Transcript Highlights:

• We see the intervention.
• We need violence intervention, right?
• We also intervene in intervention.
• and intervention of behavioral health issues.
• Also, in addition to that, identifying behavioral health priorities and behavioral health resources.

Transcript Highlights:

• School-based behavioral health services can really provide interventions and supports to help lessen
• <00:04:28.080> or intervention before the the behaviors or intervention before the the behaviors
• intervention and supports, and alignment of the School Link Behavioral Health grants, joint trainings
• Moving towards positive behavioral interventions, training for the adults working around the youth, and
• Moving towards positive behavioral interventions, training for the adults working around the youth, and

Keywords: 1183, house

Transcript Highlights:

• Maybe you need behavioral health in school and behavioral health in the community.
• But the first piece of it is around behavioral intervention methods used and kind of requiring the feasibility
• interventions.
• A lot of times when interventions are being... ...you know, evidence-based interventions.
• These behavioral interventions are good for everybody, but then they're not accepted for people who have

Keywords: 962, all

Summary: The meeting began with approval of the May minutes and then moved into administrative updates on several 2025 legislative workstreams. Staff reported progress on two marketing efforts tied to the youth mental health crisis: one focused on increasing awareness and use of urgent crisis centers, and another broader crisis-continuum campaign led by United Way. Both projects are refining materials based on working-group feedback and aim to have materials ready before the start of the school year. Updates were also given on the UCC private insurance review and the crisis continuum review, both of which are gathering data and reconvening working groups over the summer. The main discussion centered on a Civic Solutions Group update on Medicaid school billing. The contractor explained that the project is examining why Connecticut schools are not billing for behavioral health and related services, with the goal of maximizing federal reimbursement. Members clarified that the study is about schools billing for services, not private providers billing in schools. Questions focused on whether Medicaid has caps or authorization issues when students receive services both in school and in the community, and whether recent federal or state changes affect billing. The contractor said the work is still in data collection and analysis, and that some issues, such as reauthorization procedures, were outside his scope. Participants also raised concerns about perceived barriers, fee-for-service limitations, and the need to distinguish school-based billing from provider billing. A second major presentation came from Disability Rights Connecticut on a separate legislative study concerning behavioral health issues affecting students receiving special education. The subgroup is examining the feasibility and impact of requiring evidence-based interventions, especially for challenging behaviors that can lead to restraint and seclusion, and is also looking at monitoring and random audits of restraint and seclusion practices. The team described its project plan, including literature reviews, interviews, focus groups, surveys, and data requests from the State Department of Education and other stakeholders. Members emphasized that the work is aimed primarily at private providers under the statute, but may have broader relevance. Questions from the group focused on whether the study would include public schools, how evidence-based practices apply to students with intellectual disabilities and autism, and whether caregivers or parents would be interviewed; the presenters said caregiver input is not currently part of the charge. The meeting ended with reminders about the July 15 meeting, which will include a Solnit briefing, and a note that August TCB meetings will not be held, though a workshop on the Connecticut Children’s Behavioral Health Provider Survey is being planned for late July or early August.

Transcript Highlights:

• Instead, there is increasing evidence that interventions based on applied behavioral analysis and behavior
• Valerie Lye and colleagues supports the effectiveness of psychosocial interventions for challenging behavior
• Changing behavior doesn't mean suppressing behavior.
• Changing behavior doesn't mean suppressing behavior.
• In summary, the MDDC believes this Teams to consider positive behavioral interventions.

Keywords: 995, all

Summary: The committee held a hybrid hearing on a range of bills affecting children, families, disability rights, homelessness, and social services. Early testimony focused on H.215, which would support children experiencing homelessness by speeding access to child care vouchers and early intervention screenings. Boston officials, Horizons for Homeless Children, Head Start, pediatric and early education advocates, and families described delays in child care and early intervention, the developmental risks of homelessness, and the need for automatic referrals and faster access to services. Testimony also supported H.216, which would improve emergency housing assistance by restoring presumptive eligibility, reducing documentation barriers, extending shelter stays from six to nine months, and creating an ombudsperson; providers and legal advocates said current rules leave families sleeping in cars or outside and create unnecessary administrative hurdles. The committee also heard strong support for H.210, which would repeal the “Learn Fair” school attendance sanction that cuts cash assistance to families when children miss school. Advocates from legal aid, education, and anti-poverty organizations argued the policy is punitive, burdensome, and ineffective, disproportionately affecting low-income, disabled, and Hispanic/Latino families. Several speakers said chronic absenteeism should be addressed through supports such as family outreach, wraparound services, and school engagement rather than benefit cuts. Legislators and school officials from Salem also testified that their districts reduced absenteeism through supportive strategies, not sanctions. Additional testimony addressed children’s vision bills H.202 and H.166, with optometrists and researchers urging better screening, data systems, and treatment access to close achievement gaps caused by untreated vision problems. Senator Lovely also presented S.2714, proposing a study of discrimination in public accommodations for people with service animals. Later, testimony on H.279 supported changing social work licensure rules to remove exam requirements that speakers said disproportionately exclude multilingual candidates and candidates of color. The hearing also included testimony on bills related to the Judge Rotenberg Center and electric shock devices, with disability rights advocates opposing continued use of the devices and urging the committee to reject licensing or authorization for them. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• So when I started my career, this was called PBIS, or positive behavior intervention supports.
• So when I started my career, this was called PBIS, or positive behavior intervention supports.
• So when I started my career, this was called PBIS, or positive behavior intervention supports.
• So when I started my career, this was called PBIS, or positive behavior intervention supports.
• So when I started my career, this was called PBIS, or positive behavior intervention supports.

Keywords: 1183, house

Transcript Highlights:

• That's not indicative of bad behavior, and I want to make that very clear.
• Interventions that we've put in place are external resource support.
• We then see the behavior with at-risk youth and CHINS.
• in our progressive behavior program.
• Detention is intended to be a short-term local intervention.

Summary: The committee began with a work session on juvenile rehabilitation institution capacity, services, and staffing. DCYF Assistant Secretary Jennifer Redmond described overcrowding at Green Hill School and Echo Glen, driven by longer adult-style sentences extending past age 25, limited community placements, and small facility sizes. She said Green Hill remains above safe operating capacity, but staffing, injuries, large-scale aggression, and use-of-force incidents have improved over the past year. She also discussed Harbor Heights, a new 46-bed flex facility that had opened with 22 youth and would expand once a medical trailer arrives, as well as community transition services, vocational programming, behavior management reforms, and a request for more resources for mental health-focused facilities and staffing. Members asked about success metrics, developmental disability screening and supports, college access at Echo Glen, Mission Creek planning, and gender-responsive programming; Redmond said JR uses assessments, family involvement, and specialized living units, and that some requested funding had already been secured for returning a girls’ program at Echo Glen. The committee then heard from Team Child and the Youth Action Coalition. Greta Schultz said youth perspectives should guide system reforms and identified key concerns: overuse of sentence extensions, underuse of community transition services, continued criminal referrals from Green Hill to Lewis County, limited family contact, inadequate mental health access, and unequal education opportunities, especially for young women at Echo Glen. Justella Gonzalez, a former system-involved youth, said her time in county and state facilities was harmful, with staff mistreatment, poor education, limited therapy access, and humiliating restraint practices; she also said girls at Echo Glen lacked the same college opportunities as boys at Green Hill. Committee members asked for follow-up on county versus state experiences and on telehealth mental health services. The next presentation covered county-level services for youth involved or at risk of involvement with the justice system, led by juvenile court administrators Christine Simon-Smeyer and Judge Rachel Anderson. They outlined the juvenile court continuum from prevention and truancy work through diversion, detention alternatives, community supervision, and disposition alternatives, emphasizing evidence-based, trauma-informed, and restorative practices. Clark County was used as an example of a court that partners closely with schools and community providers, uses risk assessments and wraparound behavioral health probation, and offers detention alternatives without electronic home monitoring. They said most courts do not use detention for status offenses, but instead use court involvement to connect youth to services. They also described funding, noting that courts rely on a mix of state block grant and local dollars, and that recent cuts to early intervention funding reduced programming and staff hours. Members asked about detention for truancy, developmental disability identification, restorative justice practices, and the juvenile block grant. Finally, DCYF Assistant Secretary Nicole Rose and Katie Warren of the Washington State Association of Head Start and ECAP discussed child care and early learning impacts from recent policy and budget changes. Rose said Fair Start for Kids investments had increased child care access, provider participation, and kindergarten readiness, with more than 60,000 children in Working Connections care and rising ECAP enrollment and provider capacity. She said recent reductions will raise most family copays in 2026, delay eligibility expansions, eliminate some expanded eligibility categories, reduce ECAP slots by about 3,000, delay entitlement timelines, and cut provider supports such as rate increases for centers, complex-needs grants, trauma-informed and dual-language incentives, and infant/early childhood mental health consultation. Warren emphasized ECAP’s role in family stability, workforce participation, and reducing poverty, and noted its two-generation approach to supporting both children and parents.

Transcript Highlights:

• For example, the relationship-based crisis prevention curriculum uses the cognitive behavior intervention
• For example, the relationship-based crisis prevention curriculum uses the cognitive behavior intervention
• For example, the relationship-based crisis prevention curriculum uses the cognitive behavior intervention
• those behaviors, and identifies specific instances when and Data, looking at different interventions
• > change behavior intervention approach to change behavior intervention approach to change adult

Keywords: 919, house, all

Summary: The Seclusion Working Group approved the minutes from its November 5, 2025 meeting and then heard presentations from Jessica Heiser and Aaron Sansmark of Solutions Not Suspensions and the Minnesota Disability Law Center on the misuse and illegal use of seclusion in schools. They described illegal seclusion as including use outside emergencies, for discipline or noncompliance, beyond the emergency period, in unregistered rooms, without parent notice, without required observation or documentation, for students outside the grade-limit rules, when meals/restroom/water are withheld, or when staff are not properly trained. They emphasized that Minnesota lacks a single reliable data source for identifying illegal seclusion and that families often learn about incidents late, if at all, making complaints and legal action difficult because of barriers such as time, cost, language, and access to advocates. The presenters summarized Minnesota Disability Law Center records, saying they receive about one seclusion-related case per month during the school year, statewide, and that in the cases reviewed over the last year the children were all boys with disabilities, including autism, ADHD, developmental delay, or emotional disabilities; three were white and two were children of color, and four of the five were age 10 or younger. They said all of those families pulled their children from school afterward, and that five of five cases potentially had valid illegal-seclusion claims, though only three pursued legal action. They also noted PACER reports many discipline and behavior calls involving seclusion but does not keep hard records. The presenters proposed better statewide data collection, including identifying school buildings, staff, or students involved, reporting incident duration, and adding a checkbox on MDE complaints to flag restraint/seclusion allegations. A substantial portion of the discussion focused on disproportionality. The presenters cited national research showing students with disabilities and students of color, especially Black boys, are disproportionately restrained or secluded, while acknowledging Minnesota does not have a single statewide racial aggregate for seclusion. Members discussed whether banning seclusion would reduce misuse and disproportionality, whether it could increase physical holds or injuries, and whether the issue should be viewed in the broader context of emergency interventions. Heiser argued Minnesota is moving in the same direction as federal actions and other states that have restricted or banned seclusion, and noted that the current birth-through-third-grade ban has reportedly reduced seclusion by 40%. Other members agreed disproportionality is a serious systemwide problem, but emphasized the need to keep the conversation focused on seclusion and emergency use. No additional votes or formal actions were taken beyond approval of the minutes.

Transcript Highlights:

• includes positive behavior intervention supports.
• When we talk about positive behavior intervention supports, is that a special program?
• Speaker, gentlelady, positive behavior intervention supports. Mr.
• So that training that we have in the schools already for behavior intervention, try to, and again, I
• We are saying here that we cannot use it as an intervention for behavior, for consequence.

Bills: HB111, HB103, HB60, HB108, HB120, HB145, HB154, HB164, HB291, HJR6, HR1, HJM2, HJM3, HJM1, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM32, HM13, HM47, HM11, HM14, HM21, HM34, HM50, HB38, HB47, HB63, HB64, HB127, HB165, HB184, HB200, HM20, HM51

Keywords: water law, state engineer, civil penalty, compliance order, water rights, overdiversion, illegal diversion, groundwater storage and recovery, well license, permit violation, water enforcement, New Mexico water code, irrigation district, conservancy district, water diversion, unauthorized water sales, measuring device, district court appeal, water resources, water compliance

Transcript Highlights:

• I am the new Assistant Behavioral Health Advocate in the Office of the Behavioral Health Advocate.
• I am the new Assistant Behavioral Health Advocate in the Office of the Behavioral Health Advocate.
• I am the clinical behavioral health manager here at the department and our behavioral health...
• I am the clinical behavioral health manager here at the department in our behavioral health and wellness
• We're trying to do a lot of research-supported interventions, helping match the specific intervention

Keywords: 962, all

Summary: The meeting opened with approval of the April minutes and brief administrative updates, including notice that House Bill 5447 had passed both chambers of the General Assembly. Speakers reflected on the bill’s key provisions, which include eating-disorder working groups, an evidence-based screening requirement for school-based health centers beginning July 1, 2027, and a DSS-led feasibility process to explore an inpatient psychiatric facility for young adults ages 14 to 21. New staff introductions were also made for the Behavioral Health Advocate’s office and the TCB team. A major portion of the meeting focused on marketing and outreach for urgent crisis centers (UCCs) and the broader youth crisis continuum. Daydream Communications presented research showing low public awareness of UCCs but strong interest once families learn about them, with parents wanting specialized, compassionate care, clear expectations, insurance clarity, and bilingual support. United Way described its parallel work on a statewide crisis continuum marketing toolkit, using the SAMHSA framework of “someone to talk to, someone to respond, and somewhere safe to go,” and outlined plans to distribute consistent messaging through websites, social media, flyers, and community venues. Members emphasized coordinating with existing platforms and ensuring the marketing reflects the actual experience at UCC sites. DCF then presented on adolescent substance use services, citing data showing high need and low treatment access among Connecticut youth. The department reviewed its ASAM-based continuum, SBIRT efforts in outpatient psychiatric clinics, medication-assisted treatment access, and statewide services such as MST, MST emerging adults, STRIDE, multidimensional family therapy, youth recovery supports, and the AIM matching tool. A new young people peer support program was highlighted, with referrals accepted from families, hospitals, community providers, DCF, youth diversion, and the judicial branch. Questions addressed parent consent, peer matching, and whether the AIM tool could be linked through 211. The meeting concluded with an update from the Connecticut Suicide Advisory Board and its regional boards and grant-funded initiatives. Presenters reviewed the state suicide prevention plan, regional coalition work, postvention response, lethal means safety efforts, and the 988 capacity improvement grant that supports Connecticut’s centralized 988 contact center at United Way. They also shared youth suicide risk data from the Connecticut Youth Risk Behavior Survey, noting recent declines in reported suicidal ideation and attempts, and provided resources for training and materials. No formal votes were taken beyond the approval of the April minutes.

Transcript Highlights:

• Early intervention early intervention.
• More importantly, behaviors are not changing while sitting in a hospital room. more expensive interventions
• It's supporting the students' mental health needs, those positive behavior intervention and supports,
• > that behavior intervention and supports, that behavior intervention and supports, that chronic
• and intervention of autism. and intervention of autism.

Keywords: 958, all

Transcript Highlights:

• > um behavioral interventions and supports um behavioral interventions and supports um for<00:
• interventions and supports.
• Each of us brings specialized expertise in special education, behavioral intervention, and student support
• thoughtful intervention and care. thoughtful intervention and care.
• intervention.

Keywords: 1187, senate, all

Transcript Highlights:

• They have ample training and experience in mental and behavioral health.
• Right now, our behavioral health system is flawed and diagnosis-driven.
• First, we are in the midst of a behavioral health crisis for children.
• And the early intervention leads to the best outcomes.
• First, we are in the midst of a behavioral health crisis for children.

Keywords: 995, all

Summary: The committee held a hearing on a large group of behavioral health and insurance-related bills. Topics included expanding access to mental health services by allowing physician assistants to authorize Section 12 emergency holds and be recognized as licensed mental health professionals (H. 1131/S. 773); improving coverage for community behavioral health centers so commercial insurance matches MassHealth’s bundled outpatient and crisis services (H. 1276/S. 703); eliminating cost sharing for certain behavioral health services (S. 718); extending detox and clinical stabilization coverage from 14 to 30 days and adding transitional support services (H. 1319/S. 772); requiring coverage for dual-diagnosis treatment in psychiatric facilities (H. 1277/S. 771); and preserving access to treatment for serious mental illness through coverage of coordinated specialty care and assertive community treatment (H. 1135/S. 709). The committee also heard bills on preventive behavioral health services for children (H. 1228/S. 802) and post-pregnancy mental health care, including postpartum depression and pregnancy loss-related care (H. 1314/S. 823).

Transcript Highlights:

• And the interventions that were provided.
• One is the behavioral health emergency.
• We're looking at front-end intervention.
• We wanted to look for upstream opportunities to improve access to timely behavioral health crisis intervention
• It's very important that when we think about behavioral health intervention at the community level, we're

Keywords: 1184, house, all

Transcript Highlights:

• They know there's a lot hanging on that behavior.
• It's a lack of intervention points prior to coming to us.
• The intervention that we've presented.
• I did not have interventions in school.
• It was those interventions. Thank you.

Keywords: 1185, senate, all

Transcript Highlights:

• There's a handful of community-based violence interventions.
• or behavioral health services.
• and behavioral health services for adolescents.
• Intervention services across the state.
• behavior.

Transcript Highlights:

• Our VIP team, our violence intervention team, is a peer-led team.
• So we have our opiate education team, our violence intervention team, our youth violence intervention
• Our VIP team, our violence intervention team is a peer-led team.
• So we have our opiate education team, our violence intervention team, our youth violence intervention
• And then five behavioral hospital.

Summary: The Community Safety Committee held an interim work session on crisis response, with members and witnesses discussing how Washington can better integrate 911, 988, mobile crisis, co-response, and alternative response models for behavioral health crises in public spaces. Travis Parker opened with an overview of the Sequential Intercept Model and the crisis care continuum, emphasizing early intervention, 988 access, regional coordination, navigators and peer support, and the need for sustainable braided funding. Several Washington witnesses then described current programs and system gaps, including the growth of co-response teams, the importance of integrating 911 and 988 rather than treating them as competing systems, and the need to reduce unnecessary emergency room use and improve first responder wellness and training. City, fire, and crisis-system representatives described local challenges and reforms. Kim Hendrickson of Poulsbo said most crisis calls still come through 911 and urged better coordination among field-based teams, more behavioral health training for fire/EMS, and more alternatives to ER transport. Laura Pippen, a designated crisis responder, described a strained involuntary treatment system, fewer DCRs statewide, difficulty getting law enforcement support for transports, and limited facility capacity, especially for substance use disorder. Jennifer Stuber and South County Fire’s Keith Sharp highlighted workforce training, a crisis responder certificate program, and first responder wellness efforts. Research witnesses Evan Lauder and James Pine said the evidence is still developing but generally supports on-scene resolution, reduced ED transport and detention in some models, and the importance of clear dispatch protocols, coordination, and ongoing evaluation. Dispatch and program operators then gave examples of how systems are working in practice. Katie Myers of Washington APCO/NENA said 911 remains essential, but needs evidence-based triage protocols, liability protections, and additional funding if it is expected to take on more crisis-response responsibilities. Whatcom County described embedding a “community connector” in the 911 center to coordinate alternative response, while ValleyCom reported that its 988 diversion pilot transferred 2,165 calls with 98% resolved through 988/211 without returning to 911. National examples included Denver’s STAR program, Albuquerque’s Community Safety Department, and Atlanta’s PAD initiative, each showing different ways to route low-acuity or behavioral-health-related calls away from police and toward clinicians, peers, or civilian responders. The session ended with Washington examples continuing, including Whatcom County’s alternative response team, underscoring the committee’s interest in refining and expanding integrated crisis response systems in the next session.

Transcript Highlights:

• <04:58:08.160> So their behavior. Behavior comes back. So their behavior.
• These unaccountable actors are now tasked to provide behavioral support and mental health intervention
• extensive interventions. extensive interventions.
• and intensive intervention intervention and intensive intervention in<05:33:08.000> schools<05
• I have managed a STOP grant focused on behavioral health and intervention teams.

Keywords: 1189, house, all

Transcript Highlights:

• And she is asking—an appointed member of the Behavioral Health Consortium, an executive board member
• We address mental health concerns, improve attendance, provide crisis intervention, connect families
• Delaware values some behavioral health professionals more than others. That's simply wrong.
• Delaware values some behavioral health professionals more than others. That's simply wrong.
• Intervention services.

Summary: The Senate Education Committee met with enough members present to conduct business and approved the June 17 minutes. It first heard HB 459 with House Amendment 1, which would prohibit the sale of energy drinks on public middle and high school campuses during school hours or school events. The sponsor and Department of Education explained that the bill targets beverages containing caffeine and marketed as energy drinks, not ordinary soft drinks or coffee/tea products. Public testimony from the Medical Society supported the bill on health grounds, while the beverage industry said its companies already voluntarily limit school offerings and that the bill does not reflect current practice. No vote was taken in the transcript. The committee then heard HB 461, a follow-up to prior legislation on New Castle County property reassessment and school tax rates. Senator Cruz said the bill would let New Castle County school districts adjust and reset tax rates to reflect reassessment changes without increasing projected operating revenue, and that it includes a sunset. DSEA supported the measure, saying fair property values are important to public education funding. The committee also heard HB 452, which would require additional background checks and training for DIAA sports officials and strengthen DIAA enforcement procedures. Members questioned how checks would be handled, who would see the results, and who would provide training; the DIAA compliance coordinator said the checks would be maintained through the state process and that associations would verify eligibility. The bill’s sponsor and DIAA said the goal was to align officials with existing child-safety standards. Next, the committee considered HS1 for HB 425, which raises the salary supplement from 6% to 12% for nationally certified school counselors, nurses, and school social workers, and allows DOE to identify additional qualifying positions by regulation. Supporters, including school social workers, nurses, and DSEA, argued the change would improve retention and recognize advanced credentials. Senator Hansen raised concerns that school psychologists were not included; sponsors said a broader study and possible future legislation or budget language would address other nationally certified school-based professionals. The committee then heard HS1 for HB 358 on student elopement notifications, inspired by Ace’s Law, but administrators and the chair raised concerns that the bill may be too prescriptive and difficult to implement in practice, especially when schools may not immediately know a student has left campus. Finally, the committee discussed HB 379 on the comprehensive school discipline improvement program; DOE said the substitute was intended to consolidate prevention and intervention supports and avoid competition for funding, while DASA asked that the bill be paused or tabled. The meeting ended before action on the remaining bill, and HB 443 was deferred to a future executive meeting.

Transcript Highlights:

• The Office of Special Education has provided statewide behavioral trainings throughout the year with
• intervention support, trauma-informed practices, inclusive practices, and behavior interventions.
• development of functional behavior assessment and behavior intervention plans This summer, educators'
• learning environment to prevent disruptive behavior, nurturing positive behaviors, and developing interventions
• when appropriate, and developing strong functional behavior assessments and behavioral intervention

Transcript Highlights:

• We'll hear from the County Behavioral Health Directors Association, Santa Clara County's Behavioral Health
• And so the Children and Youth Behavioral Health Initiative has increased access to school-based behavioral
• Oftentimes people do need that intervention, so if they do need that intervention, we obviously want
• A lot of behavioral threat assessment training, crisis intervention training, and also training alongside
• law enforcement and crisis intervention.

Summary: The hearing focused on California’s 988 suicide and crisis lifeline and the broader crisis response system, with members and witnesses emphasizing both the system’s life-saving role and the risks posed by funding gaps, rising demand, and uneven local implementation. Opening remarks highlighted the personal impact of suicide and the need to strengthen crisis response so calls are answered quickly and linked to appropriate care rather than defaulting to 911, emergency rooms, or law enforcement. State officials described the AB 988 five-year implementation plan, which sets goals around public awareness, equitable access, high-quality call/chat/text response, and better integration with ongoing behavioral health services. State agencies reported progress on infrastructure, coordination, and related behavioral health investments. CalHHS said California has expanded mobile crisis teams, crisis stabilization units, and youth behavioral health supports, and is preparing additional public awareness and grant programs tied to Proposition 1. DHCS explained that 988 is funded through a federal SAMHSA grant and the AB 988 surcharge, while Medi-Cal separately funds mobile crisis services; officials said the mobile crisis benefit is active in 53 counties and that statewide expansion remains a work in progress. Cal OES described the statewide technical buildout, including network infrastructure in all 11 crisis centers, interoperability with 911, and a pilot of next-generation routing and call-handling tools. The 988 California Consortium said call volume continues to rise sharply, missed calls remain a major concern, text/chat capacity is limited, and centers need more stable funding, better reimbursement, and stronger feedback loops with the state. County and community witnesses stressed that local systems need more flexible, sustained support to match the demand. Lake County described a peer-led rural mobile crisis model that has reduced law enforcement holds and increased housing placements, but said county-run mobile crisis teams still cannot reliably access 988 surcharge dollars and face reimbursement problems from Medi-Cal and commercial plans. Santa Clara County reported strong performance metrics, rapid call answer times, and a broad continuum of mobile crisis services, but said staffing and funding are strained and commercial reimbursement remains slow. The Mental Health Association of San Francisco said the peer-run warm line complements 988 by offering non-emergency support and warm handoffs, but recent budget changes forced cuts to Spanish-language service, federation support, and hours. No formal votes or legislative actions were taken during the hearing; members mainly asked questions about surcharge levels, budget timing, coordination among agencies, data collection, and how to improve collaboration with frontline crisis centers.