Transcript Highlights:

• school districts are not service school districts are not service contracts.<00:42:55.040> A<
• A service contract is a contracts.
• kind of services.
• , including a physical be an intervention, including a physical intervention,<04:14:08.880> a<
• ed as well as health and human services ed as well as health and human services and<04:28:19.600

Keywords: 1189, house, all

Transcript Highlights:

• Research has shown that having doulas on the delivery team results in decreased need for medical interventions
• decision making and make sure that the family understands why a provider might be choosing one intervention
• The treatment itself like chemotherapy, but it doesn't cover the auxiliary services for the aftereffects
• garments, uh, mastectomy, mastectomy products, and the committee substitute adds chiropractic services
• Currently, the Department of State Health Services and the Texas Maternal Mortality and Morbidity Review

Transcript Highlights:

• If they are receiving speech services, they are included.
• But if IEP will mean special ed services, if they're receiving special ed services, they have an IEP.
• ...but if IEP will mean special ed services, if they're receiving special ed services, they have an
• those services via a joint powers agreement.
• Those services are going to look drastically different.

Summary: The committee first approved the minutes and then received a lengthy DPI presentation from Stanley Schauer on statewide reading and math assessment data for students with and without disabilities. He explained the assessment systems used over time, the absence of 2019-20 data, and how North Dakota’s standards are set by educators. Members asked about alternate assessments, cohort trends, the apparent drop in proficiency in higher grades, and the new NDA+ assessment. Schauer emphasized that the biggest pattern in the data was the relative stability of students with disabilities, the post-pandemic drop and partial recovery, and the need to focus on reducing the novice category. He also said the state plans to revisit high school standard setting and that future data could be broken out by program, disability category, and schools using science-of-math or other initiatives. Public testimony from special education staff suggested that the flat performance of students with disabilities during COVID likely reflected continued services and intensive supports, and committee members discussed whether the current disparity goal is realistic and whether growth measures would be more useful than simple proficiency buckets. After the presentation, the committee took a short break and then moved into discussion of special education funding models. Chair Richter said members should contact Schauer directly with ideas for additional data views and noted that the committee would continue its work on funding and possible model changes. Brandon Bomback of Grand Forks Public Schools began a presentation arguing that the special education funding formula, especially the weighting factor, should be reconsidered if the committee wants a system that better reflects accountability and student needs. He said his comments were based on the perspective of a larger district and focused on the special education weighting factor rather than other parts of the formula. The remainder of his presentation was not included in the excerpt.

Transcript Highlights:

• Tribal leaders assess state impact of MMIP intervention.
• Law enforcement, and service providers.
• There will be mental health treatment services.
• And then there's a lack of support services for those children.
• It was a summer program through social services.

Keywords: 988, house, all

Summary: The committee held an informational hearing on the Missing and Murdered Indigenous People (MMIP) crisis in California, with opening remarks emphasizing the need for sustained funding, better coordination, and recognition that foster care, jurisdictional gaps, and public safety systems are all connected to the crisis. Members and tribal leaders described the issue as longstanding and systemic, and several speakers noted progress in recent years, including the Feather Alert, state grant funding, DOJ coordination, and MMIP summits, while stressing that much more remains to be done. The first panel featured tribal leaders from Southern, Central, and Northern California who described how overlapping tribal, county, state, and federal jurisdictions delay investigations and leave families without answers. They called for real-time regional response agreements, better data sharing and transparency, stronger tribal law enforcement capacity, and ongoing rather than one-time funding. Several leaders shared personal stories of missing or murdered relatives and said the state must treat tribal cases with the same urgency as others. Committee members asked about next steps, including training for law enforcement on Public Law 280, improving local relationships, and ensuring tribal courts and protection orders are not overlooked. The second panel focused on strengthening systems and services. The California Highway Patrol commissioner reported that Feather Alert implementation has improved after prior criticism, with more alerts activated and a higher recovery rate, and said CHP has expanded outreach, training, and tribal liaison work. The Department of Justice’s Office of Native American Affairs described work under AB 3099 and AB 1334, including a Public Law 280 advisory council, improved crime reporting, a tribal police pilot program, and outreach on Feather Alert and other resources. A Coyote Valley council member described a local MMIP program that supports prevention and family outreach. Members and panelists also discussed the need for better training, clearer jurisdictional authority, and stronger support for tribal justice systems. The final panel addressed foster youth and the MMIP crisis, arguing that Native children in foster care are at heightened risk of going missing or being exploited. Speakers said Native children are disproportionately represented in foster care, that many MMIP cases begin with child welfare system failures, and that social workers and attorneys often do not know or use Feather Alert procedures quickly enough. They urged stronger ICWA implementation, culturally grounded prevention and healing services, housing and mental health support, and immediate coordination among tribes, families, and agencies when a child is missing.

Transcript Highlights:

• Tribal leaders assess state impact of MMIP intervention.
• I believe there was a partnership, and you addressed the early intervention... ...the early intervention
• There will be mental health treatment services.
• And then there's a lack of support services for those children.
• It was a summer program through social services.

Summary: The Select Committee on Native American Affairs held an informational hearing on the state’s response to the missing and murdered Indigenous people (MMIP) crisis, with an added focus on foster youth and child welfare. Opening remarks from the chair and members emphasized that California has made some progress through the Feather Alert, DOJ coordination, grant funding, and MMIP summits, but that the crisis remains severe and requires ongoing, not one-time, investment. Members repeatedly noted the need for stronger statewide coordination, better data, and more consistent attention to tribal communities and foster youth. Tribal leaders described the crisis as rooted in jurisdictional gaps, poor data collection, and lack of urgency from law enforcement. Witnesses from Hamul, Chachancey, Tahon, Yurok, and Hoopa tribes shared personal accounts of missing and murdered relatives, criticized inconsistent responses, and called for regional response agreements, direct tribal access to data, sustained funding, and clearer law enforcement protocols in Public Law 280 settings. Several leaders said Feather Alert and state grants have helped build infrastructure and partnerships, but stressed that trust-building, training, and accountability are still uneven across the state. The second panel featured the California Highway Patrol and the Department of Justice’s Office of Native American Affairs, both of which reported on implementation improvements. CHP said it has tightened Feather Alert practices, increased activations, improved outreach and training, appointed a tribal liaison, and expanded human trafficking training. DOJ described work under AB 3099 and AB 1334, including a Public Law 280 advisory council, improved crime reporting and data systems, MMIP outreach, and a tribal police pilot program with the Yurok Tribe. Members also raised the need to better support tribal courts and ensure protection orders are enforced. The final panel focused on foster youth as part of the MMIP crisis. Advocates from Pitt River, the California Tribal Families Coalition, and Coyote Valley said Native children are disproportionately represented in foster care and are at heightened risk of going missing or being exploited. They argued that foster care, trafficking, poverty, housing instability, and historical trauma are all connected to MMIP, and called for stronger ICWA implementation, culturally grounded services, better coordination with social workers and law enforcement, and immediate use of Feather Alert when Native children are missing. No formal votes were taken; the hearing was informational and ended with continued calls for legislative, budgetary, and policy action.

Transcript Highlights:

• And these particular units really provide enhanced services, focused services, and those services can
• Those are typically done through the faith services.
• So we also included all substance use interventions.
• But it could be that they're not ready for that intervention.
• It's a six-month robust intervention.

Keywords: 995, all

Summary: The commission approved the July 11 minutes and then received a detailed follow-up presentation from the Department of Correction on facility footprint, mission-driven housing, programming, and technology. Commissioner Jenkins and Deputy Commissioner Peterson explained recent and planned facility changes, including the closures of Walpole, MCI Cedar Junction, and MCI Concord, the transition of the Plymouth Section 35/Mass Act program to Health and Human Services, the return of Bay State to DOC control for possible future use, and the Shattuck Hospital move to East Newton Pavilion. Members asked about operational capacity, the exclusion of support beds from occupancy figures, and the status of mothballed or unused facilities. Framingham drew particular attention because of its historically low women’s population and planned renovations; members raised concerns about the cost and the need to consider the broader women’s correctional system. A major portion of the meeting focused on mission-driven units and evidence-based programming. DOC described specialized units for health services, nursing care, clinical stabilization, mental health, residential treatment, protective custody, reentry, emerging adults, education, and substance use recovery, and noted that security threat group support beds are not used. Staff explained the distinction between general population beds and support beds, and between programming and treatment. They said core recidivism-reduction programs are based on risk-need responsivity and COMPAS assessments, with Spectrum Health Systems as the current vendor, and presented recidivism data showing lower reoffending among participants who completed programs such as violence reduction, criminal thinking, and the Correctional Recovery Academy. For women, they highlighted the pathways model at MCI Framingham, which combines trauma-informed, gender-responsive services, and reported strong outcomes for those engaged for at least 26 weeks. Members asked about how needs are identified and counted, how declinations are handled, and how the department distinguishes completion from ongoing maintenance. DOC said participation is voluntary, individuals are re-recommended over time, and completion is recorded in the system when criteria are met. They also discussed educational supports for learning disabilities and trauma, including IEP/504 coordination, tutoring, and a new school psychologist for testing. Questions were raised about family reunification programming, and DOC pointed to family-focused services, mediation, Read to Me Mommy, and the Brave unit for young fathers. Sheriff Cabral and Sheriff Cochie praised the presentation and emphasized the importance of family reunification and the realities of trauma in incarcerated people’s lives. The final section highlighted the expanded use of tablets across all facilities. DOC said tablets now support free phone calls, emails, video visits, surveys, educational content, medical updates, sick-call requests, and an earned-good-time app, while also helping with communication during facility closures and with ongoing programming. Staff said the tablets are used both for learning and recreation, and that more than half of the incarcerated population uses them monthly for educational purposes. Members discussed whether user feedback or “reviews” of programs could help increase participation, and DOC said tablet-based surveys make that possible. The meeting ended with general agreement that the department has expanded programming and technology substantially and is using them to support reentry, communication, and facility operations.

Transcript Highlights:

• Ensuring the continuity of WIC services remains a top priority.
• On Issue 1, we just wanted to touch on the Behavioral Health Service Fund that was identified in the
• Mass Social Services Foundation, part of the CRDP project.
• project. mass social services foundation part of the CRDP project.
• Preventive Services Task Force. We reviewed these.

Keywords: 988, house, all

Summary: The Assembly Subcommittee on Health heard an overview of the California Department of Public Health budget and several budget change proposals, including environmental health, healthcare quality, healthy communities, lab sciences, and family health programs. CDPH said its $5.1 billion budget is split between state operations and local assistance, with major estimates showing WIC participation essentially flat but food costs rising due to inflation, and the Genetic Disease Screening Program remaining relatively stable as birth-related caseloads decline slightly. Members and public commenters raised concerns and support around WIC continuity during federal shutdowns, the California Reducing Disparities Project, lead poisoning prevention, school nutrition implementation, prenatal vitamin testing, vector-borne disease work, and the hospital bed capacity registry. Dr. Erica Pond presented the 2026 State of Public Health report, highlighting improvements such as record-low all-cause, cancer, and cardiovascular mortality, an all-time high life expectancy, and the first decline in overdose deaths in 14 years. She also noted continuing problems, including rising behavioral health-related deaths among younger adults, persistent racial disparities in maternal and infant outcomes, and major geographic health gaps. She emphasized the importance of prevention, the Behavioral Health Services Act, and public health preparedness for emergencies, fires, and other environmental threats. Members discussed the need to invest upstream in prevention and to address social drivers of health, environmental hazards, and mental health. In a separate update on California’s response to federal public health actions, CDPH described efforts to preserve vaccine confidence and public health coordination through new partnerships such as the West Coast Health Alliance, the Governor’s Public Health Alliance, and the FACT Coalition. CDPH also explained how it is implementing AB 144 by posting and updating immunization and preventive service recommendations based on evidence and consultation with medical organizations, while declining some federal changes it found unsupported. Members asked about measles outbreaks, vaccine uptake, and how quickly the new initiatives might affect outcomes. The committee also reviewed the AIDS Drug Assistance Program estimate, which CDPH said would decrease because of lower caseloads and the expiration of one-time funds. Public commenters urged reinvestment of ADAP rebate funds into HIV prevention, PrEP, testing, disease intervention staff, and related services. The final and most contentious item was public health information technology systems: CDPH said Sapphire and CalReady are funded, but CalConnect, CARE, and the vaccine management system are not proposed for funding while the administration evaluates utilization and costs. Members and local health officials strongly opposed defunding the systems, arguing they are essential for disease investigation, vaccination tracking, outbreak response, and avoiding a return to manual spreadsheets and phone calls. The hearing ended without votes or formal action.

Transcript Highlights:

• I've run early intervention programs.
• As a land grant, we have that mission to, in fact, do public service.
• We have other behavioral health services and recovery support services.
• Obviously, emergency departments are a great place to provide an intervention.
• Services at that moment.

Transcript Highlights:

• being built out by a new youth services being built out by a new youth services coordinating<00:
• So, uh, in youth interventions.
• <00:09:39.680> to supports, and interventions to supports, and interventions to effectively
• <00:09:40.880> service<00:09:41.279> this<00:09:41.600> target effectively service
• And the reason is this service.

Keywords: 1187, senate, all

Transcript Highlights:

• We are extending services.
• This is important because the home-based first services are so important.
• services and care from zero to 36 months.
• Early diagnosis, treatment, and intervention make the difference.
• Her family will be with us for our memorial service. Okay. Sen.

Keywords: 998, house, all

Transcript Highlights:

• It may require services at the school district level.
• support services that are available. support services that are available.
• You always uh most useful intervention.
• Now the still provides a real service.
• council provides a valuable uh service council provides a valuable uh service to<02:48:43.200>

Keywords: 928, house, all

Summary: The committee opened hearings on SB 69, including a germane amendment on school board votes to accept or reject gifts and donations, and a non-germane amendment creating a virtual early childhood readiness family engagement program for preschool children not yet in kindergarten. Prime sponsor Rep. Glenn Cordelli said the literacy program was modeled on earlier HB 671, would be funded through gifts and donations rather than state appropriations, and would include reporting requirements to the governor and legislature. Members questioned changes from the earlier bill, including the move away from center-based language, the lack of a dollar threshold for school board action on donations, anonymous gifts, and whether the amendment preserved enough evaluation data. Testimony on the donation provisions raised concerns about broad language, timing, and public-meeting requirements. Rep. Timothy Han and Becky Wilson of the New Hampshire School Boards Association both noted that school districts already have policies and asked how the bill would work for routine donations, anonymous gifts, and situations that might require non-public discussion under right-to-know law. Wilson cited examples such as field-trip scholarships, backpack drives, and sports uniforms, and said the association was not taking a position but wanted clearer guardrails. Rep. Han said school boards may need to discuss some gifts in non-public session and that the bill should better address those circumstances. On the early literacy amendment, Wilson and others questioned whether the program was sufficiently developed, whether it was appropriate to rely on a primarily online model for very young children, and how it would interact with special education services and IEPs. A representative from Waterford.org, Rob Riley, testified in support, saying the program would be supplementary, adaptive, and family-engagement based, and that Waterford could provide devices and internet access for families who need them. He said the program would work alongside school districts and IEP teams rather than replace existing services. No vote was taken during the hearing; the chair said the committee would later exec the bills and try to get reports in for the calendar.

Transcript Highlights:

• Division of Developmental Disability Services.
• It was a rate report for services provided underneath our service. We are.
• We act as subject matter expert on all IDD programs and services, including autism services, OT/PT, speech
• A lot of in-home and school-based behavioral health services are in this rate study.
• This is the office... ...of the Division of Developmental Disability Services.

Summary: The Joint State Agencies committee met to approve prior minutes and then focused on the death of Zachary Moore at the Southeast Arkansas Human Development Center, later clarified in discussion as the Warren facility. DHS officials described Moore’s background, said he died after a prolonged prone restraint followed by a delayed chemical restraint, and reported that 13 staff were terminated, the superintendent was replaced, a consultant was brought in, and the agency entered a settlement with the family for $725,000. Members pressed DHS on the cause of death, restraint policies, staff training, supervision, family notification, and why the family had not been kept informed; DHS said a family-notification procedure exists but that communications during litigation had been handled through counsel. The committee also heard that six staff had been criminally charged with manslaughter and neglect of a vulnerable person, and that the death certificate listed the manner of death as homicide with cause of death tied to physiologic stress associated with struggle and prone restraint. DHS officials gave broader context on the five human development centers, their licensing and accreditation, resident population, mortality review process, and training programs. They said the centers serve highly medically and behaviorally complex residents, that annual restraint training and CPI-based instruction are required, and that the mortality review committee and Office of Long-Term Care review deaths and make recommendations. Members repeatedly criticized the agency for not having complete information at the meeting and for what they saw as gaps in oversight, staffing, and chain-of-command clarity during emergencies. DHS responded that the Warren facility had not been meeting the same standards as the others, that the consultant’s root-cause analysis identified multiple failures, and that new crisis-team and chain-of-command procedures were being drafted. A second major topic was staffing and recruitment. Members discussed low pay, turnover, use of float and on-call staff, rural staffing shortages, and a waiting list of about 2,000 people for home- and community-based services. DHS said CNAs at the centers start at about $39,000 a year, that a broader retention and recruitment plan is being drafted for all five centers, and that a separate rate study for PASS services will be implemented in January 2027 but does not cover CNA pay. The meeting ended with testimony from Moore’s mother, Angela Stevens, who said money could not replace her son and urged stronger training, background checks, and supervision so other residents would be protected. The committee asked DHS to keep members and Stevens updated on consultant reports, recruitment efforts, and follow-up on the family communication issue, and then adjourned.

Transcript Highlights:

• I extend my appreciation for his service.
• So there needs to be a fee-for-service carve-out.
• But I'm just curious because I know that funds these types of services.
• ...problems in the mental health system and service delivery systems by integrating behavioral services
• that provides secondary prevention services, so early diagnosis and intervention in the primary care

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use and Recovery held a public hearing on 14 bills focused on insurance, parity, opioids, behavioral health access, and mental health system reform. Chair Mindy Domb and Vice Chair Robyn Kennedy outlined hearing procedures and noted the committee would accept written testimony. The hearing featured testimony from legislators, providers, advocates, and behavioral health organizations, with most speakers urging favorable reports on the bills they addressed. A major topic was psychiatric collaborative care, including H. 222/S. 1390, which would raise reimbursement for collaborative care codes to at least Medicare levels and allow billing outside the MassHealth primary care subcapitation model. Supporters said the model improves access, outcomes, and cost savings by embedding behavioral health in primary care, and several witnesses described successful implementation in practices and schools. Committee members asked questions about how the model works, what specialties use it, barriers to adoption, and whether copays, deductibles, and subcapitation rules should be changed. Witnesses also supported related innovation legislation, including H. 2224, which would create a mental health innovation fund and support nontraditional trauma-healing approaches. Other bills discussed included H. 2212, which would require prescribers to discuss opioid and pain-medication risks, alternatives, and addiction/overdose concerns with patients or guardians; H. 2232 and H. 2233, which would address equitable payment and equitable access for behavioral health providers serving MassHealth patients; and S. 1406, which would add opioid maintenance treatment information to MassPAT and allow patient-authorized access to that information. Witnesses also strongly backed S. 1399, which would set targets to increase behavioral health spending within the overall health care cost benchmark, arguing that Massachusetts underinvests in behavioral health and that greater investment could reduce emergency, hospitalization, homelessness, and criminal justice costs. No votes were taken; the hearing concluded after testimony and committee questions.

Transcript Highlights:

• This bill is based on a harm reduction model, but is also a much-needed upstream intervention.
• I desperately needed intervention. I felt so alone. Thank you. My spouse couldn't do it.
• Thank you so much, and thank you for your service. Are there any questions or comments?
• These are populations who often wait way too long for services.
• The services are clearly needed, and I support it 100%. They certainly hope that...

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on 17 bills focused on behavioral health workforce shortages, studies, and commissions. Chairs Mindy Domb and Senator John Velis opened by emphasizing the severity of the Commonwealth’s mental and behavioral health workforce crisis, the resulting gaps in access to care, and the legislature’s ongoing use of loan repayment programs, studies, and commissions to address these issues. They outlined hearing procedures and noted that testimony would be limited to three minutes, with written testimony also accepted. A major portion of the hearing focused on bills to expand the primary care workforce, including H. 2205/S. 1385, which would broaden eligibility for the Mass RePay loan repayment program. Testimony from the Massachusetts Medical Society, Senator Jo Comerford, and Dr. Kate Atkinson described severe primary care shortages, long wait times, physician burnout, high debt burdens, and the need to recruit and retain physicians in more practice settings and regions. Committee members asked about the likely impact of loan repayment, the role of nurse practitioners and physician assistants, and how to prioritize limited funding. Witnesses argued that primary care investment improves access and outcomes and that the bill would help sustain community-based practices. Another large block of testimony supported H. 2208/S. 1411, the proposed perinatal behavioral health care workforce trust fund, often referred to as the Moms Matter Act. March of Dimes, perinatal mental health advocates, doulas, clinicians, parents, and organizations such as the Boston Public Health Commission and Empty Arms Bereavement Support testified that postpartum depression, anxiety, substance use, and grief are widespread, often untreated, and worsened by long waitlists and a shortage of trained, culturally competent providers. Speakers repeatedly stressed that screening alone is not enough without a workforce to provide timely treatment, and several shared personal stories of postpartum illness, loss, and difficulty accessing care. The bill was also framed as a needed complement to the Commonwealth’s recent maternal health law, which increased screening and therefore increased demand for treatment. The committee also heard support for the Bridge Act, H. 2207/S. 1388, which would create mental health capacity grants for organizations serving communities at high risk of hate crimes or hate incidents. Testimony from the Jewish Community Relations Council and the bill’s sponsor described the mental health harms of hate, including anxiety, trauma, isolation, and loss of trust, and argued that community organizations need resources to build resilience and provide support. In addition, the committee heard from the Massachusetts Mental Health Counselors Association on H. 2218/S. 1380, which would update job classifications to explicitly include licensed mental health counselors and licensed supervised mental health counselors in state behavioral health roles. Witnesses said the change would modernize hiring, expand access, and better reflect current licensure and scope of practice. No votes were taken during the hearing, and the session ended with a motion to adjourn after all testimony was completed.

Transcript Highlights:

• that we have and different interventions that we have and and<00:39:39.880> ultimately<00:39:
• support services to over 7500<00:40:20.960> students<00:40:21.400> in<00:40:21.520>
• <00:41:05.720> and<00:41:05.800> so to have additional interventions and so to have
• additional interventions and so they<00:41:06.240> exist<00:41:06.599> to<00:41:06.839
• to Minnesota families and services to Minnesota families and students<00:41:12.640> um<00:41:

Keywords: 1183, house

Transcript Highlights:

• with evidence-based math interventions with evidence-based math interventions to<00:01:07.439>
• Hiring and training intervention specialists is not an option.
• It is also a national service program, so the tutors are AmeriCorps members.
• These services are the difference-maker in these students' lives.
• It is critical for us to provide those extended services. provide consistency in Services across provide

Keywords: 1187, senate, all

Transcript Highlights:

• Those issues could be direct services, they could be infrastructure to help with the services, they could
• <00:12:17.920> um uh regarding the funding the services um uh regarding the funding the services
• clinical and non-clinical interventions clinical and non-clinical interventions that<00:29:35.919
• probably because of the interventions probably because of the interventions that<00:31:55.519>
• <00:34:04.000> utilization Behavioral Health Service utilization Behavioral Health Service

Keywords: 928, house, all

Summary: The committee met on March 28 for a Health and Human Services Oversight Committee meeting, approved the draft minutes from February 21, and then received updates from DHHS on the sudden termination of about $80 million in federal COVID-era funding. Commissioner Lori Weaver and Trisha Tilly said the funding had been expected to continue through September 2026, but an email ending it immediately created a 15-month budget gap. They explained that most of the money supported public health work, especially epidemiology, laboratory capacity, data systems, community health workers, outbreak response, and some behavioral health supports. DHHS said it had notified contractors, was reassessing which activities could continue, and had managed to avoid layoffs for its 20 affected staff by shifting funding sources, though some contract lab staff had to leave and some work would stop or be put on hold. Senators and representatives asked about impacts on labs, staffing, and the state budget lapse, and DHHS said the water lab and testing supplies would be affected and that the department was trying to backfill where possible with other federal funds. The committee then heard a maternal mortality report from the Maternal Mortality Review Committee. Alison Power and Caroline Naami explained that the MMRC reviews maternal deaths to identify contributing factors and make recommendations, and that it had completed one CDC grant and received another five years of funding. For 2023, the state recorded five pregnancy-associated deaths, including three from overdose, two from cardiovascular causes, and one homicide; the share of deaths related to substance use fell from 62.5% in 2022 to 40% in 2023. Over the 2019–2023 period, half of pregnancy-related deaths were due to overdose, most occurred postpartum, and many involved Medicaid recipients, transportation or financial barriers, and deaths at home. The committee said mental health and substance use remained the main drivers of maternal mortality, but that 79% of pregnancy-related deaths in the five-year aggregate were considered preventable. Presenters highlighted recommendations and ongoing interventions, including expanding Medicaid coverage through one year postpartum, strengthening behavioral health access, partnering with the Department of Corrections on care for pregnant and postpartum women, and continuing clinical education through the Northern New England Perinatal Quality Improvement Network. Members asked why the maternal mortality rate had declined in recent years; staff said the 2021 spike was tied to the pandemic and that recent declines likely reflected both that spike and the impact of interventions, though the small number of cases makes trends hard to interpret. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• These partnerships don't simply provide services to older adults.
• Treatment is the natural next step for an early intervention strategy.
• She refused to engage voluntarily with the Care Act services.
• But now she is receiving treatment and services.
• The commission supports services like one-on-one enrollment assistance, year-round service, claims help

Summary: The Assembly Health Committee heard several measures, beginning with SB 331 by Sen. Menjivar, which would require large-group health plans to cover hearing aids for children. The author and supporters described the bill as a long-running effort to address a developmental emergency and reduce out-of-pocket costs for families, while opponents were absent. Testimony from parents, advocates, medical experts, and organizations emphasized the importance of early access to hearing aids; committee members voiced strong support, and the bill was moved on a do-pass basis to Appropriations, with several members requesting to be added as coauthors. The committee then heard SB 608, also by Sen. Menjivar, to expand access to condoms in school-based health centers and related settings and to prevent barriers such as ID checks. Supporters, including students and school health advocates, argued the bill would improve sexual health and reduce stigma, while opponents from family and faith groups argued it would undermine parental authority and normalize early sexual activity. The bill was supported by committee members and moved forward on a do-pass basis to Appropriations. Next, SB 971 by Sen. Choi proposed community-based healthy aging partnerships for older adults, with testimony from the California Senior Legislature and supporters from aging and dementia organizations. The measure was described as voluntary and focused on connection, independence, and local collaboration; there was no opposition, and the committee moved it on a do-pass basis to Appropriations. The committee also heard SB 869 by Sen. Weber Pierson, which would require warning icons and statements on chain restaurant menus for beverages with very high added sugar content. Supporters framed it as a transparency and public health measure, while restaurant and beverage industry representatives opposed it unless amended, citing cost and menu-space concerns; the bill was nevertheless moved on a do-pass basis to Appropriations after a roll call vote, with some members voting no and the measure placed on call. The committee also considered SB 950 by Sen. Weber Pierson, aimed at ensuring timely coverage of FDA-approved, medically necessary treatments for early-onset Alzheimer’s disease on commercial plans. Supporters, including the Alzheimer’s Association and a patient advocate, said the bill would reduce delays and barriers to care, while health plan representatives opposed it over step therapy and utilization-management concerns. Members discussed the limited treatment window and the need for early access, and the bill was moved on a do-pass basis to Appropriations. In addition, SB 490 by Sen. Umberg would set timelines for DHCS investigations of unlicensed sober living homes and allow counties to assist if the department cannot act in time; supporters from Anaheim and a patient-brokering survivor described serious abuse and oversight gaps, while county behavioral health representatives opposed the county role as an unfunded and potentially liability-creating burden. After discussion, the bill was also moved on a do-pass basis to Appropriations. Finally, the committee began hearing SB 1037 by Sen. Weber Pierson on health insurance affordability and rate review, with supporters arguing it would tie premium increases more closely to affordability targets and public reporting; the transcript cuts off before the committee completed action on that measure.

Transcript Highlights:

• These partnerships don't simply provide services to older adults.
• Treatment is the natural next step for an early intervention strategy.
• She refused to engage voluntarily with the CARE Act services.
• But now she is receiving treatment and services.
• The commission supports services like one-on-one enrollment assistance, year-round service, claims help

Keywords: 988, house, all

Transcript Highlights:

• We administer these by providing professional civil engineering services, surveying, and construction
• So we were able to support a consulting service that developed a local road safety plan for the tribe
• They became drug recognition experts, and they provide that service.
• She provided that service to the Kittitas and Wenatchee area also on call-out basis.
• And then for our post-conviction, we're using evidence-based programs and interventions that are high

Summary: The Senate Transportation Committee met in Yakima to focus on tribal traffic safety, with members and Yakima Nation leaders emphasizing the importance of safety, the right to travel, and continued partnership on U.S. 97 corridor improvements. Yakima Nation Vice Chair Christopher Wallachie and engineering staff described the Tribal Traffic Safety Committee, the U.S. 97 safety project, heritage connectivity trails, roundabout construction, and the use of federal grants and advanced sensing technology to identify hazards before crashes occur. They highlighted collaboration with WSDOT, the Traffic Safety Commission, the University of Washington, and other regional partners, and explained that the goal is to move from reactive crash response to proactive risk reduction. The Yakima Nation engineering team and AI Vision presented the MUST sensor project, which uses compact AI-enabled devices to collect traffic counts, speeds, near-miss events, roadway conditions, and pedestrian activity, with data transmitted to a dashboard and used for real-time warnings and longer-term planning. Committee members asked about speed tracking, driver behavior, enforcement, and partnerships with WSDOT and counties. Yakima Nation staff said the relationship with WSDOT has improved over time, especially after community outreach on proposed roundabouts, and that the tribe now supports several roundabout projects and broader safety coordination. The Washington Traffic Safety Commission then presented statewide fatality trends and tribal traffic safety data. Mark McKekney said 2024 showed a roughly 10% decrease in fatalities statewide, though recent years remain among the highest in decades. He noted that race and ethnicity data are only available for people who die in crashes, and that many American Indian and Alaska Native fatalities involve passengers, pedestrians, or bicyclists rather than drivers. Penny Rerick outlined tribal traffic safety coordinator grants and other state-funded tribal projects, including work with Yakama Nation, Colville, Kalispel, Makah, Port Gamble S'Klallam, Muckleshoot, Lower Elwha, and Puyallup, stressing that flexible state funding helps fill gaps left by federal programs and supports community-led solutions. The final presentation covered impaired driving enforcement and ignition interlock compliance in Yakima County. Yakima Police Chief Sean Boyle said the city created a DUI enforcement and education officer program that helped reduce serious injury and fatal impaired-driving crashes, supported by state funding and social media outreach. Yakima County District Court’s Nick Bazan described a supervision program for DUI offenders and interlock compliance, reporting more than 1,000 DUI convictions in 2024-25 and about 3,800 noncompliant interlock users countywide. He said the court is using a two-pronged approach—pretrial assistance for indigent clients and post-conviction accountability and case planning—to improve compliance and reduce impaired driving. The committee expressed support for the work, noted the progress made, and adjourned the work session after thanking presenters for their updates.