Transcript Highlights:

• ,</c> affidavit from a medical provider, affidavit from a medical provider, uh,<00:47:22.560><c> that
• </c> represents all wireless providers. represents all wireless providers.
• </c> do they provide a quality product? Yes. do they provide a quality product? Yes.
• </c> providing a recommendation. providing a recommendation.
• </c><01:38:06.120><c> Um</c> notice is provided. Um notice is provided.

Keywords: 918, senate, all

Summary: The Public Safety Policy Conference Committee met on May 8, 2026, with all conferees present. The chair opened with decorum instructions, explained that the meeting was policy-only, and noted that no public testimony had been signed up. Members then introduced themselves, with several noting they were retiring at the end of the session or year. The committee adopted a series of provisions, mostly by unanimous voice vote, including House language on identity theft and financial crimes updates, supervision abatement and restitution considerations for corrections, protective-order enhancements for murder penalties, prediction markets, victim-notification requirements for plea and sentencing hearings, research data privacy, ignition interlock and impaired-driving license changes, DOC licensing and sanctions for juvenile/adult community-based residential facilities, criminal-conviction employment and licensing standards, jail medication procedures, domestic abuse law changes, and a grant-use extension for dual-status/crossover youth funding. Several items were described as technical or clarifying changes, while others updated law to address AI-related identity theft, foreign protective orders, victim privacy, and corrections oversight. The committee also heard discussion on a Senate provision allowing victims of domestic violence to petition for wireless account and phone-number transfers. A witness supported the concept but urged changes to better align the state language with existing federal law; members noted the issue might need another vehicle or further work. For the domestic abuse item, staff explained that an A15 amendment would later adjust the warrantless-arrest window from 28 days to 14 days. On the jail-medication item, a member emphasized the changes were clarifying and not an admission that last year’s law was flawed. All adopted provisions passed by voice vote without opposition.

Transcript Highlights:

• </c> government with a focus on the providers government with a focus on the providers and<00:13:33.880
• </c> contract with the state in providing contract with the state in providing benefits<00:13:57.560>
• </c><00:19:07.840><c> just</c> you for the opportunity to provide just you for the opportunity to provide
• We provide access to life coaching.
• We provided over 3,000 meals.

Bills: HF25 , HF1 , HF428

Committee: House Judiciary Finance and Civil Law

Keywords: pregnancy support, women's health, maternity homes, nonprofit organizations, grant funding, abortion, family services, 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

Transcript Highlights:

• Is there anyone else wishing to provide<00:05:43.160><c> testimony?</c> provide testimony?
• provide testimony?
• Is there anyone wishing to provide<00:06:11.200><c> testimony?</c> provide testimony?
• provide testimony?
• ><c> training</c><00:13:35.560><c> for</c> HPD should provide better training for HPD should provide

Committee: House Judiciary & Hawaiian Affairs

Keywords: 910, house, all

Summary: The committee heard a series of resolutions and a few bills, with testimony largely in support across the agenda. Early measures included HCR 15/HR 17 supporting Kamehameha Schools’ admissions policy, and HCR 22/HR 22 urging Congress to pass federal kidney disease legislation; both drew support and no opposition. The committee also heard HCR 146 HD1/HR 138 HD1 on “excited delirium,” with testimony from advocates urging the resolutions be broadened to include related terms such as hyperactive delirium and agitated delirium, and from family members and disability-rights advocates describing the issue as harmful pseudoscience tied to police-custody deaths and calling for a ban on the term and better mental-health responses. The committee then took up HCR 123/HR 115 on creating a coordinated support and stabilization task force for Native Hawaiians experiencing homelessness or extreme low income. Department of Hawaiian Home Lands testified in support, describing its transitional housing work and saying collaboration and data-sharing with the state homelessness office would help beneficiaries and others; members questioned whether existing entities already do similar work and whether the proposal would extend beyond beneficiaries. HCR 32/HR 32, which asks the governor’s senior advisor on mental health and the justice system to develop a plan to increase access to Hawaii State Hospital for certain criminal defendants, drew support from the Department of Health, the governor’s office, and disability-rights advocates, who emphasized coordinated planning, diversion from arrest when appropriate, and matching people to the right level of care. Additional resolutions addressed a range of policy issues: renaming Leeward Community College to Puloulou Community College (with no testimony), creating an ʻōlelo Hawaiʻi pathway under the Niʻihau dialect at UH (UH noted existing courses already cover the dialect but not a degree pathway), moving to a demerit-point driver licensing system (support only), and coordinating transportation infrastructure planning for Hawaiian home lands (DHHL supported the measure and said an expired DOT memorandum of understanding had covered related collaboration). The committee also heard support for expanding DHHL financial literacy and homeownership-preparedness programs, a resolution asking the Hawaii Civil Rights Commission to examine algorithmic discrimination, and a resolution urging the Oahu Metropolitan Planning Advisory Committee to follow its rules, comply with the Sunshine Law, review its executive director, and strengthen accountability; the last measure drew 11 written supports and no opposition. No final votes or decisions were taken in the portion provided, as the hearing focused on testimony and questions.

Transcript Highlights:

• We have provided and can provide you the number of judiciary employees.
• are different levels of security provided.
• There is a statutory obligation of the Sheriff's Office to provide that support, and all courts can provide
• We also work closely with NMBHI and their outpatient providers to provide the medical services they need
• Provide a structure.

Committee: House House Appropriations & Finance

Transcript Highlights:

• We will provide an opportunity for public comment following the conclusion of the discussion item list
• I hope you can provide those before we take our next steps on this. Yeah, yeah, thank you.
• We believe that we are fulfilling the mandate, and that includes providing those reports and providing
• those reports and providing accurate data we believe that we're fulfilling that mandate that as providing
• It provides a stable market to small farmers, and it feeds families.

Keywords: 987, senate, all

Transcript Highlights:

• And we'd appreciate you providing us that information.
• That can provide both incentives on the cost side, but it can also provide disincentives on the cost
• There's a lot of academic resources that are being provided.
• We have provided the list We have provided the list to some of you about the qualified certifications
• Please identify yourself and provide your public testimony.

Keywords: 988, house, all

Transcript Highlights:

• We also have several school districts here who will be providing information.
• I did not consider the need to provide that information. I did provide that information...
• I did not consider the need to provide that information.
• In terms of the information we provide, we are working closely...
• I wanted to provide an example of what I'm saying here.

Committee: Joint Joint Legislative Audit Committee

Summary: The committee first heard a follow-up on the Arizona State Board of Chiropractic Examiners special audit. The Auditor General’s contractor reported that the board has made progress on most of the 28 recommendations from the 2024 audit, with 25 in process and three not yet implemented. Remaining concerns included complaint investigations not being resolved within 180 days, continued open meeting law compliance problems, and failure to consult the Attorney General’s open meeting law experts. The follow-up also identified new issues with posting disciplinary/non-disciplinary actions and maintaining a complete public records request log. Board staff said they had adopted new complaint timelines, subpoena limits, conflict-of-interest procedures, public meeting guidance, training, and a new licensing platform, and they described efforts to professionalize investigations and improve transparency. Members pressed the board on open meeting violations, complaint backlogs, lobbying activity, and the resignation of the board chair, while the executive director said the audit findings were being treated as a roadmap for reform. The committee then received the January 2026 Arizona school district financial risk analysis. The Auditor General’s office said the number of highest-risk districts rose from two to nine, and districts approaching highest risk increased from seven to nine. The report highlighted common risk factors such as declining student counts, budget reserve problems, use of capital funds for operations, and weakening general fund positions. Tucson Unified was used as an example of a highest-risk district, with declining enrollment, reserve declines, and capital funds redirected to operations; Scottsdale Unified was cited as approaching highest risk. The office explained its web-based dashboard, district action plans, and ongoing outreach to affected districts. Sierra Vista Unified School District superintendent Terry Romo then presented the district’s response to its financial risk designation. She said she inherited the problems, quickly developed an action plan, and is working to stabilize enrollment, reduce staffing through attrition, close an elementary school, freeze nonessential spending, tighten purchase controls, and renegotiate or cancel high-cost contracts. She also said the district is redirecting DAA funds, considering sale or lease of property, and improving communication with families through letters, videos, and enrollment outreach. Committee members questioned the district about declining enrollment, school safety, academic performance, and the pace of corrective action, while Romo emphasized that the district is trying to protect both students and finances and avoid returning to the high-risk list.

Transcript Highlights:

• </c><00:04:49.479><c> confidential</c> group that also provides confidential group that also provides
• </c><00:16:11.639><c> rental</c> and the bridges program provides rental and the bridges program provides
• </c> yes usually the the IND home providers yes usually the the IND home providers okay<00:25:59.840>
• Again, happy to provide that information. I've got a note to myself.
• </c> also Federal programs that provide also Federal programs that provide housing<00:37:29.359><c> assistance

Committee: House Housing Finance and Policy

Keywords: 1183, house

Transcript Highlights:

• It should provide real protection backed by real enforcement.
• The providers performing this care, many of whom are shield-law providers, are an essential part of the
• While some states work to ban care and target patients and providers, shield providers take on great
• Current law provides for ways to ensure accountability.
• It provides clear guidance on what notification must be provided to patients, and strengthens confidentiality

Committee: Senate Public Safety

Keywords: 987, senate, all

Transcript Highlights:

• Amendment number seven is providing for what services are not directly billed and provided for; it provides
• To provide information as needed, and Captain Lance Kennedy as well.
• And Section A provides is the one that provides for impeachment, which says that elected officials shall
• It says shall provide by general law.
• So this, you're trying to exempt them from providing that information?

Committee: House House and Governmental Affairs

Summary: The committee first deferred Senate Bill 49, which would remove the State Board of Elementary and Secondary Education from the list of offices subject to closed party primary elections, after the sponsor said additional amendments were being prepared. It then took up House Bill 1247, which creates a statewide sexual assault nurse examiner coordinator within the Department of Justice to improve access, evidence collection, and coordination for sexual assault survivors. Members adopted a committee amendment package that clarified the coordinating structure, geographic response considerations, reimbursement language, and related public records issues, and the bill was reported favorably as amended with support from health care and law enforcement-related groups. House Bill 1245, also dealing with public records, was amended to protect certain personal identifying information in criminal history records of criminal justice agency employees who serve as witnesses in criminal proceedings. The discussion focused on limiting release of Social Security numbers, home addresses, and dates of birth while preserving disclosure required for court proceedings and impeachment-related purposes. The committee adopted a further amendment narrowing the protection to those PII items in records held by the clerk of court, and the bill was reported favorably as amended. House Bill 1011, allowing jurors to donate per diem compensation to CASA, and House Bill 1186, which standardizes construction code and inspector licensing records while protecting inspectors’ personal information, were also reported favorably. Senate Bill 425, which implements the constitutional mandate for removal by suit of certain elected officials for felony conviction, malfeasance, or gross misconduct, drew the most extended debate. Supporters said it creates a civil process to address serious misconduct when criminal prosecution is unavailable or incomplete, while opponents warned it could be abused for political targeting, duplicate existing remedies, and rely on vague standards. After amendments clarifying the process and standards, the committee voted 10-5 to report the bill favorably as amended. The committee also adopted amendments and reported favorably House Bill 1057, extending absentee-by-mail eligibility for overseas service members from one year to two years, and began discussion of House Bill 709, which would create a rulemaking notification system, a 10-year sunset for certain rules, and an Office of Information and Regulatory Affairs in the governor’s office.

Transcript Highlights:

• Providers are struggling.
• Hospitals are all required to provide charity care with no expiration date.
• It's very costly, but we, along with other providers, oppose this bill.
• We'd be happy to provide that list.
• We'd be happy to provide that list.

Bills: SB6011

Committee: House Civil Rights & Judiciary

Keywords: court security, bailiffs, threat assessment, judicial safety, law enforcement, 904, all

Transcript Highlights:

• or discharge be capped at $100 and limited to the lowest-cost option provided.
• Sentencing alternatives have provided opportunities for people to, Sentencing alternatives have provided
• We also... ...ability to provide certain types of programming.
• We will certainly provide you additional information. And Danielle is a former director of CI.
• It's just not actually implementing in a way that is providing that pathway.

Summary: The committee began with a Department of Corrections update focused on agency culture, staff safety, reentry, and health services. Secretary Tim Lang highlighted DOC’s “Washington Way” approach, expanded visitation reforms, safety summits, community-corrections sanction changes, education and transportation improvements, partial confinement expansion, and efforts to increase volunteer and peer-led programming. Assistant Secretaries Danielle Armbruster and David Flynn described progress on Pell Grant implementation, reentry transportation, partial confinement, behavioral health standards, HIPAA compliance, the 1115 Medicaid waiver, telehealth expansion, and budget requests for opioid use disorder treatment, close-custody capacity, and staffing relief. Members asked about veterans’ units, telehealth for substance use treatment, women’s placement on the east side, correctional industries, and firefighting training. The new Office of Correction Ombuds director, Jeremiah Bourgeois, then outlined the office’s mission and limited resources, saying he would focus on the most serious complaints and continue building accountability with DOC. He described recent OCO reports, including findings of excessive force at the women’s prison, and said DOC had agreed to implement all recommendations. He also noted a new process for referring possible criminal misconduct to DOC leadership and law enforcement. Committee members praised the DOC-OCO partnership and Bourgeois’s appointment. The committee then heard Senate Bill 5895, which would add a new basis for extraordinary medical placement when DOC cannot meet an incarcerated person’s basic medical care needs. Senator Saldana said the bill is intended to provide a compassionate, workable path for people with serious or end-of-life medical needs while maintaining public safety. Testifiers in support included family members, Disability Rights Washington, and the League of Women Voters, who said the current EMP process is too restrictive and rarely results in release. DOC testified that it supports the EMP framework but has concerns about the bill’s definition of “basic medical care.” A former DOC physician suggested extending the qualifying time period and adding “approximately” to the language. The committee also heard Senate Bill 5873, which would expand escorted leaves of absence to include reentry-focused outings and broaden the family definition for funeral or bedside visits. Senator Wilson said the bill is meant to support a “slow release” and better prepare people for community reentry. DOC supported the concept, and witnesses from public defense, DOC reentry, and Amend said escorted reentry outings are consistent with evidence-based and international correctional practices. Finally, the committee heard Senate Bill 5945, which would limit persistent offender sentencing to convictions occurring after age 18 and require resentencing for affected people. Supporters argued the bill aligns with youth brain-development research and would address racial disparities; opponents, including prosecutors, victim advocates, and sheriffs’ representatives, said it would reopen painful cases, undermine finality, and impose costs. The hearing on that bill was still underway when the transcript ended.

Transcript Highlights:

• state's Medicaid program, about a million and a half Marylanders, and 125,000 enrolled Medicaid providers
• standpoint. ...on the economics of our communities, not just from a provider standpoint, but for providers
• It also requires HCA to provide grant funds to ensure the availability of services to infants with a.
• Requires HCA to provide grant funds to ensure the availability of services to infants with a history
• of Health's Sexual and Reproductive Health Program, existing providers.

Bills: SB5899 , SB6292 , SB6094 , SB6182 , SB5947 , SJR8206 , SB5933 , SB6138 , SB5823 , SB6210 , SB5921 , SB6226 , SB6159 , SB5924 , SGA9291 , SGA9307

Committee: Senate Health & Long-Term Care

Keywords: chiropractic, animal care, veterinary medicine, license endorsement, nonhuman animals, health care, financing, legislative committee, joint committee, policy management, pediatric care, transitional services, healthcare, licensing, children's health, abortion, reproductive health, pregnancy termination, clinic access, abortion access fund

Transcript Highlights:

• We're going to continue to operate under the committee's guidelines from '25, and they were provided
• In advance of future executive sessions, staff will provide reminders to committee about the related
• When the chair calls upon you, When the chair calls upon you to provide testimony, remote testifiers
• I'm hoping to provide an illustrative example of the impacts of that fund.
• The Public Works Board provides project funding to cities, counties, special purpose districts to provide

Summary: The House Capital Budget Committee opened its first hearing of the session on HB 2295 and briefly heard a presentation from OFM Senior Budget Advisor Jen Masterson on Governor Ferguson’s proposed supplemental capital budget. She said the proposal uses about $396 million in new appropriations, leaving roughly $5.4 million in remaining bond authority, and includes major investments in housing, urgent state facility needs, climate-related projects, K-12 school safety and modernization, and higher education minor works. The housing package was the largest share, with $225 million for the Housing Trust Fund, plus funding for homeownership, preservation, manufactured housing communities, and flood-impacted home repair. Committee members asked follow-up questions about Rainier School and juvenile rehabilitation projects, and staff said Rainier School was on the plan and that juvenile rehabilitation funding included flexible capacity funding and facility improvements. Public testimony was largely supportive of the governor’s housing, education, climate, and natural resources proposals, while several speakers urged changes. Housing advocates, Habitat for Humanity, community land trusts, and service providers backed the Housing Trust Fund and homeownership funding, including support for manufactured housing preservation and transit-oriented affordable housing. School and college representatives supported small district modernization, seismic safety, lead remediation, and minor works funding, while some asked for additional support for specific projects such as Cascadia College’s new building, Central Washington University’s feeder line replacement, and WSU Spokane health education renovations. Natural resource and tribal witnesses supported salmon recovery and community forest investments, but asked for more funding for RCO community forest and estuary programs. A major recurring concern was the proposed $75 million transfer from the Public Works Assistance Account, which cities, counties, sewer and water districts, and the Public Works Board said would jeopardize low-interest loans already awarded for local infrastructure projects and shift costs onto distressed communities. Other testimony opposed the budget’s omission of certain projects, including the University of Washington’s power plant decarbonization work and a Spokane cultural hub, while some local governments requested funding for wastewater and flood-control projects. No votes were taken; the chair closed the public hearing after testimony concluded.

Transcript Highlights:

• We're ready to provide you with information on many of the sites of several service providers that seem
• We're ready to provide you with media.
• </c><00:04:40.479><c> building,</c><00:04:41.199><c> and</c> providers in a single building, and providers
• What exact information did you all provide again? Did the House GOP caucus provide?
• >> Uh, we could provide that information to you, Dana.

Keywords: 1183, house

Transcript Highlights:

• Again, this protection is already provided to individuals who donate to a political campaign.
• That's what Chapter 152 provides for.
• Fairty to comply means that provider forfeits the right for payment for the service.
• may provide treatment under a letter of protection from an attorney.
• the 11th month after the date services are provided or otherwise forfeit payment.

Bills: HB46 , HB272

Committee: Senate State Affairs

Keywords: local government spending cap, expenditure limit, political subdivision, property tax, ad valorem tax, budget cap, taxpayer protection, spending restraint, inflation adjustment, population growth, voter approval, supermajority vote, county budget, municipal budget, school district finance, junior college district, hospital district, special district, attorney general enforcement, local fiscal limits

Summary: The Senate Committee on State Affairs heard several House bills and took no final votes, leaving each bill pending after testimony. HB 272 would align venue and evidentiary rules for fraudulent use or possession of credit/debit card information with existing credit card abuse law; the sponsor said it would improve prosecutions, and the Texas Financial Crimes Intelligence Center supported it. HB 1661 would increase penalties for certain election-related offenses, including failure to distribute election supplies and early release of election results; no substantive opposition was heard. HB 551 would protect the residential addresses of people who receive campaign expenditures on public Texas Ethics Commission reports, similar to donor privacy protections, and a witness from Texas Eagle Forum later indicated support for the privacy change. The committee also heard HB 2820, which would raise the amount charitable bingo organizations may keep in operating capital from $50,000 to $100,000. The sponsor and a Texans for Charitable Bingo representative said inflation and operating costs have made the current cap too low and that the bill would help charities maintain stable operations without expanding gaming. HB 3181 would impose stronger consequences for repeated denial of court-ordered child possession and access, including limiting probation and requiring attorney’s fees after multiple contempt findings; a family court judge and a parent testified in support, while another witness argued the bill should be paired with stronger criminal enforcement and that parents already face high costs. HB 4157 would update Texas law for commercial spaceflight by recognizing liability waivers and preserving workers’ compensation rights; no one testified against it. The committee also heard HB 4145, which would let health care providers satisfy a timely billing requirement by sending bills to a patient’s legal representative in a personal injury case, closing what supporters described as a loophole in letter-of-protection situations. Finally, HB 46, relating to the Texas Compassionate Use Program, drew the most extensive discussion: supporters said it should expand access for legitimate medical cannabis patients and add more delivery methods and conditions, while opponents warned against broader marijuana expansion and questioned adding chronic pain and other conditions. The sponsor said he still supports the program and wants a balanced, regulated expansion, but noted the bill is still being worked on. All bills were left pending at the close of the hearing.

Transcript Highlights:

• I see this bill as just providing I see this bill as just providing those people the opportunity to get
• by the Uniform Group Insurance Program, to provide an appropriation, to provide for a statement of legislative
• intent, and to provide an effective date.
• by the Uniform Group Insurance Program to provide an appropriation to provide for a statement of legislative
• intent and to provide an effective date.

Keywords: 908, all

Summary: The Senate reconvened and handled several House messages and conference committee appointments before taking up a series of bills. It appointed conference committees on Senate Bill 2265 and House Bills 1454, 1448, and 1524. The chamber also adopted a Senate amendment to House Bill 1216, delaying its effective date for the copay accumulator prescription drug bill to January 1, 2026, with later renewal timing for non-PERS plans. House Bill 1216 then came up for final passage. Senators debated whether allowing copay accumulator programs to count manufacturer coupons toward deductibles would help patients with expensive drugs or unfairly shift costs to insurers and other policyholders. Supporters said it would help people afford life-saving medications and that the coupon payments go to pharmacies, not insurers; opponents argued it could raise premiums and create perverse incentives for drug pricing. The bill passed 29-18. The Senate also concurred in House amendments to Senate Bill 2160, which changes health insurance benefits under the Uniform Group Insurance Program to move from a grandfathered to a non-grandfathered plan, with supporters emphasizing added benefits and flexibility and opponents warning of higher costs and irreversible changes. That bill passed concurrence 33-14 and final passage 39-8. The Senate next concurred in House amendments to Senate Bill 2339, the wildfire mitigation bill, which requires utility mitigation plans to be updated every two years, incorporate national electric standards, and creates a rebuttable presumption of reasonable care if the plan is followed. The bill then passed final passage 46-1. The chamber also adopted conference committee reports and passed House Bill 1460 on adult foster care and monitoring devices, House Bill 1440 on cigar lounge tobacco use, and Senate Bill 2374 on insurance-related provisions including property insurance arbitration, managed repair programs, and surplus lines issues; SB 2374 also added a study on towing and recovery coverage. The session ended with announcements of upcoming conference committee meetings and adjournment until April 22, 2025.

Transcript Highlights:

• You've got your providers.
• It makes our healthcare providers and those that want to come into our state and provide healthcare look
• in our state, those providers are going to look other places.
• in our state, those providers are going to look other places.
• If the only lever we have right now is provider cuts, provider rate cuts, that's the only thing we have

Bills: HB4440 , HJR1067 , HJR1087 , HJR1089

Committee: Senate Rules

Keywords: Medicaid, low-income adults, healthcare, eligibility restrictions, constitutional amendment, Medicaid expansion, SoonerCare, health coverage, federal matching funds, FMAP, Article XXV-A, state question, special election, Title 63, public assistance, healthcare funding, federal-state match, Medicaid eligibility, Oklahoma Constitution, ad valorem

Transcript Highlights:

• Um with the the service providers.
• </c><00:16:50.160><c> and</c> acknowledge the impact to providers and acknowledge the impact to providers
• </c> funding for that, we've had to provide funding for that, we've had to provide those<00:17:23.679
• contracts are able to provide under your contracts are able to provide services<00:38:52.960><c> and
• :12.560><c> all</c> currently provide services on all currently provide services on all islands<01:38

Committee: House Judiciary & Hawaiian Affairs

Keywords: 910, house, all

Summary: The House Committee on Judiciary and Hawaiian Affairs heard House Bill 2095, which would provide supplemental appropriations for the Judiciary for the 2025-2027 biennium. Judiciary Administrative Director Brandon Kimura testified in strong support and outlined a request for about $6.4 million in supplemental operating funds, plus four permanent full-time position conversions. He grouped the request into security, services to court users, and staffing needs, including $3.25 million for supplemental armed private security at judiciary facilities statewide, nearly $200,000 for cybersecurity staffing and support, restoration of funding for substance use treatment purchase-of-service contracts, restoration of funding for the Office of Public Guardian on Kauaʻi, salary commission funding, a Kona court operations position, and two Court-Appointed Special Advocates positions converted from temporary to permanent. He also described five capital improvement requests totaling $55.4 million, led by $30 million for construction of a new South Kohala courthouse, $1.2 million each for air conditioning upgrades in Hilo and Kauaʻi, $15 million for elevator upgrades at Kahumanu Hale, and $8 million in lump-sum bond funds for emerging projects. Several organizations testified in support, including Parents and Children Together and the True Cost Coalition. Supporters emphasized the importance of the purchase-of-service funding for domestic violence and substance use treatment services and said the restoration would return funding to pre-COVID levels and help providers maintain capacity. Kimura explained that the Judiciary often shifts funds among contracts during the year to avoid service interruptions, but that the reduced funding has caused delays and operational problems for providers and probationers. Members asked detailed questions about the capital projects and operating requests. Representative Shimizu asked for more information on the lump-sum bond funds and the elevator project, and Kimura explained that the Kahumanu Hale request covers four remaining elevator shafts after earlier funding addressed the first five elevators. Representative Cochran asked about the absence of Maui County projects, and Kimura said the Judiciary is still planning for its older Maui facilities with DAGS. Chair Tarnas questioned the need for armed private guards and discussed whether court security should be prioritized within the Department of Law Enforcement; Kimura said the Judiciary needs additional personnel now and has not asked DLE to deprioritize other missions, though the chair suggested further coordination between the agencies. No vote or final action on the bill was taken in the portion of the hearing provided.

Transcript Highlights:

• Recovery support provider, relapse came back to treatment.
• We're happy to provide it.
• We're happy to provide it.
• But I think— I provide that service.
• You're providing these medical services on a volunteer basis.

Committee: House Substance Abuse Prevention and Treatment Task Force

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.