Transcript Highlights:

• This is a lucrative business practice.
• This is a lucrative business practice.
• This is a lucrative business practice.
• This is a lucrative business practice.
• This is a lucrative business practice.

Bills: HF3878 , HF4131 , HF3796 , HF4097

Committee: House Workforce, Labor, and Economic Development Finance and Policy

Keywords: airport workers, wage standards, labor rights, minimum wage, economic equity, surveillance, price discrimination, wage discrimination, consumer rights, automated decision systems, Minnesota Statutes, suitable seating, employee seating, workplace seating, occupational safety, workplace safety, labor standards, employer requirements, chair, stool

Transcript Highlights:

• Evidence-based practices and aligned to the school improvement framework.
• to make sure that we have the best practices for multilingual students, our best practices for our special
• ed students, and our best practices for students in poverty.
• that we know can have an impact, whether it’s bilingual practices, whether it’s practices that are less
• As a practical matter, though, we really need this help.

Committee: Joint Joint Committee on Ways and Means

Summary: The Joint Committee on Ways and Means held a public hearing in Lawrence focused on the governor’s proposed FY27 budget for education and local aid. Opening remarks from Senator Pavel Payano, Representative Pat Duffy, and local leaders emphasized the importance of education funding for Lawrence and other Gateway Cities, with Acting Mayor Giovanni Rodriguez and Superintendent Ralph Carrero highlighting the city’s high-need student population, Chapter 70 and Student Opportunity Act funding, early college and career pathways, and the need for sustained support to close achievement gaps. The Education Secretariat testified in support of the budget, with Acting Secretary Amy Kershaw outlining investments in early literacy, universal pre-K, student mental health, school meals, high school redesign, higher education affordability, and early childhood systems. Commissioner Noi Ortega described higher education proposals including expanded free community college, continued free tuition at public four-year institutions, student success funding, early college and dual enrollment investments, and the Bright Act and Drive Act. Commissioner Pedro Martinez detailed K-12 proposals such as full Student Opportunity Act funding, increased Chapter 70 aid, special education circuit breaker funding, transportation aid, literacy initiatives, and a new Accelerating Achievement Initiative aimed at schools with the greatest needs. Commissioner Kershaw also described early education proposals including funding for C3, child care financial assistance, CPPI, workforce supports, and administrative funding restoration. Committee members questioned the administration about the pending local contribution formula study, the final year of Student Opportunity Act implementation, and the need to address health care and other cost drivers in school funding. Officials said the local contribution report is expected by the end of June and that a draft will be shared for public comment after data analysis is complete. Members also raised concerns about Chapter 70 disparities between districts and urged a broader review of the formula. In response, the commissioners said the Student Opportunity Act narrowed funding gaps but further work is needed, and they pointed to the new achievement initiative, literacy efforts, and early college expansion as ways to improve outcomes. No votes were taken at the hearing.

Transcript Highlights:

• Red and blue states acknowledge a greater need for basic guardrails around transparency, best practice
• </c><00:23:31.039><c> infeasible</c> well-intended but practically infeasible well-intended but practically
• Our concerns is not with the intent but with the practical impact on homeowners.
• </c><00:47:56.240><c> I</c> the practical impact on homeowners.
• I the practical impact on homeowners.

Bills: SF1750 , HF704 , HF3479

Committee: House Commerce Finance and Policy

Keywords: common interest community, CIC, homeowners association, HOA, condominium, planned community, cooperative, unit owner, association board, declarant, declarant control, special declarant rights, assessment lien, foreclosure, late fees, fines, attorney fees, resale disclosure, annual report, maintenance plan

Transcript Highlights:

• things that are the best practices.
• So the best practices are to have a single statewide system.
• Best practice within the industry is to contract for the service with a vendor partner.
• Best practice within the industry is to contract for the service with a vendor partner.
• Is it really practical, knowing what we know today?

Summary: The Emergency Management Committee held an oversight hearing on California’s Next Generation 911 rollout, focusing on Cal OES’s decision to move away from the original regional vendor model toward a statewide provider model. Cal OES said the regional architecture created complexity at the boundaries between regions, leading to misrouted calls, transfer problems, and degraded audio, and that a statewide model would better align with national standards and provide a more reliable, secure system. The Legislative Analyst’s Office urged the Legislature to pause further implementation until it has more information on the problems, tradeoffs, costs, and oversight needs, and recommended stronger reporting and possibly independent technical review before proceeding. Committee members pressed Cal OES on accountability, cost, testing, vendor selection, and whether the current system is safe. Cal OES said the project has cost about $456 million so far, most of it recurring service fees, and that 23 PSAPs had transitioned voice traffic while more than 440 total PSAPs remain in the state. Officials said the current system is operating, that a pause would not put the public at risk, and that the statewide conversion could be completed by summer 2030. Members and the LAO raised concerns about whether Cal OES has enough technical oversight and whether contract language alone is sufficient to prevent repeat problems. The vendor panel largely defended the regional model and argued that the existing system is already built, tested, and ready to expand. NGA 911, Synergem, Lumen, and Atos said the regional architecture provides redundancy and resilience, that early problems were often tied to legacy-system integration, carrier issues, or training rather than the regional design itself, and that a statewide redesign would add cost and delay. Atos said it serves as the statewide backbone and backup and has already carried live traffic, while vendors emphasized that they support continued modernization but believe California should build on the current regional investment rather than replace it.

Transcript Highlights:

• Okay, for practice. The Vice Chairman: yes. The clerk: yes. Representative Pearson: yes.
• the uh Vice chairman L yes the practice the uh Vice chairman L yes the clerk<02:03:30.119><c> FKS</c
• under the general RSA for the practice under the general RSA for the oplc<03:18:54.439><c> but</c><03
• The other thing is that this bill, just a reminder, it's a privilege-to-practice model, so that it is
• With that, my question would be if the going from a privilege-to-practice compact to one where you're

Summary: The hearing focused on House Bill 610, which would fold the Office of the Consumer Advocate into the Department of Energy rather than fully eliminate consumer advocacy functions. The prime sponsor argued the current office is small, funded by a special assessment on ratepayers, and duplicative of DOE work. He said moving the function to DOE would streamline energy policy review, reduce bureaucracy, and better focus the larger agency on lowering residential energy costs. He also disputed claims that the Consumer Advocate is independent, saying the office is appointed through a political process similar to DOE leadership. Committee members and the sponsor discussed whether the bill would actually relocate existing positions or replace them, and whether the Department of Energy would absorb the cost of the transferred staff. The sponsor said the fiscal note shows roughly a million-dollar reduction in both revenue assessment and spending, and that the bill would effectively reduce the office from five positions to three. He also defended his cost estimates for energy-code-related housing impacts and said the Consumer Advocate has sometimes supported policies he считает increase costs, such as energy-efficiency measures and building code changes. He argued the office should focus more on energy supply and generation, including natural gas and nuclear, rather than efficiency alone. Representative Wendy Thomas testified in opposition, saying the Consumer Advocate is an important, fair, and impartial voice for ratepayers and warning that the bill was fiscally irresponsible because the incumbent could still be owed salary and benefits if the office were repealed. She also said the bill’s drafting was confusing and that the Consumer Advocate’s role is to push back on utilities on behalf of consumers. Other members raised questions about whether the DOE would simply inherit the same political appointment structure and whether the bill would meaningfully lower bills. No vote was taken in the excerpt; the chair indicated additional testimony would follow, and the Department of Energy was present to answer questions.

Transcript Highlights:

• ,</c><00:24:36.000><c> they're</c> pred predatory practices, they're pred predatory practices, they're
• practices practices um<00:35:06.880><c> yeah</c><00:35:07.119><c> here</c><00:35:07.280><c> in</c><00
• </c> practice this um way of pricing. practice this um way of pricing.
• </c> least expensive states to practice least expensive states to practice pharmacy<01:49:13.520><c>
• </c><02:31:24.479><c> experiences</c> kinds of really practical experiences kinds of really practical

Bills: HB20 , HB2612 , HB2404 , HB2459 , HB2194 , HB1880 , HB2284 , HB1969 , HB2458 , HB1546 , HB2161 , HB1721 , HB1641 , HB2137 , HB1782 , HB2360 , HB1965 , HB1897 , HB1513

Committee: House Consumer Protection & Commerce

Summary: The committee heard testimony on HB 20, which would create a lava zone insurance subsidy/fund. The Insurance Division opposed the bill, arguing that lava zones 1 and 2 are the highest-risk areas, that a subsidy would not reduce the underlying risk or loss costs, that it could invite similar subsidy requests for other hazards, and that the bill may conflict with HICV by diverting funds from the CRF. Members discussed the lack of authorized homeowners insurance in those lava zones, the role of HPIA and the surplus market, and the difference between the proposed lava-zone subsidy and the Hawaii Hurricane Relief Fund. The chair noted 37 submitted testimonies in support and one in opposition, and the committee then moved on without taking a vote on HB 20 in the portion provided. The committee then took up HB 2612, relating to mortgages, which would clarify that a mortgage does not exist independently of the debt it secures and is not independently enforceable from that debt. The Hawaii Credit Union League and Hawaii Financial Services Association opposed the bill, while several individuals testified in support, arguing it would restore Hawaii’s long-standing lien-state rule and prevent so-called “zombie mortgages” after the Hawaii Supreme Court’s White decision. Supporters said the bill would protect borrowers from delayed foreclosures and predatory lending practices, while opponents and the Insurance Division emphasized that foreclosure actions still require proof of standing and possession of the note, and that lenders generally pursue foreclosure without seeking deficiency judgments. Committee members questioned the Insurance Division about how the current market works, whether lenders could wait out the statute of limitations and then foreclose only on the mortgage, and whether equitable tolling or later defaults could allow refiling. The division said it is still trying to attract authorized insurers back into the lava-zone market, but has seen little progress. No vote or final action on HB 2612 was taken in the excerpt provided.

Transcript Highlights:

• practice to get those biomearkers practice to get those biomearkers markers,<00:16:07.360><c> are</c>
• > physical</c> I've been a practicing physical I've been a practicing physical therapist<00:59:33.920
• </c> practice every day. practice every day.
• So that is out into the the practice.
• </c><02:41:33.439><c> It's</c> standards of medical practice. It's standards of medical practice.

Committee: Senate Health and Human Services

Transcript Highlights:

• Uh unfair or deceptive trade practice.
• The consortium has built the practices.
• </c> and I do family I practice family law. and I do family I practice family law.
• </c> of medical practice. of medical practice.
• I'm keeping my eye on the clock only. ...medical practices, uh, for example, dental practices, uh, other

Committee: Senate Judiciary and Public Safety

Transcript Highlights:

• I play for both my town team and my club team, and I practice or play almost every day to stay healthy
• And I practice or play almost every day to stay healthy, perform my best, and stay above.
• What is encouraging about this legislation is that it offers a practical solution informed by the very
• So in my clinical practice, I often see how difficult this can be for families.
• I am a psychiatric mental health nurse practitioner practicing here in the state of Massachusetts.

Committee: Joint Joint Committee on Higher Education

Summary: The Joint Committee on Higher Education held a hearing on two late-filed bills, S. 2927 and H. 5012, titled An Act Relative to Students Accessing Food and Nutritional Information, filed by Senator Joan Lovely and Representative Michelle Badger. The bills would require schools to make clear, centralized online information available about gluten-free and allergen-free meals, including menus, food safety procedures, and contact information, so students with celiac disease and other medically necessary dietary restrictions can safely participate in universal school meal programs. Committee members and the bill sponsors emphasized that the measure is intended to improve transparency, equity, and access within the Commonwealth’s universal free breakfast and lunch program. Testimony came from students, parents, physicians, and advocates, many of whom described celiac disease as a serious autoimmune condition requiring a strict lifelong gluten-free diet. Witnesses said families often struggle to find reliable school meal information, and that lack of communication between school administrators, nurses, and food service staff can lead families to opt out of school meals even when safe options exist. Medical witnesses from Boston Children’s, Mass General, and Beth Israel said the bill addresses a real barrier identified in research and could help prevent health problems, missed school, and long-term complications from gluten exposure. Several witnesses also noted that the bill’s approach could benefit students with food allergies more broadly. Committee members praised the testimony, especially from young student witnesses, and discussed practical issues such as cross-contamination, 504 plans, and whether schools already have the underlying information needed to comply. One member suggested the Department of Public Health might be able to address some of the issue through regulations, similar to a prior restaurant allergy-protocol change. No vote was taken during the hearing, and the committee closed after hearing from all panels and the bill sponsors, who asked for favorable consideration.

Transcript Highlights:

• However, if that sort of training was part of Massachusetts' scope of practice, if that sort of training
• was part of their requirements for safe practice within the profession, that is something we could look
• requirements that can cause delays and gaps in employment, with 36% requiring a state license to practice
• Here's why House Bill 4719 is so practical.
• We're offering to assist with industry expertise to make sure that the licensing standards are practical

Committee: Joint Joint Committee on Consumer Protection and Professional Licensure

Summary: The Joint Committee on Consumer Protection and Professional Licensure held a hearing on late-filed bills and home rule petitions, with both in-person and remote testimony. Committee chairs reviewed logistics for public testimony and then heard a series of bill presentations on topics including nitrous oxide sales, liquor license extensions and alcohol license density, cosmetology licensure compacts, electronic textbooks, HVAC supervisor licensing, and automotive warranty reimbursement rates. Several members asked questions about the public health, consumer protection, economic mobility, and regulatory impacts of the proposals. Representative John Barrett testified in support of H. 4907, which would regulate the sale of nitrous oxide, arguing it is a public health measure aimed at reducing recreational misuse by young people while preserving legitimate culinary, medical, dental, and industrial uses. Southbridge officials Peg Dean and David Adams supported a local liquor license extension bill, saying delayed revitalization and staffing disruptions from the pandemic-era “Great Resignation” had slowed development and postponed demand for the licenses. MassPack supported H. 4597 to limit new alcohol retail licenses near existing stores after 2026, citing oversaturation and public health concerns, while the committee also heard testimony on a cosmetology compact bill from industry and state-government representatives who said it would improve workforce mobility, especially for military spouses, though members questioned its fee structure and interaction with existing reciprocity rules. Representative Mindy Domb testified for H. 559, which would create a commission to study electronic textbooks and automatic textbook billing, arguing that digital course materials can limit consumer choice, raise costs, and reduce students’ ability to share or resell materials. Student testimony echoed those concerns. The committee also heard strong support for H. 4719, a bill to create HVAC construction supervisor licensing, from industry witnesses who said it would improve consumer protection, accountability, and clean-energy implementation; and opposition testimony on H. 4019, which would change how auto dealers are reimbursed for warranty work, with dealers supporting a fix to manufacturer reimbursement practices and manufacturers warning the bill would raise costs and allow overpayment. At the end of the hearing, the chairs read the agenda items and the committee adjourned by unanimous voice vote.

Transcript Highlights:

• </c> uh to take some of those best practices uh to take some of those best practices and<00:08:40.000
• Each year, the Wetta SER team will review and practice the SER to become more and more confident and
• the ser to team will review and practice the ser to become<01:15:25.440><c> more</c><01:15:25.719><c
• out written practice Ser as well<01:16:02.679><c> as</c><01:16:02.840><c> having</c><01:16:03.239><c
• Do some places in rural Minnesota practice places that aren't at the school?

Committee: Senate Education Policy

Transcript Highlights:

• I've been so privileged to practice collaborative governance with you. Keep going.
• And, you know, there's a practical reason why I think this amendment is important.
• And so this is a practical, common-sense amendment. This is a practical, common-sense amendment.
• I know that's another practical impact for me. And it just allows more people to have access.
• They didn’t like the king telling them that you can only practice one religion.

Summary: The House convened with prayer, a moment of silence for Army Sgt. Benjamin Pennington, the Pledge of Allegiance, quorum call, and several recognitions, including law enforcement guests, a Spina Bifida Week presentation, and a salute to the 2025 IPSC Handgun World Shoot team. The chamber then adopted the special order report and moved to floor consideration of Senate bills. Members passed several bills unanimously or near-unanimously after brief debate and, in some cases, floor amendments. CS/SB 590 clarified that changes to the statute of limitations for mandatory reporters of child abuse apply prospectively and passed 111-0. SB 418 required law enforcement autism-interaction training and allowed the blue-envelope program to be offered in electronic or physical form; it passed 111-0. CS/CS/SB 1668 addressed NICA’s actuarial soundness and passed 112-0. CS/SB 1246 expanded the Linking Industry to Nursing Education fund to broader health science programs and passed 112-0. CS/CS/SB 1404 set baseline standards for memory care providers and passed 111-0. CS/CS/SB 1030 revised recovery residence rules, including MAT-related provisions, and passed 168-0. CS/CS/SB 178 changed FHSAA rules so school coaches may use limited personal funds for student welfare with parent consent and passed 112-0. CS/CS/SB 422 barred use of ADS-B data for airport billing and passed 108-2. CS/CS/SB 598 modernized funeral, cemetery, and consumer services licensing and passed 111-0. The House also considered CS/CS/SB 1134, a controversial bill restricting county and municipal DEI-related official actions and contracting. Sponsor Rep. Black described broad prohibitions with numerous exceptions, while members asked about effects on observances, special events, parade participation, and local economic-vitality offices. Rep. Gant offered an amendment to narrow the bill’s DEI definition by removing vague prongs, arguing the language was ambiguous and could chill local government action; debate on that amendment was underway when the transcript ended. The chamber then moved into farewell remarks, including an extended address from Rep. Eskamani reflecting on her service, family, staff, constituents, and policy priorities, followed by remarks from the Speaker praising her energy and preparation. Rep. Overdorf also delivered farewell remarks highlighting his work on environmental policy, human trafficking, development regulation, property rights, and property taxes, with the Speaker commending his contributions.

Transcript Highlights:

• The Center for Rural Veterinary Practice is now one year into its work.
• One of the challenges that we have with veterinary technicians is that private veterinary practices,
• One of the challenges that we have with veterinary technicians is that private veterinary practices,
• </c> evaluating uh herd management practices evaluating uh herd management practices related<00:48:21.920
• </c><01:02:59.839><c> building</c> areas, if we can get practices building areas, if we can get practices

Committee: Joint Appropriations

Transcript Highlights:

• one that sheriffs and police practice one that sheriffs and police may<00:16:41.399><c> be</c><00:16
• I'm an attorney in private practice, and part of our practice is in conservatorship and guardianship.
• I'm an attorney in private practice, and part of our practice is in conservatorship and guardianship.
• </c><00:58:02.559><c> and</c> I'm a attorney in private practice and I'm a attorney in private practice
• </c><00:58:12.319><c> committee</c> and Probate Court practices committee and Probate Court practices

Committee: Senate Judiciary

Summary: The committee heard testimony on SB 114, which would create a presidential preference primary for the 2028 election. The Office of Elections said the bill would cost about $4.1 million. Supporters, including the Hawaii Democratic Party and the League of Women Voters, favored moving the process to a state-run primary, while several opponents, including the Hawaiian Islands Republican Women and multiple individual testifiers, argued it would be too expensive, would shift control away from the parties, and would replace volunteer-run caucuses with a mail-in system. Committee members questioned the chief election officer about election timing, certification, and how a primary might be scheduled with other elections. Testimony was recorded as 11 in support, 41 opposed, and 3 comments, and no vote was taken in the excerpt. The committee then took up SB 725, which would require judges to make findings about a defendant’s ability to afford bail. Judiciary and Attorney General witnesses asked that the bill be deferred or amended, saying the Judicial Council is already reviewing pretrial bail reform and that the bill’s language could create practical problems for police, sheriffs, and courts. Supporters, including the Correctional System Oversight Commission, the public defender, the Community Alliance on Prisons, the ACLU of Hawaii, and disability rights advocates, said cash bail disproportionately harms low-income defendants, increases pretrial detention costs, and should require clearer findings and records. Opponents included the Hawaii County prosecuting attorney. Members questioned how bail is initially set, what records exist, and whether the bill would change current practice; Judiciary witnesses said initial bail decisions are often made by police or judges and later reviewed on the record, while supporters argued the bill would strengthen front-end due process. The ACLU said it supported the bill with amendments, including clearer standards for ability to pay and written findings. The committee also began hearing SB 733, a proposed constitutional amendment to establish a continuous legislative session. Early testimony was strongly supportive, with advocates arguing that the current 60-day session limits public participation, makes it hard for working people to testify, and prevents lawmakers from collaborating effectively. Supporters said a year-round model could improve transparency, reduce duplicate bills, and better accommodate neighbor island legislators. The excerpt ends during the opening testimony on SB 733, before any committee action or vote is shown.

Transcript Highlights:

• They have no say in the timing of recess or practices, and they're often hesitant to speak up because
• and we don't know about it we practice and we don't know about it we so<01:04:06.680><c> I</c><01:04
• </c> testifier to update existing practices testifier to update existing practices all<01:06:54.440><
• The Office of Information Practices is offering comments. All right.
• </c> more consistent with existing practice more consistent with existing practice and<01:50:30.880><

Summary: The Committee on Education heard several Department of Education-related bills and received extensive testimony on school meals and veteran diplomas. HB 628 would restore authority for the Department of Education to issue high school diplomas to veterans whose schooling was interrupted by World War II, the Korean War, or the Vietnam War. The superintendent testified in support, explaining the authority had sunset in 2020 and describing the measure as a way to recognize veterans. No opposition or questions were raised, and the bill was left without further action in the excerpt. The committee also heard HB 1074 and HB 110, both supported by the Department of Education and the School Facilities Authority. HB 1074 was described as a cleanup measure to clarify land-related language and make the statute more consistent across state agencies and DOE. HB 110 concerned benchmarking and the farm-to-school/local food effort; DOE and several supporters, including county councils, the Hawaii Public Health Institute, the Hawaii Farm Bureau, and the Hawaii Farmers Union, said the bill would help align metrics and support the 30% local food goal by 2030. Members questioned DOE about progress, and DOE said it was working on menus, procurement, and coordination with distributors and farmers. A Farm to School representative said the current bottleneck was poor communication with farmers and the need to bring them into planning earlier; DOE said it was still figuring out the process and that island-based procurement and separate RFPs were being explored. HB 328, relating to school meals and local resource food and plant-based options, drew the most testimony. DOE testified with comments, and the Attorney General’s office suggested revisions to clarify that the bill would apply to both DOE and charter schools, to separate public and private funds if donations or grants are accepted, and to add standards if nonprofit or private entities receive public money. Supporters included HSTA, the Hawaii Public Health Institute/Farm to School Network, Climate Protection Hawaii, the Hawaii Cattlemen’s Council, and numerous individuals and organizations. Supporters emphasized healthier school meals, student-requested plant-based options, support for local farms, and the 30% by 2030 goal. Some testimony urged more local purchasing and raised concerns about decentralization, while DOE said it was considering island-based procurement and separate contracts to better support local producers. No votes were taken in the excerpt.

Transcript Highlights:

• This bill codifies best law enforcement practices in state law.
• This bill codifies best law enforcement practices in state law.
• A person who practices, attempts to practice, advertises, or holds themselves out to practice as an ND
• , attempts to practice, advertises, or holds themselves out to practice as an ND without a valid license
• Entire practical examinations have been eliminated.

Transcript Highlights:

• And I'm the founder of Truespace Consulting, which is a conflict resiliency practice.
• </c> and practices. and practices.
• Um, and I want to talk about the practical implications on local government that were mentioned.
• Um, and I want to talk about the practical implications on local government that were mentioned.
• Um, and I want to talk about the practical implications on local government that were mentioned.

Transcript Highlights:

• A comment first: especially in our practice, we found a huge trigger for relapse was insecure housing
• Four, use evidence-based policies and practices. Let me tell you something.
• Like a lot of harm reduction practices, the ripple effect extends far beyond just recovery.
• I think I'm somewhat familiar with the practices that we currently have in place for harm reduction.
• I'm asking about your Medicaid enrollment specialists and what that looks like in practice.

Committee: House Substance Abuse Prevention and Treatment Task Force

Transcript Highlights:

• Here's the critical part of this: Four, use evidence-based policies and practices.
• Like a lot of harm reduction practices, the ripple effect extends far beyond just recovery.
• So shifting to the question of one thing that I would change about Missouri's policy or practice.
• I'm asking about your Medicaid enrollment specialists and what that looks like in practice.
• Merchandising Practices Act. It functions a lot like a subpoena. It's a mandatory process.

Summary: The task force heard extensive testimony on recovery support, harm reduction, and community-based care. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he said recovery housing, peer support, employment, accountability, and stable housing are what help people stay sober and avoid relapse. Members asked about funding, housing shortages, transportation, treatment courts, and support for medication-assisted treatment (MAT). Haniken said Into Action relies on a braided mix of federal, state, county, city, foundation, and private funding, and that recovery housing needs longer-term support than many current funding streams provide. He also said Missouri should expand recovery housing, peer recovery support, and recovery community centers, and improve awareness and access to MAT in recovery settings and after incarceration. Matt Cushman, a community paramedic with Raytown Fire Protection District, urged Missouri to expand harm reduction, including syringe service programs and broader access to clean needles and drug-checking tools. He argued that stigma and abstinence-only approaches keep many people from seeking help, and said harm reduction reduces disease transmission, overdose deaths, hospitalizations, and other harms while creating pathways to recovery. He cited naloxone distribution as a successful example and said similar strategies should be decriminalized and expanded. Members asked about naloxone access, community paramedicine funding, and whether safe consumption sites should be considered; Cushman said syringe exchange should be a near-term priority, while safe consumption sites are a longer-term policy question. Representatives from Ozarks Medical Center/COMC and Four Rivers Community Health Center focused on the need to reimburse peer support specialists and community health workers, especially in rural and underserved areas. COMC’s Monet Lehman shared her trauma and recovery story and described her jail reentry work, helping incarcerated people with housing, benefits, IDs, employment, MAT, and community supports before release. Four Rivers said its care coordinators and CHWs provide wraparound services such as transportation, housing help, Medicaid enrollment, clothing, and same-day MAT access. Members and staff discussed confusion over reimbursement rules, noting that CCBHCs can bill for peer services through Medicaid while FQHCs generally cannot, and that CHWs are often funded through grants rather than reimbursement. No votes were taken; the meeting consisted of testimony and member questions, with several requests for follow-up information on funding, transportation, and reimbursement rules.

Transcript Highlights:

• It may include ideas from other sectors or geographies, adapting promising practices in new areas or
• Traditional health care practices are intended to improve access to culturally responsive care for our
• Traditional health care practices are exclusively offered through our Indian health care providers.
• Traditional health care practices are exclusively offered through our Indian health care providers, or
• Also, under BH Connect, we have been able to expand Medi-Cal coverage for key evidence-based practices

Summary: The subcommittee heard budget and policy updates from the Department of State Hospitals, the Commission for Behavioral Health, and the Department of Health Care Services. DSH described its proposed 2026-27 budget of $3.2 billion, including savings tied to IST solutions, higher patient-driven operating costs, and a small increase in caseload projections. Officials said the department has met court-ordered IST treatment benchmarks, with wait times reduced from a pandemic peak of 1,953 pending placements to about 250, and average treatment initiation now around five days. Members asked about the effects of Proposition 36 and SB 1323, rising outside hospitalization costs, Medicare enrollment, and whether IST solution funding was being overbudgeted; DSH said referrals are slightly down overall, aging and medically complex patients are driving outside care costs, and the IST solution savings reflect slower-than-expected program activation rather than a service gap. The department also outlined proposed funding for CONREP cost increases, a new county-by-county LPS bed allocation model, electrical infrastructure upgrades at Napa and Patton, SB 380 transitional housing feasibility work, and additional dental staffing and space at Metropolitan and Patton. The Commission for Behavioral Health reviewed its role in the Behavioral Health Services Act transition and its new Innovation Partnership Fund. Staff said the commission is shifting from county-level innovation oversight to a statewide grant strategy, with the first $20 million RFA drawing strong interest and awards expected in mid-June. Members asked how “innovation” would be defined, whether grants could be renewed after the initial three-year contracts, and how the state would ensure the money supports real service delivery rather than general outreach or training. The commission also sought a liquidation deadline extension for the Alcove youth drop-in center grants so remaining funds can be spent before they revert, allowing sites to finish implementation and support the final evaluation. DHCS provided an overview of CalAIM and BH Connect implementation, including updated specialty mental health access criteria, new ASAM-based substance use treatment standards, contingency management, traditional health care practices for tribal members, workforce investments, evidence-based practice expansion, IMD participation, and transitional rent services. The department also addressed BHSA implementation, saying it does not track specific local program cuts but will monitor county three-year plans, performance measures, and outcomes as counties shift to the new funding structure. On H.R. 1, DHCS said it is preparing outreach, eligibility simplification, and exemption strategies to reduce Medi-Cal coverage losses, including clinic navigators, a statewide outreach campaign, and possible employment supports through a future waiver. The department also reported that BH-CHIP bond funds have supported 437 infrastructure projects, creating 546 facilities and more than 9,500 residential beds, with additional outpatient capacity and tribal investments. Finally, DHCS outlined a proposed 988 trailer bill to create a statewide designation process for 988 centers and mobile crisis teams, with implementation no earlier than October 1, 2027.