45:03.600><c> William</c><04:45:

Keywords: 928, house, all

Summary: The committee first heard testimony on House Bill 437, which would change New Hampshire law on undischarged mortgages by creating a shorter period after which certain old mortgages would be treated as unenforceable. Prime sponsor Representative Bill Boyd said the bill was developed with input from bankers, lawyers, realtors, the Attorney General’s office, and the Banking Department, and he noted a drafting correction needed on line 18. He explained that the proposal would replace current law with a new framework modeled partly on Massachusetts, including a five-year expiration after a stated maturity date and a 35-year period for mortgages without an expiration date. Supporters said the bill would help clear obsolete title defects, reduce costly quiet-title litigation, and make real estate transactions easier for consumers, attorneys, and conveyancers. Representative Mary Hakken-Phillips, Susan Cole of the New Hampshire Association of Realtors, and Michelle Coffin all testified in support, describing the bill as a consumer protection measure. They said undischarged or improperly discharged mortgages often surface during title searches, causing delays, legal expenses, and failed or delayed closings. Coffin and Hakken-Phillips emphasized that many of these cases involve old, effectively obsolete mortgages and that the current process often requires expensive court action even when no one contests the title. Cole described a recent transaction in which a title defect caused a buyer to walk away and later restart the financing process, creating costs for both buyer and seller. A committee member asked about notice to mortgage holders; the response was that the lender bears responsibility for recording and extending the mortgage, and that due process rights would remain if a lender later contested the discharge. Ryan Hill of the New Hampshire Bankers Association said the banking industry had reviewed the bill and was generally comfortable with it, while requesting a delayed effective date so members would have time to adjust their recording practices. He said the bill’s January 1, 2028 effective date reflected that request. After closing the hearing on HB 437, the committee opened a hearing on House Bill 721, the Gold and Silver Legal Tender Act. Representative Juliet Harvey-Bolia introduced it as a bipartisan economic justice bill intended to recognize gold and silver as legal tender, protect against inflation, and address concerns about trust, taxes, and government taking. She argued that gold is a stable store of value and discussed tax treatment in neighboring states, federal history, and digital gold platforms. The hearing on HB 721 was still in progress when the transcript ended, with the chair limiting questions because of time.

Transcript Highlights:

• Uh, can you give us some guidance and some advice on how to think about this when we have a veterinarian
• So how do you think we should approach this issue when we have very expert witnesses giving us advice
• Uh, can you give us some guidance and some advice on how to think about this when we have a veterinarian
• So how do you think we should approach this issue when we have very expert witnesses giving us advice

Keywords: 928, house, all

Summary: The committee heard testimony on HB 153, which would require two or more law enforcement officers in each county to receive animal cruelty training through the police standards system. Representative Barbara Coma, the sponsor, said the bill was prompted by problems in animal cruelty cases, especially in rural areas without animal control officers, and she described it as a limited training measure. She said an amendment was forthcoming that would add an eight-hour approved course and a two-hour refresher every three years, and she emphasized that the trained officers would serve as resources rather than being required to take action themselves. Members asked about cost, due process, overlap with animal control officers, how trained officers would be identified and notified, and whether veterinarians could fill the role. Coma responded that the bill would not be a heavy financial lift, would not interfere with animal control officers, would apply to livestock as well as companion animals, and would still require law enforcement involvement because veterinarians cannot lawfully remove animals from property. She also said the training could improve due process by helping officers better understand when animal removal is appropriate and how cases should proceed. Sheriff William Wright, speaking for the New Hampshire Sheriffs Association, testified in opposition. He said training itself was acceptable, but the bill went beyond training by creating an obligation for sheriffs and state police to respond to and potentially investigate animal cruelty cases, which he argued would be ambiguous, unfunded, and burdensome for staffing and resources. He said some sheriff’s offices do not have investigative deputies and that the bill could create liability and uncertainty about who would lead investigations. In response to questions, he said the association would likely have no objection if the bill were limited to training, but it opposed the assistance/investigation mandate as written.

Transcript Highlights:

• Uh, I think that that's, um, forgive my bipartisanship, I think that's good advice.
• to</c><02:49:58.080><c> refuse</c><02:49:58.640><c> to</c> >> Senator Clark, I take that as warm advice

Keywords: 1187, senate, all

Transcript Highlights:

• , but that we would consider where it says four acupuncturists appointed by the governor with the advice
• , but that we would consider where it says four acupuncturists appointed by the governor with the advice

Keywords: 1191, senate, all

Transcript Highlights:

• Dispatch Advices, Seeker, Higher Ground. 352, Ingram.
• They need some advice, and everybody needs to be. on the same page.

Keywords: 997, house, all

Bills: SB1687, HB1687, HB4431, HB2894, HB2979, HB3262, HB3298, HB3369, HB3431, HB3462, SB1226, SB1876, SB1916, SB1920, HB3467, HB3498, HB3500, HB3521, HB3581, HB3650, HB3673, HB3764, HB3767, HB3781, HB3800, HB3831, HB3834, HB3941, HB2749, HB3970, HB3972, HB3979, HB3980, HB3981, HB3996, HB4095, HB4104, HB4191, HB4248, HB4298, HB4338, HB4427, HB4428, HJR1023, HB3660, HB3718, HB4326, HB3443, HB3880, HB3649, HB3000, SB1651, SB504, SB372, SB1326, SB1633, SB248, SB1242, SB1238, SB423, SB1989, SB1286, SB904, SB1213, SB1216, SB1827, SB65, SB1390, SB259, SB1944, SB540, SB2139, SB346, SB1595, SB1400, SB1555, SB1209, SB2110, SB1670, SB1061, SB2104, HR1057, SB1946, SB1734, SB1316, SB1360, SB1557, SB1684, SB2049, SB1410, SB2011, SB1437, SB1204, SB1732, SB1775, SB2084, SB1380, SB1572, SB1772, SB1224, SB710, SB1338, SB1266, SB1303, SB1307, SB1562, SB1794, SB1191, SB1983, SB1832, SB1448, SB1534, SB1593, SB1597, SB1630, SB1489, SB1726, SB1796, SB1806, SB1877, SB1451, SB1553, SB1632, SB1423, SB1425, SB1502, SB2180, SB1725, SB2182, HB3003, HB3004, HB4434, HB4324, HB4342, HB2137, HB4432, SJR50, SJR52, SJR53

Keywords: driver licenses, exam proctor, Service Oklahoma, commercial training, background checks, advance directive, advance health care directive, health care proxy, medical power of attorney, durable power of attorney for health care, living will, surrogate decision-maker, default surrogate, health care agent, capacity determination, supported decision making, mental health directive, psychiatric advance directive, end-of-life care, life-sustaining treatment

Bills: SB1687, HB1687, HB4431, HB2894, HB2979, HB3262, HB3298, HB3369, HB3431, HB3462, SB1226, SB1876, SB1916, SB1920, HB3467, HB3498, HB3500, HB3521, HB3581, HB3650, HB3673, HB3764, HB3767, HB3781, HB3800, HB3831, HB3834, HB3941, HB2749, HB3970, HB3972, HB3979, HB3980, HB3981, HB3996, HB4095, HB4104, HB4191, HB4248, HB4298, HB4338, HB4427, HB4428, HJR1023, HB3660, HB3718, HB4326, HB3443, HB3880, HB3649, HB3000, SB1651, SB504, SB372, SB1326, SB1633, SB248, SB1242, SB1238, SB423, SB1989, SB1286, SB904, SB1213, SB1216, SB1827, SB65, SB1390, SB259, SB1944, SB540, SB2139, SB346, SB1595, SB1400, SB1555, SB1209, SB2110, SB1670, SB1061, SB2104, HR1057, SB1946, SB1734, SB1316, SB1360, SB1557, SB1684, SB2049, SB1410, SB2011, SB1437, SB1204, SB1732, SB1775, SB2084, SB1380, SB1572, SB1772, SB1224, SB710, SB1338, SB1266, SB1303, SB1307, SB1562, SB1794, SB1191, SB1983, SB1832, SB1448, SB1534, SB1593, SB1597, SB1630, SB1489, SB1726, SB1796, SB1806, SB1877, SB1451, SB1553, SB1632, SB1423, SB1425, SB1502, SB2180, SB1725, SB2182, HB3003, HB3004, HB4434, HB4324, HB4342, HB2137, HB4432, SJR50, SJR52, SJR53

Keywords: driver licenses, exam proctor, Service Oklahoma, commercial training, background checks, advance directive, advance health care directive, health care proxy, medical power of attorney, durable power of attorney for health care, living will, surrogate decision-maker, default surrogate, health care agent, capacity determination, supported decision making, mental health directive, psychiatric advance directive, end-of-life care, life-sustaining treatment

Bills: SB1687, HB1687, HB4431, HB2894, HB2979, HB3262, HB3298, HB3369, HB3431, HB3462, SB1226, SB1876, SB1916, SB1920, HB3467, HB3498, HB3500, HB3521, HB3581, HB3650, HB3673, HB3764, HB3767, HB3781, HB3800, HB3831, HB3834, HB3941, HB2749, HB3970, HB3972, HB3979, HB3980, HB3981, HB3996, HB4095, HB4104, HB4191, HB4248, HB4298, HB4338, HB4427, HB4428, HJR1023, HB3660, HB3718, HB4326, HB3443, HB3880, HB3649, HB3000, SB1651, SB504, SB372, SB1326, SB1633, SB248, SB1242, SB1238, SB423, SB1989, SB1286, SB904, SB1213, SB1216, SB1827, SB65, SB1390, SB259, SB1944, SB540, SB2139, SB346, SB1595, SB1400, SB1555, SB1209, SB2110, SB1670, SB1061, SB2104, HR1057, SB1946, SB1734, SB1316, SB1360, SB1557, SB1684, SB2049, SB1410, SB2011, SB1437, SB1204, SB1732, SB1775, SB2084, SB1380, SB1572, SB1772, SB1224, SB710, SB1338, SB1266, SB1303, SB1307, SB1562, SB1794, SB1191, SB1983, SB1832, SB1448, SB1534, SB1593, SB1597, SB1630, SB1489, SB1726, SB1796, SB1806, SB1877, SB1451, SB1553, SB1632, SB1423, SB1425, SB1502, SB2180, SB1725, SB2182, HB3003, HB3004, HB4434, HB4324, HB4342, HB2137, HB4432, SJR50, SJR52, SJR53

Keywords: driver licenses, exam proctor, Service Oklahoma, commercial training, background checks, advance directive, advance health care directive, health care proxy, medical power of attorney, durable power of attorney for health care, living will, surrogate decision-maker, default surrogate, health care agent, capacity determination, supported decision making, mental health directive, psychiatric advance directive, end-of-life care, life-sustaining treatment

Summary: The House recognized several visitors and groups during the day, including the Norman North High School Cheer and Stunt Team, a student page, Bartlesville Day at the Capitol, and Leadership Elk City. The chamber then took up a long series of Senate amendments and final passage votes on a wide range of measures, with most amendments adopted without objection and many bills passing by wide margins. Topics included advanced health care directives, the Oklahoma Rural Jobs Act, motor vehicle and insurance changes, food truck fire suppression, foreign adversary land ownership restrictions, plumbing licensing reform, probate procedure, financial institutions, riots, Medicaid, court reporters, public finance, district attorney recruitment incentives, child care, the Oklahoma Brine Development Act, adjunct teachers, workers’ compensation, and other technical or policy updates. Several bills drew substantive debate. The Oklahoma Rural Jobs Act prompted questions about the additional $15 million funding tranche, return on investment, and the use of out-of-state fund managers; supporters said the program had created thousands of jobs and generated strong tax revenue, while opponents criticized the lack of independent ROI data and transparency. House Bill 3500 on probate procedure also drew questions about a nine-month deadline for successor affidavits, with the author saying the change would prevent a “gotcha” that could defeat a decedent’s wishes. House Bill 3660 on natural organic reduction was the subject of extended debate, with supporters arguing for personal freedom and rejecting claims about misuse of the resulting material, while opponents raised concerns about the practice and its regulation. The House passed most measures by comfortable margins, including bills on advanced health care directives, professions and occupations, motor vehicles, Medicaid, insurance, child care, court reporters, public finance, and criminal law. A few measures failed or were reconsidered: Senate Bill 1916 initially failed on a 46-39 vote, but the House later voted to reconsider and then passed it on reconsideration. Several bills also carried emergency clauses, which were adopted where required by two-thirds votes. The session ended with the House still considering debate on House Bill 3660 after the chamber had recessed and returned to order.

Bills: SB1687, HB1687, HB4431, HB2894, HB2979, HB3262, HB3298, HB3369, HB3431, HB3462, SB1226, SB1876, SB1916, SB1920, HB3467, HB3498, HB3500, HB3521, HB3581, HB3650, HB3673, HB3764, HB3767, HB3781, HB3800, HB3831, HB3834, HB3941, HB2749, HB3970, HB3972, HB3979, HB3980, HB3981, HB3996, HB4095, HB4104, HB4191, HB4248, HB4298, HB4338, HB4427, HB4428, HJR1023, HB3660, HB3718, HB4326, HB3443, HB3880, HB3649, HB3000, SB1651, SB504, SB372, SB1326, SB1633, SB248, SB1242, SB1238, SB423, SB1989, SB1286, SB904, SB1213, SB1216, SB1827, SB65, SB1390, SB259, SB1944, SB540, SB2139, SB346, SB1595, SB1400, SB1555, SB1209, SB2110, SB1670, SB1061, SB2104, HR1057, SB1946, SB1734, SB1316, SB1360, SB1557, SB1684, SB2049, SB1410, SB2011, SB1437, SB1204, SB1732, SB1775, SB2084, SB1380, SB1572, SB1772, SB1224, SB710, SB1338, SB1266, SB1303, SB1307, SB1562, SB1794, SB1191, SB1983, SB1832, SB1448, SB1534, SB1593, SB1597, SB1630, SB1489, SB1726, SB1796, SB1806, SB1877, SB1451, SB1553, SB1632, SB1423, SB1425, SB1502, SB2180, SB1725, SB2182, HB3003, HB3004, HB4434, HB4324, HB4342, HB2137, HB4432, SJR50, SJR52, SJR53

Keywords: driver licenses, exam proctor, Service Oklahoma, commercial training, background checks, advance directive, advance health care directive, health care proxy, medical power of attorney, durable power of attorney for health care, living will, surrogate decision-maker, default surrogate, health care agent, capacity determination, supported decision making, mental health directive, psychiatric advance directive, end-of-life care, life-sustaining treatment

Summary: The House convened, completed the roll call, prayer, Pledge of Allegiance, and recognized Eileen Cooper Grubbs as Nurse of the Day. The chamber then took up several procedural items, including second-reading referrals of Senate Joint Resolutions 50, 52, and 53 to Administrative Rules. Speaker Hilbert also announced the House would continue working despite uncertainty about action in the other chamber, and members were told dinner had been ordered for a long day of floor work. On legislation, the House rejected Senate amendments to House Bill 1728 and House Bill 3021 and requested conference on both. It adopted Senate amendments to House Bill 2137, a criminal procedure bill, and then passed the bill. The House also approved a motion by Speaker Hilbert to override the governor’s veto of House Bill 4432, with a recorded vote of 68-15, allowing the bill to become law notwithstanding the governor’s objections. The House then adopted House Concurrent Resolution 1028, which authorizes the House or Senate to modify legislative deadlines for the remainder of the 60th Legislature. Members discussed that the change was intended to keep legislation moving while the Senate was not meeting and to preserve the ability to hear bills and return them between chambers. The resolution passed after a recorded vote of 77-4. Finally, the House suspended certain rules for the rest of the session by a 68-15 vote and recessed until 1 p.m., with a reminder that the rural caucus would meet in Room 206.

Transcript Highlights:

• going to pay for it and all that, but the way we're doing this is just not, I think, in the best advice

Keywords: 987, senate, all

Transcript Highlights:

• Among other services, we offer free and confidential legal advice in English, Somali, Hmong, and Spanish

Keywords: 918, senate, all

Summary: The conference committee on the housing omnibus bill began with member introductions and a staff walk-through comparing House and Senate provisions. House Research staff reviewed major policy differences affecting Minnesota Housing Finance Agency operations, including limits on how much the agency may retain from state appropriations for administrative costs, new reporting requirements, restrictions on transfers between appropriated accounts, and House-only language requiring annual expenditure of investment income from state appropriations. Senate provisions were also summarized, including tighter rules on when appropriations may be placed into Housing Development Fund bookkeeping accounts, updated operating-cost reporting, and Senate-only changes to how investment earnings may be used. Staff also described shared and differing provisions on program-money transfers, a lived-experience earnings exemption, and a long list of Senate-only policy changes, including manufactured home park tenant protections, low-income housing tax credit and bond-related changes, a task force on housing taxes and fees, and repealers affecting Housing Development Fund authority and certain older programs. Fiscal staff then reviewed the budget impacts. The House side included one-time appropriations for workforce housing development, family homeless prevention and assistance, a Minnesota Nice Home Share pilot, and homebuyer education, along with debt service for $100 million in housing infrastructure bonds and transfers/cancellations that produced a net zero general fund impact across the budget window. The Senate side noted a fiscal note for the housing taxes and fees task force and a smaller housing infrastructure bond authorization, with corresponding debt service costs and a total Senate budget-window impact of about $1 million in general fund debt service. After the staff presentations, the committee moved to public testimony. Commissioner Jennifer Ho of Minnesota Housing said the bill’s housing infrastructure bonds and continued support for family homeless prevention were important, and she supported the lived-experience earnings exemption, while noting concerns about the interest-earnings provisions. Testifiers from Greater Minnesota groups praised the workforce housing investments and Senate updates to the state housing tax credit and infrastructure grant program, though they suggested changes to the geographic distribution language. HOME Line urged funding for statewide tenant hotline services, citing rising demand and asking for $1 million if additional money becomes available. The Minnesota Consortium of Community Developers supported the bill’s investments and emphasized the need to pair housing development with supportive services. Housing First Minnesota praised housing infrastructure bonds and other investments but criticized the omission of the Minnesota Starter Homes Act. The Minnesota Multi Housing Association began testimony opposing certain rent-control-related provisions in the House bill. No votes or final actions were taken during the portion of the meeting provided.

Transcript Highlights:

• already been spent by the IOUs, and the review for recovery is sometimes done through the staff-only advice

Summary: The committee heard several energy, water, and utility bills. SB 919 by Senator Grayson would extend the biomethane monetary incentive program through 2030 and authorize additional funding to support renewable natural gas projects by reducing interconnection costs. Supporters said high interconnection costs and the current tax treatment are major barriers to methane reduction projects; opponents, including TURN and environmental groups, raised ratepayer cost concerns and objected to rate-basing and additional public funding. The author said amended language would remove the rate-basing provisions and instead urge the CPUC to act quickly on its pending decision. SB 931 by Senator Laird would reauthorize the Community Impact Mitigation Program for the Diablo Canyon plant through 2030 to continue funding local emergency preparedness, fire protection, public safety, and school district costs. The County of San Luis Obispo and labor groups supported the bill, while TURN opposed it as a statewide ratepayer subsidy that could be funded from existing PG&E revenues instead of higher rates. Members discussed the bill in the context of the 2022 Diablo Canyon extension deal and the possibility of a future longer extension. SB 1215 by Senator Cortese would direct the CPUC to set deployment targets for EV charging in multifamily housing and evaluate progress, with amendments aimed at affordability and limiting system upgrade costs. Supporters said renters are largely locked out of home charging and that prior utility programs proved cost-effective; no opposition testified. SB 1359 by Senator Stern would require more deliberate CPUC review before major gas system investments, emphasizing electrification and non-pipeline alternatives. Gas utilities and several industry groups opposed it, arguing it could undermine the obligation to serve, create safety and reliability risks, and change the regulatory compact. The committee also heard SB 1125 by Senator Menjivar, presented by Senator Gonzalez, which would establish a statewide low-income water rate assistance program upon appropriation. Water agencies, environmental groups, and local governments supported the measure, while one member expressed concern that it lacked a funding source and could not overcome Proposition 218 limits; the bill was moved to Appropriations and the roll was left open. Finally, SB 1098 by Senator Perez would restrict the use of long-running memorandum and balancing accounts by investor-owned utilities, require exceptional circumstances for new accounts, and add sunset and cost-sharing requirements. Consumer advocates and large energy users supported tighter oversight, while the utilities and business groups opposed the bill as too rigid and potentially harmful to flexibility for wildfire, emergency, and safety-related costs.

Transcript Highlights:

• Governor's Message 657, Katina Soares &gt;&gt; Governor's Message 657, Katina Soares for<00:08:58.760><c> advice

Keywords: 912, senate, all

Transcript Highlights:

• If we need some technical advice, we will take it. Go ahead.

Keywords: 988, house, all

Transcript Highlights:

• provisions, I mean, it's interesting that today we've been told to call our CPAs to ask them for advice

Bills: HF3127, HF3816, HF3814, HF3815, HF3817

Keywords: taxation, pass-through entity, qualifying owner, partnership, S corporation, tax return, corporate franchise tax, individual income tax, research expenditures, federal compliance, Minnesota Statutes, income tax, corporate tax, section 179, federal conformity, HF3815, Minnesota taxes, tax conformity, Internal Revenue Code, IRC conformity

Transcript Highlights:

• That's the first advice they may give.

Keywords: 959, house, all

Transcript Highlights:

• So that's my advice. Habila Inc. providing comments.

Keywords: 912, senate, all

Summary: The committee heard testimony on a large number of health-related measures, with the most extensive discussion on SB 2283, which would expand mail-order pharmacy access for prescription drugs. Supporters including HMSA, the Board of Pharmacy, and health plan groups said mail order could lower costs, improve adherence, and reduce hospitalizations, while independent pharmacies and rural neighbor-island providers warned it could harm local pharmacies, reduce access for patients who rely on face-to-face service, and create delivery and storage problems for medications. No vote was taken on SB 2283 during the excerpt, and the chair moved on after hearing testimony. The committee also heard SB 2855 on opioid antagonists, with the Insurance Division and HMSA noting that medically necessary opioid antagonists are already covered and suggesting the issue may be addressed through education or administrative fixes. Fentanyl and substance abuse groups supported the measure. SB 3045 on health insurance coverage for continuous glucose monitors drew broad support from diabetes and health organizations; HMSA said it had already expanded coverage for members on injectable insulin but raised concerns about supply constraints and said it had not yet seen an auditor study referenced in discussion. Members asked whether the bill would extend coverage beyond current policy. SB 2843 on domestic violence received support from the Public Defender’s Office, prosecutors, and victim-related organizations, who said the pilot program for misdemeanor domestic violence cases had reduced backlogs and improved court efficiency. A prosecutor also supported retaining coercive control as a petty misdemeanor tool in larger domestic violence cases. SB 2845 on healthcare facility access drew strong support from many health, legal, and advocacy groups, who said it would protect patients and staff from disruptive interference at healthcare facilities; one opponent argued it would chill lawful speech and protest and unfairly exempt labor demonstrations. The committee then heard SB 2854 and SB 3202, both healthcare-related measures, with testimony largely in support. SB 2854 drew comments from health and dental groups, and SB 3202 focused on workforce and licensing issues, including support for retired physicians volunteering, preceptor tax credits, and adding advanced midwifery and physician assistant-related provisions. The chair repeatedly enforced a one-minute testimony limit and moved through the agenda without recorded votes in the excerpt.

Transcript Highlights:

• The medications, as they are, it was the advice of a lot of people, including the Department of Health

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