Transcript Highlights:

• That condition must present itself before the age of 18.
• And also parent or caregivers of dependent children under the age of 13.
• And, at a high level, what changed was instead of being exempt if you were under age 55, that age increased
• to through age 64, so up until age 65.
• Now it's if you have a dependent child up to age 15.

Summary: The Ways and Means Committee held a work session to review how H.R. 1 (the One Big Beautiful Bill Act) could affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on implementation challenges, fiscal impacts, and likely coverage losses. Staff and agency officials explained Washington’s Medicaid financing structure, eligibility categories, caseload trends, and the role of the Health Care Authority and DSHS in administering Apple Health and related services. They also described how Medicaid expansion increased access to behavioral health services and how H.R. 1’s provisions are expected to affect the expansion population most directly. Health Care Authority and DSHS officials outlined several major H.R. 1 changes: new work and community engagement requirements for the Medicaid expansion population, six-month redeterminations instead of annual renewals, changes to immigrant eligibility, limits on provider taxes and state-directed payments, new cost-sharing requirements, reduced retroactive coverage, and changes affecting long-term care eligibility. They said Washington is still awaiting federal guidance on many details, but estimated that about 620,000 Apple Health expansion enrollees could be subject to work requirements, that roughly 30,000 immigrants could lose Medicaid eligibility under the new definition of qualified alien, and that some long-term care and developmental disability clients could be indirectly affected. Officials also said the state is working with other agencies to build shared verification systems and may seek a delay waiver, though they do not expect broad federal flexibility. The committee also heard that H.R. 1 immediately blocks Medicaid reimbursement for Planned Parenthood services for one year, with the state planning to backfill about $11 million to preserve access. In addition, officials warned that the law could reduce federal Medicaid revenue by billions over time and strain hospitals and emergency rooms as more people become uninsured. They noted that Washington’s rural health transformation grant application is due November 5 and could bring some funding, but not to offset coverage losses. No votes were taken; the session was informational only. The committee then heard a separate presentation on food assistance, where staff and DSHS described H.R. 1’s SNAP changes, including expanded work requirements, immigrant eligibility restrictions, higher state administrative costs, and a possible future state share of benefit costs tied to payment error rates. DSHS estimated a four-year fiscal impact of about $750 million for food assistance changes and said the state is working on system and policy changes across agencies before the new requirements take effect.

Transcript Highlights:

• So we've been just looking at our average age of 69.
• What if we put a minimum age? What if everybody had to wait till age 65 like ERB?
• Right now we don't have a minimum age. What does that do, of course, what?
• We had a couple of meetings, and we know that putting the minimum age of 25 and the minimum age of 55
• Well, a lot of that is going to be the aging of our pre-Medicare population.

Transcript Highlights:

• And file item five, AB 1506. also an ag committee bill.
• I would just want to clarify for the record, it is AB 1505, an Ag Committee bill, not AB 1506.
• So we're certainly interested in funds that go to preserve ag land and mitigate the loss of ag land,
• added to the community benefit something to take away the incentive of just walking away from prime ag
• That is our valley is ag and I understand that we have some very ambitious goals and that the Central

Keywords: 988, house, all

Transcript Highlights:

• 18 rather than at age 22.
• with the Master Plan of Aging.
• now directly affects what it will be when they age.
• or becoming in the aging community?
• It can be based on age.

Summary: The Assembly Budget Subcommittee on Human Services held a hearing on developmental services, rehabilitation, and related supports, with no votes taken. The first major topic was the Master Plan for Developmental Services. Administration officials described a year-long, community-driven process that included a steering committee, work groups, and statewide engagement sessions, and said the final draft would be released that Friday with about 170 recommendations. The Department of Developmental Services said the plan would inform future work, but did not offer a detailed implementation roadmap. The LAO said the plan contains significant policy and budget implications, may require statutory changes, and needs further analysis to turn recommendations into actionable proposals. Advocates and regional center representatives urged the Legislature and administration to avoid letting the plan sit on a shelf, called for prioritization and ongoing stakeholder oversight, and emphasized the need to address equity, workforce, service coordination, and cross-system collaboration. The chair said he wanted to work with the LAO on trailer bill language and future reporting to create a clearer path forward. The second topic was the Office of Employment First and competitive integrated employment. Administration witnesses said California has ended subminimum wage under SB 639, but that moving people into competitive integrated employment remains a major priority. They described existing efforts such as DDS’s coordinated career pathways pilot, paid internships, job development services, benefits counseling, and DOR’s career counseling and referral services, along with pilot projects in San Diego and Orange County. The State Council on Developmental Disabilities and advocates argued that employment outcomes have remained stuck at roughly 15% and that a dedicated Employment First Office is needed to coordinate across agencies, align goals, and improve outcomes. The LAO recommended regular legislative oversight on people transitioning out of subminimum wage and asked for technical assistance on coordinated career pathways. The chair criticized the administration’s decision to effectively eliminate funding for the office, requested a detailed implementation timeline and quarterly transition reports, and said the committee would continue pressing for the office to be implemented. The final issue was respite services, utilization trends, and access. DDS reported that in-home respite use and spending have risen sharply over several years, with about 150,000 people using respite in 2023-24 and expenditures reaching about $1 billion. Officials said access depends on families knowing the service exists, service coordinators identifying need, and having enough providers, especially in rural and linguistically diverse communities. The San Diego Regional Center said utilization generally mirrors statewide trends, but access is stronger in some areas, such as Imperial County, where families often prefer family-directed or agency-supported models that allow them to hire trusted workers. Committee members emphasized the importance of respite for family health and caregiver well-being, asked whether service coordinators are asking practical questions about sleep and stress, and discussed the need for better identification of complex behavioral and medical needs. DDS said a standardized family support tool and updated IPP process are intended to improve consistency, transparency, and person-centered assessment for respite and related services.

Transcript Highlights:

• age 66.
• The normal retirement age is lower than the normal retirement age for the PERA general plan, and the
• The normal retirement age again is lower than the normal retirement age for the MSRS general plan, but
• /c> the normal retirement age for the PERA the normal retirement age for the PERA general<00:56:16.680
• plan starts to shift the retirement age plan starts to shift the retirement age from<01:18:11.000

Keywords: 918, senate, all

Summary: The commission approved the March 17 minutes and then heard testimony on Senate File 4419 / House File 4069, as amended, which would exempt J-1 visa-holding teachers and their school districts from Teachers Retirement Association contribution requirements during the teachers’ exchange term. Senator Pappas and Representative Feist said the bill is intended to help districts fill hard-to-staff special education and other positions by letting J-1 teachers keep more of their pay for immediate relocation costs, while also redirecting employer savings toward onboarding, mentorship, and cultural orientation. They argued the teachers are temporary by design, often cannot stay long enough to benefit from TRA, and that the bill would be roughly neutral for TRA because contributions and matching liability would both be removed. Supportive testimony came from Matthew Connelly of Lattice Global Teachers and Melissa Schaller of Intermediate School District 917. Connelly said J-1 teachers arrive with significant upfront expenses and only a short window to establish themselves, and that the exemption could save them about $4,000 to $5,000 while helping schools afford recruitment and support costs. Schaller said her district has relied on international special education teachers to fill vacancies, that the H-1B option is no longer workable because of a large fee increase, and that J-1 hiring is needed to remain competitive; she noted 17 open special education positions for 2026-27 and no other applicants. Caitlin Snyder of Education Minnesota opposed the bill, arguing it lowers compensation and removes a retirement option without enough input from teachers themselves. She said the bill does not ensure the employer savings would be used for housing or other supports, and urged more direct consultation with J-1 teachers. Several members raised concerns about fairness, pension protection, and whether the bill could create unintended consequences for teachers who later remain in Minnesota. Senator Pappas responded that the circumstances are unusual because J-1 teachers are temporary and often cannot return, and said TRA had indicated the proposal would be neutral or supportive, unlike a separate St. Paul teachers issue. Representative O’Driscoll asked about J-1 teachers in higher education and private schools, and Mr. Connelly said the visa is mainly used in K-12 settings but can also appear in charter and private schools; he also noted many J-1 holders face a two-year home-residence requirement. The chair indicated the bill was slated for inclusion in the omnibus pension bill, but no final vote on the bill itself was taken in the portion of the meeting provided.

Transcript Highlights:

• My own sister aged out of foster care last year.
• Like many other youths here, I aged out of the foster care system.
• had moved without me even after aging had moved without me even after aging out<01:28:47.199>
• Judith Jones, from New Futures, said she is the healthy aging policy coordinator.
• , and that she also does advocacy for the New Hampshire Alliance for Healthy Aging.

Keywords: 928, house, all

Summary: Division 3 Finance held a work session to move through five bills before noon, noting one member’s early departure and adjusting the order of bills accordingly. The first item, HB 54, would allow some alternative treatment centers in the medical cannabis system to operate for profit. Members discussed a fiscal note showing a one-time $133,000 cost, which was described as a Division 1 budget item to be handled through HB 2 rather than directly in Division 3. After discussion about keeping Division 1 informed and the distinction between retaining a bill versus funding it, the committee voted unanimously to retain HB 54 for further finance work and conversion into HB 2. The committee then took up HB 547, concerning reimbursement to counties for enhanced FMAP funds during the COVID period. The chair summarized the issue as federal enhanced Medicaid matching funds that were received by the state before authority existed to pass them through to counties, creating a disputed amount owed to counties. County representatives said the money should have gone to counties and clarified the relevant time period, while the department did not take a position. The chair proposed retaining the bill and moving it into HB 2, with discussion of a possible four-year repayment structure in equal annual installments. The committee agreed to retain the bill for continued work in the budget process. During the HB 547 discussion, members also clarified the fiscal and accounting details, including that the fiscal note had not been widely available and that some figures in the note should be treated as county revenue rather than county expenditure. Testimony explained that the enhanced FMAP increased from 50 percent to 56.2 percent, and that the state’s and counties’ shares of claims were affected by the timing of the federal change and the later state authorization. The committee emphasized that the issue was complex and budget-dependent, and that retaining the bill would allow further negotiation and incorporation into HB 2 rather than immediate final action.

Transcript Highlights:

• I never once left a pediatrician's office at a healthy weight for my age.
• I was diagnosed with celiac disease 22 years ago at the age of 21, but my symptoms began long before
• Children are already getting a blood draw between 8 and 12 years of age as part of routine preventive
• I was diagnosed at the age of 42, I was diagnosed at the age of 42, just days shy of my 43rd birthday
• So if we had just one shot at testing, then doing this at age 11 to 12 is really the best time.

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on four bills: H. 5013 and S. 2928, which would establish a three-year celiac disease screening pilot program for children during routine cholesterol/lipid screening at ages 8 to 12; H. 5087, regulating medical spas; and H. 5115, establishing statewide food truck regulations, though the transcript focused almost entirely on the celiac and medical spa bills. For the celiac proposal, Rep. Badger and Sen. Lovely described long diagnostic delays, the lack of a cure, and the potential for a simple blood test to identify children earlier and reduce long-term harm. Multiple patients, clinicians, and researchers supported the pilot, saying celiac is frequently missed because symptoms vary widely or are absent, and that early detection could prevent malnutrition, growth problems, osteoporosis, and other complications. Testifiers also emphasized that the bill would study feasibility, accuracy, cost, and acceptability, and would include family education and support resources if diagnoses are made through the program. Several experts and advocates backed the celiac screening pilot, including a pediatric gastroenterologist from Italy who described successful national screening efforts there, a Celiac Disease Foundation representative, pediatric gastroenterologists from Massachusetts and Colorado, a pediatric dietitian, and a parent whose child was diagnosed after severe malnutrition. They argued that routine screening alongside existing pediatric bloodwork could identify many undiagnosed children and improve health equity, since celiac disease is often overlooked in people of color and lower-income patients. Committee members asked about how the screening would work, and witnesses explained it could begin with a blood test, followed by confirmatory endoscopy if needed. No vote was taken in the hearing. On H. 5087, witnesses from the medical aesthetics industry largely opposed the bill as written, saying it was outdated, redundant with existing Massachusetts licensing and board oversight, and too restrictive for nurse practitioners, physician assistants, and other licensed providers. Testifiers, including a retired lobbyist, a nurse practitioner, a PA, a plastic surgeon, and a clinic owner, said the bill could reduce access, raise costs, and push care into less regulated settings, while not addressing the real issues of training, compliance, and patient safety. Committee members pressed for more specific feedback on what provisions were unnecessary or duplicative, and witnesses said they had submitted position papers and written testimony identifying conflicts with current law. The hearing ended with the chair noting that all oral and written testimony would be reviewed before any decisions are made.

Transcript Highlights:

• that the cases go to the AG, and the AG doesn't have staff right now that deals with zoning matters,
• that the cases go to the AG, and the AG doesn't have staff right now that deals with zoning matters,
• putting an age limit on our vulnerable adults.
• I'm one of my age and I'm talking about those years. Okay.
• I'm one of my age and I'm talking about those years.

Keywords: 1182, all

Summary: The caucus reviewed a long list of Senate bills covering elections, transportation, health care, land use, water, criminal justice, and local government. Several election-related measures were described, including SB 1037 on voting equipment custody and internet/port restrictions, SB 1568 on election system software timekeeping, and SB 1687 moving the primary date to May starting in 2028. Members also discussed bills on photo enforcement fines, roadable aircraft registration, motor vehicle booting, assisted living occupancy limits, and municipal permit and exaction rules. A number of measures were noted as third-read consent items, while others were flagged for further discussion or amendments. Health and public safety bills drew substantial discussion. The committee heard bills on insurance coverage for breast cancer screening, safe-haven hospital surrender of newborns, dialysis documentation, behavioral health licensing compliance, naturopathic IV drug administration, traumatic event counseling for public safety employees, sex offender registration limitations, and probation rules for dangerous crimes against children. Members raised concerns or requested removal from consent on several items, including SB 1095 and SB 1094 related to gender-affirming care for minors, SB 1346 on AHCCCS claims processing, and SB 1178 on naturopathic drug administration. There was also debate over SB 1520 on immigration data sharing and SB 1635 on warning someone about an imminent arrest, with objections citing civil liberties and First Amendment concerns. The committee also considered multiple property, water, and development bills. These included measures on effluent water use for landscaping, groundwater fee diversion in Pinal County, increasing the Water Supply Development Revolving Fund loan cap, creating a foreign entity review commission for real property transfers, and restricting transport of Mexican gray wolf pups into Arizona. Members discussed SB 1419 on solar roof inspections and financing disclosures, and SB 1787 on municipal exactions and appeals, with an amendment proposed to limit it to commercial property. Several members explained their votes or asked to pull bills from consent, and some items were noted as having split votes or anticipated floor amendments. The caucus ended with Rhonda’s election-related bills and a note that the group would move immediately into a closed caucus afterward.

Transcript Highlights:

• The amendment extends the qualifying ages from 18 to 26, but keeps the maximum at five years.
• It also changes age qualifications for the PESS programs.
• It also changes age qualifications. vulnerable children while maintaining strong safeguards.
• It also changes age qualifications for the P-E-S-S programs. That's so important for me.
• So we make very clear that this is only with regard to those who are under 18 years of age.

Bills: S0560, S0590, S0778, S1010

Keywords: child welfare, psychotropic medication, Department of Children and Families, community-based care, liability insurance, forensic services, defendants, mental health, judicial system, defense, legal definitions, minors, healthcare, parental rights, criminal penalties, civil action, sex-reassignment, investigations, economic damages

Summary: The Committee on Children, Families, and Elder Affairs considered four bills. SB 590, by Sen. Bradley, would toll the statute of limitations for failure to report suspected child abuse by mandatory reporters until the offense is known to law enforcement; an amendment clarified retroactive application for offenses not already time-barred by the bill’s effective date. Sen. Bradley said the bill is intended to ensure accountability in institutional abuse cases and not to change the reasonable-suspicion reporting standard. The committee adopted the amendment and reported the bill favorably. The committee also heard SB 778, by Sen. Simon, which would update the definition of forensic client so certain individuals with intellectual disabilities or autism whose charges were dismissed for incompetency can be housed with other Chapter 916 residents, reducing duplicative staffing and space needs at the Agency for Persons with Disabilities. Barney Bishop appeared in support, and the bill was reported favorably without amendment. SB 560, by Sen. Garcia, would streamline procedures for psychotropic medication prescriptions for children in DCF custody, reduce duplicative background checks and reporting, and simplify consent documentation. Amendments removed language allowing licensed clinical social workers and marriage and family therapists to serve as evaluators and narrowed changes to the Road to Independence Program’s postsecondary education services and supports, extending eligibility ages from 18 to 26 while keeping the five-year cap. Senators discussed the fiscal impact and funding blend for the education stipend. The committee adopted the amendments and reported the bill favorably. The committee then took up SB 1010, by Sen. Yarbrough, which adds criminal and civil enforcement for violations involving sex-reassignment prescriptions or procedures for minors and related parental-rights provisions. An amendment clarified that the civil action authority applies to minors and that damages benefit the affected minor. Public testimony was heavily divided, with supporters saying the bill enforces existing protections and opponents warning it would chill care, counseling, and school-based support for transgender youth. Senators Harrell, Sharief, and Rouson raised concerns about vagueness, standing, and impacts on teachers and health professionals; Sharief voted no, while the bill was still reported favorably.

Transcript Highlights:

• could not exceed those of other ag facilities.
• First, it removes the current provision in law which allows solar facilities by right on ag land, and
• So as part of decommissioning, going back to ag land, is there anything in the bill, or does the bill
• So if you decommission a plant, it defaults back to ag, is what you're saying in the bill.
• And now we have thousands of acres of ag land with a..." "...life, and now we have thousands of acres

Summary: The committee began by postponing SB 1742 on condos until the following week, then took up SB 1298 on building construction. Senator Simon said the bill would require continued education for long-licensed building professionals, clarify interagency sharing of building officials, limit residential inspectors to one- and two-family homes, revive a paid internship for residential planning examiners, modernize permit signatures, and clarify contractor responsibility when work changes hands. The bill drew supportive waivers and was reported favorably. Members then considered SB 940 on third-party restaurant reservation platforms. A delete-everything amendment was adopted to target bots and unauthorized resale of restaurant reservations, while preserving direct restaurant-platform relationships and requiring consumer contact information when reservations are made through noncontractual platforms. The Florida Restaurant and Lodging Association and Booking Holdings supported the measure, and CS/SB 940 was reported favorably. SB 638 on home inspectors also passed after the sponsor explained it would raise education requirements from 120 to 200 hours, add instruction on building code, wind mitigation, four-point and insurance inspections, and require $300,000 in errors-and-omissions coverage; it was reported favorably. The committee next approved SB 960 on elevator accessibility, allowing additional shorter support rails while keeping the existing 42-inch rail requirement. SB 196 on foods containing vaccines or vaccine materials was amended to address mRNA language and cosmetics safety standards, with the committee adopting amendments and then reporting the bill favorably. SB 1418 on heated tobacco products was amended to clarify the definition of heated tobacco products and exclude other forms such as hookah; it also passed favorably. The committee also recommended confirmation of a block of board and commission appointees. Finally, SB 1262 on construction contracting was amended to add contractor continuing-education topics, strengthen penalties for unlicensed activity, create a standardized disciplinary reporting system, and require timely refunds and project completion standards; it was reported favorably with support from the Florida Home Builders Association. SB 1304 on solar facilities was then approved after extensive testimony from rural county commissioners and local officials who argued that utility-scale solar on agricultural land has grown without sufficient local oversight and that decommissioning rules are needed to protect farmland and communities. The bill would repeal the current by-right treatment of solar facilities on ag land and authorize counties to adopt decommissioning ordinances; it was reported favorably after a technical amendment.

Transcript Highlights:

• The ages of 25.
• might be different as they age.
• The meeting right now is about age gating. It's age restrictions and age gating, right?
• Age limit of 21.
• them, with certain ages?

Bills: HB5

Keywords: hemp, cannabinoids, regulation, occupational licenses, consumable products, marketing, criminal offenses, labeling requirements, health and safety, 997, house, all

Transcript Highlights:

• Members, this bill would add youth who have aged out of the foster care system, up to the age of 21,
• And so, in a phased-in period of time over age, it's broken down that each year after age 65, 65, 69,
• of tax exemption would be applied to them based on the age that they have.
• At age 65, they would get another additional. That they have.
• At age 65, they would get another additional tax break, $60,000.

Keywords: 974, senate, all

Transcript Highlights:

• You're going through ag land in Pima County. You're going through ag land. I've seen the maps.
• It does start at a young age. Mr. Warner, absolutely. It does start at a young age.
• And the reason why: Arizona is a rapidly aging state.
• And the reasons why, well, Arizona is a rapidly aging state.
• under the age of 18 by 2028.

Bills: HB2014, HB2111, HB2156, HB2165, HB2202, HB2305, HB2321, HB2399, HB2403, HB2416, HB2418, HB2446, HB2601, HB2615, HB2620, HB2812, HB2939, HB2940, HB2955, HB2957, HB2960, HB2992, HB4026, HB4049

Keywords: air emissions, fuel blends, environmental quality, feasibility study, Arizona Department of Agriculture, driver license, examinations, motorcycle awareness, public safety, traffic laws, livestock, compensation, funding, ranching, agriculture, veterans, state parks, admission fees, military exemption, recreation access

Summary: The committee heard House Bill 2615, a strike-everything amendment creating an Independent Oversight Committee tied to the Department of Child Safety, with authority to review DCS practices, request briefings and audits, visit sites, and receive confidential complaints, along with a $2.2 million appropriation. The sponsor and several parents and advocates testified that stronger independent oversight was needed because of serious DCS failures affecting children and families. Some members supported the goal but objected to housing the committee in the Ombudsman’s office or questioned whether the structure was the right approach. The strike-everything amendment was adopted, but the bill itself then failed on a 5-5 vote. The committee then passed House Bill 2620, which provides $300,000 annually for five years to the Arizona Department of Veterans Services to grant funds to emergency shelters serving veterans without requiring scheduled intake appointments. The sponsor and shelter representatives said the money would support trauma-informed case managers, help veterans connect to VA and shelter resources, and move the state closer to functional zero for veteran homelessness. The bill received unanimous support and a do-pass recommendation. House Bill 2321 also passed unanimously. It requires DCS to place a security freeze on the credit reports of children entering foster care, with the freeze remaining until age 16 unless the child later chooses otherwise, and includes a $100,000 appropriation and one ongoing FTE. The sponsor said foster youth are especially vulnerable to identity theft and need automatic protection. House Bill 2601, which directs ADOT to seek federal segmentation for the Interstate 11 project between Casa Grande and Wickenburg, passed 6-4 after testimony from supporters who said it would keep the project moving and opponents who raised environmental, cost, and litigation concerns. House Bill 2992, a pilot program for child sexual abuse and grooming awareness education in six public schools, also passed 6-4 after testimony from a survivor and advocates; supporters framed it as prevention and critics argued it duplicated existing sex education and should be handled through broader curriculum or parent education. Additional bills considered included House Bill 2156, which appropriates $250,000 to the livestock compensation fund and passed 7-3 despite transparency and conflict-of-interest concerns from an opponent; House Bill 2165, which exempts certain veterans and military members from state park admission fees, as amended to narrow the exemption to retired or disabled veterans and similar National Guard members, and passed 6-4 amid concerns about lost park revenue; House Bill 2960, creating a veterans specialty court grant program and requiring better coordination on incarcerated veterans, which passed 8-0; House Bill 2014, directing studies on gasoline blends and emissions modeling, which passed 6-2 despite concerns about cost and limited impact; and House Bill 2957, preserving non-REAL ID driver licenses and restricting biometric collection and data sharing, which passed 5-4 after amendment.

Transcript Highlights:

• that was in response to... decrease to the age of three that was in decrease to the age of three that
• Asked the question about why the decrease in age.
• So I think that lowering the age is a good thing.
• So I think that lowering the age is a good thing.
• So I think that lowering the age is a good thing.

Bills: HB0143, HB0129

Keywords: health care providers, free speech, discrimination, governmental agencies, civil remedies, physician access, internationally trained physicians, medical licensing, provisional license, healthcare workforce, 916, all

Transcript Highlights:

• You're at this age. We'll sort it out.
• We have infants to older young people, transition-age youth.
• At my age, even at my age, I was feeling so much pressure to be in a million programs, start so early
• When I was your age. And we can’t relate, honestly.
• We didn’t go through COVID at your age. You know what?

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

Transcript Highlights:

• 6 to 21 years of and adolesccents aged 6 to 21 years of age<00:08:16.800> who<00:08:17.039>
• > are<00:08:17.280> requiring<00:08:18.160> intensive<00:08:18.639> and age
• <00:09:41.839> related<00:09:42.480> uh,<00:09:42.640> medical also have age
• related uh, medical also have age related uh, medical complications<00:09:44.080> requiring<00
• The center is now 30 years old, and because of its age, minor repairs are no longer sufficient.

Keywords: 958, all

Summary: The Capital Planning Advisory Board met for its first meeting of the year, confirmed a quorum, approved the prior year’s minutes, and welcomed new co-chairs and members. The board reviewed the capital planning timeline and a list of agencies that submitted plans but would not testify. Members were reminded to keep presentations brief because of a packed agenda. The Cabinet for Health and Family Services presented first, outlining priorities centered on public safety, infrastructure preservation, and preventive maintenance. Its requests included a $21 million maintenance pool, phase two funding for a new state public health laboratory, construction of an 18-bed children’s psychiatric hospital, and several projects at Western State Hospital and Western State Nursing Facility, including HVAC work, cooling tower repair or replacement, and chiller plant repiping. Additional projects covered elevator upgrades at Hazlewood and phased cottage renovations at Oakwood. Board members asked about vacant buildings, the cost per bed for the youth psychiatric facility, and the relationship between the CHFS youth facility and a separate DJJ facility; CHFS said the youth facility would serve DCBS-involved youth and be separate from the DJJ project. The Kentucky Department of Education then described its state-operated facilities, including the Kentucky School for the Deaf, the Kentucky School for the Blind, and the FFA leadership training center. Its priorities included additional funding for the FFA classroom and activity building, a rewrite of the SEEK education finance application system, renovation and repair of the FFA swimming pool, electrical upgrades, campus education enhancements, safety and security work, door and window replacements, and HVAC maintenance. Members asked about student outcomes, the size and cost of the swimming pool project, and construction cost assumptions; KDE said it tracks student outcomes through special education staff and that current estimates reflect higher post-COVID construction costs. The Education and Labor Cabinet began its presentation with 12 priority projects, including a state labor exchange system, renovation of the McDow Vocational Rehabilitation Center, and a new adult education and family literacy management information system. The cabinet said the labor exchange would connect job seekers and employers at no cost, while the McDow renovation was needed because the 30-year-old facility faces safety and code concerns. The cabinet planned to continue through the remaining priorities and answer questions at the end of its presentation.

Transcript Highlights:

• So we're starting at age 14, like if we have a youth in foster care...
• Starting at age 14, like if we have a youth in foster care, and a foster care youth enters a system at
• Because as you say, youth change their minds a lot, especially in this age frame, right?
• And my one last question is, we talk about housing and support services up to the age of 21.
• I am really tired of seeing kids age out of the system with absolutely nothing, no support.

Keywords: 909, all

Transcript Highlights:

• Um, it's the fastest growing age population, aging age group.
• Um, it's the fastest growing age population, aging age group.
• Um, it's the fastest growing age population, aging age group.
• Um, it's the fastest growing age population, aging age group.
• Um, it's the fastest growing age population, aging age group.

Keywords: 1183, house

Transcript Highlights:

• It's part of the neurodegeneration. generation age related.
• How do we reverse engineer aging? It's really hard.
• levels of trauma from an early age onward.
• Based on age, sex, different race, different metabolisms.
• We, as we age, it's been We have amyloid accumulation in the brain as a normal process of aging. and

Bills: HB5, HJR3, HB155, HB513, HB5, HB155

Keywords: dementia, research, health care, Texas Institute, grants, medical breakthroughs, oversight, prevention, funding, healthcare, Texas, autopsy, confidentiality, public records, medical examiner, law enforcement, HB 513, surgical smoke, surgical plume, smoke evacuation

Transcript Highlights:

• Not expansion of school-age children.
• So not expanding school-aged children.
• No, I think, so we have quite a few school-age children and child care assistance.
• No, I think, so we have quite a few school-age children and child care assistance.
• and needs to be replaced as well. ...which is also aging and needs to be replaced as well.

Keywords: 996, all

Summary: The meeting began as an informal education budget work group focused on reviewing a revised House Appropriations and Finance Committee scenario and flagging concerns rather than taking votes. Staff outlined the main changes from the LFC recommendation, including moving the statewide student information system appropriation, adding funding for the Black, Bilingual, Multicultural and Hispanic Education Act, universal school meals overrun costs, an evidence-based CTE pilot with a 50% local match, STEM network funding, wellness room pilots, Martinez-Yazzie action plan items, and changes to innovation zone and out-of-school time appropriations. A separate handout on the seven-year CTE pilot explained spending patterns, reversions, and possible federal maintenance-of-effort concerns if the state continues funding beyond a true pilot. Members then debated CTE extensively, with several arguing it improves attendance, graduation, and career readiness and should be sustained or expanded, especially in rural areas, while staff and others emphasized that much of the current funding has gone to general operational costs rather than intentional program design and that regional or matched funding models may be more effective. Members also discussed STEM and math initiatives, the need for more industry involvement, and whether the proposed match requirements would be too burdensome for smaller districts and BIE schools. The discussion also covered the Black, Hispanic, and Multilingual Education Acts and the Martinez-Yazzie lawsuit. Some members stressed that the acts should be explicitly named in the budget language and not merely implied, while staff said the scenario reaffirms prior commitments by building the costs into agency operating budgets. Members raised concerns about charter school hold-harmless funding, declining enrollment, and the need to align spending with the needs of at-risk students. The work group ended the education portion without any votes, with staff noting they would incorporate the feedback and return with clarifications, including on CTE funding, the educational acts, and the charter hold-harmless item. The meeting then shifted to the child well-being and early childhood work group, where staff presented a revised Early Childhood Education and Care Department scenario. The proposal moved money toward child care assistance and early pre-K, kept the FIT program funding level unchanged, and used a mix of trust fund, TANF, federal, and operating-budget adjustments to close part of the gap between the executive and LFC recommendations. Members questioned the policy direction, especially the shift toward infant and toddler care and pre-K expansion, the impact on school-age child care, and the implications for continuity of care and provider costs. Staff explained that the scenario prioritizes younger children and at-risk families, includes language for a wage and career ladder, and would require legislation to raise the early childhood trust fund distribution cap from 500 to 525. Members also discussed a separate proposed CYFD pilot bill (HB 65), which would be distinct from ECECD funding. No votes were taken, and staff said they would return with more cost information on full pre-K plus wraparound care. A final work group reviewed C2 and Department of Information Technology-related appropriations. Staff compared the LFC and executive recommendations for new funding and reauthorizations, noting that the LFC generally limited new projects while the executive funded more. Members discussed several IT modernization requests, including the Secretary of State’s voter registration and election management systems, the Spaceport Authority, Game and Fish, the State Engineer’s WATERS system, ECECD’s FitKids and EPIC replacement discovery, and Aging and Long-Term Services’ enterprise system modernization. The main themes were whether to fund planning versus full replacement, how to avoid piecemeal spending, and whether new systems should wait for incoming leadership. The Secretary of State’s office said its system is nearing end of life and the planning funds would help prepare a realistic replacement request, while other agencies described aging infrastructure, cybersecurity risks, and the need for modernization. The work group did not vote on any of the items and ended with staff noting additional follow-up on funding needs and reauthorization details.