Video & Transcript : 'psychiatric advance directive' :
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AL
Alabama 2025 Regular Session
Alabama Senate Fiscal Responsibility and Economic Development Committee Apr 30th, 2025
Fiscal Responsibility and Economic Development
Transcript Highlights:
- A local hospital in my area was wanting to add some psychiatric beds to their hospital.
- They already have a psychiatric unit, and the CEO there told me that they spent two years and over $200,000
- state that we would say are lacking in the healthcare community, and it's obstetric services and psychiatric
- But the top two are going to be obstetrics and psychiatric services.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Oct 7th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- I include psychiatry in there, mainly because I was a psychiatric hospitalist.
- Most sites are not exactly directed so much to active recruitment.
- But I'm kind of resistant to the notion of direct reciprocity, if you will. Thank you, Madam Chair.
- A strange quirk is that we're seeing organizations planning a year in advance for what might be coming
- Health would like us to be able to help out in that in terms of the direct recruitment.
TX
Transcript Highlights:
- many of those places, the only access to health care, real health care, they have is through an advanced
- Miller, an advanced practice registered nurse, has to have a supervising physician to practice.
- I'm a local practicing physician with a Direct Primary Care Clinic.
- Many of our plan administrators actually direct contract with hospitals for safe harbor.
- So we do direct contracting in hospitals where we have safe harbor.
Keywords:
HB 1818, Texas Insurance Code, Texas Department of Insurance, commissioner of insurance, health maintenance organization, HMO, insurer, utilization review, preauthorization, prior authorization, medical necessity review, health care services, medical care, insurance regulation, insurance examination, regulatory oversight, confidential records, public information exception, Chapter 843, Chapter 1301
FL
Florida 2026 4th Special Session
February 5, 2026 - 12:30 PM
Transcript Highlights:
- And his psychiatric records were released to the public, and about 10 days later he was forced to withdraw
- Psychiatric records, mental health records released to the public can cause serious long-term harm.
- followed, Jonathan Weber: states, including Florida were able to enact election changes without advanced
- I'm just recognizing that we're here many months in advance of our next election and people are already
- CS HB 1051 was created in direct response to concerns from residents of Concord State, a CDD in my district
MS
Mississippi 2026 Regular Session
Public Health and Welfare - Room 216, 3 February, 2026; 3:00 PM
Public Health and Welfare
Transcript Highlights:
- It would also allow any rural hospital to operate a geriatric psychiatric unit.
- But those are provisions it seems to me, or steps in the right direction, and it seems that, to say the
- </c> geriatric psychiatric unit. geriatric psychiatric unit.
- </c> steps in the right direction steps in the right direction and<00:20:16.240><c> it</c><00:20:16.480
- And if that's the case, that's what we need to be changing, not something specifically directed at a
WA
Washington 2025-2026 Regular Session
House Community Safety Feb 18th, 2026
Transcript Highlights:
- I just did want to give the public and everyone advance notice for the bills we're hearing today and
- Engrossed Senate Bill 5286 is the bill that relates to the cost of policing at and near state psychiatric
- For background, the Department of Social and Health Services operates two state psychiatric hospitals
- When someone is exercising authority over a resident, asking questions, giving directions, or making
Summary:
The House Community Safety Committee met on January 18, 2026, and heard staff briefings and public testimony on several familiar bills. Engrossed Senate Bill 5068 would broaden eligibility for law enforcement, civil service, prosecuting attorney, and Fish and Wildlife officer jobs to anyone legally authorized to work in the United States under federal law, replacing references to lawful permanent residents and DACA recipients. Supporters, including Sen. Lovick and King County, said it would expand the applicant pool and align state law with federal work authorization rules; opponents raised concerns about background checks, visa fraud, and whether the bill could allow people without U.S. citizenship to serve in sensitive public safety roles. The committee also heard testimony on Second Engrossed Substitute Senate Bill 5268, which would require community custody for unlawful possession of a firearm offenses; law enforcement and prosecutors supported it as an accountability measure, while the Sentencing Guidelines Commission urged more specificity and cautioned against over-supervision for lower-level cases.
The committee then heard Engrossed Senate Bill 5272, which expands school-related interference and intimidation offenses to include employees, contractors, students, and officials or volunteers involved in extracurricular athletic activities, increases penalties, and requires non-student offenders to be barred from the school or activity for 12 to 18 months. Sen. Lovick and several witnesses, including referee Bob West, supported the bill as a response to rising abuse of sports officials and school personnel. The committee also heard Engrossed Senate Bill 5286, which would codify and fund community policing partnerships at Western State Hospital in Lakewood and Eastern State Hospital in Medical Lake, with annual reporting requirements; the mayors of Lakewood and Medical Lake testified in support, saying the programs had reduced calls and improved safety.
A major portion of the meeting focused on Substitute Senate Bill 5855, which would prohibit law enforcement officers from wearing facial coverings while interacting with the public, with exceptions for undercover work, SWAT/protective gear, and other hazardous conditions. Supporters, including Sen. Valdez, the King County prosecutor, local officials, and several public commenters, argued the bill would improve transparency, accountability, and public trust, especially in response to masked federal immigration enforcement. Opponents warned about officer safety, doxing, weather and smoke conditions, and possible conflict with federal law; committee members and stakeholders discussed a possible amendment tied to Labor and Industries rules to address protective coverings in hazardous conditions. The chair said the committee would take executive action on SB 5272, SB 5286, and SB 5268 the next day, and the meeting adjourned after public testimony on SB 5855.
WA
Washington 2025-2026 Regular Session
House Community Safety Feb 18th, 2026 at 10:30 am
Community Safety
Transcript Highlights:
- I just did want to give the public and everyone advance notice for the bills we're hearing today and
- Engrossed Senate Bill 5286 is the bill that relates to the cost of policing at and near state psychiatric
- For background, the Department of Social and Health Services operates two state psychiatric hospitals
- When someone is exercising authority over a resident, asking questions, giving directions, or making
- When someone is exercising authority over a resident, asking questions, giving directions, or making
TX
Texas 89th Regular
Homeland Security, Public Safety & Veterans' Affairs Mar 19th, 2025
Homeland Security, Public Safety & Veterans' Affairs
Transcript Highlights:
- school districts will be required to adopt the statewide active shooter response plan and maintain direct
- point in time when you had to bring in. and more, you know, more firepower, if you will, and more, advanced
- something different. that my initial impression, we think that we're going to gradually move in that direction
- Part of that process includes a question about whether the applicant has ever received psychiatric counseling
- He was brought to us by a constituent who works in a high-stress profession for routine psychiatric counseling
Keywords:
electronic monitoring, parole supervision, law enforcement, warrant execution, public safety, handgun license, judgment evaluation, medical advisory board, application denial, gun law procedures, abandoned property, unclaimed property, disposition, handgun, driver's license, commercial driver's license, weapon carry, gun rights, Texas legislature, legislative attendance
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Children, Families and Persons with Disabilities Jun 21st, 2026 at 01:00 pm
Joint Committee on Children, Families and Persons with Disabilities
Transcript Highlights:
- We've gone so far in the other direction that families with no place to go, who may be found eligible
- You're not allowed to say the word no or not follow a direction. You will get shocked.
- diagnosis, and many receive psychiatric medications while confined.
- Please support this bill and advance it forward. Thank you very much. Thank you. Any questions?
- Liability exposure when a state-directed action results in a child being placed in danger.
Summary:
The committee held a hybrid hearing on a range of bills affecting children, families, disability rights, homelessness, and social services. Early testimony focused on H.215, which would support children experiencing homelessness by speeding access to child care vouchers and early intervention screenings. Boston officials, Horizons for Homeless Children, Head Start, pediatric and early education advocates, and families described delays in child care and early intervention, the developmental risks of homelessness, and the need for automatic referrals and faster access to services. Testimony also supported H.216, which would improve emergency housing assistance by restoring presumptive eligibility, reducing documentation barriers, extending shelter stays from six to nine months, and creating an ombudsperson; providers and legal advocates said current rules leave families sleeping in cars or outside and create unnecessary administrative hurdles.
The committee also heard strong support for H.210, which would repeal the “Learn Fair” school attendance sanction that cuts cash assistance to families when children miss school. Advocates from legal aid, education, and anti-poverty organizations argued the policy is punitive, burdensome, and ineffective, disproportionately affecting low-income, disabled, and Hispanic/Latino families. Several speakers said chronic absenteeism should be addressed through supports such as family outreach, wraparound services, and school engagement rather than benefit cuts. Legislators and school officials from Salem also testified that their districts reduced absenteeism through supportive strategies, not sanctions.
Additional testimony addressed children’s vision bills H.202 and H.166, with optometrists and researchers urging better screening, data systems, and treatment access to close achievement gaps caused by untreated vision problems. Senator Lovely also presented S.2714, proposing a study of discrimination in public accommodations for people with service animals. Later, testimony on H.279 supported changing social work licensure rules to remove exam requirements that speakers said disproportionately exclude multilingual candidates and candidates of color. The hearing also included testimony on bills related to the Judge Rotenberg Center and electric shock devices, with disability rights advocates opposing continued use of the devices and urging the committee to reject licensing or authorization for them. No votes or committee actions were taken during the hearing.
ID
Transcript Highlights:
- The Senate will now advance to the second order of business, prayer and pledge of allegiance.
- The Senate will now advance the fourth order of business.
- President, ask unanimous consent to the Senate advance the 11th order of business.
- President, ask unanimous consent to the Senate advance the 11th Order of Business.
- Hearing no objection, the Senate will now advance the 11th Order of Business.
Summary:
The Senate convened with a quorum, offered prayer and pledge, approved the journal, and received several communications, including substitute legislator designations and gubernatorial appointments to the Idaho Lottery Commission and State Building Authority. Members also made brief announcements and introductions before moving into committee reports and the day’s floor calendar.
The chamber advanced a number of bills and resolutions through reading and referral, including measures on the Idaho Child Care Program, Health and Human Services appropriations, elections, development impact fees, hazardous waste, and several House concurrent resolutions and joint memorials. On final consideration, the Senate passed Senate Bill 1285 on occupational licensure for nonpublic school diplomas, Senate Bill 1286 on consumer protections for veterans benefits, Senate Bill 1323 on enforcement of contracts involving gold and silver specie, Senate Bill 1338 on allowing a portion of idle state funds to be invested in gold and silver bullion, and Senate Bill 1342 establishing a limited right for households to keep hens for egg production.
The Senate also passed House Bill 531 updating epinephrine delivery system language for schools, House Bill 518 expanding authority for the Attorney General in human trafficking cases, House Bill 512 reinstating an open-book jurisprudence exam for land surveyors, House Bill 551 correcting urban renewal-related property tax treatment for fire and ambulance districts, House Bill 594 codifying a Supreme Court ruling on distribution of late property tax fees and interest, and House Bill 587 clarifying continuous funding for rangeland improvement programs. Debate on several measures included concerns about local control, continuous spending, and oversight, but each bill ultimately received majority support. The Senate reordered the third-reading calendar and then adjourned until Monday, March 9, 2026.
WA
Washington 2025-2026 Regular Session
JLARC – Joint Legislative Audit & Review Committee May 14th, 2025
Transcript Highlights:
- This study was directed by the 2023 legislature, which asked us to review LCB's canopy studies, determine
- We were directed to review whether cannabis production aligns with market demand and capacity.
- My name is Bo Kilmer, and I co-direct the Drug Policy Research Center, RAND.
- By way of background, the 2022 legislature directed JLARC to review DOH programs related to the types
- Let's direct our questions to JLARC staff.
Summary:
At the May 14, 2025 JLARC meeting, members approved the January 9 minutes and adopted the 2025–27 biennial work plan with a minor typo correction. Staff reviewed the new work plan studies, including a drug take-back program fee/expenditure review due in December 2025 and a state energy performance standard compliance review due in June 2027, and noted JLARC’s recent session activity, including several bills passed related to JLARC work and recommendations.
The committee then heard a preliminary cannabis market study showing Washington businesses likely produced two to three times more cannabis than retailers sold in 2023. Staff and RAND said LCB’s data systems are incomplete and unreliable, limiting regulation, tax verification, and diversion tracking; they recommended that LCB submit a plan by year-end for collecting accurate data by the end of 2026. Members and LCB discussed the long timeline for a new traceability system, the causes of missing sales and weight data, overproduction, diversion, and the social equity program’s effect on producer licenses.
JLARC also presented a preliminary hospital oversight report concluding that the Department of Health is late on many hospital inspections, does not verify third-party inspection standards, does not review adverse health event correction plans, and could make hospital data more accessible. The committee discussed fee funding, language access, and inspection timing, and DOH said it would work on a strategic plan and continue coordinating with JLARC. Members also heard a preliminary report on the public records survivor exemption, which found agencies are using it but need more guidance; JLARC recommended keeping the exemption and having the Attorney General provide additional training. Finally, the committee approved the DDA processes and staffing final report for distribution, which recommended performance metrics, stronger data quality controls, and workforce planning; DDA concurred. JLARC also introduced proposed study questions for a future DCYF juvenile rehabilitation review focused on safety, security, programs, staffing, education, and contraband, and the meeting adjourned after members asked about scope and facility conditions.
TX
Transcript Highlights:
- of those places, uh, the only access to healthcare, real healthcare they have is through, uh, an advanced
- Uh, and, and advanced practice registered nurse, uh, has to have a supervising physician, uh, to practice
- Section one is for HMOs, uh, section two is for regular insurers and just says that a, um, an advanced
- Um, advanced practice registered nurse can participate in a, an insurance plan without her physician,
- It's kind of like direct primary care where you pay a monthly fee.
Bills:
HB139
FL
Florida 2025 Regular Session
Health Policy Mar 25th, 2025
Transcript Highlights:
- The question I think you're recognized, how will patient consent be handled for the release of psychiatric
- But I think, you know, it sounds like you're working going in the right direction.
- Gent Initiative which is subject to appropriation that provides the purpose of the initiative is to advance
- Jenna Initiative establishes this initiative that provides that the purpose of the initiatives to advance
- And I believe this bill helps advances in the care related to the unfortunate circumstances when somebody
CA
California 2025-2026 Regular Session
Assembly Emergency Management Committee Apr 13th, 2026
Emergency Management
Transcript Highlights:
- Finally, it offers state support, directing the California Office of Emergency Services and the Governor's
- As the California Office of Emergency Services interprets current law as directing the completion of
- As the California Office of Emergency Services interprets current law as directing the completion of
- Urgent need for clear guidelines for direct current fast-charging operations in the event of an emergency
- stabilization units, freestanding psych hospitals, or designated or contracted psychiatric emergency
NH
New Hampshire 2025 Regular Session
Health and Human Services Oversight Committee (04/25/2025)
Transcript Highlights:
- </c><00:42:12.960><c> social</c> corrections is a psychiatric social corrections is a psychiatric social
- </c><01:20:37.600><c> payments</c> incentive program or directed payments incentive program or directed
- The trend, however, is in the opposite direction.
- </c><01:42:53.520><c> practice</c> repository for advanced practice repository for advanced practice
- </c> pipeline programs like UNH's advanced pipeline programs like UNH's advanced nursing<02:10:03.040
Summary:
The committee first handled roll call and approved the prior meeting minutes. Members discussed attendance and substitutions, then moved to the DHS commissioner’s update, which focused on New Hampshire’s Medicaid 1115 waiver and the new community re-entry initiative for people leaving correctional facilities. The presenter explained that the waiver lets the state cover certain services not normally covered under Medicaid, including substance use disorder treatment, serious mental illness services, adult dental benefits, and the new community re-entry component. She also noted that a separate youth re-entry component is federally required, with youth defined up to age 21 and foster-care-related coverage extending to age 26.
The update described how the adult re-entry program works for incarcerated individuals with behavioral health needs, providing up to 45 days of pre-release services, care coordination with managed care organizations and DOC staff, telemedicine assessments, discharge prescriptions, insurance cards, and connections to community mental health, primary care, and substance use providers. For youth, the program includes more intensive case management, 30 days of pre-release services, and 30 days of post-release care coordination, with a stronger emphasis on screening, diagnosis, and holistic assessment. The presenter said New Hampshire received the adult waiver in July 2024, has implemented the program in state correctional facilities, and is beginning work at the youth center.
Members and the presenter discussed why the program is structured as a waiver rather than a standard Medicaid benefit, with the explanation that CMS is allowing this as a newer policy area and that states generally pursue waivers for certain services. The chair and others emphasized the need for real cost and outcome data, and the presenter said an independent evaluator and evaluation plan are required under the 1115 waiver. Early results cited included 30 adults enrolled so far, 10 released, five youth enrolled with one released, and anecdotal early successes such as housing, employment, and better continuity of medication and treatment. The committee did not take any additional votes or formal actions beyond approving the minutes.
NH
New Hampshire 2025 Regular Session
House Health, Human Services and Elderly Affairs (01/23/2025)
Health, Human Services & Elderly Affairs
Transcript Highlights:
- Having done the work and having run a psychiatric emergency service for a number of years, I can tell
- uh challenge so you're other psychiatric uh challenge so you're really<01:43:27.560><c> these</c><01
- emergency service for a psychiatric emergency service for a number<01:43:55.320><c> of</c><01:43:55.400
- Under the direction of the school nurse, [the school] may maintain a supply of epinephrine auto-injectors
- of the school school Under the direction of the school nurse<03:04:58.319><c> May</c><03:04:58.520><
NH
New Hampshire 2025 Regular Session
Senate Health and Human Services (03/12/2025)
Health and Human Services
Transcript Highlights:
- having because it is now a standard practice of care across many parts of the country to provide psychiatric
- having because it is now a standard practice of care across many parts of the country to provide psychiatric
- 22:11.240><c> provide</c> parts of the country uh to provide parts of the country uh to provide psychiatric
- <00:22:12.919><c> care</c><00:22:13.400><c> anxiety</c> psychiatric care anxiety psychiatric care anxiety
- conclusion</c><00:33:34.559><c> Senate</c> In conclusion, Senate Bill 252 represents a critical advancement
AR
Transcript Highlights:
- This is for psychiatric services at the Southeast Arkansas Human Development Center.
- This is for psychiatric services at the Southeast Arkansas Human Development Center.
- that dynamic list so that not just our retailers, but also the individuals who are on SNAP can have direct
- And this waiver is a step in the direction of increasing the nutritional value of that program.
Summary:
The committee reviewed three DHS out-of-state service contracts: a $690,000-plus sole-source contract for DCFS with Evident Change for maintenance and operation of the Child Welfare Structured Decision-Making practice hub; a $1.2 million sole-source contract for County Operations with Sifter Solutions to support a SNAP waiver compliance solution; and a $156,000 contract for Developmental Disabilities with Samaritan Integrative Services for psychiatric services at the Southeast Arkansas Human Development Center. The chair and staff explained the contracts and noted that the Evident Change and Sifter contracts were sole-source due to the proprietary nature of the systems or services involved.
Most of the discussion focused on the Evident Change contract. Members questioned DCFS about long-term dependence on the vendor, the lack of a competitive bid, the absence of a clear off-ramp, and whether the state was paying more overall as the work was split into multiple contracts. DCFS said the contract before the committee was only for maintenance and operations of a web-based platform used daily for safety assessments and case planning, while a separate Evident Change contract covers case reviews, CQI work, and data management. The vendor said it was continuing to reduce its role and had begun off-ramp discussions, but members remained concerned that the state was too reliant on the vendor. Staff said the contract had to be approved by May 31 or the system could be turned off.
The committee also discussed the Sifter Solutions contract, which supports Arkansas’s SNAP waiver pilot by providing a dynamic list of excluded products and a consumer app that scans barcodes and provides nutrition information. DHS said the waiver is intended to improve the nutritional value of SNAP benefits, that the contract is funded with remaining federal SNAP Nutrition Education dollars that would otherwise be returned, and that the University of Pennsylvania will conduct the evaluation at no cost. Members asked about the benefit to Arkansas, whether the app would include nutrition and budgeting information, and whether the state would own the application or need future renewals. DHS said the two-year term was intentionally aligned with the waiver period and that future procurement options could change. After discussion, the committee noted the items as reviewed and adjourned without objections or votes recorded in the transcript.
VT
Transcript Highlights:
- Human Services be relieved of House Bill 724, an act relating to the administration of involuntary psychiatric
- Services be relieved of House Bill 724, which is an act relating to the administration of involuntary psychiatric
- relating to the administration of act relating to the administration of involuntary<00:08:15.919><c> psychiatric
- </c><00:08:16.639><c> medication</c><00:08:17.120><c> in</c> involuntary psychiatric medication in involuntary
- psychiatric medication in emergency<00:08:18.000><c> circumstances.
FL
Transcript Highlights:
- How will patient consent be handled for the release of psychiatric mental health or substance abuse records
- of a physician or appropriate. to medical emergencies under the direction of a physician or appropriate
- And we're seeing such advances coming out of our... ...over the many, many years into this.
- And we're seeing such advances coming out of our designated cancer centers and what we are doing.
- DeSantis has shown a clear commitment to advancing cancer care across our state.
Summary:
The committee took up a large health policy agenda. SB 1568 on electronic prescribing was explained as a federal conformity measure, but members raised concerns about preserving patients’ ability to obtain paper prescriptions and about exemptions for emergency, hospice, and other situations. Emergency physicians testified in support of e-prescribing but asked for flexibility, and the bill was reported favorably despite Senator Harrell’s opposition. SB 1606 on patient access to records sought to standardize record-production timelines and require electronic delivery when available; after an amendment correcting a drafting error, the bill drew concerns about HIPAA, behavioral health confidentiality, and the distinction between personal and legal representatives, and it was reported unfavorably as a committee substitute.
The committee then approved SB 1346 on fentanyl testing, with a technical amendment, to require hospitals and campus emergency departments to test for fentanyl in urine testing for suspected overdose or poisoning. SB 1224 on administration of controlled substances by paramedics was amended to clarify language and reported favorably. SB 656 on health care billing and collection activities was substantially revised by strike-all amendment to allow sale of medical debt to third parties under new limits, including no interest or fees and return of debt if charity care applies; it was reported favorably as a committee substitute. SB 68 expanded health facilities authority financing to include not-for-profit LLCs and parent companies, and SB 524 added Duchenne muscular dystrophy to the newborn screening panel; both were reported favorably.
Later, the committee approved SB 1842 on out-of-network referrals after multiple amendments, requiring providers to verify network participation at the point of service and notify patients in writing, though several members and physicians warned it could burden providers and increase workload. The committee also advanced proposed committee bill SB 7028, which revises the Casey DeSantis Cancer Research Program, adds oversight and reporting requirements, creates a pediatric cancer research incubator, and establishes the Bascom-Palmer VisionGen initiative; cancer center representatives testified in strong support, and the bill was reported favorably as a committee bill. SB 172 on specialty titles and designations was amended to clarify enforcement and was reported favorably after supporters said it would prevent misleading use of specialist titles, while opponents argued it could confuse practitioners’ titles. Finally, SB 1690 on surrendered infants was reported favorably after supporters said it would codify and expand safe-haven baby box procedures and opponents raised safety concerns about the devices. The committee also noted SB 1606 remained pending for reconsideration next week before adjourning.