Video & Transcript : 'county agencies' :

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MN

Minnesota 2025-2026 Regular Session

House Health Finance and Policy Committee 4/8/26

Health Finance and Policy

Transcript Highlights:
  • </c><01:13:57.679><c> This</c> between two state agencies. This between two state agencies.
  • , counties, and tribal nations.
  • </c><01:30:00.560><c> And</c> county and tribal partners with. And county and tribal partners with.
  • </c><01:32:19.360><c> counties</c><01:32:19.600><c> and</c><01:32:19.840><c> tribal</c> the state agency
  • counties and tribal the state agency counties and tribal nations.<01:32:20.480><c> As</c><01:32:20.639
Bills: HF4609 , HF4401
HI

Hawaii 2025 Regular Session

FIN Info Briefing - Thu Jan 9, 2025 @ 9:00 AM HST

Hawaii House Floor Meeting

Transcript Highlights:
  • </c> you talk and maybe break down by County you talk and maybe break down by County where<00:20:21.159
  • All counties are consistent, with the exception of Hawaii County.
  • exception of Hawaii County.
  • , um, they would be counties that are have and have-not counties, right?
  • , um, they would be counties that are have and have-not counties, right?
Summary: The Committee on Finance held informational briefings first with the Department of Defense on its FY 2026 budget request, then with the Hawaii School Facilities Authority. Major General Steve Logan outlined the Department of Defense request for $40.5 million in state funds, which he said would leverage about $74 million in federal matching funds and support 411 open projects that could attract up to $2.3 billion in additional federal grant money. He said the budget focuses on sustainment, safety, and reorganization in light of lessons from the Maui wildfires. Key requests included $1.3 million to sustain IT systems, $2.7 million for 32 HEMA emergency management positions, three new Hawaii Army National Guard positions plus four upgrades, and $1.9 million for the Youth Challenge Program to cover state-mandated fringe costs and staffing needs. He also reviewed capital improvement projects, including Youth Challenge facility upgrades, siren modernization, ADA improvements, building retrofits for disaster resilience, Army facility upgrades, a third state veterans home on Maui, HEMA EOC improvements, and a maintenance/fuel building at Diamond Head. Members asked about the siren modernization timeline, and HEMA said roughly 26 to 31 sirens would be modernized this year, with 15 on Maui, eight on Oahu, and eight on the Big Island. Questions also focused on Youth Challenge and Job Challenge enrollment and vacancies, with the department saying the Hilo Job Challenge Academy is growing and that combining Youth Challenge recruiting statewide into one Kilauea program has helped enrollment. Logan also answered questions about the New Year’s Eve medical transport mission, explaining the Hawaii Air National Guard’s relationship with active-duty Air Force assets and saying the flight cost is about $20,000 per flight hour, though the final bill had not yet been determined. On the Maui veterans home, staff said the University of Hawaii site was no longer viable after faculty senate opposition, so the department is now focused on a 10-acre Puna District site; the project remains tied to a certified $35 million state match and August 2025 and August 2026 federal suspense dates. Logan said the veterans home remains one of the department’s highest priorities, but it could not be moved higher in the submitted CIP ranking. The department also discussed a Governor’s add-on for a fire marshal/Office of Recovery and Resiliency proposal. Logan said the fire marshal position was reestablished last session but has not yet been filled, and that if the function is transferred to the Department of Defense, the department wants funding ready to move quickly. Staff later said the request would include about $1.1 million for seven positions and about $2.2 million for operating costs, though details were still preliminary. The committee then reconvened for the School Facilities Authority briefing, where Executive Director Ricky Fujitani described the agency as a startup created in 2020 to improve school and workforce housing development through standardized designs, prefabrication, best-value procurement, and public-private partnerships. He said Hawaii’s single school district still functions like 15 different districts because of its 264 schools across 15 complex areas, and that the authority’s goal is to create more efficient, maintainable, and cost-effective facilities.
ND

North Dakota 2026 1st Special Session

Human Services Committee May 27th, 2026 at 09:00 am

Human Services

Transcript Highlights:
  • You will notice... ...and the counties, and you can see how many responses we received from each county
  • We would like to note that two of those counties, Sioux County and Slope County, do not have licensed
  • Many of you already know that 36 out of 53 counties are frontier counties.
  • counties have no physicians.
  • It's a problem in Cass County. It's a problem in Cass County.
MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - 03/13/25

Health and Human Services

Transcript Highlights:
  • The second bucket would be for counties and tribes, and the third bucket would be county-to-county capacity
  • Ramsey County residents.
  • Ramsey County residents.
  • Ramsey County residents.
  • </c> County shelters come from Ramsey County County shelters come from Ramsey County say<01:48:13.760
MS

Mississippi 2026 Regular Session

MS Senate Floor - 5 March, 2026; 10:00 AM

Mississippi Senate Floor Meeting

Transcript Highlights:
  • I'm not sure if they rent them from the uh, but it's state agency, so it would, if it's a county, it
  • <00:32:36.000><c> the</c><00:32:36.120><c> county</c> that run the county that run the county would<00
  • </c> Laurel, Jones County. Laurel, Jones County.
  • County. County.
  • </c> poll managers county. poll managers county.
KY

Kentucky 2026 Regular Session

House Standing Committee on Local Government. (2-10-26)

Local Government

Transcript Highlights:
  • I represent the 62nd District, Scott County. >> I'm Pat Morgan.
  • I'm chief retired chief deputy<00:02:40.480><c> Kenton</c><00:02:40.800><c> County</c><00:02:41.040><
  • c> Sheriff's</c><00:02:41.440><c> Office</c> deputy Kenton County Sheriff's Office deputy Kenton County
  • </c> Kucky's criminal justice agencies Kucky's criminal justice agencies provide<00:03:35.360><c> criminal
  • It does not go outside of that agency. >> Okay. Thank you, Mr.
MN

Minnesota 2025-2026 Regular Session

House Public Safety Finance and Policy Committee 4/2/25

Public Safety Finance and Policy

Transcript Highlights:
  • It's why I'm representing Wright County today, not one of the associations in Wright County alone.
  • It's why I'm representing Wright County today, not one of the associations in Wright County alone.
  • It's why I'm representing Wright County today, not one of the associations in Wright County alone.
  • It's why I'm representing Wright County today, not one of the associations in Wright County alone.
  • Carlton County, um, you know, these funds, the city or the county receives about 425,000.
MN

Minnesota 2025-2026 Regular Session

Combatting Fraud with Employee Training – Senator Mark Koran Feb 28th, 2026

Minnesota Senate Floor Meeting

Transcript Highlights:
  • Have you driven by that agency gone by?
  • </c> more like organized crime, the agency more like organized crime, the agency leadership,<00:04:17.359
  • </c> refused to uh require his uh agency refused to uh require his uh agency personnel<00:10:39.440><
  • Our state agencies have to do better and they failed.
  • Our state agencies have to do better and they failed.
MN

Minnesota 2025-2026 Regular Session

Omnibus budget for health, children and families passes House floor 5/12/25

Minnesota House Floor Meeting

Transcript Highlights:
  • from Dakota County, from Hennepin County, from St.
  • County, again in Hennepin County, again in St.
  • County, again in Hennepin County, again in St.
  • Uh, when I talk about agencies and I talk about growth in the agencies, I work for the county.
  • </c><02:45:12.960><c> I</c> agencies, I I work for the county. I agencies, I I work for the county.
TX
Transcript Highlights:
  • It codifies an existing law enforcement program in Harris County.
  • The contract deputy program is wildly popular in Harris County.
  • earlier, as did the County Judges and Commissioners Association of Texas.
  • Are they all within Harris County?
  • The county auditor and treasurer in terms of money is available to him.
Bills: HB8 , HB26 , HB192
Committee: Senate Finance
FL
Transcript Highlights:
  • I'm a resident of Broward County.
  • It's an urban course like in Miami-Dade County, Broward, and Pinellas County around transit corridors
  • where the infrastructure is already... ...in Miami-Dade County, Broward, and Pinellas County around
  • But if it's a preference and the county has already, in three counties, invested heavily in this and
  • Each county has their importance. The Leon County Supervisor's site.
Summary: The committee first took up CS for SB 1342, a transit-oriented development bill intended to expand housing near fixed transit corridors. The sponsor said the measure builds on the Live Local Act by reducing regulatory barriers and encouraging private investment around transit investments. An amendment was adopted that narrowed definitions, limited the bill to land use and development regulations, removed a private cause of action, and exempted certain sensitive areas including military installations and environmentally sensitive lands. Supporters argued the bill would increase housing supply and maximize the return on state transit spending, while local government groups and other opponents warned it would preempt local zoning, impose uniform density rules, and create infrastructure, evacuation, and public input concerns. The bill was then reported favorably. The committee then considered CS for SB 1334, an elections bill that would require documentary proof of citizenship in certain voter registration and verification processes, update candidate qualification rules, require U.S. citizen markers on driver licenses and ID cards, and clarify that paper ballots are the primary voting method. Two technical amendments were adopted. The sponsor said the bill would streamline verification by allowing agencies to rely on Real ID and DHSMV records, reduce duplicate documentation, and improve communication between state systems. Senators questioned the fiscal impact, data-sharing procedures, storage of sensitive documents, effects on students, disabled voters, and people without driver licenses or Real IDs. A large number of public speakers opposed the bill, arguing it would burden eligible voters, especially students, seniors, disabled people, low-income residents, naturalized citizens, and people with name changes, while a smaller number supported it as an election integrity measure. The bill was ultimately not finished in the portion of the transcript provided, but the committee continued taking testimony and questions. Later, the committee took up CS for SB 1362 on advanced air mobility. A strike-all amendment was adopted to align the bill with the House version and authorize FDOT to fund vertiports and charging systems as part of public-private partnerships, including up to 80% of the non-federal share when federal funds are available and up to 100% if FDOT elects to do so. The sponsor framed the bill as helping Florida lead in advanced air mobility, and the measure was reported favorably with support from industry and local government representatives. Finally, the committee heard SB 174, which would designate a portion of State Road 985 in Miami-Dade County as Charlie Kirk Memorial Avenue and direct FDOT to install markers at an estimated cost of $2,400. The sponsor said the designation was tied to Turning Point USA activity at FIU and civic engagement. Several senators objected in debate, arguing Kirk was divisive and that the state should reserve road memorials for figures more broadly deserving of honor; others defended the designation as symbolic and non-regulatory. The transcript ends during the sponsor’s closing remarks, before a final vote is shown.
WA

Washington 2025-2026 Regular Session

House Transportation Feb 27th, 2026

Transcript Highlights:
  • and counties would be $5,600 for each code city or town and around $11,000 for each county that coordinated
  • I think that many of our counties—I hope that many of our counties are doing this through the GMA process
  • And not all counties, as you know, are Growth Management Act counties, and so that Growth Management
  • Act process that exists in law for many counties today does not apply to all counties.
  • , not just the Growth Management Act counties.
Summary: The committee held public hearings on two transportation-related bills. For Engrossed Substitute Senate Bill 5374, staff explained that the bill would require tribal governments to be included in Growth Management Act transportation coordination and in preparation of county six-year transportation programs, and would create a tribal traffic safety coordinator grant program through the Traffic Safety Commission. Fiscal impacts were described as indeterminate and scalable, with estimates for staffing, grants, and local government coordination costs. The Association of Counties testified in support, saying the bill would better align existing tribal consultation processes with transportation planning and would not force counties to restart plans already near adoption. For Engrossed Senate Bill 5649, staff said the bill would create a Washington State Supply Chain Competitiveness Infrastructure Program to provide grants and loans for public and tribal ports with public operations, with DOT setting priorities and criteria in collaboration with supply chain stakeholders. Fiscal notes estimated significant staffing and program costs, but the amount would depend on appropriations; no funds were included in the current Senate Transportation budget. The Washington Public Ports Association and representatives from the Port of Everett and Port of Port Angeles supported the bill, arguing it would help ports address congestion, improve freight efficiency, and leverage federal matching funds for major infrastructure projects. The Freight Mobility Strategic Investment Board director said many proposed projects would not qualify for FMSIB funding because they are not on strategic freight corridors, which is why a separate program may be needed. Members asked about timing, whether the tribal planning bill would require counties to start over on plans already near completion, and how the port bill would interact with existing funding sources and FMSIB eligibility. Staff and witnesses said the tribal bill was intended to work with existing coordination processes and not force counties to restart, while the port bill was meant to fill gaps where current programs do not apply. The chair then reviewed amendment deadlines for budget and committee bills, and the meeting adjourned for caucuses.
FL

Florida 2025 Regular Session

Health Policy Oct 7th, 2025

Transcript Highlights:
  • THIS FOLLOWS TO THE STATE SURVEY AGENCY RIGHT NOW WHICH IS US THE AGENCY FOR HEALTH AND QUALITY ASSURANCE
  • THE AGENCY DID SUBMIT 1115 WAIVER IN MAY OF 2025. MAY 16th I BELIEVE IT WAS.
  • AND WITH EVER HEALTH AND I'M FROM PINELLAS COUNTY. >> ABSOLUTELY.
  • AND WITH EVER HEALTH AND I'M FROM PINELLAS COUNTY.
  • WE JUST SAW ONE IN MARTIN COUNTY.
NM

New Mexico 2025 Regular Session

IC - Legislative Finance Nov 17th, 2025

Transcript Highlights:
  • So, I'm really happy with the staffing of the agency.
  • We are promoting an accuracy culture at our agency.
  • We really think about that a lot in our agency, ensuring we leave the agency in good shape while maintaining
  • I think the agency—we have just been underwater, honestly.
  • To help the agency, and this is kind of something I'd like to present to all agencies: to encourage your
FL
Transcript Highlights:
  • Also with me today are the leaders of our partner agencies to present their respective budgets.
  • I'm on different county boards where I hear about it too.
  • I'm on different county boards where I hear about it too.
  • This happened in both our district and Volusia County.
  • Where I live, Alachua County and nearby Marion and Levy counties, they all have reported increases from
Summary: The committee received a presentation on the Governor’s fiscal year 2026-2027 public safety budget, which totals $8.2 billion for the public safety silo and includes funding for the Departments of Law Enforcement, Juvenile Justice, and Corrections, along with courts and legal affairs. The Governor’s Office highlighted recurring reductions and vacancy eliminations, while agency heads outlined their major requests: FDLE sought funding for fentanyl enforcement, career offender registry staffing, alert-system upgrades, alcohol testing modernization, officer wellness, criminal intelligence, and immigration-related intelligence work; DJJ requested money for the Florida Scholars Academy, uniforms, residential services, a new Broward detention center, and facility maintenance; and DOC requested major increases for officer pay, additional staff, facility construction and maintenance, communications upgrades, inmate health care, pharmaceuticals, and food service. Members questioned FDLE about immigration enforcement and public records burdens, and DOC about staffing, capacity, mental health services, contraband, housing, and whether prison beds were being used for immigration detainees. Public testimony also urged better prison conditions and basic necessities for incarcerated people. The committee then took up and reported favorably CS/SB 156, the Jason Rayner Act, which would strengthen penalties and clarify that a person may not resist an officer with violence when the officer is performing official duties. An amendment conforming the bill to House language was adopted, and the bill passed with Senator Smith voting no. The committee also adopted an amendment and reported favorably CS/SB 54, which concerns use of substances affecting cognitive function and limits certain medical-record disclosures to information relevant to investigations of violent offenders; Senator Smith voted no on that measure as well. Next, the committee considered Senator Berman’s bills on domestic and dating violence. CS/SB 296 would direct a study of a secure web-based alert platform for victims, including a discreet phone-number/code system and geolocation support, and would expand the Address Confidentiality Program to dating-violence victims. The bill drew emotional support testimony from survivors and advocates describing the dangers victims face when trying to leave abusive situations, and it was reported favorably. Its companion, CS/SB 298, would extend public-records protections in the Address Confidentiality Program to dating-violence victims; it was also reported favorably. The committee then adjourned.
AZ
Transcript Highlights:
  • You've got Maricopa County.
  • What would this cost state agencies? Senator. Senator. Mr.
  • They still have protections that federal agencies and state agencies have to abide by.
  • ARS 11-1051 already outlines officials or agencies of this state and counties, cities, towns, and other
  • ARS 11-1051 already outlines officials or agencies of this state and counties, cities, towns, and other
Summary: The committee first took up SB 1803, which would regulate non-accredited veterans benefits claims assistance by prohibiting unrecognized agents or attorneys from preparing or prosecuting claims, limiting compensation practices, requiring written disclosures and cancellation rights, and making violations subject to Attorney General enforcement. Supporters, including the sponsor and several veterans, said the bill would create needed guardrails against predatory actors while preserving veterans’ choice to use free or paid help. Opponents and some neutral testimony, including a VA-accredited attorney and representatives of the VFW and American Legion, argued the bill still lacked sufficient protections, raised federal preemption concerns, and should require VA accreditation instead. After debate over fees, back pay, and the availability of free services, the committee adopted an amendment and gave SB 1803 a do pass recommendation by a 5-2 vote. The committee then heard SB 1232, a strike-everything amendment dealing with outdoor advertising signs in military airport and ancillary military facility overlay zoning districts. The bill would allow signs on property with a military compatibility permit in areas otherwise treated as residential under a zoning designation, which the sponsor and property representatives said was needed to resolve an ADOT permitting loophole for a specific parcel near Luke Air Force Base and the Northern Parkway. Members questioned whether the change was narrowly tailored, whether other properties could be affected, and whether ADOT and federal highway beautification rules would be satisfied. After the amendment was adopted, the committee approved SB 1232 on a 4-3 vote, with several members saying they would reserve the right to change their votes on the floor. Finally, the committee began hearing SB 1511, which would prohibit operation of a commercial motor vehicle in Arizona unless the operator can prove lawful presence in the United States and would allow impoundment if proof is not provided. The sponsor introduced the bill with a lengthy explanation of commercial driver licensing history and concerns about non-domiciled and limited-term CDLs, contrasting them with Canadian and Mexican commercial licensing arrangements. The transcript cuts off before testimony, questions, or any action on SB 1511.
AR

Arkansas 2026 1st Special Session

LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES Jun 4th, 2026

LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES

Transcript Highlights:
  • County waste tire district two.
  • Our board is made up of all the mayors in Blaskey County and the county judge.
  • Well, do you see your agency as more of an informational agency as opposed to an agency that actually
  • It's 78.5 cents in Pulaski County, 5.9 cents in Craighead County, 1.5 cents in Faulkner County, and Benton
  • But does your agency utilize marketing and redistribution, which is a state agency? No, we don't.
Summary: The committee approved the prior minutes and then received a series of audit and compliance updates. Staff reported on delinquent private water and sewer reports, delinquent 2013-2023 water reports, and several municipal accounting code noncompliance cases. Denning and Gum Springs were recommended to be removed from the 60-day clock after staff visits showed improved records, while Fargo, Lead Hill, Almy, Jericho, Haynes, Biggers, Gilmore, and Holly Grove were discussed for repeat findings involving missing audits, poor bookkeeping, unpaid or misapplied street funds, deficit balances, and other accounting deficiencies. Several of these entities were given additional time or had reports filed without objection, while others were deferred for later review. Fargo’s mayor said the town had been understaffed and was working to improve its accounting systems; the committee voted to defer the matter to the August meeting. Lead Hill’s mayor described efforts to complete overdue water audits and improve office procedures, and the committee also postponed action for 60 days. Almy’s mayor and recorder-treasurer were present, and the committee placed the town on the 60-day clock for repeat accounting issues. Biggers and Gilmore both acknowledged long-running audit problems and said they were working with auditors and the IRS; their reports were filed. Holly Grove’s treasurer said she had only recently taken the position, and that report was filed as well. The committee spent considerable time on the street-fund misuse cases for Jericho and Haynes. Jericho was found to have exceeded the statutory threshold tied to fines and costs, with staff noting the town had since become current on its repayment plan; the committee deferred the report to September. Haynes was also behind on its repayment plan for street funds, with staff saying the town had recently made up the shortfall and was current as of the meeting, but the committee still deferred the report to September. Members and staff also discussed how the speed-trap law is applied, whether certain fines and costs count toward the threshold, and the role of the prosecuting attorney in deciding whether to take further action. The committee then reviewed a special report on the Pulaski County Regional Solid Waste Management District, which had six findings involving board approval of payroll and contracts, credit card documentation, vehicle and cell phone use, competitive bidding, electronic funds controls, and unusually high advertising spending. District Director Craig Douglas said the board had delegated some authority, that receipts were missing during a temporary staffing gap, and that advertising was needed to educate the public; he also defended the sale of trailers and other equipment as a way to exit the trailer business. Several members questioned the explanations and the low resale value of equipment, but the committee ultimately deferred the report to September. The meeting also included a recognition of accounting students interning with audit staff and a final set of actions on deferred water and sewer reports: 11 were filed, seven were deferred for lack of proper responses, and a private report on Shannon Hills Water, Sewer, and Fire Department was noted as involving misappropriation by an office manager and inadequate internal controls.
CA
Transcript Highlights:
  • I look forward to a response from you and your agency.
  • I look forward to a response from you and your agency.
  • There has been a robust response from state agencies.
  • County Department of Public Health or the county? Or is it for community members, organizations?
  • County and Riverside County LEAs are struggling to address the current set events.
Summary: The Assembly Budget Subcommittee on Climate Crisis, Resources, Energy, and Transportation heard an informational hearing with Secretary Garcia and CalEPA-related departments on the administration’s budget proposals and related environmental programs. Secretary Garcia highlighted CalEPA’s work on methane reduction, community air protection, water infrastructure, Exide cleanup, safer pesticide alternatives, Prop 4 implementation, and Bay-Delta water quality, while emphasizing the impact of federal rollbacks and the need for flexible state response. Members raised broader policy concerns about the polluter-pays principle, special fund vacancies, and whether the state is maintaining sufficient staffing and enforcement capacity, especially after recent fee increases. A major portion of the hearing focused on landfill support, response, and enforcement, particularly subsurface elevated temperature events at Chiquita Canyon and El Sobrante. CalEPA requested $5.1 million and 12 positions to improve monitoring, technical response, coordination, and enforcement across CalRecycle, CARB, DTSC, the Water Board, and OEHHA. Assembly Member Schiavo described severe community impacts from Chiquita Canyon and pressed for stronger state action, more transparency, and accountability from landfill operators; Assembly Member Rogers emphasized that accountability must mean forcing operators to take preventive measures and bear the costs. Agency staff said the proposal would help augment current response efforts, support local enforcement agencies, and improve early detection, while acknowledging that the causes of set events are not fully understood and may involve factors such as lithium-ion batteries, oxygen intrusion, and gas extraction practices. The committee then heard an update on the Safe and Affordable Drinking Water program and the effects of the new cap-and-invest structure. State Water Board Chair Joaquin Esquivel reported that the program has reduced the number of Californians without safe drinking water from 1.6 million to about 600,000 since 2019, while also bringing 320 systems back into compliance and distributing $1.8 billion in drinking water grants. The Legislative Analyst’s Office explained that under SB 840, SAFER is now in a lower funding tier, which could reduce annual proceeds from the prior $130 million level to a projected $92 million in 2026-27 and delay funding until later in the year. Members expressed concern that this deprioritizes rural drinking water needs, while the board said it would continue using SAFER’s flexible funds for emergency water, technical assistance, and construction, and would keep pushing consolidations and other long-term solutions for the remaining failing systems.
MN

Minnesota 2025-2026 Regular Session

House Housing Finance and Policy Committee 3/10/26

Housing Finance and Policy

Transcript Highlights:
  • U as of counties here in the state.
  • I know they they finance agency yet.
  • </c> the the Minnesota Housing Finance Agency the the Minnesota Housing Finance Agency on<00:08:45.760
  • I'm the executive director of the Washington County Community Development Agency, and I also serve as
  • I'm the executive director of the Washington County Community Development Agency, and I also serve as
Bills: HF3600 , HF3809 , HF3608
MO
Transcript Highlights:
  • We serve a five-county region: Miller, Morgan, Camden, and Pulaski County.
  • They gave us, they gave the county some money because we could house them in the county jail cheaper
  • We're very fortunate that the Phelps County and Dent County areas have been given their hubs for the
  • Number one, that doesn't account for every county. Every county does not report to SUDORS.
  • But if there are so many heads within this county, and we have the contract for that county, then we
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.