Transcript Highlights:

• We have AEDs, we have Narcan, we have epinephrine.
• And I actually prepared kits that I gave to my kids that have tourniquets, Narcan, and EpiPens.
• <00:23:11.360> And<00:23:11.520> I tourniquets, Narcan, and EpiPens.
• And I tourniquets, Narcan, and EpiPens.
• But I can self-administer Narcan."

Keywords: 1191, senate, all

Transcript Highlights:

• In response, all peace officers in Nevada County now carry Narcan, and local ambulance crews are utilizing
• Narcan on many calls for service where the circumstances are unknown because there's always a chance
• The boy's life was thankfully saved due to several doses of Narcan at the scene.
• Of interest, there was also Narcan at the residence, indicating the child's parents knew the dangers

Keywords: 987, senate, all

Transcript Highlights:

• In response, all peace officers in Nevada County now carry Narcan, and local ambulance crews are utilizing
• Narcan on many calls for service where the circumstances are unknown because there's always a chance
• The boy's life was thankfully saved due to several doses of Narcan at the scene.
• Of interest, there was also Narcan at the residence, indicating the child's parents knew the dangers

Summary: The committee adopted the consent calendar and then heard several bills on child care, aging, child welfare, food access, and youth services. SB 1200 by Sen. Menjivar would redefine infant and toddler age categories in child care licensing to allow providers to serve children beginning at 18 months in the toddler category, with supporters saying it would increase capacity and help family child care businesses stay open; it passed 4-0 to Appropriations. SB 971 by Sen. Choi would authorize counties to offer optional adult education and technology training programs for adults 55 and older through local partnerships; supporters said it would reduce isolation and improve digital literacy, and it passed 4-0 to the floor. SB 1234 by Sen. Alvarado-Gil would require fentanyl to be included in court-ordered drug testing in dependency cases, with testimony from an angel family and law enforcement about child deaths and exposure risks; it passed 4-0 to the floor. The committee also heard SB 1109 by Sen. Alvarado-Gil, which would require additional state review for short-term residential therapeutic programs in very small rural counties or facilities with repeated serious citations. The author and county officials from Alpine County argued that rural counties lack the hospitals, schools, and 24-hour emergency response needed to safely support these placements, while providers opposed the bill as overly broad and potentially destabilizing to STRTP capacity. After the author accepted committee amendments, members voted 4-0 to send the bill to Appropriations as amended. SB 961 by Sen. Ashby would require students applying for financial aid to be notified that they may also be eligible for CalFresh; student and advocacy witnesses described widespread food insecurity on campuses, and the bill passed 4-0 to Appropriations. The committee then heard SB 1099 by Sen. Gomez Reyes, which clarifies local governments’ authority to provide state or local public benefits to all residents under PRWORA-related exemptions; supporters said it would reduce legal uncertainty for local safety-net services, and the bill was voted 2-0 with the remaining members absent, leaving it on call. SB 1190 by Sen. Grove would create a licensing and regulatory framework for youth transport companies that move minors to out-of-state residential facilities; survivors testified about traumatic transports, supporters called for basic guardrails, and the bill passed 4-0 to Public Safety. Finally, SB 1325 by Sen. Jones would create a narrow pathway for Feeding San Diego to participate in CalFood, with supporters saying it would expand hunger relief in San Diego County and opponents warning it could divert limited food bank resources; the discussion focused on broader funding concerns, and no final vote was recorded in the excerpt.

Transcript Highlights:

• There was no Narcan, no CPR, no medical interventions that could bring him back to me. He was gone.
• gone.<00:09:14.560> There<00:09:14.720> was<00:09:14.880> no<00:09:15.120> narcan
• There was no narcan, no CPR, no gone.
• There was no narcan, no CPR, no medical<00:09:18.360> interventions<00:09:19.360> that<

Keywords: 1183, house

Transcript Highlights:

• Staff have been equipped with Narcan since 2022.
• Staff are equipped of Narcan and have been since 22.
• closely: the trends, things such as whether it's tied to administrative disciplinaries, but also Narcan
• So you mentioned that guards are equipped with Narcan. Yes, sir.
• As Narcan use, has it been, how successful has that been at preventing more overdoses?

Keywords: 1185, senate, all

Transcript Highlights:

• epinephrine was approved, so it's like the EpiPens, but it uses the exact same delivery system as Narcan
• There's a variety of things listed in that definition there, but for example, Narcan programs to prevent
• There's a variety of things listed in that definition there, but for example, Narcan programs to prevent
• We started a program, and we gave out, to this point, around 3,000 doses of Narcan in our community,
• All the company cars carry Narcan, and we give it out to anyone in the community, along with overdose

Keywords: 1191, senate, all

Transcript Highlights:

• Uh, how much Narcan is actually purchased, or is Narcan purchased with this?
• And if it only covers Narcan, how does that really affect the recovery efforts?
• actually purchased or is Narcan actually purchased or is Narcan purchased<01:24:21.280> u
• And and if it only<01:24:24.159> covers<01:24:24.480> Narcan, only covers Narcan, only
• covers Narcan, how's<01:24:26.639> that<01:24:27.360> really<01:24:27.600> affect

Keywords: 958, all

Summary: The committee first established a quorum, approved the minutes from the November 10 meeting, and then approved a large agenda of contracts and related items, with the total agenda amount stated as $359,638,393.88. Most items were approved without objection, but two contracts were pulled for discussion: attorney general panel counsel contingency fee contracts and a Kentucky Legislative Ethics Commission personal services contract. For the attorney general’s office, Chris Lewis explained that the contracts were panel counsel contingency fee agreements, with 14 qualified awards from 16 applicants. He said the contracts were contingency-based, so no money would be paid unless cases were successful, and that the fee structure worked out to roughly 5% under the statutory waterfall. Senators asked about the size of the contracts, whether the terms were uniform, why no Kentucky firms were among the awardees, and how the public should understand the large dollar figures. Lewis said one Kentucky firm applied but was disqualified for a late submission, other Kentucky firms had inquired but did not apply, and local firms could still work with national firms on cases. The committee then approved the contracts. The Kentucky Legislative Ethics Commission contract drew more extensive questioning. Commission representatives said they had previously had a contract disapproved because the proper process was not followed, so they used an RFI process posted on the state and commission websites for at least three weeks. They received one applicant, a Kentucky firm, and set the rate at $125 per hour. Members questioned whether the commission was acting beyond its ethics mission, whether staff were helping draft complaints against legislators, and whether the commission was taking on a prosecutorial or human-resources role. The commission said its role is limited to enforcing the legislative code of ethics, providing advisory guidance, and following the formal complaint process; it does not pursue matters outside that code. Members also raised concerns about the earlier procurement misstep and the commission’s credibility, and the commission apologized, said it had corrected the process, and pledged to comply going forward. The committee then approved the contract.

Transcript Highlights:

• Following up on the importance of carrying Narcan and other supportive treatments, personnel who are
• responding to potential emergency xylazine issues should continue to carry Narcan and other treatments
• Narcan and other treatments.

Keywords: 995, all

Summary: The special commission on xylazine met virtually to review and discuss the first draft of its final report. Chair Mindy Domb opened the meeting, confirmed quorum, and the commission approved the minutes from its December 11 public meeting. Staff then walked commissioners through the proposed report structure, including background on xylazine as both an FDA-approved veterinary drug and an illicit drug supply contaminant, as well as appendices for public meeting materials and public resources. The commission discussed findings and recommendations for several working groups. For oversight and enforcement, members focused on licit versus illicit sources of xylazine, noting that the illicit supply is typically obtained through online vendors rather than diverted from veterinary use. Recommendations included better storage and reporting practices in authorized settings, review of manufacturing and distribution information, and focusing enforcement on fentanyl trafficking and large-scale xylazine importation rather than personal possession. Commissioners also discussed whether xylazine should remain in Schedule 6 or be subject to additional penalties, and several members emphasized the need for coordination, information-sharing, and possibly a DPH task force or advisory body to monitor emerging drug threats. For outreach and treatment, staff summarized strong existing programs such as drug checking, wound care education, naloxone distribution, mobile and low-threshold care, and self-directed wound kits, while noting gaps including the lack of an FDA-approved reversal agent for xylazine, difficulty distinguishing xylazine from other exposures, and uneven access by geography, insurance, and audience. Commissioners stressed the need for provider education, including physicians, nurses, pharmacists, family support networks, and first responders, and for clear guidance on wound care and when more intensive treatment is needed. The education and training section identified first responders, clinicians, non-clinicians, and people who use drugs and their families as key audiences for tailored, stigma-free materials, with emphasis on real-time, centralized data, naloxone and breathing support, recognition of overdose versus xylazine exposure, and adapting materials as the drug supply changes. The meeting ended with discussion of next steps: staff will circulate a revised draft by March 2, the commission will meet again on March 9 to consider the report and recommendations, and an additional late-March meeting was reserved if needed before the statutory deadline.

Transcript Highlights:

• What is an expired opioid antagonist like Narcan? Is that what that is? Madam Chair, members, yes.
• but this, I can understand where we release a citizen from liability if they're using an expired Narcan
• But this also exempts pharmacists from using or distributing expired Narcan. Is that correct?

Keywords: 1182, all

Summary: The caucus reviewed a long list of bills and resolutions, with staff giving brief descriptions and members flagging which items were on consent, had unanimous committee votes, or should be pulled for further discussion. Topics included education, health care, public safety, labor, water, taxation, housing, and elections. Several measures were noted as party-line or mixed votes, while many others were reported as unanimous and placed on third-read or consent calendars. Among the more discussed items were bills on school and labor policy, including a proposal to prohibit teacher strikes, a measure restricting school district bond actions, a bill requiring school safety protocols and assigning felony penalties for noncompliance, and a resolution limiting public money for labor organization activities. Members also raised concerns or requested further review on bills involving pharmacist testing authority, expired opioid antagonists, a county sheriff-related measure, a housing affordability district proposal, and a tobacco/vape regulation bill. Some measures were explicitly pulled from consent, including a Medicaid audit resolution, a budget-related pay-withholding resolution, and several education and public safety bills. The caucus also heard multiple health and human services measures, such as genetic counselor licensing, nursing board and pharmacy board continuations, foster care rights, psychiatry access funding, and free school meals. In addition, there were water and energy bills on Colorado River management, groundwater, transmission-line review, and renewable energy valuation, plus election and campaign-related proposals. The meeting ended with announcements, including an upcoming Colorado River breakfast briefing and an internal award recognizing Representative Brian Garcia, followed by adjournment.

Transcript Highlights:

• Medical issues and that the EMS and medical staff failed to administer Narcan.
• And then law administer Narcan.
• However, what we are seeing is failure to administer Narcan early on.
• Upon arrival, the child was given Narcan and was transported to the local children's hospital, where
• Upon arrival, the child was given<00:18:24.000> Narcan<00:18:24.640> and<00:18:24.880><

Keywords: 958, all

Summary: The committee approved the October 22, 2025 minutes and then heard a presentation from the Child Fatality and Near Fatality External Review Panel on accidental ingestion of illegal drug products by children. Panel members said pediatric ingestions have become the most common case type they review, with the highest-risk children ages one to four, and that fatal cases have increased in recent years. They reported that the substances most often involved are fentanyl, cannabinoids including THC products, methamphetamine, and increasingly xylazine; they also noted a decline in buprenorphine-related ingestions, which they viewed as a positive trend. The panel used several case examples to highlight recurring problems in investigations and medical response, including delayed DCBS involvement, failure to administer Narcan, inadequate drug testing, lack of child abuse team involvement, and limited or absent law enforcement investigation. They said law enforcement issues are especially common in pediatric ingestion cases and are concentrated in Jefferson County and the Bluegrass/KIPA regions. One example involved a one-year-old who died from fentanyl and Benadryl intoxication; another involved a two-year-old who died after ingesting multiple substances; and a third involved a four-year-old with near-fatal THC gummy ingestion where delayed treatment worsened the child’s condition. They also described a 10-month-old THC ingestion case that resulted in a criminal abuse conviction, which they presented as an example without missed investigative opportunities. Committee members discussed possible policy responses, including creating a more specific criminal child abuse offense or clarifying existing abuse and neglect definitions to cover unsafe access to illegal drugs, while preserving room for true accidents and prescribed medications. Members also raised the need for statewide standardization in reporting, investigation, and medical response, and suggested the panel should be able to call in agencies such as law enforcement, DCBS, judges, and hospitals for closed-session review of selected cases. The panel chair said they were already pursuing meetings with LMPD and would provide Jefferson County-specific breakdowns, and members expressed interest in additional data and agency follow-up before considering legislation.

Transcript Highlights:

• We've made Narcan.
• We've made Narcan widely available across our job sites, trained business managers and stewards across
• As early as 2019, nine overdoses were reversed on job sites in Boston because Narcan was...
• As early as 2019, nine overdoses were reversed on job sites in Boston because Narcan was made available

Keywords: 995, all

Summary: The committee heard testimony on several bills. Representative David Linsky supported HB 3383, which would designate the song “Roadrunner” as the official rock song of Massachusetts, describing its Boston roots and cultural significance. Representative Sean Garberle supported HB 3335 on public access to historical records, arguing that records from state institutions should be released after 75 years and that families and researchers should be able to identify people buried in unmarked graves at former state institutions. Representative Rodney Elliott and Lowell officials supported HB 4138, authorizing easements for a Lowell sewer separation project; they said the project is needed for Clean Water Act compliance, will reduce combined sewer overflows into the Merrimack River, and must proceed quickly to meet SRF and consent-decree timelines. Committee members asked about Article 97, the location and scope of the easement, environmental justice impacts, and minority/small business participation in construction. The committee also heard extensive testimony on Senate 2183 and its House companion, which would elevate the Massachusetts National Guard to a cabinet-level position reporting directly to the Governor. Senators Mike Moore and John Velis, along with the National Guard Association’s Matthew McKenna, argued the change would reduce bureaucracy, improve communication and readiness, and reflect the Guard’s broad domestic and military missions. Velis cited the Holyoke Soldiers’ Home tragedy as an example of a breakdown in communication, while committee members said they wanted more information, including input from the Governor’s office and Guard leadership, before acting. The committee noted the distinction between state-controlled and federalized Guard missions and said it would continue reviewing the issue. Senator Liz Miranda and a large panel of survivors, advocates, and Northeastern law students testified in support of S. 2174 and S. 2177, which would create an office and task force on unsolved homicides, allow families to petition for case review after three years, require written responses, and establish a tip line, database, and dedicated funding. Witnesses described long-standing lack of communication, low clearance rates, and the disproportionate impact on Black and Brown communities. Senator Becca Rausch also testified on S. 2210, extending public records law to the governor and Legislature, and S. 2207, creating stronger information-governance and records-retention standards; she said both would improve transparency and reduce waste. The transcript does not reflect any votes taken during the hearing, though chairs repeatedly indicated support for moving some bills favorably and said the committee would continue reviewing the National Guard proposal.

Transcript Highlights:

• Those C and D, the nicotine and Narcan ones, we already actually allow our pharmacists to do that, but
• the nicotine, cessation, opioid antagonist for acute opioid overdose, those C&D, the nicotine and Narcan

Keywords: 908, all

Summary: The committee reviewed four bill drafts for the Rural Health Transformation effort. The first required the presidential physical fitness test in PE classes; members asked about DPI and school support, then moved and approved the draft. The second required physicians to complete one hour of continuing education on nutrition and metabolic health each renewal cycle and included legislative intent encouraging other health boards to consider nutrition-related CE; it was approved after brief discussion. The third bill adopted the Physician Assistant Licensure Compact. Members discussed a separate issue involving occupational therapy compact background checks and whether that fix could be added now or would need to wait until later; the committee also discussed Board of Medicine input and the compact’s workforce benefits. The draft was moved forward to the full committee. The fourth bill expanded pharmacists’ prescriptive authority and therapeutic substitution. Legislative Council explained the draft, and Senator Roars proposed substantial amendments to narrow motion sickness, UTI, diabetes supply, and substitution provisions. Members debated whether to vote on amendments now or wait for the special session public hearing; concerns were raised about transparency, stakeholder input, and avoiding premature action. No amendment vote was taken, and the bill was left for later consideration. The committee then recessed until the next day.

Transcript Highlights:

• medications, and even prevent deaths by going into fishing boats and training the crew how to administer Narcan
• medications, and even prevent deaths by going into fishing boats and training the crew how to administer Narcan
• On outreach, CHWs connect people to detox programs and distribute Narcan that saves lives.

Keywords: 995, all

Summary: The committee hearing covered a wide range of public health bills, with much of the testimony focused on two major themes: expanding access to care and stabilizing health-related workforces and services. On House 2364, an act relative to medical health and fitness facilities, representatives from Dedham Health and Athletic Club argued for a pilot program recognizing supervised exercise as medicine, saying it could improve outcomes for chronic disease, fall prevention, and mental health while reducing costs. On House/Senate bills concerning community health workers (H. 359/S. 251), multiple witnesses from MACHW, Health Care for All, MHA, Cambridge Health Alliance, Mass General Brigham, Boston Children’s Hospital, Asian Women for Health, and the City of Somerville described CHWs as essential for navigation, trust-building, language access, and addressing social needs, and urged reimbursement by MassHealth, the GIC, and private insurers, along with workforce development measures. One pediatric neurologist also told the committee that losing grant-funded CHW support led to more avoidable ER visits and threatened clinic operations. The committee also heard extensive testimony on hospital closures and essential services. Witnesses including Dr. Alan Sager, MNA President Katie Murphy, nurses from Brockton Hospital and Providence Behavioral Health, and local officials and legislators from Norwood described the loss of hospitals and service lines, especially maternity, pediatric, and behavioral health care, and argued current closure processes are too weak to protect communities. They supported bills such as H. 2460/S. 1503 and H. 2534/S. 1574, which would require earlier notice, community input, stronger state oversight, possible receivership, and limits on reopening or expanding after closures. Testimony emphasized the impact of Steward’s bankruptcy, the closures of Carney and Neshoba Valley, and the need to preserve access to essential services in underserved areas. Several end-of-life and professional regulation bills were also discussed. On H. 2436, Representative Omar Gomez and funeral industry witnesses supported eliminating Office of the Chief Medical Examiner fees for the removal of a child’s body in cases involving children five and under, describing the bill as a small but important relief for grieving families. On H. 2444 and related Senate bills, cemetery and consumer advocates supported legalizing alkaline hydrolysis and natural organic reduction as environmentally friendly after-death options, while cemetery representatives opposed H. 2360, which would allow funeral establishments to operate crematories, arguing cemeteries should retain that role. The committee also heard support for H. 2382, which would exempt dentists and oral surgeons from a new office-based surgical center framework, and for H. 2461, which would create hospital efficiency standards; employers and retailers backed that bill as a way to address rising health care costs. Finally, the committee heard testimony on autism services and hospital governance. On S. 1414, behavior analysts and school representatives said Massachusetts already licenses assistant-level ABA providers but MassHealth does not reimburse them, causing long waitlists and limiting school and family access; an actuary testified that a three-tier ABA reimbursement model could reduce MassHealth costs by up to 6% per child served. Senator Lovely also testified in support of S. 1572, which would require at least one registered nurse on each acute care hospital governing board, arguing nurses’ frontline perspective would improve quality and retention. No votes were taken in the hearing excerpt, but many witnesses urged favorable reports on their respective bills.

Transcript Highlights:

• So what we're seeing is when we had the opioid crisis earlier on under Ducey, Narcan was dispensed with
• What we're seeing is when we had the opioid crisis earlier on under Ducey, Narcan was dispensed with
• while it's still good and kind of help with the overproduction and the flooding of the market of Narcan

Keywords: 1182, all

Summary: The meeting was a caucus-style run-through of many bills and resolutions across Appropriations, Commerce, Education, Federalism/Military Affairs/Elections, Government, Health and Human Services, Judiciary, ENRU, Public Safety, and Rural Economic Development. Measures discussed included housing and HOA rules, school policy and funding, health care licensing and records timelines, public safety and corrections funding, election and campaign rules, water and environmental policy, and several criminal justice and juvenile justice changes. Many items were described as being on third-read consent or consent calendars, with staff often noting that no questions were raised and no sponsor was present. Several bills drew sponsor explanation or member discussion. In education, members reviewed bills on teacher strikes, school safety, math placement, student outcomes, free school meals, parent permission for clubs, and school bond ballot disclosures. In health, bills covered prior authorization data reporting, nursing board rules and complaint procedures, pharmacist testing/treatment authority, opioid antagonist expiration dates, board continuations, and a constitutional amendment on refusing medical mandates. In government and public safety, members discussed DCS legal representation, inmate medical records, public safety parity funding, sheriff authority, border support funding, and a resolution supporting county sheriffs. In commerce and housing, bills addressed condominium and HOA authority, shade structures, pet restrictions, insurance certificates, apprenticeship definitions, automatic renewal contracts, and a state housing affordability district. There was notable discussion on House Bill 4044, which would create a Public Safety Parity Fund for DPS and DOC salaries using interest from the state rainy day fund and other revenue sources. The sponsor argued it would provide a reliable way to fund public safety pay, while others objected that it would consume interest needed to preserve the fund’s value and that a general fund appropriation would be more appropriate. The bill prompted extended back-and-forth, with some members supporting the concept and others saying it was fiscally irresponsible. Another point of discussion came on House Bill 2775, where staff noted a possible misprint in the bill history, and on House Bill 467, where staff clarified that the inactive voter list changes related to e-poll book status categories. No formal votes were recorded in the transcript, and the meeting appears to have been a review of measures before floor action.

Transcript Highlights:

• There was no Narcan, no CPR, no... needed some space he was home so I felt needed some space he was home
• There was no Narcan, no CPR, no medical interventions that could bring him back to me.

Keywords: 919, house, all

Summary: Rep. Zach Stevenson and Sen. Mann presented Minnesota legislation aimed at requiring warning labels on social media platforms, modeled on the Surgeon General’s recommendation, and adding pop-up notifications every 30 minutes to show users how long they have been on a platform. They argued that social media use is linked to serious mental health harms among youth, including anxiety, depression, sleep disruption, self-harm, and suicidal ideation, and said the bill is part of a broader effort to add guardrails on big tech. They also referenced related Minnesota efforts on deepfakes, child influencers, platform-use disclosures, and a separate effort to remove cell phones from classrooms. The hearing featured emotional testimony from parents Bridget Noring and Tabitha Urbansky, who described losing sons to fentanyl poisoning after drugs were arranged through Snapchat. Both said social media platforms can function as drug markets and that warning labels and other restrictions could help prevent similar tragedies. Eric Mishy of SAVE and the Kids Campaign also testified in support, saying social media is contributing to anxiety, depression, suicide, sextortion, trafficking, bullying, and drug sales, and that companies have not done enough to stop these harms. In response to a question about the pop-up feature, Stevenson said the idea is new in Minnesota but similar to “are you still watching” prompts on streaming services, intended to add friction and interrupt addictive use. He and others said no state had yet enacted similar warning-label laws, though several have proposed them, and they emphasized that regulating technology companies is difficult because of their resources and lobbying power. No vote or formal committee action was taken in the transcript, though the bill was scheduled for a House Commerce Committee hearing the next day.

Transcript Highlights:

• It's around Narcan availability in schools, which of course is a medication that saves lives in relation
• It's around<00:18:52.480> um around um around um uh<00:18:53.360> Narcan<00:18:54.440><
• uh<00:18:54.919> availability<00:18:55.600> in<00:18:55.760> schools, uh Narcan
• uh availability in schools, uh Narcan uh availability in schools, which<00:18:56.480> of<00:18

Keywords: 1187, senate, all

Transcript Highlights:

• So, um, we purchased Narcan, and so we had Narcan in every doorway budget where they would make their
• So a particular ambulance may not have gotten the Narcan through our distribution.
• We purchased Narcan, and so we had Narcan in every doorway budget where they would make their own purchases
• So a particular ambulance may not have gotten the Narcan through our distribution.
• So a particular ambulance may not have gotten the Narcan through our distribution.

Keywords: 928, house, all

Summary: The House Finance Committee’s Division 3 held a public work session on the Behavioral Health budget on February 27, 2025. The chair opened by explaining the schedule, materials, and deadlines for the budget process, and noted there would be no motions or votes in the division that day. Division of Behavioral Health Director Ktia Fox and DHHS CFO Nathan White then walked the committee through the division’s mission, structure, and budget materials, describing the division’s four bureaus: Mental Health Services, Children’s Behavioral Health, Drug and Alcohol Services, and Homeless Services, along with the policy unit. They emphasized the division’s role in oversight, technical assistance, quality assurance, contracting, and the continuum of care from prevention and early intervention through crisis and residential services. Much of the discussion focused on major programs and funding lines, including the 988 Lifeline contract with Headrest, a technical assistance contract with UNH, Medicaid pass-through payments to New Hampshire Hospital and Glencliff, crisis response services, cold-weather homeless responses, housing supports, and the children’s system of care. Members asked about the UNH contract, the 988 program, crisis stabilization centers, and the peer certification program; Fox explained that the peer certification is a training-and-credentialing pathway for people with lived experience to enter community-based behavioral health work, not a volunteer program. The committee also discussed the “Choose Love” program, which Fox said was created after the Sandy Hook tragedy to build resilience and strength-based emotional regulation in schools and communities. On the children’s side, Fox described the system of care account as the place where many contracted services are budgeted, including community mental health centers, care management entities, rapid response services, and residential programs. Members asked about temporary staffing, and Fox said roughly $500,000 in temporary staff costs shown in the current year would not be spent next year because the money came from a nonlapsing appropriation in HB 1573 for oversight of children’s residential services. She also said provider rate increases were a prioritized need but were not funded in the governor’s current budget, and that the Children’s Behavioral Health Resource Center was not funded, resulting in about a $1 million reduction. The session ended while the division was still moving through the children’s behavioral health slides, including questions about the Fast Forward high-fidelity wraparound program and medication management.

Transcript Highlights:

• 10.960> in Um, as I stated earlier, that period for that patient after being reversed with Narcan
• :43:38.880> being<00:43:39.040> reversed<00:43:39.359> with<00:43:39.520> Narcan
• <00:43:40.079> after after being reversed with Narcan after after being reversed with Narcan
• surrounding counties, including Fayette County, and now we have patients who are being reversed with Narcan
• spread it to surrounding counties, including Fayette County, but now patients being reversed with Narcan

Keywords: 958, all

Summary: The subcommittee met on October 14, approved the minutes, and then took up a large group of staff-suggested amendments to multiple regulations. Those staff amendments were approved without objection and were described as technical changes needed to comply with KRS Chapter 13A and other governing law. The committee then moved out of order to consider Kentucky Board of Medical Licensure regulation 2011 KAR 9:270, which governs buprenorphine prescribing and related standards. Board representatives said the regulation has been updated over time since 2015 and that the current amendments are intended to streamline the rule, remove outdated federal references such as the X-waiver, narrow education requirements to addiction-related topics, and create exceptions for settings like emergency rooms and certain pain treatment situations. The agency amendment would also allow buprenorphine monoproduct for up to 30 days when a patient is transitioning from a full opioid agonist, and would add physicians certified in addiction medicine as eligible specialty consultants. Board officials said the regulation was developed through a two-year process with a work group, informal outreach to medical organizations, and multiple comment periods, and they argued the rule is working because overdose deaths have declined and provider numbers have increased. Several witnesses and committee members raised concerns that the regulation remains too restrictive. Senator Rocky Adams noted that major medical organizations had said the proposed language could restrict access and worsen overdose risk, and he questioned whether the committee was being asked to choose between conflicting expert views. Opponents, including a medical student, a recovery advocate, and Dr. Colleen Ryan of the Kentucky Society of Addiction Medicine, argued the rule is outdated, creates unnecessary barriers to buprenorphine treatment, and should be repealed or substantially revised to align with federal guidance and evidence-based care. They said rigid requirements can discourage treatment and that addiction should be treated like other chronic illnesses. No final vote on the medical licensure regulation is reflected in the transcript excerpt, and the discussion ended with the chair preparing to hear from additional opponents.

Transcript Highlights:

• And I was just curious to wonder—and I’m going to put a plug in here—the prevalence of Narcan and availability
• The prevalence of Narcan and availability and the training and the understanding of how to use that could
• Narcan now is readily available.

Keywords: 959, house, all

Transcript Highlights:

• data showing that overdoses decreased from 2022 to 2023 by 8%, and that is in large part thanks to Narcan
• data showing that overdoses decreased from 2022 to 2023 by 8%, and that is in large part thanks to Narcan
• At that point, he called out to the train car, does anyone have Narcan? Does anyone have naloxone?
• At that point, he called out to the train car, does anyone have Narcan? Does anyone have naloxone?
• 10.959> the Emma Gabbert continued her testimony, explaining that in a similar fashion, without Narcan

Keywords: 1187, senate, all