Transcript Highlights:

• And as we know, early intervention is key.
• Even though I had some education, it was still not enough, so we were not sure. I had some...
• Anything, even though I had some education, it still was not enough, so we were not sure.
• We're the coaches, we're the educators. Most childbirth education in this state is run by doulas.
• You know, we educate these plans, we follow them through their birth.

Keywords: 995, all

Summary: The Joint Committee on Financial Services held a lengthy public hearing with testimony on a wide range of health insurance and access-to-care bills. Early testimony focused on prescription drug pricing and pharmacy reimbursement, with supporters of H. 1326 arguing that pharmacy benefit managers and MassHealth managed care arrangements reimburse independent pharmacies too little, contributing to pharmacy closures and “pharmacy deserts.” The committee also heard repeated support for H. 1151/S. 742 on cognitive rehabilitation for acquired brain injury, H. 1288/S. 716 on telehealth parity for nutrition counseling, H. 1309/S. 761 on full-spectrum pregnancy care without cost-sharing, H. 1312 on insurance coverage for doula services, H. 309 on prompt access to health care by removing deductibles for certain services, H. 809/H. 1227 on biomarker testing, H. 1162/S. 810 on reducing inequities in access to medical procedures by limiting insurer cuts tied to Modifier 25, and S. 726 on insurance coverage for mobile integrated health. Testifiers included legislators, physicians, pharmacists, dietitians, emergency and rehabilitation clinicians, and patients and family members. Supporters of the brain injury bill said cognitive rehabilitation is medically necessary, improves long-term outcomes, and can reduce institutional care and public costs; they noted the bill has been heard repeatedly and has support from the Brain Injury Commission and prior favorable committee action. Supporters of the pregnancy care and doula bills described out-of-pocket costs as a barrier to maternal health and shared personal stories of high bills and unmet support needs. Biomarker testing advocates and cancer patients said coverage gaps deny patients access to precision treatment, can lead to avoidable suffering, and should be standardized across insurers; several speakers said insurers often deny claims despite clinical benefit. Dermatology witnesses said insurers’ use of Modifier 25 cuts reimbursement for same-day evaluation and procedure visits, forcing separate appointments and increasing patient burden. Mobile integrated health supporters described home-based care as a way to reduce emergency department use and hospital readmissions, especially for patients with transportation or mobility barriers. No votes or formal committee actions were taken during the hearing itself.

Transcript Highlights:

• as a vocational educator, CTE educator—different, sorry, old term—and I look online, it doesn't tell
• as a vocational educator, CTE educator—different, sorry, old term—and I look online, it doesn't tell
• it to education as a vocational<01:16:00.840> educator<01:16:01.800> CTE<01:16:02.280><
• c> educator vocational educator CTE educator vocational educator CTE educator different<01:16:03.400
• <01:37:23.560> uh or a program at a higher education uh or a program at a higher education

Keywords: 928, house, all

Summary: The House Education Policy and Administration Committee heard testimony on House Bill 71, which would bar public elementary and secondary schools and higher education facilities from being used as shelters for certain non-citizens, with a stated exception for short-term emergency sheltering of up to 72 hours and for community-wide emergency use. Prime sponsor Rep. Juliet Harvey-Bolia said the bill was modeled on federal and out-of-state proposals and was prompted by examples in New York and Massachusetts where schools or other facilities were used as shelters, causing disruption. She argued the bill does not truly “ban” anything, but instead places a condition on receipt of state funds, and said the fiscal note’s projected loss of federal funding was unsupported and should have been described as undeterminable. Committee members questioned the bill’s scope and practical effects, including whether it would apply to vacant school-owned buildings, schools used during summer, charter schools, and situations where other states send people without advance notice. Harvey-Bolia said vacant buildings not functioning as schools would not be covered, and that the bill would still allow short-term emergency sheltering and community-wide use during weather events. She also said the bill would not prevent remote learning, and that its purpose was to avoid displacing students. Several members pressed her on the fiscal note and whether any federal or state program would actually be at risk; she said she found no evidence that funding would be lost and that DHHS had not identified a real threat. A witness from the New Hampshire Association of School Administrators, Jerry FW, raised practical concerns about who would determine eligibility at a shelter site, how the 72-hour limit would be enforced, and whether the bill would apply to charter schools. He also noted that remote learning is no longer an option in New Hampshire, making one of the bill’s stated concerns less relevant. The discussion also included clarification of the terms “refugee” and “asylum seeker,” with members and the sponsor debating the distinction and whether refugees are vetted. No vote or final committee action was taken in the portion of the meeting provided.

Transcript Highlights:

• <00:10:25.839> opportunities post-secondary education opportunities post-secondary education
• nation for overall educational nation for overall educational attainment<00:15:10.759> um
• the work of the Midwest higher education the work of the Midwest higher education compact<01:00:
• with work around the uh educational with work around the uh educational attainment<01:02:34.599>
• Education?

Keywords: 1183, house

Transcript Highlights:

• Under this bill, denying body-destroying interventions to anyone, even someone in my condition, will
• can only approve these devastating interventions.
• What it is doing, it is forcing insurance carriers to cover all gender interventions, irrespective of
• All gender interventions, irrespective of age, because of the fear of being criminally liable.
• Where are they all in education? Torres. She's on. Perfect. Good. Yeah. She's not. She's not. Yeah.

Keywords: 987, senate, all

Summary: The Senate Committee on Health met in Room 2100 and first established a quorum, then approved a six-bill consent calendar on a 6-0 vote, placing it on call. The committee then heard AB 2233, which would ensure that once applied behavior analysis services for autistic patients are authorized, families can use those approved hours across the authorization period rather than losing them to weekly utilization caps or scheduling barriers. The author and supporters, including behavior analysts and family advocates, said the bill would not expand benefits but would improve access to already authorized care; health plan and insurance representatives initially raised fraud and utilization-management concerns but said they would remove opposition after amendments preserving those safeguards. AB 2233 passed 7-0 and was placed on call. The committee next heard AB 96, which would remove the high school diploma or equivalent requirement for certification as a Medi-Cal peer support specialist. Supporters from county behavioral health, peer services, and local governments argued that lived experience, training, and certification standards—not a diploma—should determine eligibility, and that the change would help address workforce shortages and expand culturally competent peer support. One opposition witness from the California Consortium of Addiction Programs and Professionals testified against the bill, but the measure advanced on a 7-0 vote to Appropriations and was placed on call. The final major item was AB 1876, the Fair Care for All Act, which would codify federal non-discrimination protections in state law for health care coverage and services. Supporters said it would protect transgender, gender-diverse, and intersex patients from discriminatory coverage practices and preserve access to medically necessary care; opponents argued it would force coverage of gender-affirming interventions and reduce insurer safeguards. After debate over whether the bill expanded coverage, the author said it simply mirrored existing federal non-discrimination law. AB 1876 passed 7-1 and was re-referred to Judiciary, then placed on call. The committee later opened the roll to record absent members and concluded the meeting after all items were disposed of.

Transcript Highlights:

• Welcome to the Appropriations Committee on Pre-K-12 Education. We have a quorum.
• They can quickly start to remediate and provide intervention.
• So I think that's our problem in education.
• I've had all kinds of experience in education.
• This is my 28th year in education.

Summary: The Appropriations Committee on Pre-K-12 Education met with a quorum and first heard a Department of Education program review on three district support programs: assistance to low-performing schools, the Florida Partnership program, and regional literacy teams (RAISE). Dr. Paul Burns described how the Bureau of School Improvement supports schools with D/F grades through regional teams, classroom observations, professional learning, and targeted funding, noting that 104 of 168 low-performing schools improved after 2022-23 and that the share of failing schools fell from 6% to 4%. He also outlined the Florida Partnership’s $4 million annual appropriation for advanced-course teacher training and student access, and the RAISE literacy program’s $5 million funding, universal/targeted/intensive supports, and progress monitoring results. Senators asked about rural participation, post-COVID reading data, parent support, and how long schools remain under monitoring after improving; Burns said rural districts can participate statewide, parents can access school and department support, and schools continue to receive monitoring after exiting low-performing status to prevent recidivism. The committee then received a presentation on the school district education foundation matching grants program from Suzanne Pridgen, who explained that the Consortium of the Florida Education Foundations administers the grants, which require private matching funds and support tutoring, literacy, STEM, career education, professional learning, books, and supplies. She said the program leverages about $1.44 in private support for every state dollar. The committee then moved to the regional education consortia, where representatives from PAEC, NEFEC, and Heartland, along with several rural superintendents, described the consortia as member-led organizations that provide economies of scale, professional learning, HR, risk management, purchasing, legal and operational support, crisis assistance, and leadership development for small and fiscally constrained districts. Superintendents from Lafayette, Holmes, Calhoun, Union, DeSoto, and Hendry counties testified that the consortia are essential because rural districts often have very small staffs, multiple-duty administrators, and limited in-house expertise. They cited support with insurance and hurricane recovery, training for new finance and HR staff, instructional coaching, CTE and leadership programs, and help with turnaround schools. Members emphasized that these districts can be high-performing despite limited resources, and several senators praised the consortia’s value. Senator Gaetz asked about additional back-office collaboration, possible regulatory relief, and FEFP issues tied to scholarship-related enrollment swings; rural superintendents responded that more local control would help. The meeting ended with a motion to adjourn, which was adopted without objection.

Transcript Highlights:

• As we recently experienced, medical intervention mandates were put forth that were not voted upon by
• People lost jobs, lost careers, and were banned from public places for refusing a medical intervention
• And this bill is so broadly prohibiting medical interventions, it's undermining infection control, it
• And to advise and educate people against harm. So I vote no. Senator Sieur? No. Senator Schia?
• And I think arguably everybody, everybody knows that... and to advise and educate people against harm

Bills: HB2048, HB2189, HB2248, HB2403, HB2728, HB2729, HB2730, HB2731, HB2906, HCR2058

Keywords: orders of protection, domestic violence, court procedures, legal guardian, enforcement, healthcare, licensed health aides, scope of practice, ventilator care, training standards, medical freedom, healthcare mandates, employment requirements, public health, government regulation, elderly, physical disabilities, Arizona Health Care Cost Containment System, home and community based services, funding increase

Summary: The committee first heard a presentation from Central Arizona Shelter Services (CASS) on homelessness in Maricopa County and CASS programs for single adults, families, and older adults. The witness described rising homelessness, especially among older adults, and said recent declines were linked to American Rescue Plan Act funding for shelters and flexible rental assistance. Members asked about CASS partnerships with mutual aid and service organizations; the witness described collaborations for food, banking, haircuts, digital access, and behavioral health. No vote was taken on this presentation. The committee then considered HB 2248, the Arizona Medical Freedom Act, which would bar businesses, schools, and government entities from denying services or employment based on medical interventions and limit employer medical requirements, with a school outbreak amendment adopted. Proponents framed the bill as protecting bodily autonomy and informed consent, while opponents argued it would weaken employers’ ability to control communicable diseases and protect public health. The committee adopted the amendment and advanced the bill on a 4-3 vote. It also advanced HB 2906, requiring one oral and maxillofacial surgeon on the State Board of Dental Examiners, and HB 2189, directing the Nursing Board to implement rules for licensed health aides performing routine ventilator care; both passed with amendments and strong support from sponsors and board representatives. Later, the committee approved HB 2403, appropriating $2.5 million in FY2027 for home- and community-based services providers serving elderly and physically disabled Arizonans. Supporters said the funding would help retain caregivers and reduce more expensive hospital or facility care. The committee also passed several continuation bills, including HB 2731 for the Physician Assistants Board, HB 2730 for the Occupational Therapy Board, and HB 2729 for the Nursing Board, all on largely party-line or near-unanimous votes after testimony from board staff emphasizing public protection and oversight. The committee then took up HB 2728, a DES continuation bill that also incorporated nine previously vetoed policy bills affecting SNAP, unemployment, and related benefits. Opponents argued it would make access to essential benefits harder and turn a routine continuation bill into a vehicle for controversial policy changes; supporters said it was needed for oversight and program integrity. The bill advanced on a 4-3 vote. Finally, the committee approved HB 2048, a strike-everything amendment requiring AHCCCS to treat a new non-opioid pain medication no more restrictively than opioids in utilization controls, and ACR 2058, which would require a comprehensive Medicaid claims audit funded by recoveries. Both measures drew support from sponsors and some personal testimony, while opponents warned about cost, duplication of oversight, and incentives that could bias audits; each advanced on 4-3 votes. The committee then adjourned.

Transcript Highlights:

• Mental health crisis intervention is a crucial piece of an effective and complete continuum of care,
• Responding to 988 calls, chats, and texts is the earliest intervention of all early interventions.
• They're sequential early intervention services, with 988 the earliest at intercept zero.
• And most of these calls result in a community-based intervention, only 14% less.
• In a community-based intervention, only 14% last quarter ended in an involuntary psych hold.

Summary: The joint Assembly Health and Select Committee on Native American Affairs held an oversight hearing on AB 988, California’s 988 crisis line and mobile crisis response system, followed by a discussion of suicide prevention and intervention in California Indian communities. Members and witnesses repeatedly emphasized that AB 988 was intended to create a true alternative to 911 for behavioral health crises, with “someone to call, someone to come, and somewhere to go,” and that Native communities continue to face disproportionately high suicide rates and barriers to culturally responsive care. The first panel of call center and stakeholder witnesses largely argued that implementation is falling short of the law’s intent. They said 988 call centers are underfunded, text/chat answer rates remain far below call answer rates, staffing is strained, and the system still lacks meaningful statewide interoperability between 988 and 911. Several witnesses said mobile crisis teams are not being dispatched through 988 as envisioned, and that funding formulas and governance are too opaque. San Joaquin County was presented as a local success story, with integrated 988, access lines, and mobile crisis handoffs that have reduced reliance on emergency departments and involuntary holds. Witnesses also discussed the need for better tribal outreach, the role of CCBHCs, and the importance of culturally competent services. State officials from CalHHS and DHCS described the five-year 988 implementation plan, the current governance structure across multiple agencies, and efforts to support training, public awareness, and referral tools. They reported growth in 988 contacts, ongoing training with the Trevor Project, a statewide resource directory, and a tribal awareness campaign. DHCS also outlined proposed trailer bill language that would create a formal designation process for 988 centers, set statewide standards, and require existing centers to obtain designation by 2029. Officials said current funding includes SAMHSA grants, block grant dollars, and an expected $67.3 million from the 988 fund in the next budget year, with a large share earmarked for Medi-Cal mobile crisis services. No formal vote or committee action was taken in the portion of the hearing provided.

Transcript Highlights:

• . educators. educators.
• . education. education.
• . educators. educators.
• . education. education.
• Education. There was nothing in the RSA Education.

Keywords: 928, house, all

Summary: The committee opened hearings on SB 69, including a germane amendment on school board votes to accept or reject gifts and donations, and a non-germane amendment creating a virtual early childhood readiness family engagement program for preschool children not yet in kindergarten. Prime sponsor Rep. Glenn Cordelli said the literacy program was modeled on earlier HB 671, would be funded through gifts and donations rather than state appropriations, and would include reporting requirements to the governor and legislature. Members questioned changes from the earlier bill, including the move away from center-based language, the lack of a dollar threshold for school board action on donations, anonymous gifts, and whether the amendment preserved enough evaluation data. Testimony on the donation provisions raised concerns about broad language, timing, and public-meeting requirements. Rep. Timothy Han and Becky Wilson of the New Hampshire School Boards Association both noted that school districts already have policies and asked how the bill would work for routine donations, anonymous gifts, and situations that might require non-public discussion under right-to-know law. Wilson cited examples such as field-trip scholarships, backpack drives, and sports uniforms, and said the association was not taking a position but wanted clearer guardrails. Rep. Han said school boards may need to discuss some gifts in non-public session and that the bill should better address those circumstances. On the early literacy amendment, Wilson and others questioned whether the program was sufficiently developed, whether it was appropriate to rely on a primarily online model for very young children, and how it would interact with special education services and IEPs. A representative from Waterford.org, Rob Riley, testified in support, saying the program would be supplementary, adaptive, and family-engagement based, and that Waterford could provide devices and internet access for families who need them. He said the program would work alongside school districts and IEP teams rather than replace existing services. No vote was taken during the hearing; the chair said the committee would later exec the bills and try to get reports in for the calendar.

Transcript Highlights:

• MOVING THE EDUCATION EXPANSION, UNDER PRES.
• MODULAR TEACHERS, REENTRY TRAINING GRANTS, VIRTUAL EDUCATION.
• PROBATION AND COMMUNITY INTERVENTION.
• ON SLIDE SEVEN WHERE WE TALK ABOUT EDUCATION, I DIDN'T HEAR YOU ON THE TEACHERS.
• OTHER EDUCATIONAL PROGRAM EXPENDITURES.

Keywords: 999, senate, all

Transcript Highlights:

• Spaces for educators.
• , provide interventions, but also really improve our educational practices in these content areas.
• I am an outdoor educator.
• education institutions.
• stuff and educators.

Transcript Highlights:

• We're extending education through all kinds of processes.
• help from the Public Education Department.
• Ending with that 2%, the Public Education Department retains the 2% on behalf of the Public Education
• We have monthly parent education nights and we have an intervention tracking sheet where teachers and
• Am I correct that the boards of education...

Transcript Highlights:

• and today I'm representing Education and today I'm representing Education Minnesota<00:18:12.039
• important to the zumber education important to the zumber education district<00:45:45.040> and
• the m from Minnesota rural Educators the m from Minnesota rural Educators Association<00:59:28.440
• <01:31:39.000> grants are any K through 12 education grants are any K through 12 education
• to minority leads um of the education to minority leads um of the education committees<01:35:57.040

Bills: HF56, HF780

Keywords: HF56, Minnesota bonding bill, capital investment, state bonds, bond proceeds fund, Hutchinson Area Transportation Services, Hutchinson, McLeod County, transportation facility, vehicle storage, equipment storage, fueling facility, temperate storage, local infrastructure, public works, general obligation bonds, education finance, school funding, state aid, appropriations

Transcript Highlights:

• Sharing our stories and educating lawmakers is essential for this.
• and the Santa Clara County Office of Education of best practices.
• And so that helps support the training at the higher education place.
• Butte County Office of Education. Oh, yeah, sorry, Butte County Office of Education.
• So we have the privilege of working with Imperial County Office of Education.

Summary: The Select Committee on Youth Mental Health and Treatment Access held its third hearing to review the state of youth mental health, progress under the Children and Youth Behavioral Health Initiative (CYBHI), and remaining implementation and funding challenges. The chair emphasized that schools are often the main point where education, health care, and social services intersect for students, and that the committee’s goal is to ensure public investments translate into better access and outcomes. The hearing featured testimony from researchers, a youth advocate, state officials, and local practitioners. PPIC researcher Shalini Mostala reported that teen mental health remains a serious concern, with high rates of chronic sadness, hopelessness, and suicidal thoughts, though recent California data show some improvement since the pandemic. She noted persistent disparities by gender, race, and rural status, and said school-based health centers, wellness centers, and community schools are associated with lower suicidal thoughts. Youth advocate Ella Cruz, speaking for NAMI California, described her own mental health struggles and argued that youth voice, peer-to-peer support, and reducing stigma are essential; she also said technology and AI cannot replace trusted adults or trained professionals. Committee members asked about phone use, stigma, cultural barriers, and how to make supports more accessible and relatable to students. Dr. Sohill Sood of the California Health and Human Services Agency said statewide survey data show declining stigma, increased counseling use, and lower suicide ideation among students, and he highlighted CYBHI’s certified wellness coaches, digital tools, awareness campaigns, and the first-in-the-nation fee schedule that allows schools and colleges to bill health plans for behavioral health services. He said the program is growing quickly, with more than 230,000 claims and over $11 million in new revenue to date, while acknowledging that billing systems and coordination are still being built. Trina Frazier of Fresno County described a multi-tiered system of care supported by CYBHI, CalAIM, and other grants, serving thousands of students through school-based services, wellness centers, and mobile therapy units; she said ongoing funding and flexibility are critical. Rachel Kroberniski of El Segundo High School’s James Morehouse Project described a long-running wellness center and peer mentorship model that supports students in multiple languages, and said peer programs help students feel seen, connected, and more willing to seek help. Members broadly praised the flexibility, collaboration, and peer-based approaches described by the witnesses. Questions focused on sustaining funding after one-time grants expire, improving coordination among schools, counties, and providers, expanding the fee schedule to higher education, and ensuring continuity of care for students after high school. Officials said county offices of education, DHCS, and other partners are using communities of practice and technical assistance to spread best practices, and that CYBHI services can follow some young adults through age 25, with additional supports through community-based programs and digital platforms.

Transcript Highlights:

• I also worked as an educational recovery leader for the Kentucky Department of Education for two years
• We do the same thing in education.
• results that other reading intervention results that other reading intervention were<00:26:27.080
• Gave up my career and went online and got my own education, my own upper education, but I gave up my
• <00:37:52.200> that<00:37:52.359> they education that they education that they deserve<

Keywords: 958, all

Summary: The Senate Education Committee met with a quorum and heard first from the Washway Nicotine Youth Advocacy Group, which urged stronger enforcement of Kentucky’s Tobacco 21 law. Youth advocates described the harms of flavored vaping products, argued that nicotine use is targeting children, and called for retailer licensing, annual compliance checks, harsher penalties for illegal sales, and more funding for enforcement. Committee members praised the presentation, and one senator said he had heard a bill on licensed retailers may be coming soon. The committee then heard a lengthy presentation from Cloverport Independent School District and the Kentucky Virtual Academy about the state’s virtual school model. Superintendent Keith Haynes and principals Brandy Fagan and Sally Johnson said KYVA serves about 2,800 students, many of whom are at-risk or have health, safety, behavioral, or family reasons for choosing virtual education. They emphasized that the program uses live synchronous instruction, provides devices and materials, and offers special education and related services. They also said the school had a large wait list and that virtual programs need more flexibility in staffing ratios, scheduling, and testing windows. School leaders acknowledged criticism of KYVA’s proficiency scores and said many students entered far below grade level, with 59% not proficient in English language arts and 79% not proficient in math on recent state testing. They argued the program is too new to judge solely on one year of data and pointed to growth in MAP scores, as well as middle and high school rankings in the top half of Kentucky schools. Fagan and Johnson outlined improvement efforts, including daily interventions, small-group instruction, literacy programs, staff training, and expanded clubs and student activities. No votes or formal committee actions were taken in the portion provided.

Transcript Highlights:

• The Committee on Education Pre-K through 12 will now come to order.
• And this takes the next step in really addressing the problem and providing intervention, educational
• Every dollar that you put into early intervention will save you money in the long term.
• Let's take up Tab 2, SB 102 on exceptional student education by Senator Gaetz.
• Let's take up tab 2, SB 102 on exceptional student education by Senator Gates.

Summary: The Senate Education Pre-K-12 Committee heard and passed two autism-related bills. SB 112, by Senator Harrell, would expand autism screening and referral grants, extend Early Steps services from age three to age four, designate the University of Florida autism center as a statewide hub, create grants for autism-focused charter schools and summer programs, and establish an autism microcredential for educators and paraprofessionals. Three technical or clarifying amendments were adopted, and the bill received support from Autism Speaks, The Arc of Florida, Foundation for Florida’s Future, and Miami-Dade County Commissioner Raquel Regalado, who emphasized early intervention and the need for training and expanded services. The bill was reported favorably by committee vote. The committee then considered SB 102, by Senator Gaetz, which would direct the Department of Education to create a workforce credential for students with autism spectrum disorder, including badges for job skills and workplace safety, and require reporting on outcomes such as employment after graduation. An amendment was adopted to allow students on a modified curriculum before formal diagnosis to participate and to require coordination with the Florida Center for Students with Unique Abilities and OSHA. Testimony from Amy Weatherby of the FSU Autism Institute and CARD strongly supported the bill, stressing the importance of employment outcomes and early preparation, while other organizations also supported it. SB 102 was reported favorably, and the committee adjourned after Senator Harrell was recorded as voting in the affirmative on SB 112.

Transcript Highlights:

• Education and action.
• We also need a much greater focus on lifestyle interventions.
• How do we re-educate our doctors? How do we? How do we re-educate our public policy here?
• To what degree are these interventions going to be individual?
• And we think about educating people.

Keywords: health policy, lifespan, quality of life, community health, public testimony

Summary: The committee meeting was marked by discussions surrounding health policies aimed at enhancing the lifespan and quality of life for the community members. The chairperson initiated the session with personal reflections on the importance of extending not just the years of life but also the quality of those years, especially from the perspective of parents and grandparents. Members engaged in thoughtful dialogue regarding potential legislative measures that could address public health in a more holistic manner, emphasizing the need for community outreach and effective health education programs.

Transcript Highlights:

• I served in 2017, and I think I got the biggest education of my whole life right here in this building

Bills: HR33, HR138, HR200, HR243, HR267, HR307, HR353, HR383, HR443, HR446, HR449, HR451, HR453, HR457, HR459, HR460, HR461, HR462, HR464, HR466, HR467, HR474, HR475, HR477, HR479, HR481, HR482, HR483, HR484, HR486, HR487, HR490, HR491, HR497, HR502, HR505, HR509, HR510, HR511, HR512, HR513, HR515, HR516, HR527, HR531, HR532, HR541, HR542, HR547, HR548, HR549, HR550, HR555, HR557, HR564, HR568, HR574, HR575, HR576, HR577, HR578, HR580, HR584, HR586, HR587, HR588, HR589, HR594, HR595, HR597, HR599, HR606, HR607, HR608, HR609, HR610, HR611, HR612, HR613, HR615, HR616, HR617, HR619, HR620, HCR65, HCR119, HR434, HR447, HR450, HR454, HR455, HR458, HR463, HR476, HR478, HR488, HR489, HR492, HR496, HR499, HR522, HR523, HR524, HR533, HR534, HR535, HR536, HR537, HR539, HR546, HR552, HR553, HR554, HR556, HR579, HR582, HR598

Keywords: autism, neurodiversity, awareness, acceptance, public health, HR 138, H.R. 138, House Resolution, Texas House, 89th Texas Legislature, Susan Christian, Houston Mayor's Office of Special Events, MOSE, retirement resolution, congratulatory resolution, ceremonial resolution, Houston, special events, city events, civic events

Transcript Highlights:

• And that is something that I'd like to educate myself on. ...specifically.
• on evidence-based interventions.
• And within one hour, I could be in an operating room getting a life-saving intervention.
• We're going from the highest level of care, the highest intervention.
• We don't have great evidence-based intervention programs, is the challenge.

Summary: The task force meeting opened with new leadership announcements, including Senator Nick Schroer thanking outgoing chair Representative John Black and naming Representative Del Taylor as vice chair. After some initial technical difficulties with audio and Zoom, members reviewed the task force’s statutory charge under Missouri law: to hold hearings on substance use, explore solutions, draft or modify legislation, and produce recommendations for prevention and treatment. The chair said the goal for this year is to develop concrete legislative ideas for the next session, with hearings focused first on field experts and later on alternative therapies and the Department of Mental Health. Dr. Rachel Winograd gave the first major presentation, describing Missouri’s overdose crisis as increasingly complex and driven primarily by fentanyl, now compounded by xylazine and metatomidine. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, and attributed the decline to a smaller fentanyl supply, wider naloxone availability, and fewer young people entering use. Her main recommendations were to focus on reducing harm rather than trying to eliminate drug use, expand evidence-based medications for opioid use disorder—especially methadone and buprenorphine—improve access to naloxone, and loosen methadone regulations, including take-home doses, the federal 72-hour rule, and broader methadone units. She also emphasized that peer support, housing, transportation, and other practical supports matter, and noted that naloxone can still reverse fentanyl overdoses even when tranquilizers are present. Dr. Heidi Miller, the state medical director, followed with two recommendations: integrate substance use disorder care into whole-person health care and follow the science when considering substance-related legislation. She argued that primary care, maternal health, workforce training, EMS, public health, and methadone access should all be part of a coordinated model, and said reimbursement should support teams rather than isolated providers. She also urged stronger enforcement of parity between behavioral health/SUD and physical health coverage, and highlighted tobacco and alcohol as major, under-addressed causes of death in Missouri. Dr. Doug Burgess then reinforced the need for a coordinated continuum of care, comparing substance use treatment to the seamless system used for heart attacks, and said patients should have standardized assessment, discharge planning from day one, transition coordinators, peer recovery coaches, and better information-sharing between levels of care. Members asked questions about relapse, treatment court, EMS referral barriers, reimbursement, and whether buprenorphine can be started in the field; no votes were taken, and the meeting ended with plans to continue hearing testimony and use it to shape future policy recommendations.

Transcript Highlights:

• by requiring Western Centric education by requiring Western Centric education licens<00:25:03.320
• Okay, please proceed. gaps in foundational education and gaps in foundational education and knowledge
• hands on portion of their education hands on portion of their education licensed<00:26:51.200>
• are no deficiencies in education are no deficiencies in education all<00:26:59.799> regulated
• to complete an accredit educational to complete an accredit educational program<00:29:58.320>

Keywords: 912, senate, all

Summary: The Health and Human Services committee heard extensive testimony on HB 1194 HD2, a bill to regulate midwifery and require accredited education for licensed midwives. Supporters, including the Midwives Alliance of Hawaii, ACOG, a pediatrician, and several licensed midwives, argued the bill would improve maternal and newborn safety, clarify the definition of midwife, strengthen accountability, and align Hawaii with national education standards. They said accredited training is necessary to avoid gaps in knowledge and to support safe transfers and collaboration with hospitals. Opponents, including many midwives, parents, cultural practitioners, and community groups, argued the bill would restrict access to care, criminalize traditional and apprenticeship-based midwifery, and undermine reproductive autonomy and Native Hawaiian and other cultural birthing practices. Several asked for amendments to preserve a birth attendant exemption, the PET/portfolio pathway, and cultural and religious protections. Others said the bill would disproportionately harm rural, Indigenous, and low-income families by making training and licensure less accessible. The committee also heard testimony from state and county entities and professional organizations, with some standing on written testimony and others offering brief comments. The chair repeatedly reminded testifiers of the one-minute limit and the possibility that final decision-making would be deferred if quorum was lost. The transcript does not show a final vote or action taken during this segment.

Transcript Highlights:

• I'm Assistant Secretary of Education at the Public Education Department.
• These are scholarships in the range of $6,000 per educator or pre-service educator.
• Pre-service educator.
• This is the highest level of intervention. Intervention in terms of designated schools.
• Department of Education.