Transcript Highlights:

• The majority of individuals we serve are forensic commitments.
• We fluctuate anywhere from 17 to about 22, 23 individuals out in the community.
• It would be just for individuals found incompetent to stand trial and felony charges.
• Thus, the focus of the committee's question on individuals, Under H.R. 1.
• We've done two rounds. these individuals are impacted. Okay, thank you for that.

Keywords: 987, senate, all

Transcript Highlights:

• This ensures that we hear directly from the individuals and not just rely on data.
• That individual was a correctional officer.
• around who failed to act, those individuals are held accountable as well.
• access to any incarcerated individuals.
• For psychiatrists, probably more on an individual basis.

Keywords: 988, house, all

Transcript Highlights:

• And that windbreak area, many individuals kind of congregated there and left behind...
• When individuals successfully engage in recovery, the benefits extend...
• We also have individuals that attend CIT meetings and things like that.
• And so we’re being able to be out in our community and access those individuals.
• So outside of those needs, every individual or a good majority of every individual needs some type of

Summary: The meeting focused on Missouri’s substance use prevention and treatment system, with repeated emphasis on recovery support services, peer support, recovery housing, transportation, and harm reduction. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he urged greater investment in recovery housing, peer support, employment, and community-based supports that help people stay sober and avoid relapse. Members asked about funding sources, program capacity, referrals, treatment court, transportation, and how Into Action supports people on medication-assisted treatment (MAT). Haniken said the organization is funded through a mix of federal, state, county, city, foundation, and private donations, and that housing and transportation remain major barriers, especially because support is often funded for too short a period compared with the longer time people need to stabilize. Matt Cushman of the Raytown Fire Protection District gave a strong endorsement of harm reduction, including naloxone distribution, syringe service programs, and broader decriminalization of harm reduction tools. He argued that stigma is a major barrier to care and that Missouri should expand access to clean needles, test strips, and other services, while also improving access to MAT in jails and communities. Committee members questioned the evidence base, the role of faith-based providers, and whether safe consumption sites should be pursued; Cushman said syringe exchange decriminalization should be the immediate priority, while safe consumption sites are a longer-term issue. He also described community paramedicine and mobile integrated health as valuable but funding-dependent, and said naloxone distribution is improving but still uneven, especially in rural and minority communities. Representatives from Central Ozarks Medical Center and Four Rivers Community Health Center highlighted the importance of peer support specialists, community health workers, care coordinators, and wraparound services in rural health centers. COMC’s Morgan McClure and Monet Lehman described a jail reentry program in Pulaski County, with Lehman sharing her trauma and recovery story and explaining how she helps incarcerated people prepare for release with housing, employment, benefits, transportation, and treatment connections. Four Rivers’ Devon Polarys and Cassandra Trout said their CEO would change Missouri policy to allow FQHCs to receive reimbursement for peer support and community health worker services similar to CCBHCs, arguing that these roles are essential for addressing barriers like transportation, housing, food insecurity, and insurance. Members discussed confusion over reimbursement rules, the differences between FQHCs and CCBHCs, and the need for better funding and clearer policy for peer and community health worker services. No votes were taken; the discussion ended with a suggestion to bring in a subject matter expert on community health workers for a future session.

Transcript Highlights:

• Is that to the individual? Is it the regional planning groups? Where do we go?
• supervision of over 75,000. individuals and the oversight of the 122 local community supervision and
• So, it would be costly to move 23,000 individuals, yes ma'am.
• These individuals, Mr. Bart Cipriano.
• those individuals that have a passion for this type of work.

Keywords: 1184, house, all

Transcript Highlights:

• , not a homeless family, an individual, not a homeless family, an homeless<01:51:04.239> individual
• homeless individual that we have. homeless individual that we have.
• individual.
• , meaning a low to moderate individual, meaning a low to moderate income<01:53:28.320> individual.
• benefit to society either individually benefit to society either individually or<04:22:07.120>

Keywords: 1189, house, all

Transcript Highlights:

• This forces the individual to have an emotional dependency on the perpetrator, which conditions the victim
• 27:19.200> of<00:27:19.280> this It's 48 months or older, and some of this direct supervision
• external programs and individuals external programs and individuals receiving<01:05:40.680> funds
• individual education plans. individual education plans.
• The individual who was brought in to fill that position was incredibly qualified and someone I think

Keywords: 1187, senate, all

Transcript Highlights:

• So in DMH, there is one individual who has a 0.25 FTE, In DMH, there is one individual who has a 0.25
• But B, gambling disorder affects other individuals.
• It's particularly problematic for individuals with ADHD.
• I recently encountered a homeless individual named Trent. That's a pseudonym.
• These are individuals that we take care of.

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.

Transcript Highlights:

• Text and chat are often the preferred entry point for young people, LGBTQ+ individuals, and individuals
• We took the percentage of individuals who would respond yes to a follow-up, so the percentage of those
• I really just want to recognize the individuals who are just on the panel and other individuals that
• So as some of the other individuals have spoken of, it was by design that we wanted to build that our
• . ...opening statement with a young individual from Kourouk’s people.

Keywords: 988, house, all

Transcript Highlights:

• We need to make sure that reimbursement reimburses the team, not individual providers.
• But gambling disorder affects other individuals.
• It's particularly problematic for individuals with ADHD.
• I recently encountered a homeless individual named Trent.
• These are individuals that we take care of.

Keywords: 959, house, all

Transcript Highlights:

• it's not even your first review anymore because, as you all know, as we've been looking at each individual
• Some of those individually to courts. So, Mr. Chair, if Mr.
• made with this funding, it will be done in consensus with the community and support from those individuals
• Chair, I won't hit all of the individual Office of State Engineer items, but the Executive recommended
• I mean it's so important also for those individuals to talk about the fact that individuals right now

Keywords: 996, all

Transcript Highlights:

• The city or county, or even, as once suggested, the individual boater, cannot lawfully control the use
• bill would prohibit the sale of kratom leaf, kratom products, or any product containing 7-OH to individuals
• So let's focus on the part that says prohibits an individual, business, or other entity from selling,
• So let's focus on the part that says prohibits an individual Absolutely.
• The L.A. regional watershed permit alone is expected to apply to close to 650 individual properties,

Summary: The committee heard a series of environmental safety and toxic materials measures, with several bills moving forward on unanimous or near-unanimous votes to Appropriations. Early in the meeting, the consent calendar was approved, including AB 372, AB 455, AB 1096, AB 1102, and AB 754. AB 362 by Assembly Member Ramos, which would recognize tribal beneficial uses of water and strengthen consultation and protection for tribal water uses, drew strong support from tribes and environmental groups. Water agencies and local government representatives opposed unless amended, raising concerns about CEQA requirements, co-management language, and conflicts with existing water law. The bill advanced to Appropriations, with some members voting aye and others not voting or absent. AB 728 by Assembly Member Lee would require age verification for the sale of certain anti-aging skin care products to minors. The author and a youth witness described social media-driven use of adult skin products by children and alleged skin damage, while supporters argued age checks are a reasonable consumer protection. Dermatologists and retailers opposed the bill, saying it could restrict legitimate acne and other medical uses of over-the-counter products, create compliance problems, and lacked a clear scientific basis. The committee discussed possible ambiguity in the bill’s definition of anti-aging products, but the measure still passed to Appropriations. AB 532 on low-income water rate assistance, AB 773 on copper-based anti-fouling paint, AB 998 on household hazardous waste disposal of vape pens, AB 1031 on geothermal hazardous waste fees, and AB 864 on solar panel hazardous waste and recycling all received strong support and advanced to Appropriations. Supporters for AB 532 emphasized water affordability and local program authority; AB 773 supporters said conflicting state water and pesticide rules are creating confusion for harbors and cities; AB 998 was presented as a practical way to let schools and local facilities dispose of confiscated vape devices safely; AB 1031 was framed as reducing DTSC fee burdens on geothermal development in Imperial County; and AB 864 would ease recycling and reuse of end-of-life solar panels. The committee also began hearing AB 1264 on ultra-processed foods in school meals, with the author and supporters arguing it would phase out the most harmful ultra-processed foods from school meals by 2032, but the transcript cuts off before the full discussion and any action on that bill.

Transcript Highlights:

• :07:42.880> Start<00:07:43.199> centers,<00:07:43.840> to<00:07:44.080> individuals
• <00:07:44.560> with Head Start centers, to individuals with Head Start centers, to individuals
• <00:14:43.120> uh<00:14:43.199> who've have right now of individuals uh who've have
• right now of individuals uh who've been<00:14:43.839> covered<00:14:44.240> for<00:14:
• And I've been asking them this evening about how many injections they do under supervision during their

Keywords: 1183, house

Transcript Highlights:

• That was the document, and then I had them all individually, those funds, and then Peggy was- It would
• Second, promoting persistence offers students additional tutoring, advising. and individualized support
• focus on student success. utilizing data-centric, evidence-based approach to ensure that every individual
• We have to complete 3,000 supervision hours and also meet with the supervisor.
• Frequently those individuals just don't get the opportunity These are the resources to help them succeed

Keywords: 1184, house, all

Transcript Highlights:

• I do not believe that these individuals had ill will.
• I do not believe that these individuals I do not believe that these individuals had<00:05:25.120
• So an individuals in a low-pay industry.
• Transparency individual or the program.
• modest<01:53:35.920> one-time Individually, it is a modest one-time Individually, it is a

Bills: HF4277, HF3819, HF3489, HF4408, HF3901, HF4316

Keywords: child care, child care center, day care, licensed child care, video security cameras, surveillance, security cameras, maltreatment, child abuse, child safety, public and shared areas, camera mandate, child care assistance program, CCAP, Great Start Compensation Support, early learning scholarships, licensed provider, Minnesota Statutes 142B.68, Harvey's Law, privacy

Transcript Highlights:

• How many individuals did Louisiana have on this list?
• These are individuals.
• And those individuals who work this process, they know that.
• I think the good practice would be to interview everybody individually.
• Do y'all contract those front-line individuals, or how does that work right now?

Bills: HR267, HCR105, HCR107, HCR110, HCR113, HCR114, SB4, SB52, SB57, SB145, SB152, SB194, SB237, SB333, SB433, SB483, SCR37

Keywords: diabetes, amputation, amputations, diabetic foot ulcer, peripheral artery disease, PAD, wound care, podiatry, vascular disease, endocrinology, limb salvage, health policy, public health, healthcare costs, insurance coverage, Louisiana Department of Health, University of Louisiana at Lafayette, Louisiana Center for Health Innovation, patient education, screening

Transcript Highlights:

• I get inundated from, uh, individuals out in the field, I get from everywhere.
• And we're going to hire individuals on the compliance side.
• has to be, uh, zealously advocated for as an individual, so.
• Supervision but quality control and reporting back to the legislature. What is working?
• Give a waiver to this individual. So on a 3 to 2 vote they denied it.

Transcript Highlights:

• ON THIS DAY, WE PRAY FOR THE CITIZENS, FAMILIES, AND INDIVIDUALS OF THIS GREAT STATE.
• NOT ANY PARTICULAR INDIVIDUAL. BECAUSE THIS BILL WILL SAVE LIVES.
• Unfortunately, only 56 of those individuals had been enrolled since then.
• Senator Berman: What are we doing to increase that 56 to 2,100 individuals?
• Able to get these individuals off of the waitlist and providing services.

Bills: SJR4, SJR40, SJR81, SCR37, SCR39, SB22, SB32, SB33, SB36, SB38, SB95, SB209, SB249, SB311, SB326, SB365, SB458, SB609, SB660, SB664, SB693, SB732, SB745, SB760, SB762, SB779, SB783, SB785, SB868, SB871, SB883, SB921, SB955, SB993, SB996, SB1008, SB1057, SB1067, SB1151, SB1171, SB1210, SB1255, SB1265, SB1267, SB1271, SB1307, SB1313, SB1316, SB1318, SB1321, SB1332, SB1365, SB1426, SB1470, SB1484, SB1494, SB1559, SB1592, SB1596, SB1598, SB1637, SB1677, SB1706, SB1758, SB1762, SB1786, SB1809, SB1818, SB1822, SB1841, SB1871, SB1967, SB2064, SB2077, SB2112, SB2148, SB2320, SB2406, SB2407, SJR36, SJR81, SJR50, SJR4, SJR40, SJR27, SCR22, SCR12, SCR39, SCR38, SCR37, SB921, SB609, SB660, SB765, SB62, SB666, SB888, SB687, SB847, SB1248, SB504, SB305, SB296, SB284, SB304, SB1023, SB204, SB670, SB850, SB854, SB413, SB1346, SB1033, SB1220, SB1073, SB810, SB1539, SB447, SB1119, SB1505, SB1215, SB1302, SB583, SB673, SB681, SB1172, SB955, SB957, SB541, SB266, SB1415, SB53, SB1352, SB785, SB1450, SB1502, SB1566, SB1062, SB711, SB746, SB1404, SB1448, SB507, SB1026, SB1349, SB1355, SB1433, SB1434, SB1596, SB1403, SB667, SB1059, SB1567, SB310, SB311, SB505, SB1210, SB1470, SB264, SB1358, SB1364, SB1569, SB1376, SB1228, SB519, SB1350, SB462, SB827, SB1585, SB1484, SB1273, SB927, SB1227, SB1229, SB1353, SB1464, SB1709, SB1729, SB1733, SB1744, SB1772, SB1841, SB1008, SB2016, SB1173, SB1163, SB996, SB1370, SB1321, SB1101, SB860, SB993, SB693, SB1537, SB1332, SB1307, SB963, SB493, SB984, SB619, SB1122, SB455, SB522, SB1057, SB1239, SB1254, SB1255, SB1259, SB1341, SB1877, SB1277, SB32, SB732, SB731, SB268, SB1822, SB1589, SB397, SB1058, SB1267, SB2112, SB1930, SB532, SB508, SB292, SB291, SB901, SB1333, SB1436, SB1494, SB964, SB779, SB1378, SB2312, SB1719, SB287, SB2143, SB1245, SB261, SB1247, SB2406, SB2407, SB1882, SB618, SB38, SB393, SB1371, SB1365, SB2243, SB2226, SB2039, SB1919, SB1895, SB1598, SB1493, SB1810, SB1791, SB1706, SB1644, SB1238, SB783, SB458, SB22, SB651, SB897, SB1809, SB1080, SB745, SB826, SB989, SB1320, SB1437, SB2320, SB2289, SB1171, SB664, SB1637, SB2064, SB868, SB1079, SB1243, SB1504, SB1851, SB1879, SB2237, SB1257, SB2034, SB1522, SB883, SB249, SB1318, SB1151, SB596, SB1191, SB226, SB570, SB870, SB991, SB60, SB365, SB1067, SB1786, SB326, SB1401, SB1592, SB1728, SB1265, SB586, SB529, SB217, SB209, SB1923, SB1559, SB1839, SB387, SB1874, SB1872, SB1873, SB1921, SB1883, SB1677, SB95, SB1620, SB1838, SB2024, SB2429, SB1999, SB511, SB2309, SB2166, SB871, SB510, SB33, SB2420, SB1860, SB1541, SB1316, SB1314, SB1313, SB1426, SB1398, SB1869, SB1750, SB1871, SB36, SB855, SB1233, SB760, SB2425, SB2037, SB1758, SB1759, SB2365, SB1924, SB762, SB1271, SB1818, SB605, SB1405, SB1762, SB1968, SB1977, SB2077, SB2148, SB2321, SB1967, SB1662, SB1663, SB2124, SB2204, SB1855, SB863, SB37, SJR39, SCR1, SCR27, SCR32, SCR42, SCR6, SB2232, SB819, SB2078, SB2252, SB1962, SB2253, SB825, SB1577, SB1184, SB2018, SB2206, SB1901, SB1030, SB2368, SB1963, SB1960, SB1643, SB1625, SB1299, SB841, SB668, SB584, SB231, SB2411, SB1085, SB2431, SB2231, SB1490, SB530, SB34, SB1261, SJR81, SB32, SB458, SB664, SB693, SB868, SB1008, SB1267, SB1307, SB1321, SB1484, SB1637, SB1809, SB1822, SB2064, SB2112, SB2320, SB2406, SB2407, SB609, SB660, SB921, SB779, SB1470, SR388, SB3042, SB440, SB2876, SB3042, SB440, SB2876

Keywords: economic stabilization fund, state finance, constitutional amendment, budget management, financial security, emergency powers, legislative authority, governor powers, disaster management, tax exemption, ad valorem, tangible personal property, income production, SCR 37, Senate Concurrent Resolution, Panama Canal, Texas ports, port infrastructure, maritime trade, shipping lanes

Transcript Highlights:

• This accountability system is supervised by the Minnesota Department of Education.
• This accountability system is supervised by the Minnesota Department of Education.
• matter is to have an engaged authorizer and a capable board who's not overpowered by one or two individuals
• or<01:21:22.320> two not overpowered by one or two not overpowered by one or two individuals
• on that board who just do individuals on that board who just do things<01:21:24.600> and<01:21

Keywords: 1187, senate, all

Transcript Highlights:

• Every individual has merit, and every individual has a personal identity.
• Every individual has merit, and every individual has a personal identity.
• Every individual has merit, and every individual has a personal identity.
• Every individual has merit, and every individual has a personal identity.
• Every individual has merit, and every individual has a personal identity.

Keywords: 1189, house, all

Transcript Highlights:

• So what is the average cost for these small businesses, individual and then group, whenever they are
• So an Representative McQueen: individual, it might take them a little longer to vote.
• I love people who are freedom-minded individuals.
• She wants to be able to make her decisions as an individual one on one, Mr. Speaker, gentleperson.
• For New Mexico retirees, PERA, state employees, commercial coverage, the individual exchange.