Video & Transcript Research : 'hospitals'
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ND
North Dakota 2026 1st Special Session
Joint Appropriations Jan 21st, 2026 at 12:30 pm
Appropriations
Transcript Highlights:
- In my opinion, if Elgin Hospital closed... have Jacobson Memorial Hospital open.
- The hospital is a 30-bed critical access hospital, providing care primarily to Grant, Morton, Sioux,
- And in turn, holds the hospital leadership accountable. within the hospital and in turn holds the hospital
- First, the board removed the former administrator, within the hospital and in turn holds the hospital
- hospitals.
Bills:
HB1623
Keywords:
HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid
Summary:
The committee first heard House Bill 1624, the “Universal Lunch Bill,” from Rep. Mike Nathie. He argued the proposal should be placed in Century Code rather than the Constitution so future legislatures can adjust it if state finances tighten, and said the bill would start the program a year earlier with a $65 million appropriation for one school year. DPI testified that the estimate did not include nonpublic schools that do not participate, and members questioned the impact on Title I, free-and-reduced applications, private-school accountability, breakfast mandates for schools that do not currently serve breakfast, and whether the funding could come from the DPI budget or other sources. Supporters, including North Dakota United, the North Dakota Catholic Conference, a pediatrician, and the American Heart Association, said universal meals improve student health and learning, reduce family costs, and are better handled in statute than by constitutional amendment. No opposition testimony was offered, and the chair closed the hearing for later work-session action.
The committee then took up House Bill 1627, introduced by Rep. Tye Dressler, which would raise the income threshold for the state-funded school lunch program from 225% to 300% of poverty, with an estimated cost of about $7 million for 2026-27. Dressler said the bill is intended as a targeted, budget-friendly alternative to the ballot measure and emphasized that the state should maximize federal meal dollars while improving participation in the current program. Members questioned whether raising the threshold would actually increase utilization, whether a dollar amount would be clearer than a percentage, and how the change would affect federal reimbursements and application rates. DPI said it could quickly calculate additional percentage levels, and the chair closed the hearing, directing DPI to prepare more numbers for the work session.
Finally, the committee opened Senate Bill 2403, presented by Sen. Schiable, to create a short-term bridge-loan program for financially distressed hospitals, centered on Jacobson Memorial Hospital in Elgin. The bill would authorize up to $5 million per loan, with a $10 million appropriation available on a first-come, first-served basis, and would run only through June 30, 2027. Schiable said the hospital’s debt and operating problems threaten local health care, ambulance service, and the community’s economy, and that the proposal was designed narrowly with Bank of North Dakota review to avoid creating a broad precedent. Committee members asked whether the appropriation could be reduced and whether the bank would still apply commercial feasibility and repayment standards; Schiable said yes, the bank would still evaluate the loan and could reject it if it was not sound.
ND
North Dakota 2026 1st Special Session
Joint Appropriations Jan 21st, 2026 at 10:30 am
Appropriations
Transcript Highlights:
- It's really for these rural areas associated with these rural hospitals and then health clinics.
- But for the most part, these are the rural areas and the clinics and the hospitals.
- This prevents escalation of crisis within the family unit, ER visits, and hospitalizations.
- Each of these critical access hospitals were generating vast amounts of data.
- “Not just for the hospitals and clinics, but also like HIT and the other places, too.
Bills:
HB1623
Keywords:
HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid
Summary:
The committee heard House Bill 1623, the appropriations bill tied to North Dakota’s Rural Health Transformation Program, which is funded through a new federal rural health care grant. Senator Bekkedahl explained the bill’s background, the interim committee process that developed it, and the federal conditions attached to the award, including spending deadlines, administrative cost limits, and restrictions on uses such as new construction, supplanting existing funding, and certain other costs. Legislative staff then walked through the seven sections of the bill, including appropriation authority, transfer authority, contingent appropriations for pass-through grants, procurement and public improvement exemptions, recipient reporting, legislative reporting, and immediate effective date.
Commissioner Traynor and HHS staff described how the department plans to implement the program, emphasizing that the funding is intended to improve rural access, workforce recruitment and retention, technology and data connectivity, and community health initiatives. They said the department will rely on local applications, technical assistance, templates, listening sessions, and partnerships with providers, schools, public health units, tribal entities, and other community groups. Members asked about reimbursement timing, upfront costs, administrative expenses, sustainability after the five-year grant period, and whether CTE centers, public health units, gyms, grocery stores, and other community partners could participate; the department said yes, within program rules and with a focus on measurable outcomes and sustainability.
Several supporters testified in favor. Mental Health America of North Dakota and the Mental Health Advocacy Network supported the bill and urged investment in community-based mental health, crisis response, children’s services, peer support, and mobile crisis teams. HIA Health described the grant as a chance to expand home-based and hospice care, noting that rural providers already have workable models but need funding to scale them. A cybersecurity representative also supported the bill, warning that the large amount of health data and AI-related tools will require strong data protection and professional support. The hearing was closed with no opposition testimony, and the committee announced it would return later in the day for further work on the bill and other measures.
AL
Alabama 2026 1st Special Session
Alabama House Ways and Means General Fund Committee Feb 11th, 2026
Ways and Means General Fund
Keywords:
impoundment, driver licenses, vehicle redemption, local identification cards, law enforcement, HB285, TJ's Law, traffic infraction, traffic ticket, uniform traffic ticket and complaint, minor driver, juvenile driver, parent notification, guardian notification, emergency contact, citing agency, traffic citation, driver safety, youth safety, Alabama traffic law
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 47 - 2 Apr 27th, 2026 at 04:00 pm
Oklahoma House Floor Meeting
Transcript Highlights:
- Senate Bill 1130 by Caldwell, of the House and Hall of the Senate, an act relating to university hospitals
- This is just where we reappropriate some of the APA funds, some of these, some of These hospital rural
- hospital rebuild programs are not going to be meeting the deadline to reappropriate those funds because
- Asthma is the most common uncommunicated disease among children, leading cause of hospitalization and
Keywords:
light pollution, bird mortality, migration, energy conservation, wildlife protection, University Hospitals Authority, funding, behavioral health, appropriation, adolescent health, emergency legislation, Oklahoma State University, Medical Authority, human performance, pharmaceutical expansion, emergency funding, juvenile justice, youth services, pandemic relief, healthcare
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 47 - 1 Apr 27th, 2026 at 01:30 pm
Oklahoma House Floor Meeting
Transcript Highlights:
- Senate Bill 1130 by Caldwell of the House and Hall of the Senate, an act relating to University Hospitals
- Senate Bill 1130 is a bill to ensure the state of Oklahoma and the University Hospitals Authority at
Keywords:
light pollution, bird mortality, migration, energy conservation, wildlife protection, University Hospitals Authority, funding, behavioral health, appropriation, adolescent health, emergency legislation, Oklahoma State University, Medical Authority, human performance, pharmaceutical expansion, emergency funding, juvenile justice, youth services, pandemic relief, healthcare
MN
Transcript Highlights:
- Most states only tax larger institutions like hospitals, nursing homes, and surgical centers.
- Most states only tax larger institutions like hospitals, nursing homes, and surgical centers.
Keywords:
tax credits, sustainable aviation fuel, environmental policy, corporate franchise, Minnesota taxation, electricity generation, property tax exemption, renewable energy, incentives, economic development, fuel delivery, tax exemption, retail transactions, diesel exhaust fluid, fuel lubricants, healthcare tax, gross receipts tax, hospitals, chiropractors, healthcare providers
AL
Alabama 2026 1st Special Session
Alabama Senate Finance and Taxation General Fund Mar 18th, 2026
Finance and Taxation General Fund
Bills:
SB176, HB155, HB247, HB311, HB312, HB317, HB466, SB176, HB155, HB247, HB311, HB312, HB317, HB466
Keywords:
controlled substances, unlawful distribution, marijuana, violent offense, sentencing guidelines, criminal justice, state holidays, federal holidays, public holidays, legal holidays, office closures, state employees, personal leave, compensatory leave, bank closures, school closures, Mardi Gras, Mobile County, Baldwin County, Rosa Parks Day
AL
Alabama 2026 1st Special Session
Alabama House Ways and Means General Fund Committee Feb 18th, 2026
Ways and Means General Fund
Transcript Highlights:
- So therefore, have a hospital in them.
- It’s all over the state. miles away to another hospital to get miles away to another hospital to get
- It clears up space in our hospital.
- It clears up space in our hospital.
- It clears up space in our hospital.
Keywords:
appropriation, transportation, judicial system, funding, state budget, Pickens County, local act, vehicle tag fee, registration fee, issuance fee, motor vehicle registration, license plate, replacement tag, transfer tag, renewal fee, county revenue, earmarked funds, ambulance service, emergency medical services, EMS
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (7-30-25) - Reupload
Transcript Highlights:
- general acute care hospitals.
- than your general acute care hospitals. than your general acute care hospitals.
- hospitals need to improve. hospitals need to improve.
- that hospitals currently pay, but which does not support hospital services.
- billions out of the hospitals. billions out of the hospitals.
Keywords:
00:00:22 - Call to Order and Roll Call
00:03:00 – Approval of June 25, 2025 Minutes
00:03:22 - Update on Federal Changes to the Medicaid Program
01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky
Hospitals
01:29:42 – Public Comments
01:45:25 – Announcements
01:46:19 - Adjournment, 958, all
Summary:
The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants.
A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028.
Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.
OK
Oklahoma 2026 Regular Session
Joint Committee on Appropriations and Budget 2nd Revised Apr 20th, 2026 at 04:30 pm
Joint Committee on Appropriations and Budget
Transcript Highlights:
- So, this bill reclassifies up to 50 million in excess funds to the University Hospital Authority.
- appropriates to the Oklahoma State Department of Health to address gaps in funding for the rural hospital
- Substance Abuse Services to address gaps in the project to replace the capacity of Griffith Memorial Hospital
Bills:
HB4028, HB4029, HB4059, HB4063, HB4073, HB4074, HB4075, HB4076, HB4077, HB4078, SB1130, SB1131, SB1132, SB1133, SB1134, SB1142
Keywords:
tax deduction, venture capital, economic development, Oklahoma, investment, ALS, funding, healthcare, State Department of Health, emergency declaration, public finance, state budget, financial regulations, monetary policy, referendum, constitutional amendments, special election, Oklahoma legislature, public voting, recovery fund
OK
Oklahoma 2026 Regular Session
Joint Committee on Appropriations and Budget Apr 20th, 2026 at 04:30 pm
Joint Committee on Appropriations and Budget
Transcript Highlights:
- This is the hospital rural hospital rebuild program that we.
- Had and so we've had five hospitals set out.
- Reclassified 7 million in excess funds and appropriations to put back into those hospitals.
- Members, what we're doing here is at first, we were going to build a new hospital down in Norman.
- Reappropriates certain ARP monies to ensure the state of Oklahoma has the preeminent pediatric cardiologist hospital
Bills:
HB4028, HB4029, HB4059, HB4063, HB4073, HB4074, HB4075, HB4076, HB4077, HB4078, SB1130, SB1131, SB1132, SB1133, SB1134, SB1142, HB4028, HB4029, HB4059, HB4063, HB4073, HB4074, HB4075, HB4076, HB4077, HB4078, SB1130, SB1131, SB1132, SB1133, SB1134, SB1142
Keywords:
tax deduction, venture capital, economic development, Oklahoma, investment, ALS, funding, healthcare, State Department of Health, emergency declaration, public finance, state budget, financial regulations, monetary policy, referendum, constitutional amendments, special election, Oklahoma legislature, public voting, recovery fund
AL
Alabama 2026 1st Special Session
Alabama House Economic Development and Tourism Committee Apr 1st, 2026
Economic Development and Tourism
Keywords:
AIDT, Alabama Industrial Development Training Institute, Department of Commerce, procurement, competitive bidding, contract review, legislative oversight, economic development, workforce development, Strategic Workforce Plan, state purchasing, state contracts, public procurement, exemption, higher education, universities, community colleges, public hospitals, health care procurement, transportation procurement
AL
Alabama 2025 Regular Session
Alabama House Ways and Means General Fund Committee Apr 1st, 2025
Ways and Means General Fund
Transcript Highlights:
- House Bill 312 by Representative Lee, concerning private hospital assessments and Medicaid funding. .
- Chairman Lee, this bill would extend the hospital provider tax through the fiscal year of 2028.
- On the same line with what we just heard on the last bill, this is again relating to the hospitals.
Keywords:
Alabama budget, general fund appropriations, fiscal year 2026, state budget, appropriations act, HB186, executive branch funding, legislative branch funding, judicial branch funding, debt service, capital outlay, corrections, Medicaid, public health, mental health, transportation, education, law enforcement, tourism, veterans affairs
HI
Transcript Highlights:
- Members, at the top of our agenda is SCR-7, affirming and supporting the requirements that hospitals
- Members, regarding SCR-7, affirming and supporting the requirement that hospitals provide life-saving
Keywords:
emergency care, reproductive health, abortion services, EMTALA, patient safety, hospital regulations, medical treatment, health care professionals, emergency response, licensure, disaster response, telehealth, SCR182, S.C.R. 182, Hawaii Trauma System, trauma care, trauma center, Tripler Army Medical Center, military-civilian partnership, civilian trauma patients
Summary:
The Committee on Health heard testimony on three concurrent resolutions. SCR-7 would affirm that hospitals must provide life-saving emergency care to pregnant people; supporters included the Hawaii State Commission on the Status of Women, AAUW Hawaii, the Healthcare Association of Hawaii, and Hawaii Women’s Lawyers, with two individuals in opposition. A member raised a wording concern about “pregnant people” versus “pregnant women,” and the chair agreed to note the comment in the committee report. The committee then recommended passage, and the measure was adopted by vote, with Representatives Alcos voting no and Garcia not voting.
SCR-59 SD1 would ask the governor to establish procedures allowing certain health care professionals to practice in Hawaii without a Hawaii-issued license during a state of emergency. The Hawaii Organization of Nurse Leaders strongly supported the resolution, citing emergency response problems during Kona low storms and the Lahaina wildfires when out-of-state licensed providers were available but could not serve. The committee recommended passage as is, and the recommendation was adopted, with Representative Garcia voting with reservations.
SCR-182 would request that the governor and Department of Health work with the U.S. Department of Defense and other federal military partners to explore a military-civilian trauma partnership to strengthen Hawaii’s trauma system. The Department of Health supported the measure, and a member suggested the title should reflect “Department of War,” while another member noted the federal department name has not changed; the chair said the comments would be noted in the report. The committee recommended passage, and the resolution was adopted without objection, with Representatives Martin and Olds excused.
AZ
Arizona 2026 Regular Session
03/04/2026 - Senate Health and Human Services
Health and Human Services
Transcript Highlights:
- general supervision in counties with a population of fewer than 400,000 persons and at critical access hospitals
- For the record, Damien Johnson here on behalf of the Arizona Hospital and Health Care Association, representing
- hospitals across rural Arizona, here in strong support of HB 2049.
Keywords:
radiation therapy, particle accelerator, critical access hospitals, patient care, rural healthcare, HB2178, Arizona, state agencies, chief medical officer, medical license, physician license, osteopathic license, licensure requirement, Title 41, Title 32, Arizona Revised Statutes, A.R.S. 41-5902, public health administration, agency leadership, state government personnel
Summary:
The Committee on Health and Human Services heard several bills and held HB 2307. HB 2049 would allow particle accelerator treatment for human diseases under general supervision in certain rural counties and critical access hospitals, with documentation, observation, and physician availability requirements. Supporters from the Arizona Hospital and Health Care Association and rural radiation oncologists said it would improve access to cancer care in underserved areas while maintaining safety. The committee also heard HB 2178, requiring state agency chief medical officers to hold an active medical license, and HB 2179, which separates air ambulance definitions and regulations from ground ambulances to clarify statute and align oversight with current practice; both were described as cleanup/common-sense measures and supported by the air medical industry.
The committee also heard HB 2322, which would require audio or video recording of DCS interviews with children subject to investigations, with limited exceptions for equipment failure or lack of access. Testimony in support came from a human trafficking survivor, a health care worker and counselor, and a foster parent/child welfare advocate, who argued recordings would improve accuracy, accountability, and child protection, and help preserve a child’s exact words. No opposition was presented. The bill includes a conditional enactment tied to future federal grant legislation and directs DCS to apply for grants if available.
After discussion, the committee voted unanimously to give HB 2049, HB 2178, HB 2179, and HB 2322 due pass recommendations, each by a 7-0 vote. The committee then announced HB 2307 would be held and adjourned.
ND
North Dakota 2026 1st Special Session
House Floor Session Jan 23rd, 2026 at 09:00 am
North Dakota House Floor Meeting
Transcript Highlights:
- This legislation is not written for a single hospital or district.
- We are blessed, though, across the river to have a critical access hospital.
- hospital status.
- hospital status.
- Most critical access hospitals have a 25-bed limit.
Keywords:
presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards
Summary:
The North Dakota House convened in special session with prayer, roll call, and a quorum present, then took up several rural health-related bills. Senate Bill 2401, as amended, required physicians to complete one hour of continuing education in nutrition and metabolic health each renewal cycle and also added language allowing criminal history background checks for the Board of Occupational Therapy Practice. Supporters emphasized the role of nutrition in reducing chronic disease, and the bill passed 92-0.
The House then considered Senate Bill 2402, which expanded pharmacists’ limited prescriptive and therapeutic substitution authority for certain low-acuity conditions and clarified related lab-test and communication requirements. Members discussed examples such as motion sickness, cold sores, lice, hypoglycemia, COVID and flu testing, emergency access to medications and supplies, and limits excluding certain drug classes; the bill passed 91-1. Senate Bill 2403 created a temporary medical facility emergency operating loan option through the Bank of North Dakota for qualifying rural hospitals facing severe financial distress, with extensive debate over the targeted nature of the aid, anti-gifting concerns, repayment terms, and the hospital’s turnaround plan; it passed 80-12.
Senate Bill 2404 appropriated funds for NDIT to address federal digital accessibility requirements and for the Public Service Commission’s litigation efforts related to transmission costs, with a backup loan authorization available if needed; it passed 92-0. At the close of the session, leaders thanked members and staff for their work on the rural health transformation package, a committee notified the Governor and the Senate that the House had completed its business, absent members were excused, and the House adjourned sine die.
ND
North Dakota 2026 1st Special Session
House Floor Session Jan 21st, 2026 at 08:30 am
North Dakota House Floor Meeting
Keywords:
presidential physical fitness test, physical education, fitness assessment, student fitness, school curriculum, graduation requirements, elementary school, middle school, high school, public schools, nonpublic schools, superintendent of public instruction, exceptions, disability accommodations, North Dakota studies, computer science, cybersecurity, health education, concept-based fitness class, school standards
Summary:
The North Dakota House convened in special session with prayer, the Pledge of Allegiance, and the reading of communications from the Secretary of State and Governor Kelly Armstrong certifying the special session call. The governor’s executive order said the session was called to act on funding for the Rural Health Transformation Program so the state could accept and appropriate federal funds and avoid interruptions to government services. Three new members, Representatives McNally, Scraw, and Timmons, were sworn in, and the roll showed 91 members present, establishing a quorum.
The main business was a Rules Committee report outlining temporary special-session rules. The changes were designed to speed up floor action, including allowing second reading the same day a bill is reported from committee, final passage one day after first reading, and immediate transmission to the other chamber unless reconsideration is noticed. The report also replaced the regular standing committee structure with two joint committees: Joint Appropriations and Joint Policy, allowed remote testimony and remote member participation with approval, and limited bill introduction to Legislative Management-approved bills or bills approved by a two-thirds vote. Several deadline changes for resolutions and bill filing were also described, with some provisions delayed until the special session ends.
The House adopted the Rules Committee report after a motion by Representative Bosch and no opposition. During announcements, the clerk listed the membership of the Joint Appropriations and Joint Policy committees, and the Highway Patrol announced safety sessions for legislators in the Rough Rider Room at 11 a.m. that day and the next day. The House then recessed until the joint session scheduled for 10 a.m. the following day.
AL
Alabama 2025 Regular Session
Alabama Senate Finance and Taxation General Fund Committee Apr 24th, 2025
Finance and Taxation General Fund
Transcript Highlights:
- Representative Lee, this is the one regarding hospitals and private hospital...
- This bill addresses hospitals and private hospital assessments for Medicaid funding.
Bills:
HB186, HB185, HB182, HB183, HB184, HB312, HB460, HB405, HB186, HB185, HB182, HB183, HB184, HB312, HB405
Keywords:
Alabama budget, general fund appropriations, fiscal year 2026, state budget, appropriations act, HB186, executive branch funding, legislative branch funding, judicial branch funding, debt service, capital outlay, corrections, Medicaid, public health, mental health, transportation, education, law enforcement, tourism, veterans affairs
AL
Transcript Highlights:
- >
is <00:22:22.880>uh <00:22:23.200>is hospital association is is uh is hospital - County Medical Center and the hospital County Medical Center and the hospital in<00:23:01.600>
- Um, I don't have a problem at all requiring it for urban hospitals, suburban hospitals.
- <00:36:56.880>
I urban hospitals, suburban hospitals.- I urban hospitals, suburban hospitals.
Keywords:
immigration, law enforcement, fingerprints, DNA collection, illegal aliens, Alabama state law, SB80, Buddy Sharpless Education Institute, Alabama Local Government Training Institute, county commissioner training, local government training, ethics training, State Ethics Commission, county commissioners, Association of County Commissions of Alabama, local emergency management director, public officials, municipal officials, Alabama Code Title 11, Alabama Code Title 31
AZ
Transcript Highlights:
- Is that the medical director at the hospital?
- Right now, Access levies what's called a hospital assessment on hospitals within the state, and the revenues
- We don't have any hospitals participating.
- We don't have any hospitals participating.
- Rural Arizona needs hospitals. They die preventable deaths.
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.