Transcript Highlights:

• They were incentivized, the evidence shows, financially to have looked the other way, behaviorally to
• have The evidence shows, financially, to have looked the other way, behaviorally to have allowed this
• The behavioral impact destroys families, prevents people from getting jobs, destroys marriages.
• system was based on a social theory that assumed experts could diagnose the causes of individual behavior
• opposed to the idea felt that it needed to exist due to the inherent presence of repeat violator behavior

Summary: The committee held a work session on tort liability and parole, with the chair explaining that the topics were linked because criminal justice reform and state liability often intersect, especially in cases involving child welfare and corrections. Staff first outlined Washington’s tort liability framework, including the state’s broad waiver of sovereign immunity, statutes governing mandatory reporting and investigation of abuse, the childhood sexual abuse statute of limitations, and the lack of caps on non-economic damages. Staff and presenters also compared Washington to other states and noted that Washington remains among the broadest states for state liability and childhood sexual abuse claims. Presenters from the Attorney General’s office, Washington State Association for Justice, DCYF, DSHS, and DOC discussed how tort exposure has grown, especially in claims involving DCYF, historical child abuse, juvenile rehabilitation, vulnerable adults, employment discrimination, medical negligence, and negligent supervision. DCYF and AG staff said claims and payouts are rising, with many claims tied to older abuse and new theories of liability, while defense counsel emphasized the human harm behind the claims and argued that tort cases have historically driven accountability and reform. Agency witnesses said they face large volumes of old claims with limited records, rising verdicts and settlements, and staffing and systems challenges, and they highlighted efforts such as early resolution programs, electronic health records, medication-assisted treatment, and improved incident review processes. The committee then shifted to parole. Sentencing experts reviewed Washington’s move from indeterminate sentencing to the current determinate sentencing system under the Sentencing Reform Act, and explained how parole could be integrated with sentencing guidelines through different models used in other states. They also summarized Criminal Sentencing Task Force recommendations related to a determinate-plus approach for three-strikes and persistent offender laws and a second-chance review process, noting there was no consensus on those ideas. Judges from the Minority and Justice Commission and the Superior Court Judges Association said a parole system could support rehabilitation and reduce disparities if it includes data collection, fairness, transparency, due process, and meaningful judicial review; they also pointed to research suggesting parole and structured reentry can reduce recidivism and costs, while warning that access and outcomes can vary by geography and other factors.

Transcript Highlights:

• violence has become more common in healthcare settings, especially in the emergency departments and behavioral
• Hospital security officers play a vital role by addressing aggressive behavior, stepping in during assaults
• environments, intervening with patients, visitors, and individuals in crisis displaying violent behaviors
• crisis, visitors, and individuals in crisis, displaying<00:04:40.639> violent<00:04:41.040> behaviors
• <00:04:41.759> Um, displaying violent behaviors. Um, displaying violent behaviors.

Keywords: 1183, house

Transcript Highlights:

• And largely that's related to behavioral analysis and CMS, which is now... ...a component, or largely
• So it's a stronger impact, and it's largely coming from that CMS and behavioral analysis component.
• of managed care, and we had the same problem, is the rising costs for a service cluster called behavioral
• I think the behavior driver. Is that correct?
• I think the behavioral analysis component continues to outpace anything we project for it, it seems like

Summary: The committee met to hear Amy Baker’s presentation on Florida’s constitutionally required long-range financial outlook for fiscal years 2026-27 through 2028-29. Baker said the forecast reflects slower but still positive economic growth, continued above-average personal income growth, rising wages, and population growth that is increasingly driven by in-migration as Florida’s senior population expands. She highlighted weakening housing-related revenue, especially documentary stamp taxes, softer consumer sentiment, and the expectation that Florida will pass 25 million residents by 2030, with nearly a quarter of the population age 65 or older. Baker said the outlook largely retained the March 2025 general revenue forecast, but the Legislature’s 2025 session actions significantly improved near-term funds available by redirecting or freeing up money, including contingency appropriations and reversions. She noted total state reserves are just under $15 billion, or about 30% of general revenue, and that the budget stabilization fund is at its constitutional maximum. The main spending pressures in the outlook were critical needs, led by a new emergency preparedness and response fund transfer and Medicaid growth driven mainly by medical inflation and behavioral analysis costs in managed care, not by caseload growth. Other high-priority needs were also identified, and Baker said the first year shows a projected surplus, but years two and three show shortfalls, meaning fiscal strategies will still be needed. Members questioned Baker about the accuracy of the forecast, Medicaid managed care costs, the emergency preparedness fund, federal funding assumptions, and whether recent federal legislation was reflected in the numbers. Baker said the outlook is a good representation of the total picture, though the Legislature will likely adjust it as conditions change, and that more information on federal changes would come in later estimating conferences. Senator Trumbull asked about the governor’s veto of $750 million, and Baker said it simply returned to unallocated general revenue rather than being spent or added to the budget stabilization fund. The chair closed by warning members to expect a difficult budgeting process and noting that the committee would adjourn without further action.

Transcript Highlights:

• you know, if you give them money for child care and that child is a delinquent, ends up needing behavioral
• It's basically a Medicaid waiver that helps with behavioral health.
• Behavioral health, that's a lot of things, you know. It's a good way to put it.
• It's a Medicaid waiver that helps with behavioral health.
• provides peer support, coordinated care, as part of wraparound services to support people with behavioral

Bills: SB2399

Keywords: mental health, psychiatric treatment, reimbursement, medical assistance, legislative report, 908, all

Summary: The committee reconvened and first reconsidered House Bill 1612, the aerospace medical and mental health support center bill. Senator Cleary offered an amendment to reduce the general fund appropriation from $500,000 to $250,000 and require the university or project sponsors to find the remaining funding from other sources. The amendment passed, and the bill was then recommended do pass as amended, with members citing concerns about university funding, but others supporting the project as a one-time seed investment. The committee also discussed a possible future FMAP increase beginning October 1, 2026, which could reduce general fund costs by roughly $9 million, though members noted the figures were still preliminary and could be addressed later if needed. The committee then returned to Human Services budget items, including early childhood and child care funding, a community cultural center grant, and several other adjustments. Members discussed reducing the “best in class” amount, changes to child care grants and quality/infrastructure funding, and clarifying that prior child care assistance appropriations were in fact being spent. They also agreed to reduce the 1915(i) Medicaid waiver line by $2 million, with the understanding that the entitlement would still be funded as needed. The committee also considered taking guardianship funding out of House Bill 1012 because a separate bill, Senate Bill 2029, would move that funding elsewhere; members agreed that removing it from the budget could help the overall bill and could be restored if the separate bill failed. Several study amendments were discussed. Senator Cleary proposed adding a maternal health study related to prenatal services, doulas, midwives, and Medicaid, and members expressed support. The committee also discussed a software/case-management study proposal, but the department said it had not requested it and would not support it as presented, so members leaned against advancing it unless the department first evaluated it. Another amendment would authorize the department to work with the city of Grafton on a long-term plan for the LSTC campus and require a report back to the legislature; members supported that as legislative intent. The committee also agreed to remove a truancy study section for later conference discussion, and it reviewed other possible study ideas, including assistive technology, before adjourning to await updated long sheets and bill text.

Transcript Highlights:

• First up, we have the Department of Behavioral Health, Department of Health, in support.
• First up, Department of Health Behavioral Health Administration, in support. Good afternoon.
• <00:08:27.879> health department of health behavioral health department of health behavioral
• State Department health behavioral State Department health behavioral health<00:15:00.199> administration
• <00:58:44.640> Health telea Health to Behavioral Health telea Health to Behavioral Health

Keywords: 912, senate, all

Summary: The committee heard testimony on a long calendar of health-related measures, beginning with SB 297, a proposed constitutional amendment to protect reproductive freedom. Supporters included medical, labor, and advocacy groups, while opponents, including Hawaii Family Forum and Hawaii Christian Coalition, argued the term “reproductive freedom” was too vague and could be misunderstood. Testimony on SB 350, a similar constitutional amendment protecting contraception, also drew strong support from medical and advocacy groups and opposition from religious organizations; one witness said the measure was especially important to protect reproductive care and contraception. Several bills focused on health system administration and public health. SB 1438 on home care agencies, SB 1439 on nuisances, SB 1441 on transferring the AAHU regional health care system to the Department of Health, SB 1442 on children’s mental health services, SB 1443 on the Department of Health, SB 1444 on general excise tax, and SB 1445 on youth mental health all received mostly supportive testimony from state agencies and community organizations. On SB 1445, the Hawaii State LGBTQ Commission asked that LGBTQI+ and Native Hawaiian youth be specifically considered in mental health services. SB 1450, creating an intensive mobile team pilot for houseless individuals with serious brain disorders, drew support from state agencies and providers; a street medicine advocate said the pilot could help address sustainability, insurance, and service delivery on the streets. The committee also heard testimony on access and workforce measures, including SB 1596 on nursing, SB 1565 on acupuncture, SB 1564 on Medicaid, SB 1418 for an emergency DHS appropriation, SB 1417 on crimes against protective services workers, SB 1411 on Medicaid third-party liability, SB 1399 on a family resilience pilot program, SB 1398 on trauma-informed care, SB 1281 on telehealth, and SB 1279 on telepharmacy. Most of these measures drew broad support from agencies, provider groups, and advocacy organizations. On SB 1281, HMSA opposed the bill as written, warning about audio-only telehealth and federal rule changes, while other health groups supported it as important for rural, kupuna, and disabled residents. On SB 1417, a Honolulu Police Department captain supported stronger protections for DHS workers but could not provide complaint data and said he would follow up later. The hearing ended with the chair noting quorum and asking whether the committee was ready for decision making; no votes or final actions were recorded in the transcript.

Transcript Highlights:

• And it's on us then to figure out how do we better integrate behavioral health into it.
• The California Youth Behavioral Health Initiative, sorry, too many acronyms. youth, behavioral health
• Some of those are longer-term behavioral or family needs. Some of them are short-term.
• Some of those are longer-term behavioral or family needs. Some of them are short-term.
• And for folks that have enhanced respite needs, we talked about medical and behavioral.

Summary: The Assembly Budget Subcommittee on Human Services held a hearing on developmental services, rehabilitation, and related supports, with no votes taken. The first major topic was the Master Plan for Developmental Services. Administration officials described a year-long, community-driven process that included a steering committee, work groups, and statewide engagement sessions, and said the final draft would be released that Friday with about 170 recommendations. The Department of Developmental Services said the plan would inform future work, but did not offer a detailed implementation roadmap. The LAO said the plan contains significant policy and budget implications, may require statutory changes, and needs further analysis to turn recommendations into actionable proposals. Advocates and regional center representatives urged the Legislature and administration to avoid letting the plan sit on a shelf, called for prioritization and ongoing stakeholder oversight, and emphasized the need to address equity, workforce, service coordination, and cross-system collaboration. The chair said he wanted to work with the LAO on trailer bill language and future reporting to create a clearer path forward. The second topic was the Office of Employment First and competitive integrated employment. Administration witnesses said California has ended subminimum wage under SB 639, but that moving people into competitive integrated employment remains a major priority. They described existing efforts such as DDS’s coordinated career pathways pilot, paid internships, job development services, benefits counseling, and DOR’s career counseling and referral services, along with pilot projects in San Diego and Orange County. The State Council on Developmental Disabilities and advocates argued that employment outcomes have remained stuck at roughly 15% and that a dedicated Employment First Office is needed to coordinate across agencies, align goals, and improve outcomes. The LAO recommended regular legislative oversight on people transitioning out of subminimum wage and asked for technical assistance on coordinated career pathways. The chair criticized the administration’s decision to effectively eliminate funding for the office, requested a detailed implementation timeline and quarterly transition reports, and said the committee would continue pressing for the office to be implemented. The final issue was respite services, utilization trends, and access. DDS reported that in-home respite use and spending have risen sharply over several years, with about 150,000 people using respite in 2023-24 and expenditures reaching about $1 billion. Officials said access depends on families knowing the service exists, service coordinators identifying need, and having enough providers, especially in rural and linguistically diverse communities. The San Diego Regional Center said utilization generally mirrors statewide trends, but access is stronger in some areas, such as Imperial County, where families often prefer family-directed or agency-supported models that allow them to hire trusted workers. Committee members emphasized the importance of respite for family health and caregiver well-being, asked whether service coordinators are asking practical questions about sleep and stress, and discussed the need for better identification of complex behavioral and medical needs. DDS said a standardized family support tool and updated IPP process are intended to improve consistency, transparency, and person-centered assessment for respite and related services.

Transcript Highlights:

• For that reason, he supports the bill, although he does acknowledge the rent-seeking behavior problem
• For that reason, he supports the bill, although he does acknowledge the rent-seeking behavior problem
• which is I guess unfortunately Behavior which is I guess unfortunately a<01:49:10.520> pun<01
• <01:49:15.080> is hearing and rent-seeking behavior is hearing and rent-seeking behavior is
• and um it's that's rent-seeking behavior and um it's true<01:49:31.840> that<01:49:32.040>

Keywords: 1189, house, all

Transcript Highlights:

• Direct Care and Treatment is a highly specialized behavioral health care system.
• DCT is the only behavioral health care system of its kind, scope, and size in Minnesota, so it occupies
• providers cannot or will not serve because patients' conditions are clinically complex and their behaviors
• /c><00:02:59.200> only<00:02:59.440> Behavior System DCT is the only Behavior System DCT
• We've expanded our Child and Adolescent Behavioral Health Hospital in Willmar from 8 to 16 beds.

Keywords: 1187, senate, all

Summary: The Human Services Committee received an informational overview from Direct Care and Treatment (DCT) staff on the agency’s role and current operations as it transitions from DHS. DCT described itself as Minnesota’s unique state behavioral health system, serving about 12,000 people annually through treatment facilities, residential group homes, and vocational sites, with about 5,000 staff and five major service lines including forensic services and the Minnesota Sex Offender Program. The presentation also reviewed the new executive board required by statute and the 47 work groups created to support DCT’s move to separate-agency status, with staff saying the board is in place, has met, and the work groups are on track for the July 1 deadline. Committee discussion focused heavily on system capacity, staffing shortages, and discharge bottlenecks. DCT said recruiting and retaining staff remains its top pressure, with many vacancies and overtime contributing to burnout. Members also raised concerns about long waits for admission, lack of step-down and community-based placements, and the effect on county jails and hospitals. DCT said it has expanded some capacity, including increasing beds in Willmar, reopening the Ironwood unit in St. Peter, and repurposing the CARE program site to add 16 forensic beds, but emphasized that the broader problem is the lack of community-based options rather than just DCT beds. Members also discussed priority admissions and a prior task force process for handling jail referrals. DCT said the priority admissions framework began July 1 of the previous year, uses factors such as medical acuity and impact on referring facilities, and is intended to help with backflow, though it does not solve the underlying bed shortage. Staff said the priority admissions review panel’s report is due February 15. In response to questions about a high-cost one-to-one care placement, DCT said it had found a less costly alternative and that each case has unique needs. DCT also reported progress on an electronic health record rollout and said a substance use disorder report requested by the Legislature is nearing completion.

Transcript Highlights:

• That was the summon that was behavior.
• . behavior. behavior.
• of good behavior.
• when it is ordering good behavior.
• <03:36:42.160> constantly behavior constantly behavior constantly and<03:36:44.000> when

Keywords: 1189, house, all

Transcript Highlights:

• The positive behavior support facilitators are professionals that are endorsed, I believe, through a
• The whole system of positive behavior support is an applied science that uses educational methods to
• , to first enhance the individual's quality of life, and second, to minimize his or her problem behavior
• presentation from the previous work plan is this one from representatives of the Department of Behavioral
• And I can tell you, as a provider, we're given all the DBHDS behavior checklist, all this stuff you have

Summary: The Virginia Disability Commission held its first meeting of the year on June 18, established a quorum, and introduced members. Senator Barbara Favola was elected chair and Delegate Amy Laufer was elected vice chair, both unanimously. The commission also reviewed and unanimously approved its electronic/remote participation policy, which mirrors last year’s policy and allows limited remote participation under Virginia FOIA rules. Staff then reviewed a package of 14 disability-related bills that passed last session and were signed into law. Topics included disabled veterans’ vehicle registration fee exemptions, open captioning requirements for movie theaters, guardianship/conservatorship order forwarding, service dog team definitions, education and transition planning for students with disabilities, Blue Envelope and driver communication training for law enforcement and driver education, deferred disposition and jury service protections, voting rights in guardianship cases, expansion of the Virginia Human Rights Act, continuation of a DD waiver eligibility change, and DMAS training authority for autism competency checklists. Members discussed implementation concerns, especially making the Blue Envelope/driver communication program more visible and considering a follow-up letter and DMV presentation. The commission then adopted its interim work plan unanimously, with discussion of possible presentations on DMAS and Medicaid waivers, DBHDS telehealth training implementation, SCHEV and VDOE transition planning, transition from institutions to community settings, criminal justice reform, transportation and parking accessibility, adult-sized changing tables, and school accessibility. Members also suggested adding EVV concerns, seclusion and restraint, rare disease issues, and insurance coverage problems for needed medications. Public commenters urged the commission to address burdensome EVV requirements for family caregivers, improve accessibility for local government meetings and documents, and explore a standardized credential/career pathway for direct support professionals. The chair said follow-up work would be assigned on EVV and implementation issues, and the meeting location would move to the Senate side of the Capitol going forward.

Transcript Highlights:

• This authority will be subject to certification by the Texas Behavioral Health Council.
• Bill Belemowitz, um, testifying on behalf of Texas Behavioral Health Executive counsel neutral on House
• I'm the presiding member of the Behavioral Health Executive Council.
• specialized training to get your doctorate in psychology, which encompasses biological bases of behavior
• Thank you for your time and your commitment to improving our behavioral health system.

Transcript Highlights:

• The problem is how the behavior is charged.
• That’s stalking behavior.
• That’s stalking behavior.
• That’s stalking behavior.
• stalking behavior and stalking behavior<00:21:43.960> when<00:21:44.200> there<00:21:44.360

Keywords: The live stream for this meeting cut off before the end. This is the complete meeting pulled from back ups. Meeting Start: 00:00:00 Roll Call: 00:00:05 HB 38: 00:02:42 HB 206: 00:29:22, 958, all

Summary: The committee began with roll call and introductory remarks, including recognition of new members and guests. It then took up House Bill 38, sponsored by Representative Tipton, which would increase penalties for repeated violations of an order of protection. Under the committee substitute, a third violation involving the same order and same individual could be elevated from a Class A misdemeanor to a Class D felony. Tipton and domestic violence survivor Maryanne Pratt testified in support, with Pratt describing repeated abuse, protective-order violations, and ongoing fear despite arrests and jail time. Several members spoke in favor of the bill and praised Pratt’s testimony. Members and outside witnesses raised concerns about the substitute’s language, especially the requirement that the same victim be involved and whether the bill could leave gaps for repeat abusers with different victims. Representative Burke and others questioned whether the conduct was already covered by stalking or assault statutes. Scott West, speaking for the Kentucky Association of Criminal Defense Lawyers, argued that the bill could allow technical contempt findings to be used as predicate offenses and noted that existing assault and stalking laws already address much of the conduct. Sponsor Tipton said the language was not final and that further changes might be considered in the Senate. Despite the concerns, the committee adopted the substitute and passed HB 38 with favorable expression by a 19-0 vote. The committee then heard House Bill 206, sponsored by Representative Nemes, on wrongful conviction compensation. Nemes introduced exonerees and representatives from the Kentucky Innocence Project, and the substitute was adopted without objection. Testimony came from Paul Herd, who spent 20 years wrongfully convicted and described the difficulty of reentry, and Jon Acar, who said he was wrongly convicted as a teenager and spent years in custody and on parole. Both urged passage of the bill as overdue support for people exonerated after wrongful convictions.

Transcript Highlights:

• Disruptive behavior, applause is allowed. Um, for safety reasons, people have to remain seated.
• <00:09:10.560> health<00:09:10.880> grants, behavioral health grants, behavioral health
• > are<00:31:33.200> extremely behavioral health grants are extremely behavioral health grants
• <00:54:57.920> I<00:54:58.160> believe behavioral health uh grants.
• I believe behavioral health uh grants.

Keywords: 1187, senate, all

Transcript Highlights:

• John Lapel: If something comes to the Board by the way of a complaint about the behavior of a physician
• In the realm of behavioral health, the Department accelerated provider development efforts resulting
• in an increase of 140 percent licensed bed capacity statewide and a newly created Behavioral Qualified
• Residential Treatment Program for use with intensive behaviors ensuring that they have both the placement
• Also within the behavioral health space is our intentional focus to expand peer support network statewide

Keywords: 999, senate, all

Transcript Highlights:

• What this does is stop the algorithmic behavior behind the scenes.
• , to have friends, communicate with parents, communicate with friends, just not the algorithmic behaviors
• And their behaviors under that, I can't tell you. Okay.
• , which they know, right, they know how old we are based on their behavior, could they keep it up forever
• Know how old we are based on their behavior. Could they keep it up forever?

Keywords: 964, all

Transcript Highlights:

• AB 277 would require employees who provide behavioral health treatment to undergo a background check
• However, there is currently no background check requirement in state law for employees of behavioral
• health companies, such as registered behavioral technicians, or RBTs, to provide care to children with
• However, there is currently no background check requirement in state law for employees of behavioral
• health companies, such as registered behavioral technicians, or RBTs, to provide care to children with

Summary: The Assembly convened after a quorum call, offered a prayer and Pledge of Allegiance, and then spent much of the session on guest introductions recognizing visitors, community college delegations, students, caregivers, a retired Assembly staff member, and a championship high school football team. Members also observed an adjournment in memory for Alex Preddy, a VA nurse killed in Minnesota, and later for Kathy Wooten and Rowena Ramos. The chamber then moved through the daily file and third reading file, with several items passed, retained, or continued. Among the bills taken up, AB 34 on renewable portfolio standard exemptions for publicly owned utilities passed 55-0; AB 35 to accelerate implementation of Proposition 4 climate resilience funds passed 62-0; AB 52 on food and agriculture equity passed 50-6; AB 72 creating an EV economic opportunity zone passed 58-0; AB 96 removing a diploma requirement for Medi-Cal peer support specialists passed 55-0; AB 230 extending Pierce’s disease control programs passed 64-0; AB 277 requiring background checks for behavioral health employees passed 59-0; AB 647 clarifying a county RV disposal pilot passed 54-0; AB 664 authorizing limited bachelor’s programs at Southwestern Community College passed 60-1; AB 673 creating a support grant for unaccompanied homeless youth passed 55-1; AB 710 on dynamic electricity pricing passed 54-0; AB 748 streamlining pre-approved housing plans passed 65-0; AB 767 expanding protections around sexually violent predator placements near schools and daycares passed 65-0; AB 883 protecting officials’ personal information from data brokers passed 66-0; AB 946 expanding 30x30 conservation efforts to urban areas passed 65-0; AB 1054 creating a deferred retirement option program for CHP and Cal Fire passed 61-1; AB 1070 on missing middle housing code simplification passed 66-0; AB 1159 strengthening student data privacy passed 54-4; AB 1204 revising the Local Control Funding Formula passed 54-1; AB 1265 extending the historic building tax credit passed 64-0; AB 1349 banning speculative ticketing passed 61-0; AB 1359 allowing seniors 80+ to opt out of jury service without a doctor’s note passed 67-1; AB 643 on organic waste procurement credits passed 48-4; AB 685 creating a small business resiliency fund passed 63-0; AB 714 tightening oversight of commercial driving programs passed 65-1; and AB 805 establishing a youth apprenticeship bridge program passed 66-0. Several other items were passed and retained or continued without debate. Debate on AB 1054 drew the sharpest disagreement, with opponents warning about pension costs and supporters arguing it would help retain experienced CHP officers and firefighters. AB 767 also prompted strong comments about public safety and placement of sexually violent predators in rural communities. On AB 1349, supporters from both parties backed the anti-speculative ticketing bill as consumer protection, while AB 664 drew support from members emphasizing access to higher education in underserved regions. The Assembly then adjourned until January 29, 2026, after announcing upcoming session dates and recording a few vote changes from the dais.

Transcript Highlights:

• Please avoid using any trademarked or copyrighted images and please refrain from profanity or uncivil behavior
• , as such behavior may be grounds for removal from the hearing without the ability to rejoin.
• <00:17:03.279> as<00:17:03.519> such<00:17:03.839> behavior<00:17:04.240> may
• <00:17:04.400> be<00:17:04.559> grounds behavior as such behavior may be grounds behavior
• as such behavior may be grounds for<00:17:05.039> removal<00:17:05.360> from<00:17:05.520

Keywords: 910, house, all

Summary: The House Committee on Transportation heard and later voted on several Senate resolutions related to transportation, safety, and infrastructure. Early testimony covered STR 23, on studying highway patrol and speed cameras in speeding hotspots, with support from the Department of Transportation and the Aahu Metropolitan Planning Organization and opposition from five individuals. STR 37 and STR 38 concerned Maui road planning for the Kihei area; the Kihei Community Association and DOT supported both, and the committee later advanced them with amendments to correct the county department with jurisdiction. STR 150 SD1, on a working group for subsidizing waterborne cargo transport, drew support from DOT, the Department of Agriculture, and industry groups, but the committee deferred it for further discussion. STR 153, about transferring jurisdiction over Ho‘i roads to Maui County, received support from the judiciary and was advanced with amendments. STR 180 SD1, on sharing safety and performance information about commercial tour operators, drew mixed testimony, including opposition from DOT and helicopter operators and support from Blue Hawaiian Helicopters; the committee advanced it with amendments narrowing the scope to helicopter and air tours. STR 181 SD1, proposing a working group to lower the blood alcohol limit to 0.05, was supported by DOT, the Governor’s office, public health and safety groups, and one individual opposed; it was advanced with amendments naming the DOT director or designee as chair and adding legislative committee chairs. STR 182, encouraging a Honolulu summer streets pilot program, was supported by the Department of Health, Oahu MPO, and the Hawaii Bicycling League, and after reconsideration the committee passed it unamended. STR 184, seeking increased enforcement against improperly registered out-of-state vehicles, had one supporter and was passed as is. STR 200 SD1, on continuing transportation management training programs, was supported by Oahu MPO and one individual and was passed as is. STR 231 SD1, directing DOT to use scanning equipment at airports and harbors to detect illegal fireworks, was supported by DOT and one individual and passed as is.

Transcript Highlights:

• What mechanisms are in place to prevent misuse of sensitive behavioral health records once the protections
• Melanie Brown-Woofter, Florida Council for Behavioral Health— Thank you.
• Melanie Brown-Woofter, Florida Council for Behavioral Health Care, waives support.
• Melissa Olive, the Board Association of Behavior Analysis, is waiving in support.
• Melissa Olive, the Board Association of Behavior Analysis is waiving in support.

Summary: The Health Policy Committee met for its final meeting of the session and handled a very full agenda, beginning with a few housekeeping items and a brief thank-you to staff. Senate Bill 596 was temporarily postponed. The committee then reconsidered and amended SB 1606 on patient access to records, clarifying portal access obligations and deleting a section that would have improperly affected nursing home facility records; the bill was reported favorably as a committee substitute. The committee also recommended confirmation of a block of appointees and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after testimony focused on transparency, financial oversight, Medicaid managed care accountability, and internal controls at AHCA. Harris said she would prioritize staffing, monitoring, and improved reporting, and several health care groups waived in support. The committee next heard and passed several bills, including claims bills SB 28 and SB 22 for South Broward Hospital District settlements, both reported favorably. It also approved SB 772 on undesignated glucagon in schools, SB 998 on allowing physician assistants and APRNs to complete death certificates under hospice/palliative protocols, SB 1412 on home health agency administration and staffing flexibility, SB 1800 creating a Parkinson’s disease research consortium at USF, SB 306 on Medicaid managed care network access during holidays and after hours, SB 1768 on stem cell therapies and informed consent, SB 1602 on pediatric readiness standards in emergency departments, SB 1156 on the home health aide program for medically fragile children, SB 1490 on Children’s Medical Services and Medicaid managed care administration, and SB 1182 on Medicaid coverage of continuous glucose monitors. Most of these bills were amended, generally to narrow scope, align with the House, or make technical changes, and most received support from provider associations, advocacy groups, or affected institutions. The most debated measure was SB 1270, which combined several health freedom and medical marijuana provisions. The strike-all amendment retained language prohibiting discrimination based solely on vaccination status, added protections related to mRNA vaccine documentation requirements, and included medical marijuana regulatory and background-screening language. The committee heard extensive testimony both in support and opposition, including concerns from senators about whether the bill would force providers to treat patients contrary to medical judgment, and support from witnesses arguing it protected patient autonomy and access to care. After a time-certain motion, the bill was reported favorably as a committee substitute. At the end of the meeting, senators recorded their votes on selected tabs, and the committee adjourned.

Transcript Highlights:

• The data also shows that 80 to 90% of all telehealth visits in our state are behavioral health visits
• visits in our state are Behavioral visits in our state are Behavioral Health<00:19:55.320> visits
• And I realize that behavioral health is a common reason this is done, but I can't live without it, so
• and um so that would criminal behavior and um so that would be<00:41:09.200> considered<00:41
• individuals experiencing a behavioral individuals experiencing a behavioral crisis<01:15:24.120>

Keywords: 1191, senate, all

Transcript Highlights:

• <00:15:36.880> for health within the department for health within the department for behavioral
• <00:15:37.600> health,<00:15:37.839> developmental<00:15:38.399> and behavioral
• health, developmental and behavioral health, developmental and intellectual<00:15:39.279> disabilities
• 15:47.600> the<00:15:47.760> department<00:15:48.000> for<00:15:48.240> behavioral
• within the department for behavioral within the department for behavioral health,<00:15:48.880><

Keywords: 00:00 - Call to Order/Roll Call 01:10 - Discussion of 26RS HB 669 08:25 - Roll Call Vote on 26RS HB 669 09:25 - Discussion of 26RS HCR 36 13:15 - Roll Call Vote on 26RS HCR 36 14:05 - Discussion of 26RS HB 686 29:20 - Roll Call Vote on 26RS HB 686 30:10 - Adjournment, 958, all

Summary: The House Standing Committee on Families and Children met and first adopted a House committee substitute for House Bill 669, which would protect federal benefits belonging to children in out-of-home care. The sponsor explained the bill is intended to prevent the state from using a child’s Social Security survivor, disability, or death benefits to offset care costs, instead requiring those funds to be preserved in an account for the child and made available at certain milestones or when the child leaves care. Members asked about who would oversee the funds, how annual eligibility reviews would work, and when the child could access the money; the sponsor said the cabinet would set the review process by rule and that the funds would remain available for the child. The committee approved HB 669 15-0 with favorable expression. The committee then considered House Concurrent Resolution 36, as amended by committee substitute, which creates a child welfare and family court reform task force. The substitute changed the reporting structure to send the task force’s report to the interim joint committee on families and children and the judiciary committee, rather than a now-defunct Health and Human Services committee. Supporters said the task force should review child abuse and neglect, foster care, and family court processes, and gather input from experts and people with lived experience. Members discussed whether the work should be divided into separate family court and child welfare task forces, but the resolution moved forward and passed 15-0 with favorable expression. Finally, the committee heard House Bill 686, which would establish a Kentucky Positive Youth Development Commission and a dedicated trust and agency account to support community-based youth programming up to age 25. The sponsor and witnesses said the bill responds to rising youth mental health concerns, self-harm, and suicide, and would coordinate statewide efforts, support evidence-based out-of-school programming, and provide technical assistance to local partners. Testimony emphasized the importance of connectedness, trusted adults, community-based responses, and using settlement funds from social media-related harms to youth to support the trust. Members asked about how the bill compares with other states and how the “dose-response” language relates to adverse and positive childhood experiences. HB 686 also passed 15-0 with favorable expression. The committee announced its next meeting for Thursday, March 12 at 9:00 a.m. and then adjourned.