Transcript Highlights:

• care of them.
• care of them.
• get care.
• And you're going to get your care.
• We can no longer sustain a system that is absolutely broken, that is not providing the services and care

Committee: Senate Senate Health and Human Services COR

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:

• This assures continuity of care.
• Centers for Medicaid services say the Medicaid services must be provided, right?
• </c><00:12:22.320><c> I</c> Department of Human Services. I Department of Human Services.
• Department of Human Services. Chair Department of Human Services.
• </c> the direction. the direction.

Committee: Senate Judiciary and Public Safety

Keywords: 1187, senate, all

Transcript Highlights:

• File Number 3755, a bill for an act relating to human services, repealing housing stabilization services
• repealing housing stabilization services repealing housing stabilization services,<00:09:34.320><c>
• </c> Committee on Human Services. Committee on Human Services.
• They include things like health care directives and powers of attorney, and those also require signatures
• </c> They include things like health care They include things like health care directives<00:13:56.120

Keywords: 1187, senate, all

Transcript Highlights:

• AB 1670, Arambula, Medi-Cal dental care, held in committee.
• AB 2470, Arambula, domestic violence services, held in committee.
• AB 2083, Jackson, child care special districts, held in committee.
• AB 1638, Tawa, county veterans service officers, held in committee.
• AB 1671, Tangipa, rural medical services grants, held in committee.

Summary: The Assembly Appropriations Committee held a suspense-file hearing on May 14, 2026, reviewing hundreds of Assembly bills and a few committee bills. The chair opened by explaining the committee’s budget constraints and the factors used in suspense decisions, including fiscal impact, return on investment, effects on constituents, and protection of the state’s social safety net. The agenda was organized alphabetically by author, and the committee noted that results would be posted later that day online. The committee then acted on a very large number of measures, sending many bills to the Assembly floor on do pass or do pass as amended motions, while holding many others in committee. Topics covered a broad range of policy areas, including housing, health care, education, labor, public safety, wildfire mitigation, water, energy, transportation, cannabis, immigration, and state governance. Many bills were amended to narrow scope, make implementation contingent on appropriations or existing resources, remove provisions, or clarify agency responsibilities; several bills were held without further action. Among the notable actions, the committee advanced bills on items such as Medi-Cal services, child care, wildfire-related programs, housing financing, school and college issues, public safety and criminal justice, environmental and energy policy, and various consumer and business regulations. Some measures were sent out on A or B roll calls, with Republicans often not voting on amended bills. The hearing concluded after the committee reported that a large number of bills had been moved to the Assembly floor, either as do pass or do pass with amendments, and the committee adjourned.

Transcript Highlights:

• Arizona law, A.R.S. 1-601, declares parental liberty to direct upbringing, education, health care, and
• is health care.
• I've had to take care of my brain. But I've had to work at it. I've had to take care of my brain.
• Arizona has long honored service with words. House Bill 2240 honors service with opportunity.
• And this is just a way of us honoring their service.

Committee: House Education

Keywords: 1182, all

Transcript Highlights:

• to people must always be greater than service to self.
• House Bill 5301E, a bill to be entitled an act relating to health care.
• House Bill 5301E, a bill to be entitled an act relating to health care.
• House Bill 5301E, a bill to be entitled an act relating to health care. Are there amendments?
• House Bill 5301E, a bill to be entitled an act relating to health care. Is there a debate?

Summary: The Senate convened in special session for budget conference work, opened with prayer, the Pledge of Allegiance, and moments of silence honoring Coral Springs Vice Mayor Nancy Mateer and former Senator Bill Posey. The Secretary read the joint proclamation calling the special session, which was limited to the budget, implementing bill, collective bargaining/state employee issues, retirement, DMS, law enforcement radio system, health, higher education, K-12 education, government administration, correctional facilities financing, judges, documentary stamp tax distributions, petroleum cleanup programs, fuel taxes, and taxation. Chair Hooper outlined the process for moving Senate and House budget conforming bills into conference posture, noting that conference meetings would be on one-hour notice. The Senate then took up and passed a series of Senate conforming bills and House companion bills, generally by unanimous 32-0 votes, with delete-all amendments used to place Senate language onto House bills or to clear bills for conference. Measures addressed fuel taxes, the state agency law enforcement radio system, judges, pre-K through 12 education, retirement, higher education, health care, government administration, correctional facilities financing and capital improvements, documentary stamp tax distributions, petroleum cleanup programs, state employees/collective bargaining, and the implementing bill for the 2026-27 budget. Senators repeatedly moved that, when the House version was not passed as received, the Senate request conference or accede to the House’s request for conference. The General Appropriations Bill was handled by substituting House Bill 5001E for Senate Bill 2500E, amending it with Senate substance, and passing it 32-0 before requesting conference. House Bill 7031E on taxation was also amended and debated; Senator Berman used the debate to urge consideration of suspending the motor fuel tax for summer relief, but the bill ultimately passed and the Senate requested conference after failing to pass the House version as received. The session ended with a motion to waive rules for publishing the Special Order Calendar for the remainder of the special session, followed by adjournment upon the call of the President for committee meetings and other Senate business.

Transcript Highlights:

• or add services to those wraparound services.
• But the support services, the wraparound services, we said, let's up that dollar amount to up to over
• support services in the past for many of our areas.
• services and supports to students.
• It will cripple our support services for our students.

Summary: The Assembly Budget Subcommittee on Education Finance heard an overview of the governor’s new Career Education Master Plan and related budget items. Labor Secretary Knox described the plan as an effort to reduce fragmentation across K-12, community colleges, workforce boards, and other systems by improving statewide and regional coordination, data sharing, skills-based hiring, career pathways, and wraparound supports such as child care, housing, food, and transportation. Members asked how success would be measured, how the plan would serve disconnected youth and adults, and whether the proposed data integration would rely on Cradle to Career; the secretary said it would. The Department of Finance said it was available to answer questions on the education side. The committee then reviewed existing CTE funding and oversight. The LAO, CDE, and Community Colleges Chancellor’s Office described the major ongoing programs, including CTIG, Perkins, K-12 Strong Workforce, and Community College Strong Workforce, and noted that many programs overlap in purpose and administration. Members repeatedly raised concerns about duplication, annual applications and reporting burdens, lack of clear outcome metrics, and whether funding incentives should be better aligned to regional collaboration. CDE and the Chancellor’s Office said they support alignment and dual enrollment, and Finance and CDE said LCFF/local match dollars are part of the funding structure. The committee also discussed child care as a barrier to participation and the need for better tracking of enrollment, completion, and job outcomes. On the consolidated application proposal, Finance proposed a study directing CDE to examine whether three long-standing CTE grant programs—Specialized Secondary Programs, CTIG, and California Partnership Academies—could be streamlined into a single application and reporting process. The LAO supported reducing administrative burden but noted that the largest programs, CTIG and K-12 Strong Workforce, were excluded from the proposal even though districts most often cite them as burdensome. CDE said it did not oppose the study but warned that statutory differences may limit consolidation. Members said the proposal should better address regional coordination, multi-year funding stability, and outcome measures rather than only simplifying paperwork. Finally, the committee heard a proposal for a $5 million ongoing California Education Interagency Council. GovOps said the council would provide a neutral venue for statewide coordination across education and workforce systems. The LAO opposed the proposal, arguing that existing bodies already provide coordination, the proposal does not change agency incentives, and the council would lack authority to implement decisions. Members expressed mixed views, with some supporting a coordinating body and others questioning whether it would differ from past efforts. No votes were taken during the portions summarized here, and the committee indicated it would hold some items open for further discussion.

Transcript Highlights:

• teams to enhance the continuity of care and to facilitate better housing and service outcomes.
• teams to enhance the continuity of care and to facilitate better housing and service outcomes.
• In Berkeley, I've had service teams that have tried to coordinate care, but the existing limitations
• However, the Child Care and Development Services Act does not explicitly authorize current electronic
• It requires counties to give veterans who apply for benefits a direct referral to county veteran service

Committee: House Human Services

Keywords: 988, house, all

Transcript Highlights:

• And finally, the bill addresses the ongoing health care needs of service members and their families,
• care needs of<04:50:45.600><c> service</c><04:50:45.920><c> members</c><04:50:46.240><c> and</c><04:50
• that are crushing housing to health care that are crushing our<04:58:50.638><c> service</c><04:58:50.958
• for our service members through expansions of child care pilot programs.
• care for our service shortage of child care for our service members<05:01:20.958><c> through</c><05:

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, September 9, 2025, 1012, house, all

Transcript Highlights:

• About 50% of our workforce is what we call direct care; that sort of faces out and does case management
• </c><00:09:38.240><c> Care</c><00:09:38.839><c> that</c> is that what we call Direct Care that is that
• what we call Direct Care that sort<00:09:39.120><c> of</c><00:09:39.279><c> faces</c><00:09:39.800><
• kind of that free care. um Services meals homem making to keep um Services meals homem making to keep
• </c> Human Services however it does direct Human Services however it does direct the<01:45:03.719><c>

Committee: Senate Health and Human Services

Keywords: 1191, senate, all

Transcript Highlights:

• Montero specializes in primary care sports medicine.
• The bill directs DEP to convene a technical assistance group...
• the opportunity for parents, who need that care.
• The neighborhood started to realize that the assistant state attorneys cared about kids, cared about
• There’s no medical service available here. And he answers.

Summary: The Senate convened with a quorum, prayer, the Pledge of Allegiance, and several member introductions recognizing interns, guests, and advocates. The Rules Chair added CS for CS for SB 622 to the special order calendar, and SB 80 on state land management was temporarily postponed. The chamber then moved through a series of bills, often substituting House companions for Senate bills when the measures were identical or nearly identical. The Senate passed SB 200/HB 295 on a comprehensive waste reduction and recycling plan, requiring DEP to develop a recycling and waste diversion roadmap by 2026; SB 492 on land development and mitigation banking, after adopting amendments related to mitigation credit use and former phosphate mine lands; and SB 494/HB 255 on aggravated animal cruelty, which increases sentencing consequences and creates a searchable FDLE database of convicted animal abusers, with an amendment clarifying the database language. The Senate also passed SB 500/HB 711 establishing the Spectrum Alert for missing children with autism, SB 524/HB 1089 adding Duchenne muscular dystrophy to newborn screening, SB 592/HB 393 revising the My Safe Florida Condominium Pilot Program, SB 742/HB 1145 on workforce education, SB 936/HB 827 on a statewide study of automation and workforce impact, SB 964/HB 181 on parole guidelines, SB 976/HB 901 on court-appointed psychologists, SB 1084/HB 1451 on sexual cyber harassment, and SB 1156 on a home health aid program for medically fragile children. Most of these bills were adopted after brief sponsor explanations, questions, and in some cases amendments or House-substitute motions. Debate centered on several policy issues. Senators raised concerns about the constitutional and environmental implications of mitigation banking credits in SB 492, the scope and privacy implications of the animal abuse database in SB 494, the funding and eligibility details of the condo resilience program in SB 592, and the public-school/charter-school balance in SB 822, which drew extensive questioning about enrollment, governance, discipline, accountability, and data sharing before being placed on the third-reading calendar after amendments. The Spectrum Alert bill drew support from members who compared it to the Purple Alert and emphasized the risks faced by children with ASD. The medically fragile children home health aid bill also drew strong support, with senators describing it as a long-needed fix to help families provide in-home care without losing Medicaid coverage. Votes on the measures reported in the transcript were overwhelmingly favorable, with bills passing by margins such as 38-0, 35-3, 37-0, 36-0, and 35-0.

Transcript Highlights:

• We have ASL and CART services.
• And now Ethan is going to refocus on what health care providers and some of our service-providing agencies
• And now Ethan is going to refocus on what health care providers and some of our service-providing agencies
• health care service or if they apply for government insurance such as MassHealth.
• Take care. All right. All right. Thank you all. Take care. Have a good one. Enjoy your summer.

Keywords: 995, all

Summary: The Workforce Support Subcommittee of the Permanent Commission on the Status of Persons with Disabilities met to discuss workforce issues affecting people who provide services to individuals with disabilities, with a focus on immigration enforcement concerns and an upcoming employment event. Ethan Marks, Deputy Chief of the Health Care Division at the Massachusetts Attorney General’s Office, presented the AGO’s late-January guidance for health care providers and patients on how to respond to ICE activity at health care facilities, what information and access ICE may request, and what protections and access-to-care issues apply. He said the guidance is broad, includes contact information for the Civil Rights Division, and will be updated if federal policy changes. Committee members asked whether residential programs, day programs, DDS/DMH facilities, and similar settings would fall under the guidance; Marks said the guidance is intended to be broad but that specific scenarios may require follow-up with the Civil Rights Division. He also said he was not aware of significant ICE activity at health care facilities so far, though there is fear and some rumors, and members discussed sharing the guidance with hospitals, academic medical institutions, the Health Equity Compact, and other stakeholders. The subcommittee then reviewed plans for a June 23 State House event titled Strength and Support: Networking and Resource Sharing Event for Youth and Young Adults with Disabilities, Personal Care Assistance, Job Coaches, and Inclusive Workplaces. The event will feature a panel-style conversation with prepared questions, success stories, challenges to employment, and strategies to improve outcomes, while also highlighting the shortage of direct support and human services workers. Confirmed or potential participants and partners mentioned included Partners for Youth with Disabilities, MassAbility, NextGen, JVS, the Federation for Children with Special Needs, the PCA Council, and the Arc of Massachusetts, which has launched a PSA campaign for direct support worker hiring. The PCA Council’s resume directory for people interested in becoming PCAs was also noted as a recruitment resource. Members suggested inviting employers and other stakeholders to the June event, including Eastern Bank, Mass General Brigham, and possibly representatives connected to apprenticeship programs. The group also discussed reaching out to contacts at the Federation and NextGen, and one member suggested Kathy Pitkowskis as a possible connection. The subcommittee said it would continue outreach and finalize the event details, and noted that the next regular meeting will be August 28, with Patricia Wu from EHS scheduled to provide statewide updates.

Transcript Highlights:

• Left, right, or center, we don't particularly care.
• So I certainly think it's a move in the right direction.
• We can support services and supports for these families to get healthy.
• Whether it's juvenile rehabilitation or child protection services or foster care, every one of these
• Whether it's juvenile rehabilitation or child protection services or foster care, every one of these

Keywords: 904, all

Summary: House and Senate Republican leaders held a press event to preview the final weeks of the legislative session and criticize several Democratic proposals. Their main focus was a proposed income tax on high earners, which they said is really an income tax that could later be expanded, and which drew what they described as record opposition in public sign-ins and testimony. They also objected to other fiscal bills they said would raise costs for food, agriculture, health care, energy, labor, and consumer goods, and they argued these measures would worsen affordability and encourage people and businesses to leave Washington. The caucus also highlighted bills they opposed on policy grounds, including measures affecting local authority over camping bans and housing permitting, an anti-initiative bill they called anti-voter, and a bill on sheriff background checks. They said they supported or were pleased to see movement on some Republican-backed measures, including tax exemptions for diapers, prepared foods, and certain licensing and continuing-education costs, as well as a repeal of last year’s services tax. They also said the Senate’s move to roll back the estate tax was a partial step in the right direction, though not enough to offset the proposed income tax. A major portion of the event centered on child welfare and the Keeping Families Together Act. Republicans criticized a House bill they said only partially addresses the “imminent harm” standard and does not adequately protect children in drug-affected homes, citing recent fatalities and critical incidents. They said they will keep pushing for changes and also mentioned support for adding fentanyl to the child endangerment statute. In closing, they said they would continue floor fights over the next week, and House Republicans announced they will issue their own media credentials to promote press access in Olympia.

Transcript Highlights:

• care workers there.
• To advance our energy solutions, this bill directs the Public Service Commission to establish an experimental
• You may remember back, I believe, in 2014, we moved Children's Medical Services health care program that
• However, the managed care component, this component of Children's Medical Services, was made, was...
• Care component, this component of Children's Medical Services, was transferred into managed care and

Committee: Senate Fiscal Policy

Summary: The committee took up a series of criminal justice, health, and public safety bills, with several measures reported favorably after brief sponsor presentations and mostly no opposition. CS for SB 1782 on dangerous excessive speeding, CS for SB 306 on Medicaid provider network access, CS for SB 716 on mandatory minimums for certain sexual offenses by registered offenders, CS for SB 1084 on intimate image dissemination and digitally forged images, and CS for CS for SB 1604 on corrections-related litigation and sentencing changes all passed the committee. Members also approved CS for SB 1838, which increases protections for court officials from tampering, harassment, and retaliation, and CS for SB 1252, which directs FDLE to study a statewide pawn data database. CS for SB 468 on fleeing or eluding, CS for SB 490 on off-duty concealed carry for certain officers, and CS for SB 890 on blood clot screening and treatment also received favorable votes, with SB 890 drawing supportive testimony from the bill sponsor, medical and patient advocates, and family members affected by blood clots. The most extensive debate centered on CS for CS for SB 1804, which would create a capital offense for adults trafficking children under 12 or mentally incapacitated persons for sexual exploitation. Senator Martin defended the bill as a response to especially heinous crimes and argued it fit within constitutional punishment principles, while several members raised concerns about the Eighth Amendment, the risk of lengthy and costly litigation, and the possibility of retraumatizing victims. The Florida Conference of Catholic Bishops and the Florida Association of Criminal Defense Lawyers testified in opposition, citing moral objections, due process concerns, and constitutional precedent; the bill nevertheless was reported favorably. The committee also approved CS for CS for SB 572, the “Pam Rock Act,” which tightens dangerous-dog rules, adds enclosure, microchip, insurance, and penalty requirements, and allows stronger enforcement actions after serious attacks. The Rock family and animal control supporters testified in favor, describing the bill as a response to fatal dog attacks and urging stronger accountability for owners. For SB 572, members discussed insurance requirements, the role of local authorities in classifying dangerous dogs, and whether the bill would affect ordinary pet insurance or only liability coverage after a serious attack. The sponsor said the measure is not breed-specific and is aimed at dogs that have already caused significant harm. The committee also heard testimony from family members of Pam Rock and other victims, along with supporters from animal control and sheriff’s offices. All of the bills taken up in the meeting that were voted on were reported favorably, and no roll-call votes failed.

Transcript Highlights:

• </c> care, they also act as uh primary care care, they also act as uh primary care providers.<00:29:14.399
• Aloha Care. Mike Wen, are you &gt;&gt; Okay. Aloha Care.
• Services. Um, Department of Health in Services.
• </c> &gt;&gt; the primary care &gt;&gt; the primary care &gt;&gt; primary<00:41:17.200><c> care</c> &
• gt;&gt; primary care &gt;&gt; primary care &gt;&gt; association.

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:

• There’s no guarantee as long as the current practice of the jail service, custody service is not proper
• Our health care system 30 years later is not working as it should.
• and harmed patient care.
• Our health care system 30 years later is not working as it should.
• and harmed patient care.

Committee: Senate Local Government

Keywords: 987, senate, all

Transcript Highlights:

• And do we want to add that explicit direction on cost savings?
• B is four FTEs for employment services.
• I guess a direct savings to the county instead of the state spending over a direct cost, right?
• needs to meet these transitional cares.
• There's no care of these probationers. Four, correctional managed health care.

Committee: House Appropriations - S/C on Articles I, IV, & V

Keywords: 1184, house, all

Transcript Highlights:

• Subcommittee members, we have, I printed out for everybody, we have two potential directions we can go
• And on page 6, this act applies to health care facilities.
• Maybe it's Human Services; I'm not sure.
• You know, with, I know a lot of... ...them direction like you're suggesting.
• Um, Like I'm just pointing in different directions.

Committee: House Human Services

Keywords: 908, all

Summary: The subcommittee met on SB 2370 with a quorum present and focused on how to handle proposed 340B-related reporting language. Members discussed three main paths: adopt the LC draft with reporting requirements for covered entities, PBMs, insurers, and manufacturers; convert only the PBM/insurer/manufacturer portions into a study; or turn the entire proposal into a study. Representative Dobervich explained that the study version would keep the same subject areas but delay initial reporting so the data could be analyzed more thoughtfully, and she noted gaps in the original amendments, including federally qualified health centers participating in 340B, 340B contract pharmacies, and a clearer plan for data analysis and administration. Testimony from HHS and the Insurance Department emphasized that collecting data is different from analyzing it and that any version would need clear authority, confidentiality protections, and a designated agency willing to collect, analyze, and publish the information. The Insurance Department said it could potentially collect data but would likely need additional budget resources for analysis, and it noted that the pending PBM bill, SB 1584, could affect what information is already available through regulation. A representative of the North Dakota Pharmacists Association said SB 1584 contains some reporting but is not as comprehensive as the proposal under discussion. Members also discussed whether the proposal belonged in an insulin bill at all, with concerns raised about germaneness and the possibility of sending the matter to the Delayed Bills Committee or placing study language elsewhere. No vote was taken. The subcommittee adjourned after members agreed to continue refining the language over the weekend and bring options back to the full committee, with several members expressing a preference for a combined version that includes both reporting and study elements.

Transcript Highlights:

• not be budgeting to take care of less and fewer and fewer and fewer of our people.
• I wasn't looking that direction.
• I wasn't looking that direction.
• Chairman, it's right in the name: Arizona Health Care Cost Containment System.
• The extraordinary care assessment tool. Thank you very much.

Keywords: 1182, all

Summary: The committee met to review the governor’s fiscal 2027 budget presentation, with the chair repeatedly asking members to keep questions brief and avoid speeches. The discussion focused first on the overall revenue and spending outlook, including concerns from members that the executive forecast was more optimistic than the JLBC baseline and that the budget appeared to front-load revenue and expenditure growth. The governor’s budget team said the forecast was close to JLBC’s, that the budget was structurally balanced, and that differences were roughly $100 million per year on ongoing revenue. Members asked for follow-up calculations in writing, including the total multi-year gap and the amount of revenue enhancements above base revenues. A major portion of the meeting centered on tax and fee proposals tied to data centers, water use, and sports betting. The governor’s team defended eliminating the existing data center tax incentive as the removal of a loophole rather than a new tax, arguing the incentive had already succeeded in attracting major investment. They also described a proposed Department of Water Resources fee-setting authority for data centers to support a new Colorado River Protection Fund, and said the proposal would apply to existing and future facilities without a grandfather clause. Members raised concerns about fairness, competitiveness, and whether the changes would require a supermajority vote. The team also discussed increased sports betting fees, saying the revenue forecast did not include dynamic behavioral effects. The committee then moved through major spending areas, including corrections, public safety, border security, cybersecurity, K-12 education, Medicaid, and developmental disabilities. The governor’s budget includes ongoing funding to prevent correctional officer pay cuts, money to comply with prison health care court orders, probation funding, body-worn cameras, law enforcement staffing, fentanyl task forces, and cyber readiness grants. Members questioned the lack of funding for a prison oversight committee and asked for corrections spending totals over the administration. On border security, the executive said it was seeking about $759.7 million in federal reimbursement for border-related costs and that the governor had met with federal officials, including Secretary Noem and Tom Homan, about the request. In education, the budget proposes renewing Prop. 123, adding K-12 base funding, and issuing $1.5 billion in school facilities bonds over three years; members debated whether the proposal was appropriate and whether Prop. 123 revenues could support the debt service. The meeting also covered AHCCCS cost growth and federal HR1 impacts, with the executive warning of major coverage losses and hospital funding reductions, and DDD funding, where the governor’s team said the budget fully funds services and includes about $120 million in supplemental needs. No votes were taken; the meeting was a presentation and question-and-answer session only.

Transcript Highlights:

• before you get services.
• before you get services.
• before you get services.
• support services.
• Um, so that we're treating one HCBS under managed care and nursing facilities under a traditional fee-for-service

Keywords: 928, house, all

Summary: The Committee to Study Long-Term Managed Care approved the prior meeting minutes as amended after correcting the first paragraph. The chair then outlined the committee’s plan to produce a preliminary report by October 1, with additional meetings to follow, since some questions remain about the federal One Big Beautiful Bill (OB3) and its effects on Medicaid financing and managed care. The main discussion focused on New Hampshire nursing home funding and how ProShare and MQUIP work. Members reviewed Medicaid rates, supplemental payments, intergovernmental transfers, and the role of federal matching funds. The chair and Mr. Litman concluded that OB3’s phase-down of payments above the Medicare rate likely would not directly eliminate ProShare or MQUIP in New Hampshire, but uncertainty remains about intergovernmental transfers and about how these payments would function if the state moved nursing facilities into managed care. Mr. Litman said managed care would likely require waivers for supplemental payments, and Texas was cited as an example of a state operating under such waivers. The committee also discussed dual eligibles, DNIP, PACE, and the possibility of carving out HCBS from nursing facility services. DHS said its managed care contract would allow the state to use MCOs for DNIP, with the goal of better coordination between Medicaid and Medicare, while PACE would likely require more study and might be more feasible in populated counties. Members also reviewed OB3’s new presumptive eligibility provisions and a state waiver request modeled on Washington’s approach, plus a separate grant for transitioning people from facilities back to the community. The rural health transformation fund was discussed as a possible source for workforce, telehealth, mobile integrated health, and other support investments, but not for direct construction or major building renovation. County representatives emphasized that any county role in PACE or DNIP would require significant vetting, infrastructure, capital investment, and a realistic timeline. The meeting ended with the chair saying the draft report would outline issues and possible alternatives, but not recommendations yet, and the committee adjourned without taking further action.