Transcript Highlights:

• A gentleman, if you And Adam Hilliard, their service delivery manager.
• in case of audits down the road.
• If that's the case, we try to triage that internally.
• And then also let me know if it's safe to say that that has been addressed on a case-by-case basis and
• So yes, to your first question, yes, those are handled on a case-by-case basis. No, go ahead.

Summary: The subcommittee heard a lengthy presentation on the Agency for Persons with Disabilities’ I-Connect system, based on an ILAB assessment of the platform’s performance and requirements. ILAB said the system provides useful centralized records, reporting, compliance support, and audit trails, but users described it as cumbersome, outdated, and inefficient, with excessive manual entry, weak navigation, limited notifications, no mobile app, poor printing/export options, and performance issues. ILAB also said the original 2013-era requirements were too high-level and that only a portion of the requirements could be verified, with some features de-scoped or never implemented. Their recommendations included better integration with electronic health record systems, improved performance monitoring, electronic signatures, OCR, and more modern export and verification tools. Public testimony from providers and advocates echoed those concerns. A support coordination provider said the system is nicknamed “I Disconnect,” described problems with EVV/GPS sign-ins, lengthy support plans, lack of a phone app, and possible HIPAA concerns. Another advocate said the system should have preserved family access to records and criticized the need for providers to use workarounds and additional software. APD staff said the agency has spent about $19.7 million through FY 2023-24, has regular build updates under the current contract with WellSky, and uses an internal help desk and vendor ticketing process to triage bugs versus enhancement requests. They said some issues are handled case-by-case, critical tickets have SLAs, and the agency is working on interoperability and other requested improvements. Members questioned whether the system should be fixed or replaced, whether the original contract and SaaS arrangement were sufficient, and whether the state received value for the money spent. APD said the system went live in phases and that all functionality was in place by June 2024, while ILAB and members noted significant technical debt and unresolved gaps. The committee also discussed record retention, provider access to records after a consumer changes providers, and whether federal funding or compliance could be affected. The meeting ended with broader budget remarks emphasizing completion over expansion, stronger upfront planning for technology projects, and more accountability before funding new systems or major enhancements.

Transcript Highlights:

• we also have pharmacy benefit managers. we also have pharmacy benefit managers.
• <00:07:55.199> Um that that's going to be the case. Um that that's going to be the case.
• So you may want to talk about that, but the case management, they think that they can use the AI to help
• > that the the case management, they think that the the case management, they think that they<
• manager but the um >> prescription<00:45:01.680> manager >> prescription manager

Keywords: Appropriations - Room 409, 28 January, 2026; 1:30 P.M., 925, all

Summary: The committee heard budget presentations from the Mississippi Board of Pharmacy and the Mississippi State Board of Chiropractic Examiners, followed by the physical therapy board. The Pharmacy Board said it licenses pharmacists, technicians, students, and many facilities and supply-chain entities, including wholesalers, manufacturers, 3PLs, PBMs, and nonresident compounders. Its main requests were a 3% salary increase for specialized staff, about $118,000 for contract help to evaluate pharmacists with substance abuse or mental health issues under a recently passed public health bill, and additional IT spending authority for system upgrades and cloud migration. Members discussed the board’s role in protecting the public, vetting out-of-state facilities, and the need to keep sensitive data secure; no vote was taken. The Chiropractic Examiners board described itself as a small, contract-staffed agency with about 700 active licenses and a database system that is no longer supported by Microsoft. It said it had requested about $173,000, but the legislative budget recommendation was $134,000, and it needs roughly $40,000 more to upgrade or rebuild the system, including security fixes and online renewal capability. Members focused on the cybersecurity risk of using unsupported software and the need to protect personal information; the board also noted that its licensing data does not include banking information because payments are handled through the state portal. The Physical Therapy Board said it regulates physical therapists and physical therapist assistants, with 4,242 licenses and 252 complaints in the last fiscal year, and that demand for the profession continues to grow. Its requests included $6,000 in salary progression for long-serving staff, about $360 more in PDM salary authority, and roughly $38,610 for a one-time upgrade to its LMS licensing system, plus related cloud-migration costs. Senators noted the board’s strong reputation, discussed the burden of annual or biennial renewals, and supported the technology upgrade because the current system is no longer supported and could create liability risks if not addressed.

Transcript Highlights:

• With that said, how much money are we spending on the Office of Cannabis Management?
• SITE CONSUMPTION, IF THE OFFICE OF CANNABIS MANAGEMENT ACTUALLY STARTS LICENSING?
• The Office of Cannabis Management has been running cowboy in New York State.
• This says the Office of Cannabis Management ignored your law.
• This says the Office of Cannabis Management ignored your law.

Keywords: 993, senate, all

Summary: The Senate first handled routine business, approving the prior journal and taking up several messages and motions. A Rules Committee report was accepted on Senate Print 915, a Cannabis Law bill, and the chamber then moved to debate that measure on the controversial calendar. The bill was described by supporters as clarifying how distances are measured for adult-use cannabis dispensaries near schools and houses of worship, with the sponsor saying it would create statewide consistency and provide clearer direction to the Office of Cannabis Management. Opponents argued it would weaken protections for children and churches, reward agency mistakes, and allow dispensaries to be sited closer to school property than intended. After extended debate, the Senate passed the bill 36-23. The cannabis debate centered on whether the bill merely clarifies legislative intent or substantively changes the law. Supporters said the current language left measurement methods undefined and that the bill would help legal dispensaries, reduce confusion, and push back illicit stores. Opponents said the original law already protected school grounds and houses of worship, and that the new language would allow dispensaries to abut school playgrounds, fields, or church-related property in some cases. Several senators also raised concerns about youth exposure, public consumption, local zoning, and the performance of the Office of Cannabis Management. After the vote, the Senate returned to the calendar and passed additional measures, including Calendar 121 (Public Authorities Law), Calendar 170 (Public Health Law), and Calendar 190 (Labor Law), each by comfortable margins. The chamber also adopted a resolution package honoring Burnt Hills-Ballston Lake High School’s boys cross country team and girls field hockey team for state championships, with Senator Tedisco introducing the guests. Later, the Senate passed Senate Print 6990A, the Civil Voice Law, which requires state agencies to conduct exit interviews for employees who resign or retire. Supporters said the bill would improve accountability, morale, and retention by standardizing a way to hear from departing workers. The bill received affirmative explanations of vote from Senator Jackson and others, and the Senate continued through the calendar after its passage.

Transcript Highlights:

• And if that's the case, how do they manage in those particular states? Mr.
• We don't—I think right now we're sending just a handful of cases; we're electing a handful of cases.
• How many cases, what percentage are going to DOAH right now of new cases coming in? Thank you.
• of new cases coming in?
• I don't think that's the case.

Summary: The Insurance and Banking Subcommittee received a lengthy presentation from Citizens Property Insurance Corporation CEO Tim Serio, with Insurance Commissioner Michael Yaworski also answering questions. Serio reviewed Citizens’ role as Florida’s insurer of last resort, its statutory funding structure, eligibility rules, depopulation program, reinsurance obligations, and the surcharge/emergency assessment mechanisms that can be used if Citizens runs a deficit. He emphasized that recent legislative reforms, combined with lower litigation and improved market conditions, have helped the private market recover and reduced Citizens’ policy count from a peak of about 1.41 million in 2023 to 936,182 at the end of 2024, with a projected drop to about 771,000 by the end of 2025. He also said the reforms reduced Citizens’ rate need and helped avoid an emergency assessment after the 2024 storms. Members asked about Citizens’ rate increases, why Citizens still seeks higher rates despite lower litigation, how the 20% eligibility threshold works, whether Citizens should be wind-only, and whether the state or federal government could help with deficits. Serio explained that Citizens is still charging below actuarially sound rates in most areas, that rate filings reflect reduced litigation and lower reinsurance exposure, and that assessments on all Florida property policyholders are the reason Citizens tries to build surplus and depopulate. He said the depopulation program is working better than in the past, with less than 2% of takeout policies returning to Citizens, and that the Office of Insurance Regulation has been vetting takeout companies more carefully. A substantial portion of the discussion focused on claims handling after Debby, Helene, and Milton, including flood-versus-wind disputes and Citizens’ use of the Division of Administrative Hearings for some claim disputes. Serio said Citizens had received 76,625 claims from the three storms and had paid nearly $823 million in indemnity and expenses as of January 7, 2025. He said many closed-without-payment claims were either below deductible, withdrawn, duplicate, or flood-only, and that Citizens had asked its internal audit function to independently review the claims data and denials. He also described Citizens’ storm outreach, catastrophe response centers, managed-repair program, and claim review process, and said the corporation remains focused on paying valid claims while minimizing the risk of assessments on the broader Florida market.

Transcript Highlights:

• But in many cases, these farmers are able to manage that debt and, most importantly, keep farming.
• So this team has really developed a comprehensive nutrient management program.
• We try to manage it at the most productive uses.
• And so actually, in many cases, we are...
• The Minnesota State Farm is this management program. Rather.

Bills: HF3692

Keywords: Farmer-Lender Mediation Act, mediation, agriculture finance, debt relief, civil law, 1183, house

Transcript Highlights:

• <00:16:55.440> when that up on the podium in case when that up on the podium in case when
• Um, but eventually you've got a difference between 400 cases and 40 cases.
• Um, but eventually you've got a difference between 400 cases and 40 cases.
• <00:40:22.400> So, cover some of these cases. So Right. So, cover some of these cases.
• Um our for housing related cases.

Keywords: 1191, senate, all

Transcript Highlights:

• There's been well-documented cases of sexual abuse in the fields.
• In these four cases, the FLC did not participate in the process.
• So that case that my colleague mentioned was a case that started in 2018.
• Tell me how the bill helps what your case just had.
• So in the case that was cited, should that have been two bonds?

Summary: The Assembly Labor and Employment Committee heard and advanced a series of bills, mostly on worker safety, wages, workforce training, and retirement savings. AB 2137 (Chen) would strengthen safety rules and certification for artificial stone fabrication shops to reduce silica exposure; AB 2499 (Gibson) would require Cal/OSHA to develop heat-illness protections for incarcerated workers and staff in correctional facilities; AB 2300 (Arambula) would streamline the disbursement of state and federal workforce funds; AB 2646 (Krell) would establish a minimum wage floor for certain agricultural workers; AB 2227 (Connolly) would tighten licensing and bond requirements for farm labor contractors and add default-judgment procedures for wage claims; AB 1869 (Haney) would create a reporting process for alleged REIT interference in hotel operations; AB 2650 (Pellerin) would expand CalSavers with emergency savings accounts and other updates; AB 2634 (Zbur) would prioritize labor-management partnerships in High Road Training Partnership grants; and AB 1888 would require skilled-and-trained workforce and prevailing wage standards for work under the Safe Home Grant Program. AB 1534 (Irwin) would create California’s approval process for short-term Pell-eligible workforce programs. The committee also took up several consent items, including AB 1904, AB 1980, AB 2550, AB 2078, and AB 2682. Most bills were described as aligning state programs with federal law or improving worker protections and program quality, while opponents generally raised concerns about costs, administrative burden, regulatory uncertainty, or reduced oversight. Testimony was largely split along labor and industry lines. Supporters included labor unions, legal aid groups, workforce boards, and affected workers or family members, who emphasized heat illness, wage theft, silica exposure, poor prison conditions, and the need for higher-quality training and retirement access. Opponents on several bills, especially those affecting agriculture, REITs, and workforce administration, argued the measures would increase costs, create uncertainty, or duplicate existing law. On AB 2227, committee members engaged in extended discussion about Labor Commissioner delays and whether the bill’s default-judgment and bond provisions would meaningfully help workers. On AB 1869, members and witnesses debated whether the bill created new standards or simply improved enforcement of existing REIT rules. The committee voted to pass all of the measures heard, generally with motions to do pass and re-refer to the Committee on Appropriations. Several bills were held open for absent members during the meeting, and later add-on roll calls recorded additional ayes, moving the bills out of committee. The meeting concluded after the consent calendar was approved and the committee adjourned.

Transcript Highlights:

• Every uncomplicated flu or strep case managed by a pharmacist allows for an additional appointment slot
• In this case management, we have LCSWs and NACSWCs who work with every Dwyer scholar to make sure they
• In this case management, we have LCSWs and Masters of Social Work who work with every Dwyer scholar to
• My case managers work very closely with our Dwyer scholars to help them.
• Second, Texas should continue investing in the case management and wraparound supports that help health

Keywords: 1184, house, all

Transcript Highlights:

• to turn to other counties to do complicated cases and to do cases where they were not staffed.
• cases involving deaths, and even wage theft cases.
• pornography uh drug overdose cases pornography uh drug overdose cases involving<00:29:42.440>
• 2515 State personnel management 2515 State personnel management Provisions<01:05:02.920> that
• finding and a contested case finding and a contested case hearing<01:08:13.640> uh<01:08:

Bills: HF627, HF474, HF361, HF1837

Keywords: HF627, fiscal note, fiscal notes, Minnesota Legislature, state government, committee procedure, ranking minority member, minority party, standing committee, Ways and Means, Finance Committee, legislative process, budget analysis, fiscal impact, Minnesota Statutes 3.98, committee chair, legislative transparency, HF474, Hubert H. Humphrey, Henry Mower Rice

Transcript Highlights:

• Pesticides branch manager Esther Reichert. Plant quarantine manager Jonathan Ho.
• The manager should be managing these people, and yet they're on hybrid.
• The manager should be managing these people, and yet they're on hybrid.
• The manager should be managing these people, and yet they're on hybrid.
• <03:13:43.000> basis This is generally a case-by-case basis This is generally a case-by-case

Keywords: 912, senate, all

Transcript Highlights:

• <00:02:01.000> and and timely res resolution of cases and and timely res resolution of cases
• <00:04:15.360> the for managing the for managing the district<00:04:18.239> turning
• We also cannot refuse cases.
• <00:53:20.839> uh case load we also cannot refuse cases uh case load we also cannot refuse
• <01:13:39.040> our<01:13:39.280> case little bit earlier is our case our case little

Keywords: 1183, house

Summary: The House Judiciary Finance and Civil Law Committee met to approve the January 16 minutes and then heard a budget presentation from State Court Administrator Jeff Shorba on behalf of the Minnesota judicial branch. Shorba described the courts’ structure, mission, and workload, noting 322 judges, about 2,800 staff, roughly 1 million district court filings annually, and a current budget of about $479 million. He emphasized the branch’s constitutional obligation to provide fair and timely access to justice and said the courts are funded almost entirely through legislative appropriations. He also highlighted recent accomplishments made possible by prior legislative funding, including eliminating the pandemic felony and gross misdemeanor backlog, expanding remote and hybrid hearings, improving courtroom technology, sustaining treatment courts, and increasing pay for interpreters and psychological examiners. Shorba outlined the judicial branch’s 2026–27 budget request, which he said totals a 12% increase over the starting biennial base. Major requests included $77.3 million in 2026–27 and $104 million in 2028–29 for a 6% judicial salary increase and related compensation costs; $5.1 million in 2026–27 and $1.76 million in 2028–29 for digital accessibility compliance with new federal ADA rules; $4 million in 2026–27 and $800,000 in 2028–29 to modernize justice partner access to court records; $7.2 million in 2026–27 to raise pay for contract psychological examiners; and $18 million in 2026–27 to increase juror pay from $20 to $100 per day and align mileage rates with federal rates. He also discussed ongoing funding needs for interpreter services, jury costs, cybersecurity, and other statutorily required court services, saying temporary funding provided in the prior session will expire and that permanent support is needed. Members asked questions about treatment courts, employee bargaining, and mental health competency issues. Representative Eric requested more detail on funding for newly launched and existing treatment courts, and Shorba said many treatment courts begin with federal grants before transitioning to state support after about three years. He confirmed the judicial branch negotiates its own employee contracts rather than the executive branch doing so, and said the branch has three unions plus many unrepresented employees. On mental health and competency, Shorba said the branch is focused on obtaining timely psychological evaluations and is not responsible for treatment services themselves, but acknowledged a shortage of examiners and treatment beds and said a related competency board would be testifying the following week. No votes or formal actions were taken beyond adoption of the minutes.

Transcript Highlights:

• Referring to acceptable livestock management practices, if that covered it on Section N, why were any
• with the dentistry piece, that livestock management would be things like AI inoculations, things that
• with the dentistry piece, that livestock management would be things like AI inoculations, things that
• So that's why, again, that it specifically says livestock management and not like the management of cows
• So I think, I think in some cases having it in there just to give people comfort and I think in some

Keywords: 908, all

Summary: The conference committee on House/Senate Bill 2129 met to resolve the House amendment to the Senate-passed bill, which concerns exemptions related to veterinary practice. The main dispute centered on the House language adding terms such as “specialized or holistic trade” and expanding exemptions to include acupuncture/acupressure and non-veterinary dentistry, while the Senate preferred a narrower, more definitive list of exempt activities. Senators and House members discussed whether the word “includes” made the exemption open-ended, and whether equine dentistry should be treated as veterinary medicine or allowed as a separate practice. Testimony from Dr. Sarah Lyons of the North Dakota Board of Veterinary Medical Examiners and veterinarian Troy Dutton emphasized that dentistry, including equine dentistry, is generally considered the practice of veterinary medicine and can involve invasive procedures and animal safety risks. They argued the House amendment lacked educational or licensing requirements and could allow untrained individuals to perform procedures such as dentistry or acupuncture. House members raised concerns about rural access, shortages of veterinarians, and the practical reality that some horse owners and equine practitioners currently perform float work and similar services. After extended discussion, the committee did not reach agreement. Members noted that the House amendment language differed from the Senate version on the key exemption provisions, and that further review of proposed alternative language would be needed. A motion was made and approved by roll call that the committee was unable to agree at this time and would schedule another meeting. The meeting was then adjourned pending rescheduling.

Transcript Highlights:

• This baseline request does include a case management replacement system that is included in the And I
• We had a case manager that was just walking down the... where we all walk all the time and a client grabbed
• This is the transfer of foster care services and case management from the state to entities known as
• Impact is the case management tool used by DFPS.
• But the core technology that our current case management system is built on is still 30 years old.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• Both are essential for managing the disease and preventing complications.
• sugar levels lifelong management sugar levels lifelong management includes<00:42:41.160> insulin
• difference between a manageable difference between a manageable diagnosis<00:58:02.799> and
• In some cases it was the principal; in some cases it was the school board.
• cases it was the principal in some cases cases it was the principal in some cases it<01:40:07.400

Keywords: 1191, senate, all

Transcript Highlights:

• Just like your bank manages your money, just like your lawyer manages your money, or a title company
• manages your money, we manage escrow.
• Just like your bank manages your money, just like your lawyer manages your money, or a title company
• manage your money, we manage an escrow.
• That's not necessarily the case.

Summary: The subcommittee heard and approved four bills focused on reducing or modernizing professional regulation. HB 6015, by Rep. Oliver, repeals the word “reusable” from the wine keg statute to allow businesses more flexibility in container materials; members joked about the possibility of a Home Depot bucket, and the bill passed 16-0. HB 339, by Rep. Abbott, creates an alternative temporary licensure pathway for surveyors and mappers based on employer recommendation and exam passage, but members raised concerns about qualifications, liability, and oversight; Abbott said he was open to amendments, and the bill passed 14-1 with Rep. Overdorf dissenting. HB 139, by Rep. Lopez, allows pawnbrokers to use digital transaction forms instead of only printed forms; a technical amendment added readability and placement requirements for digital forms, and the bill passed unanimously. HB 195, by Rep. Chambliss, lets the Department of Corrections coordinate with DBPR boards so inmates who complete licensure-related classes can receive credit toward professional licensure; supporters framed it as a second-chance and workforce bill, an amendment clarified that DBPR handles professions without boards, and the bill passed favorably 15-0. The committee then received a presentation from DBPR Secretary Melanie Griffin on the department’s role overseeing more than 1.7 million businesses and professionals across over 30 fields. She highlighted enforcement and complaint data, including more than 24,000 inspections and complaints handled in the last fiscal year, a preference for education and voluntary compliance over formal discipline, and the department’s alternative dispute resolution program, which returned $2.7 million to consumers and saved $270,000 in costs. Griffin also reviewed recent deregulatory and efficiency efforts, including endorsement/reciprocity reforms, fee waivers, reduced processing times, and shorter call wait times, and said DBPR is continuing to look for ways to cut red tape while protecting public safety. Members questioned Griffin about permitting, continuing education, complaint processing, board vacancies, fraud in cosmetology and construction, coordination with other agencies, and whether schools can block students from taking state exams over unpaid tuition. DBPR staff said complaints are generally processed within 60 days, schools cannot bar graduates from taking the exam because of tuition debt, and the department works with other agencies when issues cross jurisdictional lines. The panel discussion that followed featured industry representatives from landscape architecture, building/code administration, pools, roofing, construction, HVAC/electrical, and hospitality, who generally supported reducing local permitting burdens, standardizing requirements, improving reciprocity and training pathways, and using technology and clearer scopes of work to make licensure and inspections more efficient.

Transcript Highlights:

• There's kind of a leading case, White Eagle v.
• That case was a challenge by...
• So there's just a lot of law on that: three Supreme Court cases and plenty of lower court cases.
• The Dorgan case is relying on earlier federal law cases. That is Williams v. Lee from 1959.
• And that's sort of recognized in the Kavanaugh case and some of the other cases.

Keywords: 908, all

Transcript Highlights:

• That's not commercial management.
• Management is a Management Commercial Management is a totally<00:32:06.240> different<00:32:06.600
• We just had a sad case last month.
• We just had a sad case last month.
• We just had a sad case last month.

Keywords: 910, house, all

Summary: The House Committee on Housing held a public hearing on several bills. HB 576, relating to restrictions on the transfer of real property under chapter 201H, drew support from HHFDC and the Department of Hawaiian Home Lands, which said the bill would waive transfer restrictions that conflict with DHHL’s program implementation. HB 421, relating to contractors, drew opposition from the Contractors License Board and DCCA/RICO, who said the measure would weaken owner-builder restrictions meant to prevent circumvention of contractor licensing laws; Hawaii Roter and the Grassroot Institute supported it. Members questioned whether the bill would still bar resale within a year and whether subcontractors would still need licenses. HB 367, relating to building permits, received support from the Hawaii Farm Bureau and Grassroot Institute, with comments from DLNR; testimony urged the bill to be expanded to include zoning permits as well as building permits to avoid confusion, especially on Kauaʻi. HB 826, relating to housing, received mixed testimony. HHFDC and several local and advocacy groups supported it, while the Sierra Club raised concerns about converting agricultural lands to residential use, possible impacts on food security, property values, taxes, and the need to account for public trust and traditional practices. HB 525 also drew support from HHFDC and three individuals, with no opposition noted. HB 252, relating to managing agents, was supported by the Hawaiʻi Council of Community Associations and opposed by the Community Associations Institute and several individuals, who argued that commercial management experience is not the same as condominium management and preferred language tied to industry certifications and a later effective date. HB 709, relating to trespassing, was opposed by the Honolulu Police Department, which said officers would have difficulty verifying ownership or tenancy in the field, that the bill could require a separate enforcement team, and that the sheriff’s division is better suited to handle evictions. Hawaiʻi Realtors and the Grassroot Institute supported the measure. Finally, HB 431 HD1, relating to housing, received broad support from the Hawaiʻi State Council on Developmental Disabilities, HHFDC, DHS, the Statewide Office on Homelessness and Housing Solutions, OHA, county housing offices, and multiple nonprofit and political groups. Supporters emphasized the bill’s funding for housing and supportive services, with the homelessness office describing the measure as unprecedented and saying it could help the state cut homelessness in half over the next few years.

Transcript Highlights:

• There is a lot of administrative work that judges do, whether it be managing cases, preparing for hearings
• So I have general jurisdiction, handling felony criminal cases and family cases. cases, civil cases,
• there cases ripe for dismissal, then that's in fact what a judge should do—go and dismiss cases.
• If you have a case that's going to trial, and you don't know if the next case on the list is going to
• cases and individual people.

Bills: HB4011, HB2680, HB4325, HB4327, HB4944, HB1761, HB4688, HB3453, HB40, HB1707, HB4749, HB2322, HB3647, HB4139, HB4081, HB2203, HB2100, HB4170, HB3104, HB4623, HB40

Keywords: partition, heirs' property, real estate, co-ownership, family property, non-heir cotenant, right of first refusal, pilot services, liability limitation, maritime commerce, Matagorda Bay, Lavaca Bay, transportation code, maritime industry, civil liability, barratry, penalties, legal actions, damages, wrongful death

Transcript Highlights:

• But then also a case manager is in that location as well to, like I said, wrap them in those resources
• So social workers and case managers are reimbursable through insurance for you, is that correct?
• I don't know about case managers.
• And what can—what are the limitations, or what is a social worker or a case manager not able to do that
• She also works in our jail program, so we have a jail case management program, specifically. for HIV

Summary: The meeting focused on Missouri’s substance use prevention and treatment system, with repeated emphasis on recovery support services, peer support, recovery housing, transportation, and harm reduction. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he urged greater investment in recovery housing, peer support, employment, and community-based supports that help people stay sober and avoid relapse. Members asked about funding sources, program capacity, referrals, treatment court, transportation, and how Into Action supports people on medication-assisted treatment (MAT). Haniken said the organization is funded through a mix of federal, state, county, city, foundation, and private donations, and that housing and transportation remain major barriers, especially because support is often funded for too short a period compared with the longer time people need to stabilize. Matt Cushman of the Raytown Fire Protection District gave a strong endorsement of harm reduction, including naloxone distribution, syringe service programs, and broader decriminalization of harm reduction tools. He argued that stigma is a major barrier to care and that Missouri should expand access to clean needles, test strips, and other services, while also improving access to MAT in jails and communities. Committee members questioned the evidence base, the role of faith-based providers, and whether safe consumption sites should be pursued; Cushman said syringe exchange decriminalization should be the immediate priority, while safe consumption sites are a longer-term issue. He also described community paramedicine and mobile integrated health as valuable but funding-dependent, and said naloxone distribution is improving but still uneven, especially in rural and minority communities. Representatives from Central Ozarks Medical Center and Four Rivers Community Health Center highlighted the importance of peer support specialists, community health workers, care coordinators, and wraparound services in rural health centers. COMC’s Morgan McClure and Monet Lehman described a jail reentry program in Pulaski County, with Lehman sharing her trauma and recovery story and explaining how she helps incarcerated people prepare for release with housing, employment, benefits, transportation, and treatment connections. Four Rivers’ Devon Polarys and Cassandra Trout said their CEO would change Missouri policy to allow FQHCs to receive reimbursement for peer support and community health worker services similar to CCBHCs, arguing that these roles are essential for addressing barriers like transportation, housing, food insecurity, and insurance. Members discussed confusion over reimbursement rules, the differences between FQHCs and CCBHCs, and the need for better funding and clearer policy for peer and community health worker services. No votes were taken; the discussion ended with a suggestion to bring in a subject matter expert on community health workers for a future session.

Transcript Highlights:

• But we try to manage toward that.
• And we followed up and passed the law to allow for voluntary management basin management plans.
• management, and drainage management.
• to specific water management authorities around zoning, shoreland management, and drainage management
• And I'm just wondering if that's the case in this case.

Keywords: 908, all