Transcript Highlights:

• Hi, my name is Rebecca Sponberg and I'm a pediatric nurse practitioner and director of a newborn screening
• A drug for Hunter syndrome, which is a newborn screening condition, was approved in March, and we still
• Suicide...
• Just 12 days after his 16th birthday, I lost my amazing son to suicide.
• thoughts or suicide issues higher than any other one, they should have a dedicated line.

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:

• ideation, gave detailed advice to the user on methods of suicide, drafted suicide notes, and even encouraged
• Katrina Baker, a crisis counselor with the 988 Suicide and Crisis Lifeline.
• At the same time, the research and support is Katrina Baker, a crisis counselor with the 988 suicide
• In moments of suicidal crisis, minutes matter, and human connection matters.
• In moments of suicidal crisis, minutes matter, and human connection matters.

Committee: House Privacy and Consumer Protection

Transcript Highlights:

• AB 1906, Aguirre-Curry, at-home cervical cancer screenings, the motion is due pass out on an A roll call
• AB 2756, Arambula, Medi-Cal vision screen services, do pass on an A roll call.
• AB 1572, Alonese, officials' background screenings, do pass on an A roll call.
• AB 2562, Dixon, AOD recovery and treatment, suicide prevention, do pass out on an A roll call.
• AB 2562, Dixon, AOD recovery and treatment, suicide prevention, do pass out on an A roll call.

Committee: House Appropriations

Bills: HB20 , HB276 , HB644 , HB812 , HB816 , HB916 , HB1131 , HB1247 , HB1518 , HB1525 , HB1537 , HB1541 , HB1546 , HB1553 , HB1562 , HB1565 , HB1566 , HB1576 , HB1577 , HB1591 , HB1605 , HB1612 , HB1613 , HB1614 , HB1618 , HB1620 , HB1650 , HB1656 , HB1658 , HB1661 , HB1664 , HB1668 , HB1676 , HB1707 , HB1711 , HB1713 , HB1715 , HB1718 , HB1727 , HB1749 , HB1756 , HB1774 , HB1776 , HB1801 , HB1802 , HB1805 , HB1813 , HB1815 , HB1831 , HB1838 , HB1853 , HB1854 , HB1859 , HB1863 , HB1871 , HB1872 , HB1918 , HB1920 , HB1952 , HB1965 , HB1966 , HB1967 , HB1969 , HB1972 , HB1973 , HB1974 , HB1975 , HB1980 , HB1985 , HB2005 , HB2023 , HB2031 , HB2033 , HB2062 , HB2113 , HB2114 , HB2116 , HB2138 , HB2139 , HB2156 , HB2158 , HB2159 , HB2171 , HB2208 , HB2268 , HB2270 , HB2272 , HB2273 , HB2276 , HB2289 , HB2310 , HB2315 , HB2335 , HB2338 , HB2339 , HB2340 , HB2343 , HB2361 , HB2384 , HB2387 , SB2338 , SB2431 , SB2438 , SB2593 , SB2907 , SB2671 , SB2321 , SB3084 , SB2401 , SB3033 , SB2972 , SB3032 , SB2806 , SB3014 , SB2108 , SB2981 , SB2973 , SB2423 , SB2078 , SB2322 , SB2397 , SB2896 , SB2088 , SB2347 , SB2408 , SB2970 , SB2851 , SB2713 , SB2697 , SB2312 , SB2192 , SB2363 , SB2530 , SB3028 , SB2024 , SB3007 , SB2599 , SB2596 , SB2662 , SB2930 , SB3334 , SB2378 , SB3019 , SB3231 , SB2240 , SB2372 , SB2175 , SB2046 , SB2298 , SB2922 , SB2835 , SB3263 , SB2174 , SB2128 , SB2006 , SB2489 , SB3134 , SB2982 , SB2425 , SB2849 , SB2797 , SB2795 , SB2575 , SB2521 , SB2765 , SB2386 , SB2852 , SB2022 , SB2117 , SB2277 , SB2387 , SB2688 , SB2885 , SB3132 , SB3219 , SB2169 , SB2591 , SB2090 , SB2983 , SB888 , SB3249 , SB2611 , SB2429 , SB2463 , SB3154 , SB3131 , SB3152 , SB3315 , SB2448 , SB2054 , SB2140 , SB2520 , SB2377 , SB2986 , SB2010 , SB2189 , SB2026 , SB3010 , SB2818 , SB2002

Keywords: lava insurance, homeowners, insurance market, subsidy, Hawaii, condominiums, annual report, filing fee, real estate, developer, residency, property regime, PFAS, single-use plastics, environmental health, food ware, pollution reduction, local produce, agriculture, Hawaii Revised Statutes

Transcript Highlights:

• So you can see the screen-in percentage for years has been about 50-ish percent.
• So you can see the screen in percentage for years has been about 50-ish percent.
• How many children are screened in for investigation?
• Arizona screened in for investigation is about the same as national.
• We have a suicide attempt. We fire the workers involved with that suicide attempt.

Committee: Joint Joint Legislative Oversight Committee on the Department of Child Safety

Summary: The Joint Legislative Oversight Committee on the Department of Child Safety met to review child welfare reforms developed after prior oversight hearings on the deaths of Emily Pike, Zariah Dodd, and Rebecca Baptiste. Committee members and the chair described a series of stakeholder meetings with tribes, DCS, law enforcement, county attorneys, schools, and other advocates that produced several bills aimed at improving communication, reporting, investigations, and court decision-making. The chair said SB 1125, creating a tribal-DCS memorandum of understanding, had already been signed, and highlighted HB 1126 on school records access, HB 1127 on mandatory reporting by people with direct knowledge, HB 1174 on hotline case history and review of prior reports, HB 1175 on photo documentation of children in care, HB 1496 on allowing attorneys to share more safety information with judges, and HB 1631 requiring advanced forensic interviews within 72 hours in sexual abuse cases, with some exceptions. DCS Director Catherine Patak presented agency data showing nearly 160,000 hotline calls in 2025, about 43,000 investigations, and a relatively steady out-of-home care population that ended the year at 7,077 children. She said about 3,000 children were reunified, 1,300 adopted, and 800 entered guardianship, while 1,100 young adults received transition services. She also reported 534 new foster homes licensed, a 50% reimbursement increase for older youth caregivers, a 40% decrease in youth missing from care since September 2024, and a 30% reduction in fatalities of children in care since 2024. Patak discussed the annual fatality review process, noting that 52 of 123 alleged fatality or near-fatality reports had prior DCS involvement, and described agency responses such as health plans for children with complex medical needs, a diabetes training app, expanded LifeSet services, fentanyl and safe-sleep prevention campaigns, staffing realignment, retention efforts, and improved coordination with law enforcement and tribes. Members asked about group home notification rules, the distinction between “missing” and “runaway,” behavioral health needs driving children back into care, training under Jacob’s Law, and whether best practices exist for placing sexually abused youth with appropriate staff. Patak said DCS is updating rules to remove “runaway” and “AWOL” in favor of “missing,” and that the agency is considering whether the statute’s immediate-or-24-hour reporting language should be clarified. She also said DCS does not currently have a specific staffing requirement tied to a child’s sex in group homes, but would look into practices in other states. The committee then heard from Malcolm Hightower of Casey Family Programs, who said Arizona is generally in the middle of the pack nationally: slightly higher than average in foster care entries and congregate care use, but near the national average on screening, substantiation, recurrence, re-entry, and maltreatment fatalities. He praised Arizona’s kin placement rate, said congregate care remains a challenge, and noted that neglect definitions and poverty-related removals remain an area of policy discussion. Finally, K.C. Melsick of Collaborative Safety described the organization’s safety-science approach to systemic critical incident reviews, arguing that child welfare systems should move away from blame and toward learning from near-misses and system failures. Members discussed applying similar methods across state agencies, and the committee adjourned after members and witnesses emphasized continued collaboration and further reforms in the interim and next session.

Transcript Highlights:

• c><00:10:57.680><c> device</c><00:10:58.800><c> that</c><00:10:59.200><c> provides</c> access ad screening
• </c> of the teleaalth and pre-screening of the teleaalth and pre-screening access<00:52:16.800><c> across
• </c><00:52:23.440><c> for</c><00:52:23.680><c> patients</c> remote pre-screenings for patients remote
• pre-screenings for patients anywhere<00:52:25.119><c> in</c><00:52:25.359><c> the</c><00:52:25.520><
• actually because it would allow suicide actually because it would allow access<00:54:03.599><c> to</

Transcript Highlights:

• Suicide hotlines are a trusted and effective strategy to help prevent youth suicide and increase mental
• I know what suicide is.
• It'll get out of the screen.'
• This isn't just about screen time.
• Statistics from the CDC on suicide rates between 2001 and 2021 also show that the increase in suicide

Summary: The Assembly Education Committee heard a full agenda of bills, first adopting a consent calendar of 11 measures without individual presentations. The committee then took up AB 1412, which would require California schools to implement or adopt a transferred special education student’s IEP within 30 days for out-of-state transfers and to coordinate more quickly on records. The author and military-family witnesses said the bill would reduce delays for highly mobile students, especially military children; a school administrators group opposed it. The bill received initial support from committee members and was moved on call. The committee also reconsidered AB 281, which would require notice to parents when outside consultants provide sex education instruction; the author accepted amendments removing a copy-right provision, but the bill remained on call after a split vote. The committee heard AB 1005, which would create a statewide drowning-prevention education and swim-lesson voucher framework for underserved communities. The author and supporters described drowning as a preventable public health and equity issue, while the bill was clarified as developing a plan rather than immediately launching a voucher program. It was voted out on a 3-0 roll with the measure placed on call. AB 908, as amended, would add compliance monitoring for existing requirements that schools use LGBTQ-inclusive instructional materials and curriculum under the FAIR Act. Supporters said the bill would improve implementation and student safety; opponents raised concerns about privacy, girls’ sports, and school burdens. The committee approved the bill 5-2 and sent it to Appropriations. The committee then heard AB 1401, which would affirm parents’ access to school records, including unofficial records unless exempt by law. The author argued that parents need clearer access to information held by schools and vendors, while school officials and teachers’ union representatives warned the bill was too vague and could sweep in personal notes, journals, and other sensitive material. The bill failed on a 2-3 vote and was placed on call. Finally, AB 727 would require student ID cards to include the Trevor Project hotline for LGBTQ youth; supporters framed it as a suicide-prevention measure, while opponents argued it conflicted with parental rights and religious beliefs. Committee discussion focused on whether 988 already provides similar access and whether the Trevor Project is an appropriate resource to print on IDs; the hearing continued with the bill still under consideration.

Transcript Highlights:

• Veterans who die by suicide.
• It's a time of heightened risk of suicide, for example. Let me move on.
• So your prostate cancer screening, your mammograms for breast cancer, colon cancer screening, your statins
• The suicide rate among individuals per 100,000 of our vets that choose suicide, the mental health components
• So, will you commit to looking for ways that firearms-related suicides can be reduced?

Committee: Senate Senate Veterans' Affairs

Transcript Highlights:

• when the screening is needed and easier connections to qualifying activities.
• We need new funding for training, for ABOD screening, and to bolster our employment supports.
• Our eligibility workers step in to screen them for Medi-Cal and CalFresh.
• Do you believe that additional screening can still be done in an appropriate amount of time?
• And exemption screening.

Transcript Highlights:

• Oh, it's not on the screen. Hold on, members. Back up.
• The amendment was slow to come up on the screen, but it's up now.
• Oh, it's not on the screen. Hold on, members. Back up.
• We're waiting for the amendment to appear on the screen. Mr. Turner for what purpose?
• Yeah, the amendment was slow to come up on the screen, but it's up for now.

Bills: HJR138 , HB42 , HB 104 , HB 129 , HB677 , HB426 , HB668 , HB1699 , HB2017 , HB2128 , HB2038 , HB3783 , HB3717 , HB2316 , HB3686 , HB2563 , HB3883 , HB4021 , HB2788 , HB2663 , HB3305 , HB3173 , HB3474 , HB 1105 , HB3531 , HB3490 , HB3597 , HB 1295 , HB3512 , HB3010 , HB3112 , HB4215 , HB3223 , HB3464 , HB3120 , HB4214 , HB4511 , HB3704 , HB4081 , HB4783 , HB4063 , HB2783 , HB4937 , HB5085 , HB2510 , HB3426 , HB4361 , HB 1169 , HB2516 , HB2347 , HB4034 , HB4700 , HB3560 , HB5150 , HB3860 , HB3146 , HB3924 , HCR98 , HCR92 , HB1520 , HB1545 , HB5265 , HB1887 , HB1914 , HB2402 , HB2306 , HB2350 , HB3000 , HB3237 , HB3326 , HB3211 , HB 1056 , HB2081 , HB2187 , HB3092 , HB3308 , HB3526 , HB3750 , HB4219 , HB4230 , HB4290 , HB5238 , HB4804 , HB4749 , HB245 , HB1465 , HB294 , HB793 , HB809 , HB3928 , HB334 , HB2037 , HB1973 , HB285 , HB4341 , HB 1043 , HB 1234 , HB 1193 , HB1729 , HB2498 , HB1314 , HB1353 , HB3960 , HB3923 , HB2221 , HB2517 , HB2518 , HB2213 , HB5092 , HB3748 , HB5246 , HB4344 , HB1482 , HB4044 , HB2702 , HB4264 , HB2807 , HB2898 , HB3181 , HB3250 , HB2091 , HB2115 , HB2542 , HB2768 , HB3349 , HB4406 , HB1593 , HB1899 , HB3133 , HB3133 , HB4960 , HB3214 , HB2145 , HB 1201 , HB5061 , SB29 , SB879 , SB65 , SB1745 , SB412 , SB412 , SB1746 , SB1238 , SB1341 , SB522 , SB1532 , SB1378 , SB1062 , SB2066 , SB1963 , SB2204 , SB1366 , SB2077 , SB1967 , SB1151 , HB1618 , HB2156 , HB2615 , HB2615 , HB2349 , HB1926 , HB569 , HB1762 , HB38 , HJR138 , HB42 , HB 104 , HB 104 , HB 129 , HB677 , HB426 , HB668 , HB1699 , HB2017 , HB2128 , HB2038 , HB3783 , HB3717 , HB2316 , HB3686 , HB2563 , HB3883 , HB4021 , HB2788 , HB2663 , HB2663 , HB3305 , HB3173 , HB3474 , HB 1105 , HB3531 , HB3531 , HB3490 , HB3490 , HB3597 , HB 1295 , HB3512 , HB3010 , HB3112 , HB4215 , HB3223 , HB3223 , HB3464 , HB3120 , HB4214 , HB4511 , HB3704 , HB4081 , HB4783 , HB4063 , HB2783 , HB4937 , HB5085 , HB2510 , HB3426 , HB4361 , HB 1169 , HB2516 , HB2347 , HB4034 , HB4700 , HB3560 , HB5150 , HB3860 , HB3146 , HB3924 , HCR98 , HCR92

Keywords: carbon tax, carbon emissions, greenhouse gas, climate policy, fuel tax, emissions tax, Texas Constitution, Article VIII, tax limitation, environmental tax, fossil fuels, energy policy, legislative taxing authority, ballot proposition, constitutional amendment, higher education, funding, financial allocation, state budget, Texas A&M University

Summary: The House convened with a quorum, offered an invocation, led the pledges, and approved a series of routine motions, including excusing absent members and granting permission for several committees to meet while the House was in session. Members also adopted several memorial and recognition resolutions, including H.R. 1023 honoring Christian Beerbill, H.R. 1033 recognizing International Bereaved Mother’s Day, and H.R. 877 recognizing Urban League Advocates Day. The House also recommitted SB 17 and HB 4211 to committee and postponed SCR 27 and HB 2145 for later consideration. The chamber then took up a long third-reading calendar of bills covering a wide range of topics, including Sunset review measures, health care workforce and pricing, child custody and family law, Medicaid, rural ambulance grants, energy reporting, public information requests, trail development, virtual meeting disruptions, occupational licensing, protective orders, county leave pools, animal cruelty, infrastructure, and higher education. Most bills were explained briefly by their authors and passed with broad support, though several drew notable opposition, including HB 5265, HB 2402, HB 3000, HB 3237, HB 3326, HB 1056, HB 281, HB 3308, HB 1043, HB 1234, HB 1193, HB 294, HB 809, HB 334, HB 2037, HB 285, HB 1353, HB 3960, HB 4044, HB 4264, HB 2807, HB 3349, HB 4406, HB 1593, HB 1899, HB 1201, and others. Several bills prompted extended debate or amendments. HB 3237, extending public energy-use reporting for state and higher-education buildings, passed after questions about its public-sector-only scope and energy savings. HB 3326, addressing public service loan forgiveness credit for adjunct professors, initially failed on a 69-70 vote but later passed after verification and machine corrections. HB 3211, concerning optometrists in managed care plans, adopted a Buckley amendment before passing. HB 2213 on Texas Windstorm Insurance Association board composition adopted a Metcalf amendment requiring certain board members to be Texas residents. HB 412, dealing with harmful materials and sexual performance of a child, generated extensive questioning about its scope, existing legal standards, and effects on educators and medical professionals; the excerpt ends during that debate.

Transcript Highlights:

• bills on for today, so if you can keep your testimony to three minutes, there'll be a clock on the screen
• I know that he, in my heart, didn't intentionally commit suicide, but I also will never know.
• Screenings occur today at pediatric appointments.
• If the screenings occur at pediatric appointments, what happens with those people?
• And by the time I had my second son, the screening had really come online.

Committee: Joint Joint Committee on Financial Services

Summary: The committee held a hearing on a large group of behavioral health and insurance-related bills. Topics included expanding access to mental health services by allowing physician assistants to authorize Section 12 emergency holds and be recognized as licensed mental health professionals (H. 1131/S. 773); improving coverage for community behavioral health centers so commercial insurance matches MassHealth’s bundled outpatient and crisis services (H. 1276/S. 703); eliminating cost sharing for certain behavioral health services (S. 718); extending detox and clinical stabilization coverage from 14 to 30 days and adding transitional support services (H. 1319/S. 772); requiring coverage for dual-diagnosis treatment in psychiatric facilities (H. 1277/S. 771); and preserving access to treatment for serious mental illness through coverage of coordinated specialty care and assertive community treatment (H. 1135/S. 709). The committee also heard bills on preventive behavioral health services for children (H. 1228/S. 802) and post-pregnancy mental health care, including postpartum depression and pregnancy loss-related care (H. 1314/S. 823).

Transcript Highlights:

• Maybe we have the Screen Actors Guild here and they want to make sure that their people get work and
• Maybe we have the Screen Actors Guild here and they want to make sure that their people get work and
• He does represent the Screen Actors Guild. I see the benefit.
• He does represent the Screen Actors Guild.
• Fifty-one percent of victims have suicidal Thirty-three percent suffer significant emotional distress

Summary: The Assembly Privacy and Consumer Protection Committee heard a long agenda focused largely on AI-related consumer protection, child safety, and privacy bills. Members first adopted the consent calendar, then took up SB 1050, which would require disclosures when advertisements use AI-generated or synthetic performers. Supporters, including SAG-AFTRA, Common Sense Media, and labor groups, said consumers should know when an ad depicts a non-human performer and that the bill protects both consumers and workers. Opponents from TechNet, the Motion Picture Association, broadcasters, and business groups argued the bill was too broad, lacked a deception standard, could burden accessibility uses and short audio ads, and created litigation risk. The committee voted the bill out on a party-line-leaning roll, with several members noting concerns but supporting continued work on the measure. The committee also approved SB 1111, which creates liability and remedies for non-consensual digital replicas using a person’s voice or likeness, and SB 1146, which targets deceptive AI-generated health advertisements that depict synthetic health care providers. Both measures drew support from consumer, labor, medical, and child-safety advocates and faced no formal opposition. Members emphasized the need to prevent deepfake abuse, especially in health-related ads where consumers could be misled into trusting fake doctors or medical endorsements. Several child- and privacy-focused bills were also heard and advanced. SB 867 would place a four-year moratorium on AI chatbot-powered toys for children, with supporters warning about harmful content, addictive design, and privacy risks; some opposition raised definitional concerns and asked for clearer standards. SB 1247 would give child influencers the right to delete monetized content posted during their minority, and it moved forward without opposition. SB 1000 updated California’s AI Transparency Act to align content provenance rules with newer technology and international standards, with support from Google and Adobe and no opposition. Finally, SB 957 would require social media companies to notify users when the federal government seeks their data through administrative subpoenas, give users time to challenge the request, and report disclosures; supporters framed it as a First Amendment and due process protection, while one member opposed it as an overreach against federal law enforcement. All of the measures discussed were reported out of committee, with several rolls left open for absent members.

Transcript Highlights:

• I wanted to clarify if I just heard that it would be a JFAC decision to switch how we operate the suicide
• I do have one slide I'd like to put on the screen, and it's on a thumb drive.
• Can I get some help putting it on the screen, please?" "Yes, maybe we'll see your family vacation.
• I'll see if I can move this screen just a little bit. You got to help her there, by you? Yeah."
• I'll see if I can move this screen just a little bit. You got to help her there, by you?

Summary: The committee first heard reports from the House and Senate Health and Welfare chairs on budget issues and related policy concerns. Senator Van Orden said the department’s non-Medicaid budget had been presented and that members were focused on scrutinizing public health contracts, avoiding broad across-the-board cuts, and preserving essential services. She also said she was not in favor of moving 988 suicide crisis hotline services into the behavioral health managed care contract at this time, while Representative Tanner noted prior intent language had only required a cost-benefit analysis and that any change would need more detail. Representative Van der Woude said the House committee was committed to a bill holding back about $21 million for RESHAB, with audit and oversight provisions, and raised concerns about rural health fund oversight, provider rate reductions, and Medicaid expansion spending. Members then questioned the chairs about possible policy changes to reduce costs, including reviewing programs not in Idaho Code, restoring provider rates if revenues improve, and adding work requirements or enrollment caps to Medicaid expansion. Van der Woude said he was drafting a bill that would let Medicaid expansion expire and restart with work requirements and a cap, and he said he would support an asset-based waiver request for people with substantial assets. Several members raised concerns about the human impact of cuts, especially in adult dental and developmental services, while others emphasized the need for clearer evaluation tools and better return-on-investment data for programs. Van der Woude explained that RESHAB funding concerns stemmed from unclear assessment standards and the loss of a prior evaluation tool in litigation, and Senator Wintrow cautioned that a straight $21 million reduction could harm services and providers. The committee then heard from House Agricultural Affairs Chair Gerald Raymond, who reviewed agriculture-related budget items and emphasized the importance of dedicated funds, research, and invasive species prevention. He highlighted funding for quagga mussel prevention, Mormon cricket control, Japanese beetles, and carnal bunt response through a deficiency warrant, and said prevention at boat check stations is cheaper than treatment. He also discussed the University of Idaho dairy/cafe project, saying the facility was nearing completion and expected to have about 400 cows milking by the end of the summer. Members asked about the impact of recent cuts on check stations, and Raymond said his committee had not yet discussed that issue but would consider it, and that the Snake River Basin study had mostly been left to the resource committees. The meeting ended with notice that work groups would meet immediately after adjournment and that budget-setting would begin the next day, with the committee reconvening at 7:15 a.m. and the full committee at 8:00 a.m.

Transcript Highlights:

• ideation, gave detailed advice to the user on methods of suicide, drafted suicide notes, and even encouraged
• My dad, Mark Baker, died by suicide, and for the past five years, I volunteered as a 988 crisis counselor
• In moments of suicidal crisis, minutes matter, and human connection matters.
• In moments of suicidal crisis, minutes matter, and human connection matters.
• And I can even do that to an extent with my kids now: I can shut off their access to screen time.

Summary: The committee heard AB 1988, which would require AI companion chatbots to respond to credible self-harm or violence-related crisis expressions by displaying the 988 Suicide and Crisis Lifeline, warning users, and pausing the chat for human review after repeated crisis signals. The author and supporters said the bill is a measured safety standard to redirect vulnerable users to human help, citing research and cases where chatbots worsened suicidal ideation or violent behavior. Support came from crisis and medical advocates, while no opposition testimony was offered. The chair and members expressed strong support, and the bill was held pending quorum before later action on the agenda. The committee then took up AB 1709, which would set a minimum age of 16 for users to create or maintain accounts on social media platforms with harmful addictive features and would create an E-Safety Advisory Commission in the Attorney General’s office. The author argued the bill targets product design, not speech, and is intended to curb compulsive features such as infinite scroll, autoplay, and algorithmic feeds while allowing safer or non-addictive platforms to remain available. Supporters, including a psychologist and the Organization for Social Media Safety, described cyberbullying, predation, compulsive use, and mental health harms; opponents, including EFF, ACLU-Cal Action, TechNet, and youth advocacy groups, warned about privacy, First Amendment, and access-to-community concerns, especially for LGBTQ youth and other marginalized groups. Committee members debated whether the bill is a ban or a delay, how age assurance would work, and whether the proposal would be effective or could push youth to less safe spaces. Several members said they would support the bill as a first step, while others raised concerns about enforceability, privacy, and constitutional issues. The author emphasized that the bill is limited to specific harmful design features, not content or general internet access, and that the new commission would monitor evolving technology and recommend future updates. No final vote was taken during the portion of the hearing provided.

Transcript Highlights:

• females in New Mexico felt sad and hopeless for two or more weeks, and 19% seriously contemplated suicide
• Additionally, not using a validated risk screening and assessment tool to inform decision-making across
• Similarly, on the front end, a risk screening tool is not necessarily being used to inform them.
• To use screening and assessment tools, to better use current funding streams to more effectively target
• Suicide and hopelessness and sadness.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• He added that later they see some of these cases that have resulted in suicide, and then suicide prevention
• </c> resulted in suicide um and then Suicide resulted in suicide um and then Suicide Prevention Prevention
• Page 9 has the methods of suicide.
• Those tend to be, I would say, the themes that we've seen in the multiple suicide reviews that we've
• And obviously we can't identify prevented suicides, but we were encouraged to see the uptake in that.

Summary: The committee met on March 28 for a Health and Human Services Oversight Committee meeting, approved the draft minutes from February 21, and then received updates from DHHS on the sudden termination of about $80 million in federal COVID-era funding. Commissioner Lori Weaver and Trisha Tilly said the funding had been expected to continue through September 2026, but an email ending it immediately created a 15-month budget gap. They explained that most of the money supported public health work, especially epidemiology, laboratory capacity, data systems, community health workers, outbreak response, and some behavioral health supports. DHHS said it had notified contractors, was reassessing which activities could continue, and had managed to avoid layoffs for its 20 affected staff by shifting funding sources, though some contract lab staff had to leave and some work would stop or be put on hold. Senators and representatives asked about impacts on labs, staffing, and the state budget lapse, and DHHS said the water lab and testing supplies would be affected and that the department was trying to backfill where possible with other federal funds. The committee then heard a maternal mortality report from the Maternal Mortality Review Committee. Alison Power and Caroline Naami explained that the MMRC reviews maternal deaths to identify contributing factors and make recommendations, and that it had completed one CDC grant and received another five years of funding. For 2023, the state recorded five pregnancy-associated deaths, including three from overdose, two from cardiovascular causes, and one homicide; the share of deaths related to substance use fell from 62.5% in 2022 to 40% in 2023. Over the 2019–2023 period, half of pregnancy-related deaths were due to overdose, most occurred postpartum, and many involved Medicaid recipients, transportation or financial barriers, and deaths at home. The committee said mental health and substance use remained the main drivers of maternal mortality, but that 79% of pregnancy-related deaths in the five-year aggregate were considered preventable. Presenters highlighted recommendations and ongoing interventions, including expanding Medicaid coverage through one year postpartum, strengthening behavioral health access, partnering with the Department of Corrections on care for pregnant and postpartum women, and continuing clinical education through the Northern New England Perinatal Quality Improvement Network. Members asked why the maternal mortality rate had declined in recent years; staff said the 2021 spike was tied to the pandemic and that recent declines likely reflected both that spike and the impact of interventions, though the small number of cases makes trends hard to interpret. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• </c> would attempt suicide. would attempt suicide. 8.5%<00:42:25.040><c> reported</c><00:42:25.599><c
• </c> suicide attempts during the past year. suicide attempts during the past year. and<00:42:30.480><
• suicide prevention.
• </c> means, while females attempt um suicide means, while females attempt um suicide at<00:46:24.640>
• Suicide is incredibly complex.

Committee: House Education Policy and Administration

Transcript Highlights:

• Since newborn hearing screening was adopted in 1998, only 9% of plans cover medically necessary hearing
• Daniela Carbaho at Radie Children's Hospital has said, we do a beautiful job screening, but fail miserably
• program and the voluntary prenatal screening program.
• For our neural tube defects screenings, we anticipate a 2% decline in fiscal year 2025-26.
• Yeah, for newborn screening. So how much do people pay now? $20. Yeah. Yeah, for newborn screening.

Summary: The hearing began with testimony from Let California Kids Hear and supporters urging action on pediatric hearing aid coverage. Advocates said California has repeatedly failed to enact a workable solution over the past eight years and argued that children need early access to sound to support development. The proposal discussed would limit the coverage mandate to the large-group market, which advocates said would cover roughly 70% to 80% of affected children and avoid the exchange-related cost issue that contributed to prior vetoes. Supporters, including parents, audiologists, and children’s health groups, backed the proposal, and the chair expressed sympathy and support while noting hope for a federal solution for exchange plans. The Department of Finance then gave opening remarks about the state’s structural deficit and the need to balance new investments against projected out-year shortfalls. HCAI followed with a broad overview of its programs, including CalRx insulin and naloxone initiatives, reproductive health grants, the Office of Health Care Affordability, hospital seismic compliance, workforce programs, and the diaper access initiative. Members asked about geographic targeting of workforce funds, the behavioral health workforce pipeline, and the status of the 21st Century Nursing Initiative, which HCAI said had reverted funds. The committee also discussed a proposed transfer of the Data Exchange Framework and Office of the Patient Advocate to HCAI, new reporting on long-term care staffing and health coverage waiting periods, and a Behavioral Health Services Act workforce proposal that would use BHSA funds to support training, stipends, and technical assistance while offsetting $100 million in General Fund spending; members and LAO questioned the offset and asked for more detail, and the item was held open. HCAI also presented the Rural Health Transformation Program, explaining that California received $233.6 million in federal funds for the first year and had to revise its proposal so that $35 million in provider payments would be tied to specific transformative activities rather than general financial relief. The program will fund rural care model redesign, workforce development, and technology/infrastructure improvements, with grants to be rolled out on a tight timeline and subject to CMS approval. Members asked about the size of California’s award, the use of funds for maternity care, labor and delivery access, dialysis, tribal set-asides, and the role of a technical assistance contractor. The department said the program will use supply-and-demand workforce modeling to target funding and that all funds must be obligated by October 30. Finally, the Department of Managed Health Care outlined its budget and two major bill-related proposals: SB 41 on PBM reform and SB 306 on prior authorization transparency. DMHC said SB 41 would require PBM licensure, ban spread pricing, require rebate pass-through, and regulate pharmacy network practices, while SB 306 would require reporting on prior authorization and create a list of services exempt from prior authorization. DMHC requested additional positions and funding to implement both measures.

Transcript Highlights:

• Leukemia or overdose in suicide? Multifold the latter.
• We improve outcomes by integrating prevention, doing nutrition screening in primary care, and catching
• And so if you provide a negative urine drug screen, then you have the opportunity to earn a little bit
• When we know that it’s associated with gambling disorders associated with suicide, it’s a higher price
• And they were able to not only offer some basic infectious disease screening for those individuals, for

Committee: House Substance Abuse Prevention and Treatment Task Force

Summary: The task force meeting opened with a brief organizational update, including new leadership, roll call, and an explanation of the task force’s statutory duties: to study current and future drug and substance use in Missouri, explore solutions, draft or modify legislation, and report recommendations on prevention and treatment. The chair outlined the summer hearing plan, which would feature field experts, with future sessions expected to cover alternative therapies such as psilocybin and ibogaine and testimony from the Department of Mental Health. Members were encouraged to think about legislative ideas and policy recommendations for the upcoming session. The first major testimony came from Dr. Rachel Winograd, who described Missouri’s overdose crisis as evolving into a “fourth wave” marked by fentanyl mixed with animal tranquilizers such as xylazine and medetomidine, along with methamphetamine and other synthetic drugs. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, but emphasized that the crisis remains severe. Her main recommendations were to focus on demand reduction rather than repeated supply crackdowns, expand evidence-based treatment—especially methadone and buprenorphine—broaden naloxone access, and improve practical supports like housing, transportation, and case management. She also said peer services are valuable but should not be used as a substitute for clinical care, and noted that Missouri Medicaid generally covers evidence-based treatment but reimbursement for peer recovery services remains a gap. Dr. Heidi Miller, the state medical director at the Department of Health and Senior Services, reinforced the call for integrating substance use disorder care into whole-person health care. She highlighted the state naloxone standing order, which supports more than 11,000 Medicaid naloxone prescriptions annually, and urged five best practices: integrating SUD treatment into primary care, maternal health, general medical training, EMS initiation of buprenorphine after overdose, and expanded methadone access. She also argued for team-based reimbursement, stronger parity enforcement between behavioral health/SUD and physical health, and caution in regulating emerging substances so policy does not outrun the science. Dr. Doug Burgess of University Health in Kansas City echoed the integration theme, arguing that Missouri’s system is too fragmented and that patients are often stabilized and then left to coordinate their own next steps. He compared ideal SUD care to the coordinated response used for heart attacks, with seamless transitions from emergency care to inpatient treatment, rehab, and outpatient follow-up. He said treatment courts can be effective when they are well coordinated and informed by addiction science, and he stressed the importance of discharge planning, peer recovery coaches, information-sharing, and maintaining Medicaid coverage during justice involvement. No formal votes or committee actions were taken during this portion of the meeting.

Transcript Highlights:

• Lazy, depressed, suicidal, all that stuff. They want to be happy.
• It's often nicknamed the suicide disease.
• We do a standard screening tool for any kind of substance use.
• We do a standard screening tool for any kind of substance use.
• He passed away, and that was the only substance that was in his toxicology screen.

Summary: The Kratom Working Group met to hear public testimony and expert presentations on whether North Dakota should prohibit or regulate kratom and 7-OH products. Early testimony split sharply between speakers who described natural kratom as a helpful, lower-risk alternative for chronic pain, opioid withdrawal, PTSD, and recovery, and speakers who urged prohibition because of dependence, overdose risk, and the growth of concentrated or synthetic 7-OH products sold in gas stations, smoke shops, and online. Several witnesses, including consumers and shop owners, argued that banning kratom would push people to more dangerous drugs or unregulated internet sources, while public health and medical witnesses said the marketplace is confusing and inadequately controlled. A number of witnesses, including representatives of the North Dakota Public Health Association, the state crime lab, and addiction-treatment and pediatric clinicians, emphasized risks from adulterated or concentrated products, lack of labeling and age restrictions, contamination concerns, and harms to adolescents, pregnant patients, and newborns. The crime lab described recent cases involving mitragynine, 7-OH, and pseudoindoxyl, and said products purchased in a smoke shop were inaccurately labeled. A Sanford pediatric hospitalist testified that kratom exposure in pregnancy can cause severe neonatal withdrawal and that adolescents are using the product. By contrast, American Kratom Association representatives and other advocates argued that natural leaf kratom should be distinguished from synthetic 7-OH, that deaths usually involve other substances, and that a regulatory framework with testing, labeling, age limits, and product registration would better protect consumers than a blanket ban. No formal bill was debated or voted on in this transcript. The working group heard testimony, asked questions, and took no final action before breaking for lunch and later resuming with additional presentations.