Bills: HF3174, HF3800

Keywords: background study, disqualification, set-aside, permanent disqualification, Office of Administrative Hearings, chief judge, human services licensing, substance use disorder treatment, SUD treatment, chemical dependency, recovery, rehabilitation, abstinence, foster care, child foster care, vulnerable adults, caregiver background check, license holder, direct contact, risk of harm

Bills: HF4421, HF1937, HF4675, HF4715, HF4684

Keywords: county cost share, economically distressed county, human services finance, substance use disorder treatment, SUD services, civil commitment, state aid, county levy, poverty threshold, tax-exempt acreage, property tax exemption, Minnesota human services, county fiscal relief, local government finance, chemical dependency, behavioral health, PACE, elderly, Medicaid, health services

Transcript Highlights:

• and individuals with SUD.
• Implemented IMD waivers for SUD.
• or at risk of developing an SUD.
• or at risk of developing an SUD.
• So we do utilize the SUD vouchers. We are going to be utilizing telehealth.

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Transcript Highlights:

• The same concept applies to facilities focused on SUD and individuals with SUD, the idea being that the
• So states can use federal dollars to pay for any SUD services provided in these smaller settings.
• As I said, a couple of states have already put out evaluations of their IMD waivers for SUD.
• or at risk of developing an SUD.
• So we do utilize the SUD vouchers. Absolutely. So we do utilize the SUD vouchers.

Keywords: 908, all

Transcript Highlights:

• fiscal capital related to SUD. fiscal capital related to SUD.
• SUD, including behavioral health. SUD, including behavioral health.
• Again, there's about 17 to 20% of folks with SUD that have what's considered severe SUD.
• Again, there's about 17 to 20% of folks with SUD that have what's considered severe SUD.
• Again, there's about 17 to 20% of folks with SUD that have what's considered severe SUD.

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:

• The SUD voucher rates are the same as Medicaid fee-for-service at $624.71 per day.
• We've seen a 266% increase in members accessing residential SUD treatment services.
• These are the required goals and milestones for 1115 SUD demonstration waivers.
• I know what we fund in the SUD voucher, but that's not inclusive just to IMDs.
• Second, it undermines the SUD voucher program North Dakota currently uses.

Keywords: 908, all

Transcript Highlights:

• HB 5671 clarifies that members of the Johnson County SUD board of directors must be served by the utility
• For example, we know that Parker County SUD, Mustang SUD, Denton County, Aguaud, Hidalgo County do not
• The proposed language for the Johnson County SUD mirrors the Mustang SUD from nearby Denton County.
• For example, we know that Parker County SUD, Mustang SUD, Denton County, Aguaud, Hidalgo County do not
• The proposed language for the Johnson County SUD mirrors the Mustang SU from nearby Denton County.

Bills: HB3115, HB5671, HB5693, SB790, SB1055, SB1302, SB1504, SB1625, SB1663, SB2692

Keywords: Cow Creek Groundwater Conservation District, groundwater, water wells, domestic well, livestock well, exempt well, metering device, well meter, groundwater conservation district, Special District Local Laws Code, Water Code, Section 36.117, groundwater regulation, water rights, aquifer management, municipal utility, retail public utility, groundwater export, water supply contract, election

Summary: The Committee on Natural Resources heard testimony on a series of water, utility, and groundwater-related bills. Early items included HB 5693, which would let Drainage District 7 hold board elections in November of odd-numbered years when a countywide election is occurring, and HB 5671, which would update the Johnson County Special Utility District by clarifying board eligibility, allowing bond issuance, and removing redundant TCEQ approval language to reduce costs and delays. Both bills were left pending after brief testimony from bill sponsors and local witnesses. The committee also heard SB 1504, which would update the Gulf Coast Authority to allow video-conference participation in meetings, and SB 1302, aimed at closing a TCEQ permitting loophole that allowed dischargers with prior denials or suspensions to reapply through an automated process without meaningful review. SB 2692 drew substantial discussion: it would change the signature threshold for outside-city-limits customers appealing municipal utility rates to the PUC by customer class. Valero supported the bill as a way to avoid requiring large-volume users to gather signatures from unrelated residential customers, while the City of Corpus Christi opposed it, arguing that lowering the threshold to one customer could trigger expensive appeals costing $500,000 to $1 million. A PUC witness said such cases are increasing and that the agency would need additional staff under the fiscal note. SB 790, creating a simplified PUC complaint process for small water and wastewater billing disputes, and SB 1663, expanding TCEQ notice requirements for nearby residents when groundwater contamination is discovered, were also heard and left pending. Additional bills included HB 3115, clarifying that the Cow Creek Groundwater Conservation District cannot require meters on exempt domestic or livestock wells; SB 1055, raising the Southeast Texas Groundwater Conservation District’s production fee cap from 1 cent to 7 cents per 1,000 gallons; and SB 1625, requiring private water and wastewater utilities to report cybersecurity incidents to TCEQ and DIR. The committee then took up pending business and adopted a substitute for SB 7, which made several changes to water fund use, eminent domain coordination, and EDAP-related provisions, and voted 10-0 to report it favorably. The committee also adopted a substitute for HB 2347, a county water conservation program bill, and reported it favorably 9-1. HB 5675 and SB 2476 were each reported favorably 10-0. The meeting concluded with adjournment.

Transcript Highlights:

• Number one: primary care incorporating SUD and behavioral health.
• Primary care integration of SUD has a very good retention rate.
• Parity between behavioral health and SUD and physical health.
• The trajectory of SUD requires it. First, an analogy: SUD is just as lethal as colorectal cancer.
• SUD policy should work really... SUD policy should work really early on too.

Summary: The task force meeting opened with new leadership announcements, including Senator Nick Schroer thanking outgoing chair Representative John Black and naming Representative Del Taylor as vice chair. After some initial technical difficulties with audio and Zoom, members reviewed the task force’s statutory charge under Missouri law: to hold hearings on substance use, explore solutions, draft or modify legislation, and produce recommendations for prevention and treatment. The chair said the goal for this year is to develop concrete legislative ideas for the next session, with hearings focused first on field experts and later on alternative therapies and the Department of Mental Health. Dr. Rachel Winograd gave the first major presentation, describing Missouri’s overdose crisis as increasingly complex and driven primarily by fentanyl, now compounded by xylazine and metatomidine. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, and attributed the decline to a smaller fentanyl supply, wider naloxone availability, and fewer young people entering use. Her main recommendations were to focus on reducing harm rather than trying to eliminate drug use, expand evidence-based medications for opioid use disorder—especially methadone and buprenorphine—improve access to naloxone, and loosen methadone regulations, including take-home doses, the federal 72-hour rule, and broader methadone units. She also emphasized that peer support, housing, transportation, and other practical supports matter, and noted that naloxone can still reverse fentanyl overdoses even when tranquilizers are present. Dr. Heidi Miller, the state medical director, followed with two recommendations: integrate substance use disorder care into whole-person health care and follow the science when considering substance-related legislation. She argued that primary care, maternal health, workforce training, EMS, public health, and methadone access should all be part of a coordinated model, and said reimbursement should support teams rather than isolated providers. She also urged stronger enforcement of parity between behavioral health/SUD and physical health coverage, and highlighted tobacco and alcohol as major, under-addressed causes of death in Missouri. Dr. Doug Burgess then reinforced the need for a coordinated continuum of care, comparing substance use treatment to the seamless system used for heart attacks, and said patients should have standardized assessment, discharge planning from day one, transition coordinators, peer recovery coaches, and better information-sharing between levels of care. Members asked questions about relapse, treatment court, EMS referral barriers, reimbursement, and whether buprenorphine can be started in the field; no votes were taken, and the meeting ended with plans to continue hearing testimony and use it to shape future policy recommendations.

Transcript Highlights:

• If they only... ...provided distinct SUD, mental health, and medical services.
• The SUD voucher rates are the same as Medicaid fee for service.
• The SUD voucher rates are the same as Medicaid fee-for-service at $624.71 per day.
• These are the required goals and milestones for 1115 SUD demonstration waivers.
• Second, it undermines the SUD voucher program North Dakota currently uses.

Summary: The committee met at Spirit Lake Tribe and first heard welcoming remarks and introductions from tribal leaders and program directors. Chairwoman Street and other tribal representatives outlined a range of concerns and requests for state action, including taxation of reservation lands, support for non-beneficiary students at the tribal school, homelessness funding, Indian-managed health care, gaming and e-tabs, Feather Alert improvements, industrial farming near waterways, tourism, and better state-tribal consultation. Committee members responded that the meeting was intended to improve understanding and communication, and several members suggested future legislation or resolutions could be used to advance some of the issues. The tribe also offered to provide training on treaties, IHS 638, and compact services to legislators and staff. A major portion of the discussion focused on Spirit Lake fish and wildlife jurisdiction and the lake boundary. Tribal representatives asked for an MOU or co-stewardship agreement with the state to clarify hunting and fishing rights, recognize tribal licenses, and reduce recurring disputes over “gray areas” on the reservation and lake. Committee members discussed whether to draft a bill or resolution directing the executive branch and state agencies to negotiate such an agreement, and asked that North Dakota Game and Fish be invited to a future meeting. Related concerns included aquatic nuisance species prevention, with both sides agreeing that more aggressive boat inspection and cleaning measures would be beneficial. The committee also discussed taxation and county relations. Tribal leaders raised concerns about county resistance to fee-to-trust transfers and about property and vehicle taxation affecting members living on or near reservation lands. Committee members and tribal counsel reviewed federal treaty principles and court cases, and one member noted that the committee had previously taken no formal action on similar issues. Later, Benson County’s tax equalization director explained how the county values taxable land, handles inundated land applications, and tracks land coming off the tax rolls when the tribe repurchases acreage. The discussion ended with a presentation from the president of Sisseton Wahpeton College, who described the college’s programs, economic impact, and funding needs, followed by an HHS presentation on 1115 Medicaid waivers and the IMD exclusion as the committee moved to its next topic.

Transcript Highlights:

• <00:31:28.559> was very but a lot lot of the sud was very but a lot lot of the sud was included
• So behavioral health to me is that entire umbrella, and so if we want to talk SUD, we can talk about
• that we can talk about that on talk sud that we can talk about that on its<00:32:21.880> own<
• <00:37:23.480> under Pharmacy dispensing fees EMS sud under Pharmacy dispensing fees EMS sud
• sud recovery peers sud treatment sud recovery peers sud treatment coordination<00:37:38.440>

Keywords: 919, house, all

Summary: House File 105 was presented by Representatives Beerman and Baker and then laid over for possible inclusion in a future omnibus bill. The bill would implement the remaining mental health and physician service recommendations from DHS’s rate study, including raising certain Medicaid reimbursement rates to at least 100% of Medicare where a Medicare equivalent exists, increasing community-based children’s and adult mental health rates and behavioral health home rates, and phasing in additional increases over three years. The authors said the proposal also addresses master’s-level clinician reimbursement and fee-for-service hospital inpatient mental health services, and they emphasized that the changes are intended to improve access, transparency, and provider stability. Both authors argued that low MA reimbursement rates are driving access problems across Minnesota, especially for children, families, and rural communities. They said providers are struggling to hire and retain staff, clinics are closing or shrinking, and patients are facing long waits, boarding in hospitals, or delayed care. Representative Baker said the issue is personal and described the bill as a phased, long-term approach because of state budget limits and the size of the cost, which he said is in the hundreds of millions but still awaiting a fiscal note. Public testimony was strongly supportive overall. A family physician said higher rates would improve access, keep clinics open, and help patients avoid emergency care, while a Children’s Minnesota mental health leader described more than 1,200 pediatric boarding episodes in 2024 and said outpatient investment is needed to reduce pressure on emergency and inpatient services. A rural provider said her organization had to close an in-home children’s mental health program because of insufficient reimbursement, harming access in underserved counties. A psychologist testifying for the Minnesota Psychological Association supported the bill’s general direction but objected to repealing the pay differential for doctoral-level psychologists, arguing that doctoral training is more extensive and that eliminating the differential could worsen workforce shortages. After testimony and member questions about the bill’s scope and cost, public testimony was closed and the bill was laid over.

Transcript Highlights:

• Number one, primary care incorporating SUD and behavioral health.
• Primary care integration of SUD has a very good retention rate.
• The trajectory of SUD requires it. First, an analogy: SUD is just as lethal as colorectal cancer.
• SUD policy should work really early on too.
• Also, as much as we wish it, SUD is not a one-and-done phenomenon.

Keywords: 959, house, all

Transcript Highlights:

• SUDs cannot issue property taxes because they do not and cannot collect taxes. The bill is filed.
• SUDs cannot issue property taxes because they do not and cannot collect taxes.
• We're basically trying to allow these SUDs to actually use a revenue bond capability.
• So it'll just be a SUD TCEQ review process.
• The revenue securitization piece of that is where SUDs will get a different look.

Bills: HB1532, HB2731, HB3483, HB4308, HB4580, HB4582, HB5509, HB5663

Keywords: Lake Houston, dredging, maintenance district, flood control, environment, public works, HB 2731, roadside vendors, solicitors, county regulation, border counties, Mexico border, Transportation Code, unincorporated areas, right-of-way, public highway, parking lot, livestock sales, live animals, vendor regulation

Summary: The committee heard and discussed several local-government-related bills, mostly with committee substitutes. House Bill 2731 would let certain border counties regulate roadside vendors selling live animals in unincorporated areas and along public rights-of-way; the substitute narrowed the bill to live animal sales only and excluded livestock and other roadside commerce. House Bill 3483 would streamline TCEQ review of special utility district revenue bonds by removing tax-bond requirements that do not apply to SUDs. House Bill 4308 would create a county industrial development district framework, limited in the substitute to certain counties including Fort Bend County, to help finance industrial sites and related infrastructure. House Bill 5663 would create a Wood County Hospital District memory-care-focused district with no taxing power, intended to help pursue grants and other funding for a new facility. House Bill 4582 addressed attainable housing in Dallas and Tarrant counties, allowing local reimbursement tools for developers under a uniform, optional framework. House Bill 5509 would let municipalities suspend or revoke a hotel’s certificate of occupancy if law enforcement and a criminal court both find probable cause of human trafficking, with the substitute adding due-process protections. House Bill 1532 created a Lake Houston dredging and maintenance district funded by revenue from dredged material sales and revenue bonds, with no taxing authority or eminent domain. House Bill 23, heard as pending business, would revise the process for local governments to rescind development documents and adjust third-party reviewer liability and eligibility rules. House Bill 4580, concerning property tax exemptions for charitable organizations such as the Houston Rodeo, was amended to remove language about exempting revenue from property use and instead focus on land used for agricultural, youth, and educational support. Public testimony was generally supportive on the bills heard, with witnesses including county officials, utility and water association representatives, hotel industry representatives, and housing developers. Several speakers emphasized the need for faster financing or permitting tools, flood mitigation, housing affordability, anti-trafficking enforcement, or local economic development. Some members raised concerns about scope, precedent, consultation with affected senators, and due process, particularly on House Bill 4582 and House Bill 5509, but the committee largely accepted the committee substitutes as improvements. No public testimony was offered on several bills, and most measures were left pending before later being voted out. The committee took recorded votes on multiple pending bills and reported them favorably, often with committee substitutes adopted in lieu of the filed versions. House Bills 1532, 2731, 3483, 5509, 5663, and 4580 were reported out, with 1532 and 5663 passing unanimously and 3483, 2731, and 5509 also receiving favorable votes despite one present-not-voting on 3483. House Bill 23 and House Bill 4582 were left pending subject to call of the chair. The committee then recessed until adjournment or later.

Transcript Highlights:

• Some states were paying way above, but I would have to get you more information on SUD.
• <00:36:30.800> area uh for the mental health and sud area uh for the mental health and sud
• So thank you. talk to sud that we can talk about that talk to sud that we can talk about that on<01:17
• recovery peers, SUD treatment coordination.
• <01:22:56.199> under Pharmacy dispensing fees EMS sud under Pharmacy dispensing fees EMS sud

Bills: HF1005

Keywords: health insurance, medical assistance, behavioral health, reimbursement rates, primary care services, physician fee schedule, managed care, residential services, 1183, house

Transcript Highlights:

• SUDs cannot issue property taxes because they do not... ...cannot collect taxes.
• Let me break it down for the committee members, because we generally don't talk about SUDs here.
• You're basically trying to allow these SUDs to actually use a revenue bond capability.
• So it'll just be a SUD TCEQ review.
• The revenue securitization piece of that is where SUDs will get a different look.

Bills: HB1532, HB2731, HB3483, HB4308, HB4580, HB4582, HB5509, HB5663

Keywords: Lake Houston, dredging, maintenance district, flood control, environment, public works, HB 2731, roadside vendors, solicitors, county regulation, border counties, Mexico border, Transportation Code, unincorporated areas, right-of-way, public highway, parking lot, livestock sales, live animals, vendor regulation

Transcript Highlights:

• of SUD, they must have an AOD. of SUD, they must have an AOD.
• <00:16:10.800> A<00:16:11.120> certified primary diagnosis of SUD.
• A certified primary diagnosis of SUD.
• Uh, what happens to the current mental health peer specialists who are not SUD certified?
• Uh, what happens to the current mental health peer specialists who are not SUD certified?

Keywords: 00:00 - Call to Order/Roll Call 01:27 - Discussion of 26RS HB 470 29:05 - Roll Call Vote on 26RS HB 470 32:06 - Discussion of 26RS HJR 25 34:49 - Roll Call Vote on 26RS HJR 25 37:08 - Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and took up House Bill 470, which was presented as a cleanup and delay measure related to peer support specialists and Medicaid reimbursement. The bill would extend the deadline for registered alcohol and drug peer support specialists to be Medicaid reimbursable, address issues created by delayed regulations under House Bill 505, remove a limit on direct client care hours, and create a work group to examine oversight and possible future board structure for peer professionals. The committee adopted a committee substitute before hearing testimony. Bill sponsor Rep. Kim Moser and supporting witnesses said the change was needed because implementation problems and regulatory backlogs had created a peer support workforce shortage and confusion across multiple peer categories, including substance use, mental health, re-entry, and gambling peers. Elena Swezy argued the bill would stabilize the workforce, improve oversight, and allow time to develop a more effective credentialing framework. Frank Miller Jr. testified in opposition, arguing the bill lacked a proper enabling statute for Medicaid-related changes and would not be enforceable as written. Sarah Vaughn also raised concerns about the bill’s impact on mental health peer specialists, multispecialty behavioral health groups, and whether separate regulations would be needed for mental health and substance use services. Committee members questioned the bill’s structure, fiscal impact, training costs, and whether the work group would be appointed or informal. Sponsors responded that the bill does not require providers to hire anyone, only sets registration requirements if they do hire substance-use peer specialists, and said the work group was intended to help develop a more unified oversight model. Several members expressed concern about the complexity of the issue and the short testimony time, while others supported the bill as a way to improve oversight and reduce fraud risk. The committee approved House Bill 470 as amended by the committee substitute, and then adopted a title amendment; the bill passed with favorable expression.

Transcript Highlights:

• We agree that this solution best serves our members who are on SUD treatment plans in their long-term
• Thank you for the opportunity to provide on SUD treatment plans in their on SUD treatment plans in their
• Um, now, you said you're changing your policy some for the SUDs.
• Um, now, you said you're changing your policy some for the SUDs.
• Um, now, you said you're changing your policy some for the SUDs.

Bills: SB2433, SB2047, SB2425, SB3045, SB2761, SB3001, SB2852, SB2471

Keywords: condominium governance, education trust fund, unit owners, real estate, dispute resolution, financial obligations, community representation, pharmacy benefit managers, maximum allowable cost, transparency, drug pricing, insurance commissioner, contracting pharmacies, healthcare, substance use disorder, SUD, addiction treatment, behavioral health, mental health, rehabilitation

Summary: The committee heard testimony on SB 2433 SD1 relating to condominiums, which would direct the condominium education trust fund toward educational resources for unit owners and require the Real Estate Commission to ensure owners’ interests are represented in funded activities and related rulemaking. Supporters, including the Hawaii Real Estate Commission and a condominium owner advocate, said owners need a seat at the table in condo governance and education efforts. Committee discussion focused on whether the bill was necessary, with the Real Estate Commission indicating it could already use the trust fund for owner education and that owners are already considered stakeholders, though not through a specific commission seat. No vote was taken during the excerpted discussion. The committee then took up SB 2047 SD2 HD1 on pharmacy benefit managers, which would set requirements for maximum allowable cost reimbursement, allow reverse-and-rebill claims after successful appeals, and authorize fines for violations. The Insurance Division offered comments, the Hawaii Pharmacists Association supported the measure with amendments and suggested future PBM reform funding, and Kaiser Permanente requested a technical amendment. A committee question raised whether the staffing and resource request for implementation was too large for a bill focused only on MAC pricing, and the witness said he would provide more data to the next committee. No final action was shown. Next was SB 2425 SD2 HD1 on health insurance and substance use disorder treatment, requiring insurers to honor written assignments of benefits to SUD providers and prohibiting anti-assignment clauses. Supporters described patients being unable to access treatment because of high out-of-pocket costs and said direct payment would reduce harm for people in recovery. HMSA opposed the bill but said it would begin direct payments to non-participating SUD facilities effective March 27, while continuing to object to the assignment-of-benefits portion because of fraud and balance-billing concerns; the Hawaii Association of Health Plans also opposed. Members questioned HMSA about reimbursement mechanics and why the bill was needed if coverage policies were already changing. Finally, the committee heard SB 3045 SD1 HD1, which would require coverage of continuous glucose monitors and related supplies, including for Medicaid managed care, under certain conditions. DHS and the Insurance Division offered comments, while SHPDA, Hilo Benioff Medical Center Foundation, and others supported the bill, citing inconsistent access and a case in which a woman allegedly died after being denied a CGM. HMSA said it already covers medically necessary CGMs and had updated its policy in 2025 for type 1 and insulin-dependent patients, but it raised concerns about expanding mandated coverage to type 2 and gestational diabetes and about supply impacts. The committee also discussed whether the bill duplicated existing coverage standards and why it had been introduced repeatedly. No votes or final dispositions were included in the excerpt.

Transcript Highlights:

• Within the behavioral health fund, we pay state-only funds for an individual when they're seeking SUD
• activities so there's some avilable sud activities so there's some remaining<00:57:31.799> kind
• sud and mental<00:57:40.359> health<00:57:40.640> Continuum<00:57:41.400> so<00
• sud sud Services<00:58:21.559> um<00:58:21.720> so<00:58:22.160> this<00:58:22.920
• person would would be able to access sud person would would be able to access sud Services<00:58

Keywords: 1183, house

Transcript Highlights:

• They are really the SUD provider of last resort.
• We do have four major categories of SUD financing in the state of Minnesota.
• disorder um they are really the sud disorder um they are really the sud provider<00:34:56.320>
• the largest expenditures in the uh sud the largest expenditures in the uh sud space<00:37:08.520
• MDE is also implementing cannabis SUD prevention grants.

Bills: HF696, HF1429, HF1379

Keywords: HF696, rural EMS, ambulance, emergency medical services, uncompensated care, payment pool, rural health, Office of Emergency Medical Services, public safety answering point, PSAP, nontransport, unpaid ambulance calls, EMS reimbursement, rural ambulance provider, general fund appropriation, Minnesota health finance, specialized life support, metropolitan counties, emergency response funding, HF1429

Transcript Highlights:

• I will point out, Four Rivers does get the network funding, SUD network funding.
• Our SUD assessment and referral work has been incorporated.
• Detailed information about our overdose prevention and SUD treatment services.
• But SUD, substance use disorder, there is fear. And that needs to change.
• But SUD, substance use disorder, there is fear. And that needs to change as well.

Keywords: 959, house, all

Transcript Highlights:

• DUI to pay the costs if an SUD DUI to pay the costs if an SUD assessment<00:21:34.559> um
• This adds some SUD treatment program client record requirements.
• health providers and the SUD providers. health providers and the SUD providers.
• <00:47:41.359> And and SUD licensing policy changes.
• And and SUD licensing policy changes.

Keywords: 1187, senate, all