Transcript Highlights:

• to support students and their families.
• Basically, because of the regional support, families are getting what they need and barriers are being
• of a broad cross-section of 112 youth and families. with the support of a broad cross-section of 112
• Community schools define what we aim to provide, which is integrated supports, family engagement, and
• Just want to say we support the ongoing funds and want to keep school services closest to schools and

Keywords: 988, house, all

Transcript Highlights:

• But it's also important to recognize when there are good things happening, and there are support services
• its proximity to services.
• we can do around families and our work with families and visitation.
• We therefore support...
• And so this really connects with a lot of the peer support services that we want to provide for folks

Summary: The committee began with a Department of Corrections update focused on agency culture, staff safety, reentry, and health services. Secretary Tim Lang highlighted DOC’s “Washington Way” approach, expanded visitation reforms, safety summits, community-corrections sanction changes, education and transportation improvements, partial confinement expansion, and efforts to increase volunteer and peer-led programming. Assistant Secretaries Danielle Armbruster and David Flynn described progress on Pell Grant implementation, reentry transportation, partial confinement, behavioral health standards, HIPAA compliance, the 1115 Medicaid waiver, telehealth expansion, and budget requests for opioid use disorder treatment, close-custody capacity, and staffing relief. Members asked about veterans’ units, telehealth for substance use treatment, women’s placement on the east side, correctional industries, and firefighting training. The new Office of Correction Ombuds director, Jeremiah Bourgeois, then outlined the office’s mission and limited resources, saying he would focus on the most serious complaints and continue building accountability with DOC. He described recent OCO reports, including findings of excessive force at the women’s prison, and said DOC had agreed to implement all recommendations. He also noted a new process for referring possible criminal misconduct to DOC leadership and law enforcement. Committee members praised the DOC-OCO partnership and Bourgeois’s appointment. The committee then heard Senate Bill 5895, which would add a new basis for extraordinary medical placement when DOC cannot meet an incarcerated person’s basic medical care needs. Senator Saldana said the bill is intended to provide a compassionate, workable path for people with serious or end-of-life medical needs while maintaining public safety. Testifiers in support included family members, Disability Rights Washington, and the League of Women Voters, who said the current EMP process is too restrictive and rarely results in release. DOC testified that it supports the EMP framework but has concerns about the bill’s definition of “basic medical care.” A former DOC physician suggested extending the qualifying time period and adding “approximately” to the language. The committee also heard Senate Bill 5873, which would expand escorted leaves of absence to include reentry-focused outings and broaden the family definition for funeral or bedside visits. Senator Wilson said the bill is meant to support a “slow release” and better prepare people for community reentry. DOC supported the concept, and witnesses from public defense, DOC reentry, and Amend said escorted reentry outings are consistent with evidence-based and international correctional practices. Finally, the committee heard Senate Bill 5945, which would limit persistent offender sentencing to convictions occurring after age 18 and require resentencing for affected people. Supporters argued the bill aligns with youth brain-development research and would address racial disparities; opponents, including prosecutors, victim advocates, and sheriffs’ representatives, said it would reopen painful cases, undermine finality, and impose costs. The hearing on that bill was still underway when the transcript ended.

Transcript Highlights:

• AB 1574 attempts to support that promise of ICWA, which is to prevent the breakup of tribal families.
• Tribes are best positioned to efficiently deliver services that also support connections to our culture
• Expanding the ability of tribes to provide behavioral health and parenting support services for those
• Yet while tribes and tribal organizations are often on the front line providing services and support
• They can efficiently and effectively deploy needed services to prevent families entering the system.

Summary: The Assembly Committee on Human Services heard four bills and one consent item. AB 1574 by Assemblymember Chris Rogers would expand tribal access to prevention and diversion services aimed at keeping Native youth out of foster care. Supporters, including tribal representatives and child welfare advocates, said the bill would help address the overrepresentation of Native children in foster care and strengthen culturally relevant, tribally run services. There was no opposition, and the committee passed the bill 6-0 to the Assembly Appropriations Committee. The committee then heard AB 1618, also by Assemblymember Rogers, which would require California to continue a household food insecurity survey if the federal government does not. Supporters from End Child Poverty California, AARP, food banks, and county and local government groups said reliable data is needed to track hunger, target services, and respond to expected federal cuts to food assistance. The bill was approved 5-0 as amended to the Assembly Appropriations Committee. AB 1688 by Assemblymember Carrillo would require notice to additional attorneys when there are allegations of abuse or neglect in a foster placement, including attorneys for parents and other children in the same home. The author and the Children's Law Center said the measure would close a safety gap and improve coordination to protect foster youth. Committee members also spoke in support based on their professional experience, and the bill passed 6-0 as amended to the Assembly Public Safety Committee. The committee also approved the consent calendar, including AB 1602, and adjourned after completing its business.

Transcript Highlights:

• Day in California, honoring the families of fallen United States service members.
• Gold Star families, colleagues, have endured... ...fallen United States service members.
• The tradition of the Gold Star family dates back to World War I, when families displayed service flags
• That the family member died in the act of military service.
• So think about those 1.7 million families when you go to bed tonight and thank them for their service

Keywords: 987, senate, all

Transcript Highlights:

• Therefore, we act as a purchaser of services, rather than a provider of services.
• Therefore, we act as a purchaser of services rather than a provider of services.
• workforce needs support as well.
• He was unable to work to support his family. I'm concerned this will be a recurrent theme.
• We provide nationally ranked, highly specialized services, including cancer care, transplant services

Keywords: 987, senate, all

Transcript Highlights:

• I think ultimately, The definition is supporting a family to have better outcomes for themselves.
• If we can introduce protective factors that support the family, and some of the other research talks
• Outcomes are shaped by systems and supports around them, not by the families in a silo.
• It acts as a connector helping families navigate services that already exist, and families don't have
• So we work really closely with our Children and Family Services Department and families.

Keywords: 908, all

Transcript Highlights:

• ,</c> essential housing, support services, essential housing, support services, outreach,<00:26:51.520
• families who do that they can support families who do not<00:58:46.880><c> qualify</c><00:58:47.280>
• and</c> supports kept families housed and supports kept families housed and prevented<01:19:30.159><
• We are supporting families with groceries.
• </c><01:37:52.560><c> families</c><01:37:52.880><c> with</c> we are supporting families with we are supporting

Keywords: 1187, senate, all

Transcript Highlights:

• , close to family, close to support networks?
• I'm here to voice strong support for H. 2197 and S. 14, an act ensuring access to addiction services,
• We provide comprehensive mental health services for co-occurring disorders and family services to strengthen
• At the same time, services have been cut and families are facing more challenges than ever before.
• At the same time, services have been cut and families are facing more challenges than ever before.

Keywords: 995, all

Summary: The committee held its fourth public hearing of the 2025-2026 session on bills dealing with involuntary commitment and access to addiction treatment, especially proposals to move Section 35 civil commitments away from jails and prisons and into facilities licensed or approved by DPH or DMH. Chairs Velis and Domb framed the hearing as a discussion of how to support people in crisis with compassion, while also warning against using involuntary commitment as a way to remove unhoused people from public view. The hearing also touched on related concerns about discharge practices, treatment capacity, and the need for a broader continuum of care. Testimony split largely along two themes. Addiction researcher Keith Humphreys argued that many people enter treatment under pressure, that involuntary treatment can be ethically justified in the face of overdose risk, but that it should not be mandated unless high-quality services exist first; he emphasized the need for inpatient care when someone is a grave danger, followed by case management and outpatient support. MAMH’s Kate Alicante supported the bill, saying Massachusetts is the only state that commits people with substance use conditions to jails or prisons and that carceral settings add trauma and stigma; she pointed to prior legislative steps, including the Section 35 commission and the planned closure of DOC’s MESAC facility, as evidence that the Commonwealth is moving toward health-based settings. A major portion of the hearing focused on Stony Brook, a sheriff-run stabilization and treatment center in Hampden County. Boston City Councilor John Fitzgerald, several committee members, and multiple people in recovery described the facility as humane, well-run, and effective, with longer stays, medical monitoring, medication-assisted treatment, counseling, and warm handoffs to aftercare. Several witnesses said Stony Brook saved their lives or helped family members recover, and they argued that the sheriff’s office model should be expanded rather than eliminated. Others, including family members and advocates, countered that even a well-run correctional setting remains stigmatizing and that people should not be treated in facilities run by sheriffs or corrections when they have committed no crime. No vote was taken. The hearing concluded with continued testimony, including Senator Friedman’s support for Section 35 as a civil commitment tool but not in a criminal justice setting, and her separate support for a bill to speed inpatient mental health treatment.

Transcript Highlights:

• We are the state's parent training and information center, helping provide statewide support to families
• I recently worked with a family whose elementary-age son required intensive one-to-one support to attend
• And on behalf of the families that we serve across the state, I urge your support. Thank you.
• Idaho families.
• Our teachers provide direct instruction, interventions, and support to families.

Summary: The committee first heard House Bill 531, which updates Idaho school code language on epinephrine delivery systems so schools are not limited to referencing only auto-injectors like EpiPens. The sponsor and school nurse testimony said the change would allow newer FDA-approved options, such as nasal spray, without creating new staffing, training, reporting, or fiscal requirements. Members confirmed the bill does not require schools or LEAs to keep epinephrine on hand. The committee voted to send the bill to the floor with a due pass recommendation. The committee then took up Senate Bill 1288, which creates the Idaho High Needs Student Fund to help reimburse districts and charter schools for unusually high special education costs tied to a student’s IEP. The bill sets a $30,000 threshold, reimburses 100% of costs from $30,000 to $80,000 and 80% above that up to $100,000 per student, and reserves funding between rural and non-rural districts with flexibility to use unused funds where needed. Testimony from school boards, districts, educators, and parent advocates described the bill as a way to stabilize budgets and protect services for students with complex medical, behavioral, and sensory needs. After questions about the funding split and current special education shortfall, the committee voted to send the bill to the floor with a due pass recommendation. Finally, the committee heard House Bill 624, which revises rules for virtual education programs and Idaho Home Learning Academy. The bill requires school board approval of contracts with education service providers, verification of Idaho residency, alignment of curricular materials with state standards, conflict-of-interest safeguards, limits on direct payments to parents, clearer rules for eligible supplemental learning expenses, and district/charter control over hiring and evaluation of teachers. Supporters from Idaho Home Learning Academy, school districts, and parents said the changes preserve virtual school choice while adding transparency and accountability. The committee voted to send House Bill 624 to the floor with a due pass recommendation.

Transcript Highlights:

• to help families.
• So it could mean that we have these infants and families supported with extra resources through those
• And that, and those preventative services are so Oh, keep families together.
• So it could mean that we have these infants and families supported with extra resources with those preventative
• services.

Summary: The House Health and Welfare Committee approved the minutes from March 4, 6, and 11, 2026, and then heard Senate Bill 1256, a DOGE Task Force code cleanup measure requested by the Commission for the Blind and Visually Impaired to remove outdated statutory language about a 1990 report. The committee advanced SB 1256 to the floor with a due pass recommendation without opposition. The committee then took up House Bill 776, which would require the Department of Health and Welfare to rapidly verify and prioritize reports involving newborns and infants under one year old when there is a documented high-risk history, such as prior child abuse convictions, prior termination of parental rights, or prenatal substance exposure. Representative Tanner and multiple supporters framed the bill as a response to the death of “Baby Benji,” arguing it would not automatically remove children but would ensure quicker safety checks and better coordination with CPS, hospitals, and law enforcement. Several witnesses, including a hospital social worker, foster and adoptive parents, a psychologist, a police officer, and the child’s adoptive sibling’s mother, described delayed responses and said the bill could prevent future deaths. Opponents, including several committee members during debate, raised constitutional and due process concerns, arguing the bill could expand government authority, rely on prior history in a way they viewed as problematic, or amount to a reaction to a single tragic case. Supporters responded that the bill only speeds up existing child welfare procedures and does not authorize forced entry or automatic removal. After discussion, the committee adopted the motion to send HB 776 to the floor with a do pass recommendation by roll call vote of 12-4-4.

Transcript Highlights:

• Services.
• Hello, Salas Steger, on behalf of Lion Martin Community Health Services, in strong support.
• I'm here to voice strong support for AB 1671, which creates the Rural Medical Services Grant Program.
• I can confidently say that this bill will save services, support providers, and improve health outcomes
• Salas Tiger, Lion Martin, Community Health Services, in strong support. Thank you.

Summary: The Assembly Health Committee met on March 17 and first approved a consent calendar of several bills, then heard AB 1540 by Assemblymember Mark Gonzalez, which would restore the 988 “Press 3” LGBTQ youth crisis line. Supporters, including suicide prevention advocates, behavioral health groups, and local governments, argued the service is a vital, identity-affirming suicide prevention tool for LGBTQ youth. Opponents, including detransitioners and conservative advocacy groups, argued it would steer vulnerable youth toward organizations they viewed as harmful. The committee approved the bill on a due-pass-as-amended motion to the Communications and Conveyance Committee, with several no votes; the bill was later held on call and then advanced. The committee next heard AB 1671 by Assemblymember Tangipa, creating a Rural Medical Provider Grant Program to help providers serving rural communities with operational costs, equipment, workforce needs, and related expenses. Supporters said the bill would help retain providers and improve access in areas where patients travel long distances for care; committee members also discussed telehealth as an important rural access tool. The bill passed on a due-pass-as-amended motion to Appropriations. The committee then took up AB 1876 by Assemblymember Addis, the Fair Care for All Act, which would codify federal health care nondiscrimination protections into California law, including protections related to race, color, national origin, age, disability, sex, and gender identity. Supporters said the bill is needed because federal protections are vulnerable to rollback and because patients, especially transgender and intersex Californians, face coverage denials and care disruptions. Opponents argued the bill would force coverage of gender-affirming care and raised concerns about detransitioning. The committee approved the bill on a due-pass motion to Judiciary, with some no votes, and later held it on call before it advanced. Finally, the committee heard AB 1629 by Assemblymember Haney, which would require dental plans to honor assignment-of-benefits requests and improve reporting on network adequacy. Supporters said the bill would reduce upfront costs for patients and improve transparency, while opponents, including Delta Dental and dental plan groups, warned it could weaken networks and increase out-of-pocket costs. After discussion about network participation and patient access, the committee passed the bill on a due-pass motion to Appropriations. The committee then completed the remaining votes, including the consent items, and adjourned.

Transcript Highlights:

• We have Vance Aarons waiving in support, Ash Bradley waiving in support, and Victoria Zapp with Family
• Support Services waiving in support.
• with the support services that we have created.
• It is the one service that we all must have for waiver support for APD iBudget services.
• Families shouldn't have to get lucky with waiver support coordinators.

Transcript Highlights:

• The federal dollars which once supported health care for working families are now being funneled into
• There is no minimum amount established in the law, and certain services like primary care, family planning
• , including family planning, STI testing and treatment, cancer screening, and other preventive services
• and sunsetting three really critical services: family medicine, behavioral health, and prenatal care
• This includes Medi-Cal primary care, mental health services, psychiatry, and supportive services. 56%

Summary: The Assembly Health Committee held an informational hearing on the impact of federal H.R. 1 and related state budget actions on California’s health care system. Opening remarks framed the federal changes as a major threat to Medi-Cal, Covered California, hospitals, clinics, and the broader safety net, with warnings that millions could lose coverage and that costs would shift to providers, counties, and consumers. Testimony from the California Health Care Foundation and the Legislative Analyst’s Office focused on implementation challenges, the administrative burden of work requirements and more frequent renewals, the loss of federal funding, and the need for California to consider long-term structural changes to Medi-Cal, county safety-net programs, and cost containment. A Covered California enrollee, Chas Franklin, described sharply rising premiums for his family after losing subsidies, illustrating the personal impact of federal policy changes. Committee members raised concerns about whether premium increases were driven by H.R. 1 or insurer pricing, the cost of rebuilding county-based indigent care systems, and the need to account for the cost of inaction. Dr. Hernandez pointed to pre-ACA models such as Healthy San Francisco as examples of coordinated local safety-net care, while also emphasizing the importance of primary care, data interoperability, and the Office of Health Care Affordability in reducing waste and improving access. Department of Health Care Services officials then outlined the state’s implementation plan for H.R. 1, including work requirements, six-month redeterminations, reduced retroactive coverage, cost-sharing, and immigration-related eligibility changes. They said the department would try to automate eligibility checks, expand outreach, and train counties and partners, but estimated up to 2 million Californians could lose coverage over time. Covered California reported that the expiration of enhanced federal premium tax credits and new federal marketplace rules are already raising costs and reducing enrollment, with an estimated 400,000 enrollees at risk of dropping coverage. County, hospital, and safety-net representatives warned that coverage losses will increase uncompensated care and strain local systems, while one coalition proposed a temporary state-funded coverage option as a bridge if full-scope Medi-Cal cannot be maintained. The hearing concluded with a policy analyst urging stakeholder engagement, immigrant protections, and new state revenue options to preserve coverage and offset federal cuts.

Transcript Highlights:

• She was the voice that families met as they sought support for a loved one with developmental disabilities
• But her life has been a life of service not just to the citizens of the Fourth District but to her family
• Their strength and support make his service possible.
• Their strength and support make his service possible.
• Their strength and support make his service possible.

Keywords: U.S. House of Representatives Floor Proceedings on Wednesday, November 19, 2025, 1012, house, all

Transcript Highlights:

• Therefore, we act as a purchaser of services rather than a provider of services.
• Therefore, we act as a purchaser of services rather than a provider of services.
• workforce needs support as well.
• He was unable to work to support his family. I'm concerned this will be a recurrent theme.
• We provide nationally ranked, highly specialized services, including cancer care, transplant services

Summary: The joint informational hearing focused on the cost of uncertainty in California health care, especially the effects of federal policy changes on coverage, access, and affordability. Opening remarks from committee leaders and members emphasized that California’s uninsured rate had fallen to historic lows under the Affordable Care Act and state policies, but that the expiration of enhanced federal subsidies, H.R. 1, and other federal regulatory changes could reverse those gains. Members repeatedly cited rising premiums, skipped care, medical debt, and the strain on low-wage workers, families, clinics, hospitals, and public programs. The first panel reviewed the federal landscape and state response. A federal policy analyst described the ACA’s coverage gains and consumer protections, then outlined current threats: H.R. 1’s Medicaid and marketplace cuts, the end of enhanced premium tax credits, shorter open enrollment, more verification requirements, and changes affecting preventive services and vaccines. Covered California reported that the loss of subsidies is expected to nearly double average monthly premiums, reduce enrollment, and push more consumers into bronze plans with higher deductibles; it also noted that California’s $190 million affordability fund is helping the lowest-income enrollees. HCAI’s Office of Health Care Affordability explained its work on spending targets, market consolidation review, and primary care investment, saying the goal is to slow spending growth rather than impose price caps. Committee members pressed witnesses on the practical effects of bronze plans, administrative burdens, immigration-related disenrollment, provider taxes, uncompensated care, and whether California can sustain current coverage levels without new revenue. Witnesses said bronze plans preserve essential benefits but shift more costs to consumers, and that H.R. 1’s verification and auto-renewal changes will likely reduce enrollment. They also said provider tax reductions could significantly weaken state financing over time, and that higher uninsured rates may increase uncompensated care and pressure premiums elsewhere in the system. The second panel, featuring UC Berkeley Labor Center and California Health Care Foundation experts, highlighted broader affordability problems across job-based coverage and Medi-Cal, citing medical debt, skipped care, and the role of underlying system costs, administrative waste, and lack of competition. They pointed to medical debt relief efforts such as Los Angeles County’s program as a short-term mitigation strategy while the Legislature considers longer-term policy and budget responses.

Transcript Highlights:

• And these centers provide comprehensive collaborative support services to domestic violence, sexual assault
• Each year, the Family Justice Centers support more than 70,000 Californians and nearly one in five children
• Family justice centers are not only service providers, they are the frontline crime prevention providers
• and services.
• I rise in support.

Keywords: 988, house, all

Transcript Highlights:

• Our goal is simple: children are safe, families are supported, and systems intervene when necessary and
• Children are safe, families are supported, and systems intervene when necessary and not unnecessary.
• Children lose connections and system support. service providers, children lose connections and system
• behalf of the California Alliance of Child and Family Services, Arts for Healing and Justice Network
• Tanisha Cannon, with Legal Services for Prisoners with Children, in strong support.

Summary: The committee heard several public safety bills, with extensive testimony and debate. AB 1535 would add political affiliation as a sentencing aggravator when a felony is motivated by a victim’s actual or perceived political affiliation. The author said the bill is intended to deter political violence while preserving judicial discretion; supporters framed it as a response to rising threats and attacks tied to politics. Opponents, including ACLU Cal Action, Initiate Justice, and public defender groups, argued the term is vague, could sweep in protected speech and association, and would expand punishment without addressing crime prevention. The bill was later moved on a due-pass recommendation and passed on roll call. AB 1656 would add human trafficking to the list of offenses that qualify for good-cause continuances so a vertical prosecutor can stay with a case. The author and a San Diego DA representative said the change would support trauma-informed prosecution and improve continuity for survivors. Most support testimony came from prosecutors, victim advocates, and civil liberties groups, while some public defender and justice organizations remained in opposition or pending review of amendments. The committee ultimately approved the bill on a due-pass-as-amended vote. AB 1589 would allow Level 1 reserve peace officers to use firearm suppressors while on duty, matching the exemption already available to full-time officers. The author and reserve officer witnesses said the bill is a narrow safety measure tied to hearing protection and parity in training and equipment. Opponents, including Brady and ACLU Cal Action, said suppressors are unnecessary, could endanger the public and other officers, and further militarize policing. After discussion about safety, fiscal concerns, and community trust, the committee passed the bill on a due-pass vote. The committee also took up AB 1566, which would align the statutory definition of severe neglect with the structured decision-making tool used by county child welfare agencies. Supporters said the bill would reduce overreporting, racial disparities, and unnecessary family trauma while keeping mandated reporting in place. Opponents, including school resource officer groups, warned it would lower reporting thresholds and risk missing serious abuse. Members debated the impact on child safety versus unnecessary investigations, and the bill was held on call after a split vote. In addition, the committee approved several consent items, including bills on human trafficking data, criminal procedure jurisdiction, firearms/unsafe handguns, and the Hugs Act of 2026.

Transcript Highlights:

• , and family support.
• and behavioral health services and supports.
• The support platforms, yeah, for youth, and maybe fee-for-service.
• We also provide follow-up support, connect youth to ongoing services, We also provide follow-up support
• in a manner that is not clinically supported. ...services in a manner that is not clinically supported

Summary: The subcommittee heard presentations from the Department of State Hospitals (DSH), the Commission for Behavioral Health, and the Department of Health Care Services (DHCS) on budget proposals and implementation updates. DSH outlined its proposed 2026-27 budget, including funding for patient operating expenses, IST solutions savings, conditional release program costs, LPS bed allocation changes, electrical infrastructure projects at Napa and Patton, SB 380 transitional housing feasibility work, and expanded dental services at Metropolitan and Patton. DSH also reported that it has met court-ordered IST treatment benchmarks in the Stiavedi v. Clinton case, with average time to initiate treatment down to about five days and pending placements reduced to roughly 250, while noting that Proposition 36 could increase referrals and SB 1323 may divert some individuals earlier into community-based treatment. Members asked about rising outside hospitalization costs, Medicare enrollment, the timing and structure of capital projects, and whether IST solution funds are being fully used; DSH said the savings reflect slower-than-expected ramp-up of community programs and that the Central California FACT replacement program is still on track for January 2027 activation. The Commission for Behavioral Health described its role under the Behavioral Health Services Act (BHSA), including data, evaluation, grantmaking, technical assistance, and transparency work. It highlighted the new statewide Innovation Partnership Fund, a five-year, $20 million-per-year program with small and large grant categories; the first RFA drew strong interest, with more than 400 questions and over 1,000 bidders’ conference participants. The Commission also discussed a proposed extension to spend down about $4.1 million remaining for the Alcove Youth Drop-in Center grants so sites can finish implementation and Stanford can complete the final evaluation. Members asked about grant duration, whether projects can be renewed, what qualifies as innovation, and whether the fund could support service delivery rather than awareness campaigns or training; the Commission said awards are expected to be three-year contracts and that proposals must be new or meaningfully expanded approaches that support BHSA priority populations. DHCS reviewed major behavioral health changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, updated specialty mental health access criteria, and new substance use treatment standards based on ASAM’s fourth edition. DHCS reported strong contingency management results, with more than 13,000 members served and 95% testing negative for stimulant use during treatment, and said 21 Indian health care providers have been approved to offer traditional health care practices. It also described BH Connect initiatives such as the $1.9 billion access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation by four counties, and transitional rent services. On BHSA implementation, DHCS said it is not tracking individual county contract cuts but is monitoring county plans and statewide outcomes, while stakeholders raised concerns about local prevention and service gaps. DHCS also outlined its H.R. 1 implementation strategy, including outreach, streamlined renewals, exemptions for disabled, substance use, and medically frail individuals, and proposed clinic navigator and outreach funding; it said it has not yet produced a focused estimate of H.R. 1 impacts on behavioral health populations. The discussion ended with DHCS noting that B-CHIP bond funding has supported 437 infrastructure projects, creating 546 new or expanded facilities and more than 9,500 residential beds across the state.

Transcript Highlights:

• I think ultimately the definition is supporting a family to have better outcomes for themselves.
• Outcomes are shaped by systems and supports around them, not by the families in a silo.
• Outcomes are shaped by systems and supports around them, not by the families in a silo.
• It acts as a connector helping families navigate services that already exist, and families don't have
• So we work really closely with our Children and Family Services Department and families.

Summary: The committee met to approve prior minutes and then heard a presentation from Dr. Ramona Danielson on adverse childhood experiences (ACEs), focusing on the economic and public-system impacts in North Dakota. She explained that ACEs are a population-level measure, not a diagnostic tool for individuals, and said higher ACE exposure is consistently associated with more chronic illness, mental health challenges, child welfare involvement, justice-system contact, and reduced workforce participation. She emphasized that precise dollar estimates are difficult because of the many interacting factors across a person’s life course, but said the direction of the impact is clear and that evidence-based prevention and protective factors can reduce harm. Members asked about definitions of a “healthy family,” same-sex couples, divorce, substance abuse, historical trends in ACEs, and the role of positive childhood experiences and home visiting. The committee then heard from Allison Mahoney and Missy Barranco about evidence-based home visiting programs in North Dakota, including Healthy Families, Early Head Start, Nurse-Family Partnership, and Parents as Teachers. They described home visiting as voluntary, relationship-based, and tailored to family needs, with referrals coming from hospitals, WIC, human service zones, pregnancy navigators, self-referrals, and other community sources. A parent, Abby, shared that home visiting helped her family after premature births and NICU stays by providing support with postpartum mental health, breastfeeding, developmental screenings, referrals, and parenting guidance. The presenters said the programs are funded through a mix of federal MIECHV/Title IV-E dollars, Medicaid targeted case management, state and tribal funds, philanthropy, charitable gaming, and grants, and they noted that current funding is fragmented and insufficient to serve all eligible families statewide. Members discussed whether the state should expand or better fund these services and how to improve outreach and referrals. Later, the committee received a memorandum on artificial intelligence and sexual exploitation, followed by a presentation from a BCI special agent on how AI is already affecting child exploitation investigations in North Dakota. The memo and testimony described AI-generated child sexual abuse material, deepfakes, sextortion, and risks posed by chatbots, along with relevant federal and state law and recent executive orders. The agent said North Dakota saw 2,698 cyber tips in 2025, the highest on record, and that investigators are increasingly encountering AI-assisted exploitation that is harder to detect and verify. Members discussed the need for child-safety protections, the limits of executive orders, and broader concerns about AI undermining critical thinking and spreading misinformation. No votes were taken on the AI materials during the portion provided, and the committee recessed briefly after the report.

Transcript Highlights:

• Services.
• Salas Steger, on behalf of Lion Martin Community Health Services, in strong support. Thank you.
• I'm here to voice strong support for AB 1671, which creates the Rural Medical Services Grant Program.
• health care gaps at home, I can confidently say that this bill will save services, support providers
• Salas Tiger, Lion Martin, Community Health Services, in strong support.

Keywords: 988, house, all