Transcript Highlights:

• </c><00:10:09.519><c> a</c> building in East Grand Forks is in a building in East Grand Forks is in a
• in that in the of the needs of people in that in the population,<00:45:16.400><c> whether</c><00:45:
• A third of our facilities are in crisis to fair condition. land.
• :52.720><c> crisis</c><00:51:53.119><c> to</c><00:51:53.359><c> fair</c> our facilities are in crisis
• to fair our facilities are in crisis to fair condition. condition. condition.

Keywords: 1183, house

Transcript Highlights:

• &gt;&gt; we will do the guest in uh in just a &gt;&gt; we will do the guest in uh in just a moment.<
• </c><00:35:03.599><c> in</c> established when we started uh in in established when we started uh in in
• </c> I intend to ask to participate in the benefit fairs that come up as new open enrollment is taking
• We have a fairly robust wellness program that we host wellness fairs in, which we invite providers, the
• fairs uh in which that we host wellness fairs uh in which we<01:06:40.000><c> invite</c><01:06:40.720

Keywords: 958, all

Transcript Highlights:

• Any other testimony in support of SB 557? Thank you. Any other testimony in support of SB 557?
• We'll go back in file order.
• I've seen this in real life and in real time what CEQA abuse can do for a child care provider.
• In Napa County, for every nine babies born in our county, we have one licensed space.
• Do we have anybody in the room that would like to provide a me-too in support of SB 479?

Summary: The Senate Committee on Human Services heard four bills and ultimately advanced each one unanimously. SB 557 by Senator Hurtado would update California’s statutory definition of family resource centers to align with the federal definition and reflect their prevention-focused, low- or no-cost, community-based role. Supporters from the Child Abuse Prevention Center and California Family Resource Association said the bill would clarify the law and help position California for future funding and partnerships; there was no opposition. The committee also heard SB 299 by Senator Cabaldon, which would correct a technical issue in a prior CEQA child care exemption so it applies to child care centers in residential zones as well. Supporters, including a Napa County supervisor and rural county representatives, described a real-world project delayed by CEQA litigation and argued the bill would help expand child care access; no opposition was heard. The committee then heard SB 837 by Senator Gomez Reyes, which would require aging and disability resource connection programs to provide disaster and emergency preparedness training tailored to older adults and people with disabilities. The author and supporters from the California Commission on Aging and the California Foundation for Independent Living Centers cited the deaths in the Eaton and Palisades fires and said the bill would help prevent vulnerable residents from being left behind in emergencies. Finally, SB 479 by Senator Menjivar would allow Berkeley, Pasadena, and Long Beach, as local health jurisdictions, to use multidisciplinary homeless response teams and share specified information across teams, similar to county authority under existing law. Berkeley officials said the change would improve coordination and outcomes for unsheltered residents, while a privacy group had raised concerns in a letter; no formal opposition testified. After quorum was established, the committee voted 5-0 to send SB 299 to the Senate Environmental Quality Committee, SB 557 and SB 837 to the Senate Appropriations Committee, and SB 479 to the Senate Judiciary Committee. The meeting adjourned after members and the outgoing chair exchanged thanks and remarks about the importance of the committee’s work on the social safety net.

Transcript Highlights:

• Any other testimony in support of SB 557? Thank you. Any other testimony in support of SB 557?
• We'll go back in file order.
• Before we do that, we are holding our committee hearing here in Room 2100 in 1021 Street.
• In Napa County, for every nine babies born in our county, we have one licensed space.
• Do we have anybody in the room that would like to provide a motion in support of SB 479?

Summary: The Senate Committee on Human Services met on January 12, 2026, beginning without a quorum but hearing four bills. SB 557 by Senator Hurtado would update California’s statutory definition of family resource centers to align with the federal definition and reflect their prevention-focused, low- or no-cost, multi-generational role. Supporters from the Child Abuse Prevention Center and California Family Resource Association said the change would clarify state law and help position California for future federal partnerships; no opposition was heard. SB 299 by Senator Cabaldon would correct a prior CEQA exemption for child care facilities so it applies in residential as well as nonresidential areas. Supporters, including Napa County Supervisor Liz Alessio and the Rural County Representatives of California, said the current language unintentionally blocks child care projects in places families need them most and has been used to delay or stop projects; several local government and early care organizations also supported the bill, and there was no opposition. SB 837 by Senator Gomez-Reyes would require aging and disability resource connection programs to provide disaster and emergency preparedness training tailored to older adults and people with disabilities. Testimony from the California Commission on Aging and the California Foundation for Independent Living Centers emphasized recent wildfire deaths and the need for better evacuation and preparedness support; no opposition was presented. SB 479 by Senator Arreguín would allow the cities of Berkeley, Pasadena, and Long Beach, as local health jurisdictions, to use multidisciplinary homeless response teams and share specified information across teams and departments, similar to counties under existing law. Supporters said the bill would improve coordination and outcomes for unsheltered residents, while noting confidentiality safeguards already exist; a privacy letter from Oakland Privacy was mentioned, but no formal opposition testified. After quorum was established, the committee voted 5-0 to pass each bill: SB 299 to Senate Environmental Quality, SB 557 and SB 837 to Senate Appropriations, and SB 479 to Senate Judiciary. All four measures were placed on call briefly and then cleared with unanimous votes.

Transcript Highlights:

• Any other testimony in support of SB 557? Any other testimony in support of SB 557?
• And so before we do that, we are holding our committee hearing here in room 2100 in 1021 Street.
• I've seen this in real life and in real time what CEQA abuse can do for a child care provider.
• In Napa County, for every nine babies born in our county, we have one licensed space.
• Do we have anybody in the room that would like to provide a me-too in support of SB 479?

Keywords: 987, senate, all

Transcript Highlights:

• care here in Massachusetts.
• by what they did in Washington.
• try to mitigate the terrible things that they're doing in Washington.
• We put that in our state plan.
• The utilization in our AFC program has grown 40% in the past two years. Wow. Which is wild.

Keywords: 995, all

Summary: The subcommittee opened with roll call and approved the November 2025 minutes. Commissioner Charlie Carr then introduced Leslie Darcy, chief of LTSS at MassHealth, who provided an update on the PCA working group and on federal and state budget pressures affecting MassHealth and long-term services and supports. Darcy said the PCA working group had completed its work and submitted recommendations, including reinstating the 66-hour overtime cap, strengthening program integrity, and ending paid paperwork time for EVV users; she said those changes were implemented on 11/26 and were expected to save $7.4 million. She also described additional consensus recommendations to lower the overtime cap from 66 to 60 hours, create a seven-hour weekly meal-prep support limit, and continue exploring benchmarks, though the group could not reach consensus on a benchmark standard. Darcy warned that a federal bill enacted about six months earlier would significantly affect MassHealth, with an estimated $3.5 billion loss to the Commonwealth by 2028. She outlined upcoming changes including revised immigrant eligibility rules in October 2026, work requirements for certain non-disabled adults beginning in January 2027, six-month redeterminations for some adults, and shorter retroactive coverage periods. In response to questions, she said people with disabilities and Medicare beneficiaries would be exempt from the work and six-month redetermination requirements. She also explained that reduced federal ACA subsidies were being offset in Massachusetts by state spending, including $250 million in additional state support to keep premiums lower for middle-income families. Members raised concerns about community hospitals, the health safety net, and the impact of federal funding changes on provider rates and uncompensated care. Darcy said restrictions on provider taxes would limit MassHealth’s ability to use those revenues to support rates, and she noted a current $300 million shortfall in the health safety net. She said FY27 would likely include a rate freeze, targeted reductions, one-time budget measures, and further work groups to examine programs such as adult foster care, which she said had grown 40% in two years. Carr emphasized that the situation was serious but potentially fluid, and the meeting ended with no further business; the subcommittee agreed to adjourn before the next meeting and noted an upcoming February presentation from the Department of Public Health.

Transcript Highlights:

• Is there anyone in the audience in opposition?
• So in the second form of the bill, it was included in the sex offense definition, as well as in the tier
• Where is it defined in the bill? Or what are you referring to in the bill?
• Representative, if we know that there have been loopholes in registration in New Mexico in the past,
• in New Mexico?

Keywords: 996, all

Transcript Highlights:

• report was due in November.
• Yeah, I was interested, Leslie, in this. Yeah, I was interested, Leslie, in this, Charlie.
• care here in Massachusetts.
• try to mitigate the terrible things that they're doing in Washington.
• We put that in our state plan.

Keywords: 1212, all

Summary: The Long-Term Services and Supports and Health Equity Subcommittee met with roll call, approval of prior minutes, and a presentation from Leslie Darcy, chief of LTSS at MassHealth. The main discussion focused on the Personal Care Attendant (PCA) working group, which had completed its legislatively mandated review and submitted recommendations. Darcy said several earlier recommendations were already implemented, including reinstating the 66-hour overtime cap, strengthening program integrity efforts, and removing paperwork-related authorized hours for EVV users. The group then reached consensus on additional recommendations to reduce the overtime cap from 66 to 60 hours, set a seven-hour weekly meal-prep support limit, and continue work on benchmarks, though no consensus was reached on a benchmark standard. Darcy said the proposed changes were intended to preserve program integrity while addressing rapid cost growth in PCA services. Darcy also reviewed the expected effects of a recent federal Medicaid-related bill, estimating that Massachusetts could lose about $3.5 billion by January 2028. She described upcoming changes affecting Medicaid eligibility for certain immigrant groups in October 2026, work requirements for some non-disabled adults beginning in January 2027, six-month redeterminations for certain adults, and shorter retroactive coverage periods. She emphasized that people with disabilities and people on Medicare would be exempt from the new work requirements and six-month redeterminations. Members asked about the impact on community hospitals, the health safety net, and ACA premium subsidies; Darcy said federal changes could worsen uncompensated care pressures, but Massachusetts used state funds to offset the loss of enhanced ACA premium tax credits, helping keep premiums lower for middle-income families. In response to questions about the FY27 budget, Darcy said MassHealth expected targeted reductions, some one-time measures, and likely a rate freeze rather than large base cuts, with further cost-containment work to follow in FY28. She noted that LTSS is a major share of MassHealth spending and that programs such as PCA, adult foster care, and adult day services are state-plan entitlements once adopted by the state, even though the federal government does not require them. Charlie Carr and other members stressed that the PCA work group had been difficult but collaborative, and Carr said the recommendations were modest compared with other options considered. The meeting ended with a brief planning discussion about a February guest presentation from the Department of Public Health and a motion to adjourn, which was approved.

Transcript Highlights:

• Is there anyone in the audience in opposition?
• My understanding is that prostitution is defined in law, but not in this bill.
• So in the second form of the bill, it was included in the sex offense definition, as well as in the tier
• Where is it defined in the bill? Or what are you referring to in the bill?
• Representative, if we know that there have been loopholes in registration in New Mexico in the past,

Summary: The committee first took up Senate Bill 38 and Senate Bill 101, both of which had already received public comment and questions earlier. In each case, a member moved a due pass recommendation, the motions were seconded, and both bills were approved on 4-1 votes, with Representative Locke voting no and the other members present voting yes. The committee then considered House Bill 199, as amended by a House Consumer and Public Affairs Committee substitute, dealing with sex offender registration and notification laws. The sponsor and Department of Public Safety explained that the bill is intended to bring New Mexico closer to federal SORNA standards under the Adam Walsh Act by creating a tiered registration system, shortening the reporting deadline from five business days to three, requiring in-person reporting for changes, expanding public website information, and adding some offenses to the registry. Supporters included DPS, State Police, and the Albuquerque Chamber of Commerce, while an opponent on Zoom argued the bill would hurt public safety and noted low recidivism rates. Committee members raised several drafting and policy questions, including definitions, tier placement for certain offenses, out-of-state registration, and the impact of publishing employment information. The committee adopted amendments to remove a superfluous definition of “sexually violent offense,” clarify “three business days,” and replace vague school language with “public or private school or an institution of higher education.” After the amendments, the committee voted 5-1 to give House Bill 199 a do pass recommendation, with the amended committee substitute moving forward to the next committee.

Transcript Highlights:

• In rural counties like Modoc, Siskiyou, and Lassen, and in any of my 11 counties that I represent in
• But all of these programs invest in our families, and they invest in our children.
• But all of these programs invest in our families, and they invest in our children.
• So we piloted the mailing strategy in the bill in four counties.
• Do we have any members of the public in the hearing room to testify in support?

Summary: The Assembly Committee on Human Services met to hear several measures focused on children, foster youth, farmworker families, and disaster assistance. AJR 12, recognizing May 2025 as Head Start Month and urging Congress and the President to protect and increase Head Start funding, was presented by Assemblymember Hadwick on behalf of Assemblymember Arambula. Testimony emphasized Head Start’s role in early education, health, and family support, especially in rural and low-income communities. The resolution passed 6-0. The committee also heard SB 624, which would expand access to the California Foster Youth Tax Credit by requiring counties to mail notices and provide guidance to non-minor foster youth about filing taxes and claiming the credit. Supporters from John Burton Advocates for Youth and former foster youth described the credit as a meaningful poverty-reduction tool that helps with rent, transportation, and other basic needs. Members praised the bill, and it passed 7-0 as amended to the Assembly Appropriations Committee. SB 778 would broaden eligibility for the Migrant Child Care and Development Program by redefining migrant agricultural worker family and allowing self-certification of income eligibility. Support came from the Mexican American Opportunity Foundation, California Citrus Mutual, and First 5 California, with witnesses saying the changes would ease enrollment for farmworker families facing seasonal and verification challenges. The bill passed 7-0 to Appropriations. The committee also approved a consent calendar containing SB 444, SB 471, and SB 792, all on a 7-0 vote. Finally, SB 739 would authorize the Department of Social Services to check whether counties in disaster areas can provide timely CalFresh and Disaster CalFresh services, aimed at improving coordination when local systems are damaged or overwhelmed. Supporters said the bill would help protect access to food benefits after disasters, and members noted its importance in light of recent Los Angeles County emergencies. The bill passed 7-0 to Appropriations, and the meeting adjourned after all items were acted upon.

Transcript Highlights:

• the state in 2021.
• We started back in 2014.
• In addition, we have one of the most impacted groundwater tables in the state as well.
• Great project, in my opinion.
• I know in the original bill, in the original language before things, hardship.

Summary: The Committee on Environment and Natural Resources met to hear a panel discussion on implementation of Senate Bill 64 (2021), which requires elimination of non-beneficial wastewater discharges to surface waters by 2032. Department of Environmental Protection staff reported that utility plans have been approved, about 570 million gallons per day are expected to be eliminated under the plans, and roughly 176 million gallons per day have already been eliminated. The department emphasized ongoing annual reporting, continued coordination with utilities, and the need for projects such as reuse, indirect potable reuse, wet-weather backup discharges, groundwater recharge, and other beneficial uses to meet the law’s 90% reuse requirement in applicable cases. Representatives from Flagler Beach, Atlantic Beach, JEA, and Hillsborough County described how the law affects different utilities. Smaller and coastal systems said they face major cost, space, salinity, and infrastructure constraints, with limited reuse opportunities and expensive alternatives such as deep well injection or regional transfer. Larger systems described substantial capital programs already underway, including public access reuse, indirect potable reuse, regional recharge projects, and saltwater intrusion barrier wells, with costs ranging from tens of millions to billions of dollars. Members and witnesses discussed the need for flexibility, regional solutions, and case-by-case permitting, and the Florida Rural Water Association asked the committee to consider hardship provisions and funding or exemption adjustments for smaller systems. The committee then took up SPB 7002, a proposed bill by the Environment and Natural Resources Committee relating to water management districts. Senator Broder explained that the bill would increase transparency, improve planning and budgeting oversight, create a gift ban, support local referendum authority for certain ad valorem funding, and provide record-level funding for Everglades restoration. After a question from Senator Smith about whether the ad valorem language was expansive or restrictive, Senator Broder said it would add a new funding tool for districts. The committee adopted a motion to submit SPB 7002 as a committee bill, and it was reported favorably by roll call vote. The meeting then adjourned.

Transcript Highlights:

• By a vote of 22 in the affirmative, 14 in the negative, the Senate has concurred.
• I have voted 22 in the affirmative, 13 in the negative.
• Senator Steinborn. 34 in the affirmative, zero in the negative.
• character, not in the ring.
• office, to be housed in a designated accredited sanctuary in the governor's honor.

Bills: SB241

Keywords: child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool, pre-K, Head Start, Early Head Start, Children's Code, early childhood education and care department, ECECD, child care facilities, licensed child care, registered child care, copayments, waitlist, subsidy, federal poverty level

Summary: The Senate began by outlining the day’s agenda, then received several House messages, including the House’s request for concurrence on Senate Bill 151 and notice that the House had concurred in Senate amendments to House Bills 2, 3, and 70. The Senate also received enrolled bills SB 64 and SB 101, and later adopted committee reports on House Bill 120 and SB 64. The chamber then took up concurrence on SB 151, a tax package that the House amended to remove the gross receipts tax provision for medical supplies, add a 1% salary increase for state employees, higher education, and public schools, extend a high-wage job tax credit, and add sunsets. Senator Hamblen supported concurrence as a friendly amendment, while Senator Cervantes argued the House changes transformed the bill into an unconstitutional appropriations measure and urged a conference committee. The Senate nevertheless concurred, 22-14. On third reading, the Senate passed House Bill 61, which increases the penalty for aggravated battery on a peace officer from a third-degree to a second-degree felony to align with other sentencing provisions. Supporters, including Senator Cervantes, cited consistency in the criminal code and noted the Sentencing Commission’s endorsement; the bill passed 37-0. The Senate also passed House Joint Memorial 3, directing the Environment Department to convene stakeholders and report on implementation of the PFAS Protection Act, despite a brief exchange over whether the memorial could be read as expanding authority under the existing PFAS law; it passed 22-13. The chamber then passed several memorials: Senate Memorial 20, amended to include youth and family voices and legislative appointees in a statewide youth violence summit, passed 35-0; Senate Memorial 21, calling for a study of a statewide overdose prevention program, passed 35-0; Senate Memorial 22, which asks the Legislative Finance Committee to convene a working group on domestic violence funding and CYFD-related funding flows, passed; and Senate Memorial 27, urging expansion of the Radiation Exposure Act to compensate New Mexicans affected by atomic testing and uranium mining, passed 34-0. At the end of the session, the Senate received a governor’s message authorizing consideration of SB 74 on cockfighting penalties, followed by a playful Senate response message. The body also agreed to move House Joint Memorial 2 from Rules to the President’s table and then recessed until 8:30 a.m. the next day.

Transcript Highlights:

• everything he believes in.
• So in the instance where it was approved in, in, in the following two years, I, I presume that the city
• strategic in how we issue debt.
• But we do have projects that are in our jails that need to be done in order to stay in compliance with
• Um, we have two jails in the county and we take pride in being in compliance with the state laws, and

Transcript Highlights:

• And somebody cite that for us, for me in particular, when we're saying, hey, you can do a majority in
• But again, basically, does does is there not any significance necessarily in in having it Failed to get
• In haste, thank you, Mr. Chair.
• In fact, minority leader, we've seen The large, we've seen more growth in the past five years in venture
• So, we've seen roughly $300 million come in in venture capital.

Bills: HB4028, HB4029, HB4059, HB4063, HB4073, HB4074, HB4075, HB4076, HB4077, HB4078, SB1130, SB1131, SB1132, SB1133, SB1134, SB1142

Keywords: tax deduction, venture capital, economic development, Oklahoma, investment, ALS, funding, healthcare, State Department of Health, emergency declaration, public finance, state budget, financial regulations, monetary policy, referendum, constitutional amendments, special election, Oklahoma legislature, public voting, recovery fund

Transcript Highlights:

• The clerk will read the bills in order.
• HB 13 by King relating to the creating of the Texas interability council in the grant program in ministry
• To the election integrity security including by preventing fraud in the conduct of the elections in the
• Offices by local governments to assist low-income residential tenants in eviction cases and in cases
• SB 1170 by Raymond, relating to the analysis and mitigation of transportation security threats in this

Keywords: 1184, house, all

Transcript Highlights:

• designation for the issuance of a permit and the movement of the oversized and overweight vehicles in
• The display of the 10 Commandments in Public schools referred the Committee on Public Elections.
• fishing in public waters, heard of the Committee on Culture, Recreation and Tourism.
• sexuality instruction in public schools, refer to the Committee on Public Education.
• HB 1170 by Raymond relating to the analysis and mitigation of transportation security threats in the

Transcript Highlights:

• HB 540 by Goodwin relating to the use of preferential voting in certain elections.
• HB 560 by Patterson relating to light pollution mitigation for wind turbine generators in the state,
• the state for 2/3 of the vote in present.
• Tuesday in memory of James Edward Cook of Eustace, Texas. Is there objection?
• Tuesday in memory of James Edward Cook of Eustace, Texas. Is there objection?

Summary: The House met for first reading and referral of a large number of bills and joint resolutions, with no substantive debate on the measures themselves. The filings covered a broad range of topics, including agency rulemaking and regulatory deference, occupational licensing reciprocity, business entities, eviction procedures, higher education, public education, health care, elections and voting procedures, criminal justice, property tax and appraisal issues, transportation, agriculture, energy, and local government authority. Several proposals also addressed constitutional amendments on matters such as Medicaid expansion, property tax limits, quorum and special-session rules, voting citizenship proof, parental rights, reproductive autonomy, and state funding allocations. Many of the measures focused on education, public health, and election administration. Examples included bills on financial literacy in schools, school nurses and librarians, student meal debt policies, suicide prevention notices, menstrual products, and community-based learning programs, as well as election-related bills on voter registration, disability access, ballot corrections, political advertising, and voting equipment or procedures. Other notable bills dealt with housing and property issues, including evictions, homestead tax exemptions, and land ownership, along with criminal justice measures involving sentencing, juror challenges, trafficking-related nondisclosure, and firearm reporting or transfer restrictions. The House also referred a set of resolutions to the Local and Consent Calendars Committee. At the end of the proceedings, Mr. Bell moved that the House adjourn until 2:00 p.m. Tuesday in memory of James Edward Cook of Eustace, Texas. There was no objection, and the House adjourned.

Transcript Highlights:

• million in the current year, and $94.9 million in budget year.
• invested in.
• So I will jump in. I will jump in first.
• or not opt in.
• This integrated plan starts in 2026 and ends in 2029.

Summary: The subcommittee heard presentations from the Department of State Hospitals (DSH), the Commission for Behavioral Health, and the Department of Health Care Services (DHCS) on budget proposals and implementation updates. DSH outlined its proposed 2026-27 budget, including funding for patient operating expenses, IST solutions savings, conditional release program costs, LPS bed allocation changes, electrical infrastructure projects at Napa and Patton, SB 380 transitional housing feasibility work, and expanded dental services at Metropolitan and Patton. DSH also reported that it has met court-ordered IST treatment benchmarks in the Stiavedi v. Clinton case, with average time to initiate treatment down to about five days and pending placements reduced to roughly 250, while noting that Proposition 36 could increase referrals and SB 1323 may divert some individuals earlier into community-based treatment. Members asked about rising outside hospitalization costs, Medicare enrollment, the timing and structure of capital projects, and whether IST solution funds are being fully used; DSH said the savings reflect slower-than-expected ramp-up of community programs and that the Central California FACT replacement program is still on track for January 2027 activation. The Commission for Behavioral Health described its role under the Behavioral Health Services Act (BHSA), including data, evaluation, grantmaking, technical assistance, and transparency work. It highlighted the new statewide Innovation Partnership Fund, a five-year, $20 million-per-year program with small and large grant categories; the first RFA drew strong interest, with more than 400 questions and over 1,000 bidders’ conference participants. The Commission also discussed a proposed extension to spend down about $4.1 million remaining for the Alcove Youth Drop-in Center grants so sites can finish implementation and Stanford can complete the final evaluation. Members asked about grant duration, whether projects can be renewed, what qualifies as innovation, and whether the fund could support service delivery rather than awareness campaigns or training; the Commission said awards are expected to be three-year contracts and that proposals must be new or meaningfully expanded approaches that support BHSA priority populations. DHCS reviewed major behavioral health changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, updated specialty mental health access criteria, and new substance use treatment standards based on ASAM’s fourth edition. DHCS reported strong contingency management results, with more than 13,000 members served and 95% testing negative for stimulant use during treatment, and said 21 Indian health care providers have been approved to offer traditional health care practices. It also described BH Connect initiatives such as the $1.9 billion access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation by four counties, and transitional rent services. On BHSA implementation, DHCS said it is not tracking individual county contract cuts but is monitoring county plans and statewide outcomes, while stakeholders raised concerns about local prevention and service gaps. DHCS also outlined its H.R. 1 implementation strategy, including outreach, streamlined renewals, exemptions for disabled, substance use, and medically frail individuals, and proposed clinic navigator and outreach funding; it said it has not yet produced a focused estimate of H.R. 1 impacts on behavioral health populations. The discussion ended with DHCS noting that B-CHIP bond funding has supported 437 infrastructure projects, creating 546 new or expanded facilities and more than 9,500 residential beds across the state.

Transcript Highlights:

• 2023-24, $117.8 million in the current year, and $94.9 million in budget year.
• invested in.
• So I will jump in.
• or not opt in.
• effect in '27.

Keywords: 987, senate, all

Transcript Highlights:

• million in the current year, and $94.9 million in budget year.
• invested in.
• So I will jump in.
• or not opt in.
• This integrated plan starts in '26 and ends in '29.

Summary: The subcommittee heard budget and policy updates from the Department of State Hospitals, the Commission for Behavioral Health, and the Department of Health Care Services. DSH described its proposed 2026-27 budget of $3.2 billion, including savings tied to IST solutions, higher patient-driven operating costs, and a small increase in caseload projections. Officials said the department has met court-ordered IST treatment benchmarks, with wait times reduced from a pandemic peak of 1,953 pending placements to about 250, and average treatment initiation now around five days. Members asked about the effects of Proposition 36 and SB 1323, rising outside hospitalization costs, Medicare enrollment, and whether IST solution funding was being overbudgeted; DSH said referrals are slightly down overall, aging and medically complex patients are driving outside care costs, and the IST solution savings reflect slower-than-expected program activation rather than a service gap. The department also outlined proposed funding for CONREP cost increases, a new county-by-county LPS bed allocation model, electrical infrastructure upgrades at Napa and Patton, SB 380 transitional housing feasibility work, and additional dental staffing and space at Metropolitan and Patton. The Commission for Behavioral Health reviewed its role in the Behavioral Health Services Act transition and its new Innovation Partnership Fund. Staff said the commission is shifting from county-level innovation oversight to a statewide grant strategy, with the first $20 million RFA drawing strong interest and awards expected in mid-June. Members asked how “innovation” would be defined, whether grants could be renewed after the initial three-year contracts, and how the state would ensure the money supports real service delivery rather than general outreach or training. The commission also sought a liquidation deadline extension for the Alcove youth drop-in center grants so remaining funds can be spent before they revert, allowing sites to finish implementation and support the final evaluation. DHCS provided an overview of CalAIM and BH Connect implementation, including updated specialty mental health access criteria, new ASAM-based substance use treatment standards, contingency management, traditional health care practices for tribal members, workforce investments, evidence-based practice expansion, IMD participation, and transitional rent services. The department also addressed BHSA implementation, saying it does not track specific local program cuts but will monitor county three-year plans, performance measures, and outcomes as counties shift to the new funding structure. On H.R. 1, DHCS said it is preparing outreach, eligibility simplification, and exemption strategies to reduce Medi-Cal coverage losses, including clinic navigators, a statewide outreach campaign, and possible employment supports through a future waiver. The department also reported that BH-CHIP bond funds have supported 437 infrastructure projects, creating 546 facilities and more than 9,500 residential beds, with additional outpatient capacity and tribal investments. Finally, DHCS outlined a proposed 988 trailer bill to create a statewide designation process for 988 centers and mobile crisis teams, with implementation no earlier than October 1, 2027.