Transcript Highlights:

• Pam Boatwright, Assistant Superintendent of Curriculum and Instruction; and Tammy Anderson, media specialist
• Your Committee on Higher Ed and Workforce Development will meet in Hearing Room 1 and hopefully in about

Keywords: 959, house, all

Transcript Highlights:

• storage, educational instructional materials, tech support, employment opportunities and career development
• We do appreciate a lot of the developments that have occurred with the bill.
• It will take some time to develop, obviously, that license process and where we're able to get those
• Embryos may not ultimately begin to develop. An egg might not ultimately be fertilized.
• As you'll see in section 36, we'll help to develop the test that will identify those chemicals within

Bills: AB52, AB76, AB163, AB388, AB483

Keywords: health insurance, claims process, insurance regulation, admin penalties, healthcare access, cannabis, cannabis establishment, medical cannabis, adult-use cannabis, advertising regulations, packaging requirements, unlicensed cannabis activities, state prosecution, confidentiality, Cannabis Compliance Board, disciplinary proceedings, mental health, counseling, interstate practice, telehealth

Transcript Highlights:

• Um, we haven't developed that rule yet in terms of because we've got a little time to go to do that.
• But we haven't developed that rulemaking yet.
• Um we haven't developed that rule yet in Um we haven't developed that rule yet in terms<00:28:33.600>
• :59.360><c> rulemaking</c> we haven't developed that rulemaking we haven't developed that rulemaking
• We could develop the specialists that we need to do that billing, or like billing coders.

Keywords: 1189, house, all

Summary: The subcommittee met to begin work on HB 742, which would require catastrophic special education aid to be drawn from the education trust fund, and more broadly to study special education aid/differentiated aid and related costing issues. The chair said the group was starting early because the issue has been debated for years without resolution, local districts are being forced to absorb prorated costs, and the committee wants to send the Department of Education and HHS Medicaid a clear request for data and recommendations before retained bills return in the fall. A committee clerk was also selected, with Representative Reverend volunteering to take notes for the meeting. Members reviewed background materials on special education enrollment, high-cost students, and possible funding formulas, including data on students in high-cost brackets and prior ideas such as category-based funding and caseload-based approaches. The chair also referenced research on other states, including Arkansas, which uses a different special education funding structure and audits IEPs. The committee emphasized that it was focused on the funding mechanics and costs, not on questioning whether services should be provided. Henry Lipman of HHS explained how Medicaid-to-schools currently works in New Hampshire. He said 172 school districts participate, but utilization dropped during the pandemic and remains below historical levels, in part because districts need the capacity to bill Medicaid. Under the current system, schools receive reimbursement based on half of the Medicaid fee schedule, with the school district effectively providing the state share. He said the federal government is requiring a shift by July 1, 2026, to a true certified public expenditure model based on actual costs, which should allow schools to recover 50% of their true costs and some administrative overhead. The department has received a roughly $2.5 million grant to hire a vendor and support districts through the transition, and an RFP and stakeholder meetings are underway. Committee members asked about how costs would be determined, whether the new system would use actual district-specific costs rather than averages, and how the department would support districts that do not currently participate. Lipman said the cost model would be based on each district’s own reasonable costs, subject to audit standards, and that the department expects to provide templates and technical assistance through the vendor because its staff is limited. He also said about one in four New Hampshire children are enrolled in Medicaid, that child enrollment has been relatively stable, and that continuous coverage rules should reduce churn. No votes or formal actions on HB 742 were taken during the meeting beyond organizing the subcommittee and beginning testimony and discussion.

Transcript Highlights:

• </c><02:09:00.560><c> These</c> safety, community development. These safety, community development.
• </c><02:10:11.520><c> signed</c> Service Training and Development signed Service Training and Development
• </c> guidance and for agencies to develop guidance and for agencies to develop plans<03:03:39.359><c>
• </c><03:03:50.720><c> them</c> the start rather than developing them the start rather than developing
• . development. development.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, June 8, 2026, 1012, house, all

Transcript Highlights:

• Lastly, we did have some language in the last economic development bill on FAFSA completion, and that
• And so districts are starting to develop their own plans around how they do the outreach for FAFSA, but
• It develops a sustainable funding mechanism to accelerate growth and helps ensure that students receive
• And third, it helps students with their career development.
• This bill creates a FAFSA trust fund, which when funded would subsequently be used for the development

Keywords: 995, all

Summary: The Joint Committee on Higher Education held its first hearing and heard testimony on a wide range of bills, including hunger-free campuses, FAFSA completion, early college/college-in-high-school programs, banning legacy preferences, AP credit consistency, and tuition equity for the Stockbridge School of Agriculture. Committee leaders opened by outlining the hearing process and noting the three-minute testimony limit. Legislators and advocates generally framed the bills as equity and access measures aimed at improving college affordability, student success, and workforce development. Representative Vargas testified for H. 1466 and H. 1467, arguing that hunger-free campus should be codified because many public college and community college students face food insecurity, and that FAFSA completion should be improved through individualized outreach and an opt-out or completion requirement. Senator Lovely, the Greater Boston Food Bank, and other advocates supported the hunger-free campus bill, citing data that 44% of public university and community college students experienced food insecurity in 2023 and that food insecurity harms graduation rates. Femi Stoltz and Shanti Lopez Toro backed the FAFSA bill, saying many students miss out on Pell grants and need direct support; they pointed to state examples such as Louisiana and to recent state action requiring FAFSA awareness. Committee members asked about the federal FAFSA rollout, regional equity in food access, and the need for long-term funding and data collection. A large panel supported H. 1455 on college and high school/early college, including former Chair Roy, the Massachusetts Alliance for Early College, a student graduate, MBAE, and Tripp Jones. They described early college as a proven model that helps low-income and first-generation students, improves degree attainment, and supports workforce needs; witnesses said the goal is to scale from about 9,000 students and 55 partnerships toward 22,000 to 25,000 students by 2030, with possible future growth beyond that. Members raised questions about funding, public-private partnerships, parental involvement, faculty development, and whether the bill should include data review and more standardized policies across institutions. Representative Garcia also testified for H. 1432 on AP credit, saying students should receive consistent credit for AP scores of 3, 4, or 5. Senator Edwards and James Murphy testified for the legacy preference ban, arguing it is unfair and rooted in exclusionary history; they said some states have already banned legacy preferences in public and private institutions. Finally, UMass Dean Michael Fox, alumnus Dan Mayer, and student Jake Rasmussen supported S. 920 to include Stockbridge associate degree programs in MassEducate, saying tuition equity would help enrollment and support Massachusetts agriculture and green-industry jobs.

Transcript Highlights:

• Participating clinics are tasked with reporting patient outcomes to contribute to the development of
• I've been fortunate to work with youth this year to develop overdose prevention interventions that can
• I developed OCD, ADHD, tics, anxiety, depression, and suicidal ideations.
• He was placed on an IEP in third grade, but by middle school he developed severe OCD and agoraphobia.
• Matthew developed anxiety, depression, and agoraphobia.

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use and Recovery opened its first public hearing of the 2025–26 session with remarks from the Senate and House chairs outlining the committee’s priorities. They noted recent work on addiction and recovery legislation, the ongoing youth behavioral health crisis, and that members might need to leave periodically for floor votes. The chairs explained hearing procedures, including three-minute testimony limits, written testimony deadlines, and reporting deadlines for Senate and House bills. The hearing then focused on several bills related to youth mental health, overdose prevention, and psychedelic treatment research. A major portion of the hearing centered on bills to improve youth crisis response and overdose prevention. Testimony strongly supported bills to print the 988 Suicide and Crisis Lifeline on student ID cards, with speakers from mental health organizations, crisis centers, and individuals sharing personal stories of depression, suicide attempts, and the importance of making 988 as familiar as 911. Another set of bills would require schools to stock naloxone and provide overdose prevention education. Physicians, harm reduction advocates, students, and grieving family members testified that school-based Narcan access and education could save lives, reduce stigma, and help students recognize overdoses and understand Good Samaritan protections. Senator O’Connor and Tamika Perry also testified for a bill to strengthen substance use prevention education and reduce overdose abandonment, emphasizing the need to teach students about overdose risks and the legal protections for calling 911. The committee also heard testimony on a bill to authorize a pilot program for psychedelic treatment in licensed facilities. Senator Friedman and several medical and behavioral health professionals argued the proposal was a narrow, research-based approach distinct from the broader ballot question rejected in 2024. They said the bill would allow only a small number of supervised clinics to use psychedelics for conditions such as depression, PTSD, anxiety, and substance use disorders, with data reporting and Department of Public Health oversight. Supporters described it as a cautious way to study promising treatments while avoiding unsupervised or commercialized use. Finally, the committee heard support for a bill to create a special commission and five-year strategic plan for children’s behavioral health services, with testimony that the current system is fragmented, difficult for families to navigate, and strained by workforce and funding challenges. No votes or final actions were taken during the hearing; the committee primarily received testimony and questions on the bills.

Transcript Highlights:

• opposed to the school but it's still as opposed to the school but it's still a part of the school curriculum
• you know a part of the school curriculum you know a part of the school curriculum you know it's it's

Keywords: 1136, house, all

Transcript Highlights:

• students with disabilities for<01:14:57.040><c> literacy</c><01:14:57.600><c> the</c><01:14:57.679><c> curriculum
• </c><01:14:58.159><c> and</c> for literacy the curriculum and for literacy the curriculum and instruction

Bills: HF1, HF779, HF1034

Keywords: Office of Inspector General, inspector general, legislative audit, fraud prevention, waste and abuse, public funds, grant oversight, state grants, grant management, whistleblower protection, retaliation, subpoena power, data practices, government transparency, accountability, law enforcement referrals, sanctions, debarment, payment withholding, public assistance fraud

Transcript Highlights:

• that it was going to be a community college, a two-year community college, primarily for workforce development
• that it was going to be a community college, a two-year community college, primarily for workforce development
• that it was going to be a community college, a two-year community college, primarily for workforce development
• He told the teachers, 'You will teach these kids,' and got them some really good curriculum.

Summary: The House convened, approved the journal, and received messages from the Governor and Senate on bills signed, enrolled, and transmitted. Several committee reports were read, including bills and resolutions advanced to second or third reading, and House Resolution 28 and multiple appropriations and policy bills were introduced and referred. The House also recessed and later resumed business, continuing with messages and committee reports before moving into floor action on selected bills. A major floor debate centered on House Bill 725, which would have allowed cities to join the Idaho State Health Insurance Pool. Supporters argued it would give cities access to a larger, more stable risk pool, lower premiums, and reduce property tax pressure, while opponents warned it could create adverse selection, raise costs for state employees, and expand state administrative burdens. After extended debate, the House rejected HB 725 by a vote of 30-40 and held it at the Chief Clerk’s office. The House then passed House Bill 660, a measure requiring local law enforcement to collect and report twice-yearly counts of arrested individuals who are not lawfully present in the United States. Supporters said it was a limited reporting requirement aimed at understanding costs to taxpayers, while opponents raised concerns about unclear procedures, added burdens on law enforcement, and questionable fiscal assumptions. The bill passed 40-30 and was transmitted to the Senate. The House also took up several budget enhancement bills under suspended rules. House Bills 905, 906, 907, 908, and 909 all passed, covering enhancements for the State Board of Education, community colleges, career technical education, the Military Division, and the Secretary of State. Debate on these bills focused on whether the additions were true restorations or budget growth, the use of one-time funds and federal grants, and concerns about higher education priorities and fiscal restraint.

Transcript Highlights:

• ...years into more of an academic slash military-like training curriculum, but it is very intense and
• We are looking at developing new programs and canceling other programs.
• We are looking at developing new programs and canceling other programs.
• Yeah, see, I've been concerned about that because of the development of the housing unit across the street

Keywords: 965, house, all

Transcript Highlights:

• school team to work in partnership with the student's parent or guardian to address the behavior and develop
• or guardian to address the<00:17:13.400><c> behavior</c><00:17:14.120><c> and</c><00:17:14.199><c> develop
• a</c><00:17:14.560><c> plan</c><00:17:15.199><c> for</c><00:17:15.320><c> a</c> the behavior and develop
• a plan for a the behavior and develop a plan for a successful<00:17:15.880><c> return</c><00:17:16.160
• It means tradeoffs, larger class sizes, fewer programs, delayed curriculum updates, and in many cases

Bills: HF3493, HF4114

Keywords: safe schools, charter schools, nonpublic schools, Tribal education, funding increase, special education, funding, education finance, appropriations, budget, cross subsidy, 1183, house

Transcript Highlights:

• They have been shut out of the curriculum discussions.
• They have been shut out of the curriculum discussions.
• They have been shut out of the curriculum discussions.
• </c><02:35:01.040><c> brains</c> to their developing brains to their developing brains um<02:35:03.520
• </c><03:19:16.560><c> this</c> want this, why don't they develop this want this, why don't they develop

Keywords: 1187, senate, all

Transcript Highlights:

• treatment schedule will revert back to present law, which requires the medical advisory council to develop
• So, to your point, it might certainly not develop as much of a positive result in terms of the data,
• as long as we don't lose the Louisiana medical treatment guidelines that we've worked so hard to develop
• 17, where it defined schedule, it’ll read: ‘Schedule means the medical treatment schedule to be developed
• As a whole, the amendments will require every small-box retail discount employer to develop and implement

Keywords: 965, house, all

Summary: The committee first disposed of several measures without debate, including deferrals of House Bill 460, House Bill 561, Senate Bill 322, and another deferred Senate measure, before taking up House Bill 819 by Chairman Cruz. HB 819 would replace Louisiana’s current workers’ compensation medical treatment schedule with ODG by MCG, a private evidence-based guideline system used in other states. Cruz and Troy Prevo argued ODG is more comprehensive, updated more frequently, and could reduce claim duration, medical costs, and premium rates; Dr. Jason Picard said Louisiana already uses ODG as a secondary reference for gaps in the state schedule and that the bill would not change appeals or variance procedures. Opponents, including injured-worker advocates Joseph Jola St. and Robin Crumholt, argued Louisiana’s current guidelines are working, that ODG is more cost-cutting and insurer-driven, and that the bill could increase denials and delay care. Members discussed amendments to add a two-year sunset, allow tacit approval when treatment follows the schedule, require payment within 30 days, and raise the carrier’s burden to challenge care; the committee adopted the amendments and then reported HB 819 favorably by a 7-6 vote. The committee then began Senate Bill 409 by Senator Myers, the Louisiana Living Donor Leave Protection Act. The bill would provide paid leave protections for living organ donors, set eligibility and verification procedures, and prohibit forfeiture of leave in certain circumstances for private employers. Myers said the measure is intended to remove job and paycheck barriers for people willing to donate organs and to support better transplant outcomes. Technical amendments were adopted at the start of the presentation, and the bill was introduced for further discussion.

Transcript Highlights:

• ensure that the land will not be developed.
• At the same time, the bill prevents local governments from changing development review rules simply to
• Well, Palm Beach is a great name, and we have had great economic development really, is a great name.
• And we have had great economic development really recently in the county.
• It will hurt economic development.

Summary: The Senate convened with an opening prayer, pledge, and several introductions recognizing visitors, students, local officials, and professional groups in the gallery. The chamber then took up a report from the Ethics and Elections Committee confirming 42 executive appointments; the report was adopted by a vote of 36-0. The Senate also adopted a resolution honoring the Ripple Project for childhood cancer awareness and funding. The bulk of the meeting was spent on special-order bills, many of them open-government sunset review measures and policy bills. The Senate passed bills preserving or updating public records exemptions for aquaculture records, trade secrets, and cybersecurity information; a child-abuse reporting statute of limitations bill; a commercial driving schools bill; a human trafficking training requirement for nursing graduates; a new injunction for protection against serious violence by a known person and its companion public-records bill; a nature-based coastal resiliency bill with an amendment restricting dredge-and-fill in Terra Ceia Aquatic Preserve; a chiropractic patient-funds bill; specialty license plate legislation; a one-time waiver for late financial disclosure fines; public school personnel compensation changes; the Florida Farm Bill with amendments protecting Everglades lands and technical corrections; homestead exemption clarification for long-term leaseholders; disability presumption clarifications for firefighters and law enforcement; reinsurance intermediary manager conformity changes; patriotic displays in public schools; ADS-B aviation fee restrictions; autism-related law enforcement training and a blue envelope program; public post-secondary safety policy requirements; and a bill allowing licensed agents to market health care sharing ministries. Several bills were temporarily postponed, including local vessel restrictions, temporary certificates for practice, and domestic animals. Members debated a number of measures, especially the health care sharing ministries bill, where opponents raised consumer-protection and commission concerns and supporters argued for free speech, religious liberty, and expanded consumer choice; it passed 32-5. Other debated bills included the autism law enforcement bill, the school athletics bill addressing coach support for student-athletes, and the Farm Bill, where senators discussed surplus land safeguards and biosolids timing. Most bills passed overwhelmingly, often 37-0 or 38-0, with a few closer votes such as the patriotic displays bill (36-2) and the health care sharing ministries bill (32-5).

Transcript Highlights:

• ensure that the land will not be developed.
• At the same time, the bill prevents local governments from changing development review rules simply to
• Well, Palm Beach is a great name, and we have had great economic development really is a great name.
• And we have had great economic development really recently in the county.
• It will hurt economic development.

Keywords: 998, house, all

Transcript Highlights:

• Anytime your brain health is affected, to develop a dementing disorder.
• We have developed psychological interventions designed to support both parties.
• Health Institute for Research and Development, and I have you registered as Dr.
• These mice, when they were developing embryo... in the embryonic development, they developed abnormal
• So part of the reason we have developed this technology.

Bills: HB5, HJR3, HB155, HB513, HB5, HB155

Keywords: dementia, research, health care, Texas Institute, grants, medical breakthroughs, oversight, prevention, funding, healthcare, Texas, autopsy, confidentiality, public records, medical examiner, law enforcement, HB 513, surgical smoke, surgical plume, smoke evacuation

Transcript Highlights:

• Studies show that adding just one 12-ounce sugary drink daily increases the risk of developing type 2
• These developments encourage early detection and diagnosis.
• These developments encourage early detection and diagnoses.
• It'll be part of the overall development of the rates. By the Governor yesterday.
• It'll be part of the overall development of the rates.

Summary: The Assembly Health Committee heard several measures, beginning with SB 331 by Sen. Menjivar, which would require large-group health plans to cover hearing aids for children. The author and supporters described the bill as a long-running effort to address a developmental emergency and reduce out-of-pocket costs for families, while opponents were absent. Testimony from parents, advocates, medical experts, and organizations emphasized the importance of early access to hearing aids; committee members voiced strong support, and the bill was moved on a do-pass basis to Appropriations, with several members requesting to be added as coauthors. The committee then heard SB 608, also by Sen. Menjivar, to expand access to condoms in school-based health centers and related settings and to prevent barriers such as ID checks. Supporters, including students and school health advocates, argued the bill would improve sexual health and reduce stigma, while opponents from family and faith groups argued it would undermine parental authority and normalize early sexual activity. The bill was supported by committee members and moved forward on a do-pass basis to Appropriations. Next, SB 971 by Sen. Choi proposed community-based healthy aging partnerships for older adults, with testimony from the California Senior Legislature and supporters from aging and dementia organizations. The measure was described as voluntary and focused on connection, independence, and local collaboration; there was no opposition, and the committee moved it on a do-pass basis to Appropriations. The committee also heard SB 869 by Sen. Weber Pierson, which would require warning icons and statements on chain restaurant menus for beverages with very high added sugar content. Supporters framed it as a transparency and public health measure, while restaurant and beverage industry representatives opposed it unless amended, citing cost and menu-space concerns; the bill was nevertheless moved on a do-pass basis to Appropriations after a roll call vote, with some members voting no and the measure placed on call. The committee also considered SB 950 by Sen. Weber Pierson, aimed at ensuring timely coverage of FDA-approved, medically necessary treatments for early-onset Alzheimer’s disease on commercial plans. Supporters, including the Alzheimer’s Association and a patient advocate, said the bill would reduce delays and barriers to care, while health plan representatives opposed it over step therapy and utilization-management concerns. Members discussed the limited treatment window and the need for early access, and the bill was moved on a do-pass basis to Appropriations. In addition, SB 490 by Sen. Umberg would set timelines for DHCS investigations of unlicensed sober living homes and allow counties to assist if the department cannot act in time; supporters from Anaheim and a patient-brokering survivor described serious abuse and oversight gaps, while county behavioral health representatives opposed the county role as an unfunded and potentially liability-creating burden. After discussion, the bill was also moved on a do-pass basis to Appropriations. Finally, the committee began hearing SB 1037 by Sen. Weber Pierson on health insurance affordability and rate review, with supporters arguing it would tie premium increases more closely to affordability targets and public reporting; the transcript cuts off before the committee completed action on that measure.

Transcript Highlights:

• Under existing law, political subdivisions charge developers impact fees for new developments to cover
• and the impact of new developments on existing water and wastewater systems.
• As a matter of policy, members, we have a Texas Water Development Board.
• I left the Texas Water Development Board when I ran for the legislature.
• His bill said, "Let's remove Marvin Nichols from the Water Development Plan."

Bills: SB4, SB23, SB3, SJR2, SJR85, SB34, SB60, SB75, SB706, SB1814, SB1220, SB523, SB565, SB1253, SB840, SB764, SB2383, SB2155, SB1535, SB1405, SB1423, SB1566, SB1804, SB1728, SB1816, SB1952, SB1948, SB2037, SB2068, SB1455, SB213, SB243, SB627, SB646, SB670, SB896, SB917, SB1184, SB971, SB1255, SB1261, SB1283, SB1358, SB991, SB1733, SB21, SB231, SB739, SB1252, SB1371, SB664, SB40, SB9, SJR1, SB687, SB1332, SB458, SB482, SB927, SB984, SB651, SB1620, SB2124, SB2448, SB841, SB843, SB402, SB2662, SB2053, SB2332, SB2112, SB745, SB1247, SB1789, SB27, SB207, SB2938, SB1901, SB1227, SB1248, SB912, SB1321, SB2143, SB2145, SB1497, SB1239, SB2180, SB1388, SB1662, SB1951, SB1537, SB493, SB378, SB1020, SB1018, SB992, SB958, SB920, SB1350, SB1762, SB552, HCR109, SB2185, SB4, SB23, SB3, SJR2, SJR85, SB34, SB60, SB75, SB706, SB1814, SB1220, SB523, SB565, SB1253, SB840, SB764, SB2383, SB2155, SB1535, SB1405, SB1423, SB1566, SB1804, SB1728, SB1816, SB1952, SB1948, SB2037, SB2068, SB1455, SB213, SB243, SB627, SB646, SB670, SB896, SB917, SB1184, SB971, SB1255, SB1261, SB1283, SB1358, SB991, SB1733, SB21, SB231, SB739, SB1252, SB1371, HB2970, HB 109, SB2308

Keywords: property tax, homestead exemption, school funding, state aid, constitutional amendment, elderly, disabled, ad valorem taxation, school district funding, SJR 2, Senate Joint Resolution 2, property tax relief, school property tax, ad valorem tax, residence homestead, school district taxes, Texas Constitution Article VIII, public school finance, homeowner exemption, elderly exemption

Transcript Highlights:

• And my kids early childhood development.
• This bill delivers targeted, meaningful investment in farm safety nets and rural development.
• </c><03:41:47.439><c> This</c> energy technology development. This energy technology development.
• </c><03:49:07.359><c> a</c> with the defense department to develop a with the defense department to develop
• And when it developed and implemented.

Keywords: U.S. House of Representatives Floor Proceedings on Monday, May 19, 2025, 1012, house, all

Transcript Highlights:

• What I teach my students, in fact, I'll have to change my curriculum, is that the two drug classes that
• And so the way that they manage this, and what I've seen up close and personal, is that they then develop
• And so the way that they manage this, and what I've seen up close and personal, is that they then develop
• contracts with outside agencies just to have. up close and personal, is that they then develop contracts
• And so if they were solely responsible, I think you would see a different treatment system being developed

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.