Transcript Highlights:

• It established the 24/7 behavioral health helpline, a network of community behavioral health centers
• It established the 24-7 behavioral health helpline, a network of community behavioral health centers,
• The bill also requires CHIA to conduct an analysis of the behavioral health access and crisis intervention
• As such, their behavior makes sense.
• As such, their behavior makes sense.

Keywords: 995, all

Summary: The hearing opened with remarks from House Chair Mindy Domb and Senate Vice Chair Robyn Kennedy, who outlined procedures for the hybrid public hearing, noted the committee would hear testimony on 15 bills related to treatment settings, and recognized members present. The first major bill discussed was H. 4200, authorizing a pilot program for psychedelic-assisted treatment in licensed facilities. Representative Jim O’Day and witnesses from Control Z supported the bill, describing it as a tightly controlled, medically supervised pilot with DPH oversight, limited sites, and screening requirements. Committee members asked about the number of sites and whether Column Health still existed; witnesses said the bill contemplated three separate pilot programs and that Column Health no longer existed after being purchased by another company. The committee also heard testimony on S. 1405 to make the drug stewardship program permanent by removing its 2026 sunset date. Senator John Keenan and others said the program helps collect and safely dispose of unused medications, reduces diversion, and should remain in place because manufacturers should bear disposal costs. A member from Boston added support based on local concerns about people searching through bags for drugs, and Keenan explained the original sunset reflected pilot status and industry pushback. A large portion of the hearing focused on S. 1394 and H. 2193, which would strengthen implementation of the 2023 Roadmap for Behavioral Health Reform. The Children’s Mental Health Campaign, Parent/Professional Advocacy League, Massachusetts Association for Mental Health, and Elliott Community Human Services testified that the roadmap’s helpline, community behavioral health centers, and crisis services are important but unevenly implemented. They urged a single point of accountability within EOHHS, regular strategic planning, a public data dashboard, and financial analysis of the behavioral health system and the access and crisis intervention trust fund. Witnesses said commercial insurance often does not fully reimburse community behavioral health center services, making sustainability difficult, and asked for better coordination across agencies and crisis response systems. Committee members asked whether the roadmap includes substance use disorder; witnesses said it is intended to cover behavioral health broadly, including mental health and substance use. The committee also heard testimony on bills to ban aversives and on suicide prevention signage. Lisa Jean Graff testified in support of S. 1394 by urging a statewide ban on aversive practices, including electric shock, withholding food or bathroom access, and other painful interventions, arguing disabled people deserve the same protections from harm as others. Fonda Bryant and Carol McLean supported a bill requiring suicide prevention signs on tall parking garages, describing personal experiences and saying the signs could create a brief pause and connect people to 988 or other help. McLean said her son died by suicide from a parking garage and that signage might have made a difference. The committee also heard strong testimony in support of creating intensive stabilization and treatment units within DMH facilities (S. 1398/H. 2204), with the Massachusetts Nurses Association and a DMH nurse arguing that highly assaultive patients need specialized, more secure units to protect staff and other patients and to improve care. Additional testimony supported creating a dedicated board for licensed mental health counselors (H. 4696/S. 1382), with Rep. John Badger, the Mass Mental Health Counselors Association, and others saying LMHCs are a large and growing workforce that needs its own licensing board, clearer standards, and faster implementation of existing licensure reforms. The committee also heard extensive testimony on H. 2223 regarding benzodiazepines and non-benzodiazepine hypnotics. Survivors and advocates described severe withdrawal, lack of informed consent, cognitive harms, and long-term disability, while a physician supported the bill as a way to improve disclosure of risks. Finally, the committee heard multiple witnesses in favor of H. 2231/S. 1383 to establish peer-run respite centers statewide. Advocates and people with lived experience said peer respites provide non-coercive, home-like alternatives to hospitalization, can reduce trauma and repeated admissions, and may be especially important for marginalized communities; they also cited cost savings and existing positive outcomes from current respite programs. No votes or final committee actions were taken during the hearing portion reflected in the transcript.

Transcript Highlights:

• Um access to coordinated behavioral Um access to coordinated behavioral health<00:11:13.440>
• <00:11:50.520> health comprehensive behavioral health comprehensive behavioral health coverage
• It adds behavioral health coverage.
• of improving children's behavioral of improving children's behavioral health<00:21:42.240> access
• <00:22:18.920> health can improve children's behavioral health can improve children's behavioral

Keywords: 1189, house, all

Transcript Highlights:

• , which is an independent analysis that the Legislature has asked the Legislative Analyst's Office to
• But is this tax credit going to have a life cycle analysis also?
• So I believe the analysis that UC Berkeley relied on is assuming this sort of...
• Fortunately, Fortunately, we have really good data that suggests this does change behavior.
• Do you want to appreciate the MSRP CAF item in the analysis and support that? Thank you.

Summary: The meeting began with a budget subcommittee hearing on a proposed sustainable aviation fuel (SAF) tax credit trailer bill. Assembly Members Ávila Farías and another member spoke in support, emphasizing union jobs, refinery investments, and the need to decarbonize aviation. The Department of Finance said the Governor’s proposal would provide a $1 to $2 per gallon credit against the diesel excise tax for SAF sold in California from 2026 to 2036. The Legislative Analyst’s Office recommended rejecting the proposal, arguing it is a relatively expensive way to reduce emissions, has uncertain environmental benefits, could significantly reduce transportation revenues, and conflicts with the spirit of voter restrictions on transportation taxes. Committee members questioned whether the credit would mainly benefit out-of-state producers, whether firms would have diesel tax liability to use the credit, and whether the proposal would shift production away from renewable diesel and raise fuel prices. Administration and CARB staff said the credit is intended to support aviation decarbonization, preserve jobs, and help keep California on track toward its 2045 climate goals. LAO and UC Berkeley testimony countered that the policy could mostly subsidize existing technologies, that feedstock supply is limited, and that the net emissions benefit may be small relative to the cost. Members also asked about the effect on local streets and roads, SHOP, and trade corridor funding; Finance estimated a $165 million annual revenue impact would reduce those programs, while LAO said the reductions would mean fewer projects over time. No vote was taken, and the chair said the issue would remain open for further discussion. The committee then moved to a zero-emission vehicle incentive trailer bill proposing a one-time $200 million appropriation to CARB for a new point-of-sale incentive program focused on first-time buyers and leases of new and used light-duty ZEVs. Supporters said the program would help offset the loss of the federal EV tax credit, maintain momentum in California’s ZEV transition, and use a one-to-one match with participating automakers to double the state’s investment. LAO recommended rejection, saying the proposal does not meet the high budget bar this year, lacks enough program detail to evaluate, is unlikely to move sales significantly given the size of the appropriation, and could duplicate existing state and utility programs. Members asked about current incentives across light-, medium-, and heavy-duty sectors, the recent decline in ZEV sales, and whether the program would help lower-income buyers rather than subsidize purchases that would have happened anyway. CARB said the proposal is meant to fill a gap in the light-duty market, where sales fell sharply after the federal credit expired, and noted existing programs for other vehicle classes. The Department of Finance also addressed a separate question about the Motor Vehicle Account, saying a previously planned GGRF transfer was no longer needed because updated forecasts showed the fund had sufficient balances, though LAO said the account still has a structural long-term imbalance. The discussion ended before any vote or action on the ZEV proposal.

Transcript Highlights:

• Recently, Minnesota's Applied Behavioral Analysis Program, or ABA program, stole national headlines.
• I think it's important that a fiscal analysis, a full fraud, waste and abuse impact analysis should happen
• But the analysis isn't enough on its own.
• And you've heard about autism services and applied behavior analysis today.
• analysis service.

Summary: The Senate Committee on Health and Human Services convened to discuss interim charges regarding fraud, waste, and abuse in Texas human services, particularly focusing on Medicaid and childcare programs. The meeting highlighted the importance of preventing misuse of taxpayer funds, with testimony from various stakeholders emphasizing the need for increased oversight and accountability in these programs. Key points included the alarming rise in healthcare fraud in other states, the necessity for Texas to enhance its fraud prevention measures, and the potential financial repercussions of failing to meet federal compliance standards. Several committee members expressed concerns about the impact of fraud on vulnerable populations, particularly those relying on Medicaid services. Testimonies from experts underscored the effectiveness of Texas's Office of Inspector General (OIG) in combating fraud, yet pointed out existing vulnerabilities, such as inconsistent enforcement and the need for better data sharing among agencies. The discussion also touched on the challenges faced by hospice care providers, with a significant increase in the number of hospices in Texas raising concerns about quality and oversight. The committee heard from various witnesses, including representatives from health plans and advocacy organizations, who provided insights into the complexities of managing Medicaid and the importance of maintaining program integrity. The meeting concluded with a commitment to further explore legislative solutions to enhance oversight and ensure that resources are directed to those in genuine need.

Transcript Highlights:

• Behavioral health treatment services include applied behavior analysis, commonly referred to as ABA treatment
• Analysis.
• Rachel Blucher, counsel for the California Association for Behavior Analysis, or CalABA, here in support
• Our members provide behavior analysis services, or ABA services, across a range of settings, including
• like applied behavior analysis, is implemented in the Medi-Cal program, specifically looking at credentialing

Summary: The committee heard several bills, though no final votes were taken because a quorum had not yet been established. SB 493 by Senator Becker would add war or armed conflict to California’s price-gouging emergency triggers, with the author and supporters arguing it would protect consumers from gas-price spikes tied to international conflict. Opponents, including business and housing groups, warned the bill could over-trigger emergency powers and create broad, ongoing price controls. The chair indicated support for an aye-as-amended recommendation once quorum was reached. SB 1056 by Senator Grayson would require protective orders for disclosure of sexually explicit material involving adult victims in specified criminal cases. Denise Huskins-Quinn and Aaron Quinn testified in support, describing how sensitive evidence in their case was copied and handled without adequate safeguards; supporters said the bill would extend privacy protections similar to those already used for child sexual abuse material. Criminal defense attorneys supported the goal but raised concerns about notice procedures and how the bill would apply when material is in the public domain. The chair said the bill filled a gap in existing law and would receive an aye recommendation. SB 1208 by Senator Grayson would let law enforcement seize and return crypto assets used in scams and fraud to victims. The Attorney General’s office and law enforcement groups supported the bill as a tool to recover losses from transnational crypto fraud, while the ACLU and public defenders argued it lowered the burden of proof, raised constitutional concerns, and could be misused against unbanked or low-level defendants. The chair nevertheless said the bill aligned with existing law for stolen property and would be recommended aye. SB 874 by Senator Weber-Pearson would strengthen oversight of Medi-Cal behavioral health treatment services, including requiring background checks for employees of providers and convening a stakeholder workgroup; it drew support from the California Association for Behavior Analysis and no opposition was heard. Later, SB 1266 by Senator Stern would change how the value of stolen copper and related infrastructure damage is calculated, aiming to address copper theft and its costs to cities and utilities. Supporters said the bill would better capture the real harm from thefts that disrupt streetlights, telecom, and emergency services, while opponents argued it would inflate charges, turn many misdemeanors into felonies, and increase court and incarceration costs. The author said he would continue discussions and accept the amendments. Senator Cervantes presented SB 1379, which would separate the Riverside County sheriff and coroner offices and create an independent medical examiner; supporters cited in-custody death concerns and conflicts of interest, while opponents said the problem was not unique to Riverside and that the bill would override local control. Cervantes also presented SB 1418 to extend ballot-custody protections to other election records and equipment after a Riverside County ballot seizure, with support from the Attorney General’s office. Finally, Senator Blakespear began presenting SB 936 on nitrous oxide misuse, describing public health, impaired-driving, and disposal concerns, but the transcript cuts off before the bill’s testimony concluded.

Transcript Highlights:

• , would not be captured in this analysis, would not be captured in this analysis, right?
• So we aren't just talking about basic data entry here, but high-level legal research, contract analysis
• So in that sense, our analysis is also very dated.
• Our analysis is dated, and unfortunately it's really hard to put out something that isn't a little bit
• So in that sense, our analysis is also very dated.

Keywords: 1187, senate, all

Transcript Highlights:

• Grant numbers 12 through 16 are all federal grants with the Division of Aging, Adults, and Behavioral
• Grant numbers 12 through 16 are all federal grants with the Division of Aging, Adults, and Behavioral
• Number 42 is with DHS Division of Aging, Adults and Behavioral Health and 24-7 All Staff.
• This is a sustainability benchmarking analysis project. 74 is UA Fort Smith with OHO Corporation.
• Contracts 85 through 101 are all with DHS, Division of Aging, Adults, and Behavioral Health Services,

Summary: The committee met to review a supplemental agenda, procurement rule revisions, methods of finance, discretionary grants, contracts, and a member disclosure. The Office of State Procurement presented rule changes tied to 2025 legislative changes, including Act 782, with updates to sole-source definitions, unrealistic bids, protest requirements, debarment procedures, and recodification references; the committee voted to accept the supplemental agenda and approve the rules. Members also approved eight methods of finance covering university repairs, equipment replacement, property purchase, and capital projects, along with a large slate of discretionary grants for courts, health, DHS, historic preservation, and tobacco prevention programs. The committee then reviewed RFQs and six ratifications. The ratifications included a Workforce Connections payment to ACT WorkKeys, Department of Health costs from an ice-storm-related water leak, a large Department of Public Safety ratification for Motorola’s Arkansas Wireless Information Network upgrade, Veterans Affairs HVAC and medical-service payments, and a UA Little Rock painting contract. The Department of Public Safety ratification drew extended questioning about why the expired Motorola contract had not been renewed sooner and why the issue took months to reach the committee; agency officials said the project was bond-funded, had not been tracked in ASIS, and involved ongoing negotiations and system updates. Despite concerns, the committee approved the ratifications. Members also reviewed a long list of construction, intergovernmental, out-of-state, and in-state contracts, including numerous university, DHS, health, corrections, and state agency agreements. Several contracts were discussed in more detail, including an SAU custodial contract question about sales tax and transparency reporting, and Department of Corrections aerial application contracts for Tucker and Cummins farms, which officials said served separate facilities in different parts of the state. The committee approved the contract lists, reviewed reports, and accepted a disclosure from Representative Andrew Collins regarding his investment interest in a company leasing property to Arkansas Rehabilitation Services before adjourning.

Transcript Highlights:

• the root cause of we don't have enough behavioral health providers in the state.
• to determine where we have behavioral health deserts for children.
• There was a study done that was done for adult behavioral health services.
• They're just not behavioral health services eligible for Medicaid or Title IV-E.
• They are not behavioral health.

Transcript Highlights:

• THE MAJORITY OF THE PERFORMANCE MEASURES USER MEDICAL AND BEHAVIORAL HEALTHCARE ARE FOR STANDARDIZED
• NEXT OF HEALTHY BEHAVIORS PROGRAMS.
• THIS ANALYSIS RESULTED IN 136 LEDS IN THE AMOUNT OF 12,814,000. NEXT WE HAVE COMPLAINTS GRIEVANCES.
• THE LIQUIDATED DAMAGES DON'T NECESSARILY RESULT IN A CHANGE IN THE BEHAVIOR, BUT FOR PLAN TO DO THEIR
• UNDERSTANDING YOU DON'T ON THE CORRELATION BETWEEN WHETHER THE LIQUIDATED DAMAGES IMPACT THE BEHAVIOR

Transcript Highlights:

• It is about preserving their natural behavior and ensuring public safety in a humane way.
• In the analysis of this bill, there's an assumption. than that does.
• That behavior is not normal behavior and I think earlier this entire committee has acknowledged earlier
• It's all about human behavior.
• Referenced in the committee analysis.

Summary: The committee heard a long agenda of water, parks, transportation, species protection, and fisheries bills. AB 430 would require the State Water Resources Control Board to publish an economic and environmental impact study when emergency water regulations are extended over multiple years; the author and supporters from agricultural and water groups said it would add transparency without limiting emergency authority. AB 1139 would expand a CEQA exemption to let county park agencies open existing roads and trails for non-motorized recreation, with supporters emphasizing access to nature and opponents warning about impacts to sensitive habitat, tribal resources, and fire risk. AB 929 would temporarily exempt small community water systems and managed wetlands from certain SGMA pumping reductions and fines; supporters said it would protect vulnerable communities and wetlands, while farm and water coalition opponents argued it would undermine basin-wide groundwater management and shift burdens to other users. AB 1225, creating an Accessibility Advisory Committee for State Parks, drew broad support and passed unanimously. The committee also heard AB 514, which would encourage local water suppliers to develop emergency water supplies for drought and service interruptions; it passed with broad support, though one member cautioned against using scientific research as a loophole. AB 550 would let developers seek incidental take permits for species under consideration for listing, aimed at reducing delays for clean energy projects; environmental groups supported the goal but asked for clearer standards, limits on using research as mitigation, and a fee provision, and the bill passed as amended. AB 697 would authorize an incidental take permit for the State Route 37 interim project in Solano and Marin counties, balancing congestion relief and habitat restoration; supporters stressed long commutes and urgent restoration deadlines, while opponents raised climate, sea-level-rise, and tribal concerns. The bill passed, with some members noting they would continue to work on the measure. Other measures discussed included AB 975, which would give Sutter County a narrow, temporary exemption from streambed alteration agreements for certain damaged small bridges and culverts; county officials described repeated flood damage and long permitting delays, and the bill passed as amended. AB 1056 would phase out transferability of set gillnet permits after 2027, allowing only a final family transfer; supporters framed it as a gradual response to bycatch concerns, while fishing industry opponents said it would unfairly target an existing fishery and set a bad precedent. The committee also took up AB 1146, described by the author as a response to politically motivated water releases; supporters from conservation and water organizations backed the bill. Several bills were voted out to Appropriations, some were left open for later action or add-ons, and the committee repeatedly noted it was working through the agenda without a quorum early in the hearing.

Transcript Highlights:

• and accountability provisions designed not only to punish the misconduct, but also to address the behavior
• , and developmental... ...behavior and developmental...
• So they had increased adaptive behavior.
• So you have a score plus adaptive behavior to be a very comprehensive analysis.
• They also said that the onset could be... ...to be a very comprehensive analysis.

Summary: The committee first heard House Bill 137, which would strengthen penalties for knowingly making threats against schools, school activities, students, or school employees. The author said the bill responds to repeated false threats that disrupt schools, frighten families, and divert law enforcement, and it adds education and parental acknowledgment requirements. Members discussed possible juvenile consequences such as public service or physical work at schools, and the bill drew support from law enforcement, district attorneys, and Catholic bishops. It was reported favorably without objection. House Bill 321 followed, addressing Louisiana’s Safe Harbor law by expressly exempting minors from prostitution offenses and treating them as trafficking victims rather than offenders. The author, clergy, trafficking advocates, and a survivor testified that children involved in commercial sex are typically coerced, groomed, or controlled by traffickers, often family members or caregivers, and should receive protection and services instead of arrest. Witnesses described statewide advocacy and crisis-response services created in 2022, and committee members asked about prosecution of perpetrators and the prevalence of trafficking in rural areas. The bill was reported favorably without objection. The committee then approved House Bill 1246, a response to a fatal drunk-driving crash involving Jada Bright, which would allow law enforcement to keep intoxicated offenders in jail if they are not safe to release. An amendment was adopted to clean up the language, and the bill was reported favorably. House Bill 1104, creating a misdemeanor for possession of motor vehicle key-programming or emulating devices used to steal cars, also passed favorably with support from prosecutors and police. House Bill 552, a cleanup measure replacing references to intoxication with impairment in prior drug-related statutes, was reported favorably as well. Finally, the committee took up House Bill 310, which would require random reassignment when a defendant waives a jury trial in districts with more than two judges, unless the prosecutor agrees otherwise. Supporters said it would prevent judge shopping and address concerns about unusually high acquittal rates before particular judges, while opponents argued it raises due process concerns and effectively lets prosecutors choose the judge. Despite the opposition, the bill was reported favorably. The last major item was House Bill 1107, dealing with post-conviction death penalty cases involving claims of intellectual disability; the bill would set a 75 IQ threshold and create procedures for Atkins claims. Supporters said it would bring finality to long-pending capital cases and follow U.S. Supreme Court guidance, while opponents argued it would be unconstitutional under Atkins, Moore, and Hall because intellectual disability cannot be reduced to a single number. After extensive testimony and debate over amendments, the committee adopted the amendment and then reported the bill favorably.

Transcript Highlights:

• The representative is being on good behavior, Madam Chair.
• So that's an important dimension of such analysis. Next slide, please.
• Professors, under the title of OSI data analysis will inform policy solutions.
• They moved toward a behavioral health carve-out.
• They conducted a natural experiment and tried to do a kind of pre-post analysis.

Transcript Highlights:

• Recently, Minnesota's applied behavioral analysis program, or ABA program, stole national headlines.
• I think it's important that a fiscal analysis, a fraud, waste, and abuse impact analysis should happen
• But the analysis isn’t enough on its own.
• practitioner, a diagnosis of autism in order to get that applied behavior analysis service, so making
• analysis today is we require a comprehensive diagnosis evaluation by a analysis today is we require

Keywords: 1185, senate, all

Transcript Highlights:

• experience of the members and the plans themselves. ...experience or kind of behavioral experience of
• Less, and our analysis estimates around 25% to 30%.
• We're finishing up once every six-year demographic experience study, where we look at member behavior
• It's as far along as we can get it until we get the additional analysis.
• It's as far along as we can get it until we get the additional analysis.

Summary: The committee approved the July minutes and then received an informational presentation from the Office of the State Actuary on the financial condition of the state retirement systems. The actuary reported that employer contribution rates are generally declining, helped by strong investment returns and reduced funding for PERS 1 and TERS 1, while funded ratios have continued to improve; on a combined basis the plans were reported at 100% funded in 2024, with open plans above 95% and legacy plans varying by system. The presentation also reviewed projected rates and funded ratios under current assumptions, noted that pension costs are taking a smaller share of the state general fund, and discussed risks from investment volatility, policy changes, and demographic experience. Committee members asked about savings from lower rates, deferred asset smoothing, and how Washington compares with other states. The committee then considered the state actuary’s recommendation on long-term economic assumptions and adopted all four recommendations by roll call votes: inflation at 3.0%, general salary growth at 3.5%, membership growth for Plan 1 funding at 1.0%, and investment rate of return at 7.25%. The actuaries explained that the inflation and salary growth increases were driven largely by higher long-term inflation expectations, while the investment return recommendation matched the current statutory assumption. Members discussed the timing of the Pension Funding Council’s decision, the effect of tariffs and inflation uncertainty, and how assumption changes would affect future contribution rates and budgets, particularly for open plans. Staff then gave an update on the LEOFF 1 study, explaining the difference between being “ahead of schedule” and truly overfunded, and summarizing responses received from DRS, the State Treasurer, and the State Investment Board on the merger and restatement proposals. DRS said both bills could be administered, though the merger bill’s COLA banking provision would be challenging until its new system is ready; the Treasurer urged caution, especially about the restatement bill and the use of one-time funds; and the Investment Board said removing assets from the trust would have some transaction costs but likely small impacts. The committee discussed whether to invite additional agencies and local government groups to testify, and staff said more responses, including from Ice Miller and the State Actuary, were expected for the October meeting. Finally, the committee heard a briefing on PERS 1/TERS 1 COLA policy and related bills from the last session. Staff reviewed the committee’s prior ongoing COLA recommendation, the SCPP-endorsed bills that would have created a one-time 3% COLA followed by an ongoing COLA, the Senate merger bill, and a separate ad hoc COLA bill. Public testimony largely supported Plan 1 COLAs and stable contribution rates, while several speakers urged caution about transferring LEOFF 1 surplus assets or merging legacy plans, and others raised concerns about climate risk and the pension fund’s investments. No further committee action was taken on the COLA item during this portion of the meeting.

Transcript Highlights:

• Welcome to the Joint Select Committee on Health Care and Behavioral Health Oversight.
• My portfolio is public health, health care, and behavioral health, and everything related to Medicaid
• And so we are doing that analysis right now in both HCA and DSHS.
• This is particularly important related to behavioral health because the behavioral health exemption is
• It just says behavioral health.

Summary: The committee met to hear introductory briefings from the Department of Health and the Health Care Authority on agency priorities, federal changes, and implementation challenges. Secretary of Health Dennis Worsham said his department’s listening tour is focused on strengthening governmental public health, improving health care quality and access, and responding to federal funding disruptions and the shutdown’s effects on programs such as WIC. HCA Director Ryan Moran said the agency is prioritizing coverage preservation, oversight of major contracts, affordability, behavioral health integration, rural health transformation, and internal agency operations. Members asked about licensure delays; Worsham said the backlog had been reduced from about four months to six weeks and should be caught up by January 1, with possible further process changes if needed. A major portion of the meeting focused on H.R. 1 and its Medicaid-related implementation. Governor’s health policy advisor Caitlin Stafford, HCA staff, and interim Medicaid Director Trinity Wilson said the state is working with DSHS, the Health Benefit Exchange, tribes, and other partners to prepare for eligibility changes, work requirements, and six-month redeterminations. They said the state expects up to 30,000 Apple Health enrollees could lose coverage under the law’s non-citizen eligibility changes, and that the work requirement/redetermination provisions could affect about 620,000 adults, with roughly 80,000 also enrolled in SNAP. HCA said it hopes to automate most verification, but about 15% to 20% of cases may require manual review, with technology costs estimated at up to $30 million. Staff also said they are trying to keep H.R. 1 implementation mostly in budget language rather than statute, and that communication and navigator support will be important to minimize confusion and coverage loss. The committee also received an update on the Rural Health Transformation Program created in H.R. 1. HCA said Washington submitted its application to CMS on November 5 after extensive stakeholder engagement, including more than 310 written comments, webinars, and tribal consultation. The application centers on six initiatives: rural hospital innovation, community care and prevention, tribal investments, technology and data, workforce development, and rural behavioral health. HCA said the state is likely to receive less than the full $200 million annual amount assumed in the federal program, and that an advisory committee may be created to help guide spending over the five-year program. Members asked about palliative care, small business impacts, and communication with enrollees; HCA said it expects to share outreach toolkits and that no 2026 statutory changes are currently anticipated, though that could change. The final panels covered organ donation and transplant services. Department of Health staff explained the 2023 “Lights and Sirens” law for organ transport vehicles, including licensing, driver qualifications, insurance requirements, and use of emergency lanes and traffic preemption; the department said one company is currently licensed and there have been no complaints. LifeCenter Northwest described the organ procurement process, the legal framework under the Uniform Anatomical Gift Act, and the rarity and complexity of deceased donation, noting Washington has seen strong growth in donation and transplants over the past decade. University of Washington Medical Center staff then outlined its transplant programs for kidney, liver, heart, lung, pancreas, and multi-organ transplants, describing the multidisciplinary evaluation and waitlist process and the coordination required with donor organizations and hospitals.

Transcript Highlights:

• This is on the AOC analysis.
• I think a five-year window of behavior is plenty of time to assess where a person is at.
• And see what sort of patterns of behavior they have.
• Animals deteriorate behaviorally.
• I believe that would fall into that category of behavior.

Transcript Highlights:

• My name is Divya Shiv, senior policy advocate of behavioral health at the California Alliance of Child
• Malik Bina with the County Behavioral Health Directors Association, and proud support. Thank you.
• County Behavioral Health Directors Association and proud support. Thank you. Thanks.
• Good afternoon, Katie McKenzie with the Commission for Behavioral Health in support of AB 1540.
• A 2026 peer-reviewed critique in Nature Human Behavior found that the Trevor Project's claim of a 72%

Keywords: 987, senate, all

Transcript Highlights:

• number 12 Arkansas Center for Health Improvement to continue performing data analysis.
• Number 42, DHS Division of Aging, Adults, and Behavioral Health with 24-7 All-Staff.
• This is for lab services, including qualitative and quantitative analysis of major drugs of abuse and
• This is a sustainability benchmarking analysis project. 74, UAFS with OHO Corporation.
• Contracts 85 through 101 are all with DHS Division of Aging, Adults, and Behavioral Health Services,

Keywords: 1204, all

Transcript Highlights:

• <00:04:53.800> or<00:04:54.039> prevent<00:04:54.720> what<00:04:54.919> behaviors
• <00:04:55.479> we're protect or prevent what behaviors we're protect or prevent what behaviors
• algorithm that could look at applicants for a job and just by doing a sort of background internet analysis
• those<00:08:56.959> applicants<00:08:57.760> they<00:08:57.880> can analysis
• of those applicants they can analysis of those applicants they can predict<00:08:58.880> which

Keywords: 1187, senate, all

Transcript Highlights:

• The language of the RFP identified four areas of analysis for the study on whether the application of
• The language of the RFP identified four areas of analysis for the study on whether the application of
• The RFP identified four areas of analysis for the study on whether the application of term limits will
• Our efforts to gather data for the study include the collection and analysis of survey data, as well
• So their feedback will also be included in the overall analysis.

Keywords: 908, all

Summary: The Legislative Procedure and Arrangements Committee met with a quorum, approved the previous meeting minutes, and heard an update from Garty Consulting on the interim study of legislative term limits. The consultants outlined their research plan and preliminary themes, including loss of institutional knowledge, shifts in power toward executive agencies and lobbyists, reduced long-term policy capacity, faster leadership turnover, and recruitment/support challenges. They also described possible recommendation categories ranging from constitutional and statutory changes to procedural and cultural adjustments. Committee members asked about how other states repealed term limits, how the public survey would address perceptions of term limits, and how stakeholder focus groups would be selected. The committee also heard a presentation from NCSL on term limits in other states, including examples from Nevada, Montana, and Colorado, with discussion of training programs, staffing changes, annual-session debates, bill limits, and impacts on decorum and leadership continuity. Several members requested follow-up data on part-time versus full-time legislatures, taxpayer costs, and nonpartisan staff devoted to oversight. The committee then considered revisions to the legislature’s workplace harassment policy and related forms. Legislative Council explained changes that clarified the definition of harassment, added captions for readability, extended several deadlines, allowed informal resolution before a review panel is appointed, clarified the role of Legislative Council in intake and documentation, and updated confidentiality/open-records language. Members, especially Senator Hogan, said the revisions better formalize the role of counsel and provide a less intimidating path for resolving complaints. The committee adopted the revised policy and forms by roll call vote. Finally, the committee approved a motion to enter executive session at 1:00 p.m. to review the results of a capital threat assessment and discuss legislator security, citing the applicable open-meetings exemptions. Members were instructed to limit discussion to the stated purpose and not take final action until returning to open session.