Bills: HF4493, HF3133, HF4595, HF4143, HF4142, HF3756, HF4289, HF1724, HF2291, HF4568, HF4547

Keywords: opioid use disorder, OUD, medication-assisted treatment, MAT, pharmacist prescribing, pharmacy practice, controlled substances, Schedule III, Schedule IV, Schedule V, DEA registration, Board of Pharmacy, substance use disorder, addiction treatment, buprenorphine, naltrexone, harm reduction, prescription authority, pharmacist intern, Minnesota pharmacy law

Bills: SB874, SB2098, SB2110, SB2126, SB2154, SB2160, HB818, SB2047, SB2116, SB2246, SB2250, SB2334, SB2505, SB2520, SB2561, SB2721, SB2820, SB2971, SB3019

Keywords: veterinary medicine, prescription, consumer rights, transparency, pet medication, agriculture, clean plant program, disease-free plants, Hawaii agriculture, plant propagation, conservation, soil health, climate change, food security, small farmers, technical assistance, Hawaii, grant program, small farms, midsize farms

Transcript Highlights:

• services. invested significant amounts of money into MAT services.
• In January 2025, Corrections launched their MAT program.
• Right now, only inmates who come into prison on MAT are receiving MAT services.
• Yes, MAT services generally are lifelong.
• I know it's somewhere in the MAT report.

Transcript Highlights:

• In practice, however, MAT, MOUD, and MAUD are often used interchangeably, and we'll use MAT in this report
• Disorder treatment, including MAT, and the state's correctional facilities have also begun offering MAT
• were trained on the provision of MAT.
• It is worth noting that most public health offices do not stock MAT medications. MAT medications.
• This means that even as the state has invested in MAT and expanded the number of entities providing MAT

Transcript Highlights:

• have received MAT services, which is approximately 8.8% of the population that actually needs MAT.
• They will not begin providing services to individuals who need MAT but are not on MAT until at least
• Is that a part of MAT?
• treated for MAT?
• Presence with the MAT prescription.

Transcript Highlights:

• However, the enacting language only included a list of services that didn't specifically specify MAT.
• set. provide MAT services.
• Um however, the provide MAT services.
• but<00:07:47.840> the<00:07:48.080> fiscal<00:07:48.560> analysis specify MAT
• Um but the fiscal analysis specify MAT. Um but the fiscal analysis assumed<00:07:50.160> it.

Bills: HF2995, HF2434

Keywords: human services, funding, appropriations, MinnesotaCare, behavioral health, general assistance, healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• Does MAT work? I think absolutely yes.
• That issue on whether abstinence-based programs are going to have to take MAT patients is going to be
• The faith-based community who might not want to take MAT clients.
• So what they say is they don't want to accept MAT patients because they believe it violates, you know
• That'll be the law of the land, and they'll have to accept MAT patients.

Transcript Highlights:

• a lot of barriers, whether it’s attitudinal barriers or capacity barriers, to supporting people on MAT
• And then we also have MAT, which we have talked about briefly.
• Our MAT program has seven providers and four peer specialists.
• But, okay, you say you provide MAT at all your locations. Is that by telehealth?
• So that is why we like to have where they can walk in for that initial MAT appointment.

Keywords: 959, house, all

Transcript Highlights:

• Item number 41 is for MAT services in Bernalillo County.
• So this would put a little bit of funding for some of those MAT programs.
• Item number 41 is for MAT services in Bernalillo County.
• So this would put a little bit of funding for some of those MAT programs.
• Item number 41 is for MAT services in Bernalillo County.

Keywords: 996, all

Transcript Highlights:

• And then we also have MAT, which we have talked about briefly.
• Our MAT program has seven providers and four peer specialists.
• “They’re usually showed up at the front door waiting to get signed up for their MAT, so that’s great.
• But, okay, you say you provide MAT at all your locations. Is that by telehealth?
• So that is why we like to have where they can walk in for that initial MAT appointment.

Summary: The meeting focused on Missouri’s substance use prevention and treatment system, with repeated emphasis on recovery support services, peer support, recovery housing, transportation, and harm reduction. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he urged greater investment in recovery housing, peer support, employment, and community-based supports that help people stay sober and avoid relapse. Members asked about funding sources, program capacity, referrals, treatment court, transportation, and how Into Action supports people on medication-assisted treatment (MAT). Haniken said the organization is funded through a mix of federal, state, county, city, foundation, and private donations, and that housing and transportation remain major barriers, especially because support is often funded for too short a period compared with the longer time people need to stabilize. Matt Cushman of the Raytown Fire Protection District gave a strong endorsement of harm reduction, including naloxone distribution, syringe service programs, and broader decriminalization of harm reduction tools. He argued that stigma is a major barrier to care and that Missouri should expand access to clean needles, test strips, and other services, while also improving access to MAT in jails and communities. Committee members questioned the evidence base, the role of faith-based providers, and whether safe consumption sites should be pursued; Cushman said syringe exchange decriminalization should be the immediate priority, while safe consumption sites are a longer-term issue. He also described community paramedicine and mobile integrated health as valuable but funding-dependent, and said naloxone distribution is improving but still uneven, especially in rural and minority communities. Representatives from Central Ozarks Medical Center and Four Rivers Community Health Center highlighted the importance of peer support specialists, community health workers, care coordinators, and wraparound services in rural health centers. COMC’s Morgan McClure and Monet Lehman described a jail reentry program in Pulaski County, with Lehman sharing her trauma and recovery story and explaining how she helps incarcerated people prepare for release with housing, employment, benefits, transportation, and treatment connections. Four Rivers’ Devon Polarys and Cassandra Trout said their CEO would change Missouri policy to allow FQHCs to receive reimbursement for peer support and community health worker services similar to CCBHCs, arguing that these roles are essential for addressing barriers like transportation, housing, food insecurity, and insurance. Members discussed confusion over reimbursement rules, the differences between FQHCs and CCBHCs, and the need for better funding and clearer policy for peer and community health worker services. No votes were taken; the discussion ended with a suggestion to bring in a subject matter expert on community health workers for a future session.

Transcript Highlights:

• And our contract for MAT services to Spectrum is $14 million. Thank you, too.
• If I may, Commissioner, you say the contract with MAT, and again, it becomes a sheriff's issue as well
• That has nothing to do with the fact that it's underfunded on the MAT side as far as DOC... ...to do
• with the fact that it's underfunded on the MAT side as far as the DOC insurers.
• We also have the ability to induce individuals who are clinically indicated to start MAT.

Keywords: 995, all

Summary: The commission met with a new member from Prisoners’ Legal Services and approved the July 11 minutes. The main presentation came from Department of Correction Commissioner Sean Jenkins and Deputy Commissioner Mitzie Peterson, who gave an overview of DOC facilities, population trends, and the department’s broad mission, including sentenced prisoners, pretrial detainees, civil commitments, Bridgewater State Hospital, and the Section 35 program. They noted the custody population has fallen from about 10,000 in 2016 to roughly 6,000–6,600, while the share serving first- or second-degree sentences has increased. They also reviewed the department’s facility footprint, including Souza-Baranowski, MCI Norfolk, MCI Framingham, Bridgewater, and the planned transfer of the Section 35 program to Health and Human Services by the end of 2026. A large portion of the discussion focused on programming, education, health care, and reentry. DOC described tablet access for all incarcerated people, free phone calls, email, and more than 330,000 hours of educational, vocational, and reentry use. They highlighted partnerships with colleges and universities such as Tufts, Boston College, Emerson, and others, along with HiSET completion, vocational training, and programs like The Last Mile and Persevere. Health care spending was discussed in detail, including a total annual health-related contract cost of about $300 million, with separate contracts for prison health care, Bridgewater State Hospital, MassAQC, and MAT services. DOC said it has nearly eradicated Hep C and MRSA and now offers all three FDA-approved MAT medications, including long-acting injectables when clinically indicated. Commissioners also asked about specialized programming, language and disability access on tablets, and how programming is distributed across facilities. DOC explained that nothing is mandatory, but program participation is encouraged and can affect parole consideration. Staff described assessments using COMPAS, criminal thinking interventions, trauma-related treatment, and specialized units for emerging adults, mental health, and substance use. The department said programming costs were about $101 million in fiscal year 2025, or roughly 12% of the operating budget, excluding health care. Members praised the elimination of restrictive housing and the rollout of body-worn cameras, while DOC said the cameras required new policy and union negotiations but are now used for training, accountability, and de-escalation. The meeting ended with a plan for DOC to return in September with more detailed information on SAUs, programming statistics, and facility structure, and the commission voted to adjourn.

Transcript Highlights:

• . >> Senator Mats, yes. >> Senator Mats, yes. >> Senator Mley, no.
• Senator Hein. >> Yay. >> Senator Engel. >> Yes. >> Senator Lion. >> Yes. >> Senator Major. >> Senator Mats
• >> Senator<00:33:10.799> Mats. >> Senator Mats. >> Senator Mats.

Keywords: 927, senate, all

Transcript Highlights:

• CMS requires that states with this approved 1115 reentry demonstration provide MAT services.
• Specifically specify MAT, but the fiscal analysis assumed it's... so this proposal is just a budget-neutral
• proposal clarifying that MAT is included in that minimum benefit set.

Transcript Highlights:

• In terms of medication-assisted treatment, or M-A-T, or MAT, for this demonstration today, this is sort
• And then in 2018-19, we were able to be directed another $6 million for MAT. ...were able to be directed
• another $6 million for MAT for the additional substance use disorders, which covered the additional
• And FATA became the services arm so that our legacy contracts are under that services arm, including MAT
• to talk about some of our successes, and we see that the increased engagement and the retention in MAT

Summary: The Appropriations Committee on Criminal and Civil Justice met to continue its review of performance measurement in the criminal justice system. The first presentation, from State Courts Administrator Eric McClure, described how the court system uses multiple data sources to track filings, dispositions, clearance rates, workload, and support services, and how those data inform judge need, budget requests, resource allocation, and court administration. He also discussed ongoing efforts to improve case-level reporting, the use of case management systems in trial and appellate courts, and performance efforts in problem-solving courts and civil case management. McClure noted that the legislature provides dedicated funding for problem-solving courts and for medication-assisted treatment, and that the courts are required to report outcomes and monitor compliance with contract requirements. Melanie Brown-Whor of the Florida Behavioral Health Association then reviewed the medication-assisted treatment program funded through the courts budget. She said the program combines medication with counseling and behavioral supports, serves people involved in or at risk of criminal justice involvement, and has expanded over time to include additional medications and more counties. She reported improved engagement and retention, with more than 10,000 people screened over five years, about 9,200 receiving medication, and over 6,600 successfully discharged. Senators asked about racial and ethnic demographics, hospital referrals, and how services are delivered; Brown-Whor explained that local community providers deliver treatment under contract and that the program is working to improve data reporting and consistency. The Department of Law Enforcement then presented on investigations, forensics, and criminal justice information services. Deputy Commissioner Vaden Pollard outlined FDLE’s strategic plan and major investigative priorities, including cybercrime, targeted violence, crimes against children, mutual aid, and the SAFE fentanyl eradication program. He said SAFE has led to major seizures, arrests, and a reported decline in fentanyl deaths. Director Jason Bundy described FDLE’s forensic laboratory operations, DNA and rapid DNA capabilities, cold case and missing persons work, and the staffing and turnaround-time challenges tied to complex evidence testing. Director Lucy Saunders reviewed FDLE’s criminal history, biometric, incident-based crime reporting, and criminal justice transparency systems, noting that Florida is still transitioning agencies from summary reporting to incident-based reporting. The committee raised questions about Rapid DNA deployment, cold case coordination, and the slow pace of NIBRS/FIBRS adoption. No votes were taken, and the meeting adjourned after the presentations and questions.

Transcript Highlights:

• problem, a problem created by specific policy choices made by Minnesota Democrats rolling out a welcome mat
• by Minnesota Democrats rolling out a by Minnesota Democrats rolling out a welcome<00:19:49.040> mat
• <00:19:49.240> of<00:19:49.320> benefits welcome mat of benefits welcome mat of benefits

Keywords: 919, house, all

Summary: The House first took House File 719, the capital investment or bonding bill, from the table and reconsidered its third reading so a technical correction could be made. An amendment to fix the project scope was adopted, and the bill was then read and debated as amended. Supporters described it as a good bonding bill and urged a yes vote, while the final roll call passed the bill overwhelmingly, 122 ayes to 11 nays, with its title agreed to. The chamber then considered a motion to suspend the rules and bring up House File 5149, described as a clone of a Senate-passed comprehensive ICE response package. Supporters argued the bill was needed to protect immigrant communities and sensitive spaces such as schools, hospitals, child care centers, and courthouses, and to require accountability and limit masked federal agents. Opponents said the bill misdiagnosed the problem, would create no-go zones, burden public employees, and improperly interfere with federal law enforcement. The motion failed on a roll call, 67 ayes to 63 nays. Next, the House considered an urgency motion for House File 1849, a proposed constitutional amendment to impose a two-term limit on the offices of governor and lieutenant governor beginning with candidates elected in 2026. Supporters said it had moved through committee and should be a free vote; opponents said it was not urgent and would not take effect until 2030. The motion to suspend the rules and advance the amendment failed, 64 ayes to 69 nays. The House then adjourned until the following Monday morning.

Transcript Highlights:

• going to go down the road of losing the ability to have community no-cost communication funding and MAT
• going to go down the road of losing the ability to have community no cost communication funding and MAT
• The sheriffs in the Commonwealth are national leaders on medication-assisted treatment, the MAT for some
• MAT is an unbelievable concept. It saves lives every day.
• MAT is an unbelievable concept. It saves lives every day.

Keywords: 995, all

Summary: The meeting was the third public session of the Special Commission on Correctional Consolidation and Collaboration. Members introduced themselves, and the commission approved the prior meeting minutes. The main presentation came from the Massachusetts Sheriffs’ Association, led by several sheriffs, who described the role of sheriffs’ offices as independently elected county institutions that operate jails and houses of correction, regional lockups, civil process, 911 communications in some counties, school resource officers, and investigative units. They emphasized that most of their population is pretrial, that admissions and releases are far higher than the Department of Correction’s, and that their facilities now house more people overall than DOC despite having a smaller budget. The sheriffs argued that their work has shifted toward rehabilitation, reentry, and public health, highlighting extensive programming in mental health, substance use treatment, medication-assisted treatment, education, vocational training, and gender-specific, trauma-informed services. They said standardized risk/needs assessments and better funding would help make services more consistent across counties. They also described specialized units and models such as regional evaluation and stabilization units, older-adult housing, emerging adult and gang-intervention programs, and reentry centers that connect people to housing, employment, family support, and community services. Several examples were cited, including Suffolk’s Project Evolve, Middlesex’s older-adult unit, Hampden’s MAGIC program, Worcester’s STOP program, and county reentry centers across the state. A major theme was that these programs are expensive but, in the sheriffs’ view, reduce recidivism and improve safety by stabilizing people before release and supporting them afterward. They pointed to COVID-19 as a period when sheriffs adapted facilities for quarantine and medical care, and said they continue to work with public health partners. They also stressed that their facilities are heavily audited by state and federal agencies and that maintaining humane, safe conditions requires significant staffing and operating costs. Commission members responded favorably at points, noting the importance of the turnover in sheriff populations and the need to understand the different correctional mission compared with DOC. The meeting ended with discussion of future commission dates and a note that the presentation materials would be shared electronically.

Bills: SB1052, SB1115, SB1118, SB1120, SB1121, SB1124, SB1171, SB1172, SB1174, SB1175, SB1214, SB1233, SB1235, SB1316, SB1345, SB1372, SB1399, SB1458, SB1494, SB1496, SB1564, SB1602, SB1621, SB1628, SB1630, SB1631, SB1668, SB1672, SB1814, SB1821

Keywords: assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent, AHCCCS, remote work, state agency, employment, public health, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes, townhomes, historic preservation, radiation protection

Summary: The committee first heard Senate Bill 1121, which would prohibit hospitals from requiring lead aprons for cardiac catheterization staff when a radiation protection system is in place, while still allowing hospitals to require aprons outside the designated safety zone or when exposure levels warrant additional protection. An amendment added flexibility for radiation safety officers to require lead or other PPE if exposures approach occupational limits and removed expedited rulemaking language. Supporters, including the sponsor and interventional cardiologists, argued the devices reduce radiation and orthopedic injuries and improve recruitment and retention; hospital groups shifted to neutral after the amendment. The committee adopted the amendment and passed SB 1121 on a 9-2 vote. The committee then considered Senate Bill 1120, which would require hospitals performing cardiac catheterization procedures to equip at least 50% of those rooms with radiation protection systems by 2027. Supporters said the systems protect clinicians from radiation and long-term injury, while opponents, including hospital and radiology groups, argued the bill was overly prescriptive, could create a captive market, and might not fit all rooms or procedures. After adopting a children’s hospital exemption amendment, the committee passed SB 1120 on a 6-6 vote, with the chair breaking the tie in favor of the bill. Senate Bill 1118, an appropriation measure tied to the radiation protection system proposal, was also advanced after brief discussion, passing 6-5. The committee then took up Senate Bill 1214, which would create guardrails for non-FDA-approved stem cell and regenerative therapies, including provider standards, informed consent, advertising limits, reporting requirements, and a private right of action for violations. Supporters described it as a patient-protection and access bill, while testimony emphasized concerns about unregulated “bad actors” and patients traveling out of state for treatment. The committee adopted an amendment removing a reference to the National Law and passed SB 1214 on a 9-3 vote. The transcript then began discussion of SB 1630, which would create a Medicaid-funded home and community-based service benefit for adults with serious mental illness, with AHCCCS taking a neutral position and estimating a significant fiscal impact.

Transcript Highlights:

• They're being treated for, and that's not including any type of MOD or MAT or a substance abuse disorder
• We do have our Medicated Assistant Treatment (MAT) program.
• Inmates that are currently on some type of MAT, and that's the biggest within New Mexico or any other
• So that's part of the MAT program, the Medical Assisted Treatment, or the MOUD, the...
• So, when an inmate comes in and they're screened to see if they're currently on any type of MAT in the

Transcript Highlights:

• Over 4,000 individuals received residential services per month and over 35,000 received MAT.
• received MAT. received MAT.
• In a national study on MAT, the ability to engage and retain people in MAT is less than 30% over a period
• > the<00:21:20.559> ability<00:21:20.960> to national study on MAT, the ability
• 00:21:23.520> less engage and retain people in MAT is less engage and retain people in MAT is

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.

Transcript Highlights:

• I'm with the Rapids Mat Bandits Wrestling Club, and I've been the gambling manager for almost 30 years
• /c><00:07:53.920> with<00:07:54.040> the<00:07:54.320> Rapids<00:07:54.600> Mat
• <00:07:54.800> Bandits Uh I'm with the Rapids Mat Bandits Uh I'm with the Rapids Mat Bandits

Keywords: 919, house, all

Summary: The meeting was a press event and advocacy push for HF 4090 and SF 4515, bills that would modernize Minnesota’s charitable meat raffle rules. Speakers, including Amanda Jackson of Allied Charities, Rep. Jim Nash, Sen. Judy Seeberger, and Sen. Zach Duckworth, argued that the current ticket and prize limits are decades old and no longer reflect inflation or current meat prices. They said raising the ticket cap to $5 and the prize limit to $200 would help charitable organizations keep raffles attractive and financially viable without expanding gambling overall. Testimony from representatives of the American Legion and a youth wrestling club emphasized that meat raffles help fund veterans’ programs, youth sports, scholarships, travel costs, and other local needs. Speakers also said the events support bars, restaurants, and local meat markets, and that the money stays in the community. Several lawmakers described the proposal as bipartisan and noncontroversial, while also criticizing efforts to tie it to other legislative disputes. One speaker said the Senate had just taken a procedural step to bring the bill directly to the floor, and another said the conference committee report had failed but could still be revived. The event concluded with a mock meat raffle demonstration and a call for a clean vote on the legislation. No formal committee vote on the bill was taken during the transcript, but the speakers said the measure remained alive procedurally and positioned for further action in the Senate and House.