Transcript Highlights:

• The TEACH program.
• The KidCare program—Title XXI is a CHIP program, Title XIX for Medicaid for children—those two programs
• from the program for failure to pay premiums. ...to a core component of the program and the disenrollment
• entities to implement new health care screening or service programs, or to expand existing programs
• And back to the question I started two presentations ago, the dental program and the FRAM program.

Committee: Senate Health Policy

Summary: The committee opened with roll call, welcomed members back for the first committee weeks, and heard brief personal updates from several senators before moving into agency implementation updates on recently enacted health care laws. The Agency for Health Care Administration reported on Senate Bill 64 creating rural emergency hospitals, explaining that AHCA adopted the required rules effective June 1, 2025, but that no hospitals have yet been designated. Members asked about possible hospital conversions, accreditation and survey responsibilities, and whether Florida would apply for federal rural health transformation funding; AHCA said it intends to apply and has already been working on the issue with federal officials. AHCA also reviewed the non-emergent care access plan requirement under Senate Bill 7016. The agency said hospitals with emergency departments must submit plans that help redirect non-emergent patients to appropriate care settings while complying with EMTALA, and that 83 plans had been received and 63 approved as of September 30. Members asked about data collection, managed care coordination, and the state’s health information exchange; AHCA said it has moved to a new HIE vendor and will continue monitoring implementation and possible care gaps. AHCA then updated the committee on the TEACH program, saying $6.8 million was spent in 2024-25 across 59 parent organizations and 229 facilities, with more than 1,800 students and nearly 380,000 clinical hours reimbursed. The agency said rulemaking is nearly complete, a new nursing student category and expanded facility eligibility were added, and a federal 1115 workforce waiver remains stalled after CMS signaled it will not approve new workforce demonstrations. AHCA also reviewed House Bill 121 on KidCare eligibility, explaining that implementation of the 300% poverty-level expansion remains blocked by federal litigation and waiver issues tied to premium nonpayment rules; members and public speakers urged action to close the coverage gap. Public testimony on AHCA’s presentation came from representatives of health centers and advocacy groups, who said the non-emergent care access plan has improved hospital-health center coordination and reduced repeat emergency use, and who urged implementation of KidCare expansion for children in the coverage gap. The Department of Health then presented updates on FRAM, the Sanadi screening grant program, the Health Care Innovation Revolving Loan Program, telehealth maternity care, swimming lesson vouchers, and House Bill 159 on pharmacist dispensing of HIV post-exposure prophylaxis. DOH reported strong participation in FRAM and the telehealth maternity program, 24 Sanadi grant awards in 42 counties, 4,945 swimming lesson vouchers issued last year and 2,371 so far this year, and three approved certification courses with five pharmacist certifications issued under HB 159. Committee members asked about recruitment of dentists and other providers, telehealth maternity outcomes, and why participation in the maternity program remains below expected levels; DOH said outreach and regional referral networks are expanding and more detailed outcome data will be included in the upcoming legislative report.

Transcript Highlights:

• integrity and enhancing program integrity in the programs.
• integrity and enhancing program integrity in the programs.
• integrity and enhancing program integrity in the programs.
• integrity and enhancing program integrity in the programs.
• </c> leaving programs. Correct. leaving programs. Correct.

Bills: HF3378

Committee: House Human Services Finance and Policy

Keywords: human services, Optum reports, data privacy, transparency, legislative oversight, 1183, house

Transcript Highlights:

• </c> general assembly student page program general assembly student page program founded<00:02:10.440
• </c><00:02:44.040><c> for</c> launching and leading the program for launching and leading the program
• </c><00:04:11.760><c> spending</c> commitment to the program spending commitment to the program spending
• . program and extends its best wishes for program and extends its best wishes for continued<00:05:32.759
• 33.840><c> pursues</c> continued success as the program pursues continued success as the program pursues

Keywords: 1183, house

Transcript Highlights:

• </c> education program online. education program online.
• </c> redesign our teacher education program. redesign our teacher education program.
• in the program out of 2,800.
• </c> number of student in the program. number of student in the program.
• </c> also to metriculate in this program. also to metriculate in this program.

Keywords: This meeting is taking place on location at the Kentucky State University Cooperative Extension Building Room 238 using on site equipment., 958, all

Summary: The interim Commission on Race and Access to Opportunity met at Kentucky State University and heard a presentation from President Kofi Aapo and Vice President Michael Dorsy on the university’s role as an HBCU and its current priorities. They emphasized Kentucky State’s impact on Black student outcomes nationally, its focus on workforce development, civic leadership, innovation, and economic mobility, and its efforts to grow enrollment, expand dual-credit partnerships, and launch a prison education program. They also described House Bill 250’s role in prompting program review and the creation or expansion of market-aligned offerings, including manufacturing engineering, agricultural engineering, biological and agricultural engineering, social work, criminal justice, and expanded online programs through “Thoroughbred Global.” A major topic was Kentucky State’s move toward STEM and applied programs. President Aapo said the university is diversifying beyond liberal arts to meet workforce demand and cited plans for a PhD in agroecology, which he said would help farmers adapt to climate conditions and would be federally funded. He also discussed the nursing program as the fastest-growing on campus, partnerships with health systems that pay tuition and guarantee jobs, and the need for a new nursing facility. He said the current nursing space is inadequate and that a new building could double or triple enrollment in the program. He also described a mobile health initiative intended to bring preventive care and health education to underserved areas of the state. Members asked questions about the nursing building, STEM strategy, teacher preparation, dual credit, prison education, and student readiness. Senator Bledsoe asked about the shift toward STEM, and Aapo said the strategy is based on student demand and data from House Bill 250. Senator Berg requested a list of dual-credit partners and encouraged long-term tracking of prison education participants to study outcomes such as recidivism; Aapo said the university has not yet begun that research but intends to. Senator Tidner asked about remedial needs, and Aapo said KSU found more than 100 students with zero GPAs when he arrived and is using co-requisite support and tutoring to address English and math deficiencies. Representative Brown and others highlighted the historical and ongoing value of HBCUs, and no votes or formal actions were taken during the meeting.

Transcript Highlights:

• Bill, including the federal-aid and non-federal-aid highway programs and two popular grant programs:
• the municipal pavement program and the Shared Streets and Spaces municipal grant program.
• Reauthorizing these programs will allow MassDOT to continue advancing major capital programs and support
• Reauthorizing these programs will allow MassDOT to continue advancing major capital programs and support
• The CTF has been used effectively for the Accelerated Bridge Program and Rail Enhancement Program in

Bills: H5279

Committee: Joint Joint Committee on Bonding, Capital Expenditures and State Assets

Keywords: municipal roads, bridges, transportation bond bill, infrastructure financing, capital spending, bond authorization, general obligation bonds, special obligation bonds, Commonwealth Transportation Improvement Act, road resurfacing, road repair, bridge repair, pavement, culverts, stormwater management, climate resilience, bicycle infrastructure, pedestrian infrastructure, transit modernization, commuter rail

Transcript Highlights:

• Specialized programs include academic, vocational programming, substance abuse programming, preforestry
• DRP's programs also extend into the community pre-release, such as the female community reentry programs
• , volunteer programs to academic programs.
• programs.
• CTE programs.

Summary: The hearing focused first on sexual abuse, harassment, and retaliation in California’s women’s prisons, with testimony from CDCR wardens, the Office of Inspector General, advocacy groups, and formerly incarcerated survivors. Legislators and witnesses described a pattern of staff misconduct, fear of retaliation, gaps in reporting, and the need for stronger accountability, better investigations, and more outside access for survivor support organizations. CDCR said it has expanded training, body-worn and stationary cameras, outside partnerships, and PREA-related response procedures, while the Inspector General requested additional funding and staff to monitor more grievances and staff sexual misconduct cases under SB 1069. Members pressed CDCR on why accused staff are not always placed on leave, how cases are referred to prosecutors, and whether current protections are enough; several members argued the state should aim to investigate all complaints and do more to prevent retaliation and repeat abuse. The second issue was rehabilitative and reentry programming in women’s prisons. CDCR’s Division of Rehabilitative Programs and the wardens highlighted education, vocational training, substance use treatment, peer support, and community reentry programs, citing increased enrollment and recent graduates earning diplomas, degrees, and certifications. They said these programs are intended to reduce recidivism and improve public safety. Formerly incarcerated advocates and community providers argued that current offerings are still too limited, outdated, and not aligned with today’s job market, especially around digital literacy and transferable credentials, and they urged more funding for community-based, trauma-informed, gender-responsive programming. A coalition representative asked for a $20 million continuation and expansion of the Wright Grant program, and members discussed additional budget requests for reentry and related women’s services.

Transcript Highlights:

• </c> start this program. start this program.
• AMT program.
• </c> programs. You'll hear from them today. programs. You'll hear from them today.
• </c> programs as the state of California. programs as the state of California.
• Uh these programs are programs as well.

Keywords: 958, all

Summary: The task force meeting began with approval of the July 14 minutes and then heard a presentation from the Kentucky Aviation Association. Association leaders described general aviation airports as important to rural access, commerce, emergency response, tourism, agriculture, and workforce development, and cited statewide economic impacts they said exceed $1.6 billion and support more than 9,400 jobs. They thanked the legislature for prior airport funding and said it had helped airports with basic operations and repairs. The association asked lawmakers for four things: continued appropriations for general aviation airports; relief or a more workable process for required financial audits, which they said can cost $10,000 to $20,000 or more and sometimes exceed a small airport’s annual budget; a regularized statewide appropriations process for airport infrastructure needs, which they said total about $100 million and are currently addressed unevenly; and funding for the Aerospace Education Reinvestment Opportunity Act to support scholarships and aviation workforce training. Members of the task force asked follow-up questions about the audit burden, the difference between financial and safety audits, and the difficulty of finding audit firms. The presenters said they would bring specific ideas back on audit reform. Eastern Kentucky University then presented on its aviation program. EKU leaders thanked the committee for prior support, including a $25 million appropriation for a new flight school building at Central Kentucky Regional Airport, and said the project is expected to break ground in 2026. They reported strong enrollment growth, with 502 aviation majors, most of them Kentuckians, and said the program has expanded flight hours and job placement. EKU also outlined plans to add an air traffic control program in response to Senate Bill 87 and the national shortage of controllers, saying it could train students to FAA standards if the university receives the needed investment in simulators, equipment, space, and faculty. They also discussed the need to replace an aging fleet of training aircraft, saying the current planes are decades old and costly to maintain, and that newer aircraft would improve training quality and reduce student costs.

Transcript Highlights:

• Senator, could you talk to us about the Canadian prescription drug importation program, the program that
• Senator, could you talk to us about the Canadian prescription drug importation program, program that
• The program has since grown to a $4 billion program over the years.
• programming, waiver programs, why are we not including those in the social services estimating conference
• Programming waiver programs, why are we not including those in the social services estimating conference

Keywords: 999, senate, all

Transcript Highlights:

• Four of the graduates from our program are now leading Native programs throughout the country, including
• </c><00:01:36.240><c> to</c> for the center will expand programs to for the center will expand programs
• from our program are now leading<00:03:58.640><c> native</c><00:03:59.040><c> programs</c><00:03:59.480
• </c> proof of the E efficacy of our program proof of the E efficacy of our program I've<00:09:45.360>
• It's a solid program.

Committee: Senate Higher Education

Keywords: 1187, senate, all

Transcript Highlights:

• How does that program work?
• Within the statewide Medicaid managed care program, we refer to it as the SMMC program.
• to do so in the new program.
• that program.
• , and our BH Impact program.

Committee: Senate Health Policy

Summary: The Senate Health Policy Committee met to discuss maternal and infant health, beginning with a presentation from New Jersey’s Maternal and Infant Health Innovation Authority (MiHA). Pamela Taylor described New Jersey’s statewide effort to reduce maternal mortality and racial disparities through the Nurture New Jersey campaign, a strategic plan with more than 80 recommendations, universal home visiting, Medicaid-covered doula care, hospital report cards, limits on non-medically indicated early elective C-sections, and a new maternal and infant health innovation center. Senators asked about doula certification, funding, home visiting, and how New Jersey coordinates across agencies; Taylor said the authority uses quarterly stakeholder meetings, annual summits, and a tracker for recommendations, and that community input helped shape its programs. Florida Agency for Health Care Administration Deputy Secretary Brian Meyer then outlined Florida Medicaid’s maternal coverage and managed care structure. He reviewed eligibility and services for pregnant women, labor and delivery, postpartum coverage, newborn coverage, and family planning, noting 12 months of postpartum coverage, expanded benefits in managed care plans, and new contracts launching February 1 with more maternal-health-focused benefits, quality measures, and a new quality withhold incentive structure. Senators questioned doula certification and duplication with Healthy Start, provider access and network adequacy, kick payments, quality reporting, and whether Florida should consider broader eligibility standards; Meyer said many details are still plan-driven, that quality metrics are public, and that the agency is working on maternal-health work groups and incentives. Department of Health Division Director Shea Holloway followed with an overview of Florida’s maternal and child health programs and data. She cited Florida CHARTS data showing pregnancy-related deaths, severe maternal morbidity, and infant mortality trends, and described the Title V block grant, the Maternal Mortality Review Committee, the Florida Perinatal Quality Collaborative, the electronic prenatal risk screen, Healthy Babies, BH Impact for perinatal mental health, Healthy Start, WIC, family planning, telehealth maternity care, and the Pregnancy Care Network. Senators asked about delays in mortality review reporting, preterm birth, substance use disorder in pregnancy, WIC participation, cesarean rates, and the impact of the abortion ban; Holloway said the department is continuing to monitor outcomes, expand screening and telehealth, and use data and hospital partnerships to improve care. The committee then adjourned without further business.

Transcript Highlights:

• </c> for DCYF that impacted um these programs for DCYF that impacted um these programs specifically<00
• </c> have to participate under the program. have to participate under the program.
• </c> comp program starting in fiscal year 27. comp program starting in fiscal year 27.
• . program. program.
• program.

Committee: Senate Education Finance

Keywords: 1187, senate, all

Transcript Highlights:

• And the program that you oversee, that you oversaw, has the Strong Reader program.
• You issued one, the Strong Reader Program, the program that you created, issued one $5,000 grant to support
• We thought at first that the United Way program was potentially a book program that ended up not being
• a book program either.
• And so no... ...program that ended up not being a book program either.

Keywords: 987, senate, all

Transcript Highlights:

• And we will be hiring a program manager, which will be implementing this program.
• school or education provider from the program, the program manager then shall notify the eligible students
• Roll the program out.
• Roll the program out.
• on the program, what caps we reach.

Bills: HB1329

Committee: Senate Appropriations - Education and Environment Division

Keywords: government spending database, public expenditure transparency, open data, government transparency, school district spending, state spending, local government finance, education finance, budget database, expenditure reporting, salary transparency, benefits data, public records, Legislative Management study, North Dakota, school board training, superintendent, principal, business manager, higher education spending

Summary: The Education Division met with all members present and first took up House Bill 1329, which would create a transparency database and website for school spending information. Senator Schaible offered Amendment 0204 to turn the bill into a study, citing concerns that the proposal would impose major data-collection burdens on 168 school districts, require new data standards and privacy protections, and likely cost far more than the $500,000 in the bill. Several members supported transparency but agreed the implementation costs and technical feasibility were unclear. The committee adopted the amendment 4-1, then passed HB 1329 as amended on a 5-0 vote, with Senator Shively to carry the bill. The committee then discussed House Bill 1540, the education savings account/voucher bill. Representatives from the Bank of North Dakota and the Department of Public Instruction explained that they had not been consulted on the original drafting and outlined needed administrative changes, including clarifying the Bank as administrator, using a third-party program manager, involving DPI in rulemaking, adding audit and appeal procedures, and adjusting language on eligible purchases and school disqualification. They also said the current timeline was likely too aggressive to launch by the 2026-27 school year and estimated the program would require about 15 months to implement, with a fiscal note now around $5.1 million. Members also discussed policy-related amendments on means testing and application timing. Senator Shively proposed a 300% of poverty-level means test and a sign-up period to reduce costs and limit open-ended enrollment, while Senator Axman proposed a tiered approach that would keep all students technically eligible but phase in funding levels by income, preserving access for students who qualify for other federal supports. DPI said it could not currently disaggregate some data by family income and that the appeal process and procurement timeline still needed work. The committee did not move HB 1540 out that morning and instead recessed to continue discussion later after members had time to review the administrative and fiscal issues separately from the means-testing proposals.

Transcript Highlights:

• In those programs, they teach independent living, social skills, job skills, and they teach programs
• In those programs, they teach independent living, social skills, job skills, and they teach programs
• In those programs, they teach independent living, social skills, job skills, and they teach programs
• That program is a collegiate-based program for students who want to seek a collegiate-based program.
• age 16 in Leon County and stay in that program and have access to that program until age 26 to learn

Summary: The subcommittee met with a quorum and considered three bills. House Bill 1145 by Representative Shoaf would clarify that public charter schools may participate in the CAP grant program and expand the number of eligible programs under the money-back guarantee workforce education provision from three to six. Supporters said it would broaden access and encourage outcomes-focused training; members asked about fiscal impact and repayment concerns. The bill passed 16-0 and was reported favorably. House Bill 127 by Representative Kendall addressed exceptional student education and workforce credentialing. A strike-all amendment broadened the bill to include all students with disabilities, use the term micro-credential, involve the Department of Education, the Florida Center for Students with Unique Abilities, and OSHA, and add validation by special education staff and an IEP team member. Public testimony included support from Goodwill and others, while one witness raised concerns about IDEA compliance, voluntariness, and funding. Members debated those issues, with supporters emphasizing that the bill was not mandatory and would help transition students into work; the amendment was adopted and the bill then passed 15-0. House Bill 571 by Representative Kendall would expand career planning and work-based learning opportunities for students, require the Articulation Coordinating Committee to evaluate apprenticeship and pre-apprenticeship programs for postsecondary credit, allow more flexible work-based learning, provide career days for students age 16 and up, guarantee transfer of certain credits to the Florida College System, and require annual review of personalized academic and career plans. Several industry and education groups appeared in support, no one spoke in opposition, and the bill passed 15-0 and was reported favorably. The meeting then adjourned.

Transcript Highlights:

• Our child care and development programs are provided through voucher-based programs, which provide certificates
• Program, also known as CAP, our Migrant Alternative Payment Program, CMAP, Program, also known as CAP
• , our Migrant Alternative Payment Program, CMAP, and the Emergency Child Care Bridge Program.
• doubled the impact of the youth legal services program and the removal defense program.
• the program.

Keywords: 987, senate, all

Transcript Highlights:

• The guaranteed education tuition program, or GET, is Washington's 529 prepaid college tuition program
• The guaranteed education tuition program, or get, is Washington's 529 prepaid college tuition program
• Just with the concern for solvency of the GET program long term, as well as we start other programs like
• that we have, or conditional scholarship programs. ...similar behavioral health scholarship programs
• that we have or conditional scholarship programs.

Bills: HB2438 , HB2422 , HB2525 , HB2586 , HB2337 , HB2311 , HB2286 , HB2324 , HB2363 , HB2098 , HB2088

Committee: House Postsecondary Education & Workforce

Keywords: education, scholarship, early childhood, funding, higher education, early education, support, degree seekers, private security, security guard, armed security guard, security company, licensing fees, license renewal, endorsement fee, fingerprints, background check, workforce retention, low-wage workers, public safety

Transcript Highlights:

• , $125 million for water quality grant programs, another $125 million for resilient Florida grant programs
• Senator, could you talk to us about the Canadian prescription drug importation program, the program that
• The program has since grown to a $4 billion program over the years.
• disabled programming, waiver programs, why are we not including including the Medicaid managed care
• disabled programming, waiver programs, why are we not including ...programming waiver programs?

Summary: The Senate took up the 2026-2027 budget package, beginning with an overview of the $115 billion General Appropriations Bill (SB 2500/HB 500). Appropriations Chair Hooper said the budget is smaller than last year’s, maintains strong reserves, and includes a 3% pay raise for all state employees and 5% raises for state law enforcement, firefighters, correctional officers, and park rangers. Committee chairs then highlighted major spending in their areas, including $34.9 billion for Pre-K-12 education, $11.9 billion for higher education, a $2.1 billion-plus increase in health and human services, $7.9 billion for criminal and civil justice, $16.8 billion for transportation/tourism/economic development, and major environmental and regulatory investments such as Everglades restoration, water quality, and land acquisition. Members asked detailed questions about several items. Topics included the Emergency Management Trust Fund, arts and cultural grants, Florida Forever land acquisition versus conservation easements, teacher salaries and charter school funding, New College funding, ADAP/HIV drug assistance, Medicaid rate reductions for non-critical access hospitals, DOC operational deficits and inmate health/food costs, judicial staffing, and school enrollment supplements. Chairs explained that some reductions reflected shifts in how scholarship and categorical funds are tracked, that the ADAP appropriation would take effect immediately upon enactment but would only cover part of the year, and that hospital reductions were tied to a broader DPP funding increase. Questions also covered lottery staffing, concealed carry licensing workload, and whether vacant positions were being eliminated as part of budget right-sizing. After the budget discussion, the Senate substituted House bills for the Senate budget bills and adopted amendments placing the Senate language onto the House vehicles. The chamber then passed HB 500, HB 503, and HB 5201, and agreed to conference on each. It also passed SB 7028/HB 5205 on retirement, SB 2506 on fuel taxes, SB 2508 on the state agency law enforcement radio system, SB 2510/HB 5401 on court trust funds, SB 2512 on judgeships, SB 2514 on K-12 education, SB 2516 on higher education, and SB 2518 on health, with each bill passing by unanimous or near-unanimous votes and then being sent to conference or requested of the House for concurrence.

Transcript Highlights:

• </c> grant program. grant program.
• </c> independence grant program. independence grant program.
• </c> program parameters. program parameters.
• </c> student loan programs. student loan programs.
• </c> scholarships program in statute. scholarships program in statute.

Committee: Senate Higher Education

Keywords: 1187, senate, all

Transcript Highlights:

• And the program that you oversee, that you oversaw, is the Strong Reader program. Disproportion...
• That you oversaw as the Strong Reader program. This program was allocated $581,708.
• That you oversaw on as the Strong Reader program. This program was allocated $581,708.
• a book program either.
• a book program either.

Summary: The committee held a follow-up informational hearing on the State Library’s oversight of the statewide Imagination Library program, focusing on how state funds were used by the Strong Reader Partnership (SRP) and whether the program complied with statutory requirements. Chair and Senator Grove repeatedly questioned State Librarian Greg Lucas about delayed document production, the State Library’s decision to allow SRP to continue spending $4.8 million after the 2024 budget changes, and the lack of clear accounting for how many books were actually delivered to children. Lucas said the State Library had sent one demand letter, relied on counsel’s advice, and ultimately received bank statements, invoices, and narrative reports that he said were satisfactory, though he acknowledged the committee should have been given the documents sooner. A major issue was whether SRP and its vendors used state funds for lobbying or influence efforts related to AB 157/SB 157, despite contract language prohibiting lobbying. The committee highlighted invoices and emails involving ChangeCraft and SAGE Strategies that appeared to coincide with legislative activity, while SRP representatives said their work was communications, stakeholder outreach, and board-directed advocacy, not lobbying. Members of SRP also defended their vendor selections and invoicing practices, explaining that the organization was in startup and transition mode, had multiple financial vendors for checks and balances, and was working to build infrastructure, local partnerships, and multilingual outreach capacity rather than directly buying books. The hearing also scrutinized specific expenditures, including roughly $581,000 to Shipyard for marketing and web/digital work, $110,000 to Lotus Financial Solutions, and a $5,000 grant to United Way of the California Capital Region. Senators argued the invoices were vague and the deliverables were not evident, pointing to a simple website, limited social media presence, and no clear evidence that some advertised campaigns ever went live. SRP witnesses said the work was part of a phased plan to establish a statewide foundation and that some assets and documentation had not yet been provided to the committee. No votes were taken, and the hearing ended with the chair emphasizing the need for tighter oversight, clearer documentation, and better accountability for taxpayer funds.

Transcript Highlights:

• I've been working on these programs, studying these programs for about four years now.
• Other programs that should have evidence coming out sooner include the HART program in Durham, North
• programs.
• Both of these programs are critical.
• So we started as a crisis diversion program. The program quite a bit.

Summary: The Community Safety Committee held an interim work session on crisis response, with members and witnesses discussing how Washington can better integrate 911, 988, mobile crisis, co-response, and alternative response models for behavioral health crises in public spaces. Travis Parker opened with an overview of the Sequential Intercept Model and the crisis care continuum, emphasizing early intervention, 988 access, regional coordination, navigators and peer support, and the need for sustainable braided funding. Several Washington witnesses then described current programs and system gaps, including the growth of co-response teams, the importance of integrating 911 and 988 rather than treating them as competing systems, and the need to reduce unnecessary emergency room use and improve first responder wellness and training. City, fire, and crisis-system representatives described local challenges and reforms. Kim Hendrickson of Poulsbo said most crisis calls still come through 911 and urged better coordination among field-based teams, more behavioral health training for fire/EMS, and more alternatives to ER transport. Laura Pippen, a designated crisis responder, described a strained involuntary treatment system, fewer DCRs statewide, difficulty getting law enforcement support for transports, and limited facility capacity, especially for substance use disorder. Jennifer Stuber and South County Fire’s Keith Sharp highlighted workforce training, a crisis responder certificate program, and first responder wellness efforts. Research witnesses Evan Lauder and James Pine said the evidence is still developing but generally supports on-scene resolution, reduced ED transport and detention in some models, and the importance of clear dispatch protocols, coordination, and ongoing evaluation. Dispatch and program operators then gave examples of how systems are working in practice. Katie Myers of Washington APCO/NENA said 911 remains essential, but needs evidence-based triage protocols, liability protections, and additional funding if it is expected to take on more crisis-response responsibilities. Whatcom County described embedding a “community connector” in the 911 center to coordinate alternative response, while ValleyCom reported that its 988 diversion pilot transferred 2,165 calls with 98% resolved through 988/211 without returning to 911. National examples included Denver’s STAR program, Albuquerque’s Community Safety Department, and Atlanta’s PAD initiative, each showing different ways to route low-acuity or behavioral-health-related calls away from police and toward clinicians, peers, or civilian responders. The session ended with Washington examples continuing, including Whatcom County’s alternative response team, underscoring the committee’s interest in refining and expanding integrated crisis response systems in the next session.