Transcript Highlights:

• Today we will hear a variety of bills relevant to issues including health care facilities, workforce
• This is an act relative to medical health and fitness facilities. Welcome to all of you.
• Part of that is due to the incentive structure that we provide for these facilities.
• presentations, particularly complex trauma, remain treatment-resistant.
• presentations, particularly complex trauma, remain treatment-resistant.

Committee: Joint Joint Committee on Public Health

Summary: The committee hearing covered a wide range of public health bills, with much of the testimony focused on two major themes: expanding access to care and stabilizing health-related workforces and services. On House 2364, an act relative to medical health and fitness facilities, representatives from Dedham Health and Athletic Club argued for a pilot program recognizing supervised exercise as medicine, saying it could improve outcomes for chronic disease, fall prevention, and mental health while reducing costs. On House/Senate bills concerning community health workers (H. 359/S. 251), multiple witnesses from MACHW, Health Care for All, MHA, Cambridge Health Alliance, Mass General Brigham, Boston Children’s Hospital, Asian Women for Health, and the City of Somerville described CHWs as essential for navigation, trust-building, language access, and addressing social needs, and urged reimbursement by MassHealth, the GIC, and private insurers, along with workforce development measures. One pediatric neurologist also told the committee that losing grant-funded CHW support led to more avoidable ER visits and threatened clinic operations. The committee also heard extensive testimony on hospital closures and essential services. Witnesses including Dr. Alan Sager, MNA President Katie Murphy, nurses from Brockton Hospital and Providence Behavioral Health, and local officials and legislators from Norwood described the loss of hospitals and service lines, especially maternity, pediatric, and behavioral health care, and argued current closure processes are too weak to protect communities. They supported bills such as H. 2460/S. 1503 and H. 2534/S. 1574, which would require earlier notice, community input, stronger state oversight, possible receivership, and limits on reopening or expanding after closures. Testimony emphasized the impact of Steward’s bankruptcy, the closures of Carney and Neshoba Valley, and the need to preserve access to essential services in underserved areas. Several end-of-life and professional regulation bills were also discussed. On H. 2436, Representative Omar Gomez and funeral industry witnesses supported eliminating Office of the Chief Medical Examiner fees for the removal of a child’s body in cases involving children five and under, describing the bill as a small but important relief for grieving families. On H. 2444 and related Senate bills, cemetery and consumer advocates supported legalizing alkaline hydrolysis and natural organic reduction as environmentally friendly after-death options, while cemetery representatives opposed H. 2360, which would allow funeral establishments to operate crematories, arguing cemeteries should retain that role. The committee also heard support for H. 2382, which would exempt dentists and oral surgeons from a new office-based surgical center framework, and for H. 2461, which would create hospital efficiency standards; employers and retailers backed that bill as a way to address rising health care costs. Finally, the committee heard testimony on autism services and hospital governance. On S. 1414, behavior analysts and school representatives said Massachusetts already licenses assistant-level ABA providers but MassHealth does not reimburse them, causing long waitlists and limiting school and family access; an actuary testified that a three-tier ABA reimbursement model could reduce MassHealth costs by up to 6% per child served. Senator Lovely also testified in support of S. 1572, which would require at least one registered nurse on each acute care hospital governing board, arguing nurses’ frontline perspective would improve quality and retention. No votes were taken in the hearing excerpt, but many witnesses urged favorable reports on their respective bills.

Transcript Highlights:

• Trauma can make the brain rigid. Rigid like Harvard lava.
• Trauma can make the brain rigid. Rigid like Harvard lava.
• Health facilities are already allowing medical cannabis.
• I want to cannabis in these facilities.
• Health facilities are already DO.

Summary: The committee heard testimony on SB 3025, relating to medical debt, with multiple organizations and individuals, including the Office of Wellness and Resilience, Healthcare Association of Hawaii, Queens Health Systems, the American Cancer Society Cancer Action Network, Aloha Care, Hawaii Health and Harm Reduction, Hawaii Data Collaborative, and Hawaii Appleseed, all speaking in support. No opposition was heard, and the member present had no questions. The committee then took up SB 3199, which would establish a mental health emerging therapies task force. Testimony was overwhelmingly in support, with speakers including veterans, clinicians, researchers, and advocacy groups describing personal experiences with PTSD, depression, traumatic brain injury, and treatment-resistant conditions, and arguing that Hawaii should prepare for regulated access to emerging therapies such as MDMA, psilocybin, ketamine, and ibogaine. The Department of Health and some medical organizations provided comments, and one opposition witness was called but not present. The chair noted broad support, especially from veterans, and no vote was taken during the excerpt. The final measure discussed was SB 3324, relating to Medicaid. The Department of Human Services, Department of Health, Hawaii State Council on Developmental Disabilities, Hawaii Disability Rights Center, Aloha Care, and numerous care-provider and aging/disability organizations testified in support, while one witness was in opposition and several others offered comments. The discussion then moved to SB 2563, relating to homelessness, where the Department of the Attorney General offered comments on specific sections and recommended adopting suggested amendments if the bill proceeds. Additional testimony on SB 2563 began with support from several individuals, including Shelby Pikachu, who emphasized the severity of homelessness and related social problems in the community.

Transcript Highlights:

• These doctors are real doctors; they are vetted by Florida, work in approved facilities, supervised,
• Young: The Department of Health identifies within its 18 trauma centers.
• You said this would be allowed at all Level I and Level II trauma centers.
• What about on the way to the trauma center?
• And remember, in trauma care, we don't get do-overs.

Summary: The committee met with a quorum present and heard a series of health care-related bills, with Chair Tuck emphasizing respectful debate and noting that all bills on the agenda would be voted on that day. The first measure, HB 743, would give the Attorney General authority to investigate and bring civil actions against health care practitioners who violate Florida’s ban on gender-affirming care for minors, and would make aiding or abetting such conduct a third-degree felony. Supporters said it closed loopholes and protected minors and parental rights, while opponents argued it was vague, overbroad, and could chill lawful care and professional judgment. The bill passed 13-4 and was reported favorably. The committee then unanimously approved PCS for HB 567, which narrows a continuing-education requirement for podiatrists so only those who prescribe controlled substances must take the related two-hour course. It also unanimously approved HB 439, allowing chiropractors, under specified training and certification requirements, to inject vitamins and nutrients while continuing to prohibit intravenous injections. The committee also passed HB 1235 to enter Florida into the respiratory care interstate compact, and HB 1237, a linked public-records/public-meetings exemption needed to implement that compact; both measures were supported as workforce and access-to-care bills and passed without opposition. Later, the committee approved PCS for HB 809, which addresses temporary physician certificates in areas of need and aims to prevent doctors from losing the ability to practice when area designations change. Members asked about licensure pathways and the effect of federal or board designation changes, and supporters framed the bill as protecting continuity of care in underserved communities. The committee also unanimously passed HB 1347 to align clinical laboratory personnel licensing with federal CLIA standards amid staffing shortages, and HB 1515, a public-records exemption tied to a uterine fibroid research database. Finally, the committee approved HB 169 updating acupuncture statutes, including terminology changes and limits on injection therapy, and HB 1021, Representative Young’s first bill, allowing qualified hospital pharmacists in Level I and II trauma centers to administer emergency medications at a physician’s direction during life-threatening situations. HB 1021 drew the most questions, mainly about scope, definitions, and who could authorize the pharmacist, but after a technical amendment it passed unanimously. All remaining bills were reported favorably, and the meeting adjourned after the final vote.

Transcript Highlights:

• This would have prevented so much of the trauma I carry today.
• so much of the trauma I carry today.
• </c><01:25:19.760><c> I</c> at one of the residential facilities I at one of the residential facilities
• I think religious trauma is real.
• I think kids that are trauma is real.

Bills: HF3877 , HF3714 , HF3750 , HF3024

Committee: House Children and Families Finance and Policy

Bills: SB115 , SB131 , SB93 , HB319 , HB163 , HB268 , SB115 , SB131 , SB93 , HB319 , HB163 , HB268 , HB181 , HB153 , SB132 , SB26 , SB189 , SB196 , HB140 , SB197 , HB117 , HB181 , HB153 , SB132 , SB26 , SB189 , SB196 , HB140 , SB197 , HB117

Committee: Senate County and Municipal Government

Keywords: SB115, Alabama, impersonating a peace officer, peace officer, law enforcement impersonation, police impersonation, unauthorized police officer, fake cop, certification revoked, certification suspended, Alabama Peace Officers' Standards and Training Commission, APOSTC, Class C felony, law enforcement hiring, appointment of officers, federal law enforcement, arrest authority, public order, criminal offenses, Judiciary Committee

Transcript Highlights:

• We provide trauma-informed services and placement for survivors of human trafficking, and intervention
• We know that the trauma we've identified what kind of traumas that they've experienced before, such as
• Identified what kind of traumas they've experienced before, such as sexual abuse and extreme chronic
• Of course, they've experienced trauma.
• While the statute required only a one-hour trauma-informed care training, we recognize the need for a

Committee: Senate Children, Families, and Elder Affairs

Summary: The Committee on Children, Families, and Elder Affairs received three presentations and took no bill votes. The Department of Children and Families gave an extensive update on human trafficking prevention and services, describing Florida’s statutory framework, hotline and investigation data, placement options such as safe houses and safe foster homes, new adult safe house certification rules, expanded screening tools for vulnerable adults, and prevention efforts including youth-led outreach and training. Members asked about whether current funding is sufficient, how DCF addresses grooming and re-victimization in residential settings, and how long youth typically remain in safe-house placements; DCF said funding is only one part of the support system, that families and youth receive prevention resources even when allegations are not substantiated, and that placement length varies by child. OPPAGA then presented its 2024 annual report on commercial sexual exploitation of children. The report found that verified CSE victims slightly declined in 2023, with Broward, Miami-Dade, Duval, Hillsborough, and Escambia among the highest-prevalence counties. Most verified victims were community youth rather than children already in care, though dependent youth had higher rates of prior maltreatment. OPPAGA also reported continued concerns about limited placement capacity, especially for less restrictive Tier 1 safe houses, and service gaps such as the need for survivor mentors. Its recommendations focused on expanding placement options, improving data collection, and strengthening collaboration to support survivor mentors. Finally, DCF presented the Step into Success pilot program for current and former foster youth ages 16 to 26. The program combines workforce education, professional development, and paid internships with mentor support; the first cohort launched in 2024 with 15 participants, all of whom secured placements, and the department reported strong satisfaction and early outcomes. Committee members asked about scalability, costs, and whether the model could be moved beyond DCF-run operations into community-based providers. DCF said the program was designed to be scalable, currently costs about $500,000 annually for the pilot, and could be expanded statewide with additional funding and partner support. The committee adjourned after the presentations.

Transcript Highlights:

• My story started years earlier with childhood trauma—trauma that shaped the way I saw myself, the way
• And as you may recall, we approved this bill last year for tribal facilities and IHS facilities to provide
• No state has been able to receive 100% FMAP beyond IHS 638 facilities.
• No state has been able to receive 100% FMAP beyond IHS 638 facilities.
• , services provided inside those facilities, receive a 100% federal match with the feds.

Bills: SB1112 , SB1517 , SB1537 , SB1584 , SB1673 , SB1776

Committees: House Appropriations , House House Appropriations Committee of Reference

Keywords: mental health, hearings, acquaintance witnesses, patient rights, treatment evaluation, barbering, cosmetology, appropriation, funding, licensing, board operations, peace officer, training, public safety, traffic offenses, judicial system, corrections, recruitment, state budget, crime victims

Transcript Highlights:

• This is for transportation and coordination of resources related to the Arkansas trauma system.
• to a higher-level trauma system center.
• to a higher level trauma system center.
• This is for ongoing assessments of the quality of care provided through the trauma system.
• This is to provide residential facilities for DYS. ...Right of Passage.

Committee: All ALC-REVIEW

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:

• My story started years earlier with childhood trauma—trauma that shaped the way I saw myself, the way
• And as you may recall, we approved this bill last year for tribal facilities and IHS facilities to provide
• No state has been able to receive 100% FMAP beyond IHS 638 facilities.
• IHS 638 facilities, services provided inside those facilities, receive a 100% federal match with the
• Those facilities receive a 100% federal match with the feds, and if a UIO contracts through that facility

Committee: House House Appropriations Committee of Reference

Summary: The House Appropriations Committee met on March 25 for what was described as its last regular meeting, with a possible special meeting the following week. The committee first took up Senate Bill 1112, adopting a Livingston strike-everything amendment that appropriates $1 million from the special services fund in fiscal year 2027 to the Department of Corrections for holistic, studio-based rehabilitative programming and requires a report on spending, self-harm, discipline, and recidivism by June 30, 2028. Supporters from Art of Our Soul testified that the trauma-informed art and music therapy program has reduced disciplinary violations, self-harm, and mental health watches, and members described it as a rehabilitation effort with documented benefits. The bill, as amended, received a due pass recommendation by a 16-2 vote. The committee then considered Senate Bill 1776, which would expand AHCCCS coverage for traditional healing services to include urban Indian organizations. AHCCCS testified neutrally but said the change would require a waiver amendment, would not qualify for 100% federal match, and would carry an estimated $1.3 million general fund impact. The sponsor argued the bill would align Arizona with federal policy and correct an omission of urban Indian organizations from the existing waiver. After discussion about costs and whether the bill should proceed with a committee of the whole amendment, the committee gave SB 1776 a do pass recommendation by a 9-6-2-1 vote, with several members expressing concern about AHCCCS growth and the funding source. Senate Bill 1537, which would rename the Peace Officer Training Equipment Fund as the Public Safety De-escalation and Life Safety Fund and repeal its advisory commission, failed. Testimony explained that the commission has not met in years and that the bill was largely a cleanup measure, but the Arizona Police Association opposed the change and some members wanted the commission reformed rather than repealed. The committee voted it down 6-9, with members split over whether the fund should remain tied to its current structure. The committee next adopted an amendment to Senate Bill 1584 that shifted a $1 million appropriation for Department of Corrections recruitment and training from the general fund to the Peace Officer Training Equipment Fund. Supporters said DOC remains understaffed and that the training/recruitment program has worked elsewhere; some members questioned whether the fund could legally be used for that purpose, but the amendment passed and the bill received a do pass recommendation by a 10-5-2-2 vote. Finally, Senate Bill 1673, which funds the law enforcement crime victim notification system, was amended to reduce the appropriation from $5 million general fund to about $2.595 million from the victim compensation fund. Testimony from the Arizona Sheriffs Association, victim notification vendors, and Phoenix officials emphasized the program’s importance, while others argued the amendment would raid victim compensation resources. The amendment and the bill as amended both passed, and the committee adjourned after noting the next calendar had not yet been posted.

Transcript Highlights:

• The exempt child care facilities were down by 55. What happened to a lot of the exempt facilities?
• That's because we closed three state facilities. I had the opportunity to... facilities.
• So, the degree to... trauma-based behaviors.
• systems therapy... and there, but trauma systems therapy is really a comprehensive model.
• So that if a child is being triggered by some trauma, they know how to respond to that.

Transcript Highlights:

• or out of facility.
• </c> um, a homeless facility. um, a homeless facility.
• or out of it being, um, in a facility or out of facility.<01:15:39.080><c> Our</c><01:15:39.320><c>
• </c> facility.
• Our it's the near the facility facility.

Bills: SB709 , SB2089 , SB2090 , SB2108 , SB2211 , SB2250 , SB2325 , SB2803 , SB2866 , SB3245

Committee: House Human Services & Homelessness

Summary: The committee heard SB 709 SD2, which would require the Department of Health to respond to reports involving persons with severe mental illness, assess eligibility for assisted community treatment, and coordinate treatment when appropriate. Testimony from the Department of Human Services and the Department of Health supported the measure, with DOH saying it generally supported the bill but had comments on one section it viewed as unnecessary. The Department of Law Enforcement later explained that the bill would shift certification and standards for crisis intervention officer training from DOH to DLE, while still involving DOH in the training process. Opposition came from the Hawaii Disability Rights Center and an individual testifier, both of whom argued the bill expands state authority over people with mental illness and could worsen forced treatment practices. The Disability Rights Center also raised procedural concerns, saying the bill was effectively moved from a prior administration measure that had not been heard this session, and questioned whether the bill’s changes to assisted community treatment, blood tests, urinalysis, and living arrangements went beyond current law. The individual testifier argued the bill would further entrench harmful psychiatric drugging and urged the committee to defer it. Committee members questioned the administration about the bill’s process, the role of the Attorney General in treatment-over-objection proceedings, and the practical effects of moving CIT certification to DLE. The Attorney General’s office said the bill was intended to fill a gap by allowing it to assist with treatment proceedings, while public defenders would continue to represent respondents and due process protections would remain in place. DLE and DOH said the change would better align certification with law enforcement training needs, improve speed in crisis response, and still keep DOH involved; members also discussed whether WAM counted as a hearing and whether the bill should more explicitly preserve DOH’s role. No vote or final action was taken in the portion provided.

Transcript Highlights:

• Sexual trauma is unlike any other trauma.
• Sexual trauma is unlike any other trauma.
• Sexual trauma is unlike any other trauma.
• ,</c> And like every family, if you ignore the trauma, if you bury the trauma, it doesn't heal.
• And the trauma flares up.

Transcript Highlights:

• It's to let you know that trauma doesn't go away. We live with it every day of our lives.
• I may not understand the same thing that other families do, but I understand the trauma.
• has begun, and what we see with those families is the reaction of that trauma.
• This will exacerbate the trauma impact on our foster youth.
• They've already been through a lot of trauma and disruption in their lives.

Transcript Highlights:

• I experienced, as a child, emotional trauma, physical trauma, and sexual trauma, and as a result of that
• ... ...emotional trauma, physical trauma, and sexual trauma, and as a result of that, I coped with those
• But the trauma was not just from the moments where I was in a facility; the trauma was consistently compounded
• was not just from the moments where i was in a facility the trauma was consistently compounded and The
• moments where I was in a facility, the trauma was consistently compounded and relived every time someone

Committee: Joint Joint Committee on the Judiciary

Summary: The Joint Committee on the Judiciary held a lengthy hearing on several juvenile justice and parole-related bills, with much of the testimony focused on H. 2051/S. 1087 to end lifetime parole for juveniles and emerging adults, and H. 1923 to raise the age of juvenile court jurisdiction to include 18-, 19-, and 20-year-olds. Chairs Brandy Fluker-Reid and Lydia Edwards opened the hearing by noting the large number of bills and witnesses, the need to keep testimony moving, and special procedures for incarcerated witnesses and sensitive testimony. They also acknowledged the historic nature of the hearing being chaired by two Black women attorneys. No votes were taken during the hearing itself. Many incarcerated speakers and advocates supported ending lifetime parole, arguing that young people can change, that lifetime supervision creates constant fear of technical violations, and that it undermines rehabilitation, family stability, employment, and reintegration. Several testified about their own trauma, youth, and growth in prison programs, while others emphasized the costs of decades of supervision and the racial disparities in the system. Support also came from elected officials, UTEC, the Transformational Prison Project, United Way, CPCS’s Youth Advocacy Division, the Massachusetts Coalition to Prevent Gun Violence, and others, who said juvenile systems are better suited to developmentally appropriate treatment and that the bills would improve public safety and reduce recidivism. There was also opposition, including testimony from family members of a murder victim who argued that lifetime parole should remain for serious violent crimes and that some offenders are not sufficiently rehabilitated. One virtual witness described a family tragedy involving the kidnapping and murder of her infant nephew and warned that ending lifetime parole could remove needed long-term supervision for dangerous offenders. In addition to the juvenile justice bills, the committee heard testimony on H. 1867, a bill related to continuing care for severe mental illness, and H. 2063, which would increase penalties for assaults on correction officers and other prison staff; the correction officers’ union supported H. 2063 and related safety bills. The hearing continued with many more witnesses and bill topics, but no final committee action was announced in the portion provided.

Transcript Highlights:

• These facilities, when properly implemented and operated...
• That would allow us to better integrate the facility into our...
• Then, of course, there’s the pressure these facilities...
• Culturally centered, trauma-informed care is the core of our work.
• There's not enough places for people to go—treatment facilities, mental health facilities that are available

Summary: The Assembly Health Committee heard a long series of health-related bills, with most measures focused on access to care, administrative simplification, and behavioral health. Early items included AB 583, allowing nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery facilities are licensed; and AB 280, which would tighten provider directory accuracy requirements, add enforcement benchmarks, and allow use of a centralized database. Testimony on AB 280 highlighted the harms of “ghost networks,” while insurers and some provider groups opposed the bill as written, arguing it placed too much responsibility on plans and did not fully address provider-side data problems. AB 280 passed on a roll call vote, and several other bills were placed on consent and approved. The committee also advanced AB 636, expanding Medi-Cal coverage for medically necessary diapers for children up to age 21 and lowering the age threshold for access; AB 1041, streamlining physician credentialing with a uniform form and 90-day review deadline; and AB 787, requiring health plans to help enrollees find in-network providers quickly when directories fail. Supporters of these bills emphasized family financial strain, delays in care, and the burden of administrative red tape, while opponents of AB 1041 and AB 280 raised concerns about provider participation, accuracy, and liability. All three measures were approved and sent to Appropriations. The committee then took up AB 4 and AB 29. AB 4 would allow income-eligible Californians to buy Covered California coverage regardless of immigration status, and AB 29 would authorize Medi-Cal reimbursement for community health workers and doulas conducting ACE screenings. Both bills drew strong support from immigrant-rights, health access, and community-based organizations, and both passed on roll call votes, with AB 4 receiving some no votes. The committee also approved AB 416, which would allow emergency physicians to place 5150 holds in certain circumstances; supporters said it would reduce delays and overcrowding in emergency departments, while Disability Rights California and others warned it could increase unnecessary involuntary hospitalization and transfers to locked facilities. Despite those concerns, the bill passed and was sent onward for further consideration.

Transcript Highlights:

• We seek to achieve that vision by investing in affordable housing and child care facilities.
• We seek to achieve that vision by investing in affordable housing and child care facilities.
• Two, issue clear trauma-informed guidance.
• At 44, I have traumas that I suffered as a child.
• Mom has never been able to drive because of trauma and health issues.

Summary: The California State Assembly Select Committee on Child Care Costs held its second hearing focused first on disaster response, especially wildfires and flooding, and how they affect child care infrastructure. State agencies described their disaster preparedness and response work, including evacuation notifications, shelter coordination, emergency guidance, waivers, and support services. The Department of Education said wildfires have displaced tens of thousands of families and impacted thousands of preschool families, and recommended statutory changes to help rebuild programs, require early childhood programs to be included in local recovery plans, expand mental health supports, and review disaster, tax, and insurance policy gaps. Child care advocates and providers described major losses from the L.A. fires and San Diego flooding, including destroyed homes and businesses, lack of insurance, delayed permits, lost income, and the need for emergency grants, relocation help, and better disaster planning for child care programs. Several providers gave personal testimony about rebuilding after fires and floods, including one family child care provider from Pasadena/Altadena whose home and business were destroyed and who is still trying to reopen while paying rent, a mortgage, and permit costs. Another provider described flood damage, health impacts on children, and thousands of dollars in losses. Committee members emphasized that child care is often overlooked in disaster recovery and asked state officials what is being done to integrate child care into emergency planning and to improve coordination among state and local agencies. Officials said the statewide child care disaster plan exists and has been updated over time, but acknowledged more work is needed and that the hearing itself should inform future improvements. The second panel addressed immigration enforcement and its impact on the child care system. Advocates from the Children's Partnership, Every Child California, and CHIRLA said immigration raids and enforcement activity are causing families to keep children home, reducing attendance and enrollment, increasing fear and trauma, and destabilizing providers and the broader early learning workforce. They argued that child care settings are trusted spaces and that enforcement undermines continuity of care, child development, and program viability. They urged stronger privacy and safety protections, statewide training and technical assistance, trauma-informed guidance, legal support for families, transportation and subsidy protections, and emergency funding for providers. Speakers also highlighted recently enacted laws AB 49 and AB 495, but stressed that implementation will require funding and clear guidance. Committee members agreed that funding and implementation are critical and heard public testimony from providers describing fear, family separation, and the need to keep child care safe and stable for immigrant families.

Transcript Highlights:

• In terms of preparedness activities, licensed child care facilities are required to document disaster
• And environmental trauma, all of which we feel require sustained and targeted support to ensure that
• In terms of mental health, the trauma experienced by the community, families, and children is huge.
• We seek to achieve that vision by investing in affordable housing and child care facilities.
• At 44, I have traumas that I suffered as a child.

Summary: The hearing focused first on how wildfires and other disasters affect child care providers, families, and early education infrastructure. State officials from the Department of Social Services and Department of Education described disaster response and preparedness efforts, including shelter coordination, licensing outreach, emergency waivers, distribution of supplies, and the statewide child care disaster plan. Testimony from providers and advocates emphasized major gaps in recovery funding, insurance coverage, rebuilding support, mental health services, and coordination with local rebuild plans. Several witnesses urged more dedicated disaster-recovery funding for child care facilities and suggested statutory changes, including allowing greater flexibility for rebuilding costs and requiring early childhood programs to be included in local disaster planning. The second panel addressed immigration enforcement and its impact on child care. Advocates from the Children's Partnership, Every Child California, and CHIRLA said enforcement activity is causing families to keep children home, disrupting continuity of care, reducing enrollment, and creating fear and trauma for children and providers. They argued that immigrant and mixed-status families need clearer protections, privacy safeguards, legal support, trauma-informed guidance, and safe-haven policies for child care settings. Speakers also stressed that the child care workforce is heavily immigrant and that recent state laws such as AB 49 and AB 495 will require funding, training, and technical assistance to implement effectively. Public commenters, including child care providers, described personal experiences with fire damage, displacement, permit delays, lost income, and the emotional toll of serving families during crises. Others described how immigration enforcement has made parents afraid to attend events, drop off children, or remain connected to providers. Committee members repeatedly noted that child care is often overlooked in emergencies and asked state officials how child care systems are being integrated into disaster planning and how local and state agencies can better coordinate. No formal votes were taken during the hearing.

Transcript Highlights:

• And I carry that trauma every day of my life.
• And I carry that trauma every day of my life.
• This will exacerbate the trauma impact on our foster youth.
• in licensed facilities.
• Five facilities were destroyed. One, four, I'm sorry, four.

Summary: The Assembly Budget Subcommittee on Human Services held an informational hearing on child welfare, foster care, child support, and related prevention efforts. The chair opened by emphasizing mandated reporting reform, foster care system improvements, and community-based prevention, and noted that no votes would be taken. Public testimony focused first on mandated reporting, where a lived-experience advocate and several organizations argued that the current system overreports families, especially Black, Native, and Latino families, causes trauma, and should be reformed through standardized training, clearer thresholds, and stronger community supports rather than more hotline referrals. Casey Family Programs cited data showing nearly 90% of reports are unsubstantiated, while CDSS said it is already forming a Mandated Reporting Advisory Committee, updating training, and exploring community pathways and possible changes to the list of mandated reporters. CWDA and SEIU supported training and alternative response concepts but stressed child safety, county capacity, funding, and the need for careful implementation and accountability. The committee then discussed a proposal to create a foster care multi-agency office within the California Health and Human Services Agency, led by a chief foster youth advocate with authority to coordinate across departments. Advocates said foster youth often need services from education, health, housing, and behavioral health systems that do not coordinate well, and argued that a central office with real authority could improve placement stability and access to services. CDSS responded that existing structures already provide coordination, including AB 2083 interagency teams, the Child Welfare Council, complex care steering committees, and the foster care ombudsperson, but said it was open to technical assistance. Members raised concerns about whether the new office would have enough authority and funding to avoid becoming another layer of bureaucracy, and the chair emphasized the need for real “teeth” and better interagency action. The final major topic was the continuation and expansion of Promise Neighborhoods. A community leader described strong early results from the state-funded neighborhoods, including improved kindergarten readiness, reduced chronic absenteeism, higher graduation rates, food access, housing supports, and mental health services, but warned that current funding sunsets in June 2025 and that a fiscal cliff could jeopardize staff and services. CDSS said the four funded neighborhoods have reported positive outcomes and valuable flexibility, but also noted challenges with one-time funding, student mental health, and long-term planning. Assemblymember Mia Bonta urged continued investment, saying the place-based model is difficult to rebuild once lost, and the chair asked LAO to help identify the minimum funding needed to preserve the existing infrastructure while evaluation results are still pending.

Transcript Highlights:

• They act out behaviorally oftentimes because of the trauma that they've experienced, and that is not
• </c><00:33:47.360><c> that</c> oftentimes because of the trauma that oftentimes because of the trauma
• </c><00:34:00.720><c> informed</c> them accountable in a trauma informed them accountable in a trauma
• Adult facilities do not provide the developmentally appropriate rehabilitative services youth require
• We, as public defenders, are in these facilities daily, weekly. I've been there twice this week.

Committee: House Judiciary & Hawaiian Affairs

Summary: The committee heard several measures, beginning with Senate Bill 869 on community outreach boards. The Office of Information Practices said the bill was now clear and raised no concerns after clarification that it applies to Hawaii County community development action plan committees under the Sunshine Law. Written support was received from several individuals, and one testifier initially opposed the bill but withdrew opposition after hearing OIP’s explanation. No vote was taken in the excerpt. The committee then heard Senate Bill 405 on neighborhood board meetings, which would let boards receive and discuss reports from government officials that were not on a noticed agenda, with final action deferred to a later noticed meeting. OIP said the bill was a policy choice but warned it would give boards more flexibility at the cost of less public notice. Support came from the Wke neighborhood board and Jacob Weinek, while Natalie Iwasa and Greg Mian opposed it, arguing it could lead to unclear agenda items and deeper discussion without adequate public notice. No vote was taken. The committee also heard Senate Bill 903 on a claims review working group in the Office of Hawaiian Affairs, with the Department of Hawaiian Home Lands asking for the measure to be deferred because it believed a complete inventory and audit of the public lands trust should come first. Members asked about the status of related House Bill 1358. The committee then heard tax measures: Senate Bill 1469, which would suspend the collection statute of limitations while tax assessments are on appeal, and Senate Bill 1467, which would clarify that county tax appeals do not need to be served on the Director of Taxation. The Tax Department supported both bills, and the Tax Foundation’s witness generally agreed but suggested a possible amendment to SB 1469 regarding insurance premium tax language. The committee then moved to Senate Bill 544 on sentencing of minor defendants, which would require courts to consider youth-related factors and allow departures from mandatory minimums; OHA, the Public Defender, Human Rights for Kids, and others supported it, citing trauma, diminished culpability, and national trends, and no opposition was noted in the excerpt. Finally, the committee heard Senate Bill 691 on family courts, which would set a minimum age of 12 for adjudication of law violations. The Public Defender and Human Rights for Kids supported the bill, saying very young children should not be treated as law violators and can still receive services through other family court mechanisms. The Attorney General’s office and the Honolulu Prosecutor’s Office opposed the measure, arguing it could limit court jurisdiction and services for younger children and might have unintended consequences, including recruitment of children into criminal activity. Members asked whether amendments could preserve the bill’s intent while addressing those concerns; no final action is shown in the excerpt.

Transcript Highlights:

• We, too, have concerns about the present facility, but the facility is what it is, and people inside
• similar trauma on others.
• I have lived experience with mental health and trauma and DMH-funded facilities.
• Estelle Collins: There was sexual trauma.
• , and fines for facilities that have repeated violations.

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

Summary: The committee held a public hearing on a broad set of mental health, substance use, recovery, and patients’ rights bills. Early testimony focused on H. 2227, which would replace stigmatizing substance use terminology in the General Laws, and H. 3950, which would support parents in recovery involved with DCF by requiring more individualized recovery plans, clearer benchmarks for parenting time, access to recovery coaches or counselors, family counseling after sustained recovery, and staff training on addiction and lived experience. Speakers described the bills as ways to reduce stigma, increase accountability, and improve reunification outcomes for families. A major portion of the hearing centered on S. 1386, which would transfer Bridgewater State Hospital from the Department of Correction to the Department of Mental Health. Advocates, family members, and disability groups testified that Bridgewater functions like a prison rather than a hospital, with excessive restraint, seclusion, involuntary medication, poor conditions, and racial disparities, and argued DMH should oversee a treatment setting. One DMH occupational therapist and MNA member opposed the transfer, saying the real issue is mixing forensic and continuing-care patients and that DMH should instead create designated forensic units under bills H. 228/S. 1408. Committee members asked about Bridgewater’s population, the history of DOC control, capacity, staffing, and how a transfer might be implemented. The committee also heard testimony on modernizing the six fundamental rights for psychiatric inpatients, including expanding communication options, clarifying visitation and advocacy definitions, and improving access to gender-appropriate and culturally relevant items. Another bill, H. 2216, would require stronger oversight before antipsychotic medication is prescribed in nursing homes, prompted by concerns about inappropriate use. Finally, testimony supported H. 2240 and H. 2239 on sober homes, with supporters saying discharge and relocation policies are needed when a resident returns to active use or becomes unsafe, while preserving the recovery environment and resident rights. No votes or formal actions were taken during the hearing.