Transcript Highlights:

• program.
• program initiatives. program initiatives.
• the body armor grant program. the body armor grant program.
• program support. program support.
• Can we authorize general fund bonds for constructing a prison education program at Bluegrass Community

Keywords: Meeting Start 00:00:00 Roll Call 00:00:23 HB 503 Discussion 00:01:00 HB 503 Vote 00:02:17 HB 504 Discussion 00:02:53 HB 504 Vote 00:04:48 HB 500 Discussion 00:05:19 HB 500 Vote 00:29:18 HB 900 Discussion 00:32:02 HB 900 Vote 00:33:00, 958, all

Summary: The Kentucky Senate Appropriations and Revenue Committee met with a quorum and first took up House Bill 503, the legislative branch budget, adopting a committee substitute and reporting it favorably. The chair said the Senate version fully funds defined calculations, provides 2% raises in each fiscal year for legislative employees, removes a paragraph on operating expense reductions, and includes $1 million in the first year for a judicial branch salary study. House Bill 504, the judicial branch budget, was then amended and reported favorably; changes included 2% annual raises for judicial employees, revised operating expense language, $1 million each year for county current services, retention of Boyle County fit-up language, reporting requirements for smaller capital projects, full funding for nine judges added in 2022, and removal of furlough prohibitions and certain budget implementation language. Both bills passed the committee unanimously with favorable expressions to the floor. The committee then considered House Bill 500, the executive branch budget, adopting a committee substitute before hearing a lengthy summary of major spending and policy changes. The chair described statewide 2% annual employee raises, agency base reductions with many exemptions, increased school safety and 911 funding, veterans and military funding, local government and severance-related changes, attorney general and auditor funding, pension and retirement system support, education funding changes including SEEK, postsecondary and scholarship provisions, public safety and corrections funding, and multiple capital projects. The chair also highlighted Medicaid-related provisions, including added waiver slots, increased state-directed payments, a 2.5% reduction in managed care vendor payments for plan years 2027 and 2028 with savings redirected to fee-for-service rates, and additional funding for behavioral health and public health programs. The bill was reported favorably after members explained their votes, with several noting they had only recently received the full 228-page bill and wanted more time for detailed review. Finally, the committee adopted a committee substitute for House Bill 900, an appropriation measure for government agencies, and reported it favorably. The chair said the bill remains a work in progress and that one-time funding requests from across the Commonwealth and across party lines would continue to be addressed as the process moves forward. All measures considered during the meeting passed the committee with unanimous or near-unanimous favorable votes, and the meeting adjourned after no further business.

Transcript Highlights:

• Moving on to page 3, on line 222 is a program integrity infrastructure item.
• For supported decision-making programs.
• , including PCA Choice, the CFSS program.
• Funding for these programs has always received strong bipartisan support.
• Our goal is not to target programs or services.

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding

Transcript Highlights:

• So that's a less restricted program from a highly restricted program.
• Yurok Youth Diversion Program are 2.5 times less...
• Free arrest diversion programs like the Yurok Youth Diversion Program are 2.5 times less likely to reoffend
• And all of you talked about success in these programs.
• Education and prevention are essential to our program.

Summary: The Assembly Budget Subcommittee on Public Safety heard several items focused on youth safety and law enforcement resources. The committee first took up tribal youth diversion programs, with the Legislative Analyst’s Office describing the Tribal Youth Diversion Grant Program and its two cohorts of grantees funded through the Board of State and Community Corrections. Tribal representatives from the Yurok Tribe and San Pasqual Band of Indians testified that diversion, tribal courts, school partnerships, mentoring, and culturally grounded services helped reduce truancy and justice-system involvement, but that short-term funding interruptions and limited capacity prevented them from serving all youth in need. Committee members discussed the importance of early intervention, tribal-state court collaboration, and possible misidentification of Native youth in the justice system. The committee then heard the California Highway Patrol’s overview of surge operations supporting local crime suppression, including organized retail theft. CHP reported that its surge teams have been used in response to mutual aid requests and cited arrests, stolen vehicle recoveries, and firearm seizures in Oakland, Bakersfield, and San Bernardino. Members asked about demand for these operations and whether CHP could meet requests without affecting other duties; CHP said requests have increased and are accepted when resources allow. The committee also heard CHP’s request for a $5 million General Fund augmentation and 12 positions for its Computer Crimes Investigation Unit to make child sexual abuse material and human trafficking investigations a higher priority. CHP cited rising cybertip volumes, a case involving AI-generated CSAM, and the need for more investigators and forensic capacity. A larger portion of the hearing focused on the Internet Crimes Against Children task forces and a separate $5 million ongoing General Fund proposal for Cal OES to continue the program. Task force commanders from Sacramento, San Diego, Silicon Valley, and Fresno described rapidly growing cybertip volumes, heavy caseloads, forensic backlogs, and the need for training and equipment for affiliate agencies statewide. They emphasized that the ICAC model relies on local partnerships, deconfliction, and subject-matter expertise to identify victims, execute warrants, and rescue children, and they gave examples of cases that led to arrests and child rescues. Members generally supported the work but raised questions about overlap between CHP and ICAC efforts, the need for broader statewide collaboration, and whether more resources should be directed to task forces and victim services. A public commenter also urged expansion of homeless youth exploitation services and the California Youth Crisis Line.

Transcript Highlights:

• It had $300 billion in cuts to social safety programs.
• And it proposes deep cuts to the SNAP program.
• Eliminating the low-income housing energy program.
• Medicaid and hunger programs.
• Today, Senator, I hope there's a better Medicaid program and that Medicaid is an important program for

Transcript Highlights:

• PCMH program currently, we have 124 practices.
• PCMH program member attribution.
• As part of the DSS PCMH program, As part of the DSS PCMH program, we encourage the practices to work
• That is a separate program from PCMH. It is a DSS program, and it is managed by Carolan.
• And if they qualify for the program, to come into the program, to see if they're ready, whether they

Keywords: 962, all

Summary: The Care Management Meeting opened with a DSS update on the PCMH program. Staff reported the program remained steady at 124 practices, 553 sites, and 2,548 providers, with some month-to-month fluctuation driven by practice consolidation, retirements, and a few practices leaving the program because NCQA requirements were burdensome. Members asked about declining provider and site counts, member attribution trends, and whether PCMH practices overlap with behavioral health homes; DSS said attribution changes are largely due to members becoming ineligible, moving, or getting other insurance, and that PCMH and behavioral health homes are separate programs that coordinate informally. The committee also discussed why some smaller practices leave the program and whether the requirements could be made easier to support retention. The committee then resumed a detailed presentation on the Husky Dental program. The presenter described the dental benefit’s history, the importance of preventive oral health, workforce and consolidation pressures in dentistry, and the lack of interoperability between dental and medical records. Network data showed year-over-year declines in enrolled dental practitioners and service locations, with access gaps concentrated in rural and eastern parts of the state. Appointment availability surveys showed average waits of 38 days for adults and 23 days for children, but much longer waits at FQHCs than private fee-for-service practices. The presenter said Connecticut remains above the national median on CMS pediatric dental quality measures, though sealant rates remain a concern, and noted that preventive care is associated with lower per-member costs. Members raised concerns about provider participation, large practices dropping Medicaid, mobile dental care, and whether the public directory accurately reflects which dentists are actually accepting new patients. The presenter said the plan uses secret-shopper calls, tracks appointment availability, and has begun using place-of-service coding to better identify school-based dental care. She also noted a new MOU with 20 Head Start programs to share data and provide oral health literacy and navigation support. The final major topic was implementation planning for HR1. DSS said CMS guidance was expected in early June and proposed using upcoming meetings to cover medical frailty, communication strategy, and data integration/ex parte verification. Committee members urged the department to create a dashboard to track disenrollments and other impacts of HR1, to build a process for complaints and problem resolution, and to think through cost-sharing, caregiver verification, exemptions, and notices. Members also asked about using existing eligibility structures such as the working-disabled program as a model. The committee agreed to move the next meeting to June 10 by Zoom, with the agenda to be circulated in advance and any PCMH Plus quality data shared if available.

Transcript Highlights:

• $2 million from the State General Fund to implement the produce incentive program.
• It's still not enough to fully fund the program.
• Madam Chair, the programs and options were also proposed... Thank you.
• SAVE program, which is the Systematic Alien Verification for Entitlements program in the federal government
• The program again starts at 11. Wonderful, thank you. The program starts at 11.

Keywords: 1182, all

Summary: The committee worked through a very long minority caucus calendar covering a wide range of bills, with many items being described and then either left on consent, pulled from consent, or noted for votes. Topics included bullion and state depository proposals, a produce incentive appropriation, a biennial budget change, veterans services funding, driver licensing and traffic enforcement measures, procurement and public records changes, school board and school facilities rules, SNAP work requirements and verification, child welfare and juvenile justice provisions, housing and homelessness measures, energy and fuel policy, election administration, and several tax, commerce, and licensing bills. Members repeatedly raised concerns about constitutionality, federal preemption, duplication of existing law, and whether some measures were policy priorities that had been vetoed in prior sessions and were returning unchanged. Several bills drew extended debate. Members objected to English-proficiency requirements for commercial drivers and motor carriers, arguing federal law and the supremacy clause would bar them. Earned wage access regulation prompted strong opposition over consumer harm, overdraft cycles, and high effective APRs. School-related bills were criticized for overregulating public schools while not imposing similar requirements on ESA/private-school programs, especially on fingerprint clearance and reporting. SNAP-related bills were also opposed as setting unrealistic mandates and repeating vetoed proposals. Other contested measures included a drag-show criminalization bill, a bill restricting photo enforcement, a bill limiting local regulation of unmanned aircraft, and a bill conforming Arizona tax law to federal changes, which members said would benefit wealthy taxpayers and corporations without a clear funding source. The committee also heard a number of supportive or less controversial measures, including bills on veterans awareness, dementia care telemonitoring, Braille transcription funding, CPA licensure pathways, cash acceptance by retailers, and some child safety and court administration changes. Several bills were pulled from consent for further discussion, while others were noted as having unanimous or near-unanimous votes. The meeting ended with caucus announcements, including an affordability award presentation, an upcoming Latino Caucus discussion on community land trusts, and an invitation to African American Legislative Day activities, followed by adjournment.

Transcript Highlights:

• , assistance program, assistance program, they<01:23:00.239> may<01:23:00.480> not<
• from the program from the program and<03:36:09.279> it's<03:36:09.520> cruel.
• Medicare entitlement programs. And by Medicare entitlement programs.
• Social Security is not an entitlement program. Medicare is not an entitlement program. Mr.
• . program. program.

Keywords: U.S. House of Representatives Floor Proceedings on Thursday, July 3, 2025, 1012, house, all

Transcript Highlights:

• This program would stand up an affordability program subsidizing monthly rates for low-income households
• So we are directly supporting both our program and the Navajo Nation's program for those last mile customers
• Chair, Representative Dow, are you referring to the New Mexico Care Program or a different program?
• Because there's a huge uptake in that program.
• What were those extra programs? Mr. Chair, Mr.

Bills: HB2, SB152

Keywords: general appropriation, budget, Medicaid, education funding, public safety, telecommunications, low-income assistance, lifeline, broadband, rural broadband, universal service fund, public regulation commission, PRC, 911 surcharge, telecommunications relay service, VoIP, mobile service, internet affordability, digital equity, digital inclusion

Transcript Highlights:

• Lupron is the drug that has been deemed cruel and unusual punishment for convicted rapists in prison.
• There's a man who is finishing up a two-and-a-half-year prison term who threatened my life up in my district
• This goes back to a pretty aggressive referral program from at least one hospital as mandatory reporters

Bills: SB1015, SB1049, SB1066, SB1081, SB1092, SB1133, SB1134, SB1139, SB1147, SB1148, SB1168, SB1189, SCR1001, SCR1002, SCR1005, SCR1010

Keywords: gender transition, detransition, healthcare liability, medical malpractice, youth protection, legal action, Arizona law, spousal maintenance, court guidelines, self-sufficiency, financial support, marriage dissolution, child safety, dependency cases, attorney regulation, foster care, legal representation, probation, dangerous crimes, children

Transcript Highlights:

• Their program provides peer-to-peer therapy, mentorship, career networking, and. family unit bonding
• She has been selected for prestigious programs. such as the Fulbright Exchange Program in Japan, the
• Toyota International Teacher Program in Costa Rica. and the Northrop Grumman ECO classroom program where
• Teach Program.
• task force. to conduct a study and issue a report concerning implementation of those programs.

Keywords: 1184, house, all

Transcript Highlights:

• Some of the programs the agency has oversight of or administers is the the New Citizens Program, the
• Military and Overseas Voters Program, the Student Voter Registration Program, and the California Students
• since the inception of the program.
• My name is Stephanie Swales, I'm a dental assistant at California State Prison Solano.
• My name is Nicholas Clark, I'm a program specialist at Department of Health Care Services.

Keywords: 988, house, all

Transcript Highlights:

• Now Some of the comments that the woman before me made are simply untrue about these programs and the
• When we go live, we make sure to work with local elected officials, those that champion the program,
• school bus stop on programs, were doing wrong and how they were losing community buy-in.
• And, uh, when the company's program is up on plane, it's from, from a fleet size of that nature.
• The expenditure of that capital to deploy the program.

Bills: HB 767, HB 1242, HB 1373, HB 1404, HB 1708, HB 1936, HB 2041, HB 2198, HB 2270, HB 2315, HB 2415, HB 2427, HB 2455, HB 2457, HB 2522, HB 2523, HB 2686, HB 2763, HB 2775, HB 2944, HB 3034, HB 1683, HB 1695

Keywords: highway designation, memorial, Montgomery County, Paul P. Mendes, transportation, HB 1242, Texas Transportation Code, U.S. Highway 281, Brooks County, Ernesto Soliz Cantu, memorial highway, road naming, TxDOT, road signage, commemorative resolution, memorial markers, county road 304, Huppergate Road, Los Robles Trail, Farm-to-Market Road

Transcript Highlights:

• The program would obviously be something that's in conjunction with the federal program which you've
• If I start a program as a governor, I'm usually not going to review my own program.
• We felonious assistance program fraud.
• If I start a program as a eight years.
• The next review my own program.

Keywords: Judiciary, Division B - Room 409, 2 February, 2026; 4:30 P.M., 925, all

Summary: The committee took up a series of criminal justice and public safety bills. Early discussion focused on immigration-related concerns and the costs of enforcement, with one senator pressing for data to support claims about crimes by undocumented immigrants and another citing specific cases and DPS removals of drivers with falsified CDLs. The committee also heard a bill requiring the sex marker on a driver’s license to match sex at birth; the sponsor said it was the same measure passed by the committee the prior year, and it received a title sufficient/do pass recommendation. Several bills addressed corrections and court procedures. One bill clarified that people in intervention court are subject to the sentencing judge’s sanctions and are not entitled to a separate technical-violation hearing like probationers or parolees; the sponsor said it would reduce, not increase, leniency, and the committee passed it. Another bill extended the statute of limitations for felonious assistance program fraud from five to ten years, citing the TANF fraud case and the need for more time to detect abuse in executive agency programs; it also passed. The committee then approved a bill allowing judges, after a hearing and specific findings, to order firearms removed in domestic violence cases and protective-order proceedings when the weapons pose a credible threat. The committee also advanced a bill increasing penalties for witness tampering, with the sponsor saying prosecutors wanted a stronger tool because defendants were sometimes willing to accept the current five-year penalty rather than face the underlying offense. Members discussed whether the bill covered intimidation versus tampering and whether the penalty should be tied to the underlying crime; a motion to reconsider/adjust the bill was adopted, and the bill ultimately received a do pass recommendation. Another measure increased fines for handheld mobile device violations while driving, especially in school and work zones, and members discussed whether the bill should be stronger and how any collected fines would be used; it passed. Finally, the committee approved a bill requiring reporting of certain convictions and adjudications to the Child Protective Services central registry, and ended by passing a bill increasing the fine for failing to use a screen on loads that can spill from vehicles and damage windshields, with members noting the fine had not been updated since 1974.

Transcript Highlights:

• It is very focused on a pilot program in one area of the state.
• It is very focused on a pilot program in one area of the state.
• the Vermont language justice program the Vermont language justice program project.<00:30:59.039>
• She's also the director of the pediatric new American program.
• question, are there other programs question, are there other programs within<00:40:13.680> the

Keywords: 927, senate, all

Transcript Highlights:

• , our homeless veteran program, our rural community and faith-based partnerships, provider training program
• , and our suicide prevention program.
• Uh, the cost for operating these programs has gone up.
• So we're really trying to grow this program.
• Hospital 1819, uh, the Texas Veterans and Family Alliance grant Program is an invaluable program that

Bills: HB101

Keywords: voter approval, local tax, disaster declaration, tax rate increases, community funding

Transcript Highlights:

• It depends heavily on relationships with courts, counties, community mental health programs, other hospitals
• team, which consists of directors and chiefs of various clinical departments, all the way down to program
• vast majority of folks in the Oregon State Hospital—those who are there through the aid and assist program
• The vast majority of folks in the Oregon State Hospital are there through the aid and assist program,
• And following up on what Chris just said, jails, prisons, and commitments to state hospitals are the

Keywords: 907, all

Summary: The joint Senate and House Behavioral Health committees held an informational meeting focused first on the Oregon State Hospital (OSH). OHA Director Sajal Hathi introduced the hospital’s incoming permanent superintendent, Sean Murphy, and praised interim superintendent Jim Deagle for stabilizing operations, restoring CMS compliance, and helping drive a culture change centered on safety, accountability, and transparency. Deagle and Chief Medical Officer Dr. Amit Bavon described OSH’s role as the state’s highest-level forensic psychiatric hospital, the patient populations it serves, its partnerships with courts, counties, jails, hospitals, and advocates, and recent leadership changes across the hospital. They also reported improved accreditation and regulatory status, including Joint Commission accreditation and CMS compliance, and said the hospital is now using daily safety huddles, incident review meetings, stronger escalation procedures, and revised seclusion/restraint practices to reduce risk and improve oversight. Members pressed hospital leaders on past seclusion practices, asking how prolonged seclusions could have occurred under federal standards. Leaders said they could not explain past decisions but emphasized that current leadership has changed processes, training, reporting, and oversight so that seclusion and restraint are reviewed in real time and cannot be normalized. Questions also covered staffing, falls, and future planning. OSH said it is generally staffed to budget, though it still has RN and mental health technician vacancies and is working on recruitment, training, and better staffing distribution. Hathi said the hospital is building a public dashboard with key performance and safety metrics, including workforce data, and described the long-term goal as a consistently safe, disciplined, high-functioning institution that responds quickly to mistakes and remains accountable to the public. The committee then shifted to an informational overview of civil commitment. Oregon Judicial Department representative Chanah Newell explained the civil commitment process, including who can initiate it, the role of community mental health providers and courts, the five-day timeline to hearing, and the standards for danger to self, danger to others, and inability to meet basic needs. She summarized changes made in House Bill 2005, including revised statutory language and new provisions allowing a second diversion period, but cautioned that the data are too early to show clear trends. Testimony from NAMI Oregon’s Chris Bonif and psychiatrist Dr. Stephanie Lopez argued that Oregon still relies too heavily on jails and state hospital commitments because the broader community system lacks enough treatment, housing, and less restrictive alternatives. They urged the legislature to focus on upstream services, supported housing, and possible outpatient commitment tools so people can receive treatment before reaching crisis. The meeting ended with acknowledgment that additional reports and follow-up discussions are expected, including on residential treatment capacity and related behavioral health system reforms.

Transcript Highlights:

• It depends heavily on relationships with courts, counties, community mental health programs, other hospitals
• team, which consists of directors and chiefs of various clinical departments, all the way down to program
• vast majority of folks in the Oregon State Hospital, those who are there through the aid and assist program
• vast majority of folks in the Oregon State Hospital, those who are there through the aid and assist program
• And following up on what Chris just said, jails, prisons, and commitments to state hospitals are the

Keywords: 907, all

Summary: The joint Senate and House Behavioral Health committee met for informational presentations on the Oregon State Hospital and civil commitment, followed by a planned tour of the hospital. Oregon Health Authority and Oregon State Hospital leaders reported that Sean Murphy will become the next permanent superintendent on July 13, with Sarah Castle to follow as permanent chief nursing officer on July 20. They described recent leadership turnover, a major organizational restructure, and efforts to build a culture of safety, transparency, and accountability. Officials said the hospital regained Joint Commission accreditation and CMS compliance, and they highlighted daily safety huddles, incident review processes, stronger escalation procedures, and improved management of seclusion and restraint. Committee members pressed hospital leaders on past prolonged seclusion practices, falls, staffing, and the need for better public reporting; OHA said it is building a public dashboard of key safety and workforce metrics. The committee then heard a civil commitment overview from the Oregon Judicial Department. The presenter explained that civil commitment is a separate legal process from criminal cases, usually beginning with a hospital hold, investigation, court review, appointed counsel, and a hearing within five days. She summarized changes made in House Bill 2005, including revised standards for danger to self, danger to others, and basic-needs commitments, plus a second 14-day diversion option. She cautioned that the new law has only been in effect since January and that it is too early to draw firm conclusions from the data, though there has been a recent uptick in commitments and a decrease in diversions. Testimony from NAMI Oregon and a forensic psychiatrist emphasized that Oregon still relies too heavily on jails and state hospitals because community services, housing, and outpatient supports are insufficient. They argued that the state needs more less-restrictive alternatives, including better use of assisted outpatient treatment or outpatient civil commitment, and more supported housing so people do not cycle between homelessness, incarceration, and hospitalization. A family member described a relative remaining psychotic in jail for more than 120 days before ending up back at the state hospital, urging faster intervention and better collaboration among courts, counties, hospitals, and state agencies. Committee members and witnesses also discussed workforce shortages, the expansion of secure residential treatment beds, and the need for broader system reforms beyond the hospital itself.

Transcript Highlights:

• Senate Resolution 176, I'd like to recommend passing with amendments, just adding a clause relating to prisons
• of Transportation to convene a working group to develop and recommend federal, state, and county program
• of Transportation to convene a working group to develop and recommend federal, state, and county program
• of Transportation to convene a working group to develop and recommend federal, state, and county programs
• of Transportation to convene a working group to develop and recommend federal, state, and county programs

Keywords: 912, senate, all

Summary: The joint Transportation and Culture and the Arts and Education committees heard STR 1117 and SR 98, which urge the Department of Education, Department of Transportation, and Hawaii County to inventory bus stops used by children on Hawaii Island and develop safety improvements. DOE testified that routes are based on student locations, families must register riders, and access is complicated by county roads and privately owned or HOA-managed roads; members noted the need to focus on the most affected areas and on safety rather than just counting stops. The committees recommended both resolutions be passed with amendments, including adding the Safe Routes to School Advisory Committee and technical changes, and both measures were adopted by vote. The Transportation and Culture and the Arts committee then heard several resolutions on international relationships and transportation safety. STR 196/SR 76 supporting broader ties with Norway, STR 197/SR 77 supporting broader ties with Sweden, and STR 195/SR 175 supporting broader ties with Sweden all moved forward; testimony generally favored learning from those countries, and the committee adopted amendments to add collaboration language and, in the Norway measure, a reference to prisons and criminal justice. The committee also heard STR 181/SR 51 on lowering the blood alcohol limit from 0.08 to 0.05; the Hawaii Alcohol Policy Alliance supported the measure and suggested adding flexibility for the DOT director to appoint additional working group members. The committee amended the resolution to broaden the working group and direct it to examine data, impacts, and implementation issues, then adopted it. On later agendas, the committee approved CR 12/SR 8 recognizing International Dark Sky Week with amendments to create a task force on light pollution and dark skies. It also passed CR 180/SR 150, which would have DOT report on commercial tour operator safety and performance, after amending it to clarify the purpose, require online public information, involve the NTSB, and create a transparency/scoring framework. STR 150 on subsidizing waterborne cargo transport was also passed with technical amendments. Finally, STR 222/SR 197 on towing companies having on-site ATMs was amended into a task force proposal led by the Office of Consumer Protection, and the committee adopted that recommendation. In each case, the chair’s recommendation was to pass with amendments or, for one Sweden measure, pass unamended, and the votes were unanimous with no recorded opposition.

Transcript Highlights:

• non-lethal weapons towards unarmed non-lethal weapons towards unarmed non-lethal weapons towards unarmed prisoners
• such with um such as batons prisoners such with um such as batons prisoners such with um such as batons

Bills: HB265, HB146, SB254, HB202, HB3, HB42, SB18

Keywords: resisting arrest, penalties, criminal justice, law enforcement, public safety, youthful offender, capital murder, victims' rights, SB254, Alabama, statute of limitations, civil procedure, civil action, sex offense, sexual abuse, child sexual abuse, survivor rights, tolling, disability, minor plaintiff

Transcript Highlights:

• I'm the executive director for the Missouri Prescription Drug Monitoring Program.
• We were the last program implemented in the United States.
• Number two, how effective is this program?
• So, PDMP is a very wonderful program.
• The CCBHC program is fully compliant with state of Missouri and federal rules.

Summary: The Joint Committee on Administrative Rules met to consider a Missouri Prescription Drug Monitoring Program rule proposal after the Department of Natural Resources withdrew its items. The hearing focused on 1 CSR 60-1.010, which would expand delegate-level PDMP access to additional licensed behavioral health professionals, including licensed clinical social workers, licensed master social workers, marital and family therapists, professional counselors, and psychologists, while also correcting prior rule language involving medical assistants and clinical nurse specialists. Testimony from the PDMP executive director and supporters from Compass Health and the Department of Mental Health argued the change would improve care coordination, medication reconciliation, and safety in multidisciplinary behavioral health settings, especially CCBHCs. They said access would remain limited to licensed professionals working under a prescriber/dispenser relationship, with individual logins and penalties for misuse. Opponents and some committee members raised concerns that the rule would expand access beyond the original statutory framework without legislative change, could be used beyond treatment purposes, and should instead be addressed through statute rather than rulemaking. After public testimony, the committee debated whether the proposal exceeded statutory authority and whether the expansion was too substantive for rulemaking alone. A motion was made to disapprove the rule on grounds including lack of statutory authority, conflict with state law, and arbitrariness. The motion passed by a roll call vote of 7-1, and the committee disapproved Rule 1 CSR 60-1.010 before adjourning.