Transcript Highlights:

• Looking at policies, and arguably most important, meeting with clients directly to get their feedback
• I did want to include some provider feedback.
• I also wanted to include some feedback from the moms who received resource and referral support.

Keywords: 962, all

Summary: The meeting focused on maternal health and behavioral health services for pregnant and postpartum people in Connecticut. Dr. Fatmata Williams of DSS gave an update on the Husky maternity payment bundle, explaining that it was created in response to worsening maternal and neonatal outcomes and racial disparities. She said the bundle, launched in 2025, shifts payment away from fee-for-service toward prospective case rates, quality measures, and shared savings, while covering services such as doulas and maintaining access to behavioral health and other non-pregnancy-related care outside the bundle. She noted 26 maternity practices are participating, quarterly quality reports have been distributed, reconciliation is planned for 2026, and DSS is considering refinements such as adding newborns, revisiting shared losses, and possibly expanding to FQHCs after further stakeholder review. Shelly Nolan of DMHAS then described the state’s women’s services and recovery continuum, including pregnant and parenting treatment programs, women’s recovery support programs, community transition support with rent subsidies, the Proud program, REACH navigation, recovery houses, and outpatient services. She emphasized that many programs are under capacity and that DMHAS uses a no-wrong-door approach, real-time bed availability, technical assistance, and training to improve access. She also reviewed initiatives tied to substance-exposed pregnancies and safe sleep, secure storage, naloxone distribution, reproductive health integration, breastfeeding support, and upcoming conferences and trainings. She said the department works closely with DCF and community partners to reduce stigma and improve family-centered care. Beth Garrigan presented on the Access Mental Health and Substance Use for Moms program, a statewide consultation service for providers serving pregnant and postpartum individuals up to 12 months after delivery. She said the program offers real-time psychiatric consultation, referral support, and one-time face-to-face assessments, and has provided more than 4,300 consultations and resource/referral support to over 700 individuals since 2022. Members and legislators praised the service and discussed how it helps providers connect patients to care, follow up on referrals, and address barriers such as fit, stigma, and workflow. No votes were taken; the meeting ended with plans for the next meeting on June 8 and a request for Dr. Williams’ slides to be posted online.

Transcript Highlights:

• As always, I'm eager to get this feedback and file more amendments to make this bill even better.
• Bosley, I want to really thank you for your feedback.
• So I think your feedback today is going to help me set that standard, if you will.

Bills: S0382, S0628, S0654, S0696, S0880

Keywords: transportation facility designations, road naming, highway designation, honorary designation, memorial highway, memorial boulevard, memorial interchange, airport naming, FDOT markers, Florida Department of Transportation, State Road 80, SR 80, U.S. 90, U.S. 41, A1A, Turnpike interchange, Kissimmee Park Road, Bobby Bowden, Donald Trump Highway, President Donald J. Trump Highway

Transcript Highlights:

• We can take that as feedback, and we’ll work with the CON committee and follow up with the committee,
• And I think it’s helpful to give a bit of feedback as to what, or I guess background, I should say, as
• It's not all operable, but I wanted to let you see it, get some feedback if you have questions, before

Keywords: 959, house, all

Transcript Highlights:

• We have received feedback of concern from our members regarding the definition of public places and how
• will be going in, have that voice and are able to certainly give notice to their residents and get feedback
• So that's the balance I'm trying to strike, and I ...and get feedback from their communities.

Bills: S0408, S0986, S0678, S0800, S1050, S0484, S1118

Keywords: vaccine advertisement, manufacturer liability, harmful vaccine, healthcare, court action, smoking regulation, public health, vaping, marijuana, public places, Florida Statutes, alcohol distribution, tax deductions, extraordinary losses, warehouse breakage, regulatory compliance, veterinary, prescription, pharmacy, client rights

Transcript Highlights:

• thank the sponsor for bringing the bill forward and for working with stakeholders and being open to feedback
• I know we'll probably provide some written feedback, but one opportunity that we do see, along with all
• We will be providing some minor technical feedback on some of the timelines in this bill.

Bills: HB2228, HB2273, HB2418, HB2381

Keywords: building code, safety regulations, construction, scissor stairs, state standards, embodied carbon, building materials, sustainability, environment, permit review, project permits, land use, zoning, development regulations, residential development, housing permits, affordable housing, local government, county planning, city planning

Transcript Highlights:

• We had a great discussion yesterday, and I really appreciate that and the feedback.
• Our office and OPB has not received any specific feedback to it, but if you have some, please let us
• Any other feedback or input or questions from the senators at this time?

Keywords: 999, senate, all

Summary: The Senate Appropriations Committee on Pre-K-12 Education met to hear the governor’s fiscal year 2026-27 education budget recommendations from the Governor’s Office of Policy and Budget and the Department of Education. The presentation highlighted a $117.4 billion overall state budget, with about $32.5 billion for education, including $30.6 billion for K-12. Major items included $486 million for VPK, $483 million for VPK operations, $3 million for the VPK Summer Bridge Program, $10 million for TEACH, $3.9 million for HIPPY, and $4.5 million for Help Me Grow. For K-12, the proposal included a $761.1 million FEFP increase, a $9,406 per-student funding level, $201 million more for teacher pay, $100 million more in base student allocation, and increases for mental health and school safety funding. Members asked detailed questions about mental health staffing, school closures, school choice oversight, the Guardian Program, student data reporting, civics education, and the FISH facilities report. Several senators raised concerns that counselor funding is not enough to provide adequate student mental health services, that school closures may disproportionately affect historically Black schools, and that the FISH report does not fully capture actual campus capacity because it excludes some program spaces and portable conditions. The commissioner said mental health dollars can support existing counselors or additional hires, that the department remains available to assist districts on closures, and that school choice and safe schools staff monitor fraud, safety, and compliance. On the Guardian Program, the commissioner said sheriffs approve training, the program has expanded to private and early learning schools, and it has produced positive safety outcomes. Public testimony came from Pinellas County School Board member Laura Hine, who said her district is an A-rated district with no D or F schools and argued that local districts often spend far more on safety and mental health than state funding provides. She said Pinellas funds full-day VPK for low-income students and credited that investment, along with local partnerships, for a 26-point increase in third-grade reading proficiency over seven years. She urged the committee to consider expanding full-day VPK statewide and noted that Florida’s mental health staffing ratio remains about twice the recommended level. The committee also discussed flexibility in the base student allocation and the need for more accurate facilities data. No votes were taken, and the meeting ended with a motion to adjourn adopted without objection.

Transcript Highlights:

• Quite frankly, being here with you all today, we want to know if you also have feedback on any of these
• Quite frankly, being here with you all today, we want to know if you also have feedback on any of these
• industries, being here with you all today, we want to know if you also have feedback on any of these

Summary: The Appropriations Committee on Transportation, Tourism, and Economic Development met to hear presentations from the Department of Commerce and the Florida Department of Transportation. Jason Mahon of Florida Commerce outlined the state’s economic development strategy, emphasizing Florida’s GDP growth, business formation, and strengths in manufacturing, high-tech, life sciences, defense, and financial services. He described the department’s tools for small business lending, rural investment tax credits, venture capital support, infrastructure and workforce grants, performance-based incentives, and disaster recovery loans, and highlighted examples such as ServiceNow, Williams International, Asteris, and Point Blank Enterprises. Senators asked about grant availability for small businesses, foreign companies relocating to Florida, workforce shortages in manufacturing, and whether additional tools may be needed; Mahon said most small-business support is loan-based and noted ongoing workforce and infrastructure challenges. Jennifer Marshall of FDOT then reviewed major transportation projects and the Moving Florida Forward initiative, describing the state’s large portfolio of active contracts and major congestion-relief projects across Florida. She highlighted early completions and accelerated timelines on projects including the NASA Causeway Bridge, I-95 at US 1 in Volusia County, I-4 congestion relief lanes, the First Coast Expressway, the Howard Frankland Bridge, I-4 interchanges in Central Florida, A1A coastal protection work, I-75 improvements in Southwest Florida, and the I-395 reconstruction in Miami. Senators asked about how express lane projects are selected, whether toll revenues are used for local maintenance and improvements, the status of the Miami I-395 project, and the impact of losing electric-vehicle express lane exemptions. Marshall said FDOT works with local long-range plans and congestion data, and that she would follow up on several specific funding and project questions. Committee members generally praised both agencies for project delivery, cost savings, and coordination with local partners. Senator Mayfield noted the importance of using savings and working with local governments, while Senator Wright commended Commerce’s role in economic development and FDOT’s work on major road projects. The meeting concluded with no further business, and the committee adjourned.

Transcript Highlights:

• Thank you, Chair Hooper, and thank you to Vice Chair Jones for your feedback and ability to improve the
• And thank you to Vice Chair Jones for your feedback and ability to improve the legislation.
• Members and the team at FDACS, I appreciate all your feedback and assistance with this bill.

Summary: The Senate opened with a prayer, the Pledge of Allegiance, doctor and guest introductions, and then moved to the special order calendar. Early bills passed included measures on the Florida Trust Code (SB 806/HB 1173), school district reporting requirements and educator misconduct reporting (SB 1374), debt collection email communications (SB 232), service of process updates (SB 576/HB 157), public lodging and food service establishments (SB 606), lien waivers and releases (SB 658), Crime Stoppers public records exemptions (SB 710), health care licensure and foreign-country business interests (SB 768, amended), diabetes management in schools (SB 772/HB 597), platting procedures (SB 784), fentanyl testing in hospitals (SB 1346/HB 1195), third-party reservation platforms (SB 940), electronic landlord-tenant notices (SB 1164/HB 615), leaving the scene of a crash restitution (SB 1378/HB 479), background screening for athletic coaches (SB 1546), surrendered infants and infant safety devices (SB 1690/HB 791), and affordable housing/Live Local Act changes (SB 1730, amended). Several other bills were temporarily postponed, including measures on trespass, higher education, transportation services, the UCC, altered sexual depictions, firearms during emergencies, Brownfields, false reporting, health care billing, motor vehicles, utility services, and others. Most of the debate centered on a few controversial bills. Senators debated the fentanyl testing bill in support of faster detection and life-saving treatment, and the surrendered infants bill drew opposition over safety, anonymity, and liability concerns, though supporters argued baby boxes provide a monitored safe surrender option. The affordable housing bill received an amendment and broad support as a continuation of the Live Local Act, with changes to zoning, parking, height, and litigation procedures. The day’s most contentious measure was the agriculture/consumer services package (SB 700), where senators argued over the bill’s fluoride-related preemption; opponents criticized the policy and process, while the sponsor emphasized broader agriculture, consumer protection, and FFA-related provisions. That bill passed 27-9. Votes on the other major bills were largely bipartisan and often unanimous or near-unanimous, with several bills passing 35-37 yeas and few or no nays. The Senate also adopted a motion to immediately certify all bills passed that day to the House. The session concluded with announcements recognizing visitors, including Taiwan representatives, and remarks about a lantern-lighting observance tied to the 250th anniversary of Paul Revere’s ride, followed by adjournment until the next scheduled meeting.

Transcript Highlights:

• But I'm curious, have you heard any feedback on why with the current pilot program folks don't want to
• I'm curious, what is the feedback?
• So maybe do you have any initial feedback of why folks are not interested in the pilot program in the

Summary: The committee met with a quorum present and heard six bills, all of which were reported favorably. HB 1567, relating to insulin administration by direct support professionals, was amended to clarify the type of insulin that may be administered and to allow supervision of self-administration of an insulin pen. Supporters described the bill as a way to keep people with developmental disabilities in group homes rather than forcing institutional placement; the amendment and bill both passed unanimously, 17-0. PCS for HB 1103, on services for persons with disabilities, would expand the APD managed care pilot statewide in phases, require more transparency on waitlist data, create a statewide family care council, and address transition services for young adults leaving foster care. Testimony was mixed: supporters emphasized the long APD waitlist and the need for a voluntary option, while some witnesses and members raised concerns about the accelerated rollout, limited data, and preserving consumer-directed care. The committee adopted the bill 17-0. CS for HB 127, on exceptional student education, would create micro-credentials and coordinate with the Florida Center for Students with Unique Abilities and OSHA to support students with disabilities transitioning to work; it passed 17-0 after testimony from a parent and advocates. HB 989, concerning licensure of family foster homes, was amended to streamline license transfers for foster parents moving within Florida while maintaining oversight and directing DCF rulemaking. A teacher and other supporters said the bill would reduce bureaucracy and help children remain in stable homes; it passed 17-0. PCS for HB 1091, on substance abuse and mental health care, updates processes related to the 988 crisis line, methadone treatment needs assessments, and forensic evaluators, and adds data/reporting requirements for DCF managing entities. After one amendment and testimony from supporters and one opponent, it passed 16-0. Finally, HB 633, on behavioral health managing entities, was amended and then approved 17-0; it requires more structured data and reporting from managing entities to increase accountability and transparency in the behavioral health system.

Transcript Highlights:

• A 2021 study, along with current physician feedback, shows that some clinicians may not choose to even
• Thus, the need for a sustainable funding mechanism, and these bills provide that.

Keywords: 995, all

Summary: The committee heard testimony on a wide range of health insurance and public health bills, with most speakers focused on expanding coverage for specific treatments and services. Bills discussed included H. 1187/S. 792 on rehabilitation counselors, H. 1173/S. 692 on patient navigation, S. 2600 on scalp cooling for chemotherapy patients, S. 2599 on medically necessary treatment for port wine birthmarks, H. 1164 on licensed educational psychologists for child and adolescent mental health services, S. 754/H. 1254 on autism diagnosis and treatment by nurse practitioners and psychiatric nurse mental health clinical specialists, S. 714/H. 1137 on infectious disease response and coverage, and S. 791 on making nature a prescriptive therapeutic intervention. Speakers generally argued these bills would improve access, reduce out-of-pocket costs, and address gaps in current insurance reimbursement rules. Testimony in support emphasized personal stories and clinical evidence. Cancer patients and providers described the benefits of patient navigation and scalp cooling for dignity and quality of life during treatment. Boston Children’s Hospital staff and families said port wine birthmark treatment is medically necessary, can prevent complications, and should not be denied as cosmetic. Rehabilitation counselors and school psychologists argued their services are effective, cost-saving, and underused because they cannot bill insurance. Autism advocates said current insurance statutes are outdated because nurse practitioners and psychiatric nurse mental health clinical specialists already provide evaluations and should be recognized for reimbursement to avoid delays in early intervention. Public health and GLAD Law testimony supported stronger infectious disease coverage to remove barriers to testing, treatment, and PrEP access. The hearing also included extensive testimony on H. 1172, a bill requiring insurance coverage for detransition-related care. Supporters said it would ensure coverage for medically necessary care for people who regret or reverse gender transition, while opponents argued it would legitimize anti-trans narratives or, conversely, that detransition care is needed because transition procedures can cause harm. The committee also heard strong support for S. 791 from advocates who described nature access as a health intervention that could help with trauma, anxiety, substance use recovery, and environmental justice, with claims that insurance coverage and reduced park fees would improve access. No votes were taken during the transcript, and the chair repeatedly thanked speakers and moved through the long list of public testimony.

Transcript Highlights:

• So we also have met with MassDEP, the Water Management Act program, to get their feedback on this.
• Is there a mechanism to fund 3795?

Keywords: 995, all

Summary: The Joint Committee on Agriculture and Fisheries held a public hearing on 19 legislative proposals, with testimony limited to three minutes per speaker and seven minutes per panel. The hearing opened with testimony on bills promoting urban agriculture and vacant-lot conversion, including H.121/S.61, which Green Roots staff and community members supported as a way to turn vacant lots in environmental justice communities into urban farms and gardens that improve food access, health, community cohesion, and climate resilience. Rep. James Arena-DeRosa also spoke in support of H.109/S.56, the PFAS bill, describing it as a measure to protect soil and farms from contamination and to create relief for affected farmers. A major portion of the hearing focused on H.109/S.56, which would ban land application of sewage sludge/biosolids, provide liability protection and relief funds for farmers, and address PFAS contamination in soil, water, crops, and animals. Testimony came from environmental groups, farm organizations, and individual farmers, including the Mass Food System Collaborative, Conservation Law Foundation, Clean Water Action, CEMAP, NOFA, Sierra Club, and several farmers who described contamination in Maine and Massachusetts and urged the committee to act. Witnesses emphasized that PFAS poses serious health risks, that farmers should not bear responsibility for legacy contamination, and that the bill should be paired with funding for testing, remediation, and assistance. Committee members asked questions about farm liability, the scope of the bill, contamination in different ownership situations, and the costs and timelines of remediation, with Senator Comerford and others clarifying that the bill is intended to protect farms and farmers rather than non-agricultural landholders. The committee also heard strong support for H.416, a farm-to-institution pilot program, from Rep. Lee Davis, Berkshire Agricultural Ventures, and Berkshire Bounty. They said the pilot would connect Massachusetts farms to schools, hospitals, correctional facilities, and other institutions, creating new markets, strengthening local supply chains, and supporting food-is-medicine efforts. Members discussed whether the model could be statewide and referenced existing programs such as Island Grown Initiative and local hospital and insurance partnerships. Another agricultural bill, H.1058, was supported by Rep. Mark Sylvia and the Cape Cod Cranberry Growers’ Association as a way to allow unused cranberry water rights to be transferred within the same watershed for municipal mitigation while helping growers retire or consolidate bogs. The hearing also included testimony on the broader farm omnibus bill H.112/S.55 and related measures, with the Massachusetts Farm Bureau and others praising the committee’s work on agricultural resilience, food security, agritourism, workforce development, and farmland access, while suggesting additional transportation-related fixes for farmers. No votes were taken during the hearing.

Transcript Highlights:

• Opportunities for public input would be provided, and the feedback of the licensees and other stakeholders
• And it's almost like you'd have to build a relationship with CYFD to make sure that mechanism is in place

Bills: SB246, SB146, SB300, SB301, SB309, SM17

Keywords: massage therapy, licensure, health and safety standards, continuing education, establishment licensing, civil rights, sovereign immunity, damages, public body, lawsuit limitations, legal notice, child welfare, computing infrastructure, data management, Department of Health, appropriation, foster care, Indian children, cultural competency, training services

Transcript Highlights:

• Opportunities for public input would be provided, and the feedback of licensees and other stakeholders
• And it's almost like you'd have to build a relationship with CYFD to make sure that that mechanism is

Summary: The committee first heard Senate Bill 246, which would require licensure and inspections for massage therapy establishments. The sponsor and Regulation and Licensing Department said the bill is intended to close a gap in oversight, improve sanitation and public safety, and help address human trafficking and prostitution concerns. Supporters from the massage therapy profession and industry groups said establishment licensing would create accountability and protect legitimate practitioners, while AMTA took a neutral position but supported the rulemaking process. Several senators raised concerns about privacy, home-based businesses, and whether mobile or traveling therapists would be affected; the department said the bill would apply to establishments, not individual therapists, and that home inspections would be governed by rules. The committee voted 8-0 to give SB 246 a do pass recommendation. The committee then took up Senate Bill 300, an appropriation for CYFD computer hardware and software to improve compatibility with the national child welfare management system. The sponsor said the goal was to reduce delays and improve data sharing, especially in child welfare and ICWA-related cases. Members asked about the current system and how the funding would help, and the sponsor said the bill was aimed at better interoperability. The committee voted 8-0 to send SB 300 forward with a do pass recommendation. Finally, the committee considered Senate Bill 146, which would amend the New Mexico Civil Rights Act. The bill and committee substitute would align the legal standard more closely with federal deliberate indifference language, reduce damages caps, shorten the statute of limitations, require 90 days’ notice, and bar double recovery under both the Civil Rights Act and Tort Claims Act. Supporters, including county and city representatives, law enforcement, AFSCME, and risk management officials, argued the changes were needed to control rapidly rising claims costs and protect public budgets. Opponents from the ACLU, civil rights, poverty, immigrant, and LGBTQ advocacy groups said the bill would weaken accountability, reintroduce qualified immunity-like protections, and make it harder for people harmed by government actors to seek justice. After a failed motion to table and a 5-5 vote on the committee substitute, the bill remained in committee and did not advance.

Transcript Highlights:

• Or, as Chris mentioned, in a captive deer breeding setting, there's a little different mechanism.
• this problem come into Texas, but I wanted to see if maybe Charlie or any of y'all might have some feedback

Keywords: 997, house, all

Transcript Highlights:

• They are not there for it as an enforcement mechanism. I'm just a lawyer.
• in regards to the amendments that were made in this bill, and I'm just wondering if there's any feedback

Transcript Highlights:

• On feedback that we received from Sam Houston State, we also have a factor in there in regards to population
• volunteer and it does It doesn't add another tax however there there's got to be some kind of funding mechanism

Keywords: 1184, house, all

Transcript Highlights:

• As far as feedback, I've received feedback from across the state.
• And I would probably agree with you that they would give that feedback because we've conflated Probably
• agree with you that they would give that feedback because we've conflated anything having to do with

Keywords: 959, house, all

Transcript Highlights:

• So there's, and those feedback are interspersed as applicable throughout the report.
• And I don't know what our feedback has been from... ...applicable throughout the report.
• And I don't know what our feedback has been from superintendents this time.
• believe last time we got information from all except for maybe four that replied and gave us our feedback

Summary: The joint education committee continued its adequacy study with a detailed Bureau of Legislative Research presentation on resource allocation, covering how Arkansas school districts and charters spend foundation and other funds on matrix and non-matrix items. Staff explained the methodology for mapping expenditures, the district and school categories used in the analysis, and key findings showing that districts spend more per student from all fund sources than the foundation amount alone. The presentation highlighted that classroom teachers account for the largest share of matrix spending, while operations and maintenance, student support staff, nurses, and other lines also drew significant attention. Members asked for additional breakdowns by district type, size, rural/urban status, and trend data, and several questions focused on how waivers affect funding and spending, especially for library media specialists and other positions. The committee then discussed non-matrix spending, including instructional aids, non-technology-related facilities, school safety, mental health services, dyslexia support, food service, gifted and talented, career and technical education, and other items not explicitly defined in the matrix. Staff reported that non-matrix spending exceeded $2 billion in 2025, with most of it coming from other fund sources, and that the top superintendent-identified unmet needs over recent surveys were mental health services, school safety, and dyslexia support. Members raised concerns about dyslexia identification and funding, possible over-identification, and whether some support costs are being coded in ways that obscure the true spending picture. There was also discussion of facilities funding, the building fund, and the Department of Education’s partnership program for school construction and maintenance, with staff agreeing to provide more information and potentially bring department officials back for a future meeting. Throughout the meeting, members repeatedly requested more granular data and clarifications, including waiver counts and funding impacts, trend lines for superintendent-reported needs, district-by-district spending spreadsheets, and definitions for certain matrix and accounting terms such as salary enhancement, LEA indebtedness, and other employee health insurance. The chair noted that the committee would continue the adequacy process over the coming months and use the worksheet in the binder to develop recommendations for the next biennium. No votes were taken during this portion of the meeting; instead, the committee received the report, asked for follow-up data, and agreed to continue the discussion at future meetings.

Transcript Highlights:

• Lujan and I had a great conversation last year about the surveillance pricing bill, and a lot of the feedback
• a</c><00:22:49.160><c> lot</c><00:22:49.360><c> of</c><00:22:49.440><c> the</c><00:22:49.520><c> feedback
• </c><00:22:49.920><c> I</c><00:22:49.960><c> got</c> bill and a lot of the feedback I got bill and a
• lot of the feedback I got from<00:22:50.360><c> him</c><00:22:50.520><c> is</c><00:22:50.600><c> incorporated

Keywords: 1187, senate, all

Summary: Senators Erin Maye Quade, Eric Lucero, Liz Boldon, and Chair Ron Latz discussed a package of bipartisan bills aimed at regulating artificial intelligence and related technology in Minnesota. The speakers argued that AI can be beneficial but has been rolled out without adequate safeguards, citing concerns about consumer surveillance, insurance claim denials, dynamic pricing, chatbot harms to children, and the use of AI in healthcare utilization review. Maye Quade and Boldon emphasized protecting kids, consumers, and constitutional rights, while Lucero framed the issue as keeping law aligned with rapidly changing technology and protecting individual liberties. A major focus was the “reverse warrant” bill, which would restrict law enforcement from using warrants that start with an unknown suspect and sweep up data from everyone in a location or search terms in a broad area. The senators said such warrants are the opposite of the Fourth Amendment’s particularity requirement, though they noted ongoing conversations with the BCA and police chiefs about balancing privacy and public safety. They also discussed a bill to prohibit minors from accessing chatbots, describing chatbots as conversational, addictive, and uniquely harmful to developing brains; Maye Quade cited examples of self-harm, sexual content, and dangerous advice allegedly given to minors. The senators said the package was intentionally heard in Judiciary first so it could be referred to Commerce, and they expressed hope for further hearings there and in the House. Lucero said he did not support all the bills, naming the dynamic pricing bill and the AI utilization review prohibition as measures he had reservations about, while supporting the reverse warrant, disclosure, and minor-access restrictions. The discussion also touched on federal preemption concerns, with the senators saying states are stepping in because federal action has lagged and the harms cross party lines. No formal votes or committee actions were described in the transcript.

Transcript Highlights:

• That's basically the most consistent feedback I've gotten, I think, over the last year.
• facilities, sober living homes, behavioral health inpatient, That's basically the most consistent feedback
• the progress... ...where we could sit down, I could give you updates on the progress, you provide feedback
• Access admits it is still working to produce records of tribal and public feedback on state plan amendment

Summary: The committee continued its fourth hearing on fraud, waste, and abuse involving Arizona’s Medicaid and behavioral health systems, with a major focus on Access/ALTCS eligibility, behavioral health licensing, and payment delays. Senator Shamp presented findings alleging large gaps in ABD Medicaid asset verification, including that only a portion of enrollees were checked and that many with substantial liquid assets remained on the program. She argued the state’s waiver and lack of asset limits created a compliance and fiscal risk, and urged referrals to law enforcement, tighter verification, and broader reforms. Heather Dukes, representing behavioral health and sober living operators, testified that ADHS and Access have become overly punitive toward licensed providers, often sending technical paperwork violations straight to enforcement instead of allowing correction plans, and that zoning and licensing delays are harming legitimate businesses. Reva Stewart testified that patient brokering and fraudulent recruitment of vulnerable people into behavioral health and sober living settings remain ongoing, especially through social media, and called for stronger accountability and enforcement against bad actors. ADHS Deputy Assistant Director Tiffany Slater said the department has received more than a thousand complaints about unlicensed sober living operations, which has diverted staff from routine oversight of licensed facilities. She said ADHS has expanded enforcement tools for sober living homes, is using a new licensing system to flag repeat bad actors, and is trying to make the application process easier, while acknowledging that inspections can tip off unlicensed operators. Access Director Virginia Roundtree described steps the agency has taken since the prior hearing, including daily staff huddles, live dashboards, added project management support, an external claims vendor, and an independent review of the Division of Fee-for-Service Management. She said Access is trying to balance fraud prevention with support for legitimate providers, and committed to follow up on a specific provider payment dispute by early the next week. Committee members repeatedly pressed Access and ADHS on delayed claims processing, prepayment review, and whether the current system is driving providers out of business. Roundtable testimony from Access staff described the new Provider Resolution Roundtables, which are intended to work with a small number of providers facing the most claims and authorization problems. Members questioned why claims are being denied or held for long periods, why some providers are still waiting on payments from 2023 and 2024, and whether the agency’s actions are sustainable. Access also explained the Targeted Investment Program, saying it is a federally approved Medicaid initiative with large dollar amounts still being paid out on a delayed schedule, and agreed to provide more information on provider participation and payment timing. No formal votes or committee actions were taken in the portion provided, but the chair indicated the committee would continue reviewing the issue and requested additional reports and follow-up information from Access and ADHS.