Transcript Highlights:

• treatment generally, but we'll start with substance use disorder treatment, commonly referred to as SUD
• of sud treatment are assessment<00:37:55.160> um<00:37:55.400> which<00:37:55.560>
• sud treatment needs<00:38:01.640> and<00:38:02.280> placement<00:38:03.520> um<
• to a provider to um access sud to a provider to um access sud Assessment<00:38:23.839> Services
• In Minnesota statutes, SUD treatment providers are licensed by DHS under the requirements of chapters

Keywords: 1183, house

Summary: The committee met for an introductory overview of its jurisdiction and staff roles. Nonpartisan House Research and House Fiscal staff explained that they draft bills and amendments, prepare bill summaries and background research, answer legal and fiscal questions, and help track revenue and budget effects. They also distributed a Budget Overview Brief intended to condense the larger budget materials into a more usable format for members. Staff then walked through the Human Services budget and the committee’s areas of responsibility. They described the department structure, noting that DHS oversees administration, compliance, rulemaking, and county support, and that the overall Human Services budget is large, with medical assistance as the dominant program. They also explained recent and upcoming reorganizations: many children and family-related functions are moving to the new Department of Children, Youth, and Families, Direct Care and Treatment is becoming its own agency, and some homelessness-related functions remain at DHS. Staff reviewed how the budget is organized by program and budget activity, the difference between direct appropriations and standing appropriations, and how forecasted programs and “tails” work in the budget process. The presentation also covered Medicaid financing and long-term care. Staff explained the federal-state FMAP match, including Minnesota’s current 51.16% federal match for most Medicaid spending, the CHIP match, and the 90% federal share for the expansion population. For long-term care, they outlined Medical Assistance services for elderly and disabled people, state-funded long-term care supports, and Board on Aging programs. They highlighted the personal care assistance program’s phaseout and replacement by Community First Services and Supports, and reviewed the five home- and community-based waivers. Members asked one question about refugee resettlement funding, specifically whether it covers flights; staff said they would need to follow up on the exact use of the federal funds. No bills were heard, and no formal votes or other committee actions were taken during this meeting.

Transcript Highlights:

• In 2019, Minnesota received approval for our 1115 SUD Medicaid waiver to improve access to SUD treatment
• Um one improve access to SUD treatment.
• As a apply to most SUD providers.
• requirement applies to those SUD requirement applies to those SUD services<02:22:45.360> identified
• prevent presenting with an SUD prevent presenting with an SUD may<02:32:32.840> have<02:32

Keywords: 1187, senate, all

Transcript Highlights:

• It prohibits courts from ordering persons convicted of DWI or DUI to pay costs of SUD treatment covered
• under Medical Assistance, the behavioral health fund, or SUD assessments covered under those funds.
• <00:18:59.240> via<00:18:59.480> the Section 19 from the DHS policy bill requires SUD
• Section 20 from the DHS policy bill modifies requirements for SUD treatment program client records.
• bill um modifies requirements for sud bill um modifies requirements for sud treatment<00:19:22.600

Keywords: 1183, house

Transcript Highlights:

• And, as I said, these tribal governments may voluntarily enroll in the SUD waiver under state law.
• And, as I said, these tribal governments may voluntarily enroll in the SUD waiver under state law.
• And, as I said, these tribal governments may voluntarily enroll in the SUD waiver under state law.
• And, as I said, these tribal governments may voluntarily enroll in the SUD waiver under state law.
• These tribal governments may voluntarily enroll in the SUD waiver under state law.

Keywords: 1183, house

Transcript Highlights:

• SUD providers have been waiting for a rate study, waiting for rates to be implemented.
• Eight of the nine SUD rates were identified as needing a rate increase.
• SUD providers have been waiting for a rate study, waiting for rates to be implemented.
• Eight of the nine SUD rates were identified as needing a rate increase.
• health and sud health and sud rates<01:24:28.880> uh<01:24:29.000> the<01:24:29.120

Keywords: 1183, house

Transcript Highlights:

• As Minnesota adopts ASAM for criteria, a person-centered model for SUD care, this bill really aligns
• ASAM 4 does not limit SUD assessments solely to LACs.
• Imagine how many more Minnesotans we could serve if SUD assessments were available when people needed
• ASAM 4 does not limit SUD assessments solely to LACs.
• <01:37:58.000> care, person- centered model for SUD care, person- centered model for SUD care

Keywords: 1183, house

Transcript Highlights:

• Section four is removing the term SUD from a mental health reimbursement section.
• article two is a recodification of sud article two is a recodification of sud and<00:43:09.200><
• Of our 60 locations, we have 31 outpatient and one residential SUD program.
• Last year, within SUD, we served 8,400 unique patients, resulting in 108 encounters.
• 1826 seeking to implement increased sud 1826 seeking to implement increased sud rates<00:47:49.880

Keywords: 1187, senate, all

Transcript Highlights:

• I will point out, Four Rivers does get the network funding, SUD network funding.
• Our SUD assessment and referral work has been incorporated into all of our positions across our clinic
• side of your handout, you'll find some more detailed information about our overdose prevention and SUD
• But SUD, substance use disorder, there is fear. And that needs to change as well.
• From your vantage point, what is getting in the way of that for behavioral health and SUD providers?

Summary: The meeting focused on Missouri’s substance use prevention and treatment system, with repeated emphasis on recovery support services, peer support, recovery housing, transportation, and harm reduction. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he urged greater investment in recovery housing, peer support, employment, and community-based supports that help people stay sober and avoid relapse. Members asked about funding sources, program capacity, referrals, treatment court, transportation, and how Into Action supports people on medication-assisted treatment (MAT). Haniken said the organization is funded through a mix of federal, state, county, city, foundation, and private donations, and that housing and transportation remain major barriers, especially because support is often funded for too short a period compared with the longer time people need to stabilize. Matt Cushman of the Raytown Fire Protection District gave a strong endorsement of harm reduction, including naloxone distribution, syringe service programs, and broader decriminalization of harm reduction tools. He argued that stigma is a major barrier to care and that Missouri should expand access to clean needles, test strips, and other services, while also improving access to MAT in jails and communities. Committee members questioned the evidence base, the role of faith-based providers, and whether safe consumption sites should be pursued; Cushman said syringe exchange decriminalization should be the immediate priority, while safe consumption sites are a longer-term issue. He also described community paramedicine and mobile integrated health as valuable but funding-dependent, and said naloxone distribution is improving but still uneven, especially in rural and minority communities. Representatives from Central Ozarks Medical Center and Four Rivers Community Health Center highlighted the importance of peer support specialists, community health workers, care coordinators, and wraparound services in rural health centers. COMC’s Morgan McClure and Monet Lehman described a jail reentry program in Pulaski County, with Lehman sharing her trauma and recovery story and explaining how she helps incarcerated people prepare for release with housing, employment, benefits, transportation, and treatment connections. Four Rivers’ Devon Polarys and Cassandra Trout said their CEO would change Missouri policy to allow FQHCs to receive reimbursement for peer support and community health worker services similar to CCBHCs, arguing that these roles are essential for addressing barriers like transportation, housing, food insecurity, and insurance. Members discussed confusion over reimbursement rules, the differences between FQHCs and CCBHCs, and the need for better funding and clearer policy for peer and community health worker services. No votes were taken; the discussion ended with a suggestion to bring in a subject matter expert on community health workers for a future session.

Transcript Highlights:

• Given this committee's jurisdiction, today's focus will be on the SUD provisions.
• Um, and that's the case for both SUD and mental health providers.
• Um, and as I mentioned, the author's amendment just adds the requirement for 245G, our SUD programs,
• both SUD and mental health providers. both SUD and mental health providers.
• So, section 12 removes a requirement for utilization management of SUD treatment placements.

Keywords: 1187, senate, all

Transcript Highlights:

• Though rates of SUD... Prescription opioid misuse.
• Though rates of SUD are similar across racial and ethnic groups, white youth receive SUD treatment at
• Incarceration if they develop an SUD by the age of 16.
• Connecticut, under the SUD 1115 demonstration waiver, has adopted the ASAM criteria as its guiding set
• The DCF has contracted with CHDI on an initiative that we're calling SUD Focus, and that really supports

Keywords: 962, all

Summary: The meeting opened with approval of the April minutes and brief administrative updates, including notice that House Bill 5447 had passed both chambers of the General Assembly. Speakers reflected on the bill’s key provisions, which include eating-disorder working groups, an evidence-based screening requirement for school-based health centers beginning July 1, 2027, and a DSS-led feasibility process to explore an inpatient psychiatric facility for young adults ages 14 to 21. New staff introductions were also made for the Behavioral Health Advocate’s office and the TCB team. A major portion of the meeting focused on marketing and outreach for urgent crisis centers (UCCs) and the broader youth crisis continuum. Daydream Communications presented research showing low public awareness of UCCs but strong interest once families learn about them, with parents wanting specialized, compassionate care, clear expectations, insurance clarity, and bilingual support. United Way described its parallel work on a statewide crisis continuum marketing toolkit, using the SAMHSA framework of “someone to talk to, someone to respond, and somewhere safe to go,” and outlined plans to distribute consistent messaging through websites, social media, flyers, and community venues. Members emphasized coordinating with existing platforms and ensuring the marketing reflects the actual experience at UCC sites. DCF then presented on adolescent substance use services, citing data showing high need and low treatment access among Connecticut youth. The department reviewed its ASAM-based continuum, SBIRT efforts in outpatient psychiatric clinics, medication-assisted treatment access, and statewide services such as MST, MST emerging adults, STRIDE, multidimensional family therapy, youth recovery supports, and the AIM matching tool. A new young people peer support program was highlighted, with referrals accepted from families, hospitals, community providers, DCF, youth diversion, and the judicial branch. Questions addressed parent consent, peer matching, and whether the AIM tool could be linked through 211. The meeting concluded with an update from the Connecticut Suicide Advisory Board and its regional boards and grant-funded initiatives. Presenters reviewed the state suicide prevention plan, regional coalition work, postvention response, lethal means safety efforts, and the 988 capacity improvement grant that supports Connecticut’s centralized 988 contact center at United Way. They also shared youth suicide risk data from the Connecticut Youth Risk Behavior Survey, noting recent declines in reported suicidal ideation and attempts, and provided resources for training and materials. No formal votes were taken beyond the approval of the April minutes.

Transcript Highlights:

• Line 626, House File 1994, includes provisions for a SUD rate increase.
• <00:13:05.760> rate includes provisions uh for a SUD rate includes provisions uh for a SUD
• program. shifting to new models of SUD program. shifting to new models of SUD treatment<00:41:55.440
• And then lastly, Article 4, section 13, regarding the license fee increases for mental health and SUD
• residential SUD services in the state. residential SUD services in the state.

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• Prohibits courts from ordering persons convicted of DWI or DUI to pay costs of substance use disorder (SUD
• ) treatment covered under medical assistance or the Behavioral Health Fund, or SUD assessments covered
• Section 19 from the DHS policy bill requires SUD treatment program documentation or SUD treatment programs
• Section 20 from the DHS policy bill modifies requirements for SUD treatment program client records.
• an individual with a temporary permit from the Board of Behavioral Health and Therapy may provide in SUD

Bills: HF2115, HF2276, HF1644, HF99, HF2068, HF2707, HF2704, HF2406, HF1674, HF1579

Keywords: human services, aging services, disability services, behavioral health, long-term care, nursing home, nursing facility, assisted living, waiver services, medical assistance, Medicaid, case mix reimbursement, PDPM, RUG, direct care and treatment, developmental disabilities, day services, positive support, guardian, conservator

Transcript Highlights:

• And that's really important because some, you know, and it's not just SUD or mental health; it could
• or mental health, could be just SUD or mental health, could be blood<00:25:21.440> pressure.
• The focus is more on the mental health and SUD component.
• The focus is more on the mental health<00:29:12.640> and<00:29:12.880> SUD<00:29:14.080
• So in New health and SUD uh component.

Keywords: 928, house, all

Summary: The committee first handled roll call and approved the prior meeting minutes. Members discussed attendance and substitutions, then moved to the DHS commissioner’s update, which focused on New Hampshire’s Medicaid 1115 waiver and the new community re-entry initiative for people leaving correctional facilities. The presenter explained that the waiver lets the state cover certain services not normally covered under Medicaid, including substance use disorder treatment, serious mental illness services, adult dental benefits, and the new community re-entry component. She also noted that a separate youth re-entry component is federally required, with youth defined up to age 21 and foster-care-related coverage extending to age 26. The update described how the adult re-entry program works for incarcerated individuals with behavioral health needs, providing up to 45 days of pre-release services, care coordination with managed care organizations and DOC staff, telemedicine assessments, discharge prescriptions, insurance cards, and connections to community mental health, primary care, and substance use providers. For youth, the program includes more intensive case management, 30 days of pre-release services, and 30 days of post-release care coordination, with a stronger emphasis on screening, diagnosis, and holistic assessment. The presenter said New Hampshire received the adult waiver in July 2024, has implemented the program in state correctional facilities, and is beginning work at the youth center. Members and the presenter discussed why the program is structured as a waiver rather than a standard Medicaid benefit, with the explanation that CMS is allowing this as a newer policy area and that states generally pursue waivers for certain services. The chair and others emphasized the need for real cost and outcome data, and the presenter said an independent evaluator and evaluation plan are required under the 1115 waiver. Early results cited included 30 adults enrolled so far, 10 released, five youth enrolled with one released, and anecdotal early successes such as housing, employment, and better continuity of medication and treatment. The committee did not take any additional votes or formal actions beyond approving the minutes.

Transcript Highlights:

• the money that the state of Minnesota will have to repay the federal government for the seven tribal SUD
• administration noticed or realized that in our system we were not coding these specific residential SUD
• administration noticed or realized that in our system we were not coding these specific residential SUD
• That requirement for SUD, uh, residential providers was for fiscal year 2024.
• That requirement for SUD, uh, residential providers was for fiscal year 2024.

Keywords: 1187, senate, all

Transcript Highlights:

• Of our 60 locations, we have 31 outpatient and one residential SUD program.
• Last year within SUD, we served 8,400 unique patients and over 108,000 encounters.
• Last year one residential SUD program.
• 15.400> 8,400<01:08:16.400> unique within SUD, we served 8,400 unique within SUD, we served
• to SUD care will<01:15:26.719> be<01:15:26.880> devastating.

Bills: HF2216, HF1978, HF2354, HF1963, HF1994, HF1995, HF1894

Keywords: assisted living, nursing home, long-term care, guardian, conservator, resident rights, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services, elderly, seniors, older adults, disability rights

Transcript Highlights:

• Includes provisions for a SUD rate increase.
• Shifting to new models of SUD treatment that integrate clinical and social supports while also facilitating
• Additionally, Article 6, Section 13 regarding the license fee increases for mental health and SUD programs
• High-intensity residential SUD care is an initial access point for care for patients struggling with
• As I have previously testified, without a rate increase for high-intensity residential SUD services,

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding

Transcript Highlights:

• It also removes some outdated language from the SUD waiver that refers to treatment placements, which
• a lot with SUD Peer Recovery Services?
• in the SUD field.
• SUD work in<01:32:37.760> in<01:32:38.000> the<01:32:38.080> SUD<01:32:38.560><
• Um but what I can in in the SUD field.

Bills: HF3935, HF2216, HF4354, HF4210, HF4212

Keywords: assisted living, healthcare, training, unlicensed personnel, resident rights, safety regulations, nursing home, long-term care, guardian, conservator, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services

Transcript Highlights:

• Clarifying that tribal licensed SUD programs may provide recovery support services.
• 00:48:36.000> that<00:48:36.319> tribal<00:48:36.720> licensed<00:48:37.200> SUD
• Clarifying that tribal licensed SUD Clarifying that tribal licensed SUD programs<00:48:38.079>

Bills: HF4210, HF4212, HF4549, HF4464, HF4546, HF4447

Keywords: senior nutrition, older adults, aging services, home-delivered meals, congregate dining, meal delivery, grocery delivery, food insecurity, nutrition support, area agencies on aging, Minnesota Board on Aging, human services, special revenue fund, nonprofit grants, SNAP outreach, medically tailored meals, rural nutrition, food access, transportation services, elderly

Transcript Highlights:

• This conversion allows suds to issue tax-exempt bonds.
• Sud bonds must still be reviewed. by the Office of the Attorney General for legal compliance and to prove
• Additionally, SUD bonds must be registered with the Comptroller of Public Accounts. and all details of
• A lot of us get water from Walnut Creek, which is one of the SUDs that has... joined our regional water
• He's been to several of our meetings that we've had, so as a couple of other SUDs and those SUDs asked

Bills: HB1520, HB1525, HB1530, HB1535, HB2068, HB2091, HB2347, HB2372, HB2805, HB2815, HB2867, HB3154, HB3482, HB3483, HB3663, HB3781, HB3901, HB3915, HB4135, HB4153, HB4158, HB4329, HB4331

Keywords: Angelina and Neches River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, Special District Local Laws Code, local government, natural resources, board of directors, director training, board governance, public testimony, open meetings, public information, conflict of interest, ethics, complaint system, general manager, board president, staggered terms, removal of director

Transcript Highlights:

• However, the provider community is deeply concerned and disappointed that rates for mental health and SUD
• That may present an opportunity to invest in the sustainability of mental health and SUD programs.
• Investments in mental health and SUD certainly has a major return on investment.
• ><00:44:03.800> mental<00:44:04.079> health<00:44:04.240> and<00:44:04.359> sud
• investments in mental health and sud investments in mental health and sud certainly<00:44:05.359

Keywords: 1183, house

Summary: The House Committee on Human Services Finance and Policy met to approve prior minutes and then take public testimony on the governor’s budget recommendations for human services. The chair explained the hearing format and noted that DHS declined to testify. Much of the testimony focused on proposed reductions or caps affecting disability waiver services, nursing homes, and elderly waiver programs, as well as related fee and tax changes in the budget. Representatives of ARM argued that the governor’s proposal would cap inflationary adjustments at 2%, limit rate exceptions, cap billable days, and restrict individualized home supports, which they said would worsen workforce shortages, reduce wages for direct support professionals, and destabilize disability services. They said the package would cut about $600 million over four years and could lead to group home closures, higher turnover, and families losing access to local homes and services. Committee members asked about real-world impacts and future rate adjustments, and ARM responded that providers have already planned around expected 2026 rates, so a cap would create immediate budget and staffing problems. Long-Term Care Imperative testified against nursing home-related cuts, saying the budget would cap future rate increases, limit health insurance costs in rate setting, phase out closure-related agreements and incentives, and fail to fully fund the Nursing Home Workforce Standards Board. They estimated the nursing home provisions could amount to a $218 million cut over four years, or roughly $350 million when combined with other underfunding, and said every nursing home and bed in Minnesota would be affected. They also criticized the lack of an inflation factor in Elderly Waiver, a proposed 54% increase in assisted living fees, and possible changes to provider-assessed fine and penalty funds. Members asked about staffing and bed availability, and the testifiers said reduced funding would likely force more beds out of service. A later testifier, Dan Andre of the Minnesota Council of Health Plans, raised concerns about the DHS budget’s proposed increase in the HMO surcharge and about carving pharmacy and non-emergency medical transportation benefits out of managed care. He argued the tax increase would raise premiums for fully insured and Medicare supplement enrollees and that managed care coordination helps members access care and medications. The hearing also included one unrelated, disruptive testimony about the Minnesota Sex Offender Program and other agencies, which the chair redirected back to the human services budget. No votes or formal actions were taken beyond approving the minutes and receiving testimony.