Transcript Highlights:

• Subdivision 402H authorizes APRNs to delegate certain nursing tasks to unlicensed health care workers
• Section 701 is the full practice authority parameters for certified nurse midwives were added to law
• As long as they're treating the same ADHD or whatever it is, they can write a different prescription,
• So just to make sure we're on the same page and understand, if someone wrote a prescription for, say,
• This rule creates a public-private partnership program that is authorized under the code.

Summary: The Administrative Rules Subcommittee met to review a long agenda of agency rule changes, beginning with housekeeping on the order of business and then taking up rules from multiple state agencies. Early items included Department of Energy and Environment rules on landfill post-closure trust fund spending thresholds and liquefied petroleum gas standards, DFA’s odometer disclosure rule allowing electronic signatures and disclosures, and several Department of Health rules covering ionizing radiation, mobile home and recreational parks, lead-based paint, counseling licensure, hearing instrument dispensers, athletic training, dental specialties and compacts, nursing, pharmacy, physician assistants, medical compacts, speech-language pathology and audiology, radiologic technology, massage therapy, community health workers, doula certification, and cosmetology/body art. Most of these were described as technical updates, conformity with recent acts, federal standards, or compact participation, and nearly all were approved without objection after brief questions and, in many cases, no public comment. The committee also reviewed Department of Labor and Licensing rules on minimum wage/independent contractor standards, boiler rules, motor vehicle commission requirements for ATV/LSV dealers, professional wrestling regulation, appraiser qualifications, and military recruiting and retention programs. Testimony generally emphasized that the rules implemented recent legislation, updated fees or licensing standards, or streamlined existing processes. Members asked a few questions about fee structures, the rationale for regulating professional wrestling, and how the National Guard’s public-private partnership and incentive programs would work; the department said the recruiting incentives would be funded from existing appropriations and were intended to improve retention and force strength. These rules were also approved without objection. The most extensive discussion came on the Department of Education’s Arkansas Children’s Educational Freedom Account Program rule. The department said the revisions, based on Act 920 of 2025, were intended to add guardrails, clarify allowable expenses, and speed approval of core educational purchases. Changes included defining core educational expenses, limiting certain sports-related spending, adding an intentional misuse standard, restricting phone purchases except for disability-related needs, setting a $1,000 threshold for additional review of technology purchases, capping carryover funds at $8,500, and creating a reconsideration process for denied expenses. Members raised concerns about safeguards, appeals, sports equipment, provider credentialing, rural vendor access, and whether the department would be flexible or overly restrictive. The department said it would review every request, provide written explanations for denials, allow appeals up to the State Board, and refer suspected fraud to prosecutors if necessary. After hearing from 13 members of the public, the committee continued to discuss the rule, but the transcript ends before any final vote on the EFA rule is shown.

Transcript Highlights:

• Are we just adding contact with the local authorities?
• And so the authors are on the right track.
• We have a little bit more authority.
• It's giving, I think it's giving the authority not to one person.
• I think, well maybe I should ask the author or someone else.

Bills: HB45, HB755, HB 1232, HB1555, HB2460, HB2702, HB2973, HB3120, HB3225, HB3314, HB3356, HB3371, HB3634, HB3638, HB4247, HB4283, HB4290, HB4302, HB4503, HB4511, HB4565, HB4581, HB4627, HB4632, HB4660, HB4668, HB4960, HB5042, HB45

Keywords: housing, affordable housing, rent control, landlord-tenant laws, housing rights, lobbying, public entities, expenditures, government code, transparency, Texas Ethics Commission, government regulation, lobbying restrictions, government accountability, taxpayer money, HB 1232, whistleblower, whistleblower protection, public employee, retaliation

Transcript Highlights:

• <00:08:38.519> like<00:08:38.640> that<00:08:38.800> in sort of like prescriptive
• On Senate Bill 1637, with all due respect to my good friend, the author of this measure, the Utsman in
• <00:27:20.799> of respect to my good friend the author of respect to my good friend the author
• <00:30:05.840> as<00:30:06.000> a<00:30:06.120> chief facilities Authority as
• a chief facilities Authority as a chief procurement<00:30:06.919> officer<00:30:07.919> um

Keywords: 912, senate, all

Summary: The committee met for joint decision-making on several measures related to elections, telework, procurement, hiring, public records, and public meetings. On Senate Bill 444, testimony was largely opposed or in comment, and the chairs said the bill raised real issues that needed more time; they deferred it for the year. Senate Bill 1091 on telework and space allocation drew support and discussion about DAGS’ role versus the Department of Human Resources; the committee agreed to amend it in a Senate Draft 1 to remove reference to OE, add a DAGS management analyst position, change “positions” to “allocations,” limit the assessment to executive branch departments in DAGS-managed or DAGS-leased facilities, and add a defective date, then passed it with amendments. Senate Bill 1057 on apprenticeship-related bid incentives received mixed testimony, including support from labor and opposition from some contractor groups, and was passed as a Senate Draft 1 with technical amendments and a defective date. Senate Bill 1065 on skills-based hiring, which would bar bachelor’s degree requirements for most state jobs with exemptions, had support from the Comptroller and outside groups and was passed with technical amendments and a defective date. The committee also took up several procurement and accountability measures. Senate Bill 92 on emergency medical response/defibrillators was deferred indefinitely because a pilot project is already underway in the Capitol building and the committee wants to use that information before expanding. Senate Bill 1175 on a past-performance procurement database was amended to add general fund appropriations and committee-report language about funding needs, then passed. Senate Bill 1587 on retainage was heavily amended to define total project budget, revise retainage language, leave key percentage and day limits blank for further review, limit application to contracts executed after January 1, 2026, and add a defective date; it passed as amended. Senate Bill 1543 on government accountability was amended to incorporate procurement officer changes and add language ensuring inherent government functions are not delegated to contractors, then passed. Senate Bill 1255 on government records was amended to clarify that records used in performing a government function are public records subject to UIPA, add contractor recordkeeping/access requirements, protect certain confidential contract information, and add a defective date; it passed. Additional measures were either deferred or advanced with amendments. Senate Bill 1513 on appropriations was deferred to a time certain on February 11. Senate Bill 1616 on care centers was converted into a feasibility study and passed with a defective date. Senate Bill 74 on state construction projects was deferred indefinitely due to concerns it could slow projects and duplicate another measure. Senate Bill 125 on state organizations and administrations was amended to codify Administrative Directive 19-02, with a note about a possible title issue, and passed. Senate Bill 786 on government records was deferred to February 11 for further amendment work. Senate Bill 1611 on government positions was amended by removing section two and passed. Senate Bill 1637 was deferred for the year after testimony indicated the action could already be done. Senate Bill 1651 on public meetings was amended to require board packets by the third business day before a meeting, remove the word “full,” and adjust notice language, then passed. Senate Bill 1617 on public meetings was deferred because the Office of Information Practices reported no complaints. Senate Bill 1253 on boards and commissions was deferred indefinitely due to no testimony. Senate Bill 1031 on advisory referendums was deferred to February 11 for possible amendments. Senate Bill 1306 on a procurement automation special fund was amended to align procurement statutes and add the School Facilities Authority executive director as a chief procurement officer, then passed.

Transcript Highlights:

• uh [clears throat] get the House author uh [clears throat] get the House author of<00:04:18.760>
• <00:05:12.520> the Hawaii Revised Statutes, authorizes the Hawaii Revised Statutes, authorizes
• DOE has authority to create temporary positions with a term not to exceed one year.
• create<00:14:29.880> temporary DOE has authority to create temporary DOE has authority to
• and not give you any room prescriptive and not give you any room to<00:16:21.320> wiggle.

Bills: HCR122

Keywords: Olelo Hawaii, micro-credentials, Hawaiian language, Niihau dialect, language revitalization, 912, senate, all

Summary: The joint Senate Committee on Education and Committee on Hawaiian Affairs first took up HCR 122, which requests the University of Hawaii to allow an ʻŌlelo Hawaiʻi E Pathway under the Niʻihau dialect. Testimony was generally supportive, and the chair noted agreement with the House author to mirror amendments already made in the Senate version, including technical, non-substantive changes and a micro-credential reference. Both committees voted to pass HCR 122 with amendments. The committee then heard HCR 181, affirming the legislative intent of HRS 302A-1116 regarding the Department of Education’s authority to create temporary positions. DOE Superintendent Keith Hayashi testified that the department follows statutory requirements and consults with the Attorney General, while several members expressed concern that the department’s interpretation could allow repeated annual renewals and undermine the budget process. Members discussed the need to make the bill more explicit that temporary positions may not exceed one year. The committee ultimately adopted the proposed SD1 and passed HCR 181 with amendments. The committee also considered HCR 42 on recognizing cheerleading as a title sport, HCR 53 on a UH associate degree completion audit, HCR 110 on refining campus roles within the UH system, HCR 111 on clarifying UH system and campus responsibilities, and HCR 118 HD1 on strengthening menstrual health education and adopting a comprehensive menstrual cycle curriculum. HCR 42 and HCR 53 were passed with technical/non-substantive amendments, HCR 110 and HCR 111 were passed unamended, and HCR 118 HD1 was passed with amendments reflecting the Senate version. Testimony on HCR 118 strongly supported standardized menstrual health education, with speakers emphasizing student demand and existing school infrastructure.

Transcript Highlights:

• Hours a day alone on prior authorization.
• For example, trying to get a prescription filled in.
• For more information, visit www.FEMA.gov, e.g., prior authorization.
• And I will say that I know you've done prior authorization bills.
• I've done prior authorization, and they're difficult to get through.

Transcript Highlights:

• Member of the Colorado Prescription Drug Affordability Review Board, effective September 28, 2025, for
• Member of the Colorado Prescription<00:26:14.720> Drug<00:26:14.880> Affordability<00:26
• :15.520> Review Prescription Drug Affordability Review Prescription Drug Affordability Review
• <00:37:13.359> of<00:37:13.520> the concerning the authority of the concerning the
• authority of the executive<00:37:14.079> committee<00:37:14.320> of<00:37:14.480> the

Keywords: 981, all

Summary: The Senate convened with a quorum, approved the March 5, 2026 journal as corrected, and received several committee reports and Senate Services notices. Health and Human Services recommended Senate Bill 41 be postponed indefinitely and reported confirmations for James Vandenberg to the Colorado Prescription Drug Affordability Review Board and multiple nominees to the Air Quality Control Commission. State, Veterans, and Military Affairs reported Senate Bills 47, 106, and 107, with SB 47 amended and sent to the Committee of the Whole with a favorable recommendation, while SBs 106 and 107 were postponed indefinitely. Local Government and Housing reported Senate Bills 109 and 92, both amended and sent to the Committee of the Whole, with SB 92 also recommended for the consent calendar. On the floor, Senate Joint Memorial 003 was read and then laid over until March 17, 2026. The Senate passed House Bill 1020, concerning calorimetric field drug tests in drug possession cases, and Senate Bill 95, concerning support for victim survivors of certain crimes, both on third reading and final passage by unanimous 33-0 votes. The Senate then went into Committee of the Whole on consent-calendar and general-order bills, where House Bill 1115 was advanced on second reading, and House Bill 1068, concerning remote participation policies for certain legislative committee meetings, was amended and advanced on second reading. Senate Bills 40 and 87 were laid over until March 9, 2026. The Senate also laid over Senate Resolution 004, recognizing October 26, 2026 as Conflict Resolution Month in Colorado, until March 9, 2026. The chamber confirmed appointments on the consent calendar to the Board of Commissioners of Veterans Community Living Centers, the State Personnel Board, and the Colorado Racing Commission by a 34-0 vote with one excused. During announcements and personal privilege remarks, senators recognized HIV and Harm Reduction Advocacy Day, the Urban Leadership Foundation of Colorado, Jack and Jill of America, and the Denver Zoo Conservation Alliance. The Senate later recessed until 11 a.m. that day.

Transcript Highlights:

• the commissioner of human services, so in order for the commissioner of human services to have the authority
• commissioner of human services to have commissioner of human services to have the<00:09:57.360> authority
• to spend that money the authority to spend that money language<00:09:59.440> would<00:09:59.600
• <00:21:37.039> drug<00:21:37.360> benefit copay amount prescription drug benefit copay
• amount prescription drug benefit and<00:21:38.080> at<00:21:38.159> least<00:21:38.559

Keywords: 1187, senate, all

Summary: The committee reviewed a side-by-side comparison and fiscal analysis of Senate File 3472, a reinsurance-related bill affecting the premium security plan account, MinnesotaCare, and related health care funding. Staff explained the Senate and House versions of the bill, including how the Senate proposal extends reinsurance for five years and uses a projected $1.087 billion general fund transfer to fully fund claims and administrative costs through fiscal year 2028, while the House version conditions continuation of the program on federal approval of the state innovation waiver. The fiscal presentation also covered appropriations for MNsure, a mental health parity and substance abuse office, and House provisions for delivery reform and a public option study, along with a House transfer of $110.674 million to the health care access fund. Members debated the budget horizon and whether costs should be forecast beyond fiscal year 2025. Representative Schultz argued that the spreadsheet understated the broader fiscal impact of reinsurance and warned about future funding cliffs for MinnesotaCare and other health programs, while other members and staff noted that the state’s standard forecast ends in fiscal year 2025 and that the fiscal note only estimated reinsurance costs through the five-year extension. Supporters said reinsurance was the best available option to reduce premium increases, especially in rural areas, and some pointed to a public option as a longer-term alternative. Opponents argued reinsurance does not address underlying health care costs or deductibles and urged consideration of other reforms. House Research then walked through the policy differences. House-only provisions would change Minnesota Comprehensive Health Association board membership, require platinum plans in certain markets, expand postnatal coverage, require a prescription drug benefit in some plans, set a minimum actuarial value for MinnesotaCare, create an Office of Mental Health Parity and Substance Abuse Accountability, and direct reports on delivery reform and a public option. The shared provisions would extend the premium security program to 2027 and delay the transfer of remaining premium security plan funds to the health care access fund until 2029, with the House language again contingent on federal waiver approval. No formal vote was taken in the excerpt; the chair closed discussion after hearing no further questions and indicated members would be contacted about next steps.

Transcript Highlights:

• It's acceptable to the author and to the House author, and I move passage of the amendment.
• by the authority.
• Committee substitute House Bill 43 and certain programs administered by the authority.
• To ask a question of the author. Senator Hughes, do you yield? Of course, I'll yield.
• H.J.R. 133 proposes a constitutional amendment authorizing...

Bills: SB393, SB731, SB801, SB867, SB1232, SB1798, SB2082, SB2717, SB2919, SB3074, HJR133, HB2, HB18, HB24, HB26, HB35, HB43, HB49, HB75, HB103, HB120, HB126, HB143, HB163, HB180, HB216, HB413, HB647, HB700, HB748, HB851, HB1422, HB1445, HB1481, HB1545, HB1562, HB1586, HB1732, HB1828, HB1851, HB1916, HB1991, HB2014, HB2026, HB2038, HB2067, HB2193, HB2282, HB2293, HB2310, HB2464, HB2508, HB2516, HB2518, HB2524, HB2530, HB2674, HB2713, HB2715, HB2974, HB3016, HB3057, HB3062, HB3071, HB3120, HB3161, HB3180, HB3214, HB3234, HB3250, HB3463, HB3512, HB3556, HB3627, HB3680, HB3732, HB3801, HB3824, HB3833, HB3966, HB4044, HB4129, HB4226, HB4230, HB4263, HB4377, HB4384, HB4395, HB4396, HB4535, HB4668, HB4690, HB4751, HB4903, HB5033, HB5149, HB5154, HB5247, HB5331, HB5436, HB5667, HB5688, HB5693, HCR9, HCR40, HCR59, HCR127, SJR5, SB3, SB4, SB9, SB20, SB21, SB23, SB27, SB33, SB34, SB36, SB38, SB40, SB75, SB213, SB269, SB379, SB458, SB528, SB647, SB648, SB650, SB681, SB740, SB777, SB840, SB843, SB924, SB1061, SB1120, SB1121, SB1150, SB1188, SB1198, SB1202, SB1253, SB1318, SB1333, SB1398, SB1405, SB1423, SB1448, SB1535, SB1566, SB1574, SB1621, SB1709, SB1723, SB1789, SB1862, SB2037, SB2078, SB2268, SB2405, SB2406, SB2407, SB2544, SB2570, SB2601, SB2778, SB1, SB17, SB260, SB509, SB1506, SB1637, SB1833, SB2155, SB2308, HB2525, SB1538, SB1749, SB2603, SB3038, SB3062, SB3065, HB24, HB128, HB216, HB388, HB519, HB609, HB685, HB766, HB1237, HB1314, HB1445, HB1458, HB1522, HB1592, HB1606, HB1612, HB1633, HB2011, HB2025, HB2061, HB2259, HB2273, HB2358, HB2421, HB2434, HB2464, HB2518, HB2563, HB2637, HB2697, HB2713, HB2791, HB2856, HB3114, HB3126, HB3161, HB3233, HB3395, HB3424, HB3487, HB3505, HB3510, HB3597, HB3745, HB3803, HB3804, HB3806, HB4224, HB4310, HB4396, HB4738, HB4945, HB5084, HB5155, HB5180, HB5667, HB5686, HCR9, HCR10, HCR135, HCR142, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB1749, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3038, SB3045, SB1538, SB3071, SB3065, SB3062, HJR133, HB2715, HB3627, HB5033, HB2282, HB26, HB388, HB1633, HB685, HB1606, HB1458, HB2791, HB2061, HB647, HB4738, HB2563, HB128, HB766, HB2259, HB2358, HB4384, HB748, HB5180, HB3806, HB3804, HB3803, HB1522, HB3597, HB1612, HB4224, HB1314, HB1237, HB3126, HB2856, HB3114, HB3505, HB5652, HB2025, HB3395, HB18, HB2516, HB2713, HB24, HB519, HB609, HB1592, HB120, HB2421, HB2273, HB2464, HB5084, HB4396, HB43, HB5686, HB2518, HB4310, HB180, HB3745, HB4044, HB5155, HB5667, HB1445, HB1306, HB2637, HB5436, HB3966, HB2026, HB3487, HB4226, HB216, HB49, HB4112, HB3233, HB2310, HB2674, HB322, HB1481, HB126, HB3062, HB3180, HB2530, HB2524, HB1916, HB5650, HB4894, HB3120, HB1629, HB103, HB3234, HB3680, HB5698, HB3171, HB5693, HB2694, HB5664, HB3732, HB2508, HB2293, HB1991, HB2014, HB5331, HB5247, HB4751, HB4690, HB4668, HB4464, HB4395, HB4063, HB3833, HB3623, HB3214, HB3512, HB3250, HB3016, HB2520, HB2221, HB2213, HB3824, HB2067, HB1732, HB1562, HB700, HB1545, HB252, HB146, HB5596, HB1851, HB3619, HB3071, HB3556, HB851, HB4230, HB5320, HB5651, HB5670, HB5665, HB5437, HB5679, HB5699, HB5661, HB5662, HB5654, HB5672, HB5656, HB5149, HB4903, HB4743, HB4666, HB4377, HB4535, HB4129, HB3812, HB3801, HB3595, HB3057, HB2035, HB721, HB35, HB346, HB2974, HB2512, HB5695, HB5694, HB5671, HB5674, HB5688, HB1586, HB5154, HB2038, HB163, HB413, HB3463, HB3185, HB2761, HB2593, HB2348, HB2073, HB1828, HB1422, HB75, HB1871, HB108, HB2306, HB2017, HB1135, HB144, HB3689, HB5308, HB101, HB2193, HB5666, HB5677, HB5682, HB5680, HB5658, HB5696, HB4144, HB3159, HB3254, HB3866, HB3010, HB4520, HB3642, HB3928, HB3815, HB2686, HB2012, HB1960, HB227, HB654, HB1690, HB2128, HB4158, HB4530, HB4630, HB5659, HB1523, HB2078, HB2427, HB145, HB1973, HB3333, HB3697, HB3546, HB3225, HB3181, HB3133, HB3053, HB2885, HB2820, HB2294, HB2253, HB1661, HB1506, HB1234, HB640, HB621, HB551, HB521, HB493, HB272, HB229, HB223, HB201, HB186, HB119, HB2080, HB2818, HB5394, HB4795, HB4466, HB4454, HB3940, HB3749, HB3151, HB3284, HB1403, HB1106, HB2844, HB2851, HB1500, HB4488, HB4264, HB4, HB4170, HB3909, HB4081, HB4145, HB4157, HB4281, HB4285, HB4463, HB4749, HB4995, HB5081, HB5115, HB5138, HB5624, HB1449, HB3711, HB2598, HB3629, HB4361, HB824, HB1868, HB4848, HB2243, HB40, HB117, HB2313, HB3686, HB500, HB3793, HB112, HB104, HB1056, HB42, HB4486, HB3000, HB100, HB2240, HB718, HB27, HB4904, HB4202, HB2853, HB5129, HB5093, HB4765, HB4748, HB4559, HB4350, HB4214, HB3388, HB3112, HB5196, HB4211, HB3516, HB3092, HB4233, HB4687, HB705, HB1094, HB2037, HB3005, HB3848, HCR141, HCR118, HCR127, HCR40, HCR59, HCR10, HCR135, HCR142, HCR9, HCR76, HCR108, HJR133, HB18, HB35, HB43, HB49, HB75, HB103, HB120, HB163, HB216, HB413, HB647, HB851, HB1422, HB1481, HB1545, HB1562, HB1586, HB1732, HB1828, HB1851, HB1916, HB1991, HB2014, HB2026, HB2067, HB2193, HB2293, HB2310, HB2464, HB2508, HB2524, HB2530, HB2974, HB3062, HB3071, HB3120, HB3180, HB3214, HB3234, HB3250, HB3463, HB3512, HB3680, HB3732, HB3801, HB3824, HB3833, HB4044, HB4129, HB4226, HB4230, HB4377, HB4395, HB4396, HB4535, HB4668, HB4903, HB5149, HB5154, HB5247, HB5331, HB5436, HB5688, HB5693, HB2282, HB2715, HB3627, HB5033, HB2674, HB3556, HCR127, SB3, SB21, SB379, SB1405, SB1538, SB1749, SB3038, SB3062, SB3065, HB24, HB128, HB388, HB519, HB609, HB685, HB766, HB1237, HB1314, HB1445, HB1458, HB1522, HB1592, HB1606, HB1612, HB1633, HB2025, HB2061, HB2259, HB2273, HB2358, HB2421, HB2518, HB2563, HB2637, HB2713, HB2791, HB2856, HB3114, HB3126, HB3233, HB3487, HB3505, HB3597, HB3745, HB3803, HB3804, HB3806, HB4224, HB4310, HB4738, HB5084, HB5155, HB5180, HB5667, HB5686, HCR9, HCR10, HCR135, HCR142, SB2603, HB3395, HB636, HB5655, HB5689, HB5690, HB636, HB5655, HB5689, HB5690

Keywords: SB 393, Sparks, Middleton, local government, political subdivision, public securities, government debt, municipal bonds, general obligation bonds, certificates of obligation, anticipation notes, debt maturity, weighted average maturity, economic life, useful life, tangible personal property, real property improvements, public finance, Texas Government Code, Chapter 1253

Bills: SB393, SB731, SB801, SB867, SB1232, SB1798, SB2082, SB2717, SB2919, SB3074, HJR133, HB2, HB18, HB24, HB26, HB35, HB43, HB49, HB75, HB103, HB120, HB126, HB143, HB163, HB180, HB216, HB413, HB647, HB700, HB748, HB851, HB1422, HB1445, HB1481, HB1545, HB1562, HB1586, HB1732, HB1828, HB1851, HB1916, HB1991, HB2014, HB2026, HB2038, HB2067, HB2193, HB2282, HB2293, HB2310, HB2464, HB2508, HB2516, HB2518, HB2524, HB2530, HB2674, HB2713, HB2715, HB2974, HB3016, HB3057, HB3062, HB3071, HB3120, HB3161, HB3180, HB3214, HB3234, HB3250, HB3463, HB3512, HB3556, HB3627, HB3680, HB3732, HB3801, HB3824, HB3833, HB3966, HB4044, HB4129, HB4226, HB4230, HB4263, HB4377, HB4384, HB4395, HB4396, HB4535, HB4668, HB4690, HB4751, HB4903, HB5033, HB5149, HB5154, HB5247, HB5331, HB5436, HB5667, HB5688, HB5693, HCR9, HCR40, HCR59, HCR127, SJR5, SB3, SB4, SB9, SB20, SB21, SB23, SB27, SB33, SB34, SB36, SB38, SB40, SB75, SB213, SB269, SB379, SB458, SB528, SB647, SB648, SB650, SB681, SB740, SB777, SB840, SB843, SB924, SB1061, SB1120, SB1121, SB1150, SB1188, SB1198, SB1202, SB1253, SB1318, SB1333, SB1398, SB1405, SB1423, SB1448, SB1535, SB1566, SB1574, SB1621, SB1709, SB1723, SB1789, SB1862, SB2037, SB2078, SB2268, SB2405, SB2406, SB2407, SB2544, SB2570, SB2601, SB2778, SB1, SB17, SB260, SB509, SB1506, SB1637, SB1833, SB2155, SB2308, HB2525, SB1538, SB1749, SB2603, SB3038, SB3062, SB3065, HB24, HB128, HB216, HB388, HB519, HB609, HB685, HB766, HB1237, HB1314, HB1445, HB1458, HB1522, HB1592, HB1606, HB1612, HB1633, HB2011, HB2025, HB2061, HB2259, HB2273, HB2358, HB2421, HB2434, HB2464, HB2518, HB2563, HB2637, HB2697, HB2713, HB2791, HB2856, HB3114, HB3126, HB3161, HB3233, HB3395, HB3424, HB3487, HB3505, HB3510, HB3597, HB3745, HB3803, HB3804, HB3806, HB4224, HB4310, HB4396, HB4738, HB4945, HB5084, HB5155, HB5180, HB5667, HB5686, HCR9, HCR10, HCR135, HCR142, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB1749, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3038, SB3045, SB1538, SB3071, SB3065, SB3062, HJR133, HB2715, HB3627, HB5033, HB2282, HB26, HB388, HB1633, HB685, HB1606, HB1458, HB2791, HB2061, HB647, HB4738, HB2563, HB128, HB766, HB2259, HB2358, HB4384, HB748, HB5180, HB3806, HB3804, HB3803, HB1522, HB3597, HB1612, HB4224, HB1314, HB1237, HB3126, HB2856, HB3114, HB3505, HB5652, HB2025, HB3395, HB18, HB2516, HB2713, HB24, HB519, HB609, HB1592, HB120, HB2421, HB2273, HB2464, HB5084, HB4396, HB43, HB5686, HB2518, HB4310, HB180, HB3745, HB4044, HB5155, HB5667, HB1445, HB1306, HB2637, HB5436, HB3966, HB2026, HB3487, HB4226, HB216, HB49, HB4112, HB3233, HB2310, HB2674, HB322, HB1481, HB126, HB3062, HB3180, HB2530, HB2524, HB1916, HB5650, HB4894, HB3120, HB1629, HB103, HB3234, HB3680, HB5698, HB3171, HB5693, HB2694, HB5664, HB3732, HB2508, HB2293, HB1991, HB2014, HB5331, HB5247, HB4751, HB4690, HB4668, HB4464, HB4395, HB4063, HB3833, HB3623, HB3214, HB3512, HB3250, HB3016, HB2520, HB2221, HB2213, HB3824, HB2067, HB1732, HB1562, HB700, HB1545, HB252, HB146, HB5596, HB1851, HB3619, HB3071, HB3556, HB851, HB4230, HB5320, HB5651, HB5670, HB5665, HB5437, HB5679, HB5699, HB5661, HB5662, HB5654, HB5672, HB5656, HB5149, HB4903, HB4743, HB4666, HB4377, HB4535, HB4129, HB3812, HB3801, HB3595, HB3057, HB2035, HB721, HB35, HB346, HB2974, HB2512, HB5695, HB5694, HB5671, HB5674, HB5688, HB1586, HB5154, HB2038, HB163, HB413, HB3463, HB3185, HB2761, HB2593, HB2348, HB2073, HB1828, HB1422, HB75, HB1871, HB108, HB2306, HB2017, HB1135, HB144, HB3689, HB5308, HB101, HB2193, HB5666, HB5677, HB5682, HB5680, HB5658, HB5696, HB4144, HB3159, HB3254, HB3866, HB3010, HB4520, HB3642, HB3928, HB3815, HB2686, HB2012, HB1960, HB227, HB654, HB1690, HB2128, HB4158, HB4530, HB4630, HB5659, HB1523, HB2078, HB2427, HB145, HB1973, HB3333, HB3697, HB3546, HB3225, HB3181, HB3133, HB3053, HB2885, HB2820, HB2294, HB2253, HB1661, HB1506, HB1234, HB640, HB621, HB551, HB521, HB493, HB272, HB229, HB223, HB201, HB186, HB119, HB2080, HB2818, HB5394, HB4795, HB4466, HB4454, HB3940, HB3749, HB3151, HB3284, HB1403, HB1106, HB2844, HB2851, HB1500, HB4488, HB4264, HB4, HB4170, HB3909, HB4081, HB4145, HB4157, HB4281, HB4285, HB4463, HB4749, HB4995, HB5081, HB5115, HB5138, HB5624, HB1449, HB3711, HB2598, HB3629, HB4361, HB824, HB1868, HB4848, HB2243, HB40, HB117, HB2313, HB3686, HB500, HB3793, HB112, HB104, HB1056, HB42, HB4486, HB3000, HB100, HB2240, HB718, HB27, HB4904, HB4202, HB2853, HB5129, HB5093, HB4765, HB4748, HB4559, HB4350, HB4214, HB3388, HB3112, HB5196, HB4211, HB3516, HB3092, HB4233, HB4687, HB705, HB1094, HB2037, HB3005, HB3848, HCR141, HCR118, HCR127, HCR40, HCR59, HCR10, HCR135, HCR142, HCR9, HCR76, HCR108, HJR133, HB18, HB35, HB43, HB49, HB75, HB103, HB120, HB163, HB216, HB413, HB647, HB851, HB1422, HB1481, HB1545, HB1562, HB1586, HB1732, HB1828, HB1851, HB1916, HB1991, HB2014, HB2026, HB2067, HB2193, HB2293, HB2310, HB2464, HB2508, HB2524, HB2530, HB2974, HB3062, HB3071, HB3120, HB3180, HB3214, HB3234, HB3250, HB3463, HB3512, HB3680, HB3732, HB3801, HB3824, HB3833, HB4044, HB4129, HB4226, HB4230, HB4377, HB4395, HB4396, HB4535, HB4668, HB4903, HB5149, HB5154, HB5247, HB5331, HB5436, HB5688, HB5693, HB2282, HB2715, HB3627, HB5033, HB2674, HB3556, HCR127, SB3, SB21, SB379, SB1405, SB1538, SB1749, SB3038, SB3062, SB3065, HB24, HB128, HB388, HB519, HB609, HB685, HB766, HB1237, HB1314, HB1445, HB1458, HB1522, HB1592, HB1606, HB1612, HB1633, HB2025, HB2061, HB2259, HB2273, HB2358, HB2421, HB2518, HB2563, HB2637, HB2713, HB2791, HB2856, HB3114, HB3126, HB3233, HB3487, HB3505, HB3597, HB3745, HB3803, HB3804, HB3806, HB4224, HB4310, HB4738, HB5084, HB5155, HB5180, HB5667, HB5686, HCR9, HCR10, HCR135, HCR142, SB2603, HB3395, HB636, HB5655, HB5689, HB5690, HB636, HB5655, HB5689, HB5690

Keywords: SB 393, Sparks, Middleton, local government, political subdivision, public securities, government debt, municipal bonds, general obligation bonds, certificates of obligation, anticipation notes, debt maturity, weighted average maturity, economic life, useful life, tangible personal property, real property improvements, public finance, Texas Government Code, Chapter 1253

Transcript Highlights:

• House Bill 3234 relates to the authority of a political subdivision to regulate the construction and
• Used automotive parts recyclers are the only entities in the state of Texas authorized to dismantle,
• To ask questions of the author.
• For what purpose does the author yield? Yes, of course. I yield.
• Author Senator Middleton, do you yield?

Bills: SB393, SB731, SB801, SB867, SB1232, SB1798, SB2082, SB2717, SB2919, SB3074, HJR133, HB2, HB18, HB24, HB26, HB35, HB43, HB49, HB75, HB103, HB120, HB126, HB143, HB163, HB180, HB216, HB413, HB647, HB700, HB748, HB851, HB1422, HB1445, HB1481, HB1545, HB1562, HB1586, HB1732, HB1828, HB1851, HB1916, HB1991, HB2014, HB2026, HB2038, HB2067, HB2193, HB2282, HB2293, HB2310, HB2464, HB2508, HB2516, HB2518, HB2524, HB2530, HB2674, HB2713, HB2715, HB2974, HB3016, HB3057, HB3062, HB3071, HB3120, HB3161, HB3180, HB3214, HB3234, HB3250, HB3463, HB3512, HB3556, HB3627, HB3680, HB3732, HB3801, HB3824, HB3833, HB3966, HB4044, HB4129, HB4226, HB4230, HB4263, HB4377, HB4384, HB4395, HB4396, HB4535, HB4668, HB4690, HB4751, HB4903, HB5033, HB5149, HB5154, HB5247, HB5331, HB5436, HB5667, HB5688, HB5693, HCR9, HCR40, HCR59, HCR127, SJR5, SB3, SB4, SB9, SB20, SB21, SB23, SB27, SB33, SB34, SB36, SB38, SB40, SB75, SB213, SB269, SB379, SB458, SB528, SB647, SB648, SB650, SB681, SB740, SB777, SB840, SB843, SB924, SB1061, SB1120, SB1121, SB1150, SB1188, SB1198, SB1202, SB1253, SB1318, SB1333, SB1398, SB1405, SB1423, SB1448, SB1535, SB1566, SB1574, SB1621, SB1709, SB1723, SB1789, SB1862, SB2037, SB2078, SB2268, SB2405, SB2406, SB2407, SB2544, SB2570, SB2601, SB2778, SB1, SB17, SB260, SB509, SB1506, SB1637, SB1833, SB2155, SB2308, HB2525, SB1538, SB1749, SB2603, SB3038, SB3062, SB3065, HB24, HB128, HB216, HB388, HB519, HB609, HB685, HB766, HB1237, HB1314, HB1445, HB1458, HB1522, HB1592, HB1606, HB1612, HB1633, HB2011, HB2025, HB2061, HB2259, HB2273, HB2358, HB2421, HB2434, HB2464, HB2518, HB2563, HB2637, HB2697, HB2713, HB2791, HB2856, HB3114, HB3126, HB3161, HB3233, HB3395, HB3424, HB3487, HB3505, HB3510, HB3597, HB3745, HB3803, HB3804, HB3806, HB4224, HB4310, HB4396, HB4738, HB4945, HB5084, HB5155, HB5180, HB5667, HB5686, HCR9, HCR10, HCR135, HCR142, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB1749, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3038, SB3045, SB1538, SB3071, SB3065, SB3062, HJR133, HB2715, HB3627, HB5033, HB2282, HB26, HB388, HB1633, HB685, HB1606, HB1458, HB2791, HB2061, HB647, HB4738, HB2563, HB128, HB766, HB2259, HB2358, HB4384, HB748, HB5180, HB3806, HB3804, HB3803, HB1522, HB3597, HB1612, HB4224, HB1314, HB1237, HB3126, HB2856, HB3114, HB3505, HB5652, HB2025, HB3395, HB18, HB2516, HB2713, HB24, HB519, HB609, HB1592, HB120, HB2421, HB2273, HB2464, HB5084, HB4396, HB43, HB5686, HB2518, HB4310, HB180, HB3745, HB4044, HB5155, HB5667, HB1445, HB1306, HB2637, HB5436, HB3966, HB2026, HB3487, HB4226, HB216, HB49, HB4112, HB3233, HB2310, HB2674, HB322, HB1481, HB126, HB3062, HB3180, HB2530, HB2524, HB1916, HB5650, HB4894, HB3120, HB1629, HB103, HB3234, HB3680, HB5698, HB3171, HB5693, HB2694, HB5664, HB3732, HB2508, HB2293, HB1991, HB2014, HB5331, HB5247, HB4751, HB4690, HB4668, HB4464, HB4395, HB4063, HB3833, HB3623, HB3214, HB3512, HB3250, HB3016, HB2520, HB2221, HB2213, HB3824, HB2067, HB1732, HB1562, HB700, HB1545, HB252, HB146, HB5596, HB1851, HB3619, HB3071, HB3556, HB851, HB4230, HB5320, HB5651, HB5670, HB5665, HB5437, HB5679, HB5699, HB5661, HB5662, HB5654, HB5672, HB5656, HB5149, HB4903, HB4743, HB4666, HB4377, HB4535, HB4129, HB3812, HB3801, HB3595, HB3057, HB2035, HB721, HB35, HB346, HB2974, HB2512, HB5695, HB5694, HB5671, HB5674, HB5688, HB1586, HB5154, HB2038, HB163, HB413, HB3463, HB3185, HB2761, HB2593, HB2348, HB2073, HB1828, HB1422, HB75, HB1871, HB108, HB2306, HB2017, HB1135, HB144, HB3689, HB5308, HB101, HB2193, HB5666, HB5677, HB5682, HB5680, HB5658, HB5696, HB4144, HB3159, HB3254, HB3866, HB3010, HB4520, HB3642, HB3928, HB3815, HB2686, HB2012, HB1960, HB227, HB654, HB1690, HB2128, HB4158, HB4530, HB4630, HB5659, HB1523, HB2078, HB2427, HB145, HB1973, HB3333, HB3697, HB3546, HB3225, HB3181, HB3133, HB3053, HB2885, HB2820, HB2294, HB2253, HB1661, HB1506, HB1234, HB640, HB621, HB551, HB521, HB493, HB272, HB229, HB223, HB201, HB186, HB119, HB2080, HB2818, HB5394, HB4795, HB4466, HB4454, HB3940, HB3749, HB3151, HB3284, HB1403, HB1106, HB2844, HB2851, HB1500, HB4488, HB4264, HB4, HB4170, HB3909, HB4081, HB4145, HB4157, HB4281, HB4285, HB4463, HB4749, HB4995, HB5081, HB5115, HB5138, HB5624, HB1449, HB3711, HB2598, HB3629, HB4361, HB824, HB1868, HB4848, HB2243, HB40, HB117, HB2313, HB3686, HB500, HB3793, HB112, HB104, HB1056, HB42, HB4486, HB3000, HB100, HB2240, HB718, HB27, HB4904, HB4202, HB2853, HB5129, HB5093, HB4765, HB4748, HB4559, HB4350, HB4214, HB3388, HB3112, HB5196, HB4211, HB3516, HB3092, HB4233, HB4687, HB705, HB1094, HB2037, HB3005, HB3848, HCR141, HCR118, HCR127, HCR40, HCR59, HCR10, HCR135, HCR142, HCR9, HCR76, HCR108, HJR133, HB18, HB35, HB43, HB49, HB75, HB103, HB120, HB163, HB216, HB413, HB647, HB851, HB1422, HB1481, HB1545, HB1562, HB1586, HB1732, HB1828, HB1851, HB1916, HB1991, HB2014, HB2026, HB2067, HB2193, HB2293, HB2310, HB2464, HB2508, HB2524, HB2530, HB2974, HB3062, HB3071, HB3120, HB3180, HB3214, HB3234, HB3250, HB3463, HB3512, HB3680, HB3732, HB3801, HB3824, HB3833, HB4044, HB4129, HB4226, HB4230, HB4377, HB4395, HB4396, HB4535, HB4668, HB4903, HB5149, HB5154, HB5247, HB5331, HB5436, HB5688, HB5693, HB2282, HB2715, HB3627, HB5033, HB2674, HB3556, HCR127, SB3, SB21, SB379, SB1405, SB1538, SB1749, SB3038, SB3062, SB3065, HB24, HB128, HB388, HB519, HB609, HB685, HB766, HB1237, HB1314, HB1445, HB1458, HB1522, HB1592, HB1606, HB1612, HB1633, HB2025, HB2061, HB2259, HB2273, HB2358, HB2421, HB2518, HB2563, HB2637, HB2713, HB2791, HB2856, HB3114, HB3126, HB3233, HB3487, HB3505, HB3597, HB3745, HB3803, HB3804, HB3806, HB4224, HB4310, HB4738, HB5084, HB5155, HB5180, HB5667, HB5686, HCR9, HCR10, HCR135, HCR142, SB2603, HB3395, HB636, HB5655, HB5689, HB5690, HB636, HB5655, HB5689, HB5690

Keywords: SB 393, Sparks, Middleton, local government, political subdivision, public securities, government debt, municipal bonds, general obligation bonds, certificates of obligation, anticipation notes, debt maturity, weighted average maturity, economic life, useful life, tangible personal property, real property improvements, public finance, Texas Government Code, Chapter 1253

Transcript Highlights:

• New patients can only get prescriptions under clinical trial research.
• New patients can only get prescriptions under clinical trial research.
• patients can only get prescriptions patients can only get prescriptions under<00:10:25.399> clinical
• I’m a wife, mother of six, teacher, and author from Dakota County.
• freely this presumption of authority freely this presumption of authority defining<00:13:31.279>

Keywords: 1183, house

Transcript Highlights:

• The 1963 Legislative Assembly did enact North Dakota Century Code 52-12, which authorized state agencies
• They placed the authority of that under the PERS Board, and they required our board to go out to bid
• And then last session, House Bill 1216 is where prescription co-payments go towards the out-of-pocket
• House Bill 1216 is where prescription co-payments go towards the out-of-pocket max.
• So right now, Legislative Management has authorized this committee with the authority to make that determination

Summary: The Employee Benefits Committee met to approve prior minutes, hear presentations on state employee health insurance, compensation, leave, and related policy issues, and then recess for lunch. PERS reviewed the history and structure of the state health plan, noting the long-standing state-paid family coverage, cost-control measures, wellness incentives, the current grandfathered PPO and high-deductible options, and the effects of recent benefit mandates such as insulin caps, prosthetic coverage, medication management, prescription copay changes, and ambulance balance-billing limits. Committee members questioned the fiscal impact of adding benefits and the possible cost of moving to a non-grandfathered plan, while PERS and HRMS emphasized that health insurance remains the top-ranked employee benefit and that any major plan changes should be considered carefully. HRMS also presented compensation comparisons showing state pay generally below private-market benchmarks, discussed targeted market equity adjustments, identified ongoing recruitment and retention concerns in fields like nursing, IT, engineering, and attorneys, and reviewed leave policies, tuition reimbursement, and family leave comparisons with neighboring states. Job Service provided labor market data showing low unemployment, high labor force participation, and wage growth that still trails some neighboring markets, and OMB explained that prevailing wage requirements apply to federally funded projects under Davis-Bacon, not to ordinary state contracts. After lunch, the committee took up the required process for health insurance mandate bills and adopted an amendment to Joint Rule 211. The amendment clarified that the deadline for submitting mandate measures is intended to allow time for all required reports, including both the cost-benefit analysis and any Employee Benefits Committee actuarial report, while leaving the existing deadline unchanged. The amendment was adopted on a roll call vote, with several members voting yes and a few no votes recorded. The committee then moved into its jurisdiction review of bill drafts, beginning with a bill that would automatically renew pre-tax dental and vision elections; members debated whether it had any actuarial or administrative impact on PERS or the state, and the chair explained that the committee’s role was only to decide whether further analysis was needed before later testimony and recommendations.

Transcript Highlights:

• team consists of state, federal, and local government representatives, agency staff, regulatory authority
• The case law in Minnesota says that the drainage authorities are limited to maintaining the contours,
• I'm familiar with some of this prescriptive use stuff.
• So the authority doesn't require the easements you describe just... Isn't the case.
• And they're violating 97A with a prescription.

Transcript Highlights:

• Any questions for the author, members?
• And manufactured and controlled, typically by prescription.
• Members, any questions for the author on the committee substitute?
• Senate Bill 292 is by an entity with eminent domain authority.
• Members, any questions for the author on SJR 40 or SB 871?

Bills: SB31, SB33, SB510, SB871, SB1868, SB2024, SB2166, SB2309, SB2880, SJR27, SJR39, SJR40, SB 31, SB 33

Keywords: SB 31, Life of the Mother Act, Texas abortion law, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, spontaneous abortion, miscarriage, unborn child, abortion exception, abortion ban, physician liability, health care liability claim, aiding and abetting, Texas Medical Board, State Bar of Texas, continuing medical education

Transcript Highlights:

• And the heroin supply took over our prescription pill supply.
• requirement, any prescription that doesn't get filled.
• And in that role, I happen to be the one who authorizes the state standing order for naloxone.
• And so to go get a prescription is a huge issue. They don't have their government ID.
• And so to go get a prescription is a huge issue because they can't prove their identity.

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:

• It also allows the school to receive that medication, to stock through a prescription from a physician
• It also allows the school to receive that medication, to stock through a prescription from a physician
• The provider provides that prescription, and those medications have expirations that we have to monitor
• The provider provides that prescription, and those medications have expirations that we have to monitor
• The provider provides that prescription, and those medications have expirations that we have to monitor

Keywords: 912, senate, all

Transcript Highlights:

• I'm here in support of House Bill 4200, An Act authorizing a pilot program for the use of psychedelics
• House Bill 4200, An Act authorizing a pilot program for the use of psychedelics in licensed treatment
• In total, the bill would authorize a maximum of three licensed mental health clinics to participate in
• In total, the bill would authorize a maximum of three licensed mental health clinics to participate in
• If I had a prescription for 30, if I filled it, yeah, I might have used two or three days' worth and

Keywords: 995, all

Summary: The hearing opened with remarks from House Chair Mindy Domb and Senate Vice Chair Robyn Kennedy, who outlined procedures for the hybrid public hearing, noted the committee would hear testimony on 15 bills related to treatment settings, and recognized members present. The first major bill discussed was H. 4200, authorizing a pilot program for psychedelic-assisted treatment in licensed facilities. Representative Jim O’Day and witnesses from Control Z supported the bill, describing it as a tightly controlled, medically supervised pilot with DPH oversight, limited sites, and screening requirements. Committee members asked about the number of sites and whether Column Health still existed; witnesses said the bill contemplated three separate pilot programs and that Column Health no longer existed after being purchased by another company. The committee also heard testimony on S. 1405 to make the drug stewardship program permanent by removing its 2026 sunset date. Senator John Keenan and others said the program helps collect and safely dispose of unused medications, reduces diversion, and should remain in place because manufacturers should bear disposal costs. A member from Boston added support based on local concerns about people searching through bags for drugs, and Keenan explained the original sunset reflected pilot status and industry pushback. A large portion of the hearing focused on S. 1394 and H. 2193, which would strengthen implementation of the 2023 Roadmap for Behavioral Health Reform. The Children’s Mental Health Campaign, Parent/Professional Advocacy League, Massachusetts Association for Mental Health, and Elliott Community Human Services testified that the roadmap’s helpline, community behavioral health centers, and crisis services are important but unevenly implemented. They urged a single point of accountability within EOHHS, regular strategic planning, a public data dashboard, and financial analysis of the behavioral health system and the access and crisis intervention trust fund. Witnesses said commercial insurance often does not fully reimburse community behavioral health center services, making sustainability difficult, and asked for better coordination across agencies and crisis response systems. Committee members asked whether the roadmap includes substance use disorder; witnesses said it is intended to cover behavioral health broadly, including mental health and substance use. The committee also heard testimony on bills to ban aversives and on suicide prevention signage. Lisa Jean Graff testified in support of S. 1394 by urging a statewide ban on aversive practices, including electric shock, withholding food or bathroom access, and other painful interventions, arguing disabled people deserve the same protections from harm as others. Fonda Bryant and Carol McLean supported a bill requiring suicide prevention signs on tall parking garages, describing personal experiences and saying the signs could create a brief pause and connect people to 988 or other help. McLean said her son died by suicide from a parking garage and that signage might have made a difference. The committee also heard strong testimony in support of creating intensive stabilization and treatment units within DMH facilities (S. 1398/H. 2204), with the Massachusetts Nurses Association and a DMH nurse arguing that highly assaultive patients need specialized, more secure units to protect staff and other patients and to improve care. Additional testimony supported creating a dedicated board for licensed mental health counselors (H. 4696/S. 1382), with Rep. John Badger, the Mass Mental Health Counselors Association, and others saying LMHCs are a large and growing workforce that needs its own licensing board, clearer standards, and faster implementation of existing licensure reforms. The committee also heard extensive testimony on H. 2223 regarding benzodiazepines and non-benzodiazepine hypnotics. Survivors and advocates described severe withdrawal, lack of informed consent, cognitive harms, and long-term disability, while a physician supported the bill as a way to improve disclosure of risks. Finally, the committee heard multiple witnesses in favor of H. 2231/S. 1383 to establish peer-run respite centers statewide. Advocates and people with lived experience said peer respites provide non-coercive, home-like alternatives to hospitalization, can reduce trauma and repeated admissions, and may be especially important for marginalized communities; they also cited cost savings and existing positive outcomes from current respite programs. No votes or final committee actions were taken during the hearing portion reflected in the transcript.

Transcript Highlights:

• associated with the shared regulatory database of just under $4,445,000 in interagency contract authority
• On page 6, the agency has one exceptional item totaling $240,000 in interagency contract authority.
• Next, the board is requesting unexpended balance authority for the prescription monitoring program.
• Do you have it within your authority to lower the fees? We do, sir.
• And then the um, As mentioned, you, you're given broad authority.

Transcript Highlights:

• An example of that would be where a pharmacist fills a recipient's prescription with a generic drug but
• with a generic drug but prescription with a generic drug but bills<00:13:44.720> Medicaid<00:
• <00:44:07.920> So, prescription required in most cases.
• So, prescription required in most cases.
• a you a prescription for those items. a you a prescription for those items. >> Okay.

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:

• You were a lead author of the anti-abortion Project 2025.
• maintain what we fought very hard to do, what every other country does: have Medicare negotiate prescription
• Vought, you authored sections of Project 2025, which sets forth a blueprint for dangerous plans under
• You also authored this 2023 budget proposal at a foundation that I believe that you You helped found
• Vought, you authored Chapter 2 of Project 2025 titled Executive Office of the President. of the United