Transcript Highlights:

• It would be a state jail felony for anyone to enforce or attempt to enforce. force a red flag order against

Bills: SB29, SB406, SB447, SB875, SB893, SB1033, SB1346, SB1362, SB1539, SCR22, SB 29

Keywords: business organization, internal management, corporate governance, partnerships, liability reduction, birth certificate, biological sex, gender identity, health and safety, sex assignment, SB 875, Texas, independent school district, ISD, school board trustee, superintendent, campus administrator, electioneering, political signs, early voting

Bills: SB5223, SB6071, SB5966, SB6061, SB5520, SB6016, SB5890, SB5973, SB5053, SB5249, SB5536, SB5879, SB5899, SB6190, SB6086, SB5574, SB5873, SB5924, SB6134, SB6263, SB6282, SB6302, SB5950, SB6074, SB6096, SB5970, SB5609, SB5827, SB5862, SB5880, SB5901, SB5943, SB5971, SB5975, SB5981, SB5988, SB6097, SJM8016, SB5496, SB5907, SB6031, SB6155, SB6158, SB6227, SB5947, SB6085, SB6234, SB6274, SB6194, SB5909, SB5868, SB6026, SB6044, SB6239, SB5923, SB6045, SB6106, SB6089, SB6170, SB5954, SB5968, SB5489, SB5762, SB5832, SB5847, SB5963, SB5969, SB6027, SB6032, SB6049, SB6066, SB6079, SB6082, SB6113, SB6114, SB6160, SB6162, SB6164, SB6176, SB6289, SB6309, SB6319, SB6347, SB6308, SB6200, SB6080, SB5911, SJM8014, SB6177, SB6052, SB6182, SB5828, SB6335, SB6017, SB6346, SB6262, SB5470, SB5990, SB6244, SB5961

Keywords: criminal offense, fingerprinting, law enforcement, state regulations, public safety, overpayment recovery, modernization, health care, legislation, healthcare, nutrition, medically tailored meals, dietary support, food security, chronic illness, tourism, self-supported assessment, funding, statewide promotion, economic development

Bills: SB5223, SB6071, SB5966, SB6061, SB5520, SB6016, SB5890, SB5973, SB5053, SB5249, SB5536, SB5879, SB5899, SB6190, SB6086, SB5574, SB5873, SB5924, SB6134, SB6263, SB6282, SB6302, SB5950, SB6074, SB6096, SB5970, SB5609, SB5827, SB5862, SB5880, SB5901, SB5943, SB5971, SB5975, SB5981, SB5988, SB6097, SJM8016, SB5496, SB5907, SB6031, SB6155, SB6158, SB6227, SB5947, SB6085, SB6234, SB6274, SB6194, SB5909, SB5868, SB6026, SB6044, SB6239, SB5923, SB6045, SB6106, SB6089, SB6170, SB5954, SB5968, SB5489, SB5762, SB5832, SB5847, SB5963, SB5969, SB6027, SB6032, SB6049, SB6066, SB6079, SB6082, SB6113, SB6114, SB6160, SB6162, SB6164, SB6176, SB6289, SB6309, SB6319, SB6347, SB6308, SB6200, SB6080, SB5911, SJM8014, SB6177, SB6052, SB6182, SB5828, SB6335, SB6017, SB6346, SB6262, SB5470, SB5990, SB6244, SB5961

Keywords: criminal offense, fingerprinting, law enforcement, state regulations, public safety, overpayment recovery, modernization, health care, legislation, healthcare, nutrition, medically tailored meals, dietary support, food security, chronic illness, tourism, self-supported assessment, funding, statewide promotion, economic development

Summary: The Senate opened with the usual ceremonial items, approved the previous day’s journal, received House messages, and introduced several bills. It also adopted Senate Resolution 868 honoring April as National Donate Life Month. Senators Gaynor and Dozier spoke in support, sharing personal stories about organ donation and transplant recipients, and the resolution was adopted by voice vote. The chamber also recognized guests in the gallery connected to those stories. The Senate then confirmed several gubernatorial appointments, including Colin L. Bannister to the Workforce Education, Investment, Accountability, and Oversight Board, Amina Hussein to the Washington State University Board of Regents, and Ramatou-Libah to the Eastern Washington University Board of Trustees. Each confirmation passed with broad support after brief remarks from Senator Schoesler, and several senators were excused from voting. The Senate also acknowledged MLA Jody Tour of British Columbia and a personal privilege recognition for Senator Leis receiving Finland’s Order of the Lion. On legislation, the Senate passed Engrossed Second Substitute Senate Bill 6026, dealing with residential development in commercial and mixed-use zones, after adopting and rejecting several amendments that narrowed or clarified exemptions and local-control provisions. Senators argued both for housing supply and for preserving local planning flexibility. The Senate also passed Senate Bill 6106 on layoff notifications and worker information protections, Senate Bill 5890 on speeding and reckless driving standards, Senate Bill 5536 on equitable distribution of real property in divorce, and Substitute Senate Bill 6097 allowing federally recognized tribes to participate in the Conservation Futures Program. Senate Bill 5988, authorizing fee authority for Department of Health accreditation services for opioid treatment programs, passed after a close vote with one nay. The meeting ended with the Senate standing at ease for caucus and lunch.

Transcript Highlights:

• Instead of cycling individuals through emergency rooms, jails, and repeat 911 calls, we connect them
• responders in connection to connect residents to essential services rather than defaulting every crisis to jail

Keywords: 959, house, all

Transcript Highlights:

• We're not throwing people in jail with this bill.
• According to some of you earlier, those are the ones that should be in jail, that we should have stronger

Bills: HF3542, HF3819

Keywords: data privacy, investigative data, welfare system, public funds, transparency, child care, licensing, inspections, compliance, program integrity, 1183, house

Transcript Highlights:

• We're going to put them, you know, in jail where they belong in that process.
• This was one of the common ones where, you know, their grandchild was in jail in this scenario and they

Keywords: 1183, house

Transcript Highlights:

• and um have you thought—I mean, I think people that do this regularly, they should be thrown away in jail
• and um have you thought—I mean, I think people that do this regularly, they should be thrown away in jail

Bills: HF3429, HF3418, HF3431, HF1597

Keywords: intelligent speed assistance, transportation, speeding offenses, public safety, license restrictions, speed control, pedestrian safety, traffic safety, roadway improvements, nonmotorized transportation, crosswalks, sidewalks, bike lanes, complete streets, Vision Zero, Toward Zero Deaths, MnDOT, Department of Transportation, Department of Public Safety, local road authority

Transcript Highlights:

• House Bill 413 by Jones of Harris, relating to the release of certain defendants detained in jail pending
• Members, currently counties are facing serious jail capacity issues, and they are forcing them to house

Bills: HB3902, HB4420, HB3269, HB469, HB336, HB316, HB5396, HB993, HB1342, HB5216, HB2046, HB2188, HB2450, HB2813, HB2857, HB4075, HB2911, HB4682, HB3117, HB3253, HB3442, HB4820, HB4336, HB5356, HB3669, HB3428, HB5465, HB3662, HB2590, HB2288, HB1886, HB3458, HB5603, HB5620, HB1489, HB4101, HB4990, HB5685, HB4950, HB4980, HB5684, HB3507, HB3566, HB4487, HB4462, HB4876, HB4915, HB4663, HB5570, HB2929, HB5261, HB2920, HB4642, HB4746, HB1609, HB5403, HB5453, HB3844, HB2336, HB1572, HB 1226, HB2806, HB2617, HB2827, HB3948, HB3945, HB4266, HB4542, HB3319, HB1772, HB2496, HB1970, HB3434, HB5545, HB5577, HCR59, HCR135, HB4, HB46, HB3221, HB1403, HB3892, HB4234, HB722, HB4105, HB4413, HB170, HB551, HB3053, HB3142, HB3180, HB3722, HB1794, HB1784, HB1581, HB2530, HB4308, HB1896, HB2974, HB3359, HB4580, HB2458, HB2215, HB3332, HB2278, HB3015, HB3151, HB1368, HB40, HB 101, HB 112, HB146, HB214, HB413, HB1523, HB493, HB521, HB594, HB557, HB305, HB549, HB854, HB 1057, HB 1052, HB842, HB3174, HB3196, HB824, HB 1039, HB2529, HB2713, HB4936, HB4995, HB4830, HB4864, HB5219, HB5263, HB5154, HB2674, HB5525, SB529, SB541, SB2004, SB1012, SB2269, SB1886, SB1236, SB693, SB2308, HB2486, HB4862, HB4689, HB4520, HB2225, HB168, HJR218, HB4921, HB5623, HB2494, HB2545, HB2587, HB2625, HB5520, HB5436, HB4926, HB1573, HB5165, HB4811, HB5081, HB4755, HB3179, HB4310, HB4611, HB2159, HB4626, HB3637, HB3153, HB3066, HB2786, HB2966, HB638, HB640, HB876, HB497, HB5539, HB4809, HB5308, HB4687, HB4070, HB4421, HB4412, HB3284, HB3369, HB3420, HB3449, HB4098, HB4281, HB4120, HB4504, HB4370, HB 1106, HB2370, HB2404, HB3863, HB2407, HB2253, HB2273, HB2040, HB1586, HB3788, HB3993, HB4690, HB4309, HB4696, HB2308, HB 1142, HB1533, HB1621, HB2242, HB2012, HB2193, HB2442, HB2464, HB2348, HB2313, HB2289, HB1942, HB2011, HB1629, HB2993, HB3592, HB3824, HB4076, HB4535, HB4623, HB4773, HB 1091, HB5115, HB5515, HB3372, HB5659, HB 127, HB386, HB 115, HB2868, HB 1249, HB4766, HB3720, HB4656, HB4879, HB 105, HB5383, HB4621, HB5431, HB5678, HB5534, HB4174, HB4212, HB3954, HB3966, HB3636, HB3918, HB1422, HB4765, HB4732, HB4742, HB5122, HB4518, HB5084, HB3986, HB4045, HB4144, HB3911, HB3976, HB4473, HB3425, HB3641, HB3642, HB3475, HB3509, HB3424, HB3383, HB4744, HB4531, HB4539, HB3159, HB5228, HB5370, HB4359, HB4398, HB4443, HB4466, HB3861, HB3849, HB4240, HB4706, HB4685, HB5354, HB5141, HB5686, HB3629, HB3554, HB3567, HB2015, HB3575, HB5381, HB1431, HB3514, HB4614, HB4546, HB4683, HB5681, HB5673, HB5663, HB4271, HB4350, HB4035, HB3807, HB3812, HB3552, HB3540, HB3715, HB3710, HB3664, HB4196, HB4233, HB4173, HB1998, HB3333, HB3510, HB4222, HB2070, HB2854, HB2347, HB 113, HB983, HB4847, HB1449, HB3833, HB5151, HB265, HB1845, HB782, HB 108, HB1960, HB158, HB1954, HB1955, HB2512, HB605, HB2581, HB2803, HB627, HB2667, HB1738, HB636, HB3679, HB2638, HB2655, HB871, HB2438, HB 1107, HB1765, HB1822, HB2153, HB4099, HB3732, HB3171, HB3178, HB3182, HB3749, HB2814, HB3977, HB4204, HB4207, HB4449, HB1820, HB1876, HB1939, HB1347, HB2593, HB2136, HB2132, HB2658, HB2413, HB2757, HB2080, HB3154, HB3063, HB3009, HB3448, HB3006, HB2844, HB3241, HB3680, HB3169, HB2078, HB2507, HB4559, HB3946, HB3460, HB3405, HB475, HB3463, HB3441, HB3520, HB2060, HB4731, HB4991, HB1991, HB5596, HB2014, HB2142, HB2673, HB2731, HB2417, HB2399, HB2301, HB3335, HB3234, HB3320, HB5573, HB4848, HB4748, HB4769, HB4795, HB2086, HB2234, HB2203, HB4916, HB5624, HB4505, HB139, HB5093, HB5302, HB5402, HB5606, HB2333, HB4630, HB4701, HB2583, HB2983, HB4924, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5430, HB5561, HB5611, HB5043, HB5064, HB3733, HB3781, HB3219, HB32, HB4515, HB5348, HB3902, HB4420, HB3269, HB469, HB336, HB316, HB5396, HB993, HB1342, HB5216, HB2046, HB2188, HB2450, HB2813, HB2857, HB4075, HB2911, HB4682, HB3117, HB3253, HB3442, HB4820, HB4336, HB5356, HB3669, HB3428, HB5465, HB3662, HB2590, HB2288, HB1886, HB3458, HB5603, HB5620, HB1489, HB4101, HB4990, HB5685, HB4950, HB4980, HB5684, HB3507, HB3566, HB4487, HB4462, HB4876, HB4915, HB4663, HB5570, HB2929, HB5261, HB2920, HB4642, HB4746, HB1609, HB5403, HB5453, HB3844, HB2336, HB1572, HB 1226, HB2806, HB2617, HB2827, HB3948, HB3945, HB4266, HB4542, HB3319, HB1772, HB2496, HB1970, HB3434, HB5545, HB5577, HCR76, HCR127, HCR9, HCR40, HCR118, HR559, HCR59, HCR135

Keywords: Medicaid, reimbursement, nursing facilities, ownership change, healthcare policy, mental health, psychiatric beds, inpatient psychiatric treatment, acute psychiatric care, bed availability, bed capacity, hospital reporting, HHSC, Health and Human Services Commission, state hospitals, private mental health facilities, civil commitment, competency restoration, not guilty by reason of insanity, jail diversion

Transcript Highlights:

• our system, in the civil commitment system, in our courts, in the criminal justice system, in the jails
• our system, in the civil commitment system, in our courts, in the criminal justice system, in the jails

Keywords: 1187, senate, all

Transcript Highlights:

• weeks but are taking 14 weeks, even as long as 24 weeks, thus exacerbating the overcrowding in the jails
• weeks but are taking 14 weeks, even as long as 24 weeks, thus exacerbating the overcrowding in the jails

Keywords: 910, house, all

Transcript Highlights:

• equal protection rights and Eighth Amendment rights about cruel and unusual punishment in prisons and jails
• punishment<01:09:07.480><c> in</c><01:09:07.679><c> prisons</c><01:09:08.000><c> and</c><01:09:08.159><c> jails
• </c><01:09:09.159><c> and</c><01:09:09.799><c> when</c> punishment in prisons and jails and when punishment
• in prisons and jails and when policies<01:09:10.560><c> like</c><01:09:10.759><c> this</c><01:09:10.960
• If she uses a women’s bathroom, she is terrified of violating this proposed law and being put in jail

Keywords: 928, house, all

Summary: The House Judiciary Committee opened a hearing on House Bill 148, which Rep. Jim Kofalt said is the same language as last year’s HB 396, vetoed by the governor. He described the bill as allowing, but not requiring, separation by biological sex in three areas: bathrooms and locker rooms, houses of correction, and certain athletic competitions. Kofalt argued the bill would give local school boards and other policymakers discretion to set practical rules, citing concerns about safety, privacy, and a Milford incident involving a biological male in girls’ locker rooms. Committee members pressed him on the lack of a definition of “biological sex,” and he said he did not think one was necessary because males and females are commonly understood. He also said the bill was meant to address situations where outside groups threaten lawsuits and leave local boards with no latitude. Testimony then split sharply. Supporters, including Executive Counselor Karen Hill and several others, said HB 148 would roll back anti-discrimination protections, contradict New Hampshire’s “Live Free or Die” values, and harm transgender and non-binary people. Opponents described the bill as discriminatory and unnecessary, arguing that existing bathroom and sports policies already work and that the bill would invite harassment, invasive enforcement, and legal conflict. Several speakers, including trans residents and parents of trans children, said they had used public restrooms without incident and warned that enforcement would be impractical or abusive. One supporter argued the bill was needed to protect girls’ privacy and safety and cited school sports disputes and a concern about a sex offender at a game as examples of why sex-segregated rules should be restored. Committee members asked questions about how biological sex would be defined, whether the bill was responding to real incidents in New Hampshire, and how any restrictions would be enforced. Kofalt said he was aware of issues in several school districts and at the State House, but did not have detailed documentation for every case. No vote or final action was taken in the portion of the hearing provided; the chair instead moved through public testimony under a strict two-minute limit and noted that follow-up questions would be limited so the committee could hear multiple bills that day.

Transcript Highlights:

• emergency vehicles, public administration buildings, health care facilities, senior citizen centers, jail
• <c> centers,</c> care facilities, senior citizen centers, care facilities, senior citizen centers, jail
• <01:55:03.360><c> and</c><01:55:03.520><c> detention</c><01:55:04.000><c> facilities,</c> jail and detention
• facilities, jail and detention facilities, facilities<01:55:05.280><c> for</c><01:55:05.599><c> services

Keywords: 916, all

Transcript Highlights:

• The freedom fighters who faced dogs, batons, fire hoses, and jail cells so that we could have a voice
• 24.160><c> and</c> who faced dogs, batons, fire hoses, and who faced dogs, batons, fire hoses, and jail
• 50:26.240><c> could</c><07:50:26.478><c> have</c><07:50:26.638><c> a</c><07:50:26.878><c> voice</c> jail
• cells so that we could have a voice jail cells so that we could have a voice here<07:50:27.680><c> in

Keywords: U.S. House of Representatives Floor Proceedings on Tuesday, May 12, 2026, 1012, house, all

Transcript Highlights:

• We know the current administration hasn't put anybody in jail for the fraud.
• hasn't<03:45:42.360><c> put</c><03:45:42.480><c> anybody</c><03:45:42.840><c> in</c><03:45:43.000><c> jail
• </c> hasn't put anybody in jail hasn't put anybody in jail for<03:45:44.280><c> the</c><03:45:44.360>

Keywords: 1187, senate, all

Transcript Highlights:

• They're going to put them in jail or nothing.
• to</c><01:52:27.120><c> put</c><01:52:27.240><c> them</c><01:52:27.360><c> in</c><01:52:27.440><c> jail
• </c><01:52:27.760><c> or</c> They're going to put them in jail or They're going to put them in jail or

Keywords: 920, all

Summary: The Alabama Senate convened with prayer, the pledge, and a quorum present, then adopted a resolution honoring Dr. Todd Freeman, Superintendent of Vestavia Hills City Schools, as Alabama Superintendent of the Year. Senators praised his leadership in public education and noted the recognition was especially meaningful as one of the last such honors in the current chamber. The Senate also adopted a resolution commending the 2026 Alabama Law Institute Senate interns for their service, and members offered personal remarks thanking the interns and encouraging them to remain and contribute to Alabama in the future. The chamber then took up several conference committee and House messages. The Senate concurred in the conference report on Senate Bill 341 after extended remarks, and later concurred in the conference report on Senate Bill 32, described as a veterans-related bill that would make benefits automatic for those under the federal poverty level and allow cities and counties to opt in for veterans above that level. The Senate also received House amendments to Senate Bill 199, concerning sex offenders, and voted to non-concur and send the bill to conference, naming conferees. In resolutions from the Rules Committee, the Senate adopted an amended House Joint Resolution 198 establishing the Alabama Mental Health Task Force. It also adopted House Joint Resolution 326, which recognizes the need for a north-south transportation route in East Alabama. Throughout the meeting, senators made extended floor remarks about slowing down on legislation, focusing on rural hospitals and other priorities, and the importance of treating children, seniors, and low-income residents fairly.

Transcript Highlights:

• To be very clear, this bill is not a get-out-of-jail-free card.
• The purpose of this bill, as Representative M. said, is not a get-out-of-jail-free card, but to provide
• I have been in contact with a prisoner in the Berlin jail for 25 years, and what I've learned from here
• I have been in contact with a prisoner in the Berlin jail for 25 years, and what I've learned from here

Keywords: 1189, house, all

Transcript Highlights:

• know that you brought this up in your testimony a little bit—but I had spoken to somebody who was on jail
• 02.080><c> not</c><05:35:02.760><c> because</c> Well, I'm hoping not because I think as we learn from Jail
• , um, I think as we learn from Jail, that we're supposed to be the policy drivers, and this is really
• the process as to how we got here, but in some, you know what we heard from both the department and jail

Keywords: 928, house, all

Summary: The Environment and Agriculture Committee met in work session on several bills, beginning with HB 153, which would require two or more law enforcement officers in each county to receive animal cruelty training. Members said the bill had been sent to the Animal Protection and Licensing Subcommittee, where Representative Kuttab is expected to schedule a meeting soon to consider possible amendments based on testimony and other ideas. The committee later returned to HB 153 and confirmed a work session was planned for February 14, with discussion also including whether to explore a task force concept raised in testimony. The committee also discussed HB 215 and HB 566, both related to landfill permitting and leachate or harm/benefit reporting. Representative Gerana said he had met with the DES director and was working on amendments that would add a preliminary screening phase for determining net public benefit and expand the list of benefits beyond capacity need to include items such as economic and infrastructure benefits. HB 566 was said to be in the same posture as HB 215, and both were slated for subcommittee review the following Tuesday morning. HB 171 was also added for subcommittee discussion, with members saying the changes would be technical rather than substantive. HB 240, which removes forfeiture penalties for non-payment of dog licenses, drew support for a simple amendment changing a statutory “shall” to “may” so municipal officials would have discretion about issuing a warrant. Representative Bixby said OLS advised that this was the cleanest way to provide flexibility, and he reported that the sponsor was agreeable to the change. The committee also discussed HB 179, concerning hazardous waste accident fees, where the sponsor proposed a revised amendment imposing a $1,000-per-day penalty after 90 days of non-payment. Members raised concerns about homeowners, hobby farmers, and whether the bill could unfairly burden people who were not negligent or whose insurance claims were delayed. The sponsor and others said the intent was to recover costs from responsible parties, especially businesses, and to protect local taxpayers and fire departments from bearing the cost of damaged hazardous materials equipment. No votes were taken; the bills were left for further subcommittee work and amendment drafting.

Transcript Highlights:

• Relations or community colleges, for those in the ports who are losing their jobs because of automation, jails

Summary: The Senate Committee on Budget and Fiscal Review heard the 2026-27 budget package, including AB 111 and AB 112 plus 16 trailer bills and two policy bills. Chair Laird described the budget as balanced over two fiscal years, with about $351.7 billion in total spending, $251.5 billion General Fund, and record reserves, while emphasizing investments in child care, homelessness, housing, Medi-Cal, education, courts, and other core programs. The Department of Finance presented each bill, outlining major items such as Medi-Cal adjustments tied to federal H.R. 1, child care and early learning funding, education and higher education investments, human services, developmental services, health, skilled nursing, resources, energy, transportation, housing, labor, state government, courts, taxation, and two policy bills on education governance and ballot measure placement. The LAO said it had no additional comments but was available for questions. The committee later achieved quorum and moved to member questions and comments, with no votes taken in the portion provided. Members largely focused on the budget’s fiscal structure and policy implications. Several senators praised staff and noted the compressed timeline, while Vice Chair Niello criticized the process as overly complex and burdensome. Senator Smallwood-Cuevas supported the budget but raised concerns about Medi-Cal changes for people with unsatisfactory immigration status, asking about access to care, the number affected, and county eligibility support; Finance said about two million people would transition to fee-for-service and that $39 million was included for care coordination, along with additional county eligibility funding. Senator Durazo said the agreement delayed, but did not resolve, cuts to immigrant health coverage, dental, and clinic payments, and argued that the budget did not create a true restoration mechanism. Senator Richardson highlighted hospital funding, public hospital definitions, DMV data protections, and court construction and maintenance needs, while Senator Grove questioned the sustainability of spending, the Medi-Cal savings assumptions, distressed hospital funding, Planned Parenthood transparency, developmental services changes, high-speed rail costs, and the property tax postponement program. Other members emphasized different priorities. Senator Blake Spear praised climate and parks investments, support for HAP homelessness funding with accountability, transit stabilization, and Care Court referral funding, while expressing concern about the lack of wildlife coexistence funding and long-term transit operating support. Senator Weber Pearson raised a technical concern in the health trailer bill regarding menopause language, arguing that the bill should refer to perimenopausal symptoms and should not narrow provider participation through contracting language. Throughout the hearing, Finance repeatedly explained that many of the budget’s savings came from reduced caseloads or delayed implementation of prior proposals, while some new spending was added to mitigate impacts and support administration of the changes. No final committee action or vote was shown in the excerpt.

Transcript Highlights:

• Relations or community colleges, for those in the ports who are losing their jobs because of automation, Jails

Keywords: 987, senate, all

Transcript Highlights:

• legislative body, that is an issue you all are considering: maintaining Medicaid while people are in jail

Summary: The task force meeting opened with a brief organizational update, including new leadership, roll call, and an explanation of the task force’s statutory duties: to study current and future drug and substance use in Missouri, explore solutions, draft or modify legislation, and report recommendations on prevention and treatment. The chair outlined the summer hearing plan, which would feature field experts, with future sessions expected to cover alternative therapies such as psilocybin and ibogaine and testimony from the Department of Mental Health. Members were encouraged to think about legislative ideas and policy recommendations for the upcoming session. The first major testimony came from Dr. Rachel Winograd, who described Missouri’s overdose crisis as evolving into a “fourth wave” marked by fentanyl mixed with animal tranquilizers such as xylazine and medetomidine, along with methamphetamine and other synthetic drugs. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, but emphasized that the crisis remains severe. Her main recommendations were to focus on demand reduction rather than repeated supply crackdowns, expand evidence-based treatment—especially methadone and buprenorphine—broaden naloxone access, and improve practical supports like housing, transportation, and case management. She also said peer services are valuable but should not be used as a substitute for clinical care, and noted that Missouri Medicaid generally covers evidence-based treatment but reimbursement for peer recovery services remains a gap. Dr. Heidi Miller, the state medical director at the Department of Health and Senior Services, reinforced the call for integrating substance use disorder care into whole-person health care. She highlighted the state naloxone standing order, which supports more than 11,000 Medicaid naloxone prescriptions annually, and urged five best practices: integrating SUD treatment into primary care, maternal health, general medical training, EMS initiation of buprenorphine after overdose, and expanded methadone access. She also argued for team-based reimbursement, stronger parity enforcement between behavioral health/SUD and physical health, and caution in regulating emerging substances so policy does not outrun the science. Dr. Doug Burgess of University Health in Kansas City echoed the integration theme, arguing that Missouri’s system is too fragmented and that patients are often stabilized and then left to coordinate their own next steps. He compared ideal SUD care to the coordinated response used for heart attacks, with seamless transitions from emergency care to inpatient treatment, rehab, and outpatient follow-up. He said treatment courts can be effective when they are well coordinated and informed by addiction science, and he stressed the importance of discharge planning, peer recovery coaches, information-sharing, and maintaining Medicaid coverage during justice involvement. No formal votes or committee actions were taken during this portion of the meeting.