Transcript Highlights:

• DHS discovered that substance use providers had bad billing practices that resulted in some providers
• </c><00:15:21.839><c> billing</c> substance use providers had bid billing substance use providers had
• use and addiction was created substance use and addiction was created with<01:10:13.120><c> bipartisan
• </c> substance use disorder to improve substance use disorder to improve outcomes<01:10:24.840><c> from
• use parity and overseeing substance use parity and Behavioral<01:11:41.920><c> Health</c><01:11:42.639

Bills: HF1470, HF1310, HF1837

Keywords: opioids, substance use, addiction recovery, mental health, state cabinet, HF1310, Office of Cannabis Management, cannabis, marijuana, tribal consultation, government-to-government relationship, Minnesota tribes, Tribal governments, state government, consultation, rulemaking, Indian affairs, cannabis regulation, tribal sovereignty, state-tribal relations

Transcript Highlights:

• </c> um of a couple of guys who are using um of a couple of guys who are using remote<00:35:39.560><c
• </c><00:41:22.520><c> use</c><00:41:22.839><c> recovery</c> health care and substance use recovery health
• care and substance use recovery for<00:41:23.560><c> all</c> for all for all residents<00:41:25.520>
• </c> increasingly important for all of us increasingly important for all of us moving<00:42:03.160><c
• People tell us that their use of our services helps them feel more confident, more skillful, and more

Bills: HF1380, HF1166, HF487, HF1553, HF1472, HF258, HF1911

Keywords: psychiatric treatment, human services, mental health funding, per diem rate, Clay County, disability services, assistive technology, remote support, advocacy, training programs, HF487, Wellness in the Woods, Minnesota human services, grant funding, general fund appropriation, peer support, substance use recovery, addiction recovery, reentry services, reentry after incarceration

Transcript Highlights:

• Louis County has the highest suicide rate in the state and one of the highest substance use rates.
• </c> one of the highest substance use rates. one of the highest substance use rates.
• </c> a much um lighter standard that's used. a much um lighter standard that's used.
• </c><00:39:08.160><c> So,</c> us to have a lot less freedom. So, us to have a lot less freedom.
• Help us. man. Help us.

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

Transcript Highlights:

• The bill before you is House Bill 2340 relating to the application of substance use disorder monitoring
• Eligible expenses for reimbursement include the cost of substance use evaluation, treatment, and other
• I was a registered nurse who suffered with substance use disorder and finished that program in five and
• If you can hear us, go ahead. Mary Ketchum, if you can hear us, go ahead.
• human drugs, or the use of FDA-approved animal drugs used extra label, which means they're used in a

Bills: HB2340, HB2155, HB2531

Keywords: HB 2340, nursing assistants, nurse aide, substance use disorder monitoring program, monitoring program, credentialing, licensure, disciplinary records, enforcement action, public disclosure, privacy, third-party website, stipend program, financial assistance, treatment costs, drug testing, peer support, recovery, rehabilitation, board-approved program

Summary: The committee heard public testimony on six House bills related to health care, cannabis, licensing, emergency transport, veterinary practice, and nursing workforce support. Engrossed Substitute House Bill 2242 would preserve access to preventive services and vaccines by allowing the Department of Health to issue immunization guidance, tying insurance coverage to federal preventive-service recommendations as of June 30, 2025, and directing JLARC review in 2032. Supporters, including the Governor’s office and the Insurance Commissioner, said it would prevent gaps in coverage and maintain affordable vaccine purchasing; opponents argued it politicizes vaccine policy and expands state influence. The committee also heard Substitute House Bill 2152, which would allow terminally ill patients in hospitals, nursing homes, and hospice to use medical cannabis under facility policies that prohibit smoking/vaping and require secure storage and documentation. The sponsor and several advocates described it as a dignity-and-compassion measure, while testimony noted the need for safeguards and caregiver flexibility. The committee then heard Substitute House Bill 2088 on the dietitian licensure compact, which would let Washington join an interstate compact for dietitians. The sponsor and multiple witnesses, including military spouses, health professionals, and veterans groups, said it would reduce licensure barriers, help workforce mobility, and improve access to nutrition care, especially for military families and rural patients. House Bill 2110 would allow a registered nurse without EMT certification to staff certain inter-facility specialty care transports when no paramedic is available, provided an EMT is also on board and the nurse has appropriate competencies. Rural hospitals supported the bill as a way to reduce dangerous transfer delays, while nursing and EMS opponents raised concerns about training, accountability, and patient safety; the committee also heard a request to change “should” to “shall” for ambulance orientation. Engrossed Substitute House Bill 2247 would update Washington’s veterinary-client-patient relationship and telemedicine rules, allowing ongoing telemedicine care after an in-person exam and setting conditions for prescriptions and commercial-animal oversight. The state veterinarian testified that the bill could conflict with federal FDA/USDA requirements that rely on an in-person exam for prescribing certain drugs and for regulatory work, while supporters said it would expand access to veterinary care and reduce delays for low-income and rural pet owners. House Bill 2340 would add nursing assistants to the substance use disorder monitoring and stipend programs; the sponsor, a nurse in recovery, said the bill would help low-paid nursing assistants afford treatment and monitoring costs. In executive session, the committee waived the five-day notice rule for HB 2247, then voted do-pass on House Bills 2155 and 2531 and sent them to the Rules Committee.

Transcript Highlights:

• use, and related residential, substance use, and related care.<01:15:36.400><c> Thank</c><01:15:36.760
• </c><01:17:10.800><c> use</c><01:17:11.040><c> disorder</c> providing quality substance use disorder
• </c><01:18:14.400><c> use</c> that are able to provide substance use that are able to provide substance
• They were enrolled in our program and substance use programs.
• </c><01:20:48.400><c> use</c> in our program and substance use in our program and substance use programs

Bills: HF2216, HF1978, HF2354, HF1963, HF1994, HF1995, HF1894

Keywords: assisted living, nursing home, long-term care, guardian, conservator, resident rights, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services, elderly, seniors, older adults, disability rights

Transcript Highlights:

• use disorder. ...deaths in Delaware, ending the stigma associated with substance use disorders and helping
• individuals and families struggling with substance use disorders and overdose deaths.
• I also have a lot of experience with substance use.
• I am not trying to or looking to enable substance use.
• I'm looking to make sure that people stay alive long to enable substance use.

Bills: SB274, SB301, SB249

Keywords: healthcare, life-sustaining treatment, patient preferences, POLST, advance directive, medical orders, hospital discharge, pregnancy, patient care, discharge planning, healthcare policy, substance use, harm reduction, syringe services, needle exchange, overdose prevention, naloxone, opioid antagonist, drug paraphernalia, syringe

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.

Transcript Highlights:

• The next bill is House Bill 2340, which applies substance use disorder monitoring program provisions
• We have House Bill 2340 before us, applying substance use disorder monitoring program provisions to nursing
• We have Substitute House Bill 2577 concerning hospital inspections before us.
• We have Substitute House Bill 2339 concerning the regulation of nursing before us.
• We have Substitute House Bill 2339 concerning the regulation of nursing before us.

Bills: HB2340, HB2540, HB2113

Keywords: HB 2340, nursing assistants, nurse aide, substance use disorder monitoring program, monitoring program, credentialing, licensure, disciplinary records, enforcement action, public disclosure, privacy, third-party website, stipend program, financial assistance, treatment costs, drug testing, peer support, recovery, rehabilitation, board-approved program

Summary: The Senate Health and Long-Term Care Committee held its final regularly scheduled meeting of the 2026 session and moved into executive session to consider a slate of bills. Staff briefed members on measures dealing with the dietician licensure compact, ambulance transport staffing, substance use disorder monitoring for nursing assistants, hospital inspections, music therapy licensure exemptions, nursing regulation, EMT recertification, radiologic technologist supervision, continuing care retirement communities, and veterinarian-client-patient relationships. Several amendments were discussed, including changes to ambulance transport coordination requirements, clarifications to billing statements for motor vehicle accident ambulance bills, oversight language for continuing care retirement communities, and a striking amendment limiting commercial breeding language to livestock and clarifying veterinary prescription drug use. The committee adopted the amendments it considered and voted to give due pass recommendations to the bills before it. Bills advanced included Substitute House Bill 2088, Engrossed Second Substitute House Bill 2110 as amended, House Bill 2340, Substitute House Bill 2577, Substitute House Bill 2363, Engrossed Substitute House Bill 1187 as amended, Substitute House Bill 2339, House Bill 2540, House Bill 2113, Second Substitute House Bill 2384 as amended, and Engrossed Substitute House Bill 2247 as amended. Each bill was sent to the Rules Committee, and the committee reported the measures as passed subject to signatures. The chair also briefly explained the livestock-related intent of the amendment to the veterinary bill in response to a question about puppy mills. At the end of the meeting, the chair thanked committee staff and members for their work during the session, noted that interim work would begin in a few weeks, and moved to adjourn. The committee then adjourned.

Transcript Highlights:

• to be able to bill Medicaid, which I believe is the other insurance companies are already allowing us
• So, in follow-up, some permanent makeup artists use topical lidocaine, which could not be prescribed
• So, the ones that do micropigmentation still use topical local anesthetics.
• I know there are a lot of us that talk about.
• Well, so my question kind of may save us the $250,000 dollars.

Bills: HB3287, HB2947, HB3784, HB3901, HB4275

Keywords: public health, domestic violence, human trafficking, healthcare facilities, hospital protocols, behavioral health, Medicaid expansion, clinical interns, mental health services, licensing requirements, micropigmentation, medical procedure, physician oversight, nursing certification, state regulations, psychological autopsy, mental health, suicide prevention, state health department, investigation

Transcript Highlights:

• So, it used to be weekly meetings.
• I have over 30 years' experience in substance use disorder providing treatment and training for staff
• I have over 30 years' experience in substance use disorder providing treatment and training for staff
• It also helps ensure the people facing mental health and substance use disorder challenges can get the
• </c><00:41:14.480><c> faced</c> substance use disorder who are faced substance use disorder who are faced

Bills: HF729

Keywords: human services, provider enrollment, medical assistance, healthcare, housing stabilization, substance use disorder, vulnerable adults, fraud prevention, 1183, house

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=bLtalKfzrDo, 2026-06-21T07:17:07+00:00, 2.2.24, Data collected via generic collector engine, Roll Call 00:00:29 Consideration of Referred Administrative Regulations 00:03:41 Update on the Landscape of Substance Use Disorders 00:04:19 Kentucky Office of Drug Control Policy Update 00:05:20 Substance Use Disorder Treatment Access 00:22:09 Mapping of Legislation, Policies, Coverage and Resources 00:58:45 Opioid Abatement: Current Programs and Initiatives 01:12:03 Comprehensive Supervised Substance Use Disorder Treatment 01:23:55 Update on the Health Care Workforce Primary Care Psychiatry Fellowship 01:45:11 Healthcare Worker Loan Relief Program of the Commonwealth 02:00:08 Area Health Education Centers Residency Slots 02:06:10 Health Resources and Service Administration 02:23:14, 958, all, 2.2.42, 2.1.47

Transcript Highlights:

• So, members, we've got a work cut out for us.
• So, members, we've got a work cut out for us.
• So, members, we've got a work cut out for us.
• </c><00:25:58.039><c> to</c> guardian an example I often use to guardian an example I often use to describe
• Please state your name for the record and help us with Representative Noor’s question.

Bills: HF729, HF728

Keywords: human services, provider enrollment, medical assistance, healthcare, housing stabilization, substance use disorder, vulnerable adults, fraud prevention, respite care, children, licensed settings, home and community-based services, 1183, house

Transcript Highlights:

• use disorder practices.
• Lastly, the bill clarifies in statute that the department operates multiple levels of substance use disorder
• Lastly, the bill clarifies in statute that the department operates multiple levels of substance use disorder
• us.
• Please tell us amended is before us. Please tell us about<00:43:25.680><c> it.

Bills: HF3405, HF3413, HF3769, HF3768, HF3771, HF3465

Keywords: Bureau of Criminal Apprehension, BCA, Use of Force Investigations Unit, federal agents, Department of Homeland Security, DHS, Immigration and Customs Enforcement, ICE, Customs and Border Protection, CBP, U.S. Citizenship and Immigration Services, USCIS, officer-involved death, use of force, law enforcement accountability, police oversight, independent investigation, criminal sexual conduct, sexual assault, peace officers

Transcript Highlights:

• This repeals the law prohibiting drug paraphernalia under the Uniform Controlled Substances Act.
• So I'm suggesting no person shall knowingly use, possess with intent to use, deliver, or possess with
• So it'll be us.
• So uh<00:03:15.760><c> it'll</c><00:03:16.080><c> be</c><00:03:16.239><c> us.
• It'll be legislators and uh it'll be us.

Bills: SB2418, SB2568, SB2661

Keywords: drug paraphernalia, overdose prevention, public health, substance use, harm reduction, criminal justice reform, public servants, harassment, safety, government, criminal offense, nepotism, transparency, public officials, accountability, government ethics, 912, senate, all

Summary: The Judiciary Committee first took up three previously heard measures in decision-making. SB 2418, which repeals the law prohibiting drug paraphernalia under the Uniform Controlled Substances Act, was amended to keep prohibitions on manufacturing-related paraphernalia and then passed. SB 2568, which elevates harassment against certain public officials to a misdemeanor, was amended to place it in the harassment statute, narrow the nexus language, and extend coverage to all public employees; it passed with amendments. SB 2661, dealing with nepotism rules in the code of ethics, was amended so the ethics restrictions would apply more broadly to legislators and judges as well, and it also passed with amendments. In each case, the committee reported no no-votes or reservations and adopted the measures. The committee then heard Governor’s Message 684, the nomination of Judge Stephanie Char to the Fifth Circuit Court on Kauai. The governor’s office testified in strong support, and the Hawaii State Bar Association representative said the usual review process found her qualified. Judge Char described her Kauai roots, 17 years as a public defender, and service as a district family court judge since December 2020, saying she would bring hard work and continued commitment to access to justice. Members questioned her about recusals on a small island, her experience handling criminal and civil matters, sentencing repeat offenders, administrative appeals, and how she would approach competency and fitness issues under HRS 704. Char said she had recused only a few times, emphasized case-by-case sentencing and probation conditions tailored to underlying problems, and said she would rely on preparation and education for unfamiliar administrative matters. On 704 cases, she said defendants awaiting evaluation should generally remain in custody, with possible diversion or strict release conditions in appropriate cases, and that those found unfit would need to be sent to Hawaii State Hospital. No vote was taken on the nomination; the committee announced it would decide on Monday, February 23, at 10:45 a.m. in Room 016.

Transcript Highlights:

• </c><00:52:31.839><c> use</c> for individuals with substance use for individuals with substance use disorder
• /c><00:52:51.920><c> their</c> substance use based solely on their substance use based solely on their
• Um, we're adding in substance use to that.
• So, I'm just curious about we're adding in substance use disorder.
• Um, we're adding in substance use uh to that.

Bills: HF4210, HF4212, HF4549, HF4464, HF4546, HF4447

Keywords: senior nutrition, older adults, aging services, home-delivered meals, congregate dining, meal delivery, grocery delivery, food insecurity, nutrition support, area agencies on aging, Minnesota Board on Aging, human services, special revenue fund, nonprofit grants, SNAP outreach, medically tailored meals, rural nutrition, food access, transportation services, elderly

Transcript Highlights:

• </c> yesterday on the uh bill before us. yesterday on the uh bill before us.
• And guess what MMB will tell us? They will tell us that you can do it.
• And this gives us a way.
• </c> MMB will tell us? MMB will tell us?
• </c> with us. with us.

Bills: HF4338

Keywords: human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review, postpayment review, surety bond, compliance training, case management, targeted case management

Transcript Highlights:

• Coordinating statewide efforts related to substance abuse prevention.
• The amendment that was just given to us 10 minutes ago.
• The timeline was not up to any of us.
• Could we use a more generalized name, please? My apologies.
• This is a bill that is moving us back towards mass incarceration.

Bills: AB275, SB371, SB457

Keywords: criminal procedure, wiretap, law enforcement, child protection, sexual offenses, SB371, Nevada, trespass, criminal trespass, NRS 207.200, property rights, misdemeanor, warning period, 24 months, 36 months, no trespassing, posted signs, fencing, private property, public property

Transcript Highlights:

• the committee, Senate Bill 1418 prohibits a county with 500,000 persons or less from regulating the use
• the SMR is located on or adjacent to a site of a plant that previously received a CEC or that was in use
• So we have figured out a way to do this; it's just taking us a long time to get it done, and we would
• Madam Chair and members, Senate Bill 1785 requires the ADWR director, assuming that the recovery well
• well is located within the area of impact of the stored water if the recovery well is located either

Bills: SB1202, SB1287, SB1418, SB1785, SCM1007

Keywords: groundwater, water conservation, Arizona water resources, drought management, water quality, irrigation, active management area, domestic use, stock watering, water rights, small modular reactors, energy regulation, environmental compatibility, utility construction, agricultural use, industrial users, water storage, recovery well, Arizona Revised Statutes, water management

Transcript Highlights:

• use disorder.
• It will help Minnesotans who are struggling with a wide variety of mental illnesses, from substance use
• use disorder.
• It will help Minnesotans who are struggling with a wide variety of mental illnesses, from substance use
• I also want to name that substance use is a disorder.

Bills: HF3454, HF3917, HF2906, HF3832, HF3769

Keywords: social work, licensure, employment titles, health occupations, professional standards, medication repository, drug donation, healthcare, Minnesota Statutes, pharmacy, public health, controlled substances, psilocybin, psilocin, psychedelic, psychedelic medicine, hallucinogen, mushrooms, magic mushrooms, therapeutic use

Transcript Highlights:

• </c><00:26:12.320><c> Use</c><00:26:12.560><c> Provider</c> Northern Access Substance Use Provider Northern
• </c><00:26:40.160><c> Use</c> Improving Systems for Substance Use Improving Systems for Substance Use
• </c> and the person works in the substance and the person works in the substance use<01:31:19.080><c>
• Representatives from three substance use disorder lodging facilities. There's no tribal nations.
• ><c> lodging</c> substance use disorder lodging substance use disorder lodging facilities.<01:35:10.720

Bills: HF4207, HF4338

Keywords: housing aid, local housing trust, funding projects, income provisions, technical changes, human services, medical assistance, Medicaid, provider enrollment, provider revalidation, fraud prevention, program integrity, background study, background check, fingerprinting, licensing, license revocation, payment withholding, payment suspension, prepayment review

Transcript Highlights:

• And so from her substance use disorder.
• reduce the expenses that we would have in substance use in the future.
• reduce the expenses that we would have in substance use in the future.
• </c> creating a mental health and substance creating a mental health and substance use<01:06:08.840><
• </c> and substance use disorders. and substance use disorders.

Bills: HF1767, HF2068, HF4725, HF4637, HF4638

Keywords: human services, community support, integrated care, disability services, stakeholder consultation, homeless youth, grants, funding, Minnesota, mental health, substance use disorder, education, workforce development, licensure, direct care services, healthcare, long-term care, personal care assistants, employment support, medical assistance