Transcript Highlights:

• So youth voices should be included in shaping outreach campaigns, peer programs, school supports, and
• And that certainly includes, but is not limited to, the peer-to-peer support program Rebecca is going
• In a healthy school climate, students feel safe, connected to their peers, and supported by caring adults
• I’m a huge fan of their peer-to-peer work.
• We are peer-to-peer is not reimbursable.

Keywords: 988, house, all

Summary: The hearing focused on youth mental health and treatment access, with the chair framing the issue around California’s Children and Youth Behavioral Health Initiative (CYBHI), school-based supports, and the need to coordinate education, health, and community systems. The first panel featured PPIC researcher Shalini Mostala, who said teen mental health remains a serious concern but recent California Healthy Kids Survey data show improvement in chronic sadness and suicidal thoughts since the pandemic peak. Youth advocate Ella Cruz described her own struggles, emphasized stigma reduction, peer support, and the importance of youth voices in shaping policy and outreach. Members asked about phone use, cultural stigma, and how to encourage young people to seek help and connect with trusted adults and peers. The second panel, led by CYBHI director Dr. Sohill Sood and DHCS Deputy Director Autumn Boylan, provided implementation updates. Dr. Sood said recent data show more students receiving counseling, lower stigma, and a drop in reported suicidal ideation, while also highlighting growth in certified wellness coaches and the CYBHI fee schedule. He said the program has generated more than 230,000 claims and over $11 million in new revenue for participating entities, though implementation is still early and technical assistance remains important. Fresno County’s Trina Frazier described a multi-tiered system of care with wellness centers, mobile therapy units, and strong outcomes in attendance, suspensions, and academic performance, while Rachel Kroberniski of the James Morehouse Project described a long-running school wellness center and a peer-to-peer model that helps students feel connected and supported. Members pressed witnesses on rural staffing, billing coordination, higher education participation, and how to sustain services after one-time grants expire. In the final panel, WestEd’s Lisa Eisenberg discussed what makes the fee schedule work best, saying schools are most successful when they build on existing staff, relationships with health plans, and data-sharing agreements rather than creating entirely new systems. Across the hearing, witnesses and members repeatedly returned to themes of flexibility, sustainability, youth-led and peer-based supports, and the need to reduce stigma while improving coordination across schools, counties, providers, and colleges. No formal votes or legislative actions were taken during the hearing.

Transcript Highlights:

• <00:15:52.959> support confidentiality for peer support confidentiality for peer support counseling
• , peer support program, peer support session, and emergency service peer support specialist.
• c><00:19:13.520> peer<00:19:13.919> support peer support program, peer support peer support
• <00:19:45.039> support exemption for written peer support exemption for written peer support
• <00:20:46.320> support emergency service peer support emergency service peer support specialist

Keywords: 926, house, all

Summary: The House opened with a devotional by Rep. Chris Keyser centered on Robert Frost’s “The Road Not Taken,” using the poem as a reflection on legislative choices, compromise, and service to the common good. After the devotional, the chamber took up a large slate of introductions, with 21 House bills read by number only after a successful motion to suspend the rules. The House also read HR12, a resolution supporting the principles behind Gov. Phil Scott’s statement regarding federal ICE and CBP activity in Minnesota, and placed it on the calendar for action the next legislative day. The House then concurred in JRS38, a joint Senate resolution setting weekend adjournment for January 30, 2026, to reconvene no later than February 3, 2026. During announcements, members recognized guests from Third Act Vermont, wished the member from Burlington a happy birthday, invited members to a Universal Health Care Caucus meeting, and promoted an evening Farmers Night performance. The House also voted to rescind journalization and expunge remarks previously entered by the member from Swanton from Friday’s House Journal. In orders of the day, the House rejected concurrence with the Senate’s further proposal of amendment to S.23, an act relating to the use of synthetic media in elections, and instead requested a committee of conference; the chair appointed Reps. Byron, Hango, and Waters Evans as conferees. The chamber then passed H532, relating to mandatory retirement of college professors. It also adopted the committee’s strike-all amendment to H270, relating to confidentiality for peer support counseling among emergency service providers, after favorable 11-0 committee action; the bill was then ordered to third reading. Finally, the House amended and ordered to third reading H516, approving amendments to the charter of the town of Essex, after discussion of charter changes including select board vacancies, moderator procedures, town appointments, accounting requirements, and related technical updates. The House then adjourned until January 29, 2026 at 3:30 p.m.

Transcript Highlights:

• Peer support doesn't shame you and doesn't steal your voice.
• Peer support focuses on strengths and supports recovery in the ways the person identifies as best for
• So I'm here in favor of an act creating peer support, peer-run respite across the Commonwealth.
• Back in 1990, there was nothing about peer or peer supports.
• It happens through peer support and integration.

Keywords: 995, all

Summary: The hearing opened with remarks from House Chair Mindy Domb and Senate Vice Chair Robyn Kennedy, who outlined procedures for the hybrid public hearing, noted the committee would hear testimony on 15 bills related to treatment settings, and recognized members present. The first major bill discussed was H. 4200, authorizing a pilot program for psychedelic-assisted treatment in licensed facilities. Representative Jim O’Day and witnesses from Control Z supported the bill, describing it as a tightly controlled, medically supervised pilot with DPH oversight, limited sites, and screening requirements. Committee members asked about the number of sites and whether Column Health still existed; witnesses said the bill contemplated three separate pilot programs and that Column Health no longer existed after being purchased by another company. The committee also heard testimony on S. 1405 to make the drug stewardship program permanent by removing its 2026 sunset date. Senator John Keenan and others said the program helps collect and safely dispose of unused medications, reduces diversion, and should remain in place because manufacturers should bear disposal costs. A member from Boston added support based on local concerns about people searching through bags for drugs, and Keenan explained the original sunset reflected pilot status and industry pushback. A large portion of the hearing focused on S. 1394 and H. 2193, which would strengthen implementation of the 2023 Roadmap for Behavioral Health Reform. The Children’s Mental Health Campaign, Parent/Professional Advocacy League, Massachusetts Association for Mental Health, and Elliott Community Human Services testified that the roadmap’s helpline, community behavioral health centers, and crisis services are important but unevenly implemented. They urged a single point of accountability within EOHHS, regular strategic planning, a public data dashboard, and financial analysis of the behavioral health system and the access and crisis intervention trust fund. Witnesses said commercial insurance often does not fully reimburse community behavioral health center services, making sustainability difficult, and asked for better coordination across agencies and crisis response systems. Committee members asked whether the roadmap includes substance use disorder; witnesses said it is intended to cover behavioral health broadly, including mental health and substance use. The committee also heard testimony on bills to ban aversives and on suicide prevention signage. Lisa Jean Graff testified in support of S. 1394 by urging a statewide ban on aversive practices, including electric shock, withholding food or bathroom access, and other painful interventions, arguing disabled people deserve the same protections from harm as others. Fonda Bryant and Carol McLean supported a bill requiring suicide prevention signs on tall parking garages, describing personal experiences and saying the signs could create a brief pause and connect people to 988 or other help. McLean said her son died by suicide from a parking garage and that signage might have made a difference. The committee also heard strong testimony in support of creating intensive stabilization and treatment units within DMH facilities (S. 1398/H. 2204), with the Massachusetts Nurses Association and a DMH nurse arguing that highly assaultive patients need specialized, more secure units to protect staff and other patients and to improve care. Additional testimony supported creating a dedicated board for licensed mental health counselors (H. 4696/S. 1382), with Rep. John Badger, the Mass Mental Health Counselors Association, and others saying LMHCs are a large and growing workforce that needs its own licensing board, clearer standards, and faster implementation of existing licensure reforms. The committee also heard extensive testimony on H. 2223 regarding benzodiazepines and non-benzodiazepine hypnotics. Survivors and advocates described severe withdrawal, lack of informed consent, cognitive harms, and long-term disability, while a physician supported the bill as a way to improve disclosure of risks. Finally, the committee heard multiple witnesses in favor of H. 2231/S. 1383 to establish peer-run respite centers statewide. Advocates and people with lived experience said peer respites provide non-coercive, home-like alternatives to hospitalization, can reduce trauma and repeated admissions, and may be especially important for marginalized communities; they also cited cost savings and existing positive outcomes from current respite programs. No votes or final committee actions were taken during the hearing portion reflected in the transcript.

Transcript Highlights:

• Peer interactions received high ratings, with statements such as 'peer support is useful,' scoring above
• The peer support strike teams consist of trained peer specialists, chaplains, canine teams, and vetted
• First responders are unique individuals, and talking peer to peer is—and treatment peer to peer, or support
• , not treatment—support peer to peer—is so important.
• There are some other peer support trainings out there that are not first responder peer support trainings

Summary: The committee heard a presentation from Dr. Kelly O’Dare on first responder behavioral health access, peer support, and suicide prevention. She described UCF Restores, the Second Alarm Project, and related partnerships that provide culturally competent treatment, peer training, clinician education, disaster response support, and behavioral health navigation. She cited survey and state data showing significant rates of sleep problems, anxiety, depression, substance use, and suicide among Florida first responders, and said evidence-based treatment has helped many patients recover, including a reported 76% who no longer met PTSD diagnostic criteria after treatment. Senators asked about measuring outcomes, peer support standards, and whether the state should create more consistent statewide requirements; O’Dare said peer support training must be specialized, linked to higher levels of care, and supported by sustainable funding and statewide coordination. The committee also heard from a public commenter who supported the work and emphasized the need for adequate resources and peer support infrastructure. The committee then received a Department of Children and Families presentation from Casey Penn on the proposed funding methodology for community-based care lead agencies under HB 7089. Penn explained that the new model is intended to be actuarially based, reimbursement-oriented, and more transparent than prior funding approaches, using historical expenditures, standardized reporting, and two main tiers: Tier 1 for largely fixed administrative and operational costs, and Tier 2 for direct child-serving costs based on per-child-per-month blended rates. He said the model includes a 2% risk corridor for Tier 2, hold-harmless funding in the first year, and optional Tier 3 performance incentives, with an estimated additional state appropriation need after offsets. Senators raised concerns about prevention, historical inequities, reasonableness of costs, administrative overhead, blended state and federal funds, adoption subsidies, high-acuity placements, and disaster-related disruptions. Penn said some of those issues could be addressed in future iterations as the child welfare information system is modernized, and he agreed to provide written responses to committee questions. Representatives of the Florida Coalition for Children and CBCs responded that the model is a major improvement but urged additional safeguards, including an administrative cap, clearer separation of direct and indirect costs, and better treatment of federal and pass-through funds. They argued that the system already has oversight and that deficits reflect insufficient appropriations rather than excess spending, while also noting that higher-acuity children and regional differences can drive costs. No votes were taken on either topic, and the meeting ended with committee staff introductions and adjournment.

Transcript Highlights:

• most recent peer support encounter peer interactions received high ratings with statements such as peer
• First address the peer support issue. I think this is key.
• to peer or support, not treatment.
• Support peer to peer is so important.
• There are some other peer support trainings out there that are not first responder peer support, trainings

Keywords: 999, senate, all

Transcript Highlights:

• of peer support services across the state.
• of peer support services across the state.
• of peer support services across the state.
• of peer support services across the state.
• of peer support services across the state.

Keywords: 00:00:00 Call to Order/Roll Call 00:01:37 Discussion of 25RS HB 392 00:03:10 Roll Call Vote on 25RS HB 392 00:04:20 Discussion of 25RS HB 580 00:13:28 Roll Call Vote on 25RS HB 580 00:14:54 Discussion of 25RS HB 688 00:18:40 Roll Call Vote on 25RS HB 688 00:21:40 Discussion of 25RS HB 16 01:19:44 Roll Call Vote on 25RS HB 16 01:27:32 Adjournment, 958, all

Summary: The committee first took up House Bill 392, sponsored by Representative Proctor, which would help the Department for Behavioral Health, Developmental and Intellectual Disabilities pay for emergency medical and psychiatric services provided to patients outside state facilities when those facilities cannot meet their needs. Proctor described it as a continuing improvement bill to address payment issues for services delivered at community-based facilities. The bill received no substantive opposition in the meeting and passed the committee with favorable expression by a vote of 15 yes, 0 no, and 1 pass. The committee then considered House Bill 580, presented by Representative Kim Moser and Elena Sweezy, which tightens oversight of peer support specialists. The bill was described as building on House Bill 505 from the prior year by reinstating supervision requirements, adding parameters around group sizes, creating a pathway for temporary peer support specialists to become fully registered after nine months, and addressing Medicaid reimbursement and accountability concerns. Members asked about reimbursement; the sponsor said Medicaid was okay with the bill and that commercial insurance coverage would be up to insurers. Representative Fleming emphasized the need for stronger financial oversight of the peer support code. The committee adopted a substitute and title amendment, then passed the bill with favorable expression. House Bill 688 was then heard, with Representative Bratcher explaining that it addresses two issues: preventing fraud in nurse licensure by giving the Kentucky Board of Nursing more discretion to review out-of-state credentials, and expanding school authority to administer certain emergency medications. He said the bill changes the board’s authority from “shall” to “may” so it can verify transcripts, curricula, accreditation, and exam passage. During discussion, Representative Sharp explained his yes vote by noting the bill also adds rescue medications such as glucagon and Solu-Cortef and allows prescribed emergency medications for known conditions in schools. The committee passed the bill with favorable expression. Finally, the committee heard House Bill 16, which would leave decisions about adding fluoride to drinking water to local governing bodies rather than maintaining a state mandate. Supporters, including Representative David Hale, Dr. Jack Call, and Cindy Batson, argued that fluoridation should be a local choice and raised concerns about cost, potential health risks, and the precautionary principle. Opponents, including Dr. Steve Robertson of the Kentucky Dental Association, defended fluoridation as beneficial for preventing tooth decay and warned that local removal decisions could increase Medicaid costs and may not reflect the broader public interest. The transcript provided does not show a final committee vote on House Bill 16 in the excerpt.

Transcript Highlights:

• Peer support coordinators are force multipliers, overseeing close to 6000 registered peer volunteers
• who help facilitate access to peer support programs for 60,000 veterans just last year alone.
• So when we're talking about peer to peer support, what we're talking about is sitting down across from
• Health services to in addition to peer support while we believe peer support has been stated is, um,
• These are folks that do provide individual and group-based peer support.

Bills: HB101

Keywords: voter approval, local tax, disaster declaration, tax rate increases, community funding

Transcript Highlights:

• Second, it establishes peer support specialists in law.
• Members, peer support changes lives.
• , family peers, and peer support supervisors.
• How often do you provide the peer support training?
• We provide the adult peer support training monthly, family peer support training bimonthly, and the supervisor

Summary: The House Committee on Health and Welfare met on May 12 and considered a wide range of health, social services, and licensing measures. Early in the meeting, the committee reported favorably HCR 98, which asks the Louisiana Department of Health to study whether SNAP recipients should be allowed to use benefits for grocery delivery fees. The author said the proposal would not change SNAP rules directly, but would examine access issues for elderly, disabled, rural, and transportation-limited residents. The committee also advanced SB 273, a hospice patient-protection bill requiring documentation of hydration, nutrition, and care decisions in inpatient licensed facilities where hospice is provided, with LDH oversight and enforcement authority; members discussed how responsibility is shared between facilities and outside hospice providers, and adopted technical amendments. The committee then approved SB 415, creating the Empower Louisiana Food Purchase Program, a privately funded charitable food-card program intended to let nonprofits distribute food-only cards to people in need. Members and the author discussed whether the cards would be reloadable, which retailers could accept them, and whether prepared foods could be included; LDH said the program could use all SNAP-authorized retailers, and the bill was reported favorably with amendments. SB 437, a cleanup bill for judicially referred residential substance abuse treatment facilities, was also reported favorably with amendments after LDH clarified that facilities providing treatment must be licensed, while residences only housing individuals would not be. SB 451, updating newborn hearing screening terminology and reporting requirements, was reported favorably after testimony that the bill would strengthen early detection and follow-up for deaf or hard-of-hearing children. Later, the committee advanced SB 426, which modernizes the addictive disorder regulatory authority and creates a formal peer support specialist licensing pathway. Supporters said the bill would strengthen the behavioral health workforce, improve accountability, and create a progression from peer support to higher credentials; the committee adopted technical and transition amendments and reported the bill favorably with amendments. SB 236, requiring LDH annual reviews and reports on kidney disease treatment services in Medicaid, was also reported favorably with amendments. Additional measures approved included SB 39, allowing provisional licenses for massage therapy graduates; SB 190, which tightens oversight of poor-performing nursing facilities in the CMS Special Focus Facility Program and sets an 18-month improvement timeline; SB 124, allowing hospitals within the same health system to share peer review records without waiving privilege; HR 174, urging study of fenbendazole as a possible cancer treatment; SB 270, allowing terminally ill patients to use medical marijuana in health care facilities; SB 359, changing terms for certain Morehouse Parish hospital district commissioners; and HR 194, requesting de-identified school visual acuity screening data for research. The committee adjourned after reporting all measures favorably, several with amendments.

Transcript Highlights:

• . support. support.
• actually requesting the peer-to-peer. actually requesting the peer-to-peer.
• /c> still request peer-to-peer, still request peer-to-peer, >> right?
• peer-to-peer conversations do we allow? peer-to-peer conversations do we allow?
• Um it sounds like peer-to-peer peer-to-peer peer-to-peer in<05:15:31.280> the<05:15:31.440>

Keywords: 1189, house, all

Transcript Highlights:

• association support this?
• require peer performance evaluations. require peer performance evaluations.
• peer subpoena. peer subpoena.
• clarifies immunity for peer proceedings. clarifies immunity for peer proceedings.
• power<00:16:00.280> and peers peer committee subpoena power and peers peer committee subpoena

Keywords: Accountability, Efficiency, Transparency - Room 210, 3 March, 2026; 2:30 P.M., 925, all

Summary: The committee first took up House Bill 1596, which Senator Johnson explained as a companion to another crypto-kiosk bill. He said the measure was being used to open the code and remove new kiosk language temporarily while lawmakers work on a regulatory framework for crypto kiosks, which are being used in scams involving callers posing as law enforcement and directing victims to deposit cash into kiosks. Members discussed the lack of reporting and registration data, the estimated number of kiosks in the state, and whether regulation might require identification and registration of the devices. The committee adopted the motion for title sufficient, do pass as amended, and reported the bill out. The committee then considered House Bill 859, which would eliminate the in-person absentee voting envelope while keeping the 45-day in-person absentee voting period and existing excuse requirements. Senator England said voters would still complete an affidavit and cast the ballot directly into an OMR machine, and he noted that circuit clerks preferred this version. The committee asked a few clarifying questions and then passed the bill, reporting it out. Next was House Bill 925, the CLEAR Act, which Senator McMahan described as a revised PEER-related bill that had been worked on with the governor’s office after a prior veto. He outlined provisions creating a PEER review program for agency rules, Medicaid transportation evaluations, a State Board of Health Professions, changes to the corporation work initiative program, and PEER subpoena and enforcement language. An amendment was adopted to delete the subpoena-related sections that had raised constitutional concerns and to retain the reverse repealer. After questions about the advisory role of the new board, the committee passed the bill as amended. The committee also heard House Bill 1171, a strike-all that Senator Sparks said would mirror a Senate bill on grant transparency. The measure would require clearer grant objectives, objective eligibility criteria, disclosure of conflicts and board relationships, reporting by grantees and subgrantees, and signed documentation under penalty of perjury with CPA review. Members asked about enforcement, and Senator Sparks said improper reporting could lead to loss of funds, audits, and possible criminal consequences. The committee adopted the strike-all and reported the bill out. Finally, the committee considered House Bill 1393, which would create an energy development fund at the Mississippi Development Authority for long-term infrastructure planning tied to large industrial energy users. Members asked whether the fund would cover water resources as well as electricity; the sponsor said it was intended for energy infrastructure, not water, and was aimed at large industrial projects such as steel mills. The committee adopted the strike-all and moved to report the bill out.

Transcript Highlights:

• of peer support is beyond what just normal supports can offer.
• One of the things that strengthened that program was training for peer-to-peer support, because it was
• As people would graduate from this program, they would be trained to do peer-to-peer support, and they
• To do peer-to-peer support, and they would go back and help the next class coming through.
• I love peer support programs, but I really I believe my warning in this, I love peer support programs

Keywords: 996, all

Transcript Highlights:

• recovery support, places people can go for peer support and counseling, that don't have the housing
• The peer support field is growing.
• Now, there's been a lot of conversation also about peer support and certified peer specialists.
• for care coordination and peer support services.
• It would be increasing long-term funding and support for care coordination and peer support services.

Keywords: 959, house, all

Transcript Highlights:

• out of a peer support service. out of a peer support service.
• peer support program to act as a peer peer support program to act as a peer resource. resource.
• support communication may during a peer support communication may during a peer support<01:42:17.280
• <01:46:46.400> support uh participating in a peer support uh participating in a peer support
• > peer service peer support provider, or peer service peer support provider, or peer support<01

Keywords: 927, senate, all

Transcript Highlights:

• The peer support field is growing.
• Now, there's been a lot of conversation also about peer support and certified peer specialists.
• for care coordination and peer support services.’”
• “It would be increasing long-term funding and support for care coordination and peer support services
• We've recently created a peer recovery support navigator position to further support our clients with

Summary: The meeting focused on Missouri’s substance use prevention and treatment system, with repeated emphasis on recovery support services, peer support, recovery housing, transportation, and harm reduction. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he urged greater investment in recovery housing, peer support, employment, and community-based supports that help people stay sober and avoid relapse. Members asked about funding sources, program capacity, referrals, treatment court, transportation, and how Into Action supports people on medication-assisted treatment (MAT). Haniken said the organization is funded through a mix of federal, state, county, city, foundation, and private donations, and that housing and transportation remain major barriers, especially because support is often funded for too short a period compared with the longer time people need to stabilize. Matt Cushman of the Raytown Fire Protection District gave a strong endorsement of harm reduction, including naloxone distribution, syringe service programs, and broader decriminalization of harm reduction tools. He argued that stigma is a major barrier to care and that Missouri should expand access to clean needles, test strips, and other services, while also improving access to MAT in jails and communities. Committee members questioned the evidence base, the role of faith-based providers, and whether safe consumption sites should be pursued; Cushman said syringe exchange decriminalization should be the immediate priority, while safe consumption sites are a longer-term issue. He also described community paramedicine and mobile integrated health as valuable but funding-dependent, and said naloxone distribution is improving but still uneven, especially in rural and minority communities. Representatives from Central Ozarks Medical Center and Four Rivers Community Health Center highlighted the importance of peer support specialists, community health workers, care coordinators, and wraparound services in rural health centers. COMC’s Morgan McClure and Monet Lehman described a jail reentry program in Pulaski County, with Lehman sharing her trauma and recovery story and explaining how she helps incarcerated people prepare for release with housing, employment, benefits, transportation, and treatment connections. Four Rivers’ Devon Polarys and Cassandra Trout said their CEO would change Missouri policy to allow FQHCs to receive reimbursement for peer support and community health worker services similar to CCBHCs, arguing that these roles are essential for addressing barriers like transportation, housing, food insecurity, and insurance. Members discussed confusion over reimbursement rules, the differences between FQHCs and CCBHCs, and the need for better funding and clearer policy for peer and community health worker services. No votes were taken; the discussion ended with a suggestion to bring in a subject matter expert on community health workers for a future session.

Transcript Highlights:

• the peer support specialist role specific to this population.
• So we're going to shift from peer supports to treatment.
• This service includes peer support meetings for youth in our state, peer support meetings for caregivers
• support that they are receiving, whether they feel heard by their peer support specialist, whether their
• They also offer some peer support.

Keywords: 962, all

Summary: The meeting opened with approval of the April minutes and brief administrative updates, including notice that House Bill 5447 had passed both chambers of the General Assembly. Speakers reflected on the bill’s key provisions, which include eating-disorder working groups, an evidence-based screening requirement for school-based health centers beginning July 1, 2027, and a DSS-led feasibility process to explore an inpatient psychiatric facility for young adults ages 14 to 21. New staff introductions were also made for the Behavioral Health Advocate’s office and the TCB team. A major portion of the meeting focused on marketing and outreach for urgent crisis centers (UCCs) and the broader youth crisis continuum. Daydream Communications presented research showing low public awareness of UCCs but strong interest once families learn about them, with parents wanting specialized, compassionate care, clear expectations, insurance clarity, and bilingual support. United Way described its parallel work on a statewide crisis continuum marketing toolkit, using the SAMHSA framework of “someone to talk to, someone to respond, and somewhere safe to go,” and outlined plans to distribute consistent messaging through websites, social media, flyers, and community venues. Members emphasized coordinating with existing platforms and ensuring the marketing reflects the actual experience at UCC sites. DCF then presented on adolescent substance use services, citing data showing high need and low treatment access among Connecticut youth. The department reviewed its ASAM-based continuum, SBIRT efforts in outpatient psychiatric clinics, medication-assisted treatment access, and statewide services such as MST, MST emerging adults, STRIDE, multidimensional family therapy, youth recovery supports, and the AIM matching tool. A new young people peer support program was highlighted, with referrals accepted from families, hospitals, community providers, DCF, youth diversion, and the judicial branch. Questions addressed parent consent, peer matching, and whether the AIM tool could be linked through 211. The meeting concluded with an update from the Connecticut Suicide Advisory Board and its regional boards and grant-funded initiatives. Presenters reviewed the state suicide prevention plan, regional coalition work, postvention response, lethal means safety efforts, and the 988 capacity improvement grant that supports Connecticut’s centralized 988 contact center at United Way. They also shared youth suicide risk data from the Connecticut Youth Risk Behavior Survey, noting recent declines in reported suicidal ideation and attempts, and provided resources for training and materials. No formal votes were taken beyond the approval of the April minutes.

Transcript Highlights:

• measure as a private child placing agency under contract with the department to recruit, retain, and support
• But at some point, if we're going to treat them and help them and support them and counsel them.
• though those Oklahoma nonprofits we should be supporting instead of looking outside of the state and
• supporting someone else.
• Has there been an appropriation to help support this system.

Bills: SB1983, SB444, SB1503, SB1561, SB592, SB1501, SB1946, SB1567, SB1833, SB2026, SB904, SB2178, SB1651, SB1558, SB1565, SB1553, SB1257, SB65, SB1749, SB1242, SB1642, SB640, SB667, SB1436, SB1484, SB1562, SB1794, SB1644, SB1533, SB933, SB1555

Keywords: SB1983, foster care, resource family partner, resource family partners, Department of Human Services, DHS, child welfare, foster homes, foster children, placement data, data sharing, de-identified data, aggregated data, sibling groups, placement disruptions, foster parent recruitment, foster parent retention, private child-placing agency, Title 10A, Oklahoma

Transcript Highlights:

• of it. that they was in full support of it. that they was in full support of it.
• of support of support of it.
• And you say you support small do. And you say you support small do.
• So all continue to support these issues. So all continue to support these issues.
• And that reasons to not to support it. And that reasons to not to support it.

Bills: HJR 1, HB 9, HB 21, HB 26, HB 30, HB 37, HB 116, HB 630, HB 879, HB 913, HB 1151, HB 1318, HB 1593, HB 1899, HB 2703, HB 2809, HB 2890, HB 2970, HB 3307, HB 3526, HB 5092, SB 128, SB 203, SB 317, SB 393, SB 397, SB 644, SB 731, SB 801, SB 913, SB 1071, SB 1073, SB 1086, SB 1087, SB 1232, SB 1250, SB 1262, SB 1285, SB 1310, SB 1359, SB 1444, SB 1483, SB 1705, SB 1782, SB 1861, SB 1897, SB 1944, SB 2023, SB 2043, SB 2082, SB 2133, SB 2215, SB 2297, SB 2298, SB 2309, SB 2532, SB 2549, SB 2566, SB 2617, SB 2619, SB 2639, SB 2688, SB 2696, SB 2717, SB 2790, SB 2841, SB 2847, SB 2850, SB 2857, SB 2891, SB 2919, SB 2928, SB 2972, SB 3052, SB 3053, SB 1, SB 260, SB 1506, SB 1637, HB 37, HB 109, HB 334, HB 1130, HB 1238, HB 1327, HB 1610, HB 1615, HB 1620, HB 1689, HB 2081, HB 2809, HB 2884, HB 2890, HB 4215, HB 5092, HCR 7, HCR 75, HCR 86, HCR 92, HCR 93, HCR 126, SB 644, SB 1086, SB 1230, SB 1310, SB 1361, SB 1553, SB 1778, SB 1790, SB 2344, SB 2460, SB 2515, SB 2600, SB 2747, SB 2751, SB 2785, SB 2790, SB 3047, SB 3048, SB 3050, SB 3051, SB 3052, SB 3053, SB 3056, SB 3058, SB 3061, HJR 1, HB 1130, HB 1689, HB 2884, HB 1393, HB 2559, HB 26, HB 3012, HB 1327, HB 109, HB 1238, HB 2890, HB 9, HB 4215, HB 2970, HB 37, HB 1899, HB 1593, HB 2607, HB 3526, HB 3810, HB 5092, HB 388, HB 2809, HB 1151, HB 913, HB 3307, HB 879, HB 116, HB 12, HB 2703, HB 1610, HB 1615, HB 1620, HB 30, HB 21, HB 2712, HB 2692, HB 1633, HB 1318, HB 685, HB 630, HB 4753, HB 2742, HB 303, HB 198, HB 1535, HB 762, HB 148, HB 1520, HB 5061, HB 2286, HB 1606, HB 1041, HB 132, HB 11, HCR 7, HCR 75, HCR 86, HCR 92, HCR 93, HCR 126, SJR 36, SJR 50, SJR 63, SCR 12, SCR 39, SB 2023, SB 1310, SB 2972, SB 1073, SB 2847, SB 2532, SB 2619, SB 62, SB 666, SB 847, SB 284, SB 854, SB 810, SB 1505, SB 583, SB 507, SB 1434, SB 1772, SB 2016, SB 1122, SB 731, SB 397, SB 508, SB 1436, SB 287, SB 1882, SB 393, SB 1791, SB 209, SB 2429, SB 511, SB 2309, SB 1085, SB 1975, SB 2717, SB 1262, SB 636, SB 2056, SB 884, SB 1200, SB 1845, SB 2458, SB 801, SB 3014, SB 3013, SB 758, SB 2797, SB 2076, SB 2876, SB 1640, SB 1449, SB 1181, SB 1359, SB 1234, SB 2926, SB 2841, SB 1528, SB 2891, SB 1854, SB 317, SB 1250, SB 2082, SB 1285, SB 1237, SB 2819, SB 629, SB 2608, SB 1602, SB 2009, SB 2460, SB 867, SB 640, SB 1698, SB 2680, SB 2994, SB 2747, SB 913, SB 1071, SB 1086, SB 1087, SB 1483, SB 1444, SB 1553, SB 1556, SB 1703, SB 2133, SB 2297, SB 2298, SB 2622, SB 2955, SB 2334, SB 1861, SB 2043, SB 1367, SB 2857, SB 128, SB 3058, SB 2044, SB 2363, SB 2565, SB 1888, SB 3048, SB 3052, SB 3053, SB 3036, SB 3057, SB 3056, SB 3043, SB 3050, SB 3063, SB 3035, SB 1790, SB 1778, SB 203, SB 3061, SB 2799, SB 2790, SB 2688, SB 2515, SB 1230, SB 2522, SB 2639, SB 2459, SB 3051, SB 2655, SB 2251, SB 1884, SB 2617, SB 2751, SB 2928, SB 2566, SB 1897, SB 1749, SB 1361, SB 2549, SB 2553, SB 2919, SB 1782, SB 1705, SB 2696, SB 1944, SB 2215, SB 644, SB 1232, SB 2850, HB 45, HB 48, HB 1261, HB 1465, HB 1778, HB 2596, HB 5238, HB 33, HB 1188, HB 210, HB 1022, HB 1458, HB 5560, HB 1240, HB 1950, HB 2027, HB 2768, HB 2788, HB 2791, HB 3146, HB 3698, HB 3699, HB 1893, HB 3700, HB 4850, HB 4187, HB 1397, HB 4885, HB 4804, HB 3751, HB 3611, HB 2775, HB 2061, HB 2003, HB 1729, HB 1242, HB 791, HB 2029, HB 647, HB 2522, HB 4738, HB 3033, HB 3594, HB 3474, HB 2563, HB 2802, HCR 90, SJR 87, SB 2969, SB 3073, SB 2497, SB 1798, SB 2603, SB 2607, SB 781, SJR 34, SB 17, SB 314, SB 455, SB 509, SB 529, SB 541, SB 693, SB 761, SB 963, SB 1023, SB 1968, SB 2122, SB 2308, SB 2371, SB 2420, SB 2544, SJR 87, SB 1285, SB 1359, SB 2857, SB 3073, HJR 1, HB 9, HB 21, HB 116, HB 913, HB 1151, HB 1899, HB 2970, HB 3307, SB 1073, SB 1310, SB 2532, SB 2619, SB 2847, SB 2972, SB 128, SB 2043, SR 393, SR 511, SR 518, SR 520, SB 314, SB 455, SB 761, SB 1023, SB 2122, SB 2371, SB 2420, SB 17, SB 509, SB 644, SB 1230, SB 1361, SB 1778, SB 1790, SB 2460, SB 2515, SB 2747, SB 2751, SB 2790, SB 3048, SB 3050, SB 3051, SB 3052, SB 3053, SB 3056, SB 3058, SB 3061, HB 37, HB 109, HB 1130, HB 1238, HB 1327, HB 1610, HB 1615, HB 1620, HB 1689, HB 2809, HB 2884, HB 2890, HB 4215, HB 5092, HCR 7, HCR 75, HCR 86, HCR 92, HCR 93, HCR 126, SB 1086, SB 1553, HJR 182, HB 4, HB 24, HB 46, HB 101, HB 146, HB 170, HB 214, HB 305, HB 426, HB 549, HB 551, HB 594, HB 722, HB 824, HB 1119, HB 1579, HB 2215, HB 2458, HB 2530, HB 2674, HB 2713, HB 2974, HB 3015, HB 3151, HB 3180, HB 3221, HB 3359, HB 3556, HB 4088, HB 4211, HB 4396, HB 4413, HB 4580, HB 4609, HB 4864, HB 5088, HB 5154, HB 5263, HB 2294, HJR 182, HB 4, HB 24, HB 46, HB 101, HB 146, HB 170, HB 214, HB 305, HB 426, HB 549, HB 551, HB 594, HB 722, HB 824, HB 1119, HB 1579, HB 2215, HB 2458, HB 2530, HB 2674, HB 2713, HB 2974, HB 3015, HB 3151, HB 3180, HB 3221, HB 3359, HB 3556, HB 4088, HB 4211, HB 4396, HB 4413, HB 4580, HB 4609, HB 4864, HB 5088, HB 5154, HB 5263, HB 2294

Keywords: constitutional amendment, property tax, ad valorem tax, tax exemption, tangible personal property, income-producing property, business personal property, equipment exemption, machinery, local government finance, school district revenue, county taxes, Texas Constitution, Article VIII, tax relief, commercial property, appraisal district, chief appraiser, rendition statement, property tax relief

Transcript Highlights:

• My program is contracted with Sutter Yuba Behavioral Health, where our team of certified peer support
• My program is contracted with Sutter Yuba Behavioral Health, where our team of certified peer support
• Peer support is an invaluable resource that can help address the service gaps created by the current
• I strongly urge this committee... ...from entering the peer support workforce.
• The skills necessary for effective peer support, such as communication, empathy, self-awareness, and

Keywords: 987, senate, all

Summary: The Senate Committee on Health met in Room 2100 and first established a quorum, then approved a six-bill consent calendar on a 6-0 vote, placing it on call. The committee then heard AB 2233, which would ensure that once applied behavior analysis services for autistic patients are authorized, families can use those approved hours across the authorization period rather than losing them to weekly utilization caps or scheduling barriers. The author and supporters, including behavior analysts and family advocates, said the bill would not expand benefits but would improve access to already authorized care; health plan and insurance representatives initially raised fraud and utilization-management concerns but said they would remove opposition after amendments preserving those safeguards. AB 2233 passed 7-0 and was placed on call. The committee next heard AB 96, which would remove the high school diploma or equivalent requirement for certification as a Medi-Cal peer support specialist. Supporters from county behavioral health, peer services, and local governments argued that lived experience, training, and certification standards—not a diploma—should determine eligibility, and that the change would help address workforce shortages and expand culturally competent peer support. One opposition witness from the California Consortium of Addiction Programs and Professionals testified against the bill, but the measure advanced on a 7-0 vote to Appropriations and was placed on call. The final major item was AB 1876, the Fair Care for All Act, which would codify federal non-discrimination protections in state law for health care coverage and services. Supporters said it would protect transgender, gender-diverse, and intersex patients from discriminatory coverage practices and preserve access to medically necessary care; opponents argued it would force coverage of gender-affirming interventions and reduce insurer safeguards. After debate over whether the bill expanded coverage, the author said it simply mirrored existing federal non-discrimination law. AB 1876 passed 7-1 and was re-referred to Judiciary, then placed on call. The committee later opened the roll to record absent members and concluded the meeting after all items were disposed of.

Transcript Highlights:

• > support<00:10:36.959> are Social recovery and peer support are Social recovery and peer
• accountability via peer support coaches. accountability via peer support coaches.
• <00:32:09.360> support case manager and then a peer support case manager and then a peer support
• <00:32:20.960> support clinical expertise that a peer support clinical expertise that a peer
• inter that peer supports in that inter that peer supports in that inter relationship<00:32:30.880

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.

Transcript Highlights:

• So it could be from apprenticeships for peer support workers or substance use counselors, all the way
• Peer counselors support students throughout the day and refer immediately to adults when risk is identified
• supports.
• I love the peer support programs that were identified.
• support model.

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.