Transcript Highlights:

• CMS, our federal regulator, has to certify the rates.
• They hand that over to the federal regulators at CMS, and then they have to decide how they want to enforce

Keywords: 996, all

Transcript Highlights:

• It increases the number of CMS five-star rating system metrics that nursing homes must keep to be executed
• House added a second quality-based exemption for the nursing homes if they receive a high rating on the CMS

Bills: SB27, SB1494, SB2121, SB2373, SB2431, SB1, SB8, SB12, SB13, SB15, SB30, SB37, SB260, SB268, SB331, SB379, SB441, SB447, SB457, SB568, SB650, SB763, SB1405, SB1506, SB1540, SB1566, SB1610, SB1637, SB1660, SB2018, SB2024, SB2217, SB2308, SB2337, SB2601, SB2753, SB2878, SB2900, SB2972, SB3059, HB4, HB40, HB46, HB119, HB145, HB300, HB493, HB705, HB1545, HB2011, HB2017, HB2067, HB2516, HB2885, HB2963, HB2974, HB3071, HB3372, HB3556, HB3595, HB3642, HB3909, HB5138, HB5246, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3045, SB3071, HB796, HB1523, HB5294, HB748, HB3395, HB180, HB3171, HB146, HB5596, HB5694, HB1135, HB3225, HB186, HB1449, HB3793, HB112, HB104, HB3336, HB3520, HB3320, HB5663, HB2399, HB111, HB3483, HB4580, HB3748, HB632, HB4730, HB5690, HB5689, HB3385, HB4359, HB5381, HB123, HB5606, HB1057, HB3664, HCR141, HCR40, HCR59, SR634, SR687, SR703, SR709, SR715, SB1494, SB2121, SB2373, SB2431, HB46, SB1, SB8, SB12, SB13, SB15, SB37, SB260, SB331, SB379, SB441, SB447, SB457, SB568, SB763, SB1405, SB1540, SB1566, SB2018, SB2308, SB2337, SB2878, SB3059, HB705, HB2017, HB2067, HB3071, HB3372, HB3556, HB3595, HB3909, HB5246

Keywords: elections, local governance, political subdivisions, general elections, Texas Election Code, data brokers, personal data, regulation, business entities, consumer protection, financial exploitation, artificial intelligence, phishing, legal liability, criminal offense, civil penalty, foreign language, study abroad, higher education, language credit

Transcript Highlights:

• Over half of Texas nursing homes are rated one or two stars. by CMS, which means below average or much
• Care Association We'll make that information available to each of you with the data that comes from CMS

Keywords: 1185, senate, all

Transcript Highlights:

• what works for everybody to accomplish some goals that I need to submit before that waiver request to CMS
• And so, the grievance process that CMS is requiring all states to have is one that says If your IPP meeting
• CMS, I will add, is a little bit vague about what results from the grievance process.

Keywords: 988, house, all

Transcript Highlights:

• You know, and again, I think CMS has tapped their brakes on a couple of our waivers that could... even
• They are licensed and for ICF in particular, they are also CMS certified.
• We have an active collaboration with our federal partners at CMS.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• <04:45:21.040> federal<04:45:21.360> level<04:45:21.680> with<04:45:21.920> CMS
• , I'm being told a federal level with CMS, I'm being told that<04:45:23.920> we<04:45:24.160><
• But everything that I hear about the changes from CMS and what's happening at a federal level, we need
• <04:49:42.560> and<04:49:42.798> what's the changes from CMS and what's the changes
• from CMS and what's happening<04:49:43.280> at<04:49:43.520> a<04:49:43.680> federal

Keywords: MS House Floor - 12 February, 2026; 10:00 AM, 925, all

Summary: The House convened with a prayer led by Reverend Lewis Dixon of Crystal Springs and then recited the Pledge of Allegiance. Members also welcomed several guest groups, including the Hazerhurst Middle School girls basketball team, the Mississippi Society of Radiologic Technologists and students from several colleges, and Oakdale Elementary students visiting the Capitol. On the calendar, the House first took up several rules-calendar items and adopted them overwhelmingly, including a Senate concurrence resolution and multiple resolutions, with votes such as 118-0 and 121-0. The chamber also tabled House Bill 965. Later, House Bill 517, the Mississippi Charter Schools Act, passed 88-10 after members explained it was a technical bill with no substantive changes. House Bill 644, an Administrative Procedures Act measure requiring agencies to report rules or actions costing over $100,000, passed 114-0. The House then approved House Bill 1015, which replaces an inactive member on the Title 5 Advisory Council, by 119-0. House Bill 1314, dealing with contractor bonding and procurement thresholds, was amended to raise a bond amount from $25,000 to $75,000 and to increase a bidding threshold from $10,000 to $15,000; it passed 119-2. House Bill 1468, which narrows public-records access by excluding certain personal information, was amended with a reverse repealer to allow further work on the language and passed 118-1. House Bill 1529, a peer bill with a reverse repealer, passed 128-0. House Bill 1640 authorized DHS to use automated wage verification services and passed 115-2. House Bill 1754 created a fast-track option for cyber security software and hardware emergencies and passed 121-0. The House also adopted a strike-all amendment to House Bill 1218, extending the MyKids youth-court software authority for one year, requiring a progress report, and allowing continued use of MyKids or a replacement system; the bill passed 128-0 after questions about the system’s outdated nature and the need to keep AOC accountable. Finally, House Bill 1225, concerning non-consensual towing, was explained as requiring tow operators to identify who requested the tow and to provide VIN and lienholder information so certified notices can be sent; the discussion was still underway at the end of the transcript.

Transcript Highlights:

• FIRST IS ABOUT ACQUISITION COST AND REIMBURSEMENT SO WE HAVE A SYSTEM CALLED NADAC SET UP UNDER CMS AND

Transcript Highlights:

• WHEN CMS ANNOUNCED THEIR WARD IN 2005 FLORIDA WAS AWARDED $209 MILLION, MORE THAN WE ANTICIPATED.

Keywords: 998, house, all

Transcript Highlights:

• we could pull that in, it would kind of show our motion forward to the Cicero report as well as to CMS

Keywords: 908, all

Summary: The committee reviewed four bill drafts for the Rural Health Transformation effort. The first required the presidential physical fitness test in PE classes; members asked about DPI and school support, then moved and approved the draft. The second required physicians to complete one hour of continuing education on nutrition and metabolic health each renewal cycle and included legislative intent encouraging other health boards to consider nutrition-related CE; it was approved after brief discussion. The third bill adopted the Physician Assistant Licensure Compact. Members discussed a separate issue involving occupational therapy compact background checks and whether that fix could be added now or would need to wait until later; the committee also discussed Board of Medicine input and the compact’s workforce benefits. The draft was moved forward to the full committee. The fourth bill expanded pharmacists’ prescriptive authority and therapeutic substitution. Legislative Council explained the draft, and Senator Roars proposed substantial amendments to narrow motion sickness, UTI, diabetes supply, and substitution provisions. Members debated whether to vote on amendments now or wait for the special session public hearing; concerns were raised about transparency, stakeholder input, and avoiding premature action. No amendment vote was taken, and the bill was left for later consideration. The committee then recessed until the next day.

Transcript Highlights:

• So a big piece of this is coming from the CMS program and what we're expecting to happen going forward

Summary: The Legislative Budget Commission met with a quorum present to hear the constitutionally required Long-Range Financial Outlook and consider a series of budget amendments. Amy Baker of the Office of Economic and Demographic Research presented the outlook, describing Florida’s continued population growth, strong wage growth, an aging population, housing-market softening, and low consumer sentiment. She said the general revenue forecast was largely unchanged from March, but the state’s funds available had improved because of legislative actions in 2025 that increased the balance forward. She also noted strong reserves, a projected current-year Medicaid deficit of about $125 million, and a three-year outlook that remains positive in the first year but turns negative in years two and three. She highlighted the risk of co-occurring catastrophic events, using a normalized Great Miami Hurricane scenario to illustrate potential state losses. The outlook was adopted after brief comments from House and Senate members emphasizing fiscal restraint and efficiency. The commission then approved multiple budget amendments, mostly without objection. The Agency for Health Care Administration received amendments to realign funding for Florida KidCare based on estimating conference results, to provide $85 million in budget authority for disproportionate share hospital payments, and to adjust Medicaid and long-term care appropriations, including placing surplus funds into reserve. The Department of Health received $6.3 million in additional authority for newborn screening. The Department of Corrections and the Department of Management Services each received $2.2 million in Private Inmate Welfare Trust Fund authority for repair invoices and pending projects. The Department of State was authorized to release $2.5 million in nonrecurring general revenue for cultural and museum grants and America 250 commemorative grants. The Department of Transportation received approval for a project roll-forward and for work program changes, including advancing I-95 widening in Duval County and the I-4 corridor in Polk and Osceola counties. The meeting ended with a motion to adjourn.

Transcript Highlights:

• CMS classifies eyeglasses as prescription medical devices, and I'm not aware of any other medical device

Bills: SB1, HB176, HB86, SB1, HB176, HB86

Keywords: workers' compensation, public education, employee injury, insurance trust fund, on-the-job injury, administrative procedures, HB176, Alabama sales tax, use tax, sales and use tax exemption, optical aids, eyeglasses, contact lenses, prescription glasses, vision care, optometrist, ophthalmologist, optician, medical devices, local option tax exemption

Transcript Highlights:

• Would we be more comfortable with, like, when we talk about health care issues, we lean to our CMS?
• We don't make health care policies in the state that would, at some point, conflict with CMS.

Summary: The committee first deferred House Bill 1102 without hearing it. It then took up House Concurrent Resolution 66, which urges Louisiana Economic Development and other state agencies to continue studying rural parishes’ economic assets, infrastructure, workforce, and development opportunities. Representative Weible and Secretary Bougoir described the resolution as part of a broader effort to align state rural programs and create a strategic framework for rural development. Members emphasized infrastructure, workforce training, local coordination, and retaining young people in rural communities. An amendment requiring LED to report to the legislature by January 1, 2027 was adopted, and HCR 66 was reported favorably as amended. The committee next considered Senate Bill 102, which would allow qualified trade associations for motor vehicle dealers to bring declaratory and injunctive actions against manufacturers on behalf of dealers. Senator Presley and the Louisiana Automobile Dealers Association said the bill would consolidate similar disputes into one action, reduce costs, and help smaller dealers avoid retaliation or uneven litigation. Questions focused on standing, the limited remedies, and whether the bill would affect nontraditional sales models. Technical amendments were adopted, and SB 102 was reported favorably as amended. Senate Bill 521, concerning banks’ continued use of a non-surviving bank’s name after mergers or consolidations, drew the most debate. Senator Boudreau and former Senator Fred Mills said the bill would preserve community-bank identity while following FDIC guidance on clear disclosure and consumer notice. Several members raised concerns about codifying federal guidance, future changes to federal rules, and whether the bill should instead set a fixed transition period; an amendment to limit use of the old name to 24 months was adopted after discussion. Another proposed amendment tying the bill to 1998 FDIC branch-name guidance failed on a roll call vote. The bill, as amended, was then reported favorably. The committee also advanced House Bill 387, which narrows the scope of incidental engineering work by architects and clarifies the state fire marshal’s authority to review plans under both architecture and engineering laws, and House Bill 1228, which updates hearing-aid dealer licensing and consumer-protection rules, including testing periods, cooling-off rights, and refund/cancellation procedures. Both bills were reported favorably with technical amendments. The transcript then shifted to additional measures, including House Bill 975 on Public Service Commission reconstitution and several Senate bills by Senator Abraham on self-storage facilities and contractor licensing, but the provided text cuts off before those items are fully concluded.

Transcript Highlights:

• The national certification is required for any billing, so that is a CMS requirement, not a Board of
• And so CMS requires them to have a national board certification in order to bill their patients for the

Summary: The joint Assembly and Senate Business and Professions sunset oversight hearing focused first on the Board of Registered Nursing (BRN), with committee chairs emphasizing oversight, consumer protection, workforce access, and economic mobility. BRN leaders reported improvements since the last review, including faster licensing timelines, streamlined enforcement, higher consumer satisfaction, growth in pre-licensure enrollment, and expanded data collection. Members questioned the board about nurse practitioner scope and supervision, international and military pathways to licensure, online nursing education and clinical requirements, rural workforce shortages, and the 30-unit LVN-to-RN option. BRN staff explained California’s tiered advanced practice system, the NCLEX and certification requirements, English proficiency rules, clinical hour standards, and the board’s role in approving programs and supporting schools through nursing education consultants. Several members and the board president also discussed the need to retain new graduates, improve diversity in the workforce, and better support nontraditional students and rural placements. Public comment on the BRN sunset review was extensive and largely supportive of the board, while also urging policy changes. Nurse practitioner, nurse anesthetist, nurse midwife, and nursing education groups generally supported the BRN report and especially backed clarification of APRN-to-RN delegation authority under issue 13. Other commenters asked for clearer implementation of AB 890, more flexibility for clinical nurse specialists, streamlined renewals for nurse midwives, and changes to federal loan limits affecting graduate nursing education. Higher education representatives and private nursing schools raised concerns about duplicative BRN documentation, clinical placement bottlenecks, and barriers faced by out-of-state and online programs seeking to serve California students. The California Medical Association and some physician groups opposed easing transition-to-practice requirements for out-of-state nurse practitioners and cautioned against changes to specialty and delegation rules, while the California Nurses Association and others stressed the importance of community college pathways, new graduate support, and workforce retention. The hearing then moved to the Physical Therapy Board of California. Board leadership reported that the board oversees more than 41,000 active licensees, has seen about 15% growth since 2021, and continues to maintain high exam pass rates among California physical therapy and physical therapist assistant programs. The board described its mission as consumer protection through licensing, enforcement, continuing competency oversight, and stakeholder engagement. The vice president’s remote testimony encountered technical problems, so the executive officer continued with a brief overview of the board’s work and its commitment to efficient service and public protection. No votes or formal actions were taken in the portion of the meeting provided.

Transcript Highlights:

• We just ask that the timelines be removed, noting the CMS timelines to take effect in January 2026.
• We just ask that the timelines be removed, noting the CMS timelines to take effect in January 2026.

Keywords: 912, senate, all

Summary: The committee heard testimony on several health-related bills. HB 72 on pharmacy drew only support, with testimony from the University of Hawaiʻi system, the Board of Pharmacy, pharmacists, and others; no questions were raised. HB 237 on peer support programs also received broad support from the Department of Health, DHS, early learning officials, families, and advocates, with testimony emphasizing the value of peer-to-peer mentoring and support for parents, youth, and people with disabilities; no opposition or questions were noted. HB 250, the prior authorization bill, generated the most discussion. SHPDA supported a revised version focused on reporting prior authorization practices and creating a nonbinding working group to develop automation standards, while PCMA, HMSA, Kaiser Permanente, and others raised concerns about duplicative pharmacy requirements, unintended consequences, and alignment with federal timelines and reporting. Several medical groups and individual patients supported the measure, describing delays and burdens caused by prior authorization. A committee member asked whether the bill’s working group differed from a similar group in Senate Bill 1449, and the witness said it was intended to be the same. HB 303 on health care preceptors was supported by the Department of Health, University of Hawaiʻi, nursing and health care organizations, and the Hawaii Pharmacists Association, which asked that pharmacists’ residency programs be specifically tied to national accreditation standards. HB 341, relating to issuance of SPURS to assist the Hawaii Island Community Health Association, drew support from the health center and related groups. HB 692 on Preschool Open Doors received extensive support from early learning, education, family, labor, and community organizations; testimony stressed the shortage of child care and preschool slots, especially on Kauai, and the need to expand access for families. Committee members asked about adding family child care providers and about licensing/certification barriers, and DHS said the bill was focused on current licensed child care facilities and that certification issues were a separate, broader problem. HB 700 on cognitive assessments also drew strong support, with the Department of Health, the Executive Office on Aging, disability advocates, the Alzheimer’s Association, caregivers, and others urging use of a validated cognitive assessment tool during annual wellness visits and asking that the age 65 threshold be removed; some witnesses supported keeping the data-collection portion as a pilot and emphasized early detection and reporting.

Transcript Highlights:

• Because also, they've just submitted to the CMS Center for Medicare and Medicaid to get those services

Keywords: 962, all

Summary: The meeting began with approval of the May minutes and then moved into administrative updates on several 2025 legislative workstreams. Staff reported progress on two marketing efforts tied to the youth mental health crisis: one focused on increasing awareness and use of urgent crisis centers, and another broader crisis-continuum campaign led by United Way. Both projects are refining materials based on working-group feedback and aim to have materials ready before the start of the school year. Updates were also given on the UCC private insurance review and the crisis continuum review, both of which are gathering data and reconvening working groups over the summer. The main discussion centered on a Civic Solutions Group update on Medicaid school billing. The contractor explained that the project is examining why Connecticut schools are not billing for behavioral health and related services, with the goal of maximizing federal reimbursement. Members clarified that the study is about schools billing for services, not private providers billing in schools. Questions focused on whether Medicaid has caps or authorization issues when students receive services both in school and in the community, and whether recent federal or state changes affect billing. The contractor said the work is still in data collection and analysis, and that some issues, such as reauthorization procedures, were outside his scope. Participants also raised concerns about perceived barriers, fee-for-service limitations, and the need to distinguish school-based billing from provider billing. A second major presentation came from Disability Rights Connecticut on a separate legislative study concerning behavioral health issues affecting students receiving special education. The subgroup is examining the feasibility and impact of requiring evidence-based interventions, especially for challenging behaviors that can lead to restraint and seclusion, and is also looking at monitoring and random audits of restraint and seclusion practices. The team described its project plan, including literature reviews, interviews, focus groups, surveys, and data requests from the State Department of Education and other stakeholders. Members emphasized that the work is aimed primarily at private providers under the statute, but may have broader relevance. Questions from the group focused on whether the study would include public schools, how evidence-based practices apply to students with intellectual disabilities and autism, and whether caregivers or parents would be interviewed; the presenters said caregiver input is not currently part of the charge. The meeting ended with reminders about the July 15 meeting, which will include a Solnit briefing, and a note that August TCB meetings will not be held, though a workshop on the Connecticut Children’s Behavioral Health Provider Survey is being planned for late July or early August.

Transcript Highlights:

• , ...what happened last year during the DD debate and the waivers that the state needs to submit to CMS

Keywords: 1182, all

Summary: The Senate opened with prayer and the Pledge of Allegiance, recognized guests including participants in the Southern Arizona Water Leadership Institute and the Doctor of the Day, and then proceeded through committee and floor action on a large slate of House and Senate bills. Early Committee of the Whole work focused on air quality and local regulation measures, including HB 2428 and HB 2875, both amended and recommended do pass. HB 2875’s amendment added small hub airports to a 2.5-mile buffer provision. HB 2877, dealing with timeshare sales and licenses, was also amended and advanced. Later, the Senate adopted the Committee of the Whole report and moved to additional calendar items. On water and related policy, the chamber debated HB 2026 on assured water supply and HB 2029 on the Water Infrastructure Finance Authority program. HB 2026 drew opposition over concerns that the issue of commingling had already been addressed through the alternative designation of assured water supply process, but it ultimately passed 16-13. HB 2029 saw a failed floor amendment by Senator Sundareshan to broaden water-conservation analysis statewide; the amendment failed 13-14, and the bill later passed 29-0 after supporters said WIFA already performs the analysis. The Senate also advanced HB 2132, HB 2261, and HB 2428 from the Committee of the Whole, and later passed HB 2010 on advertising with an amendment concerning prorated refunds for digital goods. The Senate then took up third readings and final votes on numerous bills, including election administration, radiologic technologies, probation, monuments, retirement, county water augmentation authority, technical registration, venue changes, firefighters, health-care institutions, AHCCCS, property tax, state agencies, tourism, employment relationships, motor vehicle warranties, the state fire marshal, and education. Several members explained votes on HB 2177, which concerned a Medicaid waiver issue affecting American Indian services, and on HB 2395, which emphasized physical education and school facilities. The chamber also concurred in House amendments to SB 1092, SB 1430, and SB 1479, then passed those bills on final reading. The meeting concluded with adjournment until April 8, 2026, at 10 a.m.

Transcript Highlights:

• That's the CMS condition of participation. If we don't meet it, we don't get Medicaid or Medicare.

Keywords: 999, senate, all

Transcript Highlights:

• We know that with the Trump administration, there's a lot of discussion going on in CMS about LPPFs and

Bills: HB2, HB6, HB18, HB43, HB138, HB180, HB300, HB581, HB647, HB748, HB762, HB1240, HB1393, HB1397, HB1584, HB1734, HB2011, HB2254, HB2286, HB2434, HB2467, HB2468, HB2495, HB2516, HB2518, HB2529, HB2564, HB2712, HB2713, HB2715, HB2765, HB2898, HB3146, HB3161, HB3348, HB3800, HB4044, HB4341, HB4370, HB4384, HB4386, HB4396, HB4490, HB4809, HB5057, HB5323, HB5534, HB5668, SB203, SB317, SB719, SB731, SB801, SB867, SB1071, SB1232, SB1798, SB2082, SB2363, SB2603, SB2607, SB2717, SB2797, SB2841, SB2919, SB3038, SJR5, SB4, SB9, SB21, SB23, SB27, SB34, SB40, SB75, SB213, SB458, SB482, SB493, SB647, SB648, SB840, SB841, SB843, SB912, SB1241, SB1253, SB1350, SB1388, SB1423, SB1535, SB1559, SB1709, SB1789, SB1951, SB2037, SB2143, SB2155, SB2544, SB1, SB17, SB260, SB509, SB1506, SB1637, SB1833, SB2308, HB2525, HJR133, HB1393, HB26, HB388, HB2712, HB1633, HB685, HB2286, HB1606, HB1458, HB1240, HB2791, HB3146, HB1397, HB2061, HB647, HB4738, HB2563, HB128, HB581, HB766, HB2259, HB2358, HB4384, HB748, HB1734, HB5180, HB3806, HB3804, HB3803, HB1522, HB3597, HB1612, HB4224, HB1314, HB1237, HB3126, HB2856, HB3114, HB3505, HB5652, HB2025, HB3395, HB2495, HB18, HB2516, HB2713, HB24, HB519, HB609, HB1592, HB3348, HB120, HB6, HB1533, HB2421, HB2273, HB2464, HB2011, HB5057, HB5084, HB5534, HB5668, HB3424, HB2715, HB2564, HB2765, HB2898, HB3800, HB4396, HB4341, HB43, HB5686, HB2467, HB2468, HB2518, HB4310, HB4386, HB4490, HB180, HB5323, HB2, HB149, HB4945, HB2434, HB2529, HB3161, HB3745, HB4044, HB5155, HB5667, HB4996, HB2697, HB2492, HB2355, HB2282, HB2001, HB1902, HB1866, HB1445, HB1443, HB1306, HB1024, HB908, HB305, HB285, HB449, HB171, HB47, HB3464, HB2637, HB4263, HB5436, HB4429, HB3986, HB3966, HB3510, HB2560, HB2026, HB2688, HB4076, HB5246, HB3487, HB3486, HB4226, HB216, HB742, HB2402, HB143, HB5033, HB4413, HB4042, HB2440, HB4426, HB49, HB4112, HB3233, HB2310, HB5515, HB3627, HB2674, HB322, HB1481, HB126, HB3062, HB3421, HB3180, HB2530, HB2524, HB1916, HB3153, HB5650, HB4894, HB3120, HB1629, HB103, HB3234, HB3680, HB5698, HB3171, HB5693, HB2694, HB5664, HB3732, HB2508, HB2293, HB1991, HB2014, HB5331, HB5247, HB4751, HB4690, HB4668, HB4464, HB4395, HB4063, HB3833, HB3623, HB3214, HB3512, HB3250, HB3016, HB2520, HB2221, HB2213, HB3824, HB2067, HB1732, HB1562, HB700, HB1545, HB252, HB146, HB5596, HB1851, HB3619, HB3071, HB3556, HB851, HB4230, HB5320, HB5651, HB5670, HB5665, HB5437, HB5679, HB5699, HB5661, HB5662, HB5654, HB5672, HB5656, HCR141, HCR118, HCR127, HCR40, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB1749, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3038, SB3045, SB1538, SB3071, SB3065, SB823, SB3062, SB3074, SB1380, HB6, HB581, HB1393, HB1734, HB2286, HB2467, HB2468, HB2495, HB2529, HB2564, HB2765, HB2898, HB3146, HB3348, HB3800, HB4341, HB4386, HB4490, HB5057, HB5323, HB5534, HB5668, HB2, HB2715, SR530, SR552, SB482, SB493, SB841, SB912, SB1241, SB1350, SB1388, SB1559, SB1951, SB2143, SB2155, HB205, HB220, HB561, HB2078, HB2300, HB2652, HB3335, HB3441, HB4212, HB4879, HB5228, HB5616, HB205, HB220, HB561, HB2078, HB2300, HB2652, HB3335, HB3441, HB4212, HB4879, HB5228, HB5616

Keywords: public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, mental health, telehealth, public schools, discipline management, behavioral interventions, rural health, hospital funding, healthcare access, mental health services

Transcript Highlights:

• It has contracts with the providers, including Sunshine Health, who manages this, the mini-CMS, is what

Summary: The Health Care Facilities and System Subcommittee met with a quorum and considered five bills. HB 1101 on out-of-network providers drew the most discussion; Rep. Albert said it would require written notice when a patient is referred to an out-of-network provider and would count certain insurer payments toward deductibles. Several members and the Florida College of Emergency Physicians raised concerns about placing the burden on doctors’ offices, possible delays in referrals, and unclear enforcement, but the bill was reported favorably 16-2. Public testimony included support from AARP and concerns from emergency physicians about ER workflow and insurance-network transparency. The committee then unanimously approved PCS for HB 475, reducing fines for ambulatory surgery centers that violate good-faith estimate requirements from $1,000 to $250 per day, with a lower maximum penalty. The bill sponsor said the change was intended to right-size penalties for smaller facilities; witnesses from surgery centers and HCA supported it. HB 797, which would allow a nonprofit retirement community serving veterans and spouses to create veteran-and-spouse nursing home beds and transfer a certificate of need within 100 miles, also passed unanimously after members discussed whether it could affect access for veterans; the sponsor said it would create additional private beds rather than displace existing ones. HB 1085 on the Children’s Medical Services Program was amended and reported favorably 14-3. The bill would move managed care plan operations for medically fragile children from the Department of Health to AHCA, keep clinical eligibility at DOH, and shift PPEC services fully into managed care. The adopted amendment changed the waiver provision to require AHCA to develop and present a comprehensive redesign plan for the Medicaid model waiver for children receiving private duty nursing. Several members supported the goal but raised concerns about eliminating family choice and the impact on medically fragile children. Finally, HB 1353 on home health care services passed unanimously. The bill would remove geographic limits on home health administrators, allow more licensed RNs including contract RNs to perform visits, and revise the home health excellence award program. Supporters said it would address workforce shortages and improve access, while one member warned it could increase costs and competition for nurses. The committee adjourned after reporting all five bills favorably.

Transcript Highlights:

• modifies the requirements of the annual report and requires Access to continue pursuing approval if CMS
• The annual report and requires Access to continue pursuing approval if CMS denies or does not approve
• Because of this cap, we will need to pursue a CMS waiver to get approval and to receive our matching

Bills: SB1041, SB1050, SB1131, SB1138, SB1249, SB1267, SB1272, SB1317, SB1461, SB1488, SB1504, SB1517, SB1523, SB1580, SB1582, SB1584, SB1585, SB1602, SB1630, SB1654, SB1672, SB1673, SB1718, SB1761, SB1819, SB1826, SB1827

Keywords: electronic monitoring, nursing care, assisted living, resident rights, privacy, consent, surveillance, veterans, lifetime pass, state parks, Arizona, access, disabled veterans, cardiac arrest, defibrillators, school safety, emergency response, CPR training, Arizona education funding, automated license plate readers

Summary: The committee first considered Senate Bill 1630, which would direct AHCCCS to seek federal approval for a home- and community-based services program for adults determined to be seriously mentally ill, with quarterly implementation updates, stakeholder input, and a cap on enrollment. The sponsor and advocates from Arizona Mad Moms argued the bill would create an assisted-living-style Medicaid option for the most disabled SMI individuals, improve continuity of care, and reduce state general fund costs by shifting some expenses to federal Medicaid funding. Access testified neutral, estimating a total fiscal impact of $27.7 million, including $5.83 million general fund, and explained the need for CMS approval. The committee adopted an amendment reducing the initial cap to 250 members, changing reporting frequency, and adjusting eligibility and expansion conditions, then passed SB 1630 as amended on a 10-0 vote. The committee next heard Senate Bill 1131, which originally required school districts and charter schools to adopt cardiac emergency response plans and appropriated $1 million for implementation. An amendment replaced the mandate with a reporting requirement on AED counts, CPR/AED-trained staff, and whether schools have a plan, while keeping a grant component for AEDs and prioritizing rural schools. The American Heart Association supported the amended approach as a way to gather baseline data and target resources, and members discussed AED training, school preparedness, and whether the funding should favor rural or high-population schools. The committee adopted the amendment and passed SB 1131 as amended on a 9-1 vote, with Senator Kuby voting no and several members explaining concerns about funding and priorities. The committee then took up Senate Bill 1582, which concerned the school safety interoperability fund. An amendment shifted the appropriation from the Department of Education to the Department of Administration and allocated funds to specific county sheriff offices for continuing operation and maintenance of existing interoperability systems, while narrowing the program to public safety agencies and school districts and requiring twice-yearly testing. Sheriffs, a county school superintendent, and the Arizona Sheriffs Association described the systems as useful for drills and real emergencies, improving communication between schools and first responders; one speaker noted the program had been used in drills and at least one live deployment. Some members questioned the audit findings, the focus on rural counties, and whether the program was a good use of funds, while supporters emphasized its value for school safety. The committee adopted the amendment and passed SB 1582 as amended on a 6-4 vote. Finally, the committee began hearing Senate Bill 1504, which would change retirement rules for Tier 2 and Tier 3 public safety personnel by allowing earlier normal retirement and shortening the COLA waiting period, with an amendment exempting the changes from the statutory pre-funding requirement. Supporters from firefighter and police groups said the bill would improve recruitment and retention and let employees receive earned benefits sooner, while city, county, and taxpayer representatives warned it would add substantial unfunded liabilities and undermine the 2016 pension reforms. Actuarial testimony estimated significant costs, including tens of millions in annual or upfront impacts depending on how the change is funded, and members debated whether the amendment would shift costs onto future taxpayers or simply spread them over time. The transcript ends during continued testimony and discussion on SB 1504, before a final vote is reached.