Transcript Highlights:

• </c> in both of our facilities that suicide in both of our facilities that suicide and<00:10:45.680><
• </c><00:12:17.360><c> tool</c> that we need a better screening tool that we need a better screening tool
• </c> &gt;&gt; And then this is for suicide &gt;&gt; And then this is for suicide &gt;&gt; suicide<00:
• </c> &gt;&gt; the suicide safety watch. &gt;&gt; the suicide safety watch.
• I’m going to commit suicide.”

Summary: The working group on restrictive housing met with a quorum present, approved the August 21, 2025 minutes, and adopted a procedure to take public testimony on each agenda item with a two-minute limit per testifier, with some flexibility for follow-up questions. The main presentation came from the Department of Corrections and Rehabilitation on restrictive housing policies and a recent outside assessment of mental health care practices at HSCF and OOTC. DCR said the assessment found strengths such as consistent medication administration and staff commitment, but also identified major problems including outdated workflows, staffing shortages, inadequate physical plant conditions, overuse of suicide/safety watch for personal safety issues, and a need for more individualized treatment plans. DCR described several corrective steps already underway: filling a long-vacant high-level mental health administrator position, adjusting evening medication passes, working with DOH on transfer and referral workflows, planning a new electronic medical records system and revised screening tools, and pursuing additional training for ACOs and mental health staff. For OOTC, DCR said the facility is overcrowded and decrepit, needs a better screening tool, and requires more mental health-specific training and staffing. For HCF, DCR said the layout limits confidential assessments and provider access, and that the proposed consolidated healthcare unit would add 43 beds, private exam rooms, and a de-escalation room. DCR also said the new unit could serve acute and chronic suicide/safety watch needs and possibly some inmates with dementia, Alzheimer’s, or significant cognitive impairment. The discussion then focused on Act 292, which DCR said is difficult to implement as written. DCR said the bill aligns with DOJ, NCCHC, and ACA guidance in defining restrictive housing, limiting duration, requiring reviews, identifying vulnerable populations, and using step-down units, but raised two major concerns: a requirement to refer vulnerable people to DOH for confinement, and a requirement for clinical assessments every 12 hours by a provider. Members responded that the law should be matched with funding and staffing, and asked what resources are needed. DCR said it submitted a request for 35 positions at a cost of about $8.6 million, and also said funding may be needed for community-based beds and contracted medical services. Members also asked about the current MOA/MOU between DOH and DCR, the working group membership, and the timeline for revisions. DCR said the group includes DCR, DOH, and governor’s office medical advisors, that a first draft is complete, and that the revised agreement should be in place by the end of the year. On staffing, DCR said ACO recruitment classes increased from five to eight, vacancy rates dropped from 34% to 24%, but OOTC still faces a projected $7.1 million shortfall and heavy overtime costs, forcing post closures and program reductions. The meeting ended with continued discussion of screening tools, including DCR’s explanation that current broad questions may over-identify people with substance-use-related symptoms as having serious mental illness, and that a more discrete tool is needed to better identify those with acute needs.

Transcript Highlights:

• school-based... ...health work group, which deals very specifically with school-based health and suicide
• It's like I'll work on school-based behavioral health and suicide prevention subgroup.
• We are talking about parents who've lost their children to suicide.
• ... ...example of hearing about suicidal, not just ideation, but suicidal completion.
• So, for example, I got a call from a parent for Moses Lake whose child was suicidal.

Bills: HB1634

Committee: House Education

Keywords: mental health, behavioral support, education, school districts, student assistance

Transcript Highlights:

• And I'll move to adopt the language as shown on the screen.
• I move to adopt the language as shown on the screen.
• I request unanimous consent to adopt the language as shown on the screen.
• Well, the screen is black.
• I request unanimous consent to adopt the language shown on the screen.

Summary: The joint Senate Finance and House Appropriations committee first revisited the Office of the Attorney General budget after House Bill 951 had failed on the House floor. Members considered two competing restorations from the Consumer Protection Fund: one to restore broader personnel costs and another limited to the Internet Crimes Against Children program. The narrower ICAC-only motion failed, while the broader restoration passed and received a do pass recommendation. The committee then took up several Department of Health and Welfare items from Senate Bill 1428, including the Division of Early Learning and Development, Division of Youth Safety and Permanency, and Division of Family and Community Partnerships. Members approved funding for moving the Idaho Home Visiting Program to Early Learning and Development, a mower replacement at the Southwest Idaho Treatment Center, population forecast adjustments, transfer-limit exemptions, a report on home visiting outcomes, restoration of foster care/post-adoption and safety assessment funding, and $180,000 for kinship navigation services. They also approved a supplemental and FY 2027 budget for Public Health Services, including one-time funding for home visiting, immunization assessment, HIV and hepatitis prevention, suicide prevention, and ARPA grants, along with language requiring reports on outcomes and immunization fund use. A separate Public Health Services language item requiring public health districts to report documented immigration status of HIV prevention service users drew debate. The motion to adopt the language passed after discussion about its purpose and concerns about discrimination. The committee also approved a SNAP-related federal fund appropriation for House Bill 730 and then turned to the Rural Health Transformation Program, creating the fund and oversight structure, approving a FY 2026 supplemental, and approving the FY 2027 appropriation for the program. Members discussed legislative oversight versus executive administration of the new federal dollars, and the committee adopted intent language on physician assistant and dental hygienist reforms. The meeting ended early because of time constraints, with plans to reconvene the next morning.

Transcript Highlights:

• Health work group, which deals very specifically with school-based health and suicide prevention, along
• I will work on school-based behavioral health and suicide prevention subgroup.
• We are talking about parents who've lost their children to suicide.
• — —not just ideation, but suicidal completion.
• So, for example, I got a call from a parent from Moses Lake whose child was suicidal.

Summary: The House Education Committee held a work session on the Children and Youth Behavioral Health Work Group and its school-based behavioral health and suicide prevention subgroup, followed by a public hearing on House Bill 1634, as amended in a proposed second substitute. Work group leaders Lisa Callan and Tisha Kirschbaum described the group’s statewide, cross-agency structure, its Washington Thriving strategic plan, and the goal of moving toward a more integrated “system of care” for children and youth. They emphasized that behavioral health, physical health, and education are interconnected, that families and schools often face a fragmented system, and that Washington’s youth flourishing outcomes show a need for stronger supports. Committee members raised concerns about regional disparities, rural access, language and cultural responsiveness, and the burden on schools and educators, while the presenters stressed that schools should be supported to identify needs and connect students to outside clinical services rather than carry the full burden themselves. Representative My-Linh Thai and Christian Stark then outlined the school-based subgroup’s work and recommendations. They said the subgroup meets monthly, includes students, parents, educators, providers, and agencies, and has focused on prevention, early identification, early intervention, and crisis response in schools. For the 2026 session, the subgroup recommended maintaining current investments in school behavioral health programs, strengthening statewide guidance on school behavioral health, and creating a coordinated technical assistance and training network for schools. They explained that the proposed substitute for HB 1634 would direct OSPI and the educational service districts to work with behavioral health agencies and community partners to conduct a needs assessment, map resources, and build a statewide framework for technical assistance and training, with public posting required by August 1, 2027. Testimony in support came from school staff, OSPI, behavioral health professionals, students, parents, and advocacy groups, who described high student anxiety, suicide risk, staffing shortages, and the need for coordinated, accessible supports. One witness from a psychiatric watchdog group opposed the bill, arguing it could increase labeling and drugging rather than holistic care. No vote was taken in the transcript provided.

Transcript Highlights:

• It provides for the administration of food insecurity screenings to public school students.
• I'm concerned about whether the screening steps into violating students' privacy rights at all.
• None of the universities want to report suicides. This is a nationwide issue.
• None of the universities want to report suicides on the campus.
• and suicide attempts?

Committee: House Education

Summary: The House Education Committee met on March 25, 2026, with a quorum present and heard a series of education-related bills and one resolution. The committee first took up HB 636 on hazing at public post-secondary institutions. Representative LaFleur presented the bill as a response to Caleb Wilson’s death, and family members, former Rep. Jason Hughes, and other supporters urged stronger prevention, reporting, and penalties. The committee adopted amendments adding implementation details and a lifetime ban on re-chartering an organization if hazing results in death, then reported the bill as amended as the “Caleb Wilson Hazing Prevention Act.” The committee then heard HB 218 on food insecurity screenings in public schools. LaFleur said the bill would formalize a process to identify hungry students and connect families to resources, with amendments tying the screening to existing McKinney-Vento forms and adding food-insecurity questions. Support came from charter school representatives, the Department of Education, and others, while Dr. Will Hall suggested involving caregivers and faith-based groups. The bill was reported with amendments. The committee also approved HB 626, which would require colleges and universities to provide suicide-prevention information, hotline access, and aggregated non-identifiable reporting on suicide risk. Rep. Jordan described it as a response to an uptick in suicides among college-age students, and the Board of Regents said most institutions already use telehealth or 988 resources. The bill was reported favorably. Next, the committee heard HB 749 on the administration of START, START K-12, and ABLE savings accounts. Rep. Carver said the bill would modernize and secure the program by allowing a third-party manager and online platform, while Treasury and Board of Regents staff explained that oversight would remain in place and that ABLE accounts would not be charged fees. The bill was reported favorably. The committee then considered HB 352 on behavioral health services for public school students. Rep. Mack and advocates from the Arc and ABA providers said the bill would ensure medically necessary services can be delivered in classrooms or other school settings, while the Louisiana Federation of Teachers asked for clearer pre-conference expectations to avoid classroom disruption. After testimony from parents, providers, and school stakeholders, the bill was reported with amendments. Finally, the committee approved HB 201 creating a state seal of fine arts for high school graduates, and HB 738 revising student disciplinary proceedings at colleges and universities to ensure evidence and fairness in disciplinary actions. Both bills were reported favorably. The committee also began hearing HCR 14, which expresses support for federal efforts to eliminate the U.S. Department of Education, but the transcript cuts off before any final action on the resolution is shown.

Transcript Highlights:

• I don't know why I'm not showing up on my screen because my camera is on.
• Senator Conway was up first on my screen. Yeah, thank you, Director.
• We are going to limit some of those things where I shared, for example, the suicide prevention work.
• Before I begin, can everybody see the slide up on the screen? Wonderful.
• Before I begin, can everybody see the slide up on the screen? Wonderful.

Summary: The Joint Committee on Veterans and Military Affairs met with opening introductions from members, many of whom noted military service or ties to Joint Base Lewis-McChord and other installations. The committee then heard from JBLM Garrison Commander Col. Ken Park, who said the base’s top priorities remain housing, child care, and spouse employment, while also warning about federal personnel reductions that eliminated about 283 civilian authorizations at JBLM. He said the biggest operational impacts are on air traffic control, 911 dispatch, and firefighting, which may require more mutual aid with local agencies during fire season. He also discussed the Army Transformation Initiative, saying JBLM will likely see some units leave and others arrive, with no expected major net growth or loss. In response to questions, he confirmed the Lewis Army Museum is slated for closure no earlier than 2027, but said the building will remain in use for training and that the base is exploring partnerships and possible extended public access hours in the meantime. Jim Baumgart of the Washington Military Department reported that about 400 Washington National Guard members are deployed on federal missions, and that the Guard continues state missions in cybersecurity and wildfire response. He said the 81st Stryker Brigade will transition to a Mobile Combat Team as part of Army transformation, with possible changes to end strength and equipment. He also warned that continuing resolutions are delaying military construction and may increase costs, and said federal changes to cooperative agreements could raise the state share. Members asked about capital projects and tribal coordination, and Baumgart said two capital projects are in the supplemental budget and that the department recently hosted a convening of tribal police chiefs at Building 81. WDVA Director David Puente described significant state budget reductions, including a $3.2 million cut package, a 50% reduction in VCC internships, vacant position eliminations, reduced travel, and cuts to counseling, wellness, and veterans innovation funding. He said the agency is ending its in-house nursing assistant academy, the veteran farm at Orting, Vet Corps positions tied to AmeriCorps funding, and the tobacco cessation program unless alternative funding is found. He also noted that the legislature funded all of WDVA’s capital requests, including money for the Spokane veterans home replacement, a second state veterans cemetery, and HVAC work at Port Orchard. Members raised concerns about suicide prevention and federal VA staffing cuts, and Puente said WDVA will continue tracking data and working with partners on those gaps. Mike Cahill of the Department of Commerce reviewed the Defense Community Compatibility Account, explaining that it funds projects that reduce incompatibility between military installations and nearby communities and can help leverage federal DCIP dollars. He said the program has 10 funded projects across five districts, with nearly $50 million in state funding supporting more than $200 million in total project costs, and highlighted projects including Oak Harbor school and child care improvements and the Everett Joint Firefighting Training Center. He also said the state’s “last dollar in” approach can make it harder for projects to secure federal matching funds, and he will continue outreach and technical assistance. In closing discussion, members raised possible future topics for the committee, including Navy Day, a possible driver’s license designation issue for Guard and Reserve members, child care near bases, veteran homelessness, suicide prevention, and support for service members facing legal or educational concerns related to federal policy changes. The meeting adjourned after members were asked to send additional agenda ideas for the October and December meetings.

Transcript Highlights:

• </c><00:15:14.399><c> And</c><00:15:14.639><c> so</c><00:15:14.880><c> just</c> daughter to suicide.
• And so just daughter to suicide.
• </c> state suicide prevention coordinator state suicide prevention coordinator within<00:15:47.600><c
• attempts or suicide ideation.
• </c> suicide attempts or suicide ideation. suicide attempts or suicide ideation.

Committee: House Families & Children

Transcript Highlights:

• And suicide is underreported.
• I was homicidal and suicidal.
• when entering but left feeling suicidal because of these. suicidal when entering, but left feeling suicidal
• ideation with suicide attempts.
• ideation with suicide attempts.

Committee: Joint Joint Committee on Mental Health, Substance Use and Recovery

Summary: The hearing opened with remarks from House Chair Mindy Domb and Senate Vice Chair Robyn Kennedy, who outlined procedures for the hybrid public hearing, noted the committee would hear testimony on 15 bills related to treatment settings, and recognized members present. The first major bill discussed was H. 4200, authorizing a pilot program for psychedelic-assisted treatment in licensed facilities. Representative Jim O’Day and witnesses from Control Z supported the bill, describing it as a tightly controlled, medically supervised pilot with DPH oversight, limited sites, and screening requirements. Committee members asked about the number of sites and whether Column Health still existed; witnesses said the bill contemplated three separate pilot programs and that Column Health no longer existed after being purchased by another company. The committee also heard testimony on S. 1405 to make the drug stewardship program permanent by removing its 2026 sunset date. Senator John Keenan and others said the program helps collect and safely dispose of unused medications, reduces diversion, and should remain in place because manufacturers should bear disposal costs. A member from Boston added support based on local concerns about people searching through bags for drugs, and Keenan explained the original sunset reflected pilot status and industry pushback. A large portion of the hearing focused on S. 1394 and H. 2193, which would strengthen implementation of the 2023 Roadmap for Behavioral Health Reform. The Children’s Mental Health Campaign, Parent/Professional Advocacy League, Massachusetts Association for Mental Health, and Elliott Community Human Services testified that the roadmap’s helpline, community behavioral health centers, and crisis services are important but unevenly implemented. They urged a single point of accountability within EOHHS, regular strategic planning, a public data dashboard, and financial analysis of the behavioral health system and the access and crisis intervention trust fund. Witnesses said commercial insurance often does not fully reimburse community behavioral health center services, making sustainability difficult, and asked for better coordination across agencies and crisis response systems. Committee members asked whether the roadmap includes substance use disorder; witnesses said it is intended to cover behavioral health broadly, including mental health and substance use. The committee also heard testimony on bills to ban aversives and on suicide prevention signage. Lisa Jean Graff testified in support of S. 1394 by urging a statewide ban on aversive practices, including electric shock, withholding food or bathroom access, and other painful interventions, arguing disabled people deserve the same protections from harm as others. Fonda Bryant and Carol McLean supported a bill requiring suicide prevention signs on tall parking garages, describing personal experiences and saying the signs could create a brief pause and connect people to 988 or other help. McLean said her son died by suicide from a parking garage and that signage might have made a difference. The committee also heard strong testimony in support of creating intensive stabilization and treatment units within DMH facilities (S. 1398/H. 2204), with the Massachusetts Nurses Association and a DMH nurse arguing that highly assaultive patients need specialized, more secure units to protect staff and other patients and to improve care. Additional testimony supported creating a dedicated board for licensed mental health counselors (H. 4696/S. 1382), with Rep. John Badger, the Mass Mental Health Counselors Association, and others saying LMHCs are a large and growing workforce that needs its own licensing board, clearer standards, and faster implementation of existing licensure reforms. The committee also heard extensive testimony on H. 2223 regarding benzodiazepines and non-benzodiazepine hypnotics. Survivors and advocates described severe withdrawal, lack of informed consent, cognitive harms, and long-term disability, while a physician supported the bill as a way to improve disclosure of risks. Finally, the committee heard multiple witnesses in favor of H. 2231/S. 1383 to establish peer-run respite centers statewide. Advocates and people with lived experience said peer respites provide non-coercive, home-like alternatives to hospitalization, can reduce trauma and repeated admissions, and may be especially important for marginalized communities; they also cited cost savings and existing positive outcomes from current respite programs. No votes or final committee actions were taken during the hearing portion reflected in the transcript.

Bills: SB514 , SB346 , SB1593 , SB1782 , SB1366 , SB1497 , SB366 , SB1895 , SB2048 , SB2005 , SB2006 , SB710 , SB1480

Committee: Senate Education

Keywords: SB514, school choice, charter school, virtual charter school, OSSAA, extracurricular activities, interscholastic activities, athletics, homeschool, other means of education, alternative education, student eligibility, student transfer, district policy, public school district, adjacent district, blended learning, virtual learning, school sports, academic eligibility

Transcript Highlights:

• So for clarification, teachers haven’t actually started doing the screening in two to five, but now we
• So again, the primary focus of the bill is not so much the screening side, although that is the notification
• for this last year, the SB 140, but the expanding K to 8, there's a piece that says once you're screened

Bills: HB3622 , HB3621 , HB3151 , HB3882 , HB3661 , HB4273 , HB3644 , HB3706 , HB3708 , HB2021 , HB3986 , HB3972

Committee: House Appropriations and Budget

Keywords: HB3622, 2030 Census, Decennial Census, U.S. Decennial Census Revolving Fund, Oklahoma Department of Commerce, Commerce Department, census preparation, federal census, state treasury fund, revolving fund, continuing fund, deemed appropriated, technology upgrades, census outreach, redistricting, population count, Title 74, OMES, State Treasurer, budgeting

Transcript Highlights:

• So, I'm not against screening mothers for postpartum depression.
• And so where this is headed is we're going to screen more people for postpartum depression.
• We started screening patients for pain and having a standard form that the hospital used.
• Two of them scored higher than the cutoff on the screening test.
• They were not diagnosed, and their doctor did not screen them.

Bills: SB191 , HB84 , HB79 , SB132 , HB108 , HB109 , HB110 , HB114 , HB118 , HB120 , HB122 , HB124 , HB126 , HB128 , HB129 , HB131

Committee: Senate Healthcare

Keywords: postpartum depression, mental health, Medicaid, screening, education, maternal health, Chiropractic, Board of Chiropractic Examiners, license renewal, continuing education, election procedures, off-label, pharmacists, medical treatment, state board of pharmacy, employment protection, SB132, Alabama, controlled substances, Schedule I

Transcript Highlights:

• ATRIP has also allowed hospitals to screen for suicidal ideation, and over a million patients visiting
• > and</c><00:32:36.919><c> over</c><00:32:37.120><c> a</c> screen for suicidal ideation and over a screen
• </c><00:32:43.240><c> is</c><00:32:43.360><c> the</c> screened as you may know suicide is the screened
• , suicidality.
• , suicidality.

Summary: The committee began by reviewing a large slate of administrative regulations and explaining that it does not approve regulations but can find them deficient and send them back for further work. Members then asked questions on several items, including EMS reciprocity, dental hygienist licensure, and interpreter licensure. The EMS board explained that reciprocity would extend to applicants from any state, not just contiguous states, because the underlying statute had been amended. On the dental regulation, staff said the changes mainly clarified licensure requirements, reinstatement fees, and that dental hygienists administering local anesthetic must do so under direct dentist supervision. The most extended discussion involved the Board of Interpreters for the Deaf and Hard of Hearing. The board chair said the main concern was that the EIPA is an educational specialty assessment, not a nationally recognized certification, yet the regulation would allow it to support full licensure. Members discussed whether that could let educational interpreters work outside their intended scope and whether a separate educational license or statutory change would be more appropriate. The board said it did not think the regulation could be fixed further at this point and suggested a statute could create a narrower educational interpreter license. After discussion, the committee voted to defer both related interpreter regulations, 201 KAR 39:030 and the companion regulation, for further work. The committee then took up two community mental health regulations, 907 KAR 1:044 and 907 KAR 5:005, which had been found deficient in Administrative Regulations. Department for Medicaid Services staff said the rules would expand and rename the mental health associate role as a behavioral health associate, making the role available in many more facilities, but would also require additional coursework or progress toward licensure. Some members and providers raised access-to-care concerns, especially for rural areas and unlicensed staff already working in the field. Staff said the proposal had been revised through work with CMHCs and licensing boards, but the committee ultimately voted to defer both regulations as well. After finishing the regulation review, the committee heard a presentation from the Kentucky Hospital Association on the ATRIP hospital rate improvement program. Hospital representatives said ATRIP is a Medicaid state-directed payment program funded through a provider tax and federal matching dollars, allowing hospitals to receive payments tied to quality measures. They reported improvements including lower Medicaid readmissions, high sepsis screening rates, reduced infections and opioid prescribing, expanded postpartum depression and suicide screening, and training for more than 1,000 people. They said the program has helped hospitals invest in staffing and quality improvement and warned that without it, many hospitals would face severe financial strain.

Transcript Highlights:

• This is North Dakota data: 41.2% of suicides or drug overdoses.
• This is North Dakota data, 41.2% of suicides or drug overdoses.
• Standardization of stroke screening and severity tools.
• Standardization of stroke screening and severity tools.
• Standardization of stroke screening and severity tools.

Committee: Joint Health Care Committee

Summary: The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important. The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further. Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach. After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.

Transcript Highlights:

• And I truly see psilocybin as an evidence-based treatment that can help prevent suicide, that can help
• And I truly see psilocybin as an evidence-based treatment that can help prevent suicide, that can help
• It involves careful screening, preparation sessions, a supervised therapeutic experience, as well as
• When I graduated high school in the Mid 90's, my grandfather had already committed suicide.
• For those of you who shared your suicide attempt stories, I'm just so glad you're here.

Transcript Highlights:

• Suicide Hawaii task force.
• ><c> called</c><00:49:09.359><c> Fight</c> suicide prevention program called Fight suicide prevention
• </c> standing up a suicide mortality review. standing up a suicide mortality review.
• </c> the suicides that happened at home. the suicides that happened at home.
• Also like to note the screening.

Bills: SB2936 , SB2850 , SB2851 , SB2521

Committee: House Health

Summary: The committee heard testimony on several health-related bills. HB 1871, establishing a maternal health monitoring pilot program, drew support from the Department of Health, the Hawaii State Commission on Status of Women, and the Hawaii affiliate of the American College of Nurse Midwives, with testimony urging provider-neutral language so midwives and other qualified providers would not be excluded. HB 1977, requiring a maternal and infant health information mobile app, received support from ACNM and Philips, which said similar apps in other states improved awareness of services and helped families navigate care; a member asked the Department of Health about implementation time. HB 1858, relating to certificates of fetal deaths, was supported by the Department of Health and clinicians, who said the current statute is outdated and inconsistent with CDC guidance; the department and a physician testified that the bill should shift documentation responsibilities to physicians and APRNs, and members discussed optional versus mandatory issuance language and whether the bill would improve data on home births and transfers. The committee also heard HB 1591, expanding definitions for preceptor and volunteer-based clinical training to improve income tax credits. The Department of Health supported the measure but preferred a similar, broader bill; Taxation suggested clarifying terms; the University of Hawaii and the State Center for Nursing supported it. ACNM asked that midwifery preceptors and Hawaii-based students enrolled in mainland programs be included, while the Hawaii Public Health Institute supported expansion of the program as a workforce solution. HB 1574, on the health care education loan repayment program, also drew broad support, including from the governor, SHPDA, OHA, and health organizations, but ACNM raised concerns that the bill’s 30% Medicaid-client threshold could exclude many providers and limit participation. For HB 1575, creating a feasibility committee on Parkinson’s patient air transport, the Department of Health supported the intent but said transportation is more likely an insurance or benefit issue and suggested redirecting funds to Parkinson’s research; the Michael J. Fox Foundation and the Hawaii Parkinson Association supported the bill, citing inter-island travel barriers and high costs for patients and caregivers. HB 1854, establishing certification of community behavioral health clinics, was supported by the Department of Health and DHS, which said certification would help clinics qualify for enhanced Medicaid reimbursement and expand access; the Attorney General’s office raised a legal concern about the special fund language and recommended a purpose section, and the committee discussed whether the fund would be self-sustaining and noted a possible amendment to change membership language and reduce the board size if the amendment moved forward.

Transcript Highlights:

• Now I know how to deal with hate when the people behind the screen are unmasked.
• LGBTQ-plus youth are more than three times as likely to attempt suicide than their peers.
• Our team unexpectedly identified a student expressing suicidal thoughts on X.
• People can be brutal online, but those are just words on a screen. A screen can't beat me up.
• Young, if he wanted to be able to join us again on screen.

Committee: House Privacy and Consumer Protection

Transcript Highlights:

• I don't know why I'm not showing up on my screen because my camera is on.
• Senator Conway was up first on my screen. Yeah, thank you, Director.
• We are going to limit some of those things where I shared, for example, the suicide prevention work.
• Before I begin, can everybody see the slide up on the screen? Wonderful.
• Before I begin, can everybody see the slide up on the screen? Wonderful.

Summary: The Joint Committee on Veterans and Military Affairs met to hear updates from Joint Base Lewis-McChord, the Washington Military Department, the Washington Department of Veterans Affairs, and the Department of Commerce on federal and state impacts affecting veterans, military families, and military installations. JBLM’s garrison commander said the base remains focused on housing, child care, and spouse employment, but is facing workforce reductions tied to federal personnel actions, especially in air traffic control, 911 dispatch, and firefighting. He also said JBLM is preparing for increased mutual-aid needs during fire season, and that the Army Transformation Initiative could change unit composition at JBLM over time without a major overall population shift. He confirmed that the Lewis Army Museum is on a closure list, but said the building will remain in use for training and that the base is exploring partnerships to keep museum functions operating, possibly with volunteers or local partners. The Washington Military Department reported about 400 Guard members deployed on federal missions and described ongoing state missions in cybersecurity and firefighting. The department said the Army National Guard’s 81st Stryker Brigade will transition to a mobile combat team, with associated changes in equipment, manning, and end strength. It also warned that continuing resolutions are delaying funding, limiting new military construction starts, and increasing costs. The Washington Department of Veterans Affairs outlined a $3.2 million reduction from the governor’s budget and related cuts affecting internships, vacant positions, outreach travel, claims support contracts, counseling and wellness, veterans’ innovation assistance, and the military transition and readiness council staff position. WDVA said it is ending or scaling back several programs, including in-house nursing assistant training, the veteran farm at Ordean, Vet Corps due to AmeriCorps funding changes, and the tobacco cessation program, while noting that the legislature funded about $23.7 million in capital projects for veteran homes, cemeteries, and transitional housing. The Department of Commerce presented on the Defense Community Compatibility Account, which funds projects that reduce conflicts between military installations and nearby communities. The program currently has 10 projects across five legislative districts, including school and child care improvements, water wells, land acquisition, and a joint firefighting training center in Everett. The presenter said the main challenge is that DCCA projects often need non-state funding secured before they can compete, which can make it hard to leverage federal Defense Community Infrastructure Program dollars; he recommended more flexible state timing to help projects qualify for federal funding. In closing discussion, members raised possible future agenda items including child care near bases, veteran homelessness, suicide prevention, Navy Day, military family housing, and a possible Department of Licensing issue involving guard and reserve designations on driver’s licenses. No formal votes were taken, and the meeting adjourned after members were invited to suggest topics for the October and December committee meetings.

Transcript Highlights:

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• committed to suicide prevention.
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• And if that isn't bad the screen.
• And so once a week I feel screen.

Transcript Highlights:

• Our team unexpectedly identified a student expressing suicidal thoughts on X.
• People can be brutal online, but those are just words on a screen. A screen can't beat me up.
• And suicidal ideation and attempts.
• Young, if he wanted to be able to join us again on screen.
• Young, if he wanted to be able to join us again on screen.

Summary: The Assembly Privacy and Consumer Protection Committee held an informational hearing on the impact of social media on LGBTQ+ youth, focusing on benefits, risks, and possible safeguards. Chair members framed the discussion around the tension between protecting young people from addictive design, harassment, hate speech, exploitation, and mental health harms while preserving access to affirming resources, community, and crisis support that many LGBTQ+ youth rely on online. Members emphasized that the hearing was meant to inform future policy rather than relitigate prior bills, and several members of the LGBTQ+ Caucus attended or participated. The first panel featured lived experience and advocacy testimony from Madi Roby of Alliance for Trans Youth Rights, Shea Gardner of LGBT Tech, and Casey Pick of the Trevor Project. Roby described social media as essential to exploring identity, finding trans language and safety information, and connecting to Trevor Project resources during a family crisis, while also acknowledging online hate and bullying. Gardner argued that lawmakers should regulate harms more precisely rather than impose broad age-based exclusions, warning that account bans and age-gating could cut off access to community, privacy-protective pseudonymity, and crisis resources. Pick testified that LGBTQ+ youth are more likely than peers to attempt suicide, that social media can be both a lifeline and a risk, and that Trevor Space and other moderated online spaces can improve mental health and reduce isolation; she also cautioned against policies that would push youth into less visible, less moderated spaces. Committee members questioned the witnesses about algorithmic feeds, addictive design, age verification, and whether platforms should be required to do more to protect youth. Several lawmakers distinguished between personalized feeds and addictive features such as infinite scroll and autoplay, and asked for more targeted prescriptions. Witnesses generally supported stronger privacy protections, limits on data collection and use, better reporting and moderation tools, digital literacy, and design changes that reduce harmful engagement patterns without eliminating access to community. The discussion also touched on the loss of LGBTQ-specific 988 services at the national level and the importance of maintaining alternative support pathways. The second panel presented research from Common Sense Media, UC Irvine, Hope Lab, and LGBTQ+ Health Australia. Researchers reported that LGBTQ+ youth often arrive online with higher depressive symptoms and limited in-person support, encounter homophobic and transphobic content at high rates, and may self-censor because of fear of harassment. At the same time, many said social media helps them feel less alone and find affirmation. Dr. Sean Young emphasized a harm-reduction approach, noting that online environments can be designed to support health and that policymakers should measure whether restrictions actually reduce harm or simply displace it. Dr. Amy Green echoed that social media is both harmful and supportive for LGBTQ+ youth, underscoring that the policy goal should be to make youth safer rather than less visible online.

Transcript Highlights:

• I'll pull it up on the screen in just a second. Thank you, Mr. Chairman.
• I'll pull up the second supplemental request on the screen here shortly.
• I've made the change so that the language on the screen is correct.
• I'll pull it up on the screen now.
• suicide prevention plan, including youth programs, support of the suicide hotline, public education,

Summary: The committee met to review the general fund update and several budget-setting items, with staff explaining how to track the latest “green sheet” online and how JFAC actions were affecting the FY 2026 and FY 2027 bottom lines. Members also discussed whether work group progress should be summarized more broadly, but leadership emphasized that work groups were intended to remain independent and that members should consult analysts directly rather than have a running public summary of each group’s internal deliberations. The committee then acted on a series of agency budgets. It approved the Idaho State Tax Commission enhancement package after revising it to remove the chief operating officer personnel item and adopted language limiting use of $550,000 for fast tax collection vendor payments, with any unused amount reverting to the general fund. It also approved supplemental and enhancement requests for the Office of Information Technology Services, including Chinden campus furnishings, E-Core grant staffing and funding, enterprise security/firewall upgrades, the IT modernization transfer of 58 positions from Health and Welfare, and a one-time cash transfer language item to cover transition-year health insurance costs. The Military Division’s request for $120,000 for Office of Emergency Management indirect cost recovery was approved, but an alternate motion to also add $190,800 for the state education assistance program failed, and the original motion was later held in committee. The Industrial Commission and Public Utilities Commission budgets were both advanced with dedicated-fund increases for IRIS maintenance, training, disability fund needs, OITS hardware, and replacement laptops. The Department of Fish and Game budget was also advanced, with approval of a large package of dedicated and federal funds for fishery habitat projects, Good Neighbor Authority work, hatchery and laboratory inflation, temporary employees, wolf depredation response, communications, and replacement items, along with reappropriation authority for prior-year funds. The committee then took up the Department of Health and Welfare Division of Public Health Services, where competing motions focused on the Idaho Home Visiting Program, immunization assessment fund restoration, laboratory testing, HIV and hepatitis prevention, suicide prevention, and moving the home visiting program to Early Learning and Development. Both the substitute motion and the original motion failed after split votes in the House and Senate committees, leaving that budget held for later action. Finally, the committee considered new language for the State Controller and State Treasurer to require monthly reconciliation of cash balances between Luma and TARS from July 1, 2023 through June 30, 2026, with a report due by the fall interim JFAC meeting and documentation retained for audit. Members discussed the need for accurate cash reconciliation and the resources available to the Controller’s office, but no final action was taken before adjournment. The chair announced upcoming budget-setting meetings and reminded members to complete work group motions by the end of the day.