Transcript Highlights:

• think that some of the kind of corporate work in terms of how PBMs and how prescriptions are now managed
• think that some of the kind of corporate work in terms of how PBMs and how prescriptions are now managed

Bills: SCR96, SCR109, SCR164, SCR172, SCR166

Keywords: electric reliability, renewable energy, interconnection, Hawaii Electric Reliability Administrator, Public Utilities Commission, capacity shortfalls, energy policies, mail-order pharmacy, insurance, healthcare access, chronic disease management, cost savings, rural access, emergency healthcare, patient adherence, critical infrastructure, foreign influence, local control, energy dependence, economic resilience

Summary: The Committee on Consumer Protection and Commerce heard several Senate concurrent resolutions related to utilities, pharmacy access, critical infrastructure, and energy policy. STR 96 SD1 asked the Public Utilities Commission (PUC) to report on the progress of the Hawaii Electric Reliability Administrator; the PUC offered written comments and the measure later advanced as is. STR 109 SD1 urged the insurance commissioner to study expanding mail-order pharmacy use. Testimony was split: DCCA’s insurance division, HMSA, and the Hawaii Association of Health Plans supported the study, while Shipa and the Hawaii Pharmacist Association opposed it, arguing mail-order pharmacy is already available and that in-person pharmacist counseling should be preserved. The measure was ultimately deferred. The committee also heard STR 164 SD1 on protecting Hawaii’s critical infrastructure from foreign influence. Greenpeace Hawaii and 350 Hawaii strongly supported the resolution, framing it as a consumer protection and resilience measure tied to reducing dependence on imports and strengthening local food and energy systems. No opposition was presented, and the resolution was moved out as is. STR 172 SD1 HD1 directed the PUC to conduct a comprehensive analysis of ways to maximize cost reduction and minimize financial risk while meeting state goals. DCCA, the Hawaii State Energy Office, and the PUC offered comments, and Earthjustice supported the measure; it was also advanced as is. For STR 166 SD1, which concerns how the PUC should evaluate generational energy commitments, DCCA, the Hawaii State Energy Office, and the PUC provided comments, while 350 Hawaii, Greenpeace Hawaii, and others opposed any move toward LNG, arguing it would harm ratepayers and conflict with Hawaii’s renewable goals. After discussion, the committee amended the resolution to add language directing the PUC to evaluate any LNG or other imported-fuel proposal for its potential effects on or delays to the state’s renewable portfolio standards, including the 2045 deadline. The amended resolution then passed, and the committee adjourned.

Transcript Highlights:

• </c><00:38:06.320><c> again</c><00:38:06.560><c> to</c> uh the CFS aronomy manager again to uh the CFS
• aronomy manager again to comment<00:38:07.119><c> on</c><00:38:07.599><c> what</c><00:38:07.839><c>
• There was a farm there that imported elk from Alberta that later tested positive for the disease.
• There was a farm there that imported elk from Alberta that later tested positive for the disease.
• Um, at this point, I'd like to move on to our farm advocate program, and I have to say our manager of

Bills: HF2103, HF4508

Keywords: energy, renewable energy, ammonia, hydrogen, certificate tracking, funding, environment, elk, cervidae, cervid importation, chronic wasting disease, CWD, animal health, livestock, wildlife disease, Minnesota Department of Natural Resources, state veterinarian, zoo, Association of Zoos and Aquariums, AZA

Transcript Highlights:

• medical facility infrastructure loan fund, to provide an exemption, to provide for a Legislative Management
• Section 9 requires reports from the department periodically to Legislative Management, which will likely
• I mean, just trying to keep it out of the Constitution and being able to manage the resources of the
• get different or change are very difficult for the state, at least we'd have an opportunity to best manage

Bills: SB2401, SB2402, SB2403, SB2404

Keywords: SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine

Summary: The Senate convened with prayer, roll call, and a quorum present, then took up second reading and final passage of several House bills related to the Rural Health Transformation Program and other matters. House Bill 1621, requiring the presidential fitness test in school physical education with exceptions and a delayed effective date, passed 43-3. House Bill 1623, appropriating federal rural health transformation grant funds and creating a related loan program and reporting structure, passed 46-0 after extensive debate about using the federal money for community health, infrastructure, and sustainability. House Bill 1622, joining the physician assistant licensure compact, also passed unanimously 46-0. House Bill 1625, authorizing the Ray Richards Golf Course land sale to support a Grand Forks transportation project and golf course improvements, passed 46-0. House Bill 1626, clarifying that the primary residence credit is applied after the early payment discount so taxpayers receive the full $1,600 benefit, passed 40-6.

Transcript Highlights:

• They have better management on their board. They've hired a new CEO.
• I don't think there's abuse, probably mismanagement and not appropriate management. I don't know.
• There's abuse, probably mismanagement and not appropriate management.
• It was just probably poor management style and poor boardmanship, and I think both of them have been

Bills: SB2401, SB2402, SB2403, SB2404

Keywords: SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine

Summary: The Senate convened with prayer, the Pledge of Allegiance, and a quorum present. It adopted the procedural employment committee report naming Senate staff for the special session. The chamber then took up several health-care and appropriations measures, first adopting amendments to Senate Bills 2401, 2402, and 2403 before moving them to final passage. Senate Bill 2401 passed 44-2 and requires physicians to complete at least one hour of continuing education in nutrition and metabolic health, part of a broader rural health care package. Senate Bill 2402 passed 46-0 after major amendments negotiated between the medical and pharmacy boards; as amended, it expands pharmacists’ prescriptive authority and therapeutic substitution in limited areas while excluding categories such as antidepressants, antipsychotics, chemotherapy agents, Schedule II drugs, biological products, and narrow therapeutic index drugs. Supporters said it would improve rural access and help secure rural health transformation funding, while questions focused on how pharmacist competence would be measured and enforced. Senate Bill 2403, also passed 46-0, creates a short-term medical facility emergency operating loan program through the Bank of North Dakota, reduced by amendment from $10 million to $5 million, to help a financially distressed rural hospital. Senators discussed the hospital’s mismanagement, the need for a bridge loan, and safeguards including a limited application window and expiration in 2027. Senate Bill 2404 passed 46-0 and provides supplemental appropriations to the Information Technology Department for ADA-related website accessibility compliance and to the Public Service Commission for additional legal costs in federal energy-rate litigation. The Senate then made announcements about a Highway Patrol safety presentation and filing deadlines, excused an absent member, and adjourned until the next morning.

Transcript Highlights:

• introduction of bills or resolutions during this special session to the approval of the Legislative Management

Bills: SB2401, SB2402, SB2403, SB2404

Keywords: SB 2401, North Dakota, Century Code, occupational therapy, occupational therapy board, criminal history record check, background check, licensee investigation, physician continuing education, medical license renewal, nutrition education, metabolic health, chronic disease prevention, health occupation boards, medical board, licensure fee, audit response, disciplinary action, Title 43, board of medicine

Summary: The Senate convened in special session with prayer, the Pledge of Allegiance, and roll call establishing a quorum of 45 members present and two absent. The chamber received certification from the Secretary of State and the governor’s executive order calling the special session to address funding for the Rural Health Transformation Program and to act quickly to accept and appropriate federal funds. The main action was adoption of the procedural rules for the extraordinary session. Senator Klein explained the proposed rule changes, which were designed to speed up consideration of bills during the short session, including limits on bill introduction, same-day second reading and final passage, elimination of standing committees for the session, creation of a Joint Policy Committee and Joint Appropriations Committee, and authorization for remote testimony and limited remote participation. The procedural committee’s report on these rules was adopted without opposition. The Senate also adopted reports naming members to the Joint Policy Committee and Joint Appropriations Committee. Announcements noted that the Senate Employment Committee, Joint Policy Committee, and Joint Appropriations Committee would meet later that morning, that the Senate would not reconvene at 4 p.m., and that a Highway Patrol presentation on legislator safety would be held. The Senate then moved through the listed orders of business and recessed, planning to meet in joint session with the House before adjourning until Thursday, January 22, 2026.

Transcript Highlights:

• </c> we have are pretty much animal disease we have are pretty much animal disease and<00:10:56.160><
• We need to be managing this.
• </c><01:03:31.359><c> Um,</c> control branch manager. Um, control branch manager.
• And so We need to be managing this.
• </c> adoption of good land management adoption of good land management practices<01:18:26.000><c> by<

Bills: SB874, SB2097, SB2098, SB2126, SB2154, SB2153, SB2160, SB2123, SB2110

Keywords: veterinary medicine, prescription, consumer rights, transparency, pet medication, sustainable agriculture, climate adaptation, food system resilience, grant program, Hawaii agriculture, agriculture, clean plant program, disease-free plants, plant propagation, small farms, midsize farms, sustainable farming, Hawaii, data analysis, market study

Summary: The committee heard several agriculture-related bills. SB 874 on veterinary medicine would require veterinarians, upon a client’s request, to provide a written prescription for an animal patient in an existing veterinary client-patient relationship, allow Hawaii-licensed pharmacies to dispense those prescriptions, and authorize the Veterinary Medicine Board to set penalties. Testimony was overwhelmingly supportive, with supporters citing lower costs and consumer choice; the Hawaii Veterinary Medical Association said veterinarians already should be doing this and supported the bill if amended. One testifier in opposition argued the bill needed a conspicuous notice requirement so pet owners know they can request prescriptions. Committee members and the Department of Agriculture said they were not aware of widespread problems, and discussion focused on whether the measure was already consistent with current practice and whether amendments would address remaining concerns. The committee also heard SB 2097, which would create a climate-resilient food systems grant program in the Department of Agriculture and Biosecurity and appropriate funds. The department, Hawaii Farm Bureau, Hawaii Farmers Union, Hawaii Cattlemen’s Council, and others supported the bill, saying it could help farmers and ranchers invest in resilience, infrastructure, and technology. Several testifiers asked for clearer definitions, especially for terms like “food hubs” and “resilience hubs,” and suggested adding technical assistance and clearer eligibility criteria. The department explained the program was intended for shovel-ready projects in the middle of the supply chain, with a focus on farmers in a certain revenue range, and said it was modeled on a USDA program. SB 2098 would establish a clean plant program to produce and distribute disease-free plant material to growers, nurseries, and other producers. Testimony was supportive, emphasizing biosecurity, nursery industry needs, and preventing invasive species and crop disease. The department described the program as using tested clean stock, tissue culture facilities, and data collection to support future planting decisions, and estimated a two-year ramp-up. Members questioned whether the program duplicated existing work at CTR/other partners and whether data collection should be centralized, but the department said the effort would build on existing varieties and partnerships rather than overlap them. Finally, SB 2126 would create a conventional farming grant program for small and midsize conventional farmers. Supporters from the department, Hawaii Farm Bureau, and Hawaii Cattlemen’s Council said conventional agriculture deserves support and that the bill would help increase food production. Opposition and comments focused on the bill’s exclusion of organic farmers; one farmer said the measure was unfair unless amended to include organic producers, while a Farmers Union witness said the bill was too vague about the grant’s purpose and should be clearer about its goals. In response to questions, the department said the exclusion of organic farming was not intentional and that the bill was meant to support all agriculture, though no vote or final action was taken in the excerpt provided.

Transcript Highlights:

• It is the cheap version of wasting disease—basically the same disease.
• we spread the disease and all sorts of things.
• Deer breeders will be the cure for the disease.
• I feel like we can safely manage for success. like we can safely manage for success for both the deer
• or other diseases.

Bills: HB509

Keywords: HB509, game breeder, game breeder license, cervid, deer breeder, whitetail deer, elk, fallow deer, deer farm, captive deer, cervidae, wildlife disease, disease testing, antemortem testing, state veterinarian, Department of Conservation and Natural Resources, property rights, private property, animal transfer, breeding stock

Transcript Highlights:

• relating to the relationship between pharmacy. and health benefit plan issuers or pharmacy benefit managers
• It is used to diagnose, monitor, and treat a variety of conditions including cancer, heart disease, and
• get medical insurance to cover general anesthesia for my patients suffering from significant dental disease

Bills: HB813, HB1680, HB3569, HB4074, HB4635, HB5178, SB527, SB1307, SB1822

Keywords: autism, health insurance, coverage, medical treatment, health benefit plan, HIV prevention, prescription drug, prior authorization, health benefits, insurance coverage, insurance, contract termination, property and casualty, insurance agents, discrimination, appraiser, umpire, licensing requirements, continuing education, admin penalties

Transcript Highlights:

• The River Authority has all the technical capability to manage water supply and its members.
• Here's a resource witness, Senator Kelly Holcomb, General Manager of the Angelina River Authority.
• To the next sunset, yeah, management audit or actually the sunset review. It'll flow into that.
• and containing Chronic Wasting Disease (CWD).
• This could potentially guide future breeding and management programs.

Bills: SB2031, SB2386, SB2476, SB2801, SB2843, SB2844, SB2846, SB2885

Keywords: deer breeding, chronic wasting disease, wildlife management, release site, landowner rights, TCEQ, environmental quality, administrative actions, public notice, legislative oversight, water supply, Angelina and Neches River Authority, ownership transfer, public utilities, Certificate of Convenience and Necessity, SB 2801, Texas Parks and Wildlife, Parks and Wildlife Code, field trial permit, hunting dog field trial

Transcript Highlights:

• </c> management options. management options.
• </c><01:10:18.800><c> the</c> on lifelong medication to manage the on lifelong medication to manage the
• But they can manage it with their own physical therapy.
• But they can manage it with their own physical therapy.
• There are more fish diseases now.

Bills: HF4080, HF3693, HF1857, HF4350

Keywords: agriculture, livestock, retailers, ownership interest, exclusive contracts, meat packing companies, dominant retailers, state law, Department of Agriculture, appropriation, funding, agriculture policy, state budget, animal welfare, cat declawing, animal cruelty, therapeutic procedures, civil penalties, Minnesota Department of Agriculture, aquatic life

Transcript Highlights:

• It establishes a statewide framework for managing used batteries at no cost to consumers by requiring
• House Bill 3270 looks to update the Chronic Wasting Disease Act, which was passed in 2024.
• We found this disease back in the '60s in Colorado.
• and remain concerned about the spread of this disease.
• The intent of the bill is to ensure that chronic wasting disease is being addressed.

Bills: HB4338, HB3977, HB2100, HB2975, HB3056, HB3406, HB3720, HB4316, HB3405, HB1907, HB3142, HB3173, HB3270, HB3728, HB2440, HB2596, HB3466, HB3469, HB4338, HB3977, HB2100, HB2975, HB3056, HB3406, HB3720, HB4316, HB3405, HB1907, HB3142, HB3173, HB3270, HB3728, HB2440, HB2596, HB3466, HB3469

Keywords: HB4338, Oklahoma Brine Development Act, brine unitization, produced water, produced water unit, oil and gas wastewater, produced water recycling, reclaimed water, constituent elements, brine rights, solution gas, Corporation Commission, unitization, royalty interests, surface owner, oil and gas produced water, recycling and reuse, wastewater disposal, mineral extraction, lithium extraction

Transcript Highlights:

• It establishes a statewide framework for managing used batteries at no cost to consumers by requiring
• That's kind of, um, um, managed by them and their offices.
• We found this disease back in the '60s in Colorado.
• The intent of the bill is to ensure that chronic wasting disease is being addressed.
• The chronic wasting disease that we're talking about? That is a recent development.

Bills: HB4338, HB3977, HB2100, HB2975, HB3056, HB3406, HB3720, HB4316, HB3405, HB1907, HB3142, HB3173, HB3270, HB3728, HB2440, HB2596, HB3466, HB3469

Keywords: HB4338, Oklahoma Brine Development Act, brine unitization, produced water, produced water unit, oil and gas wastewater, produced water recycling, reclaimed water, constituent elements, brine rights, solution gas, Corporation Commission, unitization, royalty interests, surface owner, oil and gas produced water, recycling and reuse, wastewater disposal, mineral extraction, lithium extraction

Summary: The Energy Oversight Committee met for its first meeting of the session and considered a long agenda of House bills, mostly technical updates and agency request measures. Early bills included HB 438, which changes opportunities for Oklahoma’s iodine industry to extract iodine from brine/produced water, and HB 2975, a Department of Agriculture request bill amended to remove hauler licensing provisions. The committee also advanced HB 3056, which revises Oklahoma Milk Products Act language and, after amendment, removed donkey and horse milk, liability language, and restaurant provisions; members questioned raw milk advertising, pasteurization, and the scope of the bill. HB 3720, updating the Homemade Food Freedom Act to raise the sales cap and expand who may produce and sell food, also passed after questions about liability and food safety. Several other measures moved forward with little or no opposition, including HB 4316 on rural water districts, HB 3405 adding poison hemlock and kudzu to the noxious weed list, HB 1907 creating a battery storage framework, HB 3142 on LP gas industry issues after a prior veto, HB 2440 exempting the Water Resources Board from OMES hiring rules, HB 2596 speeding DEQ permitting, HB 3466 eliminating an unused Corporation Commission petty cash fund, and HB 3469 creating a three-year phase-in for a surety bond requirement. The most extensive debate centered on HB 3173 and HB 3270. HB 3173 would allow orphaned and abandoned wells to be repurposed for geothermal or energy storage; supporters said it could reduce taxpayer plugging costs and create new value, while opponents raised concerns about landowner consent, compensation, and possible eminent domain issues. The bill passed 11-3. HB 3270, a major amendment to the Chronic Wasting Disease Act, would shift permitting and a $500 license fee from the Department of Wildlife to the Department of Agriculture and allow the program to proceed under Agriculture’s oversight. The author argued Wildlife had not complied with existing law and that the change was needed to move the pilot forward; opponents objected to the late amendment, the lack of Wildlife testimony, and concerns from hunting organizations about releasing captive-raised deer. After lengthy questioning, the bill passed 6-5. The committee also considered HB 2100, which would protect state investment in Conservation Commission cost-share lands from eminent domain; members discussed whether the protection should apply only during the term of a conservation agreement and only to the specific acres enrolled. It passed 8-5. HB 3977, requiring the state veterinarian to have food-animal practice experience, passed 12-0. HB 3406 updating burn-ban statutes and giving county commissioners flexibility and liability protection passed 13-1. HB 438, HB 4316, HB 3405, HB 1907, HB 3142, HB 2440, HB 2596, HB 3466, and HB 3469 all received due pass recommendations, while HB 3728 was laid over. The meeting adjourned with notice that at least one more committee meeting would be held the following week.

Transcript Highlights:

• Asthma is the most common uncommunicated disease among children, leading cause of hospitalization and

Bills: HCR1026, SB1130, SB1134, SB1131, SB1132, SB1133, SB1142, HR1049

Keywords: light pollution, bird mortality, migration, energy conservation, wildlife protection, University Hospitals Authority, funding, behavioral health, appropriation, adolescent health, emergency legislation, Oklahoma State University, Medical Authority, human performance, pharmaceutical expansion, emergency funding, juvenile justice, youth services, pandemic relief, healthcare

Transcript Highlights:

• Resurfacing on Friday sometimes and rarely ever fully engaged with our other clients or the management

Bills: HCR1026, SB1130, SB1134, SB1131, SB1132, SB1133, SB1142, HR1049

Keywords: light pollution, bird mortality, migration, energy conservation, wildlife protection, University Hospitals Authority, funding, behavioral health, appropriation, adolescent health, emergency legislation, Oklahoma State University, Medical Authority, human performance, pharmaceutical expansion, emergency funding, juvenile justice, youth services, pandemic relief, healthcare

Transcript Highlights:

• Asthma is the most common noncommunicable disease among children, leading cause of hospitalization and

Bills: HCR1026, SB1130, SB1134, SB1131, SB1132, SB1133, SB1142, HR1049

Keywords: light pollution, bird mortality, migration, energy conservation, wildlife protection, University Hospitals Authority, funding, behavioral health, appropriation, adolescent health, emergency legislation, Oklahoma State University, Medical Authority, human performance, pharmaceutical expansion, emergency funding, juvenile justice, youth services, pandemic relief, healthcare

Summary: The House reconvened after a quorum call and took up several Senate bills with joint committee reports, mostly involving health and human services funding. SB 1130, relating to University Hospitals authority, passed 74-12 and its emergency clause also passed. SB 1134, funding the Oklahoma State University Medical Authority, passed 75-14 with the emergency clause approved. SB 1131, appropriating ARP interest funds to address a Rogers County gap for the Office of Juvenile Affairs, passed 81-10 and the emergency clause passed. SB 1132, reappropriating ARPA funds for rural hospital rebuild programs under the State Department of Health to avoid federal clawback, passed 82-10 with emergency approval. SB 1133, involving the Department of Mental Health and Substance Abuse Services and repurposing interest funds for a Norman building project, passed 68-24 and its emergency clause also passed. SB 1142, appropriating ARPA funds to the Department of Human Services consistent with pandemic relief recommendations, passed 68-21 and the emergency clause was adopted. The House also considered H.R. 1049, a resolution designating May as Asthma and Allergy Awareness Month. Representative Newton summarized asthma’s impact in Oklahoma and nationally, including child health effects and recent deaths in the state, and moved adoption by unanimous consent. The transcript ends with announcements and adjournment until the next scheduled meeting.

Transcript Highlights:

• It's a muscle and joint disease that affects the use of his arms and legs.
• months, resurfacing on Friday sometimes and rarely ever fully engaged with our other clients or the management

Bills: HCR1026, SB1130, SB1134, SB1131, SB1132, SB1133, SB1142, HR1049

Keywords: light pollution, bird mortality, migration, energy conservation, wildlife protection, University Hospitals Authority, funding, behavioral health, appropriation, adolescent health, emergency legislation, Oklahoma State University, Medical Authority, human performance, pharmaceutical expansion, emergency funding, juvenile justice, youth services, pandemic relief, healthcare

Summary: The House convened, called the roll, and opened with prayer, the Pledge of Allegiance, and a series of recognitions and presentations. Members honored Vice Admiral Jeff Trusler as Veteran of the Week, recognized the Prague Kolache Festival royalty and candidates, unveiled an artwork for the Capitol’s Hall of Heroes, and introduced the Doctor, Psychologist, and Nurse of the Day, along with the OSBI cold case team. The House also adopted HCR 1026, a resolution tied to Earth Day and “Lights Out Day” in Oklahoma, aimed at reducing light pollution and protecting migrating birds. A major portion of the meeting consisted of farewell remarks from Representatives Mike Osborne and Kevin West. Both reflected on their years of service, thanked family, staff, colleagues, and constituents, and emphasized themes of public service, hard work, conviction, and working across differences. Osborne’s remarks focused on freedom, immigration, service, and doing good in public life, while West stressed standing on principle, listening to others, and choosing courage over convenience. After the presentations and personal privilege speeches, the House moved into consideration of legislation. Chairman Caldwell presented the joint committee report on Senate Bill 1130, relating to the University Hospitals Authority, saying it would help ensure Oklahoma and the University of Oklahoma have one of the world’s leading pediatric cardiology units. The transcript ends as members begin considering the bill, with no final vote shown in the excerpt.

Transcript Highlights:

• I'm the damage prevention manager at CenterPoint Energy.
• </c> responsible population management responsible population management reindeer<01:04:29.440><c> are
• Unfortunately, our current testing methods are a lagging indicator related to the disease.
• Unfortunately, our current testing methods are a lagging indicator related to the disease.
• </c><01:21:14.520><c> Farm</c> education workshop on managing Farm education workshop on managing Farm

Bills: HF47, HF434, HF1503, HF1702

Keywords: telecommunications, installation, certification, safety, underground utilities, HF434, cervidae, deer, elk, moose, chronic wasting disease, CWD, wildlife importation, animal health, biosecurity, zoo, Association of Zoos and Aquariums, AZA, USDA exhibitor, species survival plan

Bills: HR202, HB2095, SB2657, SB2138, SB3110, SB3082, SB3109, HB1800

Keywords: Hawaii, Hawaiʻi, house resolution, congratulatory resolution, education, public schools, librarian of the year, middle school principal of the year, school counselor of the year, teacher of the year, library system, blind and print disabled, accessible learning, braille, audio technology, principal, school counselor, agriculture education, culinary arts, student recognition

Transcript Highlights:

• This bill also covers the occupational disease presumption for peace officers. Mr.
• This bill also covers the occupational disease presumption for peace officers. Thank you.
• by state agencies that then, in their management, give it to the LEAs when they want to?
• We're talking about a fire incident management records program.
• I'm not opposed to the underlying bill for the fire management, but combining...

Bills: SB1161, SB1215, SB1270, SB1400, SB1537, SB1538, SB1580, SB1584, SB1627

Keywords: appropriation, public safety, Yuma County, funding exemption, family advocacy center, firefighters, occupational disease, workers compensation, cancer presumption, police officers, hazardous duty, SB1270, Arizona retirement system, public safety personnel, defined contribution plan, correctional officers, corrections officers, retirement contributions, supplemental contributions, retention incentive

Transcript Highlights:

• Senators, we will now move to tab 4, Senate Bill 844 by Senator Jones: sickle cell disease care management
• Individuals with sickle cell disease routinely report delayed care, inadequate pain management, and provider
• I live with sickle cell disease.
• of sickle cell disease.
• It's an organ damage disease. I've had my gallbladder removed.

Bills: S0036, S0864, S0268, S0844, S0514, S1404, S0914, S1758

Keywords: nursing title, advanced practice registered nurse, advertising, professional standards, disciplinary action, uterine fibroids, public records, health privacy, epidemiology, medical information, emergency department, physicians, privacy, personal information, sickle cell disease, sickle cell anemia, pain management, controlled substances, prescribing education, continuing medical education

Summary: The committee first considered SB 268, a public records exemption for emergency physicians. Senator Rodriguez’s strike-all amendment narrowed and clarified the exemption, and testimony from an emergency physician described threats, harassment, and safety concerns tied to mandatory reporting and patient encounters. The committee adopted the amendment and reported the bill favorably as a committee substitute. Members then heard SB 514, creating the Dula Support for Healthy Births Pilot Program in Broward, Miami-Dade, and Palm Beach counties for pregnant and postpartum women affected by substance use disorder. Senator Osgood explained the pilot would provide non-medical doula support and data collection, and an amendment changed the funding source to specific appropriations in the General Appropriations Act. Supporters said doula care can improve maternal and infant outcomes and complement medical providers. The committee adopted the amendment and reported the bill favorably as a committee substitute. The committee also approved SB 36 on use of professional nursing titles after extensive debate over whether nurses with doctoral degrees should be allowed to use “doctor” in clinical settings, with concerns raised about patient confusion and the need for clearer identification. The bill was amended to align with the House version and then reported favorably as a committee substitute. The committee next approved SB 864, a public records exemption for uterine fibroid research data, after a technical amendment setting a July 1, 2026 effective date; Senator Sharif said the exemption is needed so the Department of Health can collect sensitive data for the related research bill. SB 844, requiring continuing education on sickle cell disease care management for certain licensed physicians and nurses, was also reported favorably after emotional testimony from patients and advocates describing delayed care and bias. Later, the committee approved SB 1404 on memory care, after a strike-all amendment creating a new memory care specialty license for assisted living facilities that advertise or provide specialized memory care services, while allowing optional supportive services without the new license. Supporters from the senior living industry backed the clarification. The committee then passed SB 914, which clarifies that licensed occupational therapists may perform dry needling, after an amendment adjusting supervision and continuing education language. Finally, the committee took up SB 1758, a broad Medicaid and SNAP reform bill that would strengthen fraud enforcement, impose Medicaid work requirements for certain able-bodied adults, expand behavioral health services, modernize drug purchasing and prior authorization, and require SNAP fraud-reduction measures. Several amendments were adopted, and members questioned the work requirement, implementation costs, EBT card photo identification, and due process concerns; debate continued as the transcript ended.