Transcript Highlights:

• You cannot go from being an LSWA to an LSSW or from an LSWA to an LCSW without the education. associate
• 00:19:40.000> lswa<00:19:40.919> to<00:19:41.120> an To go from an LSWA to an LCSW

Keywords: 928, house, all

Summary: The subcommittee hearing focused on House Bill 271, which would remove the exam requirement for licensure as a Licensed Social Work Associate (LSWA). The chair and several members expressed reservations about repealing a requirement that was only created in 2021, arguing that licensure should include some measurable demonstration of competency and that it is too early to judge whether the current standard is working. Members also raised concerns about the social work compact and the lack of uniformity across states, saying that changing the requirement now could undermine the standards New Hampshire agreed to at the outset. Testimony in support of the bill argued that the LSWA exam is a barrier for applicants because the level is intended for people without formal social work education, and the exam is the same national exam used for licensed social workers. The witness said there is only one LSWA in New Hampshire, so there is little pass/fail data, but noted that the Association of Social Worker Boards reported 78% of its membership favored retaining the exam. Supporters also emphasized that LSWA holders complete 30 hours of training and extensive supervised hours, and that they are not intended to work independently. Opponents or skeptics questioned whether the exam is the right measure for this role and asked for data showing actual failures or barriers. The discussion turned to possible alternatives, including a different exam, a practical skills assessment, or broader rulemaking authority for the board to set LSWA criteria. One suggestion was to amend the law to give the board authority to develop appropriate standards in rulemaking, rather than naming a specific exam in statute. Members also discussed whether the board could create a more suitable assessment and noted that the current law requires a national proctored examination approved by the board, but there is no national exam specifically for LSWA. No final vote or action was taken in the excerpt, and the subcommittee indicated it would gather more information, including the existing rule language, before moving the bill forward.

Transcript Highlights:

• Missouri already allows non-prescribing staff, including LCSWs, licensed clinical social workers, to

Summary: The Joint Committee on Administrative Rules met to consider a Missouri Prescription Drug Monitoring Program rule proposal after the Department of Natural Resources withdrew its items. The hearing focused on 1 CSR 60-1.010, which would expand delegate-level PDMP access to additional licensed behavioral health professionals, including licensed clinical social workers, licensed master social workers, marital and family therapists, professional counselors, and psychologists, while also correcting prior rule language involving medical assistants and clinical nurse specialists. Testimony from the PDMP executive director and supporters from Compass Health and the Department of Mental Health argued the change would improve care coordination, medication reconciliation, and safety in multidisciplinary behavioral health settings, especially CCBHCs. They said access would remain limited to licensed professionals working under a prescriber/dispenser relationship, with individual logins and penalties for misuse. Opponents and some committee members raised concerns that the rule would expand access beyond the original statutory framework without legislative change, could be used beyond treatment purposes, and should instead be addressed through statute rather than rulemaking. After public testimony, the committee debated whether the proposal exceeded statutory authority and whether the expansion was too substantive for rulemaking alone. A motion was made to disapprove the rule on grounds including lack of statutory authority, conflict with state law, and arbitrariness. The motion passed by a roll call vote of 7-1, and the committee disapproved Rule 1 CSR 60-1.010 before adjourning.

Transcript Highlights:

• PC and LCSW. I'm also a chaplain CPE trained in the Southern Baptist Church.

Bills: SB330, SB663, SB1020, SB1152, SB1164, SB1896, SB2111, SB2196, SB2383, SB2581, SB2797, SB2798, SB2371

Keywords: county funding, prosecutors' offices, elections, law enforcement, local government, community supervision, budget approval, corrections department, strategic plan, judicial oversight, SB 1020, Texas, personal bond office, pretrial release, electronic monitoring, GPS monitoring, global positioning system, bond conditions, probation, parole

Transcript Highlights:

• We're not going to count the hours towards the LCSW. We are, because we're taking the word not out.
• hours >> We're not going to count the hours towards<02:04:15.280> the<02:04:15.440> LCSW
• towards the LCSW. towards the LCSW.

Keywords: Senate streaming session for Monday, April 13, 2026, 960, senate, all

Summary: The Senate convened on the final day of session, heard an invocation, recognized guests and pages, and outlined a tentative plan for multiple sessions and breaks through the day. The chamber then took up several messages between the Senate and House, including a refusal to concur in House amendments to Senate Bill 311 on the Blueprint for Maryland’s Future and the appointment of conferees, as well as a House message on House Bill 9007 establishing a conference committee on third-degree assault. The Senate also considered a series of second-reader bills. House Bill 6, requiring MHEC to collect data on pregnant and parenting students, was amended to exempt Maryland Global Campus and limit certain provisions to public senior higher education institutions and community colleges before being ordered to third reading. House Bill 182, concerning replacement of faithless electors, was amended to conform with Senate Bill 237 and then passed. House Bill 575, creating excused absences for student civic engagement, drew the most discussion; senators asked about the definition of civic engagement, county discretion, and whether students could use the bill for repeated protests. The floor leader explained that county boards would retain discretion and that the bill would not require weekly absences. The bill’s two amendments were adopted and it was sent to third reading. Additional measures passed with little or no opposition. House Bill 640 revised boards, commissions, and reporting requirements; House Bill 1335 required an independent study of IT and cybersecurity staffing and pay; House Bill 587 created a work group to review transportation procurement procedures; House Bill 854 established a nonpublic special education school renovation program; and House Bill 898 adjusted economic development provisions, including VLT proceeds and film tax credit language, after questions about the general fund impact. The Senate also advanced House Bill 1247 on Prince George’s County tax increment financing for an immersive entertainment venue, with amendments making it an emergency bill and addressing zoning and outdoor advertising issues.

Transcript Highlights:

• LCSWs get involved, counselors get involved, then their teachers are dragged into it when they're got

Keywords: 987, senate, all

Summary: The committee heard the Governor’s May Revision proposals for TK-12 education, beginning with a Proposition 98 overview from the Department of Finance and the Legislative Analyst’s Office. Finance said the May Revision increases the Proposition 98 minimum guarantee by about $6.4 billion relative to the Governor’s January budget across the three-year window, with higher guarantees in each year, continued full payment of the outstanding settle-up obligation in 2024-25, and a reduced $3.9 billion settle-up amount in 2025-26. Finance also described larger mandatory and discretionary deposits into the Proposition 98 reserve, ending with an estimated $10.3 billion reserve balance. The LAO said the overall estimates were reasonable, but urged the state to fully fund the guarantee and use other budget tools, including reserves, to manage volatility rather than delay settle-up payments. Members questioned the remaining settle-up amount, the risk of revenue volatility, and possible alternatives such as advance payments or other reserve strategies. The second panel covered Department of Education proposals and trailer bill language. Finance outlined additional state operations funding and positions for CDE, along with trailer bill changes affecting community schools, preschool, literacy, special education, charter accountability, teacher-related programs, and other technical cleanups. The LAO supported the overall structure of the package but recommended changes to several items, including rejecting some additional one-time community schools, literacy, math, multilingual screener, and inclusive college proposals, while supporting the ongoing LCFF and special education increases and raising concerns about the paid pregnancy disability leave proposal’s cost and implementation complexity. CDE supported the special education increase, community schools, literacy and math investments, homelessness funding, and the paid pregnancy leave proposal, while asking for more funding for county office support, clearer homelessness definitions, and continued preschool parity. Members also asked about immigrant student supports, community schools reporting, and the rationale and cost estimate for the paid pregnancy leave proposal, which Finance estimated at $218 million annually. The final panel addressed the Commission on Teacher Credentialing. Finance proposed additional legal staffing for SB 848 implementation and educator misconduct caseloads, a fee increase for clear credential renewals from $100 to $125, a $5 million one-time Proposition 98 investment to build a transcript review platform, $2 million ongoing for transcript review staffing, and $30 million one-time for the statewide residency technical assistance center. The LAO had no concerns about the legal staffing, supported the transcript review platform if the fee increase and ongoing staffing were adopted, and recommended rejecting the residency technical assistance center expansion because existing funding runs through 2029. The Commission explained that the misconduct workload has grown over several years, that AI would assist but not replace human review in transcript matching, and that the residency technical assistance center helps recruit and retain teachers and support rural districts. Public commenters largely supported special education, discretionary block grants, community schools, literacy investments, homelessness funding, and teacher credentialing alternatives, while some urged rejection of the settle-up proposal and preschool COLA reduction.

Transcript Highlights:

• Jan Lightfoot, LPC, LCSW. I'm also a chaplain ordained in the Southern Baptist Church. Thank you.

Bills: HB 1239, HB1990, HB1748, HB1749, HB2578, HB2986, HB1970, HB3163, HB2733, HB1922, HB 113, HB 1088, HB1938, HB3004, HB2637, HB2960, HB113

Keywords: public health, access to healthcare, insurance reforms, medical expenses, healthcare providers, mental health, protective custody, preliminary examination, detention period, emergency circumstances, emergency detention, legal framework, detention, healthcare, liability, landowners, nonagricultural land, trespassing, public safety, interpreters

Transcript Highlights:

• Uh, the LCSWs or the clinical folks, they do, they're more akin to like the LPCs, the psychologists,

Transcript Highlights:

• The LCSWs, or the clinical social workers, are the ones that are licensed. folks.

Keywords: 1184, house, all

Transcript Highlights:

• I am an LCSW and a hospice social worker.

Summary: The committee heard several health-related measures. SB 27 by Senator Umberg would revise and expand California’s CARE Court by limiting the expansion to people with bipolar I disorder with psychotic features, clarifying the definition of “clinically stabilized,” and narrowing the role of nurse practitioners and physician assistants. Supporters, including behavioral health officials and family members, said the bill would reduce dismissals and better serve people with severe illness; opponents warned the expansion would strain county staffing and housing resources and could undermine voluntary engagement. The bill passed on a do pass motion to the Committee on Public Safety. SB 503 by Senator Weber Pierson would require AI tools used in health care facilities to be identified, monitored, and mitigated for bias when used in clinical decision-making or resource allocation. The author and supporters from Kaiser Permanente and the California Medical Association said the bill would help prevent discriminatory outcomes and improve trust and safety. The committee discussed the need to clarify developer and deployer responsibilities, and the bill passed as amended to Privacy and Consumer Protection. SB 68 by Senator Menjivar would require restaurants to provide written allergen information for the top nine food allergens, with tiered flexibility for smaller establishments. The bill was supported by patients, families, nurses, and allergy organizations, who described severe reactions and the difficulty of relying on verbal disclosures alone. The California Restaurant Association opposed unless amended, seeking broader use of the national model food code and additional liability language. The bill passed as amended to Appropriations. The committee also heard SB 403 by Senator Blakespear, which would remove the sunset from the End of Life Option Act; supporters described the law as a compassionate, well-functioning option for terminally ill patients, while faith-based groups opposed it. The bill passed to Judiciary. Later, SB 41 by Senator Wiener was introduced to rein in pharmacy benefit manager practices that steer patients to mail-order pharmacies and reimburse community pharmacies below cost; community pharmacists and several health organizations testified in support, describing pharmacy closures and patient access problems.

Transcript Highlights:

• Lauren Fink, Senior Director of Public Policy with the Kennedy Forum; Hesondra Gutierrez Thompson, LCSW

Summary: The Assembly Health Committee held an informational hearing on Kaiser Permanente’s behavioral health care system, focusing on Department of Managed Health Care enforcement actions, Kaiser’s corrective action work plan, and testimony from patients, advocates, and union representatives. DMHC officials reviewed a long history of complaints, surveys, fines, and settlements involving Kaiser’s access to behavioral health services, including deficiencies found in 2012 and 2016, a 2022 non-routine survey, and a 2023 settlement that imposed a $50 million penalty and required $150 million in community investments over five years. DMHC said it continues to monitor Kaiser through quarterly meetings, complaint review, follow-up surveys, and a reimbursement process for members who could not obtain timely in-network care. Committee members pressed DMHC on what “timely access” and continuity of care mean in practice, how virtual care and group therapy fit into the standards, and what triggers a non-routine survey. DMHC said initial behavioral health appointments generally should not take more than two weeks, urgent care should be within days, and follow-up care within 10 days, with out-of-network care required when plans cannot meet standards. Officials also said Kaiser’s initial corrective action work plan lacked detail, but the revised plan was accepted and will be tracked through quarterly reporting and possible additional enforcement if Kaiser fails to comply. The second panel featured testimony from a Kaiser enrollee, a behavioral health policy expert, a Kaiser therapist, and the NUHW president. The enrollee described serious delays and inadequate treatment for his daughter after a suicide attempt, while the therapist and union leader said Kaiser’s behavioral health system is understaffed, relies too heavily on short appointments, group therapy, and webinars, and treats behavioral health as less important than medical-surgical care. They argued Kaiser’s one-appointment-at-a-time scheduling rule and limited treatment time violate parity requirements and harm continuity of care. Several members criticized Kaiser for not appearing at the hearing and said the testimony underscored the need for stronger oversight, clearer metrics, and faster remedies for patients.

Transcript Highlights:

• I'm a licensed professional mental health provider with an LPC and LCSW.

Bills: SB330, SB663, SB1020, SB1152, SB1164, SB1896, SB2111, SB2196, SB2383, SB2581, SB2797, SB2798, SB2371

Keywords: county funding, prosecutors' offices, elections, law enforcement, local government, community supervision, budget approval, corrections department, strategic plan, judicial oversight, SB 1020, Texas, personal bond office, pretrial release, electronic monitoring, GPS monitoring, global positioning system, bond conditions, probation, parole

Summary: The committee heard several criminal justice bills, with testimony largely focused on public safety, court procedures, and local criminal justice administration. SB 2371 would expand mandatory skimmer-reporting requirements from gas pumps to ATMs, point-of-sale systems, and virtual currency kiosks, with the Texas Financial Crimes Intelligence Center saying centralized reporting would improve investigations, preserve evidence, and help identify organized criminal groups. SB 2581 would repeal a special law governing commissary funds in certain large counties; the sponsor and the Sheriff’s Association said it would restore parity with other counties while keeping spending subject to audit and inmate-benefit limits. Both bills were laid out and left pending after testimony, with no public witnesses opposing them at the hearing. The committee also heard SB 330, which would require voter approval before counties over a certain size reduce prosecutor funding, similar to an existing law for law enforcement budgets. Supporters argued prosecutors are essential to public safety and need stable funding, while an opponent from the Texas Civil Rights Project said the bill would restrict local budget flexibility and impose costly elections. SB 663 would remove district judges’ approval role for community supervision and corrections department budgets, replacing it with judge review after TDCJ-CJAD approval; probation officials said the change would reduce delays and confusion without reducing judicial oversight. SB 1020 would require more immediate sharing of ankle-monitor violation information and clarify that such records are not judicial work product; the Harris County DA’s office and Crime Stoppers supported it, citing inconsistent local practices and delays that can hinder prosecutions. The committee then took up SB 1164 on emergency detention and court-ordered mental health services. The bill, from the Texas Judicial Commission on Mental Health, would update emergency detention forms, clarify officer duties, allow filings in the county where a person is apprehended or located, and add a factor related to a person’s inability to recognize symptoms or appreciate treatment risks. Supporters included family members, law enforcement, and mental health and judicial witnesses who described cases where earlier intervention might have prevented tragedy; opponents warned the broader language could be misused and emphasized due process and the need for dangerousness to remain the standard. SB 2111 on indigent defense would expand access to counsel at first hearings, strengthen managed assigned counsel programs, create internships and fellowships, and adjust other defense-related procedures; the Texas Indigent Defense Commission and county defense program leaders supported it, while the committee substitute removed some provisions to reduce fiscal impact. Finally, SB 2383 would let recently retired DPS officers return to work in limited roles to help address staffing shortages, and SB 2797 would create reciprocal discovery requirements for criminal cases; prosecutors and some committee members said it would reduce trial surprise and improve truth-seeking, while others questioned whether the bill fully matched the state’s disclosure obligations and whether it could burden defense rights. Several bills were left pending after testimony, and the committee established a quorum later in the hearing.

Transcript Highlights:

• I myself have a master's degree in social work from Simmons College, and I'm an LCSW.

Keywords: 995, all

Summary: The Joint Committee on Children, Families, and Persons with Disabilities heard testimony on a wide range of bills affecting foster youth, child welfare oversight, homelessness services, juvenile justice, social work licensure, and human services workforce supports. Committee co-chairs Senator Robyn Kennedy and Representative Jay Livingstone opened the hybrid hearing by outlining testimony procedures and accessibility measures. Several members and legislators participated throughout the day, and many witnesses were invited to submit additional written testimony after speaking. A major portion of the hearing focused on House 227/Senate 105, which would protect federal benefits owed to children in foster care. Supporters, including advocates from Hopewell, the Disability Law Center, CPCS, the Children’s Law Center, More Than Words, Friends of Children, and youth witness Onyx Rosario, said DCF had already ended the practice of taking most Social Security and SSI benefits and now conserves them in accounts for youth, but argued the policy should be codified to prevent future reversals. Witnesses described how conserved benefits help with basic needs, housing, education, transportation, and transition to adulthood, and several noted the bill also adds financial literacy and transparency requirements. Senator Joan Comerford and others said the change would protect vulnerable youth, especially children of color, LGBTQ youth, and youth with disabilities. The committee also heard testimony on House 225, which would expand the grandparents-raising-grandchildren commission by adding appointments and helping with quorum and representation. The committee also took testimony on Senate 136, which would improve emergency housing assistance for families experiencing homelessness by easing documentation requirements, allowing use of existing state data to verify eligibility, requiring notice before benefit reductions, and creating an ombudsperson. Senator Adam Gomez and other supporters said the bill would reduce barriers for families in crisis. On House 262/Senate 148, an omnibus child welfare bill, witnesses supported provisions on data reporting, education coordination, and Office of the Child Advocate reforms, while CPCS raised concerns about expanded access to sensitive records and the OCA’s role in certain proceedings. The Office of the Child Advocate supported codifying current practices and also backed child fatality review changes in House 234/Senate 133. The committee additionally heard support for Senate 108, which would require attorneys and audio/video recording during juvenile custodial interrogations, and for House 247/Senate 116, which would update the Juvenile Justice Policy and Data Board to add supported lived-experience seats. Finally, the committee heard competing testimony on Senate 135, a bill to ensure parity in social work licensure. SEIU Local 509 and supporters argued the current exam requirement disproportionately harms Black, Latino, multilingual, and multicultural applicants and worsens workforce shortages, while the Association of Social Work Boards opposed the bill, saying the exam is a necessary public-protection measure and that removing it would conflict with interstate compact efforts. The hearing also included testimony in support of a loan repayment program for human service workers, with providers and workers describing low wages, high student debt, and the need to retain staff in essential services. No votes or final committee actions were taken during the hearing itself.

Transcript Highlights:

• I'm an LCSW, or licensed clinical social worker, at Sterling Health with Dr. Awesome." Dr.
• Rebecca Red continued: She is an LCSW at Sterling Health with Dr. Awesome.

Keywords: Meeting Start 00:00:00 Call to Order and Roll Call 00:00:23 Kentucky Bankers Association 00:02:32 How to Read and Understand KRS 6.948 Health Mandate and Federal Cost Defrayal Impact Statements 00:25:40 Proposed Amendments to Kentucky's Essential Health Benefit-Benchmark Plan 00:50:18 Proposed Health Insurance Legislation for the 2026 Session 01:04:22 Reimbursement for Covered Benefits Delivered Through the Psychiatric Collaborative Care Model 01:01:46 Coverage of Eating or Feeding Disorders 01:18:47 Coverage of Hearing Loss 01:25:31, 958, all

Summary: The Interim Joint Committee on Banking and Insurance met for its first interim meeting, established a quorum, approved routine opening items, and welcomed a new committee assistant and a legislative intern. The committee first heard a Kentucky Bankers Association presentation from Tim Shank and John Cooper focused on the state’s housing shortage, which they described as affecting all 120 counties and especially low- and moderate-income and workforce housing. They urged support for a proposed $20 million banker-backed revolving fund, paired with tax credits, to finance new housing construction; they said the program would be flexible, could support alternatives such as manufactured housing, and would use below-market loans with tax credits vesting over five years only after units are completed. They also asked for extension of the historical tax credit carryforward from five to seven years and for continued support of new market tax credits, arguing that supply-chain delays make the longer period necessary for historic rehabilitation projects. The bankers also raised concerns about credit unions, arguing that because credit unions do not pay the same taxes as banks, they should not be allowed to acquire healthy state-chartered banks or hold state and local deposits. They cited the recent purchase of First State Bank of Middlesborough as an example, saying the transaction would reduce state, county, and city tax revenue and weaken local tax bases. In response to committee questions, the presenters said local regulations, zoning, parking, sidewalk, and utility easement issues can significantly delay housing projects, and they emphasized that state policy and infrastructure support are needed to help address affordability and development barriers. The committee then shifted to a Department of Insurance presentation by Commissioner Sharon Clark on how to read KRS 6.948 health mandate and federal cost defrayal impact statements. Clark explained that the mandate statements were created in 1998 so legislators would have actuarial estimates of how proposed health insurance mandates would affect administrative costs, premiums, and total costs, and she noted that later legislation added federal cost-defrayal analysis. She also reviewed the background of the Affordable Care Act’s essential health benefits framework and said the department’s statements are intended to help lawmakers make informed decisions on proposed health coverage mandates. No votes or formal actions were taken during the portion of the meeting provided.

Transcript Highlights:

• I'm an LCSW at, or formerly at, Elk Grove Police Department. So, a licensed clinical social worker.

Summary: The hearing focused on California’s 988 suicide and crisis lifeline and the broader crisis response system, with members and witnesses emphasizing both the system’s life-saving role and the risks posed by funding gaps, rising demand, and uneven local implementation. Opening remarks highlighted the personal impact of suicide and the need to strengthen crisis response so calls are answered quickly and linked to appropriate care rather than defaulting to 911, emergency rooms, or law enforcement. State officials described the AB 988 five-year implementation plan, which sets goals around public awareness, equitable access, high-quality call/chat/text response, and better integration with ongoing behavioral health services. State agencies reported progress on infrastructure, coordination, and related behavioral health investments. CalHHS said California has expanded mobile crisis teams, crisis stabilization units, and youth behavioral health supports, and is preparing additional public awareness and grant programs tied to Proposition 1. DHCS explained that 988 is funded through a federal SAMHSA grant and the AB 988 surcharge, while Medi-Cal separately funds mobile crisis services; officials said the mobile crisis benefit is active in 53 counties and that statewide expansion remains a work in progress. Cal OES described the statewide technical buildout, including network infrastructure in all 11 crisis centers, interoperability with 911, and a pilot of next-generation routing and call-handling tools. The 988 California Consortium said call volume continues to rise sharply, missed calls remain a major concern, text/chat capacity is limited, and centers need more stable funding, better reimbursement, and stronger feedback loops with the state. County and community witnesses stressed that local systems need more flexible, sustained support to match the demand. Lake County described a peer-led rural mobile crisis model that has reduced law enforcement holds and increased housing placements, but said county-run mobile crisis teams still cannot reliably access 988 surcharge dollars and face reimbursement problems from Medi-Cal and commercial plans. Santa Clara County reported strong performance metrics, rapid call answer times, and a broad continuum of mobile crisis services, but said staffing and funding are strained and commercial reimbursement remains slow. The Mental Health Association of San Francisco said the peer-run warm line complements 988 by offering non-emergency support and warm handoffs, but recent budget changes forced cuts to Spanish-language service, federation support, and hours. No formal votes or legislative actions were taken during the hearing; members mainly asked questions about surcharge levels, budget timing, coordination among agencies, data collection, and how to improve collaboration with frontline crisis centers.

Transcript Highlights:

• In this case management, we have LCSWs and NACSWCs who work with every Dwyer scholar to make sure they
• In this case management, we have LCSWs and Masters of Social Work who work with every Dwyer scholar to

Keywords: 1184, house, all

Transcript Highlights:

• We have MLX and LCSWs. We operate four of the state's 20 recovery community organizations.
• 05:06:13.760> mlx<05:06:14.480> and Services we have mlx and Services we have mlx and lcsws
• 06:18.280> of<05:06:18.480> the<05:06:18.718> state's<05:06:19.440> 20 lcsws
• we operate four of the state's 20 lcsws we operate four of the state's 20 recovery<05:06:20.878>

Keywords: 1189, house, all

Transcript Highlights:

• standards of education, training, supervision, post-licensure education, and ethical standards as my LCSW

Keywords: 995, all

Summary: The committee held its fourth public hearing of the 2025-2026 session on bills dealing with involuntary commitment and access to addiction treatment, especially proposals to move Section 35 civil commitments away from jails and prisons and into facilities licensed or approved by DPH or DMH. Chairs Velis and Domb framed the hearing as a discussion of how to support people in crisis with compassion, while also warning against using involuntary commitment as a way to remove unhoused people from public view. The hearing also touched on related concerns about discharge practices, treatment capacity, and the need for a broader continuum of care. Testimony split largely along two themes. Addiction researcher Keith Humphreys argued that many people enter treatment under pressure, that involuntary treatment can be ethically justified in the face of overdose risk, but that it should not be mandated unless high-quality services exist first; he emphasized the need for inpatient care when someone is a grave danger, followed by case management and outpatient support. MAMH’s Kate Alicante supported the bill, saying Massachusetts is the only state that commits people with substance use conditions to jails or prisons and that carceral settings add trauma and stigma; she pointed to prior legislative steps, including the Section 35 commission and the planned closure of DOC’s MESAC facility, as evidence that the Commonwealth is moving toward health-based settings. A major portion of the hearing focused on Stony Brook, a sheriff-run stabilization and treatment center in Hampden County. Boston City Councilor John Fitzgerald, several committee members, and multiple people in recovery described the facility as humane, well-run, and effective, with longer stays, medical monitoring, medication-assisted treatment, counseling, and warm handoffs to aftercare. Several witnesses said Stony Brook saved their lives or helped family members recover, and they argued that the sheriff’s office model should be expanded rather than eliminated. Others, including family members and advocates, countered that even a well-run correctional setting remains stigmatizing and that people should not be treated in facilities run by sheriffs or corrections when they have committed no crime. No vote was taken. The hearing concluded with continued testimony, including Senator Friedman’s support for Section 35 as a civil commitment tool but not in a criminal justice setting, and her separate support for a bill to speed inpatient mental health treatment.