Transcript Highlights:

• members would... ...in the Indian Health Plan that are ALTCS members, what kind of impact might they
• What, you know, is there any impact to our members that are on ALTCS?
• People served through DDD and ALTCS have support and access to Medicaid-funded long-term services and
• DDD and ALTCS have federal Medicaid funding. SMI people don't.
• The bill seeks to create a new ALTCS-like program for SMI members.

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.

Transcript Highlights:

• that process is for the vast majority of these individuals, they'll ultimately go on to apply for ALTCS
• and eventually a good portion of them will become ALTCS-eligible.
• so if we talk about the pure numbers of it, if we are seeing an increase of 4,000 to 5,000 on the ALTCS
• eligible, which is when they would receive a larger array of services. ...ALTCS eligible, which is when
• And the ALTCS eligibility process would then be able to kind of categorize in a different manner, as

Keywords: 1182, all

Summary: The committee first went into executive session and then returned to approve settlements in three risk management cases based on a motion to accept the Attorney General’s proposed settlement. After that, JLBC staff presented item 1 on the School Facilities Division construction cost index, recommending a 4.8% increase for fiscal year 2027 with retroactive application to December 10, 2025; members asked about why prior years had zero adjustments during the Great Recession, and the committee approved the item. Items 2A and 2B concerned Arizona Department of Education reports. For 2A, staff reviewed ADE’s annual federal monies report, noting fiscal 2026 federal funds of $1.38 billion, up from $1.27 billion the prior year, and the committee gave favorable review. For 2B, staff summarized the annual Career and Technical Education District report, including enrollment, expenditures, retention, and credential completion rates; members questioned the low 37% retention rate and asked for more comparative and explanatory data, but the committee still gave favorable review. Item 3A addressed a DES transfer of $3.3 million from the Home and Community-Based Services Medicaid line item to the state-only case management line item for developmental disability services. DES said both areas faced shortfalls and that the transfer would help immediate cash-flow needs, but members raised concerns about growth in the state-only program, possible migration into Arizona for services, fraud controls, and whether the department had formally notified the Legislature of the deficiency. The committee attached conditions requiring formal deficiency letters, monthly reporting on DDD populations by diagnosis, and a review of Minnesota audit findings, then approved the item. Item 3B, the Arizona Training Program at Coolidge annual review, was also approved. Finally, item 4 proposed transferring $650,000 from unused special election funds to the Secretary of State’s cybersecurity monitoring and management budget. The Secretary of State’s office said the money would support 24/7 monitoring, endpoint protection, and remediation of identified vulnerabilities, and members debated the office’s federal outreach and the March 1 deadline tied to county reimbursement for AVID-related costs. Despite concerns from some members about communication and the size of the remaining appropriation, the committee gave favorable review to the $650,000 transfer and then adjourned.

Transcript Highlights:

• Right now, if you have ALTCS, it's about $2,800 per month for that individual.
• qualify for ALTCS is what we are proposing for this program, 300% of the poverty line.
• I believe, just like our other programs, DDD and ALTCS, it's caseworking the patient.
• It's basically modeled after ALTCS, but not using the same pass-through criteria.
• The bill seeks to create a new ALTCS-like program for SMI members.

Bills: SB1041, SB1050, SB1131, SB1138, SB1249, SB1267, SB1272, SB1317, SB1461, SB1488, SB1504, SB1517, SB1523, SB1580, SB1582, SB1584, SB1585, SB1602, SB1630, SB1654, SB1672, SB1673, SB1718, SB1761, SB1819, SB1826, SB1827

Keywords: electronic monitoring, nursing care, assisted living, resident rights, privacy, consent, surveillance, veterans, lifetime pass, state parks, Arizona, access, disabled veterans, cardiac arrest, defibrillators, school safety, emergency response, CPR training, Arizona education funding, automated license plate readers

Summary: The committee first considered Senate Bill 1630, which would direct AHCCCS to seek federal approval for a home- and community-based services program for adults determined to be seriously mentally ill, with quarterly implementation updates, stakeholder input, and a cap on enrollment. The sponsor and advocates from Arizona Mad Moms argued the bill would create an assisted-living-style Medicaid option for the most disabled SMI individuals, improve continuity of care, and reduce state general fund costs by shifting some expenses to federal Medicaid funding. Access testified neutral, estimating a total fiscal impact of $27.7 million, including $5.83 million general fund, and explained the need for CMS approval. The committee adopted an amendment reducing the initial cap to 250 members, changing reporting frequency, and adjusting eligibility and expansion conditions, then passed SB 1630 as amended on a 10-0 vote. The committee next heard Senate Bill 1131, which originally required school districts and charter schools to adopt cardiac emergency response plans and appropriated $1 million for implementation. An amendment replaced the mandate with a reporting requirement on AED counts, CPR/AED-trained staff, and whether schools have a plan, while keeping a grant component for AEDs and prioritizing rural schools. The American Heart Association supported the amended approach as a way to gather baseline data and target resources, and members discussed AED training, school preparedness, and whether the funding should favor rural or high-population schools. The committee adopted the amendment and passed SB 1131 as amended on a 9-1 vote, with Senator Kuby voting no and several members explaining concerns about funding and priorities. The committee then took up Senate Bill 1582, which concerned the school safety interoperability fund. An amendment shifted the appropriation from the Department of Education to the Department of Administration and allocated funds to specific county sheriff offices for continuing operation and maintenance of existing interoperability systems, while narrowing the program to public safety agencies and school districts and requiring twice-yearly testing. Sheriffs, a county school superintendent, and the Arizona Sheriffs Association described the systems as useful for drills and real emergencies, improving communication between schools and first responders; one speaker noted the program had been used in drills and at least one live deployment. Some members questioned the audit findings, the focus on rural counties, and whether the program was a good use of funds, while supporters emphasized its value for school safety. The committee adopted the amendment and passed SB 1582 as amended on a 6-4 vote. Finally, the committee began hearing Senate Bill 1504, which would change retirement rules for Tier 2 and Tier 3 public safety personnel by allowing earlier normal retirement and shortening the COLA waiting period, with an amendment exempting the changes from the statutory pre-funding requirement. Supporters from firefighter and police groups said the bill would improve recruitment and retention and let employees receive earned benefits sooner, while city, county, and taxpayer representatives warned it would add substantial unfunded liabilities and undermine the 2016 pension reforms. Actuarial testimony estimated significant costs, including tens of millions in annual or upfront impacts depending on how the change is funded, and members debated whether the amendment would shift costs onto future taxpayers or simply spread them over time. The transcript ends during continued testimony and discussion on SB 1504, before a final vote is reached.

Transcript Highlights:

• without authority... ...acknowledged that the agency basically grew itself without authority through non-ALTCS
• at 100% to state taxpayers and then trying to make it seem like it's the whole DDD community versus ALTCS
• DDD or ALTCS members are up to a 90% federal match rate, so the non-institutional level...
• It appears that the non-DDD or non-ALTCS members, it started or expanded in 2014.
• So parents like myself who have ALTCS-level, EPD, or DDD, are getting mixed up in, I don't know, misinformation

Bills: HB2014, HB2156, HB2180, HB2554, HCR2047, HR2002

Keywords: air emissions, fuel blends, environmental quality, feasibility study, Arizona Department of Agriculture, livestock, compensation, funding, ranching, agriculture, appropriation, University of Arizona, education, state budget, biennial budget, state funding, appropriations, budget procedures, fiscal years, Judea

Summary: The committee first took up HCR 2047 and the identical HCR 2002, both sponsored by the chair. The resolutions recognize the historical, biblical, and legal legitimacy of Judea and Samaria, encourage those terms in official state communications, and reject the term West Bank as a modern political construct. Staff and several proponents, including representatives of an Israel-Arizona business coalition, a rabbi, and a StandWithUs representative, argued the language is historically accurate and important for truth, legal clarity, and Arizona’s relationship with Israel. No one testified against either measure. HCR 2047 passed 10-6 with 2 not voting, and HCR 2002 passed 11-6 with 1 not voting, both with due pass recommendations. The committee then considered HB 2554, which would move Arizona to a biennial state budget process and biennial capital planning. The sponsor argued the change would make government smaller, more disciplined, and less prone to long budget fights and spending growth. JLBC staff provided historical context, explaining Arizona’s past use of annual, bifurcated, and biennial budgeting and noting that second-year budgets are often adjusted for revenue and caseload changes. Members raised concerns about legislative leverage, executive flexibility, and whether the state already effectively budgets on a multi-year basis. Testimony was mixed: one supporter said the change could improve budget clarity, while others voted present or no, citing uncertainty and the need for more study. HB 2554 received a due pass recommendation on a 9-7 vote with 2 present. Next, HB 2014 was amended and passed. The bill directs ADEQ and the Department of Agriculture to study gasoline blend emissions and feasibility for seasonal fuel use in certain areas, with appropriations for the studies. The sponsor said Arizona’s fuel supply is vulnerable because of federal EPA rules and reliance on out-of-state refineries, especially California. Some members supported the study as a way to address possible fuel shortages, while others said prior stakeholder work had shown little could be done and questioned the cost. After adopting the Livingston amendment, the committee gave HB 2014 a due pass recommendation on a 12-2 vote with 4 present. The committee also advanced HB 2180, which funds the University of Arizona’s AZ Reach program, after adopting an amendment reducing the appropriation from $2.5 million to $500,000. The sponsor and a rural physician testified that AZ Reach helps small hospitals coordinate patient transfers, freeing clinicians to focus on care and improving access for rural communities. A program director explained that AZ Reach handles the administrative logistics of transfers for sending hospitals. Some members supported the program but noted concerns about the amount and ongoing budget negotiations, while others said the receiving hospitals needed to be part of the discussion. The bill passed with a due pass recommendation. Finally, HB 2156, as amended, appropriates $250,000 for the livestock compensation fund to help ranchers with wolf depredation losses and conflict-avoidance measures. A Game and Fish representative said the current federal grant funding is insufficient and unstable, while members debated the use of general funds and the program’s priorities. The bill received a due pass recommendation on a 10-7 vote with 1 not voting.

Bills: SB1021, SB1144, SB1164, SB1178, SB1181, SB1241, SB1247, SB1286, SB1415, SCR1011

Keywords: health profession, regulatory boards, criminal activity, notification, auditor general, investigations, veterinary technicians, certification, education alternative, Arizona Revised Statutes, veterinary education, ALTCS, providers, ownership change, healthcare, Arizona Long Term Care System, naturopathic physician, naturopathic medicine, naturopathic doctor, naturopathic physicians medical board

Summary: The committee approved the minutes and held Senate Bill 1241 for a later hearing because a witness was unavailable. It then took up Senate Bill 1144, which would create an alternative pathway for veterinary technician certification through supervised on-the-job training instead of only a two-year curriculum. Supporters, including the Arizona Humane Society, a high school student in a veterinary program, and a veterinary technician employer, argued the bill would help address a veterinary technician shortage, reduce student debt, and expand access to care. Opponents, including the Arizona Veterinary Technician Association and some veterinarians, said Arizona already has an existing pathway, warned the bill could weaken competency standards and patient safety, and argued the shortage is more about retention and utilization than entry requirements. The committee adopted a Bolick amendment tightening supervision and documentation requirements, then passed SB 1144 as amended on a 6-1 vote. The committee next approved Senate Bill 1247 unanimously. That bill would allow an individual who does not need services to live with a resident in an assisted living center or other unit in the facility, and would bar the Department of Health Services from imposing care requirements on that individual. The sponsor and a lobbyist said the bill was intended to fix a recent statutory interpretation that could force spouses or other companions to separate or pay for services they do not use; a floor amendment was mentioned to extend the same treatment to assisted living homes. Senate Bill 1286, which would extend from 14 days to 60 days the period for veterinary prescriptions and renewals issued through telemedicine, drew extensive testimony and was ultimately held for a possible amendment next week. Supporters, including the sponsor, the Arizona Humane Society, and Animal Policy Group, said telemedicine has expanded access in rural and underserved areas and that longer prescription windows would improve convenience and continuity of care while still excluding controlled substances. Opponents, including the Arizona Veterinary Medical Association and several veterinarians, argued the current 14-day limit is a compromise that protects animal safety, that telemedicine without an in-person exam can lead to misdiagnosis and delayed diagnostics, and that the bill could function like a “pill mill.” The committee then passed Senate Bill 1164, which would let Medicaid billing continue under the prior owner’s certification number during a change of ownership for skilled nursing and assisted living facilities. Supporters said the current process can delay reimbursement for 6 to 18 months and strain providers; Access said it had legal concerns about possible conflict with federal law but was working on fixes. The committee also heard Senate Bill 1181, which would expand CPA certification pathways by adding degree-and-experience options and updating reciprocity rules, and a supporter from the Arizona Society of CPAs said it would address workforce shortages and improve mobility.

Transcript Highlights:

• some people who are living in assisted living homes do not have a choice because they are members of ALTCS
• , and they have to go where not all places accept ALTCS members.
• for a health plan to obtain a DSNP contract is by bidding on the full AHCCCS comprehensive care or ALTCS
• organizations to the list of facilities allowed to deliver traditional healing services covered by AHCCCS or ALTCS

Bills: SB1014, SB1094, SB1146, SB1177, SB1192, SB1194, SB1214, SB1372, SB1390, SB1398, SB1399, SB1494, SB1557, SB1561, SB1564, SB1602, SB1603, SB1621, SB1628, SB1629, SB1713, SB1752, SB1776, SB1813, SB1814, SB1821

Keywords: gender transition, gender detransition, health insurance, medical procedures, insurance claims, official documents, Arizona law, gender reassignment, civil liability, minors, medical consent, detransition, dependent children, foster care, periodic review, court hearings, child welfare, public funds, prohibition, Arizona legislation

Summary: The committee heard and acted on several health-related bills, with the longest discussion centered on SB 1214, the Arizona Stem Cell Therapy Act. The bill would regulate stem cell and birth tissue therapies, bar use of tissues derived from aborted fetuses or embryos, require informed consent and disclosure for non-FDA-approved therapies, and create civil and criminal penalties for violations. Supporters framed it as a patient-safety and bioscience-innovation measure, while opponents objected to the abortion-related language and felony penalties. The committee approved SB 1214 on a 4-3 vote. The committee also advanced SB 1194, which would prohibit health professionals and institutions from denying care or reducing care quality based on vaccination status, and SB 1814, which creates a study committee on substance use disorder treatment standards and oversight. SB 1602, increasing monthly stipends for kinship foster care parents, and SB 1603, expanding child-only cash assistance eligibility for certain foster and relative placements, were both amended and passed unanimously. SB 1177, barring public funds from being used for gender transition procedures, and SB 1014, requiring insurance coverage for detransition care and related reporting, both drew strong support and opposition and were each approved on 4-3 votes. Later, the committee unanimously passed SB 1628, requiring insurers and health plans to report claims-denial and prior-authorization data to DIFI for public reporting, and SB 1629, requiring AHCCCS managed care organizations to give advance notice and network-adequacy documentation before terminating high-volume providers without cause. Supporters of both bills emphasized transparency and patient access, while opponents argued the measures duplicated existing federal or state oversight. The committee then heard SB 1752, which would criminalize commercial harvesting or sale of mescaline while preserving a religious-use defense; the sponsor said it was intended to address improper sales of peyote-derived substances, but no final action on that bill was taken in the portion provided.

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.

Transcript Highlights:

• They administer the CHP, DDD, ALTCS.
• They authorize habilitation, respite, and attendant care, and they determine ALTCS eligibility.
• A child in DCS custody, not ALTCS-eligible, so that is one of the rules.
• They can't be eligible for ALTCS, but we can't check that to make sure that they're not on that program
• Scenario B: child in DCS custody, ALTCS-eligible, enrolled in DDD, enrolled in Access, DCS pays placement

Keywords: 1182, all

Summary: The committee met for a presentation-only hearing on the Arizona Department of Child Safety, with no bills on the agenda. Chair Blackman opened by emphasizing that the hearing was intended to be data-focused and respectful, and that personal attacks or false accusations would not be tolerated. Director Catherine Patak then presented DCS data on hotline volume, investigations, reunifications, adoptions, guardianships, foster care entries and exits, kinship placement, congregate care, missing youth, and extended foster care. She said the department investigated more than 43,000 cases in 2025, kept the out-of-home care population relatively steady, and had reunified about 3,000 children with parents, while also noting that older youth and behavioral-health-driven removals are creating a mismatch with available foster homes. She also described kinship supports, foster parent recruitment, and the impact of Family First on funding, saying DCS lost federal drawdown for congregate care while waiting on approval for prevention programs. Members questioned the director about kinship caregivers, behavioral health access, reunification services, parental rights terminations, notice and documentation practices, and the effect of increased reimbursement rates. Patak said unlicensed kin can receive support through the kinship supports contract, that behavioral health assessments are done quickly at the welcome center or within 24 hours for kin placements, and that provider capacity remains a major constraint outside DCS control. She explained reunification conditions and services, said the department is working on documentation and notice issues flagged by the Auditor General, and noted that kinship reimbursement increases have helped some families step forward. She also said DCS procurement for group homes is handled internally through an RFP process and that about 10% of kinship caregivers become licensed. Representative Gillette then delivered a lengthy presentation arguing that the child welfare, Medicaid, and disability systems are structurally intertwined and that procurement and funding rules create incentives for volume and congregate care use. He criticized DCS, DES, and AHCCCS/Access oversight structures, argued that the system diffuses accountability, and said the committee’s work and related materials would be referred to special counsel. He also raised concerns about documentation, placement decisions, and the cost of congregate care, while asserting that the system over-relies on large providers and that reforms should focus on structural and financial incentives. Vice Chair Fink followed with a brief slide noting that congregate care costs far more per child than foster or kinship care, reinforcing the committee’s concern about placement costs and the need to shift children toward family-based care when possible.

Transcript Highlights:

• We represent about 95% of the Access, ALTCS, Arizona Long-Term Care System, elderly and physically disabled
• This is your baseline, keeping people at the least expensive cost under ALTCS at home aging in place.
• Elderly and Physically Disabled Providers Alliance, representing 95% of the HCBS population under ALTCS
• HB 2403 and the $2.5 million funding request for fiscal year 2027 for ALTCS EPD home and community-based

Bills: HB2211, HB2229, HB2389, HB2403, HB2445, HB2502, HB2620, HB2813, HB2872, HB2889, HB2960, HB4028, HCR2007

Keywords: contractors, subcontractors, resident preference, public contracts, materials supply, Arizona Revised Statutes, local businesses, pregnancy resource center, pregnancy center, crisis pregnancy center, DHS, Arizona Department of Health Services, state appropriation, general fund, nonprofit grant, women's health, maternal health, reproductive health, abortion funding, pro-life

Summary: The committee first took up HB 2211 only for discussion, not a vote. The strike-everything amendment would make it unprofessional conduct for certain health care licensees to submit an independent dispute resolution offer above 300% of Medicare or 300% of the qualified payment amount. The chair said he wanted more stakeholder meetings and broader consensus before moving the bill. Testimony was split: an ARMA representative opposed the measure, arguing it reflected insurer concerns, QPA data lacked transparency, and licensing discipline was the wrong tool for billing disputes; a Blue Cross Blue Shield representative supported it, saying a small number of private equity-backed providers were driving up surprise-billing costs and abusing the No Surprises Act. No action was taken on HB 2211. The committee then considered HB 4028 on accessory dwelling units. The bill would remove the 1,000-square-foot cap as an absolute limit, change setback rules, bar municipalities from requiring an administrative use permit and certain elevation criteria, and extend the deadline for cities to adopt ADU regulations. Rep. Kyle Powell said the bill was meant to give homeowners more flexibility and help address housing shortages. Supporters framed it as a property-rights and housing issue, while opponents from neighborhood and city groups warned it would allow oversized ADUs, increase density, create safety and parking concerns, and weaken local zoning control. After extensive debate, the committee voted 8-9 with one present, and HB 4028 failed. The committee next passed HB 2620, as amended, by a 17-0 vote with one member not voting. The bill appropriates $300,000 per year for five years to the Arizona Department of Veterans’ Services for grants to emergency shelters serving veterans. An amendment removed age and non-congregate-setting limits for eligible shelters. Rep. Blackman said the bill was intended to help homeless veterans, and shelter advocate Nathan Smith supported it, saying targeted resources could help veterans exit homelessness and stay housed. The committee then took up HB 2960, which would create a veterans specialty court grant program. The bill was amended to have the Office of the Courts administer the fund and to allow support for expansion of existing veterans courts. Testimony highlighted the success of the Lake Havasu veterans court and the need for more standardized programs and data collection; the transcript cuts off before the final vote on HB 2960.

Transcript Highlights:

• SB 1116, ALTCS and appropriations. SB 1120, Radiation protection; Health and Human Services.
• SB 1164, ALTCS. SB 1165, Insurance; Health and Human Services. SB 1174, DCS intake.

Keywords: 1182, all

Summary: The House convened with prayer, the Pledge of Allegiance, approval of the prior journal, and introductions of the Doctor of the Day and guests, including a University of Arizona presentation in the members’ lounge and a proclamation honoring Mama Luisa’s Italian restaurant for 70 years of family ownership and service. The chamber then moved through a long third-reading calendar and several Committee of the Whole reports, with members frequently explaining votes and offering support or objections on policy grounds. Among the bills passed on third reading were HB 2041 (child neglect), HB 2128, HB 2251 (midwifery), HB 2342 (planned communities/HOAs), HB 2402 (emergency medical services), HB 2403 (AHCCCS appropriations), HB 2615 (parenting time), HB 2641 (firefighting foam), HB 2673 (incarcerated persons and mental illness), HB 2700 (Technology First Study Committee), HB 2951 (subscription cancellation/consumer protection), HB 2991 (minors’ access to technology content), and HB 4070 (human trafficking). HB 4018, relating to county officers, failed on a 26-24 vote. Members also voted to reconsider that failure, but the motion to overturn the chair’s ruling on division was defeated. The House then entered additional Committee of the Whole proceedings on measures including HB 2136 and HB 2923, both of which were amended and recommended do pass after extended debate about free speech/civil terrorism language and guardianship/probate issues. In a later Committee of the Whole, members advanced HB 2188, HB 2239, HB 2437, HB 2445, HB 2502, HB 2620, HB 2931, HB 4004, and HB 4064, with amendments on several bills. HB 4044, concerning public safety funding and the rainy day fund, was also amended and recommended do pass after debate over fiscal reserves and DPS/corrections support. The final consent calendar measures were adopted with committee amendments and recommended do pass.

Transcript Highlights:

• KidsCare, seniors, and persons with physical disabilities in the Arizona long-term care system, or ALTCS

Keywords: 1182, all

Summary: The Senate opened with prayer, the Pledge of Allegiance, a roll call showing 29 present, and approval of the prior journal. Members then recognized several guests, including Scouting America Cub Scout troops and Dr. Sarah Lee Davidson as Doctor of the Day, and Senator Kavanaugh presented a proclamation recognizing Valley Fever Awareness and the work of the University of Arizona’s Valley Fever Center for Excellence. The chamber then considered several bills in Committee of the Whole. SB 1036, dealing with unemployment insurance requirements, disqualifications, and determinations, drew the most debate; supporters said it was aimed at preventing fraud and improving compliance, while opponents argued it would add red tape and harm struggling workers. The committee adopted a Government Committee amendment and recommended the bill do pass. SB 1056, on reporting vacant budget positions, also received a do-pass recommendation, and SB 1236, concerning AHCCCS enrollment verification and presumptive eligibility, was amended with a Kavanaugh floor amendment and recommended do pass despite concerns from some members that it would restrict access for vulnerable populations. SB 1238, relating to the physician assistant licensure compact, was amended with a conforming Shamp amendment and recommended do pass. On third reading, the Senate passed SB 1036 by 17-12, SB 1056 by 17-12, SB 1126 unanimously, SB 1189 by 27-2, and SB 1211 unanimously. The chamber also substituted and passed House bills identical to earlier Senate measures, including HB 2206 and HB 2396, both on SNAP-related issues, with debate focused on food access, administrative burdens, and federal error-rate penalties. HB 2190, the physician assistant compact bill, and HB 2796, the AHCCCS-related bill, were also substituted and passed. The Senate adopted HCR 255, a death resolution for Victor E. Hardy, observed a moment of silence, and then adjourned until February 17, 2026.

Transcript Highlights:

• Elderly and Physically Disabled Providers Alliance, representing 95% of the HCBS population under ALTCS

Bills: HB2048, HB2189, HB2248, HB2403, HB2728, HB2729, HB2730, HB2731, HB2906, HCR2058

Keywords: orders of protection, domestic violence, court procedures, legal guardian, enforcement, healthcare, licensed health aides, scope of practice, ventilator care, training standards, medical freedom, healthcare mandates, employment requirements, public health, government regulation, elderly, physical disabilities, Arizona Health Care Cost Containment System, home and community based services, funding increase

Summary: The committee first heard a presentation from Central Arizona Shelter Services (CASS) on homelessness in Maricopa County and CASS programs for single adults, families, and older adults. The witness described rising homelessness, especially among older adults, and said recent declines were linked to American Rescue Plan Act funding for shelters and flexible rental assistance. Members asked about CASS partnerships with mutual aid and service organizations; the witness described collaborations for food, banking, haircuts, digital access, and behavioral health. No vote was taken on this presentation. The committee then considered HB 2248, the Arizona Medical Freedom Act, which would bar businesses, schools, and government entities from denying services or employment based on medical interventions and limit employer medical requirements, with a school outbreak amendment adopted. Proponents framed the bill as protecting bodily autonomy and informed consent, while opponents argued it would weaken employers’ ability to control communicable diseases and protect public health. The committee adopted the amendment and advanced the bill on a 4-3 vote. It also advanced HB 2906, requiring one oral and maxillofacial surgeon on the State Board of Dental Examiners, and HB 2189, directing the Nursing Board to implement rules for licensed health aides performing routine ventilator care; both passed with amendments and strong support from sponsors and board representatives. Later, the committee approved HB 2403, appropriating $2.5 million in FY2027 for home- and community-based services providers serving elderly and physically disabled Arizonans. Supporters said the funding would help retain caregivers and reduce more expensive hospital or facility care. The committee also passed several continuation bills, including HB 2731 for the Physician Assistants Board, HB 2730 for the Occupational Therapy Board, and HB 2729 for the Nursing Board, all on largely party-line or near-unanimous votes after testimony from board staff emphasizing public protection and oversight. The committee then took up HB 2728, a DES continuation bill that also incorporated nine previously vetoed policy bills affecting SNAP, unemployment, and related benefits. Opponents argued it would make access to essential benefits harder and turn a routine continuation bill into a vehicle for controversial policy changes; supporters said it was needed for oversight and program integrity. The bill advanced on a 4-3 vote. Finally, the committee approved HB 2048, a strike-everything amendment requiring AHCCCS to treat a new non-opioid pain medication no more restrictively than opioids in utilization controls, and ACR 2058, which would require a comprehensive Medicaid claims audit funded by recoveries. Both measures drew support from sponsors and some personal testimony, while opponents warned about cost, duplication of oversight, and incentives that could bias audits; each advanced on 4-3 votes. The committee then adjourned.

Transcript Highlights:

• Finally, the bill sets the county ALTCS contributions, acute care county contributions, and the DSH distributions

Bills: HB4138, HB4139, HB4140, HB4141, HB4142, HB4143, HB4144, HB4145, HB4146, HB4147, HB4148, HB4149, HB4150, HB4151, HB4152, HB4153, SB1831, SB1832, SB1833, SB1834, SB1835, SB1836, SB1837, SB1838, SB1839, SB1840, SB1841, SB1842, SB1843, SB1844, SB1845, SB1846

Keywords: appropriations, education funding, health care, general fund, state budget, local funding, gaming, pari-mutuel, horse racing, regulatory assessment, first-time starters, budget implementation, federal funds, government services, budget stabilization, financial reporting, capital outlay, infrastructure, veterans services, highway construction

Summary: The committee met in a special joint appropriations session to review the FY 2027 budget package, including House Bill 4138 and Senate Bill 1831, the general appropriations or “feed” bills. Staff described the budget as including a one-time transfer of state funds, a 5% lump-sum reduction to most agencies’ discretionary general-fund budgets, continued funding for the state health insurance plan and school facilities, and various one-time restorations or reversions of prior appropriations. Members spent much of the meeting clarifying how the 5% reductions would work, noting that formula and mandatory funding such as K-12 basic aid are excluded, while the governor’s executive branch would decide how to implement the cuts within agencies. The chair repeatedly emphasized that the committee was not specifying line-item cuts and that agencies would have discretion over implementation. A large portion of the discussion focused on the practical effects of the budget on universities, public safety, health care, rural programs, and fund sweeps. Arizona Board of Regents and university representatives said the proposed reductions would amount to more than $85 million statewide and could affect programs such as the Arizona Promise Program, Teachers Academy, and tuition freezes, though no specific program cuts were written into the bill. Other testimony raised concerns about fund sweeps from encumbered balances, including university research funds, housing trust funds, utility regulation funds, and ADOT-related accounts, with some members warning about possible impacts on rural infrastructure and federal matching dollars. The committee also discussed the state employee health plan, including a $228 million general-fund infusion and proposed employee premium increases over three years, as well as questions about corrections, forestry and fire management, and rural critical access hospitals. Public testimony was largely opposed to the budget. Speakers from Opportunity Arizona, the Arizona Board of Regents, health care, and local government argued that the package would reduce support for education, housing, SNAP, health care access, and rural communities while preserving tax benefits for data centers and wealthy taxpayers. A mayor from Globe described severe flood damage and asked for state help for a flood relief fund, while a motorcycle safety advocate questioned a proposed transfer from the motorcycle safety fund. Committee members debated whether the budget’s effects should be described as speculative or as likely consequences of the broad cuts, and several exchanges became contentious over comparisons to the Great Recession and references to federal tax policy. The meeting ended with continued public testimony and no final vote taken in the portion provided, though leadership had earlier said the committee planned a mass roll-call vote on all the bills at the end.

Transcript Highlights:

• Elderly and Physically Disabled Providers Alliance, representing 95% of the HCBS population under ALTCS

Bills: HB2014, HB2111, HB2156, HB2165, HB2202, HB2305, HB2321, HB2399, HB2403, HB2416, HB2418, HB2446, HB2601, HB2615, HB2620, HB2812, HB2939, HB2940, HB2955, HB2957, HB2960, HB2992, HB4026, HB4049

Keywords: air emissions, fuel blends, environmental quality, feasibility study, Arizona Department of Agriculture, driver license, examinations, motorcycle awareness, public safety, traffic laws, livestock, compensation, funding, ranching, agriculture, veterans, state parks, admission fees, military exemption, recreation access

Summary: The committee heard House Bill 2615, a strike-everything amendment creating an Independent Oversight Committee tied to the Department of Child Safety, with authority to review DCS practices, request briefings and audits, visit sites, and receive confidential complaints, along with a $2.2 million appropriation. The sponsor and several parents and advocates testified that stronger independent oversight was needed because of serious DCS failures affecting children and families. Some members supported the goal but objected to housing the committee in the Ombudsman’s office or questioned whether the structure was the right approach. The strike-everything amendment was adopted, but the bill itself then failed on a 5-5 vote. The committee then passed House Bill 2620, which provides $300,000 annually for five years to the Arizona Department of Veterans Services to grant funds to emergency shelters serving veterans without requiring scheduled intake appointments. The sponsor and shelter representatives said the money would support trauma-informed case managers, help veterans connect to VA and shelter resources, and move the state closer to functional zero for veteran homelessness. The bill received unanimous support and a do-pass recommendation. House Bill 2321 also passed unanimously. It requires DCS to place a security freeze on the credit reports of children entering foster care, with the freeze remaining until age 16 unless the child later chooses otherwise, and includes a $100,000 appropriation and one ongoing FTE. The sponsor said foster youth are especially vulnerable to identity theft and need automatic protection. House Bill 2601, which directs ADOT to seek federal segmentation for the Interstate 11 project between Casa Grande and Wickenburg, passed 6-4 after testimony from supporters who said it would keep the project moving and opponents who raised environmental, cost, and litigation concerns. House Bill 2992, a pilot program for child sexual abuse and grooming awareness education in six public schools, also passed 6-4 after testimony from a survivor and advocates; supporters framed it as prevention and critics argued it duplicated existing sex education and should be handled through broader curriculum or parent education. Additional bills considered included House Bill 2156, which appropriates $250,000 to the livestock compensation fund and passed 7-3 despite transparency and conflict-of-interest concerns from an opponent; House Bill 2165, which exempts certain veterans and military members from state park admission fees, as amended to narrow the exemption to retired or disabled veterans and similar National Guard members, and passed 6-4 amid concerns about lost park revenue; House Bill 2960, creating a veterans specialty court grant program and requiring better coordination on incarcerated veterans, which passed 8-0; House Bill 2014, directing studies on gasoline blends and emissions modeling, which passed 6-2 despite concerns about cost and limited impact; and House Bill 2957, preserving non-REAL ID driver licenses and restricting biometric collection and data sharing, which passed 5-4 after amendment.

Bills: SB1067, SB1234, SB1285, SB1295, SB1392, SB1413, SB1436, SB1470, SB1476, SB1489, SB1512, SB1535, SB1540, SB1556, SB1568, SB1569, SB1570, SB1573, SB1585, SB1609, SB1627, SB1634, SB1635, SB1644, SB1647, SB1648, SB1650, SB1653, SB1654, SB1655, SB1656, SB1657, SB1658, SB1661, SB1662, SB1664, SB1666, SB1667, SB1669, SB1709, SB1720, SB1723, SB1725, SB1743, SB1746, SB1748, SB1755, SB1786, SB1820, SB1822, SB1829, SCR1027, SCR1040, SCR1048

Keywords: tax lien, property tax lien, real property tax lien, foreclosure, right of redemption, redeem, excess proceeds, county abatement lien, abatement lien, lien priority, assessment lien, easement, county treasurer, certificate of purchase, tax delinquency, delinquent property taxes, property owner equity, judgment foreclosure, title report, Arizona Revised Statutes

Summary: The committee approved the minutes and then took up a long agenda of election, criminal justice, corrections, and county-government bills. Early election measures included SB 1436, requiring ballot language for certain school override and bond elections to estimate the secondary property tax impact; SB 1568, requiring election systems’ internal clocks to stay within 60 seconds of official time and making violations a misdemeanor; SB 1569, limiting special election board members from collecting or processing voter registration while assisting confined voters; and SB 1746, requiring voting centers to supplement rather than replace precinct polling places, requiring public offices and schools to provide polling space, and closing schools on primary and general election days for in-service training. SB 1436 and SB 1568 were eventually given do-pass recommendations, SB 1569 also passed committee, and SB 1746 passed despite concerns raised about school safety and access. Some bills were held earlier in the meeting and voted on later after testimony concluded. The committee also heard SB 1295, which would allow the Department of Corrections to release certain seriously ill inmates to contracted medical institutions if they qualify for ALTCS, with an amendment replacing disability language with illness-based criteria; the sponsor described it as a cost-saving measure that could shift care costs to federal programs. SB 1067, the so-called Gila County blight bill, would let counties place abatement costs for rubbish, debris, and dilapidated buildings on property tax bills and liens; county officials testified that it would help recover cleanup costs for blighted properties and heirs’ property, and it passed unanimously. SB 1413 would remove the $100,000 cap on restitution for serious injury or death caused by moving violations and passed after the sponsor said the cap had already been found unconstitutional. SB 1476 would make child neglect a class six felony when a custodian exposes a newborn to dangerous or narcotic drugs or causes fetal alcohol syndrome; supporters framed it as accountability and child protection, while opponents warned it could deter treatment and worsen family separation. The bill passed on a split vote. Later, the committee considered several criminal-justice and public-safety bills. SB 1512 would expand the definition of vulnerable adult and broaden “position of trust and confidence” for theft cases involving seniors and other vulnerable adults; testimony highlighted scams and exploitation of grieving or isolated elders, and the bill passed. SB 1585 would regulate sex-offender-specific evaluations, treatment, and polygraph services through the Sex Offender Management Board, add a surcharge fund and assessment on sexual-offense convictions, and appropriate funds to DPS; supporters said it would create uniform standards, while opponents questioned the need for additional fees, and it passed. SB 1662 would require probation conditions to be the least restrictive necessary and tailored to a defendant’s risk and needs; supporters from the Justice Action Network and criminal-defense advocates said it would improve rehabilitation and public safety, and it passed. The committee also began SB 1664, which would change constable petition-signature requirements in Maricopa and Pima counties, but the transcript cuts off before the full discussion and vote on that bill.