Transcript Highlights:

• We also, in addition to guaranteeing a medical home, provide those individuals access to specialty services
• We also, in addition to guaranteeing a medical home, provide those individuals access to specialty services
• We also, in addition to guaranteeing a medical home, provide those individuals access to specialty services
• It will mean fewer specialty services, fewer access to medication, and fewer life-saving treatments for
• fewer access to fewer Specialty Services fewer access to medication<00:27:18.799><c> and</c><00:27:18.960

Keywords: 00:00 Introductions 02:46 Roll Call 03:35 Discussion on SB 14 46:13 Vote on SB 14 48:07 Discussion on SB 17 50:38 Vote on SB 17, 958, all

Summary: The Senate Standing Committee on Health Services opened with the chair welcoming several new members and outlining session rules: hearings would start and end on time, the committee would limit the number of bills heard each meeting, prioritize bills heard during the interim, and generally avoid using the consent calendar except in extreme circumstances. The committee then briefly considered administrative regulations, which were treated as approved if members had no questions. The main item was Senate Bill 14, a measure addressing the 340B drug discount program. The chair said the bill had already passed the Senate in a prior session and had been heard in interim, so he did not present it again. He described the bill as prohibiting drug manufacturers from discriminating against 340B covered entities by refusing 340B pricing when the same drug is offered at that price in the state. He also said the committee would not debate the federal 340B program itself, but would hear testimony on the bill. Hospital leaders and Kentucky Hospital Association representatives testified in support, arguing that 340B savings are essential to rural hospitals, oncology services, transportation support, chronic care, addiction recovery, and new service lines such as chemotherapy and hepatitis treatment. They said the program helps keep care close to home and that manufacturer restrictions on contract pharmacies have reduced access and cost hospitals millions. Opponents from BIO Kentucky and the National Alliance of Healthcare Purchaser Coalitions argued the bill would expand federal law beyond Congress’s intent, create administrative burdens, and not lower patient out-of-pocket costs. The chair repeatedly pressed opponents to address why Kentucky should be denied the same 340B pricing available in other states. No vote on the bill was taken in the portion provided.

Transcript Highlights:

• disabilities can continue to have the option to access services remotely based on their individual needs
• maintain ongoing access to remote service options.
• It affirms California’s commitment to inclusive, accessible, and person-centered services.
• have access to food.
• It ensures continuity of ADRC services during transitions, so individuals do not lose access to their

Summary: The committee heard several bills focused on disability services, food security, veterans, aging services, and child care. SB 969 by Senator Reyes would make permanent the option for Californians with intellectual and developmental disabilities to receive certain regional center services remotely; supporters said remote services improve access, continuity, safety, and choice, and there was no opposition. The committee initially lacked a quorum, so action on the bill was delayed until later in the hearing, when it was moved on a 4-0 vote to Appropriations. SB 1025 by Senator Hurtado would create an Office of Food Security and Affordability to coordinate state food programs, improve CalFresh enrollment, reduce duplication, and support a 24-hour hunger hotline; supporters framed it as a coordination and strategic-planning measure, while some members questioned whether existing programs should be evaluated first and whether the bill needed stronger reporting and accountability. It passed 3-0 to Governmental Organization. The committee also heard SB 1052 by Senator Gonzalez, which would allow the State Council on Developmental Disabilities to appoint contingent authorized representatives so people with developmental disabilities are not left without support if a parent or other primary helper becomes unavailable. Supporters, including families and disability advocates, described emergencies, immigration enforcement fears, and service interruptions as reasons for the bill; members asked about the current approval and renewal process and whether the annual renewal requirement could be streamlined. The bill passed 3-0 to Appropriations. SB 1077, also by Senator Gonzalez, would require the Department of Social Services to prepare for future federal shutdowns by creating a communications and contingency plan for CalFresh disruptions and a state-backed emergency benefits mechanism; supporters cited the 43-day federal shutdown and delays in benefits, and the bill passed 4-0 to Appropriations. Other measures discussed included SB 1201 by Senator McNerney, the No Hungry Heroes Act, which would seek waivers and direct referrals to protect veterans from federal SNAP changes and job-search-related income calculations; it passed 3-0 to Military and Veterans Affairs. SB 1261 by Senator Laird would let aging and disability resource connections continue operating during partner transitions so people do not lose access to “no wrong door” services; it passed 3-0 to Appropriations. SB 1110 by Senator Becker would update child care subsidy funding and reimbursement structures to better reflect direct family services and stabilize providers; the author said a provision tied to the budget would be removed, and the bill passed 4-0 to Education. Finally, SB 991 by Senator Menjivar was presented to improve how abuse and neglect findings in residential care facilities for the elderly are categorized in the licensing database, so serious abuse is not lumped together with lesser violations; testimony described examples of sexual assault and restraint being recorded as generic residents’ rights violations.

Transcript Highlights:

• maintain access to care.
• I'm pleased to present AB 1906 a bill to ensure all Californians have access to at-home cervical cancer
• The difference is access to screenings.
• Existing systems that are supposed to act as safety nets to provide mental health services to survivors
• these services to victims and survivors.

Summary: The committee heard AB 2575 on health care AI guardrails, with the author and supporters from the California Nurses Association and labor groups arguing that AI should support, not replace, clinical judgment. They said the bill would require basic disclosures about AI tools, protect workers from retaliation for overriding AI in good faith, and prevent developers or employers from shifting liability to frontline clinicians. Opponents including the California Medical Association, CalChamber, hospitals, and other health care organizations argued the bill would add costs, create uncertainty, and discourage useful AI applications. Committee members discussed bias in health care and accepted amendments narrowing the disclosure provisions; the bill was moved with a 7-1 vote and re-referred to Labor, Public Employment, and Retirement. AB 634 would ban the manufacture, sale, and distribution of products containing tianeptine, described by supporters as “gas station heroin.” The author and law enforcement supporters said the substance is dangerous, easily accessible, and can cause opioid-like addiction, while no opposition came forward. The committee also heard AB 1607 to extend the Maddy EMS Fund, which reimburses emergency providers for uncompensated care. Supporters said the fund is essential to keeping emergency departments staffed, especially amid expected coverage losses; an ACLU representative opposed the funding source because it relies on criminal and traffic fines. Members supported the need for the fund but raised concerns about the fairness and long-term stability of the revenue source, and the bill advanced on a 8-0 vote. AB 1906 would require coverage of at-home cervical cancer screening tests without cost sharing, and the author said the bill would improve early detection and reduce disparities, especially for rural and working Californians. Support came from Planned Parenthood, Health Access, and several health and labor organizations; insurers said they appreciated the amendments and were reviewing their position. The committee adopted amendments aligning the bill with clinical guidelines and passed it 6-0 to Appropriations. The committee also took up AB 2247, the Thrive Act, to create a pilot program for trauma and mental health services for youth affected by gun violence in four counties. Supporters described barriers survivors face in accessing counseling, while members questioned the narrow focus on gun violence, the choice of counties, documentation requirements, and whether the program should instead be housed in victim compensation. The bill passed 8-0 to Judiciary. Later, AB 2531 would expand California’s uncompensated care program so veterans denied abortion care through the federal VA system could receive coverage in California, and would add an abortion resources link for veterans. Supporters framed it as filling a gap created by federal restrictions; opponents argued state funds should not support abortion. Members noted the VA already provides many reproductive services but not this one, and the bill passed 7-0 to Military and Veterans Affairs. The committee also heard AB 1915, which would modernize restaurant facility rules and create a self-certification pathway for some equipment installations. Restaurant and business groups supported the bill as a way to reduce costly delays, while the Contractor State License Board opposed the self-certification provision over safety and inspection concerns. Members generally supported streamlining but echoed public safety concerns and indicated further work was needed.

Transcript Highlights:

• best provide services to Californians.
• They now don't have access or restricted access to care.
• to key services.
• and other populations to ensure they have access to benefits.
• simultaneously stripping their access to the vital programs and services they desperately need.

Keywords: 987, senate, all

Transcript Highlights:

• ><c> variety</c><00:08:10.400><c> of</c> people have access to a wide variety of people have access to
• </c><00:08:48.160><c> to</c> and economic background have access to and economic background have access
• > state pays for access to all of the state pays for access to all of the resources.<00:14:33.600><c>
• So, uh, Vivian and I are access to.
• The purpose of the funding was to improve school library media access, programming, and services.

Keywords: 1187, senate, all

Transcript Highlights:

• because health care providers are sometimes unable to offer accessible offices and services.
• because health care providers are sometimes unable to offer accessible offices and services.
• because health care providers are sometimes unable to offer accessible offices and services.
• ><c> blocking</c><00:37:45.760><c> access</c><00:37:46.200><c> to</c><00:37:46.359><c> services,</c>
• avoid blocking access to services, avoid blocking access to services, ensure<00:37:48.120><c> that</c

Keywords: 926, house, all

Transcript Highlights:

• Medi-Cal enables LGBTQ older adults to have access to essential health and long-term care to age with
• In addition, older adult Medi-Cal members have access to a wide range of care management services directly
• to access and find the services in a streamlined way.
• of a no wrong door approach to help people access services in a more streamlined way.
• We need to educate the people who are accessing the services, right?

Keywords: 987, senate, all

Transcript Highlights:

• challenging for people who need access to health care and human services to navigate the system.
• c><00:11:05.440><c> human</c><00:11:05.720><c> services</c> access to health care and human services
• access to health care and human services to<00:11:06.880><c> navigate</c><00:11:07.360><c> the</c><00
• </c> access to care when they need it. access to care when they need it.
• > to</c> services to from certification to services to from certification to licensure.<00:54:05.880>

Keywords: 1183, house

Transcript Highlights:

• millions of licensees while ensuring access to quality care and service to the millions of California
• to continue to offer the vital services that they do.
• to services.
• to increased access to care.
• allow PTs and veterinarians to collaborate and expand access to PT services.

Keywords: 988, house, all

Transcript Highlights:

• Obviously, there’s importance in access to receiving culturally or linguistically diverse services from
• Quality services and restricting and allowing consumer access to needed services.
• The bill, S. 242, is an act to expand access to lactation care and services.
• So please, all we ask is to be licensed to increase access to care, affordable access to care.
• So please, all we ask is to be licensed to increase access to care, affordable access to care.

Keywords: 995, all

Summary: The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure focused on health care and human services, reviewed testimony logistics, and then heard a long series of witnesses on several bills. Much of the testimony centered on interstate licensure compacts for dentistry, social work, and occupational therapy, with supporters arguing these compacts would improve workforce mobility, continuity of care, and access while preserving state oversight and public protection. Dental witnesses were split on H.455/S.257, with supporters backing the AADB dental compact for its hands-on exam, background checks, and disciplinary safeguards, while opponents argued a competing compact would better promote portability and avoid conflicts tied to proprietary testing and outside commissions. Social work witnesses strongly supported H.380/S.252, emphasizing continuity of care for clients who move across state lines, reduced costs and delays for practitioners, and the compact’s public-protection features; occupational therapy witnesses similarly supported H.427/S.256, citing access, telehealth, military families, and maintained standards. The committee also heard testimony on S.242, which would expand licensure for lactation care providers. Supporters, including lactation counselors and health center staff, said adding certified lactation counselors and related credentials would expand access, improve breastfeeding support, and allow reimbursement for services now often provided without billing. They described the training required and said the bill would help families, especially in underserved communities. Representative James O’Day also testified in support of the social work compact, and a Council of State Governments witness provided background on compact mechanics and state participation. Another major topic was H.419/S.214 on medical debt. Physicians and researchers testified that cancer patients experience long-lasting medical debt and collections burdens, and they supported limits on the sale and collection of medical debt, bans on reporting it to credit bureaus, and related consumer protections. The hearing also included H.465 on a pathway to special licensure for certain long-term limited-registration dentists serving MassHealth patients, which Representative Senna supported as a way to allow immigrant dentists to practice independently. Finally, the committee heard sharply divided testimony on H.444/S.284, which would allow trained dental hygienists to administer Botox and dermal fillers: supporters framed it as a safe, preventive, and access-expanding tool for TMJ, bruxism, and pain management, while dermatologists opposed it as outside hygienists’ training and a patient-safety risk. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• of and access to patient health care, where DSH historically has received only one bid for these services
• Access to medications and pharmacy will remain the same through Medi-Cal Rx, which is already a fee-for-service
• The first is an ensuring access to Medicaid services budget change proposal adjustment.
• access to many... ...which therefore has expanded access to many patients.
• If a fee-for-service transition moves forward, safeguards must be included to ensure equitable access

Keywords: 987, senate, all

Transcript Highlights:

• and care contracts providing access to additional health care services, usually up to skilled nursing
• have access to many more resources, more information, and to coordinate between the many different services
• The first part aims to enhance access to health care services and emphasize the importance of patient-centered
• Due to the complex nature of the disease, home care services can be very expensive and difficult to access
• the program, to access these services.

Keywords: 995, all

Summary: The committee heard testimony on several aging-related bills, with most speakers focusing on housing stability, home-based services, and care transitions. Representative Badger and a commissioner testified in support of H4039, which would create a universal breakfast and lunch program at senior centers funded through a new Senior Breakfast and Lunch Fund, arguing it would reduce food insecurity and social isolation among older adults. Representative Lipper-Garabedian and multiple providers then supported H780/S495, the hospital-to-home partnership program, describing how embedded aging-services liaisons help older patients transition safely from hospitals to home, reduce readmissions, and avoid nursing facility placement; witnesses from Mystic Valley Elder Services and Mass Aging Access cited pilot results, including hundreds of patients served and examples of substantial cost savings and successful discharge planning. The committee also took testimony on S478, which would require continuing care retirement communities to disclose entrance-fee refund policies more clearly at enrollment. Senator Lovely and LeadingAge Massachusetts said the bill would improve transparency for residents and families, while a consumer witness said her family experienced delays and confusion in getting a refund after her mother left a CCRC. Members noted the issue is also being examined by a special commission on CCRCs. A large portion of the hearing focused on S475, a statewide bridge subsidy program for older adults facing housing instability. Advocates from the Massachusetts Coalition for the Homeless, Western Massachusetts, Somerville, Northampton, East Hampton, Old Colony Elder Services, and Somerville’s Office of Housing Stability described rising senior homelessness, long waitlists for subsidized housing, and cases where short-term rental assistance kept older adults housed while they waited for permanent housing. Somerville witnesses said the pilot program helped nine households remain housed and that some participants have since moved into permanent housing. Members asked about wait times, program design, and how to prioritize applicants; witnesses emphasized flexibility, emergency risk, and the need for a statewide expansion. The hearing also included testimony on S465, an ALS bill that would expand home care access regardless of age and bar the use of quality-adjusted life-year metrics in coverage decisions, with the sponsor and ALS Association arguing the measure would reduce discriminatory treatment and better center patient care. No votes were taken during the hearing.

Transcript Highlights:

• continue to do access.
• cost of delivering care, which would also increase access to those services and lessen the need for
• of delivering care, which would also increase access to those services and lessen the need for them
• You're going to have either limited lines of service or the entire access point. Okay.
• So we need to provide 24-hour wraparound services to ensure that the patient receives the care, has access

Keywords: 1185, senate, all

Transcript Highlights:

• The Committee on Health and Human Services is called to order.
• able to adjudicate these cases, number one, to protect the public, and two, to provide a service to the
• able to adjudicate these cases, number one, to protect the public, and two, to provide a service to the
• I had to go to a library, print paperwork, and mail it in just to access the benefits my employer paid
• It will restrict access to essential benefits like SNAP and access to health care.

Summary: The committee first approved the March 11 minutes and heard a presentation from Nathan Smith, CEO of Central Arizona Shelter Services, on homelessness in Maricopa County. He described rising homelessness, especially among older adults, and said CASS uses low-barrier emergency shelter, family shelter, and an older-adult shelter with case management, behavioral health services, and partnerships with outside groups for food, banking, digital access, and other supports. Members asked about collaborations with mutual aid groups and about point-in-time data, and Smith said the county data could be drilled down through AZMAG. The committee then moved to legislation. HB 2248, the Arizona Medical Freedom Act, would bar businesses, schools, and government entities from denying services or employment based on medical interventions, with an amendment allowing schools to limit access during outbreaks or for certain infections. Supporters framed the bill as protecting bodily autonomy and informed consent, while opponents argued it would undermine employers’ ability to prevent disease spread. The committee adopted the amendment and gave the bill a due pass recommendation on a 4-3 vote. HB 2906, requiring one dental board member to be an active oral and maxillofacial surgeon, passed unanimously after testimony that the board needs surgical expertise for complex cases and anesthesia oversight. HB 2189, directing the Nursing Board to adopt rules for licensed health aides and routine ventilator care, also passed with an amendment and a 6-0 vote. HB 2403 appropriates $2.5 million in FY2027 for home and community-based services providers for elderly and physically disabled Arizonans. Supporters said the funding would help retain caregivers, whose wages have lagged for years, and argued home care is cheaper than hospitalization or institutional care; the bill passed 6-0. HB 2731 continued the Physician Assistant Board to 2030 and passed with a technical amendment, and HB 2730 continued the Occupational Therapy Board and passed as well. HB 2729 continued the Nursing Board to 2030; the board said it regulates about 150,000 licensees and handles thousands of complaints annually, and the bill passed 6-0. HB 2728 continued the Department of Economic Security and incorporated several previously vetoed policy provisions affecting SNAP, unemployment, and eligibility/redetermination rules. Speakers in opposition said it would make benefits harder to access and turn a continuation bill into a vehicle for controversial policy changes, while supporters argued it was part of the legislature’s oversight role. The bill passed 4-3. The committee also adopted a strike-everything amendment to HB 2048, which limits utilization controls on FDA-approved non-opioid pain medications relative to opioids; supporters said it would improve access to non-opioid pain treatment and reduce opioid harm, while opponents warned it would bypass clinical review and raise costs. HB 2048 passed 4-3. Finally, HCR 2058 would require a comprehensive claim-level audit of Arizona Medicaid claims and direct recovery efforts for misappropriated funds; supporters said it could recover significant overpayments, while opponents questioned its incentives and overlap with existing oversight. The resolution passed 4-3, and the committee adjourned.

Transcript Highlights:

• Currently, there is going to be a transfer to the health care access fund at the end of fiscal year 24
• Currently, there is going to be a transfer to the health care access fund at the end of fiscal year 24
• </c><00:03:42.000><c> fund</c> transfer to the health care access fund transfer to the health care access
• to the healthcare access general fund to the healthcare access fund<00:09:08.560><c> here</c><00:09:
• of human services to have commissioner of human services to have the<00:09:57.360><c> authority</c><

Keywords: 1187, senate, all

Summary: The committee reviewed a side-by-side comparison and fiscal analysis of Senate File 3472, a reinsurance-related bill affecting the premium security plan account, MinnesotaCare, and related health care funding. Staff explained the Senate and House versions of the bill, including how the Senate proposal extends reinsurance for five years and uses a projected $1.087 billion general fund transfer to fully fund claims and administrative costs through fiscal year 2028, while the House version conditions continuation of the program on federal approval of the state innovation waiver. The fiscal presentation also covered appropriations for MNsure, a mental health parity and substance abuse office, and House provisions for delivery reform and a public option study, along with a House transfer of $110.674 million to the health care access fund. Members debated the budget horizon and whether costs should be forecast beyond fiscal year 2025. Representative Schultz argued that the spreadsheet understated the broader fiscal impact of reinsurance and warned about future funding cliffs for MinnesotaCare and other health programs, while other members and staff noted that the state’s standard forecast ends in fiscal year 2025 and that the fiscal note only estimated reinsurance costs through the five-year extension. Supporters said reinsurance was the best available option to reduce premium increases, especially in rural areas, and some pointed to a public option as a longer-term alternative. Opponents argued reinsurance does not address underlying health care costs or deductibles and urged consideration of other reforms. House Research then walked through the policy differences. House-only provisions would change Minnesota Comprehensive Health Association board membership, require platinum plans in certain markets, expand postnatal coverage, require a prescription drug benefit in some plans, set a minimum actuarial value for MinnesotaCare, create an Office of Mental Health Parity and Substance Abuse Accountability, and direct reports on delivery reform and a public option. The shared provisions would extend the premium security program to 2027 and delay the transfer of remaining premium security plan funds to the health care access fund until 2029, with the House language again contingent on federal waiver approval. No formal vote was taken in the excerpt; the chair closed discussion after hearing no further questions and indicated members would be contacted about next steps.

Transcript Highlights:

• Our businesses need their workers to have access to child care providers to get to work.
• speak to you on the need for expanding access to early learning services.
• But for the sake of my twin boys, I am immensely glad that they had access to early learning services
• We're here just to really encourage you to consider that our military families have limited access to
• in services or risks to individual. informed and know when there may be gaps in services or risks to

Summary: The Early Learning & Human Services Committee held public hearings on several child care and disability-related bills. House Bill 2317 would exempt certain ECAP and Head Start programs from DCYF licensing when they operate part-day or school-day in public school buildings or on public school property. Staff and the prime sponsor said the bill would remove duplicative licensing barriers and help expand preschool seats, especially as Washington prepares to add more ECAP slots. Testifiers from Head Start, school-linked providers, and the Washington Federation of Independent Schools supported the bill, describing licensing delays, added costs, and lost classroom time; no one testified in opposition. The committee also heard House Bill 2099, which would expand ECAP access for military families with incomes up to Working Connections Child Care limits and adjust prioritization for families with deployed or single custodial military parents. The prime sponsor and multiple supporters, including retired military leaders, Head Start/ECAP advocates, ESD staff, and a military-community partnership, said military families face frequent moves, deployment-related strain, and child care shortages that affect readiness and family stability. Testifiers said the bill would help families access care without changing the program’s low-income focus or adding state cost. House Bill 2350 would require DSHS to notify residents, guardians, and family members when a residential habilitation center is found out of compliance with federal CMS requirements, and to provide follow-up notices on correction and enforcement actions. The sponsor said the bill responds to limited communication around recent noncompliance issues at Rainier School and would improve transparency; DSHS had requested a narrow amendment about how notice is provided to residents. Disability rights advocates strongly supported the bill, saying families need timely information to protect loved ones and make informed decisions. Finally, House Bill 2318 would let ECAP and Head Start children count toward the 5% subsidy participation threshold needed for Early Achievers quality improvement awards. Supporters said the current rule can discourage providers from enrolling ECAP children because it risks losing an award, even though ECAP already requires Early Achievers participation. The sponsor and testifiers described the bill as a small fix to reduce a funding disincentive for providers serving high-need children. The committee took no votes and adjourned after closing the hearings on all four bills.

Transcript Highlights:

• people's access to fast and frequent service.
• people's access to fast and frequent service.
• people's access to fast and frequent service.
• people's access to fast and frequent service.
• people's access to fast and frequent service.

Keywords: 1183, house

Transcript Highlights:

• IN RESPONSE TO CMS FOR MEDICARE AND MEDICAID SERVICES.
• CARE NEEDS AND UP WITH EMERGENT CARE NEEDS BECAUSE THEY DID NOT HAVE ACCESS TO PREVENTATIVE SERVICES
• SUPPORTING AND MAINTAINING ACCESS TO THESE AREAS.
• SERVICE PROGRAMS OR TO EXPAND EXISTING PROGRAMS TO NEW LOCATIONS.
• PHARMACY TO ENSURE THAT PATIENTS HAVE ACCESS TO PRIMARY CARE SERVICES.

Keywords: 999, senate, all

Transcript Highlights:

• Access to Working Connections in this bill.
• Increasing access to care and networks will likely lead to an increase in provider payments to secure
• Increasing access to care and networks will likely lead to an increase in provider payments to secure
• to receive their accreditation services.
• to provide those services, which is 8.5.

Summary: The House Appropriations Committee held a public hearing on a series of bills, beginning with House Bill 2689 on Working Connections Child Care. Staff explained that the proposed substitute would keep eligibility at 60% of state median income, eliminate scheduled expansions to 75% and 85%, reduce future subsidy rates from the 85th to the 75th percentile of market, end enhanced regional rates, and change reimbursement rules from prospective enrollment-based payments back to attendance-based payments with a reduced monthly payment after 11 absent days. Child care advocates thanked the committee for removing the proposed cap on the program but opposed the cuts to provider rates and eligibility expansions, warning of harm to families and providers. The committee then heard Engrossed Substitute Senate Bill 5124 on Medicaid network adequacy for post-acute care, with staff noting administrative costs and indeterminate fiscal effects; hospitals supported the bill as a way to reduce discharge delays and reliance on single-case agreements. Senate Bill 5832, which would raise the new motor vehicle arbitration fee from $3 to $6 to support the Lemon Law arbitration program, drew support from the Attorney General’s Office and auto dealers, who said the fee had not been updated since 1995 and the program was underfunded. The committee also heard Substitute Senate Bill 5862, providing a one-time 3% COLA for certain PERS 1 and TRS 1 retirees, with retirees testifying in favor and local government representatives warning about added employer costs. The committee next heard Senate Bill 5922, allowing school districts to transfer money from the Transportation Vehicle Fund to other funds if they reduce their fleet and receive OSPI approval; staff said the bill would mainly add administrative work for OSPI, and no one testified. Substitute Senate Bill 5923 would allow a hospital on an island in Skagit County to qualify as a critical access hospital if federally certified; Island Health testified that the designation would help sustain rural services, and a committee member asked about bed count and Medicaid/charity-care pressures. Senate Bill 5944 would require language access providers to bargain over compensation for missed or canceled appointments and clarify that statutes prevail over conflicting contract terms; WFSE supported the bill, saying it would equalize bargaining rights across agencies. Substitute Senate Bill 5972 would extend interest arbitration rights to correctional employees in city and county jails regardless of population size; labor supported the bill as a retention tool, while cities and counties opposed it, arguing it would raise costs and should include ability-to-pay protections. The committee also heard Senate Bill 5988, authorizing the Department of Health to continue accrediting opioid treatment programs and charge accreditation fees, which DOH said was needed to avoid winding down the program. Later, the committee heard Senate Bill 6151, which would move Ecology fee revenues for landfill methane emissions and laboratory accreditation into dedicated accounts; Ecology supported the bill as improving transparency and reinvesting fees into the programs, and staff said the lab fee shift would be offset by a related budget action. Engrossed Substitute Senate Bill 6194 would pay a rural hospital on a federally recognized Indian reservation, specifically Astria Toppenish, at 150% of the Medicaid fee-for-service rate beginning in 2027; hospital leaders and community members testified that the hospital serves a high-Medicaid, rural, and tribal population and faces persistent losses. Finally, Engrossed Substitute Senate Bill 6302 would direct L&I to investigate possible misclassification of independent contractors on public works projects involving multiple workers doing the same finishing work; labor and business representatives both described it as a negotiated compromise to address underground economy abuses. The committee took no final votes during the hearing and ended by reiterating amendment deadlines for bills scheduled for executive session.

Transcript Highlights:

• appropriate to advance access.
• access to high-quality mental health services across the Commonwealth.
• These bills are going to be a narrow access point to deep healing, not a barrier any longer to it.
• So I urge you to support these bills to remove barriers to research and expand access to these promising
• Our goal was to help others get safe access to these experiences.

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.