Transcript Highlights:

• </c><00:15:39.959><c> will</c> while the demand for services will while the demand for services will
• U so the Coordinated Care treatment with U so the Coordinated Care treatment with what<00:26:00.840><
• </c> adherence to Medical Treatments adherence to Medical Treatments prevention<00:28:54.760><c> of</
• </c> the Doctor Who is running that service the Doctor Who is running that service is<00:36:43.640><c
• </c> to the committee on human service to the committee on human service finance<00:41:26.800><c> and

Committee: House Health Finance and Policy

Transcript Highlights:

• So it is essential that we maintain a high standard of treatment for our water.
• , and to avoid the need for smaller treatment plants dotting our landscape.
• If there's a CCN there, they must either seek service or release a service, and there is a cost component
• . ...and a greater level of sophistication of treatment.
• Particular entity or water service provider.

Bills: HB29 , HB685 , HB1633 , HB1689 , HB1690 , HB1918 , HB2010 , HB2500 , HB2608 , HB2626 , HB29

Committee: House Natural Resources

Keywords: water audit, water loss, water loss mitigation plan, municipally owned utility, municipal utility, water conservation, Texas Water Development Board, TCEQ, Texas Commission on Environmental Quality, water leakage, leak detection, billing data accuracy, utility validation, water audit validation, water scarcity, water management, infrastructure, public utility, conservation plan, administrative penalty

Transcript Highlights:

• I have high confidence in the folks providing those services to continue to provide those services.
• I have high confidence in the folks are providing those services to continue to provide those services
• The treatment will take place in three phases.
• written consent to the treatment that they understand.
• In that capacity, I was medical director for Addiction Recovery Services, our opioid treatment program

Bills: HF3454 , HF3917 , HF2906 , HF3832 , HF3769

Committee: House Health Finance and Policy

Transcript Highlights:

• When CDCR developed their medication-assisted treatment program for treatment of substance use disorder
• The grant dollars may be used for community outreach and engagement, service costs, including drug treatment
• Marco Duncan, Legal Services for Prisoners with Children.
• In practice, treatment rarely begins immediately after release from custody, and initiating services
• and mental health services, which lead to...

Committee: House Public Safety

Transcript Highlights:

• For day treatment programs, on an average weekly basis, we had 867 people waiting for service.
• Therapy services, we had almost 4,500 individuals waiting for therapy services.
• to the services at issue.
• to the services at issue.
• to the services at issue.

Committee: Senate Senate Health and Human Services COR

Summary: The committee heard a series of bills and public testimony, beginning with introductions and then taking up several health and human services measures. A major focus was SB 1120 and SB 1121, which address radiation protection in cardiac catheterization and other ionizing-radiation procedure rooms. SB 1120 would require health care facilities to equip at least 50% of procedure rooms with radiation protection systems by July 1, 2027, while SB 1121 would prohibit requiring lead aprons in rooms with such systems and instead require real-time dosimeters for staff who opt out of lead aprons. Physicians, nurses, and a hospital executive testified that enhanced radiation protection systems can dramatically reduce occupational exposure, lower cancer and orthopedic risks, and help with workforce recruitment and retention; a hospital alliance remained neutral pending further stakeholder discussions. Both bills were amended and passed out of committee on 7-0 votes, and SB 1118, which appropriates state funds for a rural hospital grant program to install radiation protection systems, also passed 7-0. The committee also approved SB 1001, which appropriates $1 million to the Department of Economic Security for the Older Individuals Who Are Blind program, after testimony from blind and low-vision Arizonans and advocates describing long waitlists, the need for independent living training, and the program’s role in preventing unnecessary dependence. SB 1072, a major funding bill for home- and community-based services and room-and-board rate increases for individuals with intellectual and developmental disabilities, drew testimony from providers about severe staffing shortages, overtime, turnover, and underfunding; it passed 6-0 with one not voting. SB 1125, requiring DCS to pursue MOUs with tribes and improve tribal communication and access to licensing and enforcement information, also passed 6-0 with one not voting. The committee then considered SB 1123, which removes a board-certification requirement so trained forensic pathologists can supervise autopsy training for residents and fellows; Maricopa County supported it as a workforce and training fix, and it passed 6-0 with one not voting. SB 1052, allowing mild hyperbaric oxygen therapy in assisted living facilities under physician order and DHS rules, generated mixed testimony: supporters argued it could improve health and independence for residents, while opponents raised concerns about off-label treatment in nonmedical settings. The bill passed 5-2. SB 1112, which reduces the number of acquaintance witnesses required in court-ordered treatment proceedings from two to one and allows the court to waive the witness requirement under certain conditions, drew strong testimony from families and mental health advocates on both sides; it passed 5-2. The committee also began hearing SB 1113, which would allow certain service of process in court-ordered evaluation and treatment cases by evaluation-agency employees or other court-authorized persons, but the transcript cuts off before final action on that bill.

Transcript Highlights:

• If we get the injured worker the appropriate treatment, which is ideally evidence-based treatment, which
• The injured worker the appropriate treatment, which is ideally evidence-based treatment, which is why
• The doctor gets to do the treatment.
• Hubble, and say, hey, there's this new treatment out here. We want to use this treatment.
• Going to get paid for the treatment, but the treatment happens.

Committee: House Labor & Industrial Relations

Summary: The committee first disposed of several measures without debate, including deferrals of House Bill 460, House Bill 561, Senate Bill 322, and another deferred Senate measure, before taking up House Bill 819 by Chairman Cruz. HB 819 would replace Louisiana’s current workers’ compensation medical treatment schedule with ODG by MCG, a private evidence-based guideline system used in other states. Cruz and Troy Prevo argued ODG is more comprehensive, updated more frequently, and could reduce claim duration, medical costs, and premium rates; Dr. Jason Picard said Louisiana already uses ODG as a secondary reference for gaps in the state schedule and that the bill would not change appeals or variance procedures. Opponents, including injured-worker advocates Joseph Jola St. and Robin Crumholt, argued Louisiana’s current guidelines are working, that ODG is more cost-cutting and insurer-driven, and that the bill could increase denials and delay care. Members discussed amendments to add a two-year sunset, allow tacit approval when treatment follows the schedule, require payment within 30 days, and raise the carrier’s burden to challenge care; the committee adopted the amendments and then reported HB 819 favorably by a 7-6 vote. The committee then began Senate Bill 409 by Senator Myers, the Louisiana Living Donor Leave Protection Act. The bill would provide paid leave protections for living organ donors, set eligibility and verification procedures, and prohibit forfeiture of leave in certain circumstances for private employers. Myers said the measure is intended to remove job and paycheck barriers for people willing to donate organs and to support better transplant outcomes. Technical amendments were adopted at the start of the presentation, and the bill was introduced for further discussion.

Transcript Highlights:

• when necessary to protect the worker's life or provide additional therapeutic treatment.
• necessary treatment on closed claims and for medical monitoring of cancer patients.
• necessary treatment on closed claims and for medical monitoring of cancer patients.
• and human services, he said the bill would divert resources away from those priorities.
• the services.

Bills: SB5944

Committee: House Labor & Workplace Standards

Keywords: language access, collective bargaining, labor relations, employment rights, worker protections

Transcript Highlights:

• And then there's a crisis in access and treatment in the colleges.
• So once we get that treatment protocol going, at the end of the course of their treatment, they're also
• , not treatment—support peer to peer—is so important.
• or prevention services?
• for one day or a child being in services for 30 days.

Committee: Senate Children, Families, and Elder Affairs

Summary: The committee heard a presentation from Dr. Kelly O’Dare on first responder behavioral health access, peer support, and suicide prevention. She described UCF Restores, the Second Alarm Project, and related partnerships that provide culturally competent treatment, peer training, clinician education, disaster response support, and behavioral health navigation. She cited survey and state data showing significant rates of sleep problems, anxiety, depression, substance use, and suicide among Florida first responders, and said evidence-based treatment has helped many patients recover, including a reported 76% who no longer met PTSD diagnostic criteria after treatment. Senators asked about measuring outcomes, peer support standards, and whether the state should create more consistent statewide requirements; O’Dare said peer support training must be specialized, linked to higher levels of care, and supported by sustainable funding and statewide coordination. The committee also heard from a public commenter who supported the work and emphasized the need for adequate resources and peer support infrastructure. The committee then received a Department of Children and Families presentation from Casey Penn on the proposed funding methodology for community-based care lead agencies under HB 7089. Penn explained that the new model is intended to be actuarially based, reimbursement-oriented, and more transparent than prior funding approaches, using historical expenditures, standardized reporting, and two main tiers: Tier 1 for largely fixed administrative and operational costs, and Tier 2 for direct child-serving costs based on per-child-per-month blended rates. He said the model includes a 2% risk corridor for Tier 2, hold-harmless funding in the first year, and optional Tier 3 performance incentives, with an estimated additional state appropriation need after offsets. Senators raised concerns about prevention, historical inequities, reasonableness of costs, administrative overhead, blended state and federal funds, adoption subsidies, high-acuity placements, and disaster-related disruptions. Penn said some of those issues could be addressed in future iterations as the child welfare information system is modernized, and he agreed to provide written responses to committee questions. Representatives of the Florida Coalition for Children and CBCs responded that the model is a major improvement but urged additional safeguards, including an administrative cap, clearer separation of direct and indirect costs, and better treatment of federal and pass-through funds. They argued that the system already has oversight and that deficits reflect insufficient appropriations rather than excess spending, while also noting that higher-acuity children and regional differences can drive costs. No votes were taken on either topic, and the meeting ended with committee staff introductions and adjournment.

Transcript Highlights:

• I know some ambulance services operate helicopters.
• And with two treatments, and you usually don't go beyond two treatments, it's over 90%.
• There's very few treatment options available, and those treatments oftentimes just manage the symptoms
• There's very few treatment options available, and those treatments oftentimes just manage the symptoms
• It's a treatment.

Bills: SCR37 , SB145 , SB237

Committee: House Health and Welfare

Keywords: informed consent, healthcare, medical procedures, patient rights, surgeon general, regulatory review, adult residential care, generators, emergency power, health safety, Louisiana Department of Health, compliance, regulations

Transcript Highlights:

• Welcome to Labor, Health, and Social Services Committee.
• ,</c><00:11:23.920><c> inpatient</c> restorative services, inpatient restorative services, inpatient
• ><c> state</c> restorative services at the state restorative services at the state hospital,<00:11:27.279
• </c> kind of mental health treatment program. kind of mental health treatment program.
• </c> we're having people who need treatment we're having people who need treatment that<00:40:27.359>

Bills: SF0010 , SF0005

Committee: House Labor, Health & Social Services

Transcript Highlights:

• </c> at the department of human services at the department of human services appreciate<00:11:28.959>
• </c> human services. Thank you. human services. Thank you.
• Services. Services.
• :43:51.440><c> services.
• </c> rates for primary care services. rates for primary care services.

Summary: The joint hearing opened with House Bill 1969, which would provide state funding for colorectal cancer screenings for uninsured and underinsured residents. The Department of Human Services said it supports the goal of early screening but would need new administrative capacity, including a program manager and claim pre-screening, to run the program. The Department of Health supported the measure and cited low screening rates in Hawaii, noting an educational campaign to encourage screening. The Insurance Division raised concerns about reliance on federal FAQs, warning that guidance can change and may create state cost exposure. Supporters including the American Cancer Society Cancer Action Network and the Hawaii Medical Association argued the bill would close a preventive-care gap, reduce late-stage diagnoses, and save long-term costs; the committee also discussed implementation costs, estimated by DHS at roughly $1.4 million to $2 million annually plus administrative expenses, and a 6-month to 1-year timeline to establish the program. The committee then took up House Bill 1965, which would require health carriers to spend at least 6% of total medical expenditures on primary care providers. The Insurance Division said several provisions raise technical and legal concerns, including the premium freeze, the medical loss ratio language, the lack of an existing external review process for downcoding claims, and a new mandate for medically necessary inter-island transportation that could trigger an ACA defrayal. The Department of Human Services supported the intent but suggested broader language to include primary care supports and services, and noted that QUEST integration plans already invested at least 9% of total medical expenditures in primary care in 2024, with additional spending on supports and low-value care reductions. State health planning officials strongly supported the bill as an investment in primary care, saying it could improve outcomes and lower long-term costs, though they acknowledged a possible temporary premium increase during the transition. Testimony in support emphasized Hawaii’s physician shortage, especially on Maui, the Big Island, and other neighbor islands, and warned that clinics are under financial strain and may close without higher primary care reimbursement. The Hawaii Healthcare Task Force, AARP Hawaii, and other supporters said the bill would help retain providers, improve access for Medicare and Medicaid patients, and prevent downstream costs from emergency room use and avoidable hospitalizations. No votes or final committee action were taken in the portion of the hearing provided.

Transcript Highlights:

• So we are here for the Legislative Health and Human Services Committee.
• The Department of Integrated Services houses the county's suite of integrated behavioral health services
• Treatment per se.
• Excuse me, fallback plan to sustain treatments and recovery treatment and harm reduction services.
• Likewise, when we contract with nonprofits for whatever the service might happen to be, if it's a service

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• </c><00:13:06.880><c> at</c> patients to get the right treatment at patients to get the right treatment
• <00:32:09.760><c> same</c> Services same Services same recommendation<00:32:11.600><c> any</c><00:32:
• treatment.
• I was in service.
• I was in service.

Summary: The joint hearing covered HB 553 on biomarker testing coverage, HB 556 on colorectal cancer screening access, and later HB 712 on 340B drug pricing. For HB 553, the American Cancer Society Cancer Action Network, patient advocates Natalie Heyman and Susan Hirano, a surgical oncologist, and the American Lung Association strongly supported the bill, arguing that biomarker testing should be covered when ordered by a doctor and guided by current evidence. DHS and several insurers offered comments and requested amendments, with DHS saying it appreciated the intent but wanted changes. The committees then voted to pass HB 553 with amendments, including a House draft and a defective date of July 1, 3000; both the House Health and Human Services and Homelessness committees adopted the recommendation unanimously. For HB 556, testimony focused on closing gaps in colorectal cancer screening, especially for uninsured and underinsured patients who can get stool-based screening but then cannot access follow-up colonoscopies. Community Clinic of Maui, ACS CAN, and the American Cancer Society supported the bill, with ACS CAN urging a program similar to the breast and cervical cancer control program and offering amendments. DHS requested that the program and appropriation not conflict with executive budget priorities, and the committees noted technical amendments, a defective date, a blank appropriation amount, and corrections changing Medicare references to Medicaid. HB 556 was also passed with amendments by both committees. The hearing then moved to HB 712 on 340B drug pricing and contract pharmacies. The Department of Health and the Attorney General’s office expressed concern that the bill would require the state to regulate private commercial activity and said the department lacked the expertise and resources to implement it as written, suggesting it might belong in a different statutory section. In contrast, PhRMA opposed the bill, while Hawaii Pacific Health and Hawaii Island Community Health Center supported it, saying 340B savings are important for hospital services and patient access to low-cost medications, especially where manufacturers have restricted shipments to contract pharmacies. No vote on HB 712 was taken in the portion provided.

Transcript Highlights:

• </c> providing direct health care services. providing direct health care services.
• </c> local services, and tracks outcomes. local services, and tracks outcomes.
• </c> and be able to bill for that service. and be able to bill for that service.
• </c> treats treatment resistant depression. treats treatment resistant depression.
• And these numbers are for treatment attempts per person, not for treatment successes.

Summary: The committee first approved the prior meeting minutes and recognized Eric Clark for his service, noting this may be his last meeting before he leaves state government. The main presentation was from Allison Adams, president and CEO of the Foundation for a Healthy Kentucky, who described the organization’s history, nonpartisan mission, and focus on health equity, prevention, and upstream policy solutions. She said Kentucky’s poor rankings in chronic disease, preventable hospitalizations, and life expectancy show the need to shift resources toward prevention and community-driven strategies rather than relying mainly on treatment after people become sick. Adams emphasized leading health indicators, arguing that lawmakers should track actionable measures such as quit attempts and smoke-free policies instead of only lagging indicators like disease rates and mortality. In response to questions, she said accountability should be shared across communities and systems, with possible incentives and disincentives tied to outcomes, and she supported creating a public data utility or dashboard, ideally with university partners, to help legislators and communities monitor progress. She also cited examples of accountable health community models and said Kentucky could adapt similar approaches. The committee then heard from Meade County Schools Superintendent Mark Martin and district health coordinator Karen Kotche about the Healthy Kids Clinic partnership with Cumberland Health. They described a seven-year effort that led to full implementation in the district, which now has a nurse in every school and a nurse practitioner, allowing services such as sports physicals and other clinic functions to be provided on campus. They said the program has been a strong investment for students and the community and began explaining how the district built the partnership after earlier efforts and delays, including the pandemic.

Transcript Highlights:

• So you go to outpatient treatment, you go to residential treatment, and then, you know, it's sort of
• like a soft landing— ...outpatient treatment, you go to residential treatment, and then, you know, it's
• .. ...across the fee-for-service program, looking at quality, prior authorization, service tickets, training
• go for treatment?
• Fee-for-service behavioral health plan prior authorizations turnaround by service type or provider.

Committees: Senate Health and Human Services , Senate Senate Health and Human Services COR

Transcript Highlights:

• for Medicaid Services Department for Medicaid services<00:20:58.039><c> 90</c><00:20:58.799><c> 7</c
• The amended version redefines long-term treatment as the use of any active or passive water treatment
• </c> that you observe the long-term treatment that you observe the long-term treatment need<00:53:28.160
• Follow-up question, please proceed. long-term treatment issue those that do long-term treatment issue
• </c><01:04:15.000><c> requiring</c> don't use long-term treatment requiring don't use long-term treatment

Summary: The committee met with a quorum, approved the minutes, and then reviewed a long agenda of administrative regulations, most of which were advanced with staff-suggested amendments and no objection. Early items included the Kentucky Public Pension Authority’s 105 KAR 1:451, which updates reporting language and adds the contractor wizard for certain employers, and a large package of Board of Veterinary Examiners regulations that revise fees, facility and AHP registration requirements, continuing education, liability, and practice rules. The Board of Speech-Language Pathology and Audiology’s compact-related regulation and the Board of Licensed Professional Counselors’ complaint and compact rules were also reviewed and approved with amendments, along with fish and wildlife rules affecting elk hunting, youth deer season length, bear-dog approvals, and foxhound enclosure permits. The committee also approved transportation, education, workplace standards, horse racing, and several health and human services regulations, including Medicaid waiver reimbursement updates and a child care regulation that sends certain large claims to the Office of Inspector General for review. Several agencies briefly explained their regulations when members asked questions. Fish and Wildlife said the elk population is strong and the baiting change is intended to support harvest monitoring and fair chase, while the longer youth deer season was meant to give young hunters more opportunity. The Department of Community-Based Services said the $10,000 and $5,000 claim thresholds were meant to clarify rare cases involving possible fraud or unresolved recoupment issues. The Department of Financial Institutions’ 808 KAR 5:305 drew the most discussion: it would allow certain state-chartered credit unions with a low-income designation to participate in federal programs, including limited non-member deposits and supplemental capital, but the regulation was deferred again amid continued discussions. The Kentucky Bankers Association testified against the credit union regulation, arguing that allowing non-member deposits conflicts with existing statute limiting credit union deposits to members and other credit unions, and that an administrative regulation cannot override that statutory restriction. Committee members heard the agency’s explanation that the proposal is intended to help underserved communities and that the non-member deposit authority would be limited, but no final action was taken because the item was deferred. The meeting otherwise concluded with the remaining regulations being called, discussed briefly, and approved or advanced without objection.

Transcript Highlights:

• Why not social services... Why not social services instead of DESE?
• therapy, speech therapy, behavioral services, audiology, and vision services.
• Our treatment on page 33 are...
• for treatment courts because the mental health courts will be within that treatment court structure.
• This was primarily used for Medicaid-assisted treatment within the treatment courts.

Committee: House Budget

Transcript Highlights:

• When CDCR developed their medication-assisted treatment program for treatment of substance use disorder
• The grant dollars may be used for community outreach and engagement, service costs, including drug treatment
• The grant dollars may be used for community outreach and engagement, service costs, including drug treatment
• The grant dollars may be used for community outreach and engagement, service costs, including drug treatment
• In practice, treatment rarely begins immediately after release from custody, and initiating services

Summary: The Assembly Public Safety Committee heard a long agenda of bills, with several authors presenting measures focused on probation, prison conditions, public safety, diversion, and infrastructure theft. Early in the hearing, AB 1816 by Assembly Member Davies proposed allowing courts to extend probation for up to one additional year for people convicted of registrable sex offenses who have not completed required treatment. Supporters, including the Chief Probation Officers of California, argued the bill would improve rehabilitation and public safety by allowing treatment to be completed; opponents, including public defenders and civil liberties groups, said existing revocation tools already address noncompliance and warned the bill was vague and would prolong supervision. The bill was later moved on call with an aye recommendation. The committee also heard AB 2593, which would prohibit non-medical staff from interfering with prescribed care for incarcerated patients; it drew broad support from medical, disability, public defender, and justice reform groups and passed to Appropriations. The consent calendar, including AB 1927 and AB 2502, was adopted without controversy. The committee then considered AB 1538 by Assembly Member Krell, which would bar elected or appointed officials from using political power for retaliation. Support came from a student activist and the California News Publishers Association, with additional support from education, law enforcement, and civil liberties groups; no opposition testimony was offered, and the bill passed to Appropriations. AB 2584 by Assembly Member Flora, as amended, would narrow civil liability for lawful defensive force; supporters framed it as protecting self-defense, while one opposition witness objected on behalf of labor and justice groups. The chair noted concerns about eliminating civil liability but still recommended aye, and the bill passed to Judiciary. AB 2217 by Assembly Member Zbur would rename and expand the LEAD diversion program as “Alternatives to Arrest,” broaden eligible offenses, and continue grant funding for local diversion efforts. Supporters emphasized reduced recidivism and service connections, and the bill was moved on call to Appropriations. Later, the committee took up AB 1941 by Assembly Member Mark Gonzalez, which would create an organized metal theft offense and a statewide data-sharing system to address copper theft and damage to public infrastructure. Supporters from utilities, cities, transit, telecom, and law enforcement described widespread outages, costly repairs, and public safety risks; opponents argued the bill would deepen criminalization and racial disparities and that non-carceral solutions were preferable. The author and supporters responded that the bill was needed to address repeated thefts that leave communities without lights, power, or 911 service, and the measure passed to Appropriations. Finally, AB 2499 by Assembly Member Gibson sought stronger protections for incarcerated people and workers from extreme heat and inadequate ventilation in state prisons. The bill was backed by incarcerated workers, family members of a woman who died from heat-related causes, and a wide coalition of public defender, civil rights, and prisoner advocacy groups. Members spoke emotionally about prison conditions and the need for humane treatment, and the bill passed to Labor and Employment with strong support.

Transcript Highlights:

• So we actually had worked with Strategic Digital Services on other campaigns.
• They were the... ...with Strategic Digital Services on other campaigns.
• They were actively helped in getting referred for career services or educational services.
• We've moved behavioral services into managed care.
• We've moved behavioral services into managed care.

Committee: Senate Health Policy

Transcript Highlights:

• Um, what we did is we didn't cut any services and we didn't pull back on any services.
• And again, there was no reduction to existing services. Existing services there would continue.
• </c> medications for the treatment of opiate medications for the treatment of opiate use<00:50:20.880
• So this is treatment not only treatment.
• Services. >> I'm Dave Nagel.

Summary: The committee met on January 23, 2026, to approve prior minutes and receive an update from the Department of Health and Human Services. The main presentation focused on “Project Compass,” an internal cross-department effort to prepare for changes to Medicaid and SNAP eligibility. Department staff said the goal is to maintain continuous coverage for eligible people, align policy, operations, communications, legal, finance, and eligibility work, and use the new integrated New HEIGHTS system to streamline implementation. They emphasized outreach to beneficiaries, providers, managed care organizations, and other partners, and said temporary manual workarounds had already been used to stay in compliance with fast-moving SNAP changes. Members questioned how the department would avoid repeating the costly outreach effort used in a prior Medicaid work-requirement rollout. Department officials said they are focusing on ex parte processes, sharing eligibility information across programs, and using community partners to reduce duplicate contacts and paperwork. They also said the department is monitoring the SNAP error rate closely, expects automation and a planned system contract amendment to help reduce it, and noted that current error rates are trending downward and remain below the national average. Questions were also raised about possible future SNAP restrictions on certain foods; the department said it can implement whatever the legislature directs, but that defining and administering such restrictions would be complex. The commissioner and CFO then outlined the department’s budget reduction plan. They said the department has begun implementing required “back of the budget” reductions for fiscal year 2026, using contract savings and not cutting existing services where possible. Examples included dental and home-visitation contracts, where spending was adjusted based on utilization and projected need. Officials said they had already written down a little over $15 million in prior-year encumbrances, but that this one-time source will not be available next year, making fiscal year 2027 more difficult. They also explained the difference between legally required back-of-budget cuts and lapse, and said staffing remains a major challenge because vacancies have increased and customer-facing service levels are strained. Dr. Jonathan Ballard then began an update on opioid overdose fatalities, presenting the latest medical examiner data and describing the long-term rise in deaths after fentanyl entered the illicit drug supply, with a peak in 2017 and a later increase in 2022. The transcript cuts off before his full presentation and any further committee action beyond discussion of the minutes and receipt of the department updates.