Transcript Highlights:

• Effective treatment<01:15:01.199><c> for</c><01:15:01.440><c> substance</c><01:15:01.840><c> use</c><
• 01:15:02.080><c> and</c><01:15:02.320><c> mental</c> treatment for substance use and mental treatment
• use disorder treatment is.
• providing quality substance use disorder treatment<01:17:11.920><c> is.
• </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

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:

• It will help Minnesotans who are struggling with a wide variety of mental illnesses, from substance use
• depression, PTSD, and substance use disorders.
• Depression, PTSD and substance use disorders.
• I also want to name that substance use is a disorder.
• Not having different flavors available to my daughter delayed her treatment and cost us time, energy,

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:

• 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:

• use disorder treatment, then you must have a license.
• You have to be licensed to do substance use disorder and bill for it.
• Our main focus is substance use and co-occurring mental health disorder.
• Nine different states using the PSS model within treatment works.
• the PSS model within the treatment works. and it is a positive. nine different states using the PSS

Bills: HR174, HR194, HCR98, SB39, SB124, SB190, SB236, SB270, SB273, SB359, SB415, SB426, SB437, SB451

Keywords: fenbendazole, cancer treatment, public health, FDA, clinical trials, patient safety, visual acuity, student health, de-identified data, longitudinal analysis, education policy, SNAP, food stamps, Supplemental Nutrition Assistance Program, grocery delivery, delivery fees, service charges, online grocery, food access, food insecurity

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 disorder. ...deaths in Delaware, ending the stigma associated with substance use disorders and helping
• I also have a lot of experience with substance use.
• We have made more than 67,000 referrals to substance use treatment and directly connected 2,100 through
• We have made more than 67,000 referrals to substance use treatment and directly connected 2,100 through
• I am not trying to or looking 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:

• use disorder, or PTSD, substance use disorder, or depression<00:04:19.440><c> um</c><00:04:19.759><c>
• In my current treatment at a substance use clinic, delays in accessing mental health care are not neutral
• Um, and as have substance use disorder.
• Current indications suggest treatment-resistant depression, end-of-life distress, and substance use disorders
• Clear criteria for when we can use this treatment.

Bills: HF4588, HF3685, HF4577, HF4932

Keywords: veterans, veterans affairs, mental health, behavioral health, rural health, rural areas, access to care, task force, Minnesota Department of Veterans Affairs, general fund appropriation, veteran suicide prevention, PTSD, service members, military families, telehealth, rural psychiatry, high school diploma, armed forces, education policy, military service

Transcript Highlights:

• But yeah, I don't know if you've used Alabama before. able to work with you whenever you want.
• But yeah, I don't know if you've used Alabama before. >> It's just online. >> Yes.
• So I'm pass it over to repres. >> Okay, Chairman Simpson, would you care to discuss your bill with us
• ><c> their</c> Contiguous, they could just, through their town council, but from what they've asked us

Bills: HB82, HB109, HB202, HB211, HB82, HB109, HB202, HB211

Keywords: registrars, election, qualifications, salary, state employees, diversity, podiatry, state board, healthcare regulation, Alabama regulations, political appointment, law enforcement, immunity, civil liability, use of force, recruitment, Calhoun County, local act, halfway house, sober living

Transcript Highlights:

• The Mansion Foundation then supports us.
• So for us, it's a little bit of a problem because there's not transparency into the fund that uses the
• People aren't using it.
• I'd like to thank you all for allowing us to be here today.
• And I remember us fighting for money just to keep our doors open.

Bills: SB238, HJR1, SM21, SM22

Keywords: Governor's Residence, management committee, government administration, New Mexico, advisory, commission, general services, nominating committees, boards of regents, student representation, political party registration, New Mexico constitution, overdose prevention centers, harm reduction, drug overdose, opioid crisis, substance use disorder, public health, addiction treatment, naloxone

Transcript Highlights:

• One treatment, hyperbaric and BPC and stem cells. And he's done a testimonial for us.
• One treatment, hyperbaric and BPC and stem cells. And he's done a testimonial for us.
• Madam Chair and members, Senate Bill 1814 establishes the Substance Use Disorder Treatment Standards
• use disorder treatment programs, evaluating the value and impact of implementing minimum standards of
• The medical treatments referred to here are the same treatments used for many other patients for a variety

Bills: SB1014, SB1094, SB1146, SB1177, SB1192, SB1194, SB1214, SB1372, SB1390, SB1398, SB1399, SB1494, SB1557, SB1561, SB1564, SB1602, SB1603, SB1621, SB1628, SB1629, SB1713, SB1752, SB1776, SB1813, SB1814, SB1821

Keywords: gender transition, gender detransition, health insurance, medical procedures, insurance claims, official documents, Arizona law, gender reassignment, civil liability, minors, medical consent, detransition, dependent children, foster care, periodic review, court hearings, child welfare, public funds, prohibition, Arizona legislation

Transcript Highlights:

• What this does is help us understand why veterans are coming through so that is it substance abuse, is
• What this does is help us understand why veterans are coming through so that is it substance abuse, is
• What will this addition ...allowing us, I know that you have a bill that also deals with veterans treatment
• What this does is help us understand why veterans are coming through so that is it substance abuse, is
• So you have resources in the community, whether it's treatment, mental health services, or substance

Bills: HB2620, HB2960

Keywords: homeless veterans, emergency shelters, state funding, veterans' services, grant distribution, veterans, treatment court, rehabilitation, recidivism, mental health, substance abuse, 1182, all

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

Transcript Highlights:

• But the treatment of.
• Mandating detailed use-by-use opt-in workflows, consumers are confronted with repeated legalistic consent
• Finally, there's pervasive use of something called a conditional use permit, which is a lengthy hearing
• We just want that the same allowance afforded to us to use prescribed medicine in accordance with our
• Okay, using it as another source.

Bills: SB20, SB53, SB86, SB96, SB129

Keywords: prior authorization, pharmacy benefits manager, PBM, health insurer, prescription drugs, step therapy, formulary, auto-adjudication, electronic portal, appeals, medical necessity, serious mental illness, mental health, schizophrenia, bipolar disorder, major depression, substance use disorder, addiction treatment, cancer, autoimmune disorder

Transcript Highlights:

• use arenas.
• use arenas.
• </c> state and tribal non- taxable uh US state and tribal non- taxable uh US government<00:19:16.240>
• First of all, you can use a mouse. used to determine eligibility for used to determine eligibility for
• </c> tell us how this session's going to end. tell us how this session's going to end.

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:

• This is borne out by our DUI treatment program in the Las Vegas Justice Court.
• From a traffic safety perspective, early identification of substance use disorder is critical by ensuring
• From a traffic safety perspective, early identification of substance use disorder is critical by ensuring
• So that is us trying to move it into treatment at an earlier time, as the opposition just brought up.
• As you know, Speaker has waived the rules for us and given us permission.

Bills: SB60, SB85, SB323, SB309, SB465

Keywords: elderly, vulnerable persons, criminal penalties, theft, civil penalties, criminal justice reform, traffic stops, law enforcement, data recording, public safety, racial profiling, SB323, Nevada, Department of Corrections, offenders, inmates, incarcerated people, prison phone calls, free phone calls, family communication

Transcript Highlights:

• is using.
• use disorders.
• And thank you so much for hearing us and seeing us on behalf of the entire Black community.
• They're still not used.
• They're still not used.

Bills: SB5877, SB5904, SB5988

Keywords: anesthesiology, medical personnel, surcharges, licensing, healthcare regulations, nursing titles, licensure, healthcare professionals, patient safety, professional standards, opioid treatment, accreditation, health department, fee authority, substance abuse, 904, all

Summary: The committee heard public testimony on several health care bills. SB 5904 would restrict use of nursing titles such as RN, ARNP/NP, and LPN to licensed human persons, with supporters arguing it is needed to prevent AI chatbots or other non-human entities from misleading patients. SB 5877 would add a $70 surcharge for certified anesthesiologist assistants so they can participate in the Washington Physicians Health Program and access HealWA, and testimony was generally supportive. SB 5185 would create a clinical experience graduate pilot program for international medical graduates, eliminate a prior multiple sclerosis-related licensing exception, and allow qualified participants to move toward full primary care licensure; supporters said it would help address workforce shortages while maintaining patient safety. The committee also heard extensive testimony on ESSB 6210, which would let the Health Benefit Exchange adopt additional market-factor certification criteria for exchange plans, including standards aimed at meaningful differences among plans and maintaining coverage in underserved counties such as San Juan. Supporters said the bill would help stabilize access and affordability amid federal policy changes and carrier exits, while insurers and business groups argued the timeline is too fast, the criteria are too discretionary, and the bill could discourage carrier participation. The committee then heard SB 5981 on the 340B drug pricing program; supporters from hospitals, health centers, and patient advocates said it protects safety-net providers and preserves savings for vulnerable patients, while opponents from employer, pharmaceutical, and business groups argued it would raise premiums and costs, lacks transparency, and expands a program they say is already growing rapidly. The committee also took executive action on SB 5917, related to Department of Corrections dispensing and distribution of abortion medications, rejecting five proposed amendments and reporting the bill out 10-6; SB 5988, related to opioid treatment program accrediting activities, was reported out 13-3; and SB 5124, on Medicaid network adequacy for post-acute care services, was reported out unanimously 16-0.

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:

• 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.