Transcript Highlights:

• It's great that he practices what he preaches. Sure does. Okay. Any questions, members?
• Great working with her and collaborating in different events like Footsteps to Transition throughout
• Again, she's been there serving for a year now, and it's a great collaboration with the Executive Office
• The resolution seeks to reform pharmacy benefit manager practices in the state to ensure transparency
• Um, and secondly, we're really excited to collaborate with local researchers and community members to

Keywords: 912, senate, all

Summary: The committee first considered a series of Governor’s Message nominations, largely to the State Council on Developmental Disabilities and one to the Hawaii Advisory Commission on Drug Abuse and Controlled Substances. Testifiers and agencies spoke in strong support of the nominees, emphasizing their advocacy, community involvement, and lived experience. The committee heard from nominees and supporters for John Paul Moses III, Cynthia Fowler, Joshua Eay, Alicia Kim, Raymond Mamea, Maria Christina Valenzuela, Eden Watabayashi, Sierra Whiteside, and Brandy Lynn Macallani Hayen. After hearing testimony, the committee voted to advise and consent on each nomination, with the votes adopted by the members present. The committee then took up SR 53 / SCR 69, which asks the Department of Health to convene a pharmacy benefit manager working group to improve transparency, fairness, and drug affordability. Supporters included the Hawaii Pharmacist Association, the University of Hawaii system, and several individuals, while the Department of Health said the issue is complex and may require additional support or a different structure. Members discussed whether the Department of Health should lead the effort or whether another entity, such as SHIPA with an appropriation, might be more workable; the Department of Health suggested a $100,000 appropriation could be sufficient. Next, SR 56 / SCR 73 proposed a report on the developmental needs of children born during the COVID-19 pandemic. The Office of Wellness and Resilience supported the measure and asked for an extended deadline to the end of 2026, and several youth, mental health, and community organizations testified in support. The committee also heard SR 69 / STR 86 on creating an aeromedical services working group, with support from Air Methods, the Department of Health, and the Hawaii Medical Association, and SR 99 / STR 118 on studying the use of filtered catchment water for business activity, which drew support from the Plumbing and Mechanical Contractors Association and comments from the Department of Health that the issue is complicated and should include the Department of Agriculture. No final votes on the resolutions were taken in the portion of the meeting provided.

Transcript Highlights:

• The Workforce Competitiveness Trust Fund, or WCTF for short, is a program that promotes collaboration
• This practice has proven extremely popular with our guests.
• join states like Illinois and Colorado in standing up against this practice.
• On the credit card fees, can you talk a little bit more about what that would look like in practice?
• So that's why this practice would be much easier. I just don't see that that would happen.

Committee: Joint Joint Committee on Community Development and Small Businesses

Keywords: 995, all

Summary: The Joint Committee on Community Development and Small Business held an informational hearing focused on the conditions facing small and micro businesses in Massachusetts and the state programs intended to support them. Chairs Andy Vargas and Adam Gomez opened by emphasizing equitable economic development, the importance of CDFIs, and the need to help underserved entrepreneurs, especially women, minorities, veterans, immigrants, and other groups facing barriers. Committee members noted the hearing would not take up bills, and testimony was limited to 10 minutes per organization. State and quasi-public agency witnesses described current programs and funding. Dico Gibral of the Executive Office of Economic Development highlighted the Business Front Door, multilingual access, small business office hours in Gateway Cities, and funding in the Mass Leads Act, including support for CDFIs, small business technology, and capital grants. Tom Hooper of Commonwealth Corporation described workforce training programs such as the Workforce Training Fund, Workforce Competitiveness Trust Fund, and Career Technical Initiative, saying they help small businesses train workers, fill labor shortages, and support returning citizens and people with disabilities. Committee members asked about federal funding uncertainty, workforce migration, training schedules, and program uptake. Business and advocacy groups focused on cost pressures and regulatory burdens. The Massachusetts Restaurant Association urged continuation of outdoor dining and takeout alcohol sales, and pressed for relief from high credit card swipe fees, support for surcharging, and streamlining municipal licensing. The Retailers Association of Massachusetts cited survey results showing inflation, utility costs, payroll taxes, health insurance, and interchange fees as major concerns, and said many members might sell or close within five years; it also backed ending the state prohibition on surcharging and creating an Office of Main Streets Massachusetts. MACDC, BECKMA, and the Coalition for an Equitable Economy emphasized the need for more technical assistance, CDFI and small business funding, and protections against rising costs, tariffs, supply chain disruptions, and immigration enforcement impacts on immigrant-heavy business districts. No votes were taken.

Transcript Highlights:

• These are changes that we made in collaboration with our sovereign tribal nations.
• These are changes that we made in collaboration with our sovereign tribal nations.
• These are changes that we made in collaboration with our sovereign tribal nations.
• These are changes that we made in collaboration with our sovereign tribal nations.
• These are changes that we made in collaboration with our sovereign tribal nations.

Committee: Senate Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• </c><00:26:01.520><c> between</c> The program is a collaboration between The program is a collaboration
• , and collaboration.
• It reduces weight lists for practices.
• Through this collaborative investments.
• This collaboration could not work rates.

Keywords: Meeting Start: 00:00:00 Roll Call: 00:00:09 State of the Judiciary: 00:02:33 The Corrections - KCTCS Reentry Program: 00:49:44 Update on 2022 RS SB 90: 01:27:49, 958, all

Summary: The Interim Joint Committee on the Judiciary met on November 6, 2025, approved the minutes, and welcomed guests including Kentucky Specialty Courts manager Elizabeth Nichols and Boyle/Mercer Family Court Judge Bruce Petri. The committee then heard the Chief Justice of Kentucky, Deborah Lambert, deliver her state of the judiciary address, focused largely on judicial branch funding, facilities, technology, and specialty court programs. Chief Justice Lambert said the branch is facing a projected $14.3 million shortfall for fiscal year 2026 and asked lawmakers for supplemental support, access to reserve funds, and higher base appropriations to cover inflation and nondiscretionary costs. She also requested a 15% across-the-board pay increase for judicial branch employees, citing salary gaps with other state workers and declining judicial compensation relative to national averages. She emphasized that the branch has received a clean FY 2025 audit and said the requests were intended to sustain current operations rather than expand them. A major portion of her remarks covered court technology and facilities. She described the move to Chamberlain during Capitol renovations, the purchase of that building as a cost-saving measure, and the need to fund courtroom audio/video systems and a new statewide case management system. She also discussed courthouse maintenance, flood damage, mold issues, security system upgrades, and the $47 million asset preservation fund created last session, while asking for additional local facilities funding and one-time disaster-related support. Lambert highlighted specialty court and statewide program results, including foster care review boards, family recovery courts, court designated worker programs, drug and mental health courts, and the Judicial Commission on Mental Health. She thanked legislators for prior bills and support, including House Bill 1, Senate Bill 26, and the CES law, and said 2026 recommendations will focus on civil commitment reforms under KRS 202C. During questions, Senator Wheeler asked whether some courthouses are being overbuilt; Lambert said most facilities are inadequate, though some may be larger than needed, and that future needs and population changes must be considered. She also noted that virtual hearings and technology have improved efficiency. No votes or formal committee actions were taken beyond approving the minutes and receiving the presentation.

Transcript Highlights:

• SB 437 calls on the California State University system to take the lead in determining the best practices
• The CSU system is also encouraged to collaborate with others, including nonprofit organizations, credible
• The goal is to draw on the best thinking, experience, and resources available to determine practices
• Genealogy, specifically how to trace lineage back to U.S. chattel slavery, is a well-known process practiced
• It's already common practice for research entities seeking data compilation from state entities to be

Summary: The committee heard several higher education bills. It first approved the consent calendar, which included SB 67 and SB 619. The main discussion centered on SB 437, which would direct the CSU system to develop a fair, evidence-based process for verifying whether someone is a descendant of a person enslaved in the United States, as part of the state’s reparations work. Supporters said the bill fills a gap left by the Reparations Task Force and would create a transparent, credible lineage-verification process; opponents argued genealogy methods already exist, the bill would waste money and delay action, and some raised constitutional concerns. The committee took a vote on SB 437, but the roll was left open after the initial tally showed three ayes and three noes. The committee then heard SB 790, which would allow California to join the interstate reciprocity agreement for online postsecondary education. The author and supporters said the bill would improve consumer protections for California students taking out-of-state online courses and help California institutions compete more effectively by reducing the burden of seeking separate state approvals. Opponents, including University of Phoenix and other groups, argued the bill conflicted with the existing reciprocity framework, could exclude some institutions, and might not actually secure California’s entry into the agreement. The committee voted 3-1 to pass SB 790 as amended to the Business and Professions Committee, with the roll left open. The committee also heard SB 391, which would authorize the Community College Chancellor’s Office to charge fees for research partners seeking access to data. Supporters said the office is absorbing significant unfunded workload from data requests and that fees would help recover costs; opponents, including the California Teachers Association community college association, warned the fees could create barriers for faculty and smaller researchers. Members discussed possible exemptions and implementation details. The committee voted 5-1 to pass SB 391 as amended to the Appropriations Committee, with the roll left open. Finally, the committee heard SB 685, a pilot program to provide cost-of-attendance assistance at four CSU campuses for students who experienced homelessness in high school. Supporters said it would help students cover housing, food, and transportation costs and reduce dropout risk; members asked about eligibility and implementation, and the author explained the bill would use McKinney-Vento homelessness designations and target students at risk of “summer melt” and college homelessness.

Transcript Highlights:

• In carrying out its duty, the center will be required to collaborate with that center.
• Both those institutions will collaborate to go ahead and create basically the core... ...of what those
• This is a new center at Miami Dade College... ...that will be basically a clearinghouse for best practices
• Some best practices and look at how to better regulate these with cooperation from the building community
• So just a few of the great provisions, thank you for working with me and others so collaboratively.

Bills: HJR 138 , HB 42 , HB 104 , HB 129 , HB 677 , HB 426 , HB 668 , HB 1699 , HB 2017 , HB 2128 , HB 2038 , HB 3783 , HB 3717 , HB 2316 , HB 3686 , HB 2563 , HB 3883 , HB 4021 , HB 2788 , HB 2663 , HB 3305 , HB 3173 , HB 3474 , HB 1105 , HB 3531 , HB 3490 , HB 3597 , HB 1295 , HB 3512 , HB 3010 , HB 3112 , HB 4215 , HB 3223 , HB 3464 , HB 3120 , HB 4214 , HB 4511 , HB 3704 , HB 4081 , HB 4783 , HB 4063 , HB 2783 , HB 4937 , HB 5085 , HB 2510 , HB 3426 , HB 4361 , HB 1169 , HB 2516 , HB 2347 , HB 4034 , HB 4700 , HB 3560 , HB 5150 , HB 3860 , HB 3146 , HB 3924 , HCR 98 , HCR 92 , HB 1520 , HB 1545 , HB 5265 , HB 1887 , HB 1914 , HB 2402 , HB 2306 , HB 2350 , HB 3000 , HB 3237 , HB 3326 , HB 3211 , HB 1056 , HB 2081 , HB 2187 , HB 3092 , HB 3308 , HB 3526 , HB 3750 , HB 4219 , HB 4230 , HB 4290 , HB 5238 , HB 4804 , HB 4749 , HB 245 , HB 1465 , HB 294 , HB 793 , HB 809 , HB 3928 , HB 334 , HB 2037 , HB 1973 , HB 285 , HB 4341 , HB 1043 , HB 1234 , HB 1193 , HB 1729 , HB 2498 , HB 1314 , HB 1353 , HB 3960 , HB 3923 , HB 2221 , HB 2517 , HB 2518 , HB 2213 , HB 5092 , HB 3748 , HB 5246 , HB 4344 , HB 1482 , HB 4044 , HB 2702 , HB 4264 , HB 2807 , HB 2898 , HB 3181 , HB 3250 , HB 2091 , HB 2115 , HB 2542 , HB 2768 , HB 3349 , HB 4406 , HB 1593 , HB 1899 , HB 3133 , HB 3133 , HB 4960 , HB 3214 , HB 2145 , HB 1201 , HB 5061 , SB 29 , SB 879 , SB 65 , SB 1745 , SB 412 , SB 412 , SB 1746 , SB 1238 , SB 1341 , SB 522 , SB 1532 , SB 1378 , SB 1062 , SB 2066 , SB 1963 , SB 2204 , SB 1366 , SB 2077 , SB 1967 , SB 1151 , HB 1618 , HB 2156 , HB 2615 , HB 2615 , HB 2349 , HB 1926 , HB 569 , HB 1762 , HB 38 , HJR 138 , HB 42 , HB 104 , HB 104 , HB 129 , HB 677 , HB 426 , HB 668 , HB 1699 , HB 2017 , HB 2128 , HB 2038 , HB 3783 , HB 3717 , HB 2316 , HB 3686 , HB 2563 , HB 3883 , HB 4021 , HB 2788 , HB 2663 , HB 2663 , HB 3305 , HB 3173 , HB 3474 , HB 1105 , HB 3531 , HB 3531 , HB 3490 , HB 3490 , HB 3597 , HB 1295 , HB 3512 , HB 3010 , HB 3112 , HB 4215 , HB 3223 , HB 3223 , HB 3464 , HB 3120 , HB 4214 , HB 4511 , HB 3704 , HB 4081 , HB 4783 , HB 4063 , HB 2783 , HB 4937 , HB 5085 , HB 2510 , HB 3426 , HB 4361 , HB 1169 , HB 2516 , HB 2347 , HB 4034 , HB 4700 , HB 3560 , HB 5150 , HB 3860 , HB 3146 , HB 3924 , HCR 98 , HCR 92

Keywords: carbon tax, carbon emissions, greenhouse gas, climate policy, fuel tax, emissions tax, Texas Constitution, Article VIII, tax limitation, environmental tax, fossil fuels, energy policy, legislative taxing authority, ballot proposition, constitutional amendment, higher education, funding, financial allocation, state budget, Texas A&M University

Transcript Highlights:

• And it's why we collaborated with other local partners to develop the Native Hawaiian Pacific Islander
• And it's why we<00:03:18.000><c> collaborated</c><00:03:18.720><c> with</c><00:03:19.040><c> other</c
• ><00:03:19.599><c> local</c> we collaborated with other local we collaborated with other local partners
• 00:27:14.480><c> sustainable</c> equipment and adopt sustainable equipment and adopt sustainable practices
• in the provisions of health practices in the provisions of health care<00:27:17.520><c> services</c>

Committee: Senate Health and Human Services

Keywords: 912, senate, all

Summary: The committee first heard SR 12/SCR 16, which asks the Department of Health to convene a task force to identify minimum professional standards for community health worker training programs. The Department of Health supported the measure and said it could take on the work with current resources. Testimony from Papa Ola Lokahi, the Hawaii Public Health Institute, the Hawaii Community Health Worker Association, and community health workers strongly supported the resolution but urged broader task force representation, including community health workers themselves, Papa Ola Lokahi, the Hawaii Primary Care Association, the Native Hawaiian Pacific Islander Community Health Worker Alliance, and community-based rural nonprofit organizations. Several testifiers also asked that community health workers make up at least half of the task force. The department indicated it had no objection to adding the requested groups, and members discussed those proposed amendments. The committee then took up SR 141/SCR 172, which requests a Department of Health working group on demolition waste reduction. Energy Justice Network and other supporters urged amendments, including use of the internationally recognized zero-waste definition and hierarchy. The committee also heard SR 165/SCR 205, which would direct the Department of Health to adopt rules setting maximum decibel levels for concerts or events at private venues in primarily residential areas. The department said it was already working on noise issues and wanted a community noise working group to address nuisances beyond current statutory categories, but members questioned the lack of specific standards, the absence of a defined working group membership, and whether the proposal would lead to broader restrictions on events. Testimony and discussion focused on concerns about noise impacts, enforcement, and the balance between community complaints and long-standing local events. No votes or final committee actions were taken in the portion provided. The hearing then moved on to SR 174/SCR 194, which would ask the Department of Health to reduce the use of disposable surgical equipment and adopt sustainable practices, but discussion of that measure was not included in the transcript excerpt.

Transcript Highlights:

• To counter this threat, industry leaders are collaborating with federal, state, and local law enforcement
• </c><00:08:07.639><c> with</c><00:08:07.800><c> federal</c> leaders are collaborating with federal leaders
• are collaborating with federal state<00:08:08.479><c> and</c><00:08:08.599><c> local</c><00:08:08.840
• Chair, and I don't practice as much as the chair does anymore.
• :39.760><c> as</c><00:24:40.000><c> the</c><00:24:40.240><c> chair</c><00:24:40.600><c> does</c> practice

Keywords: Meeting Start: 00:00:00 Roll Call: 00:00:24 SB 7: 00:00:51 SB 130: 00:06:00 SB 244: 00:11:17 SB 236: 00:13:31, 958, all

Summary: The Senate Judiciary Committee met with a quorum and considered four bills. Senate Bill 7, sponsored by Sen. Bledsoe, would create a Right of Publicity Act to prohibit unauthorized commercial use of a person’s unclothed likeness, including for living and deceased individuals, while carving out exemptions for artistic and news-related uses. Bledsoe said the bill is intended to address privacy, dignity, and AI-generated image misuse, and noted she may offer a floor amendment to address concerns from broadband and internet providers. Sen. Thomas supported the bill but questioned the 10-year duration, and Bledsoe said that timeframe was somewhat arbitrary. The committee voted 8-0 to pass SB 7 with favorable expression to the floor. Senate Bill 130, presented by Sen. Maiden, addressed gift card scams and theft of redemption information. A committee substitute was adopted, and Maiden described the bill as a response to organized retail crime, citing major gift card scams in Louisville and Lexington and explaining how tampered cards are returned to shelves and later drained after purchase. He said the substitute would create clear criminal penalties, make gift card tampering a felony, and add gift card fraud to the credit card fraud statute. Members shared personal experiences with compromised gift cards, and the committee approved SB 130 8-0 with favorable expression. Senate Bill 244, a reorganization cleanup bill presented by Sen. Howell and Attorney General’s office counsel Will Schroer, would complete name and structural changes following the transfer of Administrative Hearings and Child Support from the Cabinet for Health and Family Services to the Attorney General’s office and align the bill with prior data privacy legislation. The committee voted 9-0 to send SB 244 to the floor with favorable expression. Senate Bill 236, sponsored by Sen. Smith, drew extended discussion about a veteran’s case involving an old misdemeanor/DUI matter and a later warrant or failure-to-appear issue. The witness described being arrested years later despite having rebuilt her life, and senators debated whether the bill’s proposed time limit could create loopholes or affect court procedures; members emphasized that the underlying charge would remain and that the bill was aimed at unserved failure-to-appear warrants. The committee ultimately voted to advance SB 236 with favorable expression, with several members explaining their support while noting concerns about possible future language changes.

Transcript Highlights:

• The bill before you today directs OSPI and educational service districts to collaborate and coordinate
• about evidence-based practices related to reading, and works with the educational service districts
• about evidence-based practices related to reading, and works with the educational service districts
• For more than 30 years, we've known the evidence-based practices that best support reading and writing
• Using evidence-based frameworks to guide collaboration reduces duplication, strengthens communication

Summary: The committee held public hearings on three K-12 bills focused on behavioral health, literacy, and review of education mandates. On House Bill 1634, staff and Rep. Milin Tai described a framework for OSPI and educational service districts to coordinate with state and local partners on behavioral health technical assistance and training for schools, aligned with the Washington Thriving prenatal-to-25 plan. Testifiers, including students and education/behavioral health representatives, said the bill would improve coordination, early intervention, and access to supports for students and families. The bill was presented as having no fiscal note because it relies on existing funding, and testimony emphasized parent and student engagement in the framework. On House Bill 2636, staff and Rep. Skyler Rude explained that the bill creates a Public Education Review Steering Committee to identify existing policies and funding provisions for JLARC review, with the goal of determining whether they achieve intended outcomes, improve student performance, are cost-effective, and should be maintained, modified, or repealed. Supporters said the bill is intended to help reduce burdensome or ineffective requirements on school districts and free resources for students, while some members questioned how the committee would define policy and whether it could affect future mandates. A representative of the Washington State School Directors Association supported the concept as a meaningful review of unfunded mandates. The committee also heard House Bill 1295, which would require evidence-aligned literacy curriculum updates after 2027, require comprehensive K-4 literacy programs using structured literacy practices, direct PESB to revise literacy endorsement standards, require literacy-related continuing education, and direct OSPI to develop educator literacy training. Supporters, including parents, educators, students, dyslexia advocates, and district staff, argued that structured literacy is supported by research and would improve outcomes for struggling readers and students with dyslexia. One witness from the Washington Education Association supported the bill but raised concern about adding another continuing-education requirement. Testimony on the bill was extensive and largely in favor, with some discussion about whether the approach would address older students and how it would interact with existing district and ESD efforts. After public hearings, the committee moved into executive session and approved three gubernatorial appointments for confirmation recommendation. It adopted an amendment to House Bill 1796 and advanced the bill to Ways and Means, passed Engrossed House Bill 2317 to Rules, and adopted a striking amendment to Substitute House Bill 2594 before advancing it to Ways and Means. All actions were taken by voice vote, with no opposition recorded.

Transcript Highlights:

• Professionally, I am a clinical director locally here at a family medicine practice, and I wanted to
• So in practicality, you know, when I hear that it is allowed and not a problem, practicality here in
• standards. ...from providing care consistent with current best practice standards.
• I am a credentialed advanced practice provider in hospitals in two Idaho counties.
• I grew up in Middleton, currently live in Caldwell, and now own a midwifery practice in Nampa.

Summary: The committee first heard House Bill 528, which would codify the ability for patients to use self-donated or directed donor blood under federal testing and collection guidelines. Representative Chris Bruce said the bill was intended to ensure Idaho patients have that option in state law after some hospitals or facilities had denied requests. Supporters testified that the bill protects patient autonomy, religious freedom, and medical choice, and described personal experiences where directed donation was difficult or impossible to arrange in Idaho. Opponents, including representatives from Vitalant and the Red Cross, said directed and autologous donations are already available when medically indicated, that the bill addresses a problem that does not exist, and that it could add cost, complexity, and strain to an already severe blood shortage without improving safety. After debate over terms such as “detrimental” and “gross negligence,” a substitute motion to send the bill to amending order failed 7-9, and the original motion to send HB 528 to the House floor with a do pass recommendation passed 7-6. The committee then approved a rules docket for the Idaho Commission for the Blind and Visually Impaired’s Business Enterprise Program, which updates and streamlines rules governing vending and food service facilities operated by blind entrepreneurs. The committee next took up House Bill 550, a midwifery bill updating Idaho’s existing statute to allow licensed midwives to administer additional medications within their training and scope of practice. The sponsor and several midwives, nurses, and other supporters said the changes would modernize outdated law, improve care in rural areas, reduce unnecessary hospital transfers, and better address postpartum hemorrhage and other maternal or neonatal needs. One testifier described a tragic homebirth outcome and urged stronger safety limits, while the Idaho Medical Association said it had worked with the sponsor on compromise language. At the sponsor’s request, HB 550 was held in committee and the related revised RS was moved forward. The committee then approved RS-33-250, which incorporated agreed-upon changes defining a formulary and protocol and clarifying maternal and neonatal care language, sending it to the second reading calendar with a do pass recommendation. The meeting adjourned after completing the agenda.

Transcript Highlights:

• They're leaving the practice. They might leave the state.
• They're leaving the practice. They might leave the state.
• guess, the specialty that they are practicing in medicine.
• And doctors do practice.
• So Republicans are seeking to make the practice of medicine more difficult for people to practice the

Keywords: 1182, all

Transcript Highlights:

• carriers will have at the time of implementing the policy, and carriers may modify their financial practices
• The substitute bill does remove a few of those covered practices that the original bill had required.
• They were eight very practical amendments that would improve this bill.
• It removed some of the lists of the covered practices.
• And so I appreciate the collaborative work that went along with this bill by both parties.

Bills: HB2073 , HB2403 , HB2587 , HB2607 , HB1170 , HB1570 , HB1710 , HB1750 , HB1834 , HB2441

Committee: House Appropriations

Keywords: health insurance, premium assistance, funding, healthcare, subsidies, failure to register, criminal justice, registration requirements, public safety, law enforcement, nonprofit, grant funding, pilot program, financial support, community development, child care, childcare, subsidy rates, rate regions, market rate survey

Transcript Highlights:

• And then last, I'll just highlight the Rural P20 Collaborative.
• I'm trying to figure out how would this collaborative interact with a pre-K child, for that matter, a
• This, when I heard collaborative with pre-K, it just seems like there's already some of that out there
• So we'd love to collaborate on that. Thank you, Madam Chair.
• I practice in Española. I practice family and community medicine and addiction medicine.

Committee: House Water & Natural Resources Committee

Transcript Highlights:

• Our organization works collaboratively.
• There has been a lot of collaboration.
• There has been a lot of collaboration.
• There has been a lot of collaboration.
• There are been a lot of collaboration.

Committee: Senate Energy and Natural Resources

Keywords: 1191, senate, all

Transcript Highlights:

• This is to improve breast and cervical cancer screening practices and the implementation of evidence-based
• This is to support strategic objectives of streamlining collaboration and improving information technology
• This is for temporary staffing services. 77, UALR with Strata Collaborative.
• This is for student navigation services pursuant to specified requirements. 77, UALR with Strata Collaborative
• with Summer Nash Patten, is for nutritional training and advisement, including implementing quality practices

Committee: All ALC-REVIEW

Keywords: 1204, all

Transcript Highlights:

• course of fostering course effectiveness of the office of the sheriff to leadership, innovative practices
• that nobody in the state of Florida, Jewish or otherwise were intimidated or contemplating not practicing
• There are other ways to better enable cross share in combine those assets to get more cross collaboration
• So we've we've decided to do this every year to create this collaborative environment where people can
• share successes, they can share problems and it allowed people to collaborate that never had seen each

Keywords: 999, senate, all

Transcript Highlights:

• A comment first: especially in our practice, we found a huge trigger for relapse was insecure housing
• Four, use evidence-based policies and practices. Let me tell you something.
• Like a lot of harm reduction practices, the ripple effect extends far beyond just recovery.
• I'm asking about your Medicaid enrollment specialists and what that looks like in practice.
• And the purpose of the Vice Squad is to work collaboratively and comprehensively.

Committee: House Substance Abuse Prevention and Treatment Task Force

Keywords: 959, house, all

Transcript Highlights:

• Here's the critical part of this: Four, use evidence-based policies and practices.
• Like a lot of harm reduction practices, the ripple effect extends far beyond just recovery.
• So shifting to the question of one thing that I would change about Missouri's policy or practice.
• I'm asking about your Medicaid enrollment specialists and what that looks like in practice.
• Merchandising Practices Act. It functions a lot like a subpoena. It's a mandatory process.

Summary: The task force heard extensive testimony on recovery support, harm reduction, and community-based care. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he said recovery housing, peer support, employment, accountability, and stable housing are what help people stay sober and avoid relapse. Members asked about funding, housing shortages, transportation, treatment courts, and support for medication-assisted treatment (MAT). Haniken said Into Action relies on a braided mix of federal, state, county, city, foundation, and private funding, and that recovery housing needs longer-term support than many current funding streams provide. He also said Missouri should expand recovery housing, peer recovery support, and recovery community centers, and improve awareness and access to MAT in recovery settings and after incarceration. Matt Cushman, a community paramedic with Raytown Fire Protection District, urged Missouri to expand harm reduction, including syringe service programs and broader access to clean needles and drug-checking tools. He argued that stigma and abstinence-only approaches keep many people from seeking help, and said harm reduction reduces disease transmission, overdose deaths, hospitalizations, and other harms while creating pathways to recovery. He cited naloxone distribution as a successful example and said similar strategies should be decriminalized and expanded. Members asked about naloxone access, community paramedicine funding, and whether safe consumption sites should be considered; Cushman said syringe exchange should be a near-term priority, while safe consumption sites are a longer-term policy question. Representatives from Ozarks Medical Center/COMC and Four Rivers Community Health Center focused on the need to reimburse peer support specialists and community health workers, especially in rural and underserved areas. COMC’s Monet Lehman shared her trauma and recovery story and described her jail reentry work, helping incarcerated people with housing, benefits, IDs, employment, MAT, and community supports before release. Four Rivers said its care coordinators and CHWs provide wraparound services such as transportation, housing help, Medicaid enrollment, clothing, and same-day MAT access. Members and staff discussed confusion over reimbursement rules, noting that CCBHCs can bill for peer services through Medicaid while FQHCs generally cannot, and that CHWs are often funded through grants rather than reimbursement. No votes were taken; the meeting consisted of testimony and member questions, with several requests for follow-up information on funding, transportation, and reimbursement rules.

Transcript Highlights:

• closely with the colleg's collaborated closely with the colleg's faculty<00:08:55.760><c> to</c><00:
• </c><00:10:07.760><c> Consequently,</c><00:10:08.399><c> the</c> standard of practice.
• Consequently, the standard of practice.
• experiences in favor of meeting practice experiences in favor of meeting the<00:11:53.760><c> new</c
• ><c> practices</c><00:21:29.600><c> associated</c><00:21:30.240><c> with</c> products and practices associated

Committee: Senate Health and Human Services

Keywords: 1187, senate, all

Transcript Highlights:

• I practiced for a number of years. While I don't currently practice, I do remain licensed.
• It is an evidence-based practice.
• I've seen differentials for evidence-based practices versus non-evidence-based practices.
• Because they're not able—they've got more overhead than a private practice. That just is a fact.
• Because they're not able, they've got more overhead than a private practice.

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to behavioral health as the main topic. Representatives Woodridge and Vaught described the work of the behavioral health working group, saying Arkansas needs a more proactive system that improves access, reduces red tape, and focuses on a few achievable policy changes for the 2027 session rather than many bills. Members discussed barriers such as low reimbursement, workforce shortages, licensing and credentialing hurdles, rural access problems, and the need to better use community providers, compacts, and step-down services. Director Paula Stone of DHS’s Office of Substance Abuse and Mental Health gave a detailed overview of the behavioral health system. She said Medicaid pays for more than 75% of behavioral health services in Arkansas and explained that when people are jailed or admitted to the state hospital, Medicaid generally stops, leaving state general revenue to cover care. She described current efforts including family-centered treatment for children, community reintegration group homes, a new adolescent substance use disorder residential unit, expanded community mental health center contracts, a secured restoration unit to reduce state hospital backlogs, and an IMD waiver to allow Medicaid payment for certain residential services. She also said DHS is working on crisis services, forensic evaluations, and provider rebidding in areas previously served by ERISA. Members asked about reimbursement for jail services, the lack of a statewide behavioral health dashboard, civil commitment options, crisis stabilization units, and whether Arkansas should expand step-down or long-term facilities for people who cannot safely return to the community. Stone said the state hospital backlog remains significant, average stays are still about 14 months, and crisis stabilization units have had mixed success, with Fort Smith and Jonesboro performing better than Fayetteville and Little Rock. The meeting ended with a commitment to continue the work, with more substantive discussion planned for August.