Transcript Highlights:

• <00:14:47.040> Network like the Somali parents autism Network like the Somali parents autism
• <00:14:50.199> Action and the Multicultural uh autism Action and the Multicultural uh autism
• Um, children with autism are drawn to water.
• <00:19:50.120> Action for the Multicultural autism Action for the Multicultural autism Action
• <00:54:17.880> service is uh substance use disorder service is uh substance use disorder service

Keywords: 1187, senate, all

Transcript Highlights:

• and disordered eating work was included in the bill.
• Talking about a little bit of the rationale for why some of the eating disorders and disordered eating
• And we are seeing rising trends in eating disorders among our youth in our state. ...in eating disorders
• and other substance use disorders.
• Initiation and engagement in treatment for opioid use disorders and other substance use disorders.

Keywords: 962, all

Summary: The meeting opened with approval of the April minutes and brief administrative updates, including notice that House Bill 5447 had passed both chambers of the General Assembly. Speakers reflected on the bill’s key provisions, which include eating-disorder working groups, an evidence-based screening requirement for school-based health centers beginning July 1, 2027, and a DSS-led feasibility process to explore an inpatient psychiatric facility for young adults ages 14 to 21. New staff introductions were also made for the Behavioral Health Advocate’s office and the TCB team. A major portion of the meeting focused on marketing and outreach for urgent crisis centers (UCCs) and the broader youth crisis continuum. Daydream Communications presented research showing low public awareness of UCCs but strong interest once families learn about them, with parents wanting specialized, compassionate care, clear expectations, insurance clarity, and bilingual support. United Way described its parallel work on a statewide crisis continuum marketing toolkit, using the SAMHSA framework of “someone to talk to, someone to respond, and somewhere safe to go,” and outlined plans to distribute consistent messaging through websites, social media, flyers, and community venues. Members emphasized coordinating with existing platforms and ensuring the marketing reflects the actual experience at UCC sites. DCF then presented on adolescent substance use services, citing data showing high need and low treatment access among Connecticut youth. The department reviewed its ASAM-based continuum, SBIRT efforts in outpatient psychiatric clinics, medication-assisted treatment access, and statewide services such as MST, MST emerging adults, STRIDE, multidimensional family therapy, youth recovery supports, and the AIM matching tool. A new young people peer support program was highlighted, with referrals accepted from families, hospitals, community providers, DCF, youth diversion, and the judicial branch. Questions addressed parent consent, peer matching, and whether the AIM tool could be linked through 211. The meeting concluded with an update from the Connecticut Suicide Advisory Board and its regional boards and grant-funded initiatives. Presenters reviewed the state suicide prevention plan, regional coalition work, postvention response, lethal means safety efforts, and the 988 capacity improvement grant that supports Connecticut’s centralized 988 contact center at United Way. They also shared youth suicide risk data from the Connecticut Youth Risk Behavior Survey, noting recent declines in reported suicidal ideation and attempts, and provided resources for training and materials. No formal votes were taken beyond the approval of the April minutes.

Transcript Highlights:

• defiance disorder which is not<01:39:13.040> something<01:39:13.920> that<01:39:14.159
• But having sat with families and talking to them about their children’s, for example, bipolar disorder
• and having a family who the disorder and having a family who the parent<01:46:21.920> also<01
• :46:22.239> has<01:46:22.480> bipolar<01:46:23.040> disorder<01:46:23.520> and
• parent also has bipolar disorder and parent also has bipolar disorder and watching<01:46:24.080>

Keywords: 928, house, all

Summary: The commission met to review and amend the minutes from its previous meeting, correcting the date, several spelling and wording errors, and clarifying references to a scholarship fund and a member’s title. The minutes were then approved as amended, with some members abstaining because they were not present at the prior meeting. The chair then turned to the commission’s work plan under SB 57, emphasizing the need to prioritize the statutory topics and identify which issues require additional research, documentation, and possible spreadsheets. Members discussed a broad range of special education cost drivers and policy questions, including student referral rates, why students are classified as other health impaired, whether referrals increased after COVID school closures, intervention processes before referral, the cost of services required under IEPs and 504 plans, differences between federal law, state law, and DOE rules, reporting of special education costs, out-of-district and residential placements, district sharing of resources, dispute resolution, graduation rates, and adult learning outcomes. Several members raised concerns that school environments, mental health, bullying, and possible overidentification may be contributing to rising special education numbers and costs, while others cautioned that some reported district percentages may be inflated or unclear because of how the data are counted. A major portion of the meeting focused on HB 742, which would eliminate prorated special education aid when state appropriations are insufficient and require the governor to draw a warrant to cover shortfalls. Representative Ames explained that the bill had been recommended for interim study because the commission is already examining special education costing, and he highlighted the gap between FY24 special education costs of about $977.1 million and state aid of $33.9 million for catastrophic aid, $67.4 million for differentiated aid, and $50.8 million in federal IDEA funds, leaving local districts to cover about $825.1 million. He argued the commission should ultimately make clear that both the federal government and the state should contribute more. The Department of Education, through Melissa White, answered questions about data and oversight. She said special education counts come from IEPs entered into the state system using SASIDs, that DOE monitors districts through both desk audits and on-site visits, and that billing is checked against the services listed in each student’s IEP. She also said DOE’s special education work is largely federally funded, with roughly $56.7 million received through IDEA this year and about $49.1 million flowing through to LEAs, while the department retains a small amount for administration and statewide support activities. Members also discussed how adequacy calculations use special education counts from the state system and how those figures are reported.

Transcript Highlights:

• As Bleeding Disorders Awareness Month. Chair recognizes Senator Bettencourt on the resolution.
• Senate Resolution 109 commemorates bleeding Disorders Awareness Month which is being observed at March
• 2025 to focus attention on hemophilia and other hereditary bleeding disorders that impact the lives
• Bleeding disorders are life-changing and potentially deadly conditions.
• Y'all could stand from the bleeding disorder of families at this point. that deal with these disorders

Bills: SB 26, SJR 36, SB 26, SB 616, SB 565, SB 384, SB 28, SR 109, SR 122, SR 126, SR 130, SR 136, SR 137, SR 141, SR 142, SCR 20

Keywords: teacher compensation, education funding, public school educators, teacher retention, teacher designation, aquifer, water management, Edwards Aquifer, sustainability, regulatory framework, SB 565, Texas Water Code, TCEQ, Texas Commission on Environmental Quality, compliance agreement, enforcement suspension, utility consolidation, regionalization, water supply, sewer

Summary: The meeting was marked by significant resolutions recognizing various contributions to Texas and celebrating community initiatives. Key discussions included the adoption of resolutions commemorating Texas Hispanic Judges Day and highlighting the 100th anniversary of Memorial Park. Senators expressed appreciation for the judges' dedication and legacy, with notable mentions of individual judges and their impact on the community and legal landscape in Texas. The Senate also honored students and organizations contributing positively to their communities, showcasing the interconnectedness of public service and the legislative process.

Transcript Highlights:

• illness as well as a substance use disorder, right?
• those that have a co-occurring disorders those that have a mental<00:25:38.320> health<00:25:
• in terms of uh because of an Autism in terms of uh because of an Autism situation<01:18:16.840><
• No, I mean, I believe, to Henry’s point, autism maybe.
• <01:22:24.080> Maybe points autism Maybe points autism Maybe um<01:22:26.920> so<01

Keywords: 928, house, all

Summary: The House Finance Division III held an informational hearing on Medicaid, Medicare, Choices for Independence, and related financing, while postponing nursing facility financing and the county cap discussion to a later date. DHHS officials Ann Landry, Jonathan Ballard, and Medicaid Director Henry Litman provided an overview of Medicaid’s role, noting it is a federal-state partnership with state-specific eligibility and benefits, and emphasizing that Medicaid is a major funding and programmatic support for other DHHS initiatives. They also distinguished Medicaid from Medicare and explained that Medicaid funding is not the same as grant funding, though some providers may also receive federal grants through other channels. The presentation focused on New Hampshire’s relatively small Medicaid program and why it differs from national averages. Officials said about 184,000 residents are covered, roughly one in seven Granite Staters compared with one in five nationally, and attributed the difference largely to the state’s higher per-capita income and older population. They highlighted that about 65% of Medicaid-enrolled adults in New Hampshire are working, that only 22% of births are covered by Medicaid versus 42% nationally, and that the state’s uninsured rate is lower than the national rate. Members asked about covered services, income limits, federal matching rates, and the names of optional eligibility groups; staff explained that New Hampshire offers the optional groups discussed, with matching rates varying by category, including 90% for Granite Advantage and certain other groups, and 65% for children above the required level. A substantial portion of the hearing covered eligibility rules and recent policy changes. Officials reviewed the history of Medicaid, including HCBS waivers, the CFI program, Katie Beckett, the Olmstead decision, the ACA, and the end of continuous enrollment after the public health emergency. They also discussed the 2023 legislative expansion of postpartum coverage from 60 days to 12 months and child eligibility changes. In response to questions, DHHS said it is tracking utilization and costs for the postpartum expansion and reported that many maternal deaths occur after the prior 60-day coverage period, often involving substance use disorder or suicide; they said the longer coverage is intended to improve access to treatment and prevention. The committee also walked through household-income examples, clarified that Medicaid eligibility is based on household income and categorical rules, and confirmed that Granite Advantage ends at 138% of the federal poverty level unless another categorical basis applies. No votes were taken, and the hearing remained informational.

Transcript Highlights:

• obesity, cardiovascular disease, certain cancers, birth defects, premature birth, neurodevelopmental disorders
• are linked to serious health conditions, including cancer, heart disease, diabetes, reproductive disorders
• associations between phthalate exposure and the risk of depression and emotional and behavioral disorders
• Um, another study found that the risk of autism spectrum disorder was two times higher in the babies
• Um, another study found that the risk of autism spectrum disorder was two times higher in the babies

Keywords: 1187, senate, all

Transcript Highlights:

• require insurers to demonstrate that they provide equal access to mental health and substance use disorder
• Children with autism across California are facing real challenges accessing applied behavior analysis
• I'm here not just as a clinician, but also as a parent of four neurodiverse kids, two who have autism

Summary: The Assembly Appropriations Committee met on April 8, 2026, with a quorum established and 59 bills listed for consideration. The committee first approved two consent calendars: several bills were sent to the Assembly floor on a due-pass basis, and a smaller set was approved due-pass but not eligible for the floor consent calendar. The proposed suspense calendar was then deemed approved without individual debate on those measures. The committee heard several bills in regular order. AB 1977, sponsored by the Secretary of State, would clean up and clarify the Online Notarization Act to support implementation by 2030; it drew no opposition and was approved. AB 2011 would codify existing federal mental health parity standards into state law; supporters said it would preserve enforcement authority, while health plans opposed it as premature given federal uncertainty and possible premium impacts; the bill was placed on the B roll call. AB 1673 would give county fish and game commissions more flexibility to use certain revenues for wildlife conflict prevention, and it advanced on an A roll call. AB 2233 would allow unused authorized ABA therapy hours for children with autism to be made up within the authorization period; supporters emphasized access and continuity of care, while insurers warned of higher costs and reduced utilization safeguards; it advanced on an A roll call. AB 1660, as amended, would give courts more flexibility in cases involving financial institutions and public guardians/conservators, with supporters saying it could save counties time and money; it was approved due-pass as amended. During general public comment, speakers voiced support for AB 2081 and AB 1667, and opposition to AB 1777. After public comment and final vote recording for absent members, the committee adjourned.

Transcript Highlights:

• introduced by the Assembly Committee on Health and Human Services, establishes the Fetal Alcohol Spectrum
• Assembly Bill 6 establishes the Fetal Alcohol Spectrum Disorder Treatment Assistance Program within the
• disorders through age 13.
• Assembly Bill 6 establishes the fetal alcohol spectrum disorder treatment assistance program within the
• disorders through the age 13.

Keywords: 909, all

Bills: HB3767, HB3934, HB4199, HB4336, HB2947, HB3834, HB4302, HB4095, HB3287, HB3649, HB4430, HB4431, HB2059, HB3647

Keywords: dentistry, licensing, dental hygiene, foreign-trained dentists, temporary license, public health, emergency response, child care, workforce, pilot program, affordable care, income eligibility, interventional pain management, pain management clinic, chronic pain, acute pain, spinal injections, epidural steroid injection, peripheral nerve block, nerve ablation

Transcript Highlights:

• Some of these disorders require immediate care to achieve the best outcomes possible for the affected
• First, it will help ensure access to immediate care in some of these disorders, as I mentioned.
• This is a rapidly progressive neurologic disorder that, if untreated, is lethal in infancy.
• My name is Jillian Nelson, and I'm the policy director for the Autism Society of Minnesota.
• <00:42:53.440> Society<00:42:53.800> of director for the Autism Society of director

Keywords: 1187, senate, all

Transcript Highlights:

• , attention deficit disorders, and other disabilities.
• disorders, and other disabilities, which are often attention deficit disorders, and the increase in asthma
• , attention deficit disorders, and other disabilities.
• disorders, and other disabilities, which are often attention deficit disorders, and the increase in asthma
• breast cancer Parkinson's disease autism breast cancer Parkinson's disease autism bir<01:17:30.199

Keywords: 910, house, all

Summary: This joint informational briefing of Senate and House committees focused on restricted use pesticides in Hawaiʻi, with opening remarks framing the issue as one of health, environmental impact, and state-level regulation. The briefing reviewed the history of pesticide disclosure efforts, including prior county actions, a 2016 court ruling that shifted responsibility to the state, and Act 45, which enabled disclosure of restricted use pesticide data. Speakers highlighted 2019 reporting data showing concentrated use in parts of Oʻahu and Kauaʻi, especially near schools and communities, and identified fumigants such as 1,3-dichloropropene and metam sodium as among the heaviest-used products. Concerns were raised about potential links to cancer, respiratory illness, reproductive harms, Parkinson’s disease, and developmental effects, as well as the lack of long-term mixture studies and the need for better buffer zones, reporting, and farmer transition support. The Department of Agriculture’s pesticides program manager described the state’s regulatory framework, explaining the distinction between general use and restricted use pesticides and the department’s role under FIFRA and Hawaiʻi law. He outlined the branch’s enforcement, education/certification, registration, and laboratory functions, including inspections, complaint response, market surveillance, applicator certification, product review, groundwater protection modeling, and special registrations. He also noted staffing and resource limitations, including the absence of an in-house toxicologist and long-term monitoring capacity, and compared Hawaiʻi’s resources to California’s much larger pesticide regulatory program. He said the department supports Act 231, which was passed the previous year and is moving forward this session. A pediatrician speaking for the Hawaiʻi chapter of the American Academy of Pediatrics emphasized concerns about chronic low-level pesticide exposure in children, citing AAP policy statements and technical reports that associate exposure with cancer, leukemia, birth defects, neurobehavioral issues, and asthma. Drawing on work with the Kauaʻi Joint Fact Finding Task Force, the speaker said the group found the west side of the island to be an unhealthy community but could not prove causation because of missing drift, geospatial, and biomarker data. The testimony pointed to elevated cancer mortality, pneumonia admissions, obesity, dialysis, and developmental delay indicators, and described concerns about pesticide drift near schools and homes, including reports of children becoming ill after nearby spraying and low levels of chlorpyrifos detected in dust samples. An environmental health scientist from the University of Hawaiʻi described a pilot project using restricted use pesticide data in a public health context. She said the project began after seeing maps of Central Oʻahu pesticide use and aimed to pair GIS data with health and ethnicity data, while also conducting community focus groups. Preliminary focus group themes included calls to action, voting and policymaker awareness, concern about pesticide use near homes and fields, lack of community consent, and a desire to stay engaged. No votes or formal committee actions were taken during the briefing.

Transcript Highlights:

• HB3096 would designate March 17th as Profound Autism Awareness Day.
• Profound autism is a severe form of autism.
• Profound autism affects one in four children with autism and is defined by requiring 24-hour supervision
• faced by individuals with profound autism. ...profound autism, their families, and their caretakers,
• I have a 21-year-old son with autism who is non-verbal.

Bills: SB2959, HB3096, HCR29, HCR56, HCR12, HCR55, HCR74, HCR78, HCR116, HCR117, HCR6, HCR50, HCR107, HCR80, HCR58, HCR70, HCR71, HCR72, HCR75, HCR93, HCR12, HCR6

Keywords: firearm safety, awareness month, public safety, responsible ownership, storage, recreational use, profound autism, awareness day, caregiver, disabilities, support, counseling, mental health, awareness, support services, community health, necrotizing enterocolitis, premature infants, breastfeeding, health awareness

Transcript Highlights:

• use disorder.
• use disorder.
• He had no history of any... ...and alcohol use disorders was seen at our CBHC for almost a year.
• My brother struggled with substance use disorder on and off for about 10 years.
• On one end of the spectrum, maternal deaths do occur. More than 15. Births every year.

Keywords: 995, all

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:

• Autism, dementia, teenage love, war-induced PTSD, clicking on social media, are contributors to our burgeoning
• Autism, dementia, teenage love, war-induced PTSD, clicking on social media, are contributors to our burgeoning
• I see as being lifelong as post-traumatic stress disorder.
• And yes, I have been diagnosed with post-traumatic stress disorder, general anxiety disorder, and yes

Bills: S0212, S0656, S0682, S0810, S0812, S0890, S0892, S0900, S0928, S1084, S1284

Keywords: sexual offender, sexual predator, sex offender registry, child protection, residency restriction, loitering, proximity restriction, public swimming pool, school safety, child care facility, day care center, park, playground, conditional release, probation, community control, warrantless arrest, background check, registry screening, minor victims

Summary: The committee took up a series of criminal justice and public safety bills. SB 1084, which exempts certain identifying and location information for non-legal support staff in state attorneys’ offices from public records requests, was supported by prosecuting attorneys and reported favorably. SB 212, as amended, created new restrictions related to sexual offenders and predators, including a 200-foot restricted presence provision near certain locations and updated notification/supervision requirements; it drew strong opposition from researchers, advocates, and affected families who argued it lacked evidence and would increase homelessness, but it was reported favorably. SB 682, addressing domestic violence, coercive control, strangulation, animal abuse, injunctions, and related training and enforcement issues, received emotional survivor testimony and support from animal welfare and law enforcement groups and was reported favorably. SB 656, creating and renaming FDLE Internet Crimes Against Children funding and grant programs, was amended and reported favorably and unanimously. The committee also considered SB 810 on sealing criminal history records, which would expand eligibility for some non-conviction records and one low-level misdemeanor conviction after waiting periods and judicial review; supporters said Florida is unusually restrictive, while one senator raised concerns about the scope, and the bill was reported favorably. SB 890, creating a standalone battery by strangulation offense applicable outside domestic relationships, was reported favorably after the sponsor said it would close a gap in current law. SB 892, revising habitual offender and violent career criminal sentencing procedures and notice requirements, was reported favorably, with defense lawyers supporting the clearer pretrial notice. SB 928, “Missy’s Law,” requiring immediate remand to custody after conviction of certain dangerous crimes, was amended to include computer pornography/child exploitation offenses and reported favorably after a family member of the namesake victim testified in support. Later, SB 1284 modernized arrest and search warrant statutes, expanding judicial summons options for some misdemeanors and broadening warrant/arrest authority in certain DUI, injunction, domestic violence, and misdemeanor force cases; defense lawyers supported the judicial-discretion portions but raised concerns about DUI/BUI arrests, and the bill was reported favorably. Finally, SB 812, a technical companion to SB 810 updating public records treatment for sealed criminal history records, was amended to clarify prosecutorial access for later cases and reported favorably. Several bills were supported by law enforcement, prosecutors, and advocacy groups, while others drew opposition from civil liberties, treatment, homelessness, and criminal defense advocates. The meeting adjourned after members recorded additional votes on selected tabs.

Transcript Highlights:

• state agency or local government, or their contractors or grantees, from collecting and disclosing autism-related
• introduced by the Assembly Committee on Health and Human Services, establishes the Fetal Alcohol Spectrum
• Disorder Treatment Assistance Program within the Aging and Disability Services Division of the Department

Keywords: 909, all

Transcript Highlights:

• spectrum disorder, those kinds of speech-language issues, who get accused of bullying and are investigated
• involving communication um autism involving communication um autism spectrum<01:44:10.360> disorder
• disorder those kinds of speech spectrum disorder those kinds of speech language<01:44:12.000> issues
• I think there are a lot of advocates, mental health, substance use disorder, and otherwise youth groups
• mental health uh substance use disorder um<04:04:37.479> and<04:04:37.840> otherwise<04

Keywords: 928, house, all

Summary: The House Education Policy and Administration Committee heard testimony on House Bill 71, which would bar public elementary and secondary schools and higher education facilities from being used as shelters for certain non-citizens, with a stated exception for short-term emergency sheltering of up to 72 hours and for community-wide emergency use. Prime sponsor Rep. Juliet Harvey-Bolia said the bill was modeled on federal and out-of-state proposals and was prompted by examples in New York and Massachusetts where schools or other facilities were used as shelters, causing disruption. She argued the bill does not truly “ban” anything, but instead places a condition on receipt of state funds, and said the fiscal note’s projected loss of federal funding was unsupported and should have been described as undeterminable. Committee members questioned the bill’s scope and practical effects, including whether it would apply to vacant school-owned buildings, schools used during summer, charter schools, and situations where other states send people without advance notice. Harvey-Bolia said vacant buildings not functioning as schools would not be covered, and that the bill would still allow short-term emergency sheltering and community-wide use during weather events. She also said the bill would not prevent remote learning, and that its purpose was to avoid displacing students. Several members pressed her on the fiscal note and whether any federal or state program would actually be at risk; she said she found no evidence that funding would be lost and that DHHS had not identified a real threat. A witness from the New Hampshire Association of School Administrators, Jerry FW, raised practical concerns about who would determine eligibility at a shelter site, how the 72-hour limit would be enforced, and whether the bill would apply to charter schools. He also noted that remote learning is no longer an option in New Hampshire, making one of the bill’s stated concerns less relevant. The discussion also included clarification of the terms “refugee” and “asylum seeker,” with members and the sponsor debating the distinction and whether refugees are vetted. No vote or final committee action was taken in the portion of the meeting provided.

Transcript Highlights:

• I'm and one-third of those drownings are students or young kids with autism and above the age of 5 autistic
• Patients with seizure disorders, patient was bipolar disorder, major depressive disorder, obsessive compulsive
• disorders, paranoid personalities, postpartum depression and schizophrenia.
• patient safety, this issue is near to my heart because my mother was diagnosed with serious bipolar disorder

Transcript Highlights:

• As I alluded to those products earlier, will CBD or CBG be full spectrum?
• So full spectrum is not legal under Senate Bill 5.
• That cannabis use disorder was present in a significant number of veteran suicides.
• This is a full-spectrum product. Full-spectrum products are not synthetic.
• We want naturally occurring, full spectrum hemp products.

Bills: SB5, SB11, SB12, SB 5, SB 11, SB 12

Keywords: hemp regulation, consumable products, cannabinoids, occupational licenses, criminal offenses, SB 11, Texas attorney general, election crimes, election law enforcement, criminal prosecution, Election Code, Government Code Chapter 402, local prosecutors, county attorney, district attorney, grand jury, probable cause reports, state election offenses, voter fraud, election integrity

Transcript Highlights:

• members of the committee, good afternoon, Kyle Mikely, President and Board Chairman of Americans for Autism
• Chair, members of the committee, Kyle Mikeley, again, President and Board Chair of Americans for Autism
• This summer, I have had the pleasure of working with one of our interns, David Masch, who is on the autism
• spectrum himself.
• And that's not to say that providers who come to the table wouldn't give a fuller spectrum.

Keywords: 996, all

Transcript Highlights:

• You know, the broad spectrum is reimbursements are too low, costs are too high.
• We need to broaden the spectrum and allow providers to provide services.
• . ...that we are using to treat substance use disorders.
• Youth and adolescent, we're also opening up a substance use disorder unit.
• This is our first residential substance use disorder treatment.

Keywords: 1204, all

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to behavioral health as the main topic. Representatives Wooldridge and Vaught described the work of the behavioral health working group, saying Arkansas needs a more proactive system focused on access, workforce, reimbursement, and reducing red tape. Members raised concerns about provider shortages, licensure barriers, rural access, reimbursement rates, jail-based services, non-emergency transport, and the need for step-down options and crisis diversion before people end up in jail or the state hospital. DHS Director Paula Stone outlined the behavioral health system, emphasizing that Medicaid pays for most behavioral health services in Arkansas and that many services cannot be billed once a person is in jail or the state hospital. She described current efforts including family-centered treatment for children, community reintegration group homes, a new adolescent substance use disorder unit, forensic evaluation and restoration changes, and a planned IMD waiver to allow Medicaid payment for certain psychiatric and residential services. She also explained the backlog at the state hospital and in forensic restoration, the role of therapeutic communities, and the challenges of serving rural and difficult-to-serve populations. Members asked about crisis stabilization units, civil commitment, dashboards for bed availability, and whether Arkansas should expand step-down or long-term facilities. Stone said the state has supported crisis stabilization units in several cities, with mixed results, and noted that Fort Smith and Jonesboro have been more successful than Fayetteville and Little Rock. She said DHS does not yet have a statewide bed dashboard but sees it as a useful tool. The meeting ended with agreement that the discussion was a starting point and that the committee would continue the work, tentatively in August, to develop policy ideas for the 2027 session.