Transcript Highlights:

• This bill, SB 160, is the athletic trainer compact bill that you have already passed in the form of HB
• > bill<00:14:11.920> that<00:14:12.160> you athletic trainer compact bill that you
• athletic trainer compact bill that you have<00:14:12.639> already<00:14:12.959> passed
• The athletic trainer compact right now in the state of Alabama is doing a lot.
• So you do these compacts so that when the temporary...

Bills: SB183, SB160, SB183, SB160

Keywords: tribal police, law enforcement, reservation safety, Ma-Chis Lower Creek Indian Tribe, indigenous rights, sales tax, use tax, sales and use tax, local tax exemption, county tax, municipal tax, county commission, municipal ordinance, resolution, Alabama Department of Revenue, tax administration, fiscal year, September 1 effective date, local government, tax exemption

Bills: SB249, SB259, HB67, HB214

Keywords: municipal tax, license fee, local tax increase, ordinance, public hearing, 30-day notice, municipal notice requirements, city council, town council, Alabama municipalities, Code of Alabama 1975, Section 11-45-2, open meetings website, newspaper publication, local government finance, tax transparency, fee increase, municipal ordinance procedure, University of South Alabama, Board of Trustees

Transcript Highlights:

• licensure in other compact states.
• Additionally, the bill creates the Physician Assistant Licensure Compact Commission and outlines its
• assistants to obtain licensure in other compact states.
• Additionally, the bill creates the physician assistant licensure compact commission and outlines its
• Madam Chair, members, House Bill 2437 adopts the EMS personnel licensure interstate compact to allow

Bills: HB2190, HB2202, HB2233, HB2251, HB2252, HB2396, HB2437, HB2689, HB2796

Keywords: physician assistants, licensure compact, medical services, multistate practice, patient care access, healthcare workforce, military families, adverse actions, dementia care, telementoring, healthcare education, rural communities, grant funding, HB 2233, rural health transformation, rural health transformation program, AHCCCS, Arizona Health Care Cost Containment System, Joint Legislative Budget Committee, JLBC

Summary: The committee began with a presentation from the Alzheimer’s Association Desert Southwest Chapter and Dr. Anna Burke of Barrow Neurological Institute on the scope of Alzheimer’s disease, the shortage of specialists, low rates of timely diagnosis, and the need for caregiver support and early intervention. Speakers emphasized that Arizona is a leader in Alzheimer’s research and that lifestyle changes, new therapies, and research funding offer hope, but only if patients are diagnosed earlier and providers are better trained. The committee then heard House Bill 2202, which would appropriate $300,000 over three years for a dementia care telemonitoring/telementoring grant program through the Department of Health Services to help providers statewide learn best practices in dementia care. Supporters, including the Alzheimer’s Association, Dr. Danny Cabral, and a patient advocate, said the bill would address major gaps in provider training and improve early diagnosis and treatment. There was no opposition, and the committee voted 11-0 to give HB 2202 a do pass recommendation. The committee next took up House Bill 2251, the “Jordan and MacTerry Act,” which would expand licensed midwives’ authority to administer certain medications, require liability insurance disclosure and reporting, and create an Arizona Midwifery Advisory Committee. Supporters said the bill would improve safety, oversight, and access to emergency medications in home births, while opponents from ACOG and the Arizona Osteopathic Medical Association raised concerns about the adequacy of oversight, the medication list, and whether eight hours of pharmacology training is sufficient. After testimony from midwives, physicians, and stakeholders, the bill was held for further stakeholder work and anticipated floor amendments. House Bill 2252, which would allow certified nurse midwives, certified professional midwives, or licensed midwives to accompany a patient in a ground ambulance during transport if approved by medical direction, also drew support and opposition. Supporters argued it would preserve continuity of care in emergencies, while firefighters and EMS representatives objected to ambiguity and scene control concerns. That bill was likewise held for further stakeholder meetings. The committee then recessed and reconvened for later presentations on federal budget and health-related topics.

Bills: HB25, HB108, HB109, HB111, HB112, HB113, HB117, HB118, HB119, HB120, HB121, HB122, HB124, HB126, HB127, HB128, HB129, HB130, HB131, HB25

Keywords: emergency services, 911, local districts, joint operations, contracting, HB108, Alabama Sunset Law, sunset reauthorization, board continuation, speech-language pathology, audiology, licensing board, professional regulation, healthcare regulation, occupational licensing, speech therapist, speech pathologist, audiologist, Sunset Committee, Code of Alabama 1975

Transcript Highlights:

• of honorifics and professional titles for externs who have not met all the requirements of state licensure

Bills: SB191, HB84, HB79, SB132, HB108, HB109, HB110, HB114, HB118, HB120, HB122, HB124, HB126, HB128, HB129, HB131

Keywords: postpartum depression, mental health, Medicaid, screening, education, maternal health, Chiropractic, Board of Chiropractic Examiners, license renewal, continuing education, election procedures, off-label, pharmacists, medical treatment, state board of pharmacy, employment protection, SB132, Alabama, controlled substances, Schedule I

Bills: SB61, SB8, SB58, SB60, SB167

Keywords: school psychologist, school psychology, interstate compact, licensure compact, license reciprocity, portable license, equivalent license, professional licensing, psychology board, school mental health, student services, educational services, interstate practice, reciprocal licensing, background check, continuing education, workforce shortage, military spouse, active duty military, compact commission

Transcript Highlights:

• So, uh, this bill would create an athletic trainer compact.
• Uh, so far there are currently 13 states that are participating in this compact.
• It is pretty much a mirror image of the military athletic trainer compact that I passed about two or
• c> this bill would create an athletic this bill would create an athletic trainer<00:08:29.599> compact

Bills: SB100, SB122, SB127, HB182, HB275, SB100, SB122, SB127, HB182, HB275

Keywords: property tax, ad valorem tax, real property assessment, assessment cap, county-wide reappraisal, CPI-U, Consumer Price Index, tax assessor, Class II property, Class III property, local government revenue, property tax relief, reappraisal, tax increment district, retroactive tax law, Alabama Code 40-7-2.2, appropriation, education funding, Southern Preparatory Academy, fiscal responsibility

Transcript Highlights:

• House Bill 50 proposes the Social Work Licensure Interstate Compact, allowing licensed social workers
• Speaker, House Bill 50 proposes the social work licensure interstate compact, allowing licensed social
• So the description in the nursing compact does not apply to this compact. Mr. Speaker, gentlemen.
• Same questions on the compacts.
• Same questions on the compacts.

Bills: HM3, HM11, HM14, HM15, HM18, HM21, HB10, HB11, HB12, HB13, HB14, HB31, HB50

Keywords: nurses, health care workers, healthcare workers, frontline workers, hospital staff, clinicians, allied health professionals, support staff, public health, workforce shortage, nursing shortage, safe staffing, patient safety, rural health care, frontier communities, behavioral health, mental health, substance use disorder, substance abuse, health care memorial

Bills: HB4, HB206, HB244, HB270, HB361, HB459, HB486, HB540, HB615, HB627, HB648, HB813, HB996

Keywords: constitutional convention, Louisiana constitution, electoral process, government structure, delegate elections, legislative attendance, task force, executive meetings, public meetings, confirmation process, delegates, state election, ratification, Louisiana, absentee voting, incarcerated voters, voter registration, mail-in voting, election rights, felony conviction

Transcript Highlights:

• podiatric physicians to obtain licensure in other compact states.
• The bill also establishes the Interstate Podiatric Medical Licensure Compact Commission and outlines
• Compact to allow podiatric positions to obtain licensure and other compact states.
• This bill is a product of the Interstate Podiatric Medical Licensure Compact.
• No, it's only people that would apply for licensure under the compact that would, Madam Chair.

Bills: HB2180, HB2184, HB2188, HB2194, HB2206, HB2321, HB2322, HB2438, HB2442, HB2448, HB2727, HB2797

Keywords: appropriation, funding, University of Arizona, education, state budget, fetal death, funeral homes, informed consent, abortion, women's rights, medical assistance, emotional support, language acquisition, early intervention, hearing impairment, grant program, deaf education, health care, insurance claims, prior authorization

Summary: The Committee on Health and Human Services opened with remarks about shortening meeting times and then heard a JLBC presentation on the effects of H.R. 1 on SNAP. JLBC staff explained that H.R. 1 expands SNAP work requirements, raises the state share of SNAP administrative costs from 50% to 75% beginning in FY 2027, and could require Arizona to pay a share of benefits if its SNAP error rate exceeds 6%. JLBC estimated the administrative cost increase at about $33 million in FY 2027 and $44 million in FY 2028, and said a 2024 error rate of 8.8% could trigger about $139 million in state benefit costs under the new federal formula. The committee then considered HB 2797, which requires DES to regularly review data from other agencies to verify SNAP eligibility, post fraud and noncompliance data, and address out-of-state EBT purchases. Supporters said it would improve program integrity and help Arizona avoid federal cost-sharing penalties; the bill passed 7-5. The committee next heard HB 2180, which appropriates $2.5 million in FY 2027 to the University of Arizona for AZ REACH, a statewide hospital transfer coordination service. Supporters from rural hospitals and the health system described it as a useful, voluntary service that speeds transfers and reduces burden on physicians, while one health system representative asked for better operational coordination. The bill passed 11-1. HB 2184, as amended, would extend fetal death certificate filing requirements to fetal deaths at or before 20 weeks if requested by the mother and require notice of the option to transfer remains to a funeral home before an abortion. Supporters, including a mortuary owner and parents who had experienced miscarriages, said it would give grieving families dignity and closure; opponents raised concerns about reproductive rights and language in the bill. The committee adopted the Bliss amendment and passed the bill 7-4-1. HB 2188, as amended, created a Language Acquisition Grant Program for services to deaf or hard-of-hearing infants and toddlers. Supporters said it would streamline funding and preserve family choice among spoken language, ASL, or both, while an opponent argued the bill should more explicitly ensure equal access to ASL and Deaf Culture services; the bill passed 12-0. The committee also considered three more H.R. 1-related SNAP bills. HB 2442 would require able-bodied adults under 60 receiving SNAP to participate in an employment and training program unless exempt; supporters said it would connect recipients to work and training, and it passed 7-5. HB 2448 would bar DES from seeking work-requirement waivers or discretionary exemptions unless authorized by law; supporters said it would prevent broad waivers and improve employment outcomes, and it also passed 7-5. Finally, HB 2206 would require DES to reduce the SNAP payment error rate to 3% by 2030, submit annual progress reports, and face corrective action if targets are missed. Supporters said it would save taxpayer money and improve accountability, while opponents argued the target was too aggressive without more staff or funding and could strain DES; the bill was still under discussion at the end of the transcript.

Transcript Highlights:

• The OT compact is the same in form and function as other license compacts such as the Nurse License Compact
• , Physical Therapy Compact, Counseling Compact, and the Physicians assisted compact.
• Since we do have the MD compact and the PT compact, which are ongoing, and I serve on both of those commissions
• Senate Bill 1813 enacts the athletic trainer compact.
• It authorizes the governor to enter into the compact with other member jurisdictions.

Bills: SB1806, SB1430, SB206, SB1547, SB1849, SB1428, SB1653, SB1984, SB1644, SB1561, SB1813, SB1570, SB1796

Keywords: foster care, adoption assistance, transitioning youth, Department of Human Services, voluntary services, mental health, substance abuse, commissioner appointment, governor's authority, legislative consent, SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health

Transcript Highlights:

• That was established by a compact between the states in 1922 and subsequent agreements about delivery

Bills: HB2053, HB2116, HB2148

Keywords: stormwater, recharge mapping, water resources, groundwater, appropriation, Arizona, HB2116, Colorado River, litigation fund, water rights, Arizona water law, general fund appropriation, state budget, interstate water compact, Colorado River Compact, water litigation, A.R.S. 45-119, natural resources, water policy, river management

Summary: The committee first considered House Bill 2116, which would appropriate $1 million in fiscal year 2027 from the State General Fund to the Colorado River Litigation Fund. The sponsor said it was a repeat of last year’s request and was intended as a backup if the seven Colorado River basin states cannot reach a new agreement. Arizona Department of Water Resources staff testified in support, explaining the state’s role in ongoing Colorado River negotiations and distinguishing the litigation fund from the executive’s separate Colorado River Protection Fund. The bill received a due pass recommendation on a 17-1 vote. The committee then took up House Bill 2053, which appropriates $100,000 to ADWR for updated stormwater recharge mapping and expands the mapping effort beyond state trust lands to private lands. The committee adopted Chairman Livingston’s amendment, which extended the coordination timeline to one year, broadened the agencies involved, and revised language on site eligibility and the definition of stormwater. The sponsor said the bill would help identify more places to capture stormwater for recharge, while ADWR testified neutral, supporting the mapping work but raising a concern about language tied to appropriable surface water because that is a legal determination for the courts. The amended bill passed 11-7. House Bill 2148 was then heard, proposing to give the legislature authority to appropriate non-custodial federal monies, with requirements for specifying purposes and allowing agencies to spend such funds if the legislature does not act. An amendment excluded university and Board of Regents research grants from the bill’s scope, which the chair said was intended to avoid implementation problems. The sponsor framed the bill as a transparency measure, and members discussed the large amount of federal pass-through funding Arizona receives. The amended bill passed 11-7. After the bills, the committee received a lengthy JLBC presentation comparing the executive budget with the JLBC baseline. Discussion focused on revenue forecasts, the impact of federal tax conformity, state employee health insurance costs, SNAP administrative and error-rate costs under H.R. 1, developmental disabilities and AHCCCS growth, and K-12/ESA funding trends. Members repeatedly criticized the executive budget for funding some ongoing costs on a one-year basis and expressed concern about rising caseloads and supplemental needs. No formal action was taken on the presentation.

Bills: HB16, HB214, HB252, HB16, HB214, HB252

Keywords: law enforcement, false information, criminal penalty, public safety, identification, school psychology, interstate compact, licensure, professional services, education, HB252, Class IV municipality, Class IV municipalities, municipal audit, audit rotation, certified public accountant, CPA, municipal accounting, Section 11-43B-9, county and municipal government

Bills: HB34, HM7, HM8, HM17, HM3, HM11, HM14, HM15, HM21, HM25, HM34, HB95, HB111, SB1, HJR1, HM4, HM22

Keywords: HB34, school nurse, school nurses, nurse licensure, licensure, charter school, charter schools, school district, public education, Department of Health, Public Education Department, registered nurse, RN, mentorship, evaluation, competency, teacher salary parity, minimum salary, level one license, level two license

Transcript Highlights:

• We have a contract called a compact, and it obligates the upper basin states to forward X amount of water

Bills: HB2003, HB2063, HB2111, HB2116, HB2210, HCM2007

Keywords: driver education, instruction permit, underage drivers, motorcycle licenses, traffic regulations, corrections oversight, appropriation, independent office, public safety, funding, driver license, examinations, motorcycle awareness, traffic laws, HB2116, Colorado River, litigation fund, water rights, Arizona water law, general fund appropriation

Summary: The committee heard House Bill 2003, which would lower the instruction-permit age for Class D, G, and M licenses from 15 and a half to 15, while increasing supervised practice requirements for minors: 50 hours for Class G with 20 at night, 50 hours for Class M, and a nine-month permit holding period before licensure. The sponsor argued the bill builds on Arizona’s graduated driver licensing system and is intended to improve teen safety, citing other states with longer permit periods and lower teen fatality rates. Questions focused on who certifies the supervised hours, with staff explaining that a parent, legal guardian, or custodial parent signs off, though driver education remains an alternative. The bill received a do-pass recommendation by a 9-1 vote. House Bill 2063, which appropriates $1.5 million from the General Fund in FY 2027 to the Corrections Oversight Fund, drew emotional testimony in support from a mother whose son died after a prison suicide, and from advocates who said the oversight office is needed given prison health care problems and federal receivership. The sponsor said the funding would support prison oversight and transparency. The committee then approved the bill unanimously, 10-0. The committee also passed House Bill 2116, appropriating $1 million to the Colorado River litigation fund, after the sponsor said the money would help Arizona prepare for possible litigation over Colorado River cuts and that the issue affects nearly every district in the state. Members discussed whether the funding should come from the WIFA fund instead of the General Fund, but the bill received an 8-0 do-pass recommendation with two not voting. The committee also considered House Bill 2210, which would prohibit the state, local governments, and private entities from using ADS-B aircraft surveillance data to calculate, generate, or collect aircraft fees. Supporters, including pilots and the Arizona Pilots Association, argued the technology was intended for safety and should not be used for billing, warning that fee collection could discourage pilots from keeping the system on. Opponents, including the Arizona Airports Association and the City of Phoenix, said airports should retain local control over fee collection methods and that the bill was a solution in search of a problem. After extensive debate about federal requirements, safety, and billing practices, the bill received a tied 4-4 do-pass recommendation. Finally, HCM 2007, a memorial urging renaming sections of State Route 69 to honor veterans of several wars, passed 5-4. The committee also briefly noted that some bills were being held at members’ request.

Bills: HB130, HB190, HB123, HB250, HB130, HB190, HB123, HB250

Keywords: HB130, Alabama Board of Licensure for Professional Geologists, Sunset Law, sunset review, licensure board, professional geologists, geology, geologist licensing, board appointments, congressional district representation, gubernatorial appointments, state boards and commissions, professional licensing, regulatory board, Alabama Code 34-41-4, environmental engineering, geotechnical engineering, mining industry, petroleum industry, geological sciences

Bills: HB88, HB181, HB210, HB250, HB486, HB529, HB544, HB639, HB996, HB1036, HB1071, HB1113

Keywords: local law, special bill, legislative process, transparency, election amendment, Medicaid, SNAP, fraud detection, income tax, legislative auditor, data sharing, state revenue, lobbying, public service, ethics, statewide officials, compensation, disclosure requirements, government employment, financial disclosure

Bills: SB1113, SB1115, SB1122, SB1123, SB1125, SB1165, SB1188, SB1193, SB1243, SB1318, SB1477

Keywords: mental health, involuntary evaluation, service of process, court-ordered treatment, evaluation agencies, AHCCCS, remote work, state agency, employment, public health, healthcare, behavioral health, prior authorization, American Indian health program, medicaid, medical examiner, death investigation, body disposal, autopsy, veteran burial

Summary: The committee heard and advanced a series of health and human services bills, with most receiving unanimous or near-unanimous support. SB 1113 would allow screening or evaluation agency employees, under contract with a county, to personally serve court documents in involuntary mental health proceedings instead of requiring police officers; supporters said it would reduce burdens on law enforcement and be less disruptive for patients. An amendment clarifying county contracts and reimbursement was adopted, and the bill passed 12-0. SB 1122 would limit AHCCCS from imposing over-100% prepayment review on certain behavioral health providers serving American Indian Health Program members unless a corrective action plan is in place; AHCCCS was neutral and said it could implement the bill with additional staffing, and it passed 12-0. SB 1123 would remove a board-certification requirement so trained, licensed forensic pathologists can supervise pathology trainees during the period before board exam results are available; Maricopa County supported it as a workforce and efficiency measure, and it passed 12-0. SB 1125 would require DCS to make annual efforts to enter MOUs with Arizona tribes and improve communication on tribal children in state care; DCS said it was already working on several pending MOUs, and the bill passed 12-0. The committee also approved several bills related to cancer screening and mental health. SB 1165 would prohibit cost-sharing for diagnostic and supplemental breast cancer screening services in the commercial market; the sponsor and advocates said it would remove financial barriers that delay diagnosis, and it passed 12-0 amid personal testimony from members and the chair. SB 1243 would require notice to a patient’s guardian before discharge from court-ordered treatment and allow guardians to seek continuation of treatment; supporters said it closes dangerous gaps when treatment orders expire, and it passed 10-0 with two absent. SB 1318 would repeal a state breast-density notice requirement that now overlaps with a federal FDA standard; ADHS said the change would reduce confusion and duplicate notices, and it passed 11-0 with one absent. SB 1188 would align Arizona controlled-substance schedules with federal FDA/DEA scheduling changes; supporters said it would speed access to new treatments, while one member voted no over concerns about relying on federal review, and it passed 8-2. Additional bills addressed privacy and assisted-living referrals. SB 1193 would bar DHS from selling or disclosing EMT personal identifying information for commercial purposes without consent, while still allowing de-identified data; the sponsor’s representative said the bill arose after DHS said vendor access to licensee data was not prohibited, and members discussed whether broader privacy protections should apply to other workers as well. It passed 10-0 with two absent. SB 1477 would require referral agencies serving assisted living facilities or homes to verify background-screening practices, maintain insurance, and provide documentation regarding APS registry status; the bill’s supporters said it raises standards for senior placement services, a technical amendment was adopted, and the bill passed 10-0 with two absent.

Bills: SB 2188, SB 2230, SB 1763, SB 879, SB 1147

Keywords: education, funding, state budget, public schools, school choice, geothermal energy, environmental regulation, Railroad Commission of Texas, closed-loop systems, energy production, regulatory exemption, mining, interstate compact, Texas, natural resources, state withdrawal

Transcript Highlights:

• Senate Bill 540 establishes a framework for Oklahoma to participate in a dentist and dental hygienist compact
• Just like my good friend and colleague before me, this is a compacting licensure act for occupational
• To practice instead of Oklahoma as a member state, to date, we've got 31 states as a part of this compact

Bills: SB1873, SB1948, SB540, SB1653, SB1061, SB1534

Keywords: roofing, contractor registration, continuing education, endorsement, construction industry, fireworks, consumer safety, local governance, emergency declaration, public safety, Occupational Therapy, licensure, interstate compact, telehealth, SB1061, Oklahoma Secure and Fair Enforcement for Mortgage Licensing Act, SAFE Act, mortgage licensing, mortgage broker, mortgage lender