Transcript Highlights:

• And so not only do we talk about the behavior within the courtroom, but behavior outside the courtroom
• And so not only do we talk about the behavior within the courtroom, but behavior outside the courtroom
• And so not only do we talk about the behavior within the courtroom, but behavior outside the courtroom
• And so not only do we talk about the behavior within the courtroom, but behavior outside the courtroom
• And so not only do we talk about the behavior within the courtroom, but behavior outside the courtroom

Keywords: 1183, house

Transcript Highlights:

• Behavioral health is in acute need in this part of the state across the region.
• Oh, the behavioral health. We do have a tribal liaison." "Oh, the behavioral health.
• "Oh, the behavioral health.
• Oh, the behavioral health.
• To substance use or behavioral health in general.

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Transcript Highlights:

• I call the meeting of the Senate Interim and House Committee on Behavioral Health together today.
• Oregon State Hospital has a uniquely difficult role in Oregon's behavioral health system.
• Leadership on all of our behavioral health units at the Oregon State Hospital.
• So these are folks that have some sort of mental illness that is driving the behavior.
• It gives a little bit more room for folks to look at this person’s predictive behavior.

Keywords: 907, all

Summary: The joint Senate and House Behavioral Health committees held an informational meeting focused first on the Oregon State Hospital (OSH). OHA Director Sajal Hathi introduced the hospital’s incoming permanent superintendent, Sean Murphy, and praised interim superintendent Jim Deagle for stabilizing operations, restoring CMS compliance, and helping drive a culture change centered on safety, accountability, and transparency. Deagle and Chief Medical Officer Dr. Amit Bavon described OSH’s role as the state’s highest-level forensic psychiatric hospital, the patient populations it serves, its partnerships with courts, counties, jails, hospitals, and advocates, and recent leadership changes across the hospital. They also reported improved accreditation and regulatory status, including Joint Commission accreditation and CMS compliance, and said the hospital is now using daily safety huddles, incident review meetings, stronger escalation procedures, and revised seclusion/restraint practices to reduce risk and improve oversight. Members pressed hospital leaders on past seclusion practices, asking how prolonged seclusions could have occurred under federal standards. Leaders said they could not explain past decisions but emphasized that current leadership has changed processes, training, reporting, and oversight so that seclusion and restraint are reviewed in real time and cannot be normalized. Questions also covered staffing, falls, and future planning. OSH said it is generally staffed to budget, though it still has RN and mental health technician vacancies and is working on recruitment, training, and better staffing distribution. Hathi said the hospital is building a public dashboard with key performance and safety metrics, including workforce data, and described the long-term goal as a consistently safe, disciplined, high-functioning institution that responds quickly to mistakes and remains accountable to the public. The committee then shifted to an informational overview of civil commitment. Oregon Judicial Department representative Chanah Newell explained the civil commitment process, including who can initiate it, the role of community mental health providers and courts, the five-day timeline to hearing, and the standards for danger to self, danger to others, and inability to meet basic needs. She summarized changes made in House Bill 2005, including revised statutory language and new provisions allowing a second diversion period, but cautioned that the data are too early to show clear trends. Testimony from NAMI Oregon’s Chris Bonif and psychiatrist Dr. Stephanie Lopez argued that Oregon still relies too heavily on jails and state hospital commitments because the broader community system lacks enough treatment, housing, and less restrictive alternatives. They urged the legislature to focus on upstream services, supported housing, and possible outpatient commitment tools so people can receive treatment before reaching crisis. The meeting ended with acknowledgment that additional reports and follow-up discussions are expected, including on residential treatment capacity and related behavioral health system reforms.

Transcript Highlights:

• Behavioral health professionals are at Camp Shelby.
• Chaplains are trained in behavioral health issues that I don't have.
• chaplain are trained in behavioral chaplain are trained in behavioral health<00:10:24.240> issues
• <00:10:34.560> And is is deal with behavioral health.
• And is is deal with behavioral health.

Keywords: MS Save Our Service Members Task Force - Room 216, January 12, 2026; 2:00 PM, 925, all

Summary: The meeting focused on veteran suicide and mental health challenges affecting Mississippi National Guard soldiers, with Colonel Chris Cookie describing recent losses in the 155th Armored Brigade Combat Team. He said that in roughly 50 days, from late September to mid-December 2025, three soldiers died by suicide, and that the unit had seen 50 to 60 suicidal ideations over the past year. He emphasized that suicide is a threat he cannot “defeat” through military training alone, and that warning signs are often hard to detect compared with battlefield threats. Cookie identified the biggest gap as the period between drill weekends and annual training, when soldiers are back home and less connected to leadership. He said the unit does well when soldiers are together at drill or Camp Shelby, where behavioral health support is available, but struggles to reach them in between. He urged the state to create preventive and responsive support that leaders in traditional status could activate quickly, and he strongly supported expanded chaplain access because chaplains are trained in behavioral and mental health issues and may be easier for soldiers to approach without stigma. Committee members discussed possible solutions, including a statewide chaplain rotation or on-call system, community-based support networks, and a 24/7 hotline staffed by Mississippi veterans. They also discussed legislation to have the state cover TRICARE costs for Guardsmen and to use TANF funds for related support services. Members said a draft bill was being prepared for public review, with committee reporting deadlines approaching on February 3, and that they would circulate the bill once it received a number and was posted online. The meeting ended with a motion to rise and report.

Transcript Highlights:

• We'll call the HR division back to order, and we will continue our discussion of behavioral health.
• Behavioral health services for nursing homes and basic care facilities, $2 million. Mr.
• disorder that exhibit disruptive, complex behaviors for the sum of $2 million for the 2025-27 biennium
• A behavioral health clinic, and we're going to be serving more people.
• Well, it says no, it says behavioral health education. I don't know what that is.

Keywords: 908, all

Summary: The HR division continued work on the behavioral health budget, with members revisiting several funding items and generally agreeing to hold provider inflation increases until the full division picture is clearer. They tentatively supported additional funding for Community Connect and Free Through Recovery, as well as increases for the drug court program and peer support, while clarifying that some items were already in the House version and others were one-time or grant-related expenditures. The committee spent considerable time on a proposed $2 million behavioral health services program for nursing homes and basic care facilities. Senator Mathern brought revised language to describe a capitated payment model for training, consultation, and direct patient care for residents with medically based behavioral disorders and disruptive behaviors. Some members remained skeptical and wanted to see the amendment before deciding, but the discussion centered on whether the funding would help nursing homes accept patients who otherwise end up in state hospitals or acute care settings. Members also discussed several one-time funding items, including electronic health record and legacy system upgrades, network redundancy for the state hospital, partial hospitalization/intensive day treatment expansion, and a bathroom remodel at the Southeast Human Service Center. The committee restored the bathroom project to the original $972,000 estimate after concerns that the House reduction would not cover the needed ADA and plumbing work. They also debated a $12.96 million behavioral health facility grant for Altru in Grand Forks, with some members opposing it and others supporting it as a regional service expansion, but ultimately set it aside for later consideration. The meeting ended with staff flagging other sections of the bill, including the opioid settlement advisory language, the state hospital steering committee, behavioral health education grants, and the system of care grant. The chair announced that medical services would be taken up the next day, and members agreed to adjourn after planning to revisit unresolved behavioral health items and vote on the held bill later.

Transcript Highlights:

• behavioral or developmental disorder. behavioral or developmental disorder.
• advocating more and more for behavioral advocating more and more for behavioral health<00:43:06.160
• <00:44:07.119> health<00:44:07.359> care,<00:44:08.160> energy and behavioral
• health care, energy and behavioral health care, energy affordability,<00:44:09.280> and<00:44
• health care rose mental and behavioral health care rose to<00:44:22.560> the<00:44:22.720>

Keywords: 981, all

Transcript Highlights:

• ,<00:37:24.800> and to speech, personality, behavior, and to speech, personality, behavior
• ,<00:38:15.839> a<00:38:16.000> person's behavioral variant of FTD, a person's behavioral
• can be completely appropriate behavior can be completely lost,<00:38:19.760> it<00:38:19.920>
• It can impact behavior, decision-making, personality, language, and/or movement.
• It can impact behavior, years old.

Keywords: 981, all

Transcript Highlights:

• Next up is the Behavioral Health Services Division of the Health Care Authority.
• Because we do have a lot of behavioral health initiatives going on, do you have a better...
• Nick Bucas with the Behavioral Health Services Division for the Health Care Authority.
• A $258 million increase in the Medicaid behavioral health program.
• Moving on to Medicaid behavioral health, there's just one line on here.

Transcript Highlights:

• When I was, again, from my mentor teacher, she taught me something called behavior narration.
• But the key is you're actually supposed to call out the good behavior.
• Because now our standards are behavioral, we're assessing our children's values, beliefs and behaviors
• And then it's just a matter of whose values, beliefs and behaviors.
• Whether I agree with the behavior, the values or not doesn't matter.

Bills: HB6, HB27, HB123, HB210, HB213, HB222

Keywords: hemp, consumable hemp products, hemp-derived cannabinoids, CBD, cannabidiol, CBG, cannabigerol, Texas hemp law, hemp regulation, cannabinoid products, delta-9 THC, intoxicating hemp, hemp gummies, hemp vape, retail registration, product registration, QR code labeling, child-resistant packaging, youth access, minor sales

Transcript Highlights:

• students and teachers the tools they need to understand personal boundaries, recognize inappropriate behavior
• So we have JLBC put together an analysis where you...
• So we have JLBC put together an analysis where you can see all of the school districts that have dead
• This bill involves a superintendent reporting any life-threatening behavior to law enforcement.

Keywords: 1182, all

Transcript Highlights:

• Students are violent behaviors.
• Um, that's training educators on preventing problem behavior, reinforcing positive behavior.
• instituted the uh positive behavioral instituted the uh positive behavioral interventions<00:25:
• problem behavior, reinforcing positive behavior.<00:26:02.880> Um<00:26:03.279> students
• If that was behaviors would change.

Keywords: 1187, senate, all

Transcript Highlights:

• We are responsible for local disaster behavior. a health response when an event results in a disaster
• C's disaster behavioral health team to put those services on the ground and address the emotional. the
• We have provided embedded behavioral supports at the Family Assistance Center and the...
• As Todd mentioned, each local mental health authority is responsible for the for disaster behavioral
• You made an investment in Uvalde to the tune of $30 million for a a behavioral health care campus to

Keywords: 997, house, all

Transcript Highlights:

• see the event as it unfolds and then via synoptic where raw data can be downloaded for scientific analysis
• We are responsible for local disaster behavioral health response.
• We have provided embedded behavioral supports at the Family Assistance Center and the Disaster Recovery
• We have created a behavioral health certification program.
• As a matter of fact, part of a goal of ours is to be able to integrate B. behavioral health clinicians

Keywords: 1185, senate, all

Transcript Highlights:

• federal funds to the healthcare workforce training mission to support recruitment and retention of behavioral
• Officials with the administrative office of the courts have provided the fiscal costness analysis for
• So why does this bill single out one specific category of behavior for legal protection rather than allowing

Bills: HB2268, HB3000, HB3043, HB3066, HB3078, HB3143, HB3144, HB3244, HB3298, HB3320, HB3467, HB3321, HB3329, HB3431, HB3464, HB3499, HB3500, HB3586, HB3590, HB3650, HB3671, HB3695, HB3700, HB3701, HB3764, HB3767, HB3834, HB3931, HB3934, HB3940, HB3944, HB3979, HB3985, HB4113, HB4294, HB4302, HB4317, HB4324, HB4359, HB4426, HB4427, HB4430, HB4431, HB4434, HJR1077, SR42, SR35, HJR1023, HB1225, HB1374, HB1381, HB1590, HB1675, HB2153

Keywords: HB2268, Oklahoma Health Care Authority, OHCA, appropriation, General Revenue Fund, PACE, Programs of All-Inclusive Care for the Elderly, elderly care, aging Oklahomans, long-term care, Medicaid, health care funding, provider reimbursement, rate increase, low-income seniors, senior services, integrated care, emergency measure, cosmetology, barbering

Transcript Highlights:

• I believe the fiscal analysis on this bill is about three hundred and fifty. million dollars on this
• would create a means to deter ISDs from electioneering by establishing a civil penalty for this behavior
• President, members, Senator Eckhardt and I. on this amendment as well for certain exemptions related to behavioral

Bills: SJR59, SCR30, SCR46, SB31, SB127, SB324, SB401, SB407, SB467, SB482, SB506, SB529, SB584, SB619, SB636, SB646, SB647, SB659, SB715, SB732, SB735, SB771, SB784, SB800, SB801, SB816, SB1013, SB1026, SB1049, SB1055, SB1065, SB1137, SB1169, SB1181, SB1383, SB1395, SB1410, SB1433, SB1524, SB1531, SB1568, SB1640, SB1666, SB1681, SB1718, SB1754, SB1757, SB1972, SB1980, SB2004, SB2007, SB2041, SB2046, SB2050, SB2075, SB2076, SB2154, SB2173, SB2206, SB2225, SB2253, SB2268, SB2306, SB2308, SB2314, SB2322, SB2330, SB2351, SB2366, SB2371, SB2392, SB2398, SB2476, SB2533, SB2540, SB2544, SB2589, SB2610, SB2623, SB2660, SB2662, SB2693, SB2707, SB2717, SB2722, SB2742, SB2753, SB2779, SB2807, SB2843, SB2844, SB2858, SB2877, SB2880, SB2885, SB2920, SB2938, SB2986, HJR4, HCR35, SJR3, SJR18, SB5, SB260, SB1786, SB914, SB963, SB1197, SB1415, SB1437, SJR36, SJR50, SJR63, SJR84, SJR59, SCR12, SCR39, SCR46, SCR48, SCR19, SCR30, SCR3, SB2023, SB1433, SB2322, SB2877, SB407, SB1718, SB1395, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB1502, SB507, SB1026, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB619, SB1122, SB732, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB529, SB209, SB2429, SB1999, SB511, SB2309, SB510, SB2253, SB584, SB1085, SB2314, SB2046, SB1975, SB2717, SB1262, SB1524, SB1137, SB636, SB2056, SB884, SB517, SB1200, SB1410, SB1845, SB1863, SB2681, SB2200, SB2199, SB1757, SB2050, SB2458, SB2201, SB1055, SB2660, SB2662, SB1065, SB801, SB2533, SB3014, SB3013, SB758, SB647, SB1721, SB2268, SB2366, SB1013, SB2797, SB2371, SB2383, SB646, SB1169, SB1754, SB2779, SB2004, SB2119, SB2448, SB1777, SB1283, SB2392, SB2076, SB2786, SB2876, SB2284, SB2225, SB1540, SB2920, SB2929, SB1972, SB2540, SB2742, SB2595, SB2217, SB715, SB2330, SB1383, SB500, SB1640, SB2001, SB2080, SB2722, SB506, SB2514, SB2623, SB2753, SB2398, SB1241, SB2927, SB2173, SB2538, SB898, SB467, SB1449, SB2529, SB1531, SB2846, SB2476, SB986, SB1181, SB2075, SB2154, SB2864, SB31, SB2880, SB1359, SB2386, SB771, SB2844, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB2807, SB2351, SB410, SB659, SB816, SB2776, SB2693, SB2580, SB1980, SB1886, SB1234, SB739, SB482, SB456, SB127, SB1666, SB2843, SB2801, SB800, SB2055, SB784, SB2986, SB735, SB1012, SB324, SB2926, SB2938, SB2007, SB2138, SB1242, SB2615, SB1049, SB2310, SB1224, SB2972, SB1568, SB2841, SB2885, SB3016, SB2858, SB2610, SB2139, SB1856, SB2035, SB2308, SB2306, SB2041, SB1528, SB1681, SB1141, SB2401, SB2530, SB2375, SB547, SB1266, SB1373, SB1467, SB2069, SB2269, SB2480, SB2544, SB672, SB904, SB2695, SB2891, SB2422, SB2543, SB1854, SB317, SB2539, SB2532, SB2925, SB1250, SB2082, SB2203, SB457, SB2357, HJR4, HB135, HB1109, HCR35, HCR64, SB2721, SB243, SB1285, SB2568, SB1959, SB1442, SB1454, SB2520, SB2541, SB1708, SB1237, SB1844, SB1586

Keywords: education funding, Texas State Technical College System, capital projects, infrastructure, higher education, Birding Capital, Matagorda County, wildlife, conservation, Texas Legislature, Texas beef, cattle industry, agricultural heritage, Texas strip steak, economic growth, SB 31, Life of the Mother Act, Texas abortion law, medical emergency, reasonable medical judgment

Transcript Highlights:

• My concern is that you could have an individual... ...that's having bad behavior, making bad decisions
• list in item five of non-law enforcement crime labs or labs that conduct investigations and lab analysis
• Evidence of a pattern of behavior towards other children is vital for jurors to determine guilt or innocence

Bills: HB867, HB1347, HB1801, HB1820, HB2197, HB2617, HB3110, HB3166, HB3330, HB4237, HB4342, HB4629, HB4933, HJR148

Keywords: criminal case dismissal, attorney discretion, law enforcement misconduct, judicial approval, evidence, judicial consent, transparency, healthcare, Medicare, insurance, elderly, retired, benefits, access, cost, criminal justice, case dismissal, prosecutorial discretion, law enforcement oversight, criminal procedure

Transcript Highlights:

• both of those I Don't I don't understand how you Don't think you have an obligation to stop that behavior
• Anything similar to truly bad illegal behavior.
• Additionally, this past January the BAC conducted an analysis that outlined the usability challenges

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• That would be House Bill 909, which requires coverage for behavioral health crisis services.
• HB 909 is seeking for commercial payers to cover behavioral health crisis services.
• That would be House Bill 909, which requires coverage for behavioral health crisis services.
• HB. 909 is seeking for commercial payers to cover behavioral health crisis services.
• And I'm bringing... is seeking for commercial payers to cover behavioral health crisis services.

Summary: The Senate Insurance Committee met on May 13, 2026, adopted the May 6 minutes, and then took up several bills dealing with pharmacy benefit managers, prescription access, behavioral health coverage, and Citizens Property Insurance. HB 938, as amended, was the main PBM reform measure. After the committee adopted a large amendment set that narrowed the bill, members heard extensive testimony in support from Mark Bloom, Justin Joseph of Capital Rx, and Kathy Ue of Pontchartrain Cancer Center, all emphasizing transparency, pass-through pricing, reverse auctions, and patient access. Supporters described savings from reverse auctions and administrative models, while the cancer center testified that PBM-owned specialty pharmacy requirements can delay cancer medications and create financial hardship. The committee reported HB 938 favorably with amendments. The committee also heard HB 1154, which prohibits prior authorization for certain generic medications prescribed by qualified physicians, with a $250 cap discussed as a safeguard against higher-cost generics. The bill was supported by representatives from Ochsner Health and the Louisiana State Medical Society and was reported favorably. HB 909, which requires commercial coverage for behavioral health crisis services, was amended to clarify the insurers covered and then reported favorably with support from the Office of Behavioral Health and several outside groups. Testimony on HB 909 focused on reducing emergency room and law enforcement burdens and expanding crisis response capacity across the state. HB 1187, dealing with excess emergency assessment funds from Louisiana Citizens Property Insurance Corporation, was explained by the Insurance Commissioner as a way to transfer remaining Katrina-era assessment funds to the Fortified Roof Program. The committee reported the bill favorably. Finally, SB 511 and SB 512 were deferred and converted into a study resolution approach because there was not yet consensus on the underlying issue. The meeting then adjourned.

Transcript Highlights:

• They did a market analysis of what they thought they needed to pay an individual and then figured out
• I think as in administration, I got a little bit tired of listening to people talk about the behaviors

Summary: The committee met at Dakota College at Bottineau, approved the January 15, 2026 minutes, and heard an extensive campus update from Dean Corey Gorder and other DCB leaders. Gorder described the college’s affiliation with Minot State and its growing use of shared services, including business office functions, HR, institutional research, Title IX, printing, financial aid support through UND, and payroll support through NDSU. He said the arrangement lets DCB focus on its core mission while relying on system partners for specialized administrative work, and noted that accreditation concerns were not believed to limit those shared-service arrangements. He also highlighted DCB’s mission, enrollment growth, dual-credit reach across rural schools, and the college’s emphasis on nursing, dental, paramedic, farm management, and other workforce-oriented programs. Committee members asked detailed questions about dual credit, program delivery, and whether DCB’s partnerships were exclusive. Gorder said the relationships are generally collaborative rather than exclusive, that schools can choose other providers, and that many partnerships began through personal outreach and ongoing relationships with rural schools. Lisa Johnson of the university system added that transfer complaints are rare and that dual credit generally transfers well within North Dakota, though highly selective out-of-state institutions may treat credits differently. Members also asked about stipends for high school instructors, the share of K-12 versus DCB instructors, and the capacity limits in dental hygiene and other programs. Gorder said dental hygiene is capped by space and staffing, that there were more applicants than seats, and that expansion is being considered; he also said he would provide follow-up information on the paramedic program and instructor breakdowns. Gorder closed by identifying long-term challenges, including aging residence halls, recruiting faculty and staff, and the need to review low-enrollment programs. He said DCB should consider expanding into more high-demand trades such as welding, HVAC, and electrical work, and should streamline dual credit and strengthen its Minot programming. The committee then heard from the North Dakota Student Association, whose leaders outlined student priorities from the last session and the interim. Their main concerns included campus housing quality and affordability, food insecurity and food pantries, mental and physical health resources, student-led research funding, academic and career readiness, internships, and campus collaboration. They also discussed dual credit, saying it is valuable but uneven across the state, and raised questions about how to better retain students in North Dakota through the system. Members asked follow-up questions about housing, transferability of dual credit, and whether incentives could be used to encourage students to stay in-state for higher education.

Transcript Highlights:

• Sometimes, we only have driving behavior, speech, conversations, or actions reported.
• You ship it off to a lab for analysis. It is less invasive, so that is a pro.

Keywords: 914, all