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

Transcript Highlights:

• individuals who were formerly incarcerated often do not seek outpatient medical care, includingd needed, um, SUD

Bills: HB153

Transcript Highlights:

• The Medicare SUD bundled payments provisions could be increased.

Keywords: opioid crisis, overdose, naloxone, drug trafficking, law enforcement, treatment, prevention, older adults, Medicaid expansion

Summary: The meeting convened to address the dire opioid crisis affecting communities nationwide, with a particular focus on the alarming rise of opioid use disorder among older adults. Key testimonies highlighted the critical need for a comprehensive approach that encompasses prevention, treatment, and strict law enforcement actions against drug traffickers. Sheriff Dennis Lima from Seminole County outlined successful strategies implemented in Florida, including increased access to naloxone and legislative changes to hold drug dealers accountable for overdoses. Various members expressed a united front on tackling this multifaceted issue, advocating for the expansion of Medicaid and better access to treatment as essential steps to curbing the epidemic.

Transcript Highlights:

• update on what we've asked them regarding the pharmaceutical rebate fund and the behavioral health SUD
• the pharmaceutical rebate fund and the the behavioral<00:34:04.320> health<00:34:04.640> sud
• <00:34:05.679> scorecard behavioral health sud scorecard behavioral health sud scorecard from

Keywords: During the committee meeting live stream, portion of the video was lost due to network issues. There were also some technical difficulties with content and the incorrect background image being used. The lost footage was recovered from backup, and the other issues corrected in post production editing. 1. 00:00:41 Call to Order 2. 00:01:02 Roll Call 3. 00:02:54 Approval of Minutes 4. 00:05:06 Statutory Reports and Data Requests 5. 00:35:14 2025 and 2026 Session Update 6. 01:03:10 Board Structure Updates and Subcommittees 7. 01:05:20 Public Comment 8. 02:23:14 Adjournment, 958, all

Summary: The Medicaid Oversight Board meeting opened with quorum, approval of the March 9 and March 16, 2026 minutes, and a welcome to new member Representative Willner. The board then heard a presentation from the Department of Medicaid Services on several statutory reports: the quarterly budget analysis (LRC) report, the quarterly MCO report, the provider tax and assessment report, the enrollee demographic report, the annual behavioral health/substance use disorder utilization report, and the Medicaid pharmaceutical rebate fund. Commissioner Lisa Lee and CFO Steve Bechal explained the reports and answered questions. On spending, DMS said the quarterly budget analysis report should be read using the summary tabs because the first tab reflects only traditional Medicaid and does not include all populations. Lee said the first three quarters of fiscal year 2026 showed about $191 million more in waiver spending than the same period last year, about $250 million more in other categories such as nursing facilities, CCBHCs, and FQHCs, and roughly $450 million more in total fee-for-service spending. She also noted that Medicare Part D premiums are 100% state funds and estimated the state-fund increase at about $140 million. For managed care, DMS said pharmacy, inpatient hospital, and outpatient hospital spending made up about 66% of MCO payments so far this fiscal year. Members asked about administrative costs, provider tax impacts, citizenship-status categories, medical loss ratio, and whether the reports could be expanded to show recoupments and citizenship-based spending. DMS clarified that the spending figures discussed were benefit costs only, not administrative costs, and said administrative match rates vary. On the provider tax and directed payments report, Lee said the new CMS proposed rule would allow separate payment terms to continue through the grandfathering period, but that the impact would be substantial for providers even if the administrative effect was minimal. She also said DMS was still reviewing unusual citizenship categories such as “other” and “unspecified,” and would provide more information on medical loss ratio and recoupments if available. Auditor Ball raised concerns about alleged waste, duplicate Social Security numbers, ineligible enrollees, and high error rates in other programs. Lee responded that Medicaid focuses on fraud, waste, and abuse, but said the cited $800 million figure was not factual because it did not account for people enrolled in more than one Medicaid program at the same time. She said DMS is reviewing eligibility systems, including changes tied to community engagement requirements, and is working with the cabinet’s eligibility staff and ombudsman division on error rates. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• Knowing that some of the SUD services for him are going to be cut and some of his other fellow folks
• that<02:41:58.400> some<02:41:58.560> of<02:41:58.640> the<02:41:58.760> SUD
• <02:41:59.400> services Knowing that some of the SUD services Knowing that some of the SUD

Keywords: 1183, house

Transcript Highlights:

• We have a lot of homelessness for people suffering from SUD. Very often, they are homeless.
• tell you it's far and away the biggest problem we're dealing with in helping people suffering from SUD
• very often are suffer suffering from sud very often are homeless homeless homeless now<05:06:52.958>
• <05:07:08.958> in<05:07:09.200> LW helping people suffering from sud in LW helping
• people suffering from sud in LW long-term long-term long-term addiction<05:07:11.958> housing<

Keywords: 1189, house, all

Transcript Highlights:

• So it looks like the SUD.

Transcript Highlights:

• To echo earlier comments today, LA County's Division of HIV-SUD programs informed us as a provider that

Summary: The subcommittee held an oversight hearing on federal actions affecting California’s public health and family planning systems, focusing first on the freeze to Title X family planning funds and then on broader CDC/public health grant terminations. Chair and members described the cuts as abrupt, harmful, and likely to create major gaps in disease surveillance, vaccination, contraception, STI testing, and other preventive services, while also criticizing the federal administration’s explanation that the actions were tied to DEI or civil-rights compliance. The chair thanked Attorney General Bonta for legal action and said the hearing was intended to document the real-world impacts and inform state budget responses. Witnesses from Essential Access Health, Planned Parenthood Affiliates of California, a Central Coast clinic, and other providers said California’s Title X network serves more than half a million low-income patients annually and relies on the funds for staffing, outreach, training, mobile and school-based clinics, and confidential care. They warned that the freeze has already forced reserve spending, delayed services, and could lead to layoffs, reduced hours, longer waits, and fewer appointments, especially for sexual and reproductive health care. Public comment included support for a proposed state backfill of Title X losses, with advocates emphasizing impacts on low-income, LGBTQ+, and communities of color. On the public health side, CDPH, county health officials, and local health officers testified that the CDC’s rescission of $11.4 billion in grants would affect California by an estimated $840 million and threaten lab capacity, immunization programs, health disparities work, and data systems such as CalConnect and vaccine registries. Sacramento County and others described how the grants supported outbreak response, sequencing, community vaccination clinics, and equity-focused partnerships, and said terminations had already led to canceled appointments, stopped contracts, and layoffs. Several speakers urged the Legislature to preserve and expand state “future of public health” funding and to backfill federal losses, while public commenters from HIV, immunization, labor, and county organizations echoed concerns about workforce losses and worsening health outcomes.

Transcript Highlights:

• budget<00:45:01.280> so<00:45:01.680> yes<00:45:01.960> representative sud

Keywords: 928, house, all

Summary: The committee met in executive session on several House bills and first took up HB 181, which would have made the state responsible for maintaining Opticon systems for fire and emergency on state roads. Members noted that a system already exists and that towns are generally responsible for maintenance once they choose a system, so the committee voted ITL/OTL-style recommendation by a unanimous 18-0 roll call and discussed placing it on the consent calendar. The committee then considered HB 7113, concerning mile markers along Route 112/Kancamagus Highway. Supporters argued the markers would improve safety and help locate stranded motorists in a rural area with poor cell service, while another member noted the bill’s language should be clarified to refer specifically to the Kancamagus and to DOT’s usual 0.2-mile spacing. The committee voted 18-0 to recommend OTP with a fiscal note, and because it was a money bill it would not go on the consent calendar. HB 300, directing DOT to seek proposals on the Conway Branch rail line and creating a rail study committee, was recommended ITL after members said the issue had already been studied and the corridor had already been designated for rail trail; that vote was unanimous and the bill was placed on the consent calendar. HB 375, allowing municipalities to designate sections of state and local highways for all-terrain vehicles, was also recommended ITL. Members said there is already a process for towns to authorize such use and expressed concern about a blanket approach and possible local conflicts; the motion passed unanimously and was sent to the consent calendar. HB 578, relating to a sound barrier along the F.E. Everett Turnpike, drew more discussion: some members said the project should go through the 10-year plan and environmental review process, while others cited local impacts and the need for some barrier or privacy protection. The committee ultimately voted 16-2 to recommend ITL, and it was not placed on the consent calendar. Finally, the committee took up HB 561, concerning transfer of state-owned real property to municipalities. Members voted to retain the bill, with supporters saying they wanted more information, including a site visit to Merrimack’s Continental Boulevard and further discussion of how state roads are handled in other towns. The retain motion passed unanimously 18-0, and members noted that retained bills do not go on a calendar. The chair then announced the committee’s next full meeting would be on February 24 at 10:30 a.m., with a briefing on the capital budget process and a meeting with the Secretary of the Treasury.

Transcript Highlights:

• have<00:32:21.400> a<00:32:21.440> passion<00:32:21.880> for<00:32:22.080> SUD
• <00:32:23.040> and<00:32:23.160> I I know you have a passion for SUD and I I know you
• have a passion for SUD and I know<00:32:23.440> you<00:32:23.560> have<00:32:23.680>

Bills: HF4407, HF4382

Keywords: child welfare, African American children, racial disproportionality, family preservation, reunification, foster care, kinship care, relative placement, noncustodial parent, guardian ad litem, ombudsperson, Department of Human Services, county social services, active efforts, reasonable efforts, child protection, placement, out-of-home placement, Northstar kinship assistance, data disaggregation

Summary: The Children and Families Committee adopted the April 8 minutes and then took up House File 4407, as amended by the A1 amendment. The amendment, explained by nonpartisan staff, incorporated much of the Senate version of related legislation and made a series of changes: it revised the definition of “disproportionately represented child,” shifted that determination to the Commissioner of Children, Youth, and Families, made technical cross-reference and terminology updates, adjusted training requirements, set the working group to expire December 31, 2027, and added an appropriation for statewide implementation. The committee adopted the A1 amendment and then referred the bill to Ways and Means. Representative Gilman said the bill is intended to preserve the goals of the Minnesota African American Family Preservation Act while addressing operational, legal, and fiscal problems before statewide implementation. He argued for delaying the effective date by one year, shifting case review responsibilities to the state, and providing funding so counties are not left with an unfunded mandate. He also said the bill adds safety measures related to synthetic opioids and other imminent-harm concerns, and that the delay would allow the working group to finish its recommendations and give counties time to prepare. County officials Steve Schmidt of Meeker County/Minnesota Rural Counties and Jenny Mojo of Clay County testified in support of the bill as amended, emphasizing that counties need clearer responsibilities, staffing, training, technology, and dependable funding to implement the law successfully. Rebecca St. George of DCYF said “active efforts” is not absolutely defined and is determined case by case, often with court involvement. Members raised questions about the meaning of active efforts, the bill’s synthetic opioid language, and whether the proposal should apply more broadly rather than within this specific act. A citizen also cautioned that the opioid language should not unintentionally affect families in treatment programs. Representative Hicks warned that the fentanyl provisions could lead to broad removals and create placement problems for teens with substance use disorder, while Representative Gilman responded that the bill includes a rebuttable presumption and is meant to protect children from imminent harm.

Transcript Highlights:

• Are you maintaining the distinction between suicide and SUD death?
• what can be done differently to prevent such deaths in the future. the distinction between suicide and sud
• the distinction between suicide and sud death<00:25:25.240> so<00:25:25.679> because<00
• I would imagine most of those are SUD-related, not suicide. We can follow up with you on that.

Keywords: 928, house, all

Summary: The House Finance Division III held an informational hearing on Medicaid, Medicare, Choices for Independence, and related financing, while postponing nursing facility financing and the county cap discussion to a later date. DHHS officials Ann Landry, Jonathan Ballard, and Medicaid Director Henry Litman provided an overview of Medicaid’s role, noting it is a federal-state partnership with state-specific eligibility and benefits, and emphasizing that Medicaid is a major funding and programmatic support for other DHHS initiatives. They also distinguished Medicaid from Medicare and explained that Medicaid funding is not the same as grant funding, though some providers may also receive federal grants through other channels. The presentation focused on New Hampshire’s relatively small Medicaid program and why it differs from national averages. Officials said about 184,000 residents are covered, roughly one in seven Granite Staters compared with one in five nationally, and attributed the difference largely to the state’s higher per-capita income and older population. They highlighted that about 65% of Medicaid-enrolled adults in New Hampshire are working, that only 22% of births are covered by Medicaid versus 42% nationally, and that the state’s uninsured rate is lower than the national rate. Members asked about covered services, income limits, federal matching rates, and the names of optional eligibility groups; staff explained that New Hampshire offers the optional groups discussed, with matching rates varying by category, including 90% for Granite Advantage and certain other groups, and 65% for children above the required level. A substantial portion of the hearing covered eligibility rules and recent policy changes. Officials reviewed the history of Medicaid, including HCBS waivers, the CFI program, Katie Beckett, the Olmstead decision, the ACA, and the end of continuous enrollment after the public health emergency. They also discussed the 2023 legislative expansion of postpartum coverage from 60 days to 12 months and child eligibility changes. In response to questions, DHHS said it is tracking utilization and costs for the postpartum expansion and reported that many maternal deaths occur after the prior 60-day coverage period, often involving substance use disorder or suicide; they said the longer coverage is intended to improve access to treatment and prevention. The committee also walked through household-income examples, clarified that Medicaid eligibility is based on household income and categorical rules, and confirmed that Granite Advantage ends at 138% of the federal poverty level unless another categorical basis applies. No votes were taken, and the hearing remained informational.

Transcript Highlights:

• secret for the cancer registry item number five HIV SUD prevention.
• Recommendations for Strategy H. to 2 HIV SUD prevention include $133.8 million in general.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• This gives me ongoing contact with SUD providers and repeated updates.
• This gives me ongoing<01:37:10.400> contact<01:37:10.800> with<01:37:11.199> SUD
• <01:37:11.760> providers<01:37:12.560> and ongoing contact with SUD providers and ongoing
• contact with SUD providers and repeated<01:37:13.280> updates.

Keywords: 1187, senate, all

Transcript Highlights:

• I would continue to struggle with SUD and also have two more children.
• continue<02:19:59.720> to<02:19:59.840> struggle<02:20:00.240> with<02:20:00.479> sud
• <02:20:01.479> and<02:20:01.680> also continue to struggle with sud and also continue
• to struggle with sud and also have<02:20:02.160> two<02:20:02.359> more<02:20:02.840><

Keywords: 1187, senate, all