Bills: HB2, HB43, HB49, HB94, HB137, HB156, HB200, HB250, HB3, HB42

Keywords: vaccination, parental consent, minors, medical consent, guardian approval, criminal procedure, split sentencing, probation, Class A felony, Class B felony, minimum confinement, HB49, Alabama criminal code, capital offense, capital punishment, death penalty, rape in the first degree, sodomy in the first degree, sexual torture, child sexual abuse

Transcript Highlights:

• It’s not a restraint.
• not a it's not a restraint. not a it's not a restraint.
• All the restraint ended.
• restraints are dangerous.
• restraint to to justify a restraint restraint to to justify a restraint because<04:50:09.120>

Keywords: 928, house, all

Summary: The committee heard House Bill 1331, which would allow the town of Derry to incorporate the Derry Cooperative School District as a department of the town through a charter amendment. The prime sponsor and several supporters argued the change would increase local control, streamline overlapping town and school functions, and potentially help align school spending with Derry’s tax cap. Supporters also said Derry is large enough to warrant a structure more like Manchester or Nashua, and one witness cited a 2018 nonbinding Derry ballot question that passed 597 to 547 in favor of seeking authorization for this change. Opposition came from NEA New Hampshire President Megan Tuttle, who said the association and the Derry Education Association opposed the bill because schools are not simply another municipal department and because Derry voters had already rejected merging the district into town government. She argued the state should respect local control and the community’s prior decision. Committee members asked about the scope of the proposed charter change, the role of the school board, and the reported prior vote, and the sponsor clarified that the amendment would be limited to this specific purpose rather than opening the entire charter. The hearing then moved to House Bill 1374, which would change the procedures for withdrawing from a cooperative school district. Representative Mary Murphy said current law gives other cooperative towns too much control over a withdrawing town’s decision, and her bill would remove the requirement for approval by the other towns while raising the withdrawing town’s approval threshold to a supermajority. She pointed to Francis Town’s 2024 withdrawal vote and said the bill was intended to protect students and local decision-making. The sponsor asked for an ought to pass recommendation, and committee members asked follow-up questions about the prior withdrawal vote and the number of voters involved.

Transcript Highlights:

• So that was the restraint portion first. Over the restraint portion first.
• not a it's not a restraint. not a it's not a restraint.
• when they're subjected to a restraint. when they're subjected to a restraint.
• Because restraints, I mean, bottom line is restraints are dangerous.
• restraint to to justify a restraint restraint to to justify a restraint because<04:50:09.120>

Keywords: 1189, house, all

Transcript Highlights:

• Who authorizes restraint?
• They were not trained not to put people in that type of restraint.
• “I took restraint training at Boonville, but it was in 2015.”
• And you talk about, what's the term, restraints.
• Well, let me tell you, you have to use restraints at times.

Keywords: 1204, all

Summary: The Joint State Agencies committee met to approve the October 8, 2025 minutes and then held an extended oversight discussion with the Department of Human Services about the death of Zachary Moore at the Southeast Arkansas Human Development Center (later clarified in testimony as the Warren facility). DHS officials described Moore’s background, said he died after being restrained in a prone position for about 13 minutes, and reported that a nurse later administered a chemical restraint before CPR was attempted. They said the agency settled with the family for $725,000, terminated 13 staff members, changed facility leadership, and brought in consultants under a directed plan of correction from the Office of Long-Term Care to review policies, retrain staff, and conduct a root-cause analysis. Later testimony clarified that the death certificate listed the manner of death as homicide and the cause as physiologic stress associated with struggle and prone restraint; committee members also noted that six people had been charged with manslaughter and neglect of a vulnerable person. Members focused on restraint policy, staff training, chain of command during emergencies, family communication, and whether warning signs had been missed. DHS said it has written restraint protocols, annual restraint training, and a mortality review process, but acknowledged that the Warren facility had multiple failures, including use of a prone restraint, improper chemical restraint, poor supervision, inadequate communication, and problems with equipment and behavior plans. Officials said they were revising policies, creating clearer crisis-team roles, and retraining staff, and that the consultant work would be shared across the other human development centers. Several members pressed DHS on why the family had not been kept informed, why the agency was not prepared with basic facts, and whether a more formal independent audit of facilities should exist. The committee also discussed broader staffing and funding issues across the human development centers. DHS said CNAs start at about $39,000 a year, that the centers rely heavily on float and contract staff, and that there are about 2,000 people on a waiting list for services. Members argued that low pay, turnover, and rural staffing shortages contribute to risk and asked for recruitment and retention plans, possible regional pay differentials, and more legislative support. DHS said it is drafting a systemwide retention and recruitment plan and expects to bring it to ALC, while also implementing a separate rate study for certain PASS program services in January 2027. The meeting ended after comments from Zachary Moore’s mother, Angela Stevens, who said money cannot replace her son and urged the state to ensure no other family experiences the same loss; the committee asked DHS to keep members and Ms. Stevens updated on consultant reports and recruitment efforts before adjourning.

Transcript Highlights:

• Definition number six, mechanical restraint.
• Look at number nine at the top of page three, prone restraint is defined.
• Restraint, other forms of restraint are still allowed. Seclusion. It is still allowed.
• Restraint creates the illusion of a safe Environment.
• Consider how devastating Being the victim of restraint would be devastating for them.

Keywords: 996, all

Transcript Highlights:

• false binaries: restraint and seclusion or teachers get hurt, restraint and seclusion or teachers leave
• Seclusion and restraint have had a deeply harmful impact on my 11-year-old son.
• They had to use more than just physical restraint. They had to use pro.
• , but that's not restraint, right?
• Chair, when it says it says physical restraint, okay, on page seven.

Bills: SB106, SB171, SB179

Keywords: graduate scholarship, higher education funding, New Mexico, appropriation, financial aid, education, documentary, historical figure, Padre Antonio Jose Martinez, Northern New Mexico State School, SB179, Senate Bill 179, UNM, University of New Mexico, medical Spanish, Spanish-language curriculum, health sciences, health professions education, language access, bilingual healthcare

Transcript Highlights:

• Are they all restraint-related incidents?
• Who authorizes restraint?
• There was a humane wrap, which is our physical restraint.
• Actually, pre-restraint protocol training...
• And you talk about what's the term—restraint, restraints?

Summary: The Joint State Agencies committee met to approve prior minutes and then focused on the death of Zachary Moore at the Southeast Arkansas Human Development Center, later clarified in discussion as the Warren facility. DHS officials described Moore’s background, said he died after a prolonged prone restraint followed by a delayed chemical restraint, and reported that 13 staff were terminated, the superintendent was replaced, a consultant was brought in, and the agency entered a settlement with the family for $725,000. Members pressed DHS on the cause of death, restraint policies, staff training, supervision, family notification, and why the family had not been kept informed; DHS said a family-notification procedure exists but that communications during litigation had been handled through counsel. The committee also heard that six staff had been criminally charged with manslaughter and neglect of a vulnerable person, and that the death certificate listed the manner of death as homicide with cause of death tied to physiologic stress associated with struggle and prone restraint. DHS officials gave broader context on the five human development centers, their licensing and accreditation, resident population, mortality review process, and training programs. They said the centers serve highly medically and behaviorally complex residents, that annual restraint training and CPI-based instruction are required, and that the mortality review committee and Office of Long-Term Care review deaths and make recommendations. Members repeatedly criticized the agency for not having complete information at the meeting and for what they saw as gaps in oversight, staffing, and chain-of-command clarity during emergencies. DHS responded that the Warren facility had not been meeting the same standards as the others, that the consultant’s root-cause analysis identified multiple failures, and that new crisis-team and chain-of-command procedures were being drafted. A second major topic was staffing and recruitment. Members discussed low pay, turnover, use of float and on-call staff, rural staffing shortages, and a waiting list of about 2,000 people for home- and community-based services. DHS said CNAs at the centers start at about $39,000 a year, that a broader retention and recruitment plan is being drafted for all five centers, and that a separate rate study for PASS services will be implemented in January 2027 but does not cover CNA pay. The meeting ended with testimony from Moore’s mother, Angela Stevens, who said money could not replace her son and urged stronger training, background checks, and supervision so other residents would be protected. The committee asked DHS to keep members and Stevens updated on consultant reports, recruitment efforts, and follow-up on the family communication issue, and then adjourned.

Transcript Highlights:

• Who authorizes restraint?
• They were trained not to put people in that type of restraint.
• I took restraint training at, yeah, at Boonville, but it was in 2015.
• And you talk about what's the term—restraint?
• Well, let me tell you, you have to use restraints at times.

Summary: The Joint State Agencies committee met to approve the October 8, 2025 minutes and then held an extended hearing on the death of Zachary Moore at the Southeast Arkansas Human Development Center. DHS officials Lori McDonald, Jennifer Brise, and Melissa Weatherton described the HDC system, staffing and resident needs, and said Moore died after being held in a prone restraint for about 13 minutes, followed by a delayed chemical restraint and delayed CPR. They said the family settled a wrongful death claim for $725,000, 13 staff were terminated, the facility leadership was changed, and at least five staff had been criminally charged, with the death certificate later described as homicide and the cause of death as physiologic stress associated with struggle and prone restraint. Members pressed DHS on why the family was not kept informed, whether there was a written restraint protocol, how staff are trained, and why the agency did not have more complete information ready for the hearing. DHS said staff receive CPI restraint training, annual restraint training is mandatory, and a consultant is reviewing policies, retraining staff, and conducting a root cause analysis under a directed plan of correction from the Office of Long-Term Care. Legislators also raised broader concerns about low pay, staffing shortages, use of float and contract staff, and a waiting list of about 2,000 people for home- and community-based care. DHS said it is working on a retention and recruitment plan and a rate report for certain PASS services, but that the PASS rate study does not cover CNA pay. Several members said the incident reflected both a failure of restraint practice and a broader staffing and oversight problem. DHS acknowledged that prone restraint should not have been used, that the chemical restraint was given at the wrong time, and that multiple breakdowns occurred in supervision, communication, and equipment use. The committee also discussed whether there should be more regular independent audits of HDC policies, and DHS said it does not currently have a separate annual policy audit beyond existing oversight. At the end of the meeting, the committee asked DHS to keep it updated on recruitment, consultant reports, and to contact Moore’s mother about the communication she had been promised. The meeting adjourned without any additional formal action beyond approving the minutes.

Transcript Highlights:

• F, soft restraints shall be the first option for restraint and other mechanical restraints shall not
• be utilized as a substitute for soft restraints if the soft restraints are deemed adequate for safety
• requires the use of soft restraints requires the use of soft restraints before<02:29:14.360>
• 52.120> restraints,<02:34:52.520> chemical mechanical restraints, chemical mechanical restraints
• <02:41:12.640> The restraint used during transport. The restraint used during transport.

Keywords: 927, senate, all

Transcript Highlights:

• us, which would allow more awareness of restraint use and reasons for the restraints.
• a fall risk this is a physical restraint a fall risk this is a physical restraint that<00:37:11.839
• to prevent the use of restraints.
• and not use those restraints. and not use those restraints.
• notifying any facility on restraints notifying any facility on restraints that<00:41:27.359>

Keywords: 1187, senate, all

Transcript Highlights:

• Restraint. And we're talking about the unclear definitions.
• If a restraint has to be according to whatever it shows in the physical restraint and all this here,
• Physical restraint or seclusion, lines 14 through 17. Mr.
• What we are saying here is in the parts where students have restraint, physical restraint, it has a definition
• This is maybe at the more severe end of student restraint.

Bills: HB111, HB103, HB60, HB108, HB120, HB145, HB154, HB164, HB291, HJR6, HR1, HJM2, HJM3, HJM1, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM32, HM13, HM47, HM11, HM14, HM21, HM34, HM50, HB38, HB47, HB63, HB64, HB127, HB165, HB184, HB200, HM20, HM51

Keywords: water law, state engineer, civil penalty, compliance order, water rights, overdiversion, illegal diversion, groundwater storage and recovery, well license, permit violation, water enforcement, New Mexico water code, irrigation district, conservancy district, water diversion, unauthorized water sales, measuring device, district court appeal, water resources, water compliance

Transcript Highlights:

• <00:09:00.160> and<00:09:00.399> where source of restraint and where source of restraint
• So that that would be an restraint.
• requires a a physical form of restraint. requires a a physical form of restraint.
• ,<01:05:14.400> but things like seclusion, restraint, but things like seclusion, restraint
• restraints and I'm looking at student A. restraints and I'm looking at student A.

Keywords: 1187, senate, all

Transcript Highlights:

• . restraint. restraint.
• Between restraint and seclusion.
• <00:23:38.159> gone restraint and the restraints have gone restraint and the restraints have
• to use CPI as our last restraint. to use CPI as our last restraint.
• restraint trained are appropriate staff. restraint trained are appropriate staff.

Keywords: 1187, senate, all

Transcript Highlights:

• <00:17:31.919> and reducing the need for restraint and reducing the need for restraint and
• > and<00:19:42.559> seclusion this issue of restraints and seclusion this issue of restraints
• current statute only covers restraints current statute only covers restraints and<00:19:51.559><
• and seclusions, but we do restraints and seclusions, but we do review<00:20:06.240> restraint
• <00:22:27.760> I<00:22:28.000> know restraint law. I know restraint law.

Keywords: 1191, senate, all

Transcript Highlights:

• <00:16:20.720> and collection on the use of restraint and collection on the use of restraint
• But we're not talking about banning physical restraint.
• <00:31:24.960> from there's an uptick in restraints from there's an uptick in restraints from
• <00:43:32.240> For reduce restraint and seclusion. For reduce restraint and seclusion.
• <01:00:09.760> Nobody restraints, more law enforcement.

Keywords: 919, house, all

Summary: The Seclusion Working Group approved the minutes from its November 5, 2025 meeting and then heard presentations from Jessica Heiser and Aaron Sansmark of Solutions Not Suspensions and the Minnesota Disability Law Center on the misuse and illegal use of seclusion in schools. They described illegal seclusion as including use outside emergencies, for discipline or noncompliance, beyond the emergency period, in unregistered rooms, without parent notice, without required observation or documentation, for students outside the grade-limit rules, when meals/restroom/water are withheld, or when staff are not properly trained. They emphasized that Minnesota lacks a single reliable data source for identifying illegal seclusion and that families often learn about incidents late, if at all, making complaints and legal action difficult because of barriers such as time, cost, language, and access to advocates. The presenters summarized Minnesota Disability Law Center records, saying they receive about one seclusion-related case per month during the school year, statewide, and that in the cases reviewed over the last year the children were all boys with disabilities, including autism, ADHD, developmental delay, or emotional disabilities; three were white and two were children of color, and four of the five were age 10 or younger. They said all of those families pulled their children from school afterward, and that five of five cases potentially had valid illegal-seclusion claims, though only three pursued legal action. They also noted PACER reports many discipline and behavior calls involving seclusion but does not keep hard records. The presenters proposed better statewide data collection, including identifying school buildings, staff, or students involved, reporting incident duration, and adding a checkbox on MDE complaints to flag restraint/seclusion allegations. A substantial portion of the discussion focused on disproportionality. The presenters cited national research showing students with disabilities and students of color, especially Black boys, are disproportionately restrained or secluded, while acknowledging Minnesota does not have a single statewide racial aggregate for seclusion. Members discussed whether banning seclusion would reduce misuse and disproportionality, whether it could increase physical holds or injuries, and whether the issue should be viewed in the broader context of emergency interventions. Heiser argued Minnesota is moving in the same direction as federal actions and other states that have restricted or banned seclusion, and noted that the current birth-through-third-grade ban has reportedly reduced seclusion by 40%. Other members agreed disproportionality is a serious systemwide problem, but emphasized the need to keep the conversation focused on seclusion and emergency use. No additional votes or formal actions were taken beyond approval of the minutes.

Transcript Highlights:

• The second piece of the project is around monitoring and random audits of restraint and seclusion.
• And the second kind of chunk of it is around restraint and seclusion.
• there's been some changes to law over the last number of years, changing definitions and such on restraint
• Great lit review on restraint exclusion laws, looking at other states, policy guidance, monitoring and
• And that's actually some of the conversations we're having with other states, like... ...reduce restraint

Keywords: 962, all

Summary: The meeting began with approval of the May minutes and then moved into administrative updates on several 2025 legislative workstreams. Staff reported progress on two marketing efforts tied to the youth mental health crisis: one focused on increasing awareness and use of urgent crisis centers, and another broader crisis-continuum campaign led by United Way. Both projects are refining materials based on working-group feedback and aim to have materials ready before the start of the school year. Updates were also given on the UCC private insurance review and the crisis continuum review, both of which are gathering data and reconvening working groups over the summer. The main discussion centered on a Civic Solutions Group update on Medicaid school billing. The contractor explained that the project is examining why Connecticut schools are not billing for behavioral health and related services, with the goal of maximizing federal reimbursement. Members clarified that the study is about schools billing for services, not private providers billing in schools. Questions focused on whether Medicaid has caps or authorization issues when students receive services both in school and in the community, and whether recent federal or state changes affect billing. The contractor said the work is still in data collection and analysis, and that some issues, such as reauthorization procedures, were outside his scope. Participants also raised concerns about perceived barriers, fee-for-service limitations, and the need to distinguish school-based billing from provider billing. A second major presentation came from Disability Rights Connecticut on a separate legislative study concerning behavioral health issues affecting students receiving special education. The subgroup is examining the feasibility and impact of requiring evidence-based interventions, especially for challenging behaviors that can lead to restraint and seclusion, and is also looking at monitoring and random audits of restraint and seclusion practices. The team described its project plan, including literature reviews, interviews, focus groups, surveys, and data requests from the State Department of Education and other stakeholders. Members emphasized that the work is aimed primarily at private providers under the statute, but may have broader relevance. Questions from the group focused on whether the study would include public schools, how evidence-based practices apply to students with intellectual disabilities and autism, and whether caregivers or parents would be interviewed; the presenters said caregiver input is not currently part of the charge. The meeting ended with reminders about the July 15 meeting, which will include a Solnit briefing, and a note that August TCB meetings will not be held, though a workshop on the Connecticut Children’s Behavioral Health Provider Survey is being planned for late July or early August.

Transcript Highlights:

• we've made recently related to seclusion and restraint, we did implement a seclusion-restraint consult
• So we've... ...one-to-ones with patients in seclusion and restraint.
• We've made this mandatory reporting leadership reviews, seclusion and restraint data every day.
• Any inpatient psychiatric facility uses seclusion or restraint as a means to preserve or protect the
• And again, like I said, ...patients that utilize restraint or seclusion.

Keywords: 907, all

Summary: The joint Senate and House Behavioral Health committee met for informational presentations on the Oregon State Hospital and civil commitment, followed by a planned tour of the hospital. Oregon Health Authority and Oregon State Hospital leaders reported that Sean Murphy will become the next permanent superintendent on July 13, with Sarah Castle to follow as permanent chief nursing officer on July 20. They described recent leadership turnover, a major organizational restructure, and efforts to build a culture of safety, transparency, and accountability. Officials said the hospital regained Joint Commission accreditation and CMS compliance, and they highlighted daily safety huddles, incident review processes, stronger escalation procedures, and improved management of seclusion and restraint. Committee members pressed hospital leaders on past prolonged seclusion practices, falls, staffing, and the need for better public reporting; OHA said it is building a public dashboard of key safety and workforce metrics. The committee then heard a civil commitment overview from the Oregon Judicial Department. The presenter explained that civil commitment is a separate legal process from criminal cases, usually beginning with a hospital hold, investigation, court review, appointed counsel, and a hearing within five days. She summarized changes made in House Bill 2005, including revised standards for danger to self, danger to others, and basic-needs commitments, plus a second 14-day diversion option. She cautioned that the new law has only been in effect since January and that it is too early to draw firm conclusions from the data, though there has been a recent uptick in commitments and a decrease in diversions. Testimony from NAMI Oregon and a forensic psychiatrist emphasized that Oregon still relies too heavily on jails and state hospitals because community services, housing, and outpatient supports are insufficient. They argued that the state needs more less-restrictive alternatives, including better use of assisted outpatient treatment or outpatient civil commitment, and more supported housing so people do not cycle between homelessness, incarceration, and hospitalization. A family member described a relative remaining psychotic in jail for more than 120 days before ending up back at the state hospital, urging faster intervention and better collaboration among courts, counties, hospitals, and state agencies. Committee members and witnesses also discussed workforce shortages, the expansion of secure residential treatment beds, and the need for broader system reforms beyond the hospital itself.

Transcript Highlights:

• <00:35:25.160> in different in terms of restraints in different in terms of restraints in
• > is<00:36:02.440> actually So, the restraints language is actually So, the restraints
• current statute is silent on restraints. current statute is silent on restraints.
• both um the reasons for when a restraint both um the reasons for when a restraint might<00:36:15.640
• restraint on to the state? Ms. Timian. restraint on to the state? Ms. Timian.

Keywords: 1187, senate, all

Transcript Highlights:

• , 51% with restraints applied before transport, less than 1% with restraints applied at the beginning
• , 51 with restraints without restraints, 51 with restraints applied<00:45:10.000> before<00:45
• transfer um of unknown restraint status. transfer um of unknown restraint status. 40%<00:45:23.599
• outlines that most of the restraints outlines that most of the restraints happen<00:45:43.760>
• . restraint. restraint.

Keywords: 928, house, all

Summary: The committee first handled routine business, including roll call and approval of the prior meeting minutes, with one member abstaining because of absence and one member opposing. The main informational items were a Department of Health and Human Services update on the rural health transformation grant and a public health briefing on vaccines, followed by a quarterly budget and staffing update and an annual report from the Permanent Subcommittee on Alzheimer’s Disease and Other Related Dementias. Commissioner Lori Weaver reported that the department submitted the rural health transformation grant application on November 4, described it as reflecting input from communities and providers statewide, and said CMS review and budget negotiations would follow before final approval on December 31. She said the grant could support hiring as long as administrative costs stay within the 10% cap, and that the governor’s office will oversee administration with HHS. Ian Watt then testified that New Hampshire remains committed to vaccine access, including through the universal purchase program and annual respiratory virus guidance for flu, RSV, and COVID-19. He said the state continues to use evidence-based review for vaccine policy, noted the CDC’s change regarding the combined MMRV vaccine for the first dose in young children, and said New Hampshire’s school vaccine mandates remain at nine for schoolchildren and 10 for child care, with statutory exemptions still in place. Department staff also said there have been no supply or funding problems affecting childhood vaccine access. Nathan White, the department’s CFO, reviewed the DHHS budget and vacancy trends. He said DHHS makes up a large share of the state budget, that about 31% of its budget is general funds subject to lapse, and that lapse projections are difficult because much of the budget is driven by utilization rather than personnel. He reported current projected general fund lapse of just under $20 million, compared with about $39 million in the statewide surplus statement, and explained that only about a third of DHHS general funds can actually lapse because of statutory restrictions. He also said the department has about 400 unfunded positions, contributing to roughly a $30 million general fund reduction across the biennium, and that the hiring freeze has pushed vacancy trends upward while critical direct-care positions are being prioritized. The Alzheimer’s subcommittee reported six meetings this year, presentations on state services, silver alerts, brain health awareness, and palliative/hospice care, and work toward a new state Alzheimer’s plan. The subcommittee is developing a needs-assessment survey for people living with dementia, caregivers, and service providers, with the goal of using the results and other data sources to inform the plan. Its recommendations focus on integrating Alzheimer’s and dementia materials into chronic disease and aging outreach, embedding brain health into systems of care, adding cognitive health measures to BRFSS, and continuing partnerships with statewide organizations. Members also discussed recent research and prevention efforts, and the committee noted that a separate bill is being pursued to include Alzheimer’s and dementia in existing public health awareness campaigns.

Transcript Highlights:

• This is essentially amending some issues as it relates to restraint and seclusion.
• , mechanical restraint, prone restraint, and seclusion without continuous line of sight supervision.
• This clearly says that's not restraint.
• Individuals who are trained in restraint.
• There have actually, unfortunately, been a lot of deaths because of restraint and improper use of restraint