Transcript Highlights:

• So, anything that can be done on the DHS side to help meet the needs this last uh fall that we I saw
• <01:15:26.239> Uh,<01:15:26.400> I DHS helping with the county jails.
• Uh, I DHS helping with the county jails.
• So anything that can be done on the DHS side to help meet the needs Created in itself some pressures,
• So anything that can be done on the DHS side to help meet the needs On the DHS side, to help meet the

Bills: HF3700, HF3982, HF3927, HF3933, HF3949, HF4238, HF4275, HF4476, HF4504

Keywords: Duluth, Lake Superior Zoo, capital improvements, funding, bonds, appropriations, capital investment, port development, grant caps, state assistance, navigation facilities, Dakota County, state bonds, park improvements, infrastructure, transportation, safety, congestion, water infrastructure, bond issuance

Transcript Highlights:

• This bill would allow DHS<00:19:09.919> to<00:19:10.160> work<00:19:10.320> with
• :10.400> the<00:19:10.640> birth<00:19:10.880> centers<00:19:11.280> to DHS
• to work with the birth centers to DHS to work with the birth centers to resolve<00:19:12.280> this
• any so if they ever do get a license, they would come under this, any old sort of license at all at DHS
• It says that on line DHS. um upon it.

Keywords: 1187, senate, all

Transcript Highlights:

• Uh this is a project that the department, both at DHS and DCYF, have been working on with child care
• 02:19.800> at a a project that the department both at a a project that the department both at DHS
• :21.560> been<00:02:21.680> working<00:02:22.040> on<00:02:22.720> with DHS
• and DCYF have been working on with DHS and DCYF have been working on with child<00:02:23.440> care

Keywords: 919, house, all

Summary: The committee took up House File 4466, the Health Finance and Policy bill, and first adopted the A8 amendment, described as a set of technical fixes. Members then considered a large A9 amendment that bundled a wide range of Children and Families provisions, including child care licensing modernization, crisis nursery licensing, SNAP/MFIT-related language, child care provider self-reporting, a physical abuse recognition poster, child protection and welfare provisions, funding for parent support outreach, and forensic interview training scholarships. Supporters described it as bipartisan work with relatively small fiscal impact, while opponents said it greatly expanded the bill and should be handled separately; after a roll call, the A9 amendment failed 7-14. Representative Scott then offered the A11 amendment, raising concerns about new all-payer claims database language and whether it should have been heard in the Judiciary and Civil Law Committee. Department of Health staff explained the data-sharing safeguards, de-identification process, fee structure, and enforcement provisions, but Scott remained concerned about privacy and the scope of the program and withdrew the amendment. The committee then moved to final bill discussion. Members and authors described HF 4466 as a lean health finance bill largely conforming Minnesota law to federal HR1 Medicaid-related changes, including work requirements, retroactive eligibility limits, cost-sharing, and home equity provisions. Supporters argued conformity was necessary to avoid major federal funding losses and noted a few additional member bills in the package; opponents criticized the federal changes as harmful, especially for vulnerable populations such as victims of trafficking and domestic violence. Fiscal staff said the bill would save just over $2 million in FY 2026-27 and almost $98 million in FY 2028-29. No final vote on the bill itself was taken in the portion provided.

Transcript Highlights:

• Per the contract, Optum was sent an initial report back to DHS at the end of December.
• Optimum was sent an initial report<00:13:10.720> back<00:13:11.279> to<00:13:11.600> DHS
• at<00:13:12.800> the<00:13:12.959> end<00:13:13.040> of report back to DHS
• at the end of report back to DHS at the end of December.<00:13:14.320> When<00:13:14.560>

Keywords: 1183, house

Transcript Highlights:

• You're asking for $750,000, but that will go to DHS for the actual treatment services. Mr.
• Section 8 requests an appropriation to DHS of $750,000 for the services aspect of the pilot program.

Keywords: 908, all

Summary: The committee met to review fiscal aspects of House Bills 1417 and 1425, both part of a broader criminal justice reentry package. HB 1417 would eliminate the $35 public defender application fee and end court-ordered reimbursement of indigent defense costs, while also removing the $55 monthly community supervision fee. Testimony from the Commission on Legal Counsel for Indigents and the Department of Corrections said the bill would replace lost revenue with general fund appropriations of about $310,000 for indigent defense and $1.5 million for supervision fees, and that the fees are rarely collected and can hinder reentry. Representative Clemene said the bill is intended to reduce barriers to successful community reintegration and improve data and supervision practices. HB 1425 would create and fund front-end diversion, deflection, and pretrial services programs. Supporters described it as allowing prosecutors and local jurisdictions to divert appropriate low-level offenders from prosecution, establish deflection programs for people with behavioral health needs, and expand pretrial services. The bill includes a pilot program in three counties, a $1 million appropriation to DOCR for one FTE and contracts with local providers, $750,000 to DHS for treatment services, and $55,000 for a study of pretrial services cost savings. Committee members asked several questions about how the pilot counties would be chosen, how the consultant study would be procured, and what services the DHS funds would cover. The committee also heard House Bill 1603, which would provide a $500,000 matching grant for Native American Graves Protection and Repatriation Act compliance, with $100,000 available to each of North Dakota’s five tribes if matched. Sponsor testimony said the funds would support a Historical Society NAGPRA compliance committee and help catalog and repatriate human remains and cultural items in coordination with tribes. After questions about the federal mandate and the difficulty of identifying artifacts, the committee voted 4-0 to give HB 1603 a do-pass recommendation, with Senator Meyer assigned to carry it forward.

Transcript Highlights:

• You know, DHS sought that authority during the special session.
• I'd like to get a report from what DHS found with waste, fraud, and abuse, if anything, and what they're
• I'd like to get a report from what DHS found with waste, fraud and abuse, if anything, and what they're

Summary: The task force first approved the March 25, 2026 minutes as amended, including a correction removing language that suggested the auditor’s office would contract with a security vendor. Members then moved to a bill draft on concessions (LC 27.0161.00000), which would raise the competitive solicitation threshold from $25,000 to $50,000, allow requests for proposals in addition to bids, clarify that proceeds go to the entity’s operating fund or general fund, and make other technical updates. OMB explained the draft and answered questions about scope, fragmentation, vendor restrictions, school districts, and whether concession proceeds could be directed to nonprofits; OMB said the draft could be refined further, including clarifying covered entities and contract length. No vote was taken on the draft during the discussion. OMB also reported on other survey items. It said a proposal to broadly allow agencies to create pre-qualified architect/engineering/land surveying vendor pools would not move forward, because the existing authority is working well for the agencies that already have it. On legal notices, OMB said it has been working with the North Dakota Newspaper Association on modernization, including an ADA-compliant online notice system and possible statutory updates to reflect changing technology and notice definitions. On click-through agreements for routine IT purchases, OMB and the Attorney General’s office said policy clarification—not statutory change—was enough, and the $20,000 threshold was intended to distinguish low-dollar adhesive contracts from purchases where terms can be negotiated. The committee also heard that OMB and the Center for Distance Education had resolved questions about alternate procurements and food/beverage expenditures through existing policy, so no statutory changes were needed there. North Dakota University System representatives gave a brief update on ongoing collaboration with OMB on statutory efficiency ideas, including concessions and surplus property. Finally, the task force discussed a draft on requirements for new or expanded spending programs, which would require agencies to identify purpose, expected benefits, alternatives, success measures, and full implementation costs, and would require reporting on outcomes over time. Members debated whether OMB or Legislative Council should collect and report the information, how to use the new program evaluators, whether real-time dashboards should be used, and how to choose which programs to evaluate; staff from Legislative Council said they would work with OMB and the auditor’s office to revise the draft and process.

Transcript Highlights:

• The Boston Regional Intelligence Center, or BRIC, is the acronym, uses DHS cash, Department of Homeland
• DHS doesn't check that, and they don't check it themselves.
• budget for the State Police or the overall budget for Boston Police, and as we say, they get significant DHS

Keywords: 995, all

Summary: The committee heard testimony on a wide range of public safety bills, with strong support from law enforcement, advocates, and other stakeholders. Several measures focused on police and correctional officer wellness and protections, including bills on critical incident leave and post-incident support for officers, a bill to improve POST Commission representation, and a bill to protect correctional officers from assaults and exposure to synthetic drugs like K2. Witnesses described traumatic incidents, rising assaults in prisons, staffing shortages, and the need for confidentiality in peer-support debriefings. Committee members asked questions about assault classifications, K2 smuggling, tablet-related contraband, and whether counseling records would remain confidential. No votes were taken during the hearing. A major portion of the hearing was devoted to canine-related bills. Testimony supported creating a fund for retired police dogs and expanding emergency care training for working dogs injured in the line of duty. Speakers described police dogs as partners who locate suspects, missing persons, drugs, and weapons, and said retirement and medical costs are currently borne by handlers or nonprofits. The committee also heard testimony in favor of a purple alert system for missing people with intellectual and developmental disabilities, with advocates citing wandering risks, drowning dangers, and data from other states showing faster recovery times. The committee also heard testimony on a bill to expand the definition of sexual assault by an officer to cover situations beyond formal custody, including investigations and other encounters where police have coercive power. Advocates for sex workers and anti-trafficking organizations said the change would close a loophole, protect vulnerable people, and address documented abuses. In addition, testimony was taken on a bill to protect Massachusetts residents from federal surveillance through fusion centers, with critics calling for stronger oversight of BRIC and related databases. Representative Jeff Turco also testified on bills to change POST Commission membership, arguing for more law enforcement representation.

Transcript Highlights:

• Yeah, that's going to be DHS.
• Yeah, that's going to be DHS.
• Medicaid is the AG's office, and Medicare is the Department of the Inspector General with DHS on the

Summary: A joint House-Senate Insurance and Commerce meeting focused on the growing threat of financial fraud in Arkansas, with members hearing from bankers, regulators, law enforcement, AARP, and mortgage and insurance industry representatives. Witnesses described a wide range of scams, including spoofed bank calls and texts, fake websites and social media impersonation, romance and investment scams, business email compromise, gift card fraud, check fraud, wire fraud, reverse mortgage scams, and crypto kiosk schemes. Several speakers emphasized that fraud is increasingly organized, technology-driven, and amplified by artificial intelligence, and that seniors are disproportionately targeted and often suffer the largest losses. Testimony highlighted both prevention and recovery efforts. Bankers said institutions spend heavily on training, customer education, and fraud detection, but often cannot stop losses once customers have been convinced to authorize transfers. The Attorney General’s office described its Consumer Protection Division, a new Financial Fraud Task Force, and examples of recovering funds quickly from crypto kiosk and wire fraud cases. The State Bank Department and Securities Department said Arkansas’s 2025 crypto ATM legislation and related education requirements have helped, and they urged continued public education. The Insurance Department reported major insurance-fraud trends, including fake insurance cards, forged policies, premium-finance schemes, and staged auto accidents, and said it prosecutes these cases aggressively. Members asked about reporting scams, the security of tap payments, how fraud losses are tracked, the role of crypto kiosks, and whether Arkansas should pursue model legislation or stronger action against telecom and social media companies. Witnesses said tap payments are generally safer than chip or swipe, that crypto transfers are often unrecoverable, and that spoofed caller ID and impersonation ads remain major problems. Paul Benda of the American Bankers Association urged state and federal action against telecom and social media platforms and supported national scam legislation. No new bills were voted on at the meeting, but members approved the November 3, 2025 minutes and several witnesses offered to share model legislation, consumer education materials, and state-by-state fraud data with the committee.

Transcript Highlights:

• We also have a commitment in writing from DHS that they will pause enforcing the declaration for 30 days
• We also have a commitment in writing from DHS that they will pause enforcing the declaration for 30 days
• We also have a commitment in writing from DHS that they will pause enforcing the declaration for 30 days

Keywords: 919, house, all

Summary: State lawmakers, the attorney general, advocates, and parents held a press event responding to Children’s Minnesota’s announcement that it would pause some gender-affirming care for minors. Speakers, including Rep. Lee Finke, Hannah Edwards of Transforming Families Minnesota, and Jess Braverman of Gender Justice, said the pause was driven by federal pressure and threats from the Trump administration and HHS, not by medical best practice. They emphasized that gender-affirming care remains legal in Minnesota under the state’s Human Rights Act, Trans Refuge law, and insurance protections, and argued that interrupting care harms trans youth and families, especially those who moved to Minnesota for protection. Testimony focused on the emotional and practical impact on families: loss of trust in providers, delays in treatment, travel and intake wait times, and the stress of having to scramble for continuity of care. Speakers described the care as evidence-based, medically necessary, and life-saving, and said the federal government was using coercion and misinformation to intimidate hospitals and doctors. The attorney general said his office and coalition partners are litigating related federal threats, including a separate RFK Jr. declaration and proposed federal rules, and that Minnesota officials are working to preserve access and enforce state protections. In response to questions, speakers said the state’s legal tools are strong but limited against federal action, so they are relying on court challenges and enforcement of existing state law. They said Children’s Minnesota had been specifically targeted by federal officials and that the hospital’s pause was tied to that pressure. No votes were taken; the event ended with a call for continued public and institutional support for trans youth and for Children’s to resume care as soon as possible.

Transcript Highlights:

• <00:31:05.679> Hashimoto<00:31:06.320> from<00:31:06.880> uh,<00:31:06.960> DH
• Uh, Brena Hashimoto from uh, DH chair.
• Uh, Brena Hashimoto from uh, DH herd.<00:31:07.760> Uh,<00:31:08.000> I'll<00:31:08.240

Keywords: 910, house, all

Transcript Highlights:

• That's a DHS Medicaid to schools form.
• That's a DHS Medicaid to schools form.
• they are working in conjunction with DHS they are working in conjunction with DHS to<00:33:25.840
• .<00:33:35.120> So DHS.
• So DHS.

Keywords: 1189, house, all

Transcript Highlights:

• that qualify and they name the DHS that qualify and they name the forensics<00:50:59.920> program
• <00:51:00.800> uh<00:51:00.960> for<00:51:01.240> DHS,<00:51:02.240> which
• <00:51:02.480> is forensics program uh for DHS, which is forensics program uh for DHS, which
• Um, once DHS and DOC saw these lists in the bill, they came back and asked for a number of them to be
• Um, once DHS and DOC saw these lists in the bill, they came back and asked for a number of them to be

Keywords: 1187, senate, all

Transcript Highlights:

• Next, we have Brian Yammani, director, DHS, providing comments.
• Why<01:08:04.319> does<01:08:05.039> DHS<01:08:05.760> have<01:08:05.920> so<
• /c><01:08:06.240> much<01:08:06.400> money<01:08:06.799> left Why does DHS have
• pilot program, and yes, we acknowledge what Ellen Aai has stated and basically what I had requested DHS
• to go spend what I had requested DHS to go spend this<01:22:00.000> money<01:22:00.239> and

Keywords: 912, senate, all

Summary: The joint HHS, Agriculture, Environment, Energy, and Intergovernmental Affairs hearing focused first on SB 2262, a pollution and illegal dumping measure. The Department of Health said it stood on its written testimony, and public testimony included support from CARES with suggested amendments to involve the counties in standardized response planning and to address pollution caused by individuals. Members questioned the bill’s fines, where they would go, and how the department would handle carcasses and illegal dumping enforcement. DOH said administrative fines go to the general fund, criminal fines are collected by the Attorney General, carcasses are generally buried by the landowner under existing rules, and DOH mainly regulates solid waste and coordinates with counties and other agencies when violations arise. After discussion, the chair recommended SB 2262 be passed with substantial amendments. The proposed amendments would add DLNR to the task force, deposit all fines into a special fund to support enforcement, allow fines below $5,000 for littering and higher fines for excessive or chronic illegal dumping, and include a January 30, 2050 effective date. The committee adopted the recommendation, with members voting aye. The hearing then moved to the HHS calendar. On SB 2087, relating to health insurance, agencies including DHS, DCCA, the Attorney General, and Labor stood on written testimony, while several advocacy and medical groups testified in support. One Medicaid recipient opposed the bill, arguing the coverage should be immediate rather than phased in over three years. Angela Melody Young supported the bill but urged amendments to prioritize people with disabilities, kupuna, and mothers. Members questioned whether the rural health transformation program could support the bill’s deductible structure; the Department of Human Services said it was unlikely CMS would allow that level of coverage, though rural funds might help in other ways. The committee then moved on to SB 2089, which would expand services eligible for Medicaid prospective payment system reimbursement, hearing support from OHA, DHS, and others, along with testimony about mental health access and training. The transcript also began SB 2106, relating to health and eating disorder prevention, with a student testifying in support and citing youth eating disorder harms, but the discussion was cut off before any action on that bill.

Transcript Highlights:

• What do you see as the role of the state DHS in this program?
• <01:02:02.000> in<01:02:02.240> this the role of the state DHS in this the role of
• the state DHS in this program?
• Um, DHS wouldn't be able regime works.
• This does not give the DHS any new rulemaking authority.

Keywords: 1189, house, all

Transcript Highlights:

• And I think that's sort of what probably the debate is within the state of Minnesota and the DHS today
• And I think that's sort of what probably the debate is within the state of Minnesota and the DHS today
• ICE and other federal agents with DHS have been concealing their identities, wearing masks, refusing
• government actions, including DHS government actions, including DHS actions.<03:06:53.760> uh
• , federal agents employed by uh DHS, federal agents employed by uh DHS, ICE,<03:27:29.520> Customs

Keywords: 1187, senate, all

Transcript Highlights:

• She's assessed by DHS. She's assessed by her nursing company, and she's assessed by Medica as well.
• She's assessed<00:24:27.360> by<00:24:27.520> DHS.
• She's<00:24:28.640> assessed<00:24:29.000> by<00:24:29.160> her assessed by DHS
• She's assessed by her assessed by DHS.

Keywords: 918, senate, all

Summary: The committee heard public testimony on a health insurance/home care nursing provision and on other consumer protection items. Nick Keis and Emily Walters, both parents of medically complex children, testified that commercial health plans had recently begun capping home care nursing as if it were intermittent home health visits, which they said was contrary to Minnesota law and legislative intent dating to 2010. They described severe impacts on their families, including hospitalizations, loss of nursing coverage, strain on waiver budgets, and the risk of children being forced out of the home and into institutions. Representative Bierman echoed that the bill was a straightforward clarification of existing law, not a new mandate or added cost, and a staff member later cited the statutory definition of home care nursing as ongoing, continuous nursing services that cannot be met through intermittent or visit-based care. The committee also discussed the practical difference between home health visits and private duty/home care nursing, with testimony emphasizing that the latter is medically necessary, assessed, and not unlimited in practice. Laura Sales of the Minnesota Attorney General’s Office testified on changes to the Consumer Protection Restitution Fund (CIPRA). She said the fund has begun distributing restitution, starting with consumers harmed by the closure of Woodbury Dental Arts, but that current statutory language limits the office’s flexibility to prorate payments. She asked for an amendment allowing the AGO to distribute available funds more equitably so more eligible consumers can receive some payment, rather than requiring full payment to the oldest claims first. Annette Meeks, representing Citizens Against Gambling Expansion, testified in support of banning sweepstakes gambling in the Commerce Committee omnibus report. She argued that online sweepstakes casinos are an illegal gray-market form of gambling, cited rapid growth and billions in revenue, and said other states have acted through enforcement and legislation to stop them. She urged the committee to include language from Senate File 4474 to clarify state law and prohibit sweepstakes gambling. No votes were taken in the portion of the meeting shown; members mainly asked questions and received testimony.

Transcript Highlights:

• change their mind, and I'm not sure if Shay was referring to the administration, like federally or DHS
• administration like referring to the administration like federally<00:16:18.360> or<00:16:18.640> DHS
• Med-Quest,<00:16:20.360> but<00:16:20.600> if<00:16:20.880> if federally or DHS
• Med-Quest, but if if federally or DHS Med-Quest, but if if So<00:16:22.360> CMS<00:16:23.120>

Keywords: 912, senate, all

Summary: The Health and Human Services committee hearing opened with notice that the meeting was being streamed and could reconvene later if technical problems forced an abrupt end. The chair also announced a one-minute testimony limit and proceeded through several bills, taking mostly written and oral support testimony and asking limited questions. No votes were taken in the portion provided. HB 1626, relating to youth penalties, drew strong support from the Office of Hawaiian Affairs, youth advocates, the ACLU, the Department of Education, and others. Testifiers said financial sanctions on youth are ineffective, disproportionately burden Native Hawaiian youth, and function as poverty penalties; they urged replacing fines with community service, restorative practices, and ʻāina-based programs, and eliminating uncollectible legacy debt. The chair moved on after no member questions. HB 1643, relating to pharmacy, was discussed with support from the Hawaii Pharmacists Association, Kaiser, the Board of Pharmacy, independent pharmacies, and PBM representatives. Testimony focused on amendment language, audit procedures, HIPAA concerns, and the need for flexibility for small island pharmacies. HB 1668, relating to Medicaid, received broad support from disability advocates and the Department of Human Services; witnesses said CMS had already approved the underlying state plan amendment removing income and asset limits for certain workers with disabilities, but they wanted the protection codified in law to preserve it long term. The chair asked whether codification was necessary and was told it would not be harmful and would help ensure continuity if federal policy changed. The committee then heard HB 1550 on drug paraphernalia and syringe access, with support from Shipta and the Department of Health; testimony emphasized preserving flexibility for the statewide syringe access program to respond to emerging drugs like xylazine. HB 1974, relating to health, was presented as a planning measure for hearing loss; testifiers said Hawaii lacks a comprehensive hearing-loss plan and that the bill would fund a state planning process, not direct services. HB 1858 on vital statistics drew support from clinicians and medical organizations, who said better data on spontaneous fetal deaths is needed and that the term used in the bill is standard medical and CDC terminology. HB 1871 and HB 1966 also received support, with HB 1966’s EMS special fund prompting discussion about the cigarette-tax revenue source; the chair questioned the nexus to EMS, and the Department of Health said the revenue currently funds the special fund and there is no alternative funding stream.

Transcript Highlights:

• It took effort from you folks and from our folks at DHS to really step up and show the importance of
• and from our took effort from you folks and from our folks<00:02:21.440> at<00:02:21.599> DHS
• 22.480> step<00:02:22.720> up<00:02:22.879> and<00:02:23.200> show folks at DHS
• to really step up and show folks at DHS to really step up and show the<00:02:23.599> importance

Keywords: 912, senate, all

Summary: The HHS committee met in Room 224 and announced the hearing was being streamed live, with a one-minute limit on testimony. The chair explained that written testimony had already been reviewed and that speakers should either add new comments or stand on their written testimony. The committee first heard SB 2211, an emergency appropriation to the Department of Human Services. Testimony was overwhelmingly in support, including DHS, Aloha United Way, the Hawaii Food Industry Association, the Hawaii Public Health Institute, Catholic Charities, and many individuals. Supporters emphasized the importance of maintaining SNAP-related food assistance and emergency food delivery, while Catholic Charities raised a question about whether the bill’s language would also reach food banks serving food-insecure households that are not on SNAP. No opposition was heard and the bill was moved on without questions from members. The committee then heard SB 2025, which would exempt actively practicing advanced practice registered nurses from jury duty. Testimony was broadly supportive from nursing and health organizations, including the Hawaii American Nurses Association, the Hawaii affiliate of the College of Nurse Midwives, the Hawaii State Board of Nursing, and others. One witness from Kaiser Permanente requested an amendment to include physician assistants, and a committee member asked the Board of Nursing to review that request. The bill otherwise drew no opposition and no further member questions. SB 2038, relating to medication labeling, drew the most extended discussion. The measure would change labeling requirements for certain abortion medications, and testimony was split between supporters who framed it as a privacy and access issue and opponents who raised patient safety, ethics, and transparency concerns. The Department of Health supported the intent but requested an amendment to allow quicker access to private information during investigations without a subpoena. The Board of Pharmacy said it supported the written comments but noted operational challenges and possible cost impacts, while Kaiser said compliance would likely require manual workarounds and could slow pharmacy processes. The chair and members questioned whether patients could simply remove labels themselves, but witnesses said there could still be safety and access issues if the patient is not the one receiving the prescription. The committee then moved on to SB 2050, relating to chiropractic, which received support from the Hawaii Board of Chiropractic and the Hawaii State Chiropractic Association, with no substantive opposition noted. The hearing later turned to SB 201, relating to insurance, which appeared to be a new mandated-benefit measure tied to infertility/IVF coverage. The Hawaii Civil Rights Commission provided comments, while Hawaii Family Forum opposed the bill, arguing it went beyond medical infertility and raised ethical and public policy concerns. Kaiser and the Hawaii Association of Health Plans both asked for a study or audit, saying the measure could create new insurance mandates and increase costs for residents and employers. Private Work Hawaii strongly supported the bill as an equity issue. The committee noted there was no quorum for decision-making and deferred action on the measure to a later hearing, then recessed.

Transcript Highlights:

• From where we are sitting, it feels that our partners at HHS and DHS don't have the funding they need
• But I think my colleagues at HHS or DHS would know more about what happens behind the scenes because
• “So I have to say thank you to our state partners—HHS, OES, DHS, CDPH, all the alphabets.
• We ask that DHS work with community partners to ensure these critical services can continue to be funded

Summary: The hearing focused on California’s 988 suicide and crisis lifeline and the broader crisis response system, with members and witnesses emphasizing both the system’s life-saving role and the risks posed by funding gaps, rising demand, and uneven local implementation. Opening remarks highlighted the personal impact of suicide and the need to strengthen crisis response so calls are answered quickly and linked to appropriate care rather than defaulting to 911, emergency rooms, or law enforcement. State officials described the AB 988 five-year implementation plan, which sets goals around public awareness, equitable access, high-quality call/chat/text response, and better integration with ongoing behavioral health services. State agencies reported progress on infrastructure, coordination, and related behavioral health investments. CalHHS said California has expanded mobile crisis teams, crisis stabilization units, and youth behavioral health supports, and is preparing additional public awareness and grant programs tied to Proposition 1. DHCS explained that 988 is funded through a federal SAMHSA grant and the AB 988 surcharge, while Medi-Cal separately funds mobile crisis services; officials said the mobile crisis benefit is active in 53 counties and that statewide expansion remains a work in progress. Cal OES described the statewide technical buildout, including network infrastructure in all 11 crisis centers, interoperability with 911, and a pilot of next-generation routing and call-handling tools. The 988 California Consortium said call volume continues to rise sharply, missed calls remain a major concern, text/chat capacity is limited, and centers need more stable funding, better reimbursement, and stronger feedback loops with the state. County and community witnesses stressed that local systems need more flexible, sustained support to match the demand. Lake County described a peer-led rural mobile crisis model that has reduced law enforcement holds and increased housing placements, but said county-run mobile crisis teams still cannot reliably access 988 surcharge dollars and face reimbursement problems from Medi-Cal and commercial plans. Santa Clara County reported strong performance metrics, rapid call answer times, and a broad continuum of mobile crisis services, but said staffing and funding are strained and commercial reimbursement remains slow. The Mental Health Association of San Francisco said the peer-run warm line complements 988 by offering non-emergency support and warm handoffs, but recent budget changes forced cuts to Spanish-language service, federation support, and hours. No formal votes or legislative actions were taken during the hearing; members mainly asked questions about surcharge levels, budget timing, coordination among agencies, data collection, and how to improve collaboration with frontline crisis centers.

Transcript Highlights:

• the working group agreement contains the balance of the governor's requested operating adjustment at DHS
• requested operating governor's requested operating adjustment<00:04:53.759> at<00:04:54.160> DHS
• adjustment at DHS. adjustment at DHS.

Keywords: 1187, senate, all