Transcript Highlights:

• Budget<00:32:21.360> and<00:32:21.519> Fiscal<00:32:21.919> Service Special assistant

Bills: SB2119, SB3131, SB3069, SB3180, SB2137, SB2993, SB2778, SB2672, SB2014, SB2967

Keywords: reimbursement, public employees, travel costs, government travel policy, finance management, job title, administrative assistant, executive assistant, state personnel, civil service, modernization, employment standards, DAGS, Department of Accounting and General Services, comptroller, civil service exemption, collective bargaining exemption, public works special project branch, specialized public works, information technology modernization

Bills: HB472, HB542

Keywords: state employees, meal allowance, per diem, travel expenses, Alabama law, HB542, district attorney, prosecutor, supernumerary district attorney, Employees' Retirement System, ERS, Alabama retirement, public employee retirement, pension, retirement benefits, post-retirement employment, salary cap, dual participation, double dipping, District Attorneys' Plan

Transcript Highlights:

• I am the assistant director at Anoka County Library.
• I have been working for early childhood family education as a bilingual EA assistant for the St.
• early childhood family<00:54:29.440> education<00:54:30.160> bilingual My role is to assist
• I'll also point out that a recess para, a lunchroom para, someone who mostly assists with toileting,
• A lunchroom para, someone who mostly assists with toileting, feeding, lifts, or a para who works in an

Bills: HF3698, HF3067, HF3730

Keywords: libraries, electronic books, digital audiobooks, licensing agreements, public access, paraprofessional, paraprofessional qualifications, education support staff, teacher aide, teacher assistant, special education, Title I, federal personnel qualifications, Minnesota Department of Education, school district, charter school, cooperative unit, Read Act, reading instruction, math instruction

Bills: HB245, HB278, SB59, SB78

Keywords: inhalants, controlled substances, butyl nitrite, nitrous oxide, amyl nitrite, health, public safety, HB278, ivermectin, pharmacist, standing order, prescription drug, pharmacy, State Board of Pharmacy, physician assistant, nurse practitioner, CRNP, medical licensure, drug dispensing, adverse events

Transcript Highlights:

• fire assistance grant fund, as<00:08:47.520> well<00:08:47.680> as<00:08:47.760> the
• peace officers, assist licensed peace officers, especially<00:43:14.400> while<00:43:14.600><
• between assisting and doing police work. between assisting and doing police work.
• We heard Representative Hollins' bill to prevent local law enforcement from being deputized to assist
• We heard Representative Hollins' bill to prevent local law enforcement from being deputized to assist

Bills: HF3547, HF3651, HF4043, HF4282, HF4095

Keywords: fireworks, public safety, regulation, tax revenue, local government, sale, safety standards, fire safety, ethanol, fuel equipment, compatibility standards, law enforcement, peace officer, unauthorized practice, criminal justice, civics education, jail medication, correctional facility, detention, incarcerated persons

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=taHJzNq87To, 2026-06-21T07:17:00+00:00, 2.2.24, Data collected via generic collector engine, Meeting Start 00:00 Roll Call 00:10 HB 545 Discussion Only 03:28 HB 197 Discussion 28:09 HB 197 Vote 29:37 HB 490 Discussion 31:31 HB 490 Vote 32:12 HB 693 Discussion 33:38 HB 693 Vote 34:47 Administrative Regulations with Assistant General Counsel John Johnson 36:38, 958, all, 2.2.42, 2.1.47

Bills: HB299, HB533, HB299, HB533

Keywords: court costs, Choctaw County, jail funding, municipal court, criminal proceedings, education funding, student outcomes, K-12 education, RAISE Act, accountability, special education, English language learners, local education agency, respiratory therapy, respiratory therapist, respiratory care, licensure, licensing board, advanced practice provider, nurse practitioner

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=Jvja9daCy9E, 2026-06-21T07:17:03+00:00, 2.2.24, Data collected via generic collector engine, MEET START 00:00 ROLL CALL 00:13 DISCUSSION WITH THE EDUCATION AND LABOR CABINET WORKER’S CLAIMS DIVISION, SHELBY LEWIS, LEGISLATIVE DIRECTOR, SCOTT WILHOIT, COMMISSIONER OF THE DEPT. OF WORKER’S CLAIMS, AND DALE HAMLIN, ASSISTANT GENERAL COUNSEL ON AN OVERVIEW OF WORKER’S CLAIMS, GENERAL STATISTICS, EMPLOYERS, BENEFITS DETERMINATIONS, FUNDING, AND 2023 APPROPRIATIONS 01:02 APPROVAL OF MINUTES 47:29, 958, all, 2.2.42, 2.1.47

Bills: HB445, HB477, SB274, HB441

Keywords: hemp-derived cannabinoids, CBD, THC, delta-8, delta-9, delta-10, consumable hemp products, psychoactive cannabinoids, cannabinoid regulation, hemp licensing, ABC Board, Alcoholic Beverage Control Board, retail hemp sales, wholesale hemp distribution, hemp tax, excise tax, age verification, underage sales, product testing, certificate of analysis

Keywords: HI Senate YouTube, https://www.youtube.com/watch?v=bwVWYCflfRI, 2026-07-02T01:22:44+00:00, 2.2.24, Data collected via generic collector engine, The special committee will be meeting with the following: 1:00 p.m. Department of Education Dr. Christina Kishimoto, Superintendent Hawaii State Council on Developmental Disabilities Ms. Deborah Kobayakawa, Chair 2:30 p.m. Department of Health Dr. Janet Berreman, Kauai District Health Officer Mr. Edward Mersereau, Deputy Director of Behavioral Health Services Administration University of Hawaii at Manoa Dr. Victoria Fan, Assistant Professor Agenda: https://www.capitol.hawaii.gov/session2020/hearingnotices/HEARING_SCOVID_09-11-20_INFO_.PDF Also streaming LIVE on Facebook: https://www.facebook.com/HawaiiSenate/posts/10158193261111141, 912, senate, all, 2.2.42, 2.1.47

Transcript Highlights:

• What this bill does is ...speech language pathology assistants.
• If you are adding assistants to the state...
• also apply to assistants who...
• Will these assistants be supervised by an SLP? Will the assistants be supervised by an SLP?
• I don't want an assistant, but that's, you know, that's me.

Bills: HB441, HB445, HB477, HB441, HB445

Keywords: speech-language pathology, licensure, clinical supervision, educational qualifications, healthcare assistant, hemp-derived cannabinoids, CBD, THC, delta-8, delta-9, delta-10, consumable hemp products, psychoactive cannabinoids, cannabinoid regulation, hemp licensing, ABC Board, Alcoholic Beverage Control Board, retail hemp sales, wholesale hemp distribution, hemp tax

Transcript Highlights:

• I'm Louisiana's first radiologist assistant. I just want to be brief.
• The radiologist assistant sits between those two roles.
• Radiologist assistants, as we've been saying, are experienced radiologic technologists who return to
• The radiologist assistant sits between those two roles.
• Radiologist assistants exist specifically to address that problem.

Summary: The Senate Committee on Health and Welfare met on May 6, 2026, with five members present and adopted the April 28 minutes. The committee first heard a presentation on the new Leadership Louisiana Health Fellows Program, a leadership and networking initiative focused on Louisiana health care challenges such as workforce shortages, rural access, chronic disease, and the economic impact of health care. Speakers described it as a cross-sector program intended to build informed leaders and support collaboration with health systems, insurers, providers, LDH, and the Louisiana Hospital Association. The committee then moved through a series of bills, generally adopting amendments and reporting measures favorably. SB 57, a nutrition/labeling bill, was amended to delay the effective date for the labeling provision until December 31, 2028, and was reported as amended. HB 62 increased membership of the Louisiana Women’s Policy and Research Commission and was reported as amended, and HB 193 adjusted membership rules for the Sickle Cell Commission foundations and was also reported as amended. HB 815 would allow financial institutions to receive death certificates to help close accounts and avoid problems with automatic payments and federal benefit clawbacks; it was reported favorably. SB 405, which had been heard earlier, was reworked to codify LDH’s new Ascend nursing home quality initiative, including short- and long-term quality oversight goals, stakeholder involvement, internal expertise, and reporting requirements; after reconsidering prior amendments, the committee adopted the new amendment and reported the bill as amended. The committee also advanced several health and human services bills. HB 222 would allow Medicaid dental coverage when needed to clear a patient for another covered medical procedure, and it was reported as amended after LDH said the cost could be absorbed. HB 420 expanded DCFS background-check requirements to cover staff with access to sensitive records, and HB 475 required verbal consent before AI is used to record or transcribe a medical visit; both were reported favorably. HB 246 updated membership of the Children’s Cabinet Advisory Board and the council for grandparents raising grandchildren, including replacing an inactive coalition seat with the state police, and was reported as amended. HB 486 joined Louisiana to the psychology interjurisdictional compact to expand access to psychologists through telepsychology and temporary practice across state lines, and HB 574 updated outdated board names in the Mental Health Advisory Services Board statute; both were reported favorably. Later, the committee heard HB 949, which would create a licensure framework for radiologist assistants to help address radiologist shortages and improve imaging access, especially in rural areas. Testimony emphasized that RAs work under radiologist supervision and would extend capacity without replacing physicians; the bill was reported favorably. HB 584 required foster children to be provided luggage or similar items instead of trash bags when moving placements, and also corrected language in the Foster Youth Bill of Rights from “privileges” back to “rights” while extending the bill’s applicability to children from birth to age 18; it was reported as amended. The committee also reported HB 1214, which restructures certain LDH state facilities into a more unified system, and HB 1092, a technical renaming/terminology cleanup bill, both favorably. Finally, HB 203 added members from Christus Health System and Xavier University’s College of Medicine to the uterine fibroids commission and was reported favorably before the committee adjourned.

Transcript Highlights:

• I'm Louisiana's first radiologist assistant. I just want to be brief.
• The radiologist assistant sits between those two roles.
• I'm Louisiana's first radiologist assistant. I just want to, I'm going to be brief.
• The radiologist assistant sits between those two roles.
• Radiologist assistants exist specifically to address that problem.

Keywords: 974, senate, all

Summary: The Senate Committee on Health and Welfare met on May 6, 2026, with five members present. After adopting the April 28 minutes, the committee heard a brief presentation on the new Leadership Louisiana Health Fellows Program, which is intended to bring together health care, business, policy, and education leaders to study Louisiana health challenges and build a network for action. Members expressed support for the program and its potential value to health policy work. The committee then advanced several bills, often with technical or substantive amendments. SB 57, a nutrition-labeling bill, was amended to push its effective date to December 31, 2028 and reported as amended. HB 62 increased the membership of the Louisiana Women’s Policy and Research Commission to 27 members and was reported as amended. HB 193 updated membership rules for the sickle cell commission foundations so long-serving executive directors would not have to reapply repeatedly, and it was reported as amended. HB 815 would allow financial institutions to receive death certificates to help families manage accounts after a death; it was reported favorably after a question about state-licensed banks. SB 405 was substantially revised to codify LDH’s new Ascend nursing-facility quality initiative, including statewide quality oversight goals, stakeholder involvement, reporting requirements, and tools such as dashboards and surveys; after reconsidering prior action and adopting the new amendment, the bill was reported as amended. The committee also approved HB 222, which provides Medicaid dental coverage when needed for another covered medical procedure, and HB 420, which requires background checks for all DCFS employees with access to sensitive information. HB 475 requires verbal consent when AI is used to record or transcribe a medical visit and was reported favorably after a technical question. HB 246 updated membership of the Children’s Cabinet Advisory Board and the council on grandparents raising grandchildren, including replacing an inactive coalition seat with the state police superintendent or designee. HB 486 would enter Louisiana into the psychology inter-jurisdictional compact to expand access to mental health care, and HB 574 updated outdated board names on the Mental Health Advisory Services Board; both were reported favorably. Later, the committee reported HB 949, which creates a licensure framework for radiologist assistants to help address imaging workforce shortages, especially in rural areas, and HB 584, which requires foster children to be provided luggage instead of trash bags for their belongings and restores “rights” language in the Foster Youth Bill of Rights. The committee also reported HB 1214, restructuring certain LDH facilities into a single system under the secretary’s office; HB 1092, a technical renaming/terminology cleanup bill; and HB 203, which adds members to the uterine fibroids commission. Throughout the meeting, members and witnesses emphasized access to care, workforce shortages, child welfare, and quality improvement, and the committee repeatedly adopted amendments and reported the bills favorably or as amended before adjourning.

Transcript Highlights:

• But is that any radiologist, or is that just dental radiologists?
• >> Oh, they're not radiologists per se.
• permitting for radiologist was included. permitting for radiologist was included.
• radiologists?
• Is there a just dental radiologists?

Keywords: Appropriations - Room 216, 4 February, 2026; 9:00 AM, 925, all

Summary: The committee first heard from the Board of Dental Examiners on its FY27 budget request. Board staff said the agency licenses and regulates dentistry and dental hygiene in Mississippi, with nearly 7,500 licenses and permits. They described recent accomplishments, including implementation of a new database and completion of sedation-permit inspection requirements, and said those changes created about $80,000 in savings. The board’s main remaining request was a 3% staff progression costing $20,539; members also discussed a possible $29,000 ITS charge tied to House Bill 1491, though staff said that cost might no longer be needed if the funding shifts back to ITS. The board also explained its revenue sources, including dental, hygienist, and dental assistant x-ray permits, and clarified that the “radiology” permits are for dental assistants authorized to take x-rays. Members asked about fees, renewal cycles, sedation permit classes, and continuing education requirements, and the board said it was fully staffed and did not need vacancy funding. The committee then heard from the Board of Nursing, which said it regulates about 80,000 LPN, RN, and APRN licenses and oversees workforce programs and disciplinary matters. The board emphasized its Office of Nursing Workforce, noting more than $4 million in grants to nursing programs from 2019 to 2024 and thousands of scholarships awarded to nursing students, with recipients required to work in Mississippi for a period after graduation. It said staffing remains a major problem because salaries are not competitive, leading to difficulty filling positions; between October and December, 10 positions were posted and only two were filled. The board said the legislative budget recommendation would eliminate five positions, and it requested $112,466 in salary funding to restore and support staff pay, including a maximum 7% progression for nursing positions, a 4% increase for nonexecutive staff, and a 2% increase for executive staff. The nursing board also requested additional contractual and technology funding. It said House Bill 1491 would increase annual fees by $49,486 plus a one-time $3,000 data migration charge, and it requested $13,800 for an ongoing subscription tied to the military medics program assigned to the board in the prior session. It also said a proposed human trafficking bill would require another $10,000 if enacted. Members asked about the board’s cash balance, renewal cycles, and staffing structure, including investigatory and compliance functions, and the board said it had about 39 current employees and was monitoring roughly 130 people in compliance, including about 30 in a confidential monitoring program for substance use or severe psychiatric conditions. No votes were taken; the hearing concluded with members thanking both boards and inviting follow-up questions before appropriations decisions.

Transcript Highlights:

• Arts district programs in other states allow communities to access tax incentives and technical assistance
• Section 1 of this act is interest-free loans to provide financial assistance.
• Now, Section 1 of this act is interest-free loans to provide financial assistance.
• During the shutdown, it establishes an interest-free loan program for financial assistance and provides

Bills: SB268, SB306, SB264, SB312

Keywords: federal workers, government shutdown, interest-free loans, tax deferral, public transportation, Rehoboth Beach, municipal charter, city charter amendment, commissioners, mayor, local government, election qualifications, affidavit of eligibility, domestic partner, cohabitant, conflict of interest, freeholder, leaseholder, municipal court, Alderman

Summary: The House Administration Committee met to consider a series of resolutions and bills covering arts districts, child care background checks, federal worker relief, health care reform, court transparency, school tax reassessment, municipal charter changes, constitutional amendment procedures, data center nondisclosure agreements, state employee benefits governance, and lieutenant governor vacancies. Members also noted that House Concurrent Resolution 12 had been removed from the agenda and that public comment would be limited to one minute per speaker. The committee released SCR 167 to study arts, culture, and creative districts in Delaware; HB 438 to close a loophole in the child care service letter requirement; SB 268 to provide interest-free loans, free transit, and tax deferrals for federal workers during shutdowns; SS2 for SB 1 to expand and permanently strengthen primary care investment while also addressing hospital cost growth; HCR 147 to request a Court of Chancery report on audio recordings and automated case assignment; SB 322 to replace the current post-reassessment 10% school revenue increase authority with a 2% annual increase option under safeguards; SB 306 to amend the Rehoboth Beach charter; HB 440 to require voter approval for constitutional amendments after legislative approval; SB 312 to bar nondisclosure agreements for large data center projects; SS1 for SB 289 to change State Employee Benefits Committee governance; and SB 264 to require a special election to fill a lieutenant governor vacancy. Testimony was mixed on several measures. Arts, child care, federal worker relief, primary care, court transparency, data center transparency, and the lieutenant governor vacancy bill drew mostly supportive testimony, while SB 322 and SB 306 drew both support and opposition, especially over tax impacts and the proposed spouse/partner restriction in Rehoboth Beach. HB 440 prompted debate over whether 55% voter approval was the right threshold for constitutional amendments, and SB 312 was supported as a transparency measure by residents affected by prior data center NDAs. All of the listed measures were released from committee by roll call vote, with some members voting no on HB 440, SB 306, SB 312, SS1 for SB 289, and SB 264.

Transcript Highlights:

• community hospitals, having an on-site radiologist at all times simply isn't possible.
• Rural and community hospitals having an on-site radiologist at all times simply isn't possible.
• This ensures that even if the radiologist is remote, there's always somebody on site ready to act.
• Typically, the reason why a radiologist needs to be on site is to answer any questions.
• And are there any limitations on where this radiologist could be?

Summary: The Assembly Health Committee heard a long series of health-related bills, with most measures focused on access to care, administrative simplification, and behavioral health. Early items included AB 583, allowing nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery facilities are licensed; and AB 280, which would tighten provider directory accuracy requirements, add enforcement benchmarks, and allow use of a centralized database. Testimony on AB 280 highlighted the harms of “ghost networks,” while insurers and some provider groups opposed the bill as written, arguing it placed too much responsibility on plans and did not fully address provider-side data problems. AB 280 passed on a roll call vote, and several other bills were placed on consent and approved. The committee also advanced AB 636, expanding Medi-Cal coverage for medically necessary diapers for children up to age 21 and lowering the age threshold for access; AB 1041, streamlining physician credentialing with a uniform form and 90-day review deadline; and AB 787, requiring health plans to help enrollees find in-network providers quickly when directories fail. Supporters of these bills emphasized family financial strain, delays in care, and the burden of administrative red tape, while opponents of AB 1041 and AB 280 raised concerns about provider participation, accuracy, and liability. All three measures were approved and sent to Appropriations. The committee then took up AB 4 and AB 29. AB 4 would allow income-eligible Californians to buy Covered California coverage regardless of immigration status, and AB 29 would authorize Medi-Cal reimbursement for community health workers and doulas conducting ACE screenings. Both bills drew strong support from immigrant-rights, health access, and community-based organizations, and both passed on roll call votes, with AB 4 receiving some no votes. The committee also approved AB 416, which would allow emergency physicians to place 5150 holds in certain circumstances; supporters said it would reduce delays and overcrowding in emergency departments, while Disability Rights California and others warned it could increase unnecessary involuntary hospitalization and transfers to locked facilities. Despite those concerns, the bill passed and was sent onward for further consideration.

Transcript Highlights:

• where we have heard concerns to assist where we have heard concerns from<01:26:43.000> both<01
• As the director of public safety noted, one of the goals of the state's disaster assistance contingency
• In reality, the county did meet the threshold for full federal assistance.
• need a little assistance up there. need a little assistance up there.
• <01:50:58.840> than needs a little bit more assistance than needs a little bit more assistance

Bills: HF3753, HF4299, HF4700, HF4282, HF4139, HF3530, HF4031

Keywords: school safety, threat assessment, pilot project, education, real-time monitoring, public safety, HF4299, school safety specialists, Minnesota School Safety Center, appropriation, general fund, fiscal year 2026, school security, school violence prevention, student safety, Department of Public Safety, school resource support, education funding, peace officer, training reimbursement

Bills: HB2008, HB2075, HB2203, HB2395, HB2409

Keywords: school libraries, public school libraries, library funding, professional associations, library associations, librarians, information services, dues, membership fees, public monies, school governing body, county free library district, municipal library, library contracts, library services, books and programs, Arizona education, Title 15, Library Freedom Act, school district transparency

Summary: The committee took up several education bills. HB 2395 would create a voluntary Arizona School Fitness Program in ADE to recognize schools that participate in nationally recognized fitness testing or events and allow the designation on school report cards. Supporters, including the sponsor and outside witnesses, argued it would encourage student activity and support the whole child; the bill passed with a 6-0 do pass recommendation. HB 2409, the Getting Arizona Ready for AI Act, would create a voluntary summer AI course program through ADE with curriculum on digital hygiene, civic integrity, and AI for small business/entrepreneurship, with optional facility use and academic credit. The sponsor said it was meant to prepare students for AI-driven job disruption without requiring new appropriations; it passed 4-2. HB 2203 would direct ADE to review public school and agency reporting requirements for duplicative, expired, or obsolete reports and recommend consolidation or repeal, and an amendment making a technical correction was adopted before the bill passed 6-0. HB 2008 would bar school libraries from using public money to pay dues to certain professional library associations; opponents from Secular AZ and the ACLU argued it was viewpoint discrimination and a threat to professional association rights, but the bill still received a do pass recommendation on a 6-0 vote, with one member explaining a no vote because the problem did not exist. The committee also heard HB 2075, which would require school districts to submit superintendent and CFO employment contracts to ADE, post them online, keep them available for five years after termination, and create a searchable database with compensation details. The Goldwater Institute supported the bill, citing difficulty obtaining contracts through public records requests and examples of very high superintendent compensation and opaque contract terms; the Arizona School Administrators opposed the bill as singling out districts while not applying to charters or other public-dollar schools, though they said they could support it if expanded to all schools receiving public funds. Members debated whether charters are political subdivisions and whether the bill should extend to charters and ESAs, and some discussion also focused on transparency and public records access. The bill ultimately received a 4-2 do pass recommendation.

Transcript Highlights:

• We also provide technical assistance to rural hospitals and health care systems.
• As healthcare providers caring for these families, we are tasked with assisting them in creating and

Bills: HB18, HB742, HB754, HB1644, HB2187, HB1887, HB 1275, HB37, HB1503, HB1699, HB1700, HB2735, HB1741, HB1731, HB1675, HB18, HB37

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, human trafficking, first responders, health care, training, reporting, protection, trafficking prevention, medical assistant training, health care facilities, hospital compliance, clinic compliance, anti-retaliation, whistleblower protection, employee reporting, good faith report

Transcript Highlights:

• Additionally, the bill allows a radiologist assistant to perform certain tasks under supervision rather
• Radiologist assistants are actually radiologic technologists that have master's degrees and go through
• extensive training on how to be a radiologist assistant and perform these exams in place of the radiologist
• . ...master's degrees and go through extensive training on how to be a radiologist assistant and perform
• these exams in place of the radiologist.

Bills: HB2049, HB2050, HB2051, HB2072, HB2082, HB2085, HB2177, HB2178, HB2179, HB2183, HB2195

Keywords: radiation therapy, particle accelerator, critical access hospitals, patient care, rural healthcare, AHCCCS, lactation care, breastfeeding, health services, healthcare access, Cesar Chavez, public holiday, state law, holiday repeal, Arizona Revised Statutes, childhood cancer, rare diseases, research funding, healthcare, clinical trials

Summary: The committee opened with attendance and member introductions, then heard a series of health-related bills, many focused on access to care in rural and underserved communities. HB 2049 would allow particle accelerators for radiation therapy in critical access hospitals and counties under 400,000 population under general supervision; sponsors and rural oncology witnesses said it would reduce travel burdens for cancer patients while maintaining safety protocols. HB 2050 updated radiologic technologist statutes to align with current national standards, adjust accreditation and clinical-hour requirements, and allow radiologist assistants to work under supervision rather than direct supervision; an amendment also added registered nurses to the list of professionals not needing a separate license to use diagnostic X-ray machines. Both bills were supported by testimony about workforce shortages and access, though one member voted no on HB 2050 over concerns about oversight and board authority. Both measures received do-pass recommendations, with HB 2050 amended. The committee then unanimously advanced HB 2082, which creates a Childhood Cancer and Rare Childhood Disease Research Commission to award grants for phase-one pediatric cancer and rare disease trials. Testimony came from families affected by pediatric brain cancer, including a parent who described traveling internationally for treatment and a college student currently undergoing treatment who urged the state to invest in research. Members expressed strong sympathy and support, and the bill passed 12-0. Next, HB 2015 would require Access to cover breastfeeding and lactation services in multiple settings; the sponsor and medical witnesses described breastfeeding as preventive care with benefits for infants and mothers, while Access testified neutral and noted a fiscal estimate was being developed and that the amendment would protect the state if CMS does not approve the services. The bill, as amended, also received a unanimous do-pass recommendation. The committee also approved HB 2177, which directs Access to seek CMS waivers so tribal and Indian Health Service facilities can be reimbursed for certain covered services, including dental care, for American Indian and Alaska Native members. The sponsor and a Sage Memorial Hospital representative said the bill would help rural tribal facilities keep services local and maximize federal matching funds; it passed unanimously as amended. HB 2178, requiring a state agency medical chief officer to hold an active medical or osteopathic license, was described as a cleanup measure after a lapse in licensure exposed a statutory gap, and it also passed unanimously. HB 2179, which clarifies definitions separating air ambulance from ground ambulance regulation, was supported as a technical clarification to avoid unintended consequences and likewise received unanimous approval. Finally, the committee advanced HB 2183, which creates an emergency medicine study committee to examine Arizona’s EMS system, including rural and urban capacity, workforce burnout, uncompensated care, and emergency department utilization. The sponsor said the study would help the state understand system pressures and identify policy solutions; firefighters, health care advocates, and an emergency medicine nurse practitioner testified in support, emphasizing the ER’s role as the safety net and the strain from staffing shortages, rural closures, and high volumes. The bill was still under discussion at the end of the transcript, with testimony continuing after the initial supporters spoke.