Transcript Highlights:

• And the second is that they have to provide active treatment.
• And the second is that they have to provide active treatment.
• We found out this fall, early winter, that they have to provide active treatment.
• But because his cases were resolved through mental health court and treatment, when he was eventually
• Longstanding noncompliance with active treatment and client protections.

Bills: HB2510

Committee: Senate Human Services

Keywords: community custody, probation, Department of Corrections, DOC supervision, Washington criminal law, sentencing, felony supervision, risk assessment, sex offense, serious violent offense, domestic violence, repetitive domestic violence, failure to register, sex offender registration, dangerous mentally ill offender, indeterminate sentence, parole, conditional commutation, gross misdemeanor, misdemeanor

Transcript Highlights:

• Water treatment plant and possibly destroy it, or the most expensive is end-of-pipe treatment, which
• Three million to provide treatment for them.
• In between, you could create for industries regional treatment systems.
• We have treatment facilities for petroleum and oil-contaminated water.
• We need to look at alternatives, funding mechanisms for this type of treatment.

Bills: HF3220

Committee: House Capital Investment

Transcript Highlights:

• And sometimes dealing with it yourself, oftentimes you delay the treatment options.
• This bill requires DCF to create a treatment foster care pilot program that will increase family-like
• However, unlike traditional foster homes, treatment foster parents receive specialized training to care
• But I would assume that these crossover kids are going to need those specialized treatment foster homes
• So there is contemplation... ...from an inpatient residential treatment facility.

Committee: Senate Children, Families, and Elder Affairs

Summary: The Committee on Children, Families, and Elder Affairs met with a quorum and first took up SB 398, which would create a statewide public health awareness campaign through the Department of Elder Affairs on Alzheimer’s disease and related dementias. Senator Burgess said the campaign would focus on early detection, brain health, risk reduction, clinical trial access, and community resources. The committee heard supportive testimony from a caregiver, AARP, the Alzheimer’s Association, and others, with members discussing the need for culturally responsive outreach and continued funding. SB 398 was reported favorably by roll call vote. The committee then heard SB 106, which would strengthen Florida’s exploitation injunction law for vulnerable adults by allowing service of an unascertainable exploiter through the same communication method used to contact the victim, such as text, Facebook Messenger, or WhatsApp. Senator Martin explained the bill as a way to close a loophole that lets scammers evade traditional service, and witnesses from the Florida Bankers Association and the Florida Bar’s Elder Law Section supported it, describing how the bill could stop ongoing thefts more quickly while preserving due process. Members asked about gift card scams, clerk workload, and the definition of an unascertainable respondent. SB 106 was reported favorably. The Department of Children and Families then presented an update on the Adoption Benefits for Qualifying Adoptive Employees Program, describing its expansion over time and the current one-time lump-sum benefit structure for eligible adoptive parents. The presentation covered eligibility rules, open enrollment, funding history, and the program’s impact on adoption placements, with members asking why tax collectors were included but other constitutional offices were not, and whether foster relatives could qualify. Finally, the committee considered SPB 7012, a committee bill addressing child welfare workforce shortages, treatment foster care for high-acuity children, and improved data collection on commercially sexually exploited children. The bill would direct DCF to recruit former public safety workers for CPI and case manager roles, create a treatment foster care pilot in two judicial circuits, and require more detailed, analyzable data and capacity studies. The bill drew support from child welfare advocates, with some members urging DCF to return with a more developed framework; it was adopted as a committee bill and reported favorably.

Transcript Highlights:

• </c><03:45:55.199><c> Now,</c> drug treatment programs. Now, drug treatment programs.
• </c><03:47:29.680><c> needs</c> health and substance use treatment needs health and substance use treatment
• c> education,</c> provide adequate treatment, education, provide adequate treatment, education, also<
• And the health programs, and treatment.
• </c> opio use disorder prevention treatment opio use disorder prevention treatment and<04:17:42.880><

Transcript Highlights:

• There's so many different treatments.
• Patients deserve to know exactly what they're receiving before the treatment.
• evidence-based biopsychosocial treatment.
• evidence-based biopsychosocial treatment.
• Like, there is medication-assisted treatment in prisons.

Committee: House House Health & Human Services Committee of Reference

Summary: The committee heard several bills related to radiation protection in cardiac catheterization labs and later a stem cell/regenerative therapy bill. On SB 1121, which would allow hospitals with radiation protection systems to let clinicians forgo lead aprons if they work in the designated safety area and use real-time dosimetry, testimony was largely supportive or neutral after a late amendment gave radiation safety officers discretion to require protective gear if exposures approach thresholds. The committee adopted the amendment and passed SB 1121 on a 9-1 vote. SB 1120, a more prescriptive bill requiring at least 50% of cath lab rooms in hospitals to be equipped with the radiation protection system, drew divided testimony: sponsors and several physicians argued it would reduce orthopedic injury and radiation exposure and improve recruitment and retention, while hospital and radiology groups objected to the mandate, cost, limited vendor pool, and lack of clarity in the bill’s definitions. After adopting an amendment excluding children’s hospitals, the committee deadlocked 6-6 and SB 1120 failed to pass. The committee then considered SB 1118, which would appropriate $3 million to help rural hospitals install radiation protection systems in cath lab rooms. The sponsor said the funding would help rural facilities meet the same safety goals, and the committee passed the bill 6-5. The committee also heard SB 1214, a “guardrails” bill regulating non-FDA-approved stem cell and regenerative therapies, requiring informed consent, sourcing and reporting standards, advertising limits, and civil penalties for violations. Supporters said it would protect patients while allowing access to promising therapies; some members raised concerns about evidence and commercialization, but after adopting a technical amendment, the bill passed 9-3. The transcript ended as the committee moved on to SB 1630, which would seek federal approval for a home- and community-based service benefit for adults with serious mental illness; the sponsor described it as a capped, Medicaid-based community care option, and Access testified neutral while estimating a fiscal impact, but no final action on SB 1630 appears in the excerpt.

Transcript Highlights:

• , some of which have good treatment, and all of which we want to cure.
• And in our affordability crisis, this is a far less expensive kind of treatment.
• Patients wait in pain, and treatment is delayed.
• And she looked for months for treatment that would work.
• So, and And a really large amount of drugs and treatment plans.

Summary: The Senate Committee on Health heard several health-related bills, with extensive public testimony and multiple roll-call votes. SB 895, by Senator Wiener, would create the California Foundation for Science and Health Research and place a bond measure on the November 2026 ballot to support science and health research in California amid federal funding cuts. The author and UC researchers argued the measure would protect jobs, public health, and the state’s research leadership; many universities, labor groups, and patient advocates testified in support, and there was no opposition. The committee members praised the bill, and it passed 6-0 to the Committee on Natural Resources and Water. SB 944, also by Senator Wiener, would make acupuncture a permanent Medi-Cal benefit regardless of federal matching funds. Supporters, including acupuncturists, patients, community organizations, and health access advocates, described acupuncture as effective, low-cost, and culturally important care; there was no opposition. The committee discussed access for API communities and Medi-Cal patients, and the bill passed 6-0 to the Committee on Appropriations. SB 987, by Senator Wiener, would create a California Health Access Fund to capture state savings if federal Medicaid changes cause Medi-Cal enrollment losses, with the goal of redirecting those savings to care for affected patients and providers. Support came from disability, consumer, family physician, emergency physician, psychiatric, medical, and safety-net hospital groups. Committee members discussed prioritizing indigent care, prevention, and other vulnerable populations if savings materialize. The bill passed 8-0 to Appropriations. SB 964, by Senator Smallwood-Cuevas, would limit prior authorization barriers by allowing certain dose or frequency adjustments for covered medications without repeated authorization, up to two clinically appropriate changes. The bill was supported by a Crohn’s and colitis patient and sponsor testimony describing delays in care, while health plans and insurers opposed it over safety, FDA-labeling, and cost concerns. Committee members raised questions about off-label use and clinical standards, but the author said the bill was intended to reduce delays and avoid emergency care; it passed 11-0 to Appropriations. SB 1099, by Senator Reyes, would clarify local governments’ authority to provide state and local public benefits to all residents under PRWORA-related exemptions, to reduce legal uncertainty for local safety-net programs. County counsel and city attorney representatives said the bill would preserve local flexibility to provide services such as health care, shelter, crisis response, and food distribution without unnecessary eligibility barriers; there was no opposition, and the bill passed 11-0 to the Committee on Human Services. SB 1033, by Senator Padilla, would require manufacturers of protein products to test for heavy metals and disclose results. Supporters cited Consumer Reports findings of lead, cadmium, arsenic, and mercury in protein powders and beverages, while opponents asked for narrower scope and raised concerns about naturally occurring metals and over-warning consumers. The committee discussed narrowing the bill and the need for transparency, and it passed 11-0 to the Committee on Environmental Quality. Finally, SB 1049, by Senator Weber-Pearson, would give providers a fair opportunity to correct certain claim errors after a health plan action, rather than being barred by original filing deadlines. An OBGYN testified that a missing diagnostic code led to large clawbacks and delayed payments despite appropriate care; the bill was presented as a limited fix for honest mistakes. The transcript ends during testimony on SB 1049, before a final vote is shown.

Transcript Highlights:

• Only 4 percent have received treatment. Los Angeles is a successful case study.
• The treatment program is available, and the defendant can be safely treated in the community.
• We should not further restrict judges' ability to offer treatment to those who need it.
• , and I'm going to do treatment and get better.
• that they're able to get connected to the treatment.

Committee: Senate Public Safety

Summary: The Senate Committee on Public Safety met on March 17, 2026, with no quorum at the start and throughout much of the hearing, so bills were presented and discussed but no final votes were taken. The committee heard SB 936 on nitrous oxide sales, SB 941 on commissary price caps in private immigration detention facilities, SCR 118 urging release of Jeffrey Epstein-related files, SB 1009 on juvenile detention standards, AB 46 on mental health diversion, and SB 948 on firearm safety training and registration for new residents. The chair explained public comment procedures and noted that SB 891 was on consent, but the transcript focused on the other measures. SB 936 drew strong support from the author, prosecutors, local officials, and public health/environmental groups, who described rising misuse of flavored large nitrous oxide canisters, youth targeting, impaired driving crashes, deaths, and waste disposal costs. Opposition from the ACLU argued the bill was too broad and should use a regulatory rather than criminal approach, warning about overreach into ordinary household items. Members generally expressed support, though some asked for narrowing amendments to avoid unintended coverage. SB 941 was presented as a cap on markups for commissary goods sold to detainees in privately run federal immigration detention facilities, modeled on prior prison commissary limits. Supporters described severe price inflation for basic necessities and the burden on families, while no opposition testified. SCR 118, calling for full release of unclassified Epstein investigation files, was supported by the author, a survivor statement, and anti-trafficking advocates; one member objected that the resolution could implicate people without full facts, while others emphasized transparency and survivor accountability. SB 1009 and AB 46 both centered on criminal justice discretion: SB 1009 would require clear and convincing evidence before detaining youth and was supported by defenders and youth advocates but opposed by probation and district attorneys who warned about public safety and resource constraints; AB 46 would narrow mental health diversion by allowing judges to deny diversion when public safety is at risk, with prosecutors and victims’ families supporting it and public defenders, ACLU, and behavioral health groups opposing it as an unnecessary restriction on treatment. SB 948 would expand firearm safety certificate requirements to include live-fire training and require new California residents to register firearms within 60 days; the author and gun-safety advocates supported it as a common-sense safety measure, and the hearing moved into support testimony as the transcript ended.

Transcript Highlights:

• We are not trying to end the diversion treatment. This does not dismantle the programs.
• Only 4 percent have received treatment. Los Angeles is a successful case study.
• The treatment program is available, and the defendant can be safely treated in the community.
• We should not further restrict judges' ability to offer treatment to those who need it.
• , that they're able to get connected to the treatment.

Summary: The Senate Committee on Public Safety met on March 17, 2026, beginning without a quorum and hearing several bills and a resolution. SB 936 by Senator Blakespear would prohibit retail sale of nitrous oxide canisters larger than 8 grams while preserving legitimate medical, dental, culinary, and automotive uses. Supporters, including prosecutors, county officials, and local government groups, described rising misuse among youth, impaired driving crashes, deaths, and environmental waste from large flavored canisters. The ACLU opposed unless amended, arguing the bill was too broad and should use a regulatory approach rather than criminal penalties; the author said amendments were being considered to narrow the language. Committee members largely expressed support, though some raised concerns about wording and implementation. SB 941 by Senator Padilla would extend a prison commissary price cap framework to private for-profit immigration detention facilities under federal contract in California. Supporters said detainees and their families face extreme markups on basic necessities and that the bill would curb exploitation. There was broad support from immigrant justice, civil rights, and disability rights organizations, and no opposition testimony was presented. SCR 118 by Senator Gonzalez urged release of unclassified Jeffrey Epstein investigation files. Supporters framed it as a transparency and survivor-accountability measure, with testimony from CAST and a survivor statement. One committee member voiced concern about incomplete facts and the risk of political overreach, while others supported the resolution as part of broader anti-trafficking efforts. SB 1009 by Senator Becker would require clear and convincing evidence before detaining youth in juvenile proceedings and would emphasize less restrictive alternatives. The author and supporters argued that detention harms youth, increases recidivism, and is overused, citing a personal witness who described spending more than 200 days in juvenile detention before her case was resolved. Probation, district attorneys, and AFSCME raised concerns that the bill could limit judicial discretion, strain county resources, and create public safety risks or uneven implementation. Committee members were split, with some supporting the bill as a needed safeguard and others saying the system needs more resources before changing the standard. AB 46 by Assemblymember Nguyen would narrow mental health diversion by allowing judges to deny diversion when public safety is at risk. Supporters, including district attorneys and a crime victim’s family, said current law is too restrictive and has allowed dangerous offenders to reoffend; opponents, including public defenders and the ACLU, argued diversion is already limited and effective and that the bill would reduce access to treatment. Finally, SB 948 by Senator Aegian would require more comprehensive firearm safety training for firearm safety certificates and require new California residents to register firearms and obtain a certificate within 60 days. Supporters, including Brady and youth gun violence advocates, said the bill would close loopholes and improve safety; gun rights groups opposed, calling it an unconstitutional financial barrier and a burden on new residents.

Transcript Highlights:

• I'm kind of involved in residential treatment.
• There was some kind of... so they were... ...going to outpatient treatment where they get billed at a
• Giving them the right bus routes to go to their outpatient treatment center.
• to residential treatment and then, you know, it's sort of like a soft landing back into society.
• go for treatment?

Committee: Senate Senate Health and Human Services COR

Summary: The committee continued its fourth hearing on fraud, waste, and abuse involving Arizona’s Medicaid and behavioral health systems, with a major focus on Access/ALTCS eligibility, behavioral health licensing, and payment delays. Senator Shamp presented findings alleging large gaps in ABD Medicaid asset verification, including that only a portion of enrollees were checked and that many with substantial liquid assets remained on the program. She argued the state’s waiver and lack of asset limits created a compliance and fiscal risk, and urged referrals to law enforcement, tighter verification, and broader reforms. Heather Dukes, representing behavioral health and sober living operators, testified that ADHS and Access have become overly punitive toward licensed providers, often sending technical paperwork violations straight to enforcement instead of allowing correction plans, and that zoning and licensing delays are harming legitimate businesses. Reva Stewart testified that patient brokering and fraudulent recruitment of vulnerable people into behavioral health and sober living settings remain ongoing, especially through social media, and called for stronger accountability and enforcement against bad actors. ADHS Deputy Assistant Director Tiffany Slater said the department has received more than a thousand complaints about unlicensed sober living operations, which has diverted staff from routine oversight of licensed facilities. She said ADHS has expanded enforcement tools for sober living homes, is using a new licensing system to flag repeat bad actors, and is trying to make the application process easier, while acknowledging that inspections can tip off unlicensed operators. Access Director Virginia Roundtree described steps the agency has taken since the prior hearing, including daily staff huddles, live dashboards, added project management support, an external claims vendor, and an independent review of the Division of Fee-for-Service Management. She said Access is trying to balance fraud prevention with support for legitimate providers, and committed to follow up on a specific provider payment dispute by early the next week. Committee members repeatedly pressed Access and ADHS on delayed claims processing, prepayment review, and whether the current system is driving providers out of business. Roundtable testimony from Access staff described the new Provider Resolution Roundtables, which are intended to work with a small number of providers facing the most claims and authorization problems. Members questioned why claims are being denied or held for long periods, why some providers are still waiting on payments from 2023 and 2024, and whether the agency’s actions are sustainable. Access also explained the Targeted Investment Program, saying it is a federally approved Medicaid initiative with large dollar amounts still being paid out on a delayed schedule, and agreed to provide more information on provider participation and payment timing. No formal votes or committee actions were taken in the portion provided, but the chair indicated the committee would continue reviewing the issue and requested additional reports and follow-up information from Access and ADHS.

Transcript Highlights:

• Biomarkers are contained in tissue and blood and can target a patient's treatment.
• It can make the difference in a cancer patient being able to avoid bulk treatments like chemotherapy
• and radiation and go to the treatments that most effectively solve the problem.
• It can make the difference in treatment.
• :02:24.360><c> that</c> radiation and go to the treatments that radiation and go to the treatments that

Committee: Joint Insurance

Transcript Highlights:

• And I know Senator Rouson and I have worked very closely on many of these bills relating to treatment
• The course must cover, but is not limited to, evidence-based treatment protocols for patients of all
• Treatment delayed. Dignity denied. This is not an isolated experience.
• SB 844 should not, is not about special treatment. It is about equal and informed timely care.
• The bill addresses these inefficiencies to ensure timely treatment and clearer standards.

Committee: Senate Appropriations Committee on Health and Human Services

Transcript Highlights:

• You're asking for $750,000, but that will go to DHS for the actual treatment services. Mr.
• Psychiatric, psychological treatment. Thank you.
• Psychiatric, psychological treatment, depending on what needs a person may have. Okay, thank you.
• Connect them to behavioral health and treatment services.
• With treatment and other services, rather than putting them in jail.

Committee: Senate Appropriations - Education and Environment Division

Summary: The committee met to review fiscal aspects of House Bills 1417 and 1425, both part of a broader criminal justice reentry package. HB 1417 would eliminate the $35 public defender application fee and end court-ordered reimbursement of indigent defense costs, while also removing the $55 monthly community supervision fee. Testimony from the Commission on Legal Counsel for Indigents and the Department of Corrections said the bill would replace lost revenue with general fund appropriations of about $310,000 for indigent defense and $1.5 million for supervision fees, and that the fees are rarely collected and can hinder reentry. Representative Clemene said the bill is intended to reduce barriers to successful community reintegration and improve data and supervision practices. HB 1425 would create and fund front-end diversion, deflection, and pretrial services programs. Supporters described it as allowing prosecutors and local jurisdictions to divert appropriate low-level offenders from prosecution, establish deflection programs for people with behavioral health needs, and expand pretrial services. The bill includes a pilot program in three counties, a $1 million appropriation to DOCR for one FTE and contracts with local providers, $750,000 to DHS for treatment services, and $55,000 for a study of pretrial services cost savings. Committee members asked several questions about how the pilot counties would be chosen, how the consultant study would be procured, and what services the DHS funds would cover. The committee also heard House Bill 1603, which would provide a $500,000 matching grant for Native American Graves Protection and Repatriation Act compliance, with $100,000 available to each of North Dakota’s five tribes if matched. Sponsor testimony said the funds would support a Historical Society NAGPRA compliance committee and help catalog and repatriate human remains and cultural items in coordination with tribes. After questions about the federal mandate and the difficulty of identifying artifacts, the committee voted 4-0 to give HB 1603 a do-pass recommendation, with Senator Meyer assigned to carry it forward.

Transcript Highlights:

• </c><00:27:22.240><c> The</c> treatment plant upgrade project. The treatment plant upgrade project.
• water treatment plant.
• water treatment plant.
• facility to the existing water treatment facility to the existing water treatment<00:30:07.919><c> plant
• Both loans were treatment process.

Summary: The meeting began with routine business, including a quorum call, approval of the April minutes, and several informational reports. Those information items covered upcoming general obligation debt for Bullitt, Jefferson, and Warren counties; Kentucky Communications Network Authority updates tied to House Bill 6; Eastern Kentucky University asset preservation reallocations under House Bill 1; and School Facilities Construction Commission debt activity, including 20 prior debt issues totaling about $386 million with roughly 85% locally supported debt service and 15% SFCC participation. Members then discussed concerns about a Kentucky Communications Network Authority project, focusing on a reported discrepancy between an appropriation of $12.927 million and an apparent payment of about $8.532 million on a project with a cost estimate of $12.449 million. Several members asked for more detailed written information before the next Capital Projects meeting, noting that a lawsuit is pending and that they wanted to better understand the basis for the request and the spending to date. The committee also heard and unanimously approved a donor-funded Northern Kentucky University project to renovate tennis courts, with possible pickleball additions, after questions about why approval was needed, the project’s estimated $3 million cost, and its expected minimal ongoing operating costs. The committee next received Kentucky State University pool allocation reports for three projects: a $2 million McCullen Hall renovation, a $1.75 million walkway and miscellaneous repairs project, and a $2 million academic services building roof-and-window project. A member asked specifically about curb cuts and accessibility in the walkway project, and Kentucky State said existing curb cuts would be repaired and additional accessibility issues would be reviewed by engineers. The lease report from the Finance and Administration Cabinet included one lease modification requiring approval for the Attorney General’s office in Franklin County and one no-action modification for the Board of Cosmetology; the Attorney General lease was approved by roll call vote. Finally, the Kentucky Infrastructure Authority presented five loans and 37 grants, with action taken on the loan and grant items. The loans included a Hodgenville wastewater treatment plant increase, a Grant County sewer district treatment plant loan, a Mount Sterling dam rehabilitation loan, and two Morganfield drinking water loans for granular activated carbon treatment, one with full principal forgiveness. Members asked about the Morganfield project’s purpose and were told it was a remediation effort for a water-quality concern, and they also raised questions about engineering fees, which KIA said are compared against a U.S. Rural Development fee schedule that is industry accepted. The committee also reviewed cleaner water program grant reallocations from county allocation pools.

Transcript Highlights:

• That's a decision between the two because it is a medical treatment.
• That's a decision between the two because it is a medical treatment.
• That's a decision between the two because it is a medical treatment.
• The Department of Education's trespass into the realm of medicine, medical treatment, medical device
• The Department of Education's trespass into the realm of medicine, medical treatment, medical device

Summary: The House Committee on Education met on April 1 at 2:04 p.m. and first heard HCR 129/HR 125/HD1, which asks state and county transportation and education agencies to work together on pedestrian safety and traffic congestion around Haiku Elementary School. The Department of Education said it stood on its written testimony, and no other testimony was offered on that measure. The committee then took up HCR 173/HR 169/HD1, urging the Department of Health to begin education outreach and vaccination drive efforts at schools with vaccination rates under 30 percent, starting in the 2025-26 school year. The Department of Education and Department of Health both supported the resolution and stood on their written testimony. Support also came from the Hawaii Public Health Institute, Hawaii Nurses Association, the Democratic Party of Hawaii Health Committee, and Free Citizens of Malua. A number of testifiers opposed the measure, arguing that vaccination efforts do not belong in schools, that the proposal would pressure families and undermine parental rights and religious freedom, and that it could create liability and misuse public funds. Several opponents also raised concerns about informed consent, government overreach, and vaccine safety. One supporter, Kye Swan, said vaccines are the way to fight infectious disease and asked the committee to pass the resolution so children could be vaccinated before the school year starts. No vote or final committee action on the resolutions was announced in the portion of the transcript provided.

Transcript Highlights:

• In other words, patients should never have to choose between obtaining treatment and protecting their
• Treatment is, I believe, a 50- or 60-word-long definition.
• What is the normal practice is a consent for information sharing for the purposes of treatment, which
• , you would be able to share those records for that patient's treatment back and forth.
• And I don't mean just with information; I mean with treatment plans.

Committee: House Health and Mental Health

Transcript Highlights:

• Hundreds of rare diseases still have no treatment and thousands have no cure.
• And then to get to the point where you know what the answer is and hoping there's a treatment because
• And as someone who's come through the other side and found treatment and hope, who spent all morning,
• But in order to do so, they need the research, the treatment, and the coverage for that to be possible
• Throughout the years of treatments, clinical trials, and challenges that no young person should ever

Transcript Highlights:

• Taken from our reservation under false promises of treatment and healing.
• It can also pay for short-term step-down programs or residential treatment.
• That stabilizes and maintains the crisis services and outpatient treatment.
• Number one, an increase in services for those needing treatment.
• Number one, an increase in services for those needing treatment.

Committee: Senate Senate Health and Human Services COR

Summary: The committee first approved the February 4 minutes, then heard Senate Bill 1086, which would require AHCCCS contractors to reimburse non-contracting providers for certain lab services when a member was referred by a contracting provider and would bar prior authorization for diagnostic services. The sponsor said the bill was intended to address unpaid claims and improve access, while Access testified neutral but warned the prior-authorization ban could increase utilization and create a fiscal impact. The committee adopted the Warner amendment limiting non-contracting reimbursement rates to no more than contracting rates, then passed SB 1086 as amended on a 4-2 vote. The committee then took up Senate Bill 1611, an emergency measure to require Access to contract with an administrative services organization for the American Indian Health Plan, while keeping Access ultimately responsible for administration. The chair’s amendment expanded ASO duties to include provider support, quality improvement, and data analytics, removed Access claims-payment authority, added tribal observers to the selection committee, and exempted IHS and tribal-facility services. The sponsor and tribal witnesses described the bill as a response to fraud, provider nonpayment, and harm to Native communities, while Access raised concerns about the fast timeline, tribal consultation requirements, possible duplication of program-integrity functions, and fiscal uncertainty. After debate over the emergency clause and tribal consultation, the committee adopted the amendment and passed SB 1611 as amended on a 5-2 vote. The committee also heard Senate Bill 1630, which would direct Access to seek federal approval for a Medicaid home- and community-based services program for adults with serious mental illness. Supporters said the bill would create a long-term community-care option for the sickest SMI members, reduce cycling through hospitals, jails, and homelessness, and potentially save state general fund dollars; family members and advocates testified in support. Access was neutral and said it was finalizing a fiscal estimate. The Angus amendment narrowed eligibility to long-term SMI, reduced the enrollment cap from 500 to 250, changed reporting to semiannual, and removed priority-order language; the committee adopted the amendment and passed SB 1630 as amended unanimously. Later, the committee passed Senate Bill 1193, which protects emergency medical care technicians’ personal identifying information from sale or disclosure by the Department of Health Services, after adopting a clarifying amendment expanding the protected information and addressing commercial requests. It then heard Senate Bill 1318, which repeals the state’s separate dense-breast notification requirement so Arizona law aligns with the FDA’s newer mammography notice standard; the sponsor and DHS said the change would reduce confusion from duplicate, slightly different notices, and the bill was moving forward with discussion of possible future amendment language.

Transcript Highlights:

• That treatment plant, when we advocated to expand its capacity, there's a process...
• That treatment plant had not been functioning for probably 15 years.
• I just want to make a very clear point that neither the treatment plant on the U.S. side nor the treatment
• And then there's a really high standard that's for wastewater treatment workers.
• treatment process.

Summary: The joint Senate and Assembly Environmental committees held an informational hearing on the Tijuana River Valley pollution crisis, with members from both parties emphasizing that the problem is decades old, cross-border, and requires federal, state, local, and binational action. Opening remarks described the crisis as a major environmental and public health emergency affecting San Diego County beaches, air quality, marine life, tourism, and nearby communities. Assembly Member Boerner and Senator Jones both stressed the need for continued funding and cooperation, while Supervisor Paloma Aguirre outlined county efforts and called for urgent action on localized fixes and health protections. Aguirre described the scale of sewage flows from Tijuana, the long beach closures, and the county’s response, including warning signs, an air purifier distribution program, a planned epidemiological study, soil testing, and an economic impact study. She highlighted a “hot spot” near Saturn Boulevard where wastewater becomes airborne, citing elevated hydrogen sulfide levels, community illness reports, and proximity to schools and homes. Congressional staff reported that the federal delegation has secured more than $650 million for infrastructure and cleanup, supported legislation to strengthen federal watershed and IBWC programs, and pressed federal agencies for health investigations, air monitoring, and emergency declarations. Scripps scientists Dr. Sarah Giddings and Dr. Kimberly Prather presented research on water and air transport of pollution. Giddings described a five-day coastal water quality forecast model, supported by state funding, that tracks wastewater movement and helps predict beach closure risk; she said the model has about 72% accuracy and is being refined with ongoing measurements. Prather explained that polluted surf-zone spray and aerosols can carry bacteria, viruses, and gases into the air, and said her team’s measurements showed strong links between river flow, odor complaints, and hydrogen sulfide spikes, with a major drop after river diversion. She also said the team has identified thousands of airborne compounds and is studying their health implications. Dr. Paula Stigler Granados summarized public health findings, saying surveys and monitoring show nighttime exposure, sleep disruption, headaches, respiratory symptoms, anxiety, and other impacts, especially for children, workers, and older adults. She reported chemical analyses finding hundreds of contaminants in river water and a distinct chemical fingerprint at the Saturn hot spot, including evidence that pollutants infiltrate nearby homes. Sergio Dondina of Wild Coast focused on ecological and economic damage, beach loss, tire and trash pollution, and the community’s sense of being ignored. No formal votes or legislative actions were taken during the informational hearing.

Transcript Highlights:

• This is in regards to treatment foster care.
• Treatment foster care placements.
• years old and the New Mexico law allows them to say, 'I don't want medical treatment,' and treatment
• foster care is medical treatment.
• , to transitioning, and to behavioral health services like psychiatric treatment. ...treatment, those

Transcript Highlights:

• FDA and EPA to expand treatment options.
• The pre-treatment with ivermectin...
• in situations where there might be a treatment area, as Dr.
• That deer was marked with natural hair dyes so it could be identified after treatment.
• Key components that we have to have include the products for prevention and treatment.

Committee: House Agriculture & Livestock