Transcript Highlights:

• </c> information that I can provide on that. information that I can provide on that.
• </c><00:35:01.040><c> provides</c><00:35:01.520><c> some</c> with no real problem. provides some with
• </c><00:35:14.160><c> a</c> patient has the right to uh provide a patient has the right to uh provide
• </c> that service before they were provided that service before they were provided the<00:35:21.040><
• </c> they are a participating provider. they are a participating provider.

Bills: HB1853 , HB1591 , HB1961 , HB1854 , HB1965 , HB1962 , HB1959 , HB2505 , HB2576 , HB1801 , HB1804 , HB1864 , HB2319 , HB2314 , HB2115

Committee: House Health

Summary: The committee heard testimony on SB 2047, relating to pharmacy benefit managers. The Insurance Division said the bill would require new enforcement resources and estimated an appropriation of about $1.5 million and five positions. Kaiser Permanente asked for an amendment to exclude HMOs from the definition of third-party PBMs, saying the bill should not interfere with integrated care models. PCMA and the Hawaii Pharmacist Association supported narrowing amendments, with pharmacists objecting to section 3 and warning the bill as amended could create major operational burdens and a significant general fund cost. No vote was taken in the portion provided, and the chair moved on to the next measure after questions. The committee then took up SB 2080, which would allow Hawaii to join the psychology interjurisdictional compact. Supporters, including DCR, the Hawaii Association of Health Plans, the Hawaii State Association of Counties, the Grassroot Institute, and others, said the compact would expand access to psychology services, especially for people in rural areas or those needing continuity of care while traveling. Opponents, including the Board of Psychology and a Shamanad University psychology professor, raised concerns about client safety, crisis-response procedures, enforcement costs, FBI background checks, and possible loss of state control over training and specialization standards. The board said Hawaii’s current 1,900-hour internship/postdoc requirement is higher than the compact’s standard and that the state is still implementing a separate provisional licensing law that may address some access issues. The discussion focused on whether the compact would meaningfully reduce shortages and whether Hawaii should instead pursue changes within its existing licensing system. Finally, the committee heard SB 2277 on hospital price transparency. The Office of Consumer Protection initially noted the bill could require significant staffing, but later testimony from SHIP suggested the measure could be handled more simply by working with the Healthcare Association of Hawaii and publicly posting violations. The Healthcare Association of Hawaii opposed the bill, arguing hospitals already must comply with federal CMS transparency rules and that adding state requirements would increase costs and legal exposure, especially if violations were treated as unfair or deceptive trade practices. Steve Fenberg testified in support, saying the bill would simply codify existing federal requirements in state law and that he was open to amendments removing state enforcement and the unfair trade practice language. No final action was taken in the excerpt provided.

Transcript Highlights:

• </c> directly with ICS providers. directly with ICS providers.
• </c> medical assistance provider enrollment. medical assistance provider enrollment.
• a provider has a track record of providing high-quality care.
• </c> provider to try to salvage something. provider to try to salvage something.
• </c> be providers. be providers.

Summary: The joint hearing opened with chairs explaining that the program integrity omnibus bill is a combined draft assembled from individual member bills and governor proposals, many of which had already been heard in committee. Members emphasized the compressed end-of-session timeline, said the language was not yet ready for enactment, and invited continued revisions as the bill moves next to judiciary and finance. Several speakers stressed the need for bipartisan collaboration, while also warning that the Legislature must act this session on program integrity rather than defer reforms. The fiscal staff then walked through a spreadsheet showing the bill’s overall budget effects and major provisions. The package includes DHS proposals on transforming human services, market- and receipt-based rate reform, enhanced program and payment integrity, uniform service standards, nursing facility rate changes, ICS reforms, and a repeal/redesign of housing stabilization, along with child care assistance integrity and human services redesign items in DCYF. Staff highlighted that the bill combines multiple sources, including governor proposals and member bills, and noted several items that are also in the supplemental human services budget. Committee discussion focused heavily on prepayment review, remote supports, ICS, and provider accountability. Chairs said the bill would codify prepayment review with a 60-day notice requirement after providers were caught off guard by prior rollout, and that remote supports and ICS language were placeholders or under active debate. One member argued the system needs stronger standards but cautioned against harming compliant providers, while another urged the committee to learn from good providers and warned against repeating failed implementations. Staff also reviewed thematic indexes covering billing and service delivery oversight, EVV, administrative reform, licensing and background studies, provider enrollment, sanctions, and child care provider compliance training. No formal votes were taken in the portion provided. The hearing ended with staff beginning the index walkthrough and members indicating that posted amendments would be considered as the bill advances through the remaining committees.

Transcript Highlights:

• You know, the Treasury Secretary often has sanctions through IEPA.
• Will you provide us technical support and information to help inform our discussions?
• Other presidents have used sanctions that just cut off trade entirely.
• Greer, to provide the advice to the President to get this right.
• Marshall providing some incentive to—what's the word I was looking for here?

Committee: Senate Finance Committee

Transcript Highlights:

• the housing, provide the behavioral health professionals, provide the other things that are critically
• They don't provide workers' comp.
• They don't provide workers' comp.
• SB 1174 does authorize sanctions of bidders that attempt to defraud the bid preference provided in the
• Those sanctions are nearly identical to the sanctions contained in the small business enterprise preference

Summary: The committee heard testimony on several bills, beginning with SB 16, which would require county behavioral health directors to create clear pathways for clinicians to be authorized to initiate 5150 involuntary holds. The author and supporters argued the bill would reduce reliance on law enforcement and create more consistent crisis response standards statewide, while county behavioral health directors opposed it as an unfunded mandate that could increase law enforcement involvement and create implementation burdens. Members raised questions about county costs and funding, but the author emphasized the bill’s role in building a more clinical response system. SB 561 would require public guardians to acknowledge conservatorship referrals, make determinations within a reasonable time, and provide status updates on request. Supporters said the bill would reduce delays that leave vulnerable adults in limbo, while the opposition from public guardian representatives was removed after amendments. SB 381 drew extensive public testimony in support; it would allow California-born adoptees, and descendants of deceased adoptees, access to original birth certificates, with a nonbinding contact preference form for birth parents. Supporters framed the bill as a matter of dignity, identity, and health, and there was no formal opposition on the record. The committee also discussed SB 880, which would give tenants and prospective owner-occupants notice and a first opportunity to make an offer when institutional investors sell certain homes. Supporters said it would expand homeownership opportunities and preserve neighborhood stability, while opponents warned about conflicts with federal law, bundled-sale restrictions, and impacts on build-to-rent and affordable housing projects. Members and the author discussed possible amendments to address those concerns. SB 1238 would impose a duty of care and additional transparency requirements on HOA managers and boards; supporters said it would protect homeowners from mismanagement, while the main opposition argued the duty should remain contractual and could increase litigation. Finally, SB 423 would require disclosure of emergency-service records related to private detention facilities, and SB 28 would make changes to the CARE Court process, including a statewide ombudsperson and expanded oversight; both drew support and opposition, with concerns focused on transparency, privacy, implementation, and the balance between treatment and coercion. SB 574, discussed at the end, would require disclosure and human oversight for AI use in courts and legal practice and create a complaint process for ADR providers, with the State Bar noting requested amendments related to complaint handling and confidentiality.

Transcript Highlights:

• The bill provides an exemption from public record requirements for specific personal information and.
• This policy change will provide both parties with a modern option for the notice process while also providing
• Provides for priority docketing and prevailing party attorney's fees in law.
• Provides for priority docketing and prevailing party attorney's fees in law.
• Provides FDACS the authority to cover the cost of FFA dues for Florida's public school students.

Summary: The Florida Senate convened with a quorum, opening prayer, Pledge of Allegiance, and several introductions and gallery recognitions, including students, university basketball coaches, and other visitors. The chamber then moved through a long special order calendar of bills, with most measures explained by sponsors, often substituted with identical House companions, and many passing on unanimous or near-unanimous votes. Several bills were temporarily postponed, including measures on the Council on the Social Status of Black Men and Boys, utility services, higher education, pre-arranged transportation services, the Uniform Commercial Code, altered sexual depictions, firearms during emergencies, brownfields, false reporting, health care billing and collection, and motor vehicles. Among the bills passed were measures on the Florida Trust Code, school district reporting requirements for educator arrests and misconduct, debt collection email communications, service of process, public lodging and food service establishments, lien waivers and releases, public records protections for Crime Stoppers personnel, foreign ties affecting health care licensure, diabetes management in schools, platting procedures, fentanyl testing in hospitals and emergency departments, third-party reservation platforms, electronic delivery of landlord-tenant notices, restitution for leaving the scene of a crash, background screening of athletic coaches, and surrendered infants. Debate was especially notable on the surrendered infants bill, where some senators raised concerns about safety, anonymity, and liability, while supporters argued the devices could save lives. The affordable housing/Live Local bill also drew extensive discussion and a late-filed amendment, with the sponsor describing major land-use and permitting changes and the chamber adopting the amendment before final passage. The most contentious floor debate came on the Department of Agriculture and Consumer Services bill, where senators argued over its fluoride-related provisions and broader policy package. Opponents criticized the bill as an overbroad preemption and raised public health concerns, while the sponsor defended it as a farm-and-consumer package with multiple unrelated provisions. That bill ultimately passed 27-9. At the end of the session, the Senate agreed to certify all bills passed that day to the House, recognized a resolution honoring Florida’s sister-state relationship with Taiwan, made additional announcements, and then adjourned until the next scheduled meeting.

Transcript Highlights:

• They're the only board that's legally empowered to take action against that provider.
• The state is not providing it, and y'all are not providing it, correct? Not necessarily.
• When the information is out there, and y'all are saying we don't want to provide it.
• OK, so see, we provide a service. I'm sorry, so we provide a service.
• So the surgeon provides, you know, we provide the service as far as the facility fee.

Bills: SB2024 , SB227 , SB268 , SB1467 , SB1580 , HB5537 , SB1313 , SB1677 , SB918 , SB331 , SB2207 , SB2721

Committee: House Public Health

Keywords: e-cigarettes, marketing prohibition, youth protection, criminal penalties, public health, school funding, education reform, state budget, property taxes, equity in education, health care, licensing, complaint procedure, disciplinary action, law enforcement, death records, vital statistics, healthcare, trauma facility, Medicaid

Transcript Highlights:

• of EIDBI providers.
• Sections 78 and providers.
• We are excited to see providers.
• . providers. providers.
• </c> who have them or not providing services. who have them or not providing services.

Bills: HF2434

Committee: House Human Services Finance and Policy

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

Transcript Highlights:

• , in-home daycare providers.
• , in-home daycare providers.
• . provider. provider.
• </c><02:14:17.520><c> It</c> it would help providers. It it would help providers.
• . providers. providers.

Committee: Senate Health and Human Services

Transcript Highlights:

• It opportunity to come and provide this.
• </c> program uh that pro provides benefits program uh that pro provides benefits that<00:23:46.080><c
• </c> decision was provided. decision was provided. uh<01:11:02.159><c> justices</c><01:11:02.640><c>
• In addition to providing Services.
• That case is in its early stages. providers into ceasing care through uh providers into ceasing care

Summary: The Judiciary Committee held an informational briefing on the State of Hawaii’s affirmative litigation against the federal administration, with no public testimony. Attorney General Lopez and deputies said the office’s goal is to enforce the rule of law, not make partisan points, and noted that Hawaii is involved in 27 ongoing cases. They grouped the cases into four broad areas: immigration, funding freezes and grant terminations, federal agency dismantling/reductions in force, and protecting elections, health, and safety. Several immigration-related cases were discussed in detail. These included a challenge to the federal sharing of Medicaid data with DHS for immigration enforcement, a similar challenge to USDA’s demand for SNAP applicant and recipient data, and litigation over immigration-enforcement conditions attached to federal grants. The office also described the birthright citizenship executive order, saying it conflicts with the 14th Amendment and Supreme Court precedent; lower courts granted preliminary relief, and the U.S. Supreme Court later addressed only the scope of nationwide injunctions, not the merits. In the Department of Transportation case, the court granted a preliminary injunction against the “Duffy directive,” finding the immigration conditions lacked statutory authority, were arbitrary and capricious, and violated the Spending Clause and APA. The briefing also covered multiple funding disputes. In the education funding freeze case, the Department of Education and OMB withheld about $6 billion in formula funds, including roughly $33 million for Hawaii; after suit was filed, the funds were released. Other cases included the termination of over $11 billion in public health grants, which affected Hawaii Department of Health grants, the NIH indirect cost cap case, and NIH grant terminations tied to DEI, transgender issues, and vaccine hesitancy. The speakers said some cases have already resulted in preliminary or permanent injunctions, while others remain on appeal or are still being litigated.

Transcript Highlights:

• Beyond.. directing marshals from their mission, which includes providing judicial security and executing
• DEA did not provide intelligence.
• Do you have a photo I think our office provided to you? We spoke about it earlier, yes, sir.
• Thank you for the cheese you provide as well. It's very good.
• One of the roles of the Marshal is also to provide security... for judges.

Committee: Senate Senate Judiciary

Keywords: fentanyl crisis, DEA, drug trafficking, public safety, Judea Serrata, Terrence Cole, judicial security, social media, drug prevention

Summary: The committee meeting centered on the urgent crisis of fentanyl abuse and the government’s response to the drug trafficking epidemic. Key discussions revolved around the nomination of Terrence Cole as the Administrator of the DEA and Judea Serrata as Director of the U.S. Marshals Service. Cole emphasized his commitment to combating the fentanyl crisis, highlighting the rising number of overdose deaths and the necessity of bipartisan efforts to dismantle drug cartels. Members engaged in dialogue on the effectiveness of various strategies and the importance of education aimed at preventing drug-related deaths among youth. Additionally, the challenges of social media in drug trafficking were highlighted, indicating a need for greater accountability in how platforms handle such issues. Senators voiced concerns about the impact of administration policies on judicial security and the resources available for marshals to perform their critical roles.

Transcript Highlights:

• </c> for for an IEP or a 504 to provide for for an IEP or a 504 to provide provide<00:07:42.280><c> services
• > array of material available it provides array of material available it provides clear<01:09:53.960>
• School districts and sanctions against educators and librarians for providing materials that are deemed
• me a letter that I can a he did provide me a letter that I can provide<01:36:57.600><c> to</c><01:36
• :57.679><c> the</c> provide to the provide to the committee<01:36:59.840><c> in</c><01:37:00.040><c>

Committee: Senate Education

Transcript Highlights:

• </c> known as UBOS's, that will provide known as UBOS's, that will provide professional<03:16:02.319>
• </c> and favors the interests of sanctioners and favors the interests of sanctioners and<03:29:21.840
• </c> Committee or ACTPAC provides Committee or ACTPAC provides recommendations<04:41:41.760><c> to</c
• ><c> into</c><04:43:01.920><c> ActPac's</c> provide valuable insights into ActPac's provide valuable
• </c> of South Carolina and a leading provider of South Carolina and a leading provider of<07:21:15.360

Bills: HB6422 , HB3410 , HB2247 , HB6460 , HB6427 , HB5663 , HB6267 , HB6618 , HB7342 , HCR73 , HB7388 , HB6481 , HB6480 , HB2474 , HB4624

Keywords: water quality, EPA, environmental protection, coastal restoration, federal funding, supersonic flight, aviation, FAA regulations, aerospace standards, noise standards, certificates, FAA, digital access, regulations, drones, recreational use, unmanned aircraft, regulation, airspace, airport construction

Transcript Highlights:

• A constitutional Reagan conservative, he would always provide me with invaluable insight and help our
• through non-violent resistance, moral clarity, and mass mobilization, confronting segregation, state-sanctioned
• through non-violent resistance, moral clarity, and mass mobilization, confronting segregation, state-sanctioned

Transcript Highlights:

• other u um recommendations as to provide other u um recommendations as to how<00:10:30.240><c> to</c
• I believe it not only provides flexibility, but it provides all of us with a structure and process going
• They will also defund and disband any student organizations that have been found to provide material
• any person with 4550 which provides any person with injury<00:23:37.200><c> who's</c><00:23:37.520><
• The IH goes as far as to explicitly provide examples of what is classified as anti-Semitism.

Summary: The committee first took up Senate Bill 77, which would allow comprehensive universities to pursue doctoral programs under a new approval process and, in the original bill, would also change who may serve on the EPSB board for small colleges and universities. The sponsor and Council on Postsecondary Education representative explained that the committee substitute removed the current statutory prohibition on comprehensive universities offering certain doctoral degrees, but added eligibility guardrails: a 77% first-to-second-year retention rate, a 56% six-year graduation rate, and three months of unrestricted cash reserves. They said the thresholds were based on national data placing institutions in roughly the top quartile, and that CPE would still review proposals for mission fit, workforce need, fiscal impact, and, where applicable, programmatic accreditation and legislative appropriations. EKU President David McFaden supported creating a pathway for comprehensive universities, said Kentucky is unusual in having an explicit statutory prohibition, and urged the committee to keep the standards attainable and durable. The committee approved the bill and adopted a title amendment, with the motion passing unanimously. The committee then heard Senate Joint Resolution 55, which addresses antisemitism on postsecondary campuses. Senator Tichenor said the resolution responds to a rise in antisemitic incidents after October 7, 2023, and would require campuses to notify students each semester of Title VI rights, complaint procedures, existing harassment policies, and available Jewish student resources. It would also direct campuses to disband student organizations found to provide material support to known terrorist organizations, report such matters to law enforcement, and collect and report antisemitism data to CPE for posting on its website. A guest speaker from the Kentucky Jewish Council described a sharp increase in reported incidents, including harassment, threats, vandalism, and hostile campus activity, and argued that schools have often done too little to respond. He said the resolution was amended to protect free speech while ensuring Jewish students receive the same protections as other protected groups. The transcript ends while testimony on the resolution was still underway, before any committee vote on SJR 55.

Transcript Highlights:

• It also provides crisis services and respite.
• I think that might be a good amendment to provide some flexibility.
• So, be that provided.
• They have that authority to fine or impose sanctions; however, I'm not aware...
• Does this bill provide for that?

Bills: HB 1022 , HB2856 , HB3114 , HJR5 , HB6 , HB 120 , HB210 , HB1458 , HB 1188 , HB3126 , HB6 , HB120 , HB210

Committees: Senate Education , Senate Education K-16

Transcript Highlights:

• . >> Bill 144: emergency medical transport providers assessment sunset. >> If you will, we'll move that
• House Bill 224 by Representative McCall: Children's Health Insurance Fund distributions, further provided
• c> &gt;&gt; Bill 144, emergency medical transport &gt;&gt; Bill 144, emergency medical transport providers
• sunset calls providers assessment sunset calls removed. removed. removed.
• </c> sunset on our our ambulance providers. sunset on our our ambulance providers.

Bills: SB146 , SB143 , SB144 , SB145 , HB224 , SB152 , SB153 , SB154 , SB162 , SB226 , SB146 , SB143 , SB144 , SB145 , HB224 , SB152 , SB153 , SB154 , SB162 , SB226

Committee: House Ways and Means General Fund

Keywords: supplemental appropriation, FY2025 budget, general fund, Alabama State Board of Public Accountancy, Unified Judicial System, court automation, advanced technology and data exchange, judiciary funding, transportation debt service, highway bonds, bridge bonds, Alabama Department of Transportation, ALDOT, public highways, federal matching funds, state appropriations, bond principal and interest, special funds, budget amendment, SB143

Transcript Highlights:

• But even at its height, it lacks what only true love can provide.

Bills: HB3880 , HB3263 , HB2970 , HB3043 , HB3044 , HB3078 , HB3940 , HB4117 , HB3428 , HB4275 , HB3257 , HB3901 , HB4298 , HB4260 , HB2981 , HB3695 , HB2960 , HB3967 , HB3968 , HB4339 , HB4341 , HB4342 , HB2940 , HB4295 , HB4196 , HB3134 , HB1016

Keywords: Oklahoma Today Magazine, Oklahoma Tourism and Recreation Department, tourism promotion, advertising sales, commission pay, employee bonus, sales commission, digital publication, print publication, sponsorships, bulk subscriptions, newsstand sales, ancillary products, public records, procurement exemption, administrative procedures exemption, tourism magazine, revenue sharing, executive director, state agency compensation

Transcript Highlights:

• Nuclear power provides the most reliable, energy-dense electricity available to mankind.
• The final tier provides a per megawatt completion bonus.
• Um, it will provide the information necessary to permit a, uh, full-scale reactor.
• We provide power to over 5 million taxpaying Texans.
• the PUC already maintains and providing certainty to reps and their eligible customers.

Bills: HB14 , HB 106 , HB146 , HB267 , HB274 , HB 1127 , HB1359 , HB1393 , HB1584 , HB1640 , HB1710 , HB2152 , HCR101 , HJR8 , HR51 , HB106 , HB146 , HB267 , HB274 , HJR8 , HR51

Committee: House State Affairs

Keywords: nuclear energy, advanced reactors, energy security, grant programs, Texas Advanced Nuclear Energy Office, HB 106, oil and gas, Railroad Commission of Texas, overhead electrical lines, electrical distribution system, power line maintenance, administrative penalty, Natural Resources Code, oil and gas lease, well operator, energy safety, utility infrastructure, regulatory compliance, cleanup fund, oil and gas regulation and cleanup fund

Transcript Highlights:

• are being paid to provide the services that we need.
• And if there's incidents involving various patients with various providers, they do quality review.
• But despite this... ...and placed Jojo in imminent jeopardy, the highest level of sanction.
• provide.
• Address the very need to ensure that Florida providers are able to continue to provide the quality care

Committee: Senate Judiciary

Summary: The Senate Judiciary Committee heard three bills. SB 514, by Senator Harrell, clarified that medical quality review committees used by managing entities are treated like other medical review committees for purposes of civil liability and public records protections. The committee adopted a Harrell amendment removing the word “malpractice” from the title, heard support from the Florida Hospital Association, Florida Association of Managing Entities, and Florida Smart Justice Alliance, and then voted 11-0 to report the bill favorably. The committee then took up SB 734, by Senator Yarborough, which would repeal the current wrongful death exception that bars certain parents and adult children from recovering non-economic damages in medical negligence cases. The bill drew extensive testimony from families describing deaths they said were caused by medical negligence and from supporters including AARP and the Florida Justice Association, while opponents from the health care, insurance, and business sectors argued it would raise malpractice premiums, increase litigation, worsen physician shortages, and reduce access to care. After debate, the committee voted 9-2 to report the bill favorably. Finally, SB 538, by Senator Bradley, was presented as the state courts legislative package. It updates court operations by clarifying duty judge requirements, removing a location limit on duty hearings, repealing a cap on arbitrator compensation in court-ordered non-binding arbitration, and allowing alternative judicial authentication of oaths and acknowledgments when a court seal is unavailable. The bill received supportive waiver forms from the Florida Bar ADR section and several judges, and was reported favorably on an 11-0 vote. The committee then adjourned.

Transcript Highlights:

• </c> providing us the PowerPoint slide. providing us the PowerPoint slide.
• </c> recommendations for licensed providers recommendations for licensed providers are<00:10:23.040><
• </c> medical providers, and ACOs. medical providers, and ACOs.
• </c> version that they provided some changes. version that they provided some changes.
• </c><00:46:31.760><c> I</c> provider. I am a nurse practitioner. I provider.

Summary: The working group on restrictive housing met with a quorum present, approved the August 21, 2025 minutes, and adopted a procedure to take public testimony on each agenda item with a two-minute limit per testifier, with some flexibility for follow-up questions. The main presentation came from the Department of Corrections and Rehabilitation on restrictive housing policies and a recent outside assessment of mental health care practices at HSCF and OOTC. DCR said the assessment found strengths such as consistent medication administration and staff commitment, but also identified major problems including outdated workflows, staffing shortages, inadequate physical plant conditions, overuse of suicide/safety watch for personal safety issues, and a need for more individualized treatment plans. DCR described several corrective steps already underway: filling a long-vacant high-level mental health administrator position, adjusting evening medication passes, working with DOH on transfer and referral workflows, planning a new electronic medical records system and revised screening tools, and pursuing additional training for ACOs and mental health staff. For OOTC, DCR said the facility is overcrowded and decrepit, needs a better screening tool, and requires more mental health-specific training and staffing. For HCF, DCR said the layout limits confidential assessments and provider access, and that the proposed consolidated healthcare unit would add 43 beds, private exam rooms, and a de-escalation room. DCR also said the new unit could serve acute and chronic suicide/safety watch needs and possibly some inmates with dementia, Alzheimer’s, or significant cognitive impairment. The discussion then focused on Act 292, which DCR said is difficult to implement as written. DCR said the bill aligns with DOJ, NCCHC, and ACA guidance in defining restrictive housing, limiting duration, requiring reviews, identifying vulnerable populations, and using step-down units, but raised two major concerns: a requirement to refer vulnerable people to DOH for confinement, and a requirement for clinical assessments every 12 hours by a provider. Members responded that the law should be matched with funding and staffing, and asked what resources are needed. DCR said it submitted a request for 35 positions at a cost of about $8.6 million, and also said funding may be needed for community-based beds and contracted medical services. Members also asked about the current MOA/MOU between DOH and DCR, the working group membership, and the timeline for revisions. DCR said the group includes DCR, DOH, and governor’s office medical advisors, that a first draft is complete, and that the revised agreement should be in place by the end of the year. On staffing, DCR said ACO recruitment classes increased from five to eight, vacancy rates dropped from 34% to 24%, but OOTC still faces a projected $7.1 million shortfall and heavy overtime costs, forcing post closures and program reductions. The meeting ended with continued discussion of screening tools, including DCR’s explanation that current broad questions may over-identify people with substance-use-related symptoms as having serious mental illness, and that a more discrete tool is needed to better identify those with acute needs.