Transcript Highlights:

• </c><00:13:06.880><c> at</c> patients to get the right treatment at patients to get the right treatment
• </c><00:23:50.240><c> that</c> denied or any of those treatments that denied or any of those treatments
• program.
• program.
• The second program in this funding would support a CNA-to-LPN glide path program.

Keywords: 910, house, all

Summary: The joint hearing covered HB 553 on biomarker testing coverage, HB 556 on colorectal cancer screening access, and later HB 712 on 340B drug pricing. For HB 553, the American Cancer Society Cancer Action Network, patient advocates Natalie Heyman and Susan Hirano, a surgical oncologist, and the American Lung Association strongly supported the bill, arguing that biomarker testing should be covered when ordered by a doctor and guided by current evidence. DHS and several insurers offered comments and requested amendments, with DHS saying it appreciated the intent but wanted changes. The committees then voted to pass HB 553 with amendments, including a House draft and a defective date of July 1, 3000; both the House Health and Human Services and Homelessness committees adopted the recommendation unanimously. For HB 556, testimony focused on closing gaps in colorectal cancer screening, especially for uninsured and underinsured patients who can get stool-based screening but then cannot access follow-up colonoscopies. Community Clinic of Maui, ACS CAN, and the American Cancer Society supported the bill, with ACS CAN urging a program similar to the breast and cervical cancer control program and offering amendments. DHS requested that the program and appropriation not conflict with executive budget priorities, and the committees noted technical amendments, a defective date, a blank appropriation amount, and corrections changing Medicare references to Medicaid. HB 556 was also passed with amendments by both committees. The hearing then moved to HB 712 on 340B drug pricing and contract pharmacies. The Department of Health and the Attorney General’s office expressed concern that the bill would require the state to regulate private commercial activity and said the department lacked the expertise and resources to implement it as written, suggesting it might belong in a different statutory section. In contrast, PhRMA opposed the bill, while Hawaii Pacific Health and Hawaii Island Community Health Center supported it, saying 340B savings are important for hospital services and patient access to low-cost medications, especially where manufacturers have restricted shipments to contract pharmacies. No vote on HB 712 was taken in the portion provided.

Transcript Highlights:

• They added that Nathan described the residential treatment programs, and that the Families First Prevention
• </c><01:11:53.360><c> programs</c><01:11:54.360><c> uh</c><01:11:54.520><c> with</c> residential treatment
• programs uh with residential treatment programs uh with the<01:11:54.840><c> families</c><01:11:55.440
• It could even include residential treatment, again, as an episode of treatment.
• It could even include residential treatment, again, as an episode of treatment.

Keywords: 1189, house, all

Summary: The Division 3 House Finance Committee opened a work session and announced scheduling updates, including a second Medicaid work session on March 5 at 9:00 a.m. and a reminder that recommendations or budget amendments must be moved to the full finance committee by the end of March. Members were told no motions, roll calls, or votes would be taken, and the chair also reviewed upcoming meeting dates and weather-related cancellation procedures. The day’s presentation was a budget work session on the Division for Children, Youth and Families (DCYF), with officials Marie Nunan and Nathan White introducing the agency’s budget materials and mission. DCYF’s presentation focused on its core mandates and recent operational changes. Officials described child protective services, juvenile justice services, and the Sununu Youth Services Center, then highlighted workforce improvements, including reduced vacancy rates for assessment caseworkers, juvenile justice officers, and youth counselors. They attributed the staffing gains to legislative pay raises, mass recruitment posting changes, a more stable and trauma-informed model at SYC, and broader flexibility after prior budget cuts and hiring freezes. Members asked about full-time versus part-time staffing, and DCYF said most positions discussed were full-time, with some harder-to-fill part-time youth counselor roles at SYC. The committee also discussed DCYF’s emphasis on serving families earlier through its Community Navigator hotline referrals and community-based voluntary services, which are intended to connect families to supports before abuse or neglect escalates. Officials said the Community Navigator program had received 807 referrals since August 2023. On juvenile justice, DCYF described its assessment and diversion process and said it had reduced juvenile probation involvement by 30% from 2019 to 2023; members were directed to slide 17 for 2024 data, and officials said the trend continued toward fewer in-home juvenile justice cases. The agency also reported progress in kinship care, saying initial out-of-home placements with kin now occur 74% of the time and that kinship placements are associated with more reunification. Officials said kinship caregivers are being licensed and paid similarly to foster parents, and that the legislature’s kinship law has helped. Finally, DCYF outlined transition-age youth supports, including the HOPE program, Youth Villages LifeSet, and housing vouchers. No votes or formal actions were taken.

Transcript Highlights:

• No human being should be subjected to inhumane treatment.
• They're not just about treatment.
• with how few people have completed the Care Court program.
• Behavioral health treatment services include applied behavior analysis, commonly referred to as ABA treatment
• services for vulnerable children in the Medi-Cal program.

Summary: The committee first took up SB 1377, a bill on medical exemptions for school immunizations. The author and supporters said the measure was a narrow reform to restore physician discretion and reduce what they described as chilling effects from audits and license discipline; opponents from pediatric, medical, public health, and school groups argued the current system already works, protects against fraudulent exemptions, and should not be weakened. Committee members debated the data, the number of exemptions reviewed or revoked, and the effect of the proposed amendments. The bill was amended in committee, but because there was no quorum it was not formally voted on at that time. The committee then heard SB 995, the Masuma Khan Justice Act, which would create a statewide inspection and compliance framework for large private detention facilities. The author and supporters described severe conditions in immigration detention, including denial of medication, unsafe food and water, and lack of oversight, and the bill was presented as a response to those abuses. The California Hospital Association raised concerns about duplicative regulation and overlapping standards, but said it was continuing to work on a solution. The committee discussed constitutional and jurisdictional issues, and the bill was moved on a do-pass motion to the Committee on Judiciary with a 5-0 vote placed on call. Next, SB 1089 was heard, proposing expanded access through CalPERS and CalRX to GLP-1 medications for chronic weight disease and diabetes prevention. The author and supporters from the American Diabetes Association and medical groups argued the drugs are effective tools to prevent type 2 diabetes, reduce long-term costs, and improve health equity, while the author also shared personal experience with weight loss and medication access barriers. There was no opposition testimony. The bill was moved on a do-pass motion to the Committee on Labor, Public Employment, and Retirement with a 5-0 vote placed on call. Finally, the committee heard SB 1221, dealing with Murphy conservatorships for people found not guilty by reason of insanity or otherwise under criminal-mental health conservatorship. Supporters, including prosecutors and psychiatrists, said the bill addresses a gap created by a court decision and would improve public safety and placement decisions for a small population of high-risk individuals. Opponents from county behavioral health and disability rights groups warned it would turn a civil process into a quasi-criminal one, expand district attorney involvement, and disrupt bed prioritization and least-restrictive-placement principles. The discussion centered on the scope of the bill and its amendments, but no final vote was taken in the portion provided.

Transcript Highlights:

• children through permanency, and then there are various intensive family treatment programs that can
• And we have inpatient treatment programs in Washington State that do allow family members, children to
• health treatment to some of these families, Substance abuse treatment and behavioral health treatment
• The family program.
• So the SUPP program, the PPW program that I work closely with, and all the range of services, including

Bills: SB5979, SB6308, SB6319

Keywords: opioids, substance abuse, dependent children, child welfare, caregiver substance use, court orders, shelter care, judicial discretion, family law, early childhood, family services, diversion programs, court-ordered assessments, 904, all

Transcript Highlights:

• of best practices relating to cancer research and treatment.
• advancing cancer treatments.
• Patients can choose full treatment, selective treatment, or comfort-focused treatment, and it empowers
• available, modified treatments, Instructions for care, which may include all treatments available, modified
• “What does this person want for their care and their treatment?

Summary: The committee first received an update from the Department of Health on the Cancer Connect Collaborative, the Cancer Innovation Fund, and the new Cancer Connect Collaborative Research Incubator, created and expanded by recent legislation. The department reported that the Cancer Innovation Fund has awarded $80 million to 95 researchers to date, with $60 million available in the current cycle and 65 projects funded across 28 institutions in 16 cancer areas last year. The new pediatric cancer incubator received $30 million and awarded four Florida children’s hospitals $7.5 million each. Senators asked about outreach to oncologists statewide, peer review and accountability, funding for National Cancer Institute-affiliated institutions, and whether underserved and rural areas are being prioritized; the department said it uses website notices, listservs, collaborative outreach, and eligibility criteria favoring rural and high-cancer-care providers, and that it monitors projects through reports, expenditures, and contract provisions. The committee then heard Senate Bill 312 on patient-directed medical orders, which would create a voluntary, portable, physician-authorized electronic registry for patients to document end-of-life and serious-illness treatment preferences. Supporters, including nurses, hospice and emergency care advocates, and medical professionals, said the bill would help ensure patient wishes are accessible in emergencies, reduce unwanted interventions, and improve continuity of care. Opponents, including Florida Right to Life, argued the bill could broaden end-of-life decisions too far, raise privacy and coercion concerns, and allow withdrawal of care inappropriately. The sponsor said the measure is intended to support patient autonomy and is not anti-life, and noted she was open to amendments. After public testimony, the committee voted on SB 312 and reported it favorably. The roll call showed support from Senators Berman and Harrell, with the bill passing on the committee vote. The meeting then adjourned.

Transcript Highlights:

• that treatment could render them infertile.
• We have had 13 babies come out of our program.
• The need for the program remains urgent.
• I can speak to our program budget.
• This makes a nine-year pilot program.

Summary: The committee heard several bills related largely to Arizona’s behavioral health and Access system, plus a fertility coverage mandate, a state hospital admissions bill, and a naturopathic scope-of-practice bill. SB 1114 would appropriate $1 million to the Maricopa County Attorney’s Office for investigations into behavioral health patient brokering; the sponsor described ongoing fraud involving vulnerable Native American patients, while some members questioned why the Attorney General was not handling the work. The bill passed 10-1 with one present. SB 1116 would require claim denials and appeal determinations for American Indian Health Program behavioral health services to be reviewed by someone with at least two years of relevant clinical experience; Access said it was neutral but raised concerns about vague language and added staffing needs, and the bill passed 7-4 with one present. SB 1346 would require Access to notify providers of claim deficiencies within 72 hours and approve or deny corrected claims within 10 business days; supporters said it would reduce long delays and unpaid claims, while Access said it would need more staff and system changes. The bill passed 7-5. The committee also approved SB 1347, which requires insurance coverage for fertility preservation services for cancer patients of reproductive age whose treatment is likely to cause infertility, with a religious-employer exemption. Supporters, including cancer survivors and an advocacy representative, said the bill protects patients who must make rapid decisions before treatment begins; insurers were neutral. The bill passed unanimously 12-0. SB 1813 would require the Arizona State Hospital to admit patients based on clinical need rather than county of residence, effectively ending the Maricopa County cap tied to the Arnold v. Sarn settlement. Supporters argued the cap leaves seriously ill patients waiting in other facilities for long periods, while ADHS warned of possible litigation and rural access concerns; the bill passed 9-2 with one present. Finally, the committee began hearing SB 1178, which would allow naturopathic physicians to administer certain antibiotics, antivirals, and antifungals intravenously. The sponsor argued naturopaths should be able to practice to the full scope of their training amid physician shortages, while the Arizona Medical Association and osteopathic representatives opposed the bill, saying IV antimicrobials are high-risk therapies that require hospital-level training, monitoring, and stewardship. Testimony focused on patient safety, appropriate setting, and whether the bill should be narrowed or amended; no vote on SB 1178 was taken in the portion provided.

Transcript Highlights:

• </c> up north to try and get the treatment. up north to try and get the treatment.
• </c> lives while they can't get to treatment. lives while they can't get to treatment.
• </c> security investment program. security investment program.
• </c> credit and crop insurance programs. credit and crop insurance programs.
• :02:15.440><c> medical</c> programs that required no medical programs that required no medical training

Keywords: U.S. House of Representatives Floor Proceedings on Friday, May 15, 2026, 1012, house, all

Transcript Highlights:

• And so one of the ways you do this is through evidence-based programming. What is our programming?
• It's to do a program inventory. So you can see we have 70 different programming options in 2023.
• So you can see we have 70 different programming options in 2023.
• It supports medication-assisted treatment.
• It supports Medicaid. programming, employment counseling.

Keywords: 995, all

Summary: The Special Commission on Correctional Consolidation and Collaboration met to approve the May 5 minutes and hear a presentation from the Massachusetts Probation Service. The minutes were approved unanimously, with a request that a member’s closing remarks be added to the record. The commission also noted online participants and confirmed quorum before moving to the presentation. Probation leaders described the agency’s role as the state’s largest post-release supervision system and emphasized its focus on reentry, accountability, and reducing technical violations. They outlined the from-and-after sentencing structure, dual supervision with parole, and efforts to reduce revocations and non-criminal violations. Members asked about racial and ethnic disparity work, and probation said that effort is funded through the trial court and state budget, not federal grants. The presentation highlighted community engagement, simplified and translated probation conditions, workforce diversification, and training aimed at improving trust and access for court users. A major portion of the discussion focused on Community Justice Support Centers, evidence-based programming, and shared services such as housing, MassHealth enrollment, transportation, and behavioral health referrals. Probation said the centers are underutilized but have shown improved outcomes in non-randomized studies, with lower recidivism among participants compared with similar probationers. Members discussed mental health access, veterans identification, medication-assisted treatment, and the importance of state IDs and driver’s licenses for successful reentry. The commission also heard about housing supports, including transitional and sober housing, and a statewide behavioral health initiative for justice-involved individuals. The meeting ended with plans for the next session on July 11 and a motion to adjourn, which passed.

Transcript Highlights:

• So as a state, we have Mormon cricket and grasshopper programs.
• To be able to do the treatment.
• From the treatment in '23 to today, we have increased by every single measure the invasive species program
• the general program at large.
• Chairman, I'm happy to answer questions, whether it's about the program or the 2025 treatment.

Summary: The committee first approved the March 2, 2026 minutes without opposition. It then took up House Bill 771, and at the sponsor’s request moved to hold the bill indefinitely in committee. Representative Schurz said he would return with a replacement version that narrows the bill’s focus on THC products sold through a loophole. The main item was Senate Bill 1271, as amended, which would declare Norway and roof rats a public nuisance and invasive pest, direct the Department of Agriculture to coordinate a statewide response with counties, public health districts, and the private sector, require a public abatement plan and reporting, and make state and local participation voluntary rather than mandating spending. Supporters, including the sponsor, Ada County, and Boise officials, argued the rats are spreading quickly, can cause major property, agricultural, and public health damage, and require coordinated action before the problem grows. Opponents from the pest management industry said rat control is already handled by licensed private professionals, warned the bill could create confusion with other abatement proposals, raise taxpayer liability and future costs, and compete with private businesses. Public testimony on SB 1271 was split between those favoring a coordinated government-private response and those urging the issue be left to private industry and local control. After debate, a substitute motion to hold the bill in committee failed 9-6. The committee then voted 9-6 to send SB 1271, as amended, to the floor with a do-pass recommendation. Afterward, the Department of Agriculture gave an extensive presentation on invasive species, focusing on quagga mussel detection and treatment in the Snake River. The director said Idaho’s treatment effort has reduced the impacted area and remains aimed at eradication, with monitoring, watercraft inspection stations, law enforcement partnerships, and a public-private treatment contract all part of the response. Committee members asked about fish mortality, environmental effects, enforcement of boat inspection rules, and the role of private contractors in the treatment program.

Transcript Highlights:

• Although the program has more...
• Dana-Farber and two other major cancer centers announced lobular programs focusing on research and treatments
• I'm a program manager at the Midas Collaborative.
• and treatment outcomes.
• or their evening programs.

Keywords: 995, all

Summary: The committee first heard testimony on a proposed Massachusetts baby bonds program, including H. 3429, S. 2146, and the Treasurer’s related bill H. 48. Treasurer Goldberg and a broad coalition of advocates, researchers, health professionals, and people with lived experience said the program would create trust accounts for children born into low-income families or in DCF custody, with funds available at age 18 for education, homeownership, business startup, or other long-term asset-building uses. Supporters argued the program would help close the racial wealth gap, improve economic mobility, and not affect eligibility for financial aid or public benefits. Committee members asked about administration, investment returns, eligibility, and withdrawal rules; the Treasurer said the accounts would be held in trust and managed by her office with an advisory board, with funds accessible at 18 and usable through age 35 if the beneficiary remains a Massachusetts resident. No vote was taken during the testimony shown. The committee also heard testimony on legislation establishing Lobular Breast Cancer Awareness Day, including S. 2666 and H. 4625. Senator Ross, Representative Badger, physicians, survivors, and advocates described invasive lobular carcinoma as difficult to detect because it often grows in lines rather than forming a lump, can be missed on mammography, and is underfunded and underrepresented in research and clinical trials. Witnesses said the bill would codify an annual October 15 proclamation to raise awareness, improve diagnosis, and encourage more targeted research and treatment. Committee members asked why the disease is so hard to detect, and medical witnesses explained the imaging challenges and the lack of lobular-specific protocols. The witnesses urged favorable reports. The committee then took testimony on H. 4648, a bill concerning the purchase or lease of Fenn Farm in Stockbridge by the Stockbridge-Munsee community. Representative Davis, the Stockbridge Land Trust president, and the tribal president testified that the bill would remove a conservation restriction tied to a state MVP grant so the tribe could manage the land without a restriction that they said would conflict with tribal sovereignty and Indigenous stewardship practices. They said the parcel is a sacred site connected to Monument Mountain and that the restriction is unnecessary because the land is already surrounded by conserved property. The witnesses asked for favorable action on the bill. Finally, the committee heard testimony on H. 3416, a resolution urging Congress to create a national infrastructure bank. Representative Senna and several advocates argued that an off-budget infrastructure bank could finance major repairs and upgrades to roads, bridges, rail, water systems, broadband, and housing without adding to the state budget, while creating jobs and supporting economic growth. Witnesses cited historical precedents for national infrastructure banks and said Massachusetts could benefit substantially from such a program. The transcript shown does not include a committee vote or final action on the resolution.

Transcript Highlights:

• </c> outpatient substance abuse treatment outpatient substance abuse treatment programs<02:08:30.520>
• So over the years the legislature has given lots of money for substance use treatment programs, and I
• Over the years, the legislature has given lots of money for substance use treatment programs, and I want
• It also included folks who were part of the specialty court treatment program, so mental health court
• She said it also included folks who were part of the specialty court treatment programs, including mental

Keywords: 1189, house, all

Transcript Highlights:

• , or substance use disorder treatment.
• The amendment is to remove mental health treatment and substance use disorder treatment from the list
• The program indicated the program costs are currently being covered, so there's no additional fiscal
• The purpose of the bill is to rename the batterer intervention program as an abuse intervention program
• The purpose of the bill is to rename the batterer intervention program as an abuse intervention program

Keywords: 994, senate, all

Transcript Highlights:

• for treatment if the medical director decides not to apply for continued court-ordered treatment.
• They said that treatment was good enough for 12 years on this court-ordered treatment.
• a court order for treatment to an order for continuing court-ordered treatment, the court must find
• court-ordered treatment.
• There's nothing in here about some sort of treatment program. There's no way to address.

Summary: The Judiciary and Elections Committee approved the January 21, 2026 minutes and held SB 1208. It then heard SB 1211, which would allow victims of felony aggravated harassment involving domestic violence to seek a lifetime injunction against a convicted defendant. Supporters from victim advocacy organizations and a survivor described the bill as an important safety measure that would reduce repeated court appearances and trauma. The committee voted 7-0 to give SB 1211 a do pass recommendation. The committee next considered SB 1239, which removes the statute of limitations for failing to register as a sex offender or providing false registration information. The sponsor said the bill closes a public-safety loophole and was requested by DPS, while opponents argued existing warrant procedures already address the issue and raised due process concerns. After discussion, the committee voted 4-3 to recommend SB 1239 do pass. SB 1240 would exclude probationers convicted of dangerous crimes against children from the probation incentive payment formula. The sponsor tied the bill to a recent child sexual assault case and said the change would keep those cases separate from probation performance incentives; defense attorneys warned it could discourage treatment and push more people into prison. The committee voted 4-3 to recommend SB 1240 do pass. The committee also heard and approved SB 1095, as amended, which bans gender transition procedures and referrals for minors and restricts public funding and facilities for such care; supporters called it necessary child protection, while opponents said it was discriminatory. The committee then heard SB 1243 and SB 1244, both related to court-ordered mental health treatment. SB 1243 adds notice to guardians and lets them seek continued treatment, while SB 1244 creates a continuing court-ordered treatment process after repeated annual reviews. Supporters, including family members of seriously mentally ill patients, said the bills would close gaps and prevent dangerous lapses in care; opponents raised due process concerns and warned about expanded involuntary treatment. Both bills received do pass recommendations, with SB 1243 passing 7-0 and SB 1244 passing after amendment and roll call vote.

Transcript Highlights:

• This bill helps the people who need really good, solid, high-integrity mental health program and treatment
• programs that do exist.
• being referred to treatment?
• It is not to put them into a better treatment program than what they would receive here in Louisiana.
• Fewer than 3% of program completers who've come through our program have returned to prison.

Summary: The Committee on Criminal Justice met on April 14, 2026, and first handled several voluntary deferrals, including HB 343, HB 491, HB 523, HB 426, HB 439, HB 378, and later HB 1025. HB 676 by Rep. Spell, which creates the crime of fraudulent patient referrals or “body brokering,” was amended and reported favorably. Testimony from Louisiana Blue, Odyssey House, and others described the practice as exploiting vulnerable addiction and mental health patients for profit, while supporters said the bill targets organized fraud and protects patients, families, and insurers. The committee also reported HB 394 by Rep. Chenevert, which extends the conditional parole period from nine months to 24 months for offenders who must complete programming before release. Supporters, including the Louisiana Parole Project, said the change gives the parole board more flexibility and does not create new parole eligibility, while the bill was amended to remove some language tied to rehabilitation programming review. HB 622 by Rep. Coates, dealing with confidentiality and handling of criminal history records, was reported favorably after testimony that it is needed to align state law with federal FBI/CJIS requirements and tighten safeguards on background-check information. HB 396 by Rep. McMakin, concerning admissibility of autopsy photographs, was amended to apply to criminal proceedings generally and then reported favorably. HB 772 by Rep. Martinez, which modernizes notice requirements for arrest warrants by allowing electronic notice and clarifying mailing procedures, was also reported favorably despite concerns from Orleans Parish prosecutors about costs and surety liability. HB 1038 by Rep. Boyer, addressing marshal authority to issue deputy commissions and related liability/insurance issues, drew substantial testimony from marshals, city officials, and local government groups; after amendments requiring insurance coverage and clarifying funding and applicability, it was reported favorably on an 8-2 vote. HB 1025, which would have created an exception allowing reconciliation after a protective-order violation, drew strong opposition from domestic violence advocates and prosecutors and was voluntarily deferred by the author.

Transcript Highlights:

• COMPLIANCE OF TREATMENT IS FUNDAMENTAL TO THE PRETRIAL DIVERSION PROGRAM SO THE COURT MAY ONLY CONSIDER
• COURT PROGRAMS.
• THIS PILOT PROGRAM HELPS RESTORE COMPETENCY AND PROVIDE MORE COMPREHENSIVE TREATMENT.
• THE DIVERSION PROGRAM WILL ALLOW THE LOVED ONES TO GET TREATMENT RATHER THAN JAIL TIME .
• OPTIONS OF TREATMENT.

Keywords: 999, senate, all

Transcript Highlights:

• This fortified program, which is a strong program, will help us protect our homes.
• ...harder with the discount program.
• Treatment is experimental.
• transition procedure or not. treatment.
• Who have received treatments and have received coverage for those treatments.

Bills: HB778, HB 1266, HB1576, HB2213, HB2517, HB2518, HB2841, HB3306, HB3320, HB3388, HB3508, HB3520, HB3689

Keywords: credentialing, healthcare, physician assistants, advanced practice nurses, managed care, hurricane, windstorm, loss mitigation, grants, insurance discounts, property retrofitting, insurance, Texas Windstorm Insurance Association, board composition, coastal counties, property insurance, taxation, Texas FAIR Plan Association, premium taxes, maintenance taxes

Transcript Highlights:

• HEALTH PROFESSIONS AND PROGRAMS SUBCOMMITTEE WILL COME TO ORDER.
• THE PROGRAM RECEIVES NO GENERAL REVENUE.
• THE MEDICAL MARIJUANA TREATMENT CENTERS ARE VERTICALLY INTEGRATED.
• WE WORK WITH THE VENDOR, THE TREATMENT CENTERS, AND THE TESTING LABORATORIES.
• AND 25 TREATMENT CENTERS HAVE FULLY INTEGRATED.

Transcript Highlights:

• Of course, treatment is a good thing, but without the stick, a lot of people refuse to get treatment.
• treatment. We also have to be realistic that not everyone wants to go and receive treatment.
• program, and then we conduct a warm handoff.
• As they stay engaged in that treatment, we've been able to, As they stay engaged in that treatment, we've
• re-entry program.

Bills: HB2043, HB2044, HB2108, HB2131, HB2132

Keywords: felony murder, unborn child, homicide, Arizona Revised Statutes, life imprisonment, death penalty, abandonment, concealment, dead body, class 5 felony, criminal offense, unlawful flight, eluding police, fleeing law enforcement, police pursuit, vehicle pursuit, reckless endangerment, felony enhancement, class 4 felony, class 2 felony

Transcript Highlights:

• And I want to add, the key over here is active treatment.
• active treatment, because...
• Will that individual benefit from active treatment or will they engage in active treatment?
• Help me understand what active treatment is.
• And as far as SUD treatment, we do not provide SUD treatment in our facilities and the RHCs.

Summary: The committee heard a lengthy update on Washington child welfare from Casey Family Programs and DCYF. Dr. David Sanders said Washington has sharply reduced out-of-home care and increased kinship placements, but he flagged concerns about low screening-in rates, long stays in foster care for many children, and a recent rise in repeat maltreatment and child fatalities, especially among infants. He urged more focus on infants and young children, better coordination among child protection, health care, and law enforcement, and more proactive review and investigation practices. Members asked for disaggregated data on children lingering in care, fatalities, and causes such as fentanyl exposure. DCYF said it has increased relative placements and guardianships, but also reported a concerning rise in 2025 critical incidents, mostly near-fatalities involving children age three and under, many opioid-related. The department described responses including safe child consults for opioid cases, more training, hotspot analysis, and proposed investments in peer support, public health nurses, community referrals, and an updated safety framework. Members also discussed whether a broader commission on child abuse prevention would be useful, and DCYF said it was open to that idea. The committee then received a DSHS reorganization update from Secretary Angela Ramirez, who described the “Reimagined” plan to consolidate four administrations into three new ones, with the stated goals of reducing silos, improving customer experience, and making transitions between services smoother. She said the agency is seeking statutory changes and CMS approval to align the new structure, and members asked about preparing for federal HR1 impacts, especially SNAP. Ramirez said DSHS is monitoring those impacts closely and emphasized the need for accurate data and cross-agency coordination. Finally, DSHS’s Behavioral Health and Habilitation Administration updated the committee on residential habilitation centers and implementation of Substitute Senate Bill 5393, which phases out Rainier School by June 30, 2027 and limits new admissions. Officials reported current census and staffing levels at the state’s RHCs, said Rainier has had some residents transition to supported living or adult family homes, and explained that emergency and permanent rulemaking was needed to implement the law. They also said Rainier was recently cited by federal surveyors for not meeting the active treatment requirement for two residents, and that the facility has 90 days to return to compliance before possible payment penalties or further remedies. Members pressed for details on the citation, the meaning of active treatment, the assessment process for admissions, and whether Rainier could be repurposed for other services; DSHS said it is working on corrective action and will follow up in writing.

Transcript Highlights:

• If we aren't treating kids in school or getting them treatment either in a day program that I visited
• If we aren't treating kids in school or getting them treatment either in a day program that I visited
• If we aren't treating kids in school or getting them treatment either in a day program that I visited
• If we aren't treating kids in school or getting them treatment either in a day program that I visited
• If we aren't treating kids in school or getting them treatment either in a day program that I visited

Bills: HF1005

Keywords: health insurance, medical assistance, behavioral health, reimbursement rates, primary care services, physician fee schedule, managed care, residential services, 1183, house