Transcript Highlights:

• And in fact, if we're worried about the preservation of ag soils, which I'm very interested in, is solar
• worried And in fact, uh whether if we're worried about<00:25:01.920><c> the</c><00:25:02.040><c> preservation
• </c><00:25:02.600><c> of</c><00:25:02.720><c> ag</c><00:25:03.320><c> soils,</c> about the preservation
• of ag soils, about the preservation of ag soils, which<00:25:04.040><c> I</c><00:25:04.400><c> I'm</
• important to us that we not squeeze out opportunities to streamline funds and move away from historic preservation

Keywords: 927, senate, all

Transcript Highlights:

• <00:17:34.559><c> and</c><00:17:34.799><c> more</c><00:17:35.120><c> diverse</c> preservation and more
• diverse preservation and more diverse representation<00:17:36.240><c> lat</c><00:17:36.640><c> in</c
• Local buy-in is the key to preserving these spaces and guaranteeing that our policies benefit the people
• Local buyin is the<00:20:53.600><c> key</c><00:20:54.000><c> to</c><00:20:54.320><c> preserving</c><00
• spaces and the key to preserving these spaces and guaranteeing<00:20:56.720><c> that</c><00:20:57.039

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, May 21, 2025, 1012, house, all

Transcript Highlights:

• It would preserve the status quo. And the tourist development councils.
• It would preserve the status quo.
• These funds support the development and preservation of affordable housing units throughout the eight
• It reflects the extra time needed to process complex digital evidence while still preserving judicial
• your life and preserve many others born and still unborn.

Summary: The House opened with prayer, a moment of silence for fallen Oviedo Officer Jimmy Serrano-Torres, the Pledge of Allegiance, and recognition of Chief Joseph Tuminelli as law enforcement officer of the day. The Rules and Ethics Committee report setting the special order calendar was adopted, and the Speaker announced schedule changes for the following week, including canceling the floor session on Monday and starting Tuesday at 10:30 a.m. The main floor action centered on CS/HB 7033, the House tax package. Sponsor Rep. Duggan described broad tax changes, including reducing the state sales tax rate from 6% to 5.25%, exempting certain bullion sales, repealing the aviation fuel tax, delaying the natural gas fuel tax, changing corporate income tax treatment for charitable trusts, reducing the pari-mutuel tax on card rooms, and major changes to tourist development tax (TDT) use. The bill would redirect most TDT revenue toward property tax relief, dissolve tourist development councils, and include related property tax and local tax administration changes. Several amendments were debated: a Driscoll amendment to preserve local TDT flexibility failed; Duggan’s amendment giving local governments 25% discretion over TDT revenues was adopted; Eskamani’s combined-reporting amendment failed; and a Duggan amendment requiring audit certification of compliance with the TDT/property tax relief provisions was adopted. After debate, CS/HB 7033 passed 78-29. The House then took up CS/CS/HB 1221 on local option taxes, which was presented as a companion-style measure to give local governments more flexibility while redirecting TDT revenues toward property tax relief. Supporters argued the bill would provide immediate relief to property owners and restore accountability in local tax use, while opponents warned it would undermine tourism funding, infrastructure, and local services. An amendment allowing local governments to retain 25% of TDT revenues for general purposes was adopted, and the bill passed 62-45 after floor debate. The final item shown was the reading of CS/CS/HJR 1257, a proposed constitutional amendment related to property tax exemptions and assessment limits, but the transcript cuts off before debate or action on that measure.

Transcript Highlights:

• This amendment closes that door while preserving every legitimate tool that a commander needs to keep
• This amendment closes that door while preserving every legitimate tool that a commander needs to keep
• This amendment closes that door while preserving every legitimate tool that a commander needs to keep
• It represents Republicans' last-ditch effort, grasping for a life preserver before they sink.
• </c><02:14:53.760><c> I</c> for a life preserver before they sink.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, July 22, 2026, 1012, house, all

Transcript Highlights:

• Um which in some ways preserves<03:10:36.960><c> and</c><03:10:37.200><c> protects</c><03:10:37.439><
• c> the</c><03:10:37.680><c> general</c><03:10:38.000><c> fund</c> preserves and protects the general
• fund preserves and protects the general fund in<03:10:38.479><c> those</c><03:10:38.640><c> instances
• </c> to the museum and preservation to the museum and preservation operations<03:21:29.439><c> account
• 03:21:40.080><c> of</c> been receiving uh to do the work of been receiving uh to do the work of preserving

Keywords: 981, all

Transcript Highlights:

• California's support for structured federal processes to reexamine and modernize this immunity framework, preserving
• A two-year sunset gives Congress time to replace this outdated law with targeted reforms that preserve
• objective of extending deletion rights to personal information obtained from third parties and preserving

Committee: House Privacy and Consumer Protection

Keywords: 988, house, all

Transcript Highlights:

• So the May Revision proposed $1.02 million in one-time funding from the Fish and Game Preservation Fund
• that's being moved to biodiversity conservation, with a new appropriation from the Fish and Game Preservation
• management, general wildlife management, and land use, which is appropriate for the Fish and Game Preservation

Summary: The subcommittee heard an overview of the May Revision from the Department of Finance and the Legislative Analyst’s Office, focused on resources, environmental protection, energy, and related budget issues. Finance said the May Revision keeps the budget balanced in 2026-27 and 2027-28, narrows the structural deficit, and proposes major investments in natural resources, including Proposition 4 bond funding for the Golden Gate Fields acquisition, wildlife refuge and wetland projects, Fort Ord Dunes campground operations, Healthy Rivers and Landscapes, wildfire-human coexistence, and beverage container recycling. The LAO praised stronger-than-expected revenues but argued the state still has a structural deficit and is relying too heavily on reserves, recommending more reserve deposits and fewer new discretionary expenditures. Members questioned several proposals, especially the Golden Gate Fields purchase and the Healthy Rivers and Landscapes Program. Agency officials said the Golden Gate Fields site is a time-limited opportunity, would be remediated by the current owner, transferred to East Bay Regional Park District after closing, and restricted to park/open-space uses rather than commercial development. On Healthy Rivers and Landscapes, Finance and the Natural Resources Agency said the $25 million request would help launch year one of the program, support scientific monitoring, and maintain commitments to environmental flows and habitat restoration; the LAO said the request was premature because the Bay-Delta plan has not yet been formally adopted and the state’s total funding commitment remains unclear. Officials also discussed water storage, subsidence, and the need for ongoing investments in aquifer recharge, aqueduct repairs, and recycling. The committee also reviewed a proposed $1 million shift for the Coexisting with Wildlife Initiative. Fish and Wildlife and the Cattlemen’s Association said the money would support limited-term staffing, deterrence tools, and livestock-loss compensation, while acknowledging the amount is modest compared with the need. Members emphasized the growing human-wildlife conflict problem and the importance of nonlethal deterrence and public education. The discussion then turned to greenhouse gas reduction fund revenues and transit; members warned that lower auction revenues and possible CARB rule changes could leave little or nothing for Tier 3 programs such as transit, clean water, and air-quality programs. Finance and the LAO said the Legislature should plan for multiple revenue scenarios and consider whether the existing cap-and-invest spending framework still matches current revenue expectations and priorities.

Transcript Highlights:

• More specifically, ongoing replenishment, maintenance, and coordinated management to preserve the beaches
• More specifically, ongoing replenishment, maintenance, and coordinated management to preserve the beaches
• More specifically, ongoing replenishment, maintenance, and coordinated management to preserve the beaches

Bills: SCR8 , SCR40 , SCR83 , SCR179 , SCR90 , SCR94 , SCR159 , SCR165 , SCR177

Committee: House Water & Land

Keywords: building permits, seniors, health care, disability, safety modifications, county regulations, expedited processing, environment, pollution, tourism, disposable bodyboards, polystyrene, marine ecosystems, lithium-ion batteries, environmental safety, recycling, public safety, waste management, Honolulu, Maui County

Summary: The committee heard several resolutions related to water, coastal management, and permitting. Early measures included SCR 8 on faster county action for certain home-modification permits for older adults and people with disabilities, SCR 40 on banning disposable body boards, SCR 83 on creating a lithium-ion battery disposal facility, SCR 179 on enforcing Maui fire-code provisions for brush clearance and emergency access, and SCR 90 on kupuna-friendly permit requirements. No testifiers were present for those measures, and the chair moved through them without taking votes in the portion provided. The most extensive discussion was on SCR 94, endorsing Waikiki as a world surfing reserve, and SCR 159, urging shared guiding principles for restoring and maintaining Waikiki’s beaches and shoreline. University of Hawaii testimony said the surfing-reserve designation would bring recognition, could help attract grants, and would require a stewardship committee and management plan, but would not itself block beach nourishment or shoreline restoration. Members asked about possible effects on dredging, beach nourishment, and shoreline structures; the witness said impacts on surfing were not expected to be immediate or significant. For SCR 159, the Office of Planning and Sustainable Development supported the resolution but requested clarifying amendments to broaden references to law, stakeholder collaboration, and coastal science expertise. The Waikiki Beach Special Improvement District Association also supported the measure, emphasizing coordinated maintenance, public access, and the economic importance of Waikiki beaches, while noting that existing legal agreements and court decisions should be reflected in the resolution. The discussion also covered whether the state and private owners share repair and maintenance obligations for Waikiki seawalls; testimony said existing agreements remain relevant but must yield to current law. The committee also heard SCR 165 designating March as Water Month, with support from the Board of Water Supply and others, and SCR 177 requesting DAGS to convene a cooperative working group on state projects needing county permits. Mary Alice Evans said the latter would help expedite permitting, especially for housing and other state projects, and would complement efforts to standardize county permitting processes. No final votes or dispositions were announced in the excerpt provided.

Transcript Highlights:

• Today we bring a bill to the floor that preserves a way of life, an industry that dates back to the beginning
• This bill preserves income, a way of life, an industry that has stood the test of time.
• This bill preserves income, a way of life, an industry that has stood the test of time.

Summary: The House first established a quorum after a quorum call, then moved into House Bills for Perfection. House Bill 2297, a fence-law bill, was presented as a way to let livestock owners enter up to 10 feet onto neighboring property to repair fence lines and remove brush or debris on the fence line without being treated as trespassers. Supporters said the current law leaves livestock owners responsible for fences but without a practical way to fix them, creating safety and liability problems; the bill was described as a long-running issue in rural areas. Members discussed property-rights concerns, but the substitute was adopted and the bill was ordered perfected and printed. House Bills 2142 and 2058, dealing with the Missouri film tax incentive program, were then taken up. Sponsors said the program has produced strong economic returns, more productions, jobs, and spending in Missouri, and the bill would modernize the program by combining separate film and TV funding buckets while removing the proposed sunset extension. An amendment to keep the original sunset was adopted, and the bill as amended was perfected and printed after debate over tax credits, workforce development, and whether the incentives should be expanded or curtailed. The House also perfected House Bill 3004, a truth-in-labeling measure for wood products. The sponsor said the bill would protect Missouri’s hardwood industry by requiring products sold in the state to be labeled accurately if they are actually laminate, plastic, rubber, or other non-wood materials. Supporters called it a consumer-protection and industry-preservation bill, while one member questioned how it would apply to online and out-of-state sellers and expressed some reservations. The substitute was adopted and the bill was ordered perfected and printed. House Bills 3283 and 3306 were taken up together and described as a framework for resolving municipal public-employee contract disputes, especially for firefighters and other public employees under the State Board of Mediation. The bill sets a timeline for bargaining, mediation, and arbitration and defines good faith in negotiations; an amendment clarified that teachers and law enforcement are excluded under existing statutory definitions. Supporters said it would prevent years-long contract stalemates and save taxpayer money, while one member raised concerns about whether it would alter existing authority of public governing boards. The amendment and substitute were adopted, and the combined bill was perfected and printed. Finally, House Bill 2536, a restroom and private-space designation bill, drew extensive debate. The sponsor said it would require government-controlled multi-occupancy restrooms, changing rooms, and sleeping quarters to be designated by biological sex, with exceptions for custodial work, emergencies, law enforcement, and adults assisting children or people with disabilities. An amendment was adopted to clarify duties for the Department of Corrections and public safety officers. Supporters framed the bill as a privacy and safety measure for women and girls, citing incidents at schools and Kansas City International Airport; opponents argued it would not prevent crime, could lead to intrusive enforcement, and would harm transgender people and families. The transcript ends with the bill still under discussion, with no final vote shown on the underlying measure.

Transcript Highlights:

• I'm here to present on behalf of Senator Perez, SB 1105, the Preserve California Rights Act.
• Vice Chair, members, I'm here to present on behalf of Senator Perez, SB 1105, the Preserve California
• And what the amendments do is preserve the ability for legitimate federal and local law enforcement communication

Summary: The committee first heard SB 907, which would strengthen California DUI laws in several ways, including mandatory Watson advisements when DUI charges are reduced, judicial discretion for consecutive sentences in cases with multiple victims, enhancements for repeat felony DUI offenders and certain hit-and-run cases, and adding vehicular manslaughter offenses to the violent felony list. The author and supporters, including prosecutors, law enforcement, and victims’ family members, described the bill as a response to repeated, preventable tragedies and argued it would close loopholes and increase accountability. Opponents, including criminal defense and civil liberties groups, raised concerns about duplicative penalties, legal overreach, and the violent-felony and sentencing provisions. Committee members were divided but generally supportive of stronger DUI enforcement; the bill was moved out on a do-pass-as-amended motion to Appropriations, with the three-strikes provision removed and the bill kept on call. The committee then heard SB 1015, aimed at online child exploitation and extortion networks. The bill would create a new offense for adults who recruit, direct, coerce, or use minors to harm or exploit other children, and it would also allow limited misdemeanor or felony charges for minors engaged in extreme coercive conduct, with diversion available for juveniles. Supporters, including sheriffs, district attorneys, and child-safety advocates, said the bill addresses a fast-growing cybercrime problem involving grooming, blackmail, self-harm, and organized online groups using minors as intermediaries. Opponents argued existing laws already cover much of the conduct and warned against criminalizing adolescent behavior, urging the Legislature instead to focus on platform accountability. The committee nevertheless advanced the bill on a do-pass-as-amended motion to Appropriations, with members emphasizing the need to address evolving online harms. The committee also heard SB 1285, which would clarify that juvenile court dismissals under Welfare and Institutions Code section 782 remain a broad “general dismissal” remedy, separate from record sealing, so that eligible youth can more fully avoid future collateral consequences. Supporters said the bill would restore the intended effect of prior juvenile justice reforms and help young people access employment, education, military service, and licensure without lingering barriers. There was no opposition after one group withdrew its objection, and the bill was moved to the floor on a do-pass motion. SB 1342 followed, a technical cleanup measure for automatic record clearance laws that would prevent outdated pending charges from blocking relief, require local court records to match DOJ updates, and create a way for people to obtain written proof of clearance; it also advanced to Appropriations. Finally, SB 1330 was heard to extend existing assault-and-battery protections for certain workers to utility workers; supporters described rising assaults and even shootings against crews, while one utility worker opposed the bill as only increasing penalties after the fact rather than preventing attacks. The bill was moved out on a do-pass motion and left on call.

Transcript Highlights:

• So we are requesting a $26 million one-time General Fund request that would preserve a provider network
• And so it's really important that we preserve payment for this life-saving care and also protect the
• We also litigate and advocate to preserve access to this critical care. Thank you.

Keywords: 987, senate, all

Transcript Highlights:

• What I really like about yours is that it's preserving a historic landmark.
• So I think it's important to preserve these buildings.
• So I think it's important to preserve these buildings as we had them because it's a part of our history

Keywords: 959, house, all

Transcript Highlights:

• that 30% of the state sales tax revenue from qualified facilities be deposited into the Community Preservation
• 30% of the state sales tax revenue from qualified facilities to be deposited into the community preservation
• Second Engrossed Substitute House Bill 1408, establishing funding for community preservation and development

Bills: HB2675 , HB2249 , HB2120 , HB1069 , HB1983 , HB2431 , SB6006 , SB6297 , SB6351 , SB6353 , HB2521 , HB2091 , HB2104 , SB6355 , HB2254 , HB2385 , SB5808 , HB1796 , HB1376 , SB6260 , HB2353

Committee: Senate Ways & Means

Keywords: accounts, finance, business regulation, transparency, audits, HB 2249, Washington Technology Solutions, WaTech, civil service, classified service, exempt employees, state employment, state personnel, network security, cybersecurity, information technology, IT contracting, data center, systems integration, network engineering

Transcript Highlights:

• That kind of care is not necessarily the moneymaker for a hospital, and preserving birth centers that
• together is the law and it's the intent of a lot of legislation, the amendment champions family preservation
• asking for a no vote with a bit of irony because the prior amendment, which we've just adopted, preserves

Summary: The House Appropriations Committee met in executive session on a proposed substitute operating budget bill and worked through a long series of amendments before voting on the bill. Members discussed a wide range of budget items, including court funding for Thurston County civil filings, Attorney General funding for a domestic extremism task force, grants for Yakima aquatics access, North Mason mobile integrated health, mentoring programs, poverty reduction work, a proposed Department of Housing task force, federal grant inventory staffing, HEAL Act funding, assisted living rebasing, DCYF family resource centers and pediatric interim care, law enforcement training and equipment, shellfish and birthing center licensing fees, school bus depreciation, charter school accountability, transition to kindergarten priorities, and several Fish and Wildlife and OSPI grants. The committee also considered amendments related to the Columbia River Gorge Commission, shrub-steppe habitat mitigation, and a study on Lower Snake River reservoir drawdown impacts. Debate on many amendments centered on whether items were statewide priorities or local projects, and on the fiscal constraints of the budget. Supporters often argued that proposals would protect vulnerable populations, improve public safety, or leverage future savings and outside funding; opponents frequently cited budget pressure, the availability of existing funding, or the need to avoid singling out local projects. Some amendments were adopted, including Clark 343 on intent to fund up to 10,000 additional eCAP slots, Jones 419 on paint stewardship funding, and Stevens 070 limiting birthing center license fees. Many others failed, including amendments on Thurston County court funding, the domestic extremism task force, Yakima aquatics, North Mason mobile integrated health, mentoring, poverty reduction workgroup funding, the Department of Housing task force, federal grant staffing, HEAL Act funding, assisted living rebasing, the PIC Center contract, the Lacey regional training academy, and several Fish and Wildlife and OSPI-related proposals. The committee then moved to the underlying bill, Proposed Substitute House Bill 2289, and adopted a do pass motion after disposing of the amendments. The transcript indicates the committee ultimately reported the bill out of committee with a do pass recommendation.

Transcript Highlights:

• public health emergency declaration, health care crisis, or pandemic to be enforced in a manner that preserves
• because again, this is a very familiar issue for this committee, that this bill is about choice and preserving
• No contractor may exceed 20% of program enrollment while preserving voluntary member choice.

Bills: SB1014 , SB1094 , SB1146 , SB1177 , SB1192 , SB1194 , SB1214 , SB1372 , SB1390 , SB1398 , SB1399 , SB1494 , SB1557 , SB1561 , SB1564 , SB1602 , SB1603 , SB1621 , SB1628 , SB1629 , SB1713 , SB1752 , SB1776 , SB1813 , SB1814 , SB1821

Committee: Senate Health and Human Services

Keywords: gender transition, gender detransition, health insurance, medical procedures, insurance claims, official documents, Arizona law, gender reassignment, civil liability, minors, medical consent, detransition, dependent children, foster care, periodic review, court hearings, child welfare, public funds, prohibition, Arizona legislation

Transcript Highlights:

• And this bill preserves that. I think that's correct.
• And this bill preserves that. I think that's correct.
• Because if you switch to destinations sourcing, and this bill preserves that i think that's correct because

Bills: HB2143 , HB2273 , HB2290 , HB2373 , HB2784 , HB2794 , HB4037

Committee: House Ways & Means

Keywords: public safety, retirement system, investments, trust fund, board of trustees, financial report, income tax rebate, Pinal County, taxpayer eligibility, state revenue, financial assistance, transaction privilege tax, business location, tangible personal property, shared vehicle, sourcing, income tax, veterans, donations, tax refunds

Transcript Highlights:

• So HB 99 restores clarity and balance while preserving access to justice for patients.
• It preserves full compensation for injured patients while imposing reasonable limits and predictability
• onset anyway, despite the statute, because I'm going to tell the court that I need to do that to preserve

Bills: SB38 , SB17 , SB41 , SB264

Committee: Senate House Judiciary

Keywords: SB38, pet food, registered pet food, registration fee, fees, sunset repeal, repeal of repeal, revenue, state fee, business regulation, animal feed, pet food registration, New Mexico, gun control, firearm safety, dealer regulation, illegal trade, background checks, sexual crimes, statute of limitations

Summary: The Senate Judiciary Committee heard extensive testimony on House Bill 99, a proposed reform of the Medical Malpractice Act. Representative Chandler said the bill is intended to address physician shortages, rising malpractice premiums, and litigation pressures by changing punitive damages rules, including a higher standard of proof, a requirement that punitive damages not be pleaded in the initial complaint, and limits tied to the type of provider. Supporters, including physicians, business leaders, and some patients, said the bill would help retain doctors, improve access to care, and create more predictable liability exposure. Several supporters also said current malpractice conditions are driving doctors out of the state and harming rural access to services. Opponents argued the bill would reduce patient recovery, create unequal treatment based on insurance status through the bill-versus-paid provision, and raise constitutional concerns involving equal protection, collateral source rules, and separation of powers. They also criticized the bill for not addressing other drivers of malpractice, such as hospital practices, prior authorization, staffing, and background checks for out-of-state doctors. Some witnesses urged amendments to protect the Patient Compensation Fund, ensure future medical expenses are covered, require minimum surcharge settings, and improve oversight of providers entering the state. Committee members questioned the sponsor and witnesses about whether the bill would actually lower premiums, whether it would improve access to care, and how it would affect hospitals, independent providers, and the Patient Compensation Fund. The sponsor said the bill was based on negotiations and comparisons with other states, and that it should help premiums over time. Members raised concerns about the fund’s solvency, the role of hospitals in the fund, and whether some provisions would survive legal challenge. No final vote was taken in the portion of the meeting provided; the chair indicated amendments would be discussed later and the committee would continue the hearing the next day.

Transcript Highlights:

• supporting and encouraging doctors to practice here, and while continuing to protect patients and preserve
• It preserves full recovery, I think, for medical care. And it truly looks at reckless conduct.
• causes of preventable blindness in this country, and timely access to laser treatment is critical to preserving

Bills: HB99 , HJR5 , HM39 , HB206 , HB213 , SB41 , SB153 , SB165 , SB261 , SB264

Committee: House House Judiciary

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Transcript Highlights:

• But we do this with these limited time frames to preserve the intent... safety risks.
• But we do this with these limited time frames to preserve the intent. Hamburg in any way.
• But we do this with these limited timeframes to preserve the integrity of the testing process.

Committee: Senate Senate Health and Human Services COR

Summary: The committee heard a series of bills and public testimony, beginning with introductions and then taking up several health and human services measures. A major focus was SB 1120 and SB 1121, which address radiation protection in cardiac catheterization and other ionizing-radiation procedure rooms. SB 1120 would require health care facilities to equip at least 50% of procedure rooms with radiation protection systems by July 1, 2027, while SB 1121 would prohibit requiring lead aprons in rooms with such systems and instead require real-time dosimeters for staff who opt out of lead aprons. Physicians, nurses, and a hospital executive testified that enhanced radiation protection systems can dramatically reduce occupational exposure, lower cancer and orthopedic risks, and help with workforce recruitment and retention; a hospital alliance remained neutral pending further stakeholder discussions. Both bills were amended and passed out of committee on 7-0 votes, and SB 1118, which appropriates state funds for a rural hospital grant program to install radiation protection systems, also passed 7-0. The committee also approved SB 1001, which appropriates $1 million to the Department of Economic Security for the Older Individuals Who Are Blind program, after testimony from blind and low-vision Arizonans and advocates describing long waitlists, the need for independent living training, and the program’s role in preventing unnecessary dependence. SB 1072, a major funding bill for home- and community-based services and room-and-board rate increases for individuals with intellectual and developmental disabilities, drew testimony from providers about severe staffing shortages, overtime, turnover, and underfunding; it passed 6-0 with one not voting. SB 1125, requiring DCS to pursue MOUs with tribes and improve tribal communication and access to licensing and enforcement information, also passed 6-0 with one not voting. The committee then considered SB 1123, which removes a board-certification requirement so trained forensic pathologists can supervise autopsy training for residents and fellows; Maricopa County supported it as a workforce and training fix, and it passed 6-0 with one not voting. SB 1052, allowing mild hyperbaric oxygen therapy in assisted living facilities under physician order and DHS rules, generated mixed testimony: supporters argued it could improve health and independence for residents, while opponents raised concerns about off-label treatment in nonmedical settings. The bill passed 5-2. SB 1112, which reduces the number of acquaintance witnesses required in court-ordered treatment proceedings from two to one and allows the court to waive the witness requirement under certain conditions, drew strong testimony from families and mental health advocates on both sides; it passed 5-2. The committee also began hearing SB 1113, which would allow certain service of process in court-ordered evaluation and treatment cases by evaluation-agency employees or other court-authorized persons, but the transcript cuts off before final action on that bill.

Transcript Highlights:

• The third option is to adopt the HCBS carveout model, where we're preserving a fee-for-service model
• </c> The third option is to adopt the HCBS carveout model, where we're preserving a fee-for-service model
• The third option is to adopt the HCBS carveout model, where we're preserving a fee-for-service model

Keywords: 928, house, all

Summary: The committee approved the previous meeting minutes and then reviewed a draft preliminary report on long-term managed care. The chair explained the report is intended to frame issues and outline legislative options, not make a final recommendation, especially given unresolved questions about the federal One Big Beautiful Bill (OB3). The report’s key issues included the current financing of county and private nursing homes through Medicaid rates, ProShare, MQUIP, and related funding mechanisms, and the concern that those payments could be affected or eliminated under a managed care model. Members also discussed managed care organizations’ role in Medicaid and cited other states’ experiences, noting examples of savings in Florida and Tennessee but higher costs in California. One member raised Indiana as another important comparison, and the committee agreed to add it to the report’s state examples. The committee also reviewed sections on dual eligibility, D-SNP, PACE, and CFI waivers. The chair raised concerns about whether OB3 creates incentives for states to move toward D-SNP and whether federal changes could affect provider taxes, state-directed payments, and intergovernmental transfers. Henry Litman, the state Medicaid director, said he would confirm details on D-SNP incentives and explained that ProShare is based on certified public expenditure rather than an IGT, while county cap financing is the relevant intergovernmental transfer issue. He said IGTs are not going away and that the main risk is whether current financing mechanisms could be preserved if the state later changed course. Members discussed the possibility of a waiver not being granted or renewed and the high fiscal impact that could have on counties and property taxes. The committee then discussed the population that any long-term managed care model should cover. Members agreed that there is no appetite to move developmental disability or acquired brain disorder populations into long-term managed care at this time, and the chair changed the report’s terminology from “elderly” to “aging population.” The chair also noted that the status quo option should reflect the recent shift toward home and community-based services and reduced nursing home utilization since earlier county reports. The report’s four policy options were summarized as: maintain the status quo; pursue D-SNP for dual eligibles, with DHHS potentially submitting an application as early as 2027; adopt an HCBS carveout; or move fully to managed care for the aging population. No final policy recommendation was made, and the committee discussed making edits to the draft before circulation, including adding Indiana, clarifying OB3-related issues, and changing the report title from “final” to “preliminary” or “interim.”