Transcript Highlights:

• As you can imagine, it's very difficult to find placement.
• stability is at risk.
• It threatens the stability of the statewide 988 ecosystem.
• This is Sarah's journey toward recovery, from cyclical crisis to stability.
• Work Group once again to really stabilize the fund.

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

Transcript Highlights:

• Every time he stabilized, he was discharged.
• Their medicine after they're stabilized.
• But placement was not guaranteed.
• But placement was not guaranteed.
• It's built upon stability and support.

Keywords: 1184, house, all

Transcript Highlights:

• <01:00:43.400> counties youth in need of placement counties youth in need of placement counties
• resources to fund appropriate placements resources to fund appropriate placements for<01:00:51.119
• There's just no placements in Minnesota, especially psychiatric placements.
• <01:03:20.200> just placement um the placement there's just placement um the placement there's
• :22.400> especially no placements in Minnesota especially no placements in Minnesota especially

Bills: HF2148, HF2693, HF2542, HF1141, HF1770, HF1489, HF1709, HF244, HF1266, HF807, HF2619, HF1340

Keywords: affordable housing, local control, revolving loan fund, community partnerships, Minnesota housing policy, housing, locally controlled housing, Minnesota Housing Finance Agency, housing infrastructure bonds, state bonds, bonding bill, supportive housing, permanent supportive housing, homelessness, veterans housing, senior housing, manufactured home parks, community land trust, single-family housing, multifamily housing

Transcript Highlights:

• As you can imagine, it's very difficult to find placement.
• Half of all calls that we receive in a field intervention are stabilized in the field.
• stability is at risk.
• This is Sarah's journey toward recovery, from cyclical crisis to stability.
• Work Group once again to really stabilize the fund.

Keywords: 987, senate, all

Transcript Highlights:

• So I hope to cover today population realities, placement limitations, how JR has addressed overcrowding
• This is just another representation of the sentence type of youth in JR placement.
• You have to stabilize... ...interventions to address overcrowding. So there's a balance needed.
• You have to stabilize and have a safe environment for young people to live in.
• So it's really not intended to be a long-term placement.

Summary: The committee began with a work session on juvenile rehabilitation institution capacity, services, and staffing. DCYF Assistant Secretary Jennifer Redmond described overcrowding at Green Hill School and Echo Glen, driven by longer adult-style sentences extending past age 25, limited community placements, and small facility sizes. She said Green Hill remains above safe operating capacity, but staffing, injuries, large-scale aggression, and use-of-force incidents have improved over the past year. She also discussed Harbor Heights, a new 46-bed flex facility that had opened with 22 youth and would expand once a medical trailer arrives, as well as community transition services, vocational programming, behavior management reforms, and a request for more resources for mental health-focused facilities and staffing. Members asked about success metrics, developmental disability screening and supports, college access at Echo Glen, Mission Creek planning, and gender-responsive programming; Redmond said JR uses assessments, family involvement, and specialized living units, and that some requested funding had already been secured for returning a girls’ program at Echo Glen. The committee then heard from Team Child and the Youth Action Coalition. Greta Schultz said youth perspectives should guide system reforms and identified key concerns: overuse of sentence extensions, underuse of community transition services, continued criminal referrals from Green Hill to Lewis County, limited family contact, inadequate mental health access, and unequal education opportunities, especially for young women at Echo Glen. Justella Gonzalez, a former system-involved youth, said her time in county and state facilities was harmful, with staff mistreatment, poor education, limited therapy access, and humiliating restraint practices; she also said girls at Echo Glen lacked the same college opportunities as boys at Green Hill. Committee members asked for follow-up on county versus state experiences and on telehealth mental health services. The next presentation covered county-level services for youth involved or at risk of involvement with the justice system, led by juvenile court administrators Christine Simon-Smeyer and Judge Rachel Anderson. They outlined the juvenile court continuum from prevention and truancy work through diversion, detention alternatives, community supervision, and disposition alternatives, emphasizing evidence-based, trauma-informed, and restorative practices. Clark County was used as an example of a court that partners closely with schools and community providers, uses risk assessments and wraparound behavioral health probation, and offers detention alternatives without electronic home monitoring. They said most courts do not use detention for status offenses, but instead use court involvement to connect youth to services. They also described funding, noting that courts rely on a mix of state block grant and local dollars, and that recent cuts to early intervention funding reduced programming and staff hours. Members asked about detention for truancy, developmental disability identification, restorative justice practices, and the juvenile block grant. Finally, DCYF Assistant Secretary Nicole Rose and Katie Warren of the Washington State Association of Head Start and ECAP discussed child care and early learning impacts from recent policy and budget changes. Rose said Fair Start for Kids investments had increased child care access, provider participation, and kindergarten readiness, with more than 60,000 children in Working Connections care and rising ECAP enrollment and provider capacity. She said recent reductions will raise most family copays in 2026, delay eligibility expansions, eliminate some expanded eligibility categories, reduce ECAP slots by about 3,000, delay entitlement timelines, and cut provider supports such as rate increases for centers, complex-needs grants, trauma-informed and dual-language incentives, and infant/early childhood mental health consultation. Warren emphasized ECAP’s role in family stability, workforce participation, and reducing poverty, and noted its two-generation approach to supporting both children and parents.

Transcript Highlights:

• Okay, next we have House Bill 76, Alternative Placement of Youth in Custody.
• Once they get into an acute setting, they try and stabilize them.
• If you look at step-down or stabilization teams, many of those are so children...
• Can children 14 and over decline placement? Can children 14 and over decline placement?
• Children 14 and over cannot decline placement.

Keywords: 996, all

Transcript Highlights:

• This bill also consolidates and streamlines the processes for involuntary inpatient placement and outpatient
• placement by eliminating those separate judicial processes and instead referring solely to involuntary
• So the crisis stabilization unit beds and short-term residential beds, we did see an increase in the
• unit to a long... ...An individual was successfully transitioned from a crisis stabilization unit to
• Previously, they would send children home from a Baker Act crisis, waiting for placement and maybe on

Summary: The Human Services Subcommittee met to receive an update from the Florida Department of Children and Families on implementation of House Bill 7021, which revised the Baker Act and Marchman Act and was funded with a $50 million appropriation. Deputy Assistant Secretary Bill Hardin reported that the department has updated reference guides, training, administrative rules, and forms; launched regional behavioral health collaboratives; and created the Office of Children’s Behavioral Health Ombudsman. He said early data show continued declines in Baker Act use, high diversion rates from involuntary examinations through 988, mobile response teams, and care coordination, along with generally positive provider feedback on changes such as allowing psychiatric nurses to initiate emergency treatment orders and clarifying the 72-hour examination period. Hardin also described Marchman Act changes, including a streamlined petition process, remote testimony, improved discharge planning, and a new annual data report. He said the department has completed or is completing multiple training courses for providers and law enforcement, and has adopted or is finalizing numerous rules and forms. He reported that the regional collaboratives are identifying common statewide needs such as service capacity, resource sharing, funding flexibility, and peer support, while the ombudsman office is handling complaints and helping families navigate services. Members asked about whether the current funding is sufficient, future budget needs, outreach for the new ombudsman office, and services for juveniles. Hardin said DCF has posted legislative budget requests for additional forensic FACT services and short-term residential treatment beds, including children’s beds, and noted the ombudsman office is staffed with two FTEs and supported through existing complaint-management and regional systems. He said outreach is being done through regional collaboratives and coordination with other agencies, especially the Department of Education, and that juvenile transport and placement issues have improved with the new law. No votes were taken, and the meeting adjourned after the presentation and questions.

Transcript Highlights:

• They still have to receive the services, and they have to be deemed placement back to the parents by
• We are talking about the stability of entire communities. And right now, the backbone is cracking.
• That stability is slipping, and that is not something any of us in California should accept.
• Fund the true cost of care, pass AB 1981, and stabilize California's child care workforce today.
• They take away dignity, stability, and opportunity.

Keywords: 987, senate, all

Transcript Highlights:

• We have House 199, an act to amend the Safe Haven Law to extend the time frame for voluntary placement
• The child care crisis is undermining Massachusetts' economic recovery and workforce stability.
• Children in foster care deserve stability, but most experience multiple placements causing lasting emotional
• I was molested, sexually and physically tortured in multiple placements, adopted then abandoned, sent
• I grew up in foster care, and I wasn't in group homes, but I went through multiple foster placements

Keywords: 995, all

Summary: The committee hearing covered a wide range of child welfare, family support, and human services bills. Testimony strongly supported a guaranteed cash stipend for young adults aging out of foster care (S.161), with the Attorney General’s Office, youth advocates, and foster care providers describing high rates of homelessness and poverty after exit from care. Providers also urged action on a resolve to study the foster care liability insurance crisis (H.197/S.1280), saying premiums and coverage losses are forcing program cutbacks and could reduce foster care capacity statewide. Another major topic was a direct care worker medication administration program registry (H.237/S.162), which supporters said would help recruit and train workers, especially bilingual staff, to address workforce shortages in human services. Several bills focused on child protection and child welfare system practices. Supporters of H.267/S.145 called for advance notice to children’s attorneys when placements or other major events change, arguing that timely communication is essential to prevent unnecessary disruption and improve advocacy. Testimony also backed legislation to formally recognize and strengthen children’s advocacy centers and the Massachusetts Children’s Alliance (H.233/S.112), with prosecutors and CAC leaders describing the trauma-informed model as a longstanding, effective response to child abuse and trafficking. A bill to establish a Massachusetts children’s cabinet (S.115) drew support from advocates who said cross-agency coordination is needed to align policy and funding for children’s well-being. The committee also heard testimony on bills addressing safety, equity, and family support. Senator Lovely and survivors supported S.152, which would create a civil cause of action for sexual abuse by adults in positions of authority or trust, with witnesses describing grooming and power imbalances in schools and youth-serving settings. H.274, a bill of rights for people experiencing homelessness, was supported by advocates who said it would add anti-discrimination protections and voting and privacy rights amid rising criminalization of homelessness. H.272/S.171 to protect maternal health received support from Rep. Montaño, MLRI, and a physician, who said the bills would make cash assistance available earlier in pregnancy and remove the medical-verification barrier. H.4216 on equitable hair care for children in state custody was supported by social workers and advocates who said hair care is tied to identity, dignity, and mental health. H.255 on empowering early educators drew testimony about barriers faced by renters and condo owners trying to open home-based child care programs. H.217, concerning resources and support for pregnant and parenting families, drew testimony from anti-abortion pregnancy resource center advocates. No votes were taken during the hearing, and several bills had no one signed up to testify or were deferred when witnesses were unavailable.

Transcript Highlights:

• it was operating as a home school at the time of placement.
• to find placements for them.
• , including pending SVP placement following the notice required under existing law.
• includes pending SVP placement. at the time of an SVP's placement includes pending SVP placement following
• , but I don't think it's fatal either to placement just because of how it's been narrowed.

Keywords: 987, senate, all

Transcript Highlights:

• From 2022 to 2023, the suicide rate for this population has stabilized.
• Speaking to the licensed side, just from the placement perspective, DFPS licenses the operation.
• I'm sorry, HHSC licenses the operation, and then DFPS makes the placement.
• And then we are working to select the most appropriate placement for the...
• It's for these juveniles that need it, and so making sure that that's a good placement.

Bills: HB1531, HB2667, HB2809, HB2865, HB3589, HB3151, HB3748, HB3750, HB4419, HB4643, HB3597, HB4129, HB4130, HB4131

Keywords: workplace violence prevention, health and safety code, Chapter 331, facility definition, home and community support services agency, home health agency, home health care, nursing staff, registered nurses, health care workplace safety, hospital, nursing facility, ambulatory surgical center, freestanding emergency medical care facility, mental hospital, Texas health care regulation, provider compliance, occupational safety, senior living, referral agencies

Transcript Highlights:

• <00:40:58.200> and and experience fewer placements and and experience fewer placements and
• <00:41:21.080> that grueling years in a placement that grueling years in a placement that
• stabilization, and family support.
• by stabilizing stabilizing this system by stabilizing stabilizing this system by addressing<01
• including emergency shelters, placement including emergency shelters, placement stabilization, stabilization

Bills: HB1518, HB1699, HB1747, HB1705, HB1565, HB1801, HB1645, HB2115, HB2114

Keywords: HB1518, Hawaii SNAP, Supplemental Nutrition Assistance Program, food stamps, Department of Human Services, DHS, pre-release SNAP, pre-release application process, incarcerated individuals, prisoner reentry, reentry services, formerly incarcerated, jail release, prison release, recidivism, food security, benefits eligibility, controlled substance felony, drug felony, drug conviction

Summary: The committee opened its first meeting of the 2020 session and heard testimony on several measures, beginning with HB 1518, which would allow people incarcerated and nearing release to apply for SNAP benefits before release. The Department of Corrections and Rehabilitation and the Department of Human Services said they support the bill and are already piloting a pre-release application process at two facilities, with plans to expand it. The Attorney General’s Office supported the intent but noted a technical issue: one section of the bill appears to affect TANF as well as SNAP, while the title refers only to SNAP. A wide range of advocates, including Catholic Charities, the Hawaii Public Health Institute, Hawaii Hunger Action Network, Drug Policy Forum of Hawaii, Hawaii Children’s Action Network, ACLU of Hawaii, and others, testified in strong support, emphasizing food insecurity after release, reentry stability, and reduced recidivism. The committee did not take a vote during the hearing. The committee then heard HB 1747, which would direct the Department of Human Services to seek federal waivers or extensions related to restricting certain SNAP purchases, including sugary drinks. DHS said it had already been approved for a narrow demonstration waiver and was working with retailers on implementation, with a target date of August 1. Supporters of the measure argued it would promote healthier choices, while opponents, including Hawaii Appleseed, the Hawaii Public Health Institute, Hawaii Children’s Action Network, and the Hawaii Food Industry Association, said such restrictions are ineffective, stigmatize low-income residents, create burdens for retailers and DHS, and may be difficult to implement. Members asked DHS to clarify the scope of the waiver and confirmed it applies to sugary drinks and beverages containing more than 10 grams of sugar. Finally, the committee took up HB 1705, which would allow licensed mental health counselors to serve as child custody evaluators, but there was no testimony from the relevant agencies and the item was quickly set aside. The committee also heard HB 1565, which would establish a judiciary working group to improve family court processes and legal representation for youth in the child welfare system. The Attorney General’s Office offered minor technical amendments, and supporters from the Office of Wellness and Resilience, High Hopes Hawaii, Hawaii Children’s Action Network, and a social work student described the need for legal representation, citing better reunification and stability outcomes and the importance of youth voice in court proceedings. No votes or final actions were taken in the portion of the meeting provided.

Transcript Highlights:

• So that's a part the stabilization work.
• Matsu,” stabilized, which is just like if stabilized, which is just like if somebody<00:33:24.320>
• :52.080> can<00:33:52.480> and increase stabilization, we can and increase stabilization
• This is the placement issue, right? Will they take our patient?
• We've discharged about 15 of the 30 to community placement.

Keywords: 912, senate, all

Summary: The briefing focused on the Hawaii State Hospital’s overcrowding, construction defects in the new addition, and how Act 26 and related court-ordered processes are affecting admissions and discharges. The chair said the hospital has become increasingly forensic-focused, has lost beds after the closure of Kahimohala, and may face further costs and possible litigation over the defective addition. Hospital and Department of Health officials said they are working with the attorney general and contractors on repairs, and that the hospital is currently using all 292 licensed beds, including 13 waiver beds, while average daily census last fiscal year was 376. Officials explained that the high census is driven by both increased admissions and discharge barriers. They said the loss of Kahimohala returned patients to the state hospital, and that Act 26-related petty misdemeanor cases are contributing to admissions. They also said limited lower-level placement options delay discharges. Hospital staff reported that many patients are repeat admissions, about 22% were unhoused before admission, and a significant share are in categories such as fitness-to-proceed evaluations and conditional-release violations. They said these groups could potentially be reduced if evaluations were done elsewhere and if more community or supportive housing were available. The chair and senators questioned whether some fitness-to-proceed detainees need to be held at the state hospital at all, and whether the Clark consent order requires transfer to the hospital. The attorney general’s office said the Clark injunction does not govern unfitness-to-proceed cases; instead, the requirement comes from state statute, and the statute could be changed. Director Johnson said DCR cannot keep such detainees because the court orders them into the custody of the Department of Health, and the department cannot provide the needed therapeutic level of care in a correctional setting. The discussion also emphasized co-occurring substance use and mental illness, especially among petty misdemeanor defendants, and the need for supportive housing and a decompression plan to reduce readmissions and free beds for civil commitments.

Transcript Highlights:

• There are no placements there currently right now for, you know, BSN.
• I’ll get to clinical placements.
• At its core, this bill is about stability and consistency.
• However, the cost and low... ...opportunity and long-term financial stability.
• That stability helps small businesses grow and strengthens our regional economy.

Keywords: 988, house, all

Transcript Highlights:

• And by pairing the services with housing, they're able to help folks stabilize and re-enter more stable
• <00:04:11.920> these make sure that we stabilize these make sure that we stabilize these important
• <00:19:20.480> on<00:19:20.640> the 3425 be recommended for placement on the 3425 be
• recommended for placement on the general<00:19:21.039> register.
• for placement on the general<00:19:31.600> register.

Keywords: 1183, house

Transcript Highlights:

• Hennepin County is funding a youth crisis stabilization center at our Behavioral Health Center located
• The crisis stabilization center is one piece along the continuum of care.
• , the placement continuum, and aftercare supports.
• But these are kids that actually need to have proper placements. We need to have a better approach.
• If there are questions about our housing stability or Heading Home around the county work.

Bills: HB1823, HB3031, HB3369, HB3378, HB3429, HB3624, HB3657, HB3880, HB4215, HB4476

Keywords: housing finance, Oklahoma Housing Finance Agency, publication requirements, housing policy, state regulations, HB3031, North Pointe Workforce Development Initiative, workforce development, job training, skills training, job placement, local hiring, economic development, Oklahoma Department of Commerce, revolving fund, state treasury, appropriation, budget, workforce investment, employment outcomes

Summary: The Senate Economic Development, Workforce, and Tourism Committee met for a work session focused largely on executive nominations and several House bills. The committee advanced nominations for Jared Lundry and Norville Ritter to the Oklahoma Tourism and Recreation Commission, Amy Blackburn as Executive Director of the Oklahoma Department of Tourism and Recreation, and Jason Kays to the Oklahoma Employment Security Commission, with each nominee describing their background and priorities and receiving favorable roll-call votes. Members also considered and advanced a series of bills affecting housing, tourism, workforce, and related programs. HB 1823 would require the Oklahoma Housing Finance Agency to provide advance notice of HOME program changes, limit retroactive rule changes, and give preference to nonprofit grant recipients; it passed 8-1. HB 4476 created a revolving fund related to a music industry rebate program and passed 7-2 after an amendment raising a threshold from 25,000 to 28,000. HB 3880 updated tourism advertising law to include digital media and allowed the Oklahoma Today magazine to move online, with an amendment making publication permissive rather than mandatory; it passed 8-1. HB 3031 created a revolving fund for workforce development tied to skilled trades and the North Point Workforce Development Initiative, and HB 3378 staggered terms on the Oklahoma Science and Technology Research and Development Board; both passed. The committee also passed HB 3369, which aligned LP gas and fire-suppression rules for mobile food vendors and required annual fire safety training, HB 3429, which authorized up to $50 million in bonds for CareerTech-related economic development projects, HB 3657, which clarified agricultural labor reporting and allowed OESC to share workforce data with the Workforce Commission, and HB 4215, which lowered the minimum spend threshold for Oklahoma film post-production incentives from $50,000 to $20,000. Finally, HB 3624, a controversial bill changing how county lines are determined along shifting waterways, drew extensive debate over taxation, property records, and rural impacts before passing 6-5. The chair noted the committee likely had one more meeting remaining and invited further suggested language on the county-line issue.

Transcript Highlights:

• Second, I am really concerned about the financial stability of our agencies.

Bills: HB3131, HB3380, HB3502, HB3552, HB3849, HB3886, HB3907, HB4201, HB4302, HB3448, HB3409, HB4095, HB3637

Keywords: homelessness, shelter standards, safety, accountability, state funding, local governance, regulation, Oklahoma Homeless Shelter Safety and Accountability Act, foster care, child welfare, Department of Human Services, educational opportunities, employment support, technology in child welfare, faith-based organizations, self-sufficiency, financial literacy, HB3502, Oklahoma, children's code

Transcript Highlights:

• fundamental truth: when resources are constrained, inefficiency poses a genuine threat to access and stability
• all required parties at least 15 days before a periodic review hearing that informs them of the placement
• dependent. ...parties at least 15 days before a periodic review hearing that informs them of the placement
• If the court finds that the child continues to be dependent, it must enter orders concerning the placement
• Determine whether DCS has identified and assessed whether placement with a relative or other person with

Bills: SB1017, SB1149, SB1162, SB1192, SB1249, SB1253, SB1331, SB1333, SB1334

Keywords: informed consent, surgical procedures, healthcare professionals, patient rights, regulatory compliance, child welfare, dependency hearings, foster care, court procedures, parental rights, healthcare compliance, behavioral health technicians, licensing, monitoring, administrative burdens, basic first aid, good samaritan, medical licensing exemption, Arizona medical board, A.R.S. 32-1421

Transcript Highlights:

• TRACK stands at that intersection to help young adults transition into adulthood and achieve stability

Bills: SB604, SB843, SB1636, SB2395, SB571, SB1224, SB1832, SB2392, SB747, SB2623, SB2624, SB2185

Keywords: bonds, education funding, Texas Permanent School Fund, financial transparency, speculative rating, school funding, deferred maintenance, tax revenue, education budget, school districts, education, finance, Texas Education Code, misconduct, child abuse, educators, investigation, criminal offense, education law, suspension