Transcript Highlights:

• seek services under other state Medicaid services, whether it's PCA, CFSS, mental health services, SUD
• it's PCA, CFSS, mental<01:19:53.960> health<01:19:54.240> services,<01:19:54.960> SUD
• <01:19:55.520> services, mental health services, SUD services, mental health services, SUD

Keywords: 1187, senate, all

Transcript Highlights:

• We have Recovery in the Woods focusing on SUDs, and then we have RO, which is specifically designed around
• the woods call in we have recovery in the woods focusing<01:34:02.719> on<01:34:03.280> Suds
• then<01:34:04.520> we<01:34:04.679> have<01:34:05.239> Ro focusing on Suds
• and then we have Ro focusing on Suds and then we have Ro which<01:34:06.360> is<01:34:06.600>

Keywords: 1187, senate, all

Transcript Highlights:

• Our products are exclusively sourced from... are exclusively sourced from Sud.

Keywords: 923, senate, all

Transcript Highlights:

• However, there is nothing that carves out specific SUD testing.

Keywords: 996, all

Transcript Highlights:

• So this will enable us to provide medical care for those people, mostly under the SUD voucher, but we'll

Keywords: 908, all

Summary: The committee first took up House Bill 1012, the Department of Health and Human Services budget. Senator Dever walked through the amended budget, highlighting a roughly $5.85 billion all-funds total, major one-time items for IT, child care, housing, behavioral health, juvenile justice, rural EMS, and supportive housing, along with funding for Medicaid expansion, CCBHCs, opioid settlement uses, and several studies and reporting requirements. Members discussed the provider inflation increase, with Senator Mathern urging a 2%/2% rate instead of 2%/1.5%, but the committee adopted the subcommittee amendment and then passed the amended bill 15-0 with a do-pass recommendation. Senator Dever was named as carrier. The committee then considered House Bill 1540, a school choice/education savings account-style bill. Senator Shibley explained the subcommittee amendments, including clarifying the Bank of North Dakota as administrator, adding a means test at 400% of the federal poverty guideline, and adjusting the fiscal note to about $21.7 million for the second year. In debate, members raised concerns about the bank being assigned duties outside its normal role, the lack of DPI involvement, and whether the means test should be tiered rather than a hard cutoff. The committee rejected a do-not-pass motion 5-10-1, then approved a do-pass motion on the amended bill 9-6-1, with Senator Wobama noted as the likely carrier. The meeting ended with the chair announcing the committee would adjourn and reconvene the next morning.

Transcript Highlights:

• specify particularly people with disabilities and what qualified as a disability, people that were in SUD
• disability, people that qualified as a disability, people that were<00:52:50.000> in<00:52:50.240> SUD
• treatment,<00:52:51.839> you<00:52:52.000> know,<00:52:52.319> uh were in SUD
• treatment, you know, uh were in SUD treatment, you know, uh those<00:52:52.720> kinds<00:52:53.040

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board reconvened and heard a presentation from the Attorney General’s Office Medicaid Fraud and Abuse Control unit. AG staff described the unit’s structure and work: it investigates and prosecutes Medicaid provider fraud, and also handles abuse, neglect, and exploitation cases involving vulnerable adults in facility settings when asked to assist. They said the office has prosecutors, detectives, auditors, and support staff, works with federal partners, Commonwealth’s attorneys, CHFS, DMS, OIG, and MCOs, and uses a hotline and referral line for complaints. They also explained the MCO referral process, including monthly meetings, stand-down lists, and review of referrals for a “credible allegation of fraud” before the AG office decides whether to open a criminal or civil investigation. The presentation focused heavily on current fraud trends. Staff said behavioral health is a major concern, along with participant-directed waiver services, medically assisted treatment, cash billing for services, controlled-substance billing, and vision and dental fraud. They gave examples such as duplicate time sheets for family caregivers, questionable Suboxone counseling and urine drug screening practices, and a prior optometry case involving false claims for children’s glasses. They also discussed CMS’s estimate that about 5% of Medicaid payments are improper, noted that most improper payments are at the fee-for-service level, and said there is no reliable overall fraud-rate estimate. They highlighted a sharp shift in behavioral health billing after the cabinet’s November 1, 2024 policy changes, saying individual psychotherapy spending dropped while group billing increased, suggesting providers may have moved billing to different codes. Members asked about the scale and timing of cases, how MCO referrals are screened, and whether the data reflected more people being served or just higher spending. The AG office said investigations can take years, with some federal cases still awaiting sentencing from 2018 and 2019 matters, and that they currently had nine individuals awaiting sentencing in federal court. They also reported 58 hotline reports during the referenced period, six cases opened from MCO referrals, and four additional MCO referrals not accepted for active cases. Several members raised concerns about home-based services and the risk of abuse or fraud when family members are reimbursed, and asked whether the process could be streamlined; the AG office said it had no immediate recommendations but would be willing to return with suggestions after further review.

Transcript Highlights:

• intellectual developmental disabilities or are coupled with behavioral health concerns like mental health or SUD
• behavioral health concerns like mental<00:03:42.879> health<00:03:43.080> or<00:03:43.200> sud
• <00:03:43.799> diagnosis<00:03:44.799> eidbi mental health or sud diagnosis eidbi mental
• health or sud diagnosis eidbi provide<00:03:46.000> services<00:03:46.400> in<00:03:46.640

Keywords: 1183, house

Transcript Highlights:

• Representative Sud? Not present. Clerk, yes. Representative Edgar, I... Representative Funner, yes.
• <02:24:38.520> not<02:24:38.720> here<02:24:38.960> represent<02:24:39.359> sud
• <02:24:39.680> is yeses Lewis is not here represent sud is yeses Lewis is not here represent
• sud is not<02:24:40.040> representative<02:24:40.479> cler<02:24:41.479> yes<02

Keywords: 928, house, all

Summary: The committee first heard House Bill 561, sponsored by Representative Nancy Murphy, which would limit the state’s ability to discontinue, reclassify, or revert state-owned highway property to municipalities without local approval. Murphy and other supporters argued the bill would protect towns from unfunded mandates and prevent property tax increases caused by taking on costly road maintenance. Representative Wendy Thomas, Rosemarie Rung, Merrimack Town Council Chairman Finley Rothhouse, and Town Manager Paul McAuliffe all testified in support, describing the financial burden of the planned transfer of Continental Boulevard in Merrimack and warning it would set a harmful precedent for other communities. The Department of Transportation’s Steve Leon explained the department’s current authority and processes for discontinuance and reclassification, said active highways are not surplus property, and noted that the Supreme Court’s Town of Nelson decision held such reclassifications were not an unfunded mandate. The committee then closed the public hearing on HB 561. The committee next took up House Bill 578, presented by Representative Mooney on behalf of Representative Bill Boyd, to require sound barriers along the F. Everett Turnpike in Merrimack. Supporters said widening the turnpike would increase noise in nearby neighborhoods and that a 2019 NHDOT study identified 17 neighborhoods with noise levels above federal standards, though only four were included for mitigation under the current project. They argued the remaining neighborhoods should also receive relief and cited quality-of-life and property-value concerns. Senator Tim McGuire also testified in support, saying residents were experiencing unexpected and severe noise impacts and urging the committee to act outside the usual criteria to approve the barriers. The transcript provided does not show a final committee vote or action on HB 578.

Transcript Highlights:

• changed to align with the Department of Human Services Behavioral Health Department's direct access to SUD
• changed to align with the Department of Human Services Behavioral Health Department's direct access to SUD
• changed to align with the Department of Human Services Behavioral Health Department's direct access to SUD
• changed to align with the Department of Human Services Behavioral Health Department's direct access to SUD
• changed to align with the Department of Human Services Behavioral Health Department's direct access to SUD

Keywords: 1187, senate, all

Transcript Highlights:

• This is a modified version of the original bill that changed payment rates for SUD treatment services
• This is the governor's proposal regarding the SUD midpoint rule modification that is included in the
• c><01:47:59.520> regarding<01:47:59.920> the<01:48:00.480> uh<01:48:01.119> SUD
• <01:48:01.600> the proposal um regarding the uh SUD the proposal um regarding the uh SUD the

Keywords: 1187, senate, all

Transcript Highlights:

• And if those overlap, we see a diagnosed SUD rate of 96%. Very troubling statistic.

Keywords: 995, all

Summary: The committee heard testimony on several retirement and workforce-related bills. House Bill 2980 would place county correctional nurses and certain medical staff into Group 4 retirement. Representative Trino, Middlesex Sheriff Peter Koutoujian, and nurse manager Leanne Cameron argued that correctional nurses work in dangerous, high-stress settings with frequent contact with incarcerated people, high rates of mental illness and substance use in the jail population, and significant workplace violence, and that the change would help recruitment and retention with limited statewide fiscal impact. The committee also heard Senate Bill 210, which would create a commission to study additional regular compensation and annual expenses for members of the General Court. Senator John Keenan said Massachusetts has high leadership stipends compared with other states and argued the current structure can affect independence and public trust. Representative O'Day testified on House Bill 2928 to extend Group 2 retirement to additional Department of Children and Families social workers, and SEIU 509 witnesses described frequent transport of children, crisis response, threats, assaults, and other high-risk duties that they said match Group 2 work. Additional testimony supported House Bill 2943 for DDS service coordinators and supervisors, with witnesses describing home visits in unsafe conditions, transport of vulnerable individuals, direct care during staffing crises, and exposure to violence. House Bill 2899 drew support from the Association of Social Work Boards for social work field placement grants, incentives for supervisors, and expanded retirement benefits for DCF social workers. The committee also heard Senate Bill 2613, a local retirement bill for Salem police officer Kathleen Roachville, who described a severe line-of-duty injury during an arrest involving a combative person in a mental health crisis. Finally, Susan Smith Campbell testified for reclassifying certain DYS administrative officers into Group 2 because of their direct involvement in restraints, assaults, and crisis management. After testimony concluded, the committee adjourned without taking any votes.

Transcript Highlights:

• 57:46.840> and conditions including mental health and conditions including mental health and sud
• 48.840> for<02:57:49.319> the<02:57:49.600> actual<02:57:50.200> Capital sud
• so that's for the actual Capital sud so that's for the actual Capital costs<02:57:51.920> and
• benefit<04:56:48.120> um<04:56:48.638> for<04:56:49.638> um<04:56:49.878> sud
• there was not um a benefit um for um sud there was not um a benefit um for um sud Services<04:56

Keywords: 928, house, all

Summary: The House Finance Committee’s Division 3 held a public work session on the Behavioral Health budget on February 27, 2025. The chair opened by explaining the schedule, materials, and deadlines for the budget process, and noted there would be no motions or votes in the division that day. Division of Behavioral Health Director Ktia Fox and DHHS CFO Nathan White then walked the committee through the division’s mission, structure, and budget materials, describing the division’s four bureaus: Mental Health Services, Children’s Behavioral Health, Drug and Alcohol Services, and Homeless Services, along with the policy unit. They emphasized the division’s role in oversight, technical assistance, quality assurance, contracting, and the continuum of care from prevention and early intervention through crisis and residential services. Much of the discussion focused on major programs and funding lines, including the 988 Lifeline contract with Headrest, a technical assistance contract with UNH, Medicaid pass-through payments to New Hampshire Hospital and Glencliff, crisis response services, cold-weather homeless responses, housing supports, and the children’s system of care. Members asked about the UNH contract, the 988 program, crisis stabilization centers, and the peer certification program; Fox explained that the peer certification is a training-and-credentialing pathway for people with lived experience to enter community-based behavioral health work, not a volunteer program. The committee also discussed the “Choose Love” program, which Fox said was created after the Sandy Hook tragedy to build resilience and strength-based emotional regulation in schools and communities. On the children’s side, Fox described the system of care account as the place where many contracted services are budgeted, including community mental health centers, care management entities, rapid response services, and residential programs. Members asked about temporary staffing, and Fox said roughly $500,000 in temporary staff costs shown in the current year would not be spent next year because the money came from a nonlapsing appropriation in HB 1573 for oversight of children’s residential services. She also said provider rate increases were a prioritized need but were not funded in the governor’s current budget, and that the Children’s Behavioral Health Resource Center was not funded, resulting in about a $1 million reduction. The session ended while the division was still moving through the children’s behavioral health slides, including questions about the Fast Forward high-fidelity wraparound program and medication management.

Transcript Highlights:

• She said this includes support for family building, maternity care, fitness and nutrition tracking, SUD
• <00:53:52.800> today<00:53:53.119> as<00:53:53.359> well,<00:53:54.079> SUD
• talked about today as well, SUD talked about today as well, SUD engagement<00:53:55.200> options

Keywords: 958, all

Summary: The task force opened with a moment of silence for the Louisville UPS plane tragedy, approved the October 15 minutes, and reminded members to submit policy recommendations before the December 16 meeting, when the group will discuss its report to LRC. The first informational presentation, from the Department for Public Health, focused on youth vaping. Elizabeth Good and Julie Brooks cited a recent Surgeon General report warning that youth vaping can harm brain development, mental health, lungs, asthma, and hormones, and noted Kentucky survey data showing 8.7% of students reported daily vaping and 19.7% used vaping products in the prior 30 days. They described prevention and cessation resources including Catch My Breath, I Can End the Trend, Not on Tobacco, My Life, My Quit, Quitline services, and the Kentucky TRUST retailer education program, which trained 3,371 individuals in 2024 and distributed 253 Tobacco 21 toolkits. The next presentation came from Kentucky ABC on implementation of SB 100, which created the division of tobacco, nicotine, and vapor product licensing. Commissioner Scotty Tracy and Jamar Carter said all retailers selling tobacco, nicotine, or vapor products must be licensed, regulations were filed October 31, 2025, and the online application portal is live. In response to questions about sales to minors, they said violations carry escalating fines for clerks and owners, with a fourth violation resulting in no license renewal for two years and unpaid fines also blocking renewal. They said complaints can be submitted through the portal, by phone, or on the ABC website, and enforcement investigates tips and may use underage compliance checks. The committee then heard from Kim McKenna Johnson of One Cross Community Health, who argued for a “deficiency-first” and holistic approach to care centered on nutrition, lifestyle, and targeted supplementation. She said her clinic serves more than 7,000 patients in Taylor and Marion counties and described a model that includes primary care, behavioral health, functional medicine, addiction recovery, and chronic care. She cited Kentucky health rankings, claimed nutritional deficiencies cost the state billions, and said many children are overprescribed while undernourished. She urged broader insurance coverage for nutritional testing and supplements, rural demonstration grants, and Medicaid pilots for clinically prescribed supplements. Members asked about testing costs, dietitian support, long-term cost savings, compliance, and whether medications are often used to prevent damage from noncompliance; the presenter said the lab tests are generally covered, supplements are the main cost barrier, and seeing lab results can improve family buy-in. No votes were taken during the meeting.

Transcript Highlights:

• House File 1995 is in that it changes some language from being an SUD assessment.

Bills: HF2233, HF1999, HF1995, HF1614, HF2781, HF1775, HF1316, HF2127, HF2521, HF689, HF2380, HF1273

Keywords: Uniform Special Deposits Act, special deposit, banking law, financial institutions, escrow, escrow account, trust account, security deposit, beneficiary, depositor, creditor process, garnishment, attachment, levy, setoff, recoupment, financial market infrastructure, retirement benefits, compensation, earnest money

Transcript Highlights:

• Knowing that the SUD services, um, we couldn't bring that amendment, and we couldn't change some things
• year and that hopefully the communication will happen between different programs and Knowing that the SUD
• services, um, Knowing that the SUD services, um, we<01:25:43.440> couldn't<01:25:43.680> bring

Bills: HF4338

Keywords: human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review, postpayment review, surety bond, compliance training, case management, targeted case management

Transcript Highlights:

• Um, causes of cratom related sud<00:58:38.240> have<00:58:38.400> also<00:58:38.640>
• <00:58:39.359> In<00:58:39.599> these sud have also been observed.
• In these sud have also been observed.

Bills: SF0071, SF0088, SF0056

Keywords: homeland security, search and rescue, grants, emergency response, Wyoming, sex offender, child care facility, residency restrictions, public safety, criminal law, sex offenders, child care facilities, legislation, kratom, regulation, healthcare, age restrictions, manufacturing standards, 916, all

Transcript Highlights:

• Uh cases ofratom<00:14:55.040> related<00:14:55.519> sud<00:14:56.480> uh<00:14:
• 56.560> substance<00:14:57.040> use ofratom related sud uh substance use ofratom related
• sud uh substance use disorder<00:14:57.839> have<00:14:58.079> also<00:14:58.320> been

Bills: HB0103, HB0070, HB0091

Keywords: First Amendment, free speech, lawsuits, immunity, public participation, strategic lawsuits, foreign censorship, digital innovation, constitutional rights, Wyoming GRANITE Act, extraterritorial laws, civil actions, speech protection, legal jurisdiction, joint liability, artificial intelligence, social scoring, biometric data, privacy rights, government regulation

Transcript Highlights:

• Again, this bill does not create the ability for the special utility districts (SUDs) to issue taxes,
• This will also speed up the SUDs approval process and timelines for development coming into the district

Bills: HB200, HB541, HB1803, HB30, HB175, HB249, HB721, HB851, HB897, HB 1128, HB1904, HB1916, HB5560, HB3071, HB5627, HB5435, HB3913, HB2921, HB2695, HB2688, HB3045, HB3483, HB3673, HB4213, HB4226, HB783, HB4373, HB4735, HB5155, HB5057, HB4984, HB4944, HB4813, HB5339, HB5196, HB5033, HB4853, HB3486, HB4211, HB74, HB4670, HB4730, HB4743, HB4603, HB4463, HB3892, HB4139, HB4752, HB4520, HB4517, HB4486, HB4437, HB4426, HB4396, HB4263, HB3487, HB3418, HB2284, HB2266, HB2229, HB4912, HB2189, HB4506, HB5269, HB5224, HB5195, HB3317, HB4166, HB3947, HB3358, HB3370, HB4438, HB3745, HB3602, HB3697, HB2001, HB1968, HB3371, HB3909, HCR7, SB1744, SB1364, SB1316, HB2026, HB3302, HB3368, HB1639, HB5652, HB4655, HB5654, HB5658, HB5656, HB4894, HB4996, HB5088, HB5650, HB4464, HB3751, HB5665, HB5661, HB 1237, HB2802, HB5437, HB2703, HB5666, HB5667, HCR113, HCR86, SB2196, SB463, SB856, SB1245, SB1169, SB509, SB985, SB305, SB552, HB1535, HB 123, HB1804, HB426, HB1773, HB1871, HB2035, HB2492, HB1411, HB4753, HB4666, HB4529, HB1499, HB1610, HB2028, HB1506, HB886, HB3546, HB796, HB223, HB3556, HB2448, HB4638, HB 111, HB180, HB 1027, HB 1178, HB610, HB 1277, HB1615, HB1620, HB5342, HB4885, HB4751, HB4530, HB4488, HB2149, HB2071, HB2282, HB2248, HB2243, HB2522, HB2310, HB2513, HB2300, HB1902, HB1813, HB3719, HB4284, HB3743, HB3778, HB5153, HB5147, HB4877, HB4850, HB3261, HB3005, HB3033, HB2849, HB2967, HB3531, HB1768, HB333, HB2914, HB2613, HB3717, HB3704, HB2697, HB3801, HB3099, HB3488, HB3477, HB3466, HB3396, HB3469, HB2594, HB2776, HB2564, HB2298, HB5331, HB5646, HB5247, HB5323, HB4384, HB3896, HB4014, HB3627, HB3594, HB2524, HB510, HB561, HB5111, HB5446, HB 1181, HB3963, HB2785, HB1661, HB2460, HB200, HB541, HB1803, HB30, HB175, HB249, HB721, HB851, HB897, HB 1128, HB1904, HB1916, HB5560, HB3071, HB5627, HB5435, HB3913, HB2921, HB2695, HB2688, HB3045, HB3483, HB3673, HB4213, HB4226, HB783, HB4373, HB4735, HB5155, HB5057, HB4984, HB4944, HB4813, HB5339, HB5196, HB5033, HB4853, HB3486, HB4211, HB74, HB4670, HB4730, HB4743, HB4603, HB4463, HB3892, HB4139, HB4752, HB4520, HB4517, HB4486, HB4437, HB4426, HB4396, HB4263, HB3487, HB3418, HB2284, HB2266, HB2229, HB4912, HB2189, HB4506, HB5269, HB5224, HB5195, HB3317, HB4166, HB3947, HB3358, HB3370, HB4438, HB3745, HB3602, HB3697, HB2001, HB1968, HB3371, HB3909, HCR98, HCR92, HCR126, HCR7

Keywords: juvenile offenders, parole eligibility, youth justice, criminal justice reform, inmate rehabilitation, direct patient care, healthcare, physicians, medical services, insurance regulation, dentist, dental hygienist, interstate practice, licensure, compact privilege, public health, military members, disaster relief, tax rates, local government

Transcript Highlights:

• I want to just speak briefly about the SUD provisions within the bill.

Keywords: 1183, house

Transcript Highlights:

• As of right now, we have nine cities, two special utility districts (SUDs), and Wise County who have

Bills: SB1169, SB1285, SB1583, SB1611, SB1898, SB1976, SB2160, SB2161, SB2658, SB2661, SB2662, SB2692, SB1055, SB1359, SB2660

Keywords: water service, sewer service, public utility, joint operation, infrastructure, municipality, compliance, SB 1285, bats, bat protection, wildlife protection, Texas Parks and Wildlife Code, Parks and Wildlife Code Section 63.101, hunting bats, bat possession, bat sales, bat trade, pest control, licensed pest control professional, animal control officer