Transcript Highlights:

• </c><01:06:11.119><c> maintain</c> treatment program to obtain and maintain treatment program to obtain
• </c><01:10:56.719><c> programs,</c> residential treatment programs, residential treatment programs, specifically
• the</c> treatment program must provide the treatment program must provide the following<01:11:24.640
• </c> explicitly exclude residential treatment explicitly exclude residential treatment programs. programs
• So, um I residential treatment programs.

Keywords: 910, house, all

Summary: The joint hearing opened with House Bill 1969, which would provide state funding for colorectal cancer screenings for uninsured and underinsured residents. The Department of Human Services said it supports the goal of early screening but would need new administrative capacity, including a program manager and claim pre-screening, to run the program. The Department of Health supported the measure and cited low screening rates in Hawaii, noting an educational campaign to encourage screening. The Insurance Division raised concerns about reliance on federal FAQs, warning that guidance can change and may create state cost exposure. Supporters including the American Cancer Society Cancer Action Network and the Hawaii Medical Association argued the bill would close a preventive-care gap, reduce late-stage diagnoses, and save long-term costs; the committee also discussed implementation costs, estimated by DHS at roughly $1.4 million to $2 million annually plus administrative expenses, and a 6-month to 1-year timeline to establish the program. The committee then took up House Bill 1965, which would require health carriers to spend at least 6% of total medical expenditures on primary care providers. The Insurance Division said several provisions raise technical and legal concerns, including the premium freeze, the medical loss ratio language, the lack of an existing external review process for downcoding claims, and a new mandate for medically necessary inter-island transportation that could trigger an ACA defrayal. The Department of Human Services supported the intent but suggested broader language to include primary care supports and services, and noted that QUEST integration plans already invested at least 9% of total medical expenditures in primary care in 2024, with additional spending on supports and low-value care reductions. State health planning officials strongly supported the bill as an investment in primary care, saying it could improve outcomes and lower long-term costs, though they acknowledged a possible temporary premium increase during the transition. Testimony in support emphasized Hawaii’s physician shortage, especially on Maui, the Big Island, and other neighbor islands, and warned that clinics are under financial strain and may close without higher primary care reimbursement. The Hawaii Healthcare Task Force, AARP Hawaii, and other supporters said the bill would help retain providers, improve access for Medicare and Medicaid patients, and prevent downstream costs from emergency room use and avoidable hospitalizations. No votes or final committee action were taken in the portion of the hearing provided.

Transcript Highlights:

• So instead of being a recycling program, we become a downcycling program.
• program.
• So wastewater treatment plants in the sewage?
• So wastewater treatment plant? that are generated from human waste treatment plants.
• level of treatment, the broader application.

Summary: The committee heard several natural resources bills focused on wildfire resilience, recycling, forest management, and organic waste diversion. AB 442 would remove a requirement that a harvest area be limited to a single watershed for working forest management plans; the author and supporters from the California Forestry Association and Pacific Forest Trust said it would reduce barriers to forest resiliency work, and there was no opposition. AB 623 would require state agencies to report on the use of CEQA and Coastal Act suspensions for wildfire and fuel-management projects after the governor’s emergency proclamation; the author said the bill would provide data on how well the suspensions are working, and it drew support with no opposition. AB 35 would exempt Proposition 4-funded programs from the Administrative Procedures Act to speed implementation of climate, water, wildfire, and environmental projects; the author and a large coalition of local governments, water agencies, conservation groups, and fire organizations argued the exemption would help get funds out faster, while no opposition was present. The committee also discussed AB 3333, which would create a market-development payment to support end users of non-container glass, such as ground glass pozzolan used in cement, in order to divert glass from landfills and reduce carbon emissions. Supporters said the bill would create a productive use for hard-to-recover glass, while opponents from the Glass Packaging Institute, Californians Against Waste, and waste management interests argued it would divert beverage container recycling funds away from the bottle-to-bottle system and could undermine existing recycling investments and recycled-content goals. Members raised questions about the fund’s revenue sources, the purpose of the beverage container recycling program, and whether the bill would amount to “downcycling”; despite those concerns, the bill advanced on a due-pass-as-amended recommendation, with members noting fiscal and policy issues for further work. AB 643 would allow certain diverted organic material used as a beneficial agricultural amendment, including CDFA-licensed fertilizer products made from biosolids, to count toward SB 1383 recovered organic waste procurement targets. Supporters from wastewater agencies and Clean Water SoCal said the change would expand options for meeting procurement requirements and help move biosolids out of landfills, while Californians Against Waste and other opponents argued the bill could expand procurement credit beyond SB 1383’s original intent and weaken investments in composting infrastructure. Committee members questioned what kinds of biosolids would qualify, how the procurement credit would work, and whether the bill could be narrowed to historically landfilled materials; the author said she would continue working with opponents and wait for CalRecycle technical assistance. The committee adopted the bills’ amendments and passed AB 35 with urgency, AB 3333, AB 442, AB 623, and AB 643 to Appropriations, and also approved consent-calendar AB 946. After roll calls, all of the measures were reported out of committee, and the hearing adjourned.

Transcript Highlights:

• </c> multiple package wastewater treatment multiple package wastewater treatment plants<00:14:16.519>
• </c> meeting next under our fund a program meeting next under our fund a program the<00:15:45.040><c>
• </c> portion of their wastewater treatment portion of their wastewater treatment plant<00:16:27.880><
• It also includes the operation of a temporary treatment solution until a permanent treatment solution
• It also includes the operation of a temporary treatment solution until a permanent treatment solution

Keywords: 958, all

Summary: The committee first approved the January minutes and then received several informational reports on school district tax levies, revenue bonds, lease advertisements, and previously rejected lease transactions. Members were told that one rejected lease for the Cabinet for Health and Family Services in Hardin County would be canceled and rebid, while a Perry County lease modification for the Energy and Environment Cabinet would proceed. The Kentucky Communications Network Authority also submitted its quarterly capital projects report, and Eastern Kentucky University reported revisions to asset preservation projects. Janice Thomas, Deputy State Budget Director, presented four capital project action items. These included a Kentucky State University Betty White Building renovation funded by USDA grant money, a Department of Education state schools dormitory and cottage renovation appropriation increase because bids exceeded estimates, a restricted-funds scope increase for the Elizabethtown CTC science building expansion, and a pool project report for the Department of Corrections’ KCIW kitchen drain line repair and replacement. Representative Petrie asked about how often the statutory authority for midstream project increases is used and whether bids are typically competitive; Thomas said the increases are used often when bids come in above estimates and that bids are generally competitive, though construction costs have been difficult to gauge. The committee unanimously approved the first three action items, and the KCIW project was reported with no action required. H. Sandy Williams of the Kentucky Infrastructure Authority then presented six loans and one emergency grant. The items included loans for Frankfort’s East Frankfort Interceptor wet weather facility project, Sturgis wastewater improvements, Scottsville inflow and infiltration work, Morganfield wastewater treatment plant planning and design, Western Pulaski County Water District transmission improvements, and Springfield water system planning and replacement work, plus an emergency Kentucky Waters grant for Eddyville following a sewer treatment plant failure and local emergency declarations. After no questions, the committee unanimously approved the seven KIA transactions. Chelsea Couch then presented a Kentucky Housing Corporation conduit issuance for $38.4 million to finance a multifamily rental project in Jefferson County; members asked how the committee participates and were told it was a conduit issuance rather than state debt. The committee approved that item. Finally, the committee heard an informational Turnpike Authority refunding issuance of about $53 million for present value savings, then approved four SFCC debt issues for Henderson, Pulaski, Scott, and Trimble counties to finance school renovations and construction. The meeting ended with notice of the next meeting date and location.

Transcript Highlights:

• He's had tremendous success with this treatment.
• Those kind of things, treatment of dementia.
• They've done a great job administering this grant program.
• Hallam just alluded to some other treatments, but...
• By that time, people become ineligible for treatment.

Keywords: 1204, all

Transcript Highlights:

• They don't have the mental health treatment.
• dependency on opioids and other costly treatments.
• I'm the program director for a rural family medicine residency training program based out of a tribally
• Among those who go without care, 39% do not know where to find treatment, and 36% cannot find a program
• These are not shortages in treatment capacity.

Summary: The committee heard several health-related bills. AB 1825 by Krell would clarify California’s offenders with mental health disorders program by tightening the standard for determining “substantial danger of physical harm,” improving exit planning, and expanding Medi-Cal access for people released after a successful challenge. Supporters, including psychiatrists, prosecutors, and medical groups, said the bill would close gaps in care and protect public safety; county behavioral health directors and Disability Rights California registered concerns. AB 1696 by Stephanie would state that nurse midwives do not need physician supervision when providing care within their existing scope, including EMTALA-related evaluation in labor and delivery settings. Nurse midwives and nursing groups supported the bill, while emergency physicians opposed it unless amended, arguing emergency department screening should remain under physician supervision; the author said she would keep working on the issue. AB 1949 by Lee would make acupuncture a separate Medi-Cal benefit and allow up to 24 visits per year. The author and supporters from acupuncture, health access, and integrative medicine groups said the current monthly cap is too restrictive and that acupuncture is an effective, cost-saving alternative for pain management and other conditions. There was no opposition. AB 2330 by Patterson would create a distinct regulatory category for cold spas, with standards for construction, operation, and disinfection. Fitness and wellness groups supported the bill, environmental health administrators had no formal position but thanked the author for amendments, and a committee member raised concerns about local officials interpreting the bill to require separate enclosures from saunas; the author said she would continue working on the language. AB 2000 by Aguirre-Curry would limit mid-year changes to prescription drug formularies and add notice, exceptions, reporting, and enforcement provisions. Family physicians, chronic care advocates, nurses, pharmacists, and patient groups supported the bill, citing non-medical switching and treatment disruptions; health plans and insurers opposed it, warning of higher costs, reduced flexibility, and premium increases. AB 1929 by Ortega would require health plans to disclose investments, including in private prisons and immigrant detention centers. Supporters framed it as a transparency measure tied to patient premiums and public values, while opponents argued the bill was duplicative, burdensome, and potentially harmful to investment confidentiality. AB 2746 by Schiavo would classify medical credit card debt as medical debt so it would not appear on credit reports. Consumer advocates and legal aid groups supported the bill, describing abusive marketing and housing harms; banks, debt collectors, and industry groups opposed it as unworkable and privacy-invasive. The committee took roll on AB 2746 and passed it on a due pass motion to Banking and Finance, with several members voting aye and a few no votes recorded.

Transcript Highlights:

• Programs and services and analyzing gaps.
• partners, and others, can see the number of individuals waiting treatment by program based on the longest
• program will only be covered after 30 days.
• treatment services, and then...
• It increases the current emergency services program.

Transcript Highlights:

• So in the spring of 2024, the department launched the fuels treatment effectiveness program application
• Thanks to the fuels treatment effectiveness program, we can now better measure the effectiveness of the
• Thanks to the fuels treatment effectiveness program, we can now better measure the effectiveness of the
• As an example, a fuels treatment project. ...of the vegetation treatments.
• What about treatments in the WUI versus treatments in the general forest?

Keywords: 988, house, all

Transcript Highlights:

• Compliance with treatment is fundamental to the pretrial diversion program, so the court may only consider
• court programs.
• This pilot program helps to restore competency and provide more comprehensive treatment.
• The diversion program will allow the loved ones to get therapeutic treatment rather than jail time.
• There's no treatment.

Summary: The committee met and took up several criminal justice, public safety, and boating measures. It first heard SB 168, the Tristan Murphy Act, which would create mental health diversion options for eligible misdemeanor and felony defendants, expand mental health and substance abuse grant uses, require evaluations and treatment recommendations in certain cases, add Hillsborough County to a forensic diversion pilot list, and create a behavioral health data repository. After adopting a technical amendment, the bill received strong support from NAMI Florida, family advocates, sheriffs, and the Murphy family, and was reported favorably on a unanimous vote. The committee also approved SB 86, expanding peer support programs for certain law enforcement support personnel, and SB 472, allowing inmates who complete approved education in correctional facilities to receive credit toward professional licensure requirements. Both bills were amended and then reported favorably without opposition. SB 276, which increases penalties for unlawfully sheltering or aiding an unmarried minor and creates a defense for actions taken to protect a minor from danger, drew questions about runaway youth, LGBTQ youth, and the scope of the defense; the sponsor said he was open to further amendment, and the bill passed favorably. Members then approved SB 402, updating the unlawful use of uniforms, medals, or insignia statute to reference the armed forces by definition rather than by branch. SB 490, as amended, would let law enforcement, correctional, and correctional probation officers carry concealed off duty and exempt law enforcement officers, correctional officers, and active military service members from the three-day waiting period for rifle and shotgun purchases; it passed 8-1 after debate over the waiting period and equal treatment concerns. Finally, the committee passed SB 628, Lucy’s Law, to strengthen boating safety and penalties, after adopting an amendment that removed proposed changes to warrantless blood draws and boating education requirements; the bill was supported by the family of Lucy Fernandez and passed unanimously. The meeting then adjourned.

Transcript Highlights:

• Also, what the bill does is if you have a 120-day treatment program like the Department of Corrections
• Also, what the bill does is if you have a 120-day treatment program like the Department of Corrections
• in here knows, that's the program, this long-term treatment.
• And that treatment program is usually done as, by...
• And that treatment program is usually done by a sentencing court.

Keywords: 959, house, all

Transcript Highlights:

• Finally, the bill strengthens the Department of Health's education program for the care and treatment
• but But You know, the state and how many have viewed this type of treatment.
• It will allow us to begin to track the number of veterans in the program.
• It's almost a $40 billion program. It's the largest portion of our budget.
• Medicaid program.

Keywords: 999, senate, all

Transcript Highlights:

• If anybody wants to stay after class, we can talk about retaliatory tax treatment.
• Senate Bill 5916 concerns non-opioid drugs for treatment of pain.
• And for me and many others, opioid treatments are not the ideal pain therapy.
• pain treatments are not penalized simply for being different.
• I serve as a program director for Young People in Recovery.

Summary: The Senate Health and Long-Term Care Committee heard testimony on several bills. SB 6159 would create a public hospital infrastructure account funded by a new annual coverage assessment on insurers and other businesses subject to the premium tax, and would allow public hospital districts and other public health entities to collaborate more freely and access capital financing for major construction or modernization projects. Senator Dhingra said the bill is intended to help public hospitals compete and modernize, especially amid federal Medicaid and ACA subsidy cuts. Supporters included UW Medicine, while hospital districts supported the general concept but said Section 2 could unintentionally narrow existing cooperative agreements with nonpublic entities. Health plans and insurers opposed the bill, arguing it would raise premiums, increase consolidation, and improperly sweep in property and casualty insurers and mutual companies; testimony also raised concerns about pass-through costs and retaliatory tax effects. The hearing on SB 6159 closed with 5 pro, 74 con, and 2 other sign-ins. The committee then heard SB 5845, which would modernize timely payment rules by requiring carriers and public employee plans to pay or deny all clean claims within 30 days, require prompt notice and a single request for additional information on incomplete claims, and impose interest or penalties for missed deadlines. Senator Slaughter said the bill would reduce uncertainty for providers and stabilize payments without increasing patient costs. Hospitals, physicians, and health systems strongly supported the measure, citing large volumes of late clean claims and examples of prolonged delays, including a Harborview claim that remained unpaid more than a year after billing. Health plans opposed the bill, saying the current 95% standard is workable, that they already meet high compliance rates, and that the bill could limit fraud, waste, and abuse review on high-dollar claims; they also sought more flexibility and additional time for responses. The hearing closed with 69 pro, 4 con, and 2 other sign-ins. The committee also heard SB 5916, which would prohibit health plans from disadvantaging non-opioid pain treatments relative to opioids in formularies and utilization management, and would require a Department of Health educational pamphlet on non-opioid alternatives. Senator Harris described the bill as a response to opioid deaths and a way to encourage safer pain treatment options. Patients, recovery advocates, and rare disease advocates testified in support, saying insurance barriers and step therapy often make non-opioid care harder to access and can push patients toward opioids. The Health Care Authority and an association of health plans opposed the bill, arguing it could reduce formulary flexibility, increase costs, and limit tools such as prior authorization and step therapy. The hearing closed with 8 pro, 1 con, and 2 other sign-ins. Finally, the committee heard SB 6102 and SB 6103, both sponsored by Senator Muzzall, and SB 6071. SB 6102 would align the ambulance transport quality assurance fee with federal rules after H.R. 1 barred new provider taxes, preserving the existing fee rate and adjusting the Medicaid add-on rate annually; the Washington Ambulance Association supported it, saying the program had improved wages and benefits for EMS workers. SB 6103 would make Medicaid payments for services provided by a rural emergency hospital subject to appropriation, creating a framework for East Adams Rural Health Care to convert to the new federal rural emergency hospital model; East Adams and the Washington State Hospital Association supported it as a way to preserve rural access. SB 6071 would shorten overpayment recovery timelines for all services to six months, or nine months for coordination-of-benefits cases, matching the shorter timelines already enacted for behavioral health services; providers and specialty associations supported the bill as a way to reduce destabilizing clawbacks, while the remaining testimony was still underway when the transcript ended.

Transcript Highlights:

• to 250%, as well as what this bill does with the actual treatment program.
• Bottom line, you can't get into the treatment program at the higher level of 250% if you haven't been
• program.
• They still need treatment.
• Or they would just refer them to the state-funded hospital for treatment. treatment.

Bills: HB321, HB 1027, HB 1295, HB1782, HB2295, HCR29, HCR56

Keywords: Medicaid, child health, express lane option, income verification, supplemental nutrition assistance, telepharmacy, healthcare access, remote dispensing, rural clinics, pharmacy regulations, health literacy, state health plan, health care, patient outcomes, public health, economic impact, healthcare, breast cancer, cervical cancer, insurance eligibility

Transcript Highlights:

• partners, and others, can see the number of individuals waiting treatment by program, based on the longest
• program only after 30 days.
• partners, and others, can see the number of individuals waiting treatment by program, based on the longest
• partners, and others, can see the number of individuals waiting treatment by program, based on the longest
• </c> placement in a state operated treatment placement in a state operated treatment program<00:20:44.799

Keywords: 1183, house

Transcript Highlights:

• years, going to a 28-day program, and then only being given 90 days in residential treatment, saying
• program.
• This is not a new program.
• We do fund domestic violence programs here. We do fund CAC programs.
• We do fund domestic violence programs here. We do fund CAC programs.

Keywords: 965, house, all

Transcript Highlights:

• And placing these persons in treatment is a misallocation of scarce treatment resources.
• </c> program, the Quest um division program program, the Quest um division program to<01:11:57.520><c
• </c> treatment and fitness restoration. treatment and fitness restoration.
• . treatment. treatment.
• &gt;&gt; program. &gt;&gt; program. &gt;&gt; program.

Keywords: 910, house, all

Summary: The committee heard opening remarks and ground rules from Chair David Tarnas, including a request for two-minute testimony limits, clear speaking, Zoom etiquette, and respectful conduct. The first measure taken up was HB 2062, relating to gun violence prevention, which would appropriate funds for enforcement of gun violence protective orders and for public awareness campaigns. Judiciary submitted written testimony recommending technical changes to clarify that it does not enforce laws and instead should be funded for personnel to process temporary restraining orders and gun violence protective orders; the Department of Law Enforcement supported the bill and said it is well positioned to conduct public education. Support also came from county and advocacy witnesses, including Moms Demand Action, Giffords Gun Owners for Safety, HGEA, and a retired police officer, while opposition testimony argued the measure raises due process and Fifth Amendment concerns and that education, not enforcement, should be the focus. The chair noted 37 testimonies in support, 103 in opposition, and three comments; no vote was taken in the portion provided. Testimony on HB 2062 emphasized both public safety and constitutional concerns. Supporters described the bill as a way to increase awareness of an existing legal tool, prevent suicides and shootings, and help law enforcement and the public understand gun violence protective orders. Opponents, including gun owners and firearms groups, argued that red flag laws can be abused, lack due process, and should not be expanded through state funding. A county neighborhood safety witness suggested an amendment to allow public, private, and nonprofit consultants to assist with training and implementation. Members asked a few questions, but the agencies with written testimony were not present, so the chair referred members to their submissions. The committee then moved to HB 2061, relating to firearms, which appropriates money for the state gun buyback program and requires at least two buyback events in each county. Written support was noted from the Department of Law Enforcement, Hawaii County Council, the County of Kauai Prosecuting Attorney, and the Hawaii State Association of Counties, with the latter emphasizing that buybacks are voluntary prevention tools that can reduce risk before crises escalate. Opposition came from the Mid-Pacific Pistol League, SDM Training Group/Bows and Bullets, and others; one witness argued buybacks are ineffective, costly, and can be vulnerable to misuse or black-market diversion, and suggested a year-round surrender option instead. The committee heard additional support from a retired police officer and from a gun violence survivor with Students Demand Action, but no final action or vote was taken in the excerpt provided.

Transcript Highlights:

• Re-evaluation services were originally funded as a four-year program, and authorizing the program on
• programs, the court ordered the department to initiate substantive treatment services within. 28 days
• Also, we are expanding a program called the 2020 program, which allows entry-level staff members to work
• In one case, not on this program, but also a similar program, like I said, the CCE program, the letters
• Whether it's this program, last hearing's program, or a program from two hearings ago, we keep hearing

Keywords: 988, house, all

Transcript Highlights:

• </c> that is a different program altogether. that is a different program altogether.
• </c> residential program. residential program.
• . program. program.
• programming? programming?
• So we have a level three program. We have up to 15 children in that program.

Keywords: 1189, house, all

Summary: The commission on the costing of special education met to review several documents and updates, including draft materials on residential placements, an LBA dispute resolution report, prior minutes, rate-setting rules, and a letter involving Senator Hassan. The minutes from March 16 were approved by motion, second, and one abstention. Members also received an update that the LBA special education performance audit is still pending; the report is expected to be very large, NHED and the Board of Education must review and comment before release, and it likely will not be available until late summer or early fall. The separate EFA audit was also noted as still unreleased, and members said they may return later to issues involving EFA costing and differentiated aid. A major focus was HB 1099, which would create a committee to study the cost and liability of providing educational services to students placed in residential facilities. The chair explained that the House version had passed unanimously and the bill was headed to a committee of conference. Members discussed a proposed amendment to add the phrase “including but not limited to” so the study would cover not only court-ordered or treatment-related placements but also other residential placements, including those tied to school district decisions. Some members said this was a substantial expansion, while others said it would simply give the committee broader latitude. Jason Stock of the Winnisquam Regional School Board described how the issue arose during budget work at Winnisquam, where the district was trying to determine who should pay for educational services for students living at Spaulding Youth Center in Northfield. He said the district had 10 students attending Winnisquam, including three foster students and seven students connected to Spaulding, and that Spaulding-specific invoicing for 2024-2025 totaled $141,417.05 for eight students. Members also discussed rising private placement tuition costs and the difficulty of determining residency and fiscal responsibility for students placed in residential settings. Department counsel explained that under RSA 193:27 and 193:28, children placed in a home for children may attend the local district school, and that special education cost responsibility depends on whether the student is identified as disabled and on the nature of the placement. Spaulding representatives had not yet presented by the end of the excerpt, and the committee was still working through the residency and funding questions.

Transcript Highlights:

• program.
• Assisted outpatient treatment is a court-ordered involuntary outpatient behavioral health treatment for
• An AOT program is an organized collaborative effort by the court system and treatment system to actively
• Our first assisted outpatient treatment graduate entered the program as an adult teen living with her
• It's an opt-in program.

Summary: The committee received agency updates on several behavioral health and justice programs. The Health Care Authority reported that assisted outpatient treatment (AOT) has expanded from two counties to eight, with a ninth expected in December, and described AOT as a court-ordered, least-restrictive treatment model that depends on close coordination among courts, treatment providers, and local officials. The agency also reviewed Joel’s Law, which lets family members, guardians, conservators, or tribes petition for an initial involuntary detention when they disagree with a designated crisis responder’s decision. Judges Ferreira and Larson said petition use has increased significantly statewide and in Snohomish County, but many cases do not proceed beyond the initial detention stage; they also noted family frustration, disjointed processes, and bed shortages as ongoing issues. Committee members asked about expansion criteria, the law’s effectiveness, and how the system fits together with other mental health interventions. The Attorney General’s Office presented on the hate crimes and bias incidents hotline created by SB 5427. The hotline began a pilot in King, Clark, and Spokane counties on July 1, 2025, with a statewide launch planned for 2027. Officials said the advisory committee helped shape the referral process, intake questions, outreach materials, and public branding. In the first five months, the hotline received 301 reports, with roughly 45% from King County and about 38% from outside the pilot counties; 42% requested follow-up, and only about a quarter of those wanted law enforcement referral. Testimony emphasized that the hotline is non-emergency, anonymous if desired, and focused on referrals rather than investigation. Members asked about why callers do not seek law enforcement involvement, how the hotline compares with Oregon’s launch, and what kinds of incidents are being reported. The Office of Independent Investigations reported progress on its work investigating police deadly force fatalities. Director Roger Rogoff said the agency has grown to 66 employees, including 31 investigators, and has completed six fatality investigations, with two public final reports posted. He said the office now operates in Region 1 and plans to expand statewide as staffing allows, with a future east-side expansion dependent on additional investigators. He also said the office has 29 requests to review prior cases, but those reviews are time-intensive and limited to cases with new evidence. Committee members asked about staffing needs, local cooperation, and whether the office conducts parallel investigations; Rogoff said OII performs the criminal investigation, while agencies may still do administrative reviews. The committee then heard a lengthy panel on public defense caseload standards and funding. The Washington State Bar Association, Washington Defender Association, county representatives, and city representatives all discussed the new caseload standards and the implementation timeline. Speakers said the standards reflect modern public defense realities but warned that funding, attorney recruitment and retention, office space, and data collection remain major barriers. Survey results from county offices showed wide variation in readiness, with many counties uncertain about timelines and most citing lack of funding as the biggest obstacle; attorney attrition was also described as high. County and city representatives argued that the new standards will require far more attorneys and support staff, and that local governments cannot absorb the cost without substantial state funding. They urged the Legislature to increase state support, improve workforce pipelines, and address structural issues in the public defense system.

Transcript Highlights:

• I'm going to talk with you a little bit about the Juvenile Drug Treatment Court Program.
• The Juvenile Drug Treatment Court Program is a little bit different docket.
• We are a program that looks at outpatient treatment.
• The Administrative Office of the Courts runs a program certification for all treatment courts.
• We want investments in treatment and diversion programs. like the Gun Violence Intervention Program,

Transcript Highlights:

• And our program impacts.
• This program has allowed folks who get a diagnosis to begin their treatment within seven days of their
• And so programs like these really help fast-track people's treatment and improve their outcomes for living
• This program has allowed folks who get a diagnosis to begin their treatment within seven days of their
• I was diagnosed it took me a couple months to get on treatment and so programs like these really help

Summary: The hearing began with an overview of the California Health and Human Services Agency, which described its 2026-27 budget, major departments, and strategic priorities, including behavioral health, housing and human services integration, children and youth, and aging/disability services. The agency also explained a technical CalHHS/CalHires budget adjustment tied to HR1 compliance and eligibility system work. No LAO concerns were raised on that item. The committee then heard from the Office of Youth and Community Restoration on its budget, its SB 823 realignment report, and related issues. OYCR said county-based realignment has generally succeeded but outcomes and readiness vary widely, and it recommended more climate surveys, youth advisory councils, stronger behavioral management, better programming, improved transition planning, and integrated longitudinal data systems. Members pressed OYCR on “net widening,” county-by-county trends, and the gap between the detailed recommendations discussed in hearing and the more general recommendations in the public report. OYCR also described problems with federal Title II grant timing and a pending $14 million administrative funding adjustment, and discussed implementation of the juvenile justice realignment block grant formula. The Ombudsperson division separately requested two new positions due to rising complaints, site visits, and records-access disputes with counties; LAO noted the proposal would create ongoing General Fund costs. Several other departments presented budget change proposals. The State Council on Developmental Disabilities requested $730,000 General Fund ongoing to cover an interagency administrative support gap with DSS; LAO had no concerns. EMSA presented its department overview, said its AB 716 ambulance-rate report has been delayed after resources were reduced, and requested funding for disaster-response vehicle replacement, IT security assessment work, and additional HR/legal staff; members questioned delays, compliance, and the ongoing General Fund impact. The Department of Community Services and Development sought reappropriation of LIWIP funds and explained a new Proposition 4 process for continuing the farmworker housing component. The Department of Rehabilitation requested authority for $60 million in additional federal funds and 54 positions to meet growing vocational rehabilitation demand, with no General Fund impact. The Department of Child Support Services presented its budget and a supplemental report on full pass-through of child support collections. Members questioned why local agency funding was being restored despite declining caseloads, and staff explained that staffing costs have risen faster than caseload declines and that additional funding is needed to maintain service levels. The supplemental report estimated full pass-through would cost about $150 million General Fund annually, or about $80 million for a state-and-county portion, with $3 million to $5 million in automation costs. Finally, the Department of Public Health gave a broad overview of its $5.1 billion budget and its State of Public Health report, highlighting improved mortality and life expectancy, declining overdose deaths and STI rates, persistent racial and regional disparities, and increasing public health emergency demands. CDPH also warned that federal funding threats and policy changes are creating major uncertainty for state and local public health systems.