Transcript Highlights:

• Arizona State Retirement System. Thank you. Any questions for the bill sponsor? Seeing none, Mr.
• For the record, Jessica Thomas, legislative liaison for the Arizona State Retirement System.
• Again, for the record, Jessica Thomas, legislative liaison for the Arizona State Retirement System.
• House Bill 2092 allows a person to waive participation in the Arizona State Retirement System after age
• For the last time, Jessica Thomas, legislative liaison for the Arizona State Retirement System.

Bills: HB2011, HB2089, HB2090, HB2092, HB2477, HB2785

Keywords: individual income tax, subtraction, Arizona Revised Statutes, retirement benefits, adoption costs, charitable contributions, health insurance, premium payment, Arizona State Retirement System, contingent annuitant, long-term disability, benefits limitations, disability compensation, social security, retirement system, elected officials, ASRS, eligibility waiver, age 65, education savings

Summary: The committee first heard House Bill 2785, a tax conformity measure that would update Arizona statutes to conform to the Internal Revenue Code as of January 1, 2026, including retroactive provisions for tax year 2025. The sponsor and supporters said the bill would align state law with tax forms already issued by the Department of Revenue, provide certainty to filers, and deliver about $440 million in tax relief through provisions such as no tax on tips and overtime, a larger standard deduction, and a $6,000 senior deduction. Opponents argued the bill would significantly reduce state revenue, disproportionately benefit higher-income taxpayers, and should be considered alongside a broader budget plan. After debate and an amendment addressing retroactivity and foreign dividends, the committee approved HB 2785 on a 5-4 vote. The committee then took up several Arizona State Retirement System and education savings bills. HB 2089 clarified the health insurance premium benefit subsidy for retirees and passed unanimously. HB 2090 changed the disability determination period for long-term disability benefits from 24 months within a five-year period to a straight 24-month period and passed 8-1. HB 2092 allowed employees over age 65 to waive ARS participation within 30 days of becoming eligible and also passed 8-1. HB 2477 conformed Arizona’s 529 education savings plan to federal law, including expanded uses and a permanent rollover to ABLE accounts and Roth IRAs; testimony supported the cleanup and simplification, but some members raised concerns about the Roth rollover and possible use of transferred ESA funds. HB 2477 passed 5-3 with one present vote, and the committee then adjourned.

Transcript Highlights:

• And here in Arizona, our correctional system can release up to 200 people every single day.
• Many people who enter our correctional system have experienced significant trauma long before... ...people
• who enter our correctional system have experienced significant trauma long before they ever committed
• Long-Term Care System to include urban Indian organizations.
• And then the last one is: would we be limiting our ability to help victims in the long term by redirecting

Bills: SB1112, SB1517, SB1537, SB1584, SB1673, SB1776

Keywords: mental health, hearings, acquaintance witnesses, patient rights, treatment evaluation, barbering, cosmetology, appropriation, funding, licensing, board operations, peace officer, training, public safety, traffic offenses, judicial system, corrections, recruitment, state budget, crime victims

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

Transcript Highlights:

• But today Arizona does not have a baseline understanding of whether our schools have the tools they need
• Arizona has not measured them in a consistent way, which makes it harder to see where the gaps are and
• I am the Arizona government relations director for the Alzheimer's Association.
• Alzheimer's is a long game. We're building momentum.
• We're working on dementia care navigation training and dementia awareness, early signs of Alzheimer's

Bills: SB1131, SB1249

Keywords: cardiac arrest, defibrillators, school safety, emergency response, CPR training, Arizona education funding, Alzheimer's, dementia, memory care, cognitive decline, brain health, caregiver support, long-term care, in-home care, public health, health services, state plan, dementia services program, Arizona Department of Health Services, aging

Summary: The Committee on Appropriations heard two bills. Senate Bill 1131 would require school districts and charter schools to report AED counts, CPR/AED training levels, and cardiac emergency response plans to ADE, and would appropriate $1 million for AED purchases and maintenance. The committee adopted an amendment shifting the funding source from the general fund to the industry-recognized certification and licensure reimbursement fund, after staff said the fund had an estimated $2 million balance and continued to receive $1 million annually. The American Heart Association testified in support, emphasizing the need for AEDs, CPR training, and emergency planning in schools. The bill was returned with a due pass recommendation by a 15-1 vote, with two members voting present and several members noting concerns about using the special fund rather than general funds. Senate Bill 1249 would create or continue a dementia services program and Alzheimer’s state plan at the Department of Health Services and appropriate $600,000 from the Health Services Lottery Moneys Fund. The Alzheimer’s Association testified in strong support, saying the prior three-year appropriation helped establish the plan and workgroups and that the new funding would support implementation, caregiver support, data collection, training, and grant applications. Several members raised concerns about taking money from a fund that supports maternal and child health programs such as Health Start and WIC, describing it as “robbing Peter to pay Paul,” while others said they supported the policy but wanted a sustainable funding source. The bill received a due pass recommendation on a 9-3 vote, with three members voting present.

Transcript Highlights:

• Or they lose payment for care that was delivered. That is not an outlier; it's a systemic problem.
• and emergency care systems.
• Valleywise is not a long-term care hospital. It has a day room. It is a terrible place to stay.
• It's wonderful care, but Dr. Olson will tell you... ...it is not a long-term hospital.
• SB 1164 is a common-sense reform to how Arizona handles changes of ownership for long-term care providers

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:

• The Arizona State Retirement System administers a public pension program for qualified employees.
• Connolly to the Arizona State Retirement System. All right, Secretary, call the roll.
• For the record, Jessica Thomas, legislative liaison for the Arizona State Retirement System.
• For the record, Jessica Thomas, legislative liaison for the Arizona State Retirement System.
• If you as legislative liaison for the Arizona State Retirement System.

Bills: HB2089, HB2090, HB2092, HB2120, HB2138, HB2173, HB2273, HB2693, HB2786

Keywords: retirement benefits, health insurance, premium payment, Arizona State Retirement System, contingent annuitant, long-term disability, benefits limitations, disability compensation, social security, retirement system, elected officials, ASRS, eligibility waiver, age 65, property tax exemption, disability, veterans, widows, income limits, Arizona Revised Statutes

Summary: The Senate Finance Committee met to consider several bills and two Arizona State Retirement System nominees. It first passed House Bill 2173, which allows taxpayers and tax officers to communicate electronically about proposed property tax corrections or claims, with an acknowledgement required when responses are sent electronically. The committee then recommended confirmation of Thomas J. Connolly and Charles Essex to the ASRS Board, both receiving unanimous or near-unanimous support after brief introductions and no substantive opposition. The committee next approved several ASRS-related bills: House Bill 2089 clarifies that the ASRS health insurance premium subsidy applies only when coverage is not already subsidized; House Bill 2090 changes the disability definition tied to long-term disability benefits by removing the requirement that the 24 months occur within a five-year period; and House Bill 2092 shifts the 30-day waiver window for certain members age 65 or older from the date of hire to the date they become eligible to participate. All three passed on largely party-line or near-unanimous votes. The committee also passed House Bill 2120, with a technical amendment, allowing Social Security Administration disability determination letters to be used to certify eligibility for the property tax exemption for persons with disabilities. House Bill 2693 drew the most debate. It revises Arizona’s bona fide association health plan and multiple employer welfare arrangement provisions to align with ERISA rather than the rescinded 2018 federal AHP rule, and an amendment added a feasibility study by the Arizona Department of Administration on state employee and school district health plans. Supporters argued the bill would expand affordable, voluntary coverage options for small businesses and increase buying power; opponents raised concerns about consumer protections, preexisting conditions, and the history of association health plans. The committee ultimately passed the bill as amended on a 5-1 vote. Later, the committee passed House Bill 2138, which clarifies that workers’ compensation coverage for firefighters traveling directly to or from work applies to state, municipal, fire district, and fire authority firefighters. It also passed House Bill 2273, a one-time $300 income tax rebate for certain Pinal County residents funded from remaining escrowed transportation-related monies; members discussed whether the remaining funds should instead be directed to roads, but the bill advanced on a 3-2 vote. Finally, House Bill 2786 passed unanimously, exempting rental income from required college textbooks from transaction privilege tax under the personal property rental classification.

Transcript Highlights:

• We also have long-term care. The cost varies between these three categories of services.
• We have almost 8,000 seniors approved for long-term care in 2025.
• The cost for long-term care was $51,000 per individual last year.
• Most do not want to go to long-term care, but no one knows the options.
• They assume long-term care is the only answer, but that is not true. But that is not true.

Bills: HB3390, HB4199, HB4407, HB4412

Keywords: home care, community services, Oklahoma Department of Human Services, rating system, inspection reports, substantiated complaints, agency oversight, child care, workforce, pilot program, affordable care, income eligibility, long-term care, revolving fund, options counseling, funding, consultation services, Medicaid, community-based services, seniors

Transcript Highlights:

• It creates a redundant system that Arizona would now be responsible for administering.
• SB 1164 is a common-sense reform on how Arizona handles changes of ownership for long-term care providers
• as the services are being done, as long as the patients are being cared for, as long as the residents
• as the services are being done, as long as the patients are being cared for, as long as the residents
• This is a very long time to wait to be paid, and the system... It is a problem.

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:

• long do these petitions take? long do these petitions take?
• not a system.
• So the system is people in the system.
• , dental care.
• Prison dental care is horrible. Mental health care is important.

Bills: HB1997, HB2343, HB2566, HB2493

Keywords: students with disabilities, individualized education programs, emergency plans, evacuation procedures, support services, Hawaii education law, HB2343, Maui State Veterans Home, veterans home, veterans, long-term care, skilled nursing, rehabilitation, hospice, Alzheimer's care, respite care, assimilate, transfer deadline, Act 99, Session Laws of Hawaii 2024

Summary: The committee heard House Bill 1997, which would require IEPs for students with disabilities to include individualized emergency accommodations and evacuation supports. The Attorney General’s office supported the intent but recommended amendments to explicitly include students with Section 504 plans and to change references from “department schools” to “public schools” so charter school students are covered. Testimony in support came from disability advocates and several individuals, including Peter Fritz, who said emergency evacuation planning should be made explicit because it is not clearly required by federal law, and Ka Swan, who emphasized student safety during emergencies. No vote or final action was taken on the bill in the transcript. The committee then took up House Bill 2343, relating to the Maui State Veterans Home. The measure would repeal a deadline for transferring the home to a state agency with a Maui affiliation and instead require the transfer to occur as soon as practicable. The Department of Defense, the Office of Veterans Services, HHSC Oahu Region, and several individuals testified in support. Committee members asked whether a more definite deadline should be used, but the department said the open-ended language was preferable because the Maui entity is not yet ready and Oahu is currently providing oversight. No vote or final action was recorded. House Bill 2566, authorizing special license plates for Hawaii Civil Air Patrol members, was also heard. The City and County of Honolulu Department of Customer Services testified in opposition, while Johnny Perry testified in support. The committee did not take a vote in the transcript. Finally, the committee heard House Bill 2493 on wrongful imprisonment compensation procedures. The Attorney General’s office opposed the bill, arguing it would create an automatic payment mechanism without a sufficient finding of actual innocence, could trigger payments within five days of dismissal, and raised concerns about insufficient time for prosecution review and about funding and appropriation issues. Supporters, including people who said they had been wrongfully convicted and later found actually innocent, argued the bill would reduce delays and help released individuals survive while awaiting compensation. Judiciary staff requested technical amendments and said operational details still needed review. Members questioned the AG about the meaning of “actual innocence,” burden shifting, and whether the bill would better define the standard, but no vote or final action was taken.

Transcript Highlights:

• D-transitioners deserve care, and we need to collect the data to understand the long-term effects.
• Health Care Cost Containment System, including Arizona Long Term Care System program contractors and
• Madam Chair, members, Senate Bill 1713 requires the Arizona Health Care Cost Containment System, beginning
• Health Care Cost Containment System, or the Arizona Long-Term Care System, to be delivered through an
• health care cost containment system or the Arizona long-term care system to be delivered through an

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.

Transcript Highlights:

• And at one time, my first lobbying job was as lobbyist for the Arizona State Retirement System.
• to our hospitals in rural Arizona to take care of pregnant people in rural Arizona.
• We represent about 95% of the Access, ALTCS, Arizona Long-Term Care System, elderly and physically disabled
• Self-insured employers in Arizona can currently direct care, private self-insured employers.
• And I think that's ultimately what will benefit Arizona kids and our education system.

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:

• system and to contribute to the greater health care environment.
• Arizona.
• It aims to ensure our health care systems' resilience in the face of upcoming challenges.
• Arizona health care institutions are facing an unprecedented fiscal crisis due to HR1.
• health care systems navigate upcoming fiscal challenges.

Bills: SB1017, SB1149, SB1162, SB1192, SB1249, SB1253, SB1331, SB1333, SB1334

Keywords: informed consent, surgical procedures, healthcare professionals, patient rights, regulatory compliance, child welfare, dependency hearings, foster care, court procedures, parental rights, healthcare compliance, behavioral health technicians, licensing, monitoring, administrative burdens, basic first aid, good samaritan, medical licensing exemption, Arizona medical board, A.R.S. 32-1421

Summary: The Senate Health and Human Services Committee opened with approval of the January 28 and 29 minutes and a welcome to Arizona Physical Therapy Day at the Capitol, including remarks from physical therapy advocates and students. The committee then took up several bills related to SNAP, health care oversight, child welfare, dementia planning, and safe haven newborn surrender. On SNAP, SB 1334 would bar DES from seeking or renewing federal waivers of work requirements for able-bodied adults without dependents unless authorized by law; it passed 4-1. SB 1333 would require DES to reduce the SNAP payment error rate to 3% by 2030, with regular reporting, corrective action plans, and possible funding penalties; an amendment changed the reporting to quarterly and required a special audit, and the bill passed 4-1 as amended. SB 1331 would require able-bodied adults under 60 receiving SNAP to participate in mandatory employment and training unless exempt; testimony split between supporters citing work incentives and opponents warning of administrative burden and impacts on families and food banks, and it passed 4-2. The committee also advanced SB 1162, which clarifies DHS as the lead licensing and monitoring agency for health care institutions and, as amended, requires DHS and AHCCCS/Access to coordinate to identify duplicative oversight and report back periodically; it passed unanimously. SB 1017, requiring signatures on emergency informed consent forms for surgical procedures, passed 4-2. SB 1149, dealing with DCS periodic review hearings and notice/reporting requirements, including for tribal parties, passed 5-1. SB 1249, which designates DHS as the lead agency on Alzheimer’s and dementia planning and creates a dementia services program funded through lottery monies under the adopted amendment, passed unanimously after emotional testimony from advocates and family members. Finally, SB 1253, clarifying that a parent may surrender a newborn at the hospital of birth without leaving and returning, passed 5-0. The committee then adjourned.

Transcript Highlights:

• Chair, members, Senate Bill 1630 requires the Arizona Health Care Cost Containment System to seek federal
• Long Term Care System as specified.
• This bill creates a Medicaid-funded long-term care option that sounds expensive.
• I routinely treat patients who receive treatment services under Arizona long-term care for elderly and
• But I feel this bill would undermine the long-term stability of our public safety pension system, and

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:

• > care care, reducing long-term health care care, reducing long-term health care costs,<00:05:
• Uh, this bill allows agents to offer shorter-term long-term care.
• long-term care and long-term care long-term care and long-term care services<00:42:23.040> and
• <00:43:32.480> care I don't know a lot about long-term care I don't know a lot about long-term
• long-term care, you have a 100 day uh long-term care, you have a 100 day uh coverage<00:46:27.760>

Bills: HF2400, HF1724, HF3437, HF4333, HF2874, HF4052

Keywords: real estate, appraisers, disciplinary actions, sanction matrix, Minnesota Statutes, direct primary care, healthcare agreements, medical services, patient care, health insurance, mortgage fees, residential loans, commercial loans, finance regulations, investment properties, insurance, supplemental health insurance, short-term care, home health care, nursing care

Transcript Highlights:

• There are 240,000 care partners in Arizona caring for them, and millions of unpaid hours of care.
• I prepared my finances and legal documents, and after researching long-term care options, employment
• in Arizona under EMS care.
• .our health care system, and we are all stiff-armed.
• It's just information so we can make better health care decisions, and I think in the long term it could

Bills: HB2190, HB2202, HB2233, HB2251, HB2252, HB2396, HB2437, HB2689, HB2796

Keywords: physician assistants, licensure compact, medical services, multistate practice, patient care access, healthcare workforce, military families, adverse actions, dementia care, telementoring, healthcare education, rural communities, grant funding, HB 2233, rural health transformation, rural health transformation program, AHCCCS, Arizona Health Care Cost Containment System, Joint Legislative Budget Committee, JLBC

Summary: The committee began with a presentation from the Alzheimer’s Association Desert Southwest Chapter and Dr. Anna Burke of Barrow Neurological Institute on the scope of Alzheimer’s disease, the shortage of specialists, low rates of timely diagnosis, and the need for caregiver support and early intervention. Speakers emphasized that Arizona is a leader in Alzheimer’s research and that lifestyle changes, new therapies, and research funding offer hope, but only if patients are diagnosed earlier and providers are better trained. The committee then heard House Bill 2202, which would appropriate $300,000 over three years for a dementia care telemonitoring/telementoring grant program through the Department of Health Services to help providers statewide learn best practices in dementia care. Supporters, including the Alzheimer’s Association, Dr. Danny Cabral, and a patient advocate, said the bill would address major gaps in provider training and improve early diagnosis and treatment. There was no opposition, and the committee voted 11-0 to give HB 2202 a do pass recommendation. The committee next took up House Bill 2251, the “Jordan and MacTerry Act,” which would expand licensed midwives’ authority to administer certain medications, require liability insurance disclosure and reporting, and create an Arizona Midwifery Advisory Committee. Supporters said the bill would improve safety, oversight, and access to emergency medications in home births, while opponents from ACOG and the Arizona Osteopathic Medical Association raised concerns about the adequacy of oversight, the medication list, and whether eight hours of pharmacology training is sufficient. After testimony from midwives, physicians, and stakeholders, the bill was held for further stakeholder work and anticipated floor amendments. House Bill 2252, which would allow certified nurse midwives, certified professional midwives, or licensed midwives to accompany a patient in a ground ambulance during transport if approved by medical direction, also drew support and opposition. Supporters argued it would preserve continuity of care in emergencies, while firefighters and EMS representatives objected to ambiguity and scene control concerns. That bill was likewise held for further stakeholder meetings. The committee then recessed and reconvened for later presentations on federal budget and health-related topics.

Transcript Highlights:

• Section 1 has to do with long-term care facilities. It provides...
• This has to do with long-term care facilities.
• As far as the long-term care facilities, in Section 1, that's the new program.
• And, you know, the long-term care facilities are very important.
• You know, the long-term care facilities are a very important part of our medical care for our citizens

Bills: SB2225, HB1619

Keywords: housing, affordable housing, community development, infrastructure improvement, funding grants, long-term care, infrastructure loan, nursing facilities, financial assistance, North Dakota Century Code, 908, all

Summary: The Appropriations Committee met to clear several remaining bills and discussed scheduling around upcoming conference committees. The chair noted that full committee meetings would likely be held after floor session, while Thursday and Friday mornings were being reserved for conference committees. Members also discussed how conference committees would be scheduled and where they would appear on their dashboards. The committee first took up House Bill 1577, relating to wastewater facility grants. Amendments were adopted to create a loan/line-of-credit mechanism through the Bank of North Dakota and the Department of Environmental Quality to keep two canceled federal BRIC-funded projects moving: a lagoon project in Fezenden and a wastewater treatment project in Lincoln. Members emphasized the language was intended to apply only to those projects and to preserve the possibility of federal reimbursement later. The amendment passed 16-0, and the bill as amended received a 15-1 do pass recommendation. The committee then reconsidered House Bill 1009 and adopted an additional amendment transferring the remaining balance in the bioscience innovation grant fund to the general fund, rather than issuing another round of grants. That amendment passed 16-0, and the bill as amended also received a 16-0 do pass recommendation. Finally, the committee considered House Bill 1619, creating a long-term care facility loan fund and adjusting an existing medical facility loan program. After discussion, members amended the bill to reduce the long-term care fund cap to $10 million per project, set the interest rate at 2%, extend repayment to 30 years, and align the medical facility loan program to 2% with a 30-year term. The amendment passed 14-2, and the bill as amended received a 16-0 do pass recommendation.

Transcript Highlights:

• Could you tell me how long you've been in your home and can you..." "...tell me how long you've been
• I just want to make sure that every lake community in Arizona that was built 1987 Arizona that was built
• And just wait to see, make sure that we get those amendments taken care of, or that amendment taken care
• And putting our solar on took a long time and a long time to get activated also.
• Arizona? Mr. Arizona, yes. Thank you. Thank you. Mr.

Bills: SB1137, SB1200, SB1419, SB1447, SB1560, SCM1004

Keywords: underground utilities, utility locating, dig safe, call before you dig, 811, excavation safety, damage prevention, one-call center, locate request, white lining, large project coordination, buried infrastructure, subsurface utilities, utility marking, locator wire, locator strip, interactive positive response system, landlord duties, apartment community, mobile home park

Summary: The committee heard several water and energy-related measures. SB 1200, as amended, addressed Arizona Department of Water Resources treatment of certain “conduit lakes” in active management areas, allowing some existing lake systems to continue using groundwater mixed with effluent for irrigation or landscaping purposes. ADWR testified in opposition to the amendment’s policy implications and enforcement concerns, while HOA, homebuilder, and resident witnesses argued the bill would grandfather existing communities, avoid costly system redesigns, and reflect prior agency practice. The committee adopted the strike-everything amendment and then passed SB 1200 on a 6-3 vote. SB 1419, dealing with residential rooftop solar installations, was amended to add consumer-protection and disclosure requirements, including roof inspection and installation standards, clearer contract disclosures, and contractor responsibilities. County and industry witnesses said the bill was the product of a lengthy stakeholder process aimed at addressing misleading sales practices and installation problems, though some technical issues were still to be resolved on the floor. The committee adopted the amendment and passed SB 1419 on a 6-1 vote with two members present and one absent. SB 1447, which extends Pinal AMA groundwater withdrawal fee provisions and related fund deadlines, was supported by irrigation and agricultural interests as a way to finance local infrastructure and conservation during Colorado River uncertainty; it passed 7-1 with one present and one absent. SB 1560 raised the maximum single loan amount from the Water Supply Development Revolving Fund from $3 million to $20 million. WIFA said the current cap was too low for larger rural water projects and that the change would better match demand without harming the fund’s revolving nature; the bill passed 8-1 with one absent. The committee also approved SCM 1004, urging Congress to clearly define EPA powers and duties, despite some members saying it was unnecessary or backward-looking; it passed 6-2 with one absent. The meeting then adjourned.

Transcript Highlights:

• and manage long-term care.
• and manage long-term care.
• home care and manage long-term care. home care and manage long-term care.
• care or needing some long-term care-type assistance.
• > can<00:52:46.000> be No long-term care application can be No long-term care application

Bills: HF4421, HF1937, HF4675, HF4715, HF4684

Keywords: county cost share, economically distressed county, human services finance, substance use disorder treatment, SUD services, civil commitment, state aid, county levy, poverty threshold, tax-exempt acreage, property tax exemption, Minnesota human services, county fiscal relief, local government finance, chemical dependency, behavioral health, PACE, elderly, Medicaid, health services

Transcript Highlights:

• And how do we protect continuity of care while holding the system accountable?
• actually keeps our kids safe from sex trafficking, exploitation, mental health challenges, and other long-term
• 01:03:23.040> other mental health challenges, and other mental health challenges, and other long-term
• 01:03:24.360> we<01:03:24.480> see<01:03:24.720> when<01:03:24.840> we long-term
• As we see when we long-term poverty.

Bills: HF1767, HF2068, HF4725, HF4637, HF4638

Keywords: human services, community support, integrated care, disability services, stakeholder consultation, homeless youth, grants, funding, Minnesota, mental health, substance use disorder, education, workforce development, licensure, direct care services, healthcare, long-term care, personal care assistants, employment support, medical assistance

Summary: The Human Services Finance and Policy Committee approved the April 8, 2026 minutes and then heard House File 1767, as amended by the DE4 amendment. Representative Garande explained that the bill, originally intended to codify Integrated Community Supports (ICS), was being redirected because of concerns about fraud vulnerability and program integrity. The DE4 would create a smaller legislative study group to redesign ICS, pause DHS changes for about six months while the group develops a transition plan, continue DHS fraud investigations and enforcement, and ultimately terminate ICS as currently structured. Testimony in support came from Mr. Buck and Zania Harut of the Residential Providers Association of Minnesota, both of whom argued that ICS is unstable, inconsistently implemented, and in need of a new statutory foundation. They said the current system mixes different service models under one rate framework, lacks clear codification, and has shifting policy guidance that creates compliance problems for providers and risks to people receiving services. They emphasized that the bill would preserve oversight and enforcement while allowing time to build a replacement service with clearer rules, documentation standards, and guardrails. Members asked about effects on counties, providers, data, audits, and fraud enforcement. Representative Curran and Mr. Berg said the bill would not change funding structures or DHS’s existing authority to audit, request documentation, investigate fraud, or sanction bad actors, and that the study group would use existing data to identify where problems are concentrated. Vice Chair Gillman supported the study-group approach as a bipartisan, public process and raised concerns about whether the bill would prevent DHS from acting on known fraud; Curran responded that the language was intended to preserve those enforcement actions. The discussion ended without a final vote on the bill in the portion provided, beyond adoption of the DE4 amendment.

Transcript Highlights:

• of to our health care system in terms of to our health care system in terms of cost,<01:21:34.719
• in long-term care.
• I'm here in strong long-term care.
• Minnesota's long-term care system is failing too many older adults, especially the for-profit operators
• <01:42:51.679> care some health clinics, some long-term care some health clinics, some long-term

Bills: HF3668, HF2779, HF2771

Keywords: gun violence, public health, Department of Health, prevention, criminal justice, health care transparency, ownership disclosure, control reporting, health care consolidation, private equity, management services organization, MSO, provider organization, health insurer, pharmacy benefit manager, hospital system, affiliate reporting, financial disclosure, public reporting, market concentration

Summary: The House Finance and Policy Committee met on March 2 with a quorum present and heard House File 3668, which would create a state Office of Gun Violence Prevention. The bill author argued the office would treat gun violence as a public health crisis, improve research and coordination, and help reduce deaths and trauma, especially among children. Several supporters testified, including representatives from the Minnesota Medical Association, Protect Minnesota, family medicine, public health, and obstetrics/gynecology, all emphasizing firearm injury and suicide as major public health problems and urging a coordinated, data-driven response. Multiple testifiers shared personal accounts of shootings and their effects on children and families, including the Annunciation shooting, and said the office could help align prevention efforts across health care, law enforcement, and community organizations. Opposition came from the Minnesota Gun Owners Caucus, which argued the bill would create a permanent taxpayer-funded bureaucracy that could be used to shape firearm policy and restrict a constitutional right. The group said Minnesota should focus instead on enforcing existing laws, prosecuting violent offenders, and providing direct victim services. During committee discussion, Vice Chair Nadeau offered an A2 amendment to move the proposed office from the Department of Health to the Department of Public Safety, citing data-sharing, accountability, and examples from other cities and states; after discussion with the bill author, he withdrew the amendment. Chair Becker then noted existing state and local spending on violence prevention and public safety programs and raised concerns about duplication of effort.

Transcript Highlights:

• Arizona should not follow them down this path. SB 1051 does not improve care.
• I spent eight years in short-term acute care behavioral health hospitals.
• Madam Chair, members, Senate Bill 1171 requires the Arizona Health Care Cost Containment System to conduct
• Chair, Member, Senate Bill 1171 requires the Arizona Health Care Cost Containment System to conduct
• the administration of the Arizona Health Care Cost Containment System, consisting of monies received

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.