Transcript Highlights:

• My understanding is that the AMA, from time to time, will update CPT codes.
• So it's a continuous process, and you just use the AMA as one example in terms of the CPT code dynamic
• Open the next one. my understanding is that the AMA from my understanding is that the AMA from time<02
• <02:31:17.279> one<02:31:17.479> example<02:31:17.880> in you just use the AMA
• as one example in you just use the AMA as one example in terms<02:31:18.240> of<02:31:18.800>

Keywords: 1191, senate, all

Transcript Highlights:

• HB 2027, groundwater with all file penal AMA and root.

Keywords: 1182, all

Summary: The House convened with prayer and the Pledge of Allegiance, approved the prior journal, and took attendance. Members then recognized several guest groups and individuals, including the West Valley Regional Chamber, Habitat for Humanity, Special Olympics Arizona, Vitalant for National Blood Donor Month, and veterans and military family representatives in advance of a Veterans Caucus meeting. A proclamation was read recognizing January as National Blood Donor Month in Arizona and honoring Vitalant’s role in supplying blood to Arizona patients. The chamber also heard a declaration naming January 22, 2026, West Valley Regional Chamber Day, and members made personal remarks, including a memorial tribute to Jennifer Marie Walker Skaggs and announcements about committee meetings and caucus events. The House recorded attendance, entered committee reports, and processed a large number of bills through first and second reading, covering elections, education, veterans, health, housing, taxation, artificial intelligence, public safety, and other topics. Several bills were also withdrawn and reassigned to different committees, including referrals to Artificial Intelligence and Innovation, Government, and Public Safety and Law Enforcement. No substantive floor debate or final votes on legislation occurred in the transcript beyond procedural motions. The House later recessed and reconvened, continued first-reading referrals for additional bills and resolutions, and then adjourned on a motion approved by voice vote until 1:15 p.m. Monday, January 26, 2026.

Transcript Highlights:

• University at New York ups as AMA president.
• The AMA is in strong, steady...
• The AMA is in strong, steady hands, and I know that together we could build a health care system that

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, June 24, 2026, 1012, house, all

Transcript Highlights:

• The AMA works with advocates across the country on legislation to right-size the prior authorization
• I want to briefly highlight a few of the many provisions in this bill that the AMA feels are critical
• The AMA is grateful you are considering these important reforms for Massachusetts patients and physicians

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket of bills focused on MassHealth benefits and reimbursement, health equity, behavioral health, public health, dental access, 340B drug pricing, tobacco cessation, and coverage for children. The chairs emphasized rising health care costs, provider shortages, administrative burdens, and persistent inequities by income, race, geography, and immigration status. Much of the testimony centered on H.1416/S.901, an act to advance health equity, with legislators and members of the Health Equity Compact arguing for statewide benchmarks, stronger health equity leadership, reimbursement for interpreter services, community health workers and patient navigation, Medicaid graduate medical education support, and a health equity zone trust fund. Witnesses described disparities in life expectancy, maternal mortality, access to primary care, and the impact of federal Medicaid and social service cuts, and urged the committee to report the bill favorably. The committee also heard strong support for H.1368/S.847 on rapid whole genome sequencing for critically ill MassHealth children. Testifiers from industry, academia, hospitals, and families said early sequencing can end long diagnostic odysseys, improve treatment decisions, shorten hospital stays, and save money, while also providing emotional relief and information for families. The hearing then moved to H.1407 on MassHealth rate parity for inpatient behavioral health providers, where Rep. Scanlan and the Massachusetts Association of Behavioral Health Systems said the bill would codify existing administrative parity so managed care plans cannot pay less than the MassHealth fee-for-service rate. On H.1392/S.853 to preserve and protect public health, witnesses supported higher vaccine administration fees to improve provider participation and immunization rates. The committee also heard testimony on H.770/845 to protect 340B providers in MassHealth, and on S.848 to require reporting and transparency around 340B revenues and outside administrative costs. Additional bills drew testimony on tobacco cessation coverage for MassHealth members, with advocates supporting broader access to counseling and medications through medical, behavioral health, and dental providers. On H.1409, a nursing home operator asked for more flexibility in a MassHealth staffing-related penalty tied to patient days per resident. On H.1401/S.888, supporters of the “Take 10” dental access proposal said adult MassHealth dental coverage is underused because too few dentists accept MassHealth, leading to long travel times and avoidable emergency room visits; they urged incentive payments for dentists serving new adult MassHealth patients. Finally, on H.1403/S.855, “Cover All Kids,” advocates and immigrant community members urged removal of immigration status as a barrier to full MassHealth coverage for children, while also backing a related bill to ensure 12 months of continuous coverage for children. No votes were taken during the hearing; the committee primarily received testimony and asked questions on costs, reimbursement levels, and implementation details.

Transcript Highlights:

• it's<00:28:21.320> it's<00:28:21.480> just<00:28:21.720> an<00:28:21.840> ama
• -<00:28:22.280> amazing it's it's it's just an ama- amazing it's it's it's just an ama- amazing

Keywords: Meeting Start 00:00:00 Votruba Young Scholars Academy 00:01:55 Taxation of Financial Deposit Institutions 00:36:50, 958, all

Transcript Highlights:

• And a lot of them are actually AMA P, which is what the American Medical Association provides to physicians
• And a lot of them are actually AMA P, which is what the American Medical Association provides to physicians

Bills: HB31, HB31

Keywords: absentee voting, disabled, blind, voter assistance, voting rights, SNAP, public assistance, nutritional standards, waiver, food regulation, 1136, house, all

Transcript Highlights:

• So we hope to be included within other organizations such as CDC, NIH, ACOG, AMA, and AAP.
• So we hope to be included within other organizations such as CDC, NIH, ACOG, AMA, and AAP.
• /c><00:16:38.399> CDC,<00:16:39.199> NIH,<00:16:40.000> ACOG,<00:16:40.639> AMA
• such as CDC, NIH, ACOG, AMA, and AAP. such as CDC, NIH, ACOG, AMA, and AAP.

Bills: SB2936, SB2850, SB2851, SB2521

Keywords: accessible parking, disability, kupuna, public accommodations, small business exemptions, Hawaii Revised Statutes, parking permit, blind, deaf, accessibility, deafness, traffic safety, law enforcement, vehicle registration, communication, emergency services, commercial driver's license, first responders, public safety, authorized emergency vehicle

Summary: The committee heard testimony on several health-related bills. HB 1871, establishing a maternal health monitoring pilot program, drew support from the Department of Health, the Hawaii State Commission on Status of Women, and the Hawaii affiliate of the American College of Nurse Midwives, with testimony urging provider-neutral language so midwives and other qualified providers would not be excluded. HB 1977, requiring a maternal and infant health information mobile app, received support from ACNM and Philips, which said similar apps in other states improved awareness of services and helped families navigate care; a member asked the Department of Health about implementation time. HB 1858, relating to certificates of fetal deaths, was supported by the Department of Health and clinicians, who said the current statute is outdated and inconsistent with CDC guidance; the department and a physician testified that the bill should shift documentation responsibilities to physicians and APRNs, and members discussed optional versus mandatory issuance language and whether the bill would improve data on home births and transfers. The committee also heard HB 1591, expanding definitions for preceptor and volunteer-based clinical training to improve income tax credits. The Department of Health supported the measure but preferred a similar, broader bill; Taxation suggested clarifying terms; the University of Hawaii and the State Center for Nursing supported it. ACNM asked that midwifery preceptors and Hawaii-based students enrolled in mainland programs be included, while the Hawaii Public Health Institute supported expansion of the program as a workforce solution. HB 1574, on the health care education loan repayment program, also drew broad support, including from the governor, SHPDA, OHA, and health organizations, but ACNM raised concerns that the bill’s 30% Medicaid-client threshold could exclude many providers and limit participation. For HB 1575, creating a feasibility committee on Parkinson’s patient air transport, the Department of Health supported the intent but said transportation is more likely an insurance or benefit issue and suggested redirecting funds to Parkinson’s research; the Michael J. Fox Foundation and the Hawaii Parkinson Association supported the bill, citing inter-island travel barriers and high costs for patients and caregivers. HB 1854, establishing certification of community behavioral health clinics, was supported by the Department of Health and DHS, which said certification would help clinics qualify for enhanced Medicaid reimbursement and expand access; the Attorney General’s office raised a legal concern about the special fund language and recommended a purpose section, and the committee discussed whether the fund would be self-sustaining and noted a possible amendment to change membership language and reduce the board size if the amendment moved forward.

Transcript Highlights:

• parents are involved in medical decision-making, which has been done in a standard way according to the AMA
• It says that physicians are bound to the ethical guidelines as outlined in AMA guides to ethical...
• 30.640> the done um in standard way according to the done um in standard way according to the AMA
• 31.799> to<00:17:32.000> Medical<00:17:32.400> ethics<00:17:33.160> which AMA
• guidelines to Medical ethics which AMA guidelines to Medical ethics which by by by RSA<00:17:35.440>

Keywords: 1189, house, all

Transcript Highlights:

• And I just want to say quickly that the KMA has, they are neutral this year and that the AMA code of
• :22.560> the they are neutral this year and that the they are neutral this year and that the AMA
• 23.120> code<01:37:23.360> of<01:37:23.480> ethics<01:37:24.040> really AMA
• code of ethics really AMA code of ethics really lays<01:37:26.280> out<01:37:26.560> how
• c><01:37:27.360> how<01:37:27.640> practitioners Chair: The AMA code of ethics really lays

Keywords: 00:00:00 Call to Order/Roll Call 00:01:10 Discussion of 25RS HB 414 00:44:26 Roll Call Vote on 25RS HB 414 00:50:25 Discussion of 25RS SB 27 00:53:44 Roll Call Vote on 25RS SB 27 00:55:49 Discussion of 25RS SB 93 00:57:57 Roll Call Vote on 25RS SB 93 00:59:29 Discussion of 25RS SB 132 01:37:39 Roll Call Vote on 25RS SB 132 01:40:55 Discussion of 25RS SB 153 01:42:05 Roll Call Vote on 25RS SB 153 01:43:46 Adjournment, 958, all

Summary: The Health Services Committee met with a quorum and took up House Bill 414 with a committee substitute. The bill, described by sponsors and supporters as a continuation of prior maternal-health legislation, was framed as a clarification of medical standards and an effort to improve care for women and families facing complicated pregnancies. Representative Tate, Representative Nemes, Adair Wushar of Kentucky Right to Life, and Dr. Jeff Goldberg of ACOG Kentucky all testified in support, saying the substitute was developed collaboratively to reduce confusion in the law and help physicians provide evidence-based care without fear of criminal penalties. Supporters said the committee substitute was intended to define what is not an abortion under Kentucky law and to spell out medical treatments for conditions such as miscarriage, ectopic pregnancy, molar pregnancy, sepsis, hemorrhage, preeclampsia, premature rupture of membranes, and fetal demise. Dr. Goldberg said current statutes contain significant ambiguity and have created unintended barriers to treating pregnancy complications, including emergency situations, and he gave examples of patients who were delayed or harmed because physicians were uncertain about what the law allowed. Representative Nemes said the measure was the result of unusual cooperation among groups that do not usually agree and described it as a first step toward fixing a discrete problem. Representative Wilner raised concerns that the language could effectively require a patient to be in severe distress before treatment is clearly permitted and that it was too prescriptive about how physicians should manage miscarriages. In response, Dr. Goldberg and the sponsors said the substitute was not perfect, was meant as a short-term solution, and was designed to give doctors more confidence in providing routine, medically necessary care for pregnancy complications. The transcript indicates the committee substitute was adopted, but no final vote on the bill itself is shown in the excerpt.

Transcript Highlights:

• though not a spokesman for the American Medical Association, of which I am a member, I quote current AMA
• I quote current AMA policy.
• The AMA supports piloting a gradual phase-out of nicotine delivery device sales as part of a multi-pronged

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on a wide range of bills focused on children’s health, tobacco control, newborn screening, pediatric cancer, palliative care, and professional licensure. Early testimony highlighted Senate bills to expand newborn screening for pyruvate dehydrogenase complex deficiency, lysosomal storage disorders, and congenital CMV, with families and clinicians describing severe diagnostic delays, missed treatment windows, and the benefits of early detection. Speakers also supported a bill to improve pediatric cancer research through a dedicated trust fund, and a bill to extend pediatric palliative care services to age 22, with parents and providers emphasizing continuity of care for seriously ill young people. Several witnesses gave personal accounts in support of the newborn screening measures. Families described children who endured years of misdiagnosis before receiving diagnoses such as Gaucher disease, Fabry disease, Pompe disease, Niemann-Pick disease, and CMV, often after irreversible damage had already occurred. Medical and advocacy witnesses said Massachusetts already collects some of the relevant screening data and argued that results should be reported to families, while others urged the committee to add conditions to the state panel because effective treatments already exist. The committee also heard support for a bill to establish a fetal alcohol spectrum disorder program and training for providers. On tobacco and youth health, testimony supported bills to ban internet tobacco sales, strengthen youth protections, and reduce lung cancer deaths through point-of-sale information and quit-line access. A student testified about easily purchasing flavored nicotine products online without meaningful age verification, and public health advocates backed measures to keep tobacco out of children’s environments. The committee also heard testimony on a bill to ensure parents have access to their children’s medical records through age 16, with exceptions for sensitive services already protected by law. The committee additionally took testimony on an optometry licensure bill, where ophthalmologists opposed language they said could broaden scope of practice and allow optometrists to use the title “optometric physician,” while optometry educators and students supported the bill as a modernization measure with no scope expansion. No votes were taken during the hearing; the chair repeatedly reminded speakers of time limits and noted that written testimony could be submitted for additional comments.

Transcript Highlights:

• that in the absence of clear evidence, that in the absence of clear evidence, the<00:36:53.080> AMA
• 54.000> that<00:36:54.120> the<00:36:54.280> ASPS<00:36:55.280> and the AMA
• agrees that the ASPS and the AMA agrees that the ASPS and surgical<00:36:55.840> interventions

Bills: HB1573, HB1645, HB1875, HB1898, HB2121

Keywords: electronic smoking devices, e-liquids, certification, FDA, state law, penalties, compliance, directory, public health, nonprofit, child welfare, liability, insurance, legal protections, Hawaii, health care, reproductive rights, gender-affirming care, privacy, civil liability

Summary: The committee heard testimony on HB 1573, which would create state enforcement authority over unauthorized e-cigarette products and related tobacco enforcement. Supporters including SHPDA, the Department of Health, the Attorney General’s office, Hawaii Public Health Institute, and others said the bill would help protect youth from unauthorized vaping products, give the state tools to enforce an FDA-authorized product list, and add penalties and inspection authority. A committee member asked whether enforcement staff were available and what penalties would apply; the response was that existing tobacco investigators would take on the work, and the bill includes civil penalties, seizure authority, and possible license revocation referrals. The measure drew both support and opposition testimony, but no vote was taken in the portion provided. The committee then took up HB 1645, relating to liability for child welfare service providers. The Insurance Division said it was aware of the insurance-cost problem, had raised the issue with the NAIC, and was exploring a captive insurance option, while suggesting the legislature consider additional appropriations to DHS to cover higher contract costs. Supporters, including Parents and Children Together and Hawaii Insurance Council, argued the bill would help child welfare providers obtain insurance and continue critical services. Opponents, including the Hawaii Association for Justice, warned that removing joint and several liability could leave victims undercompensated and might not actually lower premiums. The insurance commissioner said other states have done tort reform in this area, but the committee was told it is not clear the bill would reduce insurance costs. Finally, the committee heard extensive testimony on HB 1875, which would protect access to gender-affirming care in Hawaii and shield patients and providers from out-of-state legal actions. Support came from the Hawaii State Youth Commission, LGBTQ+ and public health groups, medical professionals, ACLU Hawaii, Planned Parenthood, and others, who said gender-affirming care is evidence-based, medically necessary, and important for patient privacy, provider stability, and continuity of care. Several witnesses asked for amendments to the bill’s definition language. Opposition testimony came from individuals and groups including Hawaii Christian Coalition, Leeward Republican Women’s Club, and others, who argued the bill could expose children to irreversible decisions and that more research is needed. The chair noted roughly 176 supporters and about 40 opponents testified. No final action or vote was reported in the excerpt.

Transcript Highlights:

• You can see in the AMA research that independent ownership of practices has fallen from 76% in the 80s
• On the hospital side, we talked about this earlier; the AMA has found that out of 389 metropolitan areas
• Earlier, the AMA has found that out of 389 metropolitan areas, only five were not considered highly concentrated
• Along the same lines as kind of what you've already been talking about, we found an AMA survey that the

Keywords: 1184, house, all

Transcript Highlights:

• A little over 5,000 for AMAs and SNAs and state recreation areas.
• A little over 5,000 for AMAs and SNAs and state recreation areas.
• A little over 5,000 for AMAs and SNAs and state recreation areas.
• A little over 5,000 for AMAs and SNAs and state recreation areas.

Keywords: 1183, house

Transcript Highlights:

• Representative San Amas excused. Representative Takayama, I. Representative Cochran, I.
• Representative San Amas excused. Representative Takayama, I. Representative Cochran, I.

Keywords: 910, house, all

Summary: The Committee on Hawaiian Affairs heard several Senate concurrent resolutions. SCR 11, urging Congress to amend the Civil Rights Act to prohibit discrimination based on sex, sexual orientation, and gender identity, drew support from the Hawaii State Commission on the Status of Women and Pride at Work Hawaii, both of which backed the measure as a statement of equality and protection for LGBTQIA+ people. A member also reminded testifiers to keep signs and statements relevant to the measure. SCR 22, recognizing the 50th anniversary of the restoration of Ahu and Aliʻa, had no testimony. SCR 58, calling for a progressive enforcement framework for parking violations in DLNR boating and ocean recreation lots, drew strong support from multiple testifiers who argued that towing is overly punitive, costly, and unfair to beach and harbor users; they favored warnings or smaller citations instead of towing and raised concerns about signage, contract oversight, and the cost of proposed enforcement technology. One member asked about whether DLNR could use HPD or other officers for citations, and the discussion focused on staffing and enforcement authority. The committee then heard SCR 60 SD1, requesting an update on the “Breaking Cycles” study on alternative rehabilitation and restorative justice models on Oahu. The Department of Corrections and Rehabilitation was not present, but the Corrections Reform Working Group strongly supported the resolution, saying the study reflects extensive community outreach and should not be shelved. Testifiers urged the committee to use the report to examine alternatives to a new jail, including diversion, pre-trial reform, probation reform, and renovations to existing facilities, and one testifier suggested amendments to add experts in those areas and technical assistance from the Prison Policy Initiative. Another testifier described Maui’s use of wraparound reentry services, prosecutorial discretion, and programming as an example of reducing incarceration without expanding jail capacity. SCR 184, asking the Hawaii Civil Rights Commission to examine anti-discrimination laws as applied to algorithmic and automated decision systems, had no in-person testimony, with the chair noting one support and one comment submitted. The final measure, SCR 89 SD1, which would create an advisory committee under the Hawaii correctional system oversight commission to develop recommendations on alternative rehabilitation and restorative justice models on Oahu, also had no testimony from the department, but the Corrections Reform Working Group supported it as a way to ensure community input into jail planning. A later testifier echoed concerns about building a large new jail and urged the committee to consider alternatives to incarceration and to include people with expertise in diversion, pre-trial reform, and probation reform. No votes or final actions were taken in the portion of the hearing provided.

Transcript Highlights:

• Board-initiated complaints come from when we receive a report from NPDB or from FSMB or AMA that lets
• However, they receive that data from the AMA.

Keywords: 996, all

Transcript Highlights:

• Ama on YouTube. who got an antibiotic-resistant mycobacterium infection that has resulted in years of

Bills: SB213, SB378, SB610, SB681, SB918, SB1172, SB1252, SB1343, SCR8

Keywords: SB 213, Texas insurance, Insurance Code, Chapter 551, Chapter 541, bundling, tying arrangement, cross-selling, homeowners insurance, residential property insurance, auto insurance, personal automobile insurance, consumer protection, unfair trade practice, deceptive insurance practice, property and casualty insurer, Lloyd's plan, county mutual, reciprocal exchange, farm mutual

Transcript Highlights:

• are fighting this, including the U and the Mayo and the MMA, who are really credible people, groups, AMA
• credible uh and the MMA who are really credible uh people<01:38:50.719> groups<01:38:51.719> AMA
• whatever<01:38:52.840> they<01:38:53.639> I<01:38:53.679> don't people groups AMA
• whatever they I don't people groups AMA whatever they I don't know<01:38:53.880> how<01:38:54.000

Keywords: 1187, senate, all

Transcript Highlights:

• We have worked with the AMA and ASCO on coding and payment improvements.
• to your attention that even in your state, back in about 2021... ...there was a seminar given by the AMA

Keywords: 995, all

Summary: The committee heard testimony on a wide range of health insurance and public health bills, with most speakers focused on expanding coverage for specific treatments and services. Bills discussed included H. 1187/S. 792 on rehabilitation counselors, H. 1173/S. 692 on patient navigation, S. 2600 on scalp cooling for chemotherapy patients, S. 2599 on medically necessary treatment for port wine birthmarks, H. 1164 on licensed educational psychologists for child and adolescent mental health services, S. 754/H. 1254 on autism diagnosis and treatment by nurse practitioners and psychiatric nurse mental health clinical specialists, S. 714/H. 1137 on infectious disease response and coverage, and S. 791 on making nature a prescriptive therapeutic intervention. Speakers generally argued these bills would improve access, reduce out-of-pocket costs, and address gaps in current insurance reimbursement rules. Testimony in support emphasized personal stories and clinical evidence. Cancer patients and providers described the benefits of patient navigation and scalp cooling for dignity and quality of life during treatment. Boston Children’s Hospital staff and families said port wine birthmark treatment is medically necessary, can prevent complications, and should not be denied as cosmetic. Rehabilitation counselors and school psychologists argued their services are effective, cost-saving, and underused because they cannot bill insurance. Autism advocates said current insurance statutes are outdated because nurse practitioners and psychiatric nurse mental health clinical specialists already provide evaluations and should be recognized for reimbursement to avoid delays in early intervention. Public health and GLAD Law testimony supported stronger infectious disease coverage to remove barriers to testing, treatment, and PrEP access. The hearing also included extensive testimony on H. 1172, a bill requiring insurance coverage for detransition-related care. Supporters said it would ensure coverage for medically necessary care for people who regret or reverse gender transition, while opponents argued it would legitimize anti-trans narratives or, conversely, that detransition care is needed because transition procedures can cause harm. The committee also heard strong support for S. 791 from advocates who described nature access as a health intervention that could help with trauma, anxiety, substance use recovery, and environmental justice, with claims that insurance coverage and reduced park fees would improve access. No votes were taken during the transcript, and the chair repeatedly thanked speakers and moved through the long list of public testimony.

Transcript Highlights:

• DO IN THE AREAS OF SERVICES AND CHILDREN AND FAMILIES IN NEED OF SERVICES A LOT OF OUR PROGRAMS LIKE AMA

Keywords: 999, senate, all

Transcript Highlights:

• The AMA has stated with regard to minors and transgender care that decisions about medical care belong
• The AMA states, 'We believe it is inappropriate and harmful for any state to legislatively dictate that

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

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

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