Transcript Highlights:

• I am the behavioral intervention specialist for Rosly Independent School District.
• All 3 of these public health models emphasize prevention to reduce pressure on intensive interventions
• The system was being utilized to measure frequency versus showing students' response to intervention.
• All districts adopted curriculum and interventions are vetted for evidence and alignment with the layers
• Um, MRI stands for Most rigorous Intervention.

Transcript Highlights:

• I'm happy to take any questions. ...and that interventions can be supported and take place that will
• They're the ones who need the intervention, not the victim.
• So sending the victim to a different school is not necessarily always the most useful intervention.
• <02:08:51.599> You<02:08:51.760> always uh most useful intervention.
• You always uh most useful intervention.

Keywords: 928, house, all

Summary: The committee heard testimony on SB 69, including a germane amendment about local school boards’ acceptance or rejection of gifts and donations and a non-germane amendment creating a virtual early childhood readiness family engagement program for preschool children not yet in kindergarten. Rep. Cordelli said the early literacy proposal was a modified version of an earlier kindergarten readiness bill, would rely on gifts and donations rather than state appropriations, and would include reporting requirements. Members questioned the shift from a broader technology program to an online-only model, the lack of detailed evaluation metrics, how long children would use the program, and whether it was appropriate for very young children. Cordelli said the change was intended to avoid government dependence and still allow the program to be offered next school year. Several members raised concerns about the gift-acceptance language on the underlying bill, including whether school boards would need to vote on small donations, whether gifts could be handled in blocks or at regular meetings, and how anonymous donations would work under right-to-know laws. Rep. Han noted that some gift discussions might belong in non-public session under RSA 91-A, while Rep. Cornell said acceptance or rejection of gifts could be handled at regular meetings and suggested a dollar threshold could be added later. The New Hampshire School Boards Association said it was not taking a position but wanted clearer guardrails, policy guidance, and clarification on timing, anonymity, and public-meeting requirements. Supporters of the early childhood program, including Waterford.org, said the proposal would provide an evidence-based, adaptive online literacy program with family engagement for four- and five-year-olds, and that it could help close early learning gaps. Waterford said it could work collaboratively with school districts and IEP teams, and that it would provide devices and internet access for families who need them. Committee members pressed on how the program would interact with existing special education services and whether districts could use it as part of an IEP; the response was that it would be supplementary and not an approved special education service. No votes were taken during the hearing; the chair indicated the committee would later executive the bills and try to get reports filed promptly.

Transcript Highlights:

• > is<00:04:33.520> competent, intervention unless she is competent, intervention unless
• And let's see, let's move over to page 20 and talk about this right of intervention.
• What we've done here is um intervention.
• will with that with that intervention will with that with that intervention with<00:09:53.839>
• A right of intervention here is making the same claim that the court made in Marbury v.

Bills: HB0117, HB0126

Keywords: informed consent, abortion, civil liability, coercion, healthcare rights, fetal heartbeat, termination of pregnancy, medical emergency, Wyoming legislation, rights of minors, healthcare regulations, parental consent, 916, all

Transcript Highlights:

• We know that early intervention saves lives and reduced costs.
• We know that early intervention saves lives and reduced costs.
• We know that early intervention saves lives and reduced costs.
• <00:27:17.039> this<00:27:17.240> presumptive intervention this presumptive intervention
• Early intervention can make all the difference.

Keywords: 1187, senate, all

Transcript Highlights:

• Here's a basic interventions later.
• ,<00:25:13.760> parent preventative interventions, parent preventative interventions, parent
• . intervention. intervention.
• I do intervention we might consider.
• prior to that intervention and after. prior to that intervention and after.

Keywords: 958, all

Summary: The task force opened with a moment of silence for the Louisville UPS plane tragedy, approved the October 15 minutes, and reminded members to submit policy recommendations before the December 16 meeting, when the group will discuss its report to LRC. The first informational presentation, from the Department for Public Health, focused on youth vaping. Elizabeth Good and Julie Brooks cited a recent Surgeon General report warning that youth vaping can harm brain development, mental health, lungs, asthma, and hormones, and noted Kentucky survey data showing 8.7% of students reported daily vaping and 19.7% used vaping products in the prior 30 days. They described prevention and cessation resources including Catch My Breath, I Can End the Trend, Not on Tobacco, My Life, My Quit, Quitline services, and the Kentucky TRUST retailer education program, which trained 3,371 individuals in 2024 and distributed 253 Tobacco 21 toolkits. The next presentation came from Kentucky ABC on implementation of SB 100, which created the division of tobacco, nicotine, and vapor product licensing. Commissioner Scotty Tracy and Jamar Carter said all retailers selling tobacco, nicotine, or vapor products must be licensed, regulations were filed October 31, 2025, and the online application portal is live. In response to questions about sales to minors, they said violations carry escalating fines for clerks and owners, with a fourth violation resulting in no license renewal for two years and unpaid fines also blocking renewal. They said complaints can be submitted through the portal, by phone, or on the ABC website, and enforcement investigates tips and may use underage compliance checks. The committee then heard from Kim McKenna Johnson of One Cross Community Health, who argued for a “deficiency-first” and holistic approach to care centered on nutrition, lifestyle, and targeted supplementation. She said her clinic serves more than 7,000 patients in Taylor and Marion counties and described a model that includes primary care, behavioral health, functional medicine, addiction recovery, and chronic care. She cited Kentucky health rankings, claimed nutritional deficiencies cost the state billions, and said many children are overprescribed while undernourished. She urged broader insurance coverage for nutritional testing and supplements, rural demonstration grants, and Medicaid pilots for clinically prescribed supplements. Members asked about testing costs, dietitian support, long-term cost savings, compliance, and whether medications are often used to prevent damage from noncompliance; the presenter said the lab tests are generally covered, supplements are the main cost barrier, and seeing lab results can improve family buy-in. No votes were taken during the meeting.

Transcript Highlights:

• Early intervention and sustained engagement are not just better outcomes.
• This level of immediacy allows early intervention well before needs escalate into a crisis and require
• This is a labor-intensive, life-saving intervention.
• This is labor-intensive life-saving intervention.
• That includes things like crisis intervention and crisis stabilization.

Keywords: 988, house, all

Summary: The hearing focused first on behavioral health, especially hard-to-treat serious mental illness through the lens of anosognosia, and the impact of potential federal Medi-Cal reductions under H.R. 1. A family member, Dawn Marie Anderson, described her son’s long cycle of psychosis, homelessness, arrests, jail-based stabilization, and repeated relapse when treatment ended, arguing that anosognosia is a symptom of illness rather than refusal of care. She and other witnesses urged more consistent, long-term treatment, family involvement, medication support, and stronger county and state coordination. County and provider representatives said the current system still relies too heavily on crisis response and leaves people with serious mental illness falling through gaps between managed care, county specialty care, housing, and justice systems. Testimony from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association emphasized that people with anosognosia often cannot self-navigate care, making a “no wrong door” system essential. They said H.R. 1 could destabilize coverage and shift costs to counties, while existing private insurance coverage is inadequate for early psychosis and related services. Witnesses highlighted CalAIM, jail in-reach, assertive community treatment, mobile crisis, supportive housing, and LEAP-style family training as promising tools, but said counties still need more resources and that the state should strengthen both Medi-Cal and private insurance behavioral health coverage. A public commenter from Lake County said private insurers denied most claims, especially for unlicensed staff providing case management and mobile crisis services. The committee then heard an update on the Children and Youth Behavioral Health Initiative, including the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule program. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, and said the platforms are serving children and youth statewide, including many who had never previously accessed care. For the fee schedule, DHCS said 72% of school districts and 50 of 58 county offices of education are participating across six cohorts, with $9.6 million reimbursed to date and 41,556 students represented in claims. Members pressed the department on the program’s roughly $69.3 million administrative cost, the slow pace of reimbursement relative to the investment, and the late delivery of requested data. DHCS responded that many claims are still being submitted, most denials are correctable, and local implementation is still scaling up through technical assistance and capacity grants.

Transcript Highlights:

• roughly half of all lifetime mental health conditions emerge by age 14, early identification and intervention
• It seems that our young people, for their earliest intervention phases, if it's not your friends and
• It seems that our young people, for their earliest intervention phases, if it's not your friends and
• Following it up, not just with counseling intervention, but with therapy dogs coming in regularly really
• New requirements for increased spending on housing interventions mean that counties have less money to

Keywords: 988, house, all

Summary: The hearing focused on youth mental health and treatment access, with the chair framing the issue around California’s Children and Youth Behavioral Health Initiative (CYBHI), school-based supports, and the need to coordinate education, health, and community systems. The first panel featured PPIC researcher Shalini Mostala, who said teen mental health remains a serious concern but recent California Healthy Kids Survey data show improvement in chronic sadness and suicidal thoughts since the pandemic peak. Youth advocate Ella Cruz described her own struggles, emphasized stigma reduction, peer support, and the importance of youth voices in shaping policy and outreach. Members asked about phone use, cultural stigma, and how to encourage young people to seek help and connect with trusted adults and peers. The second panel, led by CYBHI director Dr. Sohill Sood and DHCS Deputy Director Autumn Boylan, provided implementation updates. Dr. Sood said recent data show more students receiving counseling, lower stigma, and a drop in reported suicidal ideation, while also highlighting growth in certified wellness coaches and the CYBHI fee schedule. He said the program has generated more than 230,000 claims and over $11 million in new revenue for participating entities, though implementation is still early and technical assistance remains important. Fresno County’s Trina Frazier described a multi-tiered system of care with wellness centers, mobile therapy units, and strong outcomes in attendance, suspensions, and academic performance, while Rachel Kroberniski of the James Morehouse Project described a long-running school wellness center and a peer-to-peer model that helps students feel connected and supported. Members pressed witnesses on rural staffing, billing coordination, higher education participation, and how to sustain services after one-time grants expire. In the final panel, WestEd’s Lisa Eisenberg discussed what makes the fee schedule work best, saying schools are most successful when they build on existing staff, relationships with health plans, and data-sharing agreements rather than creating entirely new systems. Across the hearing, witnesses and members repeatedly returned to themes of flexibility, sustainability, youth-led and peer-based supports, and the need to reduce stigma while improving coordination across schools, counties, providers, and colleges. No formal votes or legislative actions were taken during the hearing.

Transcript Highlights:

• In one case, one of the women has had to spend a million dollars on court-ordered behavioral intervention
• In one case, one of the women has had to spend a million dollars on court-ordered behavioral intervention
• time with questionable, dubious justification, and then as far as the court-ordered behavioral intervention
• ... ...traumatic childhood pathologies, only court-ordered behavioral intervention.
• For court-ordered behavioral intervention.

Bills: SB1285, SB1289, SB1326, SB1328, SB1329, SB1330, SB1392, SB1402, SB1425, SCR1013, SCR1014

Keywords: sentencing, correctional facilities, multiple sentences, death penalty, aggravating circumstances, juvenile offenses, class 2 felony, foreign donations, election administration, certification, Arizona Revised Statutes, transparency, public disclosure, victims' rights, attorney fees, government accountability, right to counsel, legal representation, parents' rights, family law

Summary: The committee approved the minutes and then took up several election, family court, and criminal justice bills. SB 1425, the “big bill,” would move Arizona’s 2026 primary election date earlier and adjust related election administration timelines; the chair’s amendment moved the primary to July 21 and removed the shortened curing/ID deadlines. County officials testified in support, explaining the timing changes and the need to align dates, and the committee adopted the amendment and gave the bill a do-pass recommendation. SB 1289, dealing with certifications for entities providing money or resources for election administration and foreign funding disclosures, also received a do-pass recommendation after testimony from supporters arguing it would block foreign influence in election administration and ballot issue spending. The committee later heard SCR 1013, a related resolution that would more directly prohibit foreign-source money for election administration and ballot measures; the sponsor and supporters said it was similar to SB 1289 but broader, and testimony focused on foreign money flowing through nonprofit networks. The committee then considered SB 1326, which would allow courts to award attorney fees and costs to victims when a party violates or worsens a victim’s rights. A victim’s attorney testified that the bill would provide needed accountability and guidance, while opponents argued the term “exacerbates” was vague and that existing remedies already exist. The committee approved SB 1326 on a 4-3 vote. SB 1402, requiring courts to impose a fee on certain probationers to cover electronic monitoring costs, drew support from the sponsor and advocates who said offenders should pay for monitoring, and opposition from defense attorneys who warned it could burden indigent probationers and divert money from treatment; it also received a 4-3 do-pass recommendation. The most extensive debate was on SB 1330, which would allow a parent in certain custody cases to request a jury trial on parenting time or legal decision-making. Supporters, including several parents, described costly and traumatic family court experiences and argued a jury would provide a neutral check on judges and court-appointed professionals. County and court representatives opposed the bill, saying family cases require specialized judicial expertise, jury trials would delay urgent matters, increase costs, and risk confidentiality. Despite those concerns, the committee adopted the bill on a 4-3 vote. The committee also approved SB 1328, which declares state policy favoring parental rights and a child’s equal access to both co-parents, after adopting an amendment adding legislative intent language. Finally, SB 1329, which would let parents sue court-appointed professionals who deviate from professional ethics or standards in custody matters, passed 4-3 after testimony from parents and advocates who said court appointees lack accountability, while opponents said existing malpractice and licensing remedies already address misconduct.

Transcript Highlights:

• So that top rung of the inverse triangle there looks at the request for total intervention.
• Those are not unique families; those are unique calls or requests for intervention.
• Those are unique calls or requests for intervention.
• Our clinic stands for Family Intervention Response to Stop Trauma.
• Interventions we've put in place: external resource support.

Summary: The Senate Human Services Committee held a work session on child welfare dependency, focusing on implementation of HB 1227 (Keeping Families Together) and SB 6109 (the fentanyl response bill), along with related data and system updates. DCYF first reviewed the dependency process, explaining intake, shelter care, fact-finding, disposition, and review hearings, and emphasized that removal standards are separate from service provision and that children may be in-home or out-of-home at different stages. DCYF said 1227 raised the removal threshold to imminent physical harm and strengthened kin placement, with nearly 60% of children now placed with relatives or suitable others. The department also said 6109 directs courts to give great weight to fentanyl’s lethality and added legal liaisons to support staff in court preparation. DCYF presented data showing that entries into out-of-home care declined after 1227 but rose again after 6109, returning close to pre-1227 levels. The agency also reported a sharp increase in reviewable critical incidents in 2022-2025, especially near-fatalities, which it linked to the opioid and fentanyl crisis, parental stress, and system complexity. DCYF said it has responded with statewide Safe Child Councils, staff consultations, hotspot monitoring, and additional training, and noted that some contracted services authorized under 6109 were not implemented because of fiscal constraints. Senators asked about where children are in the process, who participates in court, the timing of data releases, age breakdowns, and geographic hotspots. Advocates and lived-experience witnesses from LCYC and a family intervention clinic argued that 1227 has not prevented courts from removing children when necessary and said the law appropriately requires the state to show a causal link between home conditions and risk. They said 6109 appropriately highlights fentanyl’s danger, but stressed that the larger issue is lack of prevention and treatment resources, inconsistent county-by-county practice, and insufficient supports such as inpatient beds, family treatment, housing, transportation, and third-party safety plan participants. A parent ally described how early support, peer guidance, and kin placement helped her achieve recovery and stability after losing parental rights in an earlier case. The committee also heard an update on SB 6068 from the Administrative Office of the Courts and K Implementation and Evaluation. The report identified 15 dimensions of relational permanency and child well-being, found that some data already exist while other measures need development, and recommended a phased data collection plan, a restored data-sharing agreement between AOC and DCYF, and a standing cross-agency work group. AOC said its dependency data system lapsed when the prior agreement expired in June 2025 and needs to be rebuilt. The meeting also included a brief update on bridge housing for youth exiting inpatient treatment, with presenters saying two programs are now open, one in King County and one in Spokane, and a short introduction to juvenile rehabilitation capacity updates before the transcript ended.

Transcript Highlights:

• We also need a much greater focus on lifestyle interventions.
• Next. will be, of course, the additional interventions that the research is pushing forward.
• I think we need support to be able to actually test these interventions against one another so that we
• To what degree are these interventions going to be individual?
• is the notion that we tend to think in silver bullets, there's going to be be this one magical intervention

Keywords: health policy, lifespan, quality of life, community health, public testimony

Summary: The committee meeting was marked by discussions surrounding health policies aimed at enhancing the lifespan and quality of life for the community members. The chairperson initiated the session with personal reflections on the importance of extending not just the years of life but also the quality of those years, especially from the perspective of parents and grandparents. Members engaged in thoughtful dialogue regarding potential legislative measures that could address public health in a more holistic manner, emphasizing the need for community outreach and effective health education programs.

Transcript Highlights:

• and nonviolent supporting substance use interventions and nonviolent communication, specifically for
• and their work strengthens families reinforces community values and ensures that the department intervention
• The lead agency continues to conduct ongoing search for a program that offers clinical interventions
• including Djj Djj and APD, a unified staffing process with also developed that prioritizes early intervention
• This includes leadership from the same agencies by fostering early Intervention Cross Agency, collaboration

Keywords: 999, senate, all

Transcript Highlights:

• And this takes the next step in really addressing the problem and providing intervention, educational
• LEAP is an early intervention program that captures them at two and a half until three and a half.
• If you're not trained in de-escalation, you're not going to be able to do the intervention well.
• Every dollar that you put into early intervention will save you money in the long term.
• We know for a fact that if they get early intervention before six, that it can save us millions of dollars

Summary: The Senate Education Pre-K-12 Committee heard and passed two autism-related bills. SB 112, by Senator Harrell, would expand autism screening and referral grants, extend Early Steps services from age three to age four, designate the University of Florida autism center as a statewide hub, create grants for autism-focused charter schools and summer programs, and establish an autism microcredential for educators and paraprofessionals. Three technical or clarifying amendments were adopted, and the bill received support from Autism Speaks, The Arc of Florida, Foundation for Florida’s Future, and Miami-Dade County Commissioner Raquel Regalado, who emphasized early intervention and the need for training and expanded services. The bill was reported favorably by committee vote. The committee then considered SB 102, by Senator Gaetz, which would direct the Department of Education to create a workforce credential for students with autism spectrum disorder, including badges for job skills and workplace safety, and require reporting on outcomes such as employment after graduation. An amendment was adopted to allow students on a modified curriculum before formal diagnosis to participate and to require coordination with the Florida Center for Students with Unique Abilities and OSHA. Testimony from Amy Weatherby of the FSU Autism Institute and CARD strongly supported the bill, stressing the importance of employment outcomes and early preparation, while other organizations also supported it. SB 102 was reported favorably, and the committee adjourned after Senator Harrell was recorded as voting in the affirmative on SB 112.

Transcript Highlights:

• I've been fortunate to work with youth this year to develop overdose prevention interventions that can
• Control Z sees the whole client, integrating psychedelic intervention into a client's broader life.
• We had not leveraged psychedelic material as a pharmacotherapy intervention in our previous model.
• Today, thanks to early intervention and access to world-class care... Our son began to recover.
• It will help prevent years of misdiagnosis, emotional pain, and costly interventions.

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use and Recovery opened its first public hearing of the 2025–26 session with remarks from the Senate and House chairs outlining the committee’s priorities. They noted recent work on addiction and recovery legislation, the ongoing youth behavioral health crisis, and that members might need to leave periodically for floor votes. The chairs explained hearing procedures, including three-minute testimony limits, written testimony deadlines, and reporting deadlines for Senate and House bills. The hearing then focused on several bills related to youth mental health, overdose prevention, and psychedelic treatment research. A major portion of the hearing centered on bills to improve youth crisis response and overdose prevention. Testimony strongly supported bills to print the 988 Suicide and Crisis Lifeline on student ID cards, with speakers from mental health organizations, crisis centers, and individuals sharing personal stories of depression, suicide attempts, and the importance of making 988 as familiar as 911. Another set of bills would require schools to stock naloxone and provide overdose prevention education. Physicians, harm reduction advocates, students, and grieving family members testified that school-based Narcan access and education could save lives, reduce stigma, and help students recognize overdoses and understand Good Samaritan protections. Senator O’Connor and Tamika Perry also testified for a bill to strengthen substance use prevention education and reduce overdose abandonment, emphasizing the need to teach students about overdose risks and the legal protections for calling 911. The committee also heard testimony on a bill to authorize a pilot program for psychedelic treatment in licensed facilities. Senator Friedman and several medical and behavioral health professionals argued the proposal was a narrow, research-based approach distinct from the broader ballot question rejected in 2024. They said the bill would allow only a small number of supervised clinics to use psychedelics for conditions such as depression, PTSD, anxiety, and substance use disorders, with data reporting and Department of Public Health oversight. Supporters described it as a cautious way to study promising treatments while avoiding unsupervised or commercialized use. Finally, the committee heard support for a bill to create a special commission and five-year strategic plan for children’s behavioral health services, with testimony that the current system is fragmented, difficult for families to navigate, and strained by workforce and funding challenges. No votes or final actions were taken during the hearing; the committee primarily received testimony and questions on the bills.

Transcript Highlights:

• What we did with the floor amendment, this updates the bill's provisions governing intervention by the
• It directs the commission to grant intervention when a party demonstrates either a special interest not
• to grant intervention when a party demonstrates either a special interest not otherwise represented
• by the Public governing intervention by the Public Service<00:51:03.600> Commission.
• when a party demonstrates intervention when a party demonstrates either<00:51:57.080> a<00:51

Keywords: 958, all

Summary: The Senate convened with an invocation and pledge, established a quorum, approved the prior journal, and received a message from the House announcing passage of House Bills 364, 534, 600, and 662 and requesting concurrence. The chamber then took up second-reading reports, placing several bills on the Rules Committee calendar, and briefly recessed for caucus meetings before returning to floor business. The first major floor action was Senate Bill 11, a residential safe room rebate program aimed at rural tornado preparedness. Supporters described it as a way to use FEMA or private funds to help homeowners build personal storm shelters that could also serve neighbors; one senator opposed it over a fiscal note and concerns about unintended consequences in rural areas. The Senate adopted a committee substitute and passed SB 11 by a vote of 33–3. The Senate then considered Senate Bill 8 on public utilities and PSC intervention procedures. A committee substitute and floor amendment were adopted to clarify intervention standards, limit delay tactics, allow written comments from non-intervenors, and revise transmission-line approval thresholds; supporters said the changes would improve PSC efficiency and protect ratepayers, while some senators objected to a provision moving records from the Energy and Environment Cabinet to the state auditor as politically motivated. SB 8 passed 30–5. Senate Bill 94, dealing with dealer compensation for warranty and recall work, was also amended and passed unanimously after supporters said it reflected agreement between auto dealers and manufacturers. Finally, Senate Bill 197 on economic development incentives was amended to create county tiers, expand incentives for distressed areas, allow cross-border projects near state lines, and correct clerical errors; it passed 36–0.

Transcript Highlights:

• We have an overview from the youth interventions working group report, and so I'm going to call up Lisa
• We have an overview from the youth interventions working group report, and so I'm going to call up Lisa
• <00:05:08.840> uh working group on youth interventions uh working group on youth interventions
• <00:38:11.800> the working group on youth interventions the working group on youth interventions
• <00:41:30.280> and working group on youth interventions and working group on youth interventions

Keywords: 1187, senate, all

Transcript Highlights:

• If you go up in that scale, if you need assistance, need intervention, or need substantial intervention
• , need intervention, or need substantial<00:43:21.160> intervention.
• That's a substantial intervention.
• > needs substantial intervention, you needs substantial intervention, you would<00:43:57.440> be
• or needs intent um needs intervention or needs intent um substantial<00:47:11.280> intervention

Keywords: 928, house, all

Summary: The subcommittee met for its third discussion on special education aid under retained bill 742, with the chair noting that no action would be taken at the meeting. The chair reviewed prior hearings on Medicaid and local special education funding shortfalls, saying the committee was trying to understand why districts are facing proration of special education aid and how to reduce unfunded costs. He raised a series of questions for the Department of Education about the Nessus system, eligibility and ineligibility, invoices and vouchers, audit procedures, reimbursement rates, out-of-state placements, and who enters data at the district level. Rebecca Fdet, director of special education services at the Department of Education, explained that Nessus is the statewide special education information system and that every child in special education must be entered into it. She said most districts use it to develop IEPs and track services, while six districts use it only as a data reporting tool. She described which fields are required, how the system connects IEP development to the financial section, and how districts submit invoices when seeking special education aid, court-ordered placement payments, or episode-of-treatment placements. She said the department reviews invoices against the IEP, pays only for allowable services, and uses a cap that notifies districts when they reach the annual limit. Members asked about who submits the information, how districts decide when to seek aid, and how costs are calculated for individual or group services. Fdet said the district, usually an administrative assistant in the SAU office, submits the documentation electronically, and districts decide when to track students for aid based on their own circumstances. She said reimbursement is based on actual costs tied to the IEP, with group services split among students, and that the department does not generally set rates for local services. The only rate-setting she described was for approved private special education providers, which submit annual cost spreadsheets for tuition rates. She also said out-of-state providers must be approved by their own state, and the department checks licensure and certification through monitoring and investigations if concerns arise. The department also described its monitoring process, called Program Approval and General Supervision Monitoring, or PAGS. Fdet said districts are reviewed on a six-year cycle, with more intensive review for districts needing assistance or intervention and fewer file requests for districts meeting requirements. She said the department can review up to 65 data points on an IEP and that districts must submit special education aid paperwork by July 31, with superintendent verification due by August 15. The meeting ended with continued questions about procurement, audit procedures, and how the department handles out-of-district and out-of-state placements.

Transcript Highlights:

• <00:58:45.280> I condition that needs intervention I condition that needs intervention I strongly
• Next we have Evaluation Center for Complex Health Interventions, providing comments.
• <01:10:04.239> that forced into a medical intervention that forced into a medical intervention
• They were all very, with minimal intervention, and it's the most beautiful way to go.
• and it's the with minimal intervention and it's the most<02:00:49.520> beautiful<02:00:49.920

Keywords: 912, senate, all

Summary: The Health and Human Services committee heard extensive testimony on HB 1194 HD2, a bill to regulate midwifery and require accredited education for licensed midwives. Supporters, including the Midwives Alliance of Hawaii, ACOG, a pediatrician, and several licensed midwives, argued the bill would improve maternal and newborn safety, clarify the definition of midwife, strengthen accountability, and align Hawaii with national education standards. They said accredited training is necessary to avoid gaps in knowledge and to support safe transfers and collaboration with hospitals. Opponents, including many midwives, parents, cultural practitioners, and community groups, argued the bill would restrict access to care, criminalize traditional and apprenticeship-based midwifery, and undermine reproductive autonomy and Native Hawaiian and other cultural birthing practices. Several asked for amendments to preserve a birth attendant exemption, the PET/portfolio pathway, and cultural and religious protections. Others said the bill would disproportionately harm rural, Indigenous, and low-income families by making training and licensure less accessible. The committee also heard testimony from state and county entities and professional organizations, with some standing on written testimony and others offering brief comments. The chair repeatedly reminded testifiers of the one-minute limit and the possibility that final decision-making would be deferred if quorum was lost. The transcript does not show a final vote or action taken during this segment.

Transcript Highlights:

• intermediate care bed, that can be up to $5,000 or well over, depending on the monitoring and interventions
• , and unfortunately he did not receive this intervention because there was no place to discharge him
• Bobby had a heart condition that needed a medical intervention and unfortunately he did not receive this
• intervention because there was no place to discharge discharge him to and Bobby passed away from his
• But there is an intervention for this revolving door, and it's called respite care.

Summary: The meeting focused on hospital “avoidable days” and the difficulty of discharging medically stable patients who still need post-acute placement or social services. Presenters from Saint Anthony Hospital Midtown, the Oklahoma Hospital Association, City Care, and OU Health described common barriers including lack of skilled nursing, rehab, long-term care, behavioral health, and hospice placements; insurance prior authorization delays; Medicaid and Social Security eligibility delays; guardianship and Adult Protective Services bottlenecks; limited home health and private duty nursing; and the challenge of placing unhoused, uninsured, or medically complex patients. Several speakers emphasized that these delays reduce bed availability, increase emergency department boarding, contribute to staff burnout, and expose patients to hospital-acquired conditions and other harms. The testimony included multiple examples of patients remaining in acute care for days, weeks, or even months after being medically ready for discharge, including patients awaiting guardianship, disability determinations, or placement in facilities willing to accept them. Speakers also highlighted special populations such as patients with behavioral health or substance use disorders, medically fragile children, patients with criminal histories, and unhoused individuals who need respite or hospice care. City Care described its planned 40-bed medical respite facility, set to open in 2027, as a way to provide clinical support and housing navigation for patients too sick to recover on the street or in shelters. Witnesses recommended policy and system changes such as standardizing preauthorization protocols, expanding rural swing-bed and home-based services, increasing public guardianship resources, improving data collection on homelessness, expanding private duty nursing hours, and creating more placement options for complex patients. They also suggested better coordination between hospitals, DHS, APS, the Health Department, and post-acute facilities, including a database of facility services to improve discharge planning and keep patients closer to home. No votes or formal committee actions were taken in the transcript, but the chair indicated the issue would require collaboration across multiple agencies and partners.

Transcript Highlights:

• I'm happy to be here today to lay out HP 4942 relating to certain services and interventions ordered
• In family law cases, courts frequently order children into services or interventions related to family
• training that does exist does not always include instruction on how to evaluate the quality of interventions
• system by ensuring that families are only required to participate in scientifically supported interventions
• , thus protecting children and families from harmful or ineffective interventions.

Transcript Highlights:

• that we have and different interventions that we have and and<00:39:39.880> ultimately<00:39:
• <00:41:05.720> and<00:41:05.800> so to have additional interventions and so to have
• additional interventions and so they<00:41:06.240> exist<00:41:06.599> to<00:41:06.839
• Do we better know which interventions related to basic needs have the biggest impact, because we want
• So we College Possible used to get money through one of our competitive grants, like the Intervention

Keywords: 1183, house