Transcript Highlights:

• Our statute leaves it up to the facility.
• There's other facilities.
• All the facilities, or sorry, our services we provide to acute care facilities...
• call here at the low-blown trauma centers, and we work closely with trauma...”
• Christensen continued: “...facial trauma call here at the low-blown trauma centers, and we work closely

Bills: HB2176 , HB2333 , HB2435 , HB2447 , HB2617 , HB2683 , HB2686 , HB2725 , HB2726 , HB2906 , HB2953 , HB2958

Committees: House Health & Human Services , House House Health & Human Services Committee of Reference

Keywords: health care, licensure, complaints, investigation, safety, patient care, regulatory compliance, prosthetics, orthotics, health insurance, Medicare, medical necessity, disability rights, coverage, reimbursement, internationally trained physicians, medical board, clinical training, provisional license, healthcare workforce

Transcript Highlights:

• </c> all the other long-term care facilities all the other long-term care facilities have<00:14:51.399
• I'm also a survivor of childhood sexual trauma as well as military sexual trauma.
• It helped me confront my trauma in a way that traditional therapies never could.
• Mahalo, mahalo, mahalo for allowing me to talk story. trauma because here's the trauma because here's
• If not, Vice Chair, for the vote. hospital as a care facility for state hospital as a care facility for

Committee: House Health

Summary: The Committee on Health heard testimony on several bills. On SB 1441, which would repeal the transfer of the Oahu Regional Health Care System from HHSC to the Department of Health, the Department of Health said it strongly supports the measure and requested clarifying amendments. HHSC/Oahu Region also supported the bill and said it had no objection to the department’s amendments. In response to questions, witnesses said the agencies have been working on an MOU to support transfers of long-term care patients to Leahi, with the current goal being about 10 to 15 patients, but transfers would occur only as space and staffing allow; one patient was reportedly being admitted at the time, and the process was described as slow and case-by-case. The committee then heard SB 1443 on payment rates for state hospital patients and related Department of Health services. The hospital administrator said the bill would allow rates above Medicaid for community or foster-home placements if patients cannot be placed at Leahi or elsewhere, and would set Medicaid-level reimbursement for outside medical services used by state hospital patients. He said at least one provider was interested in offering services at that rate and that the population involved is largely non-ambulatory long-term care patients. Members asked about availability and training, and the witness said special training could be provided. SB 1322, a broad mental health bill, drew mixed testimony. The Department of Law Enforcement supported giving crisis-intervention-trained officers more discretion to transport people to medical care instead of arresting them. The Attorney General supported the bill but recommended revisions to emergency-transport language and restoring liability protections. HHSC and Queens Hospital supported the overall goal but sought amendments to preserve the mental health emergency worker role in decision-making and to avoid negative impacts on emergency departments. The Disability Rights Center and ACLU opposed parts of the bill, arguing that it weakens due process, reduces protections in involuntary treatment and transport, and should retain a three-person treatment panel rather than reduce it to one. A Queens representative said the current program works well and reported that more than 90% of MH1 cases once went to hospitals, but that figure has dropped to about 60-70%, with about 20% now diverted to community settings or the behavioral health crisis center. No votes or final committee actions were taken in the portion provided.

Transcript Highlights:

• or youth or amateur sports activities or facilities.
• I'm the owner of Cultivar Farms, a Tier 3 production facility in Seattle, Washington.
• The state of Washington has school facilities on military bases.
• When we look at the trauma... ...sexual assault or domestic violence.
• continue to shrink, and yet we are allowing for trauma like this to continue.

Summary: The Ways and Means Committee held a public hearing on multiple bills, beginning with a motion to suspend the five-day notice rule for a long list of Senate bills, which passed on a voice vote. The committee first heard Substitute Senate Bill 6026, a governor-request housing bill that would require cities and counties over 30,000 population to allow residential uses in commercial and mixed-use zones, limit mixed-use/ground-floor commercial requirements in some areas, and allow added height where such requirements are imposed. The lieutenant governor testified strongly in support, arguing the bill would add needed housing capacity without requiring ground-floor retail burdens. The hearing on SB 6026 was then suspended so the committee could move through the agenda. The committee then heard Senate Bill 6294, a broad local government finance measure with eight parts, including expanded uses for certain REET revenues, a new county public utility tax, a new local sales tax for children and family services, expanded housing-related tax uses, changes to county levy structure, longer lid lift periods, and expanded use of rental car tax revenue. Local government, housing, and public health witnesses largely supported the bill, emphasizing flexibility for affordable housing, rental assistance, children’s services, and county fiscal stability. Opponents, including wireless industry, water/sewer district, auto dealer, realtors, energy, and cannabis representatives, objected to specific tax provisions as regressive, costly, or likely to raise consumer prices. Several witnesses requested amendments, including adding public health clinic funding and flood recovery language from House bills. The committee also heard Substitute Senate Bill 5400 on local news sustainability, which would create a state grant program funded by a surcharge on large search engines and social media platforms to support journalism jobs and the Murrow Fellowship program. News organizations, the League of Women Voters, open government advocates, and local journalism supporters testified in favor, saying local news is essential to civic life and that the bill would help sustain reporting without using general fund dollars. Technology industry representatives opposed the bill, arguing it unfairly singles out tech companies and could face legal challenges. The committee then heard Senate Bill 6211, which would let opt-in GMA jurisdictions impose REET-2 without voter approval; cities and counties supported it as a parity and infrastructure funding measure, while Realtors opposed the loss of voter approval. Senate Bill 5650, authorizing local cannabis excise taxes, drew support from some local officials but strong opposition from cannabis businesses, which argued Washington’s cannabis taxes are already too high and drive sales to the illicit market. Senate Bill 6033, waiving penalties and interest for taxpayers who failed to collect new sales tax on certain services, was supported by NFIB as a compliance and fairness measure. Senate Bill 6297, exempting temporary staffing services for nonprofit behavioral health providers from sales tax, drew strong support from behavioral health organizations citing workforce shortages and unsustainable costs. Finally, Senate Bill 6343, extending and expanding tax relief for disaster-damaged property and repairs, was presented as aid for flood recovery; local officials testified in support. No final committee votes on the bills were taken in the portion of the meeting provided.

Transcript Highlights:

• The injuries, the stress, the psychological trauma—these dogs absorb it all.
• I'm going to be in the facility.
• One thing is certain: the trauma in policing will not stop.
• This has no doubt led to the rise in assaults within our facility.
• This has no doubt led to the rise in assaults within our facility.

Committee: Joint Joint Committee on Public Safety and Homeland Security

Summary: The committee heard testimony on a wide range of public safety bills, with strong support from law enforcement, advocates, and other stakeholders. Several measures focused on police and correctional officer wellness and protections, including bills on critical incident leave and post-incident support for officers, a bill to improve POST Commission representation, and a bill to protect correctional officers from assaults and exposure to synthetic drugs like K2. Witnesses described traumatic incidents, rising assaults in prisons, staffing shortages, and the need for confidentiality in peer-support debriefings. Committee members asked questions about assault classifications, K2 smuggling, tablet-related contraband, and whether counseling records would remain confidential. No votes were taken during the hearing. A major portion of the hearing was devoted to canine-related bills. Testimony supported creating a fund for retired police dogs and expanding emergency care training for working dogs injured in the line of duty. Speakers described police dogs as partners who locate suspects, missing persons, drugs, and weapons, and said retirement and medical costs are currently borne by handlers or nonprofits. The committee also heard testimony in favor of a purple alert system for missing people with intellectual and developmental disabilities, with advocates citing wandering risks, drowning dangers, and data from other states showing faster recovery times. The committee also heard testimony on a bill to expand the definition of sexual assault by an officer to cover situations beyond formal custody, including investigations and other encounters where police have coercive power. Advocates for sex workers and anti-trafficking organizations said the change would close a loophole, protect vulnerable people, and address documented abuses. In addition, testimony was taken on a bill to protect Massachusetts residents from federal surveillance through fusion centers, with critics calling for stronger oversight of BRIC and related databases. Representative Jeff Turco also testified on bills to change POST Commission membership, arguing for more law enforcement representation.

Transcript Highlights:

• I'm the daughter of an immigrant who has experienced the trauma of family separation.
• We saw that ICE and DHS move to open a new facility of 2,900 in California City.
• We have a new facility.
• All the facilities are getting maximums, right, in total number of people detained.
• They have trauma and have every obstacle in their way.

Summary: The Select Committee on Latina Inequities met at Los Angeles Mission College in Sylmar, hosted by Assemblymember Celeste Rodriguez and joined by Assemblymember Mia Bonta. Rodriguez opened by framing the committee’s work around the economic status of Latinas and the effects of federal policies on the economy and social safety net, while the college president welcomed the committee and described campus services for undocumented and housing-insecure students. Rodriguez also emphasized the local impact of immigration enforcement in the San Fernando Valley and said the hearing would focus on Latinas’ economic conditions, immigration enforcement impacts on the workforce and safety, and H.R. 1’s effects on the safety net. The first panel featured HOPE’s Maria Morales and Dr. Elsa Macias, who presented findings from HOPE’s National Economic Status of Latinas report. They said Latinas are a major and growing part of California’s population and workforce, but face persistent inequities, including a large wage gap, higher unemployment, high uninsured rates, student debt, and affordability pressures around child care, housing, and education. They also discussed entrepreneurship, noting both the growth of Latina-owned businesses and barriers such as limited access to capital, technical assistance, and retirement and health coverage. In response to committee questions, they said higher education can still offer a strong return on investment, but only if students can complete degrees without being overwhelmed by debt and care costs; they also pointed to policy solutions such as SB 642, mentorship, financial literacy, CalSavers access, and support for community development financial institutions. The second panel focused on immigration enforcement and Latina safety in the workforce. Luis Nolasco of the ACLU described arrests tied to apparent ethnicity and Spanish-speaking, the chilling effect on families, and the loss of wages, school attendance, and mobility. Dr. Amada Armenta said immigration enforcement harms California’s economy, public health, and mixed-status families, and noted that undocumented workers are concentrated in agriculture, construction, and child care. SEIU’s Jen Baca Beltran said raids and school-based enforcement traumatize children and families and highlighted the need for Know Your Rights trainings. Megan Ortiz of IDEPSCA described repeated Border Patrol raids on day labor centers, injuries to staff, and the need to protect worker centers, domestic workers, and street vendors. Inclusive Action’s Shannon Camacho said raids have forced many informal workers to stop working, prompted emergency cash assistance and rent relief efforts, and strengthened advocacy for vendor protections and CDFI support. CHIRLA’s Jeanette Zanipatine said the rapid response network has expanded, documented widespread arrests and detention conditions, and is providing direct support and legal referrals; committee members asked about detention, maternal health, and what the state can do, and panelists urged stronger oversight, more legal representation, and protections for pregnant and detained people.

Transcript Highlights:

• We need to build the treatment facility.
• There'll never be a recovery facility out there.
• Do you stay in that facility until you sober up?
• any given facility are folks that are within a certain mile radius of said facility.
• facility.

Committee: Joint Joint Committee on Mental Health, Substance Use and Recovery

Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on several harm reduction bills, including measures to decriminalize simple possession and paraphernalia, authorize overdose prevention centers, and expand access to naloxone for first responders. Chair Mindy Domb and Senator John Velis opened by describing harm reduction as an evidence-based public health strategy and noting Massachusetts’ recent decline in fatal overdoses. They emphasized that testimony would help shape whether and how the bills advance, and explained the hearing process, including time limits and written testimony. Testimony was sharply divided. Supporters, including Rep. Kate Donaghue, Sen. Cindy Friedman, Rep. Marjorie Decker, Rep. Manny Cruz, public health professionals, recovery advocates, and people with lived experience, argued that harm reduction saves lives, reduces stigma, and can connect people to treatment. They supported overdose prevention centers and decriminalization as tools to keep people alive long enough to enter recovery, and several speakers described personal losses to overdose or family experiences with addiction. Some supporters also framed the bills as racial justice measures, arguing that criminal penalties for possession have disproportionately harmed Black and brown communities. Opponents, including Sen. Nick Collins and several South End residents, argued that overdose prevention centers and decriminalization would worsen public drug use, crime, and neighborhood disorder, especially around Mass and Cass. They said current approaches such as Section 35, diversion, and police leverage into treatment are more effective, and they urged more treatment beds and recovery facilities instead of harm reduction sites. Committee members questioned witnesses about research, local siting, crime data, and the relationship between harm reduction and treatment, and several members said neighborhood impacts must be considered alongside overdose prevention. The committee did not take a vote during the hearing; it continued receiving testimony and announced a later break before resuming on H. 2196 and S. 1393.

Transcript Highlights:

• We also know that children exposed to trauma are more likely to experience developmental...
• We also know that children exposed to trauma are more likely to experience developmental delays.
• Children living in shelter or experiencing homelessness, as we know, experience trauma and are likely
• Chris Allen is still haunted by vicarious trauma from witnessing his peers receive shocks.
• It was only because I reached a facility that helped me positively and was patient with me.

Committee: Joint Joint Committee on Children, Families and Persons with Disabilities

Summary: The committee held a hybrid hearing on a range of bills affecting children, families, disability rights, homelessness, and social services. Early testimony focused on H.215, which would support children experiencing homelessness by speeding access to child care vouchers and early intervention screenings. Boston officials, Horizons for Homeless Children, Head Start, pediatric and early education advocates, and families described delays in child care and early intervention, the developmental risks of homelessness, and the need for automatic referrals and faster access to services. Testimony also supported H.216, which would improve emergency housing assistance by restoring presumptive eligibility, reducing documentation barriers, extending shelter stays from six to nine months, and creating an ombudsperson; providers and legal advocates said current rules leave families sleeping in cars or outside and create unnecessary administrative hurdles. The committee also heard strong support for H.210, which would repeal the “Learn Fair” school attendance sanction that cuts cash assistance to families when children miss school. Advocates from legal aid, education, and anti-poverty organizations argued the policy is punitive, burdensome, and ineffective, disproportionately affecting low-income, disabled, and Hispanic/Latino families. Several speakers said chronic absenteeism should be addressed through supports such as family outreach, wraparound services, and school engagement rather than benefit cuts. Legislators and school officials from Salem also testified that their districts reduced absenteeism through supportive strategies, not sanctions. Additional testimony addressed children’s vision bills H.202 and H.166, with optometrists and researchers urging better screening, data systems, and treatment access to close achievement gaps caused by untreated vision problems. Senator Lovely also presented S.2714, proposing a study of discrimination in public accommodations for people with service animals. Later, testimony on H.279 supported changing social work licensure rules to remove exam requirements that speakers said disproportionately exclude multilingual candidates and candidates of color. The hearing also included testimony on bills related to the Judge Rotenberg Center and electric shock devices, with disability rights advocates opposing continued use of the devices and urging the committee to reject licensing or authorization for them. No votes or committee actions were taken during the hearing.

Transcript Highlights:

• This, the Level I trauma center.
• rather than restricting facilities.
• rather than restricting facilities.
• </c><00:14:09.760><c> rather</c> there are adequate facilities rather there are adequate facilities rather
• Have you noticed an influx in trauma.

Bills: HF3521 , HF1807 , HF1270 , HF2070 , HF3136

Committee: House Health Finance and Policy

Transcript Highlights:

• This bill is about people and the lifelong trauma inflicted on victims.
• This is how I learned of GDP and Isabel's trauma.
• Doctor believes it is indicative of abusive trauma shaking.
• Doctor believes it is indicative of abusive trauma shaking.
• He had bruising, blunt-force trauma, and severe heart blockage.

Summary: The committee met without a quorum and operated as a subcommittee while hearing a long agenda of public safety bills. The chair announced recess and return times, noted several consent items, and said SB 906 was pulled from the agenda. Testimony procedures were explained, including limits on principal witnesses and public comment. Several bills were heard out of file order with authors presenting and witnesses speaking in support and opposition. SB 1446 would expand discretion in en banc parole review, make votes public, and allow CDCR referrals for sexually violent predator evaluations in certain cases. Supporters, including the author and district attorneys, said it would improve transparency and public safety; opponents from Uncommon Law, the Ella Baker Center, and public defender groups argued it would add confusion, litigation risk, and unnecessary duplication. The bill was not voted on because the committee still lacked a quorum. SB 1278 would exclude certain sex offenses and habitual or serial sexual offenses from elderly parole eligibility; the author and district attorneys cited recent releases of serious sex offenders and the need to respect victims and sentences, while opponents said the elderly parole process is already rigorous and evidence-based and that the bill would reduce rehabilitation incentives. The chair and other members strongly supported the measure, but no vote was taken. The committee also heard SB 1354, which would bar out-of-state military or law enforcement forces from entering California without the governor’s permission; the author and supporters framed it as a state sovereignty and constitutional authority measure, and the committee discussed an amendment removing a criminal penalty and leaving enforcement to the Attorney General. SB 926 would provide funding for implementation of Proposition 36; supporters said counties need resources for treatment, probation, and related services, while opponents called it fiscally reckless and said the budget process was the proper place to address funding. The chair summarized amendments removing a specific appropriation and limiting eligible recipients, and members emphasized that the voters approved Prop. 36 but it remains underfunded. SB 874 would require background checks and clearer oversight for Medi-Cal behavioral health treatment providers, especially ABA providers serving children; it drew support from health plans and behavior analysis groups and no opposition. SB 1210 would extend CalGang oversight and due process protections to all gang databases, including local ones; supporters described privacy harms and racial disparities, while police chiefs opposed applying CalGang rules to informal local investigative files. SB 1019 would create a DOJ cargo theft task force; supporters from BNSF, trucking, shipping, and port interests described organized theft, rail sabotage, and supply-chain losses, and there was no opposition. SB 1217, on non-consensual intimate image removal, was introduced with privacy and public safety amendments and framed as a survivor-driven effort to create a DOJ clearinghouse for rapid takedown requests; the author said it would help end ongoing digital harm from exploitation.

Transcript Highlights:

• The trauma system does not include the suicides that happened at home.
• > not</c><00:54:39.040><c> include</c> The trauma system does not include The trauma system does not
• EMS uh the trauma system fund 20 years.
• That flexibility allowed the state trauma system to develop, where Queens became a Level 1 trauma center
• </c> it for the past 20 years with the trauma it for the past 20 years with the trauma system<01:37:17.600

Bills: SB2936 , SB2850 , SB2851 , SB2521

Committee: House Health

Summary: The committee heard testimony on several health-related bills. HB 1871, establishing a maternal health monitoring pilot program, drew support from the Department of Health, the Hawaii State Commission on Status of Women, and the Hawaii affiliate of the American College of Nurse Midwives, with testimony urging provider-neutral language so midwives and other qualified providers would not be excluded. HB 1977, requiring a maternal and infant health information mobile app, received support from ACNM and Philips, which said similar apps in other states improved awareness of services and helped families navigate care; a member asked the Department of Health about implementation time. HB 1858, relating to certificates of fetal deaths, was supported by the Department of Health and clinicians, who said the current statute is outdated and inconsistent with CDC guidance; the department and a physician testified that the bill should shift documentation responsibilities to physicians and APRNs, and members discussed optional versus mandatory issuance language and whether the bill would improve data on home births and transfers. The committee also heard HB 1591, expanding definitions for preceptor and volunteer-based clinical training to improve income tax credits. The Department of Health supported the measure but preferred a similar, broader bill; Taxation suggested clarifying terms; the University of Hawaii and the State Center for Nursing supported it. ACNM asked that midwifery preceptors and Hawaii-based students enrolled in mainland programs be included, while the Hawaii Public Health Institute supported expansion of the program as a workforce solution. HB 1574, on the health care education loan repayment program, also drew broad support, including from the governor, SHPDA, OHA, and health organizations, but ACNM raised concerns that the bill’s 30% Medicaid-client threshold could exclude many providers and limit participation. For HB 1575, creating a feasibility committee on Parkinson’s patient air transport, the Department of Health supported the intent but said transportation is more likely an insurance or benefit issue and suggested redirecting funds to Parkinson’s research; the Michael J. Fox Foundation and the Hawaii Parkinson Association supported the bill, citing inter-island travel barriers and high costs for patients and caregivers. HB 1854, establishing certification of community behavioral health clinics, was supported by the Department of Health and DHS, which said certification would help clinics qualify for enhanced Medicaid reimbursement and expand access; the Attorney General’s office raised a legal concern about the special fund language and recommended a purpose section, and the committee discussed whether the fund would be self-sustaining and noted a possible amendment to change membership language and reduce the board size if the amendment moved forward.

Transcript Highlights:

• There's also a trauma type of thing from the military.
• And as a previous speaker mentioned, those cases are diverted based on trauma level, the level of trauma
• I currently serve as administrator for three critical access facilities in southwest Missouri.
• We've worked a pool from other facilities. We've had our medical director stay 24 hours.
• But I spent a lot of time training them in tactical field care and care of trauma patients.

Committee: House Professional Registration and Licensing

Summary: The committee first completed action on House Bill 3009, adopting an amendment, rolling the bill into a House Committee Substitute, and then voting do pass on the substitute by a 20-0 roll call vote. The meeting then moved into public hearing on House Bill 1963, which would reduce from five years to three years the amount of licensed practice required before certain social workers may supervise others. Representative Tara Peters said the change would help address Missouri’s behavioral health workforce shortage, especially in rural areas, and testimony from the National Association of Social Workers and Burrell Behavioral Health supported the bill as a way to remove a bottleneck without changing education or supervision-hour requirements. There was no opposition testimony on HB 1963. The committee then heard House Bill 2557, which would require a physician to be physically present in an emergency department during all hours of operation. Representative George Hruza argued the bill would improve patient safety and standardize emergency care, while noting possible telehealth accommodations for low-volume critical access hospitals. Supporters, including physicians and medical associations, said patients expect physician-led emergency care and that physician presence is the gold standard. Opponents, led by the Missouri Hospital Association and several rural hospital administrators, argued the mandate is not realistic given physician shortages, could force rural ER closures, and would reduce access to care; they emphasized that current hospital models rely on teams, telehealth, and transfer protocols. The bill drew extensive discussion but no vote was taken. Finally, the committee heard House Bill 311, which would modernize Missouri’s bail bond laws by creating a professional board and tightening training, oversight, and recovery procedures. Representative Brandon Phelps said the industry itself wants clearer standards and that he may revise the bill in committee substitute form to merge the new board with an existing board to reduce costs. A bail bond industry representative testified in support, saying the profession wants higher standards and accountability. The chair then adjourned the meeting after testimony concluded.

Transcript Highlights:

• Florida Medicaid doesn't cover residential or institutional mental disease large facilities over 16 beds
• These exemptions are tied to specific role, facility, or program type based on the needs of the position
• The curriculum is built from nationally recognized trauma resources, materials provided by the Florida
• Opportunities to better align this work with trauma-informed practice and with how families and caregivers
• , residential treatment facilities, so placed in one of those additionally overseen settings.

Summary: The subcommittee heard two Department of Children and Families implementation updates on measures passed in prior sessions. First, DCF reviewed House Bill 633, which increased oversight of behavioral health managing entities through biennial independent audits, standardized claims-based reporting, and new monthly outcome dashboards. The department said it had awarded the inaugural audit to Ernst & Young, found no significant waste, fraud, or abuse, but identified process risks involving financial controls, claims validation, data access, and system access controls. DCF also described its transition to standardized behavioral health coding and said the new public dashboard of 11 measures is posted on its website, though members asked for easier access and for hard copies of the audit report. Members asked about how the department distinguishes Medicaid-covered services from department-funded services, how duplicate payment risks are being addressed, and whether the new reporting and audit requirements would improve oversight without disrupting services. DCF said it is the payer of last resort for uninsured or underinsured individuals, that some overlap with Medicaid is expected because Medicaid does not cover all behavioral health services, and that new claims edits and cross-checks are being built into the system. The department also said it had not found significant negative feedback from providers and that the new requirements are intended to improve transparency and accountability. DCF then updated the committee on Senate Bill 7012, covering human trafficking data collection, domestic violence center certification, limited background-screening exemptions, expanded recruitment for child welfare staff, subcontractor liability protections, a four-year treatment foster care pilot, case management efficiency recommendations, and a statewide study of residential bed capacity for child victims of commercial sexual exploitation. The department said several items are already complete or underway, including limited exemptions in the screening clearinghouse, while others are in procurement or rulemaking. It identified Circuits 4 and 12 as the treatment foster care pilot sites and said the pilot will launch in January 2026. Members questioned recruitment metrics, pilot timing, and report deadlines; the department said final reports are expected by January and that some dates were flexible because of procurement and implementation timelines. The meeting ended after the presentations and questions, and the subcommittee adjourned.

Transcript Highlights:

• Services for the Razorback Road parking facility.
• It's a new contract for a trauma medical consultant for the trauma system.
• It's a new contract for a trauma medical consultant for the trauma system.
• Number 13 is UCA with CCA Facility Services.
• Number 13 is UCA with CCA Facility Services.

Committee: All JOINT BUDGET COMMITTEE

Summary: The committee considered and approved several temporary appropriation requests in Section B, including spending authority for the Court of Appeals to pay appointed counsel in criminal appeals, Commerce/Aeronautics airport and aviation grants, and Insurance Department items for workers’ compensation benefits and premium tax refunds. It also approved ARPA-related requests in Section C to return unused federal funds from DHS aging, mental health, substance abuse, and Older Americans Act grants. In Section D, the committee reviewed and approved Infrastructure Investment and Jobs Act requests, including Agriculture grants for wildfire preparedness and forestry capacity, a large Commerce broadband BEAD request, environmental recycling-related reallocations, and Oil and Gas Commission grants for facility repairs and sample preservation. Members questioned the broadband program’s audit process and performance safeguards; the State Broadband Director said the funds are federal, subject to audits, and payments are released only after engineering certification of completed work. The committee also approved DHS reallocations in Section E, including major transfers within Medical Services from hospital medical appropriations to private and public nursing home lines, as well as transfers for children and family services, developmental disabilities, and youth services. The committee then reviewed cash fund requests, miscellaneous federal grants, pay plan and performance fund transfers, methods of finance, and a large set of contracts. A Northwest Arkansas Community College official explained storm-damage repairs and insurance settlement issues, and DHS explained its hospital medical transfer was moving excess appropriation rather than cash. Members also questioned several UAPB tobacco prevention subgrants, especially arts-based outreach, and asked for more data on effectiveness; the committee later voted to expunge and re-refer the J-2 item for further review at a later ALC meeting. Additional discussion covered a DEQ grant to Free Geek of Arkansas for e-waste recycling, a UAPB tobacco program, and various contracts for universities, DHS services, corrections, and public safety. The meeting ended with reports filed for information and a brief member comment thanking others for concern after a tornado in Stone County; no one was injured.

Transcript Highlights:

• Harborview is one of the highest-volume trauma centers in the nation.
• It serves more than 6,000 trauma patients yearly.
• Nearly a thousand trauma patients, Mr.
• Speaker, two-thirds of the trauma patients at Harborview Hospital are enrolled in Medicare, Medicaid,
• Nearly a thousand trauma centers or trauma patients, Mr.

Bills: HB2720 , HB2073 , HB2487 , SB5816 , SB5919 , SB5831 , SB6137 , SB6244 , SB6044 , SB6132 , SB5109 , SB5877 , SB6258

Keywords: behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, insurance tax, state regulation, insurers, taxation, budget impact, juice grapes, agriculture, commerce, market access, fire safety, insurance incentives

Summary: The House took up and passed Second Substitute Senate Bill 5292, which modifies the paid family and medical leave program. Supporters said the bill uses an actuarial model to set rates and maintains a four-month reserve to improve program stability. It passed final passage 95-1. The House then considered Substitute Senate Bill 5841, dealing with completion of course and financial aid-related requirements. An amendment was adopted to add a financial aid calculator and require outreach to students who indicate they have completed a financial aid form, with supporters saying it would help students understand aid eligibility and access college opportunities. The bill then passed as amended, 92-4. The most extensive debate was on Engrossed Second Substitute Senate Bill 5981, concerning the 340B drug pricing program and contract pharmacy relationships. Members offered many amendments seeking to limit the bill’s scope, add transparency, or direct 340B savings toward patient care, low-income patients, rural areas, or charity care; most were rejected. Supporters argued the bill would help safety-net providers, hospitals, and FQHCs, while opponents warned it would mainly benefit large hospital systems, create administrative burdens, and likely face litigation. After the House adopted the committee amendment and rejected the floor amendments, the bill passed 67-30. The transcript then moved on to other business, including Senate messages and the start of debate on House Bill 2487 on taxes, with one technical amendment to clarify taxpayer definitions.

Transcript Highlights:

• scope of practice that they do today with care teams and things of that nature in. the healthcare facilities
• We're looking at a memorial that is requesting a trauma-informed strategy for children in CYFD's care
• the world is that storytelling has become a very effective strategy for children who have endured trauma
• They have trauma, traumatic experiences.
• A lot of the children that experience trauma do not have the language to share what has happened with

Committee: House House Health & Human Services

Transcript Highlights:

• This is for transportation and coordination of resources related to the Arkansas trauma system.
• a higher-level trauma system center.
• Next, with DYS and Right of Passage, this is to provide residential facilities for DYS clients.
• Sixty-eight, Southern Arkansas University, with HES Facilities. This is for custodial services.
• Most of it goes into our kitchens at the facilities, but some is sold out for commodities. Okay.

Committee: All ALC-REVIEW

Summary: The committee met to review a supplemental agenda item, procurement rule revisions, methods of finance, discretionary grants, contracts, reports, and a member disclosure. The supplemental agenda was accepted, and the Office of State Procurement’s rule revisions were approved after Jessica Patterson explained they were driven by 2025 legislative changes, including Act 782, CASO Consulting recommendations, and updates to sole source, bid, protest, and debarment provisions. The methods of finance and discretionary grants were also approved, covering a range of university capital projects, health and human services grants, historic preservation awards, and tobacco prevention and cessation programs. The committee then reviewed RFQs and six ratifications. The ratifications included a Workforce Connections payment to ACT WorkKeys for services provided during a contract gap, a Department of Health ratification for water-leak repairs, a large Department of Public Safety ratification for Motorola’s Arkansas Wireless Information Network upgrade, a Veterans Affairs HVAC ratification, an ADFA medical services ratification, and a UA Little Rock painting contract ratification. Members questioned the Public Safety ratification at length about why the expired Motorola contract was not caught sooner and why it took months after discovery to come forward; agency officials said the work was tied to bond funding and was not tracked in ASIS, and the chair urged agencies to develop better monitoring procedures. The committee approved a large slate of construction, intergovernmental, out-of-state, and in-state contracts, including many recurring service agreements for DHS, higher education institutions, corrections, health agencies, and state support functions. Several members asked about specific contracts, including aerial application services for correctional farms and a Southern Arkansas University custodial contract, and staff or agency representatives provided brief explanations. The meeting concluded with review of reports and approval of a member disclosure involving Representative Andrew Collins’ investment interest in a company leasing property to Arkansas Rehabilitation Services.

Transcript Highlights:

• This bill would have a therapist affirm as identity a trauma response. That's absurd.
• Last year, when the California City Detention Facility opened, we inspected it and found that the facility
• These reports matter because what happens inside these facilities is often hidden.
• There was no documented suicide review, no trauma-informed follow-up, and no formal response.
• Yet survivors were denied trauma care, appropriate referrals, and investigations.

Summary: The committee first took up SB 934 by Senator Wiener, which would extend the time for survivors of conversion therapy to bring malpractice claims and clarify how expert testimony and scientific evidence may be used in those cases. Senator Wiener and supporters, including a survivor and a licensed therapist, described conversion therapy as harmful and argued that survivors often cannot come forward within current limitation periods. Opponents, including attorneys and advocacy groups, argued the bill was an unconstitutional workaround to California’s existing ban and could chill legitimate therapy or expand liability. Committee members pressed both sides on the bill’s scope, with the author emphasizing it does not bar exploratory therapy or medical treatment, only attempts to change a person’s sexual orientation or gender identity. The bill was moved on a 7-2-1 vote to the Senate Appropriations Committee, with the item placed on call; the consent calendar was also adopted 6-0 and placed on call. The committee then heard SB 1092 by Senator Allen, as amended, concerning manufactured home parks. The bill would require park owners who intend to sell to give residents or their designated representatives notice and an opportunity to submit a competitive bid, with timelines intended to allow residents to organize financing and complete due diligence. Supporters said the measure would help preserve naturally occurring affordable housing and give residents a fair chance to buy the land under their homes, especially after fire-related losses and increasing investor ownership of parks. Opponents from park-owner and realtor groups argued the bill would burden private property rights, devalue parks, and create an unconstitutional taking by imposing long timelines and restrictions that could deter buyers. Several senators questioned the 240-day process and whether the bill should include clearer good-faith or reciprocity provisions; the author said he was open to further adjustments. The transcript ends during committee discussion of SB 1092, with no final vote shown.

Transcript Highlights:

• </c> from the people that do work in trauma from the people that do work in trauma is<00:33:47.480><c
• It also includes a trauma survivor.
• It also includes a trauma<00:34:36.960><c> survivor.
• I think learned trauma survivor.
• Oftentimes these cases involve people who are coming from another facility.

Committee: House Health, Human Services and Elderly Affairs

Transcript Highlights:

• And this did not just occur within the IHS facilities, but anybody that provided healthcare to those.
• United States of America. which causes Native women to bear the heaviest burden of the historical trauma
• The unspoken trauma caused marriage to dissolve, alcohol, drug abuse, living with shame, and Women are
• Unfortunately, I bled for nine months straight and no matter what IHS facility or private hospital or
• and unequal access to informed consent, the impacts of these actions live on through generational trauma

Bills: SM14

Committee: Senate Senate Indian, Rural & Cultural Affairs

Transcript Highlights:

• We appreciate the opportunity to improve the facilities at New Mexico Highlands.
• They play at a middle school with porta-potties and inadequate locker room facilities.
• Chairman, to be able to provide the facilities they need to be top-notch in New Mexico. Mr.
• Chairman, to be able to get the facilities they need to be top-notch in their division is troubling to
• Whenever they don't have the facilities, they can't train the way that they need to. Mr.

Bills: HB30 , HB120 , HJR1 , SB210 , SB306

Committee: Senate Senate Education