Transcript Highlights:

• Reimbursement?
• ><c> Department</c><00:19:13.919><c> of</c> reimbursement from the Department of reimbursement from the
• </c> if you guys don't get reimbursed? if you guys don't get reimbursed?
• </c> mechanisms for um seeking reimbursement mechanisms for um seeking reimbursement and<00:27:46.000
• </c> and um we're not trained as nurses. and um we're not trained as nurses.

Committee: Senate Public Safety and Military Affairs

Summary: The joint committees heard testimony on several measures. SB 2723, which would designate April 27 as State Sheriff’s Day, was supported by the Department of Law Enforcement and a long-serving sheriff, who described the historical roots of Hawaii’s sheriffs in the Kingdom of Hawaii and said the bill would recognize that legacy. HGA submitted written comments, and there was no opposition or vote taken on the measure during the excerpt. The committees then heard SB 17 on wildfire mitigation. The Public Utilities Commission, DLNR, the State Fire Council, OPSD, the Attorney General’s office, and Kamehameha Schools all testified, mostly in support of the bill’s intent but with suggested amendments. Several witnesses said the bill should better define the working group’s structure, staffing, and funding, and the Attorney General noted constitutional concerns about placing the group outside a principal department and pointed out possible overlap with Acts 302 and 303 from the prior year. Committee members questioned whether SB 17 duplicated earlier wildfire legislation, and witnesses generally said it did not directly conflict but overlapped with existing efforts. On SB 2358, which would require reimbursement for search-and-rescue costs when people leave trails and enter closed areas, the State Fire Council and the Hawaii SAR Alliance testified in opposition or caution, arguing that reimbursement could deter people from calling for help and that Hawaii’s SAR system still has structural and administrative gaps. A committee member asked whether other jurisdictions had used similar measures without discouraging rescues; the Fire Council said Kauai has a similar law but it has not resulted in invoices being sent. No action was taken in the excerpt. The final measure discussed was SB 2475 on Red Hill remediation funding and reimbursement from the Department of Defense. The Board of Water Supply, DLNR, and other testifiers supported the bill, emphasizing the need for long-term research, monitoring, and cleanup, while also noting the unique groundwater conditions and the importance of keeping the funds focused on Red Hill contamination response. Committee members asked about existing federal and state funding, whether the state had received any direct federal money, and what would happen if reimbursement is not obtained. DLNR said it was still working through the reimbursement mechanism and that some federal funding had gone to the Red Hill registry, but not directly to the state for this purpose.

Transcript Highlights:

• Children are considered potty trained at the age of three.
• Allowing CBOs, doulas, and CHWs to receive training, recognition, and reimbursement for conducting screenings
• Actually, I'll defer to the expert witnesses on the training.
• My understanding is that the training varies from...
• My understanding is that the training varies from county to county.

Summary: The Assembly Health Committee heard a long series of health-related bills, with most measures focused on access to care, administrative simplification, and behavioral health. Early items included AB 583, allowing nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery facilities are licensed; and AB 280, which would tighten provider directory accuracy requirements, add enforcement benchmarks, and allow use of a centralized database. Testimony on AB 280 highlighted the harms of “ghost networks,” while insurers and some provider groups opposed the bill as written, arguing it placed too much responsibility on plans and did not fully address provider-side data problems. AB 280 passed on a roll call vote, and several other bills were placed on consent and approved. The committee also advanced AB 636, expanding Medi-Cal coverage for medically necessary diapers for children up to age 21 and lowering the age threshold for access; AB 1041, streamlining physician credentialing with a uniform form and 90-day review deadline; and AB 787, requiring health plans to help enrollees find in-network providers quickly when directories fail. Supporters of these bills emphasized family financial strain, delays in care, and the burden of administrative red tape, while opponents of AB 1041 and AB 280 raised concerns about provider participation, accuracy, and liability. All three measures were approved and sent to Appropriations. The committee then took up AB 4 and AB 29. AB 4 would allow income-eligible Californians to buy Covered California coverage regardless of immigration status, and AB 29 would authorize Medi-Cal reimbursement for community health workers and doulas conducting ACE screenings. Both bills drew strong support from immigrant-rights, health access, and community-based organizations, and both passed on roll call votes, with AB 4 receiving some no votes. The committee also approved AB 416, which would allow emergency physicians to place 5150 holds in certain circumstances; supporters said it would reduce delays and overcrowding in emergency departments, while Disability Rights California and others warned it could increase unnecessary involuntary hospitalization and transfers to locked facilities. Despite those concerns, the bill passed and was sent onward for further consideration.

Transcript Highlights:

• </c><00:05:04.160><c> to</c> invoice or request for reimbursement to invoice or request for reimbursement
• So I guess the question reimbursement.
• Um page 13, u reimbursement payments.
• Fiscal agents reimbursement<00:57:01.119><c> reimbursement</c><00:57:01.760><c> on</c><00:57:01.920><
• c> a</c><00:57:02.079><c> more</c> reimbursement reimbursement on a more reimbursement reimbursement

Committee: House Environment and Natural Resources Finance and Policy

Transcript Highlights:

• The JAC had adopted that letter for the reimbursement of counties who were helping those individuals
• The GAC had adopted that letter for the reimbursement of counties who were helping those individuals
• The GAC had adopted that letter for the reimbursement of counties who were helping those individuals
• The GAC had adopted that letter for the reimbursement of counties who were helping those individuals
• </c><00:34:43.440><c> program</c> medicine education and training program medicine education and training

Bills: SF0032 , SF0010 , SF0001 , HB0001

Committee: House Appropriations

Transcript Highlights:

• Of supervisory training.
• I don't know about specific nurses; that depends on if they do have the ACLS training or ATLS training
• For NP and PA training, the requirements are much lower.
• NPs or nurse practitioners only reimburse at, or only get reimbursed at, an 80% rate.
• Make sure there's proper training.

Committee: House Professional Registration and Licensing

Summary: The committee first completed action on House Bill 3009, adopting an amendment, rolling the bill into a House Committee Substitute, and then voting do pass on the substitute by a 20-0 roll call vote. The meeting then moved into public hearing on House Bill 1963, which would reduce from five years to three years the amount of licensed practice required before certain social workers may supervise others. Representative Tara Peters said the change would help address Missouri’s behavioral health workforce shortage, especially in rural areas, and testimony from the National Association of Social Workers and Burrell Behavioral Health supported the bill as a way to remove a bottleneck without changing education or supervision-hour requirements. There was no opposition testimony on HB 1963. The committee then heard House Bill 2557, which would require a physician to be physically present in an emergency department during all hours of operation. Representative George Hruza argued the bill would improve patient safety and standardize emergency care, while noting possible telehealth accommodations for low-volume critical access hospitals. Supporters, including physicians and medical associations, said patients expect physician-led emergency care and that physician presence is the gold standard. Opponents, led by the Missouri Hospital Association and several rural hospital administrators, argued the mandate is not realistic given physician shortages, could force rural ER closures, and would reduce access to care; they emphasized that current hospital models rely on teams, telehealth, and transfer protocols. The bill drew extensive discussion but no vote was taken. Finally, the committee heard House Bill 311, which would modernize Missouri’s bail bond laws by creating a professional board and tightening training, oversight, and recovery procedures. Representative Brandon Phelps said the industry itself wants clearer standards and that he may revise the bill in committee substitute form to merge the new board with an existing board to reduce costs. A bail bond industry representative testified in support, saying the profession wants higher standards and accountability. The chair then adjourned the meeting after testimony concluded.

Transcript Highlights:

• </c> that is necessary um and the training that is necessary um and the training that<00:07:31.680><c
• </c> by cutting the federal reimbursement by cutting the federal reimbursement rate<00:27:11.760><c>
• to a 25% reimbursement, which expenses to a 25% reimbursement, which will<00:27:21.520><c> go</c><00
• </c> new trainings to guide implementation. new trainings to guide implementation.
• rates, um, through training.

Committee: Senate Health and Human Services

Transcript Highlights:

• It talks about a medical reimbursement schedule, but this is not a medical reimbursement schedule, correct
• schedule—should that actually reference the guidelines instead of the— It shouldn't be reimbursement
• That way, if a student completes both the on-the-job training and the technical training components,
• , often tied to an industry credential, and the amount of technical training, often tied to an industry
• That way, if a student completes both the on-the-job training and the technical training components,

Summary: The House Labor and Industrial Relations Committee met on May 7, 2026, and first deferred several measures, including House Bill 460, Senate Bill 322, Senate Bill 32, Senate Bill 22, and House Bill 561. The committee then took up House Bill 819 by Chairman Cruz, which would replace Louisiana’s current workers’ compensation medical treatment schedule with the Official Disability Guidelines (ODG) by MCG as the primary guideline, while keeping the existing variance and appeal process. Cruz and MCG representative Troy Prevo argued that ODG is more comprehensive, updated more frequently, and used in many states, and said it could reduce delays, disability duration, and costs. Dr. Jason Picard, the state medical director, testified that Louisiana already uses ODG as a secondary reference in many cases because the state schedule lacks coverage for some body parts and treatments, and said the bill would not otherwise change the appeals process or care delivery. Committee members focused heavily on whether the bill would delay care or improve it. Several members questioned the private-company nature of ODG, the $400 annual subscription cost, and whether Louisiana doctors would be forced to rely on an out-of-state guideline. Rep. Glorioso and others raised concerns about preauthorization delays and proposed amendments to create tacit approval when treatment follows the schedule, require payment within 30 days, and make the carrier prove by clear and convincing evidence that care was not medically necessary to challenge it. Chairman Cruz said he was willing to work with those ideas, and the committee also discussed adding an on-ramp or legacy language so current patients would not be disrupted. Opposition testimony came from injured-worker advocates and representatives of medical and labor groups, including Joseph Jola St. and Robin Krumholt. They argued that Louisiana’s current guidelines are already working, that rates have fallen over time, and that the real problem is delay in approval rather than the content of the schedule. They said ODG is overly rigid, cost-driven, and can lead to denials that shift costs to workers, Medicaid, or private health insurance. They urged the committee to keep Louisiana’s existing system and instead adopt tacit approval under current law. The bill was still under discussion at the close of the transcript, with amendments being read and no final vote shown.

Transcript Highlights:

• Most importantly, it noted the shift from a reimbursement-based service to one that incentivizes the
• of information over time is far more effective than a large amount of upfront training.
• DDS anticipates having sufficient reimbursement authority to cover any increased reimbursements needed
• facilitation. ...dealing with equity goals, dealing with training, dealing with facilitation.
• I personally have yet to be reimbursed for thousands of dollars owed since 2023.

Summary: The Assembly Budget Subcommittee on Human Services heard testimony on Department of Developmental Services (DDS) and related budget and trailer bill proposals, with a major focus on the impacts of H.R. 1 on people with intellectual and developmental disabilities (IDD). DDS and the Department of Social Services (DSS) said H.R. 1 could affect Medi-Cal and CalFresh access, but that people with disabilities and caregivers are exempt from the work requirements; the administration is working on data matching and automation through the statewide eligibility system to identify exemptions, with June 1, 2026 as the implementation date for CalFresh changes. Witnesses and advocates warned that any loss of Medi-Cal could create fiscal pressure on regional centers and households, while public commenters described the real-life consequences of losing services. Committee members repeatedly expressed concern about cost shifts to counties and asked for harm-mitigation strategies before the May Revision. The committee also reviewed the governor’s IHSS-related proposals. DSS said the budget would set a baseline for authorized hours, align IHSS disenrollment/reinstatement with Medi-Cal eligibility processes, and eliminate the IHSS backup provider system, while emphasizing that individual service hours would still be based on assessed need. DDS said if a person loses IHSS or Medi-Cal, regional centers may have to step in as payer of last resort for some services, potentially at higher state cost. Members and the Legislative Analyst’s Office questioned whether counties could absorb the proposed shifts without reducing services, and asked for more detail on implementation, data quality controls, and how regional centers could help families navigate disruptions. A separate trailer bill on DDS rate reform and the Quality Incentive Program drew mixed reactions. DDS proposed extending a contract exemption and delaying final rate reform regulations to 2030, saying the changes are budget-neutral and needed for implementation. DDS reported that about 81% of providers had completed the current Quality Incentive Program requirements, but providers and advocates argued the 90-10 structure can function like a penalty and may destabilize services if providers lose 10% of funding. Committee members asked for clearer assistance to providers, possible flexibility for good-faith efforts, and a redlined version of the language before the May Revision. The committee also heard DDS’s proposed trailer bill on regional center governance and provider capacity. DDS said the language would consolidate regional center contracts and performance measures, strengthen board training and oversight, require consumer advisory committees, expand independent legal support, raise the threshold for board approval of contracts, and remove barriers such as physical-office requirements and duplicate vendorization. DDS said the goal is to improve accountability and efficiency while preserving person-centered services, and members indicated they wanted further refinement and stakeholder input before moving forward.

Transcript Highlights:

• The EMF Medical Conference is here now to train doctors.
• We have a one-hour course online at Safer Screen Time to train the public, which I co-developed with
• It found that community pharmacists working collaboratively with remote physicians could be trained to
• Reimbursement for the naloxone that's dispensed in the hospital.
• Currently, my beekeepers are reimbursed for EpiPens that are prescribed through their personal doctors

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health held a hearing focused on children’s health, disease prevention, screening, treatment, and pharmacy-related bills. The chair explained that the session was for public testimony only, with no votes or decisions taken that day, and outlined the three-minute limit for individual testimony. The committee then heard testimony on a range of bills, including H. 2413 on adding electromagnetic sensitivity to the state’s MAVEN registry, S. 1508 and H. 2433 on creating an amputation prevention task force, H. 2535 and S. 1551 on establishing a naloxone purchase trust fund, S. 1635 on authorizing pharmacists to provide opioid use disorder treatment, H. 2385 on creating a special commission on avian influenza, and S. 1497 on patient safety and non-FDA-approved compounded drugs. Testimony on H. 2413 came largely from advocates and individuals who described electromagnetic sensitivity as a real health condition and argued that adding it to the registry would improve data collection, provider education, and public awareness. Testimony on the amputation prevention task force bills came from the American Diabetes Association and podiatry groups, who said diabetes-related amputations are often preventable, disproportionately affect people of color, and could be reduced through earlier screening, better care coordination, and improved insurance coverage for preventive foot care. On the naloxone trust fund bills, a representative, emergency physician, and nurse testified that hospitals often cannot reliably send overdose patients home with naloxone because of billing and reimbursement barriers, and that a bulk-purchase fund would expand access at no added cost to payers or providers. The committee also heard strong support for S. 1635 from pharmacists and public health researchers, who said community pharmacists could safely initiate and maintain buprenorphine treatment and help close gaps in opioid use disorder care. On H. 2385, a local board of health chair supported a special commission on avian influenza, citing gaps in emergency preparedness and the need for clearer coordination across agencies. On S. 1497, a pharmacy representative opposed restrictions on compounded drugs from outsourcing facilities, warning that changes could reduce access to life-saving medications and harm patient safety. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• One is supporting the provision of dementia-specific training.
• Is there already dementia-specific training requirement at the state level for long-term care?
• It's all EMS is trained on how to deal with.
• If a PBM owns its own pharmacy, it must reimburse independent Missouri pharmacies at the same rate.
• And that's what these bills seek to work on, is to ensure they're reimbursed properly and that we can

Committee: House Health and Mental Health

Transcript Highlights:

• Their contract was just executed this week, and the next step is for training, and so we hope that...
• The next step is for training, and so we hope that they will be able to actually start processing claims
• .been having some conversations with Director Johnston and how we could better partner, how we can train
• been having some conversations with Director Johnston and how we could better partner, how we can train
• By omitting managed care reimbursement from the PCG study, Access failed to obtain the full picture of

Committee: Senate Senate Health and Human Services COR

Summary: The committee continued its fourth hearing on fraud, waste, and abuse involving Arizona’s Medicaid and behavioral health systems, with a major focus on Access/ALTCS eligibility, behavioral health licensing, and payment delays. Senator Shamp presented findings alleging large gaps in ABD Medicaid asset verification, including that only a portion of enrollees were checked and that many with substantial liquid assets remained on the program. She argued the state’s waiver and lack of asset limits created a compliance and fiscal risk, and urged referrals to law enforcement, tighter verification, and broader reforms. Heather Dukes, representing behavioral health and sober living operators, testified that ADHS and Access have become overly punitive toward licensed providers, often sending technical paperwork violations straight to enforcement instead of allowing correction plans, and that zoning and licensing delays are harming legitimate businesses. Reva Stewart testified that patient brokering and fraudulent recruitment of vulnerable people into behavioral health and sober living settings remain ongoing, especially through social media, and called for stronger accountability and enforcement against bad actors. ADHS Deputy Assistant Director Tiffany Slater said the department has received more than a thousand complaints about unlicensed sober living operations, which has diverted staff from routine oversight of licensed facilities. She said ADHS has expanded enforcement tools for sober living homes, is using a new licensing system to flag repeat bad actors, and is trying to make the application process easier, while acknowledging that inspections can tip off unlicensed operators. Access Director Virginia Roundtree described steps the agency has taken since the prior hearing, including daily staff huddles, live dashboards, added project management support, an external claims vendor, and an independent review of the Division of Fee-for-Service Management. She said Access is trying to balance fraud prevention with support for legitimate providers, and committed to follow up on a specific provider payment dispute by early the next week. Committee members repeatedly pressed Access and ADHS on delayed claims processing, prepayment review, and whether the current system is driving providers out of business. Roundtable testimony from Access staff described the new Provider Resolution Roundtables, which are intended to work with a small number of providers facing the most claims and authorization problems. Members questioned why claims are being denied or held for long periods, why some providers are still waiting on payments from 2023 and 2024, and whether the agency’s actions are sustainable. Access also explained the Targeted Investment Program, saying it is a federally approved Medicaid initiative with large dollar amounts still being paid out on a delayed schedule, and agreed to provide more information on provider participation and payment timing. No formal votes or committee actions were taken in the portion provided, but the chair indicated the committee would continue reviewing the issue and requested additional reports and follow-up information from Access and ADHS.

Transcript Highlights:

• is providing coaching for participants who are pursuing either post-secondary education or career training
• of eligibility or deadlines for multiple programs such as extended foster care and education and training
• This bill has to do with DCYF utilizing a person in their care's Social Security benefits to reimburse
• had younger populations, but these are adults 18 to 21, so we eliminated the financial literacy training
• The enacting legislation does not provide any of the usual language for reimbursement, but currently.

Summary: The Senate Human Services Committee held a work session focused on housing and services for youth and young adults, especially those exiting public systems of care. DCYF Assistant Secretary Vicki Ibarra described existing supports, including family reconciliation services and the youth and young adult housing response team, which coordinates with other agencies to help young people ages 12 to 24 avoid homelessness. Office of Homeless Youth Director Casey Hannawer Sutton outlined the office’s role in reducing youth homelessness, citing a 40% reduction since 2016, expansion of services to 37 counties, and ongoing work on prevention and “functional zero” efforts. Treehouse and the Mockingbird Society testified about education, transition, and housing barriers for foster youth and young adults, including funding cuts to Treehouse’s Graduation Success program, eligibility gaps, and the need for peer supports, financial literacy, and housing stability. A health impact review from the State Board of Health on a prior version of the extended foster care housing proposal found the bill would likely improve housing stability, health outcomes, and equity for some young adults in extended foster care. The committee then heard public testimony on Senate Bill 5911, which would stop DCYF from using Social Security benefits of young adults in extended foster care to reimburse the state for care costs. Sponsor Sen. Emily Alvarado said the bill would protect federal benefits that belong to the young person and help them meet basic needs; supporters from Partners for Our Children, TeamChild, Mockingbird Society, and a former foster youth testified that the current practice harms housing, education, and stability and urged the state to end it. Members discussed the need for financial literacy and the federal government’s recent direction discouraging the practice. The committee also heard Senate Bill 5940, a two-year extended foster care housing pilot that would provide rental assistance for up to 50 eligible youth in extended foster care who are homeless or at risk of homelessness, with transition planning required before age 21. Sen. Wilson said the bill is intended to keep young people in care from having to choose between foster care support and housing assistance. Testimony from Mockingbird Society, current and former foster youth, and Communities in Schools supported the bill as a way to reduce homelessness and improve educational and health outcomes. The committee briefly heard Senate Bill 5942, which would rename the DCYF Oversight Board as the DCYF Accountability Board and shift its reporting structure while keeping its oversight role, and Senate Bill 5957, which would expand the Office of Homeless Youth Advisory Committee to include additional members with lived experience and representation from disproportionately affected communities.

Transcript Highlights:

• were on marine law enforcement, which includes activities to enforce the state's boating laws and train
• , et cetera, for, say, a ramp, but also the sales tax on it is reimbursable?
• Tax on it is reimbursable.
• The Attorney General's Office offers public records training and guidance to all state and local public
• This training usually covers a variety of public records issues.

Summary: The meeting began with JLARC’s biennial executive committee elections. After confirming a quorum, members unanimously elected Representative Pollet as chair, Senator Wagoner as vice chair, Representative Orcutt as secretary, and Senator Solomon as assistant secretary for the 2025-27 biennium. The committee also approved the May 14 meeting minutes unanimously. Chair Pollet then outlined a commitment to more member input on audit scope and coordination with the State Auditor’s Office. Staff presented a preliminary report on Washington State recreation boating programs. They reported that six agencies administer boating-related activities, that the state collected about $108 million in boating-related revenue in 2021-23, and that $86 million was spent, mostly on infrastructure and water access, environmental protection, boater safety, and marine law enforcement. Staff said Washington’s boating laws and programs are broadly similar to other states and noted that the final report is expected in September. JLARC then reviewed several tax preferences. For natural gas used as a transportation fuel, staff said the preferences reduce fuel costs but did not meet emissions-reduction targets because fewer vessels and vehicles converted to natural gas than expected; staff recommended continuing some exemptions and modifying reporting requirements. For travel agents and tour operators, staff said the preference continues to provide tax relief, but large beneficiaries’ savings are rising while small beneficiaries’ use is declining, leading to recommendations to continue the small-business rate and add or revise performance metrics. Staff also reviewed a nonprofit low-income housing property tax exemption, concluding it helps developers build homes as intended but that the performance metric should better reflect housing outcomes; they recommended the legislature decide whether to continue or modify it. Other reviews covered multipurpose senior citizen centers, disabled veteran adapted housing, trade convention attendance, agricultural fertilizer and seed wholesaling, hazardous substance tax treatment for pesticides, and silicon smelter energy preferences, with recommendations ranging from continuation to expiration depending on whether the stated objectives were met. The committee then adopted the final cannabis market study for distribution. Staff reported that Washington businesses produced two to three times more cannabis than retailers sold in 2023, and that inaccurate and incomplete reporting limits the Liquor and Cannabis Board’s ability to regulate the market. The board said it concurs with the recommendations, including developing a plan for a new data system and considering broader social equity options. Finally, staff presented the proposed final report on Department of Health oversight of hospital data reporting, inspections, and complaints. Staff said DOH was late on most acute-care hospital inspections, had not fully verified third-party inspection standards, and did not adequately review adverse event correction plans or assess language access barriers in its complaint system. DOH said it concurs with all six recommendations and has already made some transparency improvements, including a public dashboard for adverse event reporting.

Transcript Highlights:

• resulted in an operational, sustainable organization that has combined administrative operations and training
• The fire district plays a significant role in Carlton County public safety with a 24-hour highly trained
• </c><00:02:05.840><c> staff</c><00:02:06.560><c> and</c> 24-hour highly trained staff and 24-hour highly
• trained staff and advanced<00:02:07.119><c> life</c><00:02:07.360><c> support</c> advanced life support
• You eliminate multiple different administrations, training programs, response protocols, etc., and it

Transcript Highlights:

• buildings on 60 acres and includes a nursing school, a Center for Performing Arts. an industrial training
• And under the 287G statute, the federal government cannot even reimburse us. for those personnel costs
• . monitoring officers through the completion of the required training.
• There's no guarantee that the state is going to reimburse any of it.
• The current training for this program is woefully inadequate.

Keywords: HCR65, HCR19, Senate resolutions, memorial, community impact, legislative proceedings

Summary: The recent Senate meeting primarily covered two resolutions, HCR65 and HCR19, both of which were passed unanimously with little to no opposition. HCR65 was introduced in memory of Tracy Lee Vincent of Longview, while HCR19 was presented to honor the late Terrell Lynn Roberts of Angleton. The meeting included brief addresses from several senators, who shared personal reflections on the impacts of the individuals being honored and expressed gratitude for their contributions to the community. This collaborative atmosphere showcased the members' capacity for camaraderie and respect, emphasizing the importance of human connection in legislative proceedings.

Transcript Highlights:

• </c> manager, Patty McDonald, our training manager, Patty McDonald, our training manager,<00:01:17.200
• </c><00:56:49.280><c> So</c> the previous uh reimbursements. So the previous uh reimbursements.
• 31.760><c> the</c> They're receiving training from the They're receiving training from the University
• work</c> is the training is the training work is the training is the training work working<01:08:55.520
• </c> &gt;&gt; the training or the monitoring. &gt;&gt; the training or the monitoring.

Bills: SB1 , SB4 , SB6 , SB9 , SB16 , SB17 , SB20 , SB22 , SB28 , SB29 , SB36 , SB41 , SB45 , SB77 , SB85 , SB87 , SB96 , SB98 , SB110 , SB126 , SB139 , SB143 , SB164 , SB167 , SB171 , SB186 , SB188 , SB195 , SB197 , SB198 , SB204 , SB205 , SB206 , SB207 , SB209 , SB210 , SB211 , SB217 , SB219 , SB220 , SB225 , SB231 , SB237 , SB238 , SB241 , SB244 , SB246 , SB247 , SB272 , SB294 , SB315 , SB346 , SB364 , SB366 , SB367 , SB386 , SB392 , SB403 , SB415 , SB427 , SB431 , SB437 , SB457 , SB459 , SB469 , SB471 , SB478 , SB484 , SB489 , SB502 , SB503 , SB507 , SB508 , SB510 , SB516 , SB517 , SB518 , SB519 , SB521 , SB535 , SB543 , SB550 , SB564 , SB568 , SB570 , SB575 , SB577 , SB578 , SB590 , SB607 , SB616 , SB621 , SB634 , SB644 , SB647 , SB649 , SB652 , SB655 , SB656 , SB663

Transcript Highlights:

• Have you been going to the training, or have you sought out training from the Municipal League?"
• I'll say a lot of this is a training issue. When I came on, it was a mess.
• Meal reimbursements of $280 were paid for daily, non-overnight travel in 2024.
• And Sissy became the treasurer at that point in time with no training.
• Sissy has been with the president of the company talking to him, getting training.

Committee: All LEGISLATIVE JOINT AUDITING-COUNTIES AND MUNICIPALITIES

Transcript Highlights:

• . reimbursement. reimbursement.
• </c> reimbursement in almost eight years. reimbursement in almost eight years.
• </c><01:02:48.720><c> program</c> as well as a vocational training program as well as a vocational training
• So, you did we have right now trained.
• </c> home services because our reimbursement home services because our reimbursement rates<01:10:24.480

Summary: The committee approved the October 22, 2025 minutes and then heard a presentation from the Child Fatality and Near Fatality External Review Panel on accidental ingestion of illegal drug products by children. Panel members said pediatric ingestions have become the most common case type they review, with the highest-risk children ages one to four, and that fatal cases have increased in recent years. They reported that the substances most often involved are fentanyl, cannabinoids including THC products, methamphetamine, and increasingly xylazine; they also noted a decline in buprenorphine-related ingestions, which they viewed as a positive trend. The panel used several case examples to highlight recurring problems in investigations and medical response, including delayed DCBS involvement, failure to administer Narcan, inadequate drug testing, lack of child abuse team involvement, and limited or absent law enforcement investigation. They said law enforcement issues are especially common in pediatric ingestion cases and are concentrated in Jefferson County and the Bluegrass/KIPA regions. One example involved a one-year-old who died from fentanyl and Benadryl intoxication; another involved a two-year-old who died after ingesting multiple substances; and a third involved a four-year-old with near-fatal THC gummy ingestion where delayed treatment worsened the child’s condition. They also described a 10-month-old THC ingestion case that resulted in a criminal abuse conviction, which they presented as an example without missed investigative opportunities. Committee members discussed possible policy responses, including creating a more specific criminal child abuse offense or clarifying existing abuse and neglect definitions to cover unsafe access to illegal drugs, while preserving room for true accidents and prescribed medications. Members also raised the need for statewide standardization in reporting, investigation, and medical response, and suggested the panel should be able to call in agencies such as law enforcement, DCBS, judges, and hospitals for closed-session review of selected cases. The panel chair said they were already pursuing meetings with LMPD and would provide Jefferson County-specific breakdowns, and members expressed interest in additional data and agency follow-up before considering legislation.

Transcript Highlights:

• Educate and train those who serve Medi-Cal members.
• So we have a pipeline of people that we help to train.
• We're a very large training program, as I think most public hospital systems are.
• So that's one aspect of workforce training going forward.
• San Diego County has a 12-week onboarding training, plus three months after that of post-training support

Committee: House Health

Transcript Highlights:

• We have trained people now. We're full.
• that you don't always get in out-of-state training.
• We also ask in number three, internal agency training.
• We have found that if we can tailor the training to our particular lawyer needs, that training is more
• And so, but it was a reimbursement or something perhaps pursuant to— And so, but it was a reimbursement

Summary: The Appropriations Subcommittee on Public Safety and Judiciary heard presentations from several agencies. The Office of the Chief Medical Examiner reported full National Association of Medical Examiners accreditation, major improvements in turnaround times, staffing growth to 18 forensic pathologists, and expanded rural coverage, but warned that a flat budget would leave it short of funds by August. The agency requested $4.5 million in recurring funding for professional staff and operations, citing rising supply, transport, IT, and facility costs, and said failure to fund the request would cause a catastrophic collapse. Members asked about cremation fees, other revenue sources, and the consequences of not funding the request; the chair said the recommendation would be forwarded but not necessarily adopted. The Council on Judicial Complaints said complaints against judges have roughly doubled since 2018, with most complaints involving dissatisfaction with judicial rulings rather than misconduct. The council emphasized its goal of responding within 90 days, its new judges college to prevent ethics problems, and the cost of removal proceedings. It requested an additional $125,000 on top of its current $300,000 appropriation to cover rising operating costs, a lease increase, judicial college expenses, and salary adjustments. Senators asked about case prioritization, turnover, staffing, and whether a specific courtroom incident could be investigated; the director said it would be an appropriate complaint to review. The Oklahoma Indigent Defense System described heavy caseloads in rural counties, a mix of satellite offices and county contracts, and a need to reduce attorney workloads, especially in Norman and Lawton. It requested funding for six resource navigators, a project manager, direct-care support, eight additional attorneys, internal training, and continued county contract funding, while also discussing possible diversion programs and grant opportunities. The Department of Corrections requested increases for county jail backup per diem and ICON maintenance, highlighted contraband interdiction, centralized visitation, mobile check-ins, and tablet-based efficiencies, and discussed an ICE detention contract at Watonga that brings in monthly revenue and jobs but is not counted in the budget request. The Oklahoma Bureau of Narcotics and Dangerous Drugs presented a revised legacy-fund request tied to purchasing and remodeling a building shared with OSBI, saying the new plan would cost about $25 million total and save money compared with new construction; it also noted declining wire-transfer revenue tied to fewer grow operations and other enforcement changes.