Transcript Highlights:

• of the 95,000 individuals that are subject to community supervision.
• The DOC operates 13 district supervision offices statewide.
• the interstate compact for adult offender supervision.
• in Minnesota under some form of correctional supervision.
• I just have a quick question on the tribal supervision funding changes.

Bills: HF2432

Keywords: HF2432, judiciary finance bill, public safety finance bill, corrections policy, crime victims, victim services, Minnesota victims of crime account, court fees, marriage license fee, financial crimes, fraud investigations, insurance fraud, Bureau of Criminal Apprehension, BCA, Commerce Fraud Bureau, wage theft, automobile theft prevention, nonprofit security grants, 911 funding, POST Board

Transcript Highlights:

• Under your bill, if you are not in a controlled, if you're not under controlled supervision, wouldn't
• You have a ton of people that after they finish probation are no longer under controlled supervision.
• That person could still go and visit somebody's apartment and masturbate in front of the pool.
• You can go visit the beach and ogle people, women, men, children. You can do all these things.
• It creates instability and makes supervision impossible.

Summary: The Criminal Justice Subcommittee met to consider three bills. HB 199, relating to Veterans Court, was presented as a repeat measure aligning Veterans Court procedures with mental health and drug court laws and allowing post-adjudicatory referrals. A technical amendment was adopted, numerous witnesses waived in support, and the bill passed unanimously 17-0. The committee then took up HB 45, which would add public swimming pools and public bathing places to existing sex offender residency, work, volunteer, and visitation restrictions. The sponsor argued it would protect children and apply only to specified sex offenses. Several members and public witnesses raised concerns that the bill’s definitions were overly broad, could effectively ban registrants from much of Florida, and could increase homelessness and make offenders harder to track. An amendment narrowing the bill’s scope and definitions was adopted after debate, and the bill passed 11-5 as amended. Finally, HB 17, the Jason Rayner Act, was heard to clarify that force may not be used to resist an arrest by an officer acting in the performance of official duties, retain good-faith language, add manslaughter to offenses requiring a life sentence when reclassified, and increase the severity level for battery on a law enforcement officer. The sponsor said the bill was intended to strengthen protections for officers; opponents argued it could sweep in accidental or less culpable conduct, while supporters said existing law already covered serious cases. A clarifying amendment was adopted, and the bill passed 16-0 as amended. The committee then adjourned.

Transcript Highlights:

• It cuts pediatric therapy services and visiting nurse services. Complex kids.
• Pre-pandemic, we averaged 3,200 household visits and deliveries a month.
• Today, we're averaging 10,500 visits and deliveries a month.
• at the beginning of supervision.
• How often visitation can happen and how long those visits are.

Summary: The committee heard testimony on the effects of H.R. 1 on Washington’s Medicaid, developmental disability, long-term care, and food assistance systems, followed by a separate discussion of juvenile rehabilitation caseloads and placement capacity. DSHS officials said HR1 could affect home equity rules, immigration-related eligibility, work requirements for some expansion-population enrollees, and provider taxes, while also creating a future opportunity for a new 1915(c) waiver. Advocates and providers warned that any state response that cuts home and community-based services would worsen already thin provider networks, increase waiting lists, push more people into hospitals or out-of-state placements, and strain families and workers. A pediatric behavioral health expert and a supported living provider said Medicaid reimbursement is already too low and further reductions would threaten outpatient, residential, and inpatient services for people with intellectual and developmental disabilities and severe behavioral needs. The committee then turned to SNAP and the state food assistance program. DSHS said HR1 would tighten work requirements and exemptions, end some immigrant eligibility for the federal program, eliminate the SNAP education program, raise state administrative costs, and eventually require Washington to share in benefit costs based on its error rate. Officials estimated large numbers of residents could lose or see reduced benefits, with significant added state costs. Anti-hunger advocates, a food bank director, and a SNAP recipient described the program as essential for low-income families, seniors, and people with disabilities, and said the changes would increase paperwork, reduce benefits, and worsen food insecurity while also harming local food economies. Testimony emphasized that food banks cannot replace SNAP and that work requirements may be difficult to meet for caregivers, people with disabilities, and those facing child care or transportation barriers. In the juvenile justice portion, the Caseload Forecast Council presented the JR forecast, which is currently mostly flat through the end of the biennium but expected to grow modestly over the longer term. Members discussed how policy choices, including the 2019 JR-25 law, have increased lengths of stay for adult-sentenced youth in JR, while diversion and other reforms have affected regular JR trends. A court researcher explained the data available to help forecast admissions and noted ongoing efforts to improve data sharing with JR, AOC, and county systems, though staffing and system-lag issues limit how quickly data can be produced. Juvenile court administrators and DCYF officials described the community-based juvenile justice continuum, rising complexity in the JR population, overcrowding at Green Hill and placement constraints at Echo Glen and Harbor Heights, and the need for more flexible community transition and mental health capacity. No votes were taken.

Transcript Highlights:

• Uh, and I want to emphasize that indirect supervision does not mean no supervision.
• does not mean no supervision does not mean no supervision.<02:05:19.880> Uh<02:05:20.040>
• It's indirect supervision, which means supervision.
• > means It's uh indirect supervision means It's uh indirect supervision means supervision. supervision
• . supervision.

Keywords: 1191, senate, all

Transcript Highlights:

• The medium and frequent supervision.
• Next slide please. supervision. Inmates shall be assigned supervision.
• Uh our open air supervision. Okay.
• cubicle and he can visit family and attorney visits.
• contact visit cubicle and he can visit contact visit cubicle and he can visit family<00:35:32.720

Keywords: 910, house, all

Transcript Highlights:

• The result: faster access to care, fewer unnecessary ER visits, and a system that actually works for
• The result: faster access to care, fewer unnecessary ER visits, and a system that actually works for
• That's thousands of people who could avoid ER visits, stay healthy, and keep working.
• The county would maintain supervision. Dr.
• supervision via audio and video with technologists administering contrast for imaging.

Summary: The Assembly Health Committee heard a long series of health-related bills, with most measures focused on access to care, administrative simplification, and behavioral health. Early items included AB 583, allowing nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery facilities are licensed; and AB 280, which would tighten provider directory accuracy requirements, add enforcement benchmarks, and allow use of a centralized database. Testimony on AB 280 highlighted the harms of “ghost networks,” while insurers and some provider groups opposed the bill as written, arguing it placed too much responsibility on plans and did not fully address provider-side data problems. AB 280 passed on a roll call vote, and several other bills were placed on consent and approved. The committee also advanced AB 636, expanding Medi-Cal coverage for medically necessary diapers for children up to age 21 and lowering the age threshold for access; AB 1041, streamlining physician credentialing with a uniform form and 90-day review deadline; and AB 787, requiring health plans to help enrollees find in-network providers quickly when directories fail. Supporters of these bills emphasized family financial strain, delays in care, and the burden of administrative red tape, while opponents of AB 1041 and AB 280 raised concerns about provider participation, accuracy, and liability. All three measures were approved and sent to Appropriations. The committee then took up AB 4 and AB 29. AB 4 would allow income-eligible Californians to buy Covered California coverage regardless of immigration status, and AB 29 would authorize Medi-Cal reimbursement for community health workers and doulas conducting ACE screenings. Both bills drew strong support from immigrant-rights, health access, and community-based organizations, and both passed on roll call votes, with AB 4 receiving some no votes. The committee also approved AB 416, which would allow emergency physicians to place 5150 holds in certain circumstances; supporters said it would reduce delays and overcrowding in emergency departments, while Disability Rights California and others warned it could increase unnecessary involuntary hospitalization and transfers to locked facilities. Despite those concerns, the bill passed and was sent onward for further consideration.

Transcript Highlights:

• Thank You, Chairman, thank you so much, Secretary, for letting us visit.
• Right now, we have clients who are coming out on supervised release.
• Now, we also try to get them while they're still on supervised release.
• to put them out on supervised release.
• It was enlightening to visit the facility.

Transcript Highlights:

• This graphic illustrates the releases by supervision type.
• This illustrates the wide range of offenders that the Commission supervises.
• A supervision review is conducted by the Department of Corrections.
• So they are doing better and having served less supervision.
• Our conditional release supervision is another statutory release.

Summary: The committee met to hear an overview of the Appropriations Committee on Criminal and Civil Justice budget area and then received performance-measure presentations from the Department of Corrections, the Commission on Offender Review, and the Department of Juvenile Justice. Staff reviewed the roughly $7.4 billion criminal justice and judiciary budget, noting major funding areas such as corrections, law enforcement, victim services, courts, and due process, along with recent investments in prison health care, security equipment, fentanyl enforcement, court staffing, and juvenile justice salaries and education programs. Secretary Dixon of the Department of Corrections described staffing and population pressures, including growth in inmate population, overtime-driven deficits, and the opening of additional housing units. He emphasized the department’s use of performance measures and highlighted reforms such as incentivized prisons, administrative management units, reentry planning, faith-based programs, and expanded education and vocational training. Members asked about teacher hiring, public defender pay parity, fentanyl funding, staffing capacity, and the role of the National Guard; Dixon said teacher vacancies had improved, public defenders had received comparable pay increases, fentanyl funding would be addressed further by FDLE, and the Guard had helped stabilize staffing. The Commission on Offender Review reported on parole, conditional release, addiction recovery supervision, and revocations, saying its recidivism/success rates had improved over a three-year measurement period. Senator Rouson pressed the commission on clemency and pardons, saying that work was omitted from the presentation and asking for backlog and case data; the commission said it did not have those figures on hand and would follow up. The committee also discussed a conditional medical release pilot study, and members questioned the report’s conclusion that no suitable elderly inmate population could be identified, asking what criteria were used and whether stakeholders were consulted. Secretary Hall of the Department of Juvenile Justice outlined the agency’s prevention-to-residential continuum and its emphasis on education, data-driven decision-making, and evidence-based programming. He said salary increases had reduced vacancies, juvenile arrests and residential commitments had fallen sharply over time, and tools such as civil citations, risk assessments, and quality-improvement reviews were being used to guide placements and services. Hall also described the department’s use of dashboards, monthly data check-ins, and the dispositional matrix to improve outcomes and reduce recidivism.

Transcript Highlights:

• They're given home visits maybe once a month, sometimes once every two weeks.
• It's something they won't be able to get in 30 minutes or 45 minutes at a home visit.
• They won't be able to get in 30 minutes or 45 minutes at a home visit.
• Thank you. get to visit for just a few minutes at get to visit for just a few minutes at pickup<00:24
• rich history of of the Cities I visited rich history of of the Cities I visited and<01:22:25.719

Keywords: 1187, senate, all

Transcript Highlights:

• Yeah, it was the supervision question, whether they were currently required to be under supervision,
• Yeah, it was the supervision question, whether they were currently required to be under supervision,
• Yeah, it was the supervision question, whether they were currently required to be under supervision,
• Yeah, it was the supervision question, whether they were currently required to be under supervision,
• <00:30:32.880> the to screen 98% of patients visiting the to screen 98% of patients visiting

Keywords: 00:00 Call to Order/Roll Call 00:16 Consideration of Referred Administrative Regulations 25:49 Discussion of Hospital Rate Improvement Plan 58:50 Adjournment, 958, all

Summary: The committee began by reviewing a large slate of administrative regulations and explaining that it does not approve regulations but can find them deficient and send them back for further work. Members then asked questions on several items, including EMS reciprocity, dental hygienist licensure, and interpreter licensure. The EMS board explained that reciprocity would extend to applicants from any state, not just contiguous states, because the underlying statute had been amended. On the dental regulation, staff said the changes mainly clarified licensure requirements, reinstatement fees, and that dental hygienists administering local anesthetic must do so under direct dentist supervision. The most extended discussion involved the Board of Interpreters for the Deaf and Hard of Hearing. The board chair said the main concern was that the EIPA is an educational specialty assessment, not a nationally recognized certification, yet the regulation would allow it to support full licensure. Members discussed whether that could let educational interpreters work outside their intended scope and whether a separate educational license or statutory change would be more appropriate. The board said it did not think the regulation could be fixed further at this point and suggested a statute could create a narrower educational interpreter license. After discussion, the committee voted to defer both related interpreter regulations, 201 KAR 39:030 and the companion regulation, for further work. The committee then took up two community mental health regulations, 907 KAR 1:044 and 907 KAR 5:005, which had been found deficient in Administrative Regulations. Department for Medicaid Services staff said the rules would expand and rename the mental health associate role as a behavioral health associate, making the role available in many more facilities, but would also require additional coursework or progress toward licensure. Some members and providers raised access-to-care concerns, especially for rural areas and unlicensed staff already working in the field. Staff said the proposal had been revised through work with CMHCs and licensing boards, but the committee ultimately voted to defer both regulations as well. After finishing the regulation review, the committee heard a presentation from the Kentucky Hospital Association on the ATRIP hospital rate improvement program. Hospital representatives said ATRIP is a Medicaid state-directed payment program funded through a provider tax and federal matching dollars, allowing hospitals to receive payments tied to quality measures. They reported improvements including lower Medicaid readmissions, high sepsis screening rates, reduced infections and opioid prescribing, expanded postpartum depression and suicide screening, and training for more than 1,000 people. They said the program has helped hospitals invest in staffing and quality improvement and warned that without it, many hospitals would face severe financial strain.

Transcript Highlights:

• Supervised residential care.
• supports provided in supervised supports provided in supervised residential<00:17:49.520> care
• until we have three successful uh visits until we have three successful uh visits through<01:16:
• , suspensions or inadequate supervision, suspensions or inadequate supervision, background<01:16:
• One of the reasons I'm not able to visit particular centers is if I did make a visit to a center and

Keywords: 958, all

Summary: The committee met with a quorum and first heard brief presentations on Kentucky’s 2025 Preventive Health and Health Services Block Grant and Title V Maternal and Child Health Block Grant. Department for Public Health staff explained that the preventive health block grant provides about $2.3 million annually and supports programs such as accreditation and performance improvement, local health department grants, community health workers, prescription assistance, asthma and COPD programs, workforce development, and a sexual assault programs set-aside. They said the Title V block grant provides about $11.7 million, with 35% directed to children and youth with special health care needs and 65% to maternal and child health populations, largely through local health departments and a five-year needs assessment process. After no questions, a motion was made and seconded to approve both block grants. The roll call vote passed 19-0, and the two block grants were approved. The committee then approved the minutes from the prior meeting. The next item was a discussion of the child waiver created in House Bill 6. Committee members raised concerns that the proposed 1915(c) waiver did not match the legislature’s intent, which they said was to move children from the Michelle P. waiver to free slots for adults. Cabinet officials from DCBS, behavioral health, and Medicaid described the proposed “Community Health for Improved Lives and Development” waiver as a targeted home- and community-based program for children under 21 with severe behavioral health or developmental needs, including those stepping down from inpatient or residential care or at risk of out-of-home placement. They said the waiver is designed for about 100 slots, uses a standardized needs-based assessment, and includes case management, community living supports, home modifications, respite, supervised residential care, and clinical therapeutic services. Officials said the public comment period ended July 15, responses are being compiled for August submission to CMS, and the waiver is part of the broader Families First initiative.

Transcript Highlights:

• We don't really have oversight of the supervision piece.
• It's 24/7 supervised living, very intensive services, and case management.
• to reinstitute that supervision and commitment. ...to reinstitute that supervision and commitment up
• And, as they said, that includes continued supervision. And again, it is layers of supervision.
• It’s not just the court that is supervising these individuals.

Keywords: 1185, senate, all

Transcript Highlights:

• And we'll possibly visit this next meeting.
• We supervise individuals who are placed under supervision from the district court on probation, released
• Most of the people that we supervise have their case disposed of as guilty.
• Most of the people that we supervise have their case disposed of as guilty.
• It would be advisable maybe to visit with them as well as with Tony Wiler, certainly.

Summary: The Judiciary Interim Committee met to begin its study of charitable gaming and the ownership of alcoholic beverage establishments by licensed charitable gaming organizations, a study directed by Senate Bill 2334. Legislative Council gave an overview of the constitutional and statutory framework for charitable gaming, site authorizations, rent limits, proceeds, and recent legislative changes. The Attorney General’s Gaming Division then clarified the financial flow of gaming, explaining that in fiscal year 2025 North Dakota had about $2.5 billion in gross gaming proceeds, with roughly 88-90% paid back in prizes and about $256 million available to organizations after taxes; most of that activity came from electronic pull tabs. Members asked for more detail on winnings, replays, rent, and the breakdown of manufacturer/distributor revenues, and the AG’s office agreed to provide supplemental information. The committee also heard from the League of Cities and the Association of Counties about local site authorization. Cities said they have a limited role in approving gaming sites, can adopt policies after public hearing, may charge up to $100, and can set certain conditions, including local nexus requirements, but cannot require donations or force a specific charity or site. The League said it had worked with stakeholders on a model policy to provide more consistency, though members raised concerns that local requirements could become too restrictive for charities serving broader areas. Counties said the issue is mostly a city matter, with little county involvement beyond minimal site fees and general site approval. The North Dakota Gaming Alliance testified in support of the study and provided IRS-related material suggesting charities may use asset diversification, while emphasizing it had not taken a position on whether charities should own bars. Members questioned whether bar ownership is being used for site stability or to channel charitable gaming dollars, and whether city policies might disadvantage charities with broader missions. The committee also discussed the relationship between gaming organizations, manufacturers, and distributors, including restrictions on incentives and interference, and asked for more information on those entities and their ownership. Later in the meeting, the Racing Commission gave its regular update on live racing, pari-mutuel wagering, ADW providers, purse and promotion funds, a new TRPB contract, and concerns about cease-and-desist actions from other states. Finally, the State Hospital superintendent briefly reported on the Department of Corrections and Rehabilitation’s support services, including the SORT team, training, and security assistance for the hospital campus.

Transcript Highlights:

• Current law does not specify when supervised visits are necessary, the duration of the visits, or where
• As a result, courts often default to supervised visitation orders that are often unnecessarily restrictive
• That's not what supervised visits are.
• The default for many counties is supervised visitation.
• We are actually supportive of the underlying policy that supervised visitation should become more liberalized

Summary: The committee heard several bills, with the most detailed discussion focused on AB 316, AB 251, AB 474, AB 1201, AB 464, and AB 614. AB 316 would prevent AI developers or deployers from arguing in civil cases that an AI system’s alleged autonomy absolves them of responsibility. Supporters framed it as a narrow guardrail to protect families, especially children, from harms like dangerous chatbots and deepfakes; opponents, including TechNet and the Chamber of Progress, raised concerns about possible strict-liability implications. The bill was moved out of committee to Privacy and Consumer Protection. AB 251 would let judges lower the burden of proof in elder abuse cases when a skilled nursing facility or RCFE intentionally destroys evidence. Supporters said the measure is needed because elder abuse victims are often unable to testify and records are vulnerable to spoliation, while opponents argued existing sanctions are sufficient and warned of more litigation. The bill passed, with committee members emphasizing the vulnerability of elder abuse victims. AB 474 sought to expand nonprofit home-sharing programs, including tax incentives for low-income homeowners and changes to housing law and lodger rules. Supporters said it would help older adults and low-income Californians avoid homelessness, but several members and the California Apartment Association raised concerns about removing lodger-law protections for homeowners; the author committed to keep working on the issue. The bill passed to Human Services. AB 1201 would give courts discretion to provide family reunification services to parents with certain violent felony convictions, rather than applying an automatic bypass. Supporters from Starting Over Inc. described personal experiences with permanent family separation and argued the bill would give parents a fair chance when the conviction is unrelated to child safety. Some members supported the measure but questioned whether domestic violence histories should be treated differently; the author said the bill still allows courts to deny services when reunification would endanger a child. The bill passed to Human Services. AB 464 addressed sexual abuse and retaliation in state prisons by extending reporting time after release, adding 90-day monitoring after reports, barring rehiring of confirmed abusers, and strengthening reporting and anti-retaliation rules. Survivors testified about abuse, retaliation, and failures in CDCR’s response; the bill passed to Appropriations. AB 614 would standardize the Government Claims Act filing deadline at one year for all claims. The author and supporters argued the current six-month deadline for injury and wrongful death claims is too short for victims to learn the process, find counsel, and gather evidence, while businesses often get a full year. A civil rights attorney and a family member of a deceased jail detainee testified in support, describing how the current deadline can block meritorious claims. The bill was presented for committee consideration as the hearing continued.

Transcript Highlights:

• So this is what we know works, both in juvenile and adult supervision.
• Visited other states, who have seen what they've done other places.
• It was solely because I did not have enough. have to supervise the youth.
• supervision.
• For instance, taking away community supervision or deferred adjudication.

Bills: HB31, HB3360

Keywords: juvenile justice, community supervision, felony offenses, treatment of children, juvenile facilities, chemical dispensing device, solitary confinement, rehabilitation, criminal proceedings, delinquency, 1184, house, all

Transcript Highlights:

• Supervising dentists may restrict or limit the scope. This has been known as the poison pill.
• Supervising dentists may restrict or limit the scope.
• Can you dig a little deeper into that word supervision? What exactly does it mean?
• So no matter what level of supervision, there's a high degree of responsibility on the dentist.
• They would be under my supervision. They would be under my supervision.

Summary: The Health Professions and Programs Subcommittee heard and advanced three bills. HB 21 would create a new licensed profession of dental therapy under the Department of Health and Board of Dentistry, allowing trained dental therapists to provide a limited scope of care under a supervising Florida-licensed dentist through a collaborative management agreement. Sponsor Rep. Cheney argued the bill would help address severe dental shortages and improve access in underserved areas; opponents from the Florida Dental Association and oral surgery groups warned that the bill would allow irreversible procedures by less-educated providers and could compromise patient safety. Supporters, including dentists, hygienists, and community health center leaders, said dental therapists would expand access and free dentists to handle more complex care. An amendment was adopted to require proof of local anesthesia training, adverse-incident reporting, and updated background screening language. The bill was reported favorably as amended by a 14-1 vote. The committee then considered HB 27, which creates the Social Work Licensure Interstate Compact to allow licensed social workers to practice across member states, including through telehealth, and to help military families and address workforce shortages. Supporters from the National Association of Social Workers and other advocates said the compact would improve mobility, reduce administrative burdens, and expand access to mental health services, especially in underserved and rural areas. A technical amendment restoring model language and setting an effective date of July 1, 2025 was adopted, and the bill was reported favorably as amended on a 15-0 vote. Finally, the committee heard HB 29, the public-records companion to the social work compact, which creates exemptions needed for compact compliance and allows the compact commission or its committees to meet in closed session when discussing information exempt under law. After a technical amendment authorizing closed meetings for exempt matters was adopted, the bill was reported favorably as amended on a 15-0 vote. The meeting then adjourned.

Transcript Highlights:

• And I visited many farms across the state, all in my district, and they are all going through the same
• At least 20 of 30 Major League Baseball venues use supervised self-checkout.
• First, the reason we have introduced supervised self-checkout food and beverage stands is to improve
• Every stand is supervised by at least one Aramark employee, Every stand is supervised by at least one
• Earlier this week, members of the committee and staff visited TD Garden.

Keywords: 995, all

Summary: The committee heard testimony on House Bill 452, a right-to-repair bill for agricultural equipment. Farm Bureau and several manufacturers’ representatives opposed the bill, arguing that existing memorandums of understanding already provide farmers access to parts, diagnostics, and repair information, and warning that broader software access could increase emissions tampering and safety risks. Supporters, including repair advocates, a legislator, and a farmer representative, argued that the MOUs are not binding, that farmers need enforceable repair rights to avoid costly delays during critical harvest periods, and that owners should be able to repair equipment they bought without dealer lock-in. No vote was taken during the hearing. The committee also heard testimony on bills to limit or eliminate “grab-and-go” alcohol sales at large venues, including House Bill 325 and Senate Bill 225. Union workers from Fenway Park and the TD Garden described self-checkout alcohol kiosks as creating public safety and compliance problems, including underage access, over-serving, theft, and difficulty monitoring intoxication in crowded settings. They said workers are often understaffed and bear discipline when violations occur. In contrast, the Boston Red Sox and Aramark defended the supervised self-checkout model, saying it speeds service, is widely used, and operates with multiple layers of supervision, training, and regulatory oversight; they said they had not received violation notices and that any incidents are isolated. Senator Edwards also testified in support of House Bill 369, aimed at restricting marketing of certain harsh cosmetic products to children, and in support of the grab-and-go bill. She argued that children should not be targeted with products containing toxic chemicals and that alcohol service should remain supervised by trained staff to protect consumers and jobs. Senator Collins and other legislators also spoke in favor of restricting grab-and-go alcohol service, citing concerns about underage drinking and overconsumption. The hearing additionally included a separate bill on Sunday morning alcohol service, with Representatives Scanlon and Lewis arguing for allowing sales beginning at 8 a.m. on Sundays rather than 10 a.m., but that bill was only discussed briefly and no action was taken.

Transcript Highlights:

• So this is what we know works both in juvenile and adult supervision.
• It was solely because I did not have enough staff to supervise the youth.
• supervision.
• Unfortunately, our supervision staff are often the victims...
• For instance, taking away community supervision or deferred adjudication.

Transcript Highlights:

• Because of the lack of supervision, some unforeseen accidents that happened because of no supervision
• , some unforeseen accidents that happened because of no supervision of the physician.
• And then you have—still under supervision of— not necessarily supervision.
• In 2022, the VMB removed a veterinarian's ability determine supervision levels and mandated direct supervision
• , placing disability determine supervision levels and mandated direct supervision, placing previously

Summary: The joint Assembly and Senate Business and Professions sunset oversight hearing focused first on the Board of Registered Nursing (BRN), with committee chairs emphasizing oversight, consumer protection, workforce access, and economic mobility. BRN leaders reported improvements since the last review, including faster licensing timelines, streamlined enforcement, higher consumer satisfaction, growth in pre-licensure enrollment, and expanded data collection. Members questioned the board about nurse practitioner scope and supervision, international and military pathways to licensure, online nursing education and clinical requirements, rural workforce shortages, and the 30-unit LVN-to-RN option. BRN staff explained California’s tiered advanced practice system, the NCLEX and certification requirements, English proficiency rules, clinical hour standards, and the board’s role in approving programs and supporting schools through nursing education consultants. Several members and the board president also discussed the need to retain new graduates, improve diversity in the workforce, and better support nontraditional students and rural placements. Public comment on the BRN sunset review was extensive and largely supportive of the board, while also urging policy changes. Nurse practitioner, nurse anesthetist, nurse midwife, and nursing education groups generally supported the BRN report and especially backed clarification of APRN-to-RN delegation authority under issue 13. Other commenters asked for clearer implementation of AB 890, more flexibility for clinical nurse specialists, streamlined renewals for nurse midwives, and changes to federal loan limits affecting graduate nursing education. Higher education representatives and private nursing schools raised concerns about duplicative BRN documentation, clinical placement bottlenecks, and barriers faced by out-of-state and online programs seeking to serve California students. The California Medical Association and some physician groups opposed easing transition-to-practice requirements for out-of-state nurse practitioners and cautioned against changes to specialty and delegation rules, while the California Nurses Association and others stressed the importance of community college pathways, new graduate support, and workforce retention. The hearing then moved to the Physical Therapy Board of California. Board leadership reported that the board oversees more than 41,000 active licensees, has seen about 15% growth since 2021, and continues to maintain high exam pass rates among California physical therapy and physical therapist assistant programs. The board described its mission as consumer protection through licensing, enforcement, continuing competency oversight, and stakeholder engagement. The vice president’s remote testimony encountered technical problems, so the executive officer continued with a brief overview of the board’s work and its commitment to efficient service and public protection. No votes or formal actions were taken in the portion of the meeting provided.

Transcript Highlights:

• Shineson, is there a specific coursework or supervised training or hospital-based experience?
• , our RNs, is within their scope of practice to supervise.
• Whenever I visited him, ...about five years ago. When I was younger, he was very active.
• But every time I visit him now, his condition is worse.
• But every time I visit him now, his conditions worse.

Bills: SB1095, SB1114, SB1116, SB1162, SB1164, SB1178, SB1179, SB1249, SB1253, SB1346, SB1347, SB1446, SB1561, SB1813

Keywords: gender transition, minors, irreversible surgery, health professionals, puberty-blocking drugs, medical procedures, prohibition, Arizona Revised Statutes, behavioral health, patient brokering, appropriation, state funds, Maricopa County, claims review, medical necessity, American Indian health program, healthcare regulations, healthcare compliance, behavioral health technicians, licensing

Summary: The committee first heard Senate Bill 1114, which would appropriate $1 million to the Maricopa County Attorney’s Office to investigate behavioral health patient brokering statewide. Sponsor Sen. Karen Werner described the bill as a response to fraud involving vulnerable Native Americans and said the county attorney would investigate the whole state. Some members questioned why the Attorney General was not handling the work and whether the funding should go to a county office, while others supported the effort. The committee voted 10-1 with one present to give SB 1114 a due pass recommendation. The committee then considered Senate Bill 1116, which would require that denials or adverse appeal decisions on behavioral health claims for the American Indian Health Program be reviewed by someone with at least two years of relevant clinical experience. Access testified neutral but said the bill’s language was too broad and could increase appeals and staffing needs, estimating about $490,000 for eight FTEs. Sen. Werner said the bill was meant to prevent inappropriate denials by reviewers without relevant expertise. Members raised concerns about definitions and staffing, and the committee approved the bill 7-4 with one present. Senate Bill 1346 would require Access to notify providers of claim deficiencies within 72 hours and decide corrected claims within 10 business days. Supporters said the measure would reduce long delays and help providers stay afloat; Access said it was working on process improvements but warned the bill would require more staff and system changes, estimating about $580,000. The committee passed SB 1346 7-5. Senate Bill 1347, requiring insurance coverage for fertility preservation services for cancer patients at risk of infertility, drew strong support from cancer survivors and advocates, with insurers neutral; the committee passed it unanimously 12-0. The committee also heard Senate Bill 1813, which would require Arizona State Hospital admissions to be based on clinical need rather than county of residence. Supporters argued the Maricopa County cap unfairly delays treatment and is not required by the underlying court ruling, while ADHS warned the bill could conflict with the Arnold v. Sarn settlement and could shift access away from rural counties. After extensive discussion, the committee passed SB 1813 9-2 with one present. Finally, the committee began hearing Senate Bill 1178, which would allow naturopathic physicians to administer IV antibiotics, antivirals, and antifungals; the initial testimony was largely opposed by medical associations on patient-safety and training grounds, with supporters yet to testify in the excerpt provided.