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Arizona legislators call for more transparency, improved safety in assisted living

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Arizona legislators call for more transparency, improved safety in assisted living


(Credit: Jon Hicks / Getty Images)

Arizona has joined a growing list of states where governments are calling for more transparency from assisted living communities through legislation following local media reports questioning resident safety in the setting.

HB 2653, introduced last week in the Arizona Legislature, would require assisted living communities to report resident injuries to the Arizona Department of Health Services and to families, allow cameras in common areas and in resident rooms, and forbid communities from hiring employees who have a history of abuse, neglect or exploitation of a vulnerable adult.

Arizona LeadingAge CEO Jaime L. Roberts said that she supports legislation aimed at safeguarding the well-being of older adults but that she has concerns about HB 2653, which drew inspiration from prior legislation that permitted the monitoring of facilities serving people living with intellectual disabilities. 

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Roberts proposed a “thoughtful reconsideration” of several provisions in the bill to “strike a balance between ensuring safety and preserving the privacy and autonomy of assisted living residents.”

She said that it is “crucial” to acknowledge the “distinctive nature” of assisted living communitie that are homes for older adults.

“Residents and their families choose these environments for their residential feel, steering away from institutional settings,” Roberts told McKnight’s Senior Living. “Many of these seniors actively engage in the community, exercising their right to vote, and may only require minimal assistance. It is paramount to recognize and respect the right to privacy for seniors, their visitors and the dedicated staff within these facilities.”

A provision of the bill allowing residents or families to install electronic monitoring devices in rooms raises concerns about the potential effect on the privacy of roommates, visitors, other residents and staff members, Arizona Health Care Association Executive Director David Voepel said. 

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As of 2021, at least nine states had laws mandating that assisted living communities accommodate resident requests to install electronic monitoring equipment in their rooms: Connecticut, Minnesota, Missouri, North Dakota, Oklahoma, South Dakota, Texas and Utah. New Jersey also has a “Safe Care Cam” program that loans micro-surveillance equipment to healthcare consumers, including families of assisted living and nursing home residents.

Overall, Voepel said, his organization is open to more transparency.

“The camera legislation doesn’t go near far enough legislatively to protect residents and roommate privacy and leaves too much to the rules process,” he told McKnight’s Senior Living. “If we’re going to do something, we should have comprehensive language that takes the guesswork out of the rules process.”

He said other states have good language in place that is working, including Iowa, which is considering a law for nursing homes.

Roberts also addressed requirements for reporting any serious injury, medical issue or fall by a resident.

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“While we understand the importance of such reporting, it’s worth noting that assisted living facilities and skilled nursing facilities are already subject to similar obligations,” she said. “The interpretation of terms like ‘fall’ could introduce complexities, making compliance potentially burdensome.”

Voepel addressed a requirement under the bill mandating that employers verify that employees or potential employees are not on the Adult Protective Services registry for past incidents of elder abuse.

The Arizona Health Care Association shares best practices with its members, including those related to looking up potential employees on the APS list, and will continue to work with the governor’s office and the bill’s sponsors to suggest changes, he said.

The Arizona Assisted Living Homes Association, which represents 1,585 smaller residential assisted living home locations, raised concerns about how the proposed legislation may impact current licensees and the privacy of individual residents.

“We recognize that the proposed legislation introduces requirements that are intended to help protect residents, and AALHA applauds that goal, but it should be balanced with the interests of small business owners,” AALHA President Annette Quinata, MSG, told McKnight’s Senior Living. “Owners of facilities licensed for 10 or fewer residents do not have access to the same level of resources as large centers, and already have to comply with extensive regulations in order to operate a licensed assisted living home.”

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The Alzheimer’s Association Arizona chapter also put forth a proposal to address memory care minimum training standards, which is something the AALHA supports, as approximately 15% of older Arizona residents have Alzheimer’s disease or related dementia diagnoses.

“A large majority of residential assisted living homes are licensed for directed care services,” Quinata said. “As an organization, we are in support of additional training for managers and employees. More training is important as it helps to prevent abuse and neglect.”

Push for more regulation

Arizona Gov. Katie Hobbs (D) also announced during her recent State of the State address her plan to advocate for a package of bills to ensure that long-term care facilities “cannot hide or erase their violation history,” increase fines, standardize inspections, and establish standardized credentials for Alzheimer’s, dementia and memory care.

The focus on long-term care, including assisted living, comes after several high-profile death and abuse cases were highlighted in the Arizona Republic’s investigative series “The Bitter End,” which chronicled resident injuries, care issues and sexual assaults in assisted living communities and nursing homes.

Sen. Mark Kelly (D-AZ) raised the issue of safety and transparency concerns at Arizona assisted living communities during a US Senate Special Committee on Aging hearing last week that focused on safety, staffing and pricing in assisted living. Kelly also mentioned the Arizona Republic series and the “horrifying” stories it shared.

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The national Alzheimer’s Association submitted comments for the record of the hearing, calling for federal involvement to increase the dementia care workforce and training in assisted living, and it also urged the Aging Committee to take steps to support states in implementing and improving dementia training for direct care and other workers in assisted living communities.

AARP Arizona Director of Advocacy Brendon Blake said that his organization planned to push for enhanced regulation of assisted living communities and nursing homes in the state. He said that the organization will advocate for increased fines and measures to ensure that staff members are trained, that substandard care is reported and that medication administration is improved.

“It’s kind of the Wild West,” Blake said in a statement. “Our system is weak when it comes to punishing bad actors.”

The National Center for Assisted Living’s 2023 edition of its “Assisted Living State Regulatory Review” report noted that 20 states updated assisted living regulations, statutes and policies in the past year. 

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11 illegal Indian national truck drivers arrested at Arizona border last month

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11 illegal Indian national truck drivers arrested at Arizona border last month


Eleven illegal Indian national truck drivers were arrested at the Arizona border in the month of February. 

The Yuma Sector Border Patrol arrested 11 total Indian national truck drivers in Yuma, Arizona in February 2026. 

According to a Facebook post by the Yuma Sector Border Patrol, all 11 truck drivers held commercial drivers licenses from the states of Florida, New York, Pennsylvania, Indiana, and California. All were “found to be present in the United States illegally.”

“Border Patrol remains committed to upholding immigration laws and protecting our communities,” the post continued.

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Arizona Independent Party to appeal ruling erasing name

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Arizona Independent Party to appeal ruling erasing name


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The Arizona Independent Party will appeal a court ruling that invalidated its name, guaranteeing more legal limbo and possibly a new chapter of confusion in the effort to give unaffiliated voters a viable third-party option at the ballot box.

Party chair Paul Johnson confirmed he would appeal the ruling from Maricopa County Superior Court Judge Greg Como, which forces the party to revert to its prior name: the No Labels Party. The ruling ordered elections officials in Arizona to follow suit.

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The decision was a high-profile loss for Secretary of State Adrian Fontes, who Como said had permitted a “bait and switch” on voters by allowing the name change.

“We were given due process, the judge did a fair job,” Johnson said. “I don’t agree with his final position, but I like the way our country works in terms of the rule of the law.”

“I don’t feel discouraged at all,” Johnson said, adding that an appeal could proceed in federal court and raise claims of First and Fourteenth Amendment violations.

It is unclear how the judge’s order, if it stands, could impact candidates who submitted signatures to qualify for the ballot under the Arizona Independent Party label.

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“The commission’s position has been that this would cause confusion,” said Tom Collins, executive director of the Clean Elections Commission, which was part of the case. “This is an example of that confusion.”

The number of signatures required to make the ballot is a percentage of registered voters for each party, but unaffiliated candidates had to collect roughly six times as many as Republican or Democratic candidates. Running with the Arizona Independent Party meant only 1,771 signatures were needed.

Como’s order was signed March 19 but made public on March 25, after a March 23 deadline for candidates to file signatures to make the ballot.

“Unfortunately due to the court order, this question is left unaddressed,” said Calli Jones, a spokesperson for Fontes. “This question will be left to the challenge process or other court proceedings.”

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Clarity could come through any lawsuits filed challenging Arizona Independent Party candidates’ signatures. No such challenges had been filed as of March 25, and the deadline is April 6.

What’s preventing ‘Arizona Nazi Party’ or the ‘Arizona Anarchists’?

Last October, Fontes agreed to change the name of the No Labels Party to the Arizona Independent Party, saying to do so was not explicitly prohibited in law. The change was done at the request of Johnson, a former Phoenix mayor and advocate for open primaries. To Johnson, the party is something of a can’t-beat-them-join-them way to put independent candidates on an even playing field with those from the two major parties.

The name change quickly led to a trio of lawsuits filed by the state’s voter education agency, the Arizona Citizens Clean Elections Commission, and the Arizona Republican Party and Arizona Democratic Party. Those cases were merged into one, which ultimately led to the March ruling.

The commission and political parties argued the name change would create confusion for voters and election officials in terms of distinguishing when someone wanted to be part of the new party versus and independent voter in a colloquial sense, which means not registering with any party. Fontes did not dispute there could be confusion.

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State law does not directly address when a political party wants to change its name, but Como said that request should follow the process for creating a new party. That includes gathering signatures from supportive voters. Como has been on the bench since 2015.

Como raised concerns of transparency, noting that voters who registered for the old party may not support the new party name. He said a party could gather support with an “innocuous sounding name,” then change it entirely. Como offered a grave example.

“Would the same 41,000 people who signed petitions to recognize the No Labels Party have signed to support the ‘Arizona Nazi Party’ or the ‘Arizona Anarchists’?” he wrote.

His ruling is guided by and affirms Arizona court precedent that statewide elected officials’ powers are only those that are given explicitly to them in statute or the constitution.

Legal challenges needed to bring clarity

Jones, Fontes’ spokesperson, said the office had no power to address whether signatures were valid, because the office presumes “anyone who met the requirements at the time of filing their signatures are valid candidates.” Fontes, a Democrat seeking reelection this year, said he would not appeal the ruling given the “fast approach of the election and the challenging job election administrators have before them.”

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He also stood by his decision, but said the court ruled with voters. “Both approaches, being reasonable, the Court entered an order with a lean towards the voters, not the party leaders,” Fontes said.

Como did not find Fontes’ approach was reasonable, saying it was beyond Fontes’ authority.

“The judge noted that even Fontes admitted this issue would cause confusion for the voters, but Fontes disregarded that concern and the obvious truth, and proceeded to allow them to continue the charade,” Arizona Republic Party Chair Sergio Arellano said, responding to the ruling.

That Fontes will not appeal was welcome, because “he has already cost taxpayers too much money” and “further eroded trust in our election officials at a time when that trust is already at an all-time low,” Arellano said.

Eleven candidates are running for office with the Arizona Independent Party name, or whatever it turns out to be. That includes candidates for Congress, governor and state Legislature. Hugh Lytle, the party’s preferred candidate for governor, said in a statement the ruling proves “how far the political parties will go to protect their grip on power.”

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Lytle is among the candidates who could face a challenge to his just over 6,000 signatures. Of those, just 132 were gathered via the state’s online system, which requires verification before signing. The remaining could be more vulnerable to objections.

Ultimately, Lytle said, the judge’s ruling wouldn’t change much.

“We are on the ballot,” he said.

Reach reporter Stacey Barchenger at stacey.barchenger@arizonarepublic.com or 480-416-5669.



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Arizona Senate committee passes three bills aimed at reforming the Department of Child Safety

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Arizona Senate committee passes three bills aimed at reforming the Department of Child Safety


A state Senate committee passed three bills Wednesday morning aimed at reforming the Arizona Department of Child Safety.

The bills are part of a search for solutions following the murders of three girls known to Arizona’s child welfare system in 2025.

One of the bills strengthens the rules to place children with relatives or other adults they know. HB2035 would make kinship care presumptive and require a written explanation if a different placement were made.

Another bill, HB4004, encourages DCS to investigate new reports of child abuse, even if caseworkers had designated a “protective parent” who would shield the child from harm.

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The third bill, HB2611, aims to improve the conditions of group homes. This includes improved building security, allowing foster children to participate in enrichment activities and live free from bullying, and randomly drug testing group home workers.

Hayden L’Heureux, who lived in foster group homes, spoke about the conditions youth face.

“For many foster youth group homes are not experienced as places of healing but as places of punishment or setback,” L’Heureux said.

Angelina Trammell also lived in foster group homes and shared her experience.

“I’ve been through things no child should ever have to go through in the hardest part. A lot of it could’ve been prevented,” Trammell said.

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All three bills have already passed the state House and will move forward for consideration by the full Senate.

This story was reported on-air by a journalist and has been converted to this platform with the assistance of AI. Our editorial team verifies all reporting on all platforms for fairness and accuracy.





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