Transcript Highlights:

• So if that underlying behavior in your hypothetical, Representative Bartleman, has a statute of limitations
• But if in your scenario that underlying behavior has a statute of limitations, then theoretically, yes
• , when a law enforcement agency learns later of that underlying behavior, but the statute is run and
• they can't charge the bad actor who did the underlying behavior, I don't know.
• then the statute of limitations would have been tolled, stopped, paused, until such time as the behavior

Summary: The Criminal Justice Subcommittee considered four bills and reported all of them favorably. HB 373, by Rep. Duggins, tolls the statute of limitations for the offense of knowingly and willfully failing to report suspected child abuse until law enforcement or another outside agency learns of the violation. Members raised concerns about fairness if the underlying abuse is time-barred while the reporter still faces prosecution, and the sponsor said he would discuss possible changes with his state attorney, but the bill was not amended and passed 13-0. HB 359, by Rep. Anderson, extends the deadline for forensic examination of seized computers and electronic devices from 45 days to 365 days. Supporters from the Florida Prosecutors Association and state attorneys said modern devices are difficult and time-consuming to unlock and analyze, creating repeated requests to extend search deadlines and slowing investigations in cases involving child exploitation, homicide, and other crimes. The bill passed 13-0. HB 703, by Rep. Gentry, preserves a public records exemption for information generated by a state attorney’s conviction integrity unit during reinvestigation of a claim of innocence, with supporters saying disclosure could reveal sensitive information such as alternate suspects, witnesses, or evidence and compromise the review. It passed 12-0. HB 4001, by Rep. Tant, caps inmate health care compensation in Jefferson County at 110% of the Medicare reimbursement rate to encourage preexisting provider contracts and prevent overbilling; it also passed 13-0. The committee then adjourned.

Transcript Highlights:

• Health crisis calls related Behavioral Health crisis calls that<00:17:40.320> training<00:17:
• response access point of Behavioral response access point of Behavioral Health<00:18:00.840>
• in the middle of building a Behavioral in the middle of building a Behavioral Health<00:32:22.399
• their choices and encourage behavioral their choices and encourage behavioral change<00:59:09.640
• You know, half people have changed their behaviors. I think it's worthwhile, so thank you.

Keywords: 1189, house, all

Transcript Highlights:

• mental health or behavioral health to see a therapist.
• Because on page two, where it defines that, we have stricken behavioral health that's my question.
• Adolescent behavioral health is so necessary.
• What can we do to get more behavioral health professionals in rural Oklahoma?
• They can see it, hear it, understand it, and practice their audience behavior.

Bills: HB4420, HB3974, HB3016, HB3062, HB3021, HB3145, HB4128, HB3131, HB3015, HB3472, HB3453, HB1638, HB4126, HB2696, HB2710, HB3552, HB3031, HB3544, HB3521, HB4490, HB4488, HB1746, HJR1069, HB4428, HB4429, HB1170, HB3538, HB4124, HB3904, HB4106, HB2999, HB3982, HJR1077, HB3464, HB2588, HB3462, HB4440, HB3674, HB3345, HJR1067, HB4326, HB4331, HB4337, HB4338, HB4359, HB4392, HB3557, HJR1076, HB4003, HB3495, HB3497, HB3501, HB3505, HB3749, HB3011, HB4336, HB4346, HJR1087, HB3240, HB3647, HB3796, HB3969, HB3972, HB3983, HB3984, HB3989, HB3383, HB3130, HB4358, HB3327, HJR1055, HB3386, HJR1089, HB3087, HB2970, HB3314, HB4129, HB4199

Keywords: reading, intervention, literacy, education, third grade retention, teacher training, funding, Strong Readers Act, tort claims, inmate housing, government immunity, public trust, private prison, emergency legislation, vision screening, binocular vision, kindergarten, elementary education, health, firearm rights

Bills: HB4420, HB3974, HB3016, HB3062, HB3021, HB3145, HB4128, HB3131, HB3015, HB3472, HB3453, HB1638, HB4126, HB2696, HB2710, HB3552, HB3031, HB3544, HB3521, HB4490, HB4488, HB1746, HJR1069, HB4428, HB4429, HB1170, HB3538, HB4124, HB3904, HB4106, HB2999, HB3982, HJR1077, HB3464, HB2588, HB3462, HB4440, HB3674, HB3345, HJR1067, HB4326, HB4331, HB4337, HB4338, HB4359, HB4392, HB3557, HJR1076, HB4003, HB3495, HB3497, HB3501, HB3505, HB3749, HB3011, HB4336, HB4346, HJR1087, HB3240, HB3647, HB3796, HB3969, HB3972, HB3983, HB3984, HB3989, HB3383, HB3130, HB4358, HB3327, HJR1055, HB3386, HJR1089, HB3087, HB2970, HB3314, HB4129, HB4199

Keywords: reading, intervention, literacy, education, third grade retention, teacher training, funding, Strong Readers Act, tort claims, inmate housing, government immunity, public trust, private prison, emergency legislation, vision screening, binocular vision, kindergarten, elementary education, health, firearm rights

Transcript Highlights:

• The number of behavioral health cases that Mafuku has received coincides with increased spending on behavioral
• The number of behavioral health cases that Mafuku has received coincides with increased spending on behavioral
• The number of behavioral health.
• <00:13:35.200> Mafuku<00:13:35.760> has behavioral health cases that Mafuku has behavioral
• about when we talk about behavioral about when we talk about behavioral health,<00:20:55.200>

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board reconvened and heard a presentation from the Attorney General’s Office Medicaid Fraud and Abuse Control unit. AG staff described the unit’s structure and work: it investigates and prosecutes Medicaid provider fraud, and also handles abuse, neglect, and exploitation cases involving vulnerable adults in facility settings when asked to assist. They said the office has prosecutors, detectives, auditors, and support staff, works with federal partners, Commonwealth’s attorneys, CHFS, DMS, OIG, and MCOs, and uses a hotline and referral line for complaints. They also explained the MCO referral process, including monthly meetings, stand-down lists, and review of referrals for a “credible allegation of fraud” before the AG office decides whether to open a criminal or civil investigation. The presentation focused heavily on current fraud trends. Staff said behavioral health is a major concern, along with participant-directed waiver services, medically assisted treatment, cash billing for services, controlled-substance billing, and vision and dental fraud. They gave examples such as duplicate time sheets for family caregivers, questionable Suboxone counseling and urine drug screening practices, and a prior optometry case involving false claims for children’s glasses. They also discussed CMS’s estimate that about 5% of Medicaid payments are improper, noted that most improper payments are at the fee-for-service level, and said there is no reliable overall fraud-rate estimate. They highlighted a sharp shift in behavioral health billing after the cabinet’s November 1, 2024 policy changes, saying individual psychotherapy spending dropped while group billing increased, suggesting providers may have moved billing to different codes. Members asked about the scale and timing of cases, how MCO referrals are screened, and whether the data reflected more people being served or just higher spending. The AG office said investigations can take years, with some federal cases still awaiting sentencing from 2018 and 2019 matters, and that they currently had nine individuals awaiting sentencing in federal court. They also reported 58 hotline reports during the referenced period, six cases opened from MCO referrals, and four additional MCO referrals not accepted for active cases. Several members raised concerns about home-based services and the risk of abuse or fraud when family members are reimbursed, and asked whether the process could be streamlined; the AG office said it had no immediate recommendations but would be willing to return with suggestions after further review.

Transcript Highlights:

• Bayata, stand in support of our written testimonies supporting increased provider rates for applied behavior
• 00:24:45.120> rates<00:24:45.520> for<00:24:45.840> applied<00:24:46.240> behavior
• provider rates for applied behavior provider rates for applied behavior analysis<00:24:47.039>
• Association for Behavioral Analysis. Thank you, Chair, Vice Chair, and members of the committee.
• Mario Cholage here on behalf of the Hawaii Association for Behavioral Analysis.

Keywords: 912, senate, all

Summary: The Ways and Means Committee convened at 10:00 a.m. and opened with instructions about live streaming, one-minute testimony limits, and the possibility of reconvening on March 31 if technical problems interrupted the hearing. The committee then took up HB 300, which drew extensive testimony from state agencies, commissions, nonprofits, and advocacy groups. Many agencies, including Budget and Finance, Education, Health, Housing, and others, said they stood on their written testimony and supported the measure. One witness from the Kohala Island Reserve Commission supported the bill and asked for funding for a CIP project at its Kihei site to consolidate offices and generate revenue for Maui. Several groups, including the Hawaii Oral Health Coalition and the Hawaii Association for Behavior Analysis, supported funding for mandated oral health services and higher ABA provider rates for children with autism. In contrast, the Re-imagining Public Safety in Hawaii Coalition and Hawaii Friends of Restorative Justice opposed $30 million for jail planning and additional incarceration-related spending, urging more investment in housing, mental health, youth programs, education, and restorative justice. The chair noted the testimony totals for HB 300: 186 in support, 91 opposed, and 52 comments. The committee then heard brief testimony on HB 794 and HB 795. The Department of Budget and Finance supported HB 794, and the Tax Foundation was listed for HB 795 but was not present. No additional testimony was offered on either bill. After the testimony phase, the committee deferred all three measures—HB 300, HB 794, and HB 795—for decision making to March 31 at 10:00 a.m. in the same room.

Transcript Highlights:

• House Bill 1704, permitting public employees to bargain individually with public employers without intervention
• without intervention. without intervention.
• weakens those guardrails and shifts labor relations toward case-by-case decision-making, executive intervention
• > executive case-bycase decisionmaking, executive case-bycase decisionmaking, executive intervention
• intervention, and increasing litigation. intervention, and increasing litigation.

Keywords: 928, house, all

Summary: The committee first reviewed House Bill 1150, which would require disclosure of complaints to public employees within five business days. Members said the sponsor was still working on an amendment, so the bill was held for another week with the understanding it would be executed next week if no amendment was ready. The chair also outlined the committee’s schedule, including upcoming floor reports and the goal of finishing the remaining committee bills on time. The committee then took up House Bill 1168, concerning employer documentation requirements. Supporters argued the bill would give employers more time to gather payroll records, especially when claims arise years later, and said the current system should be adjusted for fairness to businesses. Opponents, including several members, said payroll records are usually electronic and should be produced quickly so workers waiting on wages are not delayed. The Department of Labor deputy commissioner testified that employers can already request extensions and that further extensions could still be requested under the current process. The committee voted 11-9 to ought to pass HB 1168. Next, House Bill 1250, dealing with notice, documentation, and job reinstatement requirements for leave related to childbirth, postpartum care, and pediatric appointments, was considered. Members said the statute was newly enacted, had been carefully negotiated, and should be allowed to work before being revised. The committee voted 20-0 to recommend inexpedient to legislate, and the bill was placed on the consent calendar. Finally, the committee heard House Bill 1043, which would allow private employers to adopt their own minimum pay policies for report-to-work situations instead of being bound by the current two-hour minimum, so long as the policy is established in advance. The sponsor said the bill would modernize an outdated law and preserve the current default if no policy is adopted. Members raised questions about collective bargaining agreements and whether the bill could weaken existing worker protections, while the sponsor and supporters said it was intended to provide flexibility rather than a mandate. The hearing continued with questions and discussion, but no final vote was taken in the portion provided.

Transcript Highlights:

• This will also eliminate the inappropriate intervention between a patient and the patient's doctor.
• inappropriate will also eliminate the inappropriate will also eliminate the inappropriate intervention
• 54.559> a<00:21:54.880> patient<00:21:55.520> and<00:21:55.840> the intervention
• between a patient and the intervention between a patient and the patient's<00:21:56.640> doctor.
• These programs, supported by the community violence intervention funding, deescalate conflicts, mediate

Keywords: U.S. House of Representatives Floor Proceedings on Monday, September 15, 2025, 1012, house, all

Transcript Highlights:

• Medicaid service to try to narrow in and say where are we, where's the most need, or the most intervention
• <03:59:49.880> to<03:59:50.040> reduce<03:59:50.359> the or the most intervention
• to reduce the or the most intervention to reduce the cost<03:59:50.800> of<03:59:50.960> the
• training<04:19:46.279> and<04:19:46.439> we<04:19:46.600> have Crisis Intervention
• training and we have Crisis Intervention training and we have a<04:19:47.159> comfort<04:19:47.520

Keywords: 928, house, all

Summary: The committee heard an overview from the Agriculture Commissioner on the department’s major divisions and staffing. He described the Office of the Commissioner, Agricultural Development, Pesticides, Regulatory Services, Weights and Measures, Animal Industry, Plant Industry, and Soil Conservation, noting that many programs are federally funded or supported by dedicated fees and fines. He said the department has 44 full-time positions plus one DoIT employee shared with other agencies, and that HR services are now contracted through Administrative Services. He also explained that Soil Conservation is administratively attached to the department and funded through Moose Plate grants and county contributions, not direct state funding. Members asked about specific program functions and issues, including weights and measures inspections, animal health, bird flu response, internships, invasive species, and the Big E/New Hampshire building. The commissioner said weights and measures covers nearly all commercial measuring devices and products sold by weight, and that inspectors are currently part-time police officers, though the department is discussing removing that requirement. He said the department is actively involved in bird flu monitoring, including regular calls with USDA and the state veterinarian and collecting milk samples from dairy farms. On invasive species, he focused on Japanese knotweed and bittersweet, saying the department has only one staff person working on the issue, mainly as a coordinator with DOT and towns, and that eradication is extremely difficult. He also said the department does not run student internships and refers inquiries to UNH Cooperative Extension. The committee discussed budget and revenue issues, including three new general fund positions, one of which is the assistant commissioner and another a biological scientist for invasive species. The commissioner said the department had been in “triage mode,” that an assistant commissioner was needed because of workload, and that the department is a net positive to the General Fund each year. He said some fees and fines have not been updated in decades and would require legislation to change, including a proposed $5 fee for each animal database certificate to help fund a system that costs about $250,000 annually to maintain. In response to questions about budget reductions, he said the department protected personnel, reduced the cost-of-care fund, fair grants, and land preservation funding to about $25,000 each, and did not plan to buy new vehicles or computers. He also said he could not support including the $50,000 Conservation District resilience grant program in his budget under the current reduction targets, though he remained hopeful it might be funded another way.

Transcript Highlights:

• SECTIONS NINE, TEN, AT 11 THE SENATE BILL 330 BEHAVIORAL HEALTH TEACHING HOSPITALS.
• APPROPRIATE FUNDING FOR BEHAVIORAL HEALTH RESIDENCY SLOTS, DIRECT AGENCY TO DESIGNATE THE FOLLOWING FOUR
• AS WE CONTINUE TO TALK THE BEHAVIORAL TEACHING HOSPITALS REQUIRES AGENCY TO ESTABLISH THE GRANT PROGRAM
• FOR BEHAVIORAL TEACHING HOSPITALS.
• WE GOT SO MANY QUESTIONS ABOUT BEHAVIORAL HEALTH TEACHING HOSPITALS WE DEVELOPED WEBPAGE YOU CAN LINK

Keywords: 999, senate, all

Transcript Highlights:

• And then number four is with DHS Division of Aging, Adult, and Behavioral Health Services.
• Number 9, DHS Division of Aging, Adults, and Behavioral Health Services with ATA Services.
• Number 10, DHS Division of Aging, Adults, and Behavioral Health with Karasoft Technology Corp.
• And Number 12, DHS Division of Aging, Adults, and Behavioral Health with Lennon King.
• Number seven, DHS, Division of Aging Adults and Behavioral Health with Arkansas Healthcare Personnel

Summary: The ALC-Review Subcommittee reviewed seven methods of finance, including university projects at ASU Jonesboro and Mountain Home, Black River Technical College deferred maintenance, UA Batesville’s Farm Project Gateway Center, UAMS PET cyclotron equipment, a new allied health building at UAPB funded by a federal grant, and UCA’s multi-purpose arena design work. The committee also approved an alternative delivery construction project for UAPB’s Allied Health and Sciences Building, with East Harding Construction selected and AMR Architects as designer. Members then approved discretionary grants from the Department of Health and DHS, including support for a heart attack center designation, community health worker training, homeless services funding corrections, behavioral health transition support, and an enabling technology pilot. In the contracts section, the committee reviewed RFQs, construction-related contracts, intergovernmental contracts, and a large slate of out-of-state and in-state contracts covering topics such as seatbelt survey data collection, Medicaid and DHS systems, state hospital staffing and services, veterans’ services, education assessments, and state IT and procurement projects. Several contracts drew extended questioning. Senators and representatives pressed DHS and the Department of Veterans Affairs about heavy reliance on contract nursing and staffing costs, and officials said they were using pay incentives and recruitment efforts to increase state employee staffing. Members also questioned AEDC’s lithium supply chain study and the Department of Education’s security contract, with concerns about projected costs and repeated amendments. The committee held three in-state contracts—Department of Education security services and two DHS staffing contracts—until Friday, then adopted the remaining contracts and received informational reports on contract amendments, executed contracts, and emergency procurements before adjourning.

Transcript Highlights:

• In fact, we are related behavior.
• can have health conditions, behavioral can have health conditions, behavioral mental<00:29:58.240
• grades, absence, behavioral Slipping grades, absence, behavioral problems,<00:30:23.120> uh<00
• Um, my name is Nicole Hokoana, and I’m the CEO of Maui Behavioral Health Resources, overseeing Aloha
• <00:39:25.640> Health<00:39:25.960> Resources Maui Behavioral Health Resources Maui

Bills: HCR18, HCR32, HCR35, HCR105, HCR173

Keywords: hospice, health care, aging population, regulations, Medicare, working group, fraud prevention, quality of care, mental health, recidivism, civil commitment, Hawaii State Hospital, justice system, shelter, treatment pathways, biomarker testing, health insurance, precision medicine, healthcare access, medical necessity

Summary: The committee heard testimony on SCR 21 SD1, which asks Hawaii Health Systems Corporation’s East Hawaii Regional Health Care System to study the feasibility of a rural health clinic or similar access point for the Volcano community. Testimony in strong support came from HHSC representatives, Volcano residents, the Volcano Health Collaborative, the Rotary Club of Volcano, and others, who said the area has a clear need and that local primary and urgent care would align with regional plans. HHSC said it had already looked at the area, found no suitable temporary buildings, and would need a longer-term, capital-intensive solution, but that the study could help accelerate next steps. The committee then took up SCR 50 SD1, proposing a Hawaii Health Plan Working Group to design a basic affordable health plan for residents. Dr. Jack Lewin of SHIPTA said the state faces a growing uninsured population and argued for a short-term, lower-cost plan focused on preventive and primary care, drawing on the old State Health Insurance Plan as a possible model. Members asked about whether that prior program still exists and whether the working group should include the Hawaii Medical Association and Hawaii Primary Care Association; Dr. Lewin said the statute still exists but is unfunded, and that the group should be inclusive. The Department of Labor and other organizations also provided comments. For SCR 75 SD1, which urges a coordinated interdepartmental effort to reduce fetal alcohol spectrum disorder, Dr. Lewin and others said prevention, prenatal screening, and early intervention are needed because FASD is often hidden until later problems appear. Amanda from Hawaii FASD Action Group said current implementation under Act 192 is still largely a landscape analysis and that Hawaii lacks the infrastructure and specialists for a full system. Darlene Chance Govor urged adding the judiciary as a partner so juvenile justice and probation staff can be trained and referral pathways improved, while the Department of Health said it supports prevention but prefers a broader, systems-based approach focused on child needs and upstream care. The Disability Rights Center supported the resolution and asked for an earlier reporting date. The committee also heard SCR 149 SD1, which seeks an informal working group to address complex patients with multiple diagnoses involving substance use, mental health, or chronic physical illness. The Hawaii Substance Abuse Coalition and Ke Nui Malo strongly supported the measure, saying current siloed systems leave people bouncing between medical, mental health, and substance use providers without coordinated care, often ending up in crisis, emergency rooms, or the justice system. They said integrated residential care and a coordinated working group could improve outcomes and align with federal funding opportunities. The transcript ended before any final vote or action on the measures was announced, and SCR 109 was noted as withdrawn from the agenda.

Transcript Highlights:

• So we know very well how the stigma and access to care for behavioral health is critical.
• military side, I'm also the behavioral military side, I'm also the behavioral health<00:44:12.800
• <00:44:20.560> And<00:44:20.800> so behavioral health is critical.
• And so behavioral health is critical.
• So within the within behavioral health.

Bills: SB2421, SB2690, SB3103, SB3137, SB3164, SB3206, SB2933, SB3133, SB3315

Keywords: cannabis, marijuana, Hawaii Cannabis Law, legalization, decriminalization, adult use, hemp, taxation, social equity, public health, primary care, health insurance, health carrier, insurance commissioner, Med-QUEST, Medicaid managed care, provider reimbursement, downcoding, prior authorization, utilization review

Summary: The committee heard testimony on several health-related bills. HB 1864, which would require health insurance coverage for standard fertility preservation services for people undergoing medically necessary treatment, drew broad support from SHIPA, the Department of Health, HMSA, the Hawaii Association of Health Plans, and others. Testifiers emphasized that fertility preservation is routine coverage on the mainland and important for patients facing infertility from cancer or other treatment; one patient described incurring more than $20,000 in costs. The Insurance Division flagged possible Affordable Care Act issues, a potential conflict in the bill’s language about using patient history to determine limits, and a mismatch with state medical-necessity standards. Committee discussion also focused on whether the bill should apply to all women of childbearing age rather than a narrower age-based category. HB 2305 would require nutrition and metabolic education as part of physicians’ continuing medical education. The Hawaii Medical Board opposed the measure, arguing that CME should remain flexible and tailored to each physician’s specialty and warning that topic-specific mandates can expand over time. The Office of the Governor supported the bill, saying it would help the state’s rural health transformation application and could improve federal funding prospects, though the exact impact was unclear. Members questioned whether nutrition is already covered in medical training and whether the requirement should be limited to primary care physicians; the board said Hawaii currently has no topic-specific CME mandates and that physicians can already choose relevant courses. The committee also heard strong support for HB 1597, which would establish an Alzheimer’s disease research center at the University of Hawaii. Supporters from the university, the Alzheimer’s Association, AARP, and others said the center could attract federal research dollars, expand clinical trials, and help address the state’s high Alzheimer’s-related health costs. HB 2159, which appropriates funds for health care workforce development, also received broad support from the University of Hawaii, health systems, and advocacy groups, with no opposition noted. Finally, HB 2121, which would prohibit the sale and distribution of disposable electronic smoking devices, drew support from the Department of Health, youth advocates, and public health groups citing youth addiction, environmental waste, and fire hazards; the department said a separate bill, HB 1573, would be more comprehensive and better defined for enforcement and penalties. The committee ended with HB 1913, creating a veteran services mental health coordinator position at Tripler Army Medical Center, which was supported by veteran services officials and others who said veterans need better navigation and coordination for behavioral health care.

Transcript Highlights:

• We also have the provider tax assessment report, which is in progress, and a behavioral health trend
• health trend report that is behavioral health trend report that is in<00:07:23.160> progress<
• all behavioral health prior authorizations<00:08:05.600> for<00:08:05.720> services<00
• health and substance use behavioral health and substance use disorder<00:08:19.080> treatment
• And I would have additional information on that for you from the Department for Behavioral Health.

Keywords: 958, all

Summary: The Budget Review Subcommittee for Health and Family Services met for its first meeting, established quorum, and heard a presentation from Department for Medicaid Services Commissioner Lisa Lee and CFO Steve Becktold. The department reviewed its compliance with House Bill 695, which requires legislative approval before certain Medicaid eligibility, service, benefit, or waiver changes, along with fiscal impact reporting to the Legislative Research Commission. They described current waivers, including home and community-based waivers, managed care and transportation waivers, and the 1115 re-entry waiver, and said the community engagement waiver is in public comment and on track for submission to CMS. They also said required reports and other HB 695 tasks, including a pharmacy rebate fund, budget analyses, expenditure reports, and a behavioral health scorecard, are underway or completed as required. The CFO outlined Medicaid’s budget, saying the department has two appropriation units and projecting near-full use of state funds while leaving some federal funds unspent because of matching-rate differences. They reported roughly 211 filled positions and 11 vacancies. Members asked about the vacancy makeup, the behavioral health scorecard, and whether a provider involved in quality metrics could have a conflict if used in the scorecard process; the department said it would follow up. Members also asked about the community engagement waiver and its interaction with federal policy, and the department said CMS guidance is still pending and that it will proceed under HB 695. A substantial portion of the discussion focused on federal Medicaid policy changes under a reconciliation bill, including possible limits on provider taxes, directed payments, cost-sharing, and community engagement requirements. Department officials said the final federal impact is still uncertain because the Senate bill is not finalized, but they have modeled several scenarios and warned that any reduction in federal support or benefits would be harmful, especially for hospitals and rural hospitals. They estimated Medicaid benefits are funded about 80% federal and 20% state overall, with expansion populations closer to 90% federal funding, and said administrative costs would also rise if federal requirements change. Members also asked about work requirements and eligibility. The department said the community engagement waiver would mainly affect the expansion population, which they estimated at about 450,000 people out of roughly 1.5 million total Medicaid enrollees, and that many groups are exempt, including children, the aged, blind, disabled, and people in substance use disorder treatment. Officials said they can provide data on how many enrollees are working or work-ready and explained that their eligibility system is designed to prevent duplication by automatically placing people in the correct category and correcting errors quickly. They also noted a federal proposal to require expansion eligibility reviews every six months, compared with current annual renewals.

Transcript Highlights:

• Behavioral Health Awareness Month recognizes both mental health and substance use disorders.
• This resolution acknowledges the growing behavioral health crisis facing our state and nation.
• It is about recognizing behavioral health as an essential part of one's overall health.
• I also want to recognize California statewide organizations representing behavioral health providers
• and to reaffirm our commitment to improving behavioral health care and outcomes for all Californians

Keywords: 987, senate, all

Transcript Highlights:

• And some of that is called boss behavior.
• Now, those of us in the labor movement know that boss behavior is the opposite of solidarity.
• Boss behavior is leveraging workers for other gains.
• This is boss behavior. This is not for. This is boss behavior.
• c><00:07:31.120> pitting solidarity. boss behavior is pitting solidarity. boss behavior is pitting

Keywords: 1183, house

Transcript Highlights:

• And then the child's behavior, I'm very concerned and curious related to the behaviors because I know
• Just concerned and curious related to the behaviors because I know that that's also something that behavior
• The types of behavior, I guess, is what I'm thinking.
• Yes, I don't know if I'll be able to break that down for you further based on the types of behaviors,
• I would like to explore what I could, what I can share back as far as types of behavior. Okay.

Summary: The Joint Committee on Aging, Children, and Youth first approved the February 11 minutes and then reviewed a DCFS policy manual update from Director Tiffany Wright. The rule changes were described as largely terminology and compliance updates to align with new laws, an executive order, and current practice, including moving internal procedures out of the public manual and into DCFS’s internal procedure manual. Members asked whether the changes altered practice or just wording, and Wright said they were mainly procedural and vernacular updates, such as changing terms like “protection plan” to “immediate safety plan” and “safety factor” to “safety threat.” The committee then reviewed and accepted the rule without objection. Wright also presented DCFS performance data for the third quarter of FY 2026, including hotline reports, investigations, foster care, in-home services, permanency, and adoption measures. She noted staffing shortages in some counties, lower timeliness in completing maltreatment reports, and efforts to support those areas with central office staff and daily calls. Members asked about neglect trends, sexual abuse/exploitation categories, behavioral issues, and workforce recruitment and retention. Wright said DCFS is expanding hiring support, outreach, retention efforts, trauma support through UAMS, and a new staff training model beginning July 1. She also presented the biannual overturned investigations report, which tracks hotline calls, true findings, appeals, and reversals by county, and answered questions about comparing it with prior years. Major Jeff Drew of the Crimes Against Children Division presented the 2025 annual report, saying the hotline received 67,987 calls and 37,986 were accepted for investigation, with 6,539 CACD investigations assigned and a 28% substantiation rate. He described hotline operator training, including a four-week program with policy review, scenarios, recorded calls, live call monitoring, and evidence-chain and decision-making instruction. He said the starting salary for hotline operators is $43,888 plus benefits and would check on comparisons with other states. Elizabeth Pooley of the Children’s Advocacy Centers of Arkansas reported that the state’s 29 CACs and 64 multidisciplinary teams served 13,568 children and families in 2025, up about 3,000 from the prior year, and hosted 259 trainings. Members asked about funding, and she said state funding is the same for each center at roughly $70,000 to $75,000, supplemented by federal and community support, with work underway on Arkansas-specific best practices. The meeting ended after a brief unrelated question about Meals on Wheels and a Project Zero adoption event announcement.

Transcript Highlights:

• And we specifically ask the person, why did you do this, whatever it was, what the behavior was that
• , institutional behavior, psychological evaluations.
• When we're talking about institutional behavior, When we're talking about institutional behavior, are
• And then there's the lower level would be like a 128 behavior chrono.
• , but that they show some form of prosocial behavior.

Keywords: 987, senate, all

Transcript Highlights:

• This is the Joint Select Committee on Health Care and Behavioral Health Oversight meeting.
• I'm the governor's senior policy advisor for public health, health care, behavioral health, and Medicaid
• There are behavioral health management companies. There are pharmacy benefit management entities.
• We have too many behavioral health providers who say, “This is too much of a hassle.
• And so until we get to these other elements that we need to work on, and the behavioral health parity

Summary: The committee first welcomed new DSHS Secretary Angela Ramirez, who introduced herself and described her background in public service, federal and state legislative work, and health and human services leadership. Members emphasized the importance of building strong relationships with her and noted her focus on protecting services, using strategic approaches in a tight budget environment, and improving partnerships with the Legislature. Ramirez said she wanted to keep communication open and that her priorities would be shaped by what she learns from lawmakers and agency partners. The next work session focused on the West Coast Health Alliance and the broader Governor’s Public Health Alliance. Department of Health and governor’s office staff said the West Coast alliance, involving Washington, Oregon, California, and Hawaii, was formed to coordinate science-based public health guidance, especially around vaccines, return-to-work guidance, and responses to federal changes. They said the alliance is intended to reduce confusion, counter misinformation, and preserve access to evidence-based recommendations, with early actions including vaccine guidance for COVID-19, flu, and RSV, a statement rejecting any vaccine-autism link, and preparation for possible ACIP changes. Members asked about workload and coordination with other regional alliances, and staff said there is informal coordination but no formal regular meetings. The committee then heard from the Washington State Health Benefit Exchange about open enrollment and the effects of federal policy changes. Exchange leaders said the expiration of enhanced premium tax credits, HR1 provisions, and immigration-related eligibility changes are affecting affordability and enrollment, with some customers facing large premium increases and some counties becoming harder to serve. They reported early open-enrollment traffic increases, nearly 10,000 new sign-ups, and nearly 12,000 active coverage drops so far, while noting that many more people may disenroll later if subsidies are not extended. They also described mitigation efforts such as silver loading, Cascade Care Savings, outreach through navigators and community partners, and planning for future HR1 requirements like ending auto-renewal and adding verification steps. In the final work session, staff from the Health Care Authority and Insurance Commissioner’s office reviewed Washington’s health reform history and the state’s current affordability and access efforts. They highlighted past ACA-related coverage gains, continued work on prescription drug affordability, PBM oversight, primary care and behavioral health access, and a pending legislative proposal to preserve access to preventive services. They also discussed federal changes affecting Medicaid and the exchange, including work requirements, six-month redeterminations, and the need to coordinate across agencies to implement new rules. Members raised concerns about network adequacy, provider access, and the complexity of the health care system, while staff said they are trying to mitigate harm, simplify administration, and keep coverage and access as stable as possible.

Transcript Highlights:

• H. 4927, an act relative to protecting access to applied behavior analysis.
• analysis—board-certified behavior analysts and registered behavior technicians operating under appropriate
• They go back home because there's behaviors in the school system. So, Bill H. 4927...
• I've worked with children with a variety of developmental, behavioral, and learning...
• a board-certified behavior analyst licensed in Massachusetts in 2017.

Keywords: 995, all

Summary: The Joint Committee on Education held a hearing on two late-file bills: H. 4867, concerning school choice, and H. 4927, concerning access to applied behavior analysis (ABA). For H. 4867, testimony focused on a DESE interpretation of M.G.L. c. 76, §12B(k) that would require small elementary-only districts with school choice students to pay secondary tuition when those students continue into high school. Superintendents, school committee members, parents, teachers, and a representative argued this creates large fiscal shortfalls for rural districts such as Hancock, Warwick, Richmond, and Worthington, which do not operate high schools and already rely on tuition agreements for their own resident students. Witnesses said the current interpretation has led some districts to stop accepting school choice students, reducing class sizes and limiting educational opportunities; they urged an exemption or amendment so these districts could continue school choice without assuming high school tuition obligations for nonresident students. Committee members asked about the number of affected districts, how the arrangement worked before 2023, and whether alternative statutory language might solve the issue more broadly. Representative Barrett described the bill as a simple fix to an unenforced provision that had only recently been raised by DESE, and the hearing later included testimony from both district officials and families supporting the bill. The committee closed testimony on H. 4867 and H. 4927 and then adjourned. H. 4927 drew testimony from educators, an ABA provider, and a parent of a child with autism in support of protecting in-school ABA access. Witnesses said the bill would clarify that qualified ABA providers, including BCBAs and RBTs under supervision, may deliver services in schools while allowing districts to maintain neutral safety and operational rules. They argued that inconsistent access to ABA can undermine districts’ obligations under IDEA, including free appropriate public education and placement in the least restrictive environment, and that school-based ABA can reduce removals from class, improve student progress, and support families. A parent testified that her young son needs ABA to function in school and that promised supports had been delayed or not delivered, while another witness said the bill would help ensure accountability and consistent services for students with autism.