Transcript Highlights:

• not only receive information to do constituent service. services, but to get ahead of that, and to talk
• related to their service.
• diminish the availability of services to veterans.
• Will you resign if they do have access, if they are given access to it?
• They're going to the Department of Health and Human Services and accessing health records.

Committee: Senate Senate Veterans' Affairs

Keywords: veterans affairs, VA modernization, employee layoffs, mental health, suicide prevention, transparency, senate committee, bipartisan support, oversight

Summary: The meeting involved detailed discussions on various veterans' issues, particularly focusing on the challenges faced by the Department of Veterans Affairs (VA) amidst a backdrop of significant staffing changes. Members expressed deep concerns over the recent layoffs of over 1,000 VA employees, emphasizing the crucial nature of these positions in the context of mental health support for veterans, particularly amid rising suicide rates. Senators articulated the need for transparency and effective communication between the VA and Congress to avoid further breakdowns in services. The session also spotlighted the ongoing modernization of VA systems and the urgent need to streamline processes to benefit veterans effectively.

Transcript Highlights:

• access as a result of the freeze due to H.R. 1.
• go to pay for abortion services, correct?
• be able to access preventative care, for them to be able to go.
• I do not want to see those services closed down.
• life-saving services to people all over California.

Committee: Senate Budget and Fiscal Review

Summary: The Senate Budget and Fiscal Review Committee heard AB 106, an early-action budget bill providing $90 million one-time General Fund to support reproductive health providers affected by the federal H.R. 1 prohibition on Medicaid funding. Department of Finance staff explained that the money would be administered as grants through the Department of Health Care Access and Information because affected providers can no longer bill Medi-Cal during the federal restriction, which lasts through July 4, 2026. Members also discussed why the amount increased from an earlier $60 million estimate, with Finance saying the figure was updated based on additional claims data and provider information. The committee debate focused heavily on the policy implications of the funding. Supporters argued the bill is an emergency response to a targeted federal attack on Planned Parenthood and related family planning services, emphasizing that the funding would backfill non-abortion services such as cancer screenings, contraception, STI testing, mammograms, and prenatal care. Opponents questioned the use of General Fund dollars, the grant structure versus loans for other distressed providers, the Public Records Act exemption, and the bill’s priority compared with rural hospitals, developmental services, public safety, and other budget needs. Finance clarified that the federal funds at issue do not pay for abortion services and that the grant program would be open to eligible providers meeting criteria set by the department. Public testimony was overwhelmingly in support from Planned Parenthood affiliates, Essential Access Health, Western Center on Law and Poverty, the California Medical Association, family physicians, OBGYN groups, and others, while some commenters used the opportunity to raise unrelated budget concerns such as Medi-Cal dental cuts, IHSS, and CalHome funding. After discussion, the committee approved AB 106 on a 12-4 vote and reported it out. The chair also noted that a later hearing would examine broader H.R. 1 impacts in more detail.

Transcript Highlights:

• transparency so that we engender some trust among our campus community members to access our services
• promote access to a CSU degree.
• They would still be able to get access to all of the services that are provided by the National Library
• And access to all of the services that are provided by the National Library Service.
• wanted to have access to.

Keywords: 988, house, all

Transcript Highlights:

• that I want to have access to like that.
• Second, let's distinguish passive access to information from interactive access to community.
• Limiting access to online spaces may reduce exposure to harmful content, but it can also reduce access
• to very positive health services.
• Be able to provide access to communities when it makes sense.

Committee: House Privacy and Consumer Protection

Keywords: 988, house, all

Transcript Highlights:

• are not left behind when it comes to access to these services.
• access to their treatments altogether.
• credit simply to access the care that they need.
• They are barriers to access.
• to necessary health care services.

Committee: House Health

Keywords: 988, house, all

Transcript Highlights:

• be able to access under fee-for-service?
• courts to help more people access the treatment they need to be successful.
• access to justice, particularly...
• So as California prepares for federal changes affecting health and social services access due to H.R.
• to fee-for-service.

Committee: Senate Budget and Fiscal Review

Keywords: 987, senate, all

Transcript Highlights:

• And I think what I'd like to lift up is really the importance that folks have access to legal services
• accessing the services necessary to allow them to remain living in their homes.
• to provide services.
• Gray to get services. We want others like you to get services.
• , from what age to what age, right, and the different services that should be able to be accessed based

Keywords: 988, house, all

Transcript Highlights:

• California law guarantees persons with disabilities the right to access supports and services so that
• centers because clients who cannot access the services via IHSS will have to go to the regional centers
• the committee would help ensure that the final rate model implementation does not impact access to services
• the committee would help ensure that the final rate model implementation does not impact access to services
• access to services or flexiress. implementation does not access, sorry, impact access to services or

Summary: The hearing began with opening remarks on the Governor’s May Revision for child care and human services, with committee members and advocates stressing that the budget should not be balanced on the backs of low-income families, children, and providers. Legislative members and public witnesses strongly opposed the proposed suspension of the child care COLA, reductions to the Emergency Child Care Bridge Program, and the lack of codified rate reform tied to the alternative methodology. Several speakers also urged more support for providers affected by the Eaton fire and other disasters, and called for child care to be funded at the true cost of care and for additional slots to be restored. Administration, LAO, and Department of Education staff described the child care proposal as maintaining existing funding levels while adding administrative resources to prepare for federally required prospective payment changes and single-rate reform. The administration said the May Revision would suspend the 2025–26 COLA and reduce Bridge Program funding to align with utilization, while the LAO raised questions about the size and purpose of the proposed rate-reform and prospective-payment funding and recommended rejecting a Department of Technology exemption. CDE supported continued early education investments but said it would need additional resources if prospective pay were extended to state preschool, and it objected to a proposed reallocation of preschool funds for inclusive education grants. The committee then moved to the IHSS portion of the May Revision. DSS outlined five major proposals: capping provider work hours at 50 per week, eliminating IHSS for undocumented adults age 19 and older, shifting certain Community First Choice reassessment penalties to counties, reinstating the Medi-Cal asset test as a conforming IHSS reduction, and automating the termination of IHSS when Medi-Cal eligibility ends. DSS also discussed funding to implement a federal HCBS access rule and a separate reassessment of IHSS administrative methodology that found counties would need additional administrative funding. Finance said the proposals were intended to slow program growth and improve sustainability, while the LAO said it was still analyzing the package and raised concerns about implementation, county workload, and the potential loss of services. Committee members and public commenters criticized the IHSS cuts, especially the overtime cap and the elimination of services for undocumented adults and people affected by the asset test. Advocates argued that IHSS workers and recipients depend on these services, that county administration is already underfunded, and that the proposals could destabilize vulnerable consumers. The chair closed by saying the committee would continue to fight for child care and would not pause on child care, and the meeting recessed before moving on to the remaining May Revision items.

Transcript Highlights:

• that I want to have access to like that.
• Second, let's distinguish passive access to information from interactive access to community.
• Second, let's distinguish passive access to information from interactive access to community.
• Limiting access to online spaces may reduce exposure to harmful content, but it can also reduce access
• They're going to find creative workarounds to be able to access this. Nevertheless, I remember...

Summary: The Assembly Privacy and Consumer Protection Committee held an informational hearing on the impact of social media on LGBTQ+ youth, focusing on benefits, risks, and possible safeguards. Chair members framed the discussion around the tension between protecting young people from addictive design, harassment, hate speech, exploitation, and mental health harms while preserving access to affirming resources, community, and crisis support that many LGBTQ+ youth rely on online. Members emphasized that the hearing was meant to inform future policy rather than relitigate prior bills, and several members of the LGBTQ+ Caucus attended or participated. The first panel featured lived experience and advocacy testimony from Madi Roby of Alliance for Trans Youth Rights, Shea Gardner of LGBT Tech, and Casey Pick of the Trevor Project. Roby described social media as essential to exploring identity, finding trans language and safety information, and connecting to Trevor Project resources during a family crisis, while also acknowledging online hate and bullying. Gardner argued that lawmakers should regulate harms more precisely rather than impose broad age-based exclusions, warning that account bans and age-gating could cut off access to community, privacy-protective pseudonymity, and crisis resources. Pick testified that LGBTQ+ youth are more likely than peers to attempt suicide, that social media can be both a lifeline and a risk, and that Trevor Space and other moderated online spaces can improve mental health and reduce isolation; she also cautioned against policies that would push youth into less visible, less moderated spaces. Committee members questioned the witnesses about algorithmic feeds, addictive design, age verification, and whether platforms should be required to do more to protect youth. Several lawmakers distinguished between personalized feeds and addictive features such as infinite scroll and autoplay, and asked for more targeted prescriptions. Witnesses generally supported stronger privacy protections, limits on data collection and use, better reporting and moderation tools, digital literacy, and design changes that reduce harmful engagement patterns without eliminating access to community. The discussion also touched on the loss of LGBTQ-specific 988 services at the national level and the importance of maintaining alternative support pathways. The second panel presented research from Common Sense Media, UC Irvine, Hope Lab, and LGBTQ+ Health Australia. Researchers reported that LGBTQ+ youth often arrive online with higher depressive symptoms and limited in-person support, encounter homophobic and transphobic content at high rates, and may self-censor because of fear of harassment. At the same time, many said social media helps them feel less alone and find affirmation. Dr. Sean Young emphasized a harm-reduction approach, noting that online environments can be designed to support health and that policymakers should measure whether restrictions actually reduce harm or simply displace it. Dr. Amy Green echoed that social media is both harmful and supportive for LGBTQ+ youth, underscoring that the policy goal should be to make youth safer rather than less visible online.

Transcript Highlights:

• provided, and ensuring that people have clear information on how to access services.
• in need of dental services were able to access services through these funding streams.
• to dental services.
• To add this to it, to drop their Medicaid, for them to not be able to receive services or ask their providers
• from a medical condition, will need access to an ASC or a hospital for sedation services.

Committee: Senate Appropriations Committee on Health and Human Services

Summary: The Appropriations Committee on Health and Human Services heard a base budget overview for the 2025-26 fiscal year, which was presented as a $46.8 billion starting point for the silo. Staff explained that HHS accounts for about half of the state base budget and roughly 36% of general revenue, with AHCA and Medicaid making up the largest share. The committee then reviewed the PACE program for the elderly, including its eligibility, service model, growth in applications, slot funding and reversions, and the agency’s plan to move from the federal three-way agreement to a more detailed two-party contract to improve accountability, transparency, and reporting. Members raised concerns about unfilled slots, reversions, rural access, and the need for clearer return-on-investment data; the agency said it would follow up on some of those questions. The committee also heard from the Agency for Persons with Disabilities on its statewide dental program. APD described its history of appropriations, the failed January 2024 solicitation, and a new up-to-$11.5 million solicitation focused on preventive care, community partnerships, teledentistry, and coordination with other services. Members questioned overlap with Medicaid dental coverage, the effect of Medicaid unwinding on APD clients, and whether state dollars were duplicating federally supported services; APD said it tries to act as payer of last resort and that services would continue during procurement. Public testimony from an APD stakeholder and the Florida Dental Association emphasized Medicaid eligibility problems for waiver recipients, low reimbursement rates, limited access to anesthesia and hospital-based dental care, and concerns that proposed Medicaid changes could reduce access for special-needs patients. The Department of Veterans’ Affairs then presented on state veterans service officers and benefits assistance. FDVA highlighted its role in helping veterans access federal benefits, reporting about $27.9 billion in federal dollars flowing into Florida and a high return on state investment. The department said it has increased outreach, claims processing, and services, and has trained staff to identify mental health concerns through its Overwatch program. In response to questions, FDVA discussed plans to expand adult day health care at a new veterans nursing home and possibly at existing locations with additional state funding. At the end of the meeting, the committee completed its presentations and adjourned without objection.

Transcript Highlights:

• We need to do so much more in investing to break that cycle. Prevention support services.
• low-income families, lack reasonable access to a full-service grocery store.
• look at options to work with their local community partners to continue to provide services in the communities
• Medical Plan, those services are subject to B&O.
• These are birth-to-death services.

Summary: The committee heard briefings, sponsor presentations, and public testimony on several finance bills. HB 2038 would impose an additional B&O tax on businesses operating social media platforms beginning in 2027 and create a youth behavioral health account funded by the tax. The sponsor argued the bill would help address youth mental health harms linked to social media and support implementation of the Washington Thriving plan. Supporters in testimony, including youth advocates and some public health voices, said social media contributes to youth anxiety and addiction and that the revenue should be used for behavioral health services. Opponents, including technology and business groups, argued the tax unfairly singles out one sector, could be passed on to consumers, and may violate federal internet tax law. The hearing on HB 2038 was suspended and later reopened for public testimony; no vote was taken. HB 2297 would create tax incentives for grocery stores in underserved communities, including local B&O preferences, a sales tax exemption for security services, a 30-year property tax exemption program, a B&O tax credit, and a B&O exemption for certain locally owned or employee-owned stores. The sponsor and supporters said the bill is intended to preserve and attract grocery stores in food deserts, especially after recent store closures, and to help communities with limited transportation and access to healthy food. County representatives supported the goal but raised concern about the bill’s sales tax exemption and its effect on local revenues. Public testimony was largely supportive, with advocates, local officials, grocers, and residents describing grocery stores as essential community infrastructure. No action was taken. HB 2382 would raise cigarette taxes by $2 per pack, restructure vapor and other tobacco product taxes, and dedicate portions of the revenue to a time-sensitive emergency system, tobacco enforcement, and the foundational public health services account. The sponsor said the bill would generate needed revenue, support cancer research funding, and strengthen public health and enforcement. Supporters said higher tobacco taxes reduce use and help cover long-term health costs, while some public health witnesses supported the revenue but suggested directing more funds to existing tobacco prevention accounts. Opponents from retail and industry groups argued the proposal is regressive, could increase illicit sales and cross-border purchasing, and would hurt small businesses and low-income consumers. The committee also heard HB 2487, a Department of Revenue request bill that would narrow the B&O exemption for insurers to clarify that it applies only to premium income subject to insurance premium tax, and apply the change retroactively to 2019. The sponsor and supporters said the bill closes a loophole created by a recent Supreme Court ruling and preserves tax equity, while insurers and business groups objected to the retroactive application, warning of higher premiums and unfair taxation. Finally, HB 2018 would increase the solid waste tax by 0.5% per year for five years and direct the new revenue to a local government solid waste assistance account for county and city waste management plans. County officials supported the bill as a way to stabilize funding for solid waste systems, and testimony emphasized rising disposal and infrastructure costs. No votes were taken on any of the bills during the hearing.

Transcript Highlights:

• SENATE BILL 1606 IS A PATIENT ACCESS TO RECORDS.
• LET MORE AND MORE PEOPLE HAVE ACCESS TO IT.
• HAVE TO GO IN AND LOGGED IN AND GET PERMISSION TO ACCESS THE POLICY TO LOOK AND SEE IF THE PROVIDER
• FOR INDIVIDUALS WITH LIFELONG OR UNCHANGING CONDITIONS WHO DEPEND ON ACCESS TO ESSENTIAL SERVICES FOR
• SERVICES DUE TO ADMINISTRATIVE RED TABE.

Keywords: 999, senate, all

Transcript Highlights:

• uninterrupted access to college and career planning tools without districts sacrificing essential services
• Budget cuts at Western mean that fewer students have access to these resources and services, ensuring
• services to mitigate harm to children.
• Rural survivors will face insurmountable barriers to access legal and community advocacy services and
• Rural survivors will face insurmountable barriers to access legal and community advocacy services and

Summary: The Senate Ways and Means Committee heard an overview from OFM Director Katie Chapman See on Governor Ferguson’s 2026 supplemental budget proposal. She said the budget was built in response to higher caseloads and inflation, a roughly $390 million revenue forecast drop, new federal costs tied to H.R. 1, and a relatively small ending fund balance. The proposal would increase near general fund spending by about $1.1 billion and solve an estimated $2.3 billion two-year gap through about $800 million in reductions, revenue shifts and tax preference changes, use of other funds, and about $1 billion from the budget stabilization account. She also noted the budget is balanced over two years but not fully over four years under the state’s outlook rules. Chapman See highlighted reductions in Working Connections Child Care, including a soft cap on enrollment and holding subsidy rates at the 75th percentile, delays to long-term care and developmental disability-related changes, and across-the-board reductions to higher education and administrative spending. She also described investments in wildfire suppression and preparedness, affordability programs like utility rebates and home energy assistance, housing-related planning and permitting support, One Washington IT replacement, behavioral health workforce programs, and continued support for some K-12 initiatives such as ninth grade success and homeless student stability. In response to questions, she said some proposed cuts were based on the governor’s subjective judgment about what was critically necessary, that current child care enrollees would not be cut off immediately, and that the budget would maintain services for about 500 highest-acuity Medicaid clients who lost eligibility under federal changes. Public testimony was largely critical of the proposed cuts in K-12, early learning, and higher education. School officials, educators, nurses, and advocacy groups opposed reductions to Transition to Kindergarten, Local Effort Assistance, Running Start, MSOC, school leadership and support grants, and higher education funding, arguing the cuts would worsen existing funding gaps and harm student outcomes. Several witnesses supported restoring or maintaining funding for ninth grade success, Treehouse’s foster youth graduation program, homeless student stability, and Science on Wheels. In early learning, child care providers and advocates opposed the Working Connections cap and subsidy-rate reduction, warning it would reduce access and destabilize providers. In higher education, campus leaders and labor representatives opposed across-the-board cuts and fund shifts, while some institutions and advocates supported targeted investments such as behavioral health workforce programs and DigiPen aid restoration. In human services, Planned Parenthood advocates praised restored abortion access funding and Medicaid reimbursements. The committee took no votes or final action in the transcript provided.

Transcript Highlights:

• be able to access under fee-for-service?
• courts to help more people access the treatment they need to be successful.
• So as California prepares for federal changes affecting health and social services access due to H.R.
• population to fee-for-service.
• to fee-for-service.

Summary: The Senate Budget and Fiscal Review Committee heard AB 109, the Budget Act of 2026, as the main item. Committee leaders described the legislative budget agreement as a balanced two-year plan with about $355.9 billion in total spending, $253 billion from the General Fund, and $36.5 billion in reserves. The Legislative Analyst and Department of Finance said the package assumes about $5.5 billion in higher revenues than the May Revision and uses those resources for a mix of spending changes, including higher Proposition 98 support, additional child care slots, housing and homelessness funding, delayed Medi-Cal reductions, and added support for counties, public hospitals, and distressed hospitals. The administration said the plan resembles the May Revision’s overall structure but includes new spending and revenue assumptions, and members noted that separate revenue trailer bills would be heard later in the week. Much of the committee discussion focused on Medi-Cal, H.R. 1, and the impact on immigrants, low-income workers, counties, and hospitals. Several senators criticized the budget for locking in savings from delayed or reduced Medi-Cal coverage and for not including a mechanism to restore eligibility, while administration and LAO staff said the package delays some reductions but does not automatically reinstate coverage. Finance staff said roughly 1.5 million to 2 million people with unsatisfactory immigration status would move from managed care to fee-for-service, with coverage largely unchanged except for certain services not federally allowed. Members also discussed county administrative funding, indigent care, public hospital support, and the expected rise in uncompensated care. Other topics included In-Home Supportive Services, child care, homelessness funding, Prop. 36, courthouse construction and new judgeships, transit and cap-and-invest/GGRF funding, local journalism, and workforce or reentry programs. Committee members split along party lines in their comments. Democratic members generally supported the agreement as a difficult but responsible compromise that protects core services, preserves reserves, and makes targeted investments in education, housing, health care, and justice system capacity. Republican members argued the budget relies on unrealistic revenue assumptions, does not sufficiently reduce spending, and includes costly policy choices and tax increases. Public testimony largely came from advocates and stakeholders who supported IHSS, Medi-Cal, child care, domestic violence services, hospitals, transit, and other programs, while some business and health plan representatives raised concerns about tax proposals and the shift from managed care to fee-for-service. The chair then moved the committee to public comment and indicated that the revenue bills would return later in the week; no final vote on AB 109 is reflected in the portion provided.

Transcript Highlights:

• Our first issue is the equitable access to intake and services.
• delays or reduce access to services.
• access to intake services.
• We need protections and making sure we have easy access to have and to keep services.
• Do not approve decisions that limit access to services, reduce supports, or make it harder to obtain

Summary: The Assembly Budget Subcommittee on Human Services held an informational hearing on several Department of Developmental Services proposals, with no votes taken. The first item focused on equitable access to intake and services for regional center clients, including standardizing eligibility assessments and modernizing the strengths-and-needs evaluation used to inform individual program plans. DDS said the changes would create a more consistent, equitable, and evidence-based process statewide, while the LAO explained the proposals as a response to disparities and inconsistent regional center practices. Advocates and regional center representatives were divided: Disability Rights California, the State Council on Developmental Disabilities, and some providers supported modernization but urged clearer safeguards, more community co-design, and stronger legislative review; others, including some regional center leaders and family advocates, warned against replacing the CEDER too quickly and stressed the need to preserve the person-centered IPP process. Committee members emphasized fair process, fidelity, and the need for a validated tool, while also noting that the proposals would not change eligibility definitions or replace IPPs. The second major item addressed state-operated transitional and rehabilitative services, including proposed time limits for stays at Porterville Developmental Center and Canyon Springs, plus the merger of the Community Placement Program and Community Resource Development Program. DDS argued that people should not remain in locked facilities for years and that the proposal would create urgency, clearer transition planning, a right of return, and a more efficient single program for community resource development. Supporters, including Disability Rights California, the State Council, the Public Defenders Association, and some service providers, said the proposals align with Olmstead and the Lanterman Act, reduce overreliance on institutions, and should be paired with stronger mental health supports, oversight, and notice to counsel. Opponents, including a district attorney representative, argued that a blanket 24-month limit could endanger public safety and that some individuals require longer, case-by-case commitments. Committee members said they wanted a more comprehensive plan showing that community placements and supports will be ready before people are moved, and they questioned whether an arbitrary timeline could work for such a complex population. Throughout the hearing, members repeatedly stressed that any implementation must be fair, transparent, and backed by valid tools, adequate community capacity, and public input. DDS said both sets of proposals would require legislative approval and that the department is still open to changes in trailer bill language and further stakeholder consultation. The hearing ended with the committee indicating it would continue reviewing the proposals and hear public comment, but no formal action was taken.

Transcript Highlights:

• Our first issue is the equitable access to intake and services.
• access to intake services.
• We need protections and making sure we have easy access to have and to keep services.
• Do not approve decisions that limit access to services, reduce supports, or make it harder to obtain
• DDS rebranded this proposal to equitable access to intake and services, but true equity requires real

Keywords: 988, house, all

Transcript Highlights:

• AB 2282 addresses the lack of access to emergency health care services in the city of Patterson and surrounding
• full-service hospital or trauma center, which has created significant barriers to accessing health care
• All Californians deserve access to critical health care services without fear.
• It has protected access to care in communities that can least afford to lose that access.
• It's not a character flaw, and you have to be able to get easy access to treatment.

Summary: The committee heard AB 1887, which would speed prior authorization for FDA-approved rare disease treatments prescribed by specialists and, if a plan does not act within 30 days, deem the request approved. The author and supporters, including patients and clinicians, said delays can cause irreversible harm, hospitalizations, and death, especially for children and people with progressive rare diseases. Health plans and insurers opposed the bill’s automatic-approval provision and said the measure lacked safeguards for incomplete requests and shared responsibility for timely information. The chair encouraged continued work with opponents, and the author said the bill was narrowed from an earlier version that would have waived prior authorization entirely. The committee also heard AB 1979 on artificial intelligence in health care, AB 2161 on Medi-Cal work requirements, AB 539 on extending approved prior authorizations, AB 2311 on physician employment at public hospital districts, AB 1148 on banning phthalates and bisphenols in food packaging, AB 1825 on mental health offender reentry coordination, and AB 2282 on a temporary emergency stabilization unit in Patterson. AB 1979 would preserve licensed clinicians’ professional judgment, bar AI from directing unlicensed clinical functions, and protect medical records used by consumer chatbots; after amendments, several hospital, medical, and industry groups moved from opposition to neutral. AB 2161 would limit the harm of federal Medi-Cal work-reporting rules by using existing data, improving notices, and protecting due process; it drew broad support from patient, provider, and advocacy groups. AB 539 would keep prior authorization approvals valid for up to one year or the course of treatment, with supporters citing continuity of care and opponents warning about utilization, fraud, and cost concerns. AB 2311, as amended, would let certain high-payer-mix or distressed public health care districts directly employ physicians; CMA withdrew opposition after the bill was narrowed, while some hospital interests still objected to the carve-out. AB 1148 would prohibit two chemicals commonly used in food packaging, with supporters citing cancer and endocrine-disruption risks and opponents arguing DTSC should handle the issue through its existing regulatory process. AB 1825 would improve transition planning and Medi-Cal enrollment for offenders with mental health disorders leaving state hospitals, and AB 2282 would authorize a temporary rural emergency stabilization care unit in Patterson until a permanent hospital is built. Several bills were held for later action because the committee lacked a quorum, and the chair repeatedly noted that motions would be taken once enough members returned.

Transcript Highlights:

• I'm here today to offer our strong support for SB 246 because it expands access to critical services
• I'm here today to offer our strong support for SB 246 because it expands access to critical services
• ><c> and</c> have access to critical services and have access to critical services and home<01:19:08.040
• new mothers and increasing access to health care services for new mothers.
• </c><01:47:12.639><c> only</c> paid up front to to access what is only paid up front to to access what

Committee: Senate Health and Human Services

Keywords: 1191, senate, all

Transcript Highlights:

• access to care.
• to services.
• to barriers, barriers to access on mental health issues and how to get it to them.
• to access it.
• I think that is also good information for parents to access or caregivers to access.

Summary: The hearing focused on youth mental health and treatment access in California, with opening remarks emphasizing that youth distress, self-harm-related emergency visits, and difficulty obtaining care remain elevated, while workforce shortages and reliance on one-time funding continue to limit access. Assemblymember Lori Davies echoed concerns about unstable funding and said lawmakers need to hear directly from providers and families as they prepare for the budget and legislation. The chair framed the hearing as a chance to hear from county, school, provider, and student perspectives, especially in San Diego County, where needs are high and investments have not always matched demand. County and school officials described the current system and recent state initiatives, including the Children and Youth Behavioral Health Initiative, school-linked fee schedules, payment reform, and the Behavioral Health Services Act transition. San Diego County Behavioral Health said it serves Medi-Cal youth with specialty mental health needs through a broad continuum of care, including outpatient clinics, school-based services, crisis response, residential treatment, and new crisis and residential facilities. San Diego County Office of Education and San Marcos Unified School District described efforts to expand school-based services and reimbursement through CYBHI, but said implementation is slowed by complex billing rules, insurance-data collection concerns from families, administrative burden, and uncertainty about sustaining staff positions funded by grants or soft money. School counselor testimony highlighted reduced stigma through campus outreach and clubs, but also noted that counselor-to-student ratios remain well above national standards and that budget cuts threaten supports. Provider testimony stressed that the system remains fragmented and that youth often move between emergency rooms, inpatient care, outpatient therapy, schools, and county programs without smooth handoffs. A child psychiatrist described crisis cases in which the main choices are brief hospitalization or discharge with limited follow-up, and argued for stronger warm handoffs, more outpatient and intensive outpatient options, better school-clinic coordination, and broader use of mobile crisis and 988. Rady Children’s Hospital and Aurora Behavioral Health described large increases in behavioral health demand, expansion of integrated care, and major barriers tied to low reimbursement rates, delayed payments, and administrative complexity. Across the panel, witnesses called for more stable funding, clearer reimbursement rules, better parent education on warning signs, and stronger collaboration among schools, counties, hospitals, and community providers to reduce stigma and improve timely care for youth.

Transcript Highlights:

• If a regional center consistently fails to reduce disparities or ensure timely access to services, there
• That type of thing to make sure that we are not fundamentally changing access to services for people's
• services into the program and also developed a participant-directed service option to reduce access
• the program, retrasand processes and difficulting the access to services.
• The best people to identify what access services are needed are those very communities.

Keywords: 987, senate, all