Transcript Highlights:

• To start with that, I have a few slides on the screen here, if I can direct your attention there.
• And on the screen here, you'll see the trends over the past decade or so.
• Do we see any secondhand trauma from those that are peer counselors?
• So that doesn't mean that they're not experiencing secondhand trauma, but every time a student has a
• Campus screening and access to natural spaces can have significant impacts on youth well-being.

Summary: The Select Committee on Youth Mental Health and Treatment Access held its third hearing to review the state of youth mental health, progress under the Children and Youth Behavioral Health Initiative (CYBHI), and remaining implementation and funding challenges. The chair emphasized that schools are often the main point where education, health care, and social services intersect for students, and that the committee’s goal is to ensure public investments translate into better access and outcomes. The hearing featured testimony from researchers, a youth advocate, state officials, and local practitioners. PPIC researcher Shalini Mostala reported that teen mental health remains a serious concern, with high rates of chronic sadness, hopelessness, and suicidal thoughts, though recent California data show some improvement since the pandemic. She noted persistent disparities by gender, race, and rural status, and said school-based health centers, wellness centers, and community schools are associated with lower suicidal thoughts. Youth advocate Ella Cruz, speaking for NAMI California, described her own mental health struggles and argued that youth voice, peer-to-peer support, and reducing stigma are essential; she also said technology and AI cannot replace trusted adults or trained professionals. Committee members asked about phone use, stigma, cultural barriers, and how to make supports more accessible and relatable to students. Dr. Sohill Sood of the California Health and Human Services Agency said statewide survey data show declining stigma, increased counseling use, and lower suicide ideation among students, and he highlighted CYBHI’s certified wellness coaches, digital tools, awareness campaigns, and the first-in-the-nation fee schedule that allows schools and colleges to bill health plans for behavioral health services. He said the program is growing quickly, with more than 230,000 claims and over $11 million in new revenue to date, while acknowledging that billing systems and coordination are still being built. Trina Frazier of Fresno County described a multi-tiered system of care supported by CYBHI, CalAIM, and other grants, serving thousands of students through school-based services, wellness centers, and mobile therapy units; she said ongoing funding and flexibility are critical. Rachel Kroberniski of El Segundo High School’s James Morehouse Project described a long-running wellness center and peer mentorship model that supports students in multiple languages, and said peer programs help students feel seen, connected, and more willing to seek help. Members broadly praised the flexibility, collaboration, and peer-based approaches described by the witnesses. Questions focused on sustaining funding after one-time grants expire, improving coordination among schools, counties, and providers, expanding the fee schedule to higher education, and ensuring continuity of care for students after high school. Officials said county offices of education, DHCS, and other partners are using communities of practice and technical assistance to spread best practices, and that CYBHI services can follow some young adults through age 25, with additional supports through community-based programs and digital platforms.

Transcript Highlights:

• It bypasses the earlier section under 5200, however, that creates the pre-petition screening.
• It bypasses the earlier section under 5,200, however, that creates the pre-petition screening.
• I wish I could stand before you today and tell you that the fear and trauma ended after this all.
• I wish I can stand before you today and tell you that the fear and trauma ended after this all.
• There's a whole bunch of trauma we can talk about after this hearing at some point.

Summary: The committee heard several bills. SB 911, by Senator Becker, would require notification and verification of defensible-space compliance when homes in high wildfire severity zones are transferred, using the preliminary change of ownership report; supporters said it would improve wildfire resilience and insurance availability, while county assessors opposed the use of the PCOR and urged a different recorded document. Members generally supported the bill but raised concerns about the 12-month compliance window and the need to keep working with assessors; the bill was held pending a quorum and later placed on call. SB 1016, by Senator Blakespear, would create a pathway for a higher-level mental health evaluation when a Care Court petition is dismissed because the person is too ill to participate or otherwise needs more intensive care. Supporters, including psychiatrists, family members, and local officials, said Care Court is leaving many severely ill people untreated and that the bill would connect them to existing LPS processes. Opponents, including Disability Rights California, county behavioral health directors, counties, and other advocacy groups, argued it would expand involuntary detention, bypass existing pre-petition screening safeguards, and undermine Care Court’s voluntary nature. The bill passed the committee on a roll call vote and was placed on call. SB 1112, by Senator Archuleta, would create a faster court process for victims of illegal or excessive “bandit towing” to recover their vehicles by posting a bond and obtaining a release certificate. Support came from Enterprise Mobility and the author, who said the bill targets bad actors and helps equalize leverage for vehicle owners; the California Auto Body Association sought an amendment to exclude auto repair shops. The committee passed the bill as amended to Appropriations and placed it on call. SB 1119, by Senator Padilla, would impose child-safety requirements on AI chatbots, including risk assessments, crisis-response protocols, parental controls, limits on time and data use, reporting, audits, and a private right of action. The bill was driven by testimony from the mother of a teenager who died by suicide after prolonged chatbot interactions; industry and business groups opposed or sought amendments, citing overlap with recent law, vague standards, and prescriptive design mandates. Members expressed strong support for the bill’s goals while urging tighter definitions, and the bill was moved on a roll call vote and placed on call.

Transcript Highlights:

• <01:19:58.200> to<01:19:58.360> kids trauma to kids trauma to kids and<01:19:59.840>
• trauma in school. school. school.
• Today her son psychological trauma.
• , like trauma, like trauma, communication<02:02:49.920> barriers,<02:02:50.680> or<
• > strong trauma-informed practices and strong trauma-informed practices and strong family<02:03

Keywords: 1187, senate, all

Transcript Highlights:

• And we do have a presentation for you, so I'm going to be sharing my screen, if that's okay with everybody
• And could everybody should see my screen? And I'm hoping I'm sharing my slides.
• And could everybody should see my screen? And I'm hoping I'm sharing my slides. Yes. Perfect.
• Every module includes motivational interviewing, trauma-informed care, health and medical complexity,
• interviewing, trauma-informed care, health and medical complexity, literacy, transition and referral

Keywords: 995, all

Summary: The Permanent Commission on the Status of Persons with Disabilities equity subcommittee met, approved the prior minutes, and heard a presentation from the Massachusetts Department of Public Health’s Cater Center (Care Coordination Assistance, Training, Education, and Resources for Kids). Presenters Toria Haffey and Patty Loza explained that Cater provides training and technical assistance to MassHealth’s Cares for Kids providers serving children with medical complexity, with a focus on enhanced care coordination, family partnership, racial/cultural/linguistic equity, community resources, education systems, shared plans of care, and transition support. They described five e-learning modules, flexible one-on-one and group technical assistance, case review support, and informal virtual “cafes” for providers. They also noted the program has been operating for about two to three years and currently works with five hospital-based providers, including Boston Children’s, BMC, Tufts, NeighborHealth, and Baystate. Committee members asked about the number of families served, the relationship to MassHealth, and whether the model could be expanded beyond Boston-area providers. The presenters said Cater does not track enrollment numbers because that is handled by providers and MassHealth, and they agreed there is room to broaden reach and improve data collection. Members suggested connecting Cater with regional disability and case management networks, the Health Equity Compact, ACOs, and DDS-related contacts. Questions also focused on funding stability amid federal Medicaid cuts and workforce shortages in family engagement roles; Cater said the work remains a priority for MassHealth, though funding is a concern, and acknowledged staffing gaps, especially for family partners with lived experience. After the presentation, the committee discussed a NIH strategic plan for disability health research that had been circulated for future review. Because members had not yet read it, they agreed to place it on the agenda for the next meeting. The meeting then adjourned with no further business.

Transcript Highlights:

• is to reauthorize the state trauma is to reauthorize the state trauma advisory<00:35:33.839>
• ,<01:11:12.800> racial<01:11:13.120> trauma, intergenerational trauma, racial trauma
• , intergenerational trauma, racial trauma, or<01:11:14.000> unresolved<01:11:14.800> historical
• ,<01:11:58.480> racial<01:11:58.880> trauma, intergenerational trauma, racial trauma
• experience trauma, especially children. experience trauma, especially children.

Keywords: 1187, senate, all

Transcript Highlights:

• For those in the room, there is a clock on the screen that will count down your time.
• Children in DCF custody have already been subjected to the trauma of family separation.
• It will be used to break the generational cycle of trauma that children and victims of domestic abuse
• Medical, mental health, and legal professionals in a child-friendly and trauma-informed setting.
• The CIC permits that child to come to have a trauma-informed, culturally competent interview that is

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:

• Family Justice Centers, or FJCs, provide collaborative, trauma-informed wraparound services.
• FJCs provide collaborative, trauma-informed wraparound services for survivors of interpersonal violence
• Many individuals carry stories of trauma, fear, and isolation that remain unseen and behind closed doors
• Many individuals carry stories of trauma, fear, and isolation that remain unseen and behind closed doors
• Many individuals carry stories of trauma, fear, and isolation that remain unseen and behind closed doors

Keywords: 987, senate, all

Summary: The Senate convened with a quorum, opened with prayer and the Pledge of Allegiance, and recognized several birthdays and guests. The body then handled procedural motions, including a successful motion to advance measures reported by the Budget and Fiscal Review Committee and to adopt authors’ amendments, both on 28-8 votes. AB 28 and AB 2539 were moved to the inactive file at the request of the authors. The Senate also confirmed two gubernatorial appointments: Maggie Hallahan to the Bodina Waterways Commission and Kansasaki to the Building Standards Commission, both by unanimous roll call. On third reading, the Senate adopted SR 112, designating June 14-20 as Familial Adenomatous Polyposis Awareness Week, with remarks emphasizing the importance of family health history, early screening, and cancer prevention. The chamber also adopted SCR 181, declaring June 10 Family Justice Center Day in California; supporters described Family Justice Centers as trauma-informed, wraparound service hubs for survivors of domestic violence, elder abuse, child abuse, and human trafficking, and several members and advocates from the California Family Justice Center Network were introduced in the gallery. The Senate then debated and passed SJR 18, a resolution opposing Citizens United and urging limits on corporate and dark-money spending in elections. Supporters argued that unlimited political spending undermines democracy and transparency, while opponents raised concerns about unions, nonprofit advocacy, and the need for broader campaign finance reform; the resolution passed 28-8. The consent calendar and special consent calendar were adopted without objection, with item 93 receiving a 35-0 vote and the remaining consent items passing unanimously. The session concluded with adjournment-in-memory tributes for Larry Mazzola, Sr., a longtime San Francisco labor leader; Steve Zaley, a longtime county and state public servant; and James J. McClain Sr., a retired Air Force master sergeant and postal worker. The Senate announced it would recess and reconvene on Monday, June 15, 2026, at 2 p.m.

Transcript Highlights:

• And they are purposely letting them go around the screening process. Okay. Well, I'm open...
• formerly incarcerated individuals. to get back on their feet by passing Representative Leach's bill to screen
• Since his release, the trauma he has inflicted has not ended.
• I speak not only from personal experience but also from years of professional work in trauma. trauma
• Notification of a review comes months before the review, forcing us to relive the trauma of Nancy's crime

Bills: HB153, HB1828, HB2306, HB2498, HB3464, HB3488, HB3636, HB3673, HB3834, HB3860, HB4120, HB4937, HB1515, HB153

Keywords: education, funding, student resources, technology access, equal opportunity, veterans treatment court, mental health, criminal justice, rehabilitation, eligibility criteria, veterans, treatment court, military service, legislation, legislative leave, correctional officers, Texas Department of Criminal Justice, accumulated leave, compensatory time, parole eligibility

Transcript Highlights:

• <00:02:40.560> and the finding access control screening and the finding access control screening
• Um, talking about uh weapon screening.
• capital would involve a weapon screening capital would involve a weapon screening process<00:04:
• the judicial branch's weapon screening the judicial branch's weapon screening process<00:05:31.840
• immediate impact is weapon screening. immediate impact is weapon screening.

Keywords: 919, house, all

Summary: The committee reconvened in open session after a closed discussion of sensitive security details and reviewed the public executive summary of the Minnesota State Capitol Complex Security Assessment by Axtel. Members discussed weapon screening and access control at length, including testimony from Capitol security and judicial center staff about screening procedures, prohibited items, and how screening is managed for visitors and authorized personnel. The chair emphasized that the committee was voting on high-level recommendations to be included in the final ACAST report and that the Department of Public Safety and Department of Administration would be encouraged to pursue the necessary work, including any legislative or budget requests. The committee then took a series of roll-call votes on the Axtel recommendations. Access control screening and visitor management (5.11) passed 4-2, while authorized access control and credential oversight (5.12), internal circulation and zoning controls (5.13), perimeter and exterior grounds (5.14), staffing models/post orders/operational readiness (5.15), technology and system integration (5.16), and protective intelligence (5.18) all passed unanimously 6-0. Each approved item was added as a recommendation in the final report. After the votes, the Department of Administration, Department of Public Safety, and House and Senate Sergeant-at-Arms offices walked through the draft final report. They highlighted staffing improvements, security infrastructure already installed, and remaining needs, including an estimated $41.008 million request for future enhancements such as kiosks, glass-resistant film, door access controls, cameras, lighting, bollards, and an updated distributed antenna system. The report also includes recommendations on trauma-informed safety drills, conduct rules for hearings, and designating the Minnesota State Patrol Capital Security Division as the primary investigative authority for potential criminal activity on Capitol grounds.

Transcript Highlights:

• The result is trauma compounded by time lost and harm done.
• And they've even now found trauma is a trigger of PANS.
• But no one screened her, and we didn't even know what PANDAS was at the time.
• The trauma has left him not wanting to live.
• I wonder how much trauma and damage had already occurred.

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:

• screenings that we provide<01:27:16.480> annually<01:27:16.960> thanks<01:27:17.159>
• glasses, conduct over 6,000 hearing screenings to address issues affecting learning, and offer over
• <01:44:17.280> over this funding we aim to screen over this funding we aim to screen over
• <01:44:23.760> to conduct over 6,000 hearing screenings to conduct over 6,000 hearing screenings
• abnormalities including cancer. only designated Trauma Center in Central only designated Trauma Center

Keywords: 912, senate, all

Summary: The joint Ways and Means and Finance informational briefing on grants and aids was held February 14 and was organized as a high-volume public testimony session with strict procedures: no Q&A, one representative per applicant, one minute per testimony, in-person testimony first, and then Zoom participants. The chairs also announced a recess at 11:00 a.m. for floor sessions and a reconvening at 1:00 p.m. Testimony was heard first from neighbor island applicants, then Oʻahu applicants, with members repeatedly directing speakers to line up and keep remarks brief. Neighbor island testimony focused on a wide range of capital and operating requests. Health and community projects included Hawaii Island Community Health Center’s workforce housing in Kau, Wuli Hawaiian Homestead Association’s learning center and predevelopment work, Rescue Tube Foundation’s beach rescue tube expansion, Puna Community Medical Center’s planned hospital/ER campus, Maui Humane Society’s free veterinary care after the wildfires, Hawaiʻi Care Choices’ palliative care readiness, and the Lyman Museum’s HVAC replacement. Other requests included the Maui Advanced Manufacturing Alliance’s Pāʻia Mill redevelopment, Laua 2020’s preschool and learning lab, Mālama Aina’s USDA-compliant meat processing facility, the Hawaiian Lifeguard Association’s water safety programs, Kaha P Organization’s agriculture education support, Ohana Arts’ youth performance project, Friends of the Children’s Justice Center’s emergency closet, EOA Pacific’s Marshall Islands teacher training, and the Central Pacific Youth Athletic Club’s new facility. Oʻahu testimony included the YWCA Oʻahu/Pythink Center’s renovation of Juliet M. Atherton Hall and its community kitchen, West Oʻahu Community Health Center’s wildfire protection and security needs, the Early School’s playground improvements, Surfing the Nations’ food distribution center expansion, and Sounding Joy Music Therapy’s weekly services for people with disabilities. Speakers generally emphasized community benefit, workforce development, health access, food security, disaster recovery, and support for children, seniors, and underserved populations. No votes or formal committee actions were taken during the briefing.

Transcript Highlights:

• Let me share my screen if I can. Let's see. You can all see? We're good? Okay.
• But we're also thinking about trauma-informed principles, right?
• Trauma is passed down, right?
• If a parent has had some type of trauma related to that or has had trauma-related experiences that may
• I could make no one share a screen. That would work. That might work. So sorry.

Keywords: 962, all

Summary: The Care Management Meeting opened with a DSS update on the PCMH program. Staff reported the program remained steady at 124 practices, 553 sites, and 2,548 providers, with some month-to-month fluctuation driven by practice consolidation, retirements, and a few practices leaving the program because NCQA requirements were burdensome. Members asked about declining provider and site counts, member attribution trends, and whether PCMH practices overlap with behavioral health homes; DSS said attribution changes are largely due to members becoming ineligible, moving, or getting other insurance, and that PCMH and behavioral health homes are separate programs that coordinate informally. The committee also discussed why some smaller practices leave the program and whether the requirements could be made easier to support retention. The committee then resumed a detailed presentation on the Husky Dental program. The presenter described the dental benefit’s history, the importance of preventive oral health, workforce and consolidation pressures in dentistry, and the lack of interoperability between dental and medical records. Network data showed year-over-year declines in enrolled dental practitioners and service locations, with access gaps concentrated in rural and eastern parts of the state. Appointment availability surveys showed average waits of 38 days for adults and 23 days for children, but much longer waits at FQHCs than private fee-for-service practices. The presenter said Connecticut remains above the national median on CMS pediatric dental quality measures, though sealant rates remain a concern, and noted that preventive care is associated with lower per-member costs. Members raised concerns about provider participation, large practices dropping Medicaid, mobile dental care, and whether the public directory accurately reflects which dentists are actually accepting new patients. The presenter said the plan uses secret-shopper calls, tracks appointment availability, and has begun using place-of-service coding to better identify school-based dental care. She also noted a new MOU with 20 Head Start programs to share data and provide oral health literacy and navigation support. The final major topic was implementation planning for HR1. DSS said CMS guidance was expected in early June and proposed using upcoming meetings to cover medical frailty, communication strategy, and data integration/ex parte verification. Committee members urged the department to create a dashboard to track disenrollments and other impacts of HR1, to build a process for complaints and problem resolution, and to think through cost-sharing, caregiver verification, exemptions, and notices. Members also asked about using existing eligibility structures such as the working-disabled program as a model. The committee agreed to move the next meeting to June 10 by Zoom, with the agenda to be circulated in advance and any PCMH Plus quality data shared if available.

Transcript Highlights:

• Is it on everybody's screen? It is not? Okay, let me try this. Okay, let me try this again.
• Let me go ahead and advance to the next screen here. For those of you that aren't...
• Having people in the same room that are working from the exact same screen with the same information
• Our trauma recovery team houses a bunch of different teams.
• Our VIP team, our trauma recovery team houses a bunch of different teams.

Summary: The Community Safety Committee held an interim work session on crisis response, with members and witnesses discussing how Washington can better integrate 911, 988, mobile crisis, co-response, and alternative response models for behavioral health crises in public spaces. Travis Parker opened with an overview of the Sequential Intercept Model and the crisis care continuum, emphasizing early intervention, 988 access, regional coordination, navigators and peer support, and the need for sustainable braided funding. Several Washington witnesses then described current programs and system gaps, including the growth of co-response teams, the importance of integrating 911 and 988 rather than treating them as competing systems, and the need to reduce unnecessary emergency room use and improve first responder wellness and training. City, fire, and crisis-system representatives described local challenges and reforms. Kim Hendrickson of Poulsbo said most crisis calls still come through 911 and urged better coordination among field-based teams, more behavioral health training for fire/EMS, and more alternatives to ER transport. Laura Pippen, a designated crisis responder, described a strained involuntary treatment system, fewer DCRs statewide, difficulty getting law enforcement support for transports, and limited facility capacity, especially for substance use disorder. Jennifer Stuber and South County Fire’s Keith Sharp highlighted workforce training, a crisis responder certificate program, and first responder wellness efforts. Research witnesses Evan Lauder and James Pine said the evidence is still developing but generally supports on-scene resolution, reduced ED transport and detention in some models, and the importance of clear dispatch protocols, coordination, and ongoing evaluation. Dispatch and program operators then gave examples of how systems are working in practice. Katie Myers of Washington APCO/NENA said 911 remains essential, but needs evidence-based triage protocols, liability protections, and additional funding if it is expected to take on more crisis-response responsibilities. Whatcom County described embedding a “community connector” in the 911 center to coordinate alternative response, while ValleyCom reported that its 988 diversion pilot transferred 2,165 calls with 98% resolved through 988/211 without returning to 911. National examples included Denver’s STAR program, Albuquerque’s Community Safety Department, and Atlanta’s PAD initiative, each showing different ways to route low-acuity or behavioral-health-related calls away from police and toward clinicians, peers, or civilian responders. The session ended with Washington examples continuing, including Whatcom County’s alternative response team, underscoring the committee’s interest in refining and expanding integrated crisis response systems in the next session.

Transcript Highlights:

• Green Hill has the infrastructure for mental health screens and assessments and things of that nature
• Just over the summer, some of my staff attended the school safety summit and provided trauma-informed
• And with all that trauma, it’s really hard sometimes.
• The Clark County model that I shared with you earlier on the screen, court doesn't get involved until
• The Clark County model that I shared with you earlier on the screen, petition.

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:

• This is for transportation and coordination of resources related to the Arkansas trauma system.
• This is for real-time access to imaging for Arkansas trauma system patients that are being delivered
• to a higher-level trauma system center.
• This is for ongoing assessments of the quality of care provided through the trauma system.
• This is for pre-admission screening and resident review services. Contract 140 is with Jewel H.

Keywords: 1204, all

Transcript Highlights:

• <00:03:55.360> and uh, how we think about our trauma and uh, how we think about our trauma
• Integrated EMS and trauma response.
• Integrated EMS and trauma response. Integrated EMS and trauma response.
• connected to our trauma connected to our trauma acute<00:09:02.760> care acute care acute
• is trauma-related care. is trauma-related care.

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:

• :24.800> the<03:38:24.960> chains trauma doesn't disappear when the chains trauma doesn't
• Workers are not able to screen clients.
• Workers are not able to screen clients.
• And that can't screen them, right?
• Clients won't feel to screen clients.

Keywords: 1189, house, all

Transcript Highlights:

• informed care on the the staffing trauma informed care on the the provider<00:28:02.559> scale.
• Uh, different stool-based screening tests.
• <00:36:25.200> rates their uh um colon cancer screening rates their uh um colon cancer screening
• <00:36:44.400> So different stoolbased screening tests.
• So different stoolbased screening tests.

Keywords: 958, all

Summary: The committee first approved contracts 98, 99, and 100 on a roll call vote, with Chairman Douglas voting no but the items still passing. It then took up a Kentucky Department of Tourism contract involving the United Kingdom, France, and Germany/Austria/Switzerland markets. Tourism officials said the state has had similar contracts since 2013, that international visitors spend about six times more per day than domestic travelers, and that the effort supports marketing, public relations, and familiarization trips. The committee approved that contract as well, with Chairman Douglas voting yes after expressing support for tourism promotion. Next, the committee reviewed two Finance Cabinet facilities and support services items involving engineering and architectural services for a specialized lab expansion project. Members discussed why the design work was expensive, and the cabinet explained that the project’s pathogen-related complexity required specialized firms. Chairman Douglas said he believed some architectural and engineering reimbursement rates were too high and should be reexamined, but the committee still approved the items by roll call. The committee then heard from the Attorney General’s office and the Kentucky Opioid Abatement Advisory Commission on an MOA related to substance use disorder funding. Senator Meredith asked how the commission’s work coordinated with behavioral health programs, and staff explained that the commission allocates funds based on applications and includes relevant state officials. The contract was approved. After that, the committee considered behavioral health items: one new 988 chat-and-text contract to expand Kentucky-based crisis response coverage, and a Voices of Hope amendment that doubled funding to continue services into the next fiscal year. Officials said the 988 contract would move more chats and texts in-state, and that the Voices of Hope increase reflected continuation of SAMHSA-funded services; both were approved. Finally, the committee reviewed DCBS contracts, including a food insecurity survey contract with a Kentucky nonprofit and a Building Bridges Initiative training contract. Members questioned whether the food survey group’s advocacy role created a conflict, but DCBS said the organization was chosen for its statewide network and that the cabinet would receive the raw data. For Building Bridges, DCBS said the program began in the fall and provides training and peer mentorship for residential child care providers, with results still too early to assess. Both items were approved. The last set of contracts, under the State Treasurer for the Kentucky Council on Developmental Disabilities, prompted questions about why the funding flowed through the treasurer’s office and about a sexuality-related capacity-building initiative. Staff explained the treasurer serves as the designated state agency for federal DD Act funds, and that the sexuality initiative is part of a broader five-year plan focused on self-advocacy, system change, and capacity building; the committee then moved to approve those contracts as well.

Transcript Highlights:

• It's a struggle, but we try to do what we can to, we do dyslexia screenings.
• It's a struggle, but we try to do what we can to, we do dyslexia screenings.
• So we do have substance use and the trauma and behavior risk.
• We screen and pick those kids based on how well they do in the boot camp.
• It's required screening.

Summary: The Senate and House Joint Committee on Children and Youth approved the December 10 minutes and confirmed Representative Mary Bentley to the Child Maltreatment Investigations Oversight Committee. The committee then heard the annual Arkansas Infant and Child Death Review report, which said the state reviewed 148 of 170 non-natural child deaths in 2023; the reviewed deaths included 69 accidents, 14 suicides, 18 homicides, and 47 undetermined causes. Members asked about how the report’s recommendations could be used, grant opportunities tied to prevention work, and whether the data could be broken down by age; presenters said the report is intended as a prevention tool for agencies and nonprofits and that some age detail is available in later pages of the report. The committee next took up HCR 1010 and then a broader discussion of juvenile justice reform. Senator Missy Irvin, judges, and Administrative Office of the Courts staff described Arkansas’s use of validated risk assessments, including SAVRY, the Ohio Youth Assessment Tool, MAYSI, and substance-abuse screening, as part of a long-running effort to reduce juvenile incarceration and tailor services to individual youth and families. They said the reforms have contributed to fewer delinquency filings, fewer DYS commitments, and more diversions, while also emphasizing that mental health, substance abuse, school issues, and trauma often drive juvenile court involvement. Several members raised concerns about data gaps, school collaboration, and whether community-based services are sufficient, and presenters said more shared data and stronger school use of safety dashboards could help intervene earlier. Division of Youth Services Director Michael Crump then presented custody, education, recidivism, and cost data. He said DYS commitments rose after the pandemic, secure residential populations remain high, and detention-center use increased when intake beds filled; he also noted that DYS pays about $320 per day for secure custody and that detention beds cost roughly $90 to $100 per day. Crump said most youth in custody are older teens, about 80 percent are male, and many have behavioral-health needs or educational deficits; he reported 222 GEDs and 102 high school diplomas over six years. He also said about 15 to 19 percent of youth return to DYS within three years and that a larger share later enter the Department of Corrections, while members pressed him on how assessments relate to commitments, how low-risk cases are handled, and how to improve mental health and substance-abuse services statewide.

Transcript Highlights:

• It's a struggle, but we try to do what we can to, we do dyslexia screenings.
• It's a struggle, but we try to do what we can to, we do dyslexia screenings.
• But we try to do what we can to do dyslexia screenings.
• So we do have substance use, and the trauma and behavior risk—most of our kids, you know, and trauma
• We screen and pick those kids based on how well they do in the boot camp.

Summary: The Senate and House Joint Committee on Children and Youth met to approve prior minutes, confirm Representative Mary Bentley to the Child Maltreatment Investigations Oversight Committee, and receive several presentations. The Arkansas Infant and Child Death Review team reported on unexpected child deaths in Arkansas, saying its 2023 review covered 148 of 170 non-natural deaths, with the remainder unavailable due to criminal investigations or missing records. Of the reviewed deaths, 69 were accidents, 14 suicides, 18 homicides, and 47 undetermined, and members discussed how the report’s recommendations could be used by agencies and nonprofits for prevention work and grant applications. Committee members also asked about age breakdowns and how the data could be shared without identifying individual cases. The committee then took up HCR 1010 and a broader discussion of juvenile justice reform. Representative Shepard said the resolution was intended to confront data on juvenile incarceration and system outcomes. Senator Missy Irvin, judges Troy Braswell and Kathy Hess, and AOC Juvenile Division Director Burke Steen described the state’s long-running reform efforts, including the SAVRY risk assessment, diversion programs, and efforts to keep more youth in their communities. They said the reforms have reduced delinquency filings, DYS commitments, and revocations, while increasing diversions, but also emphasized ongoing gaps in mental health, substance abuse, and school-based supports. Members raised concerns about school data sharing, behavioral health access, and how to better identify youth with disabilities or trauma earlier. Judge Braswell and others stressed that many youth in the system have significant trauma, family instability, or unmet treatment needs, and that judges need individualized information to make decisions. Several members discussed the role of schools, the school safety dashboard, and the need for stronger community providers, especially in rural areas. The committee then heard from DYS Director Michael Crump, who provided data on commitments, facility use, demographics, offense levels, length of stay, education outcomes, recidivism, dual DCFS/DYS custody, and costs. He said commitments rose after the pandemic and then began to decline, while secure and detention costs increased with the need for more beds; he also noted that most youth in custody have behavioral health needs and that DYS works closely with DCFS, courts, and providers. No final action was taken on HCR 1010 during the discussion.