Transcript Highlights:

• And I think this bill is a step in the right direction.
• SB 431 is a step in the right direction.
• SB 431 is a step in the right direction.
• December 2024, on-duty SoCal Edison employees were direct targets of gunfire.
• My name is David Bolog, representing Psychiatric Survivors of California. We ask for a no vote.

Summary: The committee heard several public safety bills, with testimony split between supporters who framed the measures as targeted fixes and opponents who warned about overcriminalization and unintended consequences. SB 701, by Senator Wahab, drew support from law enforcement and local government groups, who said state law lacks a tool to address the conduct at issue; the ACLU opposed it as duplicative of existing law, while public defenders said they may withdraw opposition after amendments. Because there was no quorum at that point, the bill was held open without a vote. SB 834, by Senator DeRazzo, was presented as a technical cleanup bill to improve California’s automatic record clearance system by preventing outdated “pending” charges from blocking relief, requiring local court records to match DOJ records, and creating a way for people to obtain proof of relief. It received broad support from criminal justice reform and defense organizations, with no opposition, and the chair indicated support, but no final action was taken during the hearing. SB 248, by Senator Rubio, would require DOJ to send new gun purchasers educational materials during the waiting period about safe storage, suicide prevention, domestic violence, and related resources; supporters called it common-sense education, while one opponent argued the information is already available. The committee voted the bill out on a due-pass motion to Appropriations, but it remained on call pending one additional vote. Senator Rubio’s SB 19, the Safe Schools and Places of Worship Act, would create a new offense for credible threats against schools or houses of worship even when no specific individual is named. Supporters, including law enforcement and Jewish community advocates, said current law leaves a loophole and that the bill would help prevent panic and resource-draining lockdowns; opponents from civil liberties and youth justice groups argued existing law already covers threats and that the bill would worsen the school-to-prison pipeline. After a motion and second, the committee voted due pass to Appropriations, with the measure also left on call. Later, SB 759 by Senator Archuleta, prompted by the killing of Whittier Officer Keith Boyer, would require a court hearing after a third supervision violation or new offense for people on post-release community supervision; supporters said it adds accountability, while opponents said it removes probation discretion and could increase jail and court burdens. The bill passed due pass to Appropriations and was reported as passing. The committee also heard SB 6 by Senator Ashby, which would schedule xylazine as a controlled substance while preserving veterinary use. Supporters, including veterinarians, law enforcement, and a parent who lost a son to a drug-related death, said the drug is increasingly present in fentanyl mixtures and needs to be controlled; opponents from drug policy and civil liberties groups argued scheduling would criminalize users, hinder research, and repeat failed drug-war policies. After extensive debate, the committee voted the bill out due pass to Appropriations, and it passed. Finally, SB 11, the AI Abuse Protection Act, was introduced to regulate AI-generated voice, image, and video replicas, with supporters emphasizing protection against deepfakes and nonconsensual images; the California Chamber of Commerce opposed unless amended, seeking narrower definitions and limits on consumer warnings. The hearing ended while SB 11 was still under discussion, with no final vote reflected in the transcript.

Transcript Highlights:

• The department was also directed through House... ...December 31, 2026.
• Last, last base review in front of you is for psychiatric hospitalization.
• There was directions when it came to work requirements.
• We do have a psychiatric thing that's beginning to step up a little bit.
• That is funding for our three state psychiatric hospitals.

Keywords: 989, all

Summary: The Senate Finance and House Appropriations committee met with a quorum present and began with questions about a Rural Health Funding Task Force. Members asked who created it, what notice was given, whether it was replacing JFAC, and whether it was separate from the governor’s task force. The chair said it was created by legislative leadership rather than this committee, that JFAC would still control funding decisions, and that the task force was intended to provide structure and policy direction if the funding moves forward. The committee then received a General Fund Daily Update from Legislative Services analyst Christopher LaHosette, who noted updated revenue projections, three introduced House bills with general fund fiscal impacts, and the green sheet’s totalizing function for tracking legislation. The main presentation was from the Department of Health and Welfare on the Division of Welfare, Mental Health Services, and Psychiatric Hospitalization budgets. Alex Williamson reviewed the divisions’ roles, staffing, and five-year spending trends, and outlined the governor’s recommendations, including Medicaid eligibility system changes tied to federal law, SNAP administrative cost shifts to the state, Medicaid expansion work requirements, restoration of transfer authority, and behavioral health requests tied to the Jeff D. settlement and Idaho Behavioral Health Plan. Director Juliet Sharon said the department’s requests were largely maintenance, restoration, or compliance items, including system changes for twice-yearly Medicaid redeterminations and work requirements. Members asked about the impact of federal changes, the $5 million increase in welfare operations, vacancy levels, endowment funds, and whether the department could compare SNAP administrative costs to other states. Several questions focused on mental health cuts, the former Center of Excellence, the request to combine adult and children’s mental health budgets, and the effect of reductions on crisis services, ACT services, and mobile crisis units. Sharon and Behavioral Health Administrator Ross Edmonds said the department was trying to preserve crisis and hospital services, maintain separate tracking for children and adults, and monitor access closely while complying with legal and federal requirements. The committee also discussed Magellan’s contract, audit findings, and managed care oversight. Sharon said Magellan is reviewed through monthly, quarterly, and annual deliverables and can be placed on corrective action plans; she also said the department has processes to prevent payments for deceased or ineligible individuals. Members asked about duplication of services, the use of endowment funds at state hospitals, the need for more behavioral health workforce data, and whether the department could share equipment or contract out maintenance at the psychiatric hospitals. No votes were taken, and the committee adjourned after indicating it would meet again Monday morning.

Transcript Highlights:

• see, we have maintenance pool, uh, Department for Public Health, central lab construction, uh, psychiatric
• </c> lab construction, uh psychiatric lab construction, uh psychiatric residential<00:05:06.440><c> treatment
• First, we've identified a need to construct a psychiatric hospital to serve children and adolescents
• hospital to serve children psychiatric hospital to serve children and<00:08:09.599><c> adolesccents<
• That's the Children's Psychiatric Hospital.

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:05 Approval of Minutes 00:01:48 Welcome New Members 00:02:03 Information Items 00:02:35 Review of Executive Branch Agency Plans 00:03:33 A. Cabinet for Health and Family Services 00:04:00 B. Kentucky Department of Education 00:17:03 C. Education and Labor Cabinet 00:29:33 D. Energy and Environment Cabinet 00:42:38 E. Finance and Administration Cabinet 0:53:30 F. Justice and Public Safety Cabinet 01:13:28 G. Personnel Cabinet 01:31:04 H. School Facilities Construction Commission 01:41:39, 958, all

Summary: The meeting was the first of the year for the Capital Planning Advisory Board. Members were called, a quorum was confirmed, new co-chairs and members were welcomed, and the board approved the prior year’s meeting minutes. The chair also reviewed the capital planning timeline, packet organization, and the list of agencies that submitted plans but would not testify. The Cabinet for Health and Family Services presented first, outlining priorities centered on public safety, protecting existing infrastructure, preventive maintenance, and improving service delivery. Its major requests included a $21 million maintenance pool for 14 campuses and 175 buildings, phase 2 construction funding for a new public health laboratory, an 18-bed psychiatric hospital for children and adolescents with severe mental health needs, and several projects at Western State Hospital, Western State Nursing Facility, Hazlewood, and Oakwood. Members asked about the youth facility’s relationship to a separate DJJ project, vacant buildings, the high per-bed cost of the children’s hospital, and how the cabinet determined the need for the youth facility. CHFS said the youth project would be a separate facility serving high-acuity youth, the cost reflected the specialized nature of the unit and an 18-bed cap, and the broader youth plan also includes prevention, in-home services, and coordination across agencies. The Kentucky Department of Education then described projects for its three state-operated facilities: the Kentucky School for the Deaf, the Kentucky School for the Blind, and the FFA leadership training center. It requested additional funding for the FFA classroom and activity building after bids came in higher than expected, plus funding for a new education finance application system to support SEEK budgeting. Other priorities included a maintenance pool, FFA pool renovation, electrical upgrades, campus education enhancements, lighting improvements, safety and security work, door and window replacements, and HVAC maintenance. Members asked about student outcomes, the size of the FFA pool, and construction cost assumptions; the department said it tracks students through the schools and short-course programs, the pool size figure may have been a typo, and current construction estimates are being adjusted upward because of inflation and supply-chain pressures. The Education and Labor Cabinet began its presentation with 12 priority projects, including a state labor exchange system to connect job seekers and employers, renovation of the McDow Vocational Rehabilitation Center, and a new adult education and family literacy management information system. The cabinet said the labor exchange would help match workers with employers at no cost, while the McDow renovation was needed because the 30-year-old facility has safety and code concerns. The adult education system was described as outdated and lacking adequate case-management and tracking capabilities.

Transcript Highlights:

• There were directions when it came to work requirements.
• We do have a psychiatric thing that's beginning to step up a little bit.
• That is funding for our three state psychiatric hospitals.
• We also have a state psychiatric nursing facility... Hospitals.
• We also have a state psychiatric nursing facility in Blackfoot as well.

Summary: The Senate Finance and House Appropriations committee met with a quorum present and first took up questions about a separate Rural Health Funding Task Force. Members asked who created it, its purpose, whether it was replacing JFAC, and whether it was tied to the governor’s task force. The chair said it was created by legislative leadership, not this committee, and that JFAC would still control funding decisions; the task force was described as a structure to help shape how any future appropriation would work. The committee also recognized guests from Boise State’s Executive Educational Leadership Program before moving to the General Fund Daily Update and then the Department of Health and Welfare budget review. Legislative Services analyst Alex Williamson reviewed Health and Welfare’s Division of Welfare, Mental Health Services, and Psychiatric Hospitalization budgets. Major items included one-time Medicaid eligibility system changes tied to federal law and House Bill 345, ongoing SNAP administrative cost shifts to the general fund, Medicaid expansion work requirement implementation costs, restoration of some transfer authority, and several behavioral health adjustments. In mental health, the department requested partial restoration of positions and funding tied to the former Behavioral Health Center of Excellence, but the director said the center itself had been disbanded and the request was instead for 15 FTE to support children’s mental health and the Jeff D. settlement. Other items included funding for mobile crisis services, a fund shift for hospital benefits and cost increases, replacement items at the state hospitals, and endowment fund adjustments. Director Juliet Sharon and Behavioral Health Administrator Ross Edmonds answered extensive questions about federal changes, managed care, and behavioral health service reductions. They said the department is implementing work requirements and more frequent Medicaid redeterminations required by federal law, starting with a one-month compliance period for applicants, and is not seeking a waiver to delay implementation. On behavioral health, they explained that reductions to Medicaid and non-Medicaid services were mirrored, that ACT services were discontinued as a bundled service but individual components remain available, and that the department is tracking hospital utilization, crisis services, and client touchpoints through Magellan. Members also asked about audits, deceased-member payments, endowment funds, staffing shortages, and whether some services were being duplicated; the director said program integrity processes are in place and that the department is trying to reduce duplication while maintaining reporting transparency. No formal votes were taken, and the committee adjourned after indicating it would meet again Monday morning.

Transcript Highlights:

• In addition to our direct members, we represent about... about 250 chambers across this great, great
• are one of the global leaders in developing the technologies in aircraft to power the future of advanced
• We could actually seek the or to make a determination as to independence in advance of proceeding with
• And without anyone willing to help keep her under some psychiatric care, the most...
• They're given the freedom to decide whether or not they need psychiatric help. or medical treatment,

Bills: HB32, HB15, HB171, HB421, HB581, HB644, HB745, HB349, HB917, HB204, HB923, HB15, HB171, HB204

Keywords: eviction, landlord rights, tenant rights, justice court, property law, court procedures, chemical dependency, court-ordered treatment, mental health, health care, treatment facility, juvenile justice, criminal justice reform, deep fake, digital impersonation, age verification, private cause of action, explicit content, consumer protection, HB 581

Transcript Highlights:

• I'm also the medical director of our medical and psychiatric inpatient unit.
• I urge you to advance this legislation.
• I saw this firsthand as I worked as an inpatient and psychiatric social worker.
• We don't have anyone signed up to testify in advance.
• House Bill 282 and Senate Bill 168 provide a direct and powerful solution.

Keywords: 995, all

Summary: The Joint Committee on Children, Families and Persons with Disabilities held a hybrid hearing focused largely on DDS-related bills, with chairs Kennedy and Livingstone outlining strict time limits, accessibility procedures, and a 5 p.m. stop to preserve ASL and CART services. The committee heard testimony on several measures, including a bill from Sen. Mike Moore to create a centralized electronic education records system for students in out-of-home placements, which supporters said would improve communication, preserve IEP continuity, and reduce missed services. Paul DePaulo also testified in support, describing the educational and justice-system harms that can follow when foster youth do not receive coordinated records and supports. A major portion of the hearing centered on H. 242/S. 149, a bill to enhance standards of care for people with autism and intellectual and developmental disabilities. Rep. Garballey and many advocates, parents, clinicians, and disability leaders supported the bill, saying it would require provider training, statewide standards, and better emergency department practices to reduce misdiagnosis, trauma, and unnecessary ER boarding. Testimony described sensory and communication barriers in medical settings, lack of provider training, and the need for continuing education and license-related requirements. Related testimony also supported H. 213/S. 111, which would improve access to behavioral health services for children involved with state agencies by requiring better discharge planning, coordination with hospitals and agencies, and more appropriate post-hospital placements. The committee also heard strong support for H. 256/S. 102, requiring universal changing stations in public buildings, from parents, advocates, and the Massachusetts Developmental Disabilities Council. Witnesses said current restroom accommodations often force unsafe or undignified changes on floors, in cars, or in inaccessible spaces, and argued the cost of adding changing stations to new or renovated buildings would be modest compared with the benefits to dignity, safety, and community access. Another major topic was H. 261/S. 155 on supported decision-making agreements for certain adults, which supporters described as a less restrictive alternative to guardianship that preserves autonomy while providing trusted support. Finally, testimony on Tommy’s bill (S. 168/H. 282) described a preventable death after a hospital discharge and urged clearer communication and training requirements for residential staff handling life-sustaining equipment; the bill was presented as a safeguard for people with disabilities relying on such equipment.

Transcript Highlights:

• Section 16 and Section 17 are changes to the advanced care directive requirement in mobile crisis.
• So, right now, mobile crisis teams are required to offer to develop an advanced care directive while
• So, this proposal would move that requirement to discuss that advanced care directive from the crisis
• Section 16 and Section 17 are changes to the advanced care directive requirement in mobile crisis.
• So, right now, mobile crisis teams are required to offer to develop an advanced care directive while

Keywords: 1187, senate, all

Transcript Highlights:

• , or psychological care or psychiatric, or psychological care or treatment<01:02:41.760><c> including
• ,</c> a regimen of medical, psychiatric, a regimen of medical, psychiatric, &gt;&gt; [clears throat]
• of any hearing and to permit in advance of any hearing and to permit the<01:12:30.600><c> victim</c>
• People released from a psychiatric hospital commit crimes.
• </c> changed it so that there could be direct changed it so that there could be direct admission<01:50

Keywords: 926, house, all

Transcript Highlights:

• Bill 162 requires us to separate high- and low-risk males from females, but also the Governor's directive
• is to house males Governor's directive is to house males and<00:10:36.880><c> females</c><00:10:37.320
• She can go to physical locations and take calls, and we have three advanced practice registered nurses
• "Private psychiatric hospitals are not required to accept DJJ youth and routinely refuse to accept or
• </c> access to behavioral and psychiatric access to behavioral and psychiatric care<00:27:13.600><c>

Keywords: 958, all

Summary: The committee heard an overview from Department of Juvenile Justice Commissioner Randy White on the state’s juvenile detention network and several facility projects. He identified the currently operating detention centers as Boyd County for females, Breathitt County for low-risk males, Fayette County for high-risk males, Adair County for high-risk youth from Jefferson and surrounding counties, Warren County for high-risk males, and McCracken County for low-risk males. Members asked about capacity and staffing; White said Boyd County houses 33 and is usually near full, Breathitt County is about half full, Fayette County runs about 80-90% full, Campbell County’s operational limit is about 25 due to staffing, Adair County can hold 60 and has hit capacity several times this year, Warren County holds 43 and usually runs near capacity, and McCracken County holds 43 and is not currently full. He said staffing is generally harder in higher-risk facilities and in metropolitan areas because of wages and housing costs. White then updated the committee on the Louisville Detention Center downtown renovation and the Lyon facility project. For the Louisville downtown facility, he said schematic design and design development are complete, construction documents are expected by late February or early March, bids are anticipated in April, and completion is projected for March 2027. He explained the delay is due to extensive renovation work needed to bring the building up to current building, life-safety, ACA, and PREA standards, including security, mechanical, electrical, plumbing, food service, and roof work. The project is designed for 64 beds for high-risk Jefferson County boys, with the facility currently vacant and those youth being housed in Adair County and Campbell County. For the Lyon project, he said the contract was issued November 21, 2024, demolition is underway, completion is expected June 14, 2026, and the facility will have 34 beds in four pods for low-risk offenders; he said the project appears to be on time and on budget within the $4.5 million authorization. The committee also discussed the medical services contract. DJJ officials said they are reviewing whether to continue with the current state contract provider, Wellpath, or pursue an RFP, while retaining current merit staff and continuing oversight through four nurse program administrators. They said DJJ uses a state master agreement to staff nurses, APRNs, and the chief medical officer, and that the current contract is about $20 million per year. Members asked about Wellpath’s bankruptcy filing; officials said they were aware of it, asked questions, and were told it would not affect Kentucky service delivery or contracting, though they could not recall the bankruptcy type and offered to provide more detail later. They also said DJJ is working with the Cabinet for Health and Family Services to become a Medicaid provider, and any future contractual partner will need to be a Medicaid provider. Finally, White described the proposed high-acuity juvenile mental health treatment facility. He said DJJ must accept court-ordered youth even when they have severe mental illness, but detention centers are not equipped to treat those youth and private psychiatric hospitals often refuse them or discharge them early. He argued that a dedicated secure treatment facility is needed for a small number of highly violent, high-need youth who require intensive psychiatric care and are disruptive in detention. The facility would provide behavioral and psychiatric treatment, reduce delays caused by lack of beds or outside placements, and serve youth determined by clinical assessment to need a secure treatment environment. No votes were taken during the discussion.

Transcript Highlights:

• Currently, only 55% of that revenue is being directed toward health care.
• This is direct recruitment. So it is a headhunter program.
• In extreme cases, some adults will lose their lives as a direct result of malnutrition.
• But they did help me direct this program to get to this legislation.
• It would actually go to direct costs as well. Okay. Thank you, Madam Chair.

Keywords: 996, all

Transcript Highlights:

• </c><00:52:27.680><c> Medical</c> of Hawaii Psychiatric Medical of Hawaii Psychiatric Medical Association
• </c><00:52:34.960><c> Medical</c> Um we at Hawaii Psychiatric Medical Um we at Hawaii Psychiatric Medical
• </c> are other member other psychiatric are other member other psychiatric members<00:52:56.880><c> in
• American Psychiatric you're on Zoom.
• </c> American Psychiatric Association. American Psychiatric Association.

Keywords: 912, senate, all

Summary: The joint HHS, Agriculture, Environment, Energy, and Intergovernmental Affairs hearing focused first on SB 2262, a pollution and illegal dumping measure. The Department of Health said it stood on its written testimony, and public testimony included support from CARES with suggested amendments to involve the counties in standardized response planning and to address pollution caused by individuals. Members questioned the bill’s fines, where they would go, and how the department would handle carcasses and illegal dumping enforcement. DOH said administrative fines go to the general fund, criminal fines are collected by the Attorney General, carcasses are generally buried by the landowner under existing rules, and DOH mainly regulates solid waste and coordinates with counties and other agencies when violations arise. After discussion, the chair recommended SB 2262 be passed with substantial amendments. The proposed amendments would add DLNR to the task force, deposit all fines into a special fund to support enforcement, allow fines below $5,000 for littering and higher fines for excessive or chronic illegal dumping, and include a January 30, 2050 effective date. The committee adopted the recommendation, with members voting aye. The hearing then moved to the HHS calendar. On SB 2087, relating to health insurance, agencies including DHS, DCCA, the Attorney General, and Labor stood on written testimony, while several advocacy and medical groups testified in support. One Medicaid recipient opposed the bill, arguing the coverage should be immediate rather than phased in over three years. Angela Melody Young supported the bill but urged amendments to prioritize people with disabilities, kupuna, and mothers. Members questioned whether the rural health transformation program could support the bill’s deductible structure; the Department of Human Services said it was unlikely CMS would allow that level of coverage, though rural funds might help in other ways. The committee then moved on to SB 2089, which would expand services eligible for Medicaid prospective payment system reimbursement, hearing support from OHA, DHS, and others, along with testimony about mental health access and training. The transcript also began SB 2106, relating to health and eating disorder prevention, with a student testifying in support and citing youth eating disorder harms, but the discussion was cut off before any action on that bill.

Transcript Highlights:

• </c> of us exactly, but we're in a direction of us exactly, but we're in a direction that<00:02:24.000
• </c><00:08:40.479><c> payments</c> that uh transitions to direct payments that uh transitions to direct
• </c> employees or volunteers providing direct employees or volunteers providing direct contact<00:29:
• </c> specialized health care system, direct specialized health care system, direct care<00:42:30.480>
• </c> that of my peers uh with this direction. that of my peers uh with this direction.

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• ><c> MDH</c><00:29:11.280><c> to</c> That legislation also directed MDH to That legislation also directed
• </c><01:17:17.560><c> payment</c> statewide hospital directed payment statewide hospital directed payment
• </c> and how we're implementing the directed and how we're implementing the directed payment<01:17:31.360
• 01:22:45.080><c> and</c> a psychiatric nurse practitioner and a psychiatric nurse practitioner and member
• </c><01:24:05.720><c> But</c> back for their advanced degrees. But back for their advanced degrees.

Keywords: 1187, senate, all

Transcript Highlights:

• Justice Action Network is a national bipartisan organization dedicated to advancing evidence-based reforms
• In June, After many failed attempts to get him into a psychiatric hospital.
• Chairman and members, Senate Bill 1107 directs the Arizona Peace Officer Standards and Training Board
• SB 1055 takes Arizona in the opposite direction.
• Time is being wasted advancing policies like SB 1050. continues to fail us.

Summary: The Committee on Public Safety and Law Enforcement first heard SB 1032, which appropriates $1.5 million from the State General Fund to the Corrections Oversight Fund in FY27 to help operate the Independent Correctional Oversight Office. Supporters, including Justice Action Network, Representative Blackman, and a family member describing her son’s death in custody, argued the office is needed to address serious problems in the Department of Corrections, including mental health care failures, staff shortages, lawsuits, and the state’s federal receivership. Members largely agreed the office could improve transparency and accountability, and the bill received a due pass recommendation on a 14-0 vote with one absent. The committee then considered SB 1107, which creates an alternative certification pathway for honorably discharged U.S. veterans who served as military police to become Arizona peace officers through abbreviated training and recognition of prior military training. Members asked whether the bill would include equivalent roles from all branches, such as Air Force security forces, and staff said the bill is intended to track Department of Defense training standards. Supporters emphasized the value of recruiting experienced applicants to address public safety staffing shortages, while one member raised concerns about applicants with prior misconduct in other states. The bill passed with a due pass recommendation on an 11-1 vote, with two present and one absent. Finally, the committee heard SB 1055, which requires law enforcement to immediately notify ICE or CBP when arresting a person unlawfully present in the United States. The bill drew strong support from one proponent who framed it as a public safety and immigration enforcement measure, and strong opposition from the ACLU and several community members who argued it would chill crime reporting, burden local agencies, raise civil rights concerns, and risk wrongful detention of citizens and tribal members. Representative Cruz offered a strike-everything amendment that would instead restrict DOC inmate telephone contracts from generating revenue above operating costs; supporters said it would reduce costs for families and improve communication, but the amendment failed 6-8. The committee then returned to the underlying SB 1055 and gave it a due pass recommendation on an 8-6 vote with one absent.

Transcript Highlights:

• Those nurse practitioners have advanced from working under that standardized procedure, direct physician
• practitioners have even advanced to that level.
• And psychiatric mental health.
• For direct access, for those states that have true direct access, I can tell you that the data that I
• When we did transition, I was here when we transitioned from no direct access to temporary direct access

Summary: The joint Assembly and Senate Business and Professions sunset oversight hearing focused first on the Board of Registered Nursing (BRN), with opening remarks emphasizing legislative oversight, consumer protection, workforce access, and the need to evaluate whether licensing boards are efficient and effective. BRN leaders reported progress since the last review, including faster licensing timelines, streamlined enforcement, improved consumer satisfaction, expanded nursing program enrollment, and new statewide data collection on faculty. Committee members then questioned the board about nurse practitioner scope and supervision, international licensure, English proficiency, online nursing education and clinical placements, military and veteran pathways, workforce shortages, diversity in nursing, the LVN-to-RN 30-unit option, and the role of the board’s RN executive officer. The board explained California’s tiered APRN system, the NCLEX and national certification requirements, the 500-hour direct patient care clinical requirement, and its use of nursing education consultants and board-approved programs to oversee schools and placements. Members also discussed retention problems, especially for new graduates, and the board said shortages are often driven by burnout, lack of support, and employers’ reduced use of new-grad training programs. Public comment largely centered on proposed BRN sunset issues affecting advanced practice nursing, education oversight, and workforce development. Nurse practitioner, nurse midwife, and nurse anesthesiology groups generally supported the BRN sunset report but asked for clearer implementation of AB 890, support for APRN-to-RN delegation authority, streamlined renewals for nurse midwives, and protection of the current population-focus model. The California Medical Association raised concerns about out-of-state nurse practitioners practicing independently without California transition-to-practice requirements, specialty delegation, ratios, and data collection. Higher education representatives from UC, CSU, private nonprofit colleges, and nursing associations urged the board to reduce duplicative documentation, modernize clinical placement rules, improve parity between in-state and out-of-state programs, and address bottlenecks in securing clinical sites. An online nursing school argued that California should create a pathway for distance-learning programs so students can complete clinicals in-state rather than traveling out of state. Several speakers also highlighted the need to expand access for rural and underserved communities, support diverse and nontraditional students, and preserve affordable pathways into nursing.

Transcript Highlights:

• I think that this is a step in the right direction, so with that, I'm an aye. Senator McAugley?
• So that's where I think that this is a critically important change in direction.
• So that's where I think that this is a critically important change in direction.
• On my completion of a forensic psychiatric evaluation, I was quoted that the cost of such evaluation
• Have you filed any kind of complaints with the Board of Psychiatric Examiners or the Board of Psychiatric

Summary: The Senate Judiciary and Elections Committee heard several election, victims’ rights, family court, and probation-related measures. SB 1425, an emergency bill moving Arizona’s primary election date earlier and adjusting related election timelines, was amended to move the primary to the second-to-last Tuesday in July and to remove the proposed compression of cure/ID deadlines; county officials supported it, and it received a do pass recommendation. SB 1289 and SCR 1013/SCR 1014 focused on foreign money in election administration and ballot measure campaigns, with supporters arguing the bills would close loopholes that allow foreign-backed funding to influence elections; some members raised concerns about breadth and enforcement, but both measures advanced. SB 1402 would require probationers on certain sex-offense-related monitoring to pay the cost of electronic monitoring; supporters said it would improve accountability and child safety, while opponents warned it could punish indigent people and divert money from treatment. It also received a do pass recommendation. The committee spent substantial time on family court bills. SB 1330 would allow a parent with less than 35% parenting time or no legal decision-making authority to request a jury trial in custody-related disputes; supporters described severe financial and emotional harm in family court and argued juries would provide a neutral check, while county and legal representatives opposed the bill as costly, slow, and ill-suited to specialized child-welfare decisions. Despite those objections, SB 1330 passed with a do pass recommendation. SB 1328, as amended, declared Arizona public policy to include protecting parents and a child’s right to equal access to both co-parents; supporters said it would clarify legislative intent, while opponents called it duplicative of existing law. It also passed. The committee also heard SB 1329, which would let parents sue court-appointed professionals in custody and parenting-time matters if the professional deviated from licensing ethics or standards. Supporters argued that quasi-judicial immunity and weak oversight have allowed harmful, expensive practices in family court, while opponents said existing malpractice and licensing remedies already exist and warned against expanding litigation. The bill received a do pass recommendation. SB 1326, allowing courts to award attorney fees and costs to victims when a party violates or worsens a victim-rights violation, also passed after supporters said it would help pro bono and victims’ attorneys enforce rights, and opponents said the term “exacerbates” was vague and the need was unclear. The committee approved the minutes and held SB 1285 and SB 1392 without hearing them.

Transcript Highlights:

• Telehealth is also providing direct patient care.
• Okay, certain advanced or nurse practitioner need to...
• Those nurse practitioners have advanced from working under that standardized procedure, direct physician
• For direct access in those states that have true direct access, the data I have available to me is the
• When we transitioned from no direct access to temporary direct access, it was a little bit of a roller

Summary: The joint Assembly and Senate Business and Professions sunset oversight hearing focused first on the Board of Registered Nursing (BRN), with chairs emphasizing oversight, consumer protection, workforce access, and the need to evaluate whether licensing boards are functioning efficiently. BRN leadership reported major process improvements since the last sunset review, including faster license processing, streamlined enforcement, improved consumer satisfaction, and growth in nursing education enrollment. Members questioned the board extensively about nurse practitioner scope and supervision, international licensure, online nursing programs and clinical placements, military pathways, the 30-unit LVN-to-RN option, workforce shortages, diversity in nursing, and retention of new graduates. The board explained California’s tiered APRN system, the NCLEX and national certification requirements, clinical hour standards, and its role in approving programs and assigning nursing education consultants. Public testimony on the BRN was mixed: nurse practitioner, nurse midwife, and nurse anesthetist groups largely supported the sunset report and especially the proposed APRN-to-RN delegation language, while physician and hospital stakeholders raised concerns about out-of-state NP practice, specialty delegation, ratios, and the need for regulatory parity and clearer standards. Higher education representatives urged reduced duplication in documentation, more flexible clinical placement rules, and better coordination to address bottlenecks in placements and faculty hiring. The committee did not take a vote during the excerpted BRN discussion. The hearing then moved to the Physical Therapy Board of California, where the board’s president began an overview of the board’s mission, structure, vacancies, and public-protection role under the Physical Therapy Practice Act. The transcript excerpt ends before substantive questioning, testimony, or any action on the physical therapy item is shown.

Transcript Highlights:

• I'm a psychiatric mental health nurse practitioner practicing here in Massachusetts.
• I'm a psychiatric mental health nurse practitioner practicing here in Massachusetts.
• Seeing none, that concludes the list of folks that signed up in advance.
• Aesthetics is a niche medical specialty not covered in traditional medical education, and advanced or
• And advanced or specialized training is elective and not widespread beyond its own specialty.

Summary: The Joint Committee on Public Health heard testimony on four bills: H. 5013 and S. 2928, which would establish a three-year celiac disease screening pilot program for children during routine cholesterol/lipid screening around ages 8 to 12; H. 5087, regulating the operation of medical spas; and H. 5115, establishing statewide food truck regulations, though the hearing focused almost entirely on the celiac and medical spa bills. Committee chairs outlined three-minute testimony limits and noted members present in person and online. Supporters of the celiac screening bills, including Rep. Badger, Sen. Lovely, patients, clinicians, and researchers, described long delays in diagnosis, the lack of a cure beyond a gluten-free diet, and the potential for early screening to prevent years of damage, missed school and work, and long-term complications. Testifiers said celiac disease is common but frequently undiagnosed, that a simple blood test can identify many cases, and that a pilot would help assess feasibility, cost, accuracy, and family acceptance. Several witnesses emphasized that the proposal includes education and support for families after diagnosis, and some cited international screening efforts, especially in Italy, as evidence that population screening can work. Testimony on H. 5087 was largely opposed by medical spa owners, nurse practitioners, physician assistants, and a plastic surgeon. Witnesses argued the bill is outdated, duplicative of existing Massachusetts licensing and public health rules, and inconsistent with current scopes of practice and team-based care. They said the proposal could restrict access, burden small and women-owned practices, and fail to address the real issues of training, compliance, and patient safety. Some said they support regulation in principle but want the bill revised to reflect current law and modern practice. Committee members asked a few clarifying questions, including about celiac testing methods and the relationship between the medical spa bill and current state law, but no votes or formal actions were taken during the hearing.

Transcript Highlights:

• the proceeds from the sale of unclaimed livestock, which are then used for education programs at advanced
• We can actually use that money to direct outcomes.
• I think in answer to that question, what we're doing is helping us step in that direction.
• In 2026, a child psychiatric resident was added. The enhancement was not...
• A child psychiatric resident was added.

Summary: The committee met with a quorum and heard a series of budget presentations from the Legislative Services Office and agency leaders on higher education and health education programs. Kevin Campbell first reviewed the Office of the State Board of Education budget, noting staffing growth tied to added responsibilities, the end of federal COVID/ARPA funding, a governor-recommended supplemental reversion for the sunsetted Empowering Parents grant, and FY 2027 requests including a Canvas LMS renewal, a risk-manager transfer back to institutions, and a one-time federal AI grant. Jennifer White, OSBE executive director, defended the Canvas contract as a cost-saving centralized arrangement, discussed budget pressure on colleges and universities, and said the board is developing an outcomes-based funding model that would shift emphasis from enrollment to progression, completion, and workforce outcomes while phasing in changes to avoid destabilizing institutions. Members asked about cuts, tuition, private donations, rainy-day funds, the longitudinal data system, CETL Now usage, and whether programs should be evaluated or eliminated based on outcomes. White said the board is still gathering data and expects at least another year before a workable funding proposal is ready, and she emphasized that unearned funds under the new model would be returned to OSBE for targeted intervention rather than simply removed. The committee also discussed risk-management centralization, with White explaining that moving risk managers back to institutions would improve day-to-day efficiency while OSBE retains enterprise risk oversight. The committee then turned to health education programs, beginning with Family Medicine Residencies. Campbell outlined the program’s funding and recent growth, and residency leaders said the 3% holdback affected both ISU-based and hospital-affiliated programs but would not force immediate reductions. They stressed the importance of continued legislative support, noted that residency training helps retain physicians in Idaho, and said the programs rely on a mix of state, federal, and patient-care revenue. Members also raised concerns about clinical placement capacity, rural access, and whether federal rural health funds could help support expansion. Additional presentations covered the Eastern Idaho Medical Residencies and the University of Utah medical program. EIMR leaders said Idaho remains far short of needed psychiatrists, especially child psychiatrists, and that training residents in-state helps keep physicians in Idaho; they also described private hospital support as part of the funding model. For the University of Utah program, Campbell said the state supports both medical students and psychiatry residents, and the program requested funding for three additional child psychiatry residents. Dr. Beth Botz, the training director, attributed rising child psychiatry need to increased stress, social media, COVID-era effects, and broader awareness of mental health issues, and said placing residents in southeast Idaho has already improved access and reduced wait times.

Transcript Highlights:

• You must register on the kiosk located outside of the chamber in that direction.
• The rural maternal add-on payment certainly moves the needle in the right direction.
• The rural maternal add-on payment certainly moves the needle in the right direction.
• Now, obviously, in the 16 years since House Bill 1290, technology has advanced dramatically.
• And I think this legislation goes in the opposite direction of safe families, respectfully.

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions. The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending. Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.