Transcript Highlights:

• Third, improving access to comprehensive treatment by revising state opioid treatment program regulatory
• treatment.
• A sexual assault service program.
• with sexual assault services.
• those services.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• These services are core to ECM.
• Under current law, treatment programs and facilities receiving public funds and narcotic treatment programs
• , the California Outcomes Measurement System Treatment and the Drug and Alcohol Treatment Access Report
• that prioritize connection to services.
• It supports sober, drug-free housing with services, including medication-assisted treatment because of

Committee: House Health

Transcript Highlights:

• Narcan and other treatments.
• and services.
• And that educational materials should include information on harm reduction and treatment services that
• And that educational materials should include information on harm reduction and treatment services that
• around overdose, ED visits, and substance use treatment admissions by service.

Summary: The special commission on xylazine met virtually to review and discuss the first draft of its final report. Chair Mindy Domb opened the meeting, confirmed quorum, and the commission approved the minutes from its December 11 public meeting. Staff then walked commissioners through the proposed report structure, including background on xylazine as both an FDA-approved veterinary drug and an illicit drug supply contaminant, as well as appendices for public meeting materials and public resources. The commission discussed findings and recommendations for several working groups. For oversight and enforcement, members focused on licit versus illicit sources of xylazine, noting that the illicit supply is typically obtained through online vendors rather than diverted from veterinary use. Recommendations included better storage and reporting practices in authorized settings, review of manufacturing and distribution information, and focusing enforcement on fentanyl trafficking and large-scale xylazine importation rather than personal possession. Commissioners also discussed whether xylazine should remain in Schedule 6 or be subject to additional penalties, and several members emphasized the need for coordination, information-sharing, and possibly a DPH task force or advisory body to monitor emerging drug threats. For outreach and treatment, staff summarized strong existing programs such as drug checking, wound care education, naloxone distribution, mobile and low-threshold care, and self-directed wound kits, while noting gaps including the lack of an FDA-approved reversal agent for xylazine, difficulty distinguishing xylazine from other exposures, and uneven access by geography, insurance, and audience. Commissioners stressed the need for provider education, including physicians, nurses, pharmacists, family support networks, and first responders, and for clear guidance on wound care and when more intensive treatment is needed. The education and training section identified first responders, clinicians, non-clinicians, and people who use drugs and their families as key audiences for tailored, stigma-free materials, with emphasis on real-time, centralized data, naloxone and breathing support, recognition of overdose versus xylazine exposure, and adapting materials as the drug supply changes. The meeting ended with discussion of next steps: staff will circulate a revised draft by March 2, the commission will meet again on March 9 to consider the report and recommendations, and an additional late-March meeting was reserved if needed before the statutory deadline.

Transcript Highlights:

• dedicated funds to sustain these services associated with treatment courts through the end of the fiscal
• into our treatment courts.
• Without that treatment program for the individuals who are getting that service, what...
• Without that treatment program for the individuals who are getting that service, what does the outcome
• The key with our treatment courts is this: it does provide treatment, but it is not a handholding.

Summary: A joint Senate Finance and House Appropriations committee heard presentations on the Idaho judicial branch budget, beginning with court operations. Legislative staff reviewed the branch’s structure, staffing, recent technology upgrades funded with ARPA dollars, and prior budget enhancements, including support for court technology, judicial compensation, and additional judges in several districts. Court officials explained a late budget request for an additional $800,700 from a dedicated magistrate retirement fund to cover unexpected retirement bonuses and purchase-of-service costs for seven magistrates, as well as the impact of a governor holdback and reduced federal support for some treatment and domestic violence court-related services. Committee members asked about the timing of the revised retirement request, the purpose and success of the magistrate retirement bonus program, the court’s technology modernization, and the effect of losing federal and other outside funding. Court officials said the retirement timing could not be known earlier because magistrates had until January to notify the court, and they described the bonus as helping judges complete their terms. They also said the court had moved case management and recording systems to the cloud and built a statewide network, and that cuts to treatment court and peer support funding would likely force reductions in non-constitutional services. The committee then heard the Guardian ad litem division request, including a $77,900 general fund enhancement for the Second Judicial District CASA program. The CASA director said the money would support a recruiter/trainer/data supervisor position and required compliance costs such as financial review, office space, and liability insurance. She described volunteer shortages across a large rural district, declining VOCA and grant funding, and the need to spend more time fundraising instead of serving children. Members asked about the decline in VOCA funds, the share of funding coming from donations and fundraising, the number of children served, and the role of CASA for older youth. The director said about 30% of the program’s funding comes from fundraising, that the district serves children over age 12 and some older youth, and she gave an example of a case where CASA helped stabilize a family and reunify children with their parents. No votes were taken, and the committee adjourned until the next day.

Transcript Highlights:

• , or services.
• </c> not make that service free. not make that service free.
• Cologne, you can come forward, too. human services. All in favor say I. human services.
• </c> human services. All in favor say I. I. human services. All in favor say I. I.
• and human services.

Committee: Senate Commerce and Consumer Protection

Transcript Highlights:

• While mental health programming, counseling, and some treatment services are integrated into the current
• uh a treatment benefit through treatment uh a treatment oriented<00:50:41.680><c> approach.
• advocacy services, of case review<01:20:33.520><c> services.
• to drug treatment.
• to drug treatment.

Summary: The committee approved the September 18 minutes and then heard testimony on House Bill 534, which would automatically seal dismissed eviction filings and protect youth from public disclosure in forcible detainer cases. Rep. Susan Tyler Whitten and George Ecklan of the Coalition for the Homeless said the bill is aimed at reducing housing barriers for Kentuckians, especially those with dismissed cases, while preserving landlords’ rights to pursue rent, collections, damages, and other legal remedies. They said the proposal was developed with input from landlords, clerks, judges, AOC, and service providers, and noted that similar laws exist in other states. Several members, including Sen. Neimes, Rep. Deetsz, Rep. Cole Carney, and Sen. Thomas, expressed support while emphasizing that the bill is narrowly tailored to dismissed cases and should not affect legitimate landlord claims; Sen. Wheeler raised concerns about cases involving settlements or delays and whether future landlords should know about them. The sponsors responded that the bill only covers dismissed actions, that dismissals require a judge’s order, and that the goal is to remove barriers created by records that remain publicly visible even when a case is resolved. The committee then took up Senate Bill 111 on juvenile justice. Commissioner Randy White, Kentucky Hospital Association President Nancy Galvanny, and Dr. Clark Lester of the University of Kentucky said the bill would require a secure state-run facility for youth with high-acuity mental health needs in detention and, until that is built, create a process with incentives for private hospitals to provide inpatient treatment with safeguards and increased compensation. They argued that detention is not an appropriate setting for severely mentally ill, violent youth and that private psychiatric hospitals often refuse these referrals or discharge them early. Dr. Lester cited recent referral data showing high denial rates for juvenile justice youth in private hospitals in August and September, often due to aggression, and described a case in which repeated placement attempts failed because of violent and self-harming behavior. The presenters said the bill is intended to fill a service gap and improve safety and outcomes for youth, staff, and hospitals, but no vote or final action on the bill was taken in the portion of the meeting provided.

Transcript Highlights:

• Services, LZ Ber. Uh in the audience we Services, LZ Ber.
• </c> a a treatment facility would look like. a a treatment facility would look like.
• in a treatment facility.
• In addition to adding X-ray services, vision and mental health services, specific services not included
• In addition to adding X-ray services, vision and mental health services, specific services not included

Summary: The committee heard from the Department of Corrections first about Wellpath’s medical services contract and the contractor’s Chapter 11 bankruptcy. DOC officials said Wellpath’s reorganization plan was confirmed in May 2025, the contract was automatically assumed, and services have continued without lapses. They said DOC has not seen any reduction in care, staffing problems, or known impact on Kentucky operations, and that DOC and health services staff meet with Wellpath almost weekly. Members asked whether “emergence” meant discharge from bankruptcy; staff clarified that Wellpath has not yet been discharged and is still in the process of paying debts. The discussion then shifted to the Department of Juvenile Justice’s proposed high-acuity juvenile mental health treatment facility. DJJ said the facility is still in the conceptual and preliminary programming stage, with no full design funding yet and no entry into the formal A/B process with DECA. The proposed facility would have 24 beds total, split into 16 clinical beds and 8 assessment/stabilization beds, and would need to separate males and females as well as high- and low-risk youth under Senate Bill 162. Officials said the concept was developed with DJJ and CHFS mental health staff and outside design experts, and that the project was submitted in the capital plan for consideration. Members questioned the need for the facility, the estimated construction and staffing costs, and whether the state has enough youth to justify it. DJJ said the number of youth needing this level of care changes frequently, that they currently have one youth in Pennsylvania and typically send one to five youth out of state each year, and that out-of-state placement is increasingly difficult. Officials argued that a dedicated facility would reduce delays, keep youth closer to home, and avoid the need to retrofit multiple detention centers. Some members expressed concern that the projected operating costs seemed high compared with the small number of current out-of-state placements, and asked for more information on annual out-of-state spending and the number of youth who would qualify for the facility.

Transcript Highlights:

• foster care homes, and day treatment services.
• Many of these agencies provided services to children in state custody, including treatment foster care
• There is not one single step-down facility for youth in the state, such as day treatment services.
• They need day treatment. They need support services to make that reunification happen.
• They can decline behavioral health treatment services. I'm sorry, Madam Chair, representatives.

Committee: House House Health & Human Services

Transcript Highlights:

• Paid for services.
• And what that can lead to is denial of treatment, delay of treatment, and actual lack of treatment.
• Second, the proposal restricts treatment to narrowly defined manualized treatments.
• He's denied treatment.
• He's denied treatment.

Summary: The committee first received an update from the Attorney General’s office on a new workers’ rights unit and two request bills. The office said the unit will focus on wage theft and civil rights enforcement, using existing resources for a small staff. It also described a bill to expand civil investigative demand authority for labor, wage theft, prevailing wage, and discrimination investigations, and an Immigrant Worker Protection Act that would require employer notice when federal immigration authorities request employee records, limit access to nonpublic work areas without a warrant, and restrict disclosure of employee data without proper legal process. Senators asked about costs, funding sources, and the scope of the proposed authority, and the office said it would follow up with more detail. The committee then heard a detailed presentation on Washington’s workers’ compensation system from Labor and Industries, including how claims are filed, how the medical provider network works, and how treatment authorizations and utilization review are handled. L&I said the network was created to improve care quality and return workers to work, and explained that most routine care is automatically authorized while certain procedures require prior approval or review. A question from Senator Conway focused on the role of the medical director and the appeals process; L&I said decisions can be protested and reconsidered, with exceptions reviewed through a complex treatment unit and medical staff. An experience panel followed with testimony from labor representatives, physicians, and an injured-worker attorney, who argued that the medical provider network and treatment guidelines can delay or deny needed care, especially in complex cases such as PTSD, brain injuries, and serious orthopedic injuries. They described long appeals, utilization review barriers, provider shortages, and the impact on injured workers and families, while L&I’s presentation emphasized the system’s structure and review safeguards. The committee then heard a report from the Underground Economy Task Force in the construction industry. L&I summarized the task force’s findings on worker misclassification, unregistered contractors, and unpaid taxes and premiums, and outlined consensus and majority recommendations, including better interagency communication, stronger penalties for repeat offenders, more authority to address successorship, possible contractor notice requirements, and further study of cash payments. The Attorney General’s office, labor, and business representatives generally supported the report’s goals but differed on some recommendations, especially those affecting independent contractors, contractor liability, and administrative burdens. The chair and Senator Conway thanked participants and said the report would inform future legislation.

Transcript Highlights:

• SUD training for service providers, including combined in-home services providers.
• So they're not languishing for services. And I want to add, the key over here is active treatment.
• active treatment, because...
• Active treatment is the major service that people go to the RHCs for.
• How are you all going to... ...training, get those services, that treatment, that health care that they

Summary: The committee heard a lengthy update on Washington child welfare from Casey Family Programs and DCYF. Dr. David Sanders said Washington has sharply reduced out-of-home care and increased kinship placements, but he flagged concerns about low screening-in rates, long stays in foster care for many children, and a recent rise in repeat maltreatment and child fatalities, especially among infants. He urged more focus on infants and young children, better coordination among child protection, health care, and law enforcement, and more proactive review and investigation practices. Members asked for disaggregated data on children lingering in care, fatalities, and causes such as fentanyl exposure. DCYF said it has increased relative placements and guardianships, but also reported a concerning rise in 2025 critical incidents, mostly near-fatalities involving children age three and under, many opioid-related. The department described responses including safe child consults for opioid cases, more training, hotspot analysis, and proposed investments in peer support, public health nurses, community referrals, and an updated safety framework. Members also discussed whether a broader commission on child abuse prevention would be useful, and DCYF said it was open to that idea. The committee then received a DSHS reorganization update from Secretary Angela Ramirez, who described the “Reimagined” plan to consolidate four administrations into three new ones, with the stated goals of reducing silos, improving customer experience, and making transitions between services smoother. She said the agency is seeking statutory changes and CMS approval to align the new structure, and members asked about preparing for federal HR1 impacts, especially SNAP. Ramirez said DSHS is monitoring those impacts closely and emphasized the need for accurate data and cross-agency coordination. Finally, DSHS’s Behavioral Health and Habilitation Administration updated the committee on residential habilitation centers and implementation of Substitute Senate Bill 5393, which phases out Rainier School by June 30, 2027 and limits new admissions. Officials reported current census and staffing levels at the state’s RHCs, said Rainier has had some residents transition to supported living or adult family homes, and explained that emergency and permanent rulemaking was needed to implement the law. They also said Rainier was recently cited by federal surveyors for not meeting the active treatment requirement for two residents, and that the facility has 90 days to return to compliance before possible payment penalties or further remedies. Members pressed for details on the citation, the meaning of active treatment, the assessment process for admissions, and whether Rainier could be repurposed for other services; DSHS said it is working on corrective action and will follow up in writing.

Transcript Highlights:

• Third, assisted outpatient treatment.
• There is no treatment breakthrough in this bill.
• Further, a past history of a failed treatment plan or a history of not following through on treatment
• It helps get people treatment that really need treatment, and I would encourage anything that can be
• It helps get people treatment that really needs treatment, and I would encourage anything that can be

Summary: The committee began with Senate Bill 5962 on spring blade knives, first suspending the five-day notice requirement. Staff explained the bill would remove spring blade knives from the list of dangerous weapons while keeping restrictions on carrying them in schools, child care, and other protected locations. Proponents, including Knife Rights and the prime sponsor Sen. T’wina Nobles, described the measure as a modernization and cleanup bill that would reduce confusion and support lawful use and manufacturing; one testifier strongly objected to the bill’s added location-based restrictions. Public testimony was overwhelmingly in support, and the hearing then moved on without a vote. Senate Bill 6105 would raise the wage exemption from garnishment for medical debt judgments from 30 to 60 times the state minimum wage, while keeping the 80% disposable earnings exemption and adding notice requirements identifying the debt as medical. Sen. Marko Liias said the bill is intended to protect low-wage workers from severe financial hardship and reduce incentives to work off the books. Supporters from patient, consumer, AARP, and anti-poverty groups said medical debt is often unexpected and garnishment can destabilize families; opponents from collectors and trade groups argued the bill was too broad, lacked stakeholder input, could hurt providers, and should define medical debt more clearly. The hearing closed with no action taken. The committee then heard Senate Bill 6203, which would clarify that out-of-state convictions can include foreign-country convictions for offender scoring if obtained with sufficient due process safeguards. The sponsor, Sen. Matt Boehnke, said the bill closes a gap in sentencing law; prosecutors supported the concept and suggested simplifying the language, while the Sentencing Guidelines Commission, defense attorneys, and public defense opposed it, citing undefined standards, difficulty verifying foreign convictions, and due process concerns. The committee also heard Senate Bill 6296 on involuntary treatment, which would expand who may petition for detention, change rules for assisted outpatient treatment and police assistance, require firearm surrender compliance procedures, and make other ITA changes. The sponsor and several providers and family members supported the bill as a needed modernization, while DCRs, disability advocates, behavioral health organizations, hospitals, and others raised concerns about due process, implementation, rural transport, capacity, and unintended consequences. No votes were taken on either bill during the hearing.

Transcript Highlights:

• So in that division, there's five major programs: health care, food service, sex offender treatment,
• educational services, and substance abuse treatment services.
• So in that division, there's five major programs: health care, food service, sex offender treatment,
• educational services, and substance abuse treatment services.
• That's where we build infrastructure, but not enough services or hiring bodies to do the treatment.

Committee: House Public Safety

Summary: The Public Safety Committee held a hearing on House Bill 433, which would appropriate $4 million for Department of Corrections and Rehabilitation re-entry services to connect offenders with community-based services. Director Tommy Johnson said the department supports the bill’s intent but noted the governor’s executive budget already includes $4 million for the same purpose and asked that the measure defer to that budget. Supporters, including the Hawaii Correctional System Oversight Commission, Community Alliance on Prisons, and the ACLU, backed the funding but urged that it be tied to a clear re-entry plan, performance measures, transparency, and regular reporting to the legislature. They emphasized that re-entry should begin at intake and involve community partnerships, housing, treatment, employment, and family reunification services. Committee members questioned the department about current re-entry services, pre-trial detainees, and how the new funds would be used. Johnson said the department’s current statewide re-entry budget is about $1.5 million to $1.7 million, separate from the larger Corrections Program Services Division budget for in-facility programs. He described the proposed $4 million as supporting a mix of services, including a pilot apprenticeship program, substance abuse treatment, navigator or warm-handoff services, and short-term transitional housing. He also said the department already tracks performance outcomes in its annual report and can provide a matrix showing the intake-to-discharge process, program contracts, and volunteer organizations. The discussion also covered pre-trial detainees, electronic monitoring, and mental health services. Johnson said the department has limited jurisdiction over pre-trial detainees but works with courts to seek supervised release when possible; he noted that many requests are denied, though electronic monitoring has improved release rates somewhat. On mental health, he said the jail is not an ideal therapeutic setting for people found unfit to proceed and suggested a secure community-based step-down facility run by the Department of Health for those needing care above what the jail can provide but below forensic-level treatment. No vote or final action on the bill was taken during the hearing.

Transcript Highlights:

• A utilization report is a process that compares requests for medical services to evidence-based treatment
• worker's treatment.
• The delayed treatment that these medical treatment guidelines result in often produces worse outcomes
• The delayed treatment that these medical treatment guidelines results in.
• The delayed treatment that these medical treatment guidelines results in often produces worse outcomes

Summary: The committee first held a public hearing on Senate Bill 6136, which would require Labor and Industries to publish actuarial indicated workers’ compensation rates for each risk class and disclose when rate increases are capped below those indicated levels. The sponsor and supporters from the hospitality, retail, business, and construction sectors said the bill would improve transparency about how rates are set and how reserve funds and investment earnings are used to hold down premiums. L&I testified that the bill would require publication of a large amount of rate-setting information, but said it was already developed in the normal process and that the bill had no fiscal impact. Questions focused on reserve use, advisory committee involvement, and how the actuarial calculations interact with investment returns. The committee then moved to executive session and took action on several bills, adopting substitutes or amendments and advancing bills including SB 5292, 6014, 5972, 5869, 5874, 6058, 6039, 5944, and 6180, with most sent to Rules and SB 5292 sent to Ways and Means. The committee then heard Senate Bill 5847, which would expand injured workers’ access to medical care by allowing treatment outside the L&I provider network when no provider is available nearby, limiting employer steering to specific providers, shortening utilization review timelines, allowing provider deviation from L&I guidelines when medically appropriate, and expanding continued treatment and cancer monitoring. Labor and worker advocates argued the bill would better reflect the Murray decision and reduce delays in care, while L&I and employer groups said the current evidence-based guideline system works for most claims and warned the bill could weaken quality controls, create vague standards, and increase costs. Testimony also raised concerns about the 15-mile access rule, the employer communication restrictions, and the appeal process for provider removal. The sponsor said the goal was to improve individualized care and continue working with stakeholders. Finally, the committee heard Senate Bill 6067, which would change workers’ compensation time-loss calculations so that 100% of the employer-paid health insurance contribution is included in the benefit calculation instead of the current partial inclusion. Supporters said the bill would help injured workers keep health coverage during recovery and reduce pressure to choose between medical care and income, while opponents argued it would not guarantee the money is actually used for health insurance, could be diverted to other uses or attorney fees, and would significantly increase costs for employers and the accident fund. L&I said the bill would require IT and administrative changes and estimated substantial ongoing benefit costs. The hearing ended without further action on SB 6067, and the chair closed the session after public testimony concluded.

Transcript Highlights:

• services within 28 days for IST defendants. substantive treatment services within 28 days for IST defendants
• the day, day treatment type services.
• So currently we are able to license residential treatment facilities to provide detoxification services
• services, or recovery and treatment services that also include withdrawal management.
• About 44% of adults who use mobile crisis services engage in mental health treatment within 30 days,

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:

• I also work as a behavioral health director of addiction treatment services over at Boston Medical Center
• in our re-entry services.
• And then with the support of our reentry services and the work of all of our support service agencies
• Medication-assisted treatment, medical treatment is probably the biggest expense...
• Medication-assisted treatment, medical treatment is probably the biggest expense that we're starting

Summary: The meeting was the third public session of the Special Commission on Correctional Consolidation and Collaboration. Members introduced themselves, and the commission approved the prior meeting minutes. The main presentation came from the Massachusetts Sheriffs’ Association, led by several sheriffs, who described the role of sheriffs’ offices as independently elected county institutions that operate jails and houses of correction, regional lockups, civil process, 911 communications in some counties, school resource officers, and investigative units. They emphasized that most of their population is pretrial, that admissions and releases are far higher than the Department of Correction’s, and that their facilities now house more people overall than DOC despite having a smaller budget. The sheriffs argued that their work has shifted toward rehabilitation, reentry, and public health, highlighting extensive programming in mental health, substance use treatment, medication-assisted treatment, education, vocational training, and gender-specific, trauma-informed services. They said standardized risk/needs assessments and better funding would help make services more consistent across counties. They also described specialized units and models such as regional evaluation and stabilization units, older-adult housing, emerging adult and gang-intervention programs, and reentry centers that connect people to housing, employment, family support, and community services. Several examples were cited, including Suffolk’s Project Evolve, Middlesex’s older-adult unit, Hampden’s MAGIC program, Worcester’s STOP program, and county reentry centers across the state. A major theme was that these programs are expensive but, in the sheriffs’ view, reduce recidivism and improve safety by stabilizing people before release and supporting them afterward. They pointed to COVID-19 as a period when sheriffs adapted facilities for quarantine and medical care, and said they continue to work with public health partners. They also stressed that their facilities are heavily audited by state and federal agencies and that maintaining humane, safe conditions requires significant staffing and operating costs. Commission members responded favorably at points, noting the importance of the turnover in sheriff populations and the need to understand the different correctional mission compared with DOC. The meeting ended with discussion of future commission dates and a note that the presentation materials would be shared electronically.

Transcript Highlights:

• </c> certain security services. certain security services.
• </c> treatment plan. treatment plan.
• . treatment. treatment.
• also get better. undergo treatment, generic treatment for undergo treatment, generic treatment for whatever
• </c> restoration services to. restoration services to.

Transcript Highlights:

• So Medication-Assisted Treatment, or MAT, provides services that are provided by the state, and they
• What you'll see here is that 42% of individuals involved in treatment courts receive MAT services.
• year, they note that DOH does provide telehealth services for MAT treatments.
• and an intercept zero which is titled Community Treatment Schools and Crisis Services.
• have a sort of community treatment service.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• DCT has five major service lines: mental health and substance abuse treatment services, forensic services
• <00:04:59.199><c> Services</c> Treatment Services Treatment Services forensic<00:05:00.759><c> Services
• :04.400><c> and</c><00:05:04.520><c> the</c> Services outpatient services and the Services outpatient
• Treatment.
• Treatment.

Committee: Senate Human Services

Transcript Highlights:

• the Department of Social Services.
• Addiction Services.
• And so these folks are provided with 20 hours of really intensive treatment services throughout the week
• Folks are provided with 20 hours of really intensive treatment services throughout the week.
• How do I access treatment?

Summary: The meeting focused on maternal health and behavioral health services for pregnant and postpartum people in Connecticut. Dr. Fatmata Williams of DSS gave an update on the Husky maternity payment bundle, explaining that it was created in response to worsening maternal and neonatal outcomes and racial disparities. She said the bundle, launched in 2025, shifts payment away from fee-for-service toward prospective case rates, quality measures, and shared savings, while covering services such as doulas and maintaining access to behavioral health and other non-pregnancy-related care outside the bundle. She noted 26 maternity practices are participating, quarterly quality reports have been distributed, reconciliation is planned for 2026, and DSS is considering refinements such as adding newborns, revisiting shared losses, and possibly expanding to FQHCs after further stakeholder review. Shelly Nolan of DMHAS then described the state’s women’s services and recovery continuum, including pregnant and parenting treatment programs, women’s recovery support programs, community transition support with rent subsidies, the Proud program, REACH navigation, recovery houses, and outpatient services. She emphasized that many programs are under capacity and that DMHAS uses a no-wrong-door approach, real-time bed availability, technical assistance, and training to improve access. She also reviewed initiatives tied to substance-exposed pregnancies and safe sleep, secure storage, naloxone distribution, reproductive health integration, breastfeeding support, and upcoming conferences and trainings. She said the department works closely with DCF and community partners to reduce stigma and improve family-centered care. Beth Garrigan presented on the Access Mental Health and Substance Use for Moms program, a statewide consultation service for providers serving pregnant and postpartum individuals up to 12 months after delivery. She said the program offers real-time psychiatric consultation, referral support, and one-time face-to-face assessments, and has provided more than 4,300 consultations and resource/referral support to over 700 individuals since 2022. Members and legislators praised the service and discussed how it helps providers connect patients to care, follow up on referrals, and address barriers such as fit, stigma, and workflow. No votes were taken; the meeting ended with plans for the next meeting on June 8 and a request for Dr. Williams’ slides to be posted online.

Transcript Highlights:

• Everything from specialized microbes to advanced treatment systems to make wastewater treatment cleaner
• Largely it's coming from the households in our service area.
• at the treatment plants.
• So a lot of treatment plants, they look at doing that sort of title So a lot of treatment plants, they
• Sources of contamination include chemical treatments and physical treatments, which use a lot of high

Summary: The Assembly Select Committee on Biotechnology and Medical Technology held an informational hearing on the role of biotechnology industries in wastewater treatment, hosted at Bakar Labs on the UC Berkeley campus. Opening remarks emphasized California’s water scarcity, the rising cost of wastewater infrastructure, and the need to reuse and clean contaminated water. Committee members framed the hearing as a look at both current treatment challenges and emerging technologies that could improve water quality, affordability, and resilience over time. The first panel focused on statewide wastewater challenges. BACWA Executive Director Laurie Fono described wastewater plants as part of a broader circular economy, noting their roles in recycled water, environmental enhancement, biosolids management, carbon sequestration, and renewable energy generation. She highlighted major challenges including aging 1970s-era infrastructure, nutrient reduction mandates, sea level rise, evolving regulations, and PFAS source control. She said Bay Area agencies face about $11 billion in nutrient reduction costs, with rate increases, state revolving funds, WIFIA loans, and bonds as the main financing tools. Members asked about regional differences, energy revenue opportunities, smaller decentralized plants, and agricultural collaboration. The second panel featured researchers and lab experts discussing biotechnology solutions. Lawrence Berkeley National Lab’s Dr. Romine Chakarvati described using microbial communities and machine learning to help break down PFAS and treat produced water. CEL Analytical’s Dr. Yigi Dearborn explained pathogen testing for direct potable reuse, wastewater monitoring, and the need for larger sample volumes and more funding to validate methods for viruses and protozoa. Stanford’s Dr. Chunhung-Shin presented an anaerobic membrane system that turns domestic wastewater into clean water and energy with less biosolids and lower operating costs. Committee members asked about AI, assay development, scaling technologies, and funding priorities. Public comment from the California Association of Sanitation Agencies stressed the need to balance scalability, reliability, and affordability, and the hearing adjourned without any formal vote or action.