Transcript Highlights:

• Now, every day is tax day in this room, Now, every day is tax day in this room, and<00:29:12.000>
• day is the day that you tax liberation day is the day that you start<00:29:23.400> working<00
• It tailpipes in traffic uh day-to-day.
• the next day. the next day.
• . day. day.

Keywords: 981, all

Summary: The House convened with a quorum, approved the journal, and then spent much of the early portion of the meeting on recognitions and announcements. Members welcomed the Sikh community of Colorado for Baisakhi and Sikh Awareness and Appreciation Month, noted a langar lunch at the Capitol, and announced a governor’s proclamation later in the day. Other tributes highlighted Jackie Robinson Day, Golf Day at the Capitol, an upcoming Colorado Religious Freedom Day event, and an Alpha Kappa Alpha Sorority legislative day and youth leadership program. After announcements, the chamber moved to business and adopted a motion making Senate Bill 109, Senate Bill 104, House Bill 1245, and Senate Bill 121 special orders for April 15. The House then began consideration of Senate Bill 109, concerning building code standards for accessible housing supported by public money. The committee report was adopted, and debate focused on an amendment offered by Representative Soper to exempt counties that have not adopted international building codes. Supporters argued the amendment would protect rural counties, preserve local control, and avoid higher housing costs and budget strain; opponents said it would undermine uniformity. Several members spoke in favor, and the amendment was still under discussion when the transcript ended. Committee announcements also noted that Judiciary would hear Senate Bill 1283 and Senate Bill 85, Education would hear Senate Bill 153, and Health and Human Services would hear Senate Bill 60, House Bill 1347, and House Bill 1314 for action only. The House also heard that House Bill 1250 would be pushed to the following week.

Transcript Highlights:

• , no more than 300 days.
• 300 days.
• days.
• some days do roll over.
• and 332 sick days.

Keywords: 958, all

Summary: The meeting opened with a quorum call, the Pledge of Allegiance, a prayer, and approval of the prior meeting minutes. The first presentation was from Bo Craycraft of the Judicial Form Retirement System, who gave an update on investment performance, asset allocation, cash flow, and projected employer costs. He reported strong fiscal year 2025 investment results, with both the legislative and judicial retirement plans outperforming their actuarial assumed rates of return and benchmarks, driven largely by U.S. equity performance. He also noted the plans remained near their target asset allocation and continued to experience negative cash flow, though he said that was manageable in context of strong asset growth. Craycraft then discussed a recent experience study and actuarial assumption changes, especially a revised salary growth assumption and a higher cash balance interest credit rate. He said these changes increased projected employer costs, with contributions rising from about $700,000 to a projected $2 million in later years, though he expected the eventual 2025 valuation and investment gains to reduce that estimate. Members asked about mortality assumptions, the impact of the experience study on liabilities, and the sharp increase in the judicial plan’s projected employer cost. Craycraft explained that the increase was driven mainly by the updated assumptions and that no other major plan changes were involved. At the chair’s request, Craycraft also addressed the recent rise in Medicare Advantage premiums for the plan’s health coverage, saying the 2025 increase was largely tied to Part D changes and the Inflation Reduction Act and had been about 45%, but that future growth was expected to be under 5%. After his presentation, the committee moved to the Kentucky Public Pensions Authority update, where the next speaker began by saying the funds had exceeded actuarial assumed returns for the fiscal year.

Transcript Highlights:

• ...then it goes up a little bit more at day five, and by day 30, you have about a 40% chance of being
• Whether it's seven days, 14 days, but it's pretty easy to get. What would you do as a patient?
• But you're not, this is not a 30-day, 60-day, 90-day script. Like, that becomes chronic.
• limit, and that 14-day can only be within once within a 90-day period, right?
• basis. ...that have operating rooms that aren't as robust on a day-to-day basis.

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• Technology is deeply ingrained in the day-to-day operations of small businesses.
• Small businesses are increasingly using digital tools to support their day-to-day work.
• For too many of our families, the consequences are felt every day the consequences are felt every day
• There were just so many coming day after day after day.
• We recently celebrated Flag Day, a day We recently celebrated Flag Day, a day to salute the most common

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, June 23, 2026, 1012, house, all

Transcript Highlights:

• the day.
• hours, and what does school day mean?
• So the start, the beginning of the school day bell to the end of the school day bell.
• So the start, the beginning of the school day bell to the end of the school day bell.
• Every day you're going to collect all the phones, and at the end of the day, you're going to pass all

Bills: SB23, SB221, SB261, SB264

Keywords: student use, wireless devices, public schools, policy implementation, education technology funding, misappropriation, petroleum products, oil and gas equipment, racketeering, criminal penalties, New Mexico, public safety, health regulations, community welfare, peace promotion, legislative reforms, election integrity, voter coercion, emergency procedures, polling place security

Transcript Highlights:

• certain visas um for uh up to 300 days certain visas um for uh up to 300 days um<00:33:34.840>
• and it happens to expire within 60 days and it happens to expire within 60 days after<00:44:37.000
• and then come back about it one day and then come back another<02:51:01.319> day<02:51:01.399
• try Bill two that's yeah um so last day try Bill two that's yeah um so last day to<03:02:27.200>
• an open day so maybe that could be a day an open day so maybe that could be a day I<03:34:10.120

Keywords: 928, house, all

Summary: The committee first took up HB 129, which would redefine “evidence-based” in public education. Department of Education testimony said the bill’s definition would conflict with the federal definition and be unusually restrictive, potentially affecting curriculum, educator training, and many existing state requirements. The department said it could force a broad overhaul of school programs and create a need for at least one new state position, with local districts likely facing significant unbudgeted costs. Members raised concerns about impacts on federal pass-through funding, curriculum materials, and whether the bill was workable at all. Several members said the proposal would be too costly and difficult to implement, especially during a tight budget cycle. Representative Papovich moved to retain HB 129, and the motion passed 7-0. Members who supported retention said they wanted to set the bill aside because of the scale of the concerns, while also stating they did not support the bill as written. The committee then opened HB 133, dealing with DMV follow-up on residency and licensing issues tied to voting and other interactions. Department of Safety/DMV officials said the bill would require a $40,000 technology update plus a full-time position to handle manual correspondence and review of possible matches, and that postage was not included in the fiscal note. They said the bill’s 60-day residency trigger is vague, that the DMV would be acting outside its normal role by investigating status after the fact, and that the measure could create privacy and operational problems. Members questioned whether the bill would effectively force people to buy a driver’s license to vote, whether non-driver and voter ID options would avoid that concern, and whether the Secretary of State rather than DMV would be the more appropriate agency to handle any follow-up.

Transcript Highlights:

• They say the two greatest days of your life are the day you're born and the day you find out why.
• on day three.
• I know it's been a long day.
• And we're questioning that day in and day out.
• I eat it every day, all day long. Now I can. I eat our product all the time. Thank you.

Bills: HB 44, HB 2200, HB 1612, HB 2747, HB 2038, HB 3717, HB 1431, HB 3800, HB 3801, HB 3560, HB 3246

Keywords: HB 44, Life of the Mother Act, abortion exceptions, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, miscarriage, spontaneous abortion, fetal survival, Texas abortion law, abortion ban, physician liability, health care provider, disciplinary action, aiding and abetting, emergency abortion, obstetric care

Summary: The meeting of the public health committee focused on the pressing issue of opioid addiction in Texas, with a particular emphasis on House Bill 3717. Chairman Harris detailed the bill's intent to fund a grant program for Ibogaine clinical trials, framing it as a critical response to the ongoing opioid crisis. He shared poignant testimonies highlighting the struggles of families and veterans battling addiction and mental health issues. The conversation underscored the necessity of innovative treatments, like Ibogaine, which showed promising results in studies for reducing symptoms of withdrawal and PTSD.

Transcript Highlights:

• Which is days down in Florida, right?
• <01:16:58.680> to is a 60-day deadline after passage to is a 60-day deadline after passage to
• election day. election day.
• rejected on election day. rejected on election day.
• . day. day.

Keywords: 1189, house, all

Summary: The committee of conference first took up House Bill 158 on public inspection of absentee ballot lists. The Senate explained that its amendment replaced the original bill with a requirement that the Secretary of State review absentee ballot data after each general election and report findings to the committees of jurisdiction, focusing on unusual patterns such as multiple ballots sent to the same address. After a brief caucus, the House agreed to the Senate position, and members voted individually to concur. The committee then discussed House Bill 281, which concerns making the electronic voter checklist available in a sortable format. The main dispute was whether the public list should include the mailing address where an absentee ballot was sent if it differs from the voter’s registered address. The Senate argued that including mailing addresses could expose where voters actually live or are away from home and could create safety concerns, while the House argued the information could help candidates reach voters and was not primarily a fraud measure. The parties also discussed a related nursing home verification provision and record-retention/public-records questions. After caucusing, the House agreed to the Senate’s position with the added nursing home signing language, and the committee closed the bill on consent. House Bill 340, concerning electioneering by public employees, was then taken up with a Senate amendment that narrowed the definition of electioneering by tying it to existing statutory language, added a prohibition on expressly or primarily political surveys, and created a civil penalty option alongside the misdemeanor penalty. Senators and representatives debated whether the penalties should be mandatory or discretionary and how the language would apply to certain categories of public employees. After further clarification and caucus, the House accepted the Senate’s amended replace-all language, and the committee closed HB 340. Finally, the committee opened House Bill 1062, authorizing the Secretary of State to conduct random audits of citizenship qualifications of registered voters. The Senate explained that its changes removed the need for a permanent audit power by allowing records to be checked against databases and by requiring identification for registration going forward, which is why it added a sunset clause. The House member objected to the sunset and wanted the authority to continue indefinitely, and discussion continued as the transcript ended.

Transcript Highlights:

• Current timelines are 220 days for brackish surface water treatment using reverse osmosis and 120 days
• In return, our permitting timelines are reduced to 70 days for water rights permitting and 35 days for
• A couple of different series in that handout—I think there's a 13-day and a 6-day.
• There's also a 29-day and another one.
• Of water per day for that.

Summary: During the meeting, legislative members discussed the practice of municipalities diverting water and sewer revenues to their general funds, which impacts infrastructure maintenance and project delays. Vice Chair Sparks proposed limiting public testimony to two minutes, which was adopted without objection. The committee heard from various witnesses, including Perry Fowler from the Texas Water Infrastructure Network, who emphasized that utility revenues should primarily support water services and that transfers should be transparent and justified. He noted that many utilities face financial pressures that could hinder infrastructure projects. Larry French from the Texas Public Policy Foundation highlighted the significant financial impact of water loss and general fund transfers, estimating the annual loss at $1.5 billion. He argued that these transfers can create disincentives for municipalities to address water loss issues. Brian Butcher, Assistant City Manager of Sugar Land, defended the city's cost allocation model for general fund transfers, asserting that they are necessary for equitable service provision and operational efficiency. The committee also discussed the implications of rising construction costs and the need for better procurement processes to ensure effective use of taxpayer dollars. The second part of the meeting focused on the New World Screwworm and the state's preparedness to manage potential infestations. Dudley Hoskins from the USDA outlined the federal response efforts and the importance of collaboration with state agencies. He emphasized the need for ongoing surveillance and the production of sterile flies to combat the pest. Dr. Philip Kaufman from Texas A&M discussed the historical context of the screwworm and the challenges posed by its potential reintroduction, urging proactive management strategies among livestock producers. The committee acknowledged the need for increased resources and research to effectively address the threat of the screwworm.

Transcript Highlights:

• Have a good day.
• Have a good day.
• Have a good day.
• Have a good day.
• Have a good day.

Keywords: 1191, senate, all

Transcript Highlights:

• You know, that's challenging on a good day with low rates.
• on the day the policy was entered.
• Have a good day. Thank you. You as well. Thank you.
• Good day, Mr. Chairman. I'm sorry—be proud? No, I need be proud.
• Have a good day.

Keywords: 995, all

Summary: The Joint Committee on Financial Services heard testimony on a wide range of insurance-related bills, with much of the discussion focused on affordable housing insurance, homeowners insurance practices, climate resilience, and consumer protections after property losses. Senators and representatives testified in support of a resolve to create a commission on affordable housing insurance (S. 768/H. 1279), arguing that rising premiums and deductibles are threatening the viability of affordable housing properties and new development. Supporters also backed bills to establish private flood insurance standards (S. 719), create climate-resilient home retrofit grants (S. 720), expand the MVP climate resilience program (H. 1310/S. 686), and protect urban trees and limit insurer-driven tree removals (H. 1316). Several lawmakers and advocates said these measures would help reduce risk, preserve insurability, and address the effects of increasingly severe storms and flooding. The committee also heard testimony on bills addressing insurer use of aerial imagery (H. 1242/H. 2142) and notice periods for nonrenewals or repairs (H. 4042 and related measures). Supporters said insurers should be allowed to use drones and satellite images but with stronger guardrails, including current photos, disclosure of risk factors, an appeals process, and time to cure defects. They argued that homeowners are sometimes blindsided by nonrenewals based on inaccurate aerial photos or given too little time to make repairs. Opponents from the insurance industry said aerial imagery is already regulated by the Division of Insurance, that additional statutory requirements could create confusion and litigation, and that existing notice rules already provide 45 days for nonrenewals and 60-day limits on cancellations. Industry witnesses also warned that some proposed timelines conflict with current law and could restrict useful underwriting tools. Another major topic was H. 1077, which would restrict solicitation by restoration companies and public adjusters at fire scenes. A homeowner described being approached immediately after a house fire by restoration and public-adjuster representatives and said the experience was intrusive and overwhelming; supporters said homeowners need time and space to make informed decisions after a disaster. Public adjusters and restoration contractors opposed the bill, saying they provide needed guidance, emergency mitigation, and claims assistance when homeowners are under stress, and that some existing protections already allow consumers to cancel contracts. The hearing ended after all listed witnesses testified, and the committee voted to close the hearing; no bill dispositions were taken during the session.

Transcript Highlights:

• National Day of Prayer, I believe every day is a perfect opportunity for prayer.
• 'Give us this day our daily bread.
• Today is the National Day of Prayer.
• Blessing of the day for the Day of Prayer. Thank you, Mr. Speaker. Mr. Floor Leader, thank you, Mr.
• Both of these days a week, the day in the week takes place next week.

Bills: SB1090, SJR49, SB633, HR1059, SB650, SB2063, SB122, SB1614, SB1884, SJR52, SJR53, HJR1101, SJR50, HB3021, HR1058, SB514, SB382, HB3320, SB740, SB833, SB2143, SB1209, SB244

Keywords: wildlife, conservation, Oklahoma, regulations, permanent rules, Leo's Law, child endangerment, fentanyl testing, drug screening, child welfare, Oklahoma Children's Code, substance abuse, Asian/Pacific American Heritage Month, AAPI, Asian American, Pacific Islander, Oklahoma House resolution, commemorative resolution, heritage month, cultural recognition

Transcript Highlights:

• It was not just Bob's wallet that was returned that day.
• Happy Sylvia Mendez Day. Thank you, Assembly Member Gonzalez. Happy Sylvia Mendez Day.
• Muchas gracias for all you have done, all these days.
• , 365 days a year.
• day.

Summary: The Assembly met after a quorum call and prayer, then handled a series of procedural motions, guest introductions, and floor actions. Members welcomed student groups from Hope International University and Vacaville High School, and later recognized several guests connected to public safety dispatch. The chamber also adopted multiple re-referrals and procedural requests, including moving bills between committees and taking up AB 100 on concurrence from the Senate. A major portion of the session was devoted to ACR 34, designating April 14 as Sylvia Mendez Day. Assembly Member Ta and several colleagues spoke in support of honoring Sylvia Mendez and the Mendez v. Westminster case as a landmark in civil rights and school desegregation. The resolution drew extended partisan debate over the framing of the measure and broader issues of diversity, equity, and inclusion, but it ultimately passed on a roll call vote, with the resolution adopted. The Assembly also recognized Dolores Huerta on her 95th birthday through guest introductions and celebratory remarks, then moved through several bills and resolutions. AB 471 on air district board compensation, AB 677 on pupil records and access to screenings for housing-insecure students, ACR 31 designating California Public Safety Telecommunications Week, and AB 1150 on airport customer facility charges all passed. HR 30 recognizing Khmer New Year also was adopted with broad support. The most contentious policy action was AB 100, the early action budget bill. Supporters said it provided funding for wildfire prevention, hospital payments, Medi-Cal, and recovery in Los Angeles fire areas, while opponents criticized the bill for health care spending and high-speed rail. After a failed attempt by Assembly Member DeMaio to amend the bill and an unsuccessful appeal of the chair, the Assembly concurred in the Senate amendments and sent AB 100 to the Governor. The day ended with consent calendar approvals and adjournments in memory for several community members, including Larkin Carol Wells, Carmen O. Perez, and Oscar B. Ramos.

Transcript Highlights:

• Some days I regret it, some days I don't.
• , some days I Some days I regret it, some days I don't.<00:59:10.960> But<00:59:11.040> I
• day, day in and 90% were involved every day, day in and day<01:10:02.239> out<01:10:02.560>
• order of business for the day? order of business for the day?
• I can wear blue one day. it. I can wear blue one day.

Keywords: 958, all

Summary: The Senate convened, opened with an invocation and pledge, established a quorum, excused absent members, and approved the journal. The House clerk then announced that the House had passed several bills and requested concurrence. The chamber also received second-reading reports for a number of bills and resolutions, which were referred to the Rules Committee, and committee reports from the Economic Development, Tourism, and Labor Committee and the Judiciary Committee recommending passage of several measures. New resolutions were also introduced, including one honoring Michael Mingi, Amanda Maize, and Senator Maize Bledsoe, and another designating March 31, 2026, as Kentucky Transitional Science Day. The Senate then took up Senate Bill 145, relating to the Department of Alcoholic Beverage Control. The chamber concurred in House Committee Substitute 1 and House Floor Amendment 1, then passed the bill as amended by a roll call vote of 35 yeas and 2 nays. The Senate next considered Senate Bill 59, relating to prohibited uses of tax dollars and resources. After adopting Senate Committee Substitute 1, members debated whether the bill’s enforcement provisions were needed to prevent public funds from being used to influence ballot questions; supporters cited prior school-related advocacy, while one opponent raised concerns about possible uneven treatment of schools receiving federal funds. The bill passed 28-9. Finally, the Senate took up Senate Bill 137, relating to a provisional license to practice medicine. Supporters described Kentucky’s physician shortage, especially in rural areas, and argued the bill would help recruit foreign medical graduates by allowing a path to licensure based on prior residency and work experience. A floor amendment was offered to preserve standards by emphasizing U.S. residency pathways and cautioning against lowering the standard of care, but the amendment was withdrawn after discussion. The bill remained under consideration at the end of the transcript.

Transcript Highlights:

• will consider ACA 20, a proposal to change the budget stabilization account, also known as the Rainy Day
• And so I just wanted to thank him for the insight and guidance that has brought us to this day.
• The rainy day fund did exactly what it was assigned to do.
• And we're not depositing into the rainy day fund.
• You know, where you use that surplus for every day.

Keywords: 988, house, all

Transcript Highlights:

• as well as in the days afterwards.
• There's been same day registration states that have had absentee ballots.
• 15.360> registration There's been same day registration There's been same day registration states
• But in Minnesota, since 1974, we've had same-day registration.
• So if you show up and you have an issue with your registration, you can same-day register.

Keywords: 1183, house

Transcript Highlights:

• That date, you're allowed this number of days.
• We have been able to lower that 81 days down to 6. So we're much, 60 day.
• takes us 14 days as fingerprints as background investigation.
• I don't have any of that are over 180 days at the moment.
• At the end of the day.

Transcript Highlights:

• We've lengthened the time on the front end from 30 days to 60 days, with input from other members in
• eliminated the power to Pardon 30 days eliminated the power to Pardon 30 days before<00:05:18.800
• /c><00:05:27.160> input<00:05:27.520> from from 30 days to 60 days with input from from
• 30 days to 60 days with input from other<00:05:27.880> members<00:05:28.199> in<00:05:
• Originally, I had thought that 30 days was an appropriate amount.

Keywords: Meeting Start: 00:00 Attendance Roll Call: 00:00 Senate Bill 126 (Sen. McDaniel): 01:21 Senate Bill 37 (Sen. Elkins): 12:23 Adjournment: 21:06, 958, all

Summary: The committee met with a quorum and took up two bills. Senate Bill 126, sponsored by Senator McDaniel, proposed a constitutional amendment to limit the governor’s pardon power during the final 60 days before a gubernatorial election and through the transition period, with the stated goal of giving voters more time to learn about executive clemency decisions. McDaniel said the measure was intended to increase accountability and noted it would need approval by both chambers and then placement on the 2026 ballot. Senator Haron raised concerns about whether the proposal could chill pardons and asked about the timing; McDaniel responded that 60 days was chosen because of early voting and the need for public notice. The committee adopted a substitute and then passed the bill with a favorable expression; several members voted aye, Senator Haron passed, and Senator Adams later asked to be recorded as voting aye before adjournment. The committee then considered Senate Bill 37, sponsored by Senator Elkins, which would amend Kentucky law on indigent burials to allow cremation as an option instead of requiring burial, and would require consultation with the county coroner before a decision is made. Elkins described it as a local control measure and said he was working with Rabbi Litman on a possible accommodation for Jewish indigent decedents, since the Jewish community strongly prefers burial and has offered to assume costs in those cases. Questions focused on how long officials must make a bona fide effort to notify a spouse or next of kin and whether the bill would affect current practices; Elkins said it would not change existing policy on that point and suggested a possible floor amendment for additional issues. Rabbi Litman testified in support, explaining the religious importance of burial and the community’s concern about cremation. The committee substitute was adopted, and the bill passed with a favorable expression, though Senator Herron and Senator Tichenor expressed reservations and voted no or passed, citing constituent concerns and the possibility that family members may later seek a burial place to visit.

Transcript Highlights:

• But if we have something that's gone 90 days, 120 days, 180 days without any verification to the department
• 10-day requirement that says you shall. 10-day requirement that says you shall.
• > without gone 90 days, 120 days, 180 days without gone 90 days, 120 days, 180 days without any
• 60 days in advance. 60 days in advance.
• we'll reply within 10 days. we'll reply within 10 days.

Keywords: 1189, house, all

Summary: The committee first handled routine business, approving the minutes and consent calendar, then moved to the regular calendar of administrative rules. Department of Energy rule 25-220 was postponed until June at the sponsor’s request so stakeholders would have more time to review revised language. Several Department of Health and Human Services Medicaid-related rules were then considered, including 25-240, 25-265, and 26-33, each of which drew staff comments mainly about expired rule provisions and the agencies’ reliance on federal law, the Medicaid state plan, or other manuals. The committee approved those rules after brief questions, with the agencies stating they were already operating under the relevant federal or state-plan authority and, in one case, that rulemaking was underway to update an expired citation. The most extended discussion was on HHS Bureau of Aging rule 25-304, which had an amended conditional approval request. Staff explained the amendments clarified how case management agencies accept or deny cases, how telehealth participation is evaluated, and that the department sets the timing for accepting or denying cases under its existing authority. Staff also noted a separate issue about whether reimbursement rates must be in rule, but said the agency had long interpreted the statute to allow its approach and that any change would likely require legislation rather than committee objection. A provider representative testified against parts of the rule, arguing the case management agencies should not be required to accept referrals before contacting the participant, that telehealth decisions for other providers should remain with those providers, and that the quality-management section was duplicative and burdensome. Committee members questioned whether the telehealth language merely allowed case managers to say a service fit the client’s plan or instead gave them authority over another provider’s delivery method. The agency responded that case managers may determine what services an individual needs, but should not control how another licensed provider delivers those services. The discussion continued with no final action shown in the excerpt.

Transcript Highlights:

• And I think the 30 days came from... The 30 days came from statute.
• with you on days and numbers and I think the 30 days came from statute.
• So, in plain terms, 1611 lets an MCO expert do the day-to-day work.
• In plain terms, 1611 lets an MCO expert do the day-to-day work of program integrity and care coordination
• After 30 days, they were abandoned on the streets.

Bills: SB1086, SB1193, SB1318, SB1345, SB1346, SB1451, SB1496, SB1611, SB1630, SB1631, SB1632, SB1672

Keywords: reimbursement, healthcare, laboratory services, noncontracting providers, Arizona health care cost containment, personal identifying information, PII, privacy, confidential records, public records exemption, commercial disclosure, data privacy, licensure, certification, health professions, health care licensing, Arizona Department of Health Services, ADHS, emergency medical care technician, EMCT

Summary: The committee first approved the February 4 minutes and then heard Senate Bill 1086, which would require AHCCCS contractors to reimburse non-contracting providers for certain laboratory services when a member was referred by a contracting provider, and would bar prior authorization for diagnostic services and retaliation tied to such referrals. AHCCCS testified neutral but warned the prior-authorization ban could increase utilization and create fiscal and federal compliance concerns. The committee adopted the Warner amendment limiting non-contracting reimbursement to no more than contracting-provider rates, then passed SB 1086 as amended on a 4-2 vote. The committee next took up Senate Bill 1611, an emergency measure to require AHCCCS to contract with an administrative services organization for program integrity and case management functions for the American Indian Health Plan, while keeping AHCCCS ultimately responsible. The chair’s amendment expanded the ASO’s duties to include provider support, quality improvement, and data analytics, removed AHCCCS claims payment authority, added more tribal observers, and exempted IHS and tribal facilities. Testimony strongly supported reforming the system after fraud and overcorrection harmed Native members and providers, but AHCCCS raised concerns about the fast timeline, possible duplication of fraud-fighting functions, and the need for 45 days of tribal consultation. The committee adopted the amendment and passed SB 1611 as amended on a 5-2 vote. Senate Bill 1630 would create a Medicaid-funded home and community-based services program for adults with serious mental illness, capped initially at 250 members under the Angius amendment, with semiannual reporting and a process for future expansion only if costs are reduced or neutral. Supporters said the bill would help the sickest SMI patients avoid repeated hospitalizations, jail, and homelessness, and could save the state general fund by shifting costs to federal Medicaid funding; AHCCCS was neutral and said it was finalizing the fiscal estimate. The committee adopted the amendment and passed SB 1630 unanimously. The committee also passed SB 1193, protecting emergency medical care technician personal information from disclosure; SB 1318, repealing an outdated state dense-breast notification requirement to align with FDA language; and SB 1345, restricting anonymous complaints against health care institutions, though AHCCCS warned that federal law may still require investigation of complaints from any source and that the bill could reduce reporting and invite litigation.