Transcript Highlights:

• This practice. Priority is One SUS, and this differentiates us from everyone else.
• Last week at the event, our universities talked about best practices, what everyone is doing across their
• and you talked about, I think, the colleges and universities coming together to discuss what best practices
• But in terms of the commercialization metrics, we are working on establishing a set of best practices
• We are hoping that they are able to share the best practices with the rest of the system.

Summary: The Appropriations Committee on Higher Education heard a presentation on the State University System’s new strategic plan, SUS 30, and its legislative budget request. University officials described the plan’s five priorities: One SUS collaboration, elevating student success, operational excellence, world-class talent, and innovative research and economic development. They highlighted Florida’s continued status as the top higher education system in the nation, low tuition, strong graduation outcomes, rising median wages for graduates, and expanded use of the My Florida Future website to help students and families compare degree outcomes and earnings. Members asked for follow-up information on programs of strategic emphasis, mental health and social work workforce needs, wage data over time, and how the system supports innovation moving toward commercialization. The committee also discussed campus safety, prompted in part by recent events at FSU. System officials said universities and the Florida College System recently held a safety summit to share best practices on building security, threat assessment, and coordination with law enforcement, and they agreed to provide a report back to the committee after the Board of Governors reviews recommendations in November. Senators also raised questions about Pell student support, first-generation student success, and whether liberal arts graduates’ earnings catch up over time. Officials said Pell students are tracked through performance-based funding metrics and that the system’s accountability plans will continue to emphasize access and completion. A separate update covered line funding for nursing and health care partnerships. Officials said the $6 million appropriation was fully subscribed through 24 proposals from all 10 nursing programs, supporting scholarships, faculty recruitment, internships, simulation, and licensure preparation. They reported over 1,900 new nursing graduates, more than 200 new student slots, over 300 scholarships, and a 92% NCLEX pass rate. Senators asked about expanding eligibility for the program, and staff said that issue would be revisited this year. The Board of Governors’ legislative budget request totaled $634.5 million and included $295 million for performance-based funding institutional investment, a request to restore and increase the state investment portion to $400 million, $125 million for preeminence funding, $100 million for faculty recruitment and retention, $6.4 million for UF/IFAS extension workload, and $3.1 million for State Fire Marshal inspections. The chair noted that resources are limited and that difficult budget decisions lie ahead. No votes were taken, and the meeting adjourned after the presentations and questions.

Transcript Highlights:

• SB 316 ensures that every 11th-grade student receives clear, practical information about how to register
• This is a practical, low-cost fix to a systemic barrier, and more importantly, it's a signal to young
• the process for retaining appellate and Supreme Court justices by aligning state law with existing practice
• And today we support modernizing it to reflect how it's working in practice.
• And today we support modernizing it to reflect how it's working in practice.

Summary: The Assembly Elections Committee met on July 16, 2025, and heard five measures focused on election administration, voter participation, judicial retention elections, charitable solicitation by officials, and local transportation tax initiatives. The chair noted the committee’s rules for limited witness testimony and accepted written testimony through the legislative portal. Several authors presented their bills in person or through a committee member due to scheduling conflicts. SB 3 by Senator Cervantes would tighten and clarify the ballot signature-cure process, including requiring standardized forms from election officials and adding a reminder on vote-by-mail envelopes about signature matching. Supporters said the bill would reduce rejected ballots and make the process more reliable; there was no opposition. The committee voted do pass as amended and re-refer to Appropriations. SB 316 by Senator Reyes, presented by Assembly Member Pellerin, would expand high school voter registration and pre-registration outreach to students, with testimony from students, education groups, disability advocates, and civic organizations in support. One member opposed on the grounds that it could be an unfunded mandate for schools. The bill passed 4-1. ACA 8 by Assembly Member Pellerin would change appellate and Supreme Court judicial retention elections so justices would appear on the ballot only if voters file a petition requesting it. Supporters, including the Secretary of State, the League of Women Voters, and the California Judges Association, said it would reduce ballot length, voter fatigue, and costs while preserving accountability. One member raised concern about the future petition threshold and the possibility it could be set too high, and voted no. The measure passed 4-2. SB 760 by Senator Allen would narrow behested payment reporting requirements for public appeals to charities, especially in disaster response, while preserving disclosure where officials, family members, or staff have conflicts of interest. Good-government groups supported the bill as a balance between transparency and encouraging charitable appeals; it passed unanimously on the recorded vote. SB 512 by Senator Perez would clarify that voters in transportation districts may use citizen initiatives to propose transportation sales taxes where the district already has taxing authority. Supporters argued it aligns Elections Code with Proposition 218 and recent case law, while opponents from business and real estate groups objected to the measure’s implications for tax approval rules. The committee approved the bill 5-2. After calling absent members, the committee cleared the calendar and adjourned.

Transcript Highlights:

• In some districts, this practice is not happening.
• I know that in my district in Hillsborough County Public Schools, already that practice happens because
• Currently, these oversight practices vary widely.
• Asking about the districts that don't currently practice the sharing of surtax is to understand the fiscal
• ramifications, because there may be smaller counties that don't practice that for specific reasons.

Summary: The Pre-K through 12 Budget Subcommittee heard and advanced three bills. CS/HB 1267, by Rep. Boussada, would require school districts to allow Schools of Hope to use vacant or surplus facilities or co-locate in schools with capacity, with non-instructional services handled through a pro rata agreement and a performance-based agreement requiring Schools of Hope to meet expectations within five years. Supporters argued it would better use underfilled public schools and help students in the bottom 10% of schools statewide; opponents raised concerns about local control, funding, and the effect on public schools. The bill passed 13-2. The committee also heard CS/HB 1115, by Rep. Valdes, which would require sharing certain discretionary sales surtax revenues with eligible charter schools based on enrollment, create a standardized charter school monitoring tool, and align Schools of Hope sponsoring-entity rules with charter school processes. Supporters said it would improve consistency and accountability; critics questioned fiscal impacts and district flexibility. That bill passed 13-2. The final bill, CS/HB 1213, by Rep. Alvarez, would create a K-12 School Route Optimization Pilot Program using five counties to test AI-assisted analysis of school bus routes and walking conditions, with the goal of improving child safety for students who currently walk long distances. Members discussed hazardous conditions, possible use of safe-school transportation funds, and the bill’s lack of fiscal impact. Public testimony included support from education and parent groups. The bill passed unanimously, 15-0. The meeting then adjourned.

Transcript Highlights:

• should have those options available to them, but we do recognize that there are bad actors and bad practices
• We believe that a consumer-protection-type bill that goes after those bad practices while still maintaining
• We believe that a consumer-protection-type bill that goes after those bad practices while still maintaining
• Please. actors and bad practices.
• We believe that a consumer protection type bill that goes after those bad practices while still maintaining

Summary: The Assembly Committee on Military and Veterans Affairs met as a subcommittee because a quorum was initially lacking, and heard six bills. AB 81 by Assemblymember Ta would require CalVet to study the mental health needs of women veterans; supporters from county veterans service officers, veterans organizations, and behavioral health groups said women veterans face higher rates of military sexual trauma, PTSD, depression, and suicide, while no opposition appeared. The bill was later passed 7-0 and re-referred to Appropriations. AB 826 by Assemblymember Gonzalez would prohibit unaccredited individuals or businesses from charging veterans fees to file or assist with VA benefits claims, impose a civil penalty, and direct penalty revenue to veterans services and district attorneys. Supporters argued the bill would curb predatory “claim sharks” and protect veterans from exploitation, while opponents from private claims consulting firms and several veterans said the measure could restrict access to legitimate help and should be narrowed to target bad actors instead of banning paid assistance broadly. After extensive testimony and discussion about federal law, accreditation, and possible amendments, the committee passed the bill 8-0 and re-referred it to Judiciary. AB 556 by Assemblymember Patterson would clarify that campus-level mandatory fees are covered under the CalVet fee waiver for dependents of certain veterans and Medal of Honor recipients. Supporters said the bill would fulfill the state’s promise to veterans’ families, while concerns were raised about fiscal impacts on CSU campuses and the need for more precise cost estimates. The bill was passed 6-0 and sent to Appropriations. The committee also adopted its rules 7-0 and approved the consent calendar, which included AB 264, AB 1508, and AB 1509, all re-referred to Appropriations.

Transcript Highlights:

• This approach is consistent with some of the best practices adopted in other states and is already in
• But we haven't been practicing what we preach and applying those to state departments.
• This is an opportunity for us to not only practice what we preach, but be able to tell local governments
• It will do important things like making sure that we are banning predatory solicitation practices.
• And a link to the Fair Political Practice Commission's website where director's statements of economic

Keywords: 988, house, all

Transcript Highlights:

• Essentially, we would like for them to have the authority and the ability to practice independently with
• This allows them to have the licensure requirements that they require, to have the scope of practice
• It allows them for the independent practice that we're after here, the prescriptive authority that they
• This bill would codify in state law the independent practice for CRNAs that has been allowed in our state
• Um, and I will tell you not everybody discloses, and that's not practice to have... members disclose.

Transcript Highlights:

• and authoring this important measure that will protect Californians from price gouging and unfair practices
• and authoring this important measure that will protect Californians from price gouging and unfair practices
• period, and they will not have to, within that time, take the time to relearn and reconfigure their practices
• I might add some already do, and some are afforded already on a case-by-case basis within local practice
• The approach aligns with best practices from other countries and recent legislative actions in states

Summary: The Assembly Appropriations Committee met on March 19, 2025, adopted its committee rules unanimously, and then heard a series of housing, insurance, and disaster-recovery bills. Early bills focused on wildfire relief and insurance issues, including AB 238 on mortgage forbearance for Los Angeles County wildfire survivors, AB 493 on insurance payout interest for homeowners, AB 597 on consumer protections after disasters, and AB 226 on strengthening the California FAIR Plan’s liquidity tools. Supporters generally framed these measures as necessary protections for disaster survivors and market stability, while opponents and concerned witnesses raised issues such as investor guidelines, compliance conflicts, and market disruption. Several members also noted equity concerns and the need to balance relief with consistency across the state. The committee also heard a cluster of housing-production bills. AB 306 proposed a six-year pause on new state building code updates affecting residential construction and limits on local code modifications, drawing strong support from housing and building industry groups who argued it would reduce costs and improve predictability. It also drew opposition from code, environmental, and clean-energy advocates, who warned about safety, local control, and the loss of important code updates. AB 253 would allow licensed third-party professionals to perform plan checks if local review takes 30 days or more, and AB 301 would impose state-agency permitting timelines similar to those already applied to local governments; both were presented as ways to reduce delays and speed housing development. AB 462 would exempt ADU construction from coastal development permit requirements in Los Angeles County, especially to aid fire recovery and expand housing supply. After hearing testimony and brief member discussion on each measure, the committee placed the bills on suspense or advanced them as appropriate. In the suspense hearing at the end of the meeting, the committee took up the suspense-file bills and reported AB 226, AB 238, AB 301, and AB 306 out with due pass recommendations on roll call votes. The meeting then adjourned.

Transcript Highlights:

• Is there a practice within unfair insurance trade practice that we prohibit that might be seen within
• Is there a insurance trade practice.
• </c><00:52:09.040><c> trade</c> practice within unfair insurance trade practice within unfair insurance
• </c><02:20:15.280><c> for</c> did not meet um the good practice for did not meet um the good practice
• </c> as a matter of practice moving forward. as a matter of practice moving forward.

Keywords: 1191, senate, all

Transcript Highlights:

• He said they have never in practice been regulated that way.
• So, um, electrical engineers are much different in what they do in practice.
• So, um, electrical engineers are much different in what they do in practice.
• So, um, electrical engineers are much different in what they do in practice.
• </c> actually have an actual in practice actually have an actual in practice election<01:14:33.040><c

Keywords: 928, house, all

Summary: The hearing opened on House Bill 192, which concerns the Joint Committee on Employee Classification process for state employee positions. Representative Peter Schmidt explained that the bill is a procedural step to send already-reviewed classifications to Korn Ferry and then into statute and the budget. Department of Corrections staff and Commissioner Helen Hanks testified that one Deputy Director of Medical Services position had been omitted from the bill by mistake even though it had already gone through the JCEC process, and they asked for an amendment to add it. Hanks clarified that the position is an existing classified job being converted to unclassified status, not a new position. The committee discussed how the amendment would work and the quorum requirements for the JCEC, then closed the hearing on HB 192 after no further testimony. The committee then heard House Bill 435, sponsored by Representative Don McFarland, which would clarify professional engineering licensure law. McFarland said the bill is intended to make clear that work in IT security, electronics, digital systems, computing, and software is not the practice of engineering requiring a professional engineer license, while preserving licensure requirements for fields such as civil, structural, and building-related engineering. He said he had consulted with the American Council of Engineering Companies and that the bill is meant to remove ambiguity and legal risk, not deregulate engineering. Several members with engineering backgrounds spoke in support, describing the distinction between licensed PE work and other technical fields, and one member noted that software development and regulated software work typically do not require a PE license. The committee voted ought to pass on HB 435 by a roll call of 16-0 and placed it on consent. Finally, the committee opened House Bill 210, which would create a commission to study the New Hampshire state flag. Representative Tom Corman argued that the current flag is a generic “state seal on a blue bedsheet” and does not meet common vexillological design principles such as simplicity, meaningful symbolism, limited colors, and distinctiveness. He said the proposed commission would include legislative members plus representatives of the New Hampshire Historical Society and the New England Vexillological Association, and would review the flag’s history and recommend whether to redesign it and how to do so. He also indicated he intended to add language to avoid costs, but the bill discussion was not completed in the portion provided.

Transcript Highlights:

• So, this seems like a practical step that we could take.
• I am Kate Schreck, a family physician practicing in Minnesota.
• I practiced in Minnesota for 31 years.
• I practiced in Minnesota retired OBGYN.
• Just to be practical.

Keywords: 1187, senate, all

Transcript Highlights:

• It’s a very practical approach.
• I'm in private practice and have been practicing for 30 years.
• It's just not practical; we can't entertain it. It's not possible.
• This is an unethical and immoral practice that must end.
• In 2020, 95% of Republican voters backed a ban on this practice.

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:

• But as a practical reality, if DHCS stops it, they can stop it.
• And as a pharmacist practicing on the bench, we're legally not allowed to substitute once a physician
• But that said, I know in this particular practice, actually, if you're blessed enough to have a friend
• SB 1271 provides a practical, data-driven... ...solution.
• It does not change scope of practice or clinical standards.

Keywords: 988, house, all

Transcript Highlights:

• law allows the insurance commissioner to conduct examinations of insurers to evaluate their market practices
• These examinations routinely uncover violations of statutes and regulations, improper claims practices
• This means harmful practices can continue for years, solvency risk can go unaddressed, and consumers
• It's legally and practically impossible to comply with it for a number of reasons.
• allowed them to persist as a routine business practice.

Summary: The committee heard testimony on several insurance-related bills. SB 1209 by Senator Allen, sponsored by Insurance Commissioner Ricardo Lara, would give the Department of Insurance stronger enforcement tools when insurers fail to implement corrective actions identified in market conduct or financial examinations. Supporters said the bill would close gaps that allow repeated violations, improve solvency oversight, and protect policyholders; opponents argued CDI already has broad authority and raised concerns about duplicative penalties, due process, and the bill’s scope. Members discussed amendments to limit the bill to legal violations rather than recommendations, apply penalties per exam rather than per policy, and clarify accounting language. The committee voted to send SB 1209 to Appropriations, with the bill placed on call after a roll vote that included one no vote from Senator Niello. The committee also considered SB 1301, which would require more detailed non-renewal notices for residential property insurance, give policyholders time and information to address correctable issues, and restrict certain non-renewal reasons such as claims below deductible or not covered by the policy. Support came from homeowners, fire survivors, and consumer groups who said notices are often vague and leave families unable to keep coverage; insurers opposed the bill, warning that California’s notice period is already among the longest in the country and that the bill could worsen availability and add burdensome reporting requirements. The author said he was willing to reduce the notice period from 180 days to about three months and work on a mitigation-based process. The committee passed the bill to Appropriations, with Senator Niello voting no and the item placed on call. SB 1026 by Senator Gonzalez would tighten regulation of bail fugitive recovery agents by allowing the Department of Insurance to suspend or revoke licenses without a criminal conviction, adding conduct restrictions, and requiring continuous liability coverage and proper appointment notices. Supporters, including Commissioner Lara, said the bill addresses serious misconduct and loopholes that have led to unsafe conduct and weak oversight. Bail industry representatives and crime victims’ advocates opposed the measure, arguing that the required insurance coverage is unavailable or unlawful as written, that the bill would be hard to comply with, and that it could reduce the number of recovery agents and delay justice. The committee moved SB 1026 to Appropriations, with Senator Niello voting no and the bill placed on call. The committee then heard SB 982 by Senator Wiener, the Affordable Insurance and Recovery Act, which would authorize the Attorney General to sue fossil fuel companies to recover costs tied to climate disasters and insurance losses, with supporters framing it as a way to shift some climate-related costs away from policyholders and taxpayers. The author said amendments would remove retroactivity and delay liability until 2032, while supporters from flood and wildfire survivor groups and climate organizations said the bill would help fund recovery and stabilize insurance costs. Opponents from industry and building trades argued the bill was legally vulnerable, would create a de facto tax or liability scheme, and could harm jobs, energy production, and affordability. Testimony on SB 982 was extensive, but the transcript ends before any committee vote or final action on that bill.

Transcript Highlights:

• Hundreds of local high school students have received leadership training, learned empathy, and practiced
• civic responsibility. ...leadership training, learned empathy, and practiced civic responsibility while
• Just to understand, like, the practical side of it, how the court works in the system, to give you a
• practical explanation: if Johnny gets out of school one day, goes with his friends to a local store,
• This bill creates a DV registry, but in practice, it will harm survivors.

Keywords: 988, house, all

Transcript Highlights:

• It is not introducing any new practice. It's not lowering any professional standards.
• It's not introducing any new practice.
• ><00:35:00.720><c> gender-affirming</c> an OB/GYN who practices gender-affirming an OB/GYN who practices
• And also ACIP, which is the Advisory Committee on Immunization Practices.
• </c> Immunization Practices. Immunization Practices.

Bills: HB1573, HB1645, HB1875, HB1898, HB2121

Keywords: electronic smoking devices, e-liquids, certification, FDA, state law, penalties, compliance, directory, public health, nonprofit, child welfare, liability, insurance, legal protections, Hawaii, health care, reproductive rights, gender-affirming care, privacy, civil liability

Summary: The committee heard testimony on HB 1573, which would create state enforcement authority over unauthorized e-cigarette products and related tobacco enforcement. Supporters including SHPDA, the Department of Health, the Attorney General’s office, Hawaii Public Health Institute, and others said the bill would help protect youth from unauthorized vaping products, give the state tools to enforce an FDA-authorized product list, and add penalties and inspection authority. A committee member asked whether enforcement staff were available and what penalties would apply; the response was that existing tobacco investigators would take on the work, and the bill includes civil penalties, seizure authority, and possible license revocation referrals. The measure drew both support and opposition testimony, but no vote was taken in the portion provided. The committee then took up HB 1645, relating to liability for child welfare service providers. The Insurance Division said it was aware of the insurance-cost problem, had raised the issue with the NAIC, and was exploring a captive insurance option, while suggesting the legislature consider additional appropriations to DHS to cover higher contract costs. Supporters, including Parents and Children Together and Hawaii Insurance Council, argued the bill would help child welfare providers obtain insurance and continue critical services. Opponents, including the Hawaii Association for Justice, warned that removing joint and several liability could leave victims undercompensated and might not actually lower premiums. The insurance commissioner said other states have done tort reform in this area, but the committee was told it is not clear the bill would reduce insurance costs. Finally, the committee heard extensive testimony on HB 1875, which would protect access to gender-affirming care in Hawaii and shield patients and providers from out-of-state legal actions. Support came from the Hawaii State Youth Commission, LGBTQ+ and public health groups, medical professionals, ACLU Hawaii, Planned Parenthood, and others, who said gender-affirming care is evidence-based, medically necessary, and important for patient privacy, provider stability, and continuity of care. Several witnesses asked for amendments to the bill’s definition language. Opposition testimony came from individuals and groups including Hawaii Christian Coalition, Leeward Republican Women’s Club, and others, who argued the bill could expose children to irreversible decisions and that more research is needed. The chair noted roughly 176 supporters and about 40 opponents testified. No final action or vote was reported in the excerpt.

Transcript Highlights:

• we followed up on ones that weren't closed and communicated, and how do we continue to evolve the practice
• we followed up on ones that weren't closed and communicated, and how do we continue to evolve the practice
• of practicing physicians uh, use<00:13:27.440><c> Epic</c><00:13:28.399><c> uh,</c><00:13:28.560><c>
• A patient safety bundle is a set of best practices based on strong research and expert clinical advice
• . practices. practices.

Keywords: 1189, house, all

Summary: The meeting opened without a quorum, so approval of the prior draft minutes was deferred until later. The committee then heard a DHS update from Commissioner Lori Weaver and COO David Weers, who described the recent flood at the Brown building and the relocation of nearly 400 DHS staff while operations are restored. They also outlined New Hampshire Care Connections, a privacy- and consent-focused closed-loop referral platform intended to improve referrals among providers, reduce duplication, and support continuity of care, with an Upper Valley implementation partnered with Dartmouth Health and an Epic integration already underway. Members asked whether the system would merge medical records or simply track referrals. DHS said it is not intended to store or transmit full medical records, but to integrate with providers’ electronic health record systems so referrals can be sent, received, and tracked, with consent controls limiting what information can be shared. Officials said the project will be tested over the coming months, with metrics, governance, and advisory committee oversight, and that it is tied to broader rural health transformation efforts and statewide implementation after the regional pilot. The committee also received the annual report from the Child Care Advisory Council. Maryanne Barter and Jessica Carver said the council worked with licensing to streamline the child care licensing rules, reducing the handbook by about 30%, and is now helping develop an informal dispute resolution process, revising the Granite Steps for Quality system, and creating a clearer handbook for providers handling state scholarship audits. They reported ongoing concern about child care closures and workforce shortages, said there is currently no wait list for child care assistance, and discussed questions about federal CCDF immunization requirements, which DHS said it would follow up on with federal technical assistance partners. After quorum was established, the committee moved to approve the minutes from the prior meeting.

Transcript Highlights:

• But again, what we believe is a practical, conservative, and very effective way to move this funding
• But again, what we believe is a practical, conservative, and very effective way to move this funding
• But again, what we believe is a practical, conservative, and very effective way to move this funding
• And I think this idea offers us a practical and conservative way to do that.
• </c><00:57:56.400><c> and</c> offers us a a a practical and offers us a a a practical and conservative

Bills: HB0111, HB0112, HB0122

Keywords: capital construction, state funding, Wyoming, major maintenance, community colleges, task force, legislative services, budget appropriation, unexpended funds, sunset clause, healthcare, rural health, transformation program, funding, incentives, training, access, perpetuity fund, 916, all

Transcript Highlights:

• act the current medical medical practice act the current medical practice<00:43:14.800><c> act</c> practice
• act practice act the<00:43:16.960><c> ones</c><00:43:17.760><c> in</c><00:43:18.000><c> fact</c><00:
• I think the nursing board and the medical board both ought to have somebody that's practiced medicine
• medicine as as one of the practiced medicine as as one of the investigators.<00:53:57.119><c> That's
• that falls under the listed practices that falls under the rural<01:03:36.400><c> physician</c><01:03

Keywords: Appropriations - Room 409, 28 January, 2026; 1:30 P.M., 925, all

Transcript Highlights:

• We will be implementing new evidence-based practices, but also on the reimbursement side.
• When you're on the inpatient unit, you're not practicing any of that.
• But I would like to really raise up that we need innovative practices.
• Young people are asking for innovative practices. In one line, youth want mental health access.
• We were able to practice it on each other, know how to do it properly, and we do that with CPR.

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

Transcript Highlights:

• practice practice uh<00:49:21.040><c> registered</c><00:49:21.720><c> nurses</c><00:49:22.720><c> then
• </c> physicians or advanced practice physicians or advanced practice registered<00:50:28.960><c> nurses
• </c> purview of physician practice right now. purview of physician practice right now.
• But I also look at the practicality and the experience.
• So when the bill actually was practice.

Keywords: 1189, house, all