Transcript Highlights:

• , which is what they call a 1323 schedule.
• So it's an on 24 off 72-hour schedule.
• , which is what they call a 1323 schedule.
• So it's an on 24 off 72-hour schedule.
• <00:04:10.439><c> with</c> 24 off 72 hour schedule you start with 24 off 72 hour schedule you start with

Keywords: 958, all

Summary: The committee met with a quorum and took up four bills. House Bill 131, sponsored by Representative Meredith, would give former second-class city fire departments more flexibility in firefighter scheduling. Meredith explained the committee substitute would allow a hybrid “1323” schedule while preserving existing collective bargaining agreements and affecting only 13 cities. There was no opposition or public testimony, and the committee adopted the substitute and passed the bill with a favorable expression. House Bill 256, sponsored by the chair, was presented by Representative Flry and Kentucky Land Title Association President Eric Case. The bill sets a 40-year statutory limit on certain dormant title interests to clear old encumbrances and make titles more marketable, while not specifically excluding coal and mineral interests. The committee adopted the substitute and then passed the bill with a favorable expression. House Bill 290, sponsored by Representative Wilson, would update county law library funding rules to allow local bar associations to use library funds for online legal services, addressing unused balances in some counties. The chair and others said the change would better use the resource for attorneys and the public. The committee approved the bill with a favorable expression. House Bill 368, sponsored by Representative Decker, would let smaller counties and local governments use the same alternative public notice methods already available in larger counties, such as posting notices on government websites after a brief newspaper notice. Supporters from county and city groups said the change would save money, improve efficiency, and help with transparency, while Kentucky Press Association Executive Director David Thompson said newspaper publication costs are relatively small and urged the legislature to set standards for government websites before expanding online notice options. The transcript cuts off during Thompson’s testimony, and no final committee action on HB 368 is shown.

Transcript Highlights:

• So, yes, for that fee schedule, the ones that are on the Medicare fee schedule are reduced by 25%.
• Medicare fee schedule are reduced by 25% Medicare fee schedule are reduced by 25% and<00:34:22.480><c
• </c> fee schedule. fee schedule.
• </c> schedule as the rate that will be paid. schedule as the rate that will be paid.
• </c> the fee schedule rate setting. the fee schedule rate setting.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board meeting began with a roll call and approval of the October 7 meeting minutes. The chair then reordered the agenda to hear the item on Medicaid reimbursement rates and network adequacy first because of scheduling issues. Dr. Steve Robertson of the Kentucky Dental Association was sworn in and testified at length about Kentucky’s dental Medicaid program, arguing that reimbursement rates are unsustainably low, have been largely flat for decades, and are often below the cost of providing care. He said Kentucky ranks near the bottom nationally in oral health, dental Medicaid rates are often 60% or less of commercial rates, and the program’s share of the Medicaid budget has effectively remained around 2% despite growth in enrollment and services. Dr. Robertson said the low rates are contributing to provider losses, rural access gaps, longer wait times, dental deserts, and greater use of emergency rooms for preventable dental problems. He cited examples of office costs exceeding reimbursement for basic procedures, noted that many dentists are small private businesses, and said the state is struggling to recruit and retain dentists because of low payment levels and high student debt. He also pointed to disparities with neighboring states and said recent increases in some oral surgery and cleaning codes were not enough to address the broader problem. His recommendations included completing the rebasing study, increasing dental reimbursement in the upcoming budget, tying future reviews to inflation and cost data, aligning benchmarks, and prioritizing preventive and restorative care to improve workforce stability and access. Board members asked about the size of the needed increase, the effect of private insurance on dental practice finances, and what a new dentist might expect to earn. Dr. Robertson said the association is working on an appropriations request and that private insurance pressures are part of the problem as well, since many plans are HMOs or PPOs with limited provider control over rates. He also said the association can no longer conduct reimbursement surveys because of FTC restrictions, but would try to obtain current ADA data. In response to questions about the future of the program, he warned that without significant changes it could become unsustainable and cited Ohio and Missouri as examples where higher reimbursement improved provider participation and access. The board then heard from Mr. Bowman of Baldwin Consulting, who discussed outpatient behavioral health providers, including ABA therapy and mental health/substance use disorder services. He said these providers face similar issues of rising costs, flat reimbursement, and access problems. He reviewed Kentucky’s network adequacy standards, including travel-time standards, 30-day appointment limits, and newer federal requirements that will require services within 10 business days by 2029. He said wait times for outpatient behavioral health, especially children’s services and ABA, have grown substantially, sometimes to more than a year, and emphasized that the Medicaid department must enforce these standards.

Transcript Highlights:

• with the fee schedule, we're recouping about 50% of our costs.
• And we can certainly schedule an offline conversation to dig into it a lot deeper.
• However, not all schools are able to fully take advantage of those fee schedules.
• These individuals have been instrumental in working within the fee schedule.
• These individuals have been instrumental in working within the fee schedule.

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:

• A 30-year-old schedule.
• Workers' comp fee schedule independent of this would provide a more stable and fair reimbursement schedule
• Under Louisiana's fee schedule, it's $1,622.
• And those are all updated current fee schedules.
• Update a 30-year-old fee schedule.

Summary: The Labor and Industrial Relations Committee first took up House Bill 680 by Rep. Weibel, which proposes a major overhaul of Louisiana’s workforce development system. The bill and a large amendment package were described as modernizing workforce planning, consolidating some state-level strategy and administration, and strengthening coordination with local workforce partners, employers, and regional stakeholders. A transition advisory team with an 18-month sunset was added to help implement the changes, and members repeatedly raised concerns about preserving local input for different regions, parishes, and cities. Rep. Weibel, the secretary of Louisiana Works, parish officials, and other supporters said the goal is to shift more resources from overhead to training and direct services while keeping local boards and parish involvement in place. Testimony from a Utah official and from local government and business representatives emphasized that similar consolidations can create efficiencies without eliminating local responsiveness. The committee adopted the amendments and then reported HB 680 with amendments. The committee then heard House Bill 780 by Rep. Furman on workers’ compensation. The bill seeks to streamline disputes over compensation and medical benefits, reduce litigation, and lower costs by restoring an expedited preliminary determination process and changing the standard for penalties and attorney fees to an arbitrary-and-capricious standard. Supporters, including lobbyists and defense attorneys, argued that the current process is outdated, overly technical, and too litigious, especially because adjusters now often work remotely and the statute still relies on fax and certified-mail procedures. They said the bill would speed up decisions, reduce unnecessary attorney-fee claims, and help employers and injured workers alike. Opponents, including attorneys for injured workers, argued the bill would make it harder for workers to recover penalties when benefits are delayed, shift the burden in favor of insurers, and fail to address understaffing and defense costs. Members debated whether the bill’s new standard should replace the current “reasonably controverted” language; an amendment to restore that language was offered but opposed by the author and other members and was not adopted. The committee adopted technical amendments and other committee amendments, heard additional testimony, and continued debating the bill’s substantive changes.

Transcript Highlights:

• Chair and members, now moving into the award schedule detail.
• , the original schedules submitted with the applications and included in the MOUs.
• Begins, the design professionals will be required to provide their own schedule.
• Um, our next PSEOC meeting is scheduled for June 11th.
• But again, I would have to work with everybody's schedule.

Transcript Highlights:

• We are working on a schedule to convene the committee as soon as possible.
• not run into the obstacles that we've run into with this fee schedule.
• included in that schedule?
• So that was another piece that is just so critical with this fee schedule.
• , but as you have heard today, the fee schedule is simply not ready.

Summary: The committee heard a budget oversight hearing on the Department of Health Care Services, focusing first on the overall Medi-Cal budget and a March General Fund loan to cover a current-year shortfall. DHCS said the 2025-26 budget proposal totals $193.4 billion, with Medi-Cal projected at $188.1 billion total funds and $42.1 billion General Fund, driven by higher enrollment, pharmacy costs, managed care growth, and costs tied to eligibility expansions and the COVID-era redetermination unwinding. The department said the $3.44 billion loan was needed to manage cash flow and ensure timely payments to providers and plans, while the LAO noted Medi-Cal’s cash-basis budgeting creates volatility and that more detailed estimates would come with the May Revision. Members discussed federal Medicaid threats, the need for transparency on cost drivers, and the impact of pharmacy spending, long-term care, and immigration-related coverage expansions. The second major topic was family health programs, including California Children’s Services, the continuous coverage unwinding, and opioid settlement fund spending. DHCS described CCS funding methodology changes, ongoing county stakeholder work, and a delayed rollout of CCS monitoring and oversight until July 1, 2025, while county representatives and advocates argued the program is underfunded and asked for more technical assistance and a delay in implementation. On the unwinding, the department explained that federal redetermination flexibilities helped maintain coverage after the pandemic, but the Governor’s budget proposes ending them at the end of June 2025; advocates urged making the flexibilities permanent to avoid coverage losses. For opioid settlement funds, DHCS and Finance said the budget increases funding for naloxone distribution while reducing other harm-reduction spending based on updated settlement revenues, prompting criticism from members and public commenters who argued the change would weaken effective harm-reduction programs. The hearing also included an update on Proposition 35 implementation. DHCS said the voter-approved measure continuously appropriates MCO tax revenues beginning in 2025, with up to $4.6 billion annually available for specified Medi-Cal and provider investments in 2025 and 2026, but implementation depends on consultation with the required stakeholder advisory committee. The department and LAO noted uncertainty about future federal rules affecting the MCO tax after 2026. Public testimony largely supported maintaining Medi-Cal expansions, protecting immigrant coverage, preserving harm-reduction funding, and increasing support for community health workers, pediatric dental care, and CCS county administration. No votes were taken during the portion of the hearing provided.

Transcript Highlights:

• schedule.
• With respect to certain schedules, yes.
• LTC related party schedules are within the scope.
• With respect to, so certain schedules are within the scope of it.
• On the related party transaction schedule, plus they're reported in Schedule Y of the annual statement

Summary: The Health Care Budget Subcommittee took up two bills and then continued oversight discussions with APD and AHCA. CS/HB 27, the Social Work Licensure Interstate Compact, was presented as a way to let Florida social workers practice in other compact states and vice versa; AARP, the Florida Chamber, and NASW Florida supported it, and the bill passed favorably. HB 1127, a child welfare bill, would create a treatment foster care pilot for children with high behavioral needs, improve DCF data collection on commercially sexually exploited children, and expand recruitment for protective investigators and case managers; the bill also passed favorably after brief supportive testimony. The committee then questioned APD at length about the iBudget waiver waitlist, enrollment pace, spending projections, and provider capacity. APD said it had sent more than 1,100 interest letters in categories 3, 4, and 5, enrolled 1,124 people so far this year, and expects to spend about 96.4% of its waiver appropriation, leaving roughly $82 million unspent. Members pressed APD on why prior discussions suggested more reserve was needed, how long the SANS process takes, whether category 6 could be expanded, and whether the agency has enough waiver support coordinators and direct support providers. APD said it has about 1,061 waiver support coordinators statewide, adequate capacity for current enrollees, but would need further analysis if the legislature directed a much larger enrollment increase. Members also asked about outreach, annual maintenance of the waitlist, portability for military families, and whether communication efforts should be privatized. Finally, AHCA walked the committee through the 2023 Achieved Savings Rebate (ASR) report for Aetna and explained how the report is used for financial monitoring, rebate calculations, and transparency. AHCA said the ASR is separate from the medical loss ratio (MLR) calculation, though both are reviewed, and that Florida uses the ASR mechanism rather than an MLR remittance requirement to recover funds from plans. Members asked about related-party disclosures, CVS/Caremark relationships, expanded benefits, encounter data, network adequacy penalties, denials and appeals reporting, interest earned on capitation payments, and whether rate increases were reaching providers. AHCA and the outside auditors said they review the plans’ reported data, reconcile it to underlying records, and can assess liquidated damages for network adequacy violations; several members requested follow-up data on rebates, interest, provider capacity, and related-party reporting.

Transcript Highlights:

• And then they built the rate schedule, the Medicare rate schedule, I mean the rate schedule that's intended
• <04:22:51.080><c> um</c><04:22:52.399><c> and</c> schedule um and schedule um and um um um the<04:22:
• </c><04:25:33.840><c> I</c> schedule the Medicare rate schedule I schedule the Medicare rate schedule
• </c><04:25:36.560><c> that's</c> mean the the rate schedule that's mean the the rate schedule that's
• The question about the actual rate schedule, if we pass this bill, what is the rate schedule?

Keywords: 928, house, all

Summary: The House Commerce Committee opened a public hearing on House Bill 310, sponsored by Representative Keith Ammon, which would create a study commission to develop a legal framework for stable tokens and tokenized real-world assets. Ammon described stable tokens as blockchain-based digital tokens backed by U.S. dollars or treasuries, and tokenized real-world assets as representations of ownership in items such as gold, real estate, or artwork. He said the bill is intended to help New Hampshire get ahead of emerging financial markets while waiting to see how federal legislation develops. Committee members asked about the purpose of the bill, the difference between this proposal and Bitcoin, whether state regulation could be preempted by federal law, and whether the commission could be balanced and avoid becoming a vehicle for fraud or money laundering. Ammon said the proposal is blockchain-agnostic, could apply to multiple networks, and is meant to regulate asset-backed tokens rather than create a state-issued coin. He emphasized that the state would not be guaranteeing the underlying assets, but would set rules requiring audits, proof of reserves, and honest representation of backing, with the Secretary of State’s securities office involved in oversight. Several members raised concerns about the risks of stablecoins, including money laundering, tax evasion, and possible harm to the dollar or confusion about whether the state was endorsing a new currency. Ammon responded that the bill would not undermine the dollar and argued that tokenization could actually expand demand for U.S. currency by making it easier to use globally. He also said the state would not be in the business of weighing assets or directly valuing them, only ensuring a valid audit trail and one-to-one backing. The discussion ended with general agreement that the subject is complex and that a commission could help develop future legislation, but no vote or final action was taken in the hearing.

Transcript Highlights:

• Our goal with this schedule and our future schedules is to reduce the timeframe such that we're conducting
• over the two-year schedule.
• We will begin scheduling what we call entrance conferences.
• occurred, and did not show up to one scheduled meeting.
• The schedule has been ambitious.

Keywords: 1182, all

Transcript Highlights:

• </c> Because it is not currently scheduled Because it is not currently scheduled under<00:50:55.119><
• as a Schedule I narcotic.
• as a Schedule I narcotic.
• Scheduled as a Schedule I narcotic.
• of them through scheduling.

Keywords: 1191, senate, all

Transcript Highlights:

• So how do you say, okay, Schedule 3, you think they care about Schedule 3?
• And xylazine is extremely useful because it is not scheduled in that situation.
• And zylazine is extremely useful because it is not scheduled in that situation.
• We were starting off with a scheduled substance to begin with, you know, correct. Nice.
• We're starting off with a scheduled substance to begin with, you know, six.

Keywords: 995, all

Summary: The working group on best practices for oversight and enforcement met for its first session and focused on xylazine, including its legal veterinary uses, its appearance in the illicit drug supply, and whether it should be classified as a controlled substance. Members discussed the distinction between pharmaceutical-grade and non-pharmaceutical-grade xylazine, the role of international/illicit sourcing, and the limits of state-level regulation if the substance is already being added to fentanyl or other drugs outside the Commonwealth. The Department of Public Health representative summarized the agency’s view that scheduling xylazine could follow the “ironclad law of prohibition” and push the market toward other, potentially worse substances, and said DPH opposed straight scheduling in favor of education, support, and harm-reduction approaches. Veterinary members explained how xylazine is used in large-animal and research settings, why it is useful, and why federal-style scheduling could create practical burdens for veterinarians who work in the field. They also described reversal agents such as yohimbine and atipamezole (Antisedan), and noted that xylazine is not commonly used in small-animal practice. Several members raised questions about how much xylazine is actually used legally in Massachusetts, whether boards of pharmacy or distributors could provide useful data, and what other states have done. Arizona and Florida were mentioned as possible examples for further research, along with the need to examine stakeholder opposition and any effects on legitimate veterinary practice. The group agreed to divide into two subgroups: one focused on oversight and regulation of production/distribution, and another on whether xylazine should be classified as a controlled substance and what penalties, if any, should apply. Staff said they would circulate notes, a draft PowerPoint template, and a shared folder, with members asked to submit materials by December 2, draft materials due December 4, and final approval by December 9 ahead of the next public meeting on December 11. The meeting ended with a motion to adjourn, a second, and unanimous closure.

Transcript Highlights:

• It updates a 30-year-old schedule.
• A workers' comp fee schedule independent of this would provide a more stable and fair reimbursement schedule
• There is a workers' comp fee schedule for this purpose.
• Under Louisiana's fee schedule, it's $1,622.
• And those are all updated current fee schedules.

Keywords: 965, house, all

Summary: The committee first took up House Bill 680 by Representative Weibel, which would modernize Louisiana’s workforce development system by consolidating strategy and administrative functions at the state level while preserving local input. After adopting two sets of technical amendments and a larger amendment package that added a transition advisory team, consultation requirements with local workforce partners, and other planning and governance changes, the committee heard extensive testimony from the author, the Secretary of Louisiana Works, parish and local workforce representatives, and a witness from Utah describing that state’s consolidation experience. Supporters said the bill would reduce overhead, direct more money to training and services, improve coordination, and better align workforce programs with regional labor needs, while several members pressed for assurances that local boards, parishes, cities, and small businesses would remain involved. The committee ultimately adopted the amendments and reported HB 680 favorably with amendments. The committee then heard House Bill 780 by Representative Furman, a workers’ compensation bill aimed at reducing litigation and speeding dispute resolution. After adopting technical amendments and a separate amendment set allowing authorized agents or attorneys to prepare certain notices, members also adopted a committee amendment deleting a statutory definition of “arbitrary and capricious” after concerns were raised that the language could create confusion or conflict with existing jurisprudence. The author and supporting attorneys argued the bill would restore an expedited preliminary determination process, create a single standard for attorney fees, and reduce costs for employers by limiting unnecessary litigation and delays. They said the changes would not affect an injured worker’s choice of physician or existing penalty provisions, and that the bill mainly addressed notice and dispute procedures. Opponents, including attorneys representing injured workers, argued the bill would make it harder for workers to recover penalties and attorney’s fees when benefits are delayed or denied, and said the new standard could favor insurers that are understaffed or slow to process claims. They also criticized the shift from reasonableness to a more restrictive standard and raised concerns about delayed payments and the lack of transparency around defense costs. After hearing testimony from both sides, the committee continued discussion of the bill with these issues still under consideration.

Transcript Highlights:

• Okay, page four said proposed law revises the definition of “schedule” to instead provide that schedule
• to instead provide that schedule means the medical treatment schedule to be developed, which indicates
• So the way the bill is right now, it says the doctor can use the existing schedule, which is a schedule
• But it's a very outdated schedule.
• Or this other schedule, which is a national schedule that is constantly updated by panels of doctors,

Bills: HR275, HR276, HR277, HR278, HR279, HR280, HR281, HR282, HR283, HR284, HCR112, HCR113, HR265, HR266, HR267, HR268, HR269, HR270, HR271, HR272, HR273, HCR107, HCR108, HCR109, HCR110, HCR111, SCR63, SCR66, SCR67, SB414, SB484, SB513, HR168, HR174, HR194, HR216, HR264, HCR54, HCR74, HCR79, HCR85, HCR87, HCR94, HCR95, HCR97, HCR98, HCR104, SCR23, SCR29, SCR33, SCR38, HB75, HB705, SB54, SB56, SB72, SB79, SB97, SB105, SB123, SB125, SB129, SB163, SB171, SB252, SB287, SB375, SB386, SB461, SB466, HR84, HR188, HR205, HR3, HR197, HR243, SCR19, SCR3, SCR6, SCR18, SCR11, SCR22, SCR2, SCR20, SCR24, SCR35, HCR6, HB301, HB359, HB657, HB675, HB680, HB727, HB39, HB58, HB112, HB134, HB155, HB187, HB287, HB462, HB782, HB825, HB846, HB903, HB904, HB929, HB941, HB962, HB1200, HB4, HB623, HB944, HB986, HB1098, HB1222, SB45, SB58, SB71, SB81, SB92, SB100, SB109, SB141, SB156, SB181, SB203, SB204, SB205, SB207, SB213, SB214, SB216, SB229, SB257, SB274, SB290, SB304, SB374, SB379, SB396, SB410, SB425, SB427, SB429, SB479, SB522, SB34, SB164, SB172, SB198, SB208, SB232, SB281, SB286, SB317, SB322, SB334, SB380, SB385, SB409, SB417, SB421, SB430, SB439, SB447, SB458, SB510, HB842, HB633, HB1191, HB625, HB1255, HB251, HB582, HB646, HB819, HB998, HB1257, SB197, SB436, SB78, HB901, HR20, HR74, HCR65, HCR71, HB284, HB302, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, SB82, SB89, HB258, SB149, SB382, SB441

Keywords: highway maintenance, signage, transportation safety, DOTD, infrastructure, public safety, federal grants, job creation, carbon storage, carbon dioxide storage, carbon capture and storage, CCS, mineral rights, mineral owners, oil and gas, disposal wells, injection wells, advanced drilling, carbon sequestration, Louisiana energy policy

Transcript Highlights:

• THE NEXT MAJOR PROJECT MILESTONE LIFE CYCLE OF ACCESS FX WAS SCHEDULED JANUARY 19 OF 2026, JUST NEXT
• WHEN THE PROVIDER SERVICES MODULE WAS SCHEDULED TO GO LIVE.
• THE YOU OC MODULE WAS ORIGINALLY SCHEDULED FOR FALL IMPLEMENTATION IN FEBRUARY 2025.
• YOU ARE RECOGNIZED. >> THERE'S A PROJECT SCHEDULE TRACKING ALL THE MILESTONES.
• IS THERE A MASTER SCHEDULE PROJECT, MASTER PROJECT SCHEDULE AVAILABLE WE CAN HAVE A COPY OF?

Transcript Highlights:

• So, moving to unfunded actuarial accrued liabilities and the amortization schedule, or the payment schedule
• We have 23 years currently remaining on that schedule.
• You simply have the amortization schedule.
• The next trial was scheduled for October 6, 2025.
• We had a trial date scheduled in January of 2026.

Summary: The Joint Committee on Public Employee Retirement held an informational hearing on the Missouri State Employees’ Retirement System (MOSERS) to review its long-term financial condition, funding status, investment performance, experience study results, and possible legislation. MOSERS staff explained that the plan is a statutorily created defined benefit system covering state employees, several colleges and quasi-governmental entities, with an 11-member board and outside actuarial and investment consultants. They reported the June 30, 2025 valuation showed a funded ratio of 55.4%, assets of about $9.6 billion, liabilities of about $17.4 billion, and a FY27 actuarial employer rate of 27.44%, which the board raised to a 32% minimum contribution rate under a policy adopted in 2023. MOSERS attributed the funding decline over time to several factors: reductions in the assumed investment return from 8.5% to 6.95%, mortality assumption updates, a move from open to closed amortization, and especially weak payroll growth and a shrinking active workforce. Staff said the minimum contribution policy is intended to accelerate UAL paydown and could bring the plan to 80% funded by 2037 rather than 2041, assuming all assumptions are met. The committee also discussed the recent experience study, which kept the investment return assumption at 6.95% and made only modest assumption changes, and a proposed 2026 bill package (SB 1557 and SB 1054) that would automatically refund small balances under $1,000 to terminated non-vested members and add auto-escalation to the deferred compensation plan. A substantial portion of the hearing focused on investment strategy and why MOSERS has lagged some peers. The investment consultant said historical underperformance was driven mainly by asset allocation choices that emphasized a more risk-balanced, diversified portfolio with less public equity exposure than peers during a period when equities performed very strongly. He said the board adopted a more equity-oriented allocation in 2024 and is phasing it in over eight quarters, with recent short-term results improving and the portfolio outperforming its policy benchmark. Members also asked about the effect of inactive members, the rationale for the higher employer contribution, and whether the current board should be held responsible for past decisions; MOSERS officials emphasized that the current board is trying to correct course and that pension funding changes take time. The hearing also touched on ongoing litigation against a former private equity manager, Catalyst Capital, with MOSERS saying it has spent about $20 million in legal fees so far and that the case remains on appeal. The committee took no formal vote and adjourned after the informational presentation and questions.

Transcript Highlights:

• Some say scheduling will push kratom into the black market.
• , and that is the criteria used to schedule for Schedule I designation.
• I think a bigger mistake would be putting this on Schedule I.
• We need to put the product on, as has been talked about, Schedule I.
• So the real question before us is: why does mitragynine need to be scheduled as a Schedule I drug?

Summary: The House Health and Welfare Committee continued testimony on House Bill 864, which would schedule kratom as a Schedule I substance. Testimony was sharply divided. Family members of people who died after using kratom urged a full ban, arguing that kratom leaf and extracts can be lethal, that labeling is misleading, and that regulation would leave loopholes. Retail and industry witnesses, along with the American Kratom Association, argued that the problem is synthetic 7-OH and other adulterated products rather than natural kratom leaf, and said the bill would criminalize users and push products into the black market. A physician who worked in corrections testified that kratom is an addictive opioid-like substance and supported the bill, while other witnesses said kratom helped them manage pain or avoid stronger opioids. After debate, the committee adopted a motion to hold HB 864 to a time certain of March 25 by a roll call vote of 11-5. The committee then took up House Bill 903, a SNAP-related bill clarifying which foods can be purchased with benefits. The sponsor said the bill was intended to clean up the earlier SNAP restrictions and keep more nutritious items eligible, but he also announced planned amendments to remove cookies, cakes, brownies, sprinkles, chips, and snack bars from the allowable list. Retailers and related industry groups supported the bill as a clarification measure, but several members objected to advancing it before the proposed amendments were formally available and before stakeholders could weigh in. A substitute motion to hold the bill failed, and the committee then voted to send HB 903 to the floor with a due pass recommendation. Finally, the committee began hearing House Bill 757, which would define medical neglect in state law and create protections for parents and guardians from bad-faith or false reports. The sponsor said the bill narrows medical neglect to life-threatening conditions, adds a reasonable-person standard, and provides safe harbors for parents seeking care or dealing with complex medical situations, including alternative treatments. Members began asking questions about what qualifies as life-threatening as the hearing moved into testimony.

Transcript Highlights:

• So moving to unfunded actuarial accrued liabilities and the amortization schedule, or the payment schedule
• So moving to unfunded actuarial crude liabilities and the amortization schedule or the payment schedule
• The next trial date was scheduled for March 20. The next trial date was scheduled for March 25.
• The next trial was scheduled for October 6, 2025.
• We had a trial date scheduled in January of 2026.

Keywords: 959, house, all

Transcript Highlights:

• FDA and scheduled or rescheduled by the USDA is assigned to the identical schedule under the Controlled
• FDA and scheduled or rescheduled by the USDA to any schedule other than Schedule I under the Controlled
• FDA that was scheduled or rescheduled.
• FDA and scheduled or rescheduled by the USDA to the identical schedule under the Controlled Substances
• FDA, and scheduled or rescheduled by the USDA to any schedule other than Schedule 1 under the Controlled

Keywords: 1182, all

Summary: The committee heard a long series of Senate bills, mostly on third-read consent, covering education, public safety, health, courts, labor, and water. Several bills were briefly explained and then pulled from consent for further discussion, including measures on public records review standards (SB 1078), sexually explicit materials in schools/libraries (SB 1435 and SB 1567), burial costs in death cases (SB 1135), military flags in HOAs/COAs (SB 1184), court-ordered treatment guardianship (SB 1243), standardized state hiring (SB 1665), released-time religious instruction (SB 1741), firearm safety instruction in schools (SB 1424), student participation in extracurriculars after certain convictions (SB 1475), Celebrate Freedom Week (SB 1572), federal scholarship-granting organizations/vouchers (SB 1142), immigration-related arrest notifications (SB 1055), defamation standards (SB 1099), peace officer certification for military police veterans (SB 1107), mandatory reporting of child abuse/neglect directly to DCS (SB 1127), attorney licensing and discipline issues (SB 1148 and SB 1039), concealed weapons on college campuses (SB 1068), and firearm muffling devices/silencers (SB 1069). Members also raised constitutional, policy, and school-safety concerns on several of these bills, while supporters emphasized alternative pathways for students, veterans, and workers, and tighter reporting or licensing rules. Other bills were described without extended debate, including claims against the state for unpaid contracted services (SB 1097), workers’ compensation death benefits for surviving spouses who remarry (SB 1136), burial expense increases (SB 1135), state agency web pages for internal guidance (SB 1586), court-ordered treatment procedures and service of process in mental health cases (SB 1113), medical examiner authorization (SB 1123), tribal MOUs with DCS (SB 1125), controlled-substance scheduling conformity with federal classifications (SB 1188), EMT personal information protections (SB 1193), mammography notice updates (SB 1318), assisted-living referral disclosures (SB 1477), accommodation school GED instruction for 11th graders and students over 16 (SB 1166), credit enhancement board continuation (SB 1422), school district and charter school obligations related to religious release time (SB 1741), school firearm safety instruction (SB 1424), and school civics/freedom-week instruction (SB 1572). The committee also heard bills on CPA certification pathways (SB 1181), insurance adjuster licensing (SB 1415), county voter-registration rules online (SB 1040), campaign address privacy (SB 1259), federal land acquisition notification (SB 1281), water supply/demand assessments (SB 1202), environmental compatibility for power plants and small modular reactors (SB 1418), and groundwater recovery rules (SB 1785). The meeting ended with announcements and a brief recognition of Rep. Stephanie Hamilton with an “Affordability Award.” No final votes are shown in the transcript excerpt; instead, many bills were either left on consent, pulled for later discussion, or flagged for closed caucus. The chair then asked guests to leave so members could hold a closed caucus.

Transcript Highlights:

• So that is, as I mentioned, the scheduled payments.
• We receive scheduled payments from year to year.
• And Youth Behavioral Health Initiative Fee Schedule.
• not run into the obstacles that we've run into with this fee schedule.
• Multi-fee payers fee schedule. Thank you.

Keywords: 988, house, all

Transcript Highlights:

• It first makes permanent the class scheduling of fentanyl-related subsists.
• We need fentanyl-related substances permanently scheduled. Thank you, Senator.
• So let's go ahead and get it scheduled the right way.
• I agree with the need for fentanyl class-wide scheduling.
• And nothing changes that schedule.

Bills: SB331

Keywords: fentanyl, controlled substances, drug trafficking, public health, research regulations, law enforcement, S-331, Halt All Lethal Trafficking and Fentanyl Act, fentanyl crisis, public testimony, drug legislation, bipartisan support

Summary: In this committee meeting, the focus was primarily on S-331, the Halt All Lethal Trafficking and Fentanyl Act, aimed at addressing the fentanyl crisis. The bill's key components include making permanent the class scheduling of fentanyl-related substances, confirming existing sentencing penalties, and easing registration requirements for scientific research on Schedule I substances. Numerous parents shared heartbreaking testimonies about their losses due to fentanyl, which fueled an urgent call to pass the legislation without alterations. The committee members engaged in passionate discussions highlighting the urgency of the situation as overdoses continue to claim American lives.