Transcript Highlights:

• The mission from the council the last couple of years has been to develop good legislation with regard
• Development of energy production and transmission, uh, including technologies in use of AI to detect
• Um, on economic development, I have, uh, how we, we are leveraging, um, energy policies to attract those
• Um, next into, um, uh, how we're supporting policies that incentivize the development and deployments
• and how to manage that, and I, LFC staff and I and uh sat down last year with the IT developers for

Transcript Highlights:

• Fort Worth has entered into development agreements with those large estates. invested over $250 million
• I might have stranded sections within an existing development in a city that could remove, or within
• an ETJ that could remove themselves from that development.
• But the active development agreement section is specific to Fort Worth only.
• This is the result of many veterans that served in the Middle East and Afghanistan developing several

Bills: HB103

Keywords: 1185, senate, all

Transcript Highlights:

• We are a mission-based Community Development Financial Institution headquartered in Fresno, and I also
• Access Plus Capital has developed over 2,000 loans totaling $65 million.
• The Community Reinvestment Fund, this bond bill will drive targeted investments into small development
• We're a CDFI, a community development financial institution, in support of AB 801.
• Litigation financing is the most significant development in modern civil litigation.

Summary: The Assembly Banking and Finance Committee met to hear several bills, beginning with a consent calendar that included AB 665 and AB 866, both adopted on a do pass basis and referred to Appropriations. The committee then took up AB 801, which would create a California Community Reinvestment Act to require covered financial institutions, including state-chartered banks, credit unions, residential mortgage lenders, and money transmitters, to meet the financial needs of low- and moderate-income communities and communities of color. The author and supporters argued the bill would close gaps left by the federal CRA, address redlining and discriminatory lending, and expand investment in housing, small business, and community development. Support came from community groups, CDFIs, labor, and housing advocates, while opposition from mortgage bankers and credit unions argued the bill would impose costly new reporting and regulatory burdens, especially on institutions they said already serve underserved borrowers well. Committee members discussed the scope of the bill, the experience of other states with state CRA laws, and possible carve-outs or tiered treatment for smaller credit unions. AB 801 was passed as amended and referred to Appropriations, with the roll left open and later completed; one member voted no and others were not voting or voted aye as the roll was finalized. The committee also heard AB 743, which would require licensing and surety bonds for commercial lawsuit financing and bring those transactions under DFPI oversight. The author said the bill was aimed at a largely unregulated, multi-billion-dollar industry and was intended to increase transparency and address concerns about foreign interests, fraud, and abusive litigation funding practices, while not affecting consumer legal funding. Supporters, including Unified Patents, the Civil Justice Association of California, the California Chamber of Commerce, the California Trucking Association, and the American Property Casualty Insurance Association, said the bill was an important first step toward disclosure and regulation. There was no opposition testimony. AB 743 passed unanimously as amended and was referred to Appropriations, with the roll held open briefly for absent members before the committee adjourned.

Transcript Highlights:

• supportive services that we need because but for you figuring out what we're good at and helping us develop
• HB 3739 by Shofner willing to the fetal development instruction included in a part of public school health
• HB 3781 by McLaughlin leading to the provision of financial assistance from the Texas Water Development
• Board for the development of certain products in economically distressed areas or for the Committee
• HB 3800 by OR relating to the advisory board established to develop a resource guide that facilitates

Transcript Highlights:

• We actually received a capitalization, or workforce development capitalization, grant for global finance
• They even assist in curriculum development. Lecturing and classrooms.
• They even assist in curriculum development, providing industry tours and sponsoring students in events
• We develop the relationship. We support one another, and we share a mission. Thank you. Thank you.
• We develop the relationship. We support one another, and we share a mission. Thank you. Thank you.

Summary: The Careers and Workforce Subcommittee heard a panel discussion focused on how Florida schools and colleges are exposing students to in-demand careers in manufacturing, semiconductors, transportation, and related fields, and how they are building pathways from middle school through postsecondary training. Panelists from Seminole County Public Schools, Lake Technical College/Lake County Schools, and St. Petersburg College described their career academies, dual enrollment options, industry certifications, and partnerships with employers, local governments, and state colleges. They emphasized early career awareness, counseling, and parent outreach as key to helping students understand technical education as a viable and prestigious path. Seminole County highlighted 51 career and professional education academies and new offerings in agricultural biotechnology, global finance, firefighting, and planned aerospace engineering. Lake County described Lake Technical College’s programs, strong completion and placement outcomes, and three partnerships: a flexible-day high school/workforce model at Lincoln Park Education Center, the Lake Works pathway collaboration with Lake Sumter State College, and a Transportation Innovation Hub with the City of Tavares that trains students on municipal vehicles and serves multiple local governments. St. Petersburg College discussed its manufacturing and engineering technology programs, including semiconductor processing, mechatronics, soldering, and clean-room training, along with new grant-funded expansion at its Midtown campus. Members asked about wages, the semiconductor workforce, how to change perceptions of technical education, how parents are engaged, and how Bright Futures CAPE and Gold Seal scholarships are communicated. Witnesses said school counselors, CTE teachers, parent nights, and district communications are used to promote these options, and that many students can earn strong wages through short-term certifications or two-year degrees. Lake Technical College also raised concerns about workforce funding not keeping pace with teacher pay increases and inflation, noting that funding covers only about 80% of what it earns and tuition has remained unchanged for 18 years. The meeting ended with members praising the programs, and the subcommittee adjourned without any vote or formal action beyond rising and adjournment.

Transcript Highlights:

• versus economic development through companies.
• traditional economic development traditional economic development pipeline<00:29:46.960> for<
• a county, or an economic development a county, or an economic development authority,<00:34:52.079
• , workforce, and talent development or community development.
• So you could still be, as Troy said, the Elmore County Economic Development Authority. Right?

Bills: HB517, HB520, HB233, HB354, HB517, HB520, HB233, HB354

Keywords: underground damage prevention, one-call notification system, utility locating, excavation safety, dig safe, call before you dig, 811, utility lines, underground utilities, pipeline safety, gas pipeline, electric utility, telecommunications, water utility, wastewater, cable television, locate request, premark, tolerance zone, positive response

Transcript Highlights:

• Really, the bigger goal here is encouraging development of housing that reduces car dependence.
• Really, the bigger goal here is encouraging development of housing that reduces car dependence.
• The motion is due pass to the Housing and Community Development Committee.
• The motion is due pass to the Housing and Community Development Committee.
• The motion is due pass to the Housing and Community Development Committee.

Summary: The committee heard multiple bills, with extensive discussion focused on short-term rental regulation, street vending, park/public safety financing, transit-oriented housing fees, and demographic data collection. SB 346 would require short-term rental platforms to provide local governments with listing addresses and related information to help collect transient occupancy taxes and enforce local ordinances; supporters argued cities and counties need the data to identify unlicensed operators and recover taxes, while opposition from platforms raised privacy and due process concerns and said administrative subpoenas already exist. The bill was amended and passed 7-0 to the Judiciary Committee. SB 635, the Street Vendor Business Protection Act, sought to protect street vendors’ personal information from being shared in ways that could expose them to federal immigration enforcement; supporters described raids and fear in vendor communities, and the bill passed 6-1 to Public Safety. SB 499 would clarify that certain park and recreation facilities designated in local safety or hazard mitigation plans can qualify for fee deferral exemptions when they serve emergency or public safety functions; supporters said parks can serve as fire buffers, evacuation sites, and recovery hubs, while some housing advocates sought a clearer nexus to development impacts. The bill passed as amended 6-0 to Appropriations. SB 358, which would modernize traffic impact fee rules to better reflect lower automobile trip generation for walkable, transit-oriented housing, drew support from housing and transportation advocates and passed 8-0 to Appropriations. SB 515, aimed at improving demographic data collection and reporting by local governments and state entities, passed to Appropriations on a 4-0 vote. The committee also took up SB 276, presented by Assembly Member Stefani on behalf of Senator Wiener, which would allow San Francisco to create a permit-and-enforcement system for the sale of commonly stolen goods on sidewalks. Supporters said the measure is needed to address fencing operations and protect legitimate vendors, while emphasizing it is narrowly targeted and not aimed at food vendors or permitted sellers. The transcript ends during testimony on SB 276, with supporters from the Mission street vendor community and San Francisco Public Works describing enforcement problems and the need for clearer rules and city resources.

Transcript Highlights:

• And so those increases in rate of pay were not anticipated when the last budget was developed.
• the last budget was uh developed. the last budget was uh developed.
• My understanding is that that report is still being developed.
• So we developed a calculus of how my time was spent between the PUC and the SEC.
• <00:42:52.000> of litigation prior to the development of litigation prior to the development

Keywords: 928, house, all

Summary: The Fiscal Committee met on June 20, 2025 and first approved the May 16 minutes and the non-removed items on the consent calendar. It then took up a Health and Human Services item for $5 million in additional nursing facility payments (FIS 25158). HHS explained the transfer was for private and county nursing facilities and was the third and final transfer in FY25, funded through federal matching dollars, county cap funds, and general funds. Members asked about the size of the transfer, whether it signaled future shortfalls, and how projections were developed; HHS said the request reflected updated estimates and that they did not expect similarly large transfers going forward. The committee adopted the item. The committee also considered an ARPA-related item to remove a line from a funding request because the issue had been resolved and the positions/funds were no longer needed. Members approved the item with that line removed. Commissioner Caswell then answered questions about ARPA spending authority, saying remaining projects must be expended by December 31, 2026 and that the item was intended to preserve authority for ongoing capital projects; any unspent funds would revert to the federal government. Members noted the recurring nature of these ARPA adjustments and the need to keep tracking deadlines. The Department of Corrections presented several items, including a $10 million request tied to staffing shortages and overtime costs, plus additional corrections-related funding items. Interim commissioner John Skipa said 18 employees had received preliminary layoff notices pending final budget approval. He and staff said the overtime need was driven by staffing shortages, later collective bargaining pay increases, and double-time compensation for uniform officers forced into overtime; they also said one housing unit section had been closed to reduce staffing pressure. In response to questions about morale and operational risk, Skipa said the department was under strain, that leadership was in transition, and that staffing or budget reductions could create litigation risk. The committee also heard about the Site Evaluation Committee’s budget shortfall, which was attributed to fewer new facility applications but continued casework and public engagement, and approved that item. Finally, members discussed a YDC claims administration item, questioning the role and cost of the Verald Dana consultant; staff said the firm handles intake and processing of claims for the Attorney General’s office and had been involved since the claims process was created. Several items were adopted after brief discussion.

Transcript Highlights:

• There are a lot of factors that contribute to this risk, development in the WUI.
• zero and other regulatory development.
• , we need capacity development, we need implementation funding.
• My third one is really around workforce development.
• And then those fires can develop and spread within the community.

Keywords: 988, house, all

Transcript Highlights:

• I would like to focus on the fact that CME is for the purpose of physician professional development,
• So, for example, you could focus it on, um, current research developing in high blood pressure and the
• So, for example, you could focus it on, um, current research developing in high blood pressure and the
• nicotine which damages the development nicotine which damages the development of<00:39:05.920>
• HB 2159, healthcare workforce development.

Bills: SB2421, SB2690, SB3103, SB3137, SB3164, SB3206, SB2933, SB3133, SB3315

Keywords: cannabis, marijuana, Hawaii Cannabis Law, legalization, decriminalization, adult use, hemp, taxation, social equity, public health, primary care, health insurance, health carrier, insurance commissioner, Med-QUEST, Medicaid managed care, provider reimbursement, downcoding, prior authorization, utilization review

Summary: The committee heard testimony on several health-related bills. HB 1864, which would require health insurance coverage for standard fertility preservation services for people undergoing medically necessary treatment, drew broad support from SHIPA, the Department of Health, HMSA, the Hawaii Association of Health Plans, and others. Testifiers emphasized that fertility preservation is routine coverage on the mainland and important for patients facing infertility from cancer or other treatment; one patient described incurring more than $20,000 in costs. The Insurance Division flagged possible Affordable Care Act issues, a potential conflict in the bill’s language about using patient history to determine limits, and a mismatch with state medical-necessity standards. Committee discussion also focused on whether the bill should apply to all women of childbearing age rather than a narrower age-based category. HB 2305 would require nutrition and metabolic education as part of physicians’ continuing medical education. The Hawaii Medical Board opposed the measure, arguing that CME should remain flexible and tailored to each physician’s specialty and warning that topic-specific mandates can expand over time. The Office of the Governor supported the bill, saying it would help the state’s rural health transformation application and could improve federal funding prospects, though the exact impact was unclear. Members questioned whether nutrition is already covered in medical training and whether the requirement should be limited to primary care physicians; the board said Hawaii currently has no topic-specific CME mandates and that physicians can already choose relevant courses. The committee also heard strong support for HB 1597, which would establish an Alzheimer’s disease research center at the University of Hawaii. Supporters from the university, the Alzheimer’s Association, AARP, and others said the center could attract federal research dollars, expand clinical trials, and help address the state’s high Alzheimer’s-related health costs. HB 2159, which appropriates funds for health care workforce development, also received broad support from the University of Hawaii, health systems, and advocacy groups, with no opposition noted. Finally, HB 2121, which would prohibit the sale and distribution of disposable electronic smoking devices, drew support from the Department of Health, youth advocates, and public health groups citing youth addiction, environmental waste, and fire hazards; the department said a separate bill, HB 1573, would be more comprehensive and better defined for enforcement and penalties. The committee ended with HB 1913, creating a veteran services mental health coordinator position at Tripler Army Medical Center, which was supported by veteran services officials and others who said veterans need better navigation and coordination for behavioral health care.

Transcript Highlights:

• My partners and I are local Texans who developed over a billion dollars of capital into companies in
• That doesn't include the housing industry, any of the developments for hospitals, schools, nothing.
• We're talking about real impacts, including delays, cost overruns, and completely halted developments
• There's a lot of development out there, that's right. Yeah.
• Would there be any—I mean, there’s housing developments going on around it as well, right?

Summary: The committee first took up SB 2203, relating to certification of discovery issues in TCEQ contested cases referred to SOAH. The chair noted the House had already passed the companion HB 3249, then moved SB 2203 without amendments. The motion prevailed on a 5-0 vote, and the bill was reported favorably to the full House. The committee then heard SB 1898, which would prohibit the use of PFAS-containing firefighting foam for testing and training, while still allowing it in emergency firefighting. The sponsor described PFAS as “forever chemicals” and said the bill would protect firefighters, water supplies, and public health. Testimony in support came from Environment Texas, which cited contamination concerns and noted other states and federal actions restricting PFAS foams. No one testified against the bill, and after closing testimony the committee left SB 1898 pending. The remainder of the hearing focused on SB 1758, a Grayson County pilot program aimed at addressing potential conflicts between Global Wafers’ semiconductor wafer facility and a proposed Black Mountain Cement/aggregate operation. Supporters, including Global Wafers, Grayson County officials, and manufacturing groups, argued that vibration from mining or blasting could threaten a major national-security semiconductor investment and that an independent BEG study was needed to set safe parameters. Opponents from Black Mountain Cement and related industry groups argued the bill would improperly interfere with a lawful permitting process, pick winners and losers, and harm Texas’ pro-business climate; they also said they had already revised operations and removed blast mining. The discussion included extensive questioning about geology, vibration, the permitting timeline, and whether the issue was really about mining rather than the air permit. No vote was taken on SB 1758 in the portion provided.

Transcript Highlights:

• Industrial and Economic Development Board Member and Gwendolyn Garner, Planning and Zoning Board Member
• Drainage lines, etc., attributed to new development.
• . and it does push development into the unincorporated areas.
• Two X chromosomes but develops male physical characteristics. Have you ever heard of that?
• They have two X chromosomes like a woman, but they develop testicles.

Bills: SJR85, SCR29, SCR38, SCR42, SB23, SB39, SB209, SB227, SB240, SB330, SB527, SB584, SB618, SB619, SB636, SB663, SB715, SB732, SB758, SB801, SB825, SB826, SB843, SB844, SB847, SB870, SB884, SB912, SB957, SB1013, SB1020, SB1065, SB1143, SB1152, SB1164, SB1183, SB1257, SB1299, SB1325, SB1349, SB1413, SB1455, SB1539, SB1558, SB1574, SB1583, SB1624, SB1642, SB1643, SB1667, SB1717, SB1718, SB1727, SB1734, SB1756, SB1757, SB1784, SB1789, SB1832, SB1868, SB1870, SB1883, SB1896, SB1920, SB1924, SB1963, SB2010, SB2018, SB2024, SB2037, SB2052, SB2073, SB2111, SB2161, SB2196, SB2207, SB2253, SB2268, SB2322, SB2323, SB2332, SB2349, SB2371, SB2533, SB2570, SB2601, SB2626, SB2692, SB2705, SB2717, SB2774, SB2788, SB2877, SB2920, SB2, SB260, SB1786, SB1, HJR4, SJR36, SJR50, SJR63, SJR85, SJR84, SCR12, SCR39, SCR38, SCR42, SCR29, SCR4, SCR18, SCR43, SCR46, SB2023, SB825, SB2010, SB1870, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1539, SB1505, SB583, SB957, SB1502, SB507, SB1026, SB1349, SB1433, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB619, SB1122, SB732, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB618, SB393, SB1791, SB826, SB1257, SB870, SB529, SB209, SB1883, SB2024, SB2429, SB1999, SB511, SB2309, SB510, SB1860, SB2037, SB1924, SB2253, SB2018, SB2206, SB1963, SB1643, SB1299, SB841, SB668, SB584, SB1085, SB2431, SB1490, SB1868, SB2314, SB434, SB2046, SB1667, SB1727, SB2127, SB1975, SB1760, SB1734, SB1335, SB2246, SB2439, SB1624, SB1244, SB1468, SB2717, SB1612, SB1262, SB604, SB2395, SB1832, SB1745, SB1746, SB2207, SB1784, SB1524, SB528, SB437, SB269, SB1137, SB968, SB636, SB747, SB1325, SB1789, SB1455, SB2056, SB1940, SB2052, SB1579, SB2068, SB3034, SB844, SB1920, SB1558, SB1236, SB1044, SB884, SB463, SB227, SB240, SB517, SB1200, SB1410, SB1626, SB1845, SB1863, SB2216, SB2681, SB1717, SB2141, SB2323, SB2200, SB2332, SB2199, SB1642, SB1757, SB2050, SB1138, SB2626, SB2458, SB1864, SB2201, SB1862, SB1583, SB1055, SB2660, SB1898, SB2662, SB2161, SB2964, SB2881, SB1065, SB801, SB2743, SB2533, SB1413, SB2073, SB3014, SB3013, SB2774, SB2702, SB2629, SB2443, SB2349, SB2167, SB2145, SB2121, SB758, SB648, SB647, SB512, SB438, SB1721, SB2268, SB1495, SB2705, SB2366, SB1422, SB1369, SB1013, SB682, SB2692, SB2570, SB2797, SB2111, SB1896, SB1164, SB1020, SB663, SB2371, SB1152, SB2196, SB2383, SB2581, SB2798, SB330, SB646, SB843, SB1998, SB1418, SB2788, SB1169, SB2873, SB1754, SB1534, SB1718, SB2779, SB2004, SB1143, SB1756, SB912, SB2119, SB2032, SB527, SB1580, SB1952, SB2601, SB2322, SB2448, SB1777, SB1283, SB407, SB2392, SB2076, SB2786, SB3031, SB2877, SB2876, SB2284, SB2225, SB1540, SB2920, SB2929, SB1395, SB1972, SB2540, SB1183, SB2742, SB2595, SB2217, SB2117, SB715, SB2330, SB1964, SB1383, SB500, SB1640, SB39, SB2001, SB2080, SB2722, SB506, SB2514, SB2623, SB2658, SB1574, SB2900, SB23, SB2753, SB2398, SB401, SB1241, SB2927, SB2173, SB2538, SB898, SB467, SB1449, SB2529, SB1531, SB2846, SB2476, SB2031, SB986, SB1181, SB2075, SB2154, SB2864, HB135, HB1109, SCR48, 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

Keywords: Texas constitutional amendment, property tax relief, school district taxes, ad valorem tax, homestead exemption, residence homestead, elderly homeowners, senior citizens, disabled homeowners, age 65 or older, school finance, tax exemption increase, local school taxes, property tax exemption, homestead tax relief, voter approval, school district revenue, tax rollback, disabled persons exemption, El Paso

Transcript Highlights:

• And with all due respect, gambling is not economic development. It's economic extraction.
• And with all due respect, gambling is not economic development. It's economic extraction.
• stadium developer in the working group. stadium developer in the working group.
• <00:40:14.320> It's<00:40:14.560> economic economic development.
• It's economic economic development.

Keywords: 910, house, all

Transcript Highlights:

• VSSR and CVHI constitute how the state of California is dedicated to developing innovative solutions
• I've been working in this area for 19 years, and we work on community education, program development,
• We also developed an employment program.
• We spent a million dollars that we raised to develop a women veterans program, and we developed a peer
• Over the last several years, I've developed an appreciation for and admiration of the VSSR program.

Summary: The Assembly Committee on Military and Veteran Affairs held an informational hearing focused on the effects of federal budget cuts and policy changes on veterans, military readiness, and California’s veteran support systems. The chair and members emphasized that federal reductions to the VA, Medicaid/Medi-Cal, SNAP, and the federal workforce are disproportionately harming veterans by threatening health care, employment, housing, crisis lines, and suicide prevention services. The chair also highlighted California’s progress on veteran homelessness and the importance of preserving state programs that leverage federal dollars. Major General Matthew Beavers of the California Military Department described the department’s structure, its response to the Los Angeles fire emergency, and concerns that federal cuts could reduce readiness through less training, older equipment, and fewer resources. He also discussed state programs such as Work for Warriors, STARBASE, youth and community schools, and the counterdrug task force, saying they are valuable but vulnerable if funding is redirected away from readiness. Members asked about the impact of federal changes on the Guard and how the Legislature could help, and Beavers said the state should advocate for recapitalized equipment and continued support for key programs. A second panel focused on veterans’ benefits and claims support. CalVet, Los Angeles County, and Swords to Plowshares testified that county veteran service officers, legal aid, and community-based partnerships are essential to helping veterans access VA benefits, especially after the PACT Act expanded eligibility and increased claims volume. Witnesses said these services bring substantial federal dollars back to California, but county offices and legal providers are underfunded and overburdened. Members discussed data sharing, staffing shortages, and the need for more resources to reach veterans who are not connected to VA care. In the final panel on mental health and suicide prevention, CalVet and nonprofit providers described state-funded programs such as the Veterans Support Self-Reliance program and the California Veterans Health Initiative, which place services in permanent supportive housing and provide no-cost counseling statewide. Witnesses said these programs are showing measurable improvements in health, medication adherence, and emergency room use, but they depend on sustained funding and are vulnerable to step-down grants and federal instability. Committee members expressed support for the programs and raised questions about access, staffing, and the role of non-veteran family members in Vet Center services.

Transcript Highlights:

• We may need support in developing that and continuing to provide that, where, like I said, it may be
• The LFC recommendation was developed before that announcement came out, and once the committee adopts
• This is just to continue developing the infrastructure throughout the state.
• That would come from the first distribution of funds from a new capital development and reserve fund
• So, essentially, you know, that would just involve developing a request form that allowed that to be

Transcript Highlights:

• It's privately owned by a developer.
• And we've done a lot of course development so far.
• And we've done a lot of course development so far.
• And we've done a lot of course development so far.
• The professional development, all of them have reported the professional development, the bringing them

Keywords: 908, all

Transcript Highlights:

• <00:05:56.720> program<00:05:57.199> offered leadership development program offered
• ,<00:20:01.520> to Business, and Economic Development, to Business, and Economic Development
• Senate File 124, economic development rodeo museum, sponsored by Senator Driskill.
• Senate file 124, economic development Senate file 124, economic development rodeo<00:44:27.760><
• the strength of our water development the strength of our water development program<01:39:17.600

Keywords: 916, all

Transcript Highlights:

• You need the right data to develop policy, and you don't have that for this presentation.
• You need the right data<00:12:55.760> to<00:12:55.920> develop<00:12:56.320> policy,
• , coordination care plan development, coordination care plan development, maintenance<00:16:24.240
• development. You strengthen communities. development. You strengthen communities.
• this group together in order to develop this group together in order to develop this<01:25:08.239

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.

Transcript Highlights:

• <00:38:52.560> benefits, development would have many benefits, development would have many
• It would not this type of development.
• , and high-density development and a one-size-fits-all really isn't responsible growth.
• Under the bill, towns can still assess developer impact fees to offset any increased costs.
• <00:44:58.720> impact towns can still assess developer impact towns can still assess developer

Keywords: 1191, senate, all

Transcript Highlights:

• The Committee on Agriculture, Veterans, Broadband and Rural Development for Wednesday, February 26, is
• we've developed the technique somewhat we've developed the technique somewhat in<00:30:10.279> Minnesota
• We've already started to develop our market. You can see here this is at Pack Expo.
• could sell them to uh people who develop could sell them to uh people who develop machines<00:46
• So we are drastically planning to move the development of our product.

Keywords: 1187, senate, all