Transcript Highlights:

• to evaluate produced water treatment.
• Treatment technologies do not currently exist to make the water safe.
• under post-treatment.
• But things like wastewater treatment, how much that costs, desal.
• So it's this kind of partial treatment to remove certain constituents.

Keywords: 996, all

Transcript Highlights:

• program.
• Those are all Oklahoma City's four wastewater treatment plants land-applying there.
• Those are all Oklahoma City's four wastewater treatment plants land-applying there.
• Antibiotic-resistant bacteria are common at wastewater treatment plants. Dr.
• All of that gets washed down to the municipal waste treatment plant.

Summary: The committee hearing focused on biosolids, sewage sludge, and PFAS contamination, with the opening remarks and first three presenters arguing that land application of municipal sludge poses serious risks to soil, water, livestock, and human health. Representative Shaw cited EPA and state data on detected pollutants and PFAS in biosolids, while Denise Travick Poyer described her background in chemical engineering and PFAS work and said the EPA’s draft sewage sludge risk assessment shows unacceptable risk at very low PFOS/PFOA levels. She urged source reduction, more testing, and consideration of total organic fluorine, and noted examples from Michigan where industrial pretreatment and source reduction reduced PFAS in biosolids. Johnson County, Texas Commissioner Larry Woolley and Investigator Dana Ames presented a case study of alleged runoff from land-applied biosolids affecting a ranch, with high PFAS readings in soil, water, fish, cattle tissue, and a stillborn calf, and said the county and state had pursued investigations, lawsuits, and legislative responses. Sandra Trawick of Save Oklahoma Farms and Ranches argued that Oklahoma’s biosolids program relies heavily on Class B sludge, that current rules are outdated, and that land application exposes farms and rural communities to pathogens, chemicals, odors, flies, and runoff; she cited examples from Maine, Texas, Georgia, Michigan, and Oklahoma to support calls for stronger regulation or a ban. After the testimony, members asked about sampling methods, lab testing, EPA limits, and whether the cited PFAS blood levels were comparable to the soil and sludge measurements. Witnesses said the Johnson County samples were collected by a Texas A&M PhD contractor and tested at a single lab, and they explained that the EPA’s 4 parts per trillion figure applied to municipal drinking water standards. Questions also addressed whether sludge is incorporated into soil; Trawick said it had often been left on the surface, though she had seen better disking after public scrutiny. Members asked how biosolids compare with manure and feedlot waste, and witnesses responded that municipal sludge is more contaminated because it includes industrial, hospital, and household waste streams, unlike animal manure. The committee then moved to alternative solutions, hearing from Doug McKinney of Advanced Microbial Solutions, who promoted biological sludge removal using bacteria to reduce sludge volumes and avoid land application, citing cost savings for wastewater plants and correctional facilities. Jason Jepsen of Eden Energy followed with a pitch for an eight-stage waste-to-energy system that converts mixed waste into clean energy, biochar, and reusable products, framing waste as an asset and presenting his company’s technology as a no-land-application alternative.

Transcript Highlights:

• AND OFTEN ACCREDITATION AN ACCREDITED RESIDENCY PROGRAM IN PSYCHIATRY IS A FELLOWSHIP PROGRAM IN CLINICAL
• THE ACUTE HOSPITAL AT HOME PROGRAM DIRECT THE AGENCY TO HAVE FEDERAL DIRECTION OF THIS PROGRAM WHICH
• YOU ALL SPOKE ABOUT THE FRAME PROGRAM AND YOU SPOKE ABOUT THE TEACH PROGRAM AND WHAT THOSE DOLLARS HAVE
• ANOTHER COMPONENT OF HOUSE BILL 7085 IS THE SICKLE CELL DISEASE RESEARCH AND TREATMENT GRANT PROGRAM.
• THIS PROGRAM AWARDS GRANTS TO COMMUNITY BASED MEDICAL TREATMENT AND RESEARCH CENTERS.

Keywords: 999, senate, all

Transcript Highlights:

• We will call the State Insurance Programs Oversight Subcommittee to order for June 17th.
• There really isn’t kind of an independent coupon management program or prior authorization program out
• They go out and adjudicate any of the losses that the program incurs.
• He viewed the issue as part of a growing program and said Mr.
• We have seen over the past year that the program has worked.

Summary: The State Insurance Programs Oversight Subcommittee met on June 17 and reviewed a series of Employee Benefits Division and Office of Property Risk items. Grant Wallace presented March and April formulary changes, explaining that the updates favored lower-cost generics, re-tiered some drugs, left several new-to-market drugs uncovered pending more evidence, and added quantity limits in some cases. The committee approved those formulary recommendations. The subcommittee also approved a cell and gene therapy policy that would exclude automatic coverage of those therapies and route them through prior authorization and review, with members noting the process should not delay urgent cases and that appeals remain available. Members then discussed a UAMS professional consultant services contract amendment for pharmacy benefit consulting. The discussion focused on confusion over the dollar amount and scope, with Wallace clarifying that the committee was being asked to approve up to $2.596 million, including optional services related to coupon and rebate management that could be used later without returning for another approval. Several members raised concerns about matching the written contract to the approval amount and about the relationship to the current pharmacy benefit manager, but the committee ultimately approved the item with the understanding that any use of the optional services would return to the committee. The committee also reviewed, without objection, a Blue Cross/Blue Advantage third-party administrator contract, a CompSack employee assistance program contract, and approved proposed 2027 employee and public school health plan rates of 9.8% and 4.9% increases, respectively. Wallace also said the UnitedHealthcare rebid was in final negotiation and would return in August. On the property risk side, the committee reviewed permanent rules for the property insurance program, a contingency-fee subrogation contract with Denenberg-Tuffly, and extensions for Sedgwick Claims Management, Actuarial Advantage, and Stevens Capital Management. Members asked about claim-adjustment delays after a major winter storm, and Wallace said performance guarantees and communication requirements had been added, with claims still expected to vary by case. The committee also approved 2026-27 captive insurance program rates, which included no change to minimum deductibles, lower rates for K-12 and higher education, a higher rate for state agencies, and an overall 10% reduction. Wallace said the reductions reflected improved actuarial foundations, better claims management, and the program’s first-year performance. The meeting adjourned after approving the rate item.

Transcript Highlights:

• And so I really focus in on the infrastructure of our recreation program.
• Indian Lake State Forest, 200 acres of hardwood understory treatment.
• My life form the foundation of our recreational programs must be actively managed.
• Fwc programs like the wildlife Conservation Prioritization and Recovery program are designed to ensure
• But next members, we will get an update on the derelict vessel removal program.

Transcript Highlights:

• <01:07:38.720> that Uh we have our immunization program that Uh we have our immunization program
• ,<01:08:12.000> within internally within the program, within internally within the program
• Remember, the vaccine program started in 1991.
• :15.120> costs<03:09:15.359> from treatment for hepatitis B costs from treatment for hepatitis
• <03:26:31.760> and medical expenses for treatment and medical expenses for treatment and complications

Keywords: 1189, house, all

Transcript Highlights:

• We are now doing a fee-for-service program, not a capitated program.
• that after an MCO capitated program. that after an MCO capitated program.
• the program at 27 to 28,000 people. the program at 27 to 28,000 people.
• The capitated a capitated program.
• you know, kids on the program for all. you know, kids on the program for all.

Keywords: 1187, senate, all

Transcript Highlights:

• would there be objection to this program would there be objection to this program be?
• Substance<01:32:52.560> use<01:32:53.360> treatment, Substance use treatment, Substance
• <01:32:56.639> treatment.
• uh behavioral mental health treatment. uh behavioral mental health treatment.
• to get certain types of treatment. to get certain types of treatment.

Keywords: 1191, senate, all

Transcript Highlights:

• Administration uh they have a program Administration uh they have a program called<01:09:35.080>
• DHHS and their programs would just be I DHHS and their programs would just be I would<01:23:57.800>
• The newborn screening program is a vital public health program.
• The newborn screening program is a vital public health program.
• The program notifies the provider.

Keywords: 1189, house, all

Transcript Highlights:

• programs.
• Implementation is on the water treatment side.
• Those are being addressed by our drinking water program or by our remediation program depending on the
• In terms of biosolids, it'll be a different program from the remediation program that is the basis of
• The permitting program. Our program does not go out and take samples and do testing.

Bills: HB1341, HB1674, HB4028, SB2321

Keywords: hydrogen sulfide, public health, environmental regulation, Texas Commission on Environmental Quality, ground level concentrations, emissions limit, emissions limits, ground-level concentrations, air quality, PFAS, agriculture, environmental protection, health risks, criminal offense, chemical regulation, preproduction plastic, water quality, pollution control, industrial waste, emissions

Transcript Highlights:

• I'm the Transportation Program Director for the Southwest Energy Efficiency Project, a nonprofit working
• I think it's time that New Mexico get with the program and get with the rest of the country and pass
• To do the design of the sewer lines leading up to the treatment plant.
• Then we would still need to do all the work on the treatment side of it.
• But then we need to get into the treatment part of the project as well, which is really expensive.

Bills: SB22, SB310

Keywords: motor vehicle manufacturers, licensing, dealers, franchise agreements, consumer protection, water supply, sewage improvements, environment, funding, Mora County, 996, all

Transcript Highlights:

• There really isn't an independent coupon management program or prior authorization program out there.
• This is our actuarial provider for the property insurance program.
• Thank you, sir, and for taking on a first-year program.
• We have seen over the past year that the program has worked.
• but within the individual programs themselves.

Keywords: 1204, all

Summary: The State Insurance Programs Oversight Subcommittee met on June 17 and reviewed a series of Employee Benefits Division and Office of Property Risk items. Grant Wallace presented March and April formulary changes, including moving to lower-cost generic and preferred drugs, leaving several new-to-market drugs not covered, and adjusting migraine and diabetes medications; the committee approved those recommendations. The subcommittee also approved a cell and gene therapy policy that excludes automatic coverage for those therapies so they can undergo prior authorization and review, with members emphasizing that the policy was intended to create review, not an absolute denial, and that expedited appeals would remain available. Members spent significant time discussing the UAMS pharmacy benefit consultant amendment. Wallace explained that the contract included both basic services and optional services related to coupon and rebate management and prior authorization support, but the written materials created confusion over the dollar amount. After questions about whether the committee was approving a higher amount than the base contract and whether the optional services duplicated work already being done by Navitus, the committee agreed to review the item with a contingency that any use of the optional services would return to the committee for approval. The committee also reviewed and approved the U.S. Able Mutual/Blue Advantage third-party administrator contract, the CompSack employee assistance program contract, and the proposed 2027 employee and public employee rates, which call for a 9.8% increase for state employees and a 4.9% increase for public school employees. On the property risk side, the committee reviewed permanent rules for the property insurance program, a contingency-fee subrogation contract with Denenberg-Tuffley, and renewals for Sedgwick claims management, Actuarial Advantage, and Stevens Capital Management. Wallace said Sedgwick had faced delays after a major winter storm and other weather events, but performance guarantees and communication expectations were being added; members discussed whether a shorter renewal term would be preferable, but the item was reviewed. The committee also approved the 2026-27 captive insurance program rates, which Wallace said would lower the overall rate by 10% while keeping minimum deductibles unchanged. He noted the program had stabilized after a difficult first year and that the rate structure was now based on a more transparent actuarial foundation. The meeting ended with an update that the UnitedHealthcare rebid was nearing completion and would return in August, and the committee adjourned after approving the remaining items.

Transcript Highlights:

• <00:26:12.240> and physicians from offering treatment and physicians from offering treatment
• slashing harm reduction and treatment slashing harm reduction and treatment programs,<00:30:22.399
• This idea, yes, if you ask them, they will say, I don't need treatment. I don't want treatment.
• to to to stay in in treatment. to to to stay in in treatment.
• we don't kick patients out of treatment. we don't kick patients out of treatment.

Keywords: 958, all

Summary: The subcommittee met on October 14, approved the minutes, and then took up a large group of staff-suggested amendments to multiple regulations. Those staff amendments were approved without objection and were described as technical changes needed to comply with KRS Chapter 13A and other governing law. The committee then moved out of order to consider Kentucky Board of Medical Licensure regulation 2011 KAR 9:270, which governs buprenorphine prescribing and related standards. Board representatives said the regulation has been updated over time since 2015 and that the current amendments are intended to streamline the rule, remove outdated federal references such as the X-waiver, narrow education requirements to addiction-related topics, and create exceptions for settings like emergency rooms and certain pain treatment situations. The agency amendment would also allow buprenorphine monoproduct for up to 30 days when a patient is transitioning from a full opioid agonist, and would add physicians certified in addiction medicine as eligible specialty consultants. Board officials said the regulation was developed through a two-year process with a work group, informal outreach to medical organizations, and multiple comment periods, and they argued the rule is working because overdose deaths have declined and provider numbers have increased. Several witnesses and committee members raised concerns that the regulation remains too restrictive. Senator Rocky Adams noted that major medical organizations had said the proposed language could restrict access and worsen overdose risk, and he questioned whether the committee was being asked to choose between conflicting expert views. Opponents, including a medical student, a recovery advocate, and Dr. Colleen Ryan of the Kentucky Society of Addiction Medicine, argued the rule is outdated, creates unnecessary barriers to buprenorphine treatment, and should be repealed or substantially revised to align with federal guidance and evidence-based care. They said rigid requirements can discourage treatment and that addiction should be treated like other chronic illnesses. No final vote on the medical licensure regulation is reflected in the transcript excerpt, and the discussion ended with the chair preparing to hear from additional opponents.

Transcript Highlights:

• , treatment, and transfer of stroke patients.
• I will also say there is a patient savings program or co-pay assistance program, those kinds of things
• that program has gone in a second.
• lunch program.
• So there is some opportunity within the CHW program.

Summary: The committee first approved the previous meeting minutes and then heard a detailed annual report from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and policy issues. He explained the committee’s review process, confidentiality protections, and national and North Dakota data showing that most maternal deaths are preventable and that mental health conditions, substance use, cardiovascular issues, infection, hemorrhage, and embolism are the leading causes. Members asked about suicide, domestic violence, midwife training, home births, and whether pregnancy testing at death scenes should be expanded; Dr. Arnold said better coroner education, more investigation of unexplained deaths, and possible post-mortem pregnancy testing could improve case identification, especially in rural areas. He also noted that deaths often occur well after 42 days postpartum and that mental health-related deaths remain a major concern. The committee then heard from State Fire Marshal Dr. Matthew Clark on cigarette reduced-ignition-propensity standards and related fire prevention issues. He recommended updating the state’s cigarette propensity law to current national standards and also raised a separate recommendation to require fast-breakaway oxygen tubing for home oxygen users, citing fatal fires linked to smoking around oxygen. Members asked about implementation, cost, insurance coverage, and whether the standards apply in tribal communities; Dr. Clark said he would provide follow-up information and was willing to help with any legislation, but no agency bill had yet been planned. Next, Christine Greff of the Department of Health and Human Services reported on the North Dakota Stroke System of Care. She described the statewide network of stroke-ready hospitals, registry-based quality improvement, and performance data showing continued improvement in stroke recognition, imaging, thrombolytic treatment, transfers, and EMS pre-notification. She highlighted new quality measures for inter-facility transfers and intracerebral hemorrhage care, and said the system remains strong but depends on continued legislative and hospital support. Committee members asked about participation by the VA hospital and were encouraged to consider outreach to include it more fully in the stroke system. Finally, the committee began a presentation on prior authorization and non-opioid pain treatment from Taha Khan of Vertex Pharmaceuticals. He argued that prior authorization can delay access to non-opioid acute pain medications, especially in the 24- to 72-hour post-discharge window when pain is most severe, and said delays can push patients toward opioids. He emphasized that prior authorization has a role in utilization management but should not create barriers in acute pain care, and he noted that current use of the company’s non-opioid product remains very low. The discussion was still underway when the transcript ended.

Transcript Highlights:

• At Hualapai Indian Village, I am the director of our program, the Acorns to Oaks program, which focuses
• You know, our program is really unique.
• and for programming in each community.
• So here, follow this program.
• We represent community-based substance use disorder treatment programs at over 450 sites throughout the

Summary: The joint Assembly Health and Select Committee on Native American Affairs held an oversight hearing on AB 988, California’s 988 crisis line and mobile crisis response system, followed by a discussion of suicide prevention and intervention in California Indian communities. Members and witnesses repeatedly emphasized that AB 988 was intended to create a true alternative to 911 for behavioral health crises, with “someone to call, someone to come, and somewhere to go,” and that Native communities continue to face disproportionately high suicide rates and barriers to culturally responsive care. The first panel of call center and stakeholder witnesses largely argued that implementation is falling short of the law’s intent. They said 988 call centers are underfunded, text/chat answer rates remain far below call answer rates, staffing is strained, and the system still lacks meaningful statewide interoperability between 988 and 911. Several witnesses said mobile crisis teams are not being dispatched through 988 as envisioned, and that funding formulas and governance are too opaque. San Joaquin County was presented as a local success story, with integrated 988, access lines, and mobile crisis handoffs that have reduced reliance on emergency departments and involuntary holds. Witnesses also discussed the need for better tribal outreach, the role of CCBHCs, and the importance of culturally competent services. State officials from CalHHS and DHCS described the five-year 988 implementation plan, the current governance structure across multiple agencies, and efforts to support training, public awareness, and referral tools. They reported growth in 988 contacts, ongoing training with the Trevor Project, a statewide resource directory, and a tribal awareness campaign. DHCS also outlined proposed trailer bill language that would create a formal designation process for 988 centers, set statewide standards, and require existing centers to obtain designation by 2029. Officials said current funding includes SAMHSA grants, block grant dollars, and an expected $67.3 million from the 988 fund in the next budget year, with a large share earmarked for Medi-Cal mobile crisis services. No formal vote or committee action was taken in the portion of the hearing provided.

Transcript Highlights:

• And so SANDAG doesn't by itself program dollars for the State Highway Operations and Protection Program
• And so SANDAG doesn't by itself program dollars for the State Highway Operations and Protection Program
• programs.
• felony programs.
• 36 programs.

Keywords: 988, house, all

Summary: The Joint Legislative Audit Committee met to hear status updates from the state auditor and consider several new audit requests. The auditor reported 10 JALAC audits in progress, including a new 2026 audit on DMV license revocation, and noted other statutory audits on the State Bar exam rollout, CSU/UC Title IX implementation, tobacco tax, state financial statements, federal compliance, and high-risk issues such as late financial reporting, Medi-Cal eligibility, and water infrastructure safety. The committee approved a consent calendar covering audits on UC library resources, law enforcement information sharing, EDD unemployment insurance claims, and Housing and Community Development housing development monitoring. The committee then considered Assembly Member DeMaio’s request to audit SANDAG’s road project management and use of transportation funds. DeMaio argued the audit was needed to examine whether restricted funds, voter-approved revenues, and project commitments were properly used and documented, citing prior problems with tolling and financial oversight. SANDAG’s CEO and CFO said the agency already undergoes extensive oversight and audits, has improved internal controls, and believed its funding uses were appropriate. Several members questioned whether the audit duplicated existing reviews and whether the issues were already public, and the request ultimately failed on a roll call vote. Next, Senator Valadares presented an audit of the Board of State and Community Corrections’ administration of Proposition 47 grants. Supporters said the audit would assess whether grant recipients comply with requirements and whether outcome and recidivism data are reliable, while BSCC said the program already has oversight, including biennial State Controller audits, and pointed to reported reductions in homelessness, unemployment, and recidivism. The committee approved the audit. Senator Cortese’s request to audit CalHR’s dental benefits procurement and Delta Dental contract also passed, with supporters citing rising out-of-pocket costs, provider network problems, and the long-running contract’s lack of competition; CalHR responded that most members have nearby access, it recently ran an RFP, and it will add MetLife as a second carrier in 2027. The committee then approved the remaining consent items and adjourned.

Transcript Highlights:

• <00:09:55.399> it appropriate and effective treatments it appropriate and effective treatments
• It's a medical program.
• , we recognize the fiscal impact of this bill upon the therapeutic program, the alternative treatment
• Since the program began in 2016, the program has never raised its fees.
• Since the program began in 2016, the program has never raised its fees.

Keywords: 1189, house, all

Transcript Highlights:

• into the program? into the program?
• this program is at. this program is at.
• And those are much treatment programs.
• The program is a clinical program.
• The program is a clinical program.

Keywords: 1189, house, all

Transcript Highlights:

• passed the House, House Bill 2594 requires Arizona family courts to use an address confidentiality program
• passed the House House Bill 2594 requires Arizona family courts to use an address confidentiality program
• provide to a school district that fails to correct a USFR deficiency a list of approved training programs
• and prohibits specified governing board members who fail to complete the required training program from
• The Senate amended the bill by requiring a governing board member to complete a training program within

Summary: The Republican caucus reviewed a long list of House bills with Senate amendments, mostly hearing brief staff summaries and sponsor comments on whether they concurred. Topics included tax filing penalties, water and court procedures, vaccination and mask rules, bullion investment, nursing care complaint timelines, privacy protections for property and voter records, medical-record access, professional licensing procedures, school and family law changes, public records access for legislators, AI procurement, fingerprint clearance for traffic survival school instructors, development fees, infrastructure districts, distracted driving penalties, health aide scope of practice, eviction record sealing, backyard structure rules in planned communities, inmate transition services, nuclear-ready community designation, DCS parent-rights notices, domestic-violence evidence standards, inmate mental health study committee, legislative subpoena enforcement, trade office oversight, public power reporting, Native American language proficiency, mental health judicial review timelines, mobile food vendor licensing, medical-intervention requirements in schools, and school board training and meeting transparency. In most cases, the sponsor or a representative indicated concurrence with the Senate amendments, and the caucus generally moved through the bills without extended debate. A few bills drew brief explanation from sponsors about the policy purpose, such as aligning nursing-facility oversight with federal requirements, improving access to medical records, clarifying rules for licensed health aides, and adjusting school-related provisions. Some bills were noted as being sent back to the Senate or otherwise set aside, including HB 2035 and HB 2249. No formal votes were taken in the transcript; the meeting functioned as a caucus review of Senate amendments and sponsor concurrence before floor action. The caucus concluded after HB 2380, with members thanked for attending.

Transcript Highlights:

• <00:21:12.679> and their homes the these are programs and their homes the these are programs
• homes or any other government programs homes or any other government programs that<00:21:28.240>
• that are desperately needed Treatment that are desperately needed Treatment Services<00:24:30.960
• things like that we have treatment things like that we have treatment coordinators<00:31:06.919>
• now we have a self-directed program now we have a self-directed program called<00:39:44.040> cdcs<

Keywords: 1183, house