Transcript Highlights:

• We don’t know how much is going to be needed to carry over the continuity of supports and services.
• students are looking for are actually lower-tier services and supports, and maybe even lower-dollar
• services and supports.
• We think it's very important to make sure that young adults are able to access services and supports
• With the reduction in suspension with the increase in wellness center or supports and services, tier

Summary: The Select Committee on Youth Mental Health and Treatment Access held its third hearing to review the state of youth mental health, progress under the Children and Youth Behavioral Health Initiative (CYBHI), and remaining implementation and funding challenges. The chair emphasized that schools are often the main point where education, health care, and social services intersect for students, and that the committee’s goal is to ensure public investments translate into better access and outcomes. The hearing featured testimony from researchers, a youth advocate, state officials, and local practitioners. PPIC researcher Shalini Mostala reported that teen mental health remains a serious concern, with high rates of chronic sadness, hopelessness, and suicidal thoughts, though recent California data show some improvement since the pandemic. She noted persistent disparities by gender, race, and rural status, and said school-based health centers, wellness centers, and community schools are associated with lower suicidal thoughts. Youth advocate Ella Cruz, speaking for NAMI California, described her own mental health struggles and argued that youth voice, peer-to-peer support, and reducing stigma are essential; she also said technology and AI cannot replace trusted adults or trained professionals. Committee members asked about phone use, stigma, cultural barriers, and how to make supports more accessible and relatable to students. Dr. Sohill Sood of the California Health and Human Services Agency said statewide survey data show declining stigma, increased counseling use, and lower suicide ideation among students, and he highlighted CYBHI’s certified wellness coaches, digital tools, awareness campaigns, and the first-in-the-nation fee schedule that allows schools and colleges to bill health plans for behavioral health services. He said the program is growing quickly, with more than 230,000 claims and over $11 million in new revenue to date, while acknowledging that billing systems and coordination are still being built. Trina Frazier of Fresno County described a multi-tiered system of care supported by CYBHI, CalAIM, and other grants, serving thousands of students through school-based services, wellness centers, and mobile therapy units; she said ongoing funding and flexibility are critical. Rachel Kroberniski of El Segundo High School’s James Morehouse Project described a long-running wellness center and peer mentorship model that supports students in multiple languages, and said peer programs help students feel seen, connected, and more willing to seek help. Members broadly praised the flexibility, collaboration, and peer-based approaches described by the witnesses. Questions focused on sustaining funding after one-time grants expire, improving coordination among schools, counties, and providers, expanding the fee schedule to higher education, and ensuring continuity of care for students after high school. Officials said county offices of education, DHCS, and other partners are using communities of practice and technical assistance to spread best practices, and that CYBHI services can follow some young adults through age 25, with additional supports through community-based programs and digital platforms.

Transcript Highlights:

• Your support of this bill is critical for us to continue our services. We also go out to Maui.
• In support, we have the Department of Human Services with comments in person. here no okay um in support
• I'm the executive director of the Office of Youth Services. The OYS is in support of this bill.
• We had written testimony in support from the Department of Human Services and two individuals.
• services and that that family or support services and that that family or support group<01:23:39.600

Keywords: 910, house, all

Summary: The House Committee on Human Services and Homelessness met on February 6, 2025, and heard testimony on several measures. HB 44, which would appropriate funds to the Department of Human Services to work with community-based organizations on social services needs, drew broad support from nonprofit providers and coalitions that said contracts and reimbursement rates have not kept pace with the actual cost of services, leaving agencies unable to retain staff or meet demand. DHS said it supported the bill’s intent but asked for clarification because the language was broad and did not specify which organizations or how funds should be allocated. Committee members and the bill’s introducer discussed how to make the measure more specific and equitable, including whether to set a percentage increase, use a baseline date, and direct DHS to distribute funds among different program areas; the True Cost Coalition and DHS agreed to follow up in writing with proposed language and a funding number. The committee then heard HB 1349, which would authorize Medicaid/CHIP coverage for income-qualified pregnant persons and children regardless of immigration status. Supporters, including the Legal Clinic, Aloha Care, and the Hawaiʻi Coalition for Immigrant Rights, said the bill would improve prenatal and child health, reduce the chilling effect of immigration enforcement on care-seeking, and help prevent premature or underweight births by ensuring earlier access to providers. DHS provided comments and the committee asked where the measure would fit in the budget; the department identified the relevant budget code. Written testimony in support came from multiple advocacy and health organizations and dozens of individuals. Finally, the committee heard HB 613, which would appropriate funds to DHS for emergency shelter and services for unaccompanied homeless youth. The Office of the Public Defender, the Statewide Office of Homelessness and Housing Solutions, the Office of Youth Services, Rise, the Hawaiʻi State LGBTQ+ Commission, and others supported the bill, emphasizing youth homelessness, the need for coordinated shelter and outreach, and the high share of LGBTQ+ youth among homeless minors. OYS asked that the committee consider funding its existing Safe Spaces pilot rather than creating a new program, while DHS said it supported the intent but wanted clarification because multiple department programs could be implicated. No votes were taken during the hearing; the chair instead requested follow-up language and funding information for HB 44 and continued the measures for further consideration.

Transcript Highlights:

• I'm here to support Bill 2364.
• Picture this: a Haitian family with a child on the autism spectrum now has MassHealth and support services
• I'm here to testify in strong support of H. 2534, S. 1574, and an act preserving access to hospital services
• essential services.
• Yet I've watched services deteriorate and services close over the years.

Keywords: 995, all

Summary: The committee hearing covered a wide range of public health bills, with much of the testimony focused on two major themes: expanding access to care and stabilizing health-related workforces and services. On House 2364, an act relative to medical health and fitness facilities, representatives from Dedham Health and Athletic Club argued for a pilot program recognizing supervised exercise as medicine, saying it could improve outcomes for chronic disease, fall prevention, and mental health while reducing costs. On House/Senate bills concerning community health workers (H. 359/S. 251), multiple witnesses from MACHW, Health Care for All, MHA, Cambridge Health Alliance, Mass General Brigham, Boston Children’s Hospital, Asian Women for Health, and the City of Somerville described CHWs as essential for navigation, trust-building, language access, and addressing social needs, and urged reimbursement by MassHealth, the GIC, and private insurers, along with workforce development measures. One pediatric neurologist also told the committee that losing grant-funded CHW support led to more avoidable ER visits and threatened clinic operations. The committee also heard extensive testimony on hospital closures and essential services. Witnesses including Dr. Alan Sager, MNA President Katie Murphy, nurses from Brockton Hospital and Providence Behavioral Health, and local officials and legislators from Norwood described the loss of hospitals and service lines, especially maternity, pediatric, and behavioral health care, and argued current closure processes are too weak to protect communities. They supported bills such as H. 2460/S. 1503 and H. 2534/S. 1574, which would require earlier notice, community input, stronger state oversight, possible receivership, and limits on reopening or expanding after closures. Testimony emphasized the impact of Steward’s bankruptcy, the closures of Carney and Neshoba Valley, and the need to preserve access to essential services in underserved areas. Several end-of-life and professional regulation bills were also discussed. On H. 2436, Representative Omar Gomez and funeral industry witnesses supported eliminating Office of the Chief Medical Examiner fees for the removal of a child’s body in cases involving children five and under, describing the bill as a small but important relief for grieving families. On H. 2444 and related Senate bills, cemetery and consumer advocates supported legalizing alkaline hydrolysis and natural organic reduction as environmentally friendly after-death options, while cemetery representatives opposed H. 2360, which would allow funeral establishments to operate crematories, arguing cemeteries should retain that role. The committee also heard support for H. 2382, which would exempt dentists and oral surgeons from a new office-based surgical center framework, and for H. 2461, which would create hospital efficiency standards; employers and retailers backed that bill as a way to address rising health care costs. Finally, the committee heard testimony on autism services and hospital governance. On S. 1414, behavior analysts and school representatives said Massachusetts already licenses assistant-level ABA providers but MassHealth does not reimburse them, causing long waitlists and limiting school and family access; an actuary testified that a three-tier ABA reimbursement model could reduce MassHealth costs by up to 6% per child served. Senator Lovely also testified in support of S. 1572, which would require at least one registered nurse on each acute care hospital governing board, arguing nurses’ frontline perspective would improve quality and retention. No votes were taken in the hearing excerpt, but many witnesses urged favorable reports on their respective bills.

Transcript Highlights:

• I’m also the executive director of Crisis Support Services of Alameda County, which is the 988 center
• fund, which is supported by surcharge fees, and directed the California Health and Human Services Agency
• Office of Emergency Services or Cal OES to verify the technology that supports transfers between 98
• by the Behavioral Health Services Act, population-based, next steps supported by the Behavioral Health
• for communities that may be mistrustful or unaware of available services and supports.

Keywords: 988, house, all

Summary: The joint oversight hearing focused on AB 988 implementation and suicide prevention in California Indian communities. Members and the chairs emphasized that 988 was intended to create a behavioral health crisis system with “someone to call, someone to come, and somewhere to go,” and then turned to the disproportionate suicide burden facing Native youth and the need for culturally responsive outreach and services. Assemblymember Bauer-Kahan, the bill’s author, said the law has already saved lives but argued that key parts of the system—especially interoperability between 911 and 988, mobile crisis dispatch, and adequate funding—are not yet working as intended. The first panel of stakeholders and call center leaders largely said California’s 988 network is underfunded and not fully integrated. Speakers from the Steinberg Institute and 988 California said call, text, and chat demand has grown sharply, but staffing and funding have not kept pace, leaving text/chat answer rates far below the state’s goals and sending many contacts to out-of-state backup centers. They also said mobile crisis teams are not being dispatched through 988 statewide, and that the state’s current governance and funding structure is too fragmented. WellSpace Health and other providers described 988 as the “front door” to crisis care, urged more stable funding, and recommended broader use of the CCBHC model to support mobile crisis and behavioral health infrastructure. San Joaquin County offered a local success story, describing a countywide crisis continuum that links 988, mobile crisis, behavioral health access lines, and follow-up services through warm handoffs and coordinated outreach. County officials said the model has reduced reliance on emergency departments and involuntary holds, and they noted that local partnerships and repeated community meetings were key to implementation. Members asked about staffing, tribal outreach, and how to make the system more measurable and interoperable; panelists said staffing projections should be based on actual call volume and contact length, and that tribal-specific outreach has often depended on temporary grant funding. State officials from CalHHS and DHCS then described the five-year implementation plan, the roles of multiple agencies, and current performance data. They said California’s 988 system has handled more than 74,000 contacts in a recent month, with in-state answer rates of 87% for calls and lower rates for chats and texts, and that unanswered contacts are routed to backup centers. They highlighted training efforts, LGBTQ+ competency work after the end of the federal “Press 3” option, and efforts to improve reimbursement for mobile crisis services. No formal votes or committee actions were taken during the hearing.

Transcript Highlights:

• Our long-term services and support strategy is also very much-term service.
• Our long-term services and support strategy is also enhanced by supported housing and supported employment
• services that the provider felt they needed. ...and other supportive services that the provider felt
• I am the CEO of Alpha Support Living Services.
• I am the CEO of Alpha Support Living Services.

Summary: The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population. On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications. The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.

Transcript Highlights:

• services such as family support services such as family support behavioral<00:18:06.400> health
• I'm here today to speak in support of SB 113 in relationship to the supports and services this bill provides
• <01:03:45.119> and<01:03:45.279> services<01:03:45.760> at supports and services
• <01:11:52.480> to<01:11:52.679> support Health and Human Services to support Health
• > to<01:46:04.320> help<01:46:04.560> support tutoring services to help support

Keywords: 1191, senate, all

Transcript Highlights:

• organizations for supported organizations for supported decision-making<00:02:28.560> services
• services and advance supported decision-making program objectives.
• Um and it it does not support services.
• We accomplish this mission by offering a variety of services, including individualized home supports,
• If your service is not on that list, then you cannot receive that support.

Keywords: 1183, house

Transcript Highlights:

• We don’t know how much is going to be needed to carry over the continuity of supports and services.
• students are looking for are actually lower-tier services and supports, and maybe even lower-dollar
• services and supports.
• These services can and are coming from wellness coaches, as well as many other professions supporting
• We think it's very important to make sure that young adults are able to access services and supports

Keywords: 988, house, all

Summary: The hearing focused on youth mental health and treatment access, with the chair framing the issue around California’s Children and Youth Behavioral Health Initiative (CYBHI), school-based supports, and the need to coordinate education, health, and community systems. The first panel featured PPIC researcher Shalini Mostala, who said teen mental health remains a serious concern but recent California Healthy Kids Survey data show improvement in chronic sadness and suicidal thoughts since the pandemic peak. Youth advocate Ella Cruz described her own struggles, emphasized stigma reduction, peer support, and the importance of youth voices in shaping policy and outreach. Members asked about phone use, cultural stigma, and how to encourage young people to seek help and connect with trusted adults and peers. The second panel, led by CYBHI director Dr. Sohill Sood and DHCS Deputy Director Autumn Boylan, provided implementation updates. Dr. Sood said recent data show more students receiving counseling, lower stigma, and a drop in reported suicidal ideation, while also highlighting growth in certified wellness coaches and the CYBHI fee schedule. He said the program has generated more than 230,000 claims and over $11 million in new revenue for participating entities, though implementation is still early and technical assistance remains important. Fresno County’s Trina Frazier described a multi-tiered system of care with wellness centers, mobile therapy units, and strong outcomes in attendance, suspensions, and academic performance, while Rachel Kroberniski of the James Morehouse Project described a long-running school wellness center and a peer-to-peer model that helps students feel connected and supported. Members pressed witnesses on rural staffing, billing coordination, higher education participation, and how to sustain services after one-time grants expire. In the final panel, WestEd’s Lisa Eisenberg discussed what makes the fee schedule work best, saying schools are most successful when they build on existing staff, relationships with health plans, and data-sharing agreements rather than creating entirely new systems. Across the hearing, witnesses and members repeatedly returned to themes of flexibility, sustainability, youth-led and peer-based supports, and the need to reduce stigma while improving coordination across schools, counties, providers, and colleges. No formal votes or legislative actions were taken during the hearing.

Transcript Highlights:

• people exiting homelessness in need of supportive services.
• people exiting homelessness in need of supportive services.
• homelessness in need of supportive homelessness in need of supportive services.<00:37:40.400>
• for sustained funding for lead support for sustained funding for lead service<00:46:38.160> line<
• supporting other businesses. supporting other businesses.

Bills: HF4736, HF4737, HF3806, HF3352, HF4840, HF3748

Keywords: emergency shelter, grant program, homelessness, capital investment, Minnesota Statutes, appropriation bonds, public funding, housing, infrastructure bonds, funding, appropriation, Minnesota constitutional amendment, public debt, state bonds, general obligation bonds, information technology, IT infrastructure, software licenses, technology modernization, capital improvements

Transcript Highlights:

• So far, we have accomplished and continued to improve support through telehealth services, through also
• through like tella Health um support through like tella Health um service<00:20:11.000> through
• uh things like uh maybe needing services uh things like uh maybe needing uh<00:29:57.200> support
• so the request is also to services so the request is also to support<00:33:54.799> our<00:33:
• support the services there cost support the services there cost more<00:34:50.760> as<00:

Keywords: 912, senate, all

Summary: The Committee on Health and Human Services held an informational briefing on the Developmental Disabilities Council and related agencies. The Hawaii State Council on Developmental Disabilities outlined its 2025 legislative priorities, including a pilot project for guardian ad litem and capacity evaluations in guardianship/conservatorship cases, a supported decision-making bill, a health disparities study for people with disabilities, an ABLE savings outreach/staffing measure, a Medicaid buy-in proposal, an adult changing tables equity bill, and a resolution on fetal alcohol spectrum disorder. Council representatives emphasized that supported decision-making would complement tools like powers of attorney and medical releases, and that the health disparities study would help identify unmet needs by ZIP code and improve state data on the intellectual and developmental disability population. The Center on Disability Studies at the University of Hawaii described its role as the research and training arm within the DD system, working with the DD Council and the Hawaii Disability Rights Center. It reported activities such as interdisciplinary training, community education, technical assistance, research collaborations, the Pacific Rim International Conference on Disability and Diversity, publications, telehealth, ECHO Autism, and counseling for Maui fire survivors. The center said it leveraged about $16 million in outside funding last year and highlighted goals focused on workforce development, community capacity, research with direct participation from people with disabilities, and accessible dissemination of information. The Hawaii Disability Rights Center, the state’s protection and advocacy agency, supported the Council’s priorities, especially supported decision-making, which it said could help some people avoid guardianship while preserving liberty and reducing state resource use. The center also raised concerns about the DD system budget and urged legislators to review whether the Developmental Disabilities Division is requesting enough funding, noting possible backsliding in services and eligibility. The Developmental Disabilities Division of the Department of Health then outlined its statewide waiver program serving just over 3,500 people, its service array, and its budget request for increased waiver funding, a federal initiatives coordinator, and IT upgrades to comply with the new HCBS access rule; no votes or formal actions were taken during the briefing.

Transcript Highlights:

• Dixie Temanago, on behalf of the California Alliance of Child and Family Services, in support.
• James Pearson, President and CEO of Medical Ambulance Service, and we support this bill.
• Here to testify in support is Julia from Asian Health Services and Darina from Asian Resources.
• Accessing supportive health care services earlier could have reduced costs and prevented Mr.
• Roland de Javez, with Altamette Health Services, said they were in strong support. Thank you.

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.

Transcript Highlights:

• Trent receives personal support and respite care services.
• Trent receives personal support and respite care services.
• Next is Leah Cameron, Director of Support Services, Clare Housing. Welcome back.
• <01:20:18.199> through services that we need to support through services that we need to support
• support from elderly waiver services support from elderly waiver services with<01:36:14.440>

Keywords: 1187, senate, all

Transcript Highlights:

• Ando, and support. Department of Taxation and support.
• Straw, Benioff Medical Center, in support. Gary Slan, Sanai Work, in support.
• She urged support for his nomination and said they were in strong support.
• Our primary role is to service and support people, right?
• People have access to food and support services, that we protect our kupuna and our keiki from forms

Keywords: 912, senate, all

Summary: The Health and Human Services committee heard several gubernatorial nominations and appointments, beginning with Sunshine Cho and Barbara Tom for the Language Access Advisory Council. Both nominees said they stood on their written testimony and expressed interest in continuing to serve, and multiple organizations testified in strong support. No opposition or questions were raised on either nomination, and the committee moved on after hearing the testimony. The bulk of the meeting focused on GM 642, the nomination of Ryan Yamane to be Director of the Department of Human Services. Yamane gave an extensive opening statement describing his social work background, long public service career, and philosophy of compassionate, balanced leadership. He emphasized DHS’s role in helping people from keiki to kūpuna with dignity and support, and shared personal stories from disaster response and family-service work to illustrate his approach. Support testimony came from a wide range of state officials, agency directors, community organizations, health systems, advocacy groups, and former colleagues, who praised his leadership, problem-solving, communication skills, and empathy. One witness, Moani Kiala Katherine Tu Alun, testified in opposition, raising concerns about retaliation and safety issues affecting foster youth and alleging harmful treatment within Child Welfare Services. Another witness, Angela Melody Young, supported the nomination and said Yamane could help overcome barriers for vulnerable communities and improve DHS programs such as financial assistance, SNAP, and disability services. The committee also heard from DHS staff and related officials about the uncertainty surrounding possible federal funding and staffing cuts; Yamane said the department is gathering information, coordinating with Budget and Finance and federal partners, and preparing to prioritize services and adjust if federal changes affect programs. No votes were taken in the portion of the meeting provided.

Transcript Highlights:

• I'm also the executive director of Crisis Support Services of Alameda County, which is the 988 center
• These investments will directly support our 988 system and our mobile crisis services by ensuring individuals
• serve and support.
• fund, which is supported by surcharge fees, and directed the California Health and Human Services Agency
• for communities that may be mistrustful or unaware of available services and supports.

Summary: The joint Assembly Health and Select Committee on Native American Affairs held an oversight hearing on AB 988, California’s 988 crisis line and mobile crisis response system, followed by a discussion of suicide prevention and intervention in California Indian communities. Members and witnesses repeatedly emphasized that AB 988 was intended to create a true alternative to 911 for behavioral health crises, with “someone to call, someone to come, and somewhere to go,” and that Native communities continue to face disproportionately high suicide rates and barriers to culturally responsive care. The first panel of call center and stakeholder witnesses largely argued that implementation is falling short of the law’s intent. They said 988 call centers are underfunded, text/chat answer rates remain far below call answer rates, staffing is strained, and the system still lacks meaningful statewide interoperability between 988 and 911. Several witnesses said mobile crisis teams are not being dispatched through 988 as envisioned, and that funding formulas and governance are too opaque. San Joaquin County was presented as a local success story, with integrated 988, access lines, and mobile crisis handoffs that have reduced reliance on emergency departments and involuntary holds. Witnesses also discussed the need for better tribal outreach, the role of CCBHCs, and the importance of culturally competent services. State officials from CalHHS and DHCS described the five-year 988 implementation plan, the current governance structure across multiple agencies, and efforts to support training, public awareness, and referral tools. They reported growth in 988 contacts, ongoing training with the Trevor Project, a statewide resource directory, and a tribal awareness campaign. DHCS also outlined proposed trailer bill language that would create a formal designation process for 988 centers, set statewide standards, and require existing centers to obtain designation by 2029. Officials said current funding includes SAMHSA grants, block grant dollars, and an expected $67.3 million from the 988 fund in the next budget year, with a large share earmarked for Medi-Cal mobile crisis services. No formal vote or committee action was taken in the portion of the hearing provided.

Transcript Highlights:

• I'm here in support of Senate Bill 22, which would enable new vehicle manufacturers to offer services
• sales, and service support in our state.
• service station.
• So, some of the support that we would provide in a project like this is project management services,
• So some of the support that we would provide in a project like this is project management services, for

Bills: SB22, SB310

Keywords: motor vehicle manufacturers, licensing, dealers, franchise agreements, consumer protection, water supply, sewage improvements, environment, funding, Mora County, 996, all

Transcript Highlights:

• I would also like support for specifically funding Family Support Services.
• <01:33:08.639> of<01:33:08.840> De Support Services and the Bureau of De Support Services
• c><02:59:42.960> support<02:59:43.359> person Services Program and his support person Services
• <03:12:20.560> services get the early support services get the early support services so<03
• Thank you for supporting early supports and services so my daughter Katie could have the support she

Keywords: 928, house, all

Summary: The House Finance Committee opened a public hearing on House Bills 1 and 2, which concern the governor’s proposed FY 2026-2027 budget. The chair explained that the committee must fit the budget to House Ways and Means revenue, which is about $800 million below the governor’s estimate in an almost $16 billion budget. He also noted a projected current-budget overspend, the impact of recently passed legislation, possible fee updates, no new tax proposals at that time, and the importance of federal funding and Medicaid stability. Testimony was limited to three minutes, with the chair asking speakers to avoid duplication. Much of the testimony focused on Medicaid, disability services, and home- and community-based care. Speakers urged the committee to restore or protect funding for transportation, Medicaid, day programs, in-home supports, and behavioral health services. Several individuals and providers described how cuts would affect people with disabilities, medically fragile children, and families who rely on services to remain employed and avoid institutional care. A home care provider argued that a proposed 3% Medicaid cut would increase hospitalizations and costs, while a behavioral health representative asked for sustainable Medicaid rates, uncompensated care support, housing resources, and continued funding for community behavioral health clinics. Another major topic was the Group II retirement provisions in HB 2 for public safety workers. Representatives from police, fire, corrections, probation/parole, and related associations testified in support, saying prior pension changes hurt recruitment and retention, pushed experienced workers to neighboring states, and should be reversed to restore promised benefits. They argued the provisions would help keep public safety careers viable and honor commitments made to first responders. An executive counselor also warned that when the state shifts costs away from itself, local property taxpayers bear the burden, and she opposed cost shifts such as Medicaid premiums and universal vouchers. A separate speaker urged funding public schools rather than universal vouchers, arguing vouchers can leave other students behind as resources are diverted.

Transcript Highlights:

• So, adult day services, community residential services, day support services, family residential support
• services, family residential services, and integrated community supports.
• So, adult day services, community residential services, day support services, family residential support
• services, family residential services, and integrated community supports.
• <00:47:40.840> So, housing support in the service. So, housing support in the service.

Keywords: 1183, house

Transcript Highlights:

• It requires a statewide evaluation of safety services and supports so we can understand what exists,
• Adrienne Shilton, on behalf of the California Alliance of Child and Family Services, in support.
• Julia Hannigan, policy director with Dependency Legal Services, in support.
• Adrienne Shelton, on behalf of the California Alliance of Child and Family Services in support.
• Adrienne Shelton on behalf of the California Alliance of Child and Family Services, in support.

Keywords: 987, senate, all

Summary: The Senate Human Services Committee heard a long agenda of child welfare, food assistance, child care, and social services bills. Early actions included AB 308 on regional center safety training for people with intellectual and developmental disabilities, AB 1049 to remove sponsor deeming from the California Food Assistance Program, AB 1201 to narrow a violent-felony bypass for family reunification services, AB 2379 to require know-your-rights training for family child care providers, AB 2429 to ease requirements in early childhood mental health consultation, AB 1755 to repeal CalWORKs’ 100-hour work penalty, AB 2478 to create a kinship family approval pathway, and AB 1969 and AB 1996 to expand coordinated cradle-to-career and child-poverty reduction efforts. The committee also began discussion of AB 1932, which would continue and strengthen community-based crisis response services. Testimony was largely in support across the hearing. Advocates, county representatives, child care providers, legal aid groups, food banks, disability organizations, and anti-poverty coalitions argued that the bills would reduce administrative barriers, improve access to benefits and services, and better protect children and families. Several authors and witnesses emphasized real-world harms from current rules, including fear of immigration enforcement, wrongful benefit denials, delayed kinship placements, and the burden of outdated eligibility requirements. On AB 1201, county welfare officials and child welfare advocates said the bill would preserve judicial discretion while allowing more parents a fair chance at reunification; on AB 2478, they said a kin-specific approval path would help place children with relatives more quickly; and on the child care bills, providers said current reimbursement and compliance systems are unsustainable. There was some committee concern about accountability and safety, especially on AB 1049 and AB 1201. One senator questioned whether removing sponsor deeming could weaken program integrity, and another raised concerns about whether narrowing the reunification bypass could expose children to unsafe environments or criminal activity. Authors and supporters responded that the bills still leave eligibility screening, judicial review, supervision, and service plans in place, and that the changes mainly remove automatic barriers or overly broad rules. Votes taken during the hearing were generally favorable: AB 308 passed 3-0 and was held on call; AB 1049 passed 2-1 and was held on call; AB 1201 passed and was held on call; AB 2379 passed 3-0 and was held on call; AB 2429 passed and was held on call; AB 1755 passed and was held on call; AB 2478 passed and was held on call; and AB 1969 and AB 1996 both passed and were held on call. The committee also noted that some bills were on the consent calendar and approved those items 3-0 while holding them open.

Transcript Highlights:

• services.
• I support the AB 470 bill. Thank you very much. I support AB 470. Thank you very much.
• service.
• all receive service.
• With bond issuance comes debt service, and so part of that is recouping the debt service.

Summary: The committee first heard AB 470, which would change California’s carrier-of-last-resort rules and allow a phased transition away from copper landlines in areas deemed well served by alternative phone options. The author and AT&T argued the bill would protect consumers, preserve 911 access, require public notice and CPUC review, and direct investment toward modern fiber and emergency communications. Supporters included a wide range of business, civic, tribal, and community groups, while opponents from TURN, rural counties, labor, digital equity organizations, and local governments warned the bill could let AT&T shed service obligations too quickly, weaken protections for rural and underserved households, and harm workers. After extensive member discussion about CPUC authority, rural carveouts, labor impacts, and reinvestment, AB 470 was passed do pass as amended to Appropriations, with one no vote and one not voting, and the roll left open. The committee then took up AB 1532, a committee omnibus bill extending funding and surcharge authority for the Deaf and Disabled Telecommunications Program and the TNC Access for All program, while also adding CPUC accountability provisions. Chair Boerner Horvath explained the bill would not raise consumer costs and would require the CPUC to appear at hearings when requested and adopt rules for commissioner attendance. There was no opposition testimony, and the bill was moved do pass and re-refer to Utilities and Energy, though the roll was left open because it had not yet reached the threshold for immediate transmission. Finally, the committee heard AB 353, the Affordable Home Internet Act of 2025, which would establish an affordability floor for home broadband for low-income Californians after the expiration of the federal Affordable Connectivity Program. Supporters said broadband costs remain too high and that families, students, and vulnerable communities need a state solution now; opponents from the wireless industry and rural county representatives argued the bill would amount to an artificial price mandate and could complicate existing rural broadband buildouts. Members generally supported the goal but raised concerns about impacts on small ISPs and rural areas, and the bill was moved forward with a motion and second while discussion continued about possible exemptions and amendments.

Transcript Highlights:

• It maintains funding for In-Home Supportive Services, rejecting all of the Governor's proposed reductions
• We support all of the revenue proposals, including the software as a service tax, which we think is a
• We support rejecting the increase in the age for Adult Protective Services.
• We thank the Legislature for rejecting all three proposed cuts to In-Home Supportive Services.
• We thank the legislature for rejecting all three proposed cuts to in-home support of services.

Keywords: 987, senate, all

Summary: The Senate Budget and Fiscal Review Committee heard AB 109, the Budget Act of 2026, and related discussion of the legislative budget agreement. Committee staff and the Department of Finance described a two-year balanced plan with about $253 billion in General Fund spending, roughly $5.5 billion in higher assumed revenues than the May Revision, and about $36.5 billion in combined reserves. They said the package preserves or expands funding for schools and community colleges, child care, IHSS, Medi-Cal-related county administration, housing and homelessness programs, public hospitals, courthouse construction, and some criminal justice and prison-closure savings, while delaying or modifying several prior health care reductions and some Medi-Cal changes. Much of the member discussion focused on Medi-Cal, H.R. 1, and the impact on low-income and immigrant Californians. Several Democrats argued the budget protects vulnerable residents by delaying some cuts, funding county eligibility work, indigent care, public hospitals, and food banks, and rejecting the Governor’s IHSS cuts and asset-limit proposal. Republicans criticized the budget for assuming future revenues, relying on new taxes, and not doing enough to address the structural deficit or improve accountability. Members also raised concerns and support around homelessness funding, Prop. 36, judgeships and courthouse funding, transit and GGRF allocations, local journalism, Caltrans fleet spending, and a proposed “fair share” revenue measure that was not yet before the committee. Public testimony was largely supportive of the budget’s health and human services provisions, especially the rejection of IHSS cuts and the asset-limit proposal, and the inclusion of funding for child care, sickle cell centers, domestic violence services, trauma recovery centers, distressed hospitals, county eligibility work, and transit programs. Some witnesses representing hospitals and health plans cautioned about the effects of moving certain Medi-Cal populations to fee-for-service and about proposed tax changes affecting health care providers. The chair said revenue trailer bills were still being finalized and would likely come back later in the week; the committee then moved to public comment, with the chair limiting speakers to about one minute each.