Bills: HF2196, HF2586, HF2187, HF2037

Keywords: mental health, emotional disturbance, terminology update, statutory cleanup, conforming amendments, children's mental health, serious mental illness, severe emotional disturbance, case management, residential treatment, outpatient services, crisis services, health plan coverage, antipsychotic drugs, medical assistance, Medicaid, foster care, juvenile court, school discipline, county board

Transcript Highlights:

• My 33-year career in policing has focused on violent crime, addressing the impacts of drugs and drug
• This includes the drug cartels that have inundated the United States with deadly drugs, violent criminals
• Certainly at the Office of National Drug Control.
• In some communities, the focus on drug trafficking is often subordinate to others' drug or to other threats
• Stop the drugs from coming.

Keywords: Coast Guard, maritime drug enforcement, illegal drugs, fentanyl crisis, legislative reforms, public testimony

Summary: The meeting of the Senate Committee on Commerce, Science, and Transportation addressed critical issues surrounding maritime drug enforcement and the Coast Guard's role in stopping the influx of illegal drugs. The chairman highlighted the alarming consequences of current policies allowing drugs to cross borders, emphasizing the need for legislative reforms, such as the Coast Guard Reauthorization Act of 2025. There was an intense discussion regarding the operational challenges faced by the Coast Guard, which has recently made significant drug seizures, indicating progress but also revealing gaps that need addressing. Several witnesses, including victims of the drug crisis, shared their compelling testimonies, which underscored the urgency for stricter controls and comprehensive support for law enforcement agencies involved in drug interdiction efforts.

Transcript Highlights:

• drugs approved by the U.S.
• drugs.
• drug coverage.
• drugs on the current or previous health benefit plan.
• I like removing barriers to antipsychotics, but I don't like the cost of this bill.

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 then on page 14, the prescription is written for drugs that may have a cosmetic use.
• And we're concerned that by ...removing prior authorization from the drugs that are used for serious
• mental illness, you're making it so that some of these drugs, including opioids, can make it out into
• When, in fact, if there's going to be a change in the drug or the dosage, that's going to be made by
• But two areas where we've seen overutilization of, say, antipsychotics as a sedative agent or something

Bills: SB20, SB111, SB211, SB218, SB14

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder

Transcript Highlights:

• DHS to provide glucagon-like peptide-1 drugs.
• That's the per person for these drugs.
• So they are, it does for any FDA approved indication for the drug.
• Next up we have HB 2456, relating to drugs for weight loss.
• This relating to drugs for weight loss.

Bills: HB2488, HB2456

Keywords: disability, communication access, deaf, hard-of-hearing, deaf-blind, healthcare, sign language interpreters, auxiliary aids, weight loss, GLP-1 drugs, obesity, Medicaid, healthcare costs, 910, house, all

Summary: The committee heard testimony on HP 1972, which would create a nonrefundable family caregiver tax credit, and on a related tax measure to increase the existing dependent care tax credit. Supporters of HP 1972, including AARP, the Executive Office on Aging, the Hawaii Public Health Institute, Hawaii Children’s Action Network, and others, said unpaid caregivers are essential to keeping kūpuna and other loved ones at home and described significant out-of-pocket costs. The Department of Taxation and the Tax Foundation raised technical concerns, including the need to avoid overlap with existing credits and to prevent double-dipping. The department said taxpayers can claim credits to the extent allowed, but recommended explicit language barring the same costs from being claimed under more than one credit. No vote was taken in the excerpt, and the chair moved the bill along after questions. The committee then heard HP 1975, which would repeal the sunset on the state rent supplement program for kūpuna. AARP, Catholic Charities Hawaii, the Executive Office on Aging, and others supported making the program permanent, saying it helps low-income older adults avoid eviction and homelessness and allows them to remain in affordable housing. Catholic Charities described clients who were paying unsustainable shares of income for rent before receiving the supplement. Members also shared a constituent example of an elderly retiree who needed the subsidy to stay housed. Written support was noted from additional organizations and individuals. Next, the committee took up HB 1706, which would expand Medicaid prospective payment reimbursement to include mental health services furnished in federally qualified health centers and rural health clinics by mental health professionals under supervision. The Office of Hawaiian Affairs supported the bill, and DHS said it appreciated the intent to address workforce shortages and expand training, but cautioned that unlicensed professionals cannot currently bill Medicaid and that a state plan amendment would be needed, with limited precedent for approval. Members asked about the likelihood and timing of federal approval and whether the bill could help rural areas; DHS said approval is uncertain and the process can take time, though it saw possible alignment with the state’s rural health transformation efforts. The committee also discussed HB 546, a three-year health coverage continuity pilot program for people losing Medicaid coverage. DHS, the Attorney General’s office, DCCA, Catholic Charities, the University of Hawaii, and others testified, with DHS warning that federal changes could increase uninsured rates and that the state may need to act quickly. Catholic Charities and others emphasized the risk to Medicaid recipients, including homeless and near-elderly residents, while DHS explained the state’s existing premium assistance program for certain immigrants and compared it to the proposed pilot. The excerpt ends during discussion of that comparison, with no vote shown.

Transcript Highlights:

• They'll help make prescription drugs more affordable.
• Hopefully, transparency driving down the cost of prescription drugs.
• The fact is drug prices are too high.
• The Drug Competition Enforcement Act would prohibit product hopping.
• drug dealer. manufacturer from offering patients a far more affordable generic version of the drug.

Bills: SB1040, SB1041, SB1095, SB1096, SB1097, SB527

Keywords: drug competition, product hopping, generic drugs, biosimilars, federal regulations, FTC Act, patent, biological products, healthcare access, affordable prescriptions, Medicare, Federal Trade Commission, sham petitions, competition, public health, unfair competition, healthcare, pharmaceutical, antitrust law, pay-for-delay

Summary: The meeting focused on addressing the high cost of prescription drugs and the abusive practices that contribute to elevated prices affecting American families. Several bills were presented, including proposals to end pay-for-delay deals and to enhance transparency in the operations of pharmacy benefit managers (PBMs). The discussion was notable for its emphasis on consumer protection and ensuring that cheaper generic drugs reach the market more effectively. Members expressed frustration over past attempts to pass similar legislation stalling in the Senate, leading to renewed efforts to push these bills forward.

Transcript Highlights:

• and consent to the nomination of Mi Vaughan of Moore to the Oklahoma board of licensed alcohol and drug
• Mi Vaughan to the Oklahoma Board of Licensed Alcohol and Drug Counselors.
• and consent to the nomination of Mi Vaughan of Moore to the Oklahoma board of licensed alcohol and drug

Bills: HB1168

Keywords: abortion, abortion-inducing drugs, medication abortion, mifepristone, misoprostol, methotrexate, pro-life, pro-choice, reproductive health, unborn child, trafficking, felony, contraception, pharmacist, pharmacy, Title 63, Oklahoma statutes, abortion pill, drug distribution, criminal penalty

Transcript Highlights:

• What if she's trafficking the drugs for herself? Thank you for the question.
• How is this particular drug different from any other illegal drug?
• Or, that a lot of these drugs that are not making it into our state. Follow up.
• And what helped them was not eliminating a drug. What helped them...
• And at the end of the day, these drugs don't give choice.

Bills: HB1168

Keywords: abortion, abortion-inducing drugs, medication abortion, mifepristone, misoprostol, methotrexate, pro-life, pro-choice, reproductive health, unborn child, trafficking, felony, contraception, pharmacist, pharmacy, Title 63, Oklahoma statutes, abortion pill, drug distribution, criminal penalty

Transcript Highlights:

• So we are now on the committee substitute for SB 20: Prior Authorization and Prescription Drugs.
• for severe mental illness, we're concerned that drugs could be out there that may not be used in an
• We do believe that prior authorization should apply to those drugs.
• How often drugs need to be refilled and prescribed.
• to the chronic maintenance drug is added to the formulary.

Bills: SB101, SB21, HM52, HB132, SB14, SB20

Keywords: SB 101, Health Care Delivery and Access Act, repeal of repeal, sunset repeal, delayed repeal, health care, healthcare, access to care, medical services, provider regulation, state health law, New Mexico, SB 21, Medicare supplement, Medigap, open enrollment, guaranteed issue, birthday month enrollment, health insurance, insurance regulation

Transcript Highlights:

• So we've gone through different drugs, but one drug in particular harmed them and made them sicker, or
• You're talking about some very serious drugs, and removing prior authorization for those drugs is a concern
• They could be getting some drugs that might cause some different effects that weren't intended to.
• And drug use and random drug testing is a way of life with a lot of the companies. that are trying to
• Inebriated or intoxicated, or you are under the influence of some drug, right? We already have.

Bills: SB20, SB53, SB86, SB96, SB129

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder

Transcript Highlights:

• Um, and the insurance company says, "I don't know about all that medicine stuff, but this drug will be
• about all that medicine stuff,<00:37:26.200> but<00:37:26.560> this<00:37:27.000> drug
• stuff, but this drug will be cheaper." stuff, but this drug will be cheaper."
• utilization management for their drug utilization management for their drug formulary,<00:48:30.920
• You know, she has to go through this step protocol, and she knows what drugs work for her.

Bills: HF1606, HF3733, HF743, HF2627, HF4071

Keywords: nudification technology, image rights, privacy protection, sexual exploitation, cybersecurity, recreational camping, utility fees, electricity charges, consumer protection, energy policy, health insurance, insulin, step therapy, diabetes, patient care, prescription drugs, pet shops, animal welfare, dog sales, cat sales

Bills: SB7, SB14, SB 7, SB 14

Keywords: gender designation, civil penalties, private civil rights, multiple-occupancy spaces, Texas Women's Privacy Act, law enforcement, confidentiality, personnel files, employee records, misconduct, abortion, civil liability, abortion-inducing drugs, qui tam actions, Texas Citizens Participation Act, Religious Freedom Restoration Act, healthcare regulations, impact fees, water conservation, reuse projects

Transcript Highlights:

• Before then, drugs were tested in almost exclusively men.
• years studying it, and it couldn't care less about which restroom you use, but it does care about drug
• They can take drugs, they can even have surgeries, but a man will never become a woman and a woman will
• treatment. ...and they're also bringing in other people from the community and having them come use drugs
• and affordable housing, and it needs to be addressed because it's not safe, especially if they have drug

Bills: SB7, SB14, SB 7, SB 14

Keywords: gender designation, civil penalties, private civil rights, multiple-occupancy spaces, Texas Women's Privacy Act, law enforcement, confidentiality, personnel files, employee records, misconduct, abortion, civil liability, abortion-inducing drugs, qui tam actions, Texas Citizens Participation Act, Religious Freedom Restoration Act, healthcare regulations, impact fees, water conservation, reuse projects

Transcript Highlights:

• Drug trafficking, another big one.
• Not to mention the fact, the drugs that we investigate.
• I mean, it is a very deadly drug, and we focus on that.
• But I will tell you that as far as all drugs, if you look at the Schedule I, Schedule II legal drugs
• Drug costs have just been on the rise.

Bills: S0054, S0156, S0296, S0298

Keywords: cognitive function, psychotropic drugs, violent offenders, autopsy procedures, medical records, school safety, public records, open government, sunshine law, victims of dating violence, domestic violence, address confidentiality program, confidential address, voter registration, voting records, elections, supervisor of elections, Department of State, Attorney General, privacy

Summary: The committee first heard a presentation on the Governor’s fiscal year 2026-27 public safety budget, which totals about $8.2 billion within a $117.4 billion overall state budget. Caitlin Dawkins of the Governor’s Office of Policy and Budget outlined funding and reductions across the public safety silo, including the Department of Corrections, Juvenile Justice, FDLE, Legal Affairs, the courts, and related entities. Agency heads then presented their requests, with FDLE seeking funding for fentanyl enforcement, career offender registry staffing, alert system upgrades, alcohol testing equipment, officer mental health, criminal alien detection, and statutory staffing needs; DJJ requesting money for the Florida Scholars Academy, uniforms, residential contract rate increases, a new Broward detention center, and facility maintenance; and DOC requesting major funding for correctional officer pay increases, 500 additional FTE, facility construction and maintenance, communications and security technology, offender information system modernization, inmate health care, pharmaceuticals, and food service. Members discussed staffing shortages, prison conditions, immigration enforcement, public records burdens, mental health and substance use treatment, and the need for continued investment in corrections. A member of the public also testified about poor conditions in some prisons, including clothing, food, medical care, and maintenance issues. The committee then considered and passed CS/SB 156, the Jason Rayner Act, which would clarify that a person may not resist a law enforcement officer with violence when the officer is performing official duties and would increase penalties in cases involving violence against officers. The bill sponsor described the case of Officer Jason Rayner and said the measure was intended to prevent defendants from using claims about unlawful detention or arrest to justify violence. An amendment conforming the bill’s language was adopted, and the bill was reported favorably after support was noted from several law enforcement and municipal groups. Next, the committee passed CS/SB 54, which addresses use of substances affecting cognitive function. An amendment narrowed the medical-records language to records relevant to investigations of violent offenders and clarified privacy protections. The bill was then reported favorably. The committee also passed CS/SB 296, the Haven Act, which would direct a study of a secure web-based alert system for domestic violence victims so they can contact 911 without alerting an abuser, and would expand the Address Confidentiality Program to include dating violence victims. Testimony from survivors and advocates emphasized the danger victims face when trying to leave abusive situations. Finally, the committee passed CS/SB 298, the public-records companion bill, which extends confidentiality protections for participants in the Address Confidentiality Program to dating violence victims as well. All three bills were reported favorably, and the committee adjourned after no further business.

Transcript Highlights:

• They pay the net cost of the drug.
• Humira is an $8,000 drug, roughly.
• in a drug formulary.
• But what happens with the specialty drugs, and what is the definition of a specialty drug?
• And what happens is this list of expensive drugs, everything from breast cancer drugs to drugs for irritable

Bills: HB591, HB765, HB826, HB870, HB938, HB1151, HB1162, HB1176, HB1196, HB1236, HB1241

Keywords: family leave, insurance, paid leave, employment benefits, caregiver support, liability insurance, coverage defenses, direct action, judgment enforcement, legal procedures, insurance referrals, compensation, non-licensed agents, consumer protection, insurance products, HB 870, Act 907, Louisiana insurance, health insurance, prescription drugs

Transcript Highlights:

• crime of violence, a criminal offense relating to firearms, or an illegal sale or distribution of any drug
• This defines compounded prescription drugs for the purposes of the state's workers' compensation law
• limits dispensing of prescription drugs by physician to 30 days after the investment and doctor injury
• by dispensing of prescription drugs by physician<00:15:41.440> to<00:15:41.560> 30<00:
• <00:15:46.079> to<00:15:46.120> be<00:15:46.240> obtained prescription drugs

Bills: SB888, SB2479, SB2489, SB2519, SB2521, SB2527, SB2575, SB2591, SB2611, SB2665, SB2667, SB2695, SB2697, SB2713, SB2730, SB2751, SB2765, SB2795, SB2797, SB2806, SB2812, SB2818, SB2835, SB2849, SB2851, SB2896, SB2922, SB2970, SB2972, SB2973

Keywords: SB888, Hawaii, consumer protection, smart home security, smart household security device, home security camera, video doorbell, Ring, Nest, connected devices, internet of things, IoT, privacy, data privacy, law enforcement access, police requests, search warrant, judicial warrant, subpoena, emergency disclosure

Summary: The Judiciary Committee met in decision-making only session and took up a long list of Senate bills, mostly advancing them with either no amendments or committee amendments. Early measures included SB 888, which bars smart household security device operators from sharing user data with law enforcement without consent or a warrant, and SB 2479, which allows certain defendants to seek reduced sentences based on family violence, dating violence, or child abuse history; both were adopted, with SB 2479 amended for technical and procedural changes. The committee also adopted SB 2489 on invasive species provisions in Department of Agriculture and Biosecurity leases, SB 2519 on Law Enforcement Standards Board deadlines, SB 2521 and SB 2527 on CDL-related exemptions and training/policies for emergency personnel, and SB 2575 on firearm-related mandatory minimum penalties, which was amended to clarify scope and set a far-future effective date. Several transportation and public safety bills were also approved. SB 2591 created a Waikiki refuse-collection pilot program; SB 2611 expanded criminal trespass rules for school premises to weekends and holidays, though one member raised concerns about use of school property as a park; SB 2665 required driver-license renewal applicants with recent citations to complete a road-safety course, later narrowed to moving violations only; SB 2667 restricted towing vehicles from far-left lanes; SB 2695 clarified crosswalk duties; SB 2697 prohibited driving on shoulders except in limited cases; and SB 2812 required driver testing on dangers posed by larger vehicles, with court-ordered timing for re-examination. Most of these measures passed unanimously or with one or more members recording no votes or reservations, but they were still adopted. The committee also advanced SB 2713 on restricting certain pesticide use near elderly care facilities, SB 2730 on warrantless arrest and detention factors for petty misdemeanors and violations, SB 2765 on condominium foreclosure rental income, SB 2795 on flag display rights in housing associations with health and safety carve-outs, SB 2797 on gift card fraud, SB 2806 on real estate listing restrictions, SB 2818 on boating and ocean recreation penalties, SB 2835 on liquor licensing and education funding, SB 2849 on public meeting notice requirements, SB 2851 on a deafness designation for vehicle registration, SB 2896 lowering the commercial driving age to 18, SB 2922 on cooperative association definitions, SB 2970 on state contracting conflicts involving relatives, SB 2972 on temporary Oahu spearing restrictions for certain fish, and SB 2973 on banning jug-line fishing. A few bills drew objections over breadth or penalties, especially the boating and fishing measures, but the committee still adopted the recommendations. SB 2751 on workers’ compensation prescription drug rules was deferred indefinitely, and the meeting ended with the chair noting upcoming joint and committee meetings for the next day.

Bills: HB818, HB1514, HB1648, HB2138, HB2323, HB2494

Keywords: Waiakea peninsula, community development, economic revitalization, cultural preservation, infrastructure improvement, workers' compensation, vocational rehabilitation, injury recovery, employment services, return to work, nonprescription drugs, over-the-counter medications, healthcare providers, reimbursement rates, Hilo-Kona, transportation, pilot program, economic development, mobility, treatment plans

Transcript Highlights:

• drugs.
• They're often taken to an emergency room where they're given antipsychotic drugs.
• There are a lot of additional costs when somebody doesn't get an antipsychotic drug.
• There are a lot of additional costs when somebody doesn't get an antipsychotic drug.
• Somebody doesn't get an antipsychotic drug.

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:

• , not just drugs for treating pain.
• For example, antipsychotics, which have some very high-cost drugs, could increase utilization across
• the board for multiple drug classes, not just drugs to treat pain.
• For example, antipsychotics, which have some very high-cost drugs, could increase utilization across
• the board for multiple drug classes, not just drugs to treat pain.

Bills: HB2408, HB2434, HB2725, HB2728, HB2729, HB2730, HB2731, HB2732, HB2733

Keywords: nursing board, regulatory actions, disciplinary actions, expungement, healthcare professionalism, controlled substances, prescription monitoring, opioid crisis, healthcare regulations, patient safety, prescription drugs, opioids, healthcare, pain management, utilization controls, AHCCCS, Department of Economic Security, social services, welfare programs, vocational rehabilitation

Summary: The committee first took up several continuation bills to extend state boards and agencies, including HB 2728 for the Department of Economic Security, HB 2729 for the State Board of Nursing, HB 2730 for the Board of Occupational Therapy Examiners, HB 2731 for the Physician Assistants Board, and HB 2732 for the Board of Pharmacy. Each was moved for a due pass recommendation, with HB 2731 amended to continue the physician assistant board for four years instead of two. All of these continuation bills passed the committee with strong support. The committee then heard HB 2408, a nursing board reform bill dealing with complaint investigation procedures, timelines, confidentiality, complaint prioritization, access to investigative files, expungement of certain disciplinary actions, and a revised definition of unprofessional conduct. The sponsor and supporters argued it would improve fairness, allow limited expungement for older non-patient-safety issues, and address long investigation delays. The nursing board president and other opponents warned it would raise the evidentiary standard, weaken patient safety protections, and erase useful disciplinary history. After extensive testimony, the committee adopted an amendment and passed the bill 7-4-1. Next, the committee considered pharmacy-related reforms. HB 2434 updated the controlled substances prescription monitoring program, including registration, reporting, confidentiality, and a compliance work group; it passed unanimously after amendment. HB 2733 allowed pharmacists and technicians to complete continuing education after renewal submission if finished before expiration, clarified prescription delivery locations, and addressed temporary operation during ownership changes; it also passed unanimously after amendment. Finally, HB 2725, which would have restricted access contractors from substituting non-opioid drugs and limiting non-opioid utilization controls, drew concerns that it was too broad and could affect many drug classes and costs. After amendment and debate, the committee failed to give HB 2725 a due pass recommendation by a 6-6 vote, and the meeting adjourned.

Transcript Highlights:

• drugs and limits any step therapy protocols to no more than two distinct prescription antipsychotic
• If the emergency room can't restore them with antipsychotic drugs, which they usually can't, they may
• And with antipsychotic drugs, which they usually can't, they may wind up on a 40-hour treatment hold,
• Is this a, do they have drugs in our access formulary right now for antipsychotic drugs?”
• “For antipsychotic drugs, I guess.

Bills: SB1052, SB1115, SB1118, SB1120, SB1121, SB1124, SB1171, SB1172, SB1174, SB1175, SB1214, SB1233, SB1235, SB1316, SB1345, SB1372, SB1399, SB1458, SB1494, SB1496, SB1564, SB1602, SB1621, SB1628, SB1630, SB1631, SB1668, SB1672, SB1814, SB1821

Keywords: assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent, AHCCCS, remote work, state agency, employment, public health, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes, townhomes, historic preservation, radiation protection

Summary: The committee first heard Senate Bill 1121, which would prohibit hospitals from requiring lead aprons for cardiac catheterization staff when a radiation protection system is in place, while still allowing hospitals to require aprons outside the designated safety zone or when exposure levels warrant additional protection. An amendment added flexibility for radiation safety officers to require lead or other PPE if exposures approach occupational limits and removed expedited rulemaking language. Supporters, including the sponsor and interventional cardiologists, argued the devices reduce radiation and orthopedic injuries and improve recruitment and retention; hospital groups shifted to neutral after the amendment. The committee adopted the amendment and passed SB 1121 on a 9-2 vote. The committee then considered Senate Bill 1120, which would require hospitals performing cardiac catheterization procedures to equip at least 50% of those rooms with radiation protection systems by 2027. Supporters said the systems protect clinicians from radiation and long-term injury, while opponents, including hospital and radiology groups, argued the bill was overly prescriptive, could create a captive market, and might not fit all rooms or procedures. After adopting a children’s hospital exemption amendment, the committee passed SB 1120 on a 6-6 vote, with the chair breaking the tie in favor of the bill. Senate Bill 1118, an appropriation measure tied to the radiation protection system proposal, was also advanced after brief discussion, passing 6-5. The committee then took up Senate Bill 1214, which would create guardrails for non-FDA-approved stem cell and regenerative therapies, including provider standards, informed consent, advertising limits, reporting requirements, and a private right of action for violations. Supporters described it as a patient-protection and access bill, while testimony emphasized concerns about unregulated “bad actors” and patients traveling out of state for treatment. The committee adopted an amendment removing a reference to the National Law and passed SB 1214 on a 9-3 vote. The transcript then began discussion of SB 1630, which would create a Medicaid-funded home and community-based service benefit for adults with serious mental illness, with AHCCCS taking a neutral position and estimating a significant fiscal impact.