Transcript Highlights:

• and that they fall in that gifted category, that they don't just fall into this, you know, being treated
• and is now an honor student and ambassador at the Mizzou School of Health Sciences pursuing her physician
• .and is now an honor student and ambassador at the Mizzou School of Health Sciences pursuing her physician
• but I do think that if we were to pass this bill, it would only be fair that the gifted would be treated

Committee: House Elementary and Secondary Education

Transcript Highlights:

• was here, that when we made that decision, it was clear that different agencies were going to be treated
• Which educates physicians to provide services to medically underserved communities be considered.
• As well, UC has introduced boundaries training requirements for health care providers like physicians
• If you look at the total package, there are different ways of treating the seismic upgrades to a 1929

Transcript Highlights:

• Oz has years of experience as an acclaimed physician and public health advocate.
• spoke in my state in Seattle, Spokane, and Tri Cities about the Medicaid cuts and was joined by physicians
• Hope was committed and she was treated. in inpatient care and she got intensive treatment for her psychosis
• and having to get back to square one on trying to let Rhode Island be a model for a better way to treat

Committee: Senate Finance Committee

Keywords: Social Security, Medicaid, Frank Bisignano, Elon Musk, benefit processing, office closures, public testimony, administration policies, health care, vulnerable populations

Summary: The committee meeting focused heavily on the nomination of Frank Bisignano as the Commissioner of the Social Security Administration, with intense discussions around the current state of Social Security and its management under the current administration. Members voiced significant concerns regarding potential changes to Social Security and Medicaid, specifically addressing issues such as office closures, delays in benefit processing, and the perceived policies from Elon Musk's association with the administration. Public testimonies highlighted fears that these changes would severely impact the accessibility of benefits for seniors and vulnerable individuals, resulting in a chaotic environment at the SSA. Members expressed a unified opposition to the notion of dismantling these critical programs, emphasizing the long-term implications on their constituents' well-being.

Transcript Highlights:

• And, you know, in clinical health, we have 100 physician offices in seven states.
• In clinical health, we have 100 physician offices in seven states, and we focus on identifying conditions
• and treating those conditions and then preventing them going forward.
• genetic testing or identifying clinical conditions that may be in this trait up front so that we can treat

Summary: The Health Care Budget Subcommittee held a panel discussion on Florida’s mental health and substance abuse system, with representatives from DCF, AHCA, two managing entities, and two providers describing how the state’s behavioral health network is funded and operated. Members focused on the implementation of prior legislative investments, especially the $50 million in recurring funding from Representative Maney’s bill and the earlier $126 million community behavioral health appropriation. Witnesses said the newer funds were used mainly for crisis beds, discharge planning, outpatient services, regional collaboratives, and a USF Marchman Act report, while the larger behavioral health appropriation supported CAT, FACT, FIT, forensic teams, residential and outpatient services, and crisis care, with most dollars going directly to services and only a small share to administration. A major theme was access to crisis care and the role of mobile response teams, 988, and central receiving facilities in diverting people from Baker Act admissions and reducing readmissions. DCF and providers said mobile response teams have expanded, are being used to de-escalate crises and connect people to care, and have shown strong diversion results and reductions in Baker Acts in some regions. Members also asked about waitlists, children in crisis, and how to handle people without housing or support; providers said discharge planning is individualized but often constrained by homelessness, transportation, and a lack of safe placements, and several witnesses identified housing as one of the biggest barriers to recovery and stability. The committee also examined provider sustainability, reimbursement, and funding gaps. Witnesses described delays caused by contract timing, cost allocation rules, and Medicaid reimbursement rates that do not always keep pace with labor and operating costs, especially for smaller providers and rural networks. DCF and AHCA said managing entities can provide advances, retroactive rate adjustments, and technical assistance, and that Medicaid managed care plans have network standards and complaint/dispute processes. Members raised concerns about a reported $7 million loss in federal non-sustainable funds, provider closures, and whether there is a formal ombudsman process for disputes; DCF said the federal reductions were known and tied to one-time funds, and that the department generally handles provider issues informally while working with managing entities to preserve continuity of care.

Transcript Highlights:

• There is data, and this is about four or five years old, that shows that the average physician in this
• physician in this country country country spends<00:58:00.240><c> $100,000</c> spends $100,000 spends
• It has to look like medicine because we're treating it as medicine.
• And if it we're treating it as medicine.
• But I refuse, as a physician and in my health role, to give the false assurance that any of it is safe

Summary: The committee first approved the minutes and then approved an agency amendment to a health and family services regulation. The amendment reversed a prior change so that neonatal ICU beds would remain subject to regular review rather than nonsubstantive review. The remaining administrative regulations were then reviewed without objection. The main presentation was from State Auditor Allison Ball on a report finding $836 million in concurrent Medicaid capitation payments from 2019 through 2022, involving individuals enrolled in Kentucky and at least one other state. Ball said Kentucky relied on the PARIS system, which has limitations because it is updated quarterly and depends on voluntary state participation, while a better federal data source, T-MSIS, was not fully available to the state. She said the audit found weak internal controls, siloed processes, outdated guidance, and a low-priority attitude toward residency checks, all of which contributed to missed alerts and improper payments. She also said the report identified additional problems, including payments made after beneficiaries died and cases involving multiple states paying for the same person. Ball recommended better access to federal data, stronger MCO contract provisions, and more active oversight by the Department for Medicaid Services and managed care organizations. She said the contracts reviewed did not provide a clear way to recoup the improper payments, though she and her counsel suggested possible equitable legal theories might be explored. Members expressed concern about the scale of the waste and the lack of contract enforcement, and asked whether any money could be recovered. Ball said the audit did not identify a clear contractual path to recoup the funds.

Transcript Highlights:

• Act 856 expanded the Emergency Treat, Triage, and Transport Act for ambulance services and allowed them
• to provide on-site medical care without calling a physician or behavioral health practitioner if there
• surgeries because... ...it includes anesthesia, and you have to use a level of anesthesia if you're treating

Committee: All ALC-ADMINISTRATIVE RULES

Summary: The Arkansas Administrative Rules Subcommittee met to review a large slate of agency rules and related reports. The chair announced that several items were stricken from the agenda and that the maternal health providers and remote monitoring rules were pulled by the agency. The committee filed reports on emergency rules, ALC subcommittee rule reviews, and administrative directives, then moved through agency rules from the Department of Agriculture, Department of Commerce/Insurance, Department of Corrections, and multiple divisions of the Department of Human Services. Most rules were explained as technical updates or implementations of 2025 legislation and were approved without objection. Examples included repeal of obsolete equine ID-chip rules, updates to agriculture financing and pesticide rules, removal of duplicative workers’ compensation plan language, a unified visitation rule for correctional facilities, DHS marketing rules for PASS programs, a comprehensive DCFS policy manual revision, Medicaid-related changes for fictive kin, ABLE accounts, presumptive eligibility for pregnant women, SNAP work requirements and alien eligibility, coverage for certain incarcerated youth, nurse aide training updates, and permanent rules for state employee insurance and procurement. The committee also approved requests to exclude the Insurance Department from rulemaking requirements for Act 772 on forced organ harvesting and for restorative reproductive medicine, with the department saying it would issue rules later when more guidance is available. The most extended discussion concerned DHS’s dental Medicaid rate rule under Act 1025. Members and witnesses debated whether the statute’s language covered only oral surgeons or also general dentists performing oral surgery procedures, and whether the rate increase should apply more broadly to the services rather than the provider title. DHS said it was following the black-letter language of the law and could not confirm a broader interpretation without further approvals and funding, while legislators and a Dental Association representative said the intent was to increase payment for the services, especially in rural areas. Members also discussed the possibility of fixing the language in a future session or through a new rule if approvals and CMS review allow. Despite the concerns, the committee approved the rule. The meeting ended with approval of rule review reports and monthly updates, and the committee adjourned.

Transcript Highlights:

• Act 856 expanded the Emergency Treat, Triage and Transport Act for ambulance services and allowed them
• to provide on-site medical care without calling a physician or behavioral health practitioner if there
• “It includes anesthesia and you have to use a level of anesthesia if you’re treating those patients.

Committee: All ALC-ADMINISTRATIVE RULES

Summary: The Arkansas Administrative Rules Subcommittee met to review a large set of agency rules and reports. Early items were routine filings: emergency-rule reports, subcommittee review reports, and administrative directive reports were filed without objection. One rule from the Department of Agriculture on maternal health providers and remote monitoring was noted as pulled by the agency and not considered. The committee then reviewed and approved several Agriculture rules, including repeal of equine ID-chip rules after Act 703 of 2025, updates to finance rules adding a new water and sewer treatment facilities grant and consolidating revolving-fund rules, and a pesticide rule creating a Class J pesticide category for feral hog toxicant use. It also approved a Commerce/Insurance rule removing duplicative workers’ compensation plan provisions, and a Corrections rule creating a unified visitation rule for correctional facilities and community correction centers. A member asked about prison visitation hours during COVID, and staff said they would check on that. The committee next approved multiple Department of Human Services rules. These included marketing rules for provider-led organizations under Act 301 of 2025, a comprehensive revision of the DCFS policy manual, changes to Medicaid eligibility to include fictive kin placements and to expand ABLE account eligibility under Act 875, presumptive eligibility changes for pregnant women to align with federal rules, and a follow-up SNAP/TEA/Work Pays rule with updated work requirements, mandatory employment and training, alien eligibility changes, and job-search requirements for certain applicants. DHS also presented a rule implementing federal coverage for certain incarcerated youth before and after release, and the committee approved it. Another DHS rule updated nurse aide training requirements to match federal CNA hour standards and moved criminal-records-check procedures to the agency website. The most extended discussion involved DHS Division of Medical Services’ dental rate rule under Act 1025. The agency explained that it was increasing pediatric dental rates and certain oral-surgery-related rates, but not orthodontic rates or a broader special-needs benefit limit because CMS would not approve a diagnosis-based limit. Members debated whether the statutory language was intended to cover general dentists performing oral surgery procedures, with legislators, the Dental Association, and DHS discussing legislative intent, fiscal impact, and whether a future fix or emergency rule might be needed. Despite the disagreement, the committee approved the rule. The committee also approved other DHS medical rules: adverse-decision appeal changes and prior-authorization posting requirements, an increased RSV administration fee for children, expanded emergency treat/triage/transport ambulance authority, and clinic-based physical and occupational therapy coverage. Later, the committee approved permanent rules for the new state insurance program under Shared Administrative Services, procurement rule revisions recommended after an ACASO review, and commodity-management rule updates including a new revenue distribution model. Under Act 595 of 2021, the committee granted two Department of Commerce/Insurance requests to be excluded from rulemaking requirements: one for Act 772 on forced organ harvesting, and one for restorative reproductive medicine, with the department saying it would promulgate rules later when clinical guidelines are available. Finally, the committee accepted a recommendation to keep and extend the Department of Education, Division of Career and Technical Education rules, filed outstanding rulemaking updates, and adjourned without further business.

Transcript Highlights:

• And so they thought that was just how it was, and how they were supposed to be treated.
• didn't know what they... and so they thought that was just how it was and how they were supposed to be treated
• comprehensive case management program where, if you know, with claims data or more partnerships with the physician

Committee: Senate Health and Welfare

Transcript Highlights:

• he fought for, that he bled for, and ultimately gave his life for, resulted in white people being treated
• Reverend King fought for a better world for all of us, and particularly for Black people who have been treated
• gymnast who dreamed of becoming a high school cheerleader and aspired to someday become a doctor, a physician

Transcript Highlights:

• , however, tries to hold platforms liable for features that expose users to content, essentially treating
• do just want to highlight that California only limits abortions after the point of viability if a physician
• do just want to highlight that California only limits abortions after the point of viability if a physician
• Finally, we believe that everyone should be treated the same.
• level, as the governor noted, we do not see one's union agent as the same as one's spouse, priest, physician

Committee: House Judiciary

Summary: The committee first heard AB 2, which would impose enhanced financial penalties on large social media companies when negligence proven in court causes harm to children and teens. The author and supporters, including Common Sense Media and education and child advocacy groups, argued that social media algorithms and design features amplify harmful content and that existing remedies are not enough to deter misconduct. Opponents from TechNet, CCIA, the Chamber of Commerce, EFF, and others warned the bill was vague, could chill content moderation and encryption, invite litigation, and be preempted by Section 230. Several members raised concerns about defining “harm,” but the bill passed on a roll call vote and was sent onward. The committee then took up AB 282, which would allow landlords and housing providers to establish preferences for tenants who use housing vouchers or other rental assistance, clarifying that such preferences are not unlawful source-of-income discrimination. Supporters from housing authorities, local governments, AARP, legal aid groups, and housing nonprofits said the bill would help voucher holders find units and improve voucher utilization. There was no opposition testimony, and the bill passed with a roll call vote and was sent to Appropriations. Next was AB 882, dealing with court reporter availability and the use of electronic recording in certain cases when an official court reporter is unavailable. The author and supporters, including court reporter and labor representatives, said the bill is a temporary, narrowly tailored response to a shortage while preserving accurate records. Opponents from consumer attorneys, defense counsel, the Judicial Council, and others argued the bill was too narrow, could harm access to justice, and should be expanded or revised. Members from both parties expressed mixed views but generally supported continuing the conversation; the bill passed and was placed on call. The committee also heard AB 325 on algorithmic price fixing, which would update antitrust law to address collusion through pricing software and digital tools. Supporters said the bill targets modern forms of cartel behavior and closes loopholes that let companies coordinate prices through algorithms. Opponents from the Chamber of Commerce, Civil Justice Association, TechNet, retailers, hospitals, and others argued the conduct is already illegal, the bill is overbroad, and its definitions and burden-shifting provisions need work. Members requested clarifications to key definitions and pleading standards, but the bill passed as amended and was placed on call. The committee then briefly heard AB 935, which would strengthen civil rights data collection and transparency, especially for educational settings; it had no opposition, passed, and was placed on call. Finally, AB 67 was presented to let the Attorney General enforce the Reproductive Privacy Act and seek penalties against local governments that interfere with abortion access. Supporters framed it as an enforcement tool to protect reproductive rights, while opponents from California Family Council and others denounced it as expanding state power to protect abortion access; the transcript cuts off during that item.

Transcript Highlights:

• So it is my misfortune that it's the vice president of a startup, my personal physician, and all those
• So there's an obligation to treat them. They progress in treatment. They petition.
• So there's an obligation to treat them. They progress in treatment. They petition again.
• And the court may find that, okay, they can be safely treated again.
• Are you treating them just in the hospital, but waiting for them to get out?

Summary: The Joint Legislative Audit Committee held an oversight hearing on the state auditor’s October 2024 report on California’s Forensic Conditional Release Program (CONREP) for sexually violent predators. Members and witnesses discussed public safety, the long delays in finding community housing, the role of local housing committees, and the Department of State Hospitals’ oversight of Liberty Healthcare, which operates much of the program. Several legislators from rural and high-desert districts said their communities have been disproportionately affected by placements and questioned why many placements end up in remote areas. State Auditor Grant Parks said the audit found that CONREP participants were convicted of new offenses less often than sexually violent predators who were unconditionally released, but that 18 of 56 participants had been revoked and returned to state hospitals for noncompliance. He said it took an average of 17 months to place current participants in the community, with 20 additional people awaiting placement for an average of 20 months, and that the program incurred significant pre-placement costs. Parks also said local officials were often unclear about their role, DSH had not given clear guidance at the time of the audit, and California lacks a transitional housing option used in some other states. He reported that DSH had implemented four of the five audit recommendations, while declining the recommendation to explore state-owned transitional housing. DSH Director Stephanie Clendendon and Liberty representative Ken Carabello defended the program as a court-ordered, highly supervised treatment model intended to reduce reoffending and support reintegration. They said DSH is actively involved in placement review, that Liberty searches countywide under statutory restrictions, and that community feedback and court approval are part of the process. DSH said it has now implemented guidance for housing committee designees, formal program reviews, an outcome tracker, and an analysis of whether to separate some Liberty services into different contracts. DSH continued to oppose transitional housing, arguing it would not solve the core siting and statutory problems and would add cost. Several members remained critical, arguing the program is broken, costly, and unfairly concentrated in certain communities, and some called for major statutory changes or suspension of the program.

Transcript Highlights:

• GLP-1 medications were originally developed to treat type 2 diabetes and weight-related health conditions
• multi-page commercial package inserts just to communicate with doctors creates a de facto ban on telling physicians
• the whole goal is to protect and ensure consumers have all the information, why are you excluding physicians
• So they can get these compounded drugs only, yes, from physicians and from pharmacists.
• This bill is only adding the added protections only if you get it from physicians.

Committee: Senate Business, Professions and Economic Development

Transcript Highlights:

• background, the Partnership Access Line, or PAL, is a consultation service that allows primary care physicians
• to ...is a consultation service that allows primary care physicians to consult with pediatric psychiatrists
• PAL has a variety of physician consultation services that help providers connect moms, kids, children
• But the need for Medicaid rate increases remains for many physicians and health care providers.
• Meaningful fines send a clear message that private detention facilities cannot treat compliance as optional

Bills: SB5808 , HB2254 , HB2385 , SB6006 , SB6351 , SB6198 , SB6260 , SB6353 , SB5949 , SB6129 , SB6228 , SB6231 , SB6229 , SB6173

Committee: Senate Ways & Means

Keywords: health insurance, premium assistance, funding, healthcare access, state budget, HB 2254, Washington, Health Care Authority, partnership access line, psychiatric consultation line, first approach skills training, behavioral health, mental health, assessment, administrative costs, health carriers, self-funded plans, multiple employer welfare arrangement, MEWA, employers

Transcript Highlights:

• background, the Partnership Access Line, or PAL, is a consultation service that allows primary care physicians
• to... ...is a consultation service that allows primary care physicians to consult with pediatric psychiatrists
• PAL has a variety of physician consultation services that help providers connect moms, kids, children
• But the need for Medicaid rate increases remains for many physicians and health care providers.
• Meaningful fines send a clear message that private detention facilities cannot treat compliance as optional

Summary: The committee opened with a public hearing on Senate Bill 5808, a proposal to require nonprofit health carriers with “excess surplus” to pay 10% of that surplus into the state health care affordability account for Cascade Care Savings. Committee staff said the bill could generate about $330 million one time in 2027, while the Office of Insurance Commissioner would have implementation costs. Supporters argued the bill would redirect consumer premium dollars to help people afford coverage, while opponents from health plans said reserves are needed for solvency, claims, and capital needs and warned the bill would destabilize nonprofit insurers. The committee also heard testimony on House Bill 2254, which would let the Partnership Access Line assessment cover administrative costs; HCA and Seattle Children’s supported it as a technical fix that saves general fund dollars, and a child psychiatrist asked that savings be reinvested in behavioral health services. House Bill 2385, which extends deadlines for the Medicaid Access Program because of federal restrictions on new provider taxes, also drew support from provider groups seeking future Medicaid rate increases. The committee then heard Substitute Senate Bill 6286, which would increase fines on private detention facilities that deny Department of Health inspections and dedicate the fines to an account for community repair and assistance to harmed individuals and families. Supporters, including Tacoma’s mayor and family members affected by detention, framed the bill as an accountability measure; fiscal staff estimated Department of Health costs of about $395,000 in the 2025-27 biennium. Senate Bill 6006 would exempt food banks from sales tax on certain services enacted last session, with food bank and tribal representatives saying the savings would go directly to food and operations. Senate Bill 6351 would create exemptions from the new sales tax on live presentations for before- and after-school care, arts and cultural nonprofit classes, and K-12 school purchases; school districts, arts groups, and PTA representatives supported it, while asking for clarifying language and broader nonprofit exemptions. Engrossed Substitute House Bill 1717 would let cities and counties create local sales tax remittance programs for affordable housing projects, and housing builders, Habitat affiliates, counties, and city officials supported it as a local tool to lower development costs. In executive session, the committee received briefings on several tax and spending bills and then voted to advance multiple measures. It adopted a substitute and passed Senate Bill 5949, which narrows a B&O tax exemption related to insurance premiums; a proposed retroactivity-removing amendment failed. It adopted a substitute and passed Senate Bill 6129 on cigarette, tobacco, and nicotine taxes after rejecting several amendments, including proposals to study the tax policy or replace the bill with illicit-market enforcement language. The committee also passed Senate Bill 6228 repealing a preferential B&O rate for prescription drug resellers, Senate Bill 6231 repealing data center sales tax exemptions, and Second Substitute Senate Bill 5965, which retained a bag-fee approach rather than a full ban after adopting an amendment. The committee then returned to public hearing and began testimony on Senate Bill 6353, a major Working Connections Child Care bill that would keep income eligibility at 60% of state median income, lower the provider rate target from the 85th to the 75th percentile, and make other program changes; the briefing was underway when the transcript ended.

Transcript Highlights:

• The board protects the public by licensing qualified chiropractic physicians and enforcing state laws
• Eight of those are chiropractic physicians, seven of those represent districts.
• that verification and get the. information that they need for recredentialing of the chiropractic physician
• Where we've got pipes, you know, the water is treated in one place and then shipped, you know, it's shipped
• a mechanism that we can see how many of our kids that are native that are gifted Salutatorians, physicians

Committee: House Administrative Rules

Transcript Highlights:

• Currently, for non-emergency necessary care, such as treating infections or managing chronic conditions
• </c> necessary care, such as treating necessary care, such as treating infections<00:55:24.960><c> or
• The first is by allowing the DCT physicians to let the guardianship court know that someone may be in
• That is not a right or an ability that the DCT physicians have.
• Now, um so the first physicians have.

Bills: HF3935 , HF2216 , HF4354 , HF4210 , HF4212

Committee: House Human Services Finance and Policy

Keywords: assisted living, healthcare, training, unlicensed personnel, resident rights, safety regulations, nursing home, long-term care, guardian, conservator, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services

Transcript Highlights:

• One of the things that we have heard in our committee is that people trust their primary... physician
• heard in our committee is that, in Texas, we don't have a lot of folks that have a primary care physician
• We passed yesterday that permits a nurse practitioner to obtain review from a physician outside the plan
• If you carry the goods and you sell it here, we'll treat you the same.
• House Bill 4045 would treat a letter of neutrality the same as a no response. Redirect. Mr.

Bills: HJR73 , HB31 , HB279 , HB370 , HB4768 , HB513 , HB875 , HB982 , HB 1085 , HB2677 , HB2874 , HB5478 , HB4880 , HB4798 , HB4514 , HB4958 , HB4508 , HB3758 , HB3830 , HB3744 , HB3622 , HB741 , HB2204 , HB2860 , HB4659 , HB4578 , HB813 , HB712 , HB1551 , HB2790 , HB2698 , HB3365 , HB3504 , HB3118 , HB2959 , HB1862 , HB 1026 , HB4401 , HB4164 , HB3920 , HB4737 , HB4966 , HB4967 , HB1958 , HB4979 , HB5459 , HB3862 , HB1823 , HB4415 , HB4893 , HB2343 , HB 1228 , HB4337 , HCR141 , SB250 , SB1883 , SB617 , SB2411 , SB2306 , SB2929 , SB552 , SCR27 , HJR218 , HB168 , HB2545 , HB5436 , HB4926 , HB5165 , HB4811 , HB4755 , HB3179 , HB4310 , HB4611 , HB3637 , HB3153 , HB2786 , HB2966 , HB2159 , HB5081 , HB638 , HB640 , HB876 , HB4809 , HB5308 , HB4687 , HB5623 , HB4412 , HB3284 , HB3420 , HB3449 , HB4098 , HB4281 , HB4120 , HB4504 , HB4370 , HB4421 , HB 1106 , HB4070 , HB2370 , HB2407 , HB2253 , HB2273 , HB2040 , HB1586 , HB3788 , HB3993 , HB4690 , HB4696 , HB2308 , HB 1142 , HB1533 , HB1621 , HB2242 , HB2012 , HB2193 , HB2464 , HB2348 , HB2313 , HB2289 , HB1942 , HB2011 , HB1629 , HB2993 , HB3592 , HB4076 , HB4623 , HB4535 , HB4327 , HB4520 , HB3824 , HB4921 , HB2494 , HB3066 , HJR112 , HB2695 , HB3138 , HB2442 , HB3863 , HJR73 , HB4773 , HB 1091 , HB5115 , HB5515 , HB3372 , HB5659 , HB 127 , HB386 , HB 115 , HB2868 , HB 1249 , HB4766 , HB3720 , HB4656 , HB4879 , HB 105 , HB5383 , HB4621 , HB5431 , HB5678 , HB5534 , HB4174 , HB4212 , HB3954 , HB3966 , HB3636 , HB3918 , HB1422 , HB4765 , HB4732 , HB4742 , HB5122 , HB4518 , HB5084 , HB3986 , HB4045 , HB4144 , HB3911 , HB3976 , HB4473 , HB3425 , HB3641 , HB3642 , HB3475 , HB3509 , HB3424 , HB3383 , HB4744 , HB4531 , HB4539 , HB3159 , HB5228 , HB5370 , HB4359 , HB4398 , HB4443 , HB4466 , HB3861 , HB3849 , HB4240 , HB4706 , HB4685 , HB5354 , HB5141 , HB5686 , HB3629 , HB3554 , HB3567 , HB2015 , HB3575 , HB5381 , HB1431 , HB3514 , HB4614 , HB4546 , HB4683 , HB5681 , HB5673 , HB5663 , HB4271 , HB4350 , HB4035 , HB3807 , HB3812 , HB3552 , HB3540 , HB3715 , HB3710 , HB3664 , HB4196 , HB4233 , HB4173 , HB1998 , HB3333 , HB3510 , HB4222 , HB2070 , HB2854 , HB2347 , HB 113 , HB983 , HB4847 , HB1449 , HB3833 , HB5151 , HB265 , HB1845 , HB782 , HB 108 , HB1960 , HB158 , HB1954 , HB1955 , HB2512 , HB605 , HB2581 , HB2803 , HB627 , HB2667 , HB1738 , HB636 , HB3679 , HB2638 , HB2655 , HB871 , HB2438 , HB 1107 , HB1765 , HB1822 , HB2153 , HB4099 , HB3732 , HB3171 , HB3178 , HB3182 , HB3749 , HB2814 , HB3977 , HB4204 , HB4207 , HB4449 , HB1820 , HB1876 , HB1939 , HB1347 , HB2593 , HB2136 , HB2132 , HB2658 , HB2413 , HB2757 , HB2080 , HB3154 , HB3063 , HB3009 , HB3448 , HB3006 , HB2844 , HB3241 , HB3680 , HB3169 , HB2078 , HB2507 , HB4559 , HB3946 , HB3460 , HB3405 , HB475 , HB3463 , HB3441 , HB3520 , HB2060 , HB4731 , HB4991 , HB1991 , HB5596 , HB2014 , HB2142 , HB2673 , HB2731 , HB2417 , HB2399 , HB2301 , HB3335 , HB3234 , HB3320 , HB5573 , HB4848 , HB4748 , HB4769 , HB4795 , HB2086 , HB2234 , HB2203 , HB4916 , HB5624 , HB4505 , HB139 , HB5093 , HB5302 , HB5402 , HB5606 , HB2333 , HB4630 , HB4701 , HB2583 , HB2983 , HB4924 , HB3339 , HB3793 , HB3631 , HB4882 , HB5509 , HB5499 , HB5430 , HB5561 , HB5611 , HB5043 , HB5064 , HB3733 , HB3781 , HB3219 , HB32 , HB4515 , HB5348 , HB3902 , HB4420 , HB3269 , HB469 , HB336 , HB316 , HB5396 , HB993 , HB1342 , HB5216 , HB2046 , HB2188 , HB2450 , HB2813 , HB2857 , HB4075 , HB2911 , HB4682 , HB3117 , HB3253 , HB3442 , HB4820 , HB4336 , HB5356 , HB3669 , HB3428 , HB5465 , HB3662 , HB2590 , HB2288 , HB1886 , HB3458 , HB5603 , HB5620 , HB1489 , HB4101 , HB4990 , HB5685 , HB4950 , HB4980 , HB5684 , HB3507 , HB3566 , HB4487 , HB4462 , HB4876 , HB4915 , HB4663 , HB5570 , HB2929 , HB5261 , HB2920 , HB4642 , HB4746 , HB1609 , HB5403 , HB5453 , HB3844 , HB2336 , HB1572 , HB 1226 , HB2806 , HB2617 , HB2827 , HB3948 , HB3945 , HB4266 , HB4542 , HB3319 , HB1772 , HB2496 , HB1970 , HB3434 , HB5545 , HB5577 , HB31 , HB279 , HB370 , HB4768 , HB513 , HB875 , HB982 , HB 1085 , HB2677 , HB2874 , HB5478 , HB4880 , HB4798 , HB4514 , HB4958 , HB4508 , HB3758 , HB3830 , HB3744 , HB3622 , HB741 , HB2204 , HB2860 , HB4659 , HB4578 , HB813 , HB712 , HB1551 , HB2790 , HB2698 , HB3365 , HB3504 , HB3118 , HB2959 , HB1862 , HB 1026 , HB4401 , HB4164 , HB3920 , HB4737 , HB4966 , HB4967 , HB1958 , HB4979 , HB5459 , HB3862 , HB1823 , HB4415 , HB4893 , HB2343 , HB 1228 , HB4337 , HCR76 , HCR127 , HCR9 , HCR40 , HCR118 , HR559 , HCR59 , HCR135 , HCR141

Keywords: ad valorem tax, property tax, tax limitation, elderly, disabled, low-income, homestead exemption, constitutional amendment, juvenile justice, community supervision, felony offenses, treatment of children, juvenile facilities, chemical dispensing device, solitary confinement, rehabilitation, criminal proceedings, HB 279, uranium mining, uranium permit

Transcript Highlights:

• And so we do appreciate your service not only to the state, but also in your profession as a physician
• And so we do appreciate your service not only to the state, but also in your profession as a physician
• substance use and 12 years in treating substance use and understanding<00:31:37.679><c> uh</c><00:31
• Consider a father of two whom my wife treated, who we're going to call Steve today.
• ,</c><00:41:34.800><c> who</c> father of two whom my wife treated, who father of two whom my wife treated

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.

Transcript Highlights:

• He's a full-time emergency room physician and a part-time medical regulator in Wisconsin.
• pandemic, those appointments were canceled, and we believe Devin was desperate by any means necessary to treat
• This is my reality and that of so many emergency physicians across America.
• Westlake, you are an emergency room physician.

Committee: Senate Senate Judiciary

Transcript Highlights:

• First, any violation of these new sections is treated as an unlawful practice under the Merchandising
• Scott, with the Missouri State Medical Association and the Missouri Association of Osteopathic Physicians

Committee: House Legislative Review