Transcript Highlights:

• to provide that context around these priorities about the actual people, you know, that experience SUD
• to provide that context around these priorities about the actual people, you know, that experience SUD
• services to help prevent... ...and access to early intervention services to help prevent mental health or SUD

Summary: The committee met for its final session before submitting a report to the governor and legislature, with introductions from state officials, legislators, advocates, providers, and facilitators. Staff explained that the meeting would focus on finalizing the committee’s strategic priorities and recommendations for a five-year behavioral health plan centered on prevention, early intervention, and community-based services. Members reviewed the draft overarching priorities, including the need for a statewide behavioral health vision and an executive-level role to coordinate behavioral health across agencies, and discussed how those priorities should reflect people with lived experience, families, and community voice. A substantial portion of the meeting focused on the draft recommendations and how they should be organized and worded. Members raised concerns that the document was too aspirational and not specific enough, and several suggested moving more detailed actions under the broader priorities rather than leaving them in a separate section. There was also discussion about the use of the term “evidence-based,” with tribal representatives and others asking for language that also recognizes practice-based evidence, promising practices, cultural specificity, and flexibility in funding and implementation. Members also discussed clarifying “early intervention,” adding examples such as universal screening, outpatient access, primary care integration, and home visiting, and ensuring the plan reflects accountability and community feedback. Other edits included clarifying credentialing recommendations to distinguish between licensure and payer credentialing, adding mentorship as a workforce retention strategy, and broadening Medicaid-centric language to include carriers and insurers more generally. Staff noted the report would be revised and sent back out for review by May 22, with comments due by May 27, in order to meet the June 1 submission deadline. No public comment was offered, and the meeting ended with thanks to members and facilitators for their work.

Transcript Highlights:

• Additionally, while people are required in law to meet the criteria for residential SUD treatment, people
• With the expansion of other health care options, this would shorten the coverage of SUD services from
• <00:14:47.480> treatment<00:14:48.399> um<00:14:48.519> people for residential sud
• treatment um people for residential sud treatment um people living<00:14:49.000> in<00:14:49.120
• services from one year coverage of sud services from one year to<00:16:18.279> 60<00:16:18.839

Keywords: 1187, senate, all

Transcript Highlights:

• This is a look at supporting our pregnant and parenting women suffering from SUD in Central Kentucky.
• pregnant and parenting women<00:31:56.400> suffering<00:31:56.880> from<00:31:57.120> SUD
• from SUD in Central Kentucky.<00:31:58.600> And<00:31:58.720> what<00:31:58.880> I<
• Uh, encouraging site-neutral payments and promoting proper credentialing practices particularly in SUD
• particularly in SUD. particularly in SUD.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.

Transcript Highlights:

• And the last page looks at the conditions of SUD and cardiac services.
• <00:33:38.159> and<00:33:38.480> cardiac the the conditions of SUD and cardiac the
• the conditions of SUD and cardiac services<00:33:39.360> are<00:33:39.600> important<00
• > know looking over time whether related know looking over time whether related to<00:33:56.320> SUD
• to SUD to SUD looking<00:33:57.840> over<00:33:58.080> time<00:33:58.320> to

Keywords: 928, house, all

Summary: The committee first approved the draft minutes from September 26. Senator Gray then raised the idea of creating a continuing subcommittee or recurring agenda item on palliative care and hospice, noting that the issues are evolving and suggesting the committee revisit the idea in coming months. The bulk of the meeting focused on Department of Health and Human Services updates. Officials described contingency planning for SNAP amid the federal shutdown, including a USDA notice that November benefits may not be fully funded, letters to participants warning of possible delays, and coordination with the New Hampshire Food Bank and local pantries. They said New Hampshire serves about 42,000 SNAP households, with average benefits around $300 a month, and that the department is also preparing to transfer funds for a special fiscal committee meeting. WIC was discussed separately: officials said WIC benefits had been extended through November 7 using additional USDA funds, but that some community agency-based WIC services may need to pause while money is redirected to food benefits. Officials also outlined New Hampshire’s rural health transformation grant application under the federal One Big Beautiful Bill, describing a potential five-year, up-to-$1 billion opportunity focused on critical access hospitals, small rural hospitals, federally qualified health centers, community mental health centers, and EMS. Members asked about transportation, workforce, and nursing retention; officials said transportation is included in the proposal, housing is not, and workforce supports may include lower tuition or awards but not loan repayment or traditional scholarships. They also said the final application would be submitted in early November and that priorities would be adjusted depending on the eventual federal award. Finally, Medicaid director Henry Lipman gave a quarterly postpartum coverage update. He said postpartum coverage is now nearly universal nationwide, and in New Hampshire 2,351 women had used the benefit through May 2025. He reported that mental health services were the most frequently used postpartum service, followed by preventive care, substance use disorder treatment, and cardiovascular-related care, and noted that Medicaid women have experienced a disproportionate share of maternal deaths. Committee members asked about rural distribution and the share of women receiving mental health services, and Lipman said the department would follow up with additional data. The meeting then moved into the annual update on New Hampshire’s 10-year mental health plan, with staff describing progress toward a more integrated continuum of care and improved data infrastructure.

Transcript Highlights:

• Well, we're going to be having to address these youth that are dealing with SUD the rest of their lives
• The state is... ...that are dealing with SUD the rest of their lives.

Keywords: 994, senate, all

Summary: The committee met with a quorum present and heard a presentation from Marty Wright, CEO of the West Virginia Healthcare Association, on the state’s long-term care system. He described the continuum from home care to assisted living to skilled nursing facilities, emphasizing that these settings increasingly serve short-term rehab-to-home patients as well as older adults needing round-the-clock care. He also outlined the number of facilities in West Virginia, the predominance of Medicaid as the payer for long-term nursing home care, the private-pay nature of assisted living, and the role of OFAC/CMS in regulation. A major focus of the presentation was workforce shortages and turnover, especially for CNAs, LPNs, and RNs, along with declining interest in nursing careers and the impact of regulatory burden and burnout. Wright said the system is also struggling to serve younger patients with substance use disorder, mental illness, or other behavioral needs, who are often not well suited for traditional nursing home placement but have limited alternatives. Senators raised concerns about where such patients are being housed, the long-term effects of opioid and behavioral health issues, and the gap between school-age special needs populations and adult care needs. Wright said Medicaid can cover long-term nursing home care for those who meet financial and medical eligibility requirements, but affordability and spend-down requirements remain major barriers. He also warned that Medicare Advantage can create confusion and shorter covered stays for rehab patients, and he urged early planning around long-term care insurance and estate planning. No votes were taken on the presentation, and the committee adjourned after questions and discussion.

Transcript Highlights:

• formal mental health or Supportive and therapeutic programs, youth may need formal mental health or SUD
• At which point, those formal health care services, you know, say psychotherapy or therapy or SUD therapy
• , would be brought into the SUD, or excuse me, the BRS residential program, or maybe the youth would

Keywords: 907, all

Transcript Highlights:

• And of those, over 4,000 have identified SUD as being part of their personal recovery experience.
• I'm somebody who's been clean and sober for like 30 years, so I'm one of the SUD folks.
• So I'm one of the SUD, you know, folks.
• Are people experts on all those issues, or are they more specialized, like, you're the SUD person, you're

Summary: The hearing focused on California’s 988 suicide and crisis lifeline and the broader crisis response system, with members and witnesses emphasizing both the system’s life-saving role and the risks posed by funding gaps, rising demand, and uneven local implementation. Opening remarks highlighted the personal impact of suicide and the need to strengthen crisis response so calls are answered quickly and linked to appropriate care rather than defaulting to 911, emergency rooms, or law enforcement. State officials described the AB 988 five-year implementation plan, which sets goals around public awareness, equitable access, high-quality call/chat/text response, and better integration with ongoing behavioral health services. State agencies reported progress on infrastructure, coordination, and related behavioral health investments. CalHHS said California has expanded mobile crisis teams, crisis stabilization units, and youth behavioral health supports, and is preparing additional public awareness and grant programs tied to Proposition 1. DHCS explained that 988 is funded through a federal SAMHSA grant and the AB 988 surcharge, while Medi-Cal separately funds mobile crisis services; officials said the mobile crisis benefit is active in 53 counties and that statewide expansion remains a work in progress. Cal OES described the statewide technical buildout, including network infrastructure in all 11 crisis centers, interoperability with 911, and a pilot of next-generation routing and call-handling tools. The 988 California Consortium said call volume continues to rise sharply, missed calls remain a major concern, text/chat capacity is limited, and centers need more stable funding, better reimbursement, and stronger feedback loops with the state. County and community witnesses stressed that local systems need more flexible, sustained support to match the demand. Lake County described a peer-led rural mobile crisis model that has reduced law enforcement holds and increased housing placements, but said county-run mobile crisis teams still cannot reliably access 988 surcharge dollars and face reimbursement problems from Medi-Cal and commercial plans. Santa Clara County reported strong performance metrics, rapid call answer times, and a broad continuum of mobile crisis services, but said staffing and funding are strained and commercial reimbursement remains slow. The Mental Health Association of San Francisco said the peer-run warm line complements 988 by offering non-emergency support and warm handoffs, but recent budget changes forced cuts to Spanish-language service, federation support, and hours. No formal votes or legislative actions were taken during the hearing; members mainly asked questions about surcharge levels, budget timing, coordination among agencies, data collection, and how to improve collaboration with frontline crisis centers.

Transcript Highlights:

• Half of SUD treatment in Minnesota is paid for by Medicaid.
• Half of<00:02:55.760> SUD<00:02:56.319> treatment<00:02:56.560> in<00:02:56.800>
• Minnesota<00:02:57.120> is<00:02:57.360> paid of SUD treatment in Minnesota is
• paid of SUD treatment in Minnesota is paid for<00:02:57.760> by<00:02:58.000> Medicaid.

Keywords: 919, house, all

Summary: The committee heard House File 2591, the “Support Medicaid Not Millionaires Act,” laid over for possible inclusion in the 2025 taxes bill. Chair Gomez said the bill would create a fifth individual income tax tier on very high earners to offset any future federal Medicaid cuts, arguing that proposed federal budget changes would likely reduce Medicaid funding and create a large state budget hole. Gomez and other supporters framed Medicaid as essential for children, long-term care, mental health, substance use treatment, rural hospitals, and families across Minnesota, and criticized federal tax cuts for corporations and wealthy individuals. Several testifiers supported the bill. A SEIU Healthcare worker described how Medicaid supports her care for a disabled son and her own health needs, warning that cuts would threaten home care, hospitals, and nursing homes. A public health employee from the Minnesota Association of Professional Employees said recent state and federal layoffs had already weakened public health capacity and urged additional revenue to backfill losses. Other supporters, including community and faith leaders, said the wealthy and corporations should pay more to protect public services, youth programs, and Medicaid-funded care. A mental health provider testified that most of the people served by her clinic rely on Medicaid and that cuts would harm clinics, rural access, and the broader behavioral health system. Representative Anderson questioned whether the bill would affect Medicaid spending tied to undocumented immigrants and asked for data on MinnesotaCare and federal-state funding shares. Department of Human Services staff clarified that he was referring to MinnesotaCare, not Medicaid, and said Medicaid is generally matched by the federal government while MinnesotaCare does not have the same match. The exchange became contentious when Gomez objected to Anderson’s use of the term “illegal immigrants” and redirected the discussion back to the bill. Anderson also raised concerns about Medicaid fraud and whether the proposal would backfill any federal changes related to fraud enforcement. No vote was taken; the bill was simply laid over.

Transcript Highlights:

• So simply put, there's no evidence that involuntary SUD treatment leads to positive outcomes and likely
• because those have been shown to SUD because those have been shown to actually<00:34:59.200> work
• patients, and it's my understanding that New Hampshire Hospital does not take voluntary SUD patients
• medical facilities couldn't take SUD medical facilities couldn't take SUD patients<00:35:56.800>
• hospital does not take voluntary SUD hospital does not take voluntary SUD patients<00:36:02.480>

Keywords: 928, house, all

Summary: The House Committee on Health, Human Services, and Elderly Affairs heard HB 1790-FN, which would address involuntary admissions for certain individuals with a substance use disorder. Representative Lucy Weber introduced the bill for Representative Long, and the committee heard extensive testimony both in support of and in opposition to the proposal. Opponents, including John Burns of SOS Recovery and Jake Barry of New Futures, argued that involuntary commitment is not well supported by research, can retraumatize people, may increase overdose risk after release, and could undermine New Hampshire’s existing recovery and harm-reduction efforts. They emphasized that treatment should be voluntary, trauma-informed, and paired with housing, recovery supports, and other community-based services. Representative Long said he was willing to accept DHHS’s request to amend the bill into a study commission, though he expressed concern that a prior state study had not led to action. He said the commission should focus on implementation details, including where people would be placed, staffing, withdrawal management, elopement prevention, length of commitment, and aftercare. He described involuntary commitment as one tool for people with severe dangerous addictions, distinct from drug court, and said it could help avoid criminal records. Committee members asked about capacity at New Hampshire Hospital and how the proposal would work in practice. DHHS officials Katya Fox and Cynthia Pabonis testified that the bill raises major policy and fiscal concerns. They said New Hampshire’s current system has benefited from investments in naloxone, medication-assisted treatment, recovery centers, and community-based services, and that those investments have helped reduce overdose deaths. They estimated the bill would require a new 70-bed facility costing about $40 million to build and about $33.3 million annually to operate, with only a small portion offset by insurance, plus more than $600,000 in annual legal costs and additional staffing and system changes. They also said New Hampshire Hospital has 185 beds, with about 100 patients typically ready for less restrictive settings, and that housing shortages are a major bottleneck. NAMI New Hampshire also testified in opposition, saying families often want any possible treatment for loved ones but still opposed the bill. No vote or final action was taken in the hearing.

Transcript Highlights:

• private sober living facilities which advertise detoxification services or other unlicensed residential SUD
• proposed timeline for DHCS to complete investigations for facilities engaged in unlicensed residential SUD
• private sober living facilities which advertise detoxification services or other unlicensed residential SUD
• proposed timeline for DHCS to complete investigations for facilities engaged in unlicensed residential SUD
• assisting in the aims of ensuring that investigations of these entities engaged in inappropriate unlicensed SUD

Summary: The Assembly Health Committee heard several measures, beginning with SB 331 by Sen. Menjivar, which would require large-group health plans to cover hearing aids for children. The author and supporters described the bill as a long-running effort to address a developmental emergency and reduce out-of-pocket costs for families, while opponents were absent. Testimony from parents, advocates, medical experts, and organizations emphasized the importance of early access to hearing aids; committee members voiced strong support, and the bill was moved on a do-pass basis to Appropriations, with several members requesting to be added as coauthors. The committee then heard SB 608, also by Sen. Menjivar, to expand access to condoms in school-based health centers and related settings and to prevent barriers such as ID checks. Supporters, including students and school health advocates, argued the bill would improve sexual health and reduce stigma, while opponents from family and faith groups argued it would undermine parental authority and normalize early sexual activity. The bill was supported by committee members and moved forward on a do-pass basis to Appropriations. Next, SB 971 by Sen. Choi proposed community-based healthy aging partnerships for older adults, with testimony from the California Senior Legislature and supporters from aging and dementia organizations. The measure was described as voluntary and focused on connection, independence, and local collaboration; there was no opposition, and the committee moved it on a do-pass basis to Appropriations. The committee also heard SB 869 by Sen. Weber Pierson, which would require warning icons and statements on chain restaurant menus for beverages with very high added sugar content. Supporters framed it as a transparency and public health measure, while restaurant and beverage industry representatives opposed it unless amended, citing cost and menu-space concerns; the bill was nevertheless moved on a do-pass basis to Appropriations after a roll call vote, with some members voting no and the measure placed on call. The committee also considered SB 950 by Sen. Weber Pierson, aimed at ensuring timely coverage of FDA-approved, medically necessary treatments for early-onset Alzheimer’s disease on commercial plans. Supporters, including the Alzheimer’s Association and a patient advocate, said the bill would reduce delays and barriers to care, while health plan representatives opposed it over step therapy and utilization-management concerns. Members discussed the limited treatment window and the need for early access, and the bill was moved on a do-pass basis to Appropriations. In addition, SB 490 by Sen. Umberg would set timelines for DHCS investigations of unlicensed sober living homes and allow counties to assist if the department cannot act in time; supporters from Anaheim and a patient-brokering survivor described serious abuse and oversight gaps, while county behavioral health representatives opposed the county role as an unfunded and potentially liability-creating burden. After discussion, the bill was also moved on a do-pass basis to Appropriations. Finally, the committee began hearing SB 1037 by Sen. Weber Pierson on health insurance affordability and rate review, with supporters arguing it would tie premium increases more closely to affordability targets and public reporting; the transcript cuts off before the committee completed action on that measure.

Transcript Highlights:

• Um, in terms of some of the comments made about access, nonpar facilities for SUDs in the state, at least
• 54:23.440> nonpar<00:54:24.240> facilities<00:54:24.720> for<00:54:25.040> SUDs
• <00:54:25.520> in<00:54:25.680> the access nonpar facilities for SUDs in the access
• nonpar facilities for SUDs in the state<00:54:26.000> at<00:54:26.000> least<00:54:26.240
• previous stakeholders as well as legislators' concerns about the out-of-pocket monies going directly to SUD

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

Keywords: HB1853, dementia, Alzheimer's disease, cognitive impairment, memory care, memory clinic, Hanai Memory Network, Executive Office on Aging, aging services, kupuna, caregiver support, long-term care, elder care, geriatrics, public health, dementia screening, care coordination, referral network, neighbor islands, rural health

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

Transcript Highlights:

• Aguilar has been a steadfast advocate for streamlined, comprehensive, culturally competent SUD treatment
• Comprehensive, culturally competent SUD treatment for those struggling with substance use disorder.

Summary: The Assembly convened after a quorum call and prayer, then dispensed with the reading of the prior journal and handled routine motions, including re-referring AB 432 and AB 564 to committees. The main item of business was House Resolution 14, proclaiming March 2025 as Women’s History Month. Majority Leader Aguiar-Curry opened on the resolution, and members from the LGBTQ, Native American, Asian American Pacific Islander, Black, Latino, Jewish, and other caucuses spoke in support, emphasizing women’s historical contributions, ongoing inequities, and the importance of representation and parity in public life. Assemblymember DeMaio also supported the resolution while urging attention to girls’ sports. The resolution was adopted by voice vote after 78 coauthors were added. The chamber then held its annual California Women of the Year ceremony, with Aguiar-Curry and other members recognizing honorees from across Assembly districts for leadership in education, health care, public service, advocacy, business, and community work. The lengthy roll call highlighted a broad range of women’s accomplishments and community impact. Guest introductions followed, including Sacramento District Attorney Tien Ho, VSP Vision Care executives celebrating the company’s 70th anniversary, and EMTs and ambulance support staff being honored by the California Ambulance Association. The Assembly also took up the second-day consent calendar, which was adopted 71-0. Assemblymember Schultz then delivered an adjournment in memory of Barbara Beckley, founding member and artistic director emerita of the Colony Theatre Company, praising her contributions to Los Angeles theater and the arts. The House then adjourned until Thursday, March 13 at 9 a.m., with a Revenue and Taxation Committee hearing scheduled upon adjournment.

Bills: SB1052, SB1115, SB1118, SB1120, SB1121, SB1124, SB1171, SB1172, SB1174, SB1175, SB1214, SB1233, SB1235, SB1316, SB1345, SB1372, SB1399, SB1458, SB1494, SB1496, SB1564, SB1602, SB1621, SB1628, SB1630, SB1631, SB1668, SB1672, SB1814, SB1821

Keywords: assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent, AHCCCS, remote work, state agency, employment, public health, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes, townhomes, historic preservation, radiation protection

Summary: The committee first heard Senate Bill 1121, which would prohibit hospitals from requiring lead aprons for cardiac catheterization staff when a radiation protection system is in place, while still allowing hospitals to require aprons outside the designated safety zone or when exposure levels warrant additional protection. An amendment added flexibility for radiation safety officers to require lead or other PPE if exposures approach occupational limits and removed expedited rulemaking language. Supporters, including the sponsor and interventional cardiologists, argued the devices reduce radiation and orthopedic injuries and improve recruitment and retention; hospital groups shifted to neutral after the amendment. The committee adopted the amendment and passed SB 1121 on a 9-2 vote. The committee then considered Senate Bill 1120, which would require hospitals performing cardiac catheterization procedures to equip at least 50% of those rooms with radiation protection systems by 2027. Supporters said the systems protect clinicians from radiation and long-term injury, while opponents, including hospital and radiology groups, argued the bill was overly prescriptive, could create a captive market, and might not fit all rooms or procedures. After adopting a children’s hospital exemption amendment, the committee passed SB 1120 on a 6-6 vote, with the chair breaking the tie in favor of the bill. Senate Bill 1118, an appropriation measure tied to the radiation protection system proposal, was also advanced after brief discussion, passing 6-5. The committee then took up Senate Bill 1214, which would create guardrails for non-FDA-approved stem cell and regenerative therapies, including provider standards, informed consent, advertising limits, reporting requirements, and a private right of action for violations. Supporters described it as a patient-protection and access bill, while testimony emphasized concerns about unregulated “bad actors” and patients traveling out of state for treatment. The committee adopted an amendment removing a reference to the National Law and passed SB 1214 on a 9-3 vote. The transcript then began discussion of SB 1630, which would create a Medicaid-funded home and community-based service benefit for adults with serious mental illness, with AHCCCS taking a neutral position and estimating a significant fiscal impact.

Transcript Highlights:

• The data shows that many Granite Staters are having to go out of network for mental health and SUD care
• <01:33:15.360> Obtaining mental health and sud care.
• Obtaining mental health and sud care.
• Um I'm going to go SUD treatment.
• of network 8.9 times more often for SUD of network 8.9 times more often for SUD facilities<01:34

Keywords: 1189, house, all

Transcript Highlights:

• AB 1037, Elhawary, SUD facilities and immunity: do pass out on a B roll call.
• AB 1037, Elhawary, SUD facilities and immunity: do pass out on a B roll call.

Summary: The Assembly Appropriations Committee held its May 23, 2025 suspense hearing and opened by emphasizing the difficult budget environment, rising costs for constituents, and the need to make tough choices. The chair said many bills would be held, amended to reduce costs, or made two-year bills because the state could not afford broad program expansions this year. The committee also noted the agenda was organized alphabetically by author and that results would be posted later that day. The committee then acted on a large suspense file, taking up hundreds of Assembly bills across topics including housing, health care, education, labor, public safety, climate, water, transportation, elections, and technology. Many bills were held in committee, while many others were approved with cost-saving, clarifying, or author’s amendments. Examples included measures on CalABLE, Covered California enrollment, wildfire and insurance issues, reproductive health, school and college programs, prison and juvenile justice matters, AI and data privacy, and local government and utility regulation. Several bills were converted to two-year bills to continue discussion. Throughout the hearing, the committee repeatedly voted on bills by A roll call or B roll call, often with Republicans not voting on amended measures. Some bills were advanced with notable amendments, such as narrowing scope, removing appropriations, delaying implementation, or striking costly provisions. The committee also approved a number of committee bills and omnibus measures, including emergency management, judiciary, insurance, and water-related bills. At the end of the hearing, the chair stated that the committee had moved 435 bills to the Assembly floor, either as do pass or do pass as amended, and adjourned the meeting.

Transcript Highlights:

• This proposal clarifies that providers can't double bill for the same service and charge SUD outpatient
• 00:54:13.040> outpatient<00:54:13.520> building<00:54:13.839> units and charge sud
• outpatient building units and charge sud outpatient building units for<00:54:14.400> example<
• c><00:59:45.520> over<00:59:45.839> billing<00:59:46.200> and<00:59:46.440> sud
• million in over billing and sud million in over billing and sud treatment<00:59:47.440> they<

Keywords: 1187, senate, all

Summary: The Human Services Committee met on January 22, 2025, to focus early in session on waste, fraud, abuse, and program integrity in Minnesota human services programs. The chair said taxpayers expect funds to reach people in need and asked the Office of the Legislative Auditor (OLA) to present on resources, progress, and possible solutions. Members also asked the auditors to note where the legislature or agencies had already taken action to address prior findings. OLA staff summarized recent reports on grants management and oversight. They said noncompliance with grants policies has been pervasive across agencies, including problems at DHS in conflict-of-interest documentation and pre-award financial reviews. In one DHS review, 30 of 41 grant reviewers had missing or incomplete conflict forms, and 20 of 57 grants lacked required financial review documents; the issues affected about $11.5 million in grant funding. OLA said DHS spent more than $400 million in grants to nonprofit organizations from 2018 to 2022, and they identified broader factors affecting compliance such as inconsistent funding for grants administration, ad hoc training, inconsistent data systems, and limited enforcement authority. They noted 2023 legislative changes that allowed agencies to retain some grant funding for administration and directed an assessment of a statewide grants management system, and they said OGM training and staffing have increased, though training is still not required for all staff. The Financial Audit Division then discussed the senior nutrition program at DHS, which delivered about 3.1 million meals to more than 40,000 participants in 2022 through the Minnesota Board on Aging, area agencies, service providers, and subcontractors. The audit found nine findings across documentation, monitoring, contract oversight, participant recertification, and data quality. Examples included service providers failing to recertify participants or recording inaccurate data, the Board on Aging not performing monitoring visits since 2017 or financial reconciliations in 2022, and area agencies failing to complete required site visits. Survey results also suggested participant database inaccuracies. OLA recommended stronger monitoring, clearer procedures, and more reliable data to ensure services reach intended recipients. No formal votes or committee actions were taken in the portion of the meeting provided.

Transcript Highlights:

• And then lastly, in the last legislative session, the legislature changed SUD rates in a few different

Transcript Highlights:

• private sober living facilities which advertise detoxification services or other unlicensed residential SUD
• private sober living facilities which advertise detoxification services or other unlicensed residential SUD
• proposed timeline for DHCS to complete investigations of facilities engaged in unlicensed residential SUD
• the aims of ensuring that the investigations of these entities engaged in inappropriate unlicensed SUD

Keywords: 988, house, all

Transcript Highlights:

• violence, you know, that is happening uh with a gun, and there's a lot of co-mingling just as I talk about SUD
• 27.839> about lot of co-mingling just as I talk about lot of co-mingling just as I talk about SUD
• 54:30.640> know<00:54:30.720> it's<00:54:30.960> not<00:54:31.200> just SUD
• issues there you know it's not just SUD issues there you know it's not just people<00:54:31.839>

Keywords: 1183, house

Summary: The committee heard House File 3668, authored by Chair Beerman, which would create a state Office of Gun Violence Prevention. Beerman and several supporters framed gun violence as a public health crisis, arguing the office would improve research, coordination, data collection, and evidence-based prevention. Supporters cited firearm deaths among children and adults, the trauma experienced by survivors and families, and Minnesota’s need for a centralized structure to guide policy and prevention efforts. Testifying in support were representatives of the Minnesota Medical Association, Protect Minnesota, a parent affected by the Annunciation school shooting, family physicians, an OB-GYN, and a pediatric emergency physician. They described gun violence as a daily clinical and community reality, pointed to rising firearm deaths and injuries, and said Minnesota should apply the same public health approach used for motor vehicle safety, tobacco, and other crises. Several witnesses emphasized the impact on children, suicide prevention, maternal health, and the need for Minnesota-specific research and coordinated responses. Opposition came from the Minnesota Gun Owners Caucus, which argued the bill would create a taxpayer-funded bureaucracy that could be used to advance gun control policy and treat lawful firearm ownership as a public health problem. The group said the state should focus instead on enforcement, prosecution, and victim services. Vice Chair Nidau offered an A2 amendment to move the office from the Department of Health to the Department of Public Safety, citing data-sharing and accountability, but withdrew it after discussion with Chair Beerman. The hearing ended with additional member discussion, including concerns about existing violence-prevention spending and whether school safety investments would be a better use of funds; no final vote was taken in the portion provided.

Transcript Highlights:

• know, behavioral health, which encompasses both mental, neurological, and substance use disorders (SUDs
• spending were observed for ABA (Applied Behavioral Analysis) for autism, which grew by 88%, 82% growth for SUD