Transcript Highlights:

• And real solutions require affordable, comprehensive coverage, not cutting essential benefits to save
• It will serve to weaken state employees' health care coverage, making it move away... ...problems there
• It will serve to weaken state employees' health care coverage, making it move away from comprehensive
• would be able to obtain health coverage.
• Giving the flexibility and allowing for the pooling for associations gives more coverage and more choice

Keywords: 1182, all

Summary: The Senate opened with prayer, the Pledge of Allegiance, attendance, approval of the journal, and several guest introductions, including the doctor of the day, Arizona State Troopers Day participants, the Arizona Speech-Language-Hearing Association, and a Delta Sigma Theta delegation. A Senate proclamation was read recognizing the Arizona Speech-Language-Hearing Association for its work serving people with communication disorders. The chamber then moved into Committee of the Whole and later third-reading votes on a large number of House bills, with several members offering floor explanations on controversial measures. Among the bills considered in Committee of the Whole were HB 2133 on sexual material and synthetic depictions, HB 2167 relating to the Attorney General, HB 2600 on school clubs and parental consent, HB 255 on brackish groundwater recovery, HB 2787 on Mexican wolf reintroduction cooperation, HB 2795 on small modular reactor zoning, HB 2985 on state land water allocations, and HB 2003 on driver instruction permits. HB 2133 was amended, including a floor amendment adding exemptions for parody, comedy, artistic expression, and criticism, and the committee recommended it do pass as amended. HB 2787 and HB 2985 advanced after divided votes, while HB 2795 failed in the later floor vote. HB 2003 was amended to add a delayed effective date of December 1, 2026 and advanced out of committee. On third reading, the Senate passed HB 2013, 2031, 2102, 2103, 2117, 2226, 2262, 2278, 2378, 2584, 2693, 2270, 2370, 2665, 2666, 2876, 487, 2003, 255, 2133, 2167, 2600, 2787, 2811, and 2985, with several votes split largely along party lines. HB 2795 was defeated. Debate focused heavily on water policy, public safety, school parental consent, speech and sexual-material regulation, local control over zoning, and the Attorney General’s authority. The Senate also agreed to a free conference committee for HB 2874 and appointed Senators Finchem, Bolick, and Ortiz, then adjourned until the next scheduled meeting.

Transcript Highlights:

• . ...affordable housing providers across California are facing limited availability of insurance coverage
• , significant premium and deductible cost increases, and reductions in the scope and quality of coverage
• , significant premium and deductible cost increases, and reductions in the scope and quality of coverage
• of insurance. financing options to increase the availability and the affordability of insurance coverage
• These models have been shown to help increase the availability of coverage, lower costs, and they've

Summary: The Assembly Housing and Community Development Committee heard several housing-related bills. SB 996 by Senator Padilla would let manufactured homeowners opt to title their homes as real property, with supporters saying this would improve access to conventional mortgages, consumer protections, and lower-cost financing. SB 866 by Senator Blakespear would require cities and counties to include homelessness-related information in their annual housing element reports, with supporters saying the bill would improve transparency, regional coordination, and accountability around homelessness funding and services. The committee also heard SB 1090 by Senator Perez, which would impose a temporary moratorium in Altadena on certain state housing density laws after the Eaton Fire. Supporters, including Supervisor Catherine Barger and many Altadena residents, argued the bill would protect fire survivors from speculative investors and give families time to rebuild and return home. Opponents argued the bill could limit tools that homeowners need to finance rebuilding and could reduce future housing production. After extensive testimony, the committee passed SB 1090 to the Assembly Local Government Committee on a 10-0 vote. SB 1388 by Senator Durazo would create an Affordable Housing Risk Reduction Program to help affordable housing providers reduce insurance costs through technical assistance and risk-mitigation support. Supporters said rising insurance premiums are threatening the viability of affordable housing developments and existing units. The committee also reconsidered and then voted on SB 1092, which was taken up only for reconsideration and final vote; after a split vote, the bill ultimately passed the committee. Final recorded votes showed SB 866 and SB 996 passing unanimously, SB 1388 passing with one no vote and one not voting, and SB 1092 passing 7-5 after reconsideration.

Transcript Highlights:

• There was something about the insurance coverage of anesthesia services.
• It is the insurance coverage of anesthesia services, and it is remaining.” “Perfect.
• And it is crucial that we mandate, because sometimes private business doesn't always do the thing that

Keywords: 959, house, all

Transcript Highlights:

• On line 130, the executive recommends 92.9 million for maintaining health coverage for lawfully present
• Without this, about 15,000 New Mexicans would lose coverage due to the changes in HR 1, and that brings
• The other question on line 137, as mandated by Chapter 156, Laws of 2025...

Keywords: 996, all

Transcript Highlights:

• completely detached thing. ...that's available under different sections of open records and investigative coverage
• News coverage of those arrests was on the news.
• law—and I believe it was when the DPS hotline now has to be... ...and post it on all signs that are mandated

Bills: SB10, SB16, SB6, SB 6, SB 10, SB 16

Keywords: trafficking, prostitution, affirmative defense, victims, criminal justice reform, victim rights, criminal justice, judicial reform, court procedures, mental health services, criminal penalties, court security, SB 6, Woman and Child Protection Act, abortion, abortion-inducing drugs, medication abortion, mifepristone, misoprostol, pro-life

Transcript Highlights:

• provide for Medicaid coverage for dental procedures in certain circumstances.
• provide for Medicaid coverage for dental procedures in certain circumstances.
• require coverage for behavioral health crisis services.
• require coverage for behavioral health crisis services.
• There have been delays in formulary coverage to block patient access.

Bills: SR126, SR129, SCR71, SCR72, SCR73, SCR12, HB221, HCR54, HCR79, HCR87, HCR94, HCR95, HCR97, HCR102, HCR104, HCR58, SB480, SB514, HB12, HB66, HB145, HB167, HB175, HB196, HB213, HB218, HB222, HB256, HB291, HB325, HB326, HB352, HB401, HB430, HB433, HB434, HB448, HB456, HB476, HB481, HB487, HB492, HB549, HB579, HB608, HB621, HB624, HB626, HB632, HB637, HB656, HB722, HB745, HB749, HB804, HB818, HB821, HB833, HB864, HB867, HB874, HB893, HB909, HB951, HB968, HB969, HB978, HB979, HB985, HB988, HB989, HB1001, HB1005, HB1007, HB1024, HB1032, HB1038, HB1050, HB1051, HB1056, HB1059, HB1077, HB1080, HB1081, HB1086, HB1108, HB1112, HB1153, HB1172, HB1173, HB1175, HB1192, HB1193, HB1204, HB1218, HB1242, HB1244, HB1249, HB1252, HB1254, HB538, SCR3, SCR23, SCR38, SCR24, SB102, SB133, SB151, SB165, SB169, SB170, SB200, SB217, SB280, SB291, SB300, SB303, SB330, SB449, SB489, SB521, SB45, SB156, SB181, SB203, SB274, SB304, SB379, SB396, SB410, SB425, SB427, SB436, SB54, SB72, SB129, SB164, SB232, SB287, SB322, SB374, SB375, SB386, SB409, SB447, SB458, SB222, SB399, SR119, SCR58, SCR65, SCR9, SB35, SB65, SB215, SB246, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, HCR41, HCR47, HCR63, HCR69, HCR31, HB87, HB115, HB162, HB195, HB214, HB217, HB233, HB283, HB290, HB319, HB324, HB345, HB362, HB363, HB368, HB377, HB380, HB382, HB386, HB392, HB406, HB431, HB441, HB466, HB503, HB533, HB559, HB575, HB590, HB593, HB618, HB655, HB664, HB685, HB692, HB707, HB715, HB732, HB738, HB741, HB748, HB776, HB807, HB822, HB856, HB860, HB868, HB887, HB888, HB905, HB908, HB961, HB980, HB990, HB992, HB999, HB1000, HB1010, HB1146, HB1157, HB1233, HB1236, HB1243, HB54, HB137, HB180, HB192, HB310, HB321, HB396, HB512, HB552, HB578, HB638, HB663, HB708, HB717, HB718, HB1009, HB1082, HB1104, HB1107, HB1198, HB1246, HB27, HB143, HB205, HB259, HB267, HB288, HB308, HB403, HB405, HB414, HB417, HB478, HB546, HB548, HB555, HB557, HB609, HB670, HB672, HB740, HB779, HB786, HB796, HB812, HB848, HB915, HB917, HB921, HB930, HB933, HB1095, HB1096, HB1103, HB1129, HB1154, HB1166, HB1187, HB1195, HB1230, HB17, HB36, HB41, HB47, HB73, HB119, HB126, HB129, HB133, HB140, HB159, HB166, HB211, HB226, HB245, HB271, HB280, HB337, HB351, HB354, HB399, HB571, HB677, HB712, HB723, HB726, HB728, HB750, HB759, HB789, HB844, HB850, HB870, HB966, HB1006, HB1018, HB1036, HB1241, SB29, SB42, SB43, SB382, SB441, HB134, HB258, HB359, HB782

Keywords: SR126, Senate Resolution 126, World Preeclampsia Awareness Day, preeclampsia, maternal mortality, maternal health, pregnancy complications, hypertension, high blood pressure, pregnancy-related disorder, obstetrics, prenatal care, prenatal health, infant mortality, preterm birth, premature birth, Woman's Hospital, Louisiana Senate, women's health, public health awareness

Transcript Highlights:

• Coverage for 85% of Medi-Cal members.
• So they will have an option to launch coverage in July.
• Mandatory coverage for eligible members with behavioral health needs will take effect in January 2026
• Coverage for some of the other populations that are eligible for transitional rental assistance will
• This will give them a little bit of runway before July's optional coverage implementation.

Keywords: 988, house, all

Transcript Highlights:

• Americans afford their health coverage. Americans afford their health coverage.
• The Department of Justice was mandated by law to release the Epstein files last month, last year, now
• <05:16:41.200> has was elected to fulfill a mandate has was elected to fulfill a mandate has
• <05:16:44.798> the believes fulfills the mandate the believes fulfills the mandate the American
• The United States would lose treaty-mandated insight into Russia's deployed nuclear forces.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, January 14, 2026, 1012, house, all

Transcript Highlights:

• In terms of an 1115 waiver that is specific to coverage of IMD services, these can include both... ..
• .to coverage of IMD services.
• It's a gap in coverage that puts lives at risk.
• The Mental Health Parity and Addiction Equity Act, otherwise known as MHPAEA, requires that coverage
• A lot of the problems that arise with that are also having some sort of medical coverage.

Summary: The committee met at Spirit Lake Tribe and heard an extended discussion with Spirit Lake tribal leaders and program directors about government-to-government relations with the state. Chairwoman Street and others outlined a number of concerns and requests, including taxation of tribal and trust lands, state school support for non-beneficiary students, homelessness services, Indian-managed health care, gaming/e-tabs, the Feather Alert system, industrial farming near waterways, tourism and cultural issues, and the need for more consistent tribal consultation. Committee members responded that many of these issues had previously been passed along without direct action, and several members emphasized the committee’s role in education, communication, and preparing possible legislation or resolutions for the next session. Tribal representatives also offered to provide training on treaties, IHS 638, and compact services to help legislators better understand tribal jurisdiction and billing issues. A major portion of the meeting focused on Spirit Lake Fish and Wildlife concerns, especially jurisdictional “gray areas” around hunting and fishing on the reservation, recognition of tribal licenses, and the boundary of the reservation around Spirit Lake/Devils Lake. Tribal officials said they wanted a co-stewardship agreement or MOU with the state to clarify jurisdiction, improve cooperation, and address invasive species and aquatic nuisance species. Committee members discussed whether to draft legislation or a resolution directing the executive branch and state agencies to negotiate such an agreement, and they asked for further input from the North Dakota Game and Fish Department at a future meeting. The committee also discussed county involvement in land status changes and trust land issues, with Spirit Lake leaders describing a past Benson County resolution that tried to block fee-to-trust transfers and saying it was later rescinded. The committee then heard from Benson County tax equalization director Randy Thompson, who explained how the county values land and handles tax-exempt, inundated, and fee-to-trust parcels. Members asked about the impact of tax-exempt lands on county services and discussed prior legislation that helped counties with large tax-exempt bases. The committee also received a presentation from Dr. Steven Smith of Sisseton Wahpeton College, who described the college’s programs, economic impact, and funding needs, including support for non-beneficiary students and workforce training. Members asked about expanding tribal college education into correctional settings, and Smith said the idea was worth exploring through the tribal college system. Finally, HHS interim medical services director Christoph Framing presented remotely on 1115 Medicaid waivers and the IMD exclusion, explaining current state funding mechanisms for inpatient and residential behavioral health services and the bill draft directing HHS to pursue a waiver for IMD payments.

Transcript Highlights:

• It does not mandate them as the amendment does.
• It does not mandate them as the amendment does.
• It does not mandate them as the amendment does.
• <04:17:53.760> lately,<04:17:54.280> sometimes of coverage lately, sometimes of coverage
• <05:08:49.000> school supervisory bodies and mandating school supervisory bodies and mandating

Keywords: 926, house, all

Summary: The House opened with a devotional by Representative Tiffany Lumley focused on lessons from horses and horsemanship, using the imagery to encourage legislators to lead, listen, stay patient, and remain attentive to constituents outside the chamber. The chamber then welcomed newly appointed Representative Kevin Scully of Burlington, who was sworn in and assigned to the Committee on Government Operations and Military Affairs. Members took up several procedural items and resolutions. Senate Bill 239, relating to a child abuse and neglect reporting working group and carrying an appropriation, was referred to Appropriations, and Senate Bill 157, relating to recovery residence certification and affecting state revenue, was referred to Ways and Means after a favorable report with amendment from Human Services. The House also read and adopted concurrent resolutions honoring the federal TRIO programs in Vermont, recognizing tourism economy day and the importance of the visitor economy, and honoring former Representative John Killacky of South Burlington for his artistic and legislative contributions. Multiple members offered personal remarks about John Killacky/Colacci, his arts career, activism, and service in the House, and guests connected to the resolutions were welcomed from the gallery. The House then concurred in the Senate proposal of amendment to House Bill 237, which would allow certain doctoral-level psychologists to prescribe medications. The committee explained the Senate’s changes, including revised training and rotation requirements, a later effective date, and a future OPR report, and said the bill was intended as one tool to address mental health provider shortages; the House agreed by voice vote. The chamber next began second reading of House Bill 955, a major education reform bill titled “next steps in transforming Vermont’s education system,” with the Education Committee describing mandatory cooperative education service areas, merger study committees, and related changes intended to improve efficiency, support local voice, and strengthen public education. No final action on H.955 was taken in the portion provided.

Transcript Highlights:

• Their families will not qualify for any type of coverage through the Radiation Exposure Compensation
• The coverage will increase from $50,000 to $100,000, a one-time payment.
• The uranium workers' coverage will now extend past 1971 through 1992. I am very grateful for that.
• They will receive health care coverage; downwinders will not.
• They do receive medical coverage and they can actually qualify for up to $400,000 in reparations.

Transcript Highlights:

• Do we want to mandate that they have to pursue Medicaid reimbursements before they can receive the CAT
• Do we want to mandate that they have to pursue Medicaid reimbursements before they can receive the CAT
• Do we want to mandate that they have to pursue Medicaid reimbursements before they can receive the CAT
• Do<00:47:45.760> we<00:47:46.000> want<00:47:46.160> to<00:47:46.520> mandate
• that the parent has, including coverage that the parent has, including things<01:12:27.679> like<

Keywords: 928, house, all

Summary: The subcommittee opened its second meeting on House Bill 742, which would require catastrophic special education aid to be drawn from the education trust fund, and discussed whether to also examine differentiated aid within the adequacy formula. The chair said the committee had previously heard from HHS/Medicaid officials and now wanted to hear from local special education directors about how the aid system works in practice, including billing, training, data collection, and whether districts handle claims consistently. Members also referenced Arkansas as a possible comparison state and said they hoped to develop ideas by November to address the current funding process. Committee members focused on the current special education aid thresholds and the impact of proration. The chair described the existing formula as requiring districts to absorb costs up to 3.5 times the state average per student, with the state paying 80% from 3.5 times through 10 times and paying above that, and said FY25 appropriated about $34 million while actual claims were about $50.1 million, leaving roughly a $16 million shortfall that caused proration. Members also raised the possibility of lowering the threshold to 2.5 times and asked how that would affect the number of eligible students and costs. Another member asked about how districts decide whether services are education-related or medical-related and how Medicaid or private insurance reimbursement affects later state aid claims. District representatives from Boothby Therapy Services, Bedford, and Guilford introduced themselves and described their roles. Guilford’s director said the district tracks students with paraprofessional support, nurses, transportation, or specialized programming, uses a data system to log every service touchpoint, and tries to maximize both Medicaid and special education aid; she said a lower threshold would likely capture all students with paras or nurses and that rising staffing and service costs would increase the number of students over the cap. Bedford’s assistant director said the district uses a different system, tracks roughly 60 to 80 students a year, and pursues Medicaid and special education aid simultaneously but does not pursue private insurance if it would affect FAPE; she said reducing the threshold to 2.5 times would likely double the number of qualifying students. Members asked follow-up questions about software, data entry, and how districts decide whether to bill Medicaid or seek state catastrophic aid, and the directors explained that their systems log services by staff type and student, with some districts using the same data for both Medicaid and state reimbursement claims.

Transcript Highlights:

• We are talking about victims of human trafficking that are going to get denied this coverage.
• <00:36:10.760> for<00:36:10.880> those removing Medicaid coverage for those removing
• Medicaid coverage for those people.<00:36:12.080> And<00:36:12.200> I'm<00:36:12.280><
• who will no longer receive coverage. who will no longer receive coverage.
• this coverage. this coverage.

Keywords: 919, house, all

Summary: The committee took up House File 4466, the Health Finance and Policy bill, and first adopted the A8 amendment, described as a set of technical fixes. Members then considered a large A9 amendment that bundled a wide range of Children and Families provisions, including child care licensing modernization, crisis nursery licensing, SNAP/MFIT-related language, child care provider self-reporting, a physical abuse recognition poster, child protection and welfare provisions, funding for parent support outreach, and forensic interview training scholarships. Supporters described it as bipartisan work with relatively small fiscal impact, while opponents said it greatly expanded the bill and should be handled separately; after a roll call, the A9 amendment failed 7-14. Representative Scott then offered the A11 amendment, raising concerns about new all-payer claims database language and whether it should have been heard in the Judiciary and Civil Law Committee. Department of Health staff explained the data-sharing safeguards, de-identification process, fee structure, and enforcement provisions, but Scott remained concerned about privacy and the scope of the program and withdrew the amendment. The committee then moved to final bill discussion. Members and authors described HF 4466 as a lean health finance bill largely conforming Minnesota law to federal HR1 Medicaid-related changes, including work requirements, retroactive eligibility limits, cost-sharing, and home equity provisions. Supporters argued conformity was necessary to avoid major federal funding losses and noted a few additional member bills in the package; opponents criticized the federal changes as harmful, especially for vulnerable populations such as victims of trafficking and domestic violence. Fiscal staff said the bill would save just over $2 million in FY 2026-27 and almost $98 million in FY 2028-29. No final vote on the bill itself was taken in the portion provided.

Transcript Highlights:

• This proposal would only mandate this training for child care providers, but I'm just curious—you had
• This proposal would only mandate this training for child care providers, but I'm just curious—you had
• This proposal would only mandate this training for child care providers, but I'm just curious—you had
• This proposal would only mandate this training for child care providers, but I'm just curious—you had
• What this policy-only bill does is it undoes an unfunded mandate on counties and removes the optional

Bills: HF3831, HF3603, HF1900, HF495, HF3750, HF4316, HF2136, HF4384

Keywords: SNAP, income limits, asset limits, nutrition assistance, children and families, federal poverty guidelines, federal waiver, food assistance, low-income families, nutritional support, day care, tax subtraction, child care costs, licensed child care, dependent care assistance, child care, family child care, child care center, licensing, correction order

Transcript Highlights:

• In states where the same order coverage has been adopted in recent years, there's no evidence to show
• So as of this date, there is really nothing that provides that coverage.
• coverage.
• Common sense legislation that would require insurance companies to provide primary coverage when their
• Common sense legislation that would require insurance companies to provide primary coverage when their

Keywords: 995, all

Summary: The Joint Committee on Transportation held a hybrid hearing on a large slate of bills covering motor vehicle sales, registration, title processing, dealer regulation, and several local matters. Chair Cyrro noted that Senate Bill 2414 had been postponed at the sponsor’s request, though public testimony would still be accepted. The hearing then heard testimony on measures including S. 2367, which would make an insurer primary for losses caused by an insured driver in a rental car; H. 3698 and related bills on codifying registration of 25-year-old imported Japanese kei vehicles; H. 3701 on requiring lienholders to release titles within seven days; H. 3690 on capping dealer documentation fees; and H. 3641 on requiring education for class two motor vehicle dealers. Testimony also addressed e-titling and e-signatures, peer-to-peer car sharing, temporary license plates, duplicate plates, general registration plates for motor vehicle distributors, and a bill to ban tinted license plate covers. Supporters of the rental-car insurance bill argued Massachusetts is an outlier compared with 47 other states and said the change would improve fairness, competition, and consumer understanding without raising premiums. Dealers and industry groups generally supported e-titling/e-signature modernization and the inspection-related bill, but urged safeguards to preserve title, registration, and insurance verification. The Massachusetts State Auto Dealers Association opposed the doc-fee cap, saying documentation fees are a disclosed cost-recovery tool that varies by dealership. Representatives and advocates for kei vehicles said the RMV’s 2024 reversal showed the need to codify the rules in law, while opponents of the RMV’s approach described it as arbitrary and harmful to owners and importers. Supporters of the dealer-education bill said it would curb unregulated “curbstoning” and help ensure proper title handling and consumer protection. Several local and specialty bills also drew testimony. Hatfield officials supported a local bill allowing golf carts on certain town roads under strict safety rules, and Representative Ayers testified for a bill banning tinted license plate covers to aid toll collection, law enforcement, and vehicle identification. Senator Lovely and other advocates supported the “Easy ID” license plate proposal, saying it would improve vehicle recognition in crime and child-abduction investigations. The committee took no votes during the hearing and adjourned after public testimony concluded.

Transcript Highlights:

• House Bill 164 should pass, an act relating to coverage for hearing aids and related services.
• House Bill 169 should pass with House Committee Substitute 1, an act relating to coverage for feeding
• <00:06:19.440> act<00:06:19.680> relating<00:06:20.080> to<00:06:20.240> coverage
• should pass, an act relating to coverage should pass, an act relating to coverage for<00:06:20.880
• > for<00:06:28.800> feeding<00:06:29.280> or<00:06:29.520> eating to coverage

Keywords: Convene 00:00 Senate Message 05:11 Report of Committees 06:05 Orders of the Day/HB 320 07:52 HB 366 14:55 HB 389 17:22 HB 56 22:10 Motions, Petitions, and Communications 25:47 Introduction of New Bills and Resolutions 29:20 Petition of Impeachment Filed 31:24 Recess for ConC/Rules Meeting 32:03 ConC/Rules Report 36:31 Floor Amendments 37:29 Adjournment 37:47, 958, all

Summary: The House convened with prayer and the pledge, recorded 96 members present, excused absences, and approved the journal from January 27, 2026. The Senate clerk announced passage of Senate Bills 17 and 181 and requested concurrence. Committee reports advanced a number of bills on health insurance, judiciary, local government, and transportation topics, including measures on pharmacist reimbursements, hearing aid coverage, feeding and eating disorders, grooming a minor, local government liability, water fluoridation, cigar bars, chickens on residential property, highway pavement markings, motor vehicle titles, and pedestrian issues; all favorable reports were treated as first readings and placed on the calendar. The House then took up and passed House Bill 320 on human trafficking, with the sponsor explaining it would equalize penalties for promoting human trafficking with those for trafficking itself and increase the penalty when the victim is under 18. A member asked whether the bill included additional funding for cyber enforcement; the sponsor replied it was not an appropriation and would not require new funding, though prior budgets had increased support for anti-trafficking efforts. The House adopted a title amendment changing the bill’s title to combating human trafficking. The chamber also passed House Bill 366, which clarifies that materials portraying a sexual performance by a minor include computer-generated images and requires 85% service of the sentence before probation or parole; the sponsor said it was supported by law enforcement and prosecutors. House Bill 389 on reading and writing in schools also passed as amended by House Committee Substitute 1. The sponsor said it would require annual updates to the state dyslexia toolkit, expand professional development and coaching, require local school boards to develop processes for universal screening and diagnostic tools, and add dyslexia instruction to teacher preparation programs; the substitute added conformity with IDEA and revised the instructional language. Members spoke in support of early dyslexia detection and one member noted the bill updated prior legislation associated with former Rep. Bam Carney. House Bill 56, an omnibus Department of Agriculture bill, then passed; it addressed amusement ride inspections, grain warehousing penalties, egg handler licensing renewal timing, exemptions for small producers, and repealed obsolete tobacco and egg marketing board provisions. All three bills passed by roll call with 95 or 94 votes in favor and none opposed, and clinchers were applied. During announcements, members noted upcoming committee meetings and events, including a suits-and-sneakers day and cancer-related breakfast, caucus meetings, and committee meetings. New bills and resolutions were introduced, including measures on local occupational license fees, early learning and child care, tuition waivers, an adult workforce diploma pilot, motor vehicle usage tax, contract procurement, Fish and Wildlife Resources, adoption, veterans’ benefits, Cabinet for Health and Family Services operations, organ donation safety, hate crimes, prescription drugs, and resolutions on the Kentucky-Japan partnership and veterans’ benefits accreditation. The clerk also reported a petition of impeachment filed against Judge Julie Goodman. The House then referred a group of bills to committees, reported floor amendments for House Bills 321 and 416, and adjourned until 2:00 p.m. Thursday, January 29, 2026.

Transcript Highlights:

• met and reports Senate Bill 97 with House Committee Substitute 1 should pass, an act relating to coverage
• <00:08:55.960> act<00:08:56.120> relating<00:08:56.480> to<00:08:56.560> coverage
• <00:08:57.400> for pass, an act relating to coverage for pass, an act relating to coverage
• The protesters are among them, and we've seen national coverage where citizens are threatened, arrested
• This bill simply ensures that we have compliance with this mandate that we have had for over half a decade

Keywords: 958, all

Transcript Highlights:

• long-term treatment, we always have the appeal process for our members to utilize to be able to maintain coverage
• long-term treatment, we always have the appeal process for our members to utilize to be able to maintain coverage
• It's just not an automatic coverage.” “It's just not an automatic coverage to allow for review.
• Just to be clear, we're not denying people coverage.
• accomplish what the committee and Siegel had kind of recommended and looked at, which was splitting the coverage

Keywords: 1204, all

Summary: The State Insurance Programs Oversight Subcommittee met on June 17 and reviewed a series of Employee Benefits Division and Office of Property Risk items. Grant Wallace presented March and April formulary changes, including moving to lower-cost generic and preferred drugs, leaving several new-to-market drugs not covered, and adjusting migraine and diabetes medications; the committee approved those recommendations. The subcommittee also approved a cell and gene therapy policy that excludes automatic coverage for those therapies so they can undergo prior authorization and review, with members emphasizing that the policy was intended to create review, not an absolute denial, and that expedited appeals would remain available. Members spent significant time discussing the UAMS pharmacy benefit consultant amendment. Wallace explained that the contract included both basic services and optional services related to coupon and rebate management and prior authorization support, but the written materials created confusion over the dollar amount. After questions about whether the committee was approving a higher amount than the base contract and whether the optional services duplicated work already being done by Navitus, the committee agreed to review the item with a contingency that any use of the optional services would return to the committee for approval. The committee also reviewed and approved the U.S. Able Mutual/Blue Advantage third-party administrator contract, the CompSack employee assistance program contract, and the proposed 2027 employee and public employee rates, which call for a 9.8% increase for state employees and a 4.9% increase for public school employees. On the property risk side, the committee reviewed permanent rules for the property insurance program, a contingency-fee subrogation contract with Denenberg-Tuffley, and renewals for Sedgwick claims management, Actuarial Advantage, and Stevens Capital Management. Wallace said Sedgwick had faced delays after a major winter storm and other weather events, but performance guarantees and communication expectations were being added; members discussed whether a shorter renewal term would be preferable, but the item was reviewed. The committee also approved the 2026-27 captive insurance program rates, which Wallace said would lower the overall rate by 10% while keeping minimum deductibles unchanged. He noted the program had stabilized after a difficult first year and that the rate structure was now based on a more transparent actuarial foundation. The meeting ended with an update that the UnitedHealthcare rebid was nearing completion and would return in August, and the committee adjourned after approving the remaining items.

Transcript Highlights:

• persons who are needing treatment, our Medicaid program is pretty progressive, that it provides coverage
• Arizona in their version of the state TOP program, which is the driving under influence for your mandate
• over, you're arrested, charged, found guilty of driving under the influence, and you have to go to mandated
• They mandate, in their state law, that you have to provide evidence-based care when it comes to this.
• But unfortunately, it's not there yet because we don't necessarily have that ability to mandate that.

Keywords: 959, house, all

Transcript Highlights:

• It provides coverage for these treatments that some other states don't.
• state of Arizona in their version of the state TOP program, which is the driving under the influence mandate
• over, you're arrested, charged, found guilty of driving under the influence, and you have to go to mandated
• They mandate in their state law that you have to provide evidence-based care when it comes to this.
• But unfortunately, it's not there yet, because we don't necessarily have that ability to mandate that

Summary: The task force meeting opened with new leadership announcements, including Senator Nick Schroer thanking outgoing chair Representative John Black and naming Representative Del Taylor as vice chair. After some initial technical difficulties with audio and Zoom, members reviewed the task force’s statutory charge under Missouri law: to hold hearings on substance use, explore solutions, draft or modify legislation, and produce recommendations for prevention and treatment. The chair said the goal for this year is to develop concrete legislative ideas for the next session, with hearings focused first on field experts and later on alternative therapies and the Department of Mental Health. Dr. Rachel Winograd gave the first major presentation, describing Missouri’s overdose crisis as increasingly complex and driven primarily by fentanyl, now compounded by xylazine and metatomidine. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, and attributed the decline to a smaller fentanyl supply, wider naloxone availability, and fewer young people entering use. Her main recommendations were to focus on reducing harm rather than trying to eliminate drug use, expand evidence-based medications for opioid use disorder—especially methadone and buprenorphine—improve access to naloxone, and loosen methadone regulations, including take-home doses, the federal 72-hour rule, and broader methadone units. She also emphasized that peer support, housing, transportation, and other practical supports matter, and noted that naloxone can still reverse fentanyl overdoses even when tranquilizers are present. Dr. Heidi Miller, the state medical director, followed with two recommendations: integrate substance use disorder care into whole-person health care and follow the science when considering substance-related legislation. She argued that primary care, maternal health, workforce training, EMS, public health, and methadone access should all be part of a coordinated model, and said reimbursement should support teams rather than isolated providers. She also urged stronger enforcement of parity between behavioral health/SUD and physical health coverage, and highlighted tobacco and alcohol as major, under-addressed causes of death in Missouri. Dr. Doug Burgess then reinforced the need for a coordinated continuum of care, comparing substance use treatment to the seamless system used for heart attacks, and said patients should have standardized assessment, discharge planning from day one, transition coordinators, peer recovery coaches, and better information-sharing between levels of care. Members asked questions about relapse, treatment court, EMS referral barriers, reimbursement, and whether buprenorphine can be started in the field; no votes were taken, and the meeting ended with plans to continue hearing testimony and use it to shape future policy recommendations.