Video & Transcript Research : 'multisystemic therapy'

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NM

New Mexico 2026 Regular Session

House - Health and Human Services Jan 21st, 2026 at 09:02 am

House Health & Human Services

Transcript Highlights:
  • Can you do audiology and speech therapy, language therapy online?
  • I'm the Executive Director of Desert State's Physical Therapy Network.
  • So, this is **Karen Lucero** with the American Physical Therapy Association.
  • We stand in full support of the Physical Therapy Compact.
  • In opposition to House Bill 13, the Occupational Therapy Licensure Compact.
Keywords: 996, all
NM

New Mexico 2026 Regular Session

House - Health and Human Services Jan 21st, 2026

House Health & Human Services

Transcript Highlights:
  • House Bill 12, the Physical Therapy Licensure Compact.
  • House Bill 13, the Occupational Therapy Licensure Compact.
  • Can you do audiology and speech therapy, language therapy online?
  • I'm the Executive Director of Desert State's Physical Therapy Network.
  • We stand in full support of the Physical Therapy Compact.
MA
Transcript Highlights:
  • , physical therapy, speech therapy, many of the therapeutic modalities that we have on offer at Pappas
  • physical therapy speech therapy many of the therapeutic modalities that we have on an offer at papis
  • Offer outpatient services in physical, occupational, and speech and language therapies.
  • Pappas provides education, medical care, therapy, independence, and opportunity.
  • community-based or school-based therapy.
Keywords: 995, all
Summary: The special legislative commission on the future of Pappas Rehabilitation Hospital for Children held a hybrid public hearing focused on the hospital’s future, admissions, staffing, infrastructure, and whether the facility should be preserved, expanded, or reimagined. Opening remarks from legislators, commissioners, parents, and union representatives emphasized that Pappas provides a unique combination of medical, rehabilitative, educational, and residential services for children with complex needs, and several speakers argued that the hospital is effectively being depopulated through reduced admissions and ongoing discharges despite public assurances that it remains open. Multiple speakers urged the commission to extend its authorization and continue its work before any closure or major change can occur. Testimony from labor leaders, including AFSCME, SEIU Local 509, and the Massachusetts Nurses Association, described a “silent closure” in practice, with staff reporting confusion about the hospital’s status, declining census numbers, blocked admissions, and uncertainty about the workforce’s future. They called for immediate action to stop admission denials and unnecessary discharges, and some proposed short-term solutions such as temporary modular structures to address infrastructure barriers and allow admissions to resume. Parents and former patients testified that Pappas provided life-changing independence, specialized therapy, and campus-based supports that they said could not be replicated elsewhere, and they criticized alternative placements as inadequate. Commissioner Robert Goldstein of the Department of Public Health said the administration supports keeping Pappas open and funded while the commission works, but he argued that admissions must comply with hospital-level-of-care rules and that the campus’s deteriorating infrastructure limits the kinds of children who can safely be served there. He said the department is continuing admissions for appropriate patients, working to expand outreach and services, and exploring long-term options, including broader statewide models of care. Commissioners pressed him on whether discharge status or lack of a clear discharge plan had been used as a barrier to admission, and requested de-identified data on patients recommended for admission but denied. No formal votes were taken during the hearing.
NH

New Hampshire 2026 Regular Session

House Commerce and Consumer Affairs (04/15/2026)

Commerce and Consumer Affairs

Transcript Highlights:
  • :02:15.520> occupational physical therapy and occupational physical therapy and occupational therapy
  • therapy and occupational therapy<02:09:57.599> until<02:09:57.920> we<02:09:58.159>
  • physical therapy required medically? physical therapy required medically?
  • back into the needed therapy. back into the needed therapy.
  • therapy does not meet that threshold. therapy does not meet that threshold.
Keywords: 1189, house, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Mental Health, Substance Use and Recovery Jun 21st, 2026 at 01:00 pm

Joint Committee on Mental Health, Substance Use and Recovery

Transcript Highlights:
  • It has to do with ongoing group therapy, individual therapy, and any other sort of well-known attempts
  • , group therapy, urgent care services, and psychopharmacology.
  • The other one I'd like to speak to is the aversive ending, banning aversive therapy, so-called therapy
  • I invested thousands of dollars in counseling and therapy.
  • I believe I'm alive today thanks to psilocybin therapy.
Keywords: 995, all
Summary: The hearing opened with remarks from House Chair Mindy Domb and Senate Vice Chair Robyn Kennedy, who outlined procedures for the hybrid public hearing, noted the committee would hear testimony on 15 bills related to treatment settings, and recognized members present. The first major bill discussed was H. 4200, authorizing a pilot program for psychedelic-assisted treatment in licensed facilities. Representative Jim O’Day and witnesses from Control Z supported the bill, describing it as a tightly controlled, medically supervised pilot with DPH oversight, limited sites, and screening requirements. Committee members asked about the number of sites and whether Column Health still existed; witnesses said the bill contemplated three separate pilot programs and that Column Health no longer existed after being purchased by another company. The committee also heard testimony on S. 1405 to make the drug stewardship program permanent by removing its 2026 sunset date. Senator John Keenan and others said the program helps collect and safely dispose of unused medications, reduces diversion, and should remain in place because manufacturers should bear disposal costs. A member from Boston added support based on local concerns about people searching through bags for drugs, and Keenan explained the original sunset reflected pilot status and industry pushback. A large portion of the hearing focused on S. 1394 and H. 2193, which would strengthen implementation of the 2023 Roadmap for Behavioral Health Reform. The Children’s Mental Health Campaign, Parent/Professional Advocacy League, Massachusetts Association for Mental Health, and Elliott Community Human Services testified that the roadmap’s helpline, community behavioral health centers, and crisis services are important but unevenly implemented. They urged a single point of accountability within EOHHS, regular strategic planning, a public data dashboard, and financial analysis of the behavioral health system and the access and crisis intervention trust fund. Witnesses said commercial insurance often does not fully reimburse community behavioral health center services, making sustainability difficult, and asked for better coordination across agencies and crisis response systems. Committee members asked whether the roadmap includes substance use disorder; witnesses said it is intended to cover behavioral health broadly, including mental health and substance use. The committee also heard testimony on bills to ban aversives and on suicide prevention signage. Lisa Jean Graff testified in support of S. 1394 by urging a statewide ban on aversive practices, including electric shock, withholding food or bathroom access, and other painful interventions, arguing disabled people deserve the same protections from harm as others. Fonda Bryant and Carol McLean supported a bill requiring suicide prevention signs on tall parking garages, describing personal experiences and saying the signs could create a brief pause and connect people to 988 or other help. McLean said her son died by suicide from a parking garage and that signage might have made a difference. The committee also heard strong testimony in support of creating intensive stabilization and treatment units within DMH facilities (S. 1398/H. 2204), with the Massachusetts Nurses Association and a DMH nurse arguing that highly assaultive patients need specialized, more secure units to protect staff and other patients and to improve care. Additional testimony supported creating a dedicated board for licensed mental health counselors (H. 4696/S. 1382), with Rep. John Badger, the Mass Mental Health Counselors Association, and others saying LMHCs are a large and growing workforce that needs its own licensing board, clearer standards, and faster implementation of existing licensure reforms. The committee also heard extensive testimony on H. 2223 regarding benzodiazepines and non-benzodiazepine hypnotics. Survivors and advocates described severe withdrawal, lack of informed consent, cognitive harms, and long-term disability, while a physician supported the bill as a way to improve disclosure of risks. Finally, the committee heard multiple witnesses in favor of H. 2231/S. 1383 to establish peer-run respite centers statewide. Advocates and people with lived experience said peer respites provide non-coercive, home-like alternatives to hospitalization, can reduce trauma and repeated admissions, and may be especially important for marginalized communities; they also cited cost savings and existing positive outcomes from current respite programs. No votes or final committee actions were taken during the hearing portion reflected in the transcript.
MS
Transcript Highlights:
  • LivaNova manufactures the vagus nerve stimulation therapy, or VNS therapy, for patients who are suffering
  • how Mississippi's Medicaid program pays for outpatient services for the surgical procedure for VNS therapy
  • 00:01:07.680> procedure<00:01:08.320> for<00:01:08.560> VNS<00:01:09.040> therapy
  • the surgical procedure for VNS therapy. the surgical procedure for VNS therapy.
  • for a highly life-changing therapy for a highly vulnerable<00:02:51.280> patient<00:02:51.680
Summary: The Senate Medicaid Committee heard testimony on Senate Bill 2674, which would increase Mississippi Medicaid reimbursement for outpatient vagus nerve stimulation (VNS) procedures used to treat drug-resistant epilepsy. Dave Weinberger of LivaNova said current Medicaid rates are far below Medicare and most neighboring southern states, creating financial pressure on hospitals and causing some to stop offering the procedure. He argued the therapy provides durable clinical benefits and long-term savings for Medicaid, and said the bill would align Mississippi’s rates with Medicare’s 2026 outpatient rates and with other states. Weinberger said the bill would set reimbursement at $45,000 for CPT 64568 and $35,000 for CPT 61885, and framed the measure as improving access, hospital stability, and fairness for vulnerable patients. Committee members did not ask questions during this hearing, though the chair noted the bill had been double referred and would go to appropriations, with a more detailed hearing scheduled for the next day. After discussion, a motion was made that the title was sufficient and the bill do pass. The committee approved the motion, and the bill was reported out of committee.
HI

Hawaii 2025 Regular Session

EDU-PSM, EDU-HHS, EDU Public Hearings 02-07-2025

Education

Transcript Highlights:
  • therapy, and speech services.
  • speech being part of it speech therapy speech being part of it physical<00:47:35.040> therapy
  • > therapy<00:49:13.880> and<00:49:14.040> so diagnosing physical the therapy and
  • I know I've gone to physical therapy, I certainly need a job also massage therapy—but it wasn't covered
  • ><00:52:17.880> a to physical therapy I certainly need a to physical therapy I certainly need
Keywords: 912, senate, all
Summary: The joint Committee on Education and Committee on Public Safety and Military Affairs heard Senate Bill 422, which would authorize the Department of Education to award a high school diploma to qualified people whose schooling was interrupted by military service or wartime practices during World War II, the Korean War, or the Vietnam War. The Department of Education testified in support, noting a prior law that created the Kono diploma program before it sunset in 2020. Several members of the public also testified in support. Both committees later recommended passage of SB 422 without amendments, and the recommendation was adopted by voice votes. The committees then heard Senate Bill 530 on Braille literacy. The bill would establish Braille literacy as state policy, require Braille-related literacy assessments for eligible blind and low-vision students, authorize DOE rulemaking, create a Braille Literacy Resource Center, and appropriate funds. DOE and the Department of Human Services supported the measure, as did the National Federation of the Blind, Hawaii Disability Rights Center, and a blind testifier who described the importance of early Braille instruction. The Attorney General’s office raised concerns about statutory language requiring yearly assessments and suggested revisions so annual decisions remain with IEP teams. The committees voted to pass SB 530 with amendments, including the Attorney General’s suggested changes, and adopted the recommendation. The next measure was Senate Bill 532, which would allow school staff and agents trained by a licensed clinician to volunteer to administer medication to students in public schools under certain conditions and clarify who may prescribe such medication. DOE and Department of Health testimony supported the bill. The Attorney General recommended replacing the term “licensed clinician” with the defined term “health care professional.” The Hawaii Academy of Physician Assistants supported the bill but asked that physician assistants be included among providers who may prescribe medications for school administration. After questions about current school health aide duties and field-trip medication procedures, the committees voted to pass SB 532 with amendments, including the Attorney General’s terminology change, and adopted the recommendation.
MN

Minnesota 2025-2026 Regular Session

Artificial intelligence in psychotherapy services 3/18/26

Minnesota House Floor Meeting

Transcript Highlights:
  • little bipartisan agreement these days, but they do agree that AI being involved in mental health therapy
  • and counseling is mental health therapy and counseling is deeply<00:03:44.560> problematic.
  • <00:04:01.200> Therapy<00:04:02.640> um<00:04:02.959> to health therapy settings
  • Therapy um to health therapy settings.
  • than therapy therapy services rather than therapy therapy services rather than potentially<00
Keywords: 1183, house
MN

Minnesota 2025 1st Special Session

Committee on Health and Human Services - 04/02/25

Health and Human Services

Transcript Highlights:
  • It's the mode, and so people are still going to access therapy somehow, but now they might just miss
  • um it's the mode and so people therapy um it's the mode and so people are<00:23:54.600> still
  • <00:23:56.240> um are still going to access therapy um are still going to access therapy um
  • Therapeutic exercises and manual or soft tissue therapy are not.
  • Therapeutic exercises and manual or soft tissue therapy are not.
Keywords: 1187, senate, all
TX

Texas 89th Regular

Appropriations - S/C on Article III Feb 26th, 2025

Appropriations - S/C on Article III

Transcript Highlights:
  • It includes things like physical... therapy, which starts this fall.
  • If we start physical therapy, we'll pay for that out of the institution.
  • The focus is on natural killer cells and CAR-NK therapy. therapy, which is dramatically less toxic than
  • available treatments, including in CAR T therapies.
  • Outpatient rather than inpatient. therapy.
Keywords: 1184, house, all
NH

New Hampshire 2026 Regular Session

House Commerce and Consumer Affairs (04/16/2026)

Commerce and Consumer Affairs

Transcript Highlights:
  • of therapies. of therapies.
  • therapies and conventional therapies. therapies. therapies.
  • therapy, those therapy, um occupational therapy, those kinds<03:35:15.680> of<03:35:15.800>
  • in for physical therapy. in for physical therapy.
  • 22.560> physical<03:56:22.920> therapy physical therapy, but physical therapy physical
Keywords: 928, house, all
Summary: The committee held a public hearing on Senate Bill 562, which would create a home damage mitigation and resilience grant program aimed at helping homeowners make property improvements that could reduce insurance costs and non-renewals. Commissioner DJ Bettencourt of the New Hampshire Insurance Department explained that the program is modeled in part on Alabama’s safer homes program, but tailored for New Hampshire hazards such as floods, microbursts, heavy snow, ice, and falling trees. He said the grants would be limited to primary residences, subject to a means test, capped at $10,000, and intended to help homeowners make targeted improvements such as roof fortification or tree removal that could improve underwriting outcomes and lead to premium discounts. Bettencourt said the program would not use state taxpayer funds and would instead rely on philanthropic donations, possible federal or regional housing-bank funding, and other outside sources. He said the department would not need new staff, and that a current position could be reconfigured to help administer the program part-time. Committee members asked about the funding language, the meaning of “loans” in the bill, whether there were any other states using a similar no-state-funds model, and how many homeowners could be helped. Bettencourt said Rhode Island and Connecticut were moving forward in a similar way, and that the number of beneficiaries would depend on how much money is raised. Members also questioned how the grant program would actually lower premiums, whether savings would apply only to participants or more broadly, and how the IBHS evaluation process would work. Bettencourt and department staff said the direct benefit would be to the homeowner whose property is improved, though neighbors could also benefit in some cases. They explained that IBHS is a building-safety organization that certifies contractors and inspectors and that its standards can qualify homes for insurer discounts. Questions were also raised about confidentiality provisions, first-come-first-served grant awards, rollover of unused applications, and possible tax treatment of donations. The sponsor said those details would be addressed through rulemaking or existing tax rules, and no vote was taken during the hearing.
CA

California 2025-2026 Regular Session

Assembly Business and Professions Committee Apr 21st, 2026

Business and Professions

Transcript Highlights:
  • Therapy Practice Act.
  • Lauren Leparini, doctor of physical therapy, also in support. Thank you.
  • More importantly, I'm a patient of physical therapy, and I oppose the bill.
  • I'm a licensed doctor of physical therapy and a physical therapy educator, and I strongly support the
  • So AB 2773 is the sunset vehicle for the Board of Occupational Therapy.
Keywords: 988, house, all
Summary: The committee heard several bills, with extensive testimony on each and repeated reminders that no quorum was present for much of the hearing. AB 1693 would speed local permitting for retail tenant improvements by requiring review by a qualified professional certifier and imposing 20-business-day approval/denial deadlines; the author and California Retailers Association said the bill would reduce costly delays, and there was no opposition testimony. AB 2010, the SNIP Act, would expand access to high-volume spay/neuter and mobile sterilization clinics by exempting them from certain surgical-room requirements; supporters cited California’s pet overpopulation crisis and rural access barriers, while opponents and the Veterinary Medical Board raised safety, oversight, and implementation concerns and sought amendments. The author said the bill was needed now and not after years of rulemaking, and the committee indicated it would support the measure when a quorum was available. AB 2195 would bar automatic suspension of occupational licenses for low-income parents behind on child support, arguing that keeping people employed is more effective than punitive suspension. Supporters said the bill would help parents pay support and cited evidence that similar driver’s-license reforms did not reduce collections, while the California Child Support Association and others argued license suspension is an important enforcement tool that brings obligors to the table. AB 2311 would allow public health care district hospitals to directly employ physicians, with supporters saying it would improve recruitment and retention and opponents warning about physician autonomy, institutional pressure, and the need to narrow the bill to financially vulnerable hospitals; the author said the bill would level the playing field with other public hospitals. AB 1796 would create a licensure pathway for professional interior designers and add a designer seat on the California Architects Board; supporters framed it as a public-safety and professional-equity measure, while opponents argued it would create confusion, duplicate existing certification, and lacked evidence of consumer harm. After a quorum was established, the committee voted AB 1796 out on a due-pass motion to Appropriations, with several members voting aye and the bill left on call. AB 1739 would make it a crime for clergy providing therapeutic services to engage in sexual contact with a current or former counselee within two years, aligning clergy counseling with existing rules for other licensed professionals. Supporters described personal experiences of abuse and said the bill closes a gap in the law without regulating religious doctrine, while no opposition testimony was heard; the committee moved the bill due pass as amended to Appropriations, with some members not voting and the bill left on call. The committee also began hearing AB 2497, which would modernize the Physical Therapy Practice Act by expanding direct access and other practice authorities, but the transcript cuts off before the full testimony and any action on that bill.
AZ
Transcript Highlights:
  • In this Senate Ad Hoc Committee on Access to Breakthrough Mental Health Therapies, and I feel like Senator
  • All of this calls for a careful consideration and examination of how these breakthrough therapies can
  • In some cases, these therapies are far more effective than anything I can... I don't know.
  • . ...the research and creating legal access to these various breakthrough therapies.
  • So we're at an exciting inflection point here, with all these breakthrough therapy treatments.
Keywords: 1182, all
Summary: The Senate Ad Hoc Committee on Access to Breakthrough Mental Health Therapies met to discuss psychedelic-assisted treatments for serious mental health conditions, with a focus on psilocybin, ibogaine, MDMA, and related compounds. The chair framed the issue as a clinical and access problem for veterans, first responders, and others with PTSD, depression, TBI, addiction, and suicidal ideation, emphasizing that these therapies are intended for supervised medical settings rather than take-home use. Members reviewed research claims and policy trends, including FDA breakthrough therapy designations, state-level psychedelic legislation, and the role of Arizona’s right-to-try law in expanding access once federal approval is in place. Testimony came from Alan Mullen, a retired Army Special Forces veteran, who described his PTSD/TBI history and said ibogaine treatment helped him confront trauma and showed promise in reducing symptoms under strict medical monitoring. Dr. Sue Cisley of Scottsdale Research Institute described ongoing FDA-controlled trials in Arizona, said current medications often fail high-need patients, and urged removal of research barriers and preparation for right-to-try and expanded access. Dan Freiberg of the Professional Firefighters of Arizona said firefighters face chronic exposure to trauma, often rely on alcohol or other coping mechanisms, and need effective alternatives beyond traditional therapy. Dr. Chung Trin discussed late-stage psychedelic trials, the FDA breakthrough pathway, safety oversight, and the need for state readiness when approvals occur. Committee members asked about how the treatments work, whether they require psychotherapy support, safety concerns including suicidality and black-market abuse, patenting and synthetic versus natural versions, and costs compared with ketamine and other treatments. Witnesses said the therapies are administered with extensive screening, monitoring, and integration support, and argued that addiction potential appears low under medical supervision. The discussion ended with interest in sending correspondence to federal officials to support right-to-try cooperation and in continuing the research and policy work; no formal vote or action was taken in the portion provided.
NH

New Hampshire 2026 Regular Session

House Commerce and Consumer Affairs (04/16/2026)

Commerce and Consumer Affairs

Transcript Highlights:
  • therapies and conventional therapies. therapies. therapies.
  • Um, I would liken it to physical therapy in your home or physical therapy, occupational therapy, those
  • Um, I would liken it to physical therapy in your home or physical therapy, occupational therapy, those
  • Um, I would liken it to physical therapy in your home or physical therapy, occupational therapy, those
  • in for physical therapy. in for physical therapy.
Keywords: 1189, house, all
KY
Transcript Highlights:
  • . >> Elizabeth Morgan, executive director for the Board of Medical Imaging and Radiation Therapy. >>
  • Therapy, the body responsible<00:18:14.400> for<00:18:14.560> licensing<00:18:15.160><
  • and radiation therapy procedures across the<00:18:21.000> Commonwealth.
  • Medical Imaging and Radiation Therapy Medical Imaging and Radiation Therapy and<00:21:01.800>
  • I currently serve as a manager for respiratory therapy, non-invasive cardiology, telemetry services,
Keywords: 958, all
Summary: The committee first approved the October 23 meeting minutes and then heard testimony on a planned 2026 bill to modernize Kentucky’s audiology practice act. Witnesses from the Academy of Doctors of Audiology and a Kentucky audiologist said the proposal would largely codify existing authority and add new powers to order certain imaging and lab tests related to auditory and vestibular conditions, as well as prescribe topical ear medications. They argued the changes would reduce delays, especially in rural areas, improve access to hearing and balance care, and help address provider shortages. Committee members asked about evidence for the expansion, responsibility for reviewing imaging results and incidental findings, and whether the changes might affect referrals or scope of practice. The witnesses said they could provide evidence, that the audiologist would be responsible for obtaining and reviewing radiology reports and following up with patients and primary care providers, and that the goal was to speed treatment and streamline referrals when needed. The committee then heard a separate proposal to update the Kentucky Board of Medical Imaging and Radiation Therapy statutes by licensing MRI technologists and diagnostic medical sonographers, who are not currently required to be licensed in Kentucky. The bill would create a transition period through January 1, 2028 for current practitioners, require national credentialing for new applicants after that date, expand the board from 9 to 11 members, and clarify scope and enforcement provisions. Supporters said the measure would improve patient safety, align Kentucky with most other states, and recognize national credentials. Members questioned how many workers would be affected, whether the state currently meets national standards, the cost of licensure, and whether the bill could worsen staffing shortages, especially in rural areas. The witnesses said about 800 MRI technologists and 1,600 sonographers in Kentucky are currently certified, initial licensure would cost $100, and existing licensees would not pay an additional fee. They also said the board viewed the change as a safety measure and noted increasing portability of MRI services across state lines. Finally, the committee began hearing a respiratory care interstate compact proposal. The sponsor and respiratory care representatives described the compact as a way to allow licensed respiratory therapists from member states to practice across state lines. They outlined the profession’s role in hospitals, emergency departments, home care, pulmonary labs, long-term care, and telehealth, and said the compact would help with workforce flexibility and access to care. The transcript cuts off before the discussion concluded or any action was taken on that item.
TX

Texas 89th 2nd C.S.

Human Services Apr 22nd, 2025

Human Services

Transcript Highlights:
  • Um, cooperating and trying to help her with, with therapy.
  • In fact, we begged to have family therapy with my daughter.
  • Conversion therapy.
  • He had an endless rotation of therapy. And he finally did attempt suicide, um.
  • Like there is generally therapy involved.
MO

Missouri 2026 Regular Session

Emerging Issues Jan 20th, 2026

Emerging Issues

Transcript Highlights:
  • So we talked a little bit about therapy as well, and you and I had a discussion about the therapies that
  • They go through voice therapy as well.
  • They go through voice therapy as well.
  • No, but you keep on—we do bring up therapy a lot, and you all bring up a lot of therapies, and they,
  • We're not in those therapy appointments.
Keywords: 959, house, all
OR
Transcript Highlights:
  • And I'm bringing up ABA therapy in particular not because... Thanks, Chair.
  • And I'm bringing up ABA therapy in particular not because I know it works.
  • And my question is, I'm not debating whether ABA therapy is effective or not.
  • Is that the same with ABA therapy or even with mental health counseling?
  • And we have an idea about how much therapy makes sense right now.
Keywords: 907, all
Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.
DE

Delaware 2025-2026 Regular Session

Senate Legislative Oversight & Sunset Committee Meeting Jun 17th, 2026

Legislative Oversight & Sunset

Transcript Highlights:
  • Massage therapy is one of the fastest growing health and wellness fields in our country, with the Bureau
  • The bill also aligns with existing efforts by the American Massage Therapy Association and associated
  • Massage therapy is one of the fastest growing health and wellness fields in the country.
  • Massage therapy is one of the fastest growing health and wellness fields in the country.
  • From these two data points, we know that massage therapy is a growing, viable career option and most
Bills: SB295, HB378
Summary: The Senate Legislative Oversight Committee met in hybrid format, approved the minutes from its April 22 and May 13 meetings, and then heard two bills. HB 420 would modernize massage therapy licensure by allowing the Board of Massage and Bodywork to decide which coursework may be completed in a hybrid format and which must remain in person, while also removing outdated references to a license type the board no longer issues. The sponsor said the change would improve access for students who cannot easily travel or stop working, while preserving public protection through board rules. Public testimony on HB 420 was entirely supportive. Robert Overmiller spoke in favor, and Mackenzie Francis of Alpha School of Massage also supported the bill, citing workforce growth in massage therapy and arguing that hybrid education would expand access, especially for students entering the field later in life. No committee questions or objections were raised. The committee then discussed HB 378, which would continue the Council of Corrections’ partnership with the Criminal Justice Council and avoid the sunset of that arrangement in 2026. Members noted the bill stemmed from a prior Joint Legislative Oversight effort to provide the council with staff support and training. Robert Overmiller again testified in support, and there was no opposition or further public comment. The meeting concluded after discussion of the two bills, with no votes recorded in the transcript.
MN

Minnesota 2025-2026 Regular Session

Home care visit limits 3/25/26

Minnesota House Floor Meeting

Transcript Highlights:
  • , massage therapy, pool therapy, and our much-needed respite care.
  • ,<00:10:16.959> massage of life, like music therapy, massage of life, like music therapy,
  • massage therapy,<00:10:18.399> pool<00:10:18.720> therapy,<00:10:19.279> and<00:
  • 10:19.440> our therapy, pool therapy, and our therapy, pool therapy, and our muchneeded<00:10:
  • :10:49.440> medical receive therapies, attend medical receive therapies, attend medical appointments
Keywords: 1183, house