Transcript Highlights:

• </c><00:08:21.560><c> community</c> represent the actual medical community represent the actual medical
• Of those 11 non-legislative members, how many actually represent the medical community themselves, the
• According to our law, it says that the Board of Nursing shall accept their certification.
• The other piece of the bill is it allows GLP-1 and, what’s the other medication?
• Oh, it allows these medications to be in schools for the treatment of people with diabetes.

Summary: The Senate Standing Committee on Health Services met with a quorum and first considered House Bill 9, which would create a Medicaid Oversight and Advisory Board modeled after the Public Pension Oversight Board. The sponsors said the board is intended to bring together the executive branch, legislative branch, and stakeholders to study Medicaid policy and its fiscal impacts before changes are made. Members generally supported the concept, with questions focused on board size and representation from providers and community-based service organizations. The bill was reported favorably by unanimous vote, including a title amendment. The committee then heard House Bill 152, which would create a Medicaid supplemental directed payment program for public EMS agencies, including fire departments and city, county, or taxing-district EMS providers. The sponsor said the measure is designed to draw down a higher federal match without any general fund impact, and noted support from local government groups. After brief discussion, the bill passed with favorable expression by unanimous vote. Finally, the committee took up House Bill 688, a two-part measure. One part would give the Board of Nursing more discretion to review out-of-state nursing credentials by changing mandatory acceptance of certification to permissive language, in response to concerns about fraudulent or substandard nursing programs and the effects of multistate licensure. The other part would allow certain diabetes medications to be stored and administered in schools, with training for school personnel and civil immunity for those acting in good faith. Some members supported the bill as a way to protect patients and maintain standards, while one senator voted no because of concerns about slowing licensure during a nursing shortage. The bill passed 10-1 with favorable expression. The committee announced it would meet again Wednesday at 8:30 a.m., then adjourned.

Transcript Highlights:

• Additionally, medication trends show fewer new or increased anti-anxiety medications.
• Medication trends show fewer new or increased anti-anxiety medications, and program participants had
• What data is captured: health care claims for medical services, including durable medical equipment and
• What data is captured, health care claims for medical services, including durable medical, What that
• has captured, health care claims for medical services, including durable medical equipment and vision

Committee: Senate Health & Long-Term Care

Summary: The committee held a work session on the long-term care workforce, hearing first from DSHS Assistant Secretary B. Rector and then from representatives of Washington Health Care Association, SEIU 775, and Behavioral Health Solutions. Presenters described rapid growth in the 85-and-older population, increasing demand for home- and community-based services, and persistent shortages in direct care, nursing, and behavioral health staff. They cited low wages, unstable hours, benefits, certification and testing delays, immigration-related workforce concerns, and burnout as major barriers to recruitment and retention. DSHS highlighted recruitment and retention initiatives funded with federal dollars, including high school training programs, a retention toolkit, transportation support, workforce navigators, tribal partnerships, and remote caregiving pilots. Industry and labor witnesses urged higher reimbursement and compensation, better training pathways, and more worker voice; they also noted that Washington ranks highly nationally on some workforce measures but still faces shortages and turnover. Behavioral Health Solutions added that credentialing delays and mental health staffing gaps are affecting nursing home behavioral care, and that its programs aim to reduce hospital transfers and improve resident outcomes. No votes were taken. The committee then received an overview from the Office of the Insurance Commissioner on the palliative care benefit work group created by 2024 legislation. OIC explained that the work group, with actuarial analysis from Milliman and input from multiple stakeholder organizations, studied a proposed palliative care benefit for commercial plans, Medicaid, PEBB, and SEBB. The report concluded that a new benefit would likely increase costs, estimating about 28 cents per member per month overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. OIC said the evidence was insufficient to conclude that palliative care would produce offsetting savings, though several provider members disagreed and submitted response letters. Members asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said the issue remains unsettled and that additional data may emerge as other states implement similar benefits. Finally, the Health Care Authority provided a broad overview of health care price transparency tools in Washington and federally. Staff described federal hospital and health plan transparency rules, the state all-payer claims database, consumer-facing price and quality tools, prescription drug price transparency reporting, the Health Care Cost Transparency Board, and the Prescription Drug Affordability Board. They emphasized that these tools provide useful but incomplete information because of data lags, proprietary restrictions, limited self-insured employer participation, and the complexity of machine-readable files. The committee also discussed the role of AI in making transparency data more usable and the limits of current tools in helping consumers afford care. No formal action or vote was taken on any item.

Transcript Highlights:

• </c><00:24:57.360><c> records</c> sb1421 relating to medical records sb1421 relating to medical records
• </c> of their disposition of the medical of their disposition of the medical records<00:25:57.559><c>
• </c> something um they should be on a medical something um they should be on a medical record<00:27:02.880
• </c><00:37:15.000><c> Response</c> support Jim American Medical Response support Jim American Medical
• </c> Douglas van gonma American Medical Douglas van gonma American Medical Response<00:37:25.720><c>

Committee: Senate Health and Human Services

Summary: The Health and Human Services Committee heard testimony on several health-related measures, with most of the discussion focused on SB 1419, SB 1494, and SB 1495, which were taken out of order to accommodate ASL/Death Blind Task Force testimony. SB 1419, relating to Act 253 (Session Laws of Hawaii 2023), drew support from the Department of Human Services and the National Federation of the Blind of Hawaii, with testimony emphasizing use of the term “low vision” and support for the program timeline. The committee later recommended passage with amendments, including technical changes and updated appropriation fiscal years, and the motion was adopted unanimously by the members present. SB 1494, concerning hearing aids, drew broad support from disability advocates and others who argued that hearing aids improve health, reduce accidents, and may help reduce dementia risk. Testifiers also urged that the bill define hearing aids as prescription hearing aids rather than including over-the-counter devices, and the Department of the Auditor and Insurance Division raised cost and coverage questions. The committee recommended passage with amendments, changing the coverage approach to optional coverage similar to vision and dental and requesting a sunrise analysis for prescription hearing aids; that recommendation was adopted. SB 1495, which exempts hearing aids from the general excise tax, also received support, while the Attorney General flagged a possible single-subject issue and the Tax Department estimated a potential $1.1 million revenue impact. The committee recommended passage with amendments, including deletion of the challenged language, technical fixes, and noting the revenue estimate; that recommendation was adopted. The committee then moved through additional measures with mostly supportive testimony. SB 1421 on medical records prompted questions about what happens when a solo practitioner dies or closes practice, and the discussion centered on ensuring patients can obtain records, including a proposed amendment requiring a successor provider to send records to the patient’s last known address. SB 1422, dealing with a special fund and vital statistics funding, was supported by the Department of Health, which said the special fund did not meet criteria and that deposits should instead go to the Vital Statistics Improvement Special Fund. SB 1423 on certificate of need exemptions for Department of Health facilities drew support, with discussion of possibly extending exemptions to dialysis and behavioral health/psychiatric services; the Department indicated it would not oppose that change. SB 1424 on credentialing of health care providers also received support, and SB 1425 on the State Emergency Medical Services Committee focused on reducing quorum requirements because many members are active first responders and cannot always attend meetings. The committee also heard support for SB 1426 on emergency medical services, SB 1431 on viral hepatitis, and SB 1433 on harm reduction, with testimony on hepatitis outreach funding and syringe access best practices; for SB 1433, the Department of Health identified a blank in the bill and recommended a six-month period for the syringe-possession exception.

Transcript Highlights:

• </c> and also cite the authoritative medical and also cite the authoritative medical organization<00:
• ><c> birth,</c> Senator Lamb, certificates of birth, Senator Lamb, certificates of birth, license<00:
• </c> designation, birth certificate designation, birth certificate modernization<00:24:12.159><c> act
• </c> individual whose birth certificate individual whose birth certificate designates<00:24:48.880><c
• </c> Maryland Institute for Emergency Medical Maryland Institute for Emergency Medical Services<00:49

Transcript Highlights:

• The Division of Medical Services transfers $58.6 million from the hospital medical line item to the private
• Elizabeth Pitman, Division of Medical Services. I'm Andy Morgan, the deputy CFO.
• The first one is DHS Division of Medical Services. This is for $2.3 million.
• It's a new contract for a trauma medical consultant for the trauma system.
• And number 12, DHS Medical Services with Oregon Health and Health...

Committee: All JOINT BUDGET COMMITTEE

Summary: The committee heard a series of appropriation requests and contract reviews across multiple sections. In Section B, members approved temporary appropriations for the Court of Appeals, Commerce/Aeronautics, and Insurance-related payments and refunds. Section C ARPA requests from DHS were approved to return unused federal funds. Section D infrastructure-related appropriations, including wildfire preparedness, broadband BEAD funding, forestry support, recycling, and oil and gas sample preservation, were approved after questions about broadband audit controls and performance safeguards. Section E DHS reallocations were approved, including large transfers within Medical Services from hospital medical to private and public nursing home lines, along with smaller transfers for children and family services, developmental disabilities, and youth services; members asked about the source and purpose of the medical services transfer. Sections F and G were reviewed, covering cash fund requests, federal grants, and miscellaneous grants, including community college storm repairs, corrections commissary and maintenance, 911 enhancements, maternal health, disability determinations, state police equipment, digital newspaper archiving, and CDL data improvements. In Section H, the committee reviewed pay plan appropriations and performance fund transfers tied to the new Class and Comp pay plan. Section I reviewed three methods of finance for UA Little Rock, UAMS, and the University of Arkansas system. In Section J, the committee reviewed discretionary grants, including a $1.4 million HIV services grant and nine tobacco prevention subgrants through UAPB. Members questioned the effectiveness, metrics, and addresses of some tobacco-cessation arts-based grantees, especially Arts Absolutely Inc.; after discussion, Representative Kavanaugh moved to expunge the vote on J2 and refer it back for review at a later ALC meeting, and that motion passed. J3, a Department of Energy and Environment grant for propane safety training and e-waste recycling services, was then reviewed. The committee also reviewed contracts in Section K. K-1 ratified emergency management nuclear planning work performed during a transition between agencies. K-2 construction contracts included architectural and engineering services for corrections, National Park College signage, a Razorback Road parking facility, and UAMS cyclotron installation. K-3 intergovernmental contracts covered health, education, autism waiver, stroke, newborn screening, Medicaid evidence review, and radiation testing services. K-4 out-of-state contracts included staffing, IT, tobacco prevention, audit, marketing, planetarium, recruitment, and janitorial services; Senator Irvin noted one contract appeared to belong in the out-of-state list rather than intergovernmental. K-5 in-state contracts covered staffing, cleaning, re-entry and treatment services, foster care and disability services, hearing officers, asbestos abatement, campus IT support, and janitorial work. The meeting ended after a brief personal update from Senator Irvin about tornado damage in Stone County and thanks to members for their concern, followed by adjournment.

Transcript Highlights:

• who onboarded some medical coders.
• Another update was to our certification process for domestic violence centers.
• Under this provisional certification, all of the existing standards... ...close.
• If a certification or provisional certification is approved, the department will work with that provider
• Psychotropic medication, the usage of psychotropic medication, having been placed at least once in a

Summary: The subcommittee heard two Department of Children and Families implementation updates on measures passed in prior sessions. First, DCF reviewed House Bill 633, which increased oversight of behavioral health managing entities through biennial independent audits, standardized claims-based reporting, and new monthly outcome dashboards. The department said it had awarded the inaugural audit to Ernst & Young, found no significant waste, fraud, or abuse, but identified process risks involving financial controls, claims validation, data access, and system access controls. DCF also described its transition to standardized behavioral health coding and said the new public dashboard of 11 measures is posted on its website, though members asked for easier access and for hard copies of the audit report. Members asked about how the department distinguishes Medicaid-covered services from department-funded services, how duplicate payment risks are being addressed, and whether the new reporting and audit requirements would improve oversight without disrupting services. DCF said it is the payer of last resort for uninsured or underinsured individuals, that some overlap with Medicaid is expected because Medicaid does not cover all behavioral health services, and that new claims edits and cross-checks are being built into the system. The department also said it had not found significant negative feedback from providers and that the new requirements are intended to improve transparency and accountability. DCF then updated the committee on Senate Bill 7012, covering human trafficking data collection, domestic violence center certification, limited background-screening exemptions, expanded recruitment for child welfare staff, subcontractor liability protections, a four-year treatment foster care pilot, case management efficiency recommendations, and a statewide study of residential bed capacity for child victims of commercial sexual exploitation. The department said several items are already complete or underway, including limited exemptions in the screening clearinghouse, while others are in procurement or rulemaking. It identified Circuits 4 and 12 as the treatment foster care pilot sites and said the pilot will launch in January 2026. Members questioned recruitment metrics, pilot timing, and report deadlines; the department said final reports are expected by January and that some dates were flexible because of procurement and implementation timelines. The meeting ended after the presentations and questions, and the subcommittee adjourned.

Transcript Highlights:

• Yeah, so in order to be eligible for the Board of Certification exam, the national certification that
• That exam is offered by the Board of Certification.
• To provide medications.
• For those that have no insurance or underinsured, we provide free medications or reduced price medications
• For those that have no insurance or underinsured, we provide free medications or reduced price medications

Committee: House Health and Mental Health

Transcript Highlights:

• out the door with the medications that they've already started.
• I am a resident of San Francisco, and I hold a CNA-HHA certification.
• I am a resident of San Francisco, and I hold a CNA-HHA certification.
• Nearly 30% of all jobs in California require a license, certification, or background clearance.
• Nearly 30% of all jobs in California require a license, certification, or background clearance.

Summary: The Assembly Business and Professions Committee heard a long agenda of licensing, health care, and workforce bills. Measures discussed included AB 957, which would prohibit tobacco sales in licensed pharmacies; AB 447, which would allow patients to take home certain unopened medications started in emergency rooms; AB 427, joining the Social Work Licensure Compact; AB 667, allowing interpreters for certain licensing exams; AB 742, prioritizing descendants of slaves in licensing review; AB 873, changing infection-control training timing for dental assistants; AB 360, requiring a report on menopause education for physicians; and AB 1175, modernizing CPA licensure requirements and mobility. Testimony generally emphasized public health, access to care, workforce shortages, language access, and economic opportunity, while opposition or concerns focused on implementation, worker protections, compact authority, and constitutional issues in AB 742. Several bills drew broad support from sponsors, professional associations, and advocacy groups. AB 957 was backed by cancer and pharmacy advocates and pharmacists who said pharmacies should not sell tobacco; AB 447 was supported by emergency medicine and hospital representatives as a way to reduce waste and help patients leave with needed medication; AB 427 drew support from social work and mental health groups but concerns from AFSCME about standards and displacement; AB 667 was supported by immigrant-rights and community groups, with questions about whether translated exams would be preferable to interpreters; AB 360 received extensive support from women’s health advocates and medical groups, and opposition from CMA and ACOG was removed after amendments; and AB 1175 was supported by the Board of Accountancy and CPA groups as a way to expand the pipeline and improve mobility. The committee took votes after quorum was established. AB 360, AB 427, AB 447, AB 667, AB 873, AB 1175, and AB 742 were all approved and sent to their next committees, with AB 742 going to Judiciary and AB 1175 to Appropriations. AB 957 was initially held on call, then later passed after additional votes were recorded. The consent calendar bills AB 375, AB 1107, and AB 1496 were also approved. Most measures passed on largely party-line or near-unanimous votes, with some members not voting on certain items during the roll calls.

Transcript Highlights:

• With that certificate of Indian blood, which we call it.
• , the certificate of Indian blood.
• Recommendation of some medical professional is that correct? Mr.
• I think it was in regards to the certification, if there's any type of certification qualifications for
• It's close, but it's not quite the same as in the Medical Malpractice Act.

Bills: SB273 , SB37 , SB100

Summary: The Senate convened on the 30th day of the 2026 session, established a quorum, heard an invocation from Chaplain Harry Eberts, and received several announcements and House messages. The chamber then took up multiple concurrence and third-reading items, including Senate Bill 273, Senate Bill 37, Senate Bill 100, Senate Bill 41, House Bill 34, House Bill 20, House Bill 43, House Bill 38, and House Bill 256. The body also heard that House Joint Memorial 2 was moved from the President’s table to the calendar, and later received messages from the House on several other Senate and House measures. The most contentious action was concurrence on Senate Bill 273, which concerns correction facility loss of revenue for counties affected by the loss of ICE detainees. Senators debated the economic impact on Torrance, Otero, and Cibola counties, with supporters arguing the bill provided partial relief and critics saying it did not come close to replacing lost jobs and revenue. The Senate ultimately concurred with the House amendments by a vote of 22-18. On Senate Bill 100, which would have expanded burglary-related definitions to include an “extension of a dwelling,” several senators argued the House language was too broad and legally vague, and the Senate voted not to concur, sending the bill back to the House. Senate Bill 41, with a technical correction and addition of second-degree criminal sexual penetration, was concurred with by voice vote. Among the bills passed on third reading, House Bill 34 updated school nurse licensure rules and supervision pathways and passed 38-0. House Bill 43, a PERA cleanup bill, clarified retirement and survivor-benefit provisions, and passed 39-0 after questions about whether it affected PERA’s unfunded liability; sponsors said it did not. House Bill 38 expanded insurance coverage for powered mobility devices and prosthetics, including coverage for batteries and in-state provider requirements, and passed 38-0. House Bill 256 expanded cardiac emergency response planning and AED requirements to athletic activities and schools, including private schools on a phased-in basis, and was debated over cost and scope before passing. House Bill 20, which would allow Native American designation on driver’s licenses and IDs, prompted extended discussion about tribal support, documentation, and possible profiling concerns; the transcript cuts off before final disposition of that bill.

Transcript Highlights:

• That includes leaving with 30 days of medication.
• We do CMED, County Medical Emergency Dispatch, countywide.
• We do CMed County Medical Emergency Dispatch countywide.
• that database as part of the certification process.
• We represent people in Rogers hearings as well, medication, where someone wants to give someone medication

Committee: Joint Joint Committee on Ways and Means

Summary: The Joint Committee on Ways and Means held its sixth public hearing on the Governor’s H-2 budget proposal for fiscal year 2026, focused on public safety and judiciary agencies, at the Foxborough Community Center. After opening remarks and local welcomes, the committee heard first from the Executive Office of Public Safety and Security, led by Secretary Gina Kwan, who outlined a $1.72 billion budget, up $69.8 million from FY26. She said the proposal emphasizes core operations, readiness, and partnerships with municipalities, and highlighted work on firearms-law implementation, State Police reform, DOC reentry efforts, hate-crimes prevention, emergency response, and planning for major events including the World Cup. Members also raised concerns about DNA backlog reporting, State Police academy boxing and training standards, ICE communication, disaster relief funding, crime lab staffing, EMS placement, and diversity in public safety leadership. Several exchanges focused on specific operational issues. Secretary Kwan and her team said the State Police are tracking the influx of forensic work from local sheriffs, that the boxing program remains suspended pending an IACP review and likely will not return in its prior form, and that EOPS has no direct communication with ICE but supports law-enforcement coordination where appropriate. On disaster preparedness, officials said the new disaster relief fund is being developed with MEMA and A&F, currently capitalized at $14 million with another $14 million expected, though members urged a more permanent funding source. On the crime lab, staff said the roughly $4.5 million increase is intended to cover core operations and a structural funding gap rather than expand services. The secretary also said EOPS is not ready to absorb OEMS from DPH at this time, though she would keep an open mind. The committee then heard from district attorneys, led by Suffolk County DA Kevin Hayden, who said the Massachusetts District Attorneys Association is seeking a 10% increase in operating budgets, including about $16.7 million for staffing salaries, to recruit and retain prosecutors, advocates, and support staff. He said the request reflects rising workload and the need to keep the criminal justice system functioning efficiently and fairly. The hearing was recessed briefly after the district attorneys’ opening remarks, with additional testimony expected to continue afterward.

Transcript Highlights:

• The Division of Medical Services transfers $58.6 million from the hospital medical line item to the private
• The first one is DHS Division of Medical Services. This is for $2.3 million.
• It's a new contract for a trauma medical consultant for the trauma system.
• It's a new contract for a trauma medical consultant for the trauma system.
• Number 12, DHS Medical Services with Oregon Health and Science University.

Committee: All JOINT BUDGET COMMITTEE

Summary: The committee considered and approved several temporary appropriation requests in Section B, including spending authority for the Court of Appeals to pay appointed counsel in criminal appeals, Commerce/Aeronautics airport and aviation grants, and Insurance Department items for workers’ compensation benefits and premium tax refunds. It also approved ARPA-related requests in Section C to return unused federal funds from DHS aging, mental health, substance abuse, and Older Americans Act grants. In Section D, the committee reviewed and approved Infrastructure Investment and Jobs Act requests, including Agriculture grants for wildfire preparedness and forestry capacity, a large Commerce broadband BEAD request, environmental recycling-related reallocations, and Oil and Gas Commission grants for facility repairs and sample preservation. Members questioned the broadband program’s audit process and performance safeguards; the State Broadband Director said the funds are federal, subject to audits, and payments are released only after engineering certification of completed work. The committee also approved DHS reallocations in Section E, including major transfers within Medical Services from hospital medical appropriations to private and public nursing home lines, as well as transfers for children and family services, developmental disabilities, and youth services. The committee then reviewed cash fund requests, miscellaneous federal grants, pay plan and performance fund transfers, methods of finance, and a large set of contracts. A Northwest Arkansas Community College official explained storm-damage repairs and insurance settlement issues, and DHS explained its hospital medical transfer was moving excess appropriation rather than cash. Members also questioned several UAPB tobacco prevention subgrants, especially arts-based outreach, and asked for more data on effectiveness; the committee later voted to expunge and re-refer the J-2 item for further review at a later ALC meeting. Additional discussion covered a DEQ grant to Free Geek of Arkansas for e-waste recycling, a UAPB tobacco program, and various contracts for universities, DHS services, corrections, and public safety. The meeting ended with reports filed for information and a brief member comment thanking others for concern after a tornado in Stone County; no one was injured.

Transcript Highlights:

• </c><00:17:48.800><c> process</c> existing voluntary certification process existing voluntary certification
• , medications, medications, sets<00:22:25.160><c> out</c><00:22:25.320><c> the</c><00:22:25.440><c> criteria
• :25:07.800><c> program</c> voluntary state certification program voluntary state certification program
• </c> is needed to sustain the certification is needed to sustain the certification program,<00:25:58.920
• </c><00:27:53.960><c> program</c> recovery residence certification program recovery residence certification

Transcript Highlights:

• One of the, and I may, we'll add to that, if I may, having certification as a K-12 teacher, although
• Later that same year, I had another experience of a medical emergency as a student athlete.
• She also said the district would be required to enforce a new medical certification process that goes
• Raeum said limiting local effort assistance restoration only to students with medical certification raises
• Limiting local effort assistance restoration only to students with medical certification also raises

Bills: SB6222 , SB6263 , SB6118 , SB6261 , SB6320

Committee: Senate Early Learning & K-12 Education

Keywords: public education, technology access, surplus hardware, digital divide, student resources, school district, public bidding, bid limits, procurement, public works, construction contracts, competitive bidding, lowest responsible bidder, small works roster, quotations, school purchasing, Washington-grown food, local food, inmate work programs, Department of Corrections

Transcript Highlights:

• So in order to be eligible for the Board of Certification exam, the national certification that credentials
• That exam is offered by the Board of Certification.
• They have to have failed less expensive medications.
• They have to have failed less expensive medications.
• For those that have no insurance or underinsured, we provide free medications or reduced price medications

Committee: House Health and Mental Health

Summary: The committee first heard House Bills 2365, 2490, and 2249, a bipartisan version of Elijah’s Law, which would require child care facilities to receive training and guidance on recognizing and responding to food allergies and anaphylaxis. Sponsors described the bill as a response to the death of Elijah, whose daycare did not administer epinephrine quickly enough after a food exposure. Witnesses in support, including a parent and food allergy advocate, said the measure would improve preparedness and save lives. Committee members asked about whether the bill should use broader epinephrine terminology, whether the requirements could also be handled through child care licensing rules, and whether the bill was already included in a larger measure. No opposition was presented, and the hearing on those bills was closed. The committee then heard House Bill 1965, which would require insurers to reimburse athletic trainers for covered services and add athletic trainers to the practitioner definition for billing purposes. The sponsor and athletic training witnesses said the bill would recognize athletic trainers as licensed health care providers, improve access in rural and underserved areas, and allow reimbursement when trainers work in clinics, hospitals, or other non-school settings. Committee members raised repeated questions about the difference between athletic trainers and physical therapists, whether school-based services were already paid through contracts, whether the bill would increase costs or create double payment, and how diagnosis and billing would work under the current scope of practice. Opponents from Blue Cross and Blue Shield of Kansas City and the Missouri Insurance Coalition argued the bill would create a mandate, increase costs, and expand billing before clarifying the underlying scope of practice. No vote was taken in public hearing. The committee then moved into executive session and voted several bills do pass. A substitute was adopted for House Bill 1826 and the committee substitute for House Bills 1826, 2560, 2349, and 2194 passed 17-0. House Bill 1783 also passed 17-0. House Bill 2372, which incorporated multiple related provisions including changes to epinephrine terminology and other committee items, passed 17-1 after a substitute and amendment were adopted. House Bill 1827, the occupational therapy bill related to disabled placards and license plates, passed 18-0. The committee then returned to public hearing and heard House Bills 1941 and 2279, which would prohibit copay accumulator programs for fully insured plans so that third-party assistance counts toward a patient’s deductible and out-of-pocket maximum. Sponsors and a rheumatologist testified that the bills would prevent patients with serious illnesses from being forced to pay the same deductible twice and said similar laws have been enacted in many other states. Opponents from America’s Health Insurance Plans argued the measure would affect only a minority of plans, raise costs in the individual and small-group market, and could worsen affordability for remaining enrollees. The hearing ended without a vote on those bills.

Transcript Highlights:

• It also requires the DMV to... ...certification process.
• Those can range... ...on the license itself, whether they have certain medical conditions.
• Thank you. ...accept that training and that certification for employment. Okay. Thank you.
• ...national certifications, either the NADSP or the NADD certification, we'll be trying to create something
• One, the DSP piece—Delegate Scott was just quickly trying to find what the certification is.

Transcript Highlights:

• Available to minors for a medical reason? Is that kind of what you're trying to say?
• And as I mentioned, all those other medical indications.
• I assume your goal is not to ban anti-acne medication.
• Yes, this bill does not encompass any of the acne products nor medication.
• The state water board may receive thousands of certificates under the 401 process.

Committee: House Environmental Safety and Toxic Materials

Transcript Highlights:

• Grant number three is to the Arkansas Foundation for Medical Care.
• This is funding for the Patient Center Medical Home Model.
• This is for the UI Certification Hub.
• Fifty-two, DHS, Division of Medical Services, with Q-Source.
• Fifty-eight, State Crime Lab, with National Medical Services.

Committee: All ALC-REVIEW

Summary: The committee met to review a supplemental agenda item, procurement rule revisions, methods of finance, discretionary grants, contracts, reports, and a member disclosure. The supplemental agenda was accepted, and the Office of State Procurement’s rule revisions were approved after Jessica Patterson explained they were driven by 2025 legislative changes, including Act 782, CASO Consulting recommendations, and updates to sole source, bid, protest, and debarment provisions. The methods of finance and discretionary grants were also approved, covering a range of university capital projects, health and human services grants, historic preservation awards, and tobacco prevention and cessation programs. The committee then reviewed RFQs and six ratifications. The ratifications included a Workforce Connections payment to ACT WorkKeys for services provided during a contract gap, a Department of Health ratification for water-leak repairs, a large Department of Public Safety ratification for Motorola’s Arkansas Wireless Information Network upgrade, a Veterans Affairs HVAC ratification, an ADFA medical services ratification, and a UA Little Rock painting contract ratification. Members questioned the Public Safety ratification at length about why the expired Motorola contract was not caught sooner and why it took months after discovery to come forward; agency officials said the work was tied to bond funding and was not tracked in ASIS, and the chair urged agencies to develop better monitoring procedures. The committee approved a large slate of construction, intergovernmental, out-of-state, and in-state contracts, including many recurring service agreements for DHS, higher education institutions, corrections, health agencies, and state support functions. Several members asked about specific contracts, including aerial application services for correctional farms and a Southern Arkansas University custodial contract, and staff or agency representatives provided brief explanations. The meeting concluded with review of reports and approval of a member disclosure involving Representative Andrew Collins’ investment interest in a company leasing property to Arkansas Rehabilitation Services.

Transcript Highlights:

• It's not medically necessary, and Medicaid says it's not medically necessary. Thank you.
• </c> question if it was deemed medically question if it was deemed medically necessary<00:07:41.400><
• </c> portion of it yes sir if it's medically portion of it yes sir if it's medically necessary<00:08:
• All major medical associations agree that this is medically necessary care.
• All major medical associations agree that this is medically necessary care.

Summary: The committee first considered Senate Bill 2, sponsored by Senator Mike Wilson, which would prohibit incarcerated people from receiving cross-sex hormones or gender-affirming surgeries, while allowing a tapering period if stopping an existing treatment would cause physical harm. Wilson said the bill was needed to prevent the Department of Corrections from providing such care by memo or policy rather than statute, and he argued the care was elective and not medically necessary. Senators Thomas, Neal, Nemes, Styers, and others questioned whether any gender-affirming surgeries had actually occurred in Kentucky, whether the hormone treatments were physician-prescribed, and whether the bill would override medical judgment; Wilson said the department reported no surgeries, that 67 incarcerated people were receiving cross-sex hormone therapy, and that he would only support treatment if it fit the bill’s narrow medical-harm exception. Public testimony on SB 2 was strongly opposed. Chris Hartman of the Fairness Campaign said the bill would deny medically necessary care, violate the Eighth Amendment, and target a very small and vulnerable incarcerated population. Dr. Jack Skilles testified that gender-affirming care is medically necessary and supported by major medical organizations, warning that denying it could worsen mental health and lead to suicidality. Hannah Callahan, a transgender woman, described being denied hormone therapy while incarcerated and said the interruption caused severe physical and mental harm, including suicidal thoughts. Emma Curtis, Lexington’s Fourth District councilwoman, also urged a no vote, framing the issue as a matter of compassion and religious duty. The committee then voted on SB 2. Senator Neal explained his no vote by saying he was not medically trained and deferred to doctors; Senator Nemes said he wanted clarification that the bill would not stop ongoing treatment; and Senator Styers argued the bill was a poor priority and noted there was no fiscal note and that only 67 people were affected. Senator Wheeler moved the bill, Senator Reed seconded, and the committee reported Senate Bill 2 favorably. Afterward, the committee began hearing Senate Bill 84, sponsored by Senator Steve Rawlings, which would limit judicial deference to state agency interpretations and require courts, not agencies, to interpret ambiguous laws, citing the U.S. Supreme Court’s 2024 Loper Bright decision overturning Chevron deference.

Transcript Highlights:

• It is not just a benign, no-big-deal type of medication.
• The women of Arizona deserve better, better medical care, better protection from abuse.
• Criminally punish anyone who provides or receives medication abortion.
• If the employee has valid certification from the approved training and certification program, and the
• Could you kind of expound on the medical training part that is not a standard medical training?

Committee: House House Judiciary Committee of Reference

Summary: The committee first heard House Bill 2763, which would require a joint resolution of the legislature before the Arizona Game and Fish Commission could close a state-run shooting range. The sponsor and several supporters, including a Prescott-area doctor, Arizona Citizens Defense League representatives, and Game and Fish staff, argued that closures can push shooters into unsafe public lands, create trash and safety problems, and that the legislature should have a voice in any closure decision. Game and Fish said its goal is to preserve Ben Avery and emphasized public safety. The bill was moved and received a do pass recommendation on an 8-1 vote. The committee then considered House Bill 2417, allowing courts to order speed-inhibiting devices as an alternative to license suspension or revocation for certain traffic offenses. Supporters said it could help people keep working and reduce recidivism, while opponents and some members raised concerns about scope and implementation. An amendment removed eligibility for people convicted of reckless driving or racing and clarified manufacturers are not required to build compatible vehicles. The bill, as amended, passed 7-2. House Bill 2345 followed, creating a felony for unlawfully present persons who possess a falsified commercial driver’s license and authorizing vehicle forfeiture and penalties for employers who knowingly hire such drivers. The sponsor framed it as a narrow public-safety measure, but the Arizona Trucking Association opposed it, arguing it was preempted by federal law, unworkable, and could jeopardize federal funding. Despite those concerns, the committee adopted an amendment and gave the bill a 5-3-1 do pass recommendation. The committee also advanced House Bill 2666, increasing penalties for sexual extortion involving victims ages 15 to 17; testimony from prosecutors and anti-trafficking advocates supported the bill, while defense attorneys and some members urged caution about juvenile defendants and mandatory consecutive sentences. It passed 8-0 with members noting possible future amendments. Finally, the committee approved House Bill 2175, which adds hate-crime-style sentencing enhancements for bias-motivated offenses and expands protected categories to include political expression and political affiliation. The ADL and Maricopa County Attorney’s Office supported the measure as a needed tool, while the ACLU and defense attorneys warned the political-expression language was too broad and could chill speech or invite selective prosecution. The bill passed 6-2 after adoption of an amendment. House Bill 2186, which lets a passenger satisfy identity requirements during a traffic stop by verbally providing information instead of showing physical ID, also received a do pass recommendation on a 7-0-1 vote after the sponsor said it was meant to fix an unconstitutional vagueness problem. The transcript then began discussion of House Bill 2364, concerning penalties for distribution or receipt of abortion-inducing drugs by courier or delivery service, but the exchange was cut off before testimony or action on that bill was completed.

Transcript Highlights:

• Advancements in medical care have changed at a very whirlwind pace.
• Give me an example of a medical emergency.
• But you're looking at birth certificates. You're looking at identification.
• Current federal regulations just require a birth certificate. Okay.
• So do you think a birth certificate could be faked? Could be.

Committee: House Professional Registration and Licensing