Transcript Highlights:

• The biggest killer in Missouri is actually heart disease.
• But once you get substance use disorder, it is a chronic disease.
• So it is a chronic disease of the brain. Absolutely.
• It's a chronic brain disease.
• So sexually transmitted disease treatments.

Keywords: 959, house, all

Transcript Highlights:

• , cancer, and other tobacco-related diseases.
• , cancer, and other tobacco-related diseases.
• The strong return on investment demonstrates that tobacco prevention is one of the diseases.
• Over the next three years, she received weekly feeding and occupational therapies.
• Over the next three years, she received weekly feeding and occupational therapies.

Summary: The committee heard public hearings on several bills. HB 2675 would eliminate a number of state accounts and transfer remaining balances from two accounts to the general fund, while also changing how revenues in the Salary Insurance Contribution Increase Revolving Account are deposited; OFM testified in support and there was no public opposition. SHB 1903 would create a statewide low-income energy assistance program through the Department of Commerce, funded by the general fund and Climate Commitment Act revenues; supporters said it would address Washington’s underfunded and uneven energy assistance system, while utilities and rural co-ops raised concerns about cost, reporting burdens, utility authority, and implementation details. SHB 2384 would require actuarial reviews for certain continuing care retirement communities with prepaid life care contracts; residents and consumer advocates supported the added transparency, while providers opposed the added review costs and said they already pay for actuarial work. SHB 1982 would expand the ability of tribal members to vacate convictions tied to treaty rights, add OPD representation and a tribal liaison position, and then an amendment was described that would remove the liaison position and eliminate the fiscal impact; the sponsor and OPD supported the bill, and testimony emphasized correcting past treaty-rights convictions. The committee also heard SHB 2389, a broad juvenile justice bill that would expand suspended disposition options, create midpoint review hearings, reduce some robbery ranges, and address juvenile rehabilitation capacity and transfers. Supporters argued it would reduce racial disparities, favor community-based rehabilitation when safe, and improve outcomes, while prosecutors, sheriffs, counties, judges, cities, victim advocates, and some tribal law enforcement warned it would weaken accountability for serious violent offenses, increase court and local government burdens, and shift costs without funding. Several witnesses and the bill sponsor discussed proposed amendments, including removing presumptions and the mid-sentence review. The committee then heard SHB 2439, which would raise tobacco and vapor product license fees, create a responsible vendor program, add manufacturer certification and enforcement provisions, restrict certain products and sales practices, and redirect tobacco tax revenue to public health, cancer research, and youth prevention accounts; public health and prevention groups supported it, while retailers and industry representatives opposed the fee increases and some of the new restrictions. Finally, HB 2681 would sharply increase cannabis license fees and index them to inflation; OFM supported the change as aligning fees with program costs, while cannabis businesses and associations opposed or sought changes to the fee structure and CPI indexing. The committee also heard a briefing on SHB 2215, which would require the Caseload Forecast Council to forecast SNAP and state food assistance caseloads in light of upcoming federal cost-sharing changes; no questions were raised at the briefing.

Transcript Highlights:

• Inmates according to sex and clarifies that single occupancy and family restrooms remain permissible
• So it says if you're an intersex individual, you have to use a single occupancy?
• Our concern is simply that the current definition of multi-occupancy private space is written broadly
• Any multiple occupancy space, such as this one, should be made available to all.
• I hope that more single-occupancy private spaces over time can be a win for everyone.

Bills: HB7, SB 8, HB7, SB 8

Keywords: abortion, healthcare, jurisdiction, civil action, qui tam, prohibition, state law, sex designation, restroom access, civil penalties, private civil right of action, women's privacy, 997, house, all

Bills: HB1160, HB1289, HB1339, HB1798, HB1002, HB1065, HB1155, HB1916, HB2264, HB1078, HB1687, HB1701, HB1717, HB1795, HB1859, HB2088, HB2091, HB2107, HB2109, HB2110, HB2113, HB2124, HB2125, HB2133, HB2134, HB2140, HB2151, HB2152, HB2155, HB2165, HB2185, HB2191, HB2205, HB2211, HB2219, HB2228, HB2229, HB2230, HB2235, HB2238, HB2242, HB2245, HB2249, HB2253, HB2254, HB2269, HB2272, HB2283, HB2304, HB2317, HB2340, HB2343, HB2385, HB2406, HB2417, HB2426, HB2445, HB2452, HB2472, HB2492, HB2501, HB2531, HB2574, HB2606, HB2664, HB1160, HB1289, HB1339, HB1798, HB1065, HB1717, HB1795, HB1859, HB2107, HB2113, HB2124, HB2125, HB2133, HB2134, HB2140, HB2151, HB2155, HB2165, HB2185, HB2191, HB2205, HB2211, HB2219, HB2242, HB2245, HB2253, HB2283, HB2317, HB2343, HB2385, HB2406, HB2417, HB2426, HB2501, HB2531, HB2574, HB2606, HB1170, HB1544, HB1834, HB2111, HB2156, HB2188, HB2199, HB2206, HB2296, HB2360, HB2436, HB2471, HB2478, HB2510, HB2525, HB2532, HB2543, HB2605, HB2624, HJM4012, HB1759

Keywords: design review, local government, land use, zoning, project permits, housing density, middle housing, affordable housing, parking minimums, single-family zoning, infill development, growth management, comprehensive plan, permit streamlining, objective development regulations, architectural review, administrative review, transit-oriented development, accessory dwelling units, ADU

Bills: HB1160, HB1289, HB1339, HB1798, HB1002, HB1065, HB1155, HB1916, HB2264, HB1078, HB1687, HB1701, HB1717, HB1795, HB1859, HB2088, HB2091, HB2107, HB2109, HB2110, HB2113, HB2124, HB2125, HB2133, HB2134, HB2140, HB2151, HB2152, HB2155, HB2165, HB2185, HB2191, HB2205, HB2211, HB2219, HB2228, HB2229, HB2230, HB2235, HB2238, HB2242, HB2245, HB2249, HB2253, HB2254, HB2269, HB2272, HB2283, HB2304, HB2317, HB2340, HB2343, HB2385, HB2406, HB2417, HB2426, HB2445, HB2452, HB2472, HB2492, HB2501, HB2531, HB2574, HB2606, HB2664, HB1160, HB1289, HB1339, HB1798, HB1065, HB1717, HB1795, HB1859, HB2107, HB2113, HB2124, HB2125, HB2133, HB2134, HB2140, HB2151, HB2155, HB2165, HB2185, HB2191, HB2205, HB2211, HB2219, HB2242, HB2245, HB2253, HB2283, HB2317, HB2343, HB2385, HB2406, HB2417, HB2426, HB2501, HB2531, HB2574, HB2606, HB1170, HB1544, HB1834, HB2111, HB2156, HB2188, HB2199, HB2206, HB2296, HB2360, HB2436, HB2471, HB2478, HB2510, HB2525, HB2532, HB2543, HB2605, HB2624, HJM4012, HB1759

Keywords: design review, local government, land use, zoning, project permits, housing density, middle housing, affordable housing, parking minimums, single-family zoning, infill development, growth management, comprehensive plan, permit streamlining, objective development regulations, architectural review, administrative review, transit-oriented development, accessory dwelling units, ADU

Transcript Highlights:

• It also means aligning with those high-need occupations.
• we're working on case studies, discovering what symptoms patients may experience with particular diseases
• we're working on case studies, discovering what symptoms patients may experience with particular diseases
• if you want to learn more on July 1st. like what symptoms patients may experience with particular diseases
• that, you know, maybe they might have Programs are certainly an in-demand occupation that maybe they

Keywords: 908, all

Transcript Highlights:

• , significant occupation as written in criminal statute.
• , occupation, occupation, significant<00:24:00.120><c> occupation</c><00:24:00.679><c> as</c><00:24:00.960
• ><c> as</c><00:24:01.120><c> written</c><00:24:01.320><c> in</c> significant occupation as as written
• in significant occupation as as written in criminal<00:24:02.120><c> statute.
• </c> Just like doctors catch more diseases Just like doctors catch more diseases today<01:30:42.640><

Keywords: 1187, senate, all

Transcript Highlights:

• Selling tobacco products known to cause cancer, heart disease, and other serious illness directly contract
• I think that selling tobacco is the leading, or tobacco's the leading cause of preventable death, disease
• yet its workforce doesn't necessarily reflect this fact, especially in critical industries and occupations

Keywords: 988, house, all

Transcript Highlights:

• credentialing; Senate Bill 1232, signs, military compatibility permit zone; Senate Bill 1426, unlawful occupants
• Lung disease robs people of time with their families.

Keywords: 1182, all

Transcript Highlights:

• Like all children in Gaza, they were born into conditions shaped by occupation, blockade, systemic deprivation
• memory of Alan Stewart Hammond IV, who passed on January 11th after a long battle with Parkinson's disease

Keywords: 988, house, all

Transcript Highlights:

• also prohibited from acquiring and selling to qualified buyers for six months after certificate of occupancy
• AB 230, Ransom, Pierce's Disease Control Program, do pass out on an A roll call.

Summary: The Assembly Appropriations Committee met on January 22, 2026, for its regular order hearing and suspense-file hearing. In regular order, the committee approved consent-calendar bills AB 683, AB 763, AB 1126, and AB 1278 on unanimous due-pass motions, and AB 34 and AB 442 on a second unanimous due-pass motion. The committee then heard and advanced several bills, including AB 35, which would create an APA exemption for Proposition 4-funded programs to speed implementation of water, wildfire, energy-storage, and grid-support projects; AB 748, establishing pre-approved housing programs for local agencies; AB 939, allowing immediate transfer of certain affordable homeownership units to qualified nonprofit housing organizations; AB 643, adding a narrow organic-waste-derived agricultural fertilizer product to SB 1383 procurement options; and AB 96, removing the high school diploma requirement for certified Medi-Cal peer support specialists. Testimony on these bills was largely supportive, with sponsors and coalition representatives emphasizing reduced delays, lower costs, and improved housing, environmental, or behavioral-health outcomes. The Department of Finance offered general budget comments but no bill-specific positions. The committee voted the bills out, with AB 643 and AB 96 receiving no recorded opposition in the transcript and AB 939 passing with some members noting support and interest in coauthoring. The committee also received a presentation-only discussion of AB 1091, a proposal to authorize eight-letter specialty license plates, which the author said could generate revenue for rural programs such as the Williamson Act; the bill was not acted on at that time. After public comment, the committee moved to the suspense-file hearing on 53 bills. Using a substituted motion for due-pass and due-pass-with-amendments items, the committee held some bills and advanced many others, often with amendments that narrowed scope, deleted provisions, or required reports or studies. Bills held in committee included AB 405, AB 298, AB 333, AB 296, AB 1091, AB 1241, and AB 577, among others. The committee reported moving 43 bills to the Assembly floor, with several on A roll calls and others on B roll calls or with amendments, and noted that amendment language would be posted later online.

Transcript Highlights:

• ESSB 6228 repeals the preferential business and occupation, or B&O, tax rate for warehousing and reselling
• disappear; they simply shift to families, communities, and our health care system, resulting in higher disease
• emergency departments across the state every day, as cigarettes are a major cause of cardiovascular disease
• Evidence they reduce death and disease overall is not convincing, but the risk they addict youth to nicotine

Keywords: 904, all

Transcript Highlights:

• and comply with all applicable laws and rules relating to controlled substances, food safety, occupational
• Over the course of my career, I have seen dramatic improvements in how we treat diabetes, heart disease
• However, when it comes to mental health conditions, how we treat diabetes, heart disease, and cancer.
• decisions, reduce future cancer diagnoses, and lessen the long-term emotional and financial toll of this disease

Bills: SB5921, SB5185, SB6182, SB6115, SB6258, SB5916, SB5981, SB5985, SB6019, SB6161, SB6183

Keywords: psilocybin, mental health, therapy, decriminalization, legalization, international medical graduates, preceptorship, hardship pathways, medical practice, licensure, abortion, reproductive health, pregnancy termination, clinic access, abortion access fund, abortion savings account, health carrier assessment, insurance assessment, health insurer tax, Department of Health

Transcript Highlights:

• While addiction is a treatable chronic medical disease, it is also one of the most complex in medicine
• incarcerating people for non-violent drug offenses and let's continue to emphasize that addiction is a disease
• And so, covering opioids, the coverage for the physical and occupational therapy, being able to get into
• highlighted this very eloquently in so far as, you know, older adults have a multitude of chronic disease

Keywords: opioid crisis, overdose, naloxone, drug trafficking, law enforcement, treatment, prevention, older adults, Medicaid expansion

Summary: The meeting convened to address the dire opioid crisis affecting communities nationwide, with a particular focus on the alarming rise of opioid use disorder among older adults. Key testimonies highlighted the critical need for a comprehensive approach that encompasses prevention, treatment, and strict law enforcement actions against drug traffickers. Sheriff Dennis Lima from Seminole County outlined successful strategies implemented in Florida, including increased access to naloxone and legislative changes to hold drug dealers accountable for overdoses. Various members expressed a united front on tackling this multifaceted issue, advocating for the expansion of Medicaid and better access to treatment as essential steps to curbing the epidemic.

Transcript Highlights:

• And it needs to be managed like a chronic disease.
• And it needs to be managed like a chronic disease.
• So it is a chronic disease of the brain, absolutely.
• By background, I'm an infectious disease doctor.
• So sexually transmitted disease treatments.

Summary: The task force meeting opened with a brief organizational update, including new leadership, roll call, and an explanation of the task force’s statutory duties: to study current and future drug and substance use in Missouri, explore solutions, draft or modify legislation, and report recommendations on prevention and treatment. The chair outlined the summer hearing plan, which would feature field experts, with future sessions expected to cover alternative therapies such as psilocybin and ibogaine and testimony from the Department of Mental Health. Members were encouraged to think about legislative ideas and policy recommendations for the upcoming session. The first major testimony came from Dr. Rachel Winograd, who described Missouri’s overdose crisis as evolving into a “fourth wave” marked by fentanyl mixed with animal tranquilizers such as xylazine and medetomidine, along with methamphetamine and other synthetic drugs. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, but emphasized that the crisis remains severe. Her main recommendations were to focus on demand reduction rather than repeated supply crackdowns, expand evidence-based treatment—especially methadone and buprenorphine—broaden naloxone access, and improve practical supports like housing, transportation, and case management. She also said peer services are valuable but should not be used as a substitute for clinical care, and noted that Missouri Medicaid generally covers evidence-based treatment but reimbursement for peer recovery services remains a gap. Dr. Heidi Miller, the state medical director at the Department of Health and Senior Services, reinforced the call for integrating substance use disorder care into whole-person health care. She highlighted the state naloxone standing order, which supports more than 11,000 Medicaid naloxone prescriptions annually, and urged five best practices: integrating SUD treatment into primary care, maternal health, general medical training, EMS initiation of buprenorphine after overdose, and expanded methadone access. She also argued for team-based reimbursement, stronger parity enforcement between behavioral health/SUD and physical health, and caution in regulating emerging substances so policy does not outrun the science. Dr. Doug Burgess of University Health in Kansas City echoed the integration theme, arguing that Missouri’s system is too fragmented and that patients are often stabilized and then left to coordinate their own next steps. He compared ideal SUD care to the coordinated response used for heart attacks, with seamless transitions from emergency care to inpatient treatment, rehab, and outpatient follow-up. He said treatment courts can be effective when they are well coordinated and informed by addiction science, and he stressed the importance of discharge planning, peer recovery coaches, information-sharing, and maintaining Medicaid coverage during justice involvement. No formal votes or committee actions were taken during this portion of the meeting.

Transcript Highlights:

• Thank you, Representative Patenzo. basically a a um a disease for, you basically a a um a disease for
• :52.159><c> and</c><02:04:52.480><c> New</c> infectious disease physician and New infectious disease
• </c><02:37:53.040><c> and</c> risk of contracting the disease and risk of contracting the disease and
• Uh, was there any the disease.
• </c><03:35:01.840><c> Um</c> chronic liver disease. Um chronic liver disease.

Keywords: 1189, house, all

Transcript Highlights:

• They proposed changes to the Chronic Wasting Disease Detection and Response Rules.
• Issue number three is chronic wasting disease.
• Chronic wasting disease is a. degenerative neurological disease that affects cervids.
• . of public health concern because it carries a number of human diseases as well.
• and provide timely response. potential disease threats.

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:

• My physical therapy, my occupation, last year I had a broken arm here at the session.
• So I had to go through a lot of occupational therapy.
• My physical therapy, my occupation, last year I had a broken arm here at the session.
• So I had to go through a lot of occupational therapy.
• So I had to go through a lot of occupational therapy.

Bills: SB273, SB37, SB100

Keywords: SB273, appropriations, general fund, hold harmless, local government finance, municipal revenue, county revenue, correctional facility, jail contract, private prison, detention facility, immigration detention, revenue bonds, clawback, child welfare, juvenile justice, protective services, school improvement, New MexiCare, aging services

Summary: The Senate convened on the 30th day of the 2026 session, established a quorum, heard an invocation from Chaplain Harry Eberts, and received several announcements and House messages. The chamber then took up multiple concurrence and third-reading items, including Senate Bill 273, Senate Bill 37, Senate Bill 100, Senate Bill 41, House Bill 34, House Bill 20, House Bill 43, House Bill 38, and House Bill 256. The body also heard that House Joint Memorial 2 was moved from the President’s table to the calendar, and later received messages from the House on several other Senate and House measures. The most contentious action was concurrence on Senate Bill 273, which concerns correction facility loss of revenue for counties affected by the loss of ICE detainees. Senators debated the economic impact on Torrance, Otero, and Cibola counties, with supporters arguing the bill provided partial relief and critics saying it did not come close to replacing lost jobs and revenue. The Senate ultimately concurred with the House amendments by a vote of 22-18. On Senate Bill 100, which would have expanded burglary-related definitions to include an “extension of a dwelling,” several senators argued the House language was too broad and legally vague, and the Senate voted not to concur, sending the bill back to the House. Senate Bill 41, with a technical correction and addition of second-degree criminal sexual penetration, was concurred with by voice vote. Among the bills passed on third reading, House Bill 34 updated school nurse licensure rules and supervision pathways and passed 38-0. House Bill 43, a PERA cleanup bill, clarified retirement and survivor-benefit provisions, and passed 39-0 after questions about whether it affected PERA’s unfunded liability; sponsors said it did not. House Bill 38 expanded insurance coverage for powered mobility devices and prosthetics, including coverage for batteries and in-state provider requirements, and passed 38-0. House Bill 256 expanded cardiac emergency response planning and AED requirements to athletic activities and schools, including private schools on a phased-in basis, and was debated over cost and scope before passing. House Bill 20, which would allow Native American designation on driver’s licenses and IDs, prompted extended discussion about tribal support, documentation, and possible profiling concerns; the transcript cuts off before final disposition of that bill.

Transcript Highlights:

• Bill 2049 is an emergency measure that allows the use of particle accelerators for treating human disease
• And specifically to that question, what this does is currently the occupations which are listed there
• disease and stroke, and postpartum depression.
• disease, and stroke, and postpartum depression.
• I don't see that in any other disease that we deal with.

Summary: The committee began with two radiology-related bills focused on rural access and workforce shortages. HB 2049 would allow particle accelerators for cancer treatment in critical access hospitals and counties under 400,000 population under general supervision, with rural providers testifying that the change would let patients receive care closer to home while maintaining safety protocols. The bill passed on an 11-0 vote. HB 2050 updated outdated radiologic technologist statutes, revised school accreditation and clinical-hour standards, and allowed radiologist assistants to work under supervision rather than direct supervision; an amendment also added registered nurses to the list of professionals not needing an additional license to use diagnostic X-ray machines. Testimony centered on staffing shortages, national standards, and whether the change would preserve oversight. The committee adopted the amendment and passed the bill 10-2, with some members citing the need for more vetting and concern about oversight of dangerous equipment. The committee then heard HB 2082, which creates a Childhood Cancer and Rare Childhood Disease Research Commission to award grants for phase-one pediatric cancer and rare disease trials using existing license-plate funds and other sources. Parents and patients gave emotional testimony about pediatric brain cancer diagnoses, the lack of effective treatments, and the need for Arizona to support local research; the bill passed unanimously 12-0. HB 2015 required Access to cover breastfeeding and lactation services, and an amendment made the coverage subject to CMS approval. Supporters described breastfeeding as preventive care with benefits for infants and mothers, while Access said it was neutral but appreciated the amendment’s fiscal safeguard. The bill passed 12-0 as amended. Next, HB 2177 directed Access to seek CMS waivers to restore Medicaid payments for certain services provided to American Indian and Alaska Native members by IHS and tribal facilities, including dental, diagnostic, therapeutic, and preventive services. The sponsor and a Sage Memorial Hospital witness said the bill would help tribal facilities draw down federal funds and keep services local; it passed 12-0 as amended. HB 2178 required state agency chief medical officers to hold an active medical or osteopathic license and passed without opposition. HB 2179 clarified statutory definitions separating air ambulance from ground ambulance regulation, with industry testimony saying it was a cleanup measure that would avoid unintended consequences; it also passed 12-0. Finally, HB 2183 created an 11-member emergency medicine study committee to examine EMS system sustainability, rural and urban capacity, workforce burnout, and uncompensated care. Firefighters, health care advocates, and an emergency nurse practitioner supported the study as a way to gather data and make recommendations; it passed 12-0. The committee then returned to HB 2072, which establishes an optional state certification for lactation care providers under ADHS, along with rulemaking, fees, discipline, and an advisory committee; the sponsor said the credential was needed so Access could reimburse the service, and the bill was introduced for further consideration.

Transcript Highlights:

• And it's not that we don't do this with other occupations, but we do at the OPLC with other occupations
• /c><00:12:08.160><c> with</c><00:12:08.399><c> other</c><00:12:08.720><c> occupations.
• </c><00:12:09.680><c> And</c> at the OPLC with other occupations.
• And at the OPLC with other occupations.
• High chronic disease burden, you know, who's incurring those claims.

Keywords: 1191, senate, all