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ARIZONA HOUSE OF REPRESENTATIVES
Fifty-first Legislature – First Regular Session
Minutes of Meeting
House Hearing Room 1 -- 2:00 p.m.
Chairman Kavanagh called the meeting to order at 2:35 p.m. and attendance was noted by the secretary.
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Ms. Alston |
Mr. Gray |
Mrs. Ugenti |
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Mr. Boyer |
Mr. Kwasman |
Mr. Olson, Vice-Chairman |
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Mr. Campbell |
Ms. Mach |
Mr. Kavanagh, Chairman |
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Mr. Forese |
Mr. Sherwood |
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None |
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SB1090 – DP (11-0-0-0) |
SB1432 – NOT OUT OF PRIMARY COMMITTEE |
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SB1244 – DPA (7-4-0-0) |
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CONSIDERATION OF BILLS
SB1432 – massage therapy board; executive director – NOT OUT OF PRIMARY COMMITTEE
S/E: disorderly conduct; classification
Chairman Kavanagh announced that SB1432 is not out of primary committee and will not be heard.
SB1090 – dependent children; placement; grandparents; stipend – DO PASS
Vice-Chairman Olson moved that SB1090 do pass.
Miranda Cain, Majority Research Intern, explained that SB1090 creates a $75 monthly stipend, subject to appropriation, for a grandparent or great-grandparent if a dependent child is placed in the grandparent or great-grandparent’s care as outlined by the Department of Economic Security (DES) (Attachment 1).
Mrs. Ugenti questioned the cost of the stipend to the state. Ms. Cain conveyed that the fiscal note estimates that the increase to General Fund (GF) expenditures is $1.2 million in fiscal year (FY) 2014.
Chairman Kavanagh explained that the budget bills passing out of the Committee will become part of the overall budget process; however, when the budget is finalized, certain items will drop out of the budget and certain items will get added.
Senator Leah Landrum Taylor, sponsor, stated that this legislation will be a cost-saving measure for the state. She cited statistics on the costs associated with placing a child in a non-relative home verses placing the child with a grandparent and stressed the importance of placing children with reliable family members.
In response to a question, Senator Landrum Taylor clarified that placing a child with a non‑relative costs the state, depending on the needs of the child, between $780 per month to $900 per month compared to $75 for a relative placement.
Doris Gilder, representing self, testified in support of SB1090, stating that while raising her grandchild she has depleted her savings and relies on a small pension and social security benefits. The $75 monthly stipend will greatly assist grandparents in paying for school supplies, shoes or after-school activities, such as Boy Scouts or Girl Scouts. Ms. Gilder said that by raising her granddaughter she is saving the state thousands of dollars each year and assures her grandchild a much brighter future then if she were in foster care. She encouraged the Committee to support this legislation.
Brenda Gloria, representing self, testified in favor of SB1090, stating the difference a stipend makes to someone on a fixed income. She said that grandparents make sacrifices such as not buying their own medication in order to provide for the needs of a grandchild and urged the Members to support this legislation.
Vice-Chairman Olson announced the names of those who signed up in support of SB1090 but did not speak:
Melissa Berliner, representing self
Laura Jasso, Arizona Grandparent Ambassadors, representing self
Oralia Gracia-Alinea, representing self
Michele Brown, representing self
Carol McDermott, representing self
Dana Naimark, President and CEO, Children's Action Alliance
Bahney Dedolph, Arizona Council of Human Service Providers
Jessie Hetherington, representing self
Delores Wright, representing self
Stephanie Vargas, representing self
Vice-Chairman Olson announced the names of those who signed up as neutral on SB1090 but did not speak:
Kathy Ber, Director of Legislative Services, Department of Economic Security
Question was called on the motion that SB1090 do pass. The motion carried by a roll call vote of 11-0-0-0 (Attachment 2).
SB1244 – homeopathic board; fees – DO PASS AMENDED
Vice-Chairman Olson moved that SB1244 do pass.
Vice-Chairman Olson moved that the Kavanagh 11-line amendment to SB1244 dated 3/13/13 (Attachment 3) be adopted.
Mike Huckins, Majority Research Analyst, advised that SB1244 increases and establishes new fees for the Arizona State Board of Homeopathic and Integrated Medicine (Board) and contains a Proposition 108 clause (Attachment 4).
Mr. Huckins explained that the amendment (Attachment 3) makes the following changes:
· Reduces the following proposed fee cap increases:
o Application for physician license from $750 to $600
o Issuance of initial physician license from $1,300 to $1,100
o Annual renewal of physician license from $1,300 to $1,100
o Initial and annual renewal of dispensing permit from $500 to $300
· Eliminates the following proposed fee cap increases:
o Application of locum tenens registration
o Issuance of locum tenens registration
o Annual renewal of homeopathic medical assistant
o Registration application to supervise a homeopathic medial assistant
· Reduces the proposed caps on new fees as follows:
o Late renewal of homeopathic medical assistant from $150 to $50
o Re-administration of examination from $400 to $200
o Certification of status from $30 to $15
Chris Springer, Executive Director, Arizona State Board of Homeopathic and Integrated Medicine Examiners (Board), testified in support of SB1244 and the amendment. She advised that the bill will amend existing fee caps, add four new fee categories and make housekeeping changes. Ms. Springer said that 99 percent of the Board’s primary revenue is derived from annual renewal fees and new license application fees. The amendment permits the Board the flexibility to set fees, which reflect the costs of operating the Board, allowing the Board financial stability.
Vice-Chairman Olson announced the names of those who signed up in support of SB1244 but did not speak:
Lisa E. Platt, Associate, Arizona Homeopathic and Integrative Medical Association (AHIMA)
Bruce Shelton, President, AHIMA, representing self
Martha M. Grout, MD, representing self
Joseph Abate, Martinez & Curtis PC, AHIMA
Question was called on the motion that that the Kavanagh 11-line amendment to SB1244 dated 3/13/13 (Attachment 3) be adopted. The motion carried.
Vice-Chairman Olson moved that SB1244 as amended do pass. The motion carried by a roll call vote of 7-4-0-0 (Attachment 5).
INFORMATIONAL HEARING ON EXECUTIVE AHCCCS PROPOSAL
JLBC Presentation
Amy Upston, Joint Legislative Budget Committee (JLBC), provided an overview of the Federal Health Care Legislation and Executive Medicaid Proposal (Attachment 6).
Vice-Chairman Olson assumed the Chair.
Ms. Upston responded to questions on the following topics:
· Provider assessment level if federal match rates fall to 80 percent
· Federal government elimination of the provider assessment
· Proposition 108 clause and the provider assessment
· Fee establishment
· Provider assessment tax formula
· Program expansion costs
Public Testimony
Jim Dunn, Executive Director and CEO, National Alliance on Mental Illness (NAMI) Arizona, stated his support for the Executive AHCCCS Proposal. He commended the Committee on supporting mental health issues in the past and said that without the Medicaid expansion there will not be a safety net in place for the behavioral health system to meet the needs of its patients.
Sheila Polk, Yavapai County Attorney, testified in support of the Executive AHCCCS Proposal and advised of the following:
Mr. Boyer questioned the impact of cutting the 2000 seriously mentally ill patients from AHCCCS at the end of the year. Ms. Polk replied that there will be a continual decline, as seen with the 2011 budget cuts, creating a revolving door effect for the mentally ill and the prison system. She said an additional reduction of coverage will create public safety concerns.
Mrs. Ugenti asked if Ms. Polk supports the restoration or the expansion portion of the proposal. Ms. Polk stated that she supports both aspects of the proposal for a variety of reasons, such as the expense of uncompensated care for rural hospitals and behavioral health clinics.
Jana Granillo, representing self, testified in favor of the Executive AHCCCS Proposal, echoing concerns and support for the restoration of programs and the Medicaid expansion. She stated the economic benefit to the state and encouraged Members to support the Governor’s proposal.
Joe Romack, Vice-Chairman, LD23 Republican Committee, representing self, testified against the Executive AHCCCS Proposal and referred to the several Republican committees across the state that have approved resolutions opposing the Medicaid expansion.
Michael Auerbach, representing self, testified in opposition to the Executive AHCCCS Proposal, referencing Proposition 108 language and stating that the assessment on hospitals is a tax and a disingenuous attempt to subvert Arizona’s Constitution and legislative process.
Sarah Kader, Staff Attorney, Arizona Center for Disability Law, testified in favor of the Executive AHCCCS Proposal, stating the necessity to protect the health of individuals with disabilities. She said that the current eligibility criteria for AHCCCS makes individuals with disabilities choose between employment and healthcare, avoiding work to maintain healthcare. The full implementation of the Medicaid expansion proposal will allow many individuals with disabilities to maintain gainful employment.
Glenn Hamer, President and CEO, Arizona Chamber of Commerce and Industry, testified in support of the Executive AHCCCS Proposal and provided a handout (Attachment 7) and a compact disk (Attachment 8) entitled Restoring Arizona Protecting Our Healthcare Future. He stated that implementing the Governor’s proposal and restoring Medicaid is the fiscally responsible way to support hospitals and maintain Arizona’s competitiveness. The restoration and expansion will create more than 15,000 healthcare industry jobs and reduce the rate associated with uncompensated care. By only restoring Medicaid funding, a cost of $400 million annually will be added to the state General Fund.
In response to Members’ questions, Mr. Hamer addressed the following areas of concern:
Chairman Kavanagh resumed the Chair.
Discussion ensued on national debt and the debt crisis.
A. J. LaFaro, Chairman, Maricopa County Republican Committee, representing self, testified in opposition to the Executive AHCCCS Proposal. He submitted documents from the Maricopa County Republican Committee and the Pima County Republican Party (Attachment 9), informing Members that 93 percent of the Republican members are against the Governor’s proposal.
Chairman Kavanagh reiterated that the Republican plan for healthcare is tort reform, open competition for private insurance companies between the states, plan level choices, higher co‑pays, outcome-based medicine and audits to eliminate unnecessary testing and questionable billing practices.
Discussion ensued on tort reform and healthcare solutions.
Mr. LaFaro made closing remarks and expressed his opinion on the Governor’s proposal.
Dr. Leonard Kirschner, retired, American Association of Retired Persons (AARP) and Arizona Medical Association (ArMA), testified in favor of the Executive AHCCCS Proposal and provided history on Arizona’s Medicaid program and his seven years as the AHCCCS Director. He said that the AHCCCS model is effective, efficient and a national model for other states.
Kathy Jorgensen, Society of St. Vincent de Paul, testified in support of the Executive AHCCCS Proposal and urged the Members to pass the Governor’s proposal. She said that in the last two years the increase in requests for help from people without insurance has tripled.
Dr. Paul Kozak, President, Arizona College of Emergency Physicians, testified in favor of the Executive AHCCCS Proposal and stated the necessity of insuring the working poor.
Reverend Jarrett Maupin, Progressive Christian Coalition of America, testified in support of the Executive AHCCCS Proposal, stating the importance of extending medical coverage to the people who really need it.
Discussion ensued on the biblical perspective of healthcare.
Aaron Borders, representing self, testified in opposition to the Executive AHCCCS Proposal, stating his experience in the health insurance industry and as a financial risk specialist. He said that half of the uninsured people that consider purchasing health insurance choose not to pay for the expense but rather pay for cable television or a cell phone. Mr. Borders stated that the federal government cannot afford an additional 400,000 people on Medicaid. Taxes will have to be raised and the medical system will be bogged down by the additional people.
Mr. Campbell questioned the solution for 50,000 people losing healthcare. Mr. Borders responded that upon auditing people’s finances, spending habits are revealed. People spend large sums of money on items such as a $60 movie night every week, high-speed internet and cable television. He said that there is a need for people to set priorities to afford healthcare. Mr. Campbell asked about the people who do not have anything to cut. Mr. Borders stated that the people without anything to cut already qualify for AHCCCS.
Robin O'Bannon, representing self, testified in opposition to the Executive AHCCCS Proposal and gave a personal account of her poor experience with Veterans Affairs (VA) Healthcare. She stated that “Obamacare” will be exponentially worse and urged the Committee to reject the expansion of Medicare.
Maurio Fischbeck, representing self, testified in opposition to the Executive AHCCCS Proposal, reiterating concerns about the federal debt crisis. She questioned the constitutionality, whether the proposal is good for all citizens and the expense of the proposal.
Chantal Duquette, representing self, testified in support of the Executive AHCCCS Proposal, advising the Committee of her rare disease and the AHCCCS benefits she receives. She said that future generations will benefit from the expansion of Medicaid because benefits allow people to work instead of being sick and disabled.
Mr. Campbell questioned the other options available for healthcare. Ms. Duquette responded that she cannot receive benefits from her mother’s health insurance plan; the only other option is AHCCCS or to pay cash.
In response to a question, Ms. Duquette explained that she will lose AHCCCS benefits on December 31, 2013 if the expansion is not approved.
Emily Jenkins, President and CEO, Arizona Council of Human Service Providers, testified in favor of the Executive AHCCCS Proposal, stating the necessity of providing behavioral health services to people in need. The services help people recover from disorders and return to a functional life. Ms. Jenkins introduced Jennifer Patterson, a childless adult AHCCCS recipient recovering from a disorder.
Vice-Chairman Olson assumed the Chair.
Jennifer Patterson, representing self, testified in support of the Executive AHCCCS Proposal, giving a personal account of her experience with bipolar disorder and the Medicaid system. She stated that she credits AHCCCS for saving her life.
Scott Dunham, representing self, testified in favor of the Executive AHCCCS Proposal. He gave a personal account of his medical history and stated the importance of having insurance.
Dr. Lawrence Sands, representing self, spoke in support of the Executive AHCCCS Proposal, stating that the expansion of Medicaid is one of the best investments the state can make towards developing a healthy, able and productive workforce. He said that the federal match monies will bring a large infusion of funds into the healthcare industry.
Alyssa Padilla, representing self, spoke in favor of the Executive AHCCCS Proposal and submitted statements of support from the behavioral health industry (Attachment 10). She expressed the importance of expanding Medicaid to provide increased access to services for Arizonans with serious metal illnesses.
Patrick Walz, CEO, Yuma Regional Medical Center, testified in support of the Executive AHCCCS Proposal, explaining the challenges of operating a rural hospital. Using an example of a mock patient without health care insurance and a chronic illness, Mr. Walz steered Members through the health care system and process.
Greg Vigdor, President and CEO, Arizona Hospital and Healthcare Association, testified in favor of the Executive AHCCCS Proposal, conveying the moral and legal duty to treat patients and the nation’s uncompensated care problem.
Donna Kruck, Director of Advocacy Programs, Arizona Bridge to Independent Living, testified in support of the Executive AHCCCS Proposal and provided history on her disability. She stressed the importance of expanding Medicaid to allow individuals the ability to get off of Social Security Disability by addressing a person’s illness.
Reverend James Bade, Valley Interfaith Project, testified in favor of the Executive AHCCCS Proposal, stating the moral obligation to the sick and the marginalized. He gave a personal account of his healthcare coverage and stated that the richest country in the world should be able to find a way to support the expansion of Medicare.
Thomas Donovan, Valley Interfaith Project, spoke in favor of the Executive AHCCCS Proposal, described AHCCCS as a great national success and encouraged Members to find a way to fund the expansion of Medicaid.
Kathy Singleton, Director of Case Management, Banner Good Samaritan Medical Center, testified in support of the Executive AHCCCS Proposal, giving examples of the patients she serves everyday. Many patients require post care and outpatient follow-ups; however, between 15 and 20 patients daily cannot qualify or afford health insurance or services.
Elizabeth Singleton, CEO, Singleton Housing, testified in favor of the Executive AHCCCS Proposal and stated her experience in the mental health field. She said that the state will not save any money if it does not restore and expand Medicaid because the people in need of mental health services end up in and out of correctional facilities and hospitals.
Debra Bock, Director of Case Management, Banner Estrella Medical Center, spoke in favor of the Executive AHCCCS Proposal, informing Members that uninsured patients have increased dramatically; currently, one out of every three patients is uninsured at the 200-bed medical center.
Todd Sanders, President and CEO, Greater Phoenix Chamber of Commerce, testified in support of the Executive AHCCCS Proposal, stating the economic impact of uncompensated care to small businesses. He said that adopting the Governor’s proposal is a sound element to an Arizona solution that will assist in restoring the state’s struggling economy.
Alida Montiel, Health Systems Director, Inter Tribal Council of Arizona, testified in favor of the Executive AHCCCS Proposal, stating that many aspects of the expansion will have a positive impact on the Native American population. The Indian Healthcare System benefits under the federal law by receiving 100 percent reimbursement of Medicaid claims with federal pass‑through dollars. If the State Legislature does not adopt the Governor’s proposal, the Indian Healthcare System will not be able to avail these resources which are greatly relied upon.
Clair Van Steenwyk, representing self, testified in opposition to the Executive AHCCCS Proposal, stating that the proposal is fundamentally unconstitutional and that “Obamacare” should be repealed.
Bill Sandry, representing self, spoke against the Executive AHCCCS Proposal, stating that if the state accepts the federal proposal a “circuit breaker” is not in place. The agreement becomes a contract between the state and the federal government under the federal rules. The federal government does not have language in place to discontinue the program if the federal match is discontinued but remains in control of the contract.
Tom Jenney, Arizona Director, Americans for Prosperity, Arizona, testified in opposition to the Executive AHCCCS Proposal. He reviewed and assessed prior healthcare talking points and said that the state could get a much better deal if it waits to see what other options become available. Mr. Jenney cited statistics of various studies and said that private healthcare insurance is better than Medicaid.
In response to questions, Mr. Jenney addressed the following areas of concern:
Discussion ensued on the consequences of not expanding Medicaid.
Sigrid Whitman, All Arizona School Retirees Association (AASRA), testified in support of the Executive AHCCCS Proposal and provided a personal background. She said that hospitals will close down without additional funding and urged Members to support the restoration and expansion of Medicare.
Thomas Betlach, Director, Arizona Health Care Cost Containment System (AHCCCS), testified in support of the Executive AHCCCS Proposal. He said that the proposal is the will of the people and stressed the importance of restoring and expanding Medicaid. On December 31, 2013, the waiver to receive Medicaid will expire for the remainder of the childless adult population. Mr. Betlach explained the financial impact of losing the federally matched dollars and said that given what is available to the state, the federal government does not have a reason to extend the waiver. There will be a $2 billion cut to the healthcare infrastructure and the cost of uncompensated care will be shifted to the other payers that remain in the system.
Vice-Chairman Olson asked for clarification on the $2 billion figure. Mr. Betlach responded that over the last two years the cut to healthcare has been $2 billion, the cost for uncompensated care has doubled in the last year and medical facilities will lose several million dollars of compensated funding that is provided through the AHCCCS system. Vice‑Chairman Olson questioned if anyone lost coverage two years ago when the Legislature made the cuts. Mr. Betlach answered in the negative and advised of the implementation of a freeze on the program.
Discussion ensued on the costs associated with providing affordable healthcare, the “circuit breaker”, federally matched funds and the will of the voters who enacted initiatives on two separate occasions to provide coverage up to 100 percent of the federal poverty level.
Mr. Betlach stated that the Governor’s proposal is a solution for everyone and provided a handout of his presentation and letters of testimony (Attachment 11).
Vice-Chairman Olson questioned if the assessment requires a Proposition 108 clause on the bill. Mr. Betlach replied that Proposition 108 has language allowing for an exemption.
Mr. Gray stated concern with allowing an agency director the unrestricted ability to generate revenue. Mr. Betlach responded that funds are used for a specific purpose and the Legislature has oversight to reevaluate the matter if changes are necessary.
Mr. Kwasman questioned why the circuit breaker is at 80 percent. Mr. Betlach stated that the percentage is a number the Governor felt comfortable with.
The names of those who signed up in support of the Executive AHCCCS Proposal but did not speak:
Antonia D'orsay, Executive Director, This Is HOW
Cecilio Barajas, representing self
Eddie Sissons, representing self
Tomas Leon, CEO, People of Color Network, Incorporated
Mike Gallagher, representing self
Virginia Brant, All Arizona Schools Retirees Association (AASRA)
Gary Brewer, representing self
Anita Murcko, MD, representing self; American College of Physicians, Arizona Chapter
Becky Hill, Choices Health Network
Mary Griffith, representing self
Pat VanMaanen, representing self
Denise Link, representing self
Pete Wertheim, City of Peoria, Intergovernmental Affairs Coordinator, Arizona Hospital and Healthcare Association
Amanda Weaver, Executive Director, Arizona Osteopathic Medical Association
Michael Gillette, Gammage & Burnham, PLC
Timothy Schmaltz, Coordinator, Protecting Arizona's Family Coalition
Jennifer Bonnett, representing self
Mike Waldrum MD, President and CEO, University of Arizona Health Network
Reginald M. Ballantyne III, Senior Corporate Officer, Vanguard Health Systems
Mike Colletto, Executive Director, Professional Fire Fighters of Arizona
Crystal Hamilton, CEO, Maryvale Hospital Medical Center
Bonnie Danowski, Valley Interfaith Project; Multiple Sclerosis Society, Arizona Chapter
Ryan Harper, Triadvocates, LLC, Abrazo Health Care; Vanguard Health Systems
Darlene Garron, Human Resources Assistant, Maryvale Hospital Medical Center
Lorna Romero, Director of Government Relations, Governor's Office
Jennifer Bonnett, Arizona Public Health Association
Steve Howard, Director of Facilities, Maryvale Hospital Medical Center
John Hudson, Director of Materials, Maryvale Hospital Medical Center
Sue Gilbertson, representing self
Kate Ludwig, Director of ED, Maryvale Hospital Medical Center
Wendy Reed, Director of ICU, Maryvale Hospital Medical Center
Chris Wilson, Director of Telemetry, Maryvale Hospital Medical Center
Scott Morey, CNO, Maryvale Hospital Medical Center
Julie Hastings-Smith, CFO, Maryvale Hospital Medical Center
Linda Pickering, Case Management Manager, Maryvale Hospital Medical Center
Peri Jude Radecic, Director of Public Advocacy, Arizona Center for Disability Law
Michelle Rider, President and CEO, WESTMARC
Irene Young, Case Manager, Maryvale Hospital Medical Center
Elizabeth Derjon, Case Manager, Maryvale Hospital Medical Center
Jeannette Mesquita, Discharge Planner, Maryvale Hospital Medical Center
Erin Gonzalez, Director of Human Resources, Maryvale Hospital Medical Center
Gibson McKay, University of Arizona Health Network
James Stover, CEO, University of Arizona Health Plans
Dora Zepeda, Case Manager, Maryvale Hospital Medical Center
Lori Jastermski, Case Manager, Maryvale Hospital Medical Center
Karen Mlawsky, CEO, University of Arizona Medical Center
Misty Hansen, University of Arizona Medical Center
Elizabeth McKenna, MD, representing self
Mary Rimsza, MD, representing self
Bryan Milward, Government Relations Specialist, University of Arizona Health Network
Delphis Richardson, MD, representing self
Jacque Chadwick, MD, representing self
Bill Thrift, MD, representing self
Nicholas Vasquez, MD, representing self
Matt Jewett, Research Associate, Children's Action Alliance
Diane Zipley, March of Dimes Arizona Chapter; State Director of Program Services and Public Affairs, Arizona Family Health Partnership
Ken Howell, President, Abrazo Health Care
Stan McLemore, CFO, Abrazo Health Care
Joanna Sundstrom, representing self
David Landrith, Vice President of Policy & Political Affairs, Arizona Medical Association
Tim Jahn, CMO, Abrazo Health Care
Nancy Novick, CEO, Advantage Healthcare Management Company
Barbara Meaney, Vanguard Health Systems
Cheryl Collier, representing self
Creighton Donovan, CFO, Advantage Healthcare Management Company
Richard Jacobs, CMO, Advantage Healthcare Management Company
Steve Harris, CEO, Arizona Heart Hospital
Donald Jaffee, CFO, Arizona Heart Hospital, Phoenix Baptist Hospital
David Carey, Arizona Disability Advocacy Coalition (AZDAC)
Frank Molinaro, CEO, Arrowhead Hospital
Dan Stimpson, CFO, Arrowhead Hospital
Lorna Maxson, CNO, Arrowhead Hospital
Patrick Smith, CMO, Arrowhead Hospital
Laura Hahn, Executive Vice President, Arizona Academy of Family Physicians
Rory Hays, Lobbyist, Arizona Nurses Association
Steven Moortel, Banner Health; Tucson Medical Center
Cody King, representing self
Kyra Carpenter, Physician, representing self
David Tupponce, CEO, Paradise Val ley Hospital
Denise Chamberlain, CFO, Paradise Valley Hospital
Don Isaacson, Crisis Response Network
Zac Miller, CNO, Paradise Valley Hospital
Phil Shaw, CEO, Phoenix Baptist Hospital
Scott Endsley, CMO, Phoenix Baptist Hospital
Joan Simon, Chief Operating Officer, West Valley Hospital
Michael Dagher, CMO, West Valley Hospital
Emily Law, representing self
Kerri Jenkins, CNO, West Valley Hospital
Ashley Wofford, MD, representing self
Penny Allee Taylor, Specialist, Government Affairs, Valley of the Sun United Way
Elise Donnelly, Physician, representing self
Stan Holm, CEO, West Valley Hospital, Abrazo Health
Allen Gjersvig, representing self
Barbara Burkholder, Legislative Co-Chair, Arizona Asthma Coalition
Jason Bezozo, Senior Program Director, Government Relations, Banner Health
Joan Serviss, Executive Director, Arizona Coalition to End Homelessness
Charles Finch, DO, representing self
Jeff Morgan, DO, representing self
Jeff Gray, Legislative Liaison, Arizona Pharmacy Association; March of Dimes
Elizabeth Hatch, Aetna
Jaime Molera, Lobbyist, Mercy Care Plan
Tom McWilliams, DO, representing self
Kristin Nelson, DO, representing self
Craig Phelps, DO, representing self
Ellen Katz, Litigation Director, William E. Morris Institute for Justice
Helena Whitney, Director, Government Relations and Legislative Affairs, representing self
Vicki Johnson, representing self
Debbie Johnston, VP Advocacy, Arizona Hospital and Healthcare Association
Bahney Dedolph, Arizona Council of Human Service Providers
Tresa Floyd, representing self
Deb Gullett, Arizona Association of Health Plans
Jeremy Arp, representing self
Kathleen Pagels, Executive Director, Arizona Health Care Association
Chlene Flaherty, Director, Corporation for Supportive Housing
Kelsey Lundy, UnitedHealthcare
Kristen Boilini, Lobbyist, The Arizona Section of the American Congress of Obstetricians and Gynecologists
Dianne McCallister, Public Policy Partners, Rural Metro
Dallas Bryson, representing self
Sarah Wharton, Lobbyist, Magellan Health Services
Wendy Briggs, Arizona Hospital and Healthcare Association
Nicole Olmstead, Government Relations Director, American Heart Association
Ted Ferris, Arizona Board of Regents
Sam Polito, Tucson Area School Districts
Brian Hummell, Arizona Director of Government Relations, American Cancer Society Cancer Action Network
Steve Miller, Deputy Vice President of Public Affairs, Arizona State University
Erika Edholm, Program and Advocacy Coordinator, National Multiple Sclerosis Society Arizona Chapter
Heather Bernacki Wilkey, Director, Government Affairs, John C. Lincoln Health Network, Arizona Physical Therapy Association
Tom Dorn, Lobbyist, East Valley Chambers of Commerce Alliance
The names of those who signed up in opposition to the Executive AHCCCS Proposal but did not speak:
Bradley Wishon, Reverend, No Longer Silent: Clergy for Justice
Casey Condit, Programs Manager, Wingspan
Joyce Hill, representing self
Christine Bauserman, representing self
Giovanni Conti, representing self
Jose Borrajero, representing self
Christina Corieri, representing self
Without objection, the meeting adjourned at 7:12 p.m.
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Abby Selvey, Committee Secretary
May 9, 2013
(Original minutes, attachments and audio on file in the Office of the Chief Clerk; video archives available at http://www.azleg.gov)
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COMMITTEE ON APPROPRIATIONS
2
March 20, 2013
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