Transcript Highlights:

• What we're requesting today is a straightforward, truly democratic authority to ask our voters whether
• We will move our council chambers from the basement to the main level, ensuring the democratic process

Committee: Senate Taxes

Keywords: 1187, senate, all

Transcript Highlights:

• year this bill keeps coming back that would take away this great tool that has conservative and Democratic
• year this bill keeps coming back that would take away this great tool that has conservative and Democratic

Committee: Senate Election Law and Municipal Affairs

Keywords: 1191, senate, all

Transcript Highlights:

• other states have already created HCBS SMI programs, including 11 Republican-led states and four Democrat-led
• But this is a thing that both Republicans and Democrats have worked on over the years, and I'm leaving

Committee: House House Health & Human Services Committee of Reference

Summary: The committee heard several bills related to radiation protection in cardiac catheterization labs and later a stem cell/regenerative therapy bill. On SB 1121, which would allow hospitals with radiation protection systems to let clinicians forgo lead aprons if they work in the designated safety area and use real-time dosimetry, testimony was largely supportive or neutral after a late amendment gave radiation safety officers discretion to require protective gear if exposures approach thresholds. The committee adopted the amendment and passed SB 1121 on a 9-1 vote. SB 1120, a more prescriptive bill requiring at least 50% of cath lab rooms in hospitals to be equipped with the radiation protection system, drew divided testimony: sponsors and several physicians argued it would reduce orthopedic injury and radiation exposure and improve recruitment and retention, while hospital and radiology groups objected to the mandate, cost, limited vendor pool, and lack of clarity in the bill’s definitions. After adopting an amendment excluding children’s hospitals, the committee deadlocked 6-6 and SB 1120 failed to pass. The committee then considered SB 1118, which would appropriate $3 million to help rural hospitals install radiation protection systems in cath lab rooms. The sponsor said the funding would help rural facilities meet the same safety goals, and the committee passed the bill 6-5. The committee also heard SB 1214, a “guardrails” bill regulating non-FDA-approved stem cell and regenerative therapies, requiring informed consent, sourcing and reporting standards, advertising limits, and civil penalties for violations. Supporters said it would protect patients while allowing access to promising therapies; some members raised concerns about evidence and commercialization, but after adopting a technical amendment, the bill passed 9-3. The transcript ended as the committee moved on to SB 1630, which would seek federal approval for a home- and community-based service benefit for adults with serious mental illness; the sponsor described it as a capped, Medicaid-based community care option, and Access testified neutral while estimating a fiscal impact, but no final action on SB 1630 appears in the excerpt.

Transcript Highlights:

• other states have already created HCBS SMI programs, including 11 Republican-led states and four Democrat-led
• But this is a thing that both Republicans and Democrats have worked on over the years, and I'm leaving

Bills: SB1052 , SB1115 , SB1118 , SB1120 , SB1121 , SB1124 , SB1171 , SB1172 , SB1174 , SB1175 , SB1214 , SB1233 , SB1235 , SB1316 , SB1345 , SB1372 , SB1399 , SB1458 , SB1494 , SB1496 , SB1564 , SB1602 , SB1621 , SB1628 , SB1630 , SB1631 , SB1668 , SB1672 , SB1814 , SB1821

Committee: House Health & Human Services

Keywords: assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent, AHCCCS, remote work, state agency, employment, public health, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes, townhomes, historic preservation, radiation protection

Transcript Highlights:

• Arkansas, Florida, Oklahoma, Indiana, and Alabama, actively working to undermine other states' democratically
• Alabama, actively working to undermine other states' democratically enacted child protection laws.

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.

Transcript Highlights:

• Six years ago, the bill endorsing the data platform was sponsored by Democrats, improved by legislators
• Six years ago, the bill endorsing the data platform was sponsored by Democrats, improved by legislators

Committee: Senate Energy and Natural Resources

Keywords: 1191, senate, all

Transcript Highlights:

• to allow taxing units to disregard the will of voters in this way is to do a disservice to the democratic
• Like most citizens here, I'm a Democrat, and like most citizens here, I voted for the project.

Bills: HB19 , HB30 , HB851 , HB1663 , HB1681 , HB1769 , HB1937 , HB1979 , HB2428 , HB2433 , HB2825 , HB3159 , HB3424 , HB3486 , HB3487 , HB3504 , HB3605 , HB3879 , HB3994 , HB4382 , HB4752 , HB5444 , HB5446 , HB5447 , HB3199 , HB4847 , HB19

Committee: House Ways & Means

Keywords: local government debt, property tax, ad valorem tax, bond election, certificate of obligation, anticipation note, school district tax rate, voter-approval rate, debt service cap, municipal finance, county bonds, flood control district, hospital district, public works, tax transparency, property tax notice, November uniform election date, general obligation bonds, local debt reform, taxpayer notice

Transcript Highlights:

• And I have heard Republicans argue that against Democrats and Democrats argue against Republicans.

Keywords: 928, house, all

Summary: The Children and Family Law Committee met on April 15, 2025, and opened a hearing on Senate Bill 269, which would remove references to “bride and groom” and replace them with “applicants” in the Vital Records Act. The bill was described by the sponsor’s designee as a housekeeping update requested by the Secretary of State to modernize and standardize the language in light of same-sex marriage and to make the statute gender-neutral. Members asked whether the change would affect the substance of marriage law, marriage ceremonies, age and residence requirements, or open the door to polygamy; the response was that it would not change the law, would still apply to two adults, and would not supersede New Hampshire’s ban on polygamy. Some members noted the bill had passed the Senate unanimously and 18-0, while others questioned whether the change was necessary given existing forms and statutes, and whether it could create confusion with other laws such as alimony or divorce paperwork. The discussion became lengthy and somewhat informal, with members debating whether the terminology update was merely clerical or whether it should be postponed for more information from the Secretary of State’s office. Several members expressed frustration that no representative from that office was present. One member, speaking as a family law attorney, argued the bill was redundant because similar information already appears on vital statistics forms and could potentially create unintended issues; others countered that the Legislature should keep statutes consistent with current law and modern terminology. The committee also briefly discussed how marriage certificates and licenses are labeled and how same-sex couples are designated under current law. After a Republican caucus break, the chair called for a nonbinding thumb vote on whether to postpone the bill. The committee voted to come back to the bill later, and the hearing on SB 269 was closed and postponed to a later executive session date. The chair then shifted to other committee business, including preparations for a later discussion with Chief Administrative Justice Ellen Kristo and a family court subcommittee exercise, but no further action was taken on SB 269 during this segment.

Transcript Highlights:

• If you're registered as a Republican, if you're undeclared, how many took a Republican or Democrat and
• If you're registered as a Republican, if you're undeclared, how many took a Republican or Democrat and
• And we view that as a critical threat to the democratic process.
• </c><05:26:47.600><c> What</c><05:26:47.840><c> happens</c><05:26:48.160><c> when</c> democratic process
• What happens when democratic process.

Committee: House Election Law

Keywords: 1189, house, all

Committee: House Criminal Justice and Public Safety

Keywords: 1189, house, all

Transcript Highlights:

• Committee Democrats, you can ask your ranking member and Deputy Ranking Member.
• on process or procedure<00:15:06.440><c> as</c><00:15:06.600><c> a</c> committee<00:15:09.920><c> Democrats
• c> you</c><00:15:10.600><c> can</c><00:15:10.800><c> ask</c><00:15:11.079><c> your</c> committee Democrats
• you can ask your committee Democrats you can ask your ranking<00:15:11.920><c> member</c><00:15:12.279
• I'd like to have a Democrat second right over there.

Keywords: 928, house, all

Summary: The meeting began with committee process reminders from the chair, including rules for questioning witnesses, time limits for testimony, and how motions and committee reports are handled. The chair also discussed the committee’s history, emphasized a cooperative approach with agencies and the Judiciary, and noted that a special committee on the Family Division of Circuit Court had previously done useful work; he said a new subcommittee could be appointed later to continue looking at judicial-system issues. He also mentioned that the Speaker’s office was expected to name members to the DHHS oversight committee by Friday at 1. The substantive presentation was from the Department of Health and Human Services’ Bureau of Child Support Services. Attorney John Williams introduced the bureau team, and Bureau Chief Lisa Dekowski described the program’s mission: encouraging responsible parenting, family self-sufficiency, and child well-being by locating parents, establishing paternity, setting or modifying support orders, and enforcing court-ordered child and medical support. She said the bureau operates statewide under Title IV-D of the Social Security Act, works with courts, employers, and other partners, and serves both in-state and out-of-state cases, with some international and tribal coordination. She also cited program scale, saying the bureau dispersed about $76 million to families in New Hampshire in fiscal year 2023 and that most collections go directly to families. Members asked about enforcement tools, especially passport denial. In response to a question about a case involving a very small shortfall, the bureau said the federal passport-denial threshold is $2,500 in arrears, not a few cents, and that denial remains in place until the balance is resolved or an arrangement is made with the agency, with hardship factors potentially considered. The bureau also explained that either parent can apply for services when a child support order exists and that the bureau can help initiate income withholding orders. No votes or formal actions were taken during this portion of the meeting.

Transcript Highlights:

• Chair, members, AB 2186 fulfills an important policy goal of Republicans and Democrats to reduce taxes

Committee: Senate Revenue and Taxation

Keywords: 987, senate, all

Transcript Highlights:

• Senate every year, one year by a Republican, the next year by a Democrat.

Summary: The House convened with a quorum, accepted the prior day’s minutes, and read several committee reports and communications into the record. Members also observed moments of silence for two young people who had recently died, and the prayer and pledge were offered before the chamber moved into business. Consent calendar number 28, consisting of several resolutions, passed by voice vote. A large portion of the meeting was devoted to tributes and retirement remarks for Representative Jeff Holowski, who was praised by colleagues for his work on financial literacy, veterans’ issues, health care, diabetes policy, and constituent service, as well as for his military service and community involvement. Holowski thanked staff, colleagues, and his family, and said he was retiring to spend more time with his wife, children, and grandchildren. The chamber also recognized former Representative Harvey Kenton as a guest. The House then acted on several measures. Senate Bill 286, as amended by House Amendment 1, passed 40-0 and extends consumer protections and dealer equity standards to ATVs, side-by-sides, and vessels. Senate Bill 179, which updates the Delaware Sentencing Accountability Commission and its bench book/data analysis process, passed 27-14. Senate Substitute 2 for Senate Bill 23, the housing supply and affordability bill, was presented with extensive explanation and questions about local control, zoning, and implementation, but the transcript ends before a final vote on that measure. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and directing flags at half-staff, was also discussed in emotional remarks about overdose losses and the state’s ongoing response. The House later recessed for party caucuses.

Transcript Highlights:

• By the way, this is an issue that unites conservative Republicans and progressive Democrats on Capitol

Committee: Senate Business, Professions and Economic Development

Keywords: 987, senate, all

Transcript Highlights:

• The other is, you know, as a Democrat, you know, we often take on corporate greed and corporate large

Committee: Joint Joint Committee on Consumer Protection and Professional Licensure

Keywords: 995, all

Summary: The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure and reviewed a broad agenda including credit card fees, event ticketing, music therapy licensure, senior psychologist licensure, CPA pathways, school mental health licensure, and a bill regulating alternative healing therapies. The chairs explained hearing logistics, including three-minute testimony limits and submission of written testimony, and noted that more than 70 people had signed up to testify. Legislators and advocates were heard out of order throughout the day. A major portion of the hearing focused on credit card surcharge and interchange legislation. Restaurant owners, the Massachusetts Restaurant Association, NFIB, and other small-business witnesses supported bills allowing merchants to add convenience fees and, in one proposal, preventing card companies from charging fees on tax and tip portions of transactions. They argued that swipe fees are a major and growing cost, especially for restaurants, and that Massachusetts is one of only two states that bars surcharges. Opponents from the Cooperative Credit Union Association, the Electronic Payment Coalition, and the Electronic Transactions Association warned that the proposals would create compliance burdens, fragment the payment system, raise legal preemption issues, and disrupt a system they described as efficient and secure. The committee also heard competing testimony on ticket transferability and ticket resale. Supporters, including the National Consumers League and Sports Fans Coalition, said bills on ticket transferability would protect consumers who cannot attend events and would increase competition and savings in the secondary market. Opponents, including United Musicians and Allied Workers and theater owners, argued that mandatory transferability would weaken artists’ and venues’ ability to prevent scalping and predatory resale, and that some ticket sellers should be exempt from the broader ticketing regulations. Separate testimony supported music therapy licensure, senior psychologist licensure, and new CPA education pathways, with witnesses saying these measures would expand access to care and strengthen the workforce while maintaining professional standards. The hearing also drew extensive opposition to S.261 on alternative healing therapies, with practitioners and clients arguing it would overregulate spiritual and holistic practices and was not an effective response to human trafficking concerns.

Transcript Highlights:

• Democratic- and Republican-led legislatures across the nation are moving to create these conditions.

Committee: Joint Joint Committee on the Judiciary

Keywords: 995, all

Summary: The Judiciary Committee heard testimony on a wide range of criminal justice, victim services, and records-sealing bills. Early testimony focused on H.1811, the Clean Slate automated record-sealing bill, with supporters arguing that automatic sealing after existing waiting periods would remove barriers to jobs, housing, and education without changing eligibility rules. Advocates from legal aid, business, and housing organizations said the current petition-based system is underused, burdensome, and costly, while opponents of expanding surveillance-related laws urged the committee to preserve privacy protections. The committee also heard testimony on H.1693, which would immediately seal records in cases ending without conviction and clarify the presumption of innocence, with speakers describing how dismissed cases still create lasting collateral consequences and prevent people from moving forward. No votes were taken during the hearing. Several bills centered on victim safety and domestic violence. Senator Michael Moore testified for S.1201, which would keep child-protective orders in effect even if the parent or guardian who filed them dies, and for S.1204, which would update the wiretap statute. Multiple survivors and advocates supported S.1215 and S.1222, arguing for a narrow wiretap defense for recordings made to document threats or abuse and for making GPS tampering a separate felony offense. Testifiers described situations in which GPS devices were cut off or disabled and said current law leaves victims at risk and gives abusers too much leeway. The committee also heard emotional testimony on H.1685/S.1238, a bill prompted by the suicide of Stavri Yanka in custody, with the sponsor, his mother, and the sheriff describing the need for better information-sharing so suicide-risk information follows a person into custody. Law enforcement and prosecutors supported several due-process and dangerousness-related bills. MassCOP, the Boston Police Patrolmen’s Association, and the State Police Association backed H.1828/S.1039/S.1235, which would require de novo Superior Court review for POST Commission suspensions over two weeks or decertifications, arguing officers need a meaningful appeal beyond administrative review. The committee also heard support for H.1691, expanding the dangerousness statute to additional offenses; Bristol County District Attorney Quinn said the changes would let prosecutors seek detention in serious cases such as child rape and manslaughter when facts warrant it. In contrast, the Committee for Public Counsel Services opposed expanding dangerousness detention, warning that pretrial detention causes serious harms and disproportionately affects Black and Hispanic defendants. The hearing also included testimony on H.1654/S.1063 to enhance victims’ rights and H.1525, which would rename and expand community corrections into community justice programs, with supporters emphasizing reentry, reduced stigma, and broader service access.

Transcript Highlights:

• grassroots membership organization focused on fighting for a more equitable, just, sustainable, and democratic

Committee: Joint Joint Committee on Health Care Financing

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on 16 bills, with the chairs noting a busy legislative day and asking speakers to keep testimony brief. The committee first heard testimony on Senate 860/House 1405, the Medicare for All bill, with Sen. Jamie Eldridge and many advocates, clinicians, municipal officials, and patients arguing that a single-payer system would make care a right, reduce administrative waste, lower costs, and protect residents from rising premiums, medical debt, and hospital closures. Several speakers cited the Steward hospital crisis, affordability problems, and polling or ballot questions showing public support for single-payer coverage. No vote was taken during the hearing. The committee then took testimony on S. 863, a bill on non-opioid options for chronic pain. Pain specialists, patients, and advocates said the bill would improve care coordination for MassHealth members, expand access to non-opioid medications, require provider education, and collect data on chronic pain. Testifiers described long delays in diagnosis and treatment, stigma toward pain patients, and the need for multidisciplinary care and transportation support. Again, the committee heard testimony only and took no action. A large portion of the hearing focused on H. 1360/S. 869, which would prevent discrimination against people with disabilities in health care. Disability advocates, clinicians, and patients described being denied or delayed care, pressured into DNR orders, or treated based on assumptions about quality of life rather than medical facts. Speakers referenced COVID-era crisis standards of care, discriminatory metrics, and personal stories involving canceled procedures, inadequate accommodations, and poor treatment in hospitals. Committee members thanked speakers for their testimony and said they would review the bill and its implications, but no vote was announced. The committee also heard testimony on H. 1399, an individual Medicare marketplace option for municipal retirees, where supporters said it would give cities and towns a lower-cost alternative for retiree health benefits through HRAs and individual Medicare plans. The hearing then returned to Medicare for All testimony, with additional supporters repeating arguments about cost, access, municipal budget pressure, and the need for global budgeting and universal coverage. The transcript ends with continued testimony and no recorded committee vote or final action on any bill.

Transcript Highlights:

• Credit unions are unique cooperatives, democratically owned by their members.

Committee: Joint Joint Committee on Financial Services

Keywords: 995, all

Summary: The Joint Committee on Financial Services heard testimony on several bills focused on financial security, banking regulation, and payment-card fees. Treasurer Deborah Goldberg supported the Massachusetts baby bonds proposal (H. 48) and also endorsed bills on matched savings (H. 1158/S. 737) and retirement planning/Secure Choice (H. 1143/S. 722), arguing these measures would help address wealth inequality, build assets, and improve retirement readiness. Supporters of baby bonds included policy experts and health advocates from Children’s Health Watch and Boston Medical Center, who said early-life asset building could improve long-term economic and health outcomes for children in low-income families. AARP also urged passage of the retirement planning bill, citing the large share of private-sector workers without access to an employer retirement plan. Representative Donato testified for H. 1143, describing it as a voluntary retirement-savings opportunity for workers at small employers. The committee also heard testimony on H. 3933, concerning the Massachusetts Credit Union Share Insurance Corporation, from former Bank Commissioner Mike Hanson, who defended the state’s full deposit insurance system for credit unions and savings institutions as a longstanding consumer-protection model. The Massachusetts Bankers Association raised concerns about the bill’s technical provisions and broader credit union/bank competitive issues, while the Cooperative Credit Union Association supported related legislation allowing modest compensation for credit union directors (S. 821/H. 1338) and flexibility for state financial institutions to grow through partnerships (S. 723). Bankers opposed those credit union bills, arguing they would upset a level playing field and blur long-standing distinctions between banks and credit unions. A major portion of the hearing focused on H. 1259/S. 688, which would prohibit card interchange fees on the tax and gratuity portions of restaurant transactions. Restaurant owners and the Massachusetts Restaurant Association testified in favor, saying the fees are a significant and growing expense, especially as most customers now pay by card; they argued the bills would save restaurants money without affecting state revenue. Credit union, banking, and payments-industry representatives opposed the bills, saying interchange helps fund fraud protection and payment infrastructure, that the proposal would create compliance burdens and likely litigation, and that it would mainly affect Massachusetts-chartered institutions while national banks could be preempted. Committee members noted that a commission on payment-card fees is being established and said the issue would be studied further. The hearing also included support for a separate bill on virtual credit cards for dental providers, with dentists saying automatic virtual-card payments impose hidden processing fees and fraud risks.

Transcript Highlights:

• Minds that provide meaningful work that supports effective governance and strengthens our democratic

Summary: The House received a series of Senate communications and committee reports, then took up a long consent calendar and several individual measures. Early actions included passing consent calendar items, recognizing Freedom of Speech Week and Juneteenth, and hearing numerous introductions and tributes, including remarks honoring House fellows, Father’s Day, and Representative Mara Gorman. The chamber also adopted several procedural motions and recesses, with roll calls recorded throughout. Among the bills considered, the House passed House Bill 134 on animal cruelty, increasing penalties for repeat offenses; House Bill 131 with Senate Amendment 1 on pet stores and animal welfare; House Substitute 1 for House Bill 320 on technical corrections to the Delaware Constitution; House Substitute 1 for House Bill 407 on technical updates to the Hazardous Substance Control Act; House Substitute 1 for House Bill 425 on salary supplements for certain school employees; House Substitute 1 for House Bill 450, the Road Delaware Act, on land use and permitting reform; House Bill 459 on restricting energy drink sales in schools; House Substitute 1 for House Bill 439 on electric moped and motorcycle disclosures; and House Bill 444, the Delaware John Lewis Voting Rights Act, after amendment delaying its effective date to July 1, 2027. House Amendment 1 to House Bill 459 was adopted, and House Amendment 1 to House Bill 444 was adopted before final passage. The House also rejected House Amendment 1 to House Substitute 1 for House Bill 425 after debate over salary supplement policy for school-related certifications, then passed the substitute bill itself. House Bill 407 prompted questions about the increase in civil penalties, which DENREC said was intended to update outdated fines and align the penalty structure with other laws. House Bill 444 drew floor speeches emphasizing voting rights protections and concerns about voter suppression and dilution. The session ended with the House moving to recess after continuing consideration of House Bill 355, the Speaker Truth Act, which had just adopted an amendment changing damages language to attorney’s fees and costs.

Transcript Highlights:

• Kehaley is a major donor to Katie Hobbs and the Arizona Democratic Party? Mr.

Summary: The Committee on Director Nominations met with four members present and approved the prior minutes without objection. Chair Jay Kaufman outlined the committee’s role in reviewing executive nominations and explained the hearing process for three nominees: Mary Foote for the Office of Economic Opportunity, Debbie Johnston for the Department of Health Services, and Chuck Bassett. Foote did not appear for her hearing, and members discussed her absence and alleged omissions in her disclosure materials, including prior service with Planned Parenthood-related organizations. The committee then moved to reject her nomination, and the motion passed 3-2, recommending that the full Senate reject Mary Foote. Debbie Johnston, nominee to lead the Department of Health Services, appeared and gave an opening statement describing her Arizona background, prior Senate staff work, and more than 20 years with the Arizona Hospital and Health Care Association. She said her priorities at ADHS include rebuilding trust in public health licensing, improving stakeholder engagement, standardizing rulemaking communication, addressing alleged religious discrimination and retaliation concerns in licensing, and using technology and AI to improve efficiency. In questioning, senators pressed her on her management style, conflict-of-interest safeguards given her prior industry role, enforcement priorities, budget pressures, behavioral health and assisted living oversight, and the department’s response to COVID-19. Johnston said she would follow statutes, recuse herself from enforcement matters involving former contacts, and resign if directed to carry out an unlawful policy. She also said the department does not regulate therapy itself, only facilities, and that it would rely on legal counsel regarding the governor’s conversion-therapy executive order and related federal civil-rights allegations. Several senators focused on public health trust and the department’s pandemic response, with Johnston acknowledging concerns about closures, data collection, and communication during COVID-19 while saying she would review past after-action materials and be better prepared in the future. Public testimony from stakeholders in aging services and health care strongly supported her confirmation, praising her accessibility, responsiveness, and collaborative approach. After testimony, the vice chair moved to recommend Johnston’s confirmation to the full Senate. The roll call was underway when the transcript ended, with several members voting aye and one member expressing reservations about her not reviewing the pandemic after-action report before another crisis occurs.