Video & Transcript Research : 'supervised services'

Page 7 of 500
US
Transcript Highlights:
  • Service members, caregivers, families, and survivors.
  • Sounding that alarm is a real public service.
  • In addition to the service members' obligations, each contract... explicitly entitled service members
  • incurred as a result. of our service.
  • Many of them committed their lives to service.
Summary: During this committee meeting, various bills were discussed with a specific focus on veteran services and healthcare provisions. Notably, the cancellation of critical contracts under Secretary Collins sparked significant debate, with representatives emphasizing the adverse impact on veteran care. The meeting featured testimonies from veterans and stakeholders who expressed their concerns regarding the potential fallout of these cancellations, demonstrating the urgency of transparency and accountability in management decisions. Discussions also delved into various legislative proposals aimed at improving services for veterans amidst these challenges.
AL

Alabama 2026 1st Special Session

Alabama House Health Committee Feb 11th, 2026

Health

Transcript Highlights:
  • Part services for folks in rural areas.
  • <00:06:03.039> So service for the next three years. So service for the next three years.
  • <00:06:14.000> low<00:06:14.240> acuity service providers to treat low acuity service
  • which an emergency medical service which an emergency medical service provider<00:15:34.480>
  • emergency medical service provider. emergency medical service provider.
Bills: SB9, HB400, SB9, HB400
TX

Texas 89th Regular

Business and Commerce May 13th, 2025

Business & Commerce

Transcript Highlights:
  • from the indemnity's own negligence or breach of contract or those of its agents, employees, or supervised
  • I may give him a clear line over in West Texas, but I'm not doing a master of services where I have a
  • House Bill 3806 relates to prohibiting activities of a state trust company under supervision.
  • Thank you members, 3085 is a continuation of the money services omnibus bill where we passed.
  • A stocking company that was contracted to dispose of the blades was unable to perform those services
TX

Texas 89th 2nd C.S.

Business and Commerce May 13th, 2025

Business & Commerce

Transcript Highlights:
  • own negligence or breach of contract or those of its agents, employees, or Chairman Schwertner: supervised
  • And they probably have a master services agreement with you, I'm assuming.
  • Well, I have MSA with that one guy because I may do several different projects under a master services
  • I may have him clear line over in West Texas, but I'm not doing a master services where I have a series
  • House Bill 3806 relates to prohibited activities of a state trust company under supervision.
TX
Transcript Highlights:
  • But I'm not doing a master services agreement where I have a series of contractors doing a myriad of
  • Members, Texas banks can be placed under supervision by the Department of the Banking, Department of
  • House Bill 3806 relates to prohibited activities of a state trust company under supervision.
  • may not... ...and would close a loophole by clarifying that trust companies under supervision may not
  • House Bill 3805 is a continuation of the money services omnibus bill we passed last session to bring
Summary: The committee first took up pending business and favorably reported several House bills without opposition, including HB 11, HB 132, HB 1041, HB 1606, HB 2286, and HB 5061. Each was moved out of committee with a recommendation that it do pass and be printed, and several were also recommended for the local and uncontested calendar. The committee then heard HB 3306, which would extend existing construction-contract indemnity exceptions to electric infrastructure construction, maintenance, and vegetation management work for electric utilities and transmission and distribution utilities. The sponsor said the bill would reduce litigation and insurance costs for ratepayers, while construction industry witnesses argued it would shift liability onto subcontractors and create broad-form indemnity in a way Texas law has generally prohibited since 2011. HB 3306 was left pending. The committee also heard HB 4739, a Comptroller-requested cleanup bill to repeal an outdated Finance Code provision requiring remittance of a portion of certain delinquency charges to the state, and HB 3803, HB 3804, and HB 3806, all Department of Banking-requested cleanup bills dealing with confidentiality and supervision rules for perpetual care funds, state banks, and trust companies. Those bills were briefly explained and left pending without testimony. HB 4219, aimed at improving Public Information Act compliance by requiring timely notice when records do not exist or are being withheld, allowing complaints to the Attorney General, and imposing training and fee consequences for noncompliance, drew support from a journalist and a policy analyst and was also left pending. The committee then heard HB 4238 on coerced debt and identity theft. The sponsor explained that the committee substitute narrows the bill to court-ordered findings of identity theft/coerced debt, gives collectors seven business days to stop collection activity, and removes a section to avoid litigation over court orders. A law professor and a family violence advocate testified in strong support, describing coerced debt as a barrier for domestic violence and elder abuse survivors trying to rebuild credit and access housing, jobs, and utilities. The bill was left pending. HB 1522, which would require local governments to post meeting notices three business days in advance and make budget materials more accessible online and in physical form, also drew support, though a school business officials representative raised concerns about the timing language, proposed-budget wording, and taxpayer impact statements for school districts; the bill was left pending after discussion. Later, the committee heard additional pending bills, including a PUC background-check bill that would expand the commission’s authority to check current employees and contractors and obtain FBI criminal history information, HB 3805 updating money services business regulation, HB 431 extending HOA solar-panel protections to solar tiles, and HB 3228 and HB 3229 on wind and solar recycling financial assurance and recycler solvency. HB 3228 received support from a Sierra Club witness who said recycling and disposal plans are needed for end-of-life renewable energy equipment, and HB 3229 was described as requiring recyclers to show financial resources at 125 percent through a letter of credit or bond. These bills were heard and left pending.
TX

Texas 89th Regular

Business and Commerce May 13th, 2025

Business & Commerce

Transcript Highlights:
  • But I'm not doing a master services agreement where I have a series of contractors doing a myriad of
  • But I'm not doing a master services where I have a series of contractors doing a myriad of different
  • Members, Texas banks can be placed under supervision by the Department of Banking.
  • Members, Texas banks can be placed under supervision by the Department of Banking if the commissioner
  • House Bill 3806 relates to prohibited activities of a state trust company under supervision.
Summary: The Senate Committee on Business and Commerce met with a quorum and first took up pending business, reporting several House bills favorably to the full Senate, including HB 11, HB 132, HB 1041, HB 1606, HB 2286, and HB 5061, with some also recommended for the local and uncontested or contested calendars. The committee then heard and left pending HB 3306, which would extend construction-contract indemnity exceptions to electric infrastructure work, including construction, maintenance, and vegetation management for utilities. Supporters said it would align utility infrastructure work with public works and reduce litigation and ratepayer costs, while opponents argued it would shift liability onto subcontractors and create broad-form indemnity concerns. Members also heard HB 4739, a Comptroller-requested cleanup bill repealing an outdated Finance Code provision tied to delinquency charges on retail charge accounts, and left it pending without testimony. The committee then considered several Department of Banking cleanup bills, including HB 3803, HB 3804, and HB 3806, all left pending after brief explanations and no public opposition. HB 4219, dealing with public information requests, drew support from a journalist and a policy analyst who said it would improve transparency by requiring timely responses, notice when records do not exist, and training or fee consequences for noncompliance; it was left pending. The committee also heard HB 4238, a committee substitute addressing coerced debt and identity theft, which would bar collection of certain debts from victims who obtain a qualifying court order. A law professor and a family violence advocate supported the bill as narrow, protective relief for domestic violence and elder abuse survivors, and it was left pending. Other bills heard and left pending included HB 1522 on local government budget meeting posting and taxpayer impact disclosures, HB 4344 authorizing background checks for PUC employees and contractors, HB 3805 updating money services business regulation, HB 431 extending solar-panel HOA protections to solar tiles, HB 3228 and HB 3229 on wind and solar recycling financial assurance, and HB 1922 clarifying the accrual date for construction defect claims under right-to-repair law. The committee recessed subject to the call of the chair.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 14th, 2025 at 02:00 pm

Appropriations - Human Resources Division

Transcript Highlights:
  • as a partnership between Human Services and DPI.
  • , medical services, and public health.
  • , medical services, and public health.
  • Juvenile justice diversion services, $500,000.
  • DOCR and $750,000 to Human Services to provide services to people in that program.
Bills: SB2015
Summary: The Senate Appropriations Human Resources Division met with all members present and took up several bills, focusing most of the discussion on SB 1577 and SB 1619, along with a detailed review of the HHS budget bill draft. On SB 1577, Senator Magrum explained that the bill was being revised to focus on wastewater rather than raw water, possibly shifting the Washburn project to the Department of Water Resources so it could access matching funds, and potentially converting the bill into a line of credit if federal money is restored later. Members discussed whether to keep an emergency clause or instead use a date-based approach, and agreed the bill would likely be handled through the full committee and possibly reconsidered later. On SB 1619, Senator Davison said amendments were still being worked on, including changes requested by the Bank of North Dakota, and the committee planned to hold it for possible amendment before full committee consideration. The bulk of the meeting was a section-by-section review of the HHS appropriations bill draft. Members discussed one-time funding items such as technology projects, child care programs, housing programs, behavioral health facility grants, infant and toddler care provider support, juvenile justice diversion, medical housing, and other public health and human services projects. Several adjustments were noted, including reductions or changes to IMD-related funding, incarcerated-person treatment funding, the child welfare technology project, and the provider rate increase. The committee also discussed the FTE block grant structure at length, with staff explaining that the apparent increase in positions reflected budgeting mechanics, zero-dollar “phantom” positions, and positions approved previously but not counted in the FTE total. Members raised concerns about transparency and whether the bill should list FTE numbers, but staff said the block grant was intended to give the department flexibility while quarterly reporting would provide oversight. Other topics included Medicaid expansion funding and provider reimbursement rules, the move toward certifying human service centers as certified community behavioral health clinics, a moratorium on new ICF beds, and studies or reports on Medicaid, obesity, disability services, truancy, and behavioral health facility grants. The committee also discussed removing or revising broad intent language in Section 31 so the department would report findings rather than implement changes without further legislative action. No final votes were taken in the transcript; instead, members agreed to make a few technical adjustments, continue reviewing the bill, and likely revisit it the next day before moving it to conference committee.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 11th, 2025 at 09:30 am

Appropriations - Human Resources Division

Transcript Highlights:
  • And it's all related to human services, so I should be looking for an amendment in here? Okay.
  • On page 8, medical services in the blue section there, we also have provider inflation adjustment to
Bills: SB2015
Summary: The Senate Appropriations Human Resources Division met to finalize changes to the human services budget bill and related amendments. Members discussed several items, including a proposed $5 million appropriation for the Altru Hospital project to address inflationary costs, with the rest of the funding question left for conference committee. They also agreed to keep the 10-year operating requirement language for the project and remove a matching-funds provision that was no longer needed. The committee spent considerable time on the OASIS child welfare IT system. Donna Auckland explained that the project is still in the RFP stage, with vendor selection and contract negotiation likely taking months, and that the system will require 50-50 federal matching authority. Based on that testimony, the committee agreed to reduce the general fund amount from $14 million to $6 million and use a line of credit for the remaining authority, while preserving the federal match authority so the contract can be signed and the project can proceed. Members also approved a technical fix to add governor’s designee language for the Children’s Cabinet, which had been missed in another bill already on the governor’s desk. Keith reviewed updated long sheets showing additional budget adjustments, including provider inflation changes, a $50,000 Family Voices grant, reductions to CARES Act COVID funds, and moving the $5-per-day basic care rate increase from ongoing to one-time funding. No formal votes were recorded in the transcript, and the committee adjourned with plans to reconvene Monday if the final bill version was ready.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 10th, 2025 at 02:00 pm

Appropriations - Human Resources Division

Transcript Highlights:
  • Section 7 gives $200,000 to the Department of Human Services.
  • This doesn't encompass what I heard, and the Human Services...
  • However, ...than the Department of Human Services.
  • It's certainly totally different services.
  • So if we build new homes and don't change the services... ...build new homes and don't change the services
Bills: SB2015
Summary: The committee first discussed a wastewater infrastructure bill, centered on whether state support should be provided as a grant or through the existing Clean Water State Revolving Fund as a low-interest loan program. Department of Environmental Quality official David Brushwine explained that the SRF already finances wastewater projects, can leverage federal funds with state bond proceeds, and could accommodate the Washburn, Lincoln, and Peasant projects if they are ready to proceed. Members noted that losing federal grant support would make projects harder for local residents to afford because costs would be recovered through utility rates or special assessments, but the projects would still be eligible for loans. Senator Magrum indicated he would likely concur with the budget after this discussion, and the bill was set aside for later consideration. The committee then turned to a proposed amendment for a four-plex housing project for people with disabilities or other special needs. Senator Mathern described Sections 7 and 8 as creating a design consultation appropriation and a revolving loan fund modeled on existing hospital and nursing home loan programs, while Section 9 would transfer $3.3 million from the state infrastructure fund. Members debated ownership, rent subsidies, repayment terms, and whether the state should finance the project directly or leave it to a private developer with Department of Human Services oversight. Concerns were raised that the state should not own the housing and that the proposal needed more work to be workable, but the committee ultimately reached consensus to adopt Sections 7 and 8 and leave out Section 9 for further conference committee discussion. The committee also reviewed provider inflation and long-term care rate issues, with members discussing whether to support a 2% and 1.5% inflation adjustment and how to handle the $5-per-day basic care rate. Staff explained that the $5 payment was already in the base budget, but members debated whether it should remain ongoing or be treated as one-time funding and paired with a study of rate rebasing. The committee agreed to have draft language prepared to remove the $5 from the base budget and add study language, then moved the bill forward for drafting.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 10th, 2025 at 09:30 am

Appropriations - Human Resources Division

Transcript Highlights:
  • So then below that, we had the Behavioral Health Services. We talked about that yesterday.
  • Behavioral Health Services. We talked about that yesterday. What did we decide? Mr.
  • That's $1.9 million for Human Services. That would be for the DD grants.
  • Section 11, EMS service grants.
  • Is that Human Services? Is that federal funds that flow into that? Human Services Finance Fund?
Bills: SB2015
Summary: The committee met to review revised long sheets and section-by-section language for a human services/health budget bill, with much of the discussion focused on how to present block grant funding and full-time equivalent (FTE) positions for behavioral health clinics and CCBHCs. Members debated whether to keep FTE counts in the budget at all, ultimately leaning toward removing or zeroing out the FTE references while keeping the dollar authority, and reducing the salaries-and-wages block grant by about $4.75 million. They also discussed public health federal authority, agreeing to remove about $60 million in unused federal spending authority tied to COVID-era funds, and clarified that if federal money later becomes available it could be requested through the Emergency Commission. A major topic was the provider inflation increase. The House version had 2% and 2%, while members debated alternatives and appeared to settle, at least for further work, on 2% in the first year and 1.5% in the second year, with staff asked to recalculate the fiscal impact. The committee also reviewed FMAP changes, noting a revised 2027 FMAP estimate and its effect on general fund and other funds, and discussed whether to adjust public health and other line items accordingly. Several members emphasized that many of these numbers are still tentative and will be refined before final action. The committee also touched on several policy items and capital-related provisions, including behavioral health services, Medicaid expansion, the moratorium on new ICF beds, and a proposed amendment for a medical homes/fourplex-related item that would show a $400,000 legislative investment with repayment from a developer. There was extended discussion of the All True hospital/facility proposal, with some members favoring leaving it in with a smaller initial commitment and others preferring to remove it and revisit later in conference committee. The meeting ended with staff asked to continue updating the bill language and members instructed to review remaining sections before the next meeting; no final votes were taken in the portion provided.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 7th, 2025 at 09:30 am

Appropriations - Human Resources Division

Transcript Highlights:
  • You decide who those services are provided by, but if that goes away, or if the service provider isn't
  • able to provide those services, you don't also lose your home.
  • For example, DD providers, aging services, private duty nursing services, just like one chooses their
  • These services would be coordinated with the case managers of each service provider.
  • of Health and Human Services.
Bills: SB2015
Summary: The Senate Appropriations Human Resources division met with a quorum and spent much of the meeting on a proposed “medical home” concept for people with significant disabilities and medical needs. Matt Schwartz described the need for small, community-based homes so adults like his daughter could live in a least-restrictive setting without losing housing if service providers change. Architect Jeff Eubel presented a conceptual budget for one roughly 5,000-square-foot facility for four residents, explaining that the design would likely include four large sleeping units, common space, support areas, and medical infrastructure such as emergency power, oxygen, sprinklers, and accessibility features. Committee members and George Sink, joining by phone, raised questions about layout, zoning, ownership, staffing, and whether families would actually move loved ones into such facilities if they were far from home. The department said the concept was not in the governor’s budget and identified staff who could continue discussions; the committee did not take final action and instead discussed refining the language with interested members. The committee then turned to amendments related to long-term care and behavioral health funding. One amendment would reduce a planned $4 million general fund incentive payment and instead create a withhold-based quality program for nursing facilities, to be developed collaboratively by the department and providers and reported to Legislative Management by September 2026. The department said it could live with the language but preferred the governor’s timing; several senators questioned whether the committee should be directing an operational policy change and whether the study would simply delay implementation. No vote was taken, and the amendment was set aside for later consideration. A second amendment would clarify use of an existing $2 million general fund item for behavioral health services in nursing homes and basic care facilities, directing it toward training, technical assistance, consultation, and direct patient care for residents with medically based behavioral health disorders. Members noted the funding was already in the bill and discussed it in the context of other budget items, but again deferred action. The committee also clarified that a separate $750,000 juvenile justice diversion appropriation in House Bill 1425 was distinct from a similar amount in the budget and should likely remain in that separate bill. The chair indicated a goal of having amendments ready by the end of the week, and the committee recessed without final votes on the discussed items.
MN

Minnesota 2025-2026 Regular Session

House Children and Families Finance and Policy Committee 4/8/26

Children and Families Finance and Policy

Transcript Highlights:
  • human service delivery redesign. human service delivery redesign.
  • that improve the lives of Minnesotans. uh service delivery through technology uh service delivery through
  • human services programs. human services programs.
  • service program administration. service program administration.
  • :11:44.000> services<00:11:44.480> provided<00:11:44.839> by landscape of services
TX

Texas 89th 2nd C.S.

Human Services Apr 29th, 2025

Human Services

Transcript Highlights:
  • The Committee on Human Services will come to order. The clerk will call the roll. Chair hole here.
  • Um, this bill ensures that these aides, um, the care provided by these aides is under nursing supervision
  • This is different than adults and so private duty nursing is one of those services.
  • programs and 211 services.
  • And their, their services and costs go exponentially exponentially high.
TX

Texas 89th Regular

Human Services Apr 29th, 2025

Human Services

Transcript Highlights:
  • Committee on Human Services will come to order. The clerk will call the roll. Thank you. Manuel?
  • This bill ensures that the care provided by these aides is under nursing supervision, and they must..
  • And so private duty nursing is one of those services.
  • programs and 211 services provided by the Texas Information and Referral Network.
  • Some of these facilities are charging us upwards of $6,000 to $10,000, and their services and costs go
TX

Texas 89th Regular

Human Services Apr 29th, 2025

Human Services

Transcript Highlights:
  • This includes real estate. companies, therapy services, laundry and maintenance, food services, HR, and
  • Expenses are generally paid for services that are actually rendered.
  • . and child care licensing services.
  • Many factors determine a safe number for each stage of service.
  • For example, in family-based services, safety services, the number of visits per family is based on risk
TX

Texas 89th Regular

Judiciary & Civil Jurisprudence May 7th, 2025

Judiciary & Civil Jurisprudence

Transcript Highlights:
  • I am the Senior Director of Safety at Chalk Mountain Services.
  • We bring the motor fuels to your neighborhood service station.
  • the services.
  • We're a service and construction company.
  • They've directed me to stop using any company services.
Bills: HB4806
TX

Texas 89th Regular

Judiciary & Civil Jurisprudence May 7th, 2025

Judiciary & Civil Jurisprudence

Transcript Highlights:
  • The increased cost of insurance is reflected in the cost of goods and services that Texans buy, while
  • So the intent is to have all of the value of the service, right?
  • Not necessarily the piece you paid; it is the total of what that service was valued and paid.
  • provide for therapy services.
  • They've been accepted by the doctor, they are within a range that the service provider...
Bills: HB4806
AZ

Arizona 2026 Regular Session

03/25/2026 - House Appropriations

Appropriations

Transcript Highlights:
  • amendment to Senate Bill 1112 dated March 20th at 8:19 a.m. appropriates $1 million from the Special Services
  • Thank you for your service to the other ladies that are in Perryville.
  • I'd be happy to follow up with the estimate of how many UIOs would be utilizing these services if the
  • Would this bill allow non-Indian folks to get this service, and is that why there's a cost?
  • Chairman Livingston, the bill would only be for American Indians who can receive services through IHS
Summary: The Appropriations Committee met on March 25 for what was described as its last regular meeting, with a possible special meeting tentatively planned for the following Tuesday. The committee first took up Senate Bill 1112, as amended by a strike-everything amendment that would appropriate $1 million from the Special Services Fund in FY2027 to the Arizona Department of Corrections for holistic, studio-based rehabilitative programming, with a required report due by June 30, 2028 on spending and outcomes such as self-harm, discipline, and recidivism. Testimony from the founder of Art of Our Soul and a formerly incarcerated peer facilitator emphasized trauma-informed art and music therapy, reductions in disciplinary violations and self-harm, and benefits for both incarcerated people and staff. The committee adopted the amendment and then gave SB 1112 a do-pass recommendation. The committee then heard Senate Bill 1776, which would allow urban Indian organizations to provide traditional healing services reimbursable through AHCCCS or the Arizona Long-Term Care System. The sponsor said the bill was intended to align Arizona with federal approval and other states’ models. AHCCCS testified neutral but said the bill would require a waiver change, likely at standard FMAP rather than 100%, and estimated a $1.3 million general fund impact; the chair said a COW amendment and fiscal note were needed. Members raised concerns about cost and access, and the sponsor clarified the bill was meant for American Indians and family members served through IHS-related facilities. The committee ultimately passed the bill out with a do-pass recommendation, though several members voted no or present over funding concerns. Senate Bill 1537, which would rename the Peace Officer Training Equipment Fund as the Public Safety De-escalation and Life Safety Fund and repeal an inactive advisory commission, failed after testimony from a legislative liaison explaining the fund’s history and use for equipment and de-escalation tools. Some members supported the cleanup, but others objected after the Arizona Police Association opposed the change and argued the commission should be reformed rather than repealed. The committee then considered Senate Bill 1584, as amended, which would provide $1 million for Department of Corrections recruitment and training, funded instead from the Peace Officer Training Equipment Fund. Testimony supported the need to address DOC staffing shortages, but some members objected that the fund was restricted to peace officer equipment; the committee adopted the amendment and passed the bill out. Finally, the committee heard Senate Bill 1673, which would fund the law enforcement crime victim notification system. A chair amendment shifted the source from the general fund to the victim compensation fund and reduced the amount to about $2.5 million. Testimony from the Arizona Sheriffs Association, a vendor, and the City of Phoenix described the notification system as constitutionally required, widely used, and important for victim safety and communication, but several members argued the amendment would take money from victim compensation and “rob Peter to pay Paul.” The committee adopted the amendment and then gave SB 1673, as amended, a do-pass recommendation. The chair closed by noting the committee was adjourned and that a special meeting might be posted for the following week.
AZ

Arizona 2026 Regular Session

01/22/2026 - House Health & Human Services

Health & Human Services

Transcript Highlights:
  • So this was going from direct supervision to supervision, and it says the supervision means supervision
  • So is the supervision then becoming more lax? ...supervision.
  • So this was going from direct supervision to supervision, and it says the supervision means supervision
  • Therefore, these services would be helpful.
  • 100% of the cost for added services.
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.