Transcript Highlights:

• <00:23:09.600> programs,<00:23:10.400> and completed Toyota training programs, and
• completed Toyota training programs, and pos<00:23:11.280> possessing<00:23:11.919> acceptable
• And this is a program which there was training provided by the community college system in New Hampshire
• And this is a program which there was training provided by the community college system in New Hampshire
• And this is a program which there was training provided by the community college system in New Hampshire

Keywords: 1191, senate, all

Transcript Highlights:

• I did basic training, it's working really well.
• Those soldiers are doing really well in basic training.
• When you were trained in the military, were you trained on basic law enforcement techniques?
• I've never been trained on it, so I couldn't answer what would be different about it from my training
• at Fort Jackson, where I did basic training.

Transcript Highlights:

• about the training about the training provision<01:15:24.760> yeah<01:15:25.159> the
• They do need this program. We have a lot of people living in Twin City. They do need this program.
• She was at the nursing program.
• I recruited her from the nursing program into the PACE program, and ever since she stayed in the program
• > page her from the nurs program into the page her from the nurs program into the page program

Keywords: 1187, senate, all

Transcript Highlights:

• , and since 2022 been a part of the HEAL program.
• In a program to really transform their lives.
• Eventually, I graduated from the program.
• Through our training and technical assistance, we are training first responders, law enforcement, hospitals
• For example, we run the Training Center for Excellence at UTEC.

Keywords: 995, all

Summary: The commission on Violence Prevention Services Funding opened by explaining that its purpose is to examine how state dollars for gun violence prevention are being spent, whether they are reaching the right places, and how effective they are. Chair Marjorie Decker noted the commission was created through a legislative bill as part of a broader gun ownership package, and emphasized that the commission will produce recommendations rather than new law. The hearing began with a moment of silence for the National Day of Remembrance for homicide victims, followed by introductions from commissioners and staff. A series of community-based organizations testified about violence prevention, intervention, and survivor services. Emmanuel Williams of the Transformational Prison Project described work with incarcerated and returning youth and families, stressing lived experience, relationship-building, and the impact of budget cuts on travel, staffing, and programming; commissioners asked about his budget, caseload, and funding mix. Teresa D. Grigario and Antonio Gutierrez of Lynn Youth Street Outreach Advocacy said their work focuses on youth ages 12 to 24 in Lynn and Lawrence, with outreach at courts and shooting scenes, and argued that prevention is most effective when it starts early, includes family engagement, counseling, therapy, case management, food, and basic needs support; they said a million-dollar annual budget would help them expand. Ruth Rollins of We Are Better Together/Warren Daniel Hairston Project, speaking as a survivor, called for long-term flexible funding, trauma-informed care, and a community-informed database, and said her organization would ideally need about $2.5 million annually. Ruth Zakarin of the Massachusetts Coalition to Prevent Gun Violence explained that the commission grew out of listening sessions during the firearms-law update process and said the goal is to identify gaps, support grassroots groups, and address regional equity in resource allocation. Other testimony highlighted youth development, reentry, and survivor response as violence prevention. More Than Words described its job-training and supportive-services model for court-involved, homeless, foster-care, and out-of-school youth, citing high rates of graduation, postsecondary enrollment, and employment; a participant, Jorge, shared how the program helped him avoid adult incarceration and build a career in trucking. The Louis D. Brown Peace Institute described its homicide-response and healing work, noting that it served more than 1,100 survivors in 2024, facilitated healing groups and trainings, and is seeking a permanent center in Dorchester; its leaders said the operating budget is $4.5 million and the desired budget is $8 million. The Massachusetts Alliance of Boys & Girls Clubs emphasized that gun violence is a youth health crisis and urged continued investment in after-school and out-of-school-time programs. UTEC called for multi-year, flexible funding, more training and networking support, and attention to nonprofit cost recovery, while Roca described its outreach to high-risk young people, strong outcomes, and major federal grant cuts that forced staff reductions. Portal to Hope discussed domestic violence and stalking services, the importance of on-site police-department-based advocacy, and the instability caused by funding restrictions. New North Citizens Council briefly underscored that violence prevention funding is needed to address poverty, lack of education, and mental health needs. State officials also presented on existing grant programs. Kevin Stanton of the Office of Grants and Research described the Commonwealth Project Safe Neighborhood Initiative and the state’s broader public safety grant portfolio, saying partnerships between law enforcement and community organizations are central to violence prevention and citing seizures of illegal firearms, narcotics, and suspected drug proceeds. Renee Contreras said the Shannon Community Safety Initiative is a national model built on nearly 20 years of sustained investment, with multidisciplinary collaborations in 25 communities and research partnerships guiding strategy and evaluation. Throughout the hearing, commissioners repeatedly asked about budgets, staffing, caseloads, and how organizations measure impact, and several speakers said they would follow up with written materials or additional data.

Transcript Highlights:

• With the Real ID Act through the state-to-state program.
• One, first is the rehabilitation programming.
• There's also, we've heard of the ARC program.
• We need these programs. Otherwise, we do an injustice.
• For example, hospitality training academy, training Angelenos for unionized careers; California Opportunity

Keywords: 987, senate, all

Summary: The Senate Budget Subcommittee No. 5 on Corrections, Public Safety, Judiciary, Labor, and Transportation met with a quorum present and took up a vote-only agenda. After public comment, including testimony from Edward Hasbrook of the Identity Project opposing the DMV state-to-state Real ID proposal and related data-sharing concerns, the committee moved through multiple blocks of budget items in Parts A, B, and C covering labor, public safety and judiciary, and transportation. Staff recommendations were adopted on each set of issues, with several roll calls passing unanimously and others passing with one no vote or one member not voting. Before adjournment, members highlighted issues they want to continue pursuing in negotiations for the final budget. The chair raised concerns about the Real ID state-to-state system, privacy, and sharing Californians’ driver data, and also urged continued support for rehabilitation programming and expansion of the wildfire mitigation grant program. Senator Durazo emphasized the need for funding for justice-system programs, trauma recovery centers, public defenders, CDCR-based community programming, and more sustained workforce training investments. Senator Seyarto focused on transportation funding for inland regions, court capacity and Prop. 36 implementation, and workforce development tied to business attraction and changing labor needs. The chair thanked the consultants, sergeants, administration staff, and public participants, and asked members to submit additional comments in writing so they can be reflected in the record and considered in ongoing budget negotiations. The subcommittee then adjourned.

Transcript Highlights:

• as those programs wrap up.
• as those programs wrap up.
• We’re partnered with a program, STEM Boomerang, to help train 16- to 24-year-olds as a cohort to give
• programs.
• in the nursing program.

Keywords: 996, all

Transcript Highlights:

• Well, SoriC is part of their pilot program for higher ed, and we did have a training, a two-hour training
• and then they train others.
• But what about training the trainer?
• And there's going to be training the trainer and then training people.
• There is a microcredential for that, but it also involves in-person training or monthly training.

Keywords: 914, all

Transcript Highlights:

• for five years, and specifically includes charter schools in the training program.
• of persons with epilepsy to align with the training done in public schools.
• And financing of our own Medicaid program.
• It's almost a $40 billion program. It's the largest portion of our budget.
• For those not familiar, the ASR program is the profit-sharing mechanism.

Summary: The committee first heard Senate Bill 1414 by Sen. Polsky on congenital cytomegalovirus (CMV) education. The bill would require the Department of Health, working with medical experts, to create and distribute CMV educational materials to expectant and new parents or caregivers through hospitals, birth centers, and OB/GYN practices. An amendment removed a section that would have required instruction for medical professionals, and the amended bill was reported favorably as a committee substitute. The committee then took up a block of confirmations. Appointees on tabs 2 through 7 were recommended favorably in one vote, and Chavon Harris was separately confirmed as Secretary of the Agency for Health Care Administration after extensive questioning. Senators praised her leadership and experience, while others raised concerns about Medicaid redeterminations, the state’s CORE modernization project, Hope Florida, and a DCF anti-marijuana ad campaign; Harris said she would follow up on some issues and defended the agency’s work on transparency, managed care oversight, and access to care. Her confirmation was recommended favorably, with Sen. Berman noting opposition. Several health-related bills were then heard and advanced. SB 186 by Sen. Garcia expanded epilepsy training requirements for school personnel, including charter school bus drivers, and was reported favorably. SB 902 by Sen. Garcia, after amendments narrowing dental workforce provisions and allowing certain seizure rescue medication delegation to family home health aides, was reported favorably; testimony focused on medical marijuana regulation, practitioner accountability, and concerns about park and child-care proximity restrictions. SB 196 by Sen. Sharif created a uterine fibroid research database with privacy protections and was reported favorably after emotional testimony from a patient and supporters. SB 688 by Sen. Rodriguez would reestablish licensure of naturopathic doctors; it drew both support and skepticism about diagnosis and treatment boundaries, but was reported favorably. SB 1574, Maddie’s Law, would add biliary atresia screening to newborn screening and was strongly supported by parents describing a delayed diagnosis; it was reported favorably. SB 878 on clinical laboratory personnel, SB 1092 on podiatric medicine and certain cellular/tissue-based products, and SB 1032 on medical marijuana registry timelines and veteran fee waivers were also reported favorably, while SB 1032 drew debate over longer renewal/supply periods. The committee then began SB 1760 on Medicaid oversight and program transparency, with the sponsor describing the bill’s creation of a joint legislative oversight committee and a legislative actuary.

Transcript Highlights:

• It requires the Board of Regents to establish a specialized training program to educate health care providers
• training program to educate Healthcare training program to educate Healthcare Providers<00:15:20.800
• rough estimate of what this program rough estimate of what this program might<00:19:04.679> cost
• This bill requires the board to establish a specialized training program to educate healthcare providers
• This bill requires the board to establish a specialized training program to educate healthcare providers

Keywords: 910, house, all

Summary: The House Committee on Higher Education met on March 14, 2025, and heard five University of Hawaii-related bills. SB 741 would create an external audit committee for the UH system and Board of Regents; UH and UHPA opposed it, saying existing internal and external audits already provide robust oversight, and the committee later recommended deferring the bill indefinitely as duplicative. SB 1252 SD2 would create a dementia training program for health care providers; the Alzheimer’s Association and other supporters said broader training is needed across the care workforce, while the university discussed using JABSOM as a coordinator. The committee deferred the bill to March 19 for an HD1 reflecting JABSOM’s suggestions and removing the appropriations/FTE language. SB 1502 SD1 would fund faculty positions, student programs, and facilities at UH Manoa and West Oahu for defense-sector workforce development. UH and Chamber of Commerce Hawaii supported the measure, describing a pipeline for students into intelligence, cybersecurity, and related fields, while one individual opposed it as too closely tied to military contracting and urged investment in other sectors instead. The committee amended the bill to remove FTE references and advanced it; the vote to pass with amendments was adopted, with several members voting aye and some excused. SB 1530 would require performance-based allocation of UH general funds and efficiency reporting. UH and the Attorney General’s office raised concerns, saying the bill’s metrics would apply across the entire general fund budget and were not practical as drafted; the committee also noted opposition from the Budget and Finance Department and individuals. SB 1624 SD1 would restrict RIM funds to renewing, improving, or modernizing existing facilities and require annual reports. UH opposed the bill and explained that RIM is a lump-sum approach used to address deferred maintenance and capital needs, with Board of Regents approval and quarterly reporting already in place; the Attorney General suggested constitutional amendments. The transcript ends during discussion of SB 1624, with no final action shown in the excerpt.

Transcript Highlights:

• , perhaps, accelerated degree programs.
• Recently, I participated in a training with CSU. Recently, I participated in a training with CSU.
• certification programs.
• Thank you. $5 million to fund high-quality, high-volume spay-neuter training certification programs for
• for HQ-HVS spay-neuter programs.

Summary: The Assembly Budget Subcommittee on Education Finance, chaired by Assemblymember Alvarez, held a hearing focused on University of California budget issues. The committee reviewed UC core operations funding, enrollment trends, federal funding threats, Title IX implementation, and basic needs support. Major themes included the end of the Governor’s multi-year UC compact, the state’s fiscal outlook, UC’s enrollment growth, and the potential impacts of federal policy changes on research, health care, and student aid. On core funding, the Department of Finance described the Governor’s proposal to continue compact-related support, defer some payments, and authorize a cash-flow loan. The LAO recommended a smaller or no base increase, earmarking some funds for capital renewal, retiring deferrals when possible, avoiding new compact commitments, and funding UC annually rather than through compacts. UC argued that the compact has supported enrollment growth, student services, and operating costs, but said campuses face rising expenses, structural deficits, and limited reserves. Members questioned the effects of deferrals on students and discussed the need to prioritize less harmful reductions if cuts become necessary. The enrollment panel focused on UC’s growth in California resident enrollment and the nonresident replacement plan at Berkeley, UCLA, and UC San Diego. The LAO recommended maintaining the current enrollment target, funding enrollment separately from base increases, pausing the nonresident replacement plan, and holding enrollment flat in 2027-28. UC said it has already met compact enrollment goals, grown California undergraduate enrollment by about 18,800 students, and that further growth depends on ongoing state support. The committee also discussed the cost of enrollment growth, possible differential nonresident tuition, and a reporting request for UC to analyze the nonresident replacement approach; the motion to adopt supplemental reporting language passed. The hearing also covered federal funding risks, with the LAO and UC warning that federal changes could affect research grants, medical center reimbursement, and student financial aid. UC said research cancellations and suspensions are disrupting labs and graduate student support, while federal health policy changes could increase uncompensated care at UC hospitals. In the Title IX update, UC described its systemwide civil rights structure, annual student training, and campus support offices, and members praised the work while asking about ongoing concerns and intersegmental collaboration. The final basic-needs item began with Finance stating the Governor’s budget does not change ongoing support, but the transcript cuts off before further discussion or action.

Transcript Highlights:

• , SNAP food benefits program, and disabilities program for blind vendors, to help with common problems
• DHS a ga financial assistance program DHS a ga financial assistance program SNAP<00:27:04.919>
• benefits program and SNAP food benefits program and disabilities<00:27:06.760> program<00:27:
• We actually came up with trainings for staff, and those trainings have already begun.
• We actually came up with trainings for staff, and those trainings have already begun.

Keywords: 912, senate, all

Summary: The Health and Human Services committee heard several gubernatorial nominations and appointments, beginning with Sunshine Cho and Barbara Tom for the Language Access Advisory Council. Both nominees said they stood on their written testimony and expressed interest in continuing to serve, and multiple organizations testified in strong support. No opposition or questions were raised on either nomination, and the committee moved on after hearing the testimony. The bulk of the meeting focused on GM 642, the nomination of Ryan Yamane to be Director of the Department of Human Services. Yamane gave an extensive opening statement describing his social work background, long public service career, and philosophy of compassionate, balanced leadership. He emphasized DHS’s role in helping people from keiki to kūpuna with dignity and support, and shared personal stories from disaster response and family-service work to illustrate his approach. Support testimony came from a wide range of state officials, agency directors, community organizations, health systems, advocacy groups, and former colleagues, who praised his leadership, problem-solving, communication skills, and empathy. One witness, Moani Kiala Katherine Tu Alun, testified in opposition, raising concerns about retaliation and safety issues affecting foster youth and alleging harmful treatment within Child Welfare Services. Another witness, Angela Melody Young, supported the nomination and said Yamane could help overcome barriers for vulnerable communities and improve DHS programs such as financial assistance, SNAP, and disability services. The committee also heard from DHS staff and related officials about the uncertainty surrounding possible federal funding and staffing cuts; Yamane said the department is gathering information, coordinating with Budget and Finance and federal partners, and preparing to prioritize services and adjust if federal changes affect programs. No votes were taken in the portion of the meeting provided.

Transcript Highlights:

• How do we monitor what they do with their own internal training?
• through culturally competent and trauma-informed trainings.
• through culturally competent and trauma-informed trainings.
• through culturally competent and trauma-informed trainings.
• SB 710 would strip funding from programs that train doctors to recognize these disparities.

Summary: The committee first confirmed Heather L. Turnbull to the Florida Commission on Community Service, with the motion adopted and the confirmation recommended favorably. Members then took up SPB 7022, which sets Florida Retirement System employer contribution rates beginning July 1, 2025, updates rates to address unfunded actuarial liability, and allows certain elected officers to elect a DROP accumulation; a technical title amendment was adopted, the bill was submitted as a committee bill, and it was reported favorably as a committee bill. The committee then heard extensive debate and public testimony on SB 1710, which would restrict diversity, equity, and inclusion-related policies, trainings, and activities in state agencies, state-funded contractors and grantees, and medical institutions of higher education. Sponsor Senator DiCeglie said the bill is intended to prevent state agencies and contractors from using state funds for DEI programs and to limit state agencies from adopting DEI-related official positions; he also said the medical-school portion would likely be amended out later. Senator Polsky and others questioned the bill’s breadth and how it would affect health-related grants, public universities, historically Black institutions, recruitment, and contractor training. Public testimony was overwhelmingly opposed, with speakers arguing the bill would harm health care, education, access, and inclusion; a few supporters said DEI is ideological, can undermine merit, and should not be used by state agencies or publicly funded institutions. After debate, Senator Polsky argued the bill was confusing, overbroad, and harmful to serving diverse communities, while Senator Arrington said it was an overreach into private business and could have significant fiscal impacts. Chair Fine closed by saying DEI is political ideology and that the bill is meant to ensure government focuses on talent rather than identity. SB 1710 was then reported favorably on a roll call vote, with Senator Arrington voting no and the remaining members voting yes. The committee then began SB 1678, relating to entities that boycott Israel, and heard the sponsor’s explanation of a delete-all amendment that would expand and clarify state restrictions on dealings with entities engaged in boycotts of Israel, including certain nonprofits, foreign educational institutions, and grants; the amendment was adopted, and the sponsor and a witness began answering questions when the transcript cuts off.

Transcript Highlights:

• This was meant to exclude programs like test prep programs and courses such as the MCAT or LSAT.
• trained to operate large trucks safely.
• that required extensive training.
• program they operate.
• They think it's insane that you could operate a competent and appropriate driving training program for

Summary: The Assembly Business and Professions Committee heard a full agenda of bills focused on reproductive health, professional licensing and sunset reviews, consumer protection, and business regulation. Early testimony centered on AB 260, which would protect access to medication abortion, mifepristone, and telehealth reproductive care in California; supporters emphasized state protections against federal restrictions, while an opponent argued the bill removed safety safeguards. The committee also heard AB 714 on closing a loophole in regulation of low-cost commercial driving schools, AB 968 on allowing pharmacists to prescribe non-hormonal contraception, AB 671 on streamlining restaurant permitting, AB 1027 on strengthening cannabis product testing oversight, AB 1271 on broadband pricing and speed transparency, and AB 1332 on narrowly allowing medicinal cannabis shipments for seriously ill patients. Several sunset bills were also taken up, including AB 1482 on animal shelter and breeder transparency, AB 1501 on the Podiatric Medical Board and Physician Assistant Board, AB 1502 on the Veterinary Medical Board, AB 1503 on the Board of Pharmacy, and AB 1504 on the Massage Therapy Council. Testimony was largely in support of the measures, with many bills drawing co-sponsors or support from industry, consumer, or professional groups. AB 1503 generated the most sustained opposition, with nurses, physicians, and drug industry representatives objecting to expanded pharmacy technician ratios, standard-of-care language, and therapeutic interchange authority; supporters argued the bill would modernize pharmacy practice and expand access. AB 1504 also drew mixed testimony, with massage therapy groups supporting continuation of the council but raising concerns about proposed public records and governance provisions. AB 1271 drew a policy dispute over whether broadband reporting requirements duplicated federal FCC processes, while supporters argued California needed its own consumer-facing data and complaint system. After quorum was established later in the hearing, the committee began taking roll-call votes. AB 1271, AB 1332, AB 1482, AB 1501, and AB 1502 were all reported out on due-pass motions, with AB 1271 amended and the others generally amended or as introduced as noted. Earlier bills including AB 260, AB 671, AB 714, AB 968, and AB 1027 also received motions and were approved once the quorum was present. The chair repeatedly noted the lack of quorum during the hearing, but once one was secured, the committee completed votes on the agenda items and advanced the measures to Appropriations.

Transcript Highlights:

• pilot Pro or with the sub pilot program pilot Pro or with the sub pilot program that<00:21:20.200
• shortage loan repayment programs.
• the training.
• instruction delivery this training instruction delivery this training includes<00:50:41.240>
• rather than the program itself.

Keywords: 1183, house

Transcript Highlights:

• Youth sports programs. Sudden Cardiac Arrest (SCA) is the number one killer of student-athletes.
• That coaches are provided sufficient opportunities for training in the use of the AEDs.
• We operate a soccer program just South of Sacramento.
• I think this bill addresses the training of the coach, specifically just the coach, to be able to train
• that coaches get trained.

Keywords: 988, house, all

Transcript Highlights:

• It is a win-win program that trains high-risk youth who give back to the community.
• It is a win-win program that trains<01:05:18.240> high-risisk<01:05:18.799> youth<01:05
• Our second program that does this is more on the educational and vocational training side of things:
• Our largest key industry sector is manufacturing, and we've developed a successful training program into
• placement, business training, job placement, business development<01:47:32.960> programs<01:47

Keywords: 1187, senate, all

Transcript Highlights:

• safety, validating the need for enforceable training standards.
• Importantly, the court did not reject the need for training, certification,...
• training.
• and education by completing an approved fire sprinkler apprenticeship training program and passing a
• The State Fire Marshal sprinkler certification program has been in effect for nearly a decade.

Summary: The Committee on Emergency Management heard several bills related to public safety, wildfire preparedness, and fireworks regulation. SB 1299, by Senator Arreguín, would place in statute a certification and training framework for fire sprinkler fitters and apprentices after a court decision disrupted prior State Fire Marshal regulations. Supporters said the bill would protect life safety by ensuring qualified installation and maintenance of fire suppression systems, while opponents raised concerns about added costs, housing affordability, and labor-related effects. The committee passed the bill as amended to the Committee on Labor and Employment on a roll call vote, with DeMaio and Hadwick voting no. SB 1153, by Senator Caballero, would require urban retail water suppliers to incorporate wildfire-specific procedures into emergency plans and clarify that water systems are not designed to serve as wildfire defense systems. Supporters from water agencies and fire organizations said the bill would improve coordination, planning, and ratepayer protection while acknowledging infrastructure limits. Members discussed transparency, backup generators, and whether the bill should require more public disclosure; the author said he would continue working on possible amendments. The committee passed the bill as amended to the Committee on Environmental Safety and Toxic Materials. SB 828, by Senator Cabaldon, responds to the Esparto fireworks warehouse explosion by requiring fireworks licensees to disclose storage locations, verify local permits, and meet other compliance conditions. The author said the bill was developed with the State Fire Marshal and local public safety partners to close information gaps and improve enforcement. An opposition witness argued the permit-verification requirements could not be met in all jurisdictions, especially for hobby rocketry and small-scale uses, prompting discussion about clarifying different rocket categories and administrative implementation. The committee passed SB 828 as amended to the Committee on Local Government, and the meeting then adjourned after all bills were reported out.

Transcript Highlights:

• statewide training education programs for juvenile probation officers and juvenile court judges including
• Accountability is a really. important part of our program and and and we you know we do life skills training
• Who have come through our program.
• So there is a lack of programming.
• programs. programming.

Bills: HB31, HB3360

Keywords: juvenile justice, community supervision, felony offenses, treatment of children, juvenile facilities, chemical dispensing device, solitary confinement, rehabilitation, criminal proceedings, delinquency, 1184, house, all

Transcript Highlights:

• I am a primary care doctor, trained in internal medicine.
• There's a Dots mobile program that is run by DMH, not my department. It is an exemplary program.
• So what comes along with that is we need training.
• So what comes along with that is we need training.
• So in this, I have seen this training work.

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:

• You're just stuck in a training program forever; you don't get out.
• They went largely into day and look-alike programs, and they went into community-integrated training
• programs.
• , and vocational training programs.
• Switillo on the employment panel spoke to the community integrated training program that doesn't have

Keywords: 988, house, all