Transcript Highlights:

• And that very preliminary study looked at only the four of the 12 Indian Health Service clinics and looked
• I was only successful on two occasions being able to extract some limited data around Indian Health Service
• In 1972, after an eruption of the appendix, I was admitted to Gallup Indian Health Service in Gallup,
• She thinks she's a nurse at Indian Health Service. So I said, 'Was there a question?'
• During the time of my legal dissertation, I was able to investigate records through Indian Health Services

Bills: SM14

Keywords: forced sterilization, coerced sterilization, Indigenous women, Native American women, women of color, reproductive justice, reproductive sovereignty, truth and reconciliation commission, memorial, trauma-informed care, reparative justice, human rights, bodily autonomy, Indian Health Service, Indian affairs, Commission on the Status of Women, survivor testimony, reproductive health access, genocide, transitional justice

Transcript Highlights:

• health service facilities.
• Health Service facilities.
• care or any kind of health care.
• The federal government utilized the Indian Health Service for primary Channel to practice these civilization
• The Indian Affairs Department is under our purview.

Bills: SM13, SM14

Keywords: land grant, Las Vegas, governance, self-governance, judicial management, forced sterilization, coerced sterilization, Indigenous women, Native American women, women of color, reproductive justice, reproductive sovereignty, truth and reconciliation commission, memorial, trauma-informed care, reparative justice, human rights, bodily autonomy, Indian Health Service, Indian affairs

Transcript Highlights:

• police with mental health professionals.
• services provided to a member under the American Indian Health Program by a behavioral health provider
• services provided to a member under the American Indian Health Program by a behavioral health provider
• Madam Chair, Senate Bill 1318 repeals the statute that requires health care institutions or health care
• Senate Bill 1318 repeals the statute that requires health care institutions or health care facilities

Bills: SB1113, SB1115, SB1122, SB1123, SB1125, SB1165, SB1188, SB1193, SB1243, SB1318, SB1477

Keywords: mental health, involuntary evaluation, service of process, court-ordered treatment, evaluation agencies, AHCCCS, remote work, state agency, employment, public health, healthcare, behavioral health, prior authorization, American Indian health program, medicaid, medical examiner, death investigation, body disposal, autopsy, veteran burial

Summary: The committee heard and advanced a series of health and human services bills, with most receiving unanimous or near-unanimous support. SB 1113 would allow screening or evaluation agency employees, under contract with a county, to personally serve court documents in involuntary mental health proceedings instead of requiring police officers; supporters said it would reduce burdens on law enforcement and be less disruptive for patients. An amendment clarifying county contracts and reimbursement was adopted, and the bill passed 12-0. SB 1122 would limit AHCCCS from imposing over-100% prepayment review on certain behavioral health providers serving American Indian Health Program members unless a corrective action plan is in place; AHCCCS was neutral and said it could implement the bill with additional staffing, and it passed 12-0. SB 1123 would remove a board-certification requirement so trained, licensed forensic pathologists can supervise pathology trainees during the period before board exam results are available; Maricopa County supported it as a workforce and efficiency measure, and it passed 12-0. SB 1125 would require DCS to make annual efforts to enter MOUs with Arizona tribes and improve communication on tribal children in state care; DCS said it was already working on several pending MOUs, and the bill passed 12-0. The committee also approved several bills related to cancer screening and mental health. SB 1165 would prohibit cost-sharing for diagnostic and supplemental breast cancer screening services in the commercial market; the sponsor and advocates said it would remove financial barriers that delay diagnosis, and it passed 12-0 amid personal testimony from members and the chair. SB 1243 would require notice to a patient’s guardian before discharge from court-ordered treatment and allow guardians to seek continuation of treatment; supporters said it closes dangerous gaps when treatment orders expire, and it passed 10-0 with two absent. SB 1318 would repeal a state breast-density notice requirement that now overlaps with a federal FDA standard; ADHS said the change would reduce confusion and duplicate notices, and it passed 11-0 with one absent. SB 1188 would align Arizona controlled-substance schedules with federal FDA/DEA scheduling changes; supporters said it would speed access to new treatments, while one member voted no over concerns about relying on federal review, and it passed 8-2. Additional bills addressed privacy and assisted-living referrals. SB 1193 would bar DHS from selling or disclosing EMT personal identifying information for commercial purposes without consent, while still allowing de-identified data; the sponsor’s representative said the bill arose after DHS said vendor access to licensee data was not prohibited, and members discussed whether broader privacy protections should apply to other workers as well. It passed 10-0 with two absent. SB 1477 would require referral agencies serving assisted living facilities or homes to verify background-screening practices, maintain insurance, and provide documentation regarding APS registry status; the bill’s supporters said it raises standards for senior placement services, a technical amendment was adopted, and the bill passed 10-0 with two absent.

Transcript Highlights:

• And for me, that was always a career in health care.
• And for me, that was always a career in health care.
• Black and African-American women.
• We have four program sites. We have 20 community group homes.
• So it seems And they're using it for their continued health.

Bills: SB1001, SB1011, SB1016, SB1052, SB1072, SB1100, SB1112, SB1113, SB1116, SB1118, SB1120, SB1121, SB1122, SB1123, SB1124, SB1125

Keywords: appropriation, economic security, blind individuals, older adults, state funding, medical examiners, sudden infant death, autopsy protocols, forensic pathology, public health, religious exemption, employment practices, COVID-19 vaccination, accommodation, discrimination, assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent

Summary: The committee began with member and staff introductions, then took up a series of health and human services bills. The first group focused on radiation protection in cardiac catheterization and other ionizing-radiation procedure rooms: SB 1120 would require at least half of procedure rooms in covered facilities to have a radiation protection system by July 1, 2027; SB 1118 would create a state grant program for rural hospitals to help pay for those systems; and SB 1121 would prohibit requiring lead aprons in rooms equipped with such systems, while allowing voluntary use with a real-time dosimeter. Physicians, nurses, and a hospital CEO testified that long-term radiation exposure and heavy lead aprons have caused cancer, cataracts, and orthopedic injuries, and that commercially available systems can reduce exposure to near zero. Some members raised questions about cost, vendor involvement, FDA clearance, and whether the bills should be discussed with stakeholders; the Health Systems Alliance of Arizona said it was neutral and wanted further stakeholder meetings. All three bills were adopted by 7-0 votes, with SB 1120 and SB 1121 amended. The committee then heard SB 1001, which would appropriate $1 million to the Department of Economic Security for the Older Individuals Who Are Blind program. Blind and low-vision speakers described long waitlists, the need for independent living training, and how services help seniors remain at home rather than enter more costly care. The bill passed 6-0 with one member not voting. Next, SB 1072 proposed ongoing General Fund and Medicaid spending to raise reimbursement rates for home- and community-based services for people with intellectual and developmental disabilities, plus room-and-board funding and a workforce survey/reporting requirement. Providers testified that the system is underfunded, staff turnover is high, overtime is extensive, and many people wait for services; the bill passed 6-0 with one not voting. The committee also approved SB 1125, requiring the Department of Child Safety to annually seek MOUs with tribes and improve tribal access to information about placements and enforcement actions involving licensed group homes, after members asked about the stakeholder process and tribal participation. SB 1123, which removes the requirement that a supervising forensic pathologist be board-certified before delegating autopsy-related tasks to trainees, passed after Maricopa County said the change would help address training delays and workforce shortages. SB 1052, allowing mild hyperbaric oxygen therapy in assisted living facilities under specified safeguards, drew support from the sponsor and an assisted-living operator but also opposition from a member concerned about off-label treatment in nonmedical settings; it passed 5-2. Finally, SB 1112, reducing the number of acquaintance witnesses required in court-ordered treatment proceedings from two to one and allowing a judge to waive the witness requirement in some cases, passed 5-2 after testimony from supporters who said the current rule often blocks treatment for seriously mentally ill people and from opponents who argued it weakens due process. The committee then began SB 1113, which would allow service of court-ordered evaluation and treatment documents by evaluation-agency employees or other court-authorized persons, but the transcript cuts off before action on that bill.

Transcript Highlights:

• uh utilization but also program uh utilization but also program integrity.<00:08:24.440> So,<
• That is still a big piece of program integrity that we're looking at is tackling the ICS program.
• That is still a big piece of program integrity that we're looking at is tackling the ICS program.
• Uh these many different programs.
• is full of system approach to program is full of system approach to program integrity<01:13:22.880

Bills: HF4338

Keywords: human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review, postpayment review, surety bond, compliance training, case management, targeted case management

Transcript Highlights:

• requirements for certain programs. requirements for certain programs.
• Disorder Programs." Disorder Programs."
• I work in an IRTS setting, and those are residential mental health treatment programs, which often serve
• program integrity and access to care. program integrity and access to care.
• and support program integrity. and support program integrity.

Bills: HF4207, HF4338

Keywords: housing aid, local housing trust, funding projects, income provisions, technical changes, human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review

Transcript Highlights:

• And so, we're working on that program to do the pre-payment review for high-risk programs in the fee-for-service
• modifying or terminating a program. modifying or terminating a program.
• ,<00:25:47.800> please residential service programs, please residential service programs,
• their health their health care teams. their health their health care teams.
• fellow with Center of the American fellow with Center of the American Experiment<01:05:19.480>

Bills: HF4491, HF4338, HF4288, HF4566

Keywords: Medical Assistance, Medicaid, prepayment review, claims review, fee-for-service, provider integrity, high-risk provider, high-risk service, fraud prevention, program integrity, Department of Human Services, CMS, Centers for Medicare and Medicaid Services, health care billing, medical claims, provider enrollment, Indian Health Service, Minnesota Statutes chapter 256B, human services, medical assistance

Transcript Highlights:

• The Senate Indian, Rural and Cultural Affairs Committee will come to order.
• They will receive a do pass out of the Senate Indian, Rural and Cultural Affairs Committee.
• The Senate Indian, Rural and Cultural Affairs Committee will be in recess until next Tuesday.

Bills: SB216, SB225, SB248

Keywords: Native American, language certification, cultural education, appropriation, education funding, tribal liaison, voter education, electoral access, translation services, Indian Affairs, communication, consultation, New Mexico, tribes, federal government, 996, all

Bills: HF2431

Keywords: higher education, college affordability, student aid, state grants, North Star Promise, scholarships, financial aid, Minnesota State, University of Minnesota, Office of Higher Education, tuition relief, work-study, child care grants, hunger-free campus, food insecurity, student parents, pregnant students, parenting students, sexual misconduct, Title IX

Bills: HF2431

Keywords: higher education, college affordability, student aid, state grants, North Star Promise, scholarships, financial aid, Minnesota State, University of Minnesota, Office of Higher Education, tuition relief, work-study, child care grants, hunger-free campus, food insecurity, student parents, pregnant students, parenting students, sexual misconduct, Title IX

Bills: HB1455

Keywords: tribal consultation, Indian Affairs Commission, tribal governments, tribal sovereignty, state-tribal relations, Native American, tribal nations, consultation requirement, legislative process, jurisdiction, sovereignty, North Dakota tribes, government-to-government consultation, tribal chairpersons, 908, all

Summary: The Judiciary Committee took up House Bill 1489, and Victoria Christian from Legislative Council reviewed the latest 3003 version. She explained that the bill was revised to clarify language about individuals who are or were in a dating relationship, to incorporate provisions from related Senate bills, and to narrow confidentiality and hearing provisions to domestic violence and sexual assault protection order cases. She also noted a clarification on page 12 regarding certification of certain individuals under Supreme Court rules rather than by the Supreme Court itself. Members discussed the consolidation of multiple related bills into one measure. Senator Myrdal moved Amendment 3.03 to engross House Bill 1489, and the motion passed. Senator Myrdal then moved a do pass recommendation on House Bill 1489 as amended, seconded by Senator Luick. The committee voted in favor of the amended bill by roll call, with all members present voting yes, and the motion carried. Chair Larson then asked for a member to carry the bill to the floor, and it was agreed that the bill would be carried. The committee also discussed its remaining workload and planned to clear the rest of its calendar the following week.

Transcript Highlights:

• As a liaison for my tribe, I spoke on Indian gaming issues as an expert in Indian gaming, having been
• Indian Affairs Commission and the North Dakota Indian Affairs Commission?
• Brad Hawk, executive director of the North Dakota Indian Affairs Commission.
• Indian Affairs Commission and the North Dakota Indian Affairs Commission?
• Obviously, there's a Senate Indian Affairs Commission in the U.S.

Bills: HB1455

Keywords: tribal consultation, Indian Affairs Commission, tribal governments, tribal sovereignty, state-tribal relations, Native American, tribal nations, consultation requirement, legislative process, jurisdiction, sovereignty, North Dakota tribes, government-to-government consultation, tribal chairpersons, 908, all

Summary: The Judiciary Committee first heard House Bill 1455, which would require the North Dakota Indian Affairs Commission to review introduced legislation for tribal implications and conduct consultation with affected tribes. Rep. Collette Brown said the bill was intended to formalize and strengthen tribal consultation, and Standing Rock Sioux Tribe representative Ross Bell testified in support. Brad Hawk, executive director of the Indian Affairs Commission, testified neutrally, saying the office already does much of this work but that the bill would add structure; several senators raised concerns about duplication, possible future staffing costs, and whether the bill was necessary. The committee amended the bill to replace “each measure” with “all legislation,” then passed a do-not-pass recommendation on HB 1455 by recorded vote, with Sen. Luick designated as carrier. The committee then took up House Bill 1032, dealing with municipal courts, appeals, and judge qualifications. Legislative Council and court staff walked through proposed amendments, including making municipal courts courts of record on a delayed effective date, clarifying appeal procedures, and adding standards for municipal judges. Members discussed whether to use the term “ethical standards” or “judicial conduct”; after questions about definitions and enforcement, the committee settled on replacing the language with “judicial conduct” in the amended bill. The committee adopted the amendments and then passed HB 1032 as amended on a do-pass vote, with Sen. Cory to carry. Later, the committee heard House Bill 1263, which would make it easier for people with criminal records to seek sealing after a denial by allowing an appeal and reducing the waiting period for a new petition from three years to one year. Rep. Nels Christensen, Christopher Davis, Travis Fink, and Brad Peterson all supported the bill’s goal of giving people a better path to rehabilitation and employment. The main point of disagreement was whether to keep the statutory presumption that the benefit to the petitioner must outweigh the presumption of openness of criminal records; several witnesses urged removing that language, while others said it was part of the compromise that created the current law. The committee closed the hearing without taking final action and said it would review the House discussion before deciding later.

Transcript Highlights:

• It's a great program.
• and program there's also a great program and program there's also a great program that<00:35:37.560
• > program<00:36:12.000> thank about this program thank about this program thank you<00:
• grant programs here.
• Youth Program as part of the program.

Bills: HF2582, HF2266, HF2518, HF2039, HF1941

Keywords: child care, grants, appropriation, workforce development, families, YWCA Minneapolis, job training, child development, economic assistance, WomenVenture, economic development, entrepreneurship, women entrepreneurs, business training, financial support, youth programs, funding, employment, Minnesota, American Indian

Transcript Highlights:

• program.
• service covered by the American Indian Health Program, the claim and its supporting medical documentation
• child health.
• In a time when arguably Americans have never been sicker, we are facing immense strains on our health
• And if the health tech... ...behavioral health tech, and if the health tech, if there's a complaint or

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:

• We are kind of evaluating what this means for the American Indian health home and the TRIBA.
• the American Indian Health Plan or program.
• And, Madam Chair, to Senator Gonzales's point, 1611 does not eliminate the American Indian Health Program
• And Madam Chair, to Senator Gonzalez's point, 1611 does not eliminate the American Indian Health Program
• Indian Health Program.

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:

• And he is a fan of American football and also baseball. Go Eagles and Go Dodgers.
• Sciences Center's Pathways Statewide Collaborative Program.
• eligibility, program terms, and reporting requirements, making an appropriation.
• House Government, Elections, and Indian Affairs Committee.
• Elections in the Indian Affairs Committee, thence the House Judiciary Committee.

Bills: HM3, HM11, HM14, HM15, HM21

Keywords: nurses, health care workers, healthcare workers, frontline workers, hospital staff, clinicians, allied health professionals, support staff, public health, workforce shortage, nursing shortage, safe staffing, patient safety, rural health care, frontier communities, behavioral health, mental health, substance use disorder, substance abuse, health care memorial

Transcript Highlights:

• In preserving and preserving accepting it's expecting Indian Indian Health Service American beneficiaries
• Medicare reforms must be deliberate and understood that is impact Indian health programs even though
• crisis in Indian country we ask Congress to strengthen tribal behavior health treatments and programs
• Investing in a robust maternal and birth health workforce will improve data for the American Indians
• Ensure that the Alaska Natives and American Indian families have access to competent, high-quality health

Keywords: tribal sovereignty, healthcare, education, public safety, Economic Development, Tax Parity Act, PROTECT Act, trust obligations, bipartisan support, Indian Health Services

Summary: The committee meeting focused on crucial issues facing tribal nations, particularly emphasizing the federal government's trust and treaty obligations. The discussions highlighted ongoing challenges such as disparities in healthcare, education, and public safety within Native communities. Chair Murkowski underscored the importance of listening to Native leaders and aligning congressional efforts with community needs, advocating for legislative actions that support tribal sovereignty and economic development. Various initiatives, including the Tax Parity Act and the PROTECT Act, aimed at addressing jurisdictional and financial disparities, were discussed in detail. A call for bipartisan support to alleviate the funding shortages affecting Indian Health Services was made several times during the meeting. Testimonies from tribal leaders and representatives emphasized the dire need for legislative support to enhance infrastructure, healthcare access, and public safety initiatives in tribal communities.

Transcript Highlights:

• Indian Health Plan.
• by a behavioral health provider provided to a member under the American Indian Health Plan.
• provider provided to a member under the American Indian Health Plan.
• Are providers that work a lot with the American Indian plan or program?
• Indian Health Plan?

Bills: SB1051, SB1114, SB1115, SB1122, SB1132, SB1162, SB1169, SB1171, SB1172, SB1173, SB1174, SB1175, SB1179, SB1188, SB1233, SB1236, SB1242, SB1316, SB1368

Keywords: SB1051, Arizona hospitals, immigration status, patient intake, admission forms, registration forms, health care reporting, uncompensated care, emergency department, lawfully present, undocumented immigrants, noncitizen patients, hospital funding, Arizona Department of Health Services, ADHS, border security, health care institutions, patient privacy, medical access, immigration policy

Summary: The Health and Human Services Committee approved the January 21 minutes and then heard a series of bills focused on developmental disabilities oversight, behavioral health fraud, AHCCCS operations, child safety, and state hospital capacity. SB 1179 would make the Developmental Disabilities Group Home Monitoring Program permanent and remove the appropriations contingency; Disability Rights Arizona and program managers testified that Commit had identified systemic care problems, while the sponsor said the work should continue. The bill received a 6-1 do-pass recommendation. SB 1114 would appropriate $1 million to the Maricopa County Attorney’s Office for behavioral health patient brokering investigations; Native advocates described widespread recruitment and exploitation of vulnerable people, especially Native Americans, and the bill passed 8-0. SB 1115 would prohibit AHCCCS from allowing remote work for Access employees; the sponsor argued in-person oversight was needed, while AHCCCS warned of space and staffing problems. It passed 4-3. SB 1051 would require hospitals to collect and report patients’ citizenship or immigration status for cost accounting; supporters called it a data-collection measure, while nurses and physicians said it would create fear and deter care. It passed 4-3. SB 1122, as amended, would replace prior authorization with 100% prepayment review for certain behavioral health services under the American Indian Health Plan, and passed 7-0 after AHCCCS said it had worked on the amendment. SB 1132, to appropriate unspecified funds for a new Arizona State Hospital wing, drew testimony from families and advocates describing severe shortages of state hospital beds and the need for more long-term treatment capacity; it passed 7-0. SB 1169, to fund graduate medical education and a new residency program, passed 6-0. SB 1171, requiring AHCCCS to check for dual enrollment in exchange plans and AHCCCS, passed 4-2-1 after AHCCCS said implementation would require system changes and costs. SB 1172, requiring more experienced DCS investigators for repeated abuse/neglect reports and court notification of hotline calls in dependency cases, passed 7-0. SB 1173, requiring behavioral health facility applicants, owners, and licensees to be U.S. citizens or lawfully present permanent residents with fingerprint clearance cards, passed 4-3 after an amendment clarifying the lawful-presence requirement.

Transcript Highlights:

• But I guess my thought was, so for instance, going back to Native American, if they take a Native American
• In subsequent years, we took on liability programs, also a law enforcement program, and today 28 of the
• from Native American...
• American children from Native American foster parents. Is that, am I missing something?
• foster family that's Native American?

Bills: SB246, SB146, SB300, SB301, SB309, SM17

Keywords: massage therapy, licensure, health and safety standards, continuing education, establishment licensing, civil rights, sovereign immunity, damages, public body, lawsuit limitations, legal notice, child welfare, computing infrastructure, data management, Department of Health, appropriation, foster care, Indian children, cultural competency, training services

Bills: HM64, HM65

Keywords: capital outlay, Indian nations, tribes, technical assistance, state funding, resource allocation, firearm safety, public health, task force, violence prevention, alcohol misuse, legislation, 996, all