Video & Transcript Research : 'shared services'

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MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Ways and Means Jun 21st, 2026 at 11:00 am

Joint Committee on Ways and Means

Transcript Highlights:
  • services to others.
  • I'm also pleased to share that our application to the Centers for Medicare and Medicaid Services certification
  • the service provider.
  • of services.
  • determination services.
Keywords: 995, all
Summary: The hearing opened with remarks from Senate Chair Robyn Kennedy and House Chair Chynah Tyler, who emphasized that the fiscal year 2026 hearing was focused on the Health and Human Services budget, asked members to keep questions budget-related, and noted that no public testimony would be taken. They also highlighted the choice of Doherty Memorial High School as the venue to showcase Worcester’s investment in career and technical education. Committee members then introduced themselves before the first panel, the Executive Office of Veterans Services and the state veterans homes, began testimony. Secretary John Santiago said the governor’s FY26 proposal would support implementation of the HERO Act, which he said is now about 95% implemented, including higher disabled veteran annuities, expanded behavioral health benefits, and other service expansions. He described efforts to reduce veteran homelessness, including nearly $20 million in ARPA-funded housing and outreach initiatives, and said the agency has delivered more than 100,000 supportive services to nearly 8,500 veterans. Leaders from the Chelsea and Holyoke veterans homes reported on staffing, quality measures, electronic medical records, and major construction projects at both facilities, including a new Chelsea campus and the new Holyoke home. Members asked about funding transfers, geographic equity in access to the homes, outreach to women veterans and veterans of color, suicide prevention, Gold Star family support, and the impact of federal uncertainty; Santiago said the homes are now licensed and certified, that the current budget is sufficient, and that the agency is expanding engagement and data collection. The second panel, the Office of the Veteran Advocate, testified that its FY26 request is about $3.3 million, up from the current $2 million, to cover staffing, a larger office, and higher technology costs. Veteran Advocate Bob Notch said the office is a new independent oversight agency created in 2022 to examine systems, coordinate with local veteran service officers, and investigate fatalities or serious harm involving veterans in state care. He said the office’s work depends on research, data, and collaboration with other agencies, and that current funding is only enough for minimum operations. In response to questions, Notch and Deputy Commissioner David O’Callaghan discussed the difficulty of tracking veteran suicides, the need for better data across agencies, and the office’s role as an oversight body rather than a direct service provider. No votes or formal actions were taken during the hearing.
KY

Kentucky 2026 Regular Session

Interim Joint Committee on Families and Children.(6-17-26)

Families & Children

Transcript Highlights:
  • access services. access services.
  • protective services.
  • protective services.
  • child protective services. child protective services.
  • services block grant, social services services block grant, social services block<01:56:53.800><
Keywords: 958, all
MN

Minnesota 2025 1st Special Session

House Workforce, Labor, and Economic Development Finance and Policy Committee 1/16/25

Workforce, Labor, and Economic Development Finance and Policy

Transcript Highlights:
  • Minnesota's restaurant food service Minnesota's restaurant food service hotels<00:44:41.520>
  • <00:51:25.839> of involved in those kind of sharing of involved in those kind of sharing of
  • , and we can share that again.
  • <01:08:03.480> that<01:08:03.680> again<01:08:04.240> but shared and we can share
  • that again but shared and we can share that again but again<01:08:04.559> I<01:08:04.640>
Keywords: 1183, house
Summary: The committee’s first official meeting was framed as an informational session, with the chair saying no legislation would be acted on and that testimony would focus on what is working and not working for businesses and workers in Minnesota. The stated topics included earned sick and safe time, paid family and medical leave, labor shortages, and broader business climate concerns. The chair also noted the absence of DFL members and invited questions to be held until the end so testifiers could present fully. Lauren Shodor of the Minnesota Chamber of Commerce argued that Minnesota’s business climate has worsened because of high taxes, rising costs, regulation, and new workplace mandates. She cited chamber survey and research findings saying more businesses are considering leaving the state, that Minnesota companies are investing more in other states than vice versa, and that the state lags national growth rates. She said employers are especially concerned about earned sick and safe time and the upcoming paid family and medical leave program, which the chamber believes add compliance burdens and costs, particularly for small and medium-sized businesses. Matt Hilgart of the Association of Minnesota Counties said the new leave laws affect county budgets and operations because labor is the main county cost and services are often state-mandated. He said the programs were imposed outside the collective bargaining process and can duplicate existing county benefits, increase costs, and create staffing and service challenges. He asked for changes including clearer premium-sharing language, exclusion of elected officials and short-term election workers from paid leave requirements, better exemption and private-plan rules, coordination requirements for intermittent leave, and more clarity for essential employees during weather emergencies. Owen Worth of the League of Minnesota Cities said cities are facing similar implementation problems, with overlapping leave policies and concerns about stacking state and federal leave rules, and he indicated the league would support changes to reduce administrative and budget pressures on cities.
HI
Transcript Highlights:
  • <00:23:01.200> non-emergency getting hbd Services non-emergency getting hbd Services non-emergency
  • not getting those kind of services and not getting those kind of services and uh<00:23:09.400>
  • Thank you. data being shared we along with the um data being shared we along with the um Automotive<01
  • <01:18:12.560> ride remain unique to ride sharing ride remain unique to ride sharing ride
  • > lift<01:18:14.560> are sharing safety incidents on lift are sharing safety incidents
Keywords: 910, house, all
Summary: The joint hearing covered HB 1484 on transit-oriented development and HB 157 on transportation. For HB 1484, testimony included a request from the Hoi Community Development Authority to be removed from the measure while offering to assist if the transit-oriented development law is implemented, along with testimony in opposition and support from several individuals. The committees later recommended HB 1484 be passed with amendments, including an HD1, a defective date, deletion of a reference to section 225 on page 11, adoption of H-CDA’s proposed amendment, and related committee report changes. The vote was adopted in both committees, with Representatives Cochran and Lee excused and Representative Mora voting with reservations. HB 157 concerned the transfer and acceptance of roads in the Villages of Kapolei. HHFDC supported the bill’s intent and explained that the roads were originally self-permitted, the city had not accepted dedication, and HHFDC has been maintaining and upgrading the roads under an MOA that requires improvements to city standards before transfer. Testimony from the Villages of Kapolei Association and others described ongoing problems with non-emergency police services, illegal parking, abandoned vehicles, and the need for city enforcement on roads that are open to the public. Committee members asked about the current holdup, the possibility of transferring roads in segments, and whether a cash settlement could resolve the issue; HHFDC said it was working in segments and that the city had mentioned a $60 million figure. The committees then recommended HB 157 pass with amendments, noting they were awaiting an Attorney General opinion on authority to compel the transfer and that the matter would continue to the Committee on Water and Land. The Transportation Committee also heard several additional bills. HB 1083, concerning vessels in state commercial harbors, drew support from the Department of Transportation and some industry groups and opposition from charter operators; HB 1159, which would require compliance with harbor master evacuation orders and increase penalties, drew DOT support and opposition from multiple vessel operators, who argued the bill was too broad and should define emergencies more clearly and use tiered penalties. HB 58, limiting civil liability for firefighting at commercial harbors, received DOT and Maritime Group support. HB 1165, on county disposal of ocean-bordering property and state highway acquisition, received DOT support. HB 938, a broad motor vehicle franchise and EV-related bill, drew support from the Hawaii Automobile Dealers Association and the Motor Vehicle Industry Licensing Board, but strong opposition from the Alliance for Automotive Innovation, Tesla, Rivian, Scout Motors, and others; opponents argued it would restrict direct-to-consumer EV sales and innovation, while dealers said the bill was too broad and needed further stakeholder work. No final votes were taken on the Transportation Committee’s remaining measures in the portion provided, and the joint hearing was adjourned after decision-making on HB 1484 and HB 157.
MN

Minnesota 2025-2026 Regular Session

House Fraud Prevention and State Agency Oversight Policy Committee 4/13/26

Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:
  • We all share the goals of ensuring taxpayer dollars are spent as intended and protecting vital services
  • fee-for-service.
  • Thank you. services and arms. services and arms.
  • all state services. all state services.
  • state services. state services.
Keywords: 1183, house
ND

North Dakota 2026 1st Special Session

Protection and Victim Services Committee May 13th, 2026 at 09:00 am

Protection and Victim Services Committee

Transcript Highlights:
  • I wanted to share two personal experiences.
  • And we'll let Abby share her story.
  • So they're immediately getting services.
  • The committee was called back to order, and Victoria was asked to share what she had to share.
  • And he had a menu of sexual services.
Keywords: 908, all
MN

Minnesota 2025-2026 Regular Session

House Taxes Committee 4/9/26

Taxes

Transcript Highlights:
  • . services. services.
  • Thank you for the opportunity to share Thank you for the opportunity to share our<00:19:39.840><
  • because we truly need these services because we truly need these services available<00:33:18.640
  • As shared, the county has been the backstop for the hospital's... comments around services that are comments
  • So, if you're a suburban services.
Bills: HF4841, HF4234, HF3697
MN

Minnesota 2025-2026 Regular Session

House Human Services Finance and Policy Committee 2/13/25

Human Services Finance and Policy

Transcript Highlights:
  • service model to provide services service model to provide services okay<00:29:29.519> um
  • And then finally adding a 5% county share on the state component, the state share for residential services
  • for state component the state share for residential<00:33:58.799> services<00:33:59.440> in
  • c> are day Services day services are are day Services day services are services<00:34:17.320> that
  • when<00:52:48.160> a Services service lines where when a Services service lines where when
Keywords: 1183, house
FL

Florida 2025 Regular Session

Health Policy Oct 7th, 2025

Transcript Highlights:
  • BUT I HAVE NOTHING TO SHARE.
  • SERVICES REALLY.
  • SHARED SERVICES IS OUR NEW VENDOR AND ITS ROLLING OUT.
  • SHARED SERVICES.
  • NOW WE MOVE FULLY FORWARD WITH CHRIS SHARE SERVICES. >> Chair: YOU ARE RECOGNIZED. >> Senator Davis:
Keywords: 999, senate, all
FL

Florida 2025 Regular Session

December 2, 2025 - 03:30 PM

Transcript Highlights:
  • So it's both the state share of the federal share dollars.
  • >> I would say certainly a focus of the agency will be to preserve access to service, mental health services
  • and all services.
  • and all services. >> Just one will.
  • And are we looking at the pleading services?
FL

Florida 2025 Regular Session

Health Policy Jan 14th, 2025

Transcript Highlights:
  • Nato clinical services will have perinatal workforce development, education and training social services
  • as with reproductive services.
  • So doula services are covered. There's increased prenatal services.
  • You know, the all services is not.
  • And the last thing we want is to have a duplication of services and pay for the same service twice.
Keywords: 999, senate, all
CA
Transcript Highlights:
  • shared with me, and I feel it's my responsibility to ensure that I'm also sharing what my constituents
  • shared with me, and I feel it's my responsibility to ensure that I'm also sharing what my constituents
  • When students have shared power and families are genuine partners in shared decision-making, deep trust
  • And what I shared there, I'll share here now: across the state, community schools are leveraging the
  • County overseeing 500 youth service providers.
Keywords: 987, senate, all
Summary: The Senate Budget Subcommittee on Education heard the Governor’s proposals for universal school meals, the Expanded Learning Opportunities Program (ELOP), and community schools, with the kitchen infrastructure grants, Tier 2 ELOP funding, and ongoing community schools funding as the main budget issues. For universal meals, the Department of Education and the Department of Finance supported continued investment in school meal infrastructure and explained that federal changes, inflation, and underreporting in meal counts could affect future funding. The LAO recommended rejecting a fourth round of kitchen infrastructure grants, arguing prior rounds are still being spent and that future funding should be tied to clearer goals and data. Several public commenters and school groups supported continued kitchen grants and universal meals, citing supply-chain delays, workforce needs, and benefits such as more freshly prepared meals and higher participation. For ELOP, the administration proposed $4.7 billion ongoing Proposition 98 funding and an additional $62.4 million to set a minimum Tier 2 rate of $1,800 per pupil. The LAO recommended fully fixing the Tier 2 rate at $1,579 and tying future changes to program requirements, while CDE supported the proposal and said the program is improving attendance and academic outcomes. Senators and witnesses discussed whether ELOP should remain a standalone program or be folded into LCFF, with concerns raised about accountability, flexibility, and whether the program should better serve older youth. CDE said new CalPADS reporting and the biennial report will provide more data soon, and public testimony largely supported stabilizing Tier 2 funding while also asking for more support for middle and high school students. For community schools, the Governor proposed $1 billion ongoing Proposition 98 funding to expand the model to thousands more schools and to support existing sites, along with new accountability through annual self-certification and future accreditation. The LAO recommended continuing the current one-time grant approach instead of creating a new ongoing categorical program, warning about reduced flexibility, administrative burden, and the state’s capacity to support a much larger number of grantees. CDE strongly supported the ongoing funding and asked for additional support for county offices and technical assistance. Committee members questioned how accreditation would work for a model meant to be locally tailored, and administration staff said technical assistance would come first, with schools losing eligibility only if they failed to meet standards after support. Public testimony was overwhelmingly supportive of community schools, with parents, students, county offices, and advocacy groups describing gains in attendance, graduation, mental health supports, family engagement, and student belonging, while some commenters urged clearer eligibility rules, stronger reporting, and continued support for related programs such as MTSS and homeless student services.
WA

Washington 2025-2026 Regular Session

Senate Health & Long-Term Care Jul 22nd, 2025

Transcript Highlights:
  • Cost sharing, October 2028, requires folks to pay up to $35 for many services.
  • Primary care services, behavioral health services are excluded.
  • Primary care services, behavioral health services are excluded. So we'll...
  • Primary care services and behavioral health services are excluded.
  • Should I be expanding services?
Summary: The committee first received an update on the effects of HR1 and related federal Medicaid and marketplace changes from Governor’s Office and Health Care Authority staff. Presenters said the most immediate coverage losses are expected in the individual market beginning in January, with premium increases and an estimated 80,000 people potentially unable to afford coverage. They warned that larger Medicaid impacts will follow over the next year and beyond, including tighter eligibility checks, work requirements, reduced retroactive coverage, limits on state-directed payments and provider taxes, new cost-sharing, and changes affecting certain non-citizen adults. They also said the state plans to seek a waiver or extension for work requirements and will continue to analyze impacts, including on rural providers and Planned Parenthood-related services. Members asked about the effect on nursing homes, rural hospitals, and how the state can help providers and enrollees navigate the new requirements; staff said timelines and a state-specific implementation chart are being developed. The committee then heard a report on the International Medical Graduate Work Group and Washington’s efforts to create pathways for internationally trained physicians. Testimony described the clinical experience license, the clinical evaluation assessment tool, grant funding for IMG support organizations, and a new hardship waiver process enacted this year. National presenters said many states have adopted similar pathways because of physician shortages, but Washington and Tennessee are among the few states that have actually issued licenses so far. They recommended clear guardrails, an employment offer before application, ECFMG certification, supervised practice, and data collection to avoid exploitation and protect patients. Members asked about state-to-state variation, retention of IMGs, and whether Washington should pursue dedicated residency or preceptorship options; presenters said the key next step is moving successful participants from supervised experience to a durable long-term license. The final topic was implementation of Washington’s Apple Health doula benefit and the statewide doula hub and referral system. Senator T’wina Nobles highlighted the state’s $3,500 per-birth Medicaid reimbursement rate for doulas and the importance of the hub for referrals, training, and billing. Health Care Authority staff said the benefit launched January 1, 2025, and covers prenatal intake, labor and delivery, postpartum visits, and telehealth-supported services. They reported 336 state-certified doulas, 134 enrolled in Apple Health, 287 unique clients served, and 641 claims paid so far. Testimony emphasized doulas’ role in improving birth outcomes, reducing unnecessary interventions, and addressing racial disparities in maternal health, while noting that implementation is still early and ongoing.
NM

New Mexico 2025 Regular Session

IC - Land Grant Aug 14th, 2025

House Rural Development, Land Grants And Cultural Affairs

Transcript Highlights:
  • When you look at services, whether it's health services, mental health services, or substance abuse services
  • And if you'd like to share it with Ian, Ian can also share it.
  • And they were kind of sharing their culture, sharing their values, sharing their traditions and their
  • So, they use secure file sharing services that, they use.
  • And that's so essentially that isn't being shared, Yeah, that wouldn't be shared.
CA

California 2025-2026 Regular Session

Senate Privacy, Digital Technologies, and Consumer Protection Committee Jun 22nd, 2026

Privacy, Digital Technologies, and Consumer Protection

Transcript Highlights:
  • This includes bookstores, food services, housing, student unions, and support services.
  • I’d be happy to share more technical pieces of that.
  • They’re mainly operating student services and support services programs.
  • Service for both products, or could customer service be open on Saturday for the consumer product but
  • There's no one who thinks that anyone actually reads terms of service or agrees to those terms of service
Keywords: 987, senate, all
CA
Transcript Highlights:
  • Legal services is one; support services for homeless veterans is another.
  • Legal services is one, support services for homeless veterans is another.
  • We provide mental health services, legal services...
  • services, and drop-in services.
  • We provide mental health services, legal services, employment services, and drop-in services.
Summary: The Assembly Committee on Military and Veteran Affairs held an informational hearing focused on the effects of federal budget cuts and policy changes on veterans, military readiness, and California’s veteran support systems. The chair and members emphasized that federal reductions to the VA, Medicaid/Medi-Cal, SNAP, and the federal workforce are disproportionately harming veterans by threatening health care, employment, housing, crisis lines, and suicide prevention services. The chair also highlighted California’s progress on veteran homelessness and the importance of preserving state programs that leverage federal dollars. Major General Matthew Beavers of the California Military Department described the department’s structure, its response to the Los Angeles fire emergency, and concerns that federal cuts could reduce readiness through less training, older equipment, and fewer resources. He also discussed state programs such as Work for Warriors, STARBASE, youth and community schools, and the counterdrug task force, saying they are valuable but vulnerable if funding is redirected away from readiness. Members asked about the impact of federal changes on the Guard and how the Legislature could help, and Beavers said the state should advocate for recapitalized equipment and continued support for key programs. A second panel focused on veterans’ benefits and claims support. CalVet, Los Angeles County, and Swords to Plowshares testified that county veteran service officers, legal aid, and community-based partnerships are essential to helping veterans access VA benefits, especially after the PACT Act expanded eligibility and increased claims volume. Witnesses said these services bring substantial federal dollars back to California, but county offices and legal providers are underfunded and overburdened. Members discussed data sharing, staffing shortages, and the need for more resources to reach veterans who are not connected to VA care. In the final panel on mental health and suicide prevention, CalVet and nonprofit providers described state-funded programs such as the Veterans Support Self-Reliance program and the California Veterans Health Initiative, which place services in permanent supportive housing and provide no-cost counseling statewide. Witnesses said these programs are showing measurable improvements in health, medication adherence, and emergency room use, but they depend on sustained funding and are vulnerable to step-down grants and federal instability. Committee members expressed support for the programs and raised questions about access, staffing, and the role of non-veteran family members in Vet Center services.
HI
Transcript Highlights:
  • I have a quick question for the Office of Community Services executive director.
  • Moving on to Senate Bill 1491, relating to departmental data sharing.
  • Senate Bill 1491, relating to departmental data sharing.
  • Seeing none, the recommendations are adopted. the uh data sharing group in various the uh data sharing
  • Moving on to the last measure, Senate Bill 1034, relating to the food service industry.
Keywords: 912, senate, all
Summary: The Committee on Labor and Technology heard testimony on several measures. SB 338, relating to taxation, would temporarily reinstate the Act 221 technology infrastructure renovation tax credit and expand eligible technology-enabled infrastructure to include data servers; Tax Department said it had no requested changes, SurfPAC supported the bill, and the Tax Foundation offered comments. Members later advanced SB 338 with amendments, including a report to the Legislature before the 2029 session and technical changes. SB 1491, on departmental data sharing, would add the Department of Taxation to the state longitudinal data system to share aggregated wage data; UH, Hawaii P20, and the Tax Foundation supported it, and Taxation said it could comply as written. The committee amended the bill to also include DBEDT and then passed it with amendments. The committee also considered SB 1156 on sexually explicit deepfakes, SB 853 on an immigration services trust fund, SB 436 on limiting State Fire Marshal service to three terms, and SB 1034 on rest periods in the food service industry. The Attorney General said SB 1156 was unnecessary because existing law already covers AI-created deepfakes, and the committee deferred the bill. SB 853 drew support from DLIR/Office of Community Services and civil rights advocates, but opposition testimony noted substantial public opposition; the committee deferred the measure, saying existing resources from Act 7 made the trust fund premature. SB 436 drew concerns from the State Fire Council representative that term limits would add complications, but the committee passed it with amendments. SB 1034 drew mixed testimony: DLIR stood on comments, the restaurant association supported the intent but suggested changing the five-hour threshold, and the Hawaii Food Industry Association opposed it over the lack of a definition of food service industry; the committee amended the bill to add that definition and passed it with amendments. At the later 3:15 p.m. decision-making-only agenda, the committee deferred SB 730 indefinitely after conferring with the PSM chair, saying it was special legislation needing further work in the interim.
CA
Transcript Highlights:
  • , mobile crisis services, contingency management services, also known as recovery incentives, and more
  • So we have Lake County Behavioral Health Services, behavioral health services from the County of San
  • these life-saving services.
  • In closing, I wanted to share a story about how our mobile crisis response services help someone in distress
  • ...do not call out any services specifically, or very few are calling out specific services.
Keywords: 987, senate, all
Summary: The subcommittee heard updates from the Department of State Hospitals on its proposed 2026-27 budget, including a $3.2 billion total budget, patient-driven operating cost increases, savings in the IST solutions program, and progress in meeting the Stiavedi court-ordered 28-day treatment standard. DSH reported it has met court benchmarks, reduced the IST pending placement list from a pandemic high of 1,953 to about 250, and is now averaging about five days to initiate treatment. Members asked about the effects of Proposition 36 and SB 1323 on referrals, outside hospitalization costs, Medicare coverage, and whether IST solution funds were being overbudgeted; DSH said referrals are slightly down overall, outside medical costs are rising due to inflation and an aging population, and the IST savings reflect slower-than-expected activation of community programs rather than a service gap. The department also outlined proposed funding for electrical infrastructure upgrades at Napa and Patton, a feasibility study under SB 380 for transitional housing for the CONREP SVP program, and a dental services expansion at Metropolitan and Patton. The committee held those DSH items open after discussion. The Commission for Behavioral Health presented its role in overseeing the transition from MHSA to BHSA, including data, evaluation, transparency, grantmaking, and technical assistance. It described the new Innovation Partnership Fund, a statewide innovation grant program funded at up to $20 million annually for five years, with small and large grants, and said it had received strong interest ahead of the May 8 application deadline. Members asked about what qualifies as innovation, whether grants could be renewed, and how the state would ensure the program supports service delivery rather than general outreach or training. The commission also sought a liquidation deadline extension for up to $4.062 million in remaining Alcove Youth Drop-in Center funds so sites can finish implementation and Stanford can complete the final evaluation; that item was also held open. DHCS provided an overview of behavioral health policy changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, the access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation, transitional rent, and upcoming youth-focused guidance such as high-fidelity wraparound and activity funds. On BHSA implementation, DHCS said it is not tracking specific local program cuts, but is monitoring county plans and outcomes while noting that counties must still preserve Medi-Cal specialty mental health and DMC-ODS services. The department also discussed its H.R. 1 implementation strategy, including outreach, streamlined renewals, ex parte exemptions, and proposed clinic navigator and outreach funding to reduce Medi-Cal coverage loss, especially for people with behavioral health needs. In response to questions, DHCS said it has not produced a specific H.R. 1 impact estimate for county behavioral health populations, and later explained that counties can still use BHSA and other funding streams for prevention and early intervention while the state tracks impacts through integrated plans and new performance measures. The department also reported on BH-CHIP bond spending, saying it has awarded $5.8 billion for 437 infrastructure projects creating 546 new or expanded facilities and more than 9,553 residential beds, with tribal set-asides exceeding the original allotment.
MN

Minnesota 2025-2026 Regular Session

Committee on Transportation - 02/19/25

Transportation

Transcript Highlights:
  • uh either a and and do some fee sharing uh either a fee<00:43:11.160> sharing<00:43:11.839>
  • <00:45:48.920> operating driver and vehicle services operating driver and vehicle services
  • Fee sharing to support our offices.
  • and vehicle services.
  • most<01:14:37.840> of services and vehicle services most of services and vehicle services
Keywords: 1187, senate, all
CA
Transcript Highlights:
  • , mobile crisis services, contingency management services, also known as recovery incentives, and more
  • these life-saving services.
  • Nearly 60% of people served through these crisis services receive a behavioral health service within
  • In closing, I wanted to share a story about how our mobile crisis response services help someone in distress
  • ...not call out any services specifically, or very few are calling out specific services.
Summary: The subcommittee heard presentations from the Department of State Hospitals (DSH), the Commission for Behavioral Health, and the Department of Health Care Services (DHCS) on budget proposals and implementation updates. DSH outlined its proposed 2026-27 budget, including funding for patient operating expenses, IST solutions savings, conditional release program costs, LPS bed allocation changes, electrical infrastructure projects at Napa and Patton, SB 380 transitional housing feasibility work, and expanded dental services at Metropolitan and Patton. DSH also reported that it has met court-ordered IST treatment benchmarks in the Stiavedi v. Clinton case, with average time to initiate treatment down to about five days and pending placements reduced to roughly 250, while noting that Proposition 36 could increase referrals and SB 1323 may divert some individuals earlier into community-based treatment. Members asked about rising outside hospitalization costs, Medicare enrollment, the timing and structure of capital projects, and whether IST solution funds are being fully used; DSH said the savings reflect slower-than-expected ramp-up of community programs and that the Central California FACT replacement program is still on track for January 2027 activation. The Commission for Behavioral Health described its role under the Behavioral Health Services Act (BHSA), including data, evaluation, grantmaking, technical assistance, and transparency work. It highlighted the new statewide Innovation Partnership Fund, a five-year, $20 million-per-year program with small and large grant categories; the first RFA drew strong interest, with more than 400 questions and over 1,000 bidders’ conference participants. The Commission also discussed a proposed extension to spend down about $4.1 million remaining for the Alcove Youth Drop-in Center grants so sites can finish implementation and Stanford can complete the final evaluation. Members asked about grant duration, whether projects can be renewed, what qualifies as innovation, and whether the fund could support service delivery rather than awareness campaigns or training; the Commission said awards are expected to be three-year contracts and that proposals must be new or meaningfully expanded approaches that support BHSA priority populations. DHCS reviewed major behavioral health changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, updated specialty mental health access criteria, and new substance use treatment standards based on ASAM’s fourth edition. DHCS reported strong contingency management results, with more than 13,000 members served and 95% testing negative for stimulant use during treatment, and said 21 Indian health care providers have been approved to offer traditional health care practices. It also described BH Connect initiatives such as the $1.9 billion access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation by four counties, and transitional rent services. On BHSA implementation, DHCS said it is not tracking individual county contract cuts but is monitoring county plans and statewide outcomes, while stakeholders raised concerns about local prevention and service gaps. DHCS also outlined its H.R. 1 implementation strategy, including outreach, streamlined renewals, exemptions for disabled, substance use, and medically frail individuals, and proposed clinic navigator and outreach funding; it said it has not yet produced a focused estimate of H.R. 1 impacts on behavioral health populations. The discussion ended with DHCS noting that B-CHIP bond funding has supported 437 infrastructure projects, creating 546 new or expanded facilities and more than 9,500 residential beds across the state.