Transcript Highlights:

• intervention LURE study.
• We'll also touch on what EIDBI is, or early intensive developmental behavioral intervention.
• intensive developmental behavioral intensive developmental behavioral intervention<00:01:12.840>
• The service itself is called Early Intensive Developmental and Behavioral Intervention, and really it
• The service itself is called Early Intensive Developmental and Behavioral Intervention, and really it

Keywords: 1183, house

Transcript Highlights:

• Sonia Saez, Behavioral Health Manager.
• However, coupled with a behavioral health system, a sound behavioral health system really can provide
• What the hope is through the behavioral health pilot in building a comprehensive behavioral health system
• We call them MRI (Most Rigorous Intervention), CSI (Comprehensive Intervention), TSI (Targeted Support
• Intervention School), and ATSI...

Keywords: 996, all

Transcript Highlights:

• displaying negative behavior. Correct. displaying negative behavior. Correct.
• ongoing harmful behavior.
• ongoing harmful behavior.
• on the behavior. on the behavior.
• problematic behavior. So, right on. problematic behavior. So, right on.

Keywords: 928, house, all

Summary: The committee heard House Bill 1331, which would allow the town of Derry to incorporate the Derry Cooperative School District as a department of the town through a charter amendment. The prime sponsor and several supporters argued the change would increase local control, streamline overlapping town and school functions, and potentially help align school spending with Derry’s tax cap. Supporters also said Derry is large enough to warrant a structure more like Manchester or Nashua, and one witness cited a 2018 nonbinding Derry ballot question that passed 597 to 547 in favor of seeking authorization for this change. Opposition came from NEA New Hampshire President Megan Tuttle, who said the association and the Derry Education Association opposed the bill because schools are not simply another municipal department and because Derry voters had already rejected merging the district into town government. She argued the state should respect local control and the community’s prior decision. Committee members asked about the scope of the proposed charter change, the role of the school board, and the reported prior vote, and the sponsor clarified that the amendment would be limited to this specific purpose rather than opening the entire charter. The hearing then moved to House Bill 1374, which would change the procedures for withdrawing from a cooperative school district. Representative Mary Murphy said current law gives other cooperative towns too much control over a withdrawing town’s decision, and her bill would remove the requirement for approval by the other towns while raising the withdrawing town’s approval threshold to a supermajority. She pointed to Francis Town’s 2024 withdrawal vote and said the bill was intended to protect students and local decision-making. The sponsor asked for an ought to pass recommendation, and committee members asked follow-up questions about the prior withdrawal vote and the number of voters involved.

Transcript Highlights:

• behaviors were not under good control. behaviors were not under good control.
• So, what that meant for us as a family is we had to back off of a lot of behavioral interventions because
• > we behavioral interventions because, as we behavioral interventions because, as we all<00:24
• um do interventions with our students. um do interventions with our students.
• intervention plans and positive behavior intervention plans and the<01:10:30.000> things<01:10

Keywords: 1187, senate, all

Transcript Highlights:

• This is especially applicable with skilled nursing facilities, behavioral health centers, and long-term
• Some of these patients have behavioral health needs that make it very hard to manage in an acute care
• And this graph is in relation to populations that have behavioral health or substance use...
• But there is an intervention for this revolving door, and it's called respite care.
• children and those with any type of aggressive behaviors combined with medical complexity.

Summary: The meeting focused on hospital “avoidable days” and the difficulty of discharging medically stable patients who still need post-acute placement or social services. Presenters from Saint Anthony Hospital Midtown, the Oklahoma Hospital Association, City Care, and OU Health described common barriers including lack of skilled nursing, rehab, long-term care, behavioral health, and hospice placements; insurance prior authorization delays; Medicaid and Social Security eligibility delays; guardianship and Adult Protective Services bottlenecks; limited home health and private duty nursing; and the challenge of placing unhoused, uninsured, or medically complex patients. Several speakers emphasized that these delays reduce bed availability, increase emergency department boarding, contribute to staff burnout, and expose patients to hospital-acquired conditions and other harms. The testimony included multiple examples of patients remaining in acute care for days, weeks, or even months after being medically ready for discharge, including patients awaiting guardianship, disability determinations, or placement in facilities willing to accept them. Speakers also highlighted special populations such as patients with behavioral health or substance use disorders, medically fragile children, patients with criminal histories, and unhoused individuals who need respite or hospice care. City Care described its planned 40-bed medical respite facility, set to open in 2027, as a way to provide clinical support and housing navigation for patients too sick to recover on the street or in shelters. Witnesses recommended policy and system changes such as standardizing preauthorization protocols, expanding rural swing-bed and home-based services, increasing public guardianship resources, improving data collection on homelessness, expanding private duty nursing hours, and creating more placement options for complex patients. They also suggested better coordination between hospitals, DHS, APS, the Health Department, and post-acute facilities, including a database of facility services to improve discharge planning and keep patients closer to home. No votes or formal committee actions were taken in the transcript, but the chair indicated the issue would require collaboration across multiple agencies and partners.

Transcript Highlights:

• Restrictive is the least restrictive intervention.
• She's doing her best, but John's behavior just keeps getting worse.
• It's like, you know, theft, violent behaviors, things like that. Thank you, Chairman.
• Is it an interventional service through the court system? Is it a family reaching out?
• So it's a really sophisticated intervention designed for high-risk youth and families.

Bills: HB231, HB231, HB475, HB488, HB632, HB821, HB1786, HB1955, HB2036, HB2060, HB2659, HB2677

Keywords: HB 231, Texas Water Code, TCEQ, permit exemption, dam, reservoir, erosion control, flood control, floodwater control, sediment control, watershed protection, Natural Resources Conservation Service, NRCS, Watershed Protection and Flood Prevention Act, local sponsor, water appropriation, small dam, water diversion, maintenance, rehabilitation

Transcript Highlights:

• and uh really toxic aggressive behavior and uh really toxic aggressive behavior put<00:07:13.760
• intensive targeted intervention intensive targeted intervention intervention,<00:36:26.760> which
• <00:37:48.840> health our school-based behavioral health our school-based behavioral health
• Um in part, um behavior.
• it in it in itself is an intervention. it in it in itself is an intervention.

Keywords: 912, senate, all

Transcript Highlights:

• that that's too long for a behavioral that that's too long for a behavioral health<00:57:11.359>
• I'm going to bring that intervention I'm going to bring that intervention<01:49:04.960> policy
• I think if a provide intervention.
• , provide a robust tier 2 intervention, provide a robust tier 2 intervention, they're<01:51:28.480
• uh intervention system in place.

Keywords: 928, house, all

Summary: The commission met to approve the November 21, 2025 minutes, making several clerical corrections before adopting them as amended. The edits included adding the date, correcting a misspelled name, clarifying references to a scholarship fund representative’s title, removing an incorrect “DOE” reference, and fixing a few wording errors. The minutes were approved with one abstention from members who were absent. The bulk of the meeting focused on organizing the commission’s work under SB 57 and identifying which special education cost issues should be prioritized for research and reporting. Members discussed a long list of topics, including student referral rates, why students are classified as other health impaired, increases in referrals since school closures, interventions before referral, costs of non-medically necessary services in IEPs and 504 plans, differences between federal and state requirements, reporting of special education costs, out-of-district and residential placements, dispute resolution, Medicaid and insurance use, graduation rates, and adult learning participation. Several members emphasized the need to combine or narrow topics and to gather better data before the report due July 1, 2026. Representative Ames highlighted HB 742, which would eliminate prorated special education aid payments when state appropriations fall short, and explained that the Education Funding Committee recommended interim study. He argued that local districts are bearing too much of the cost and that the state and federal governments should provide more support. Other members raised concerns about rising special education identification rates, possible overidentification, school climate and mental health factors, bullying, staffing, speech therapy access, and residential placements. One member cautioned that DOE website numbers may be inflated or at least difficult to interpret because of how students are counted. Department of Education staff then explained how special education data and costs are monitored. They said student counts are tied to IEPs and SASIDs in the state system, districts are checked through both desk audits and on-site monitoring, and billed services are compared against IEP requirements. They also described IDEA funding, noting that most DOE special education staffing is federally funded, with a large share of federal money flowing through to local education agencies and the remainder supporting administration, monitoring, and training initiatives. Members discussed whether more staff and more robust oversight would improve accuracy and accountability.

Transcript Highlights:

• Almost every school has some sort of a tiered intervention system where interventions are already in
• Behavior data is tracked weekly using our school's behavior matrix system.
• , maximize good behaviors.
• , maximize good behaviors.
• is to address the tier two and tier three intervention.

Summary: The committee met to hear presentations on dual credit programs from North Dakota higher education leaders, a school superintendent, and teachers. Valley City State University described its dual credit model, emphasizing quality control through annual teacher training, syllabus and outcomes alignment, faculty qualification review, school visits, and pathways aimed at the College Studies Certificate. Members asked about teacher employment, course scheduling, revenue, scholarships, and whether a centralized model might improve efficiency; VCSU said most instructors are K-12 employees, online offerings are still small, and centralization could weaken local relationships and choice. Lake Region State College similarly stressed access and partnerships, noting about half of its headcount is still in high school, with both online and face-to-face dual credit options, district reimbursement arrangements, and support for rural schools. Lake Region also said dual credit helps students who might not otherwise see themselves as college-bound, but reduced tuition can still be a barrier for some families. Fargo Public Schools reported continued growth in dual credit, with 50 courses offered in partnership with several NDUS institutions and a 12.61% increase in participation. The superintendent highlighted a growing education pathway, including students completing Introduction to Education and field experience, and said the district is exploring a grow-your-own teacher pipeline. He also raised concerns about inconsistent institutional processes, teacher credentialing requirements, and transfer clarity, arguing for more aligned statewide systems. In response to questions, he said AP and dual credit can coexist, with AP often better for highly selective out-of-state colleges and dual credit better for students targeting North Dakota institutions, and he described some use of Arizona State online courses in earlier rural partnerships but said Fargo is focused on local institutions. Two teachers then testified on the classroom perspective. A West Fargo anatomy and physiology teacher said dual credit has expanded access, lowered costs, and prepared students well, but agreed that foundational science courses may be more effective when taken later in high school to reduce knowledge loss before college. A Drake-Anamoose English teacher, who has taught dual credit for more than 20 years, said the program has supported many students who went on to a wide range of careers and emphasized that small rural schools rely on dual credit to provide opportunities they otherwise could not offer. No formal votes or actions were taken in the portion of the meeting provided.

Transcript Highlights:

• That's the maximum that an ordinance could require, so that it's not dictating specific behavior beyond
• And that kind of behavior, what are they going to do next?
• The Murphy Law in the City of Tomball was used primarily as a way to diffuse gatherings and behavior
• If there's homeless youth on the street, they need intervention.
• These behaviors often lead to criminal involvement.

Bills: HB1511, HB1831, HB1988, HB2147, HB2234

Keywords: housing, affordable housing, state regulations, zoning, local government authority, drug court, juvenile justice, diversion programs, rehabilitation, criminal justice reform, remote proceedings, depositions, virtual hearings, court technology, criminal responsibility, age of maturity, expungement, mental health services, juvenile record sealing, 1184

Transcript Highlights:

• <00:58:28.559> intervention<00:58:29.280> person a single behavior intervention person
• a single behavior intervention person per<00:58:29.920> school.
• Investing in evidence-based supports or positive behavioral interventions, I think, is absolutely critical
• Investing in evidence-based supports or positive behavioral interventions, I think, is absolutely critical
• Investing in evidence-based supports or positive behavioral interventions, I think, is absolutely critical

Keywords: 919, house, all

Summary: The Seclusion Working Group approved the minutes from its previous meeting by motion and vote. Members then began discussing a set of proposed recommendations submitted by Woodward, Havman, and Hull aimed at addressing concerns about the use of seclusion in special education settings. The recommendations focused on several areas: requiring a mental health professional on the IEP team before seclusion is added to a student’s plan; replacing passive parental consent with explicit written consent in the parent’s native language; limiting seclusion to students receiving setting 3 or setting 4 services; requiring annual review of seclusion frequency and duration data by the IEP team; and creating stronger monitoring and accountability through a reporting system modeled on Minnesota’s existing disproportionality process. The group also proposed mandatory annual staff training, more preventive crisis-intervention supports such as CPI and Ukeru, direct funding and technical assistance for districts, and incorporating restraint/seclusion data into disproportionality calculations. Members discussed how the proposed accountability system might work in practice, including whether a third party or parent reporting mechanism should be added. Woodward explained Minnesota’s current disproportionality framework, including year 1, year 2, and year 3 notifications and the possibility of required coordinated early intervening services if problems persist. Participants also raised concerns about whether schools should track law-enforcement involvement as an alternative or related response to student behavior; some noted that such data is already collected in certain district reporting systems and could be useful to monitor alongside seclusion data. The discussion remained ongoing, with no final action taken on the recommendations during this portion of the meeting.

Transcript Highlights:

• It requires a team conducting a behavioral threat assessment on a special education student to include
• When behavior is accurately understood, it creates safer learning environments for all.
• While implementing these types of interventions is challenging and costly... ...year for a child.
• Early literacy intervention works.
• We have early childhood interventions if a child's already, you know, identified as having..."

Summary: The Senate Committee on Education K-16 met with a quorum and announced a full agenda, including combined public testimony for two bills related to student personal communication devices. The committee first took up Senate Bill 1262 by Senator Nichols, a school safety cleanup bill following House Bill 3. The bill would allow TEA to commission peace officers for school safety purposes, require annual renewal of good-cause exceptions to armed guard requirements, create a new report based on intruder detection audits and vulnerability assessments, and require behavioral threat assessment teams to include someone with specific knowledge of a special education student’s disability. Committee members asked about the difference between TCOLE licensing and TEA commissioning, the scope of the officers’ authority, and how the good-cause exception would work. The committee substitute was adopted, and public testimony included support from school safety and drone-response advocates, Disability Rights Texas in favor of the special education provisions, and a student witness raising concerns about the mental health impact of repeated lockdowns and the need for immediate, reliable school safety responses. The bill was left pending after testimony, then the committee briefly recessed and later reopened testimony to hear the student witness. The committee then laid out Senate Bill 2252 by Senator Creighton, a major early literacy and numeracy bill for kindergarten through third grade. Creighton said the bill builds on prior literacy efforts by funding teacher stipends for literacy and math academies, providing free and clearly administered screeners and assessments, expanding screening options, clarifying how results are used, supporting high-quality pre-K, and increasing the early education allotment. He emphasized low reading performance and the need for early intervention. Members discussed how the bill differs from earlier academy models and whether the assessments are diagnostic or high-stakes; Creighton and witnesses said the tools are intended to identify students needing support, not to serve as punitive testing. The committee adopted the substitute. Witnesses for SB 2252 largely supported the bill. A Uplift Education representative described strong gains from small-group literacy tutoring and said students receiving targeted support can make more than a year of growth in a year. An education specialist explained that the bill aligns general education screening with existing dyslexia and special education practices and helps districts identify students who need intervention before a disability evaluation is required. A Commit Partnership witness cited statewide reading data, the importance of high-quality pre-K, and the need for transparent, consistent progress monitoring and parent engagement. Members asked about the meaning of the growth data, how dyslexia screening works, and how the bill would help identify struggling students earlier. Before finishing all questions, the committee recessed subject to the call of the chair after the floor session.

Transcript Highlights:

• She has no behaviors. They've to it. She has no behaviors.
• Get the kid out, therapeutic intervention, work on the behavior. ...separate from their peers with one
• Get the kid out, therapeutic intervention, work on the behavior.
• on the behavior. on the behavior.
• significant behaviors. significant behaviors.

Keywords: 1189, house, all

Transcript Highlights:

• In one case, one of the women has had to spend a million dollars on court-ordered behavioral intervention
• In one case, one of the women has had to spend a million dollars on court-ordered behavioral intervention
• And then as far as the court-ordered behavioral intervention, that just has turned out to be beyond onerous
• intervention... ...traumatic childhood pathologies, only court-ordered behavioral intervention.
• For court-ordered behavioral intervention.

Bills: SB1285, SB1289, SB1326, SB1328, SB1329, SB1330, SB1392, SB1402, SB1425, SCR1013, SCR1014

Keywords: sentencing, correctional facilities, multiple sentences, death penalty, aggravating circumstances, juvenile offenses, class 2 felony, foreign donations, election administration, certification, Arizona Revised Statutes, transparency, public disclosure, victims' rights, attorney fees, government accountability, right to counsel, legal representation, parents' rights, family law

Summary: The committee approved the minutes and then took up several election, family court, and criminal justice bills. SB 1425, the “big bill,” would move Arizona’s 2026 primary election date earlier and adjust related election administration timelines; the chair’s amendment moved the primary to July 21 and removed the shortened curing/ID deadlines. County officials testified in support, explaining the timing changes and the need to align dates, and the committee adopted the amendment and gave the bill a do-pass recommendation. SB 1289, dealing with certifications for entities providing money or resources for election administration and foreign funding disclosures, also received a do-pass recommendation after testimony from supporters arguing it would block foreign influence in election administration and ballot issue spending. The committee later heard SCR 1013, a related resolution that would more directly prohibit foreign-source money for election administration and ballot measures; the sponsor and supporters said it was similar to SB 1289 but broader, and testimony focused on foreign money flowing through nonprofit networks. The committee then considered SB 1326, which would allow courts to award attorney fees and costs to victims when a party violates or worsens a victim’s rights. A victim’s attorney testified that the bill would provide needed accountability and guidance, while opponents argued the term “exacerbates” was vague and that existing remedies already exist. The committee approved SB 1326 on a 4-3 vote. SB 1402, requiring courts to impose a fee on certain probationers to cover electronic monitoring costs, drew support from the sponsor and advocates who said offenders should pay for monitoring, and opposition from defense attorneys who warned it could burden indigent probationers and divert money from treatment; it also received a 4-3 do-pass recommendation. The most extensive debate was on SB 1330, which would allow a parent in certain custody cases to request a jury trial on parenting time or legal decision-making. Supporters, including several parents, described costly and traumatic family court experiences and argued a jury would provide a neutral check on judges and court-appointed professionals. County and court representatives opposed the bill, saying family cases require specialized judicial expertise, jury trials would delay urgent matters, increase costs, and risk confidentiality. Despite those concerns, the committee adopted the bill on a 4-3 vote. The committee also approved SB 1328, which declares state policy favoring parental rights and a child’s equal access to both co-parents, after adopting an amendment adding legislative intent language. Finally, SB 1329, which would let parents sue court-appointed professionals who deviate from professional ethics or standards in custody matters, passed 4-3 after testimony from parents and advocates who said court appointees lack accountability, while opponents said existing malpractice and licensing remedies already address misconduct.

Transcript Highlights:

• K-3rd shall be used in Intervention.
• We specifically reference positive behavior intervention supports, right, Mr. Chairman? And John.
• interventions and supports, de-escalation Physical restraint or seclusion or other behavior management
• When we're talking about positive behavior intervention supports.
• So it's not just geared towards dealing with behavior.

Keywords: 996, all

Transcript Highlights:

• You don't need to know who this is, and that kind of behavior, what are they going to do next?
• The curfew law in the city of Tomball was used primarily as a ways to diffuse gatherings and behavior
• Um, the conversations that I had with some of my police chiefs, uh, talked about the brazen behavior
• So this brazen youth behavior, there's nothing.
• that Intervention at the park, um.

Transcript Highlights:

• , as well as safety planning and coordinating warm transfers to mobile crisis intervention and the behavioral
• I am the president and CEO of the Association for Behavioral Health Care, or ABH.
• He got intrusive thoughts and OCD behaviors. This was not our Sam.
• We stop asking what's driving the symptoms, and instead we manage behavior.
• He had increased anxiety, emotional dysregulation, obsessive behaviors.

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use and Recovery opened its first public hearing of the 2025–26 session with remarks from the Senate and House chairs outlining the committee’s priorities. They noted recent work on addiction and recovery legislation, the ongoing youth behavioral health crisis, and that members might need to leave periodically for floor votes. The chairs explained hearing procedures, including three-minute testimony limits, written testimony deadlines, and reporting deadlines for Senate and House bills. The hearing then focused on several bills related to youth mental health, overdose prevention, and psychedelic treatment research. A major portion of the hearing centered on bills to improve youth crisis response and overdose prevention. Testimony strongly supported bills to print the 988 Suicide and Crisis Lifeline on student ID cards, with speakers from mental health organizations, crisis centers, and individuals sharing personal stories of depression, suicide attempts, and the importance of making 988 as familiar as 911. Another set of bills would require schools to stock naloxone and provide overdose prevention education. Physicians, harm reduction advocates, students, and grieving family members testified that school-based Narcan access and education could save lives, reduce stigma, and help students recognize overdoses and understand Good Samaritan protections. Senator O’Connor and Tamika Perry also testified for a bill to strengthen substance use prevention education and reduce overdose abandonment, emphasizing the need to teach students about overdose risks and the legal protections for calling 911. The committee also heard testimony on a bill to authorize a pilot program for psychedelic treatment in licensed facilities. Senator Friedman and several medical and behavioral health professionals argued the proposal was a narrow, research-based approach distinct from the broader ballot question rejected in 2024. They said the bill would allow only a small number of supervised clinics to use psychedelics for conditions such as depression, PTSD, anxiety, and substance use disorders, with data reporting and Department of Public Health oversight. Supporters described it as a cautious way to study promising treatments while avoiding unsupervised or commercialized use. Finally, the committee heard support for a bill to create a special commission and five-year strategic plan for children’s behavioral health services, with testimony that the current system is fragmented, difficult for families to navigate, and strained by workforce and funding challenges. No votes or final actions were taken during the hearing; the committee primarily received testimony and questions on the bills.

Transcript Highlights:

• <00:03:49.440> health, maternal health, behavioral health, maternal health, behavioral health
• uh deal with acute crisis intervention uh deal with acute crisis intervention uh<00:07:14.000>
• :30:32.360> and insecurity, behavioral health and insecurity, behavioral health and substance<
• If that behavior correct that behavior.
• . interventions. interventions.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.

Transcript Highlights:

• health conditions and receiving behavioral health treatment.
• behavioral health expenditure growth for the following three years.
• So the behavioral health expenditure target ...of 100 on behavioral health care.
• I am the president and CEO of the Association for Behavioral Health Care.
• We actually do pretty well on children's access to behavioral health.

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use and Recovery held a public hearing on 14 bills focused on insurance, parity, opioids, behavioral health access, and mental health system reform. Chair Mindy Domb and Vice Chair Robyn Kennedy outlined hearing procedures and noted the committee would accept written testimony. The hearing featured testimony from legislators, providers, advocates, and behavioral health organizations, with most speakers urging favorable reports on the bills they addressed. A major topic was psychiatric collaborative care, including H. 222/S. 1390, which would raise reimbursement for collaborative care codes to at least Medicare levels and allow billing outside the MassHealth primary care subcapitation model. Supporters said the model improves access, outcomes, and cost savings by embedding behavioral health in primary care, and several witnesses described successful implementation in practices and schools. Committee members asked questions about how the model works, what specialties use it, barriers to adoption, and whether copays, deductibles, and subcapitation rules should be changed. Witnesses also supported related innovation legislation, including H. 2224, which would create a mental health innovation fund and support nontraditional trauma-healing approaches. Other bills discussed included H. 2212, which would require prescribers to discuss opioid and pain-medication risks, alternatives, and addiction/overdose concerns with patients or guardians; H. 2232 and H. 2233, which would address equitable payment and equitable access for behavioral health providers serving MassHealth patients; and S. 1406, which would add opioid maintenance treatment information to MassPAT and allow patient-authorized access to that information. Witnesses also strongly backed S. 1399, which would set targets to increase behavioral health spending within the overall health care cost benchmark, arguing that Massachusetts underinvests in behavioral health and that greater investment could reduce emergency, hospitalization, homelessness, and criminal justice costs. No votes were taken; the hearing concluded after testimony and committee questions.

Transcript Highlights:

• The third, 18313, repeals a three-year behavioral interventionist pilot program.
• the services or interventions they need before the underlying causes of the absences are exacerbated
• , which may be To preventative measures for intervention on behalf of students.
• And so I don't disagree that early intervention is very critical. I don't disagree with that.
• Don't disagree with the earlier interventions. Early interventions are always critical and helpful.

Keywords: 994, senate, all

Summary: The committee met, established a quorum, and approved the minutes from the prior meeting. It then took up House Bill 5537, a repeal bill that removes several obsolete code sections related to professional development, a behavioral interventionist pilot program, child daycare facility lists, and high school graduation rates, and also adds another outdated section to the repeal list. After adopting the committee amendment, the committee voted to report HB 5537 to the full Senate with a recommendation that it do pass as amended. The committee then spent most of its time on House Bill 4656, which would replace the current truancy status-offense framework with a chronic absenteeism and child-in-need-of-supervision model. Counsel explained that the bill shifts the focus toward earlier, preventative intervention, including wraparound services, student support specialists, and a new definition of chronic absenteeism tied to failed interventions, lack of meaningful contact, grade-level impact, or absences reaching 10% of instructional days. Senators questioned how the new process would work, how it would affect court authority, prosecutors, juvenile drug courts, and whether it would change the role of schools and DHHS. Witnesses from Fayette, Greenbrier, and Taylor counties testified. School attendance and juvenile justice officials generally said the current truancy process and court involvement help secure family participation and services, and they warned that removing the status offense could weaken enforcement and reduce the ability to compel participation in interventions. They described existing diversion programs, improvement periods, and court-supervised services as effective tools, with Greenbrier reporting that most diversions do not result in petitions. The committee ultimately voted to report HB 4656 to the full Senate without recommendation and with a further recommendation that it be re-referred to the Committee on Education. The committee then adjourned.