Transcript Highlights:

• <01:42:09.119> a make sure that if they're practicing a make sure that if they're practicing
• How if they leave one practice or they're discharged from their practice, they come here now, this is
• <01:53:20.719> you been discharged from a practice you been discharged from a practice you
• <02:25:01.600> sense it it doesn't make any practical sense it it doesn't make any practical
• <03:02:21.439> imple it more as a practical imple it more as a practical imple implementation

Keywords: 12:30pm HB 421 2:00pm HB 701 3:00pm HB 377 4:00pm HB 712, 928, house, all

Summary: The committee of conference first took up House Bill 421FN, concerning notice of tax-exempt status filing procedures by town officials. Members reviewed the Senate changes and focused on whether the amended language would require multiple mailings to charitable organizations. House conferees said the Senate wording appeared to create more than one mailing and asked for clarification; Senate members explained the intent was to reduce clerk workload by posting forms and sending a follow-up notice only to organizations that failed to file after the deadline. After a brief caucus, the House concluded there were too many unresolved changes to work out in conference and moved to non-concur with the Senate amendment. The House motion to non-concur passed unanimously, 4-0, and the committee agreed to place the conference report on the House consent calendar. The chair then closed the committee of conference on House Bill 421FN. The transcript then shifted to a separate committee of conference on another bill, where members discussed revisions involving direct supervision at an eligible facility, federalwide assurance requirements, and immunity language. Testimony focused on whether the bill should require supervision at a specific facility or allow broader supervision arrangements, whether rulemaking should define direct supervision, and whether the immunity provision should cover reckless as well as willful misconduct. No final vote or action on that second bill was reached in the portion provided.

Transcript Highlights:

• And these practices have real consequences.
• They deserve a government that values transparency, not just in theory but in practice.
• The example of how this works is the way the TRS and ERS changed their practices.
• The difficulty with Scope 3 is just, it's practically impossible.
• However, he doesn't practice in front of the Supreme Court; he practices in front of the Court of Criminal

Bills: SB312, SB945, SB946, SB1367, SB1861, SB2044, SB2337, SB2403, SB2819, SJR54

Keywords: public school funding, education, budget allocation, financial transparency, state law, local control, fiduciary responsibility, public retirement systems, investment management, proxy voting, financial factors, insurance, political shareholder proposals, fossil fuels, greenhouse gas emissions, environmental regulation, discrimination, credit extension, social credit, value-based standards

Transcript Highlights:

• There are so many great practices. The gentleman talks about the family law system.
• In the courts that I practice in, the courts permit unsupervised contact.
• The best practice is to create a window at the beginning so that they have a window.
• I am a lawyer licensed to practice law in this state.
• For the state of Texas to insert oversight into this practice, amen to that.

Bills: HB168, HB 1044, HB1534, HB1914, HB2240, HB2530, HB3284, HB3395, HB3515, HB3783, HB4034, HB4213, HB168

Keywords: marriage age, minors, family law, void marriage, rights of minors, Texas marriage law, marriage ceremony, authorized officiants, family code, judges, religious leaders, parent-child relationship, Department of Family and Protective Services, legal rights, notice requirements, HB 1914, Texas Family Code, Chapter 156, conservatorship, custody

Transcript Highlights:

• The department also ensures that there's actually the implementation of evidence-based practices and
• and programs are, but then how to implement those practices and programs.
• Communities of practice—Donna's going to spend a lot of time on this, so I'll just run through.
• And finally, the community of practice. Isolation is a horrible thing to be in.
• It's nice to find out what best practices are.

Summary: The Appropriations Committee on Pre-K-12 Education met with a quorum and first heard a Department of Education program review on three district support programs: assistance to low-performing schools, the Florida Partnership program, and regional literacy teams (RAISE). Dr. Paul Burns described how the Bureau of School Improvement supports schools with D/F grades through regional teams, classroom observations, professional learning, and targeted funding, noting that 104 of 168 low-performing schools improved after 2022-23 and that the share of failing schools fell from 6% to 4%. He also outlined the Florida Partnership’s $4 million annual appropriation for advanced-course teacher training and student access, and the RAISE literacy program’s $5 million funding, universal/targeted/intensive supports, and progress monitoring results. Senators asked about rural participation, post-COVID reading data, parent support, and how long schools remain under monitoring after improving; Burns said rural districts can participate statewide, parents can access school and department support, and schools continue to receive monitoring after exiting low-performing status to prevent recidivism. The committee then received a presentation on the school district education foundation matching grants program from Suzanne Pridgen, who explained that the Consortium of the Florida Education Foundations administers the grants, which require private matching funds and support tutoring, literacy, STEM, career education, professional learning, books, and supplies. She said the program leverages about $1.44 in private support for every state dollar. The committee then moved to the regional education consortia, where representatives from PAEC, NEFEC, and Heartland, along with several rural superintendents, described the consortia as member-led organizations that provide economies of scale, professional learning, HR, risk management, purchasing, legal and operational support, crisis assistance, and leadership development for small and fiscally constrained districts. Superintendents from Lafayette, Holmes, Calhoun, Union, DeSoto, and Hendry counties testified that the consortia are essential because rural districts often have very small staffs, multiple-duty administrators, and limited in-house expertise. They cited support with insurance and hurricane recovery, training for new finance and HR staff, instructional coaching, CTE and leadership programs, and help with turnaround schools. Members emphasized that these districts can be high-performing despite limited resources, and several senators praised the consortia’s value. Senator Gaetz asked about additional back-office collaboration, possible regulatory relief, and FEFP issues tied to scholarship-related enrollment swings; rural superintendents responded that more local control would help. The meeting ended with a motion to adjourn, which was adopted without objection.

Transcript Highlights:

• Chair Delio, the settings are different than what I practiced.
• Best practices also include programs that are fully funded by producers.
• What was missing was practical access. And when practical access exists, participation follows.
• We are asking for practical treatment.
• We are asking for practical treatment.

Summary: The committee held an interim work session focused first on carbon capture, utilization, and sequestration (CCUS), then on hazardous waste and extended producer responsibility (EPR). On the CCUS topic, industry and nonprofit presenters described point-source capture, direct air capture, mineralization, and geologic sequestration, emphasizing Washington’s basalt formations and state trust lands as strong candidates for storage. They argued that CCUS can help hard-to-abate industrial sectors, support jobs and investment, and provide a pathway for compliance, while also noting the need for clearer permitting, subsurface rights, pipeline authority, and storage infrastructure. Ecology and Commerce staff explained current state policy touchpoints, including Cap-and-Invest offsets and exemptions for permanently stored CO2, the public comment process underway to define “thousand-year” permanence, and how CCUS might fit within the Clean Energy Transformation Act without counting emitting generation as non-emitting. Some presenters supported more state action and primacy over federal permitting, while others warned about costs, energy use, uncertain capture performance, and the need to ensure real net greenhouse gas reductions and long-term liability protections. Members asked about public meetings, whether mineralized carbon would qualify as exempt under the Climate Commitment Act, the timeline for Ecology guidance, aquifer and water-quality concerns, energy intensity of capture systems, and liability if storage later proves problematic. Responses said Ecology’s guidance process is already underway, public meetings will be virtual, mineralized carbon would likely qualify if it meets the permanence standard, and EPA rules require storage in deep saline formations below drinking water aquifers. Industry speakers said capture energy use varies by source and concentration, and one presenter noted that some states use trust funds funded by injectors to address long-term liability. The second half of the session shifted to hazardous waste and EPR. Ecology staff reviewed existing product stewardship programs for electronics, paint, batteries, and mercury lights, and described moderate risk waste and household hazardous waste management in Washington. They highlighted that E-Cycle and PaintCare are producer-funded, that the battery stewardship program will begin in 2027, and that the mercury lamp program is in transition after its prior stewardship organization exited, prompting enforcement notices and a pending replacement plan. Ecology recommended best practices for future EPR programs, including clear producer and product definitions, full producer funding, convenience standards, annual reporting, and strong agency enforcement and plan approval authority. Local government speakers from King County and Douglas County described rising collection costs, equity and access barriers, rural travel distances, and the need for stable funding and flexible local implementation. King County said it collected over 3 million pounds of hazardous products in 2025 and supports EPR as a way to shift costs from ratepayers to producers, while Douglas County emphasized that rural residents will participate when services are accessible and that future systems should account for geography and local infrastructure.

Transcript Highlights:

• Seeing none, members, please note we have comments from the Office of Information Practices as well as
• While the university is not objectionable to performance-based metrics, that's certainly best practice
• While the university is not objectionable to performance-based metrics, that's certainly best practice
• the way the bill is written um practice the way the bill is written um it<00:27:05.880> imposes
• um approach um to not a practical um approach um to running<00:27:13.960> a<00:27:14.240>

Keywords: 910, house, all

Summary: The House Committee on Higher Education met on March 14, 2025, and heard five University of Hawaii-related bills. SB 741 would create an external audit committee for the UH system and Board of Regents; UH and UHPA opposed it, saying existing internal and external audits already provide robust oversight, and the committee later recommended deferring the bill indefinitely as duplicative. SB 1252 SD2 would create a dementia training program for health care providers; the Alzheimer’s Association and other supporters said broader training is needed across the care workforce, while the university discussed using JABSOM as a coordinator. The committee deferred the bill to March 19 for an HD1 reflecting JABSOM’s suggestions and removing the appropriations/FTE language. SB 1502 SD1 would fund faculty positions, student programs, and facilities at UH Manoa and West Oahu for defense-sector workforce development. UH and Chamber of Commerce Hawaii supported the measure, describing a pipeline for students into intelligence, cybersecurity, and related fields, while one individual opposed it as too closely tied to military contracting and urged investment in other sectors instead. The committee amended the bill to remove FTE references and advanced it; the vote to pass with amendments was adopted, with several members voting aye and some excused. SB 1530 would require performance-based allocation of UH general funds and efficiency reporting. UH and the Attorney General’s office raised concerns, saying the bill’s metrics would apply across the entire general fund budget and were not practical as drafted; the committee also noted opposition from the Budget and Finance Department and individuals. SB 1624 SD1 would restrict RIM funds to renewing, improving, or modernizing existing facilities and require annual reports. UH opposed the bill and explained that RIM is a lump-sum approach used to address deferred maintenance and capital needs, with Board of Regents approval and quarterly reporting already in place; the Attorney General suggested constitutional amendments. The transcript ends during discussion of SB 1624, with no final action shown in the excerpt.

Transcript Highlights:

• Sometimes they have exports to us that are driven by subsidies and unfair trading practices, and then
• Under the agreement, China is obligated to purchase more US goods and change basic practices and laws
• We, of course, welcome and we hope that foreign countries will change their practices to... make sure
• Now everybody in the administration practically has a different story about the Trump tax hike.
• These practices threaten our economic security, our prosperity.

Keywords: tariffs, Trump administration, economy, public testimony, trade policy, market access, export controls

Summary: The meeting focused on various significant topics concerning the recent tariff policies and their wide-ranging implications on the American economy. Members expressed their concerns regarding the negative impact of increased tariffs as proposed by the Trump administration, with specific emphasis on how families might suffer from higher costs and market access issues. The discussion was lively, with members questioning the clarity of the tariff plan and raising concerns about its potential effects on small businesses and American exports.

Transcript Highlights:

• We believe in healing practices in a different way at times.
• , other practices for better outcomes within our health.
• 45.680> in<00:01:45.920> a believe in healing practices in a believe in healing practices
• > practices<00:01:54.399> for<00:01:54.799> better with um other practices for better
• And I think it's a real practical approach to this problem.

Keywords: 1183, house

Transcript Highlights:

• for changes to financial or asset management practices of affordable housing providers and funders to
• practices of affordable housing<00:04:23.960> providers<00:04:24.400> and<00:04:24.600
• for changes to financial best practices for changes to financial or<00:04:52.400> asset<00:04
• practices of or asset management practices of affordable<00:04:54.280> housing<00:04:54.680><
• They gave me two meetings, and they pretty much defended their practice.

Keywords: 1187, senate, all

Transcript Highlights:

• Beyond that is the practical need: why a new lease is necessary.
• Chapter 30B protects us from municipalities that do not follow good, fair business practices.
• It eliminates outdated legal reference. language following best practices.
• Let’s all sit around a table and say, hey, let’s learn from best practices.
• New rep, your comments have a lot of common sense from a practical level, so thank you.

Keywords: 995, all

Summary: The committee opened its hearing with procedural remarks, including a strict three-minute testimony limit, livestream instructions, and a July 1 deadline for written testimony. Chairs Lewis and Rauch then heard testimony on a wide range of municipal home rule petitions and related bills, with many local officials and advocates being taken out of order because of the large turnout. A major topic was firefighter residency. Representatives of the Professional Firefighters of Massachusetts and Sen. Keenan supported H. 2260/S. 1449, which would replace the current 15-mile residency rule for non-civil-service fire departments with a negotiable standard, generally allowing residency within 15 miles and permitting expansion through collective bargaining. Supporters said the change would improve recruitment and retention amid the housing crisis and create parity with civil-service departments. Acton Fire Chief Anita Arnhum and Sen. Senna also backed H. 4168 for Acton, making similar arguments about recruitment, paramedics, and the need for local flexibility. The committee also heard strong support for charter overhaul petitions for Somerville and Lynn. Somerville officials, including Rep. Barber, Mayor Ballantyne, Councilor Jake Wilson, and charter committee member Beverly Schwartz, described a years-long public process to replace an 1890s-era charter with a modern document emphasizing transparency, public participation, clearer governance, and a possible change to the mayor’s term length. Lynn Mayor Nicholson similarly supported a charter update to modernize city operations and financial procedures. Cambridge-related charter and procurement reforms were also briefly endorsed by Rep. Cabral. Other bills discussed included a proposal by Sen. Eldridge and Rep. Scarsdale to create a state grant program for municipal sustainability directors, and regional school finance bills supported by Rep. Lanatra and Jason Frazier to expand special education reserve funds and create a regional school assessment reserve fund. Acton witnesses also supported library governance changes and a checkout bag charge proposal. The committee heard sharply divided testimony on Quincy’s H. 3897, a 50-year lease extension for Quarry Hills/Granite Links: Quincy officials and business supporters praised the public-private partnership and future investment potential, while residents argued the lease was too long, should be competitively bid, and deserved more oversight and auditing. The hearing also included testimony on Boston trash truck noise restrictions and a PEG access/cable funds bill supported by Mass Access, as well as a Southwick petition to elect part of the Conservation Commission, which one select board member opposed as contrary to current law and good governance.

Transcript Highlights:

• The practice is something that grew out of, this is what I've been told. practice grew out of what was
• I've always found the practice curious, myself. It's not a decision that I would make.
• Is there a practice or a rule or anything that's?
• I'm also a practicing attorney.
• I have practiced, 95% of my practice or higher is with plaintiff's employment discrimination.

Keywords: Texas Water Fund, water management, infrastructure funding, local governments, workforce development, community colleges, educational programs, sustainability

Summary: The meeting focused on several crucial issues, including the Texas Water Fund and its implications for development in the state. Various members highlighted the critical need for effective management of water resources, discussing the role of the Water Development Board and their strategies for outreach to local governments. The committee engaged in a thorough examination of funding projects and the sustainable financing necessary for communities facing challenges in meeting their infrastructure needs. Additionally, there was notable discussion regarding promoting workforce development and the alignment of educational programs with the demands of the job market as indicated by recent trends in community colleges.

Transcript Highlights:

• Slater spent several years practicing antitrust law in the private practice, and then A decade, a full
• I spent the first 15 years of my career practicing antitrust law, both in private practice and at the
• Practice, that's the same as true of a client.
• This is a growing practice. It's of concern in many parts of the country.
• I don't believe what the media says, just as a matter of practice.

Keywords: nominations, Deputy Attorney General, Assistant Attorney General, Department of Justice, Todd Blanch, Gail Slater, confirmation hearing

Summary: The meeting focused on the nominations of Todd Blanch and Gail Slater for the positions of Deputy Attorney General and Assistant Attorney General for Antitrust, respectively. The committee considered the qualifications of both nominees, with opening statements provided by the nominees themselves. There was an evident emphasis on the rigorous vetting process that nominees undergo before their selection, highlighting the importance of the roles within the Department of Justice. Members of the committee engaged in a structured question-and-answer session to further evaluate the nominees' capabilities and fit for the positions they were nominated for, with each member allotted seven minutes to pose questions.

Transcript Highlights:

• Counselors who meet the rigorous requirements accept a substantial training and practice burden, yet
• of mental health counseling and can adapt to evolving best practices.
• There were many major provisions regarding LMHC practice enacted in that law, and they have yet to be
• I practice in Cambridge.
• In my roles, I see firsthand... ...practices.

Keywords: 995, all

Summary: The hearing opened with remarks from House Chair Mindy Domb and Senate Vice Chair Robyn Kennedy, who outlined procedures for the hybrid public hearing, noted the committee would hear testimony on 15 bills related to treatment settings, and recognized members present. The first major bill discussed was H. 4200, authorizing a pilot program for psychedelic-assisted treatment in licensed facilities. Representative Jim O’Day and witnesses from Control Z supported the bill, describing it as a tightly controlled, medically supervised pilot with DPH oversight, limited sites, and screening requirements. Committee members asked about the number of sites and whether Column Health still existed; witnesses said the bill contemplated three separate pilot programs and that Column Health no longer existed after being purchased by another company. The committee also heard testimony on S. 1405 to make the drug stewardship program permanent by removing its 2026 sunset date. Senator John Keenan and others said the program helps collect and safely dispose of unused medications, reduces diversion, and should remain in place because manufacturers should bear disposal costs. A member from Boston added support based on local concerns about people searching through bags for drugs, and Keenan explained the original sunset reflected pilot status and industry pushback. A large portion of the hearing focused on S. 1394 and H. 2193, which would strengthen implementation of the 2023 Roadmap for Behavioral Health Reform. The Children’s Mental Health Campaign, Parent/Professional Advocacy League, Massachusetts Association for Mental Health, and Elliott Community Human Services testified that the roadmap’s helpline, community behavioral health centers, and crisis services are important but unevenly implemented. They urged a single point of accountability within EOHHS, regular strategic planning, a public data dashboard, and financial analysis of the behavioral health system and the access and crisis intervention trust fund. Witnesses said commercial insurance often does not fully reimburse community behavioral health center services, making sustainability difficult, and asked for better coordination across agencies and crisis response systems. Committee members asked whether the roadmap includes substance use disorder; witnesses said it is intended to cover behavioral health broadly, including mental health and substance use. The committee also heard testimony on bills to ban aversives and on suicide prevention signage. Lisa Jean Graff testified in support of S. 1394 by urging a statewide ban on aversive practices, including electric shock, withholding food or bathroom access, and other painful interventions, arguing disabled people deserve the same protections from harm as others. Fonda Bryant and Carol McLean supported a bill requiring suicide prevention signs on tall parking garages, describing personal experiences and saying the signs could create a brief pause and connect people to 988 or other help. McLean said her son died by suicide from a parking garage and that signage might have made a difference. The committee also heard strong testimony in support of creating intensive stabilization and treatment units within DMH facilities (S. 1398/H. 2204), with the Massachusetts Nurses Association and a DMH nurse arguing that highly assaultive patients need specialized, more secure units to protect staff and other patients and to improve care. Additional testimony supported creating a dedicated board for licensed mental health counselors (H. 4696/S. 1382), with Rep. John Badger, the Mass Mental Health Counselors Association, and others saying LMHCs are a large and growing workforce that needs its own licensing board, clearer standards, and faster implementation of existing licensure reforms. The committee also heard extensive testimony on H. 2223 regarding benzodiazepines and non-benzodiazepine hypnotics. Survivors and advocates described severe withdrawal, lack of informed consent, cognitive harms, and long-term disability, while a physician supported the bill as a way to improve disclosure of risks. Finally, the committee heard multiple witnesses in favor of H. 2231/S. 1383 to establish peer-run respite centers statewide. Advocates and people with lived experience said peer respites provide non-coercive, home-like alternatives to hospitalization, can reduce trauma and repeated admissions, and may be especially important for marginalized communities; they also cited cost savings and existing positive outcomes from current respite programs. No votes or final committee actions were taken during the hearing portion reflected in the transcript.

Transcript Highlights:

• <00:45:46.640> that other evidence-based practices that other evidence-based practices that
• <00:46:20.720> implement might look like to practically implement might look like to practically
• Additionally, part of our practices.
• We are providing you a continuum of care within trauma-informed practices.
• believe in trauma-informed practices believe in trauma-informed practices have<01:39:35.280>

Keywords: 1187, senate, all

Transcript Highlights:

• <00:02:50.600> of right now to prohibit this practice of right now to prohibit this practice
• of NDAs can be to that public practice of NDAs can be to that public trust.<00:03:27.560> So,
• Corporations use them all the time to maneuver in private practice and in business to prevent people
• And so, that's why we need to make sure that right now we know and prohibit this practice.
• know and and prohibit this practice. know and and prohibit this practice.

Keywords: 1183, house

Transcript Highlights:

• Uh and it scope of practice for PAS.
• was already sort of standard practice. was already sort of standard practice.
• I've been actively practicing at the Department of Labor since the fall of 1997.
• employer, but I'm I'm a practicing employer, but I'm I'm a practicing attorney.<03:24:32.000>
• degree in um or licensing to practice degree in um or licensing to practice chiropractic<04:26:14.880

Keywords: 1189, house, all

Transcript Highlights:

• Medications, behavioral supports, and practical supports.
• Best practice number three: training our general health...
• The next best practice is public health.
• And then my fifth best practice model is methadone.
• My primary care practice... Thank you for asking that.

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:

• It may include ideas from other sectors or geographies, adapting promising practices in new areas or
• Traditional health care practices are intended to improve access to culturally responsive care for our
• So this was an exciting first in the nation approval that we were practices.
• Traditional health care practices are exclusively offered through our Indian health care providers.
• Traditional health care practices are exclusively offered through our Indian health care providers or

Keywords: 987, senate, all

Summary: The subcommittee heard updates from the Department of State Hospitals on its proposed 2026-27 budget, including a $3.2 billion total budget, patient-driven operating cost increases, savings in the IST solutions program, and progress in meeting the Stiavedi court-ordered 28-day treatment standard. DSH reported it has met court benchmarks, reduced the IST pending placement list from a pandemic high of 1,953 to about 250, and is now averaging about five days to initiate treatment. Members asked about the effects of Proposition 36 and SB 1323 on referrals, outside hospitalization costs, Medicare coverage, and whether IST solution funds were being overbudgeted; DSH said referrals are slightly down overall, outside medical costs are rising due to inflation and an aging population, and the IST savings reflect slower-than-expected activation of community programs rather than a service gap. The department also outlined proposed funding for electrical infrastructure upgrades at Napa and Patton, a feasibility study under SB 380 for transitional housing for the CONREP SVP program, and a dental services expansion at Metropolitan and Patton. The committee held those DSH items open after discussion. The Commission for Behavioral Health presented its role in overseeing the transition from MHSA to BHSA, including data, evaluation, transparency, grantmaking, and technical assistance. It described the new Innovation Partnership Fund, a statewide innovation grant program funded at up to $20 million annually for five years, with small and large grants, and said it had received strong interest ahead of the May 8 application deadline. Members asked about what qualifies as innovation, whether grants could be renewed, and how the state would ensure the program supports service delivery rather than general outreach or training. The commission also sought a liquidation deadline extension for up to $4.062 million in remaining Alcove Youth Drop-in Center funds so sites can finish implementation and Stanford can complete the final evaluation; that item was also held open. DHCS provided an overview of behavioral health policy changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, the access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation, transitional rent, and upcoming youth-focused guidance such as high-fidelity wraparound and activity funds. On BHSA implementation, DHCS said it is not tracking specific local program cuts, but is monitoring county plans and outcomes while noting that counties must still preserve Medi-Cal specialty mental health and DMC-ODS services. The department also discussed its H.R. 1 implementation strategy, including outreach, streamlined renewals, ex parte exemptions, and proposed clinic navigator and outreach funding to reduce Medi-Cal coverage loss, especially for people with behavioral health needs. In response to questions, DHCS said it has not produced a specific H.R. 1 impact estimate for county behavioral health populations, and later explained that counties can still use BHSA and other funding streams for prevention and early intervention while the state tracks impacts through integrated plans and new performance measures. The department also reported on BH-CHIP bond spending, saying it has awarded $5.8 billion for 437 infrastructure projects creating 546 new or expanded facilities and more than 9,553 residential beds, with tribal set-asides exceeding the original allotment.

Transcript Highlights:

• And it may include ideas from other sectors or geographies, adapting promising practices in new areas
• Traditional health care practices are intended to improve access to culturally responsive care for our
• Traditional health care practices are exclusively offered through our Indian health care providers.
• Traditional health care practices are exclusively offered through our Indian health care providers.
• Traditional health care practices are exclusively offered through our Indian health care providers or

Summary: The subcommittee heard presentations from the Department of State Hospitals (DSH), the Commission for Behavioral Health, and the Department of Health Care Services (DHCS) on budget proposals and implementation updates. DSH outlined its proposed 2026-27 budget, including funding for patient operating expenses, IST solutions savings, conditional release program costs, LPS bed allocation changes, electrical infrastructure projects at Napa and Patton, SB 380 transitional housing feasibility work, and expanded dental services at Metropolitan and Patton. DSH also reported that it has met court-ordered IST treatment benchmarks in the Stiavedi v. Clinton case, with average time to initiate treatment down to about five days and pending placements reduced to roughly 250, while noting that Proposition 36 could increase referrals and SB 1323 may divert some individuals earlier into community-based treatment. Members asked about rising outside hospitalization costs, Medicare enrollment, the timing and structure of capital projects, and whether IST solution funds are being fully used; DSH said the savings reflect slower-than-expected ramp-up of community programs and that the Central California FACT replacement program is still on track for January 2027 activation. The Commission for Behavioral Health described its role under the Behavioral Health Services Act (BHSA), including data, evaluation, grantmaking, technical assistance, and transparency work. It highlighted the new statewide Innovation Partnership Fund, a five-year, $20 million-per-year program with small and large grant categories; the first RFA drew strong interest, with more than 400 questions and over 1,000 bidders’ conference participants. The Commission also discussed a proposed extension to spend down about $4.1 million remaining for the Alcove Youth Drop-in Center grants so sites can finish implementation and Stanford can complete the final evaluation. Members asked about grant duration, whether projects can be renewed, what qualifies as innovation, and whether the fund could support service delivery rather than awareness campaigns or training; the Commission said awards are expected to be three-year contracts and that proposals must be new or meaningfully expanded approaches that support BHSA priority populations. DHCS reviewed major behavioral health changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, updated specialty mental health access criteria, and new substance use treatment standards based on ASAM’s fourth edition. DHCS reported strong contingency management results, with more than 13,000 members served and 95% testing negative for stimulant use during treatment, and said 21 Indian health care providers have been approved to offer traditional health care practices. It also described BH Connect initiatives such as the $1.9 billion access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation by four counties, and transitional rent services. On BHSA implementation, DHCS said it is not tracking individual county contract cuts but is monitoring county plans and statewide outcomes, while stakeholders raised concerns about local prevention and service gaps. DHCS also outlined its H.R. 1 implementation strategy, including outreach, streamlined renewals, exemptions for disabled, substance use, and medically frail individuals, and proposed clinic navigator and outreach funding; it said it has not yet produced a focused estimate of H.R. 1 impacts on behavioral health populations. The discussion ended with DHCS noting that B-CHIP bond funding has supported 437 infrastructure projects, creating 546 new or expanded facilities and more than 9,500 residential beds across the state.

Transcript Highlights:

• So, this is just a little tiny tweak to make sure that we're keeping in line with best practices on the
• Current best practices.
• that the IRS has permitted practices that the IRS has permitted since<00:41:03.839> the<00:41
• <00:41:39.760> In<00:41:40.079> particular, those best practices.
• In particular, those best practices.

Bills: SB309, HB192, SB178, SB179, SB237, HB10, HB107, HB189, HB37, HB226, SB309, HB192, SB178, SB179, SB237, HB10, HB107, HB189, HB37, HB226

Keywords: automated driving systems, oversized vehicles, transportation, regulations, permits, HB192, international wire transfer, wire transfer fee, remittance fee, money transmission business, Alabama Securities Commission, Department of Revenue, Education Trust Fund, ELL instructors, English Language Learner, ESL teachers, income tax credit, remittances, international money transfer, migrant families