Transcript Highlights:

• I have more data and information about other counties, I have more data and information about other counties
• We just provided data that was as of April 20, 2026, but I did bring data that is as of today, so I will
• Like, what is the data on usage? Sure. Yeah.
• We asked for data in March. We got data maybe yesterday, last week.
• We publish policy reports that combine data analysis with stakeholder input to identify what is working

Summary: The hearing focused first on behavioral health, especially serious mental illness and anosognosia, a condition described by witnesses as a neurological symptom that prevents people from recognizing they are ill. The chair framed the issue around families cycling through emergency rooms, jails, conservatorships, and short-term stabilization without lasting treatment, and warned that federal changes under H.R. 1 could reduce Medi-Cal funding and worsen access. Dawn Marie Anderson gave a personal account of her son’s long history of psychosis, homelessness, arrests, repeated jail and state hospital stays, and eventual stability when he received sustained medication and coordinated support. She argued that the system often treats the problem as criminal rather than medical and that voluntary programs and short-term services are not enough for people who lack insight into their illness. Other panelists, including representatives from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association, agreed that anosognosia is not denial or noncompliance and said the system needs long-term, coordinated care, including assertive community treatment, mobile crisis, supportive housing, medication support, and stronger handoffs between county and managed care systems. They said CalAIM and other reforms have improved some coordination, but significant gaps remain, especially for people with serious mental illness, for those in jail or locked settings, and for people with private insurance, which witnesses said often offers little meaningful coverage for early psychosis or intensive behavioral health services. Several witnesses urged the Legislature to protect Medi-Cal, shore up county safety-net services, and invest in training and family engagement. The committee then turned to the Children and Youth Behavioral Health Initiative, with a focus on the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, saying the platforms provide free, culturally responsive, early-intervention support statewide and help connect users to higher levels of care when needed. On the fee schedule, DHCS said more than 500 LEAs, colleges, universities, and school-linked providers are participating, 181 LEAs have submitted claims, and $9.6 million has been reimbursed to date, with 41,556 students represented in claims. The chair and several members criticized the pace of implementation and the amount of money spent relative to reimbursement levels, saying the Legislature had requested data earlier and that the return on investment still appeared low. DHCS responded that many claims are still being submitted, that 70% of denials are correctable, that $400 million in capacity grants has been distributed locally, and that reimbursement is increasing rapidly as more districts come online. Public comment included a rural county behavioral health director who said private insurance denials leave counties with significant uncompensated work, especially for unlicensed staff providing case management and mobile crisis services.

Transcript Highlights:

• And again, this is base market data for mobility manual chairs.
• Is that data that you have access to, the cost-saving numbers? I understand.
• Is that data that you have access to, the cost-saving numbers?
• Would you have any data around just kind of that generalized?
• Clinical data shows that for those of us who lose limbs, a survival strategy.

Committee: House Health and Mental Health

Summary: The House Committee on Health and Mental Health met in executive session and advanced several bills. HB 1881 was voted do pass without discussion. HB 3010 was amended with a committee substitute that removed a subsection allowing payers to remove “gold carding” based on procedure volume changes, then passed 10-0. HB 2355, the “Food is Medicine” bill, received a committee amendment to align terminology with other partnerships and then passed 11-0. HB 1855, dealing with alpha-gal reporting, was substantially revised: the substitute narrowed the bill to alpha-gal, removed Lyme disease, changed a department duty from mandatory to discretionary in one section, and delayed reporting implementation; it then passed 14-0 after members discussed the need for better disease tracking and the department’s workload. The committee then heard testimony on HB 2034, which would require insurance coverage for activity-based prostheses, orthotics, and high-performance or mobility-supportive wheelchairs. Sponsor Representative Carolyn Caton said the bill is intended to cover devices that help people live, exercise, and avoid secondary health problems, while preserving prior authorization and medical-necessity review. Supporters included clinicians, parents, amputees, and athletes who described being denied running blades, water-safe prostheses, or durable wheelchairs and said the devices are essential for health, independence, mental well-being, and participation in school, work, and sports. Several witnesses said the bill would reduce long-term costs and reliance on charity. Opponents, including the Missouri Insurance Coalition and America’s Health Insurance Plans, argued the bill is an expansion of coverage with unclear definitions and potentially significant costs, especially for Medicaid and other state-regulated plans. They cited the fiscal note, warned about possible federal ACA rule changes that could shift costs to states, and questioned whether the bill’s language on Medicare supplemental coverage and “perceived disability” was workable or preempted. Committee members pressed both sides on cost savings, definitions of “normal” activity, and whether the bill could be narrowed or otherwise revised, and several said they were willing to keep working on the issue. The hearing on HB 2034 was left open and then recessed after testimony, with no vote taken in the portion provided.

Transcript Highlights:

• Our superintendent association to have input and to develop quality programs and support that will not
• We are concerned about how much input there has been with the districts.
• I just want to raise a question to be cognizant of as we roll regulations out.
• I think that is where this process will not only be refined, but also input gathered, that if this is
• I have never seen data to show retention rates for our EAs, but I can tell you that the vacancy rate

Committee: House House Education

Transcript Highlights:

• skills, including accident reconstruction, drone and aviation operations, crime scene analysis, and data
• It's a six-person board that would oversee the rules and regulations of hoisting licenses.
• Regulations with the state fire code will be done via statute, mandating all certification and training
• And this is going to be a priority for me moving forward, is to try to gain as much input and buy-in
• I'd now like to invite James Hermes to testify on S. 1665, an act regulating access to certain police

Committee: Joint Joint Committee on Public Safety and Homeland Security

Summary: The Joint Committee on Public Safety and Homeland Security held a public hearing on a wide range of bills affecting law enforcement, corrections, fire services, emergency management, telecommunicators, and sex offender policy. Testimony strongly focused on proposals to restore an education incentive for Massachusetts State Police troopers hired after the Quinn Bill was repealed, with State Police Association witnesses arguing the current system creates unfair pay disparities, hurts recruitment and retention, and leaves newer troopers earning less than some supervisors with the same or less education. They urged favorable reports on H. 2651, S. 1759, and S. 1783. A separate witness also supported H. 2627, a sheriff’s pay-parity bill, while suggesting amendments to avoid distinctions between correction officers and jail officers and warning that the proposal should not be viewed as a funding issue alone. The committee also heard testimony on public safety and oversight bills. A rape survivor testified in support of S. 1663, arguing that municipal fire or police personnel convicted of sex offenses should not remain in positions of public trust. Senator Miranda testified in support of S. 1723, S. 1724, and S. 1727, which would create correctional officer training/accountability standards, a correctional inspector general, and privileged communication with legislators for incarcerated people; he said the bills respond to misconduct and lack of independent oversight in the Department of Correction. In contrast, the Fire Chiefs Association and Professional Fire Fighters opposed H. 2572/S. 1668/S. 1740 on emergency management, saying the bill was developed without enough collaboration, lacked local-control safeguards, and could undermine incident command and local decision-making during disasters. Several panels supported other public safety measures. The Fire Chiefs Association and PFFM backed S. 1641 and S. 1744 to create a Massachusetts Public Safety Building Authority to help fund fire station and municipal public safety building projects, and supported S. 1647 to implement the Walsh-Kennedy Commission recommendations on hot works and welding safety, including tougher penalties and training requirements. Witnesses also supported H. 2664/S. 1736 to create a hoisting machinery regulations board, saying current licensing standards for heavy equipment are too minimal. Another panel backed H. 2663/S. 1761 to classify 911 telecommunicators as first responders, citing stress, burnout, and the expanding role of dispatchers. Finally, an attorney from CPCS testified in opposition to S. 1752, warning that expanded sex offender residency restrictions would likely increase homelessness, make supervision harder, and raise constitutional concerns based on prior court rulings.

Transcript Highlights:

• The Committee on Regulated Industries will now come to order.
• Members, we will take up tab 6, SB 484 on data centers.
• This bill revises Florida law regarding the regulation of large-scale data centers and certain other
• Domestic data centers keep sensitive data on U.S. soil, under U.S. jurisdiction, and subject to American
• Domestic data centers keep sensitive data on U.S. soil under U.S. jurisdiction and subject to American

Bills: S0408 , S0986 , S0678 , S0800 , S1050 , S0484 , S1118

Committee: Senate Regulated Industries

Transcript Highlights:

• So quickly and very summarily, how banks are regulated.
• Banks have the option to choose to be state-regulated or nationally regulated.
• So rather than being regulated by the Commissioner of Banks, they would be regulated by the Office of
• So rather than being regulated by the commissioner of banks, they would be regulated by the Office of
• I know, obviously, this country does not regulate interchange rates.

Summary: The Special Legislative Commission studying the future of credit card payments and their impacts on small businesses held what leaders described as its last public hearing, though they said the commission would continue meeting to develop a report and recommendations. Chair Paul Feeney and other members noted the issue is complex and that they had sought testimony from a wide range of stakeholders before moving into a more deliberative phase. The commission adjourned after hearing from several in-person and virtual witnesses. Banking and card-industry witnesses, including the Massachusetts Bankers Association, the Card Coalition, the Electronic Payments Coalition, and others, argued that payment cards provide major benefits to consumers and merchants, including convenience, fraud protection, fast settlement, and broad access to electronic commerce. They warned that state-level changes to interchange rules could create a patchwork of conflicting requirements, disrupt global payment systems, and especially affect state-chartered community banks and small businesses. Several also said recent federal actions and litigation, including OCC and NCUA preemption rules and the Illinois interchange-fee litigation, have limited the practical reach of state laws. Restaurant, retail, and convenience-store witnesses pushed for relief from swipe fees, saying independent businesses operate on thin margins and pay fees on amounts that are not really their revenue, such as sales tax and gratuities. They urged transparency, the ability to surcharge, vendor compensation for tax collection, and limits on interchange or related fees. Some witnesses said merchants bear significant fraud and chargeback costs and that banks and card networks have not offered enough direct relief. Commissioners asked questions about surcharging, fee regulation, fraud, and whether industry should share more of the burden. No votes or formal actions were taken beyond adjourning the hearing.

Transcript Highlights:

• That way we make sure we don't get any data centers either.
• I think data centers, when they're paying their fair share, are good.
• I think data centers, when they're paying their fair share, are good.
• It eliminates EDRs for data centers of 10 megawatt size and larger.
• Unless there's a data center in there, they wouldn't. Okay.

Committee: House Utilities

Summary: The Committee on Utilities first took up House Committee Substitute for House Bills 2762, 2816, and 2402, a solar-energy measure. The committee substitute combined the bills’ titles and focused on three main areas: a taxation framework for solar projects, setback requirements from occupied dwellings and property lines, and a decommissioning/bonding framework for project cleanup. Supporters said the bill would create baseline rules for a growing industry, protect neighboring landowners, and ensure land is restored after projects end. Members asked about Chapter 100 agreements, the setback distances, county rulemaking authority, and how reclamation and bonding would work. The committee adopted the amendment, rolled it into a new substitute, and then voted the substitute do pass by 18 ayes and 2 noes. The committee then heard House Bill 2248, which would change Missouri’s economic development electric rate structure and close a loophole that could allow data centers under 75 megawatts to receive reduced rates. The sponsor and utility witnesses said the bill would make incentives more predictable by replacing a variable formula with a fixed discount for qualifying new industrial projects, while still requiring customers to pay full cost to serve and meet load-factor and other requirements. Witnesses from Evergy, Ameren Missouri, the Missouri Chamber, and Ford discussed the value of incentives for manufacturing, the difference between new load and retention of existing large users, and whether the bill should also address retention discounts. No action was taken on the bill during the hearing. Finally, the committee heard Senate Substitute for Senate Committee Substitute for Senate Bill 903, which would expand critical infrastructure protections. The bill adds wireline and broadband facilities to the definition of critical infrastructure, increases penalties for damaging or tampering with such facilities, and creates an offense for unauthorized possession of certain stolen materials such as copper and related telecom materials. The sponsor and witnesses from AT&T, Verizon, cable, railroad, electric cooperative, recycling, municipal utility, and chamber groups said the measure responds to rising theft and vandalism, including copper theft and fiber cuts that disrupt 911 and other services. Members asked about scrap dealers, fiber versus copper, trespassing concerns, and whether harsher penalties would deter theft. The hearing concluded without a vote, and the committee adjourned after testimony.

Transcript Highlights:

• That'll be working to deliver the starter homes that Minnesota needs by cutting regulations that have
• That'll be working to deliver the starter homes that Minnesota needs by cutting regulations that have
• We hear it from our constituents and local officials, and we see it in data across Minnesota. times in
• And so we have worked to understand the nuance of these issues and have really valued the input we've
• And so we have worked to understand the nuance of these issues and have really valued the input we've

Transcript Highlights:

• H. 5115, an act establishing statewide food truck regulations, filed by Rep. Hogan.
• And our group is pro-regulation and patient safety.
• To be clear, we support regulation, but we want the right regulation, and we would like to partner and
• Third, there is a risk of duplicating existing regulation.
• Third, there is a risk of duplicating existing regulations.

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health heard testimony on four bills: H. 5013 and S. 2928, which would establish a three-year celiac disease screening pilot program for children during routine cholesterol/lipid screening at ages 8 to 12; H. 5087, regulating medical spas; and H. 5115, establishing statewide food truck regulations, though the transcript focused almost entirely on the celiac and medical spa bills. For the celiac proposal, Rep. Badger and Sen. Lovely described long diagnostic delays, the lack of a cure, and the potential for a simple blood test to identify children earlier and reduce long-term harm. Multiple patients, clinicians, and researchers supported the pilot, saying celiac is frequently missed because symptoms vary widely or are absent, and that early detection could prevent malnutrition, growth problems, osteoporosis, and other complications. Testifiers also emphasized that the bill would study feasibility, accuracy, cost, and acceptability, and would include family education and support resources if diagnoses are made through the program. Several experts and advocates backed the celiac screening pilot, including a pediatric gastroenterologist from Italy who described successful national screening efforts there, a Celiac Disease Foundation representative, pediatric gastroenterologists from Massachusetts and Colorado, a pediatric dietitian, and a parent whose child was diagnosed after severe malnutrition. They argued that routine screening alongside existing pediatric bloodwork could identify many undiagnosed children and improve health equity, since celiac disease is often overlooked in people of color and lower-income patients. Committee members asked about how the screening would work, and witnesses explained it could begin with a blood test, followed by confirmatory endoscopy if needed. No vote was taken in the hearing. On H. 5087, witnesses from the medical aesthetics industry largely opposed the bill as written, saying it was outdated, redundant with existing Massachusetts licensing and board oversight, and too restrictive for nurse practitioners, physician assistants, and other licensed providers. Testifiers, including a retired lobbyist, a nurse practitioner, a PA, a plastic surgeon, and a clinic owner, said the bill could reduce access, raise costs, and push care into less regulated settings, while not addressing the real issues of training, compliance, and patient safety. Committee members pressed for more specific feedback on what provisions were unnecessary or duplicative, and witnesses said they had submitted position papers and written testimony identifying conflicts with current law. The hearing ended with the chair noting that all oral and written testimony would be reviewed before any decisions are made.

Transcript Highlights:

• It requires data collection and public input during that period so that the policy can reflect good evidence
• It requires data collection and public input during that period so that the policy can reflect good evidence
• It requires data collection and public input during that period so that the policy can reflect good evidence
• It requires data collection and public input during that period so that the policy can reflect good evidence
• It requires data collection and public input during that period so that the policy can reflect good evidence

Committee: Senate Environment, Climate, and Legacy

Transcript Highlights:

• But in terms of nonprofits, if the attorney general wanted to issue consumer protection regulations that
• And when we are asked the questions specifically, I think it's important for regulation to allow the
• So Pennsylvania is very lightly regulated, and most of the CCRCs are quite strong.
• So Pennsylvania, they're very lightly regulated. And most of the CCRCs are quite strong.
• But there's also great demand for the product. regulated. And most of the CCRCs are quite strong.

Summary: The commission met at Brookhaven at Lexington to continue discussing continuing care retirement communities (CCRCs), with a focus on financial viability, entrance fees, refund policies, and how the industry is evolving. Speakers explained that nonprofit CCRCs have shifted away from building entirely new campuses since the 2008 financial crisis, and now more often grow through expansions, affiliations, mergers, or added home- and community-based services. They also noted that many newer CCRCs, especially nationwide, are being built without on-campus skilled nursing, relying instead on assisted living, memory care, or off-site arrangements, and that zoning and local approval can affect expansion plans. A substantial portion of the discussion centered on financial health and consumer protection. Panelists said the most important indicators of a strong CCRC are high occupancy, strong liquidity, and reinvestment in the property, with low occupancy and declining days cash on hand cited as warning signs. They described how actuarial reviews are used to estimate health care utilization and set pricing, and said staffing shortages are often a bigger financial pressure than resident care utilization itself. On refunds, speakers said entrance-fee refunds are generally paid when a unit is resold and the new entrance fee is received, and that resident refunds are usually protected even in bankruptcy, though residents are unsecured creditors. Massachusetts examples such as Reed’s Landing and the Groves were cited as cases where residents remained in place and refunds were ultimately protected. The group also discussed a pending disclosure bill on Beacon Hill related to entrance fees and refund transparency. LeadingAge Massachusetts said it supports clearer disclosure so residents understand refund provisions, and reported that among surveyed member CCRCs, the average time to provide an entrance-fee refund over the past two years was about 117 days. Participants emphasized the need to balance consumer protection with preserving the financial stability of the communities. The commission also reviewed upcoming dates: a virtual public hearing/listening session on June 16, the next commission meeting on June 23, and a later discussion planned on consumer rights, protections, and advertising practices. The meeting concluded with introductions of commission members and an invitation for attendees to tour the Brookhaven campus.

Transcript Highlights:

• Appreciate that input. All right. We are going to move on to the remote panel. you have.
• Appreciate that input. All right. We are going to move on to the remote panel.
• I can measure potassium chloride into a beaker pretty flawlessly, and I know the regulations of theater
• by the programs, and certain constituent input.
• by the programs, and certain constituent input.

Summary: The committee held a public hearing on Senate Bill 5849, which would require all high school students to receive financial education instruction and meet state financial education learning standards to graduate, beginning with the class of 2033 unless the State Board of Education recommends an earlier date. Staff explained the bill’s relationship to existing graduation requirements, the State Board’s role in integrating the requirement into current pathways, and a fiscal note showing about $201,000 in state costs plus unknown district costs. Senators asked about how the requirement would fit different school schedules, whether teacher preparation and clock hours would be addressed, and how the standards would stay current. The bill’s sponsor said it would be embedded within existing pathways, aligned with the Future Ready initiative, and supported by OSPI, the State Board, and the financial education public-private partnership. Testimony on SB 5849 was overwhelmingly supportive, especially from students, educators, nonprofits, bankers, and advocacy groups. Supporters said many students graduate without knowing how to budget, use credit, file taxes, understand loans, or make other basic financial decisions, and argued that a graduation requirement would make financial literacy more equitable and not dependent on family background or zip code. Several students described personal experiences with W-2 forms, student loans, credit cards, and lack of exposure to finance classes, while organizations such as Junior Achievement and the Washington Bankers Association said they already provide curriculum and support and could help districts implement the requirement. One school directors association representative opposed the bill, arguing districts are already overburdened and underfunded and should not receive new mandates without removing others or providing more resources. After the hearing, the committee moved into executive action on a separate packet of bills. It advanced SB 6278 on teacher preparation program review, SB 613 on National Voter Registration Day activities in high schools, SB 6222 on surplus school technology for students, and SB 6206 on a child care pilot for first responders, adopting proposed substitutes where offered. In a second packet, the committee referred SB 6260 on school bus depreciation, adopted a substitute and advanced SB 5346 on student mobile device use and digital citizenship, advanced SB 6263 on public bid thresholds, adopted a substitute and advanced SB 6268 on public access to special education complaint decisions, and adopted a substitute and advanced SB 6247 on financial oversight and misconduct in school districts. The committee then adjourned after signing the boards.

Transcript Highlights:

• We also have a lot of data that we work with more of our administrative... of data, and that data can
• be found on Texas health data.
• Data is clear and common sense.
• Furthermore, data from the U.S....
• You know, the data you should follow the data, sir. Yes, sir.

Bills: HB 1106 , HB3284 , HB541 , HB713 , HB1403 , HB1586 , HB1942 , HB2070 , HB2844 , HB2851 , HB3151 , HB3749 , HB3940 , HB3963 , HB4454 , HB4466 , HB4795 , HB5154 , HB5394 , SB1357 , HB 1052 , HB4099 , HB4638 , HB5147

Committee: Senate Health & Human Services

Transcript Highlights:

• or federally regulated, just looking at it.
• Know if a plan is state-regulated or federally regulated, just looking at the process.
• It's federally regulated and approved by FDA.
• The most recent data... Thank you, Madam Chair.
• The most recent data that I have, Senator, is ending with 2024.

Summary: The committee heard several health-related bills. SB 1082 would let providers or insurers in state-regulated commercial plans opt into the federal independent dispute resolution process for emergency out-of-network claims, with a late-filed amendment clarifying access to the state program in certain circumstances. The bill sponsor and emergency physicians said the measure would reduce litigation and improve payment resolution; the committee adopted the amendment and reported the bill favorably as a committee substitute. SB 1168 would centralize background screening work for the care provider clearinghouse at the Agency for Health Care Administration and update related screening rules, including sealed and expunged records for qualified entities. The sponsor said the change would speed turnaround and reduce duplication; an amendment was adopted, and the bill was reported favorably as a committee substitute. SB 1156 would move ambulatory surgical center regulation out of Chapter 395 into a standalone section of law, and it was reported favorably without amendment. SB 1480, as amended by a strike-all, would grandfather certain temporary certificate holders practicing in areas of critical need if federal designations change, allowing them to continue seeing current patients and potentially new patients in their existing area subject to board oversight. The committee heard support from health system representatives and reported the bill favorably. The final and most debated measure, SB 1756 on medical freedom, would require vaccine education materials and alternative schedules, expand school immunization exemptions to conscience-based objections, clarify limits on emergency vaccination orders, and allow pharmacists to dispense ivermectin behind the counter with written information. The sponsor and supporters framed it as parental choice and access, while physicians, public health advocates, cancer advocates, and parents of immunocompromised children warned it would lower vaccination rates and increase disease risk. The committee adopted a liability-related amendment, rejected a substitute amendment that would have required consultation for exemptions, and continued hearing public testimony opposing the bill; the transcript ends before final action on SB 1756.

Transcript Highlights:

• </c><04:10:22.239><c> Um,</c> regulator association. Um, regulator association.
• </c> sort of input and exchange of ideas. sort of input and exchange of ideas.
• Um so they're OSHA regulations.
• </c> without supporting data. without supporting data.
• Thanks for your input. your testimony. Thanks for your input.

Committee: House Labor, Industrial and Rehabilitative Services

Transcript Highlights:

• And in this data, what we're counting are mortgages, rents, utility bills, home maintenance.
• shared because what I'm gonna talk to you is gonna be one off from that data piece and it's that we
• You have passed a lot of legislation to streamline. regulate to put more pressure on local government
• There's a challenge that goes beyond the regulation, and I think we know that cost is an issue.
• You know, this is what we see as far as data and trends. This is what, you know, and we know.

Committee: House Economic Development, Growth, and Household Impact

Transcript Highlights:

• So we have two primary data sets.
• “There is a data lag.
• “We then take those data, summarize them for financial reports on our websites, data visualizations,
• But what you're hearing is a lot of data improvements and data matching.
• DHS and other data sources could potentially add a larger number who will be exempt based on data that

Summary: The committee heard opening budget remarks from the Department of Finance and the Legislative Analyst’s Office on the May Revision for Health and Human Services. Finance said the proposal significantly reduces projected out-year operating deficits through a mix of revenue increases and program cost reductions, while the LAO warned that even with booming revenues the state still faces a structural deficit and should prioritize reserves and avoid new ongoing commitments. The chair and members echoed concern about cuts to vulnerable populations, but also noted the need to maintain the overall level of budget solutions and add to reserves. The hearing then moved through a series of CalHHS and HCAI proposals, mostly held open after presentation. CalHHS requested additional legal support to respond to federal H.R. 1-related issues and a net-zero transfer of positions for a shared eligibility/data-sharing platform. Other items included ongoing funding for the 988 Behavioral Health Crisis Service Fund and a request for EMSA to fund maintenance of its enterprise data management system. HCAI presented proposals for hospital fair pricing implementation, the data exchange framework, the all-payer claims database, CalRx insulin development, the diaper access initiative, distressed hospital grants, opioid settlement fund reversion, and the Rural Health Transformation Program. Members questioned funding sources, special fund use, contracting exemptions, timelines, and whether some proposals should be more targeted or supported by alternative funding. A major discussion centered on HCAI’s diaper access initiative and the use of a Public Contract Code exemption to continue contracting for free diapers distributed through hospitals. The chair and some members criticized the optics of the selected vendor and questioned the lack of an income threshold, while HCAI said the program was designed to be universal and administratively simple, with future phase-two direct-to-consumer purchasing to be handled by a different vendor. Another extended exchange focused on distressed hospital funding, where HCAI said the May Revision would provide up to $50 million for hospitals at immediate risk of closure, but members argued the repeated annual need shows a structural problem and asked for broader reforms to hospital payment and care transitions. The final major topic was the Behavioral Health Services Oversight and Accountability Commission’s budget. The Commission opposed the May Revision’s reduction of the Innovation Partnership Fund from $20 million to $10 million and a $6.7 million cut to community advocacy contracts, arguing both are core Proposition 1 tools for statewide innovation and community engagement. Finance responded that the proposal is within Proposition 1’s allowable maximums and that prior unspent appropriations could be redirected if the Legislature wanted to restore the full amount. No votes were taken; items were generally held open for later action.

Transcript Highlights:

• That would be other uses other than just data centers, but the data centers as a daily load are accelerating
• are 10 new data centers on tap to the top of the list the 10 there are 10 new data centers on tap for
• the use of data centers.
• I need data centers to resolve that.
• So I think that is an excellent regulation.

Committee: House Conservation and Natural Resources

Summary: The Conservation and Natural Resources Committee heard Senate Bill 953, sponsored by Sen. Jason Bean, which would address a projected shortfall in the Department of Natural Resources’ air pollution control program. Bean and supporters from Associated Industries of Missouri, quarry and sand producers, engineering firms, the Missouri Chamber, forest products, and municipal utilities said the bill would stop sweeping unused program funds into general revenue and dedicate a portion of existing sales and use tax revenue from utilities to keep the program solvent without raising permit fees on businesses that have reduced emissions. One informational witness from Armour Vine warned that moving funds out of general revenue could affect broader state revenue and tax triggers. DNR also testified that the fee fund is projected to become insolvent in fiscal year 2028 if current trends continue. No opposition testimony was presented, and the bill hearing was closed. The committee then heard House Bills 3362 and 3364, sponsored by Reps. Colin Wellenkamp and Mike Koslow, which would create guardrails for AI/data center buildout around electricity and water use. The sponsors said the bills are intended to protect ratepayers and local water systems by requiring large-load customers to bear their own infrastructure costs, extending consumer protections to co-ops and municipal utilities, and requiring permits and review for major water withdrawals, with emergency shutoff provisions in water shortages. Support came from environmental groups, conservation organizations, rural advocates, Renew Missouri, the Sierra Club, Missouri Municipal League, Missouri Electric Cooperatives, Ameren Missouri, and Missouri American Water, though some witnesses urged tighter thresholds, more frequent reporting, stronger water-quality protections, and clearer definitions to avoid legal ambiguity. Several witnesses also raised concerns about transparency, local impacts, and whether current thresholds are high enough to protect aquifers, springs, and utility customers. The chair closed testimony after noting time limits and adjourned the committee.

Transcript Highlights:

• I HOPE WE CAN GET THAT DATA SOONER RATHER THAN LATER.
• WE ARE GOING TO BE COLLECTING MORE DATA.
• YOU MENTIONED DIVIDENDS AND CLAIMS DATA.
• LET'S COLLECT THE DATA AND GET THAT DATA SOONER.
• IT'S A BIFURCATED MARKET AS YOU CLEARLY SEE WHERE SOME IS REGULATED BY OIR AND SOME REGULATED BY AHCA

Transcript Highlights:

• , including the personal data of millions of Americans.
• , including the personal data of millions of Americans.
• , including the personal data of millions of Americans.
• Our nation's data and security is at risk.
• Our nation's data and security is at risk.

Bills: HR758 , HR856 , HR153 , HR872 , HB1515

Keywords: fencing, youth development, underserved communities, athletics, Peter Westbrook, scholarships, academic achievement, SNAP, nutrition assistance, contingency funds, government shutdown, hunger prevention, vulnerable populations, federal funding, condolences, aviation safety, transportation disaster, victims support, first responders, Creutzfeldt-Jakob Disease