Transcript Highlights:

• Brendan McCarthy with CSEC, also for the Urban Counties of California and the Rural County Representatives

Keywords: 988, house, all

Transcript Highlights:

• Brendan McCarthy with CSEC, also for the Urban Counties of California and the Rural County Representatives

Summary: The hearing focused first on behavioral health, especially serious mental illness and anosognosia, a condition described by witnesses as a neurological symptom that prevents people from recognizing they are ill. The chair framed the issue around families cycling through emergency rooms, jails, conservatorships, and short-term stabilization without lasting treatment, and warned that federal changes under H.R. 1 could reduce Medi-Cal funding and worsen access. Dawn Marie Anderson gave a personal account of her son’s long history of psychosis, homelessness, arrests, repeated jail and state hospital stays, and eventual stability when he received sustained medication and coordinated support. She argued that the system often treats the problem as criminal rather than medical and that voluntary programs and short-term services are not enough for people who lack insight into their illness. Other panelists, including representatives from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association, agreed that anosognosia is not denial or noncompliance and said the system needs long-term, coordinated care, including assertive community treatment, mobile crisis, supportive housing, medication support, and stronger handoffs between county and managed care systems. They said CalAIM and other reforms have improved some coordination, but significant gaps remain, especially for people with serious mental illness, for those in jail or locked settings, and for people with private insurance, which witnesses said often offers little meaningful coverage for early psychosis or intensive behavioral health services. Several witnesses urged the Legislature to protect Medi-Cal, shore up county safety-net services, and invest in training and family engagement. The committee then turned to the Children and Youth Behavioral Health Initiative, with a focus on the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, saying the platforms provide free, culturally responsive, early-intervention support statewide and help connect users to higher levels of care when needed. On the fee schedule, DHCS said more than 500 LEAs, colleges, universities, and school-linked providers are participating, 181 LEAs have submitted claims, and $9.6 million has been reimbursed to date, with 41,556 students represented in claims. The chair and several members criticized the pace of implementation and the amount of money spent relative to reimbursement levels, saying the Legislature had requested data earlier and that the return on investment still appeared low. DHCS responded that many claims are still being submitted, that 70% of denials are correctable, that $400 million in capacity grants has been distributed locally, and that reimbursement is increasing rapidly as more districts come online. Public comment included a rural county behavioral health director who said private insurance denials leave counties with significant uncompensated work, especially for unlicensed staff providing case management and mobile crisis services.

Transcript Highlights:

• On behalf of the urban counties of California, we are opposed to the administration's Behavioral Health

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:

• On behalf of the urban counties of California, we are opposed to the administration's Behavioral Health

Keywords: 987, senate, all

Transcript Highlights:

• Josh Gogger, on behalf of multiple clients and on behalf of the urban counties of California, we are

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.

Transcript Highlights:

• Impact: life-threatening flash flooding of creeks and streams, urban areas, highways, streets, and underpasses

Keywords: 1185, senate, all

Transcript Highlights:

• We have food deserts in urban areas.

Summary: The committee first heard House Bill 267, which would change the membership rules for the Louisiana State Board of Home Inspectors by adjusting appointment qualifications, term limits, and nomination procedures. Vice Chair Thomas explained the bill was meant to address the lack of nominations from existing entities and to allow the governor more flexibility, especially in smaller districts. After adopting a technical amendment, the committee reported HB 267 favorably. The committee then considered House Bill 478 on utility overcharge reimbursements. The bill, as amended, requires utilities to clearly label reimbursements on customer bills and sets a deadline for issuing refunds. After discussion with the Public Service Commission and utility representatives, the committee changed the reimbursement timeline from 45 days to 90 days and clarified that the bill would not interfere with larger settlement or regulatory credits. HB 478 was then reported favorably as amended. The longest discussion centered on House Bill 924, a consumer protection measure aimed at contractors who solicit residential property owners after declared disasters. The author said the bill was intended to curb predatory storm-chasing and fraudulent insurance-related practices, while still allowing emergency mitigation work. The committee adopted technical amendments and then a conceptual amendment shortening the catastrophe response period from six months to 30 days. Testimony was split: the Insurance Commissioner and some roofing industry witnesses supported the bill as a way to deter fraud, while other contractors argued it would hurt small businesses, limit legitimate door-to-door work, and not solve enforcement problems. The bill remained under consideration after extensive testimony and public comment.

Transcript Highlights:

• When you build them in urban settings, you have access to high-level clinicians who can get paid more

Keywords: 988, house, all

Transcript Highlights:

• Louis Metropolitan Urban League, Matthews Dickey's Boys and Girls Club, and the Devon Alexander Foundation

Keywords: 959, house, all

Transcript Highlights:

• Louis Metropolitan Urban League, Matthews Dickey's Boys and Girls Club, and the Devon Alexander Foundation

Summary: The House opened with prayer, the Pledge of Allegiance, and approval of the House Journal by a 104-0 vote. Members then spent a large portion of the session offering personal remarks and introducing guests, including the family of Lance Corporal Jared Schmitz, school groups, a Boy Scout troop, a Highway Patrol commander, and community figures such as Corey Johnson and boxer Devin Alexander. There was also a moment of silence for a member’s mentor and a personal privilege statement recognizing Autism Month and the work of teachers and therapists serving autistic children. The main floor debate centered on House Committee Substitute for House Bill 2481, which would tighten Missouri rules for SNAP and related public benefits by requiring proof of citizenship or lawful presence, using the federal SAVE system throughout eligibility checks, and directing the Department of Social Services to seek a waiver to steer SNAP purchases toward healthier foods. Supporters framed the bill as a matter of accountability, taxpayer stewardship, fraud prevention, and improved nutrition, while opponents argued it was unnecessary because federal law already limits eligibility, could add administrative costs, and could harm children, families in food deserts, and pregnant women who rely on programs such as Show Me Healthy Babies. An amendment offered by the gentleman from Johnson to extend the bill to MoHealthNet was adopted, and after extended debate the House invoked the previous question 91-46, then adopted and perfected the bill as amended. The House also advanced House Committee Substitute for House Bill 1869, which creates a process and fund to repair damaged veterans’ headstones in public and private cemeteries, with support from members who emphasized honoring veterans and preserving gravesites; the bill was adopted and perfected without opposition. House Bill 2927 was also moved forward; it would require settlement demands tied to extra-contractual or bad-faith insurance claims to be written, held open for 90 days, and reference the relevant statute. Supporters said it gives insurers reasonable time to evaluate large claims, while opponents said it could delay compensation for injured Missourians; it too was adopted and perfected. The House then began consideration of additional bills, including House Bills 2387 and 2480, as the session continued.

Transcript Highlights:

• the last two years, we have seen a significant reduction in crime across Kentucky and in our major urban

Keywords: 958, all

Transcript Highlights:

• So everyone would appreciate, I don't care if you live in a rural area or metropolitan or urban, you

Summary: The committee first heard a budget presentation on LSU Health Care Services Division and Lallie Kemp Medical Center. Staff reviewed HCSD’s roughly $74.7 million budget, much of it tied to legacy obligations for former LSU hospital systems and support for Lallie Kemp. Committee members asked about prisoner care, risk management costs, declining admissions and emergency visits, and the hospital’s 340B drug program. Lallie Kemp officials explained that prisoner care serves multiple state and local facilities, that lower admissions largely reflect more patients being placed in observation status, and that the in-house 340B program provides major savings to patients and the prison system. Members also asked about care for unhoused patients and the hospital’s discharge practices, and the hospital said social services works to find placement when possible. The committee then moved to the Louisiana Department of Health budget, which was presented as just under $23.5 billion, with Medicaid making up more than 90 percent of the total. The presentation covered the Office of the Secretary, Office of Public Health, Office of Behavioral Health, Office for Citizens with Developmental Disabilities, and Medicaid. Major items included the new Rural Health Transformation Program, the transfer of several functions from DCFS to LDH under the One Door initiative, changes to SNAP administration, and large Medicaid adjustments driven by enrollment, utilization, and federal policy changes. Testimony also highlighted the statewide crisis hub and 988, the commodity food program for seniors, women’s health and maternal outcomes, and the department’s efforts to modernize technology and reorganize services. Members questioned LDH officials on a wide range of budget and policy issues, including the rural health grant, crisis services, Medicaid redeterminations, provider taxes, physician and hospital supplemental payments, nursing home rates, HCBS funding, and the impact of the federal One Big Beautiful Bill Act. LDH said the rural health grant would support workforce, technology, and care-delivery improvements; that the crisis hub and mobile crisis units are being expanded to improve access and reduce emergency room use; and that the department is working to keep the SNAP error rate below 6 percent to avoid a projected state cost increase. Officials also said they expect to return next year with additional funding requests for HCBS and other programs, while emphasizing that current budget changes are largely meant to realign funding with actual expenditures and new federal requirements. No votes or formal actions were taken in the portion provided.

Transcript Highlights:

• And I think whether you're in, you know, rural Yakima County or in urban Seattle, those policies are

Bills: HB2720, HB2073, HB2487, SB5816, SB5919, SB5995, SB5831, SB6134, SB6136, SB6137, HB2689, SB5922, SB5944, SB5957, SB5988, SB5994, SB6011, SB6065, SB6103, SB6151, SB6244, SB5420, SB5868, SB6044, SB6132, SJM8002

Keywords: behavioral health, emergency services, health insurance, provider access, mental health funding, premium assistance, funding, healthcare, subsidies, insurance tax, state regulation, insurers, taxation, budget impact, juice grapes, agriculture, commerce, market access, fire safety, insurance incentives

Summary: The House took up a series of Senate bills and moved most of them quickly to third reading and final passage, often suspending the rules and adopting committee amendments without objection. Early action included Senate Bill 5944, which addresses compensation for interpreters working for L&I when appointments are canceled or missed; it passed 86-10. Engrossed Substitute Senate Bill 5837, dealing with guardianship and supported decision-making, drew debate over a new right to counsel in guardianship cases and concerns about expanding civil legal obligations, but it passed 73-23. Engrossed Substitute Senate Bill 6197, a plumbers enforcement/discipline measure tied to task force work on wages and the underground economy, passed unanimously. Engrossed Substitute Senate Bill 6019, fixing a loophole in home care worker parity law, also passed unanimously, as did Senate Bill 6011, which extends authority for Court of Appeals bailiffs to assess threats against judges and staff, though members noted concerns about access to non-conviction data. Engrossed Substitute Senate Bill 6058, aimed at improving Labor and Industries’ ability to address wage theft complaints and backlog, passed 96-0 after House amendments. Substitute Senate Bill 5923, allowing an island hospital in Skagit County to become a critical access hospital, passed 96-0 amid support for rural health care. Senate Bill 5994, which changes how timber tax revenue is distributed so school districts are not penalized when levies fail, also passed 96-0. Substitute Senate Bill 6076, streamlining public utility district procurement and raising spending thresholds, passed 95-1 after a capital budget amendment. The House then moved to second reading of Engrossed Substitute Senate Bill 5925, a major bill expanding the Attorney General’s authority to issue civil investigative demands in constitutional and discrimination-related matters. The bill prompted extensive debate over civil liberties, due process, and the potential for government overreach. Amendment 2160, which would have required clear and convincing evidence before a CID could issue, was rejected 38-48. Amendment 2149, creating a right to cure before a CID, was also rejected. Amendment 2150, requiring assistant attorney general approval and a reasonable suspicion standard, failed 38-48. Amendment 2151, requiring the Attorney General personally to approve CIDs in writing, failed as well. However, several narrowing amendments were adopted, including limits on scope and relevance (2288), a prohibition on CIDs to federal agencies (2289), a ban on sharing CID-derived information for criminal law enforcement purposes (2290), and a requirement that the Attorney General’s office consult with other agencies in certain overlapping investigations (2154 was rejected, but later amendments continued). Other proposed protections, such as fee-shifting for successful CID challenges and reimbursement when a CID produces no action, were debated at length but not adopted in the portion of the transcript provided.

Transcript Highlights:

• This budget thinks about urban districts, it thinks about rural districts.

Bills: SB6061, SB6234, SB6170, SB6176, SB6182, SB6335, SB5647, SB6047, HB2367, HB2606, SB5998, SB6005, SB6003, SB6129, SB6225, SB6228, SB6231

Keywords: tourism, self-supported assessment, funding, statewide promotion, economic development, sewage, grinder pumps, residential buildings, regulation, construction, contracting rules, state highway construction, procurement limits, state regulations, infrastructure funding, vehicle registration, enforcement, renewal, transportation, state law

Summary: The Senate met on February 23, 2026, opened with the usual roll call, pledge, prayer, and approval of the previous journal. Members then adopted Senate Resolution 8698 recognizing piano teachers, with several senators sharing personal remarks about their own teachers and the role of music education in families and communities. Guests from the Washington State Music Teachers Association and the National Guild of Piano Teachers were recognized in the gallery. The chamber then moved into budget debate, considering a series of amendments to the operating budget. Several proposals focused on housing costs, local planning, utility rates, and state spending restraint. Amendment 0772, which would have created a housing-related task force and increased funding, was rejected after debate over housing affordability and regulatory costs. Amendment 0785, restoring growth management planning funding for local governments, was also rejected. Amendment 0791, directing the Department of Commerce to study the effects of climate and clean energy laws on utility costs, and Amendment 0769, related to grid capacity and clean energy investments, were both adopted. Other amendments drew sharper partisan debate. Amendment 0798, which would have reduced the Supreme Court from nine justices to five and redirected savings to public defense, failed. Amendments 0794 and 0795, seeking funding for ballot measure costs tied to initiatives, also failed. Amendment 0799, intended to redirect Pacific Tower lease savings to developmental disability services, was rejected after discussion of the building’s current public uses. Amendment 0773, capping state spending growth and tying it to median wage growth, failed on a roll call vote, while Amendment 0777, addressing concurrent use of paid family and medical leave and sick leave by state employees, also failed after extended debate. Later, Amendment 0776 on tort liability reporting was adopted, as were Amendment 0758 creating a DSHS work group on community-based services for people with intellectual and developmental disabilities, and Amendment 0786 was introduced to reduce cash and food assistance work-related funding, with debate beginning before the transcript ends.

Transcript Highlights:

• House and over to the Senate, I would like to see this as a pilot project where we would use maybe an urban

Keywords: 00:00 - Call to Order/Roll Call 01:05 - Discussion of 26RS HB 418 21:23 - Roll Call Vote on 26RS HB 418 22:40 - Discussion of 26RS HB 611 26:00 - Roll Call Vote on 26RS HB 611 26:52 - Discussion of 26RS HB 598 51:25 - Roll Call Vote on 26RS HB 598, 958, all

Transcript Highlights:

• department</c><00:44:34.000><c> of</c> ...employment side, as well as the Department of Housing and Urban

Keywords: 958, all

Transcript Highlights:

• We'll further take Center Urban Real Estate's suggested amendments to allow HRS 201H-36A5 to include

Keywords: 912, senate, all

Summary: The Committee on Housing, meeting jointly with the Committee on Health and Human Services, heard testimony on Senate Bill 2787, which would expand use of the rental housing revolving fund to provide loans or grants for purchasing rental units, and Senate Bill 2957, which addresses tenant displacement and relocation protections, as well as Senate Bill 2866, which would make the state rent supplement program for kupuna permanent and appropriate funds for it. Testimony on SB 2787 included support from DHHL, HHFDC, AARP Hawaii, and others, while the Attorney General recommended clarifying language and standards for grants, and the Tax Foundation questioned whether grants fit the revolving-fund structure. On SB 2957, supporters including OHA, PACT, medical-legal advocates, and tenant representatives emphasized relocation hardships from the KPT redevelopment, language access, and the need for clearer minimum safeguards; the Attorney General suggested defining “comparable units” and correcting a drafting error. On SB 2866, HPHA, Catholic Charities, AARP, the Executive Office on Aging, and others supported making the kupuna rent supplement program permanent to prevent homelessness among low-income seniors. During discussion on SB 2957, members questioned HPHA and tenant counsel about the KPT low-rise relocation process and what “comparable housing” meant in practice. HPHA said all tenants were relocated, but counsel described disputes over comparability, disability and family-size issues, and at least one offered unit that was not livable. For SB 2787, members questioned DHHL about why it sought funding from the rental housing revolving fund rather than other sources; DHHL said it was still exploring options and had mostly used its funds for infrastructure, with only a small portion used as revolving funds. The chair expressed concern about relying on scarce housing funds and urged more efficient use of DHHL’s existing resources. In decision-making, the committees voted to pass SB 2957 with amendments and SB 2866 with amendments. For SB 2957, the amendments would replace the bill with a working group on tenant displacement and relocation, include a blank appropriation and defective date, and request $75,000 for the working group; the motion was adopted unanimously by the members present, with Senator Favela excused. For SB 2866, the amended version would include a blank appropriation, defective date, and committee report language noting requests for $110,160 for two HPHA public housing specialist positions and $2.16 million for the state rent supplement program; this motion was also adopted, with Senator Favela excused. After the joint hearing adjourned, the committee returned to the housing-only agenda and continued discussion of SB 2787 before moving on to SB 3089, which would amend the down payment loan assistance program for low- and moderate-income first-time homebuyers; testimony on SB 3089 was beginning when the transcript ended.

Transcript Highlights:

• The governor and other leaders from both parties, from rural and urban areas, in both elected and agency

Summary: The committee met to hear House Bill 207, as amended, which would direct the Water Quality Control Commission to adopt rules for permits allowing certain beneficial uses of treated produced water, including industrial, commercial, energy-related, infrastructure, pilot project, and other approved uses. Representative Brown presented the bill as a science-driven response to New Mexico’s water scarcity, citing the state’s 50-year water plan and research from the New Mexico Produced Water Research Consortium. The committee adopted an amendment requiring the rules to be informed by credible scientific data and other evidence, including consortium research, before moving to public comment. Supporters argued the bill would create a regulated framework for reuse of treated produced water, preserve scarce freshwater, and support economic development, construction, and energy-related uses. Testimony in favor came from the bill sponsor, the consortium’s Dr. Zach Stoll, the chair of the Water Quality Control Commission, business and industry representatives, local economic development officials, and some residents. They emphasized recent peer-reviewed studies, pilot projects, and the need for the commission to act on updated science. State agencies, including the Environment Department, said the amended bill addressed some of their concerns and kept the focus on science-based rulemaking. Opponents said the bill would override the Water Quality Control Commission’s prior findings and force approval of uses that remain scientifically unproven and potentially harmful. Many speakers from environmental groups, acequia and agricultural organizations, faith groups, and local residents warned about unknown contaminants, risks to groundwater, crops, roads, and human health, and the possibility of spills or long-term environmental damage. Several argued the bill would politicize a technical process and create liability or cleanup burdens for the public. No vote on final passage was taken in the portion provided; the committee recessed briefly after public comment and then returned to sponsor remarks and questions.

Transcript Highlights:

• And when we start talking about urban blight, changing the looks of things, evidently this has been a

Keywords: 996, all

Transcript Highlights:

• So if we're trying to ramp up in a very large community in a county that has sort of rural and urban

Keywords: 996, all