Transcript Highlights:

• I'd like to work with SCHEV and VDOE on this idea of curriculum for higher ed to have a certification
• Standardized training and certification would improve workforce stability, strengthen service quality
• We respectfully ask the Commission to explore pathways for statewide recognition of DSP certification
• So it would be comparable, if you will, to a CNA, perhaps, if he was working at a nursing home.
• Would we be looking to recognize one of these national certifications, either the NADSP or the NADD certification

Summary: The Virginia Disability Commission held its first meeting of the year on June 18, established a quorum, and introduced members. Senator Barbara Favola was elected chair and Delegate Amy Laufer was elected vice chair, both unanimously. The commission also reviewed and unanimously approved its electronic/remote participation policy, which mirrors last year’s policy and allows limited remote participation under Virginia FOIA rules. Staff then reviewed a package of 14 disability-related bills that passed last session and were signed into law. Topics included disabled veterans’ vehicle registration fee exemptions, open captioning requirements for movie theaters, guardianship/conservatorship order forwarding, service dog team definitions, education and transition planning for students with disabilities, Blue Envelope and driver communication training for law enforcement and driver education, deferred disposition and jury service protections, voting rights in guardianship cases, expansion of the Virginia Human Rights Act, continuation of a DD waiver eligibility change, and DMAS training authority for autism competency checklists. Members discussed implementation concerns, especially making the Blue Envelope/driver communication program more visible and considering a follow-up letter and DMV presentation. The commission then adopted its interim work plan unanimously, with discussion of possible presentations on DMAS and Medicaid waivers, DBHDS telehealth training implementation, SCHEV and VDOE transition planning, transition from institutions to community settings, criminal justice reform, transportation and parking accessibility, adult-sized changing tables, and school accessibility. Members also suggested adding EVV concerns, seclusion and restraint, rare disease issues, and insurance coverage problems for needed medications. Public commenters urged the commission to address burdensome EVV requirements for family caregivers, improve accessibility for local government meetings and documents, and explore a standardized credential/career pathway for direct support professionals. The chair said follow-up work would be assigned on EVV and implementation issues, and the meeting location would move to the Senate side of the Capitol going forward.

Transcript Highlights:

• President, your Rules Committee has approved the following certificate of congratulations: Certificate
• Certificate number seven. Certificate number eight. Certificate of condolence.
• Certificate number five. Certificate number six. Certificate number seven.
• Certificate number eight. And direct...
• Certificate number 8 and direct recognition, Certificate numbers 22, 23, 24, 25, and 26, and directs

Keywords: 996, all

Transcript Highlights:

• I just had a meeting with members of DOC to speak about some changes to the certification process, and
• I just had a meeting with members of DOC to speak about some changes to the certification process, and
• I just had a meeting with members of DOC to speak about some changes to the certification process, and
• I just had a meeting with members of DOC to speak about some changes to the certification process, and
• We, I just had a meeting with members of DOC to speak about some changes to the certification process

Keywords: 1189, house, all

Summary: The committee first approved the minutes from the March 6, 2026 meeting and then received updates from the Legislative Budget Assistant audit staff on several ongoing audits. Christine Young reported that the special education audit was in report-writing stage with 39 of 80 observations completed and a draft expected in the second quarter, the education freedom accounts audit had 27 of 42 observations completed with a draft also expected in the second quarter, and the Doorway program audit had a draft report with 15 observations sent to DHHS on March 30, with responses due April 24 and presentation expected at the May fiscal committee meeting. Members asked about the size of the special education report, and staff estimated it would be over 800 pages and roughly three pounds. The committee then reviewed prior audit responsiveness from the Human Rights Commission. The commission reported that 22 observations had been completed, with remaining issues focused on timely case processing, a formal risk assessment, and a performance measurement system. Officials said staffing shortages were improving, a risk assessment manual had been drafted, a scorecard system was nearly complete, and the commission’s rules were moving through the public hearing process. Members asked about the timeline, and the commission said case processing was averaging 20 to 22 months and that the remaining items were expected to be resolved over time. Police Standards and Training also reported progress on prior audit items. The director corrected one status designation and said the job task analysis for curriculum development was substantially resolved, with findings and recommendations being prepared for the council. He said work on fitness testing was on hold pending legislative action, the performance measurement and strategic planning item remained a priority, and the council was focusing first on updating administrative rules. He also said the corrections advisory committee likely needed a statutory amendment to better reflect members with practical corrections experience. In response to questions, he said the council does not certify county correctional officers but reviews county curriculum annually, and he said the agency would be open to discussing consolidation or a pathway for county officers to become state-certified. The Department of Corrections then updated the committee on parole board-related audit items, saying 11 of 13 DOC-related findings were resolved. The remaining issues involved implementing a structured decision-making process for the parole board and improving data collection for recidivism tracking; the board had applied to the National Institute of Corrections for training, and manual data collection was underway. DOC also said it had created a HIPAA-compliant release form to share substance use disorder treatment information with the parole board. Finally, OPLC reported on the mental health workforce audit, saying six findings were fully resolved and six substantially resolved, with most remaining items tied to rulemaking and application processing. The office expects to complete its backend system migration and improve timeliness metrics by the end of the year, and it recently launched a jurisprudence exam for the mental health board. Under potential audit topics, staff said two items remained suspended because of litigation, and the committee discussed whether to keep DHHS contract management on the list. Representative [name unclear] proposed adding two new education freedom account audit topics: verification of residency and eligibility, and a record of educational attainment while preserving student privacy. Members supported adding them, but staff warned the expanded scope could delay the report and would require coordination with the Department of Education and approval by the Fiscal Committee. The chair said staff would work with the commissioner and LBA to draft the revised scope for further committee action.

Transcript Highlights:

• I'm a mom, friend, nurse, and a survivor of domestic abuse.
• Well, certification wouldn't have been an issue prior to the passing of this legislation.
• The certification aspect was new to the police reform law.
• Me, as a nurse, and working in the nurse... Present. Welcome. Thank you.
• Me, as a nurse, and worked in me in the nurse. Medical care.

Keywords: 995, all

Summary: The Judiciary Committee heard testimony on a wide range of criminal justice, victim services, and records-sealing bills. Early testimony focused on H.1811, the Clean Slate automated record-sealing bill, with supporters arguing that automatic sealing after existing waiting periods would remove barriers to jobs, housing, and education without changing eligibility rules. Advocates from legal aid, business, and housing organizations said the current petition-based system is underused, burdensome, and costly, while opponents of expanding surveillance-related laws urged the committee to preserve privacy protections. The committee also heard testimony on H.1693, which would immediately seal records in cases ending without conviction and clarify the presumption of innocence, with speakers describing how dismissed cases still create lasting collateral consequences and prevent people from moving forward. No votes were taken during the hearing. Several bills centered on victim safety and domestic violence. Senator Michael Moore testified for S.1201, which would keep child-protective orders in effect even if the parent or guardian who filed them dies, and for S.1204, which would update the wiretap statute. Multiple survivors and advocates supported S.1215 and S.1222, arguing for a narrow wiretap defense for recordings made to document threats or abuse and for making GPS tampering a separate felony offense. Testifiers described situations in which GPS devices were cut off or disabled and said current law leaves victims at risk and gives abusers too much leeway. The committee also heard emotional testimony on H.1685/S.1238, a bill prompted by the suicide of Stavri Yanka in custody, with the sponsor, his mother, and the sheriff describing the need for better information-sharing so suicide-risk information follows a person into custody. Law enforcement and prosecutors supported several due-process and dangerousness-related bills. MassCOP, the Boston Police Patrolmen’s Association, and the State Police Association backed H.1828/S.1039/S.1235, which would require de novo Superior Court review for POST Commission suspensions over two weeks or decertifications, arguing officers need a meaningful appeal beyond administrative review. The committee also heard support for H.1691, expanding the dangerousness statute to additional offenses; Bristol County District Attorney Quinn said the changes would let prosecutors seek detention in serious cases such as child rape and manslaughter when facts warrant it. In contrast, the Committee for Public Counsel Services opposed expanding dangerousness detention, warning that pretrial detention causes serious harms and disproportionately affects Black and Hispanic defendants. The hearing also included testimony on H.1654/S.1063 to enhance victims’ rights and H.1525, which would rename and expand community corrections into community justice programs, with supporters emphasizing reentry, reduced stigma, and broader service access.

Transcript Highlights:

• A prime example is that we pay a nurse practitioner less than we pay a physician for the same CPT code
• “This rule is related to the Arkansas long-term care facility nursing assistant training program.
• Our first rule is a new rule that we are proposing to enact Act 965 of 2025 for the certification of
• This is enacting Act 435 of 2025 regarding certification of community health workers.
• “Shane David, Branch Chief, Health Systems Licensing and Certification, Department of Health.

Summary: The committee reviewed a series of Arkansas Medicaid and Department of Health rules, many implementing 2025 acts. Early items covered presumptive eligibility and Medicaid policy updates, including adding a definition of fictive kin for foster children and changing the disability onset age for ABLE accounts from 26 to 46. Another rule clarified that continuous glucose monitors may be billed by both pharmacies and durable medical equipment providers, with committee members questioning prior authorization timing, system lag, and a fiscal impact estimate of about $3 million over two years; the rule was reviewed, but members requested additional cost breakdowns. Other Medicaid-related rules addressed an RSV vaccine administration fee increase, an ET3 telemedicine exemption for ambulance treat-triage-transport services, a dental rate increase under Act 1025, expanded physical therapy access, and the Healthy Moms, Healthy Babies package covering doulas, lactation consultants, remote monitoring, and expanded prenatal testing. Most were reviewed without objection after brief discussion or no questions.

Transcript Highlights:

• Prime example being we pay a nurse practitioner less than we pay a physician for the same CPT code.
• Prime example being we pay a nurse practitioner less than we pay a physician for the same CPT code.
• And this rule is related to the Arkansas Long-Term Care Facility Nursing Assistant Training Program.
• This is enacting Act 435 of 2025 regarding certification of community health workers.
• Shane David, Branch Chief, Health Systems Licensing and Certification, Department of Health.

Keywords: 1204, all

Summary: The committee reviewed a series of Medicaid and health-related administrative rules, most of them tied to 2025 acts. Early items covered presumptive eligibility end dates, adding a definition of fictive kin for foster children, and updating ABLE account disability onset age. The committee also reviewed rules on continuous glucose monitors, RSV vaccine administration fees, ET3 telemedicine exemptions for ambulance services, dental rate increases, physical and occupational therapy access, and the Healthy Moms Healthy Babies and lactation consultant provisions. Most rules were reviewed without objection, though several members asked for fiscal and implementation details, especially on the CGM rule and the dental rate rule. The most extended discussion centered on the dental rate increase under Act 1025. DHS said the rule applies only to oral surgeons’ dental services as written, while the Arkansas State Dental Association and legislative sponsors argued the intent was to raise rates for a broader set of dentists performing the same procedures, especially for adults with special needs. Members discussed the statutory language, CMS constraints, bifurcated rates, and the estimated additional cost of about $1.5 million annually if general dentists were included. The committee ultimately reviewed the rule, but the chair noted the testimony and lawmakers indicated they would work on a fix next session. Another major exchange involved the CGM rule. Members questioned the reported $3 million two-year fiscal impact, the prior authorization process, and whether DME providers would be forced into a pharmacy-based system. DHS explained that the same vendor would handle prior authorizations and that the billing system changes were already live, but one member moved to expunge the earlier review vote and then said he would hold the rule pending further clarification. The committee also reviewed rules on adverse decisions appeals, CNA training, substance abuse and mental health network-status disclosures, new certification rules for doulas and community health workers, cosmetology/body art, massage therapy, lead-based paint, radiation control, radiologic technology licensure, and mobile home/RV park standards. The meeting ended with all remaining items reviewed and the committee adjourned.

Transcript Highlights:

• And as we left the school, she reached out and said, “So long, suckers,” to the nurse.
• Sarah Lee Davison, in the gallery today, along with Banner Tucson Injury Prevention, Trauma, and OR nurses
• HB 2342, Ambulance Association Shade Structures, Certificate of Necessity.
• HB 2402, Ambulance Services Certificate of Necessity.
• HB 2895, Native American Language Instruction Certification.

Keywords: 1182, all

Summary: The Senate convened with prayer and the Pledge of Allegiance, recognized guests including the doctor of the day, visiting family members, and representatives from the Arizona Chapter of the American College of Surgeons demonstrating Stop the Bleed techniques. Members also acknowledged a St. Patrick’s Day visit by the Speaker of the Irish Parliament and adopted a proclamation honoring Irish heritage and the Arizona-Ireland relationship. In Committee of the Whole, senators considered and advanced several bills. SB 1046, relating to information technology, was amended and given a do-pass recommendation. SB 1066, concerning civil liability and fraudulent scientific research, was amended with a floor amendment limiting liability for certain researchers, universities, and registered drug manufacturers, then advanced. SB 1332, relating to light rail expansion participation, was amended after debate over transit policy and state versus local control, and also received a do-pass recommendation. SB 1286, on veterinary prescriptions, was amended to adjust electronic prescribing timeframes for flea/tick and antimicrobial drugs and then advanced. On third reading, the Senate passed SB 1009 on school curriculum and AED training, SB 1086 on the Arizona health care cost and payment system, SB 1317 appropriating money to the Attorney General for a coordinated jail reentry program, SB 1580 appropriating money to the Department of Administration, SB 1582 funding school safety, SB 1709 on probation for dangerous crimes against children, SB 1550 appropriating money to the state treasurer, SB 1761 appropriating money to the University of Arizona, SB 1046, and SB 1286. Several members explained votes, including support for reentry programming and school safety, and opposition based on concerns about funding sources, judicial discretion, or program effectiveness. The House requested reconsideration of HB 4027 and HB 2444, and the Senate then recessed, received a list of bills for first reading and committee referral, announced committee meetings for the next day, and adjourned until March 17, 2026.

Transcript Highlights:

• been<01:21:05.440> enough certificate, but they've been enough certificate, but they've been
• We have six nursing homes, and it's the unintended consequences of this bill for nursing homes that are
• We have six nursing homes, and it's the unintended consequences of this bill for nursing homes that are
• We have six nursing homes, and it's the unintended consequences of this bill for nursing homes that are
• There's no that uh doctor or nurse.

Keywords: 1191, senate, all

Transcript Highlights:

• Yeah, and that was not safe for the nursing staff because a nurse would have to turn.
• Yeah, and that was not safe for the nursing staff because a nurse would have to turn.
• Yeah, and that was not safe for the nursing staff because a nurse would have to turn.
• Do you do the certifications?
• Do you do the certifications?

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• for survivors of domestic violence, this bill will allow the department to issue provisional certifications
• For survivors of domestic violence, this bill will allow the department to issue provisional certifications
• After she gave birth, the family conspired with local authorities to lie on the birth certificate, to
• create a completely fictitious birth certificate so that it didn't look like the child was the product
• If you have a conflict between the pediatrician that saw the child and you have a nurse practitioner

Summary: The Committee on Children, Families, and Elder Affairs met with a quorum and considered five bills. SB 1174, by Senator Jones, would simplify the process for transferring a family foster home license when a foster parent moves within Florida. A friendly amendment clarified that the transfer applies to the same licensed person, not a different individual, and directs DCF to prioritize amended licenses. The committee adopted the amendment and reported the bill favorably. SB 558, by Chair Grall, created a framework for voluntary post-adoption contact agreements between adoptive and biological parents, including contact with siblings, with court filing and enforcement procedures. A strike-all amendment changed the child’s party status age from 14 to 12, required court filing in the adoption case, set a preponderance standard, and moved the effective date to January 1, 2026. The committee adopted the amendment and reported the bill favorably. SB 1626, also by Chair Grall, was substantially revised by a strike-all addressing unaccompanied alien children reporting and custody procedures, military family child protective investigations, domestic violence shelter certification, children’s services councils, criminal-background exemptions, group home rates, subcontractor indemnification, child care licensing extensions, small residential group home fire suppression rules, and missing-child jurisdiction issues. After testimony both supporting and opposing parts of the bill, the committee adopted the amendment and reported the bill favorably. SB 738, by Senator Burton, updated child care and early learning licensing rules, including expedited licensing for compliant providers, faster background screening and provisional licensure, online training/testing, exemptions for certain military and employer-provided child care, and removal of a residential insurance provision from the bill. The committee adopted the amendment and reported the bill favorably. SB 304, by Senator Sharief, known as Patterson’s Law, addressed child abuse investigations involving rare genetic or metabolic conditions that can mimic abuse. The strike-all required more detailed medical analysis in reports, allowed second opinions, and set procedures for experienced physician review and judicial resolution. After extensive testimony from affected families, advocates, and DCF, the committee adopted the amendment and reported the bill favorably. At the end, Senators Harrell and Rouson asked to be recorded as voting favorably on additional bills, and the committee adjourned.

Transcript Highlights:

• Yeah, she's not Carol, I'm a nurse, I get to the point. Hopefully quicker. Much.
• Yeah, she's not Carol, I'm a nurse, I get to the point. Thank you, Representative Willoughby.
• data makes my nurse heart happy, and with that I vote aye.
• It's called a NERC certificate.
• Otherwise, you will not get the certificate to build.

Bills: HB2014, HB2055, HB2145, HB2150, HB2696, HB2755, HB2763, HB2781, HB2782, HB2787, HB2795, HB2889, HB2975, HB2985, HB2986, HCM2009, HCR2020, HCR2038

Keywords: air emissions, fuel blends, environmental quality, feasibility study, Arizona Department of Agriculture, brackish groundwater, water supply development, desalination, Arizona Revised Statutes, water infrastructure, financial assistance, environmental reviews, fuel reformulation, gasoline standards, environmental regulations, ethanol supply, Air Quality, state land department, mineral lease, renewals

Summary: The Natural Resources Committee approved the March 17 minutes and then took up a long calendar of bills, holding HCR 2038. HB 2787, which would bar the state and its political subdivisions from using personnel or financial resources to enforce, administer, or cooperate with the Mexican wolf reintroduction program, drew opposition from Sierra Club and Humane World for Animals/Animal Defense League of Arizona, who argued it would hinder wolf recovery and undercut science-based wildlife management. The committee nevertheless gave HB 2787 a do-pass recommendation by a 4-3 vote. The committee then considered HB 2055 on a Brackish Groundwater Recovery Program Fund and HB 2782 on disclosure requirements for regulatory assets in utility rates. Testimony on HB 2055 raised concerns that brackish groundwater is still groundwater and that pumping it could cause localized impacts, but the bill initially received a do-pass recommendation before a later vote failed on reconsideration. HB 2782 prompted discussion about Corporation Commission authority and utility regulation, but it ultimately received a do-pass recommendation. The committee also heard HB 2781, a solar energy decommissioning and financial assurance bill, with testimony from environmental groups, industry representatives, and a local official; an amendment by Senator Sundareshan to strengthen financial assurance and remove the remediation fund failed, and the underlying bill also failed on a tied 4-4 vote. Later, the committee approved HB 2975, which would suspend use of solar scoring maps on state trust lands and require new mining and housing scoring maps, despite opposition from environmental groups and neutral comments from the State Land Department that the solar map is only a guidance tool. HB 2696, as amended, passed after the committee adopted amendments shifting the Arizona Commerce Authority’s fuel-price mandate and creating a fuel resiliency task force; testimony focused on fuel supply, pipeline capacity, refinery access, and whether the ACA was the right agency to lead the effort. The committee also passed HCM 2009 urging Congress to require legislative approval for new national monuments and to streamline mining and land-swap processes, and HB 2889, which funds ADEQ monitoring of uranium contamination and creates a statewide registry and tribal partnership program. Finally, the committee approved HB 2763, which would require legislative approval before the Arizona Game and Fish Commission could close a shooting range. Supporters said it was meant to protect facilities like Ben Avery and preserve safe shooting locations, while opponents argued the bill was unnecessary because existing review steps already exist and there was no imminent closure threat. The committee also heard testimony on the bill from Game and Fish, which said the measure would add another layer to an already extensive closure process and that the department was neutral on the proposal.

Transcript Highlights:

• We have master social workers on staff, mental health practitioners, nurse supervisors, registered nurses
• You need to have the MOSU license before you can apply for the PRTF certification.
• If it were to lose its certification, then that would in fact occur.
• kids have to be there in the licensed facility before you can get the PRTF certification.
• But in order to get the PRTF certification, you have to have the staff hired. Is that right?

Summary: The Health and Human Services Committee held an invited-testimony hearing on LR 425, which examines the Whitehall campus in Lincoln and possible long-term options for youth currently served there. Chair Brian Hardin explained that Whitehall houses two separate programs for adolescent males: a substance use program and a youth-who-sexually-harm program. Testimony from DHHS officials described Whitehall as a Joint Commission-accredited psychiatric residential treatment facility (PRTF) that provides about 40 hours of weekly programming, family involvement, school services, and community reintegration activities. Officials said the department is evaluating whether the programs should remain at Whitehall or move to another state-owned facility, with Hastings described as the department’s preferred alternative because it is more residential in design than a youth rehabilitation treatment center (YRTC).

Transcript Highlights:

• shortening of the SNAP certification shortening of the SNAP certification periods<00:31:28.320><
• Last month I was helping a woman in New Ipswich, New Hampshire, who is a registered nurse.
• This mom has a degree in nursing.
• She had to mom has a degree in nursing.
• Um, DHS has made certification periods.

Keywords: 1191, senate, all

Transcript Highlights:

• who had been issuing phony certificates. who had been issuing phony certificates.
• don't have to get certification. don't have to get certification.
• ,<00:42:05.709> [snorts] or as an emergency room nurse, [snorts] or as an emergency room nurse
• could have some kind of certification could have some kind of certification system.<01:01:51.839
• You need to have a certification or a license to be credentialed in a hospital and to have access to

Bills: HF362, HF2590, HF2760, HF3444

Keywords: massage therapy, Asian bodywork therapy, massage therapist, Asian bodywork therapist, licensure, professional licensing, health occupations, Department of Health, commissioner of health, advisory council, protected title, unlicensed practice, scope of practice, consumer protection, background check, professional liability insurance, continuing education, credentialing examination, state preemption, municipal regulation

Transcript Highlights:

• C.S. for H.B. 647, advanced practice registered nurse services by Representative Tribulsi.
• C.S. for H.B. 647, advanced practice registered nurse services by Representative Tribulsi.
• sign, with It can take up to three weeks to have a death certificate signed, which leaves families a
• It takes a very long time to process death certificates.
• It takes a very long time to process death certificates.

Summary: The Health and Human Services Committee heard and passed several bills. HB 293 would codify the Office of Faith and Community in the Executive Office of the Governor, create a liaison and advisory council, and was supported by faith-based and nonprofit groups; some members questioned possible duplication with existing services and the source of any future funding, but the bill passed 24-0. CS/HB 547 would create an exception to the 30-day notice requirement before hospitals and ambulatory surgical centers sell medical debt when the debt buyer agrees not to use interest, fees, or extraordinary collection actions and must return charity-care-eligible debt; it passed unanimously after brief support testimony. CS/HB 1553 would require reporting of uterine fibroid data to the Department of Health to create a de-identified public database and reauthorize funding for implementation; it also passed 24-0, with members noting the earlier database mandate had not been carried out. The committee then took up CS/HB 1195, “Gage’s Law,” which would require hospitals and hospital-based emergency departments to test for fentanyl in urine drug screens for suspected overdose or poisoning cases. The bill was presented as a response to overdose deaths and the need to better detect fentanyl, and emotional testimony from a parent described a son’s death after a hospital did not test for fentanyl. Members from both parties spoke in strong support, emphasizing stigma, the need for better treatment and data, and the potential to save lives; the bill passed 24-0. CS/HB 47 on child care and early learning providers would streamline inspections, speed background screening, offer free online training/testing, update definitions, protect certain family child care homes from insurance issues, and create a license-exempt category for employer-provided child care; after questions about parent notice, database listing, background checks, and insurance, an amendment was adopted and the bill passed 24-0 as amended. Finally, CS/HB 647 would allow advanced practice registered nurses to sign death certificates in hospice settings, addressing delays that can leave families waiting to complete burial arrangements. Support testimony came from advocacy and hospice groups, and members cited the bill’s importance for families and religious burial timelines. The bill passed 23-0. The committee then adjourned.

Transcript Highlights:

• Nurse Rodney Hummer.” “Exportation. Yep.” “Yep. Last question first.
• We have two nurses in those roles.
• So you have a nurse or a doctor in all your locations every day that can prescribe.
• To our professionals, our doctor, our nurse.
• To our professionals, our doctor, our nurse.

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

Transcript Highlights:

• Gilbert deeply admired the nurses and doctors who cared for him during his treatment and their compassion
• It ignited a person within him to pursue a career in nursing.
• In May of 23, he proudly completed his registered nurse certification. to serve in the neurology department
• HB 1420 by Beau relating to a study on nurse-to-patient ratios for critical care patients in health care
• TEP are relating to the issuance of anticipation notes and certifications of obligations by certain local

Keywords: 1184, house, all

Transcript Highlights:

• A large number of our nurses, for example, are reaching retirement age. and first of all there is a Workforce
• large<00:01:19.640> number<00:01:20.240> of<00:01:20.640> our<00:01:21.000> nurses
• EMS<00:08:02.800> or<00:08:03.039> a<00:08:03.240> EMR<00:08:04.360> certificate
• <00:08:05.360> wow<00:08:06.039> all for an EMS or a EMR certificate wow all for an
• EMS or a EMR certificate wow all right<00:08:06.319> now<00:08:06.479> Senator<00:08:07.199

Keywords: 1187, senate, all

Transcript Highlights:

• As you can nursing facility payments.
• of the nursing facility payment rates. of the nursing facility payment rates.
• the search charge um that nursing the search charge um that nursing facilities<00:43:23.119>
• This removed the certification changes.
• <01:32:27.760> or licensed, whoever that certification or licensed, whoever that certification

Bills: HF3379

Keywords: housing stabilization, disability services, predatory funding, provider requirements, housing accessibility, 1183, house

Transcript Highlights:

• critical pipeline for this industry, providing students with industry-recognized credentials and certificates
• critical pipeline for this industry, providing students with industry-recognized credentials and certificates
• It's a pathway, and I too spent a lot of time as a waitress outside of being a nursing assistant in those
• <00:20:29.000> assistant<00:20:29.360> in outside of being an nursing assistant in
• outside of being an nursing assistant in those<00:20:29.640> years<00:20:29.840> and<00

Keywords: 1183, house