Transcript Highlights:

• Today, nearly all of Minnesota's designated trauma hospitals rely on the Cal's program to train medical
• that do creates penalties for facilities that do not comply.
• of... ...living the indignity and the trauma of inhumane processing centers, inhumane detention facilities
• I saw this terror and trauma firsthand...
• I saw this terror and trauma firsthand when I visited Stephen, my 14-year-old constituent with autism

Transcript Highlights:

• I've seen the stresses that war, crime, trauma, and death can do to the human soul.
• I've seen the stresses that war, crime, trauma, and death can do to the human soul.
• This also allows dentists to practice in our correctional facilities.
• prescribe and then work with the facility to be able to provide that to them.
• that we don't just keep doubling up and doubling up on skilled nursing facilities.

Summary: The House first established a quorum after a quorum call and welcomed special guests, including the Freedom of the Road motorcycle riders and students from Warsaw High School. It then took up House Committee Substitute for House Bill 1855, a reporting bill on Alpha-Gal syndrome. The bill sponsor described the condition as a serious tick-borne allergy that has affected his family and many Missourians, arguing that Missouri needs mandatory reporting and surveillance data to identify hotspots, guide public health outreach, and support research and funding. Supporters from both parties said the bill would improve awareness and data collection, while one member raised concerns about the fiscal note and whether the state would get useful information for the cost. The chamber adopted Amendment 1 to HB 1855, changing the follow-up language from “may” to “shall,” but rejected Amendment 2, which would have required patient consent before lab results were reported into the surveillance system. Opponents of the consent amendment said it would undermine disease surveillance and set a bad precedent for other reportable conditions; supporters argued for privacy and individual choice. After debate, the House adopted the committee substitute as amended and ordered it perfected and printed. The House then considered House Committee Substitute for House Bills 2230 and 2978, a K-5 education measure addressing screen time, cursive, and handwriting. The sponsor said the bill responds to research and parent/teacher concerns about excessive screen use, poor literacy outcomes, and mental health effects, and would create a state focus group to review evidence and make recommendations while leaving districts flexibility. Members discussed carve-outs for special education, English language learners, and virtual school, and adopted an amendment excluding the virtual school program. The House then adopted the substitute as amended and ordered it perfected and printed. Finally, the House took up House Bill 2355, the “Food is Medicine” initiative, which would allow Missouri to use federal funds through 1115 waivers for pilot programs such as medically tailored meals, produce prescriptions, nutrition education, and related supports. Supporters said the program could improve health outcomes, reduce Medicaid spending, and help address food deserts. An amendment adding vitamin therapies and updating a date drew discussion over supplement safety and regulation, but the transcript cuts off before a final vote on that amendment or the bill itself.

Transcript Highlights:

• </c> trauma of detention and deportation. trauma of detention and deportation. Mahalo. Mahalo.
• our trauma-informed care equin assisted<02:17:17.439><c> programs.
• We place 10 into permanent housing and 15 into drug rehab facilities.
• We place 10 into permanent housing and 15 into drug rehab facilities.
• We emphasize permanent facilities.

Summary: This joint informational briefing on Act 310 grants and aid focused on organizations describing how federal funding cuts, Medicaid/SNAP changes, and related policy shifts are affecting their services and budgets. Committee members explained there would be no Q&A, testimony would be limited to one minute, and in-person participants would be heard before Zoom callers. Members repeatedly asked testifiers to identify the amount of federal funding lost or at risk. Testimony came from a wide range of nonprofits and community providers, including Aloha Care, Hawaii Bicycling League, Hawaii Literacy, Hawaii Youth Symphony, Healthy Mothers Healthy Babies Coalition of Hawaii, the Tsunami Museum, The Kohala Center, West Hawaii Community Health Center, West Hawaii Region Hospital Foundation, Sounding Joy Music Therapy, Big Brothers Big Sisters Hawaii, Dynamic Community Solutions, Feeding Hawaii Together, Girl Scouts of Hawaii, Hawaii Disability Rights Center, Hawaii Youth Services Network, Hawaiian Lending and Investments, Homana, Honolulu Theatre for the Youth, Kids Hurt Too Hawaii, and Kokua Kalihi Valley. Most described reduced or threatened federal support and requested state funding to maintain services such as health care access, food security, disaster preparedness, literacy and digital inclusion, youth mentoring, arts education, housing, and climate or agricultural resilience. Several speakers emphasized direct impacts on vulnerable populations, including kūpuna, low-income families, immigrants, homeless youth, and people with disabilities. Requests ranged from relatively small planning or program grants to multi-million-dollar stabilization asks, with some organizations citing specific losses such as reduced Medicaid or USDA funding, canceled EPA or FEMA support, or expiring federal grants. No votes or formal committee actions were taken during the briefing.

Transcript Highlights:

• ,</c><00:39:10.079><c> okay,</c><00:39:10.480><c> ownership</c> solid waste facilities, okay, ownership
• solid waste facilities, okay, ownership there<00:39:11.200><c> and</c><00:39:12.079><c> and</c><00:39
• </c> responsibilities of the state's trauma responsibilities of the state's trauma medical<00:54:11.280
• system to and the the state's trauma system to and the purpose<00:54:15.760><c> of</c><00:54:15.920>
• </c><00:54:46.079><c> services</c> the state's EMS and trauma services the state's EMS and trauma services

Committee: Senate Executive Departments and Administration

Transcript Highlights:

• Mental health treatment facility, okay?
• We've had more than half of them—probably two-thirds—come out to tour our facility at the Alexander facility
• And after he went to the facility, while we were all shocked and nervous, he went to the facility and
• residential facilities.
• : the Colt facility and the 11- to 17-year-old facility located in Dermott.

Summary: The committee first approved the December 10 minutes and then approved Representative Bentley’s appointment to the Child Maltreatment Oversight Committee. Members then received the Arkansas Infant and Child Death Review annual report, which covered unexpected child deaths in 2023. Reviewers said 170 non-natural deaths were identified, but 22 could not be reviewed because of criminal investigations, prosecutions, or missing records. Of the 148 reviewed deaths, 69 were accidents, 14 suicides, 18 homicides, and 47 were undetermined causes, including sudden unexpected infant death. Members asked how the report’s recommendations could be used, and presenters said the report is intended as a prevention tool for agencies, nonprofits, and others; they also noted that child abuse prevention grant applications are being shaped by the report’s recommendations and offered to share the RFP with the committee. A question about suicide and homicide data by age was answered by pointing members to the age breakdown in the report, with most of those deaths concentrated among 15- to 17-year-olds. The committee then took up HCR 1010 and a broader discussion of juvenile justice reform. Representative Shepard said the resolution was meant to confront data on juvenile incarceration and the cost of the system, while Senator Irvin, Judge Troy Braswell, Judge Kathy Hess, and AOC Juvenile Division Director Burke Steen described years of reform efforts built around validated risk assessments, diversion, and community-based services. They said Arkansas adopted tools such as SAVRY, the MAYSI, and substance-abuse screening to individualize juvenile court responses, and they emphasized that the goal is to keep children at home and in their communities when safe to do so. Members discussed the need for more mental health and substance-abuse services, better school collaboration, and the role of school safety dashboards and FINS/truancy cases in identifying problems earlier. Judges and staff said the reforms have reduced delinquency filings, DYS commitments, and revocations, while increasing diversions, though they noted data gaps in some counties and the need for better reporting. They also stressed that some serious offenses still require detention or commitment, and that judges must balance public safety with rehabilitation. Representative Barnes and others asked whether the numbers might be worse without judicial discretion and community programs, and the presenters agreed that individualized decision-making and graduated sanctions matter. Representative Inatt asked about tracking youth with disabilities, and the presenters said that specific diagnoses are not currently tracked but that national court data efforts may soon add behavioral-health data points. The committee then heard from DYS Director Michael Crump, who provided detailed data on DYS commitments, secure and community-based placements, detention-center use, demographics, offense levels, average length of stay, education outcomes, recidivism, dual DCFS/DYS custody, costs, and interagency coordination. He said commitments fell sharply during COVID, have since risen and then begun to decline, and that the system is working to reduce detention use, improve education and treatment, and expand community-based providers statewide.

Transcript Highlights:

• The law enforcement officers and others that have been trained in trauma response are some of the best
• The summit would offer a platform to address root causes including trauma, isolation, and unmet needs
• If we want safer communities, we must address the instability, trauma, and system gaps that place young
• I went to CCJ in Las Cruces and we made a visit to John Paul Taylor Youth Facility, and that facility
• had two young African American men that I spoke to, and that facility is holding young people from all

Committee: Senate Senate Health & Public Affairs

Transcript Highlights:

• .along the continuum to those young people involved in both child welfare and J.R. because of the trauma
• A young person, for instance, exiting a private behavioral health facility but funded by Medicaid would
• facility but funded by Medicaid would probably be accepted for services if they were otherwise eligible
• That, of course, requires adequately staffing JR facilities and ensuring that withholding education is
• When I was living with my friend from my church, I felt the need to hide my trauma and the life-posing

Bills: SB5911 , SB5940 , SB5942 , SB5957

Committee: Senate Human Services

Keywords: children, youth, financial stability, care services, department of children and families, housing assistance, foster care, pilot program, social services, accountability, family services, state department, child welfare, homeless youth, youth homelessness, runaway youth, young adult homelessness, housing instability, family reunification, family stability

Transcript Highlights:

• and the trauma of the system's reaction.
• and the trauma of the system's reaction.
• , whether it's an assisted living home or behavior health facility or a substance abuse facility. ...
• , whether it's an assisted living home or behavioral health facility or a substance abuse facility.
• I've tracked timelines for three of our recent facilities.

Committee: House House Health & Human Services Committee of Reference

Summary: The committee heard several bills related to radiation protection in cardiac catheterization labs and later a stem cell/regenerative therapy bill. On SB 1121, which would allow hospitals with radiation protection systems to let clinicians forgo lead aprons if they work in the designated safety area and use real-time dosimetry, testimony was largely supportive or neutral after a late amendment gave radiation safety officers discretion to require protective gear if exposures approach thresholds. The committee adopted the amendment and passed SB 1121 on a 9-1 vote. SB 1120, a more prescriptive bill requiring at least 50% of cath lab rooms in hospitals to be equipped with the radiation protection system, drew divided testimony: sponsors and several physicians argued it would reduce orthopedic injury and radiation exposure and improve recruitment and retention, while hospital and radiology groups objected to the mandate, cost, limited vendor pool, and lack of clarity in the bill’s definitions. After adopting an amendment excluding children’s hospitals, the committee deadlocked 6-6 and SB 1120 failed to pass. The committee then considered SB 1118, which would appropriate $3 million to help rural hospitals install radiation protection systems in cath lab rooms. The sponsor said the funding would help rural facilities meet the same safety goals, and the committee passed the bill 6-5. The committee also heard SB 1214, a “guardrails” bill regulating non-FDA-approved stem cell and regenerative therapies, requiring informed consent, sourcing and reporting standards, advertising limits, and civil penalties for violations. Supporters said it would protect patients while allowing access to promising therapies; some members raised concerns about evidence and commercialization, but after adopting a technical amendment, the bill passed 9-3. The transcript ended as the committee moved on to SB 1630, which would seek federal approval for a home- and community-based service benefit for adults with serious mental illness; the sponsor described it as a capped, Medicaid-based community care option, and Access testified neutral while estimating a fiscal impact, but no final action on SB 1630 appears in the excerpt.

Transcript Highlights:

• And what it does, it allows businesses that want to improve their facilities with energy efficiency,
• That means lower operating costs, higher property values, and more resilient facilities without state
• . ...at a facility that also provided training to residents, but they would not have to enter a formal
• So what this would do is allow you to obtain a position at a facility that... ...does provide training
• with that when, I mean, all survivors have trauma, but based on how many there are, you have to pay,

Bills: HB99 , HB38 , HB165 , HB127 , HB72 , HB151 , SB40 , SB104 , SB136 , SB164

Committee: House House Judiciary

Summary: The committee heard House Bill 38, which would require insurance coverage for specialized wheelchairs, activity chairs, and related mobility devices for people with limb loss or other disabilities, with guardrails limiting the number of covered devices over time. The sponsor and supporters, including the Office of Superintendent of Insurance, Disability Rights New Mexico, the Disability Coalition, physical therapists, and disability advocates, said the bill would improve access, inclusion, and physical activity without significant premium impact. Questions focused on the substitute language, the device limits, and how Medicaid would handle coverage separately. The committee ultimately passed the House Health and Human Services Committee substitute for HB 38 on a 10-0 vote. The committee then approved House Bill 165, which expands the C-PACE financing program to businesses using industrial revenue bonds and clarifies that counties and municipalities are not liable for payments. Support came from economic development and business groups, who said the bill would remove a barrier to energy- and water-efficiency upgrades and encourage investment. The bill passed on a 10-0 vote. House Bill 127 also passed unanimously after discussion of its three parts: a provisional licensure pathway for internationally trained physicians, a telehealth registry for out-of-state providers, and changes to expedited licensure. Supporters said it would help address provider shortages, especially in rural and underserved areas, while the sponsor explained that the amended version includes safeguards such as exam requirements, supervised practice, and a provisional-to-restricted-to-full licensure path. The committee voted 11-0 to advance the bill. House Bill 72, which would increase penalties for distributing certain controlled substances, including methamphetamine, to minors, drew strong support from law enforcement and the chamber of commerce but significant concern from the Public Defender and several members over strict liability, mandatory sentencing, and the breadth of the penalty. After debate over whether the bill could reach low-level or peer-to-peer conduct and whether the penalty was proportionate, the committee voted to table the bill by a 6-4 vote. The committee then took up House Bill 151, a revised childhood sexual abuse statute of limitations bill. The sponsor presented a committee substitute that changed commission appointments, added reporting and solvency-related provisions, and adjusted procedures for compensation and appeals. Members raised concerns about parity, definitions, administrative costs, and how awards would be determined, but the committee approved the committee substitute on a 7-0 vote.

Transcript Highlights:

• Currently, the land grant is unable to acquire insurance for facilities.
• The irrigation project in the current trauma, it's 15, the original know 1,409 acres.
• Next up, we have a presentation on rural health care facilities. It's something that Mr.
• The built facility was in need of repair.
• But this also goes back to trauma, whether it's generational trauma.

Committee: House House Rural Development, Land Grants And Cultural Affairs

Transcript Highlights:

• I committed a visit to that facility last year. Good.
• I committed a visit to that facility last year. Good.
• I committed a visit to that facility last year. Good.
• I committed a visit to that facility last year. Good.
• I committed a visit to that facility last year. Good.

Summary: The committee first approved contracts 98, 99, and 100 on a roll call vote, with Chairman Douglas voting no but the items still passing. It then took up a Kentucky Department of Tourism contract involving the United Kingdom, France, and Germany/Austria/Switzerland markets. Tourism officials said the state has had similar contracts since 2013, that international visitors spend about six times more per day than domestic travelers, and that the effort supports marketing, public relations, and familiarization trips. The committee approved that contract as well, with Chairman Douglas voting yes after expressing support for tourism promotion. Next, the committee reviewed two Finance Cabinet facilities and support services items involving engineering and architectural services for a specialized lab expansion project. Members discussed why the design work was expensive, and the cabinet explained that the project’s pathogen-related complexity required specialized firms. Chairman Douglas said he believed some architectural and engineering reimbursement rates were too high and should be reexamined, but the committee still approved the items by roll call. The committee then heard from the Attorney General’s office and the Kentucky Opioid Abatement Advisory Commission on an MOA related to substance use disorder funding. Senator Meredith asked how the commission’s work coordinated with behavioral health programs, and staff explained that the commission allocates funds based on applications and includes relevant state officials. The contract was approved. After that, the committee considered behavioral health items: one new 988 chat-and-text contract to expand Kentucky-based crisis response coverage, and a Voices of Hope amendment that doubled funding to continue services into the next fiscal year. Officials said the 988 contract would move more chats and texts in-state, and that the Voices of Hope increase reflected continuation of SAMHSA-funded services; both were approved. Finally, the committee reviewed DCBS contracts, including a food insecurity survey contract with a Kentucky nonprofit and a Building Bridges Initiative training contract. Members questioned whether the food survey group’s advocacy role created a conflict, but DCBS said the organization was chosen for its statewide network and that the cabinet would receive the raw data. For Building Bridges, DCBS said the program began in the fall and provides training and peer mentorship for residential child care providers, with results still too early to assess. Both items were approved. The last set of contracts, under the State Treasurer for the Kentucky Council on Developmental Disabilities, prompted questions about why the funding flowed through the treasurer’s office and about a sexuality-related capacity-building initiative. Staff explained the treasurer serves as the designated state agency for federal DD Act funds, and that the sexuality initiative is part of a broader five-year plan focused on self-advocacy, system change, and capacity building; the committee then moved to approve those contracts as well.

Transcript Highlights:

• And I just think it's historical, that generational trauma.
• And I just think it's historical, that generational trauma.
• We had to talk about historical trauma. We had to talk about all of that now.
• Closure to that trauma.
• And my agents are not trained in addressing generational trauma.

Transcript Highlights:

• A lot of us come into care with trauma, and being offered services—not just told they exist, but actually
• Children experience less trauma.
• Trauma is not only what happens to a child; it is also the separation from everything that they have
• There are a lot of children out there that have a lot of trauma and that have a lot of needs.
• For the children and families involved, and prevents this resulting and often lifelong trauma.

Committees: House Government , House House Government Committee of Reference

Transcript Highlights:

• To give you an example, In 2025, the facility hired 82 employees, 84 left, so we had over 100% turnover
• First, it directs DHS to establish master teacher ratios for 2 through 5 star facilities that are as

Bills: HB1979 , HB1225 , HB3931 , HB4454 , HB3849 , HB1746 , HB3720 , HB4275 , HB4300 , HB3586 , HB2268 , HB3755 , HB4117 , HB4294 , HB3650 , HB4298

Committee: Senate Health and Human Services

Keywords: early childhood education, task force, governance structure, healthcare access, stakeholder engagement, quality services, vital records, birth certificate, birth registration, biological sex, sex designation, male, female, nonbinary, gender identity, X marker, transgender, vital statistics, State Department of Health, State Commissioner of Health

Transcript Highlights:

• parameters for the Oklahoma healthcare Authority when they're performing audits of long-term care facilities
• My question is what facilities in Oklahoma medical hospitals are wanting to provide this type of care
• I don't know that, but this is for any facility.
• No facility will be required to And it's just that it's a treatment that is being shown to work but hasn't
• Senate Bill 1794 directs the Department of Mental Health to publish bed vacancies at mental health facilities

Bills: SB206 , SB904 , SB933 , SB1436 , SB1500 , SB1553 , SB1557 , SB1567 , SB1644 , SB1645 , SB1651 , SB1794 , SB1833 , SB1849 , SB1984

Committee: House Public Health

Keywords: SB206, emergency medical services, EMS, ambulance, 911 response, emergency response, essential services, federal funding, grant funding, public health, health care facility, municipality, county, ambulance service district, tribal entity, public entity, contract ambulance service, Oklahoma, 63 O.S. 2021 Section 1-2502, emergency clause

Bills: HB4248 , HB3194 , HB3849 , HB4095 , HB4302 , HB3342 , HB3344 , HB3287 , HB3645 , HB3647 , HB3930 , HB3931 , HB1818 , HB4454 , HB4336

Committee: House Health and Human Services Oversight

Keywords: HB4248, hemp beverage, hemp drinks, THC beverage, cannabis beverage, intoxicating hemp, age restriction, under 21, minor possession, youth access, public health and safety, Title 63, Oklahoma Statutes, retail sales, alcohol-style regulation, controlled substances, beverage regulation, pregnancy centers, abortion, abortion-inducing drugs

Bills: HB2007 , HB2462 , HB2621 , HB2921 , HB3187 , HB3331 , HB3332 , HJR144 , HB3514 , HB3528 , HB3539 , HB3563 , HB3720 , HB3726 , HB3751 , HB3859 , HB3947 , HB4148 , HB4164 , HB4337 , HB4346 , HB4368 , HB4706 , HB4916 , HB4950 , HB4967 , HB5177 , HB5603

Committee: House Transportation

Keywords: commercial signs, county approval, transportation code, regulations, road signage, high occupancy vehicle lane, pregnant operators, transportation, parental rights, motor vehicle regulations, live video feed, state agency, transparency, public safety, confidentiality, personal information, local government, airport data, public records, regional transportation

Transcript Highlights:

• So this creates also a trauma kit fund.
• So this creates also a trauma buildings. So this creates also a trauma kit<00:06:13.840><c> fund.
• </c> having immediate access to trauma having immediate access to trauma supplies<00:07:12.160><c> while
• </c> some medical experts, some trauma some medical experts, some trauma surgeons<00:09:29.120><c> and
• You're a trauma surgeon, and we've had a level two trauma center in Concord for a long time.

Committee: Senate Education

Transcript Highlights:

• This includes ratios such as one-to-one care for a patient who's in an operating room, a trauma unit,
• This includes ratios such as one-to-one care for a patient who's in an operating room, a trauma unit,
• My story sadly is not unique. facility. My story sadly is not unique.
• </c> have become in healthc care facilities have become in healthc care facilities across<00:25:56.400
• We don't know what trauma cases are going to be brought into the hospital.

Committee: Senate Labor

Transcript Highlights:

• feel a sense of belonging, may be hypersensitive to touch, and are at a higher risk for experiencing trauma
• harmful practices that can leave physical marks and most certainly lifelong mental and emotional trauma
• to a public school located within the county juvenile detention center or state-operated juvenile facility
• ...juvenile detention center or state-operated juvenile facility. Why the exclusion? Mr.
• And I don't know, I visited the Paul Taylor facility outside of Los Grises, and I was so impressed with

Summary: The committee first heard House Bill 120, which would revise New Mexico law on restraint and seclusion in public schools. The sponsor and supporters said the bill grew out of a year-long stakeholder working group and would clearly define terms such as chemical, mechanical, prone restraint, seclusion, timeout, de-escalation, and elopement; prohibit chemical, mechanical, and prone restraint; require continuous supervision during seclusion; update school safety plans and staff training; and improve reporting to parents and the state. Testimony from disability advocates, the Public Education Department, educators, and parents emphasized that students with disabilities are disproportionately affected, that clearer rules would help staff act safely, and that better reporting and de-escalation practices would reduce trauma. Committee members asked about the meaning of timeout, chemical restraint, data accuracy, and the juvenile detention facility exception, and the sponsor indicated an amendment on parent-notification timing would not be pursued to avoid delay. The committee then began House Bill 213, which would expand the Optometry Act to allow trained optometrists to perform certain laser procedures, including treatment for capsular clouding and glaucoma-related procedures. The sponsor said the bill adds training, certification, supervised live-procedure requirements, adverse-outcome reporting, and an Optometry Board member qualified to perform the procedures. Supporters argued the measure would improve access to care, especially in rural areas, and that the procedures are already performed safely in other states. Opponents, including ophthalmologists and the New Mexico Medical Board, argued the bill would move surgery outside the Medical Practice Act, lower the standard of care, and create regulatory and malpractice-accountability concerns because optometrists would not be subject to the same oversight and emergency-care authority as physicians. The committee did not reach a final vote on HB 213 before the transcript ended.