Transcript Highlights:

• Madam Chair, members, House Bill 2438 adopts the Interstate Podiatric Medical Licensure Compact to allow
• The bill also establishes the Interstate Podiatric Medical Licensure Compact Commission and outlines
• , House Bill 2438 adopts the Interstate Podiatric Medical Licensure Compact to allow podiatric positions
• The bill also establishes the Interstate Podiatric Medical Licensure Compact Commission and outlines
• This bill is a product of the Interstate Podiatric Medical Licensure Compact.

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:

• Member of Senate Bill 1653 is the Oklahoma Occupational Therapy Licenser Compact, which is an interstate
• 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.

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

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

Transcript Highlights:

• licensure in other compact states.
• He said his organization does not usually go state by state or compact by compact, but supports the policy
• Madam Chair, members, House Bill 2437 adopts the EMS personnel licensure interstate compact to allow
• We have found that interstate licensure compacts such as REPLICA are also significant for other members
• I feel confident that the compact is not going, there were just general concerns of this compact void

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: HB322, HB346, HB336, HB384, SB237

Keywords: postpartum depression, postnatal care, maternal mental health, perinatal depression, postpartum screening, new mother, birth mother, newborn discharge, hospital discharge materials, public health education, maternal health, depression screening, health care providers, physicians, nurses, Alabama Department of Public Health, medical liability, standard of care, retired physicians, volunteer medical care

Transcript Highlights:

• HB 141 is an effort to adopt a revised Interstate compact on the placement of children, which is the
• A compact, it has standing.
• So we've got the parental kidnapping compact. So I mean there's several compacts, so.
• Um, I will point out that the existence of the interstate compact is really to really around efficiency
• compact.

Bills: HB 26, HB 140, HB 141, HB 142, HB 215

Keywords: Medicaid, nutrition support, maternal health, chronic conditions, pilot program, DFPS, Department of Family and Protective Services, child protective services, child abuse investigations, child neglect, child exploitation, advisory committee, Family and Protective Services Council, council abolition, foster care, due process, investigative procedures, child welfare, parental rights, family preservation services

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

Bills: SB197, HB140, SB214, HB214, HB147, HB270, SB73

Keywords: business regulation, nonprofit entities, electronic filing, merger agreements, limited liability companies, partnerships, property transfer, termination fees, HB140, private sewer systems, wastewater utilities, Public Service Commission, PSC jurisdiction, utility regulation, rate setting, rate consolidation, affiliated systems, common ownership, private utilities, sewer rates

Bills: HB128, SB297, HB128, SB297

Keywords: HB128, Alabama Board of Nursing, Sunset Law, sunset review, nursing board, nurse licensure, registered nurse, RN, licensed practical nurse, LPN, advanced practice nursing, certified registered nurse anesthetist, CRNA, consumer member, board appointments, congressional districts, geographic representation, nursing regulation, nursing education programs, licensure compact

Bills: HB59, HB128, HB59, HB128

Keywords: early voting, electoral participation, voting centers, Alabama elections, absentee ballot, HB128, Alabama Board of Nursing, Sunset Law, sunset review, nursing board, nurse licensure, registered nurse, RN, licensed practical nurse, LPN, advanced practice nursing, certified registered nurse anesthetist, CRNA, consumer member, board appointments

Bills: SB1086, SB1193, SB1318, SB1345, SB1346, SB1451, SB1496, SB1611, SB1630, SB1631, SB1632, SB1672

Keywords: reimbursement, healthcare, laboratory services, noncontracting providers, Arizona health care cost containment, personal identifying information, PII, privacy, confidential records, public records exemption, commercial disclosure, data privacy, licensure, certification, health professions, health care licensing, Arizona Department of Health Services, ADHS, emergency medical care technician, EMCT

Summary: The committee first approved the February 4 minutes and then heard Senate Bill 1086, which would require AHCCCS contractors to reimburse non-contracting providers for certain laboratory services when a member was referred by a contracting provider, and would bar prior authorization for diagnostic services and retaliation tied to such referrals. AHCCCS testified neutral but warned the prior-authorization ban could increase utilization and create fiscal and federal compliance concerns. The committee adopted the Warner amendment limiting non-contracting reimbursement to no more than contracting-provider rates, then passed SB 1086 as amended on a 4-2 vote. The committee next took up Senate Bill 1611, an emergency measure to require AHCCCS to contract with an administrative services organization for program integrity and case management functions for the American Indian Health Plan, while keeping AHCCCS ultimately responsible. The chair’s amendment expanded the ASO’s duties to include provider support, quality improvement, and data analytics, removed AHCCCS claims payment authority, added more tribal observers, and exempted IHS and tribal facilities. Testimony strongly supported reforming the system after fraud and overcorrection harmed Native members and providers, but AHCCCS raised concerns about the fast timeline, possible duplication of fraud-fighting functions, and the need for 45 days of tribal consultation. The committee adopted the amendment and passed SB 1611 as amended on a 5-2 vote. Senate Bill 1630 would create a Medicaid-funded home and community-based services program for adults with serious mental illness, capped initially at 250 members under the Angius amendment, with semiannual reporting and a process for future expansion only if costs are reduced or neutral. Supporters said the bill would help the sickest SMI patients avoid repeated hospitalizations, jail, and homelessness, and could save the state general fund by shifting costs to federal Medicaid funding; AHCCCS was neutral and said it was finalizing the fiscal estimate. The committee adopted the amendment and passed SB 1630 unanimously. The committee also passed SB 1193, protecting emergency medical care technician personal information from disclosure; SB 1318, repealing an outdated state dense-breast notification requirement to align with FDA language; and SB 1345, restricting anonymous complaints against health care institutions, though AHCCCS warned that federal law may still require investigation of complaints from any source and that the bill could reduce reporting and invite litigation.

Bills: HB166, HB487, SB130, SB181, HB166, HB487, SB130, SB181

Keywords: education policy, wireless communication devices, internet safety, social media, mental health, HB487, Alabama G.I. Dependent Scholarship Program, veterans, disabled veterans, dependents, spouse benefits, widow benefits, children of veterans, tuition assistance, education benefits, scholarship, college aid, undergraduate tuition, private school reimbursement, books and fees

Transcript Highlights:

• HB 932 would create an interstate compact for occupational Therapist or OTs and Occupational Therapy
• There are a number of benefits of adopting the interstate compact, including one on increasing market
• Texas is not new to interstate compacts, as the state is already part of other major occupational licensure
• compacts including the nurse licensure compact and the physical therapy compact.
• Compact the Occupational Therapy Compact Commission has already established reports that the compact

Bills: HB713, HB827, HB932, HB499, HB510, HB163, HB296, HB879, HB913, HB163, HB296

Keywords: healthcare, maternal health, reporting requirements, Texas Maternal Mortality and Morbidity Review Committee, health provider immunity, workplace violence, nurses, grant program, healthcare facilities, safety measures, safety, nursing, grants, healthcare safety, verbal abuse, physical abuse, nurse empowerment, occupational therapy, licensure, interstate practice

Bills: SB1767, SB1859, SB1767, SB1859

Keywords: alcoholic beverages, shipping, retailers, legal compliance, civil penalties, interstate regulation, enforcement, cyber crime, fraud unit, digital evidence, Oklahoma State Bureau of Investigation, investigative powers, financial deception, ransomware, 914, all

Transcript Highlights:

• This is dealing with a position assistance compact. Basically, it allows...
• The reason this bill is so thick is that it's the same compacts passed in many of the states.

Bills: SB63, HB156, HB289, SB80, SB84, SB63, HB156, HB289, SB80, SB84

Keywords: immigration, law enforcement, fingerprints, DNA collection, illegal aliens, Alabama state law, out-of-state warrants, criminal procedure, extradition, Alabama Code, arrest authority, interstate cooperation, Marshall County, TVA, Tennessee Valley Authority, in-lieu-of-taxes, payments distribution, local legislation, school funding, education finance

Transcript Highlights:

• Senate Bill 1813 allows the governor to enter into compacts with certain jurisdictions for the purpose
• This compact preserves the regulatory authority of the state to protect public health and safety through
• Representative, forgive me, it's been a compact A few days, but on page three, line one, no employer

Bills: SB1824, SB1813, SB1326, SB1277, SB1937, SB1217, SB1826, SB1641

Keywords: Athletic Trainer, Compact, interstate practice, licensure, public health, workforce development, military spouses, telehealth, self-service storage, storage facility lien, storage unit, abandoned property, electronic signature, e-signature, rental agreement, lienholder, default, late fees, towing, vehicle storage

Transcript Highlights:

• This bill would adopt an athletic trainer compact using standard compact language we have with almost
• 15 other compact agreements in the state. >> So, there somehow we'll do background.
• would adopt an athletic trainer compact would adopt an athletic trainer compact using<00:16:27.360
• 00:16:28.720> have using standard compact language we have using standard compact language we
• <00:16:30.240> lensure with almost 15 other compact lensure with almost 15 other compact lensure

Bills: HB42, SB246, SB38, SB194, SB183, SB253, SB160

Keywords: unclaimed vehicles, towing, Department of Revenue, notification requirements, abandoned vehicles, real estate, residential property, single-family home, homeowner protection, property solicitation, unsolicited offer, wholesaling, real estate wholesaling, assignment contract, equitable interest, investment property, house flipping, predatory real estate practices, title cloud, deceptive trade practices

Transcript Highlights:

• They negotiate with a national compact group each year to add one or two.
• negotiate<00:09:57.200> with<00:09:57.440> a<00:09:57.680> national<00:09:58.320> compact
• <00:09:58.880> group negotiate with a national compact group negotiate with a national compact

Bills: SB147, SB158, SB163, SB147, SB158, SB163

Keywords: construction zone, work zone, speed camera, automated enforcement, photo radar, photographic speed enforcement, traffic safety, highway safety, road construction, maintenance workers, civil citation, civil fine, speeding ticket, owner liability, registered owner, ALDOT, Alabama Department of Transportation, ALEA, Alabama State Law Enforcement Agency, public safety

Bills: HCR77, HCR102, HR559

Keywords: COFA, Compact of Free Association, Palau, Marshall Islands, Micronesia, COFA islanders, Texas House resolution, commemorative resolution, COFA Day, March 18 2025, Pacific Islands, insular affairs, U.S. territories, federal benefits, SNAP, TANF, FEMA, in-state tuition, veterans, Indo-Pacific

Transcript Highlights:

• I-12 corridor and try to make sure that we pay attention to what's happening on that stretch of interstate
• I-12 corridor and try to make sure that we pay attention to what's happening on that stretch of interstate
• Transportation and Development to institute the DRIVE initiative for looking at the exchanges on that interstate

Bills: HCR32, HCR53, HCR60, HCR68, HB582, HB730, HB762

Keywords: Saint Claude Avenue Bridge, Port of New Orleans, backup motors, infrastructure, traffic management, oversized vehicles, permitting, economic impact, transportation, local regulations, Louisiana economy, Interstate 12, I-12, Interstate 55, I-55 interchange, DOTD, Department of Transportation and Development, D.R.I.V.E. Initiative, highway infrastructure, transportation planning