Transcript Highlights:

• </c><00:08:57.760><c> uh</c> of Minnesota's nursing facilities uh of Minnesota's nursing facilities uh
• thing while rewarding operators who've been chronically underinvested in.
• thing while rewarding operators who've been chronically underinvested in.
• facility closed and we had to merge into one large facility.
• </c> slack for them not knowing our facility slack for them not knowing our facility our our our residents

Bills: HF1419 , HF500

Committee: House Human Services Finance and Policy

Summary: The committee took up House File 500, which would require the legislature to fund the Nursing Home Workforce Standards Board’s standards before they could take effect. An author’s DE2 amendment was adopted first; the amendment was described as pausing the board’s standards unless the legislature estimates and fully pays the cost for each nursing home. The bill author argued that mandates without money create serious consequences for seniors and providers, and said the measure would keep budget authority with the legislature rather than an appointed board. Supporters, including nursing home operators and the Long-Term Care Imperative, said the board’s holiday pay and minimum wage standards would create large unfunded costs, citing estimates ranging from hundreds of thousands to millions of dollars for individual facilities and more than $200 million statewide. They argued that some facilities could face debt, reserve depletion, or reduced access to care if the standards are not funded. Opponents, including SEIU workers and union leaders, said the board has improved staffing, recruitment, morale, and worker safety, and that caregivers deserve higher wages and holiday pay. They argued the bill would weaken the board’s ability to address chronic understaffing and would shift focus away from worker protections. Members also debated whether nursing home reimbursement rates have already risen enough to cover wages and whether the problem lies with how funds are used by providers. After public testimony closed, several members spoke in opposition and support. A roll call was requested, and the committee voted 9-7 to re-refer House File 500, as amended, to the Committee on Labor and Workforce and Economic Development Finance and Policy.

Transcript Highlights:

• and protects landowners who have entered. into lease agreements with battery facility operators.
• Power, an American-owned developer and operator of utility-scale stand-alone battery storage facilities
• begins operations.
• Finally, Senate Bill 1825 requires battery facility operators to prepare and submit a site-specific emergency
• and operate.

Bills: SB458 , SB819 , SB1238 , SB1642 , SB1643 , SB1644 , SB1791 , SB1810 , SB1824 , SB1825 , SB758 , SB1455 , SB1706

Committee: Senate Business & Commerce

Transcript Highlights:

• Our center currently operates a 55-bed secure facility and a 25-bed non-secure care facility.
• However, the current non-secure facility is operating at full capacity, and we're seeing long wait lists
• Our center currently operates a 55-bed secure facility and a 25-bed non-secure care facility.
• Currently, we operate the facility that's being proposed to be remodeled and become the new facility.
• that's</c> currently operate um the facility that's currently operate um the facility that's being<01

Bills: HF2148 , HF2693 , HF2542 , HF1141 , HF1770 , HF1489 , HF1709 , HF244 , HF1266 , HF807 , HF2619 , HF1340

Committee: House Capital Investment

Transcript Highlights:

• That income comes back to us for operating, so that's a really important part of the operations for the
• It's an amazing facility. It's an amazing location. The things they do It's an amazing facility.
• some of the operational challenges.
• So a facility like what we're in right now, this Advanced Technology Center, this facility is designed
• So a facility like what we're in right now, this Advanced Technology Center, this facility is designed

Summary: The committee first reviewed the 2024-25 tuition waiver report for the North Dakota University System. Staff explained that waivers were reported for degree-seeking students and broken out by residency, institution, and waiver type. Members asked about partial versus full waivers, institutional discretion, athletic waivers, and whether campuses have published guardrails or transparency requirements. Staff said most waivers are set by institutions, with some statutory and board-required categories, and that athletic waivers are a small share of total waiver dollars. The report showed total gross tuition of $354.5 million, tuition waived of $38.9 million, and 11,193 of 42,040 students receiving some waiver. Members also discussed how waivers affect net tuition revenue, housing and food collections, and whether campuses are using waivers strategically compared with scholarships and other funding sources. The committee then heard a presentation on tuition rates by campus and State Board policy. Staff explained the board’s tuition factors for resident, Minnesota reciprocity, contiguous-state/U.S. nonresident, and international students, and noted that campuses often seek exceptions based on program-specific competition and enrollment goals. Members asked whether rates are based on cost or competition, and staff said campuses typically bring forward estimates and market comparisons when requesting special rates. The presentation also reviewed general fund appropriations versus net tuition revenue by campus, and members discussed how local tuition decisions and waivers do not directly affect the state funding formula, though they do affect institutional revenue and reserves. Questions were also raised about the Higher Learning Commission’s financial composite indicator and how it differs from the more intuitive reserve and revenue figures. The committee next received a broad overview of non-higher-education entities affiliated with the State Board of Higher Education, beginning with NDSU agriculture-related units. Dr. Greg Lardy described the State Board of Agricultural Research and Education, the NDSU Extension Service, the Agricultural Experiment Station, and the branch research centers, emphasizing their statewide role in crop and livestock research, extension education, and county-based outreach. He outlined funding mixes for extension, the experiment station, and branch stations, noting that grants and contracts support both research and education, while the agronomy seed farm is self-funded through seed sales. Members asked about the new and vacant FTE pool, R1 research status, matching requirements for grants, and whether state appropriations count toward research expenditures. Dr. Lardy also highlighted major research impacts, including crop varieties, virtual fencing, AI-assisted weed control, and NDAWN weather data. The Northern Crops Institute and the Upper Great Plains Transportation Institute also presented. NCI described its role in market development, technical services, and education for regional agriculture, its governance through the Northern Crops Council, and its funding from state appropriations, other states, and earned revenue. Members asked about the source of out-of-state funding, intellectual property, and the institute’s international reach. UGPTI then outlined its transportation research, federal and state funding structure, and work on road and bridge condition assessments, travel demand modeling, and workforce training. No votes were taken during the portion of the meeting reflected in the transcript.

Transcript Highlights:

• contracted operated and state contracted Correctional<00:11:42.560><c> Facilities</c><00:11:43.079><
• They visit the facilities.
• They visit the facilities.
• both the ones we Correctional Facilities both the ones we operate<01:48:08.360><c> and</c><01:48:08.480
• 10.639><c> as</c><01:48:10.760><c> I</c> operate and we contract to operate as I operate and we contract

Committee: House Judiciary & Hawaiian Affairs

Summary: The House Committee on Judiciary and Hawaiian Affairs heard SB 104, which would restrict the use of restrictive housing or solitary confinement in state-operated and state-contracted correctional facilities, with specified exceptions. The Department of Corrections and Rehabilitation strongly opposed the bill, saying its existing policy already meets or exceeds ACA and National Institute of Corrections standards, and objecting to language they said would give the oversight commission operational decision-making authority. The Hawaii Correctional System Oversight Commission supported the bill, but also said it was not intended to run operations and described concerns about restrictive housing practices, including CoreCivic’s SHIP program at Saguaro. Supporters included the Office of Hawaiian Affairs, the Office of the Public Defender, the Disability Rights Center, ACLU Hawaii, Easter Seals Hawaii, and individual testifiers. They argued that Native Hawaiians are disproportionately impacted by incarceration, that solitary confinement is harmful and linked to depression, anxiety, suicidality, and poor reentry outcomes, and that confinement beyond 15 days is widely condemned under international standards. Several testifiers cited suicides and deaths in custody as reasons to codify limits in statute rather than rely on policy alone. The department responded that it already has 24/7 medical care, though not 24/7 mental health coverage at one facility, and explained that it uses four custody categories: disciplinary segregation, administrative segregation, protective custody, and placements for inmates seeking separation for safety reasons. Members questioned the department and commission about the SHIP program, whether the bill was based on other states’ laws, and how current policies compare with national standards. The director said the bill was too ambiguous in places and that the department was willing to work with the commission on policy changes, but still opposed the measure as written. The committee took testimony and questions; no vote or final action was taken in the portion provided.

Transcript Highlights:

• It will house a joint operations center serving Rice Lake and neighbors and offers crucial backup facility
• It will house a joint operations operations operations center<00:43:16.400><c> serving</c><00:43:16.800
• Our wastewater treatment facility.
• </c><01:24:47.840><c> New</c> safety facility in New Prague. New safety facility in New Prague.
• regional training operations.

Bills: HF2178 , HF942 , HF2470 , HF1043 , HF1287 , HF1229 , HF1230 , HF424 , HF571 , HF404 , HF910 , HF1055 , HF318 , HF319 , HF401 , HF609 , HF306 , HF1599 , HF1881

Committee: House Capital Investment

Transcript Highlights:

• This is effective and efficient for both the regulated facilities as well as agencies.
• Facilities need to comply.
• Next, EPA lowered emission standards for new bulk gasoline distribution facilities.
• , and close a cyanidation facility.
• These rules regulate solid waste and solid waste management facilities in Idaho.

Committee: House Environment, Energy and Technology

Transcript Highlights:

• </c> the Vietnam War in 1967, Operation the Vietnam War in 1967, Operation Popeye<00:04:38.639><c> was
• </c><00:29:12.960><c> you</c> scientists in our state operating you scientists in our state operating
• It's construction of a 353 bid facility. facility. facility.
• Four four deaths at that facility.
• </c> facility. It's just a reality, right? facility. It's just a reality, right?

Bills: HB60

Committee: Joint Judiciary

Transcript Highlights:

• that are most impacted, those facilities that are most impacted, those<00:48:24.240><c> facilities</
• Um our facility took a 2.19% Medicaid Um our facility took a 2.19% Medicaid cut<00:54:21.119><c> on</
• </c> as other facilities. It still hurts. as other facilities. It still hurts.
• operation operation at<01:10:25.679><c> which</c><01:10:25.920><c> point</c><01:10:27.199><c> uh</c>
• We do operate in a different model.

Committee: Senate Finance

Transcript Highlights:

• small and large clean energy storage facility.
• storage facilities.
• to operate in ways that benefit ratepayers and the climate.
• Facilities like Northfield Mountain operate by drawing water out of the river up to a mountaintop reservoir
• Facilities like Northfield Mountain operate by drawing water out of the river up to a mountaintop reservoir

Committee: Joint Joint Committee on Telecommunications, Utilities and Energy

Summary: The committee heard testimony on a wide range of energy bills, with much of the discussion focused on offshore wind, battery storage, solar, nuclear study proposals, and a bill to redefine clean energy. Several Barnstable-area legislators and witnesses raised concerns about offshore wind transmission infrastructure near neighborhoods, beaches, and drinking water supplies, and supported bills to create a special commission and increase local input and oversight. In contrast, environmental, consumer, labor, and clean energy groups strongly backed offshore wind expansion bills, arguing that offshore wind lowers long-term costs, improves winter reliability, reduces fossil fuel dependence, supports jobs and local supply chains, and should include wildlife protections, labor standards, and community benefits. Some witnesses and committee members noted that parts of the offshore wind legislation overlap with the Governor’s energy affordability bill, and asked for clarification on which provisions were new versus duplicative. The committee also heard testimony on battery storage and solar legislation. Two student witnesses and several industry representatives supported a bill to study grid battery storage, saying storage can reduce outages, lower peak prices, and improve grid resilience during extreme weather. Witnesses from solar and storage companies supported a broader clean energy transition bill that would expand storage procurement, create a retail-style storage program for distributed batteries, set a 10-gigawatt solar target by 2035, and streamline siting and interconnection. Committee members pressed witnesses on whether these provisions were already included in the Governor’s affordability bill and asked for a section-by-section breakdown of what was new. One witness also urged allowing developers to bond interconnection payments to reduce financing costs. Another major topic was a bill defining clean energy, especially whether existing pumped-storage hydropower should qualify for subsidies or be excluded. Supporters of the bill argued that existing pumped storage should not receive additional ratepayer subsidies because it is already built, can have environmental impacts on rivers and ecosystems, and could cost ratepayers hundreds of millions of dollars. Opponents said pumped storage is an important reliability resource and should remain eligible. The committee also heard testimony on nuclear-energy study bills: some witnesses supported creating a commission to examine nuclear power as a reliable, carbon-free option, while others opposed nuclear study bills and argued that nuclear is costly, unsafe, and inconsistent with the state’s clean energy goals. No votes were taken during the hearing.

Transcript Highlights:

• policy at that facility.”
• operations.
• No parole operations, yes. So you have adult parole operations. So let's focus on that.
• Take me to your toughest facility.
• It's a 24-hour operation.

Committee: Senate Rules

Summary: The Senate Committee on Rules first established quorum and took up several routine items, including two governor’s appointments to the Court Reporters Board, references of bills to committees, and floor acknowledgments. Heather Lynn Gonzalez’s appointment was approved 3-1, Allison Salton-Sall’s appointment was approved 4-0, and the other routine items were approved 4-0. The committee then heard testimony on two Department of Corrections and Rehabilitation appointments, Kathleen Ratliff and Joseph Tuggle, both associate directors in the Division of Adult Institutions. Senators focused heavily on the California model, staff safety, prison violence, sexual abuse prevention, retaliation concerns, and visitation. Ratliff and Tuggle said the California model is meant to balance rehabilitation with safety, that CDCR has improved communication and training, and that incidents such as the pepper-spray event at Central California Women’s Facility led to discipline, investigations, retraining, and policy review. They also described PREA reporting systems, anti-retaliation protections, statewide visiting meetings, and efforts to make visiting more family-centered and consistent. Public commenters largely supported both nominees, citing their work on rehabilitation, reentry, and sexual abuse response. The committee unanimously voted 4-0 to send both Ratliff and Tuggle to the Senate floor for confirmation. It then heard from Jason Johnson, nominated as CDCR Undersecretary of Operations. Senators questioned him about parole supervision, public safety, contraband, prison rape prevention, workplace culture, whistleblower retaliation, and repeated allegations in late-filed opposition letters. Johnson said parole risk is assessed through established scoring and supervision levels, that sex offenders are subject to GPS monitoring and treatment, and that operations use investigations, training, and collaboration with law enforcement to address contraband and misconduct. He emphasized rehabilitation, culture change, accountability, and his commitment to staff and public safety, while acknowledging criticism and the difficulty of leading a large institution. No vote on Johnson was taken in the portion provided.

Transcript Highlights:

• Are you asking if our staff, or the staff that operate at the child care facility?
• at the child staff that that operate at the child care<04:02:21.920><c> facility</c><04:02:22.680><c
• ><c> as</c><04:02:26.359><c> child</c> the the facilities that operate as child the the facilities that
• facility operations.
• </c> oversee facility oversee facility operations<04:47:27.000><c> however</c><04:47:27.240><c> there

Summary: House Finance Division III convened a work session on the DHHS budget, with the chair noting there would be no votes and that the committee would spend the day hearing from the commissioner’s office. Nathan White, DHHS Chief Financial Officer, opened with the Division of Finance/Office of Business Operations, explaining that the unit supports the department through daily financial management, AP/AR, audit work, expense projections, transfers, and procurement functions such as contracts, amendments, RFPs/RFAs, and grants management. He also described the division’s revenue and reporting work, including federal draws, CMS-64 reporting, and the public assistance cost allocation plan, and said the department had centralized rate-setting work and a small team handling Medicaid rate analysis and nursing facility rebase work. Members asked about vacancies, turnover, and budget changes. White said the division had 18 positions unfunded in the governor’s budget, reducing personal services from about $10.8 million to $9.9 million, and estimated the division’s vacancy rate at about 11 percent, below the department average. He said turnover was relatively low, with one retirement at the manager level and higher turnover mainly at lower AP-level positions. He also explained that some budget lines reflected reallocations rather than new spending, including fringe benefits centralized elsewhere and an EBT card contract moved into this unit because the staff member overseeing it works in Finance. When asked about a rent/lease increase, he said it was due to higher copier leasing costs under a statewide DAS contract. White highlighted several management and technology improvements. He said a business intelligence tool procured in 2022, using Salesforce and Excel-based data, helped DHHS better track federal revenue and maintenance-of-effort spending, reducing FY24 General Fund lapse by about 70 percent and federal/other revenue lapse by 88 percent compared with FY23; he warned that the tool is not funded in the current budget. He also described Lean Six Sigma efforts in the contracts team, training for vendors and nonprofits on procurement and indirect cost rules, and a Finance Academy to standardize policies and procedures. On the contracts side, he said the department uses Smartsheet for project management and DocuSign for electronic signatures, which cut contract execution time dramatically, but noted DocuSign is also not funded in the governor’s budget. The session ended as the committee prepared to move on to the Employee Assistance Program presentation.

Transcript Highlights:

• Um, my concern is if the hospital-based clinic is dependent on these facility fees to operate in the
• on these facility fees to operate<01:12:13.120><c> in</c><01:12:13.360><c> the</c><01:12:13.520><c> black
• If they're unable to charge these facility fees, they're basically operating in the red.
• </c> substantial costs for these facil substantial costs for these facil facility<01:27:43.920><c> fees
• </c> facility fees. facility fees.

Committee: Senate Finance

Transcript Highlights:

• Our facilities are a bit older than that.
• We also operate a statewide our work.
• </c> our facilities our facilities and<00:04:50.000><c> we</c><00:04:50.240><c> host</c><00:04:50.560
• </c> accessible facilities for motans. accessible facilities for motans.
• :27:10.320><c> daily</c><00:27:10.640><c> fire</c> facilities that accommodate daily fire facilities

Committee: Senate Capital Investment

Transcript Highlights:

• We're going to continue to operate under the committee's guidelines from '25, and they were provided
• These are projects that preserve and modernize university facilities.
• And the rest are improvements at existing juvenile rehabilitation facilities.
• This project will allow for future connections to 16 additional facilities on our campus.
• Carson Elementary is 78 years old, and the Stevenson High School facility is 72 years old.

Summary: The House Capital Budget Committee opened its first hearing of the session on HB 2295 and briefly heard a presentation from OFM Senior Budget Advisor Jen Masterson on Governor Ferguson’s proposed supplemental capital budget. She said the proposal uses about $396 million in new appropriations, leaving roughly $5.4 million in remaining bond authority, and includes major investments in housing, urgent state facility needs, climate-related projects, K-12 school safety and modernization, and higher education minor works. The housing package was the largest share, with $225 million for the Housing Trust Fund, plus funding for homeownership, preservation, manufactured housing communities, and flood-impacted home repair. Committee members asked follow-up questions about Rainier School and juvenile rehabilitation projects, and staff said Rainier School was on the plan and that juvenile rehabilitation funding included flexible capacity funding and facility improvements. Public testimony was largely supportive of the governor’s housing, education, climate, and natural resources proposals, while several speakers urged changes. Housing advocates, Habitat for Humanity, community land trusts, and service providers backed the Housing Trust Fund and homeownership funding, including support for manufactured housing preservation and transit-oriented affordable housing. School and college representatives supported small district modernization, seismic safety, lead remediation, and minor works funding, while some asked for additional support for specific projects such as Cascadia College’s new building, Central Washington University’s feeder line replacement, and WSU Spokane health education renovations. Natural resource and tribal witnesses supported salmon recovery and community forest investments, but asked for more funding for RCO community forest and estuary programs. A major recurring concern was the proposed $75 million transfer from the Public Works Assistance Account, which cities, counties, sewer and water districts, and the Public Works Board said would jeopardize low-interest loans already awarded for local infrastructure projects and shift costs onto distressed communities. Other testimony opposed the budget’s omission of certain projects, including the University of Washington’s power plant decarbonization work and a Spokane cultural hub, while some local governments requested funding for wastewater and flood-control projects. No votes were taken; the chair closed the public hearing after testimony concluded.

Transcript Highlights:

• As the Senator mentioned, there was a daycare facility.
• circular economy that operates without any subsidies.
• And that these facilities must operate in a health-protective manner.
• Have been a regular occurrence at this facility.
• We run local household hazardous waste collection facilities.

Summary: The Senate Committee on Environmental Quality heard four bills focused on environmental regulation and public health. SB 299 by Senator Cabaldon would extend a CEQA exemption to child care facilities in residential zones, with committee amendments adding guardrails to exclude sites on natural/protected lands and within 3,200 feet of oil wells or refineries. Support came from child care, planning, local government, and county groups, while one wildlife/plant organization opposed. Members emphasized the need for more child care access and noted the bill was a narrow fix to last year’s CEQA legislation. The committee later voted the bill out on a 7-0 vote. SB 58 by Senator Padilla would update California’s hydrogen sulfide standards and response framework, citing outdated rules and monitoring gaps in the Tijuana River Valley and Salton Sea areas. Testimony from UCLA and community advocates described health impacts and undercounted exceedances, while air district representatives and business interests raised concerns about the scope and timing of the proposal. The committee accepted amendments and advanced the bill on a 7-0 vote. SB 811 by Senator Caballero would establish a regulatory framework for metal shredding facilities, clarifying DTSC enforcement authority and incorporating prior negotiated environmental justice and fire-safety amendments. Supporters included the recycling industry and labor groups; opponents from community, environmental, and local government organizations argued the bill was too deregulatory and did not adequately protect nearby communities. The bill passed 5-0. SB 501 by Senator Allen would expand the state’s battery extended producer responsibility program to include medium-format batteries such as those used in e-bikes and portable power systems. Supporters said the change would improve collection, reduce fire risks, and shift disposal costs from local governments to producers; one battery recycler expressed interest in working on implementation details. The bill was amended and advanced on a 5-2 vote. After quorum was established and votes were taken on call, all four bills were reported out of committee and the hearing adjourned.

Transcript Highlights:

• , um, the PRTF obviously they operate, um, the PRTF facilities<00:16:50.399><c> and</c><00:16:50.639>
• </c> qualify for a high acuity facility? qualify for a high acuity facility?
• Number one is what would be the operational cost for a female facility, which is slightly more staff-intensive
• I believe these youth are going to private health care facilities, and this would be a state-operated
• facility.

Summary: The committee met to hear updates from the Department of Juvenile Justice and the Department of Corrections on two related issues: a proposed high-acuity juvenile mental health treatment facility and medical services contracts, including the impact of Wellpath’s bankruptcy proceedings. At the start, the chair agreed to hear the Department of Corrections first so members could get context on the medical contract before turning to DJJ’s proposal. DOC officials said Wellpath, the department’s comprehensive medical and mental health provider since 2013, was awarded its current contract through a 2021 procurement process. They reported that Wellpath’s Chapter 11 reorganization plan had been confirmed and that the company had transitioned ownership to lenders, but had not yet fully completed the bankruptcy process. DOC said there had been no service lapses, no reduction in care, and no known impact on Kentucky vendors or hospitals, and that DOC staff meet with Wellpath almost weekly. Members asked whether the committee had been kept informed and whether the bankruptcy could affect future services or subcontractors. DJJ then presented its concept for a high-acuity facility, explaining that the project is still in the preliminary programming and conceptual stage and has not yet entered the formal design phase with DECA. Officials said the proposal in the capital plan would create a 24-bed facility, with 16 clinical beds and 8 assessment/stabilization beds, to serve justice-involved youth with serious mental health needs. They said the facility would need to separate males and females and high- and low-risk youth, and that current placements often require sending youth out of state to places such as Pennsylvania, Michigan, Georgia, Arkansas, and Texas. Staff said the goal is to centralize treatment, improve safety, and reduce the need for fragmented or out-of-state placements. Committee members questioned the cost estimates, staffing needs, and whether the facility was justified given the small number of youth currently placed out of state. DJJ said the operational estimate includes an unknown medical-contract component and that the number of youth needing the facility can fluctuate because of surges in the juvenile population. Officials also said they had consulted with South Carolina, which is developing a similar facility, and noted that renovating existing facilities was considered but could be more expensive or impractical than building a separate site. No votes or formal actions were taken during the discussion.

Transcript Highlights:

• But you're a non-licensed facility. You're not even licensed as a medical facility.
• So first, facility licenses versus operating under the license of a medical director.
• First, facility licenses versus operating under the license of a medical director.
• California: ‘This facility is not licensed as a medical facility by the state of California.’
• a medical facility.

Bills: HB611 , HB897 , HB902 , HB931 , HB1030 , HB1092 , HB1100 , HB1118 , HB1138 , HB1143 , HB1160 , HB1185 , HB1216

Committee: House Health and Welfare

Keywords: pregnancy help centers, healthcare services, licensure, Department of Health, medical services, counseling, regulatory compliance, public health, healthcare data, privacy, pregnancy services, confidentiality, client rights, Louisiana Pregnancy and Baby Care Initiative, trauma-informed, child education, mental health, training program, adverse childhood events, religious instruction

Transcript Highlights:

• You'll also see operating cost.
• needed facilities, including such things as interceptor lines, detention facilities, and disposal facilities
• </c> a facility in Evston. a facility in Evston.
• </c> the demonstration facility in Gillette. the demonstration facility in Gillette.
• Over time, we've significantly improved how we design and operate our facilities.

Committee: Joint Select Water Committee

Transcript Highlights:

• facilities.
• facilities. or non 638 facilities for care, there will be no pre-authorization requirements for services
• Both IHS and 638 facilities, as well as patients who are referred out to non-IHS and non-638 facilities
• It doesn't impact operations or transparency.
• Our programs operate in urban and rural settings alike.

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.