Transcript Highlights:

• It will also update the curriculum to focus on program integrity. program integrity work. program integrity
• integrity approaches. integrity approaches.
• program integrity integrity controls. program integrity integrity controls.
• Okay, moving on to program integrity. We have around 10 program integrity proposals.
• program integrity throughout the agency. program integrity throughout the agency.

Keywords: 1187, senate, all

Transcript Highlights:

• ALL MODULES MUST INTEGRATE WITH OUR INTEGRATION SERVICES AND INTEGRATION PLATFORM TO SEND AND RECEIVE
• WE WILL START WITH THE INTEGRATION SERVICES INTEGRATION PLATFORM.
• THE INTEGRATED SERVICES COMPONENT PLAYS A ROLE IN COORDINATING ACTIVITIES BETWEEN ALL VENDORS TO INTEGRATE
• SYSTEM TESTING BEGAN IN MAY 2025 AND SYSTEM INTEGRATION TESTING BEGAN IN SEPTEMBER 2025.
• SYSTEM TESTING WAS FAILING IN TERMS OF INTEGRATION BETWEEN THOSE TWO SYSTEMS.

Transcript Highlights:

• Just last week, we achieved a major milestone with the integration of our HR.
• Integration. Thank you. Integration.
• There were a lot of reductions made over the years prior to this integration.
• There were a lot of reductions made over the years prior to this integration.
• student success has made the integration much easier.

Summary: The joint Assembly Higher Education and Budget Subcommittee hearing focused on the future of the California State University system, with opening remarks emphasizing CSU’s major role in California’s economy, workforce, and degree production. Chairs and members said the hearing was intended to inform 2026 budget decisions and to examine three main issues: declining enrollment at some campuses, cost controls and possible consolidation, and oversight of recent state investments at campuses such as Humboldt and Sonoma. The meeting was briefly delayed by microphone and sound problems before reconvening. The first panel featured CSU Academic Senate Chair Dr. Elizabeth Boyd and Cal State Student Association Vice President Katie Karam. Boyd urged the Legislature to protect academic freedom, strengthen faculty governance, provide stable ongoing funding, end unfunded mandates, support student food and housing security, fund flexible course schedules, improve transfer systems such as ASSIST, avoid over-centralizing academic programs, protect immigrant students, and expand intersegmental collaboration. Karam said students are feeling the effects of budget shortfalls through fewer course sections, reduced advising and services, longer time to degree, and tuition pressure, and she called for transparency, meaningful student involvement in budget decisions, and sustained state investment rather than cuts that harm the student experience. The second panel covered enrollment management and included CSU Chancellor’s Office and campus administrators from Chico State, Cal State L.A., and San Diego State. Dr. Delcy Perez said CSU Forward and the new systemwide enrollment plan are aimed at expanding access, aligning programs with workforce needs, and increasing resident enrollment; she reported systemwide enrollment gains and strong application numbers, including a direct-admissions pilot that expanded from Riverside to more campuses. Campus representatives described local recruitment and retention strategies, including early outreach to high school students, community college partnerships, guaranteed admission programs, and expanded advising and student support. San Diego State highlighted record enrollment and high demand, while Cal State L.A. described efforts to recover from impaction and rebuild enrollment. Members pressed CSU officials on the accuracy of enrollment data, the gap between funded targets and actual enrollment, and the system’s reallocation formula. CSU staff explained that campuses below target will see a 5% ongoing reallocation beginning in 2026-27, with one-time reserve funding also being directed to campuses that can grow, and that fiscal health reviews have been completed for 21 of 22 campuses. Legislators also asked about turnaround plans required by the budget act; CSU said those plans are being developed and will be shared in the spring after campus consultation. No formal votes were taken.

Transcript Highlights:

• What will the 76.5 integrator do?
• ,<00:18:17.440> the those out and then your integrator, the those out and then your integrator
• integrator is on the hook of providing. integrator is on the hook of providing.
• Uh we also have integrated um we that.
• This is multi-phase and we integration.

Keywords: 958, all

Summary: Personnel Cabinet and Kentucky Employees Health Plan officials presented a request to replace the Kentucky Human Resources Information System (CHRIS), the state’s HR/payroll ERP system procured in 2007. They said the system supports core HR and payroll for about 48,000 state employees, 24 sheriff and county clerk offices, and the Kentucky Employees Health Plan, which covers more than 300,000 lives. Officials emphasized that SAP has said the system will be end-of-life and out of support by 2030, which would eliminate security updates, vendor maintenance, and tax-compliance support. They argued that replacement is necessary to protect sensitive personnel and health data, maintain payroll accuracy, and avoid major operational and cybersecurity risks. Officials described the project as a true replacement, not just an upgrade, and said the proposed $151 million request covers a five- to six-year implementation, stabilization, and ongoing maintenance period. They broke down the estimate as including roughly $54 million for software licensing and hosting, about $76.5 million for systems integrator/professional services, and additional amounts for independent verification and validation, dependent verification for the health plan, FSA administration, contingency staffing, and hardware-related needs. They said the cost increase from prior estimates was mainly due to inflation and updated requirements. They also noted that payments would be tied to deliverables and checkpoints, with third-party IV&V oversight, and that the cabinet expects to continue normal quarterly IT reporting to LRC while also providing at least monthly project updates because of the 2030 deadline. Committee members asked about the total cost of ownership, recurring operating costs, the size of the integrator contract, how vendor costs were estimated, and how progress would be tracked. Officials said they used market research, peer-state comparisons, vendor discussions, and independent reviews, including input from AON and a third-party QA resource. They explained that the integrator would handle requirements mapping, system design, configuration, training, change management, and implementation support across the Personnel Cabinet, KHP, and other stakeholders. No vote or formal action was taken during the discussion; the meeting consisted of testimony, questions, and answers on the funding request and implementation plan.

Transcript Highlights:

• So why modernization through integration?
• One is sort of integrated governance. What does that look To this puzzle.
• One is sort of integrated governance. What does that look like?
• Number two is the integrated service delivery, which is what I talked about.
• The question is, do you have an integrated service delivery structure where...

Keywords: 1204, all

Summary: The meeting focused on the state’s “one door/no wrong door” workforce and social services modernization effort, with consultants Mason Bishop and Cameron Christie presenting recommendations. They argued that Arkansas should shift from fragmented programs and multiple access points to a more integrated system that promotes upward mobility, longer labor force attachment, better employer access to talent, greater efficiency, and faster adaptation to changes such as AI and economic shocks. They described the current system as overly siloed, with separate offices, portals, and funding streams that force job seekers and employers to navigate multiple doors and bureaucratic handoffs. The consultants emphasized that Arkansas should treat workforce and safety-net programs more like a coordinated franchise model, with a single point of access, one team, and integrated governance, service delivery, and financial administration. They discussed federal workforce waivers already submitted, a possible cost-allocation plan with the federal Office of Management and Budget, and a potential benefits-cliff pilot. They also said Arkansas Launch is a useful tool but not a full service-delivery system. Members asked how the proposal would affect DHS offices, local workforce boards, TANF, and disability-related services, and the consultants said TANF should be viewed as a workforce program and that Arkansas could consider co-locating or integrating staff, or even merging agencies as Utah did. Committee members repeatedly cited Utah as a model, noting its high workforce participation and lower reliance on Medicaid and SNAP, and asked whether Arkansas could use TANF and other programs to cross-train DHS workers and make county offices more work-focused. The consultants explained Utah’s 1990s reforms, later audits showing improved customer service, and the role of cost allocation in blending funds behind the scenes. They also addressed federal flexibility and said current waiver efforts are a fallback after a broader federal pilot proposal did not advance. The meeting ended with a request to continue examining case management, specifically whether Arkansas should case-manage people rather than programs, and the chair adjourned the meeting.

Bills: HJR 138, HB 42, HB 104, HB 129, HB 677, HB 426, HB 668, HB 1699, HB 2017, HB 2128, HB 2038, HB 3783, HB 3717, HB 2316, HB 3686, HB 2563, HB 3883, HB 4021, HB 2788, HB 2663, HB 3305, HB 3173, HB 3474, HB 1105, HB 3531, HB 3490, HB 3597, HB 1295, HB 3512, HB 3010, HB 3112, HB 4215, HB 3223, HB 3464, HB 3120, HB 4214, HB 4511, HB 3704, HB 4081, HB 4783, HB 4063, HB 2783, HB 4937, HB 5085, HB 2510, HB 3426, HB 4361, HB 1169, HB 2516, HB 2347, HB 4034, HB 4700, HB 3560, HB 5150, HB 3860, HB 3146, HB 3924, HCR 98, HCR 92, HB 1520, HB 1545, HB 5265, HB 1887, HB 1914, HB 2402, HB 2306, HB 2350, HB 3000, HB 3237, HB 3326, HB 3211, HB 1056, HB 2081, HB 2187, HB 3092, HB 3308, HB 3526, HB 3750, HB 4219, HB 4230, HB 4290, HB 5238, HB 4804, HB 4749, HB 245, HB 1465, HB 294, HB 793, HB 809, HB 3928, HB 334, HB 2037, HB 1973, HB 285, HB 4341, HB 1043, HB 1234, HB 1193, HB 1729, HB 2498, HB 1314, HB 1353, HB 3960, HB 3923, HB 2221, HB 2517, HB 2518, HB 2213, HB 5092, HB 3748, HB 5246, HB 4344, HB 1482, HB 4044, HB 2702, HB 4264, HB 2807, HB 2898, HB 3181, HB 3250, HB 2091, HB 2115, HB 2542, HB 2768, HB 3349, HB 4406, HB 1593, HB 1899, HB 3133, HB 3133, HB 4960, HB 3214, HB 2145, HB 1201, HB 5061, SB 29, SB 879, SB 65, SB 1745, SB 412, SB 412, SB 1746, SB 1238, SB 1341, SB 522, SB 1532, SB 1378, SB 1062, SB 2066, SB 1963, SB 2204, SB 1366, SB 2077, SB 1967, SB 1151, HB 1618, HB 2156, HB 2615, HB 2615, HB 2349, HB 1926, HB 569, HB 1762, HB 38, HJR 138, HB 42, HB 104, HB 104, HB 129, HB 677, HB 426, HB 668, HB 1699, HB 2017, HB 2128, HB 2038, HB 3783, HB 3717, HB 2316, HB 3686, HB 2563, HB 3883, HB 4021, HB 2788, HB 2663, HB 2663, HB 3305, HB 3173, HB 3474, HB 1105, HB 3531, HB 3531, HB 3490, HB 3490, HB 3597, HB 1295, HB 3512, HB 3010, HB 3112, HB 4215, HB 3223, HB 3223, HB 3464, HB 3120, HB 4214, HB 4511, HB 3704, HB 4081, HB 4783, HB 4063, HB 2783, HB 4937, HB 5085, HB 2510, HB 3426, HB 4361, HB 1169, HB 2516, HB 2347, HB 4034, HB 4700, HB 3560, HB 5150, HB 3860, HB 3146, HB 3924, HCR 98, HCR 92

Keywords: carbon tax, carbon emissions, greenhouse gas, climate policy, fuel tax, emissions tax, Texas Constitution, Article VIII, tax limitation, environmental tax, fossil fuels, energy policy, legislative taxing authority, ballot proposition, constitutional amendment, higher education, funding, financial allocation, state budget, Texas A&M University

Transcript Highlights:

• regulation by certain political subdivisions of the installation of roofing materials containing integrated

Bills: HJR138, HB42, HB 104, HB 129, HB677, HB426, HB668, HB1699, HB2017, HB2128, HB2038, HB3783, HB3717, HB2316, HB3686, HB2563, HB3883, HB4021, HB2788, HB2663, HB3305, HB3173, HB3474, HB 1105, HB3531, HB3490, HB3597, HB 1295, HB3512, HB3010, HB3112, HB4215, HB3223, HB3464, HB3120, HB4214, HB4511, HB3704, HB4081, HB4783, HB4063, HB2783, HB4937, HB5085, HB2510, HB3426, HB4361, HB 1169, HB2516, HB2347, HB4034, HB4700, HB3560, HB5150, HB3860, HB3146, HB3924, HCR98, HCR92, HB1520, HB1545, HB5265, HB1887, HB1914, HB2402, HB2306, HB2350, HB3000, HB3237, HB3326, HB3211, HB 1056, HB2081, HB2187, HB3092, HB3308, HB3526, HB3750, HB4219, HB4230, HB4290, HB5238, HB4804, HB4749, HB245, HB1465, HB294, HB793, HB809, HB3928, HB334, HB2037, HB1973, HB285, HB4341, HB 1043, HB 1234, HB 1193, HB1729, HB2498, HB1314, HB1353, HB3960, HB3923, HB2221, HB2517, HB2518, HB2213, HB5092, HB3748, HB5246, HB4344, HB1482, HB4044, HB2702, HB4264, HB2807, HB2898, HB3181, HB3250, HB2091, HB2115, HB2542, HB2768, HB3349, HB4406, HB1593, HB1899, HB3133, HB3133, HB4960, HB3214, HB2145, HB 1201, HB5061, SB29, SB879, SB65, SB1745, SB412, SB412, SB1746, SB1238, SB1341, SB522, SB1532, SB1378, SB1062, SB2066, SB1963, SB2204, SB1366, SB2077, SB1967, SB1151, HB1618, HB2156, HB2615, HB2615, HB2349, HB1926, HB569, HB1762, HB38, HJR138, HB42, HB 104, HB 104, HB 129, HB677, HB426, HB668, HB1699, HB2017, HB2128, HB2038, HB3783, HB3717, HB2316, HB3686, HB2563, HB3883, HB4021, HB2788, HB2663, HB2663, HB3305, HB3173, HB3474, HB 1105, HB3531, HB3531, HB3490, HB3490, HB3597, HB 1295, HB3512, HB3010, HB3112, HB4215, HB3223, HB3223, HB3464, HB3120, HB4214, HB4511, HB3704, HB4081, HB4783, HB4063, HB2783, HB4937, HB5085, HB2510, HB3426, HB4361, HB 1169, HB2516, HB2347, HB4034, HB4700, HB3560, HB5150, HB3860, HB3146, HB3924, HCR98, HCR92

Keywords: carbon tax, carbon emissions, greenhouse gas, climate policy, fuel tax, emissions tax, Texas Constitution, Article VIII, tax limitation, environmental tax, fossil fuels, energy policy, legislative taxing authority, ballot proposition, constitutional amendment, higher education, funding, financial allocation, state budget, Texas A&M University

Transcript Highlights:

• And we will start with Integrated Community Collaborative. Good afternoon, Chairman Dr.
• It's on us then to figure out how we better integrate behavioral health into it.
• Competitive integrated employment opportunities.
• Phase two is getting people into competitive integrated employment.
• Integrated, complete financial project.

Keywords: 988, house, all

Transcript Highlights:

• of state related to the integrity of state government<00:02:31.040> programs.
• the integrity of state programs. programs. programs.
• licensing visit and a program integrity licensing visit and a program integrity visit.<00:04:55.840
• I'd like to speak to the program integrity portions of this bill.
• If that's a program integrity provider.

Keywords: 1183, house

Summary: House File 3819 was heard and ultimately re-referred to the Judiciary Committee after the committee adopted the author’s A1 amendment and then defeated a DE1 amendment. The bill, as described by Chair West, is aimed at strengthening integrity in state child care assistance and other public programs by requiring annual disaggregated fraud reporting, making certain inspections unannounced and in person, tying inspectors to electronic attendance records, extending data retention for video footage from 28 to 90 days, requiring cameras at entrances and exits for centers receiving more than $500,000 in CCAP and/or early learning scholarship funds, adding an extra licensing visit for those higher-funded centers, and restoring perjury penalties for false attendance records. West said the changes were intended to address fraud, improve accountability, and protect assistance for families who need it. Public testimony was largely opposed. Child care providers and advocates argued the bill would impose expensive, unfunded surveillance and compliance burdens on small businesses, blur the line between fraud enforcement and licensing/safety regulation, and disproportionately target providers serving low-income families and families of color. Several testifiers said cameras and retention requirements would be costly, technically burdensome, and invasive, and warned the bill could deter providers from participating in CCAP and discourage families from using assistance. One testifier supported stronger child protection measures in principle but said the bill should focus on funding, training, and wages rather than surveillance. Another parent testifier opposed the bill on privacy and discrimination grounds and urged investment in child care instead. Representative Hansen offered the DE1 amendment, which would have created a task force to study child care surveillance and develop recommendations on safeguards such as encryption and breach notification. Hansen argued the committee was not equipped to design cybersecurity policy on its own and that the issue of child sexual abuse material required urgent, bipartisan attention. Chair West opposed the amendment, saying task forces often do not produce meaningful change and that the bill already addressed the issue. The committee voted on the DE1, and it failed on a tied vote. After that, the committee voted to re-refer House File 3819, as amended, to the Judiciary Committee.

Transcript Highlights:

• So why modernization through integration?
• One is sort of integrated governance. What does that look... To this puzzle.
• One is sort of integrated governance. What does that look like?
• Number two is the integrated service...
• So what happens in this more integrated model?

Summary: The committee met to hear an update from consultants Mason Bishop and Cameron Christie on Arkansas’s “one door” or “no wrong door” workforce and social services modernization effort. The discussion focused on moving the state toward a work-first system that better connects job seekers, employers, education, and public assistance programs, with goals of increasing upward mobility, improving labor force attachment, reducing inefficiencies, and adapting to changes such as AI and other economic disruptions. The consultants argued that Arkansas’s current system is fragmented across multiple offices, portals, agencies, and funding streams, and that people often have to navigate separate doors for workforce services, TANF, SNAP, Medicaid, and related supports. Bishop repeatedly pointed to Utah as the model, describing how that state integrated workforce and human services into a single department, used cost allocation to blend funding behind the scenes, and saw improved customer service and outcomes after reform. He said TANF should be treated as a workforce program, not just a benefits program, and suggested that Arkansas could use TANF and other tools to cross-train DHS staff, co-locate services, and create a more unified service delivery model. Members asked about federal flexibility, waivers, and whether the state could use one large waiver or a broader restructuring to simplify the system. Bishop explained that a federal pilot authority proposal failed in Congress, so the current approach relies on waivers, cost allocation plans, and possible state-level changes. The committee also discussed the relationship between DHS and workforce offices, the role of local workforce boards, how disability and vocational rehabilitation cases would be handled, and how the governor’s Restore Hope/Hope Hub and faith- and community-based initiatives might fit into the broader plan. Bishop said Arkansas already has rehabilitation services within the workforce department and emphasized that case managers should focus on people rather than programs. No votes were taken. The chair said the committee would revisit case management at its August meeting and adjourned the meeting after thanking the consultants.

Transcript Highlights:

• These were really aligned by design to create an integrated P-20 talent system so that we’re helping
• What we want to do is work with you all to help live out a more integrated vision.
• And the same thing goes with, you know, systems integration and data sharing.
• And the same thing goes with, you know, systems integration and data sharing.
• Integrated decision tree.

Summary: The committee heard a presentation from Nick Moore, Acting Assistant Secretary of the Office of Career and Technical Education, focused on integrating workforce, education, training, and human services systems. Moore argued that WIOA, Perkins, and ESSA should be aligned more closely, with fewer federal and state bureaucratic layers, more state flexibility, and a stronger emphasis on labor force participation, postsecondary attainment, and training tied to in-demand jobs. He said the federal agencies are moving toward combined plan timelines for 2026, encouraged states to pursue combined plans and waivers, and described efforts to streamline reporting, reduce administrative overhead, and expand tools such as integrated intake, cross-training, virtual and mobile service delivery, apprenticeship, and talent marketplaces. Moore also emphasized accountability and outcomes, saying states should measure training-related employment, retention, and the share of funds going to direct services rather than administration. He criticized the current workforce system as too costly and ineffective, and said states should use primary labor market information, better wage records, and employer input to align training with actual job demand. Members asked about balancing flexibility with accountability, the role of employers versus postsecondary institutions, serving rural “training deserts,” state waivers, and data-sharing systems such as Mississippi’s workforce technology efforts. Moore said states can use waivers and technology to create common intake and co-enrollment across programs, and that enhanced wage records are key to better workforce planning. The committee then received a separate update from DHS Secretary Janet Mann and Director Jay Hill on reimbursement rates for aging and adult behavioral health services. They said DHS had compiled more than 100 public comments, submitted a recommendation to the governor to hold current rates, and was awaiting executive review, which they estimated could take 30 to 60 days. Members asked about the timeline and the scope of the legislation requiring monthly reports. The meeting ended with notice of a later audit presentation scheduled for 1:00 p.m. at the Big Mac building.

Transcript Highlights:

• <00:03:37.599> work knowledge of our program Integrity work knowledge of our program Integrity
• We take administrative actions for all program integrity violations.
• It's 80% there are compliance issues, program integrity issues.
• Our OIG helps to protect the health, safety, and financial integrity of this program.
• <01:35:49.800> of health safety and financial Integrity of health safety and financial Integrity

Keywords: 1183, house

Transcript Highlights:

• is going to be the program integrity is going to be the program integrity unit.<00:20:19.760>
• :20:21.760> is unit. program program integrity unit is unit. program program integrity unit is
• is the integrity of the bidding process. is the integrity of the bidding process.
• in our Bureau of Program and integrity in our Bureau of Program integrity,<01:12:27.199> we<01
• <01:28:23.760> and outcome measurement and integrity and outcome measurement and integrity

Keywords: 1189, house, all

Summary: The committee chair opened by explaining that the committee has expanded from a traditional audit-follow-up role into an oversight role focused on whether audit recommendations are implemented and whether controls are in place to detect fraud. He said the committee was concerned about fraud uncovered in social service programs in other states and wanted to understand New Hampshire’s safeguards, especially around major contracts and program performance. Charles Buchanan, director of the New Hampshire Medicaid Fraud Control Unit, and investigator Tim Brackett described the unit’s structure and mission. Buchanan said the unit, housed in the Attorney General’s Criminal Justice Bureau, investigates and prosecutes fraud by health care providers serving Medicaid beneficiaries, as well as abuse, neglect, and financial exploitation of residents in health care facilities. He outlined common Medicaid fraud schemes such as billing for services not rendered, upcoding, using unqualified staff, drug substitution, kickbacks, supplemental charges, and inflated customary charges. He also described resident abuse/neglect and drug diversion in hospitals, nursing homes, and assisted living settings. Brackett said his role is financial investigator/auditor and noted the unit is grant-funded and must include a prosecutor, investigator, and auditor. The witnesses then explained how cases reach the unit and how they are handled. Most referrals come from the state Department of Health and Human Services’ program integrity unit and from managed care organizations’ special investigations units, which look for fraud, waste, and abuse and refer credible allegations. Other sources include qui tam whistleblower actions, the national Medicaid Fraud Control Units association, citizen complaints, provider referrals, adult protective services law-enforcement referrals, local law enforcement, and federal agencies. Once a referral is received, the unit can accept or deny it; accepted matters may be investigated criminally or civilly, while nonviable matters can be referred back to HHS or other agencies for administrative action, including repayment demands and reimbursement offsets. No votes or formal committee actions were taken in the portion provided.

Transcript Highlights:

• Primary care integration of SUD has a very good retention rate.
• So integrating that and coordinating that is essential.
• So I love and completely agree about integration.
• So I love and completely agree about integration.
• So I think there are these levels of integration.

Summary: The task force meeting opened with new leadership announcements, including Senator Nick Schroer thanking outgoing chair Representative John Black and naming Representative Del Taylor as vice chair. After some initial technical difficulties with audio and Zoom, members reviewed the task force’s statutory charge under Missouri law: to hold hearings on substance use, explore solutions, draft or modify legislation, and produce recommendations for prevention and treatment. The chair said the goal for this year is to develop concrete legislative ideas for the next session, with hearings focused first on field experts and later on alternative therapies and the Department of Mental Health. Dr. Rachel Winograd gave the first major presentation, describing Missouri’s overdose crisis as increasingly complex and driven primarily by fentanyl, now compounded by xylazine and metatomidine. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, and attributed the decline to a smaller fentanyl supply, wider naloxone availability, and fewer young people entering use. Her main recommendations were to focus on reducing harm rather than trying to eliminate drug use, expand evidence-based medications for opioid use disorder—especially methadone and buprenorphine—improve access to naloxone, and loosen methadone regulations, including take-home doses, the federal 72-hour rule, and broader methadone units. She also emphasized that peer support, housing, transportation, and other practical supports matter, and noted that naloxone can still reverse fentanyl overdoses even when tranquilizers are present. Dr. Heidi Miller, the state medical director, followed with two recommendations: integrate substance use disorder care into whole-person health care and follow the science when considering substance-related legislation. She argued that primary care, maternal health, workforce training, EMS, public health, and methadone access should all be part of a coordinated model, and said reimbursement should support teams rather than isolated providers. She also urged stronger enforcement of parity between behavioral health/SUD and physical health coverage, and highlighted tobacco and alcohol as major, under-addressed causes of death in Missouri. Dr. Doug Burgess then reinforced the need for a coordinated continuum of care, comparing substance use treatment to the seamless system used for heart attacks, and said patients should have standardized assessment, discharge planning from day one, transition coordinators, peer recovery coaches, and better information-sharing between levels of care. Members asked questions about relapse, treatment court, EMS referral barriers, reimbursement, and whether buprenorphine can be started in the field; no votes were taken, and the meeting ended with plans to continue hearing testimony and use it to shape future policy recommendations.

Transcript Highlights:

• <00:03:36.000> the executive order to integrate the executive order to integrate the Department
• adds staff to program Integrity adds staff to program Integrity operations<00:10:36.639> with
• fraud prevention and program Integrity fraud prevention and program Integrity proposals<00:20:49.200
• Implementing and integrating multiple technologies is certainly our goal.
• Implementing and integrating multiple technologies is certainly our goal.

Keywords: 1183, house

Transcript Highlights:

• program and payment integrity program and payment integrity safeguards.<00:17:10.400> This
• Friday is the budget, no integrity. Friday is the budget, no integrity.
• First, program integrity.
• First, program integrity. concern. First, program integrity.
• major program integrity efforts. major program integrity efforts.

Keywords: 1187, senate, all

Transcript Highlights:

• They can hold onto employment and socially integrate.
• Are they integrated with the rest of the population?
• What are the integrated classes? What are the integrated classes?
• So our integrated classes really take hold in their second and third year.
• The housing is going to be dispersed and integrated within this inclusive community.

Summary: The meeting opened with routine business, including approval of the January 13, 2026 minutes, and a brief recognition of Autism Awareness Month. The task force then heard a presentation from the University of Arkansas College of Education and Health Professions on two student support programs: the Empower Program for non-degree-seeking students ages 18–24 with mild intellectual disabilities, and the Autism Support Program for degree-seeking students with autism. Speakers described academic coaching, peer and career coaching, residential supports, person-centered planning, internships, and scholarship/fee structures, noting that both programs charge a $5,000 per-semester fee and rely on scholarships and fundraising to offset costs. Members asked about dorm arrangements, individualized plans, and how students transition in and out of supports; presenters explained that Empower students remain in the program throughout, while Autism Support Program students may enter or leave services as needed. The committee next heard from Pulaski Technical College’s 3D program, a three-year transition and post-secondary program for students with intellectual and developmental disabilities focused on culinary, baking, and hospitality training. Presenters outlined integrated classes with traditional students, faded support over time, internships, and outcomes such as 97 students enrolled since the program began, 57 graduates, strong completion rates, and many graduates obtaining and retaining jobs in the food service industry. Members asked about how success is measured, why rates are not 100 percent, the role of integrated classes, tuition, and community partnerships; staff explained that grading includes technical and professional skills, tuition is $5,700 per semester, and scholarships such as GETS and FAFSA help reduce costs. They also noted plans to expand offerings and pursue accreditation through the Inclusive Higher Education Accreditation Council. Finally, the task force received a presentation from SLS Community, a Fayetteville nonprofit serving neurodivergent adults through residential supports, supported employment, community activities, and advocacy. Leaders described a long-term vision tied to the Cato Springs mixed-use development, where housing, jobs, clinical services, and community amenities would be integrated in a “live, work, play” model. They discussed a residential program, a new vocational program called Program Forge, community events, and the challenges of the “services cliff” after age 21, especially for adults with complex support needs. Members and parents spoke about the importance of trained direct support professionals, ABA-based supports, and the need for better funding and service models for adults. The meeting ended with announcements about upcoming autism-related events and a request for future discussion on task force appointments and broader issues around ABA oversight and misuse.

Transcript Highlights:

• What are the two things being integrated? Or the elements being integrated? >> Thank you.
• What are the two things being integrated? Or the elements being integrated? >> Thank you.
• What are the two things being integrated? Or the elements being integrated? >> Thank you.
• What are the two things being integrated? Or the elements being integrated? >> Thank you.
• What are the two things being integrated? Or the elements being integrated? >> Thank you.

Bills: SCR180

Keywords: wildfire, fire hazard, Lahaina, West Maui, Maui wildfire, vegetation management, fuel reduction, defensible space, fuel breaks, invasive grasses, emergency access, evacuation route, fire lane, state lands, public safety, Office of the State Fire Marshal, community risk reduction, hazard mitigation, brush clearance, wildland-urban interface

Summary: The committee opened by noting it was likely its last hearing of the 2026 session, then took up several resolutions. SCR 54, on appointing a hydrogen fire safety expert and training on hydrogen-related protocols, and SCR 59, on allowing certain health care professionals to practice without a license during a state of emergency, drew no testimony. Members discussed SCR 59 as a response to past emergencies and the need for pre-approved, updated registries of professionals who could be deployed quickly in emergencies. SCR 62 SD1, which asks the 911 Board to form a working group with the disability community to address access issues in emergency and 911 responses, received testimony from disability advocates and the 911 Board. Testifiers said the measure should ensure an integrated system with EMS infrastructure, real-time access for dispatchers and field personnel, and public education about the system; they also noted that Smart911 is no longer being used on Oahu and Maui and that a statewide, integrated approach is needed. Members agreed to work the suggested language into the resolution. SCR 179, urging Maui County to enforce fire code provisions on brush clearance, fuel breaks, roadside vegetation clearing, and emergency access, was noted as having no testimony but continuing to raise important issues. SCR 74, calling for an audit of no-bid contracts issued under emergency proclamations from 2020 through 2025, drew strong support from a late testifier who tied the measure to emergency procurement concerns after the Lahaina wildfire and COVID-era contracting. The witness argued that procurement rules should not be waived in ways that compromise safety, and described concerns about unlicensed contractors and construction problems in a state housing project. Members asked about the scope of the audit and whether it would interfere with criminal investigations; the witness said the audit should cover a broad range of contracts, including nonprofit contracts, and should not be limited to the wildfire period. The committee also heard SCR 28 SD1 on creating a Hawaii Vietnam Veterans Medal, with support from the Department of Defense and veterans advocates, who said the resolution is intended to do the groundwork for a future appropriation and to determine eligibility and distribution procedures. Finally, SCR 60 SD1, requesting updates on the “Breaking Cycles” rehabilitation and restorative justice study, received support from the Department of Corrections and Rehabilitation, the Correctional System Oversight Commission, and reform advocates. The department asked that reporting be annual rather than quarterly because of the complexity of the OCCC project, and supporters said the measure would promote transparency and help ensure the study’s recommendations are implemented. No votes were taken in the portion of the hearing provided.

Transcript Highlights:

• Moving on to program integrity.
• in order to embed program integrity in order to embed program integrity processes<00:35:11.800><
• :52.720> proposals Some other program integrity proposals Some other program integrity proposals
• expertise and program integrity expertise and program integrity provisions<01:04:38.280> in
• 01:20:19.760> in Forcing integrated community supports in Forcing integrated community supports

Keywords: 1183, house

Transcript Highlights:

• Primary care integration of SUD has a very good retention rate.
• So why is integration essential? The trajectory of SUD requires it.
• So integrating that and coordinating that is essential.
• So I love and completely agree about integration.
• So I love and completely agree about integration.

Keywords: 959, house, all