Video & Transcript : 'phone number' :
Page 104 of 500
FL
Florida 2026 5th Special Session
FL House Floor Session - 2026-03-05 (10:00AM Session)
Florida House Floor Meeting
Transcript Highlights:
- The bill also... ...reporting of changes of address, phone number, employment, vehicles, and other data
- I love numbers. I hope everybody else loves numbers as much as I do.
- Let's see, case number EL 2025-179, order number 25E-1230.
- Senator Simon's writing down the numbers.
- That number is also not in the bill, but I'm happy to get that number for you.
Summary:
The Senate convened with prayer, the Pledge of Allegiance, and several recognitions before taking up a special order calendar of bills. Early measures included a claims bill for relief to L.E. through the Department of Children and Families, which passed 34-0 after substitution from the House version, and a claims bill for the estate of Mark Legata, which passed 35-0 after the amount was reduced in the substitute. The chamber then approved CS for CS for SB 42 on child protective investigations and specific medical diagnoses, requiring investigators to consider certain medical conditions that can mimic abuse; the sponsor described it as a fix for cases where medical evidence is overlooked, and it passed 34-0. A bill on autism education for teachers was also substituted with the House version, amended to replace the Senate language, and passed 35-0 after supportive remarks from members. The Senate next passed a land-use bill, SB 218, adjusting hurricane-related development restrictions so they continue in storm-damaged counties but expire in unaffected counties in 2026, with debate focused on local control and recovery needs; it passed 36-0.
The chamber then approved several other measures with little or no opposition: a probate bill modernizing curators of estates (36-0), a Blue Ribbon Projects bill creating a framework for large planned developments with conservation set-asides, which drew extensive debate over local control, growth management, and the bill’s breadth before being temporarily postponed, a state lotteries update (36-0), a diploma requirements bill allowing Special Olympics participation to substitute for PE and clarifying marching band credit (36-0), and a naturopathic medicine licensure/regulation bill that reestablishes a licensing framework and board, which passed 33-3. The Justice Administrative Commission bill was amended to broaden membership to include a judge or senior judge and passed 37-0. The Senate also passed a public records exemption for certain local administrators and their families (31-5), a clinical laboratory personnel bill easing staffing requirements by aligning more closely with federal CLIA standards (37-0), a dry needling bill clarifying occupational therapists may perform the practice (37-0), a financial disclosures bill revising gift/honoraria reporting and restoring a percentage-based reporting option via amendment (36-0), and a child welfare bill expanding when parental drug abuse can be treated as harm or neglect and allowing earlier court intervention and services (37-0).
Later, the chamber took up a bill on ideologies inconsistent with American principles and terrorist organizations. The sponsor said it would prevent enforcement of foreign or religious law over the Constitution, create a due-process process for domestic terrorist designations, and bar public funds from supporting terrorism. Senators raised questions about the lack of a time limit on conduct used for designation and whether conviction is required; an amendment was then offered to remove specific references to Sharia law and the bill’s findings, with the sponsor of the amendment arguing the language stigmatized Muslim constituents and singled out Islam. The transcript cuts off during that amendment debate, so no final action on the bill is shown in the provided text.
NH
New Hampshire 2025 Regular Session
House Science, Technology and Energy (01/27/2025)
Science, Technology and Energy
Transcript Highlights:
- Well, about three days later, that number jumped from 22 to 43, so we doubled the number of bills that
- So we are going to have a very busy month ahead. later that number jumped from 22 to later that number
- </c><01:05:43.720><c> of</c> stakeholder process raises a number of stakeholder process raises a number
- So that number is coming from them.
- and has for a number of years, and we're saying now, well, some people don't have a landline phone anymore
Committee:
House Science, Technology and Energy
WA
Washington 2025-2026 Regular Session
Select Committee on Pension Policy May 19th, 2026
Select Committee on Pension Policy
Transcript Highlights:
- Again, names and phone numbers and email addresses are valuable for people who are seeking to do some
- If someone gives us a phone call and leaves a message, we will make sure that that gets to committee
- If someone gives us a phone call and leaves a message, we will make sure that that gets to committee
Committee:
Joint Select Committee on Pension Policy
Summary:
The Executive Committee approved the April minutes by roll call vote, with members present voting aye and the minutes adopted. The committee then received an Attorney General update on several pension-related cases. Counsel discussed the newly filed Dawson class action, which seeks to invalidate Gross Second Substitute House Bill 2034 on federal and state constitutional grounds; she said the pleadings were unclear, the committee’s involvement was uncertain, and the case would need monitoring. She also reported that the Dolan case appears concluded after the Court of Appeals upheld the trial court’s ruling on constructive payment of attorney fees, and that the Fowler case remains pending after an oral ruling for plaintiffs on retroactive interest and possible disgorgement of state gains, with a written ruling still awaited.
The actuarial update said June would include the preliminary 2025 valuation results and contribution-rate discussion, along with commentary on the demographic experience study, and staff noted actuarial resources were limited for additional items until later in the summer or fall. The committee then discussed the interim work plan and correspondence, including letters supporting a Plan 1 COLA recommendation, retiree organization comments, and a request from Senator Robinson to study whether certain animal control technicians should be included in PERS. Members emphasized the need to keep working on an ad hoc COLA for Plan 1 retirees while also exploring a longer-term COLA mechanism, including possible budget proviso language to require COLA consideration each budget cycle.
Staff also explained changes to correspondence handling: materials will no longer be posted publicly on the website, but will still be available through public records requests and distributed securely to members by email or form submission. The committee agreed to add a June briefing on the PERS animal control technician issue and an introductory discussion of Plan 3, and to bring back COLA proposals in July for further executive committee review. The agenda was approved as amended, and the meeting adjourned.
LA
Transcript Highlights:
- Please silence your cell phones.
- If you have to make a phone call, please remember to go outside to take the call.
- I also represent a law firm that has a substantial number of legacy cases.
- this is drafted, it cuts across, and excuse me, because the only clean copy I have of this is on my phone
Committee:
Senate Natural Resources
Summary:
The Senate Committee on Natural Resources met on May 14 and approved the April 29 minutes. The committee first heard HB 1056, which authorizes transfer of certain state property in Natchitoches Parish tied to a former school building now considered dilapidated and a nuisance; it was reported favorably. HB 841, described as a landman code of conduct bill and expropriation-related measure, was voluntarily deferred so the sponsor could work on additional changes over the interim.
The committee then took up HB 804, the Louisiana Energy Protection Act, which would bar future lawsuits seeking climate-change damages against fossil fuel companies and other entities. Supporters said it would prevent speculative climate litigation while preserving legitimate claims for permit violations and other existing statutory causes of action. Opponents from coastal litigation and the Sierra Club argued the bill was drafted too broadly and could affect legacy cases, property rights, and regulatory enforcement; the committee adopted Amendment 3875 to grandfather existing filed cases and make the bill effective upon gubernatorial signature, then reported the bill favorably as amended.
HB 621, requiring recycling of decommissioned renewable energy infrastructure and updating the state’s waste framework for modern energy components, was reported favorably. HB 637, which revises oil field site restoration fees and lowers rates for marginal, stripper, low-pressure, and incapable wells, was also reported favorably. Finally, SB 480, as amended, allowed boats to anchor in Oyster Bayou so long as they are not within an oyster lease and someone remains on board; the committee adopted the amendment and reported the bill favorably before adjourning.
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 58-1 May 14th, 2026
Oklahoma House Floor Meeting
Transcript Highlights:
- She will answer the phone anytime I call.
- That's right, number one. The class valedictorian at the same time as the state champion.
- That's right, number one.
- He's just a phone call away to help me on any particular issue or anything that comes up.
- And so can you kind of explain to me what numbers you do have?
Summary:
The House convened, completed roll call, and heard an invocation and pledge before moving through several ceremonial presentations. Members recognized Monty Smith for 43 years of service with the Oklahoma Department of Transportation, honored the Marlow Lady Outlaws girls golf team for winning the Class 3A state and academic state championships, and acknowledged the final group of pages for the 60th Legislature. The House also adopted HCR 1030, which sets the legislative procedure schedule and deadlines for the 61st Oklahoma Legislature.
The chamber then met in a joint session with the Senate to observe Veterans Awareness Day. Speakers from both chambers and the Oklahoma Veterans Council delivered remarks honoring veterans, Gold Star families, and military service, and highlighted recent policy achievements for veterans, including the full tax exemption for 100% disabled veterans, the exemption of military retirement pay from state income tax, improved funding for veterans’ homes, and restructuring of the Oklahoma Veterans Commission. The Veterans Council also presented its annual awards, naming Sen. Kerry Hicks as Outstanding Senator of the Year, Rep. Andy Menz as Outstanding Representative of the Year, Aaron Higgins as Veteran of the Year, and the Speed family as Veteran Family of the Year, and recognized Scott Howell for his service to the council. The joint session then adjourned.
Back in the House, members took up Senate amendments to House Bill 1370, which concerns the Corporation Commission plugging fund and a repealer tied to a state fuel-tax offset provision. The bill’s author explained that the amendment would prevent the state from capturing savings if the federal fuel excise tax is reduced, so any reduction would benefit consumers rather than state revenue. After questions about fiscal impact and the well-plugging fund, the House adopted the Senate amendments without objection and passed HB 1370 on final passage by a vote of 89-1; the emergency clause also passed 89-1. The House then recessed, later returned for a staff appreciation and sine die-style recognition, including a tribute to long-serving bill drafter Mark Carter, and recessed again while awaiting any additional legislation from the Senate.
ID
Transcript Highlights:
- All right, today we have a number of bills to get through, and it’s a... Thank you.
- All right, today we have a number of bills to get through, and it’s a sunny day, and everyone that’s
- I do know there are a number of people that are here to testify.
- Senator, would you be able to, this is, I'm a high-tech guy, can we do audio on your phone?
- And number two, I work in prevention, and we talk about these systems all the time.
Committee:
House Judiciary, Rules and Administration
FL
Florida 2025 Regular Session
December 9, 2025 - 08:30 AM
Transcript Highlights:
- BUT SPECIFICALLY YOU SAID A NUMBER OF THINGS ON RATE REDUCTION ANTICIPATIONS WITH AI CENTERS AND I KNOW
- BUT THEN YOU ALSO HAVE WHAT THEY CALL A TECH REFRESH AND JUST LIKE EVERYONE HAS TO HAVE A NEW CELL PHONE
- >> I DO NOT KNOW THE EXACT NUMBER BUT THERE IS SOME CAPACITY BUT WHAT WE HAVE TRIED TO DO IS FLIP THIS
- AND AT&T ALSO HELPS AI TO REDUCE THE NUMBER OF A ROBO CALLS.
- GET FOR YOURSELF SO IF YOU DON'T WANT THEM FROM AN UNWANTED NUMBER OR OTHER THINGS LIKE THAT.
MN
Minnesota 2025-2026 Regular Session
House Commerce Finance and Policy Committee 3/5/26
Commerce Finance and Policy
Transcript Highlights:
- And so I don't get any numbers.
- Can you, you know, that number?
- </c> there any any you know that number? there any any you know that number?
- Maybe uh we can be the highest numbers.
- There may be your phones will ring.
Committee:
House Commerce Finance and Policy
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health May 4th, 2026
Transcript Highlights:
- If you want my phone number, please see me before we leave. Thank you so much.
- If you want my phone number, please see me before we leave.
- claims for reimbursement, the number of students benefiting from reimbursable services, and the number
- The number of students benefiting from reimbursable services and the number of schools participating
- We have a number of panelists.
OK
Oklahoma 2026 Regular Session
Appropriations and Budget Transportation Subcommittee Mar 30th, 2026 at 10:00 am
A&B Transportation Subcommittee
Transcript Highlights:
- FAA doesn't allow first-person view on your phone.
- You can just pull it up on your phone and be able to see where that airplane is.
- I'll tell you the overall overall number, not just the stuff that's come to us, but since prep and ARPA
- So that's the big numbers. And then I gave you kind of the in the weeds.
- But that's, thank you for providing this overall numbers.
Committee:
House A&B Transportation Subcommittee
NM
New Mexico 2025 Regular Session
IC - Indian Affairs Jul 16th, 2025
House Government, Elections & Indian Affairs
Transcript Highlights:
- Just like our phones, we have all kinds of selfies or whatever.
- When you're going over, turn on your cell phones. A lot of you like to take pictures.
- And the next one is an amendment to number seven. All right, judges.
- I mean, that's our number one problem. How else are you going to enforce drug laws?
- It covers 27 million acres, and we're almost half a million in numbers.
FL
Florida 2025 Regular Session
Criminal Justice Mar 4th, 2025
Transcript Highlights:
- THERE WAS A PRESCRIBED NUMBER OF DAYS AN INMATE IS SUPPOSED TO BE KEPT IN COUNTY CUSTODY BEFORE THEY
- DO YOU STILL HAVE PEOPLE IN COUNTY CUSTODY THAT HAVE GONE BEYOND THE NUMBER OF DAYS THEY ARE SUPPOSED
- Pizzo: DO YOU KNOW THE LONGEST NUMBER OF DAYS OR MONTHS?
- Wright: IT DOESN'T REQUIRE YOU TO DO IT ON A PHONE OR VERBALLY OR IN PERSON, IT JUST SAYS NOTIFY.
- THE NUMBERS DON'T LIE AND IF I COULD HAVE ONE MORE MINUTE. >> Vice Chair Smith: I APOLOGIZE.
MN
Minnesota 2025-2026 Regular Session
House Public Safety Finance and Policy Committee 2/12/25
Public Safety Finance and Policy
Transcript Highlights:
- Well, these are good numbers.
- </c> received well these are good numbers received well these are good numbers there's<00:07:47.639><
- </c> irresponsible and not using their phones irresponsible and not using their phones correctly<00:56
- We've had challenges with a number of license establishments in the past.
- </c> it we've had challenges uh with a number it we've had challenges uh with a number of<01:21:30.760
Committee:
House Public Safety Finance and Policy
NH
New Hampshire 2025 Regular Session
Fiscal Committee (09/05/2025)
Transcript Highlights:
- <00:26:32.799><c> commissioners</c> phone commissioners phone commissioners um<00:26:35.120><c> you</
- ><c> page</c><00:33:11.519><c> 10</c> Observation number three on page 10 Observation number three on
- Observations number 10 state law.
- Observation<00:37:54.880><c> number</c><00:37:55.280><c> 12</c> Observation number 12 Observation number
- The right numbers, not the right numbers, you know, come in and say, "Oh, it's good. It's good.
Summary:
The committee first approved the June 20, 2025 minutes, with several members abstaining, and then adopted the consent calendar after removing items 223 and 224 under tab five, item 222 under tab six, and item 231 under tab seven. The committee also noted that an old business item related to YDC claims administration would be removed at a future meeting because the fiscal year had closed and no further committee action was needed.
The main substantive discussion centered on Department of Health and Human Services requests. Item FIS-223 would fund a shared database between the Department of Education and HHS to identify children eligible for the summer EBT program; members asked whether it could also help with Medicaid or school reimbursement tracking, but the witness said the item was specifically for summer EBT and that broader integration questions would need follow-up with Education and Medicaid staff. The committee then adopted the item, with Representative Mooney voting no. Item FIS-224 concerned the phrase "high quality services" in child care-related funding; HHS said the standards come from the federal Office of Child Care, and the committee adopted the item. Item FIS-222 related to Money Follows the Person; HHS explained it is a 100% federally funded program that supports transitions from institutions to community living with services such as housing navigation, furnishings, and case management. Members questioned the scale and cost of the program, and HHS said the initial federal award was $5 million, with additional federal IT funding later approved; the committee adopted the item, again with Representative Mooney voting no.
Under tab seven, the committee discussed item 231 involving ARPA funds and the YDC project. The Department of Administrative Services explained that recent Treasury guidance allows leftover ARPA dollars from approved projects to be repurposed only for additional work on already approved projects, not new projects. Members asked about whether the project was over budget and whether some items had been in the original plan; officials said the work reflected add alternates from the original bid and that the project was on track to meet the deadline. The committee adopted the item. The meeting then moved to the audit presentation on the New Hampshire Liquor Commission’s fiscal year 2024 management letter, which identified 13 internal control comments, including two material weaknesses, largely tied to the new NextG system. Recommendations included strengthening controls, formal risk assessment, reconciliations to New Hampshire First, cash receipt controls, subsidiary ledgers, SOC reports for vendors, internal audit functions, lease accounting, gift card breakage reporting, and IT security and access controls. The Liquor Commission said it concurred with most findings, described the system transition as successful overall, and said remediation would continue; committee members asked for estimated completion dates for audit findings and discussed the need for more regular follow-up on audit issues and budget monitoring.
MO
Missouri 2026 Regular Session
Joint Committee on Education Mar 26th, 2026
Joint Committee on Education
Transcript Highlights:
- So they started in 2013, then it was 2018, and then it was 2023, and we see the numbers.
- And I want to give you some numbers. So Springfield Public Schools has roughly 24,000 students.
- But here, let's talk about some numbers.
- And then cheated on the high school data, fudged the numbers to sell a story.
- looking at, like, a minimal number of platforms, not a large number.
Committee:
House Joint Committee on Education
Summary:
The Joint Committee on Education heard testimony focused on the effects of educational technology and screen time on K-12 students, with particular attention to House Bill 2230 and related policy changes. Dr. Mariam Mohamed Connie argued that one-to-one devices, digital instruction, and early screen exposure harm children’s learning, attention, physical development, and mental health, and that schools should return to more analog methods such as paper, handwriting, cursive, phonics, and print-based materials. She cited international and national assessments, research on handwriting versus typing, and her experience on the Springfield Public Schools board, saying the district saw improved MAP scores after scaling back Chromebook use in elementary grades and reintroducing books and cursive.
Several witnesses and committee members discussed the practical and budgetary implications of reducing screen use. A Springfield administrator said many teachers were trained in technology-heavy environments and would need support to teach without relying on devices, and she estimated Chromebooks and related infrastructure cost more per student than textbooks, manipulatives, and paper. Another witness from the Missouri National Education Association supported the bill’s direction, saying elementary years are critical and that the state should signal a move away from overuse of screens while allowing districts time to adjust. Committee members emphasized local control, the need for a task force, and the importance of involving DESE because state testing and standards currently drive much of the digital use in schools.
The discussion also covered Missouri Learning Standards, computer science requirements, and the tension between digital testing and classroom instruction. Speakers criticized the fact that MAP testing is digital and adaptive, arguing it forces schools to keep devices in elementary grades just to prepare students for state assessments. The chair and other members said the bill was intentionally nonprescriptive, aiming instead to create a task force and encourage local districts to develop screen-time policies, especially for elementary students. The hearing ended without a vote, and the committee adjourned after public comment.
FL
Florida 2025 Regular Session
March 11, 2025 - 08:00 AM
Transcript Highlights:
- Do you have a number? So that would be, okay, $6,000. Okay.
- I can come back to you with an exact number. I can work with Farm Bureau on that number.
- So it's a pretty decent number of people. Follow up? Yes, Madam Chair. Thank you.
- I don't have the exact number with me.
- Many people don't know the phone call I received from you this past summer.
Summary:
The Health Care Facilities and Systems Subcommittee met with a quorum present and took up five bills. The first, CS/HB 1119 on pediatric readiness in hospital emergency departments, would require hospitals with ERs to adopt evidence-based pediatric care policies, train staff, designate a pediatric emergency care coordinator, complete the National Pediatric Readiness Assessment, and meet minimum equipment and planning standards. Members discussed transport to the closest appropriate facility and implementation concerns, but the bill passed 16-0.
The committee then approved HB 677, which would add standard fertility preservation services to the state group insurance program for employees undergoing chemotherapy, and CSHB 497, which would authorize nonprofit agricultural organization medical benefit plans for Florida Farm Bureau members, aimed at improving affordable coverage for farmers and ranchers. HB 677 passed 16-0, and CSHB 497 passed 18-0 after questions about membership, regulation, disclosures, and how the plan would compare with ACA coverage.
The subcommittee also approved PCS/HB 791 on surrendered newborn infants, allowing infant safety devices at hospitals, EMS stations, and fire stations as an alternative safe-haven option. Members discussed alarms, unmanned stations, and whether churches should be included; the bill passed 18-0. Finally, HB 1529 on home health aides for medically fragile children was amended and passed 18-0. The bill seeks a federal waiver so compensation for parents serving as home health aides does not count against Medicaid eligibility, and the amendments added reporting of adverse incidents, set work-hour limits, and protected certain other benefits. The chair closed by emphasizing the committee’s role in implementation oversight and fixing problems after enactment.
ND
North Dakota 2025-2026 Regular Session
Senate Floor Session Apr 9th, 2025 at 12:30 pm
North Dakota Senate Floor Meeting
Transcript Highlights:
- Madam President, I move amendment number 25.154.204.201.
- Senator Larson: Section 4, number one, it does talk about that it carries a fee of $150.
- I was on the phone with her about an hour ago. And they don't have to take them in and book them.
- A couple of days ago, we talked about cell phones A couple of days ago, we talked about cell phones and
- We didn't have cell phones when I was in school, but we had guns.
Summary:
The Senate opened with prayer, the pledge, and a quorum call, then took up House amendments to Senate Bills 2009, 2147, and 2113. On motion, the Senate refused to concur in the House amendments and appointed conference committees for each bill. The chamber then considered several House bills, adopting amendments and passing House Bill 1556, which creates a Children's Cabinet work group to study out-of-home placement and treatment for children with behavioral health issues, and House Bill 1363, which directs development of a customizable cardiac emergency response plan template for schools and athletic events. House Bill 1533, requiring students to complete a half-unit of financial literacy for graduation, also passed after amendment. House Bill 1226, dealing with masks in public places and protest-related identification concerns, passed after the Judiciary Committee removed language about complying with law enforcement requests to unmask.
FL
Transcript Highlights:
- The increases just for more sales, getting that number back to a great healthy number.
- It's a static number down; we have a fluid number going up. Leader Driscoll. Thank you, Mr.
- They have to review those numbers. That is before the final number approval.
- A lot of physicians take phone calls and request medication via phone, and the phone call is made.
- It is done on the phone.
Bills:
HJR 99 , HB 1399 , HB 1400 , HB 1094 , HB 365 , HB 1109 , HB 647 , HCR 35 , SB 14 , HB 12 , HB 1522 , HB 422 , HB 675 , HB 204 , HB 748 , HB 912 , HJR 99 , HB 1399 , HB 1400 , HB 1094 , HB 365 , HB 1109 , HB 647 , HCR 35 , HCR 123 , HCR 124 , HR 57 , HR 87 , HR 111 , HR 228 , HR 230 , HR 322 , HR 624 , HR 625 , HR 626 , HR 627 , HR 628 , HR 630 , HR 631 , HR 634 , HR 635 , HR 636 , HR 637 , HR 638 , HR 639 , HR 640 , HR 645 , HR 646 , HR 648 , HR 649 , HR 651 , HR 652 , HR 653 , HR 654 , HR 664 , HR 665 , HR 668 , HR 675 , HR 676 , HR 678 , HR 679 , HR 680 , HR 683 , HR 686 , HR 688 , HR 689 , HR 694 , HR 695 , HR 697 , HR 698 , HR 699 , HR 472 , HR 622 , HR 632 , HR 633 , HR 643 , HR 655 , HR 657 , HR 660 , HR 661 , HR 662 , HR 663 , HR 667 , HR 670 , HR 674 , HR 681 , HR 682 , HR 696
MN
Transcript Highlights:
- </c><00:25:41.000><c> of</c> uh uh maybe increasing the number of uh uh maybe increasing the number of
- It's the amount of what we have, the number of folks that need the money.
- They may have died, they may have moved out of state, any number of circumstances.
- I don't know, but if we can get these numbers here in the Senate, certainly you can get these numbers
- , and the Chief Financial Officer can get these numbers.
Committee:
Senate Finance
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (12-10-25)
Transcript Highlights:
- Um, but I think we can figure those numbers out.
- Um, but I think we can figure those numbers out.
- Um, but I think we can figure those numbers out.
- Um, but I think we can figure those numbers out.
- Um, but I think we can figure those numbers out.
Summary:
The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well.
Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk.
Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.