Transcript Highlights:

• Behavioral Health Awareness Month recognizes both mental health and substance use disorders.
• This resolution acknowledges the growing behavioral health crisis facing our state and nation.
• It is about recognizing behavioral health as an essential part of one's overall health.
• I also want to recognize California statewide organizations representing behavioral health providers
• and to reaffirm our commitment to improving behavioral health care and outcomes for all Californians

Keywords: 987, senate, all

Summary: The Senate opened with prayer, the Pledge of Allegiance, guest recognitions, and approval of the journals. A motion by Senator Strickland to withdraw SB 1035 from committee for a floor vote, described as a temporary gas tax suspension to lower gas prices, was debated procedurally and failed on a 22-aye, 22-no vote. The body then moved through Governor’s appointments, confirming Siva Gunda to the California Energy Commission, Tony Sertich as Executive Director of the California Housing and Finance Agency, and Craig Snellings to the Workers’ Compensation Appeals Board, all by unanimous or near-unanimous votes. The Senate also adopted several commemorative resolutions. SCR 151 designated May 2026 as ACL Injury Awareness Month; SR 105 declared May as National Tennis Month; SCR 175 recognized Behavioral Health Awareness Month; SCR 176 designated Small Business Month; and SCR 178 recognized Jewish American Heritage Month. These measures drew extensive floor remarks, especially SCR 178, with senators from multiple caucuses speaking about Jewish history, contributions, diversity, and the need to oppose anti-Semitism and hate. All of these resolutions passed, with SCR 178 adopted 38-0. The chamber then considered a series of policy bills, many of which passed with broad support. Measures approved included SB 922 on local cost recovery for street damage from public service operations, SB 932 on litigation transparency, SB 971 on older adult community connections, SB 1400 on Alameda Health System governance, SB 1228 on certain existing outdoor advertising displays in former redevelopment areas, SB 997 on groundwater agency authority, SB 1115 on reforming the Tulare County Public Cemetery District, SB 1088 on advance care planning forms, SB 1242 on family participation in CARE Court, SB 1364 on parental rights in rape-related child custody cases, SB 993 on protecting mental health professionals’ identifying information, SB 1094 on prescription drug biosimilar use, SB 1117 on ADU fee calculations, SB 1244 on broker compensation disclosures for public agency health plans, SB 1315 on autonomous vehicles, SB 1398 on Green Globes building certification, SB 1085 on water supply assessments for large projects, and SB 1316 on wage theft and labor enforcement. SB 1177 on high-speed rail reporting drew opposition from Senator Strickland, who argued the project should be ended, but the bill still passed after debate. The transcript ends as the Senate begins consideration of SB 1146, which would require disclosures for AI-generated health advertisements.

Transcript Highlights:

• Specifically, it includes person-first language in behavioral health care, requires Florida mental health
• It expands the duties of the Florida Center for Behavioral Health Workforce by requiring a statewide
• workforce analysis every two years and creating strategies to recruit, train, and retain behavioral health
• And retain behavioral health professionals.
• And if you look in the bill analysis on pages either 7 or 8, you look at this.

Summary: The Committee on Fiscal Policy met and considered a wide range of bills, including early learning and special needs funding (SB 1102), Israel bond investment authority (SB 1674), Parkinson’s disease research at USF (SB 1800), mental health and substance use disorder reforms (SB 1620), veterans nursing home beds (SB 788), securities regulation updates (SB 988), labor pool regulation (SB 1672), Alzheimer’s awareness (SB 398), educator preparation (SB 1590), student mental health reporting (SB 1310), specialty license plates (SB 824), financial institutions and IOTA-related issues (SB 1612), transportation facility designations (SB 1408), utility worker protections (SB 1386), DNA testing grants (SB 1072), the Council on the Social Status of Black Men and Boys (SB 364), housing support for former foster youth and homeless students (SB 584), sex offender registration changes (SB 1654), migrant vessel disposal (SB 830), commuter rail indemnification (SB 916), juvenile justice revisions (SB 1344), aggravating factors in capital cases (SB 984), and a criminal offender substance abuse pilot program (SB 1140). Most bills were explained by sponsors, often with supportive testimony from affected agencies, advocacy groups, or industry representatives, and several were amended before final action. The committee adopted amendments on many measures, including clarifications and effective-date changes for SB 1102; technical changes to SB 1620 implementing mental health commission recommendations; a delete-all amendment for SB 1620; an amendment to SB 988; a consumer-disclosure amendment on SB 1612; and multiple amendments to SB 1408, SB 364, SB 584, SB 1654, and SB 1344. SB 1672 on the Labor Pool Act drew extensive public testimony in opposition from worker advocates, who argued repeal would weaken protections for temp workers and formerly incarcerated workers, and the bill was temporarily postponed to a later meeting without a vote. Several bills received notable testimony in support, including SB 584, where former foster youth described housing instability and the importance of campus housing and federal voucher coordination; SB 1386, which was backed by utility and industry groups seeking stronger penalties for assaults on utility workers; and SB 984, which drew opposition from the Florida Conference of Catholic Bishops over expansion of death penalty aggravators. The committee also heard support and opposition on SB 1612 regarding IOTA interest rates and legal aid funding, with bankers and civil legal aid representatives disputing the proper rate structure and whether the bill conflicted with Florida Bar rules. At the end of the meeting, the committee reported all voted-on bills favorably, including SB 1102, SB 1674, SB 1800, SB 1620, SB 788, SB 988, SB 398, SB 1590, SB 1310, SB 824, SB 1612, SB 1408, SB 1386, SB 1072, SB 364, SB 584, SB 1654, SB 830, SB 916, SB 1344, SB 984, and SB 1140. Members also requested to be recorded on various bills, and the committee adjourned after noting one remaining meeting would be lengthy.

Transcript Highlights:

• What mechanisms are in place to prevent misuse of sensitive behavioral health records once the protections
• Melanie Brown-Woofter, Florida Council for Behavioral Health— Thank you.
• Melanie Brown-Woofter, Florida Council for Behavioral Health Care, waives support.
• Melissa Olive, the Board Association of Behavior Analysis, is waiving in support.
• Melissa Olive, the Board Association of Behavior Analysis is waiving in support.

Summary: The Health Policy Committee met for its final meeting of the session and handled a very full agenda, beginning with a few housekeeping items and a brief thank-you to staff. Senate Bill 596 was temporarily postponed. The committee then reconsidered and amended SB 1606 on patient access to records, clarifying portal access obligations and deleting a section that would have improperly affected nursing home facility records; the bill was reported favorably as a committee substitute. The committee also recommended confirmation of a block of appointees and separately confirmed Chavon Harris as Secretary of the Agency for Health Care Administration after testimony focused on transparency, financial oversight, Medicaid managed care accountability, and internal controls at AHCA. Harris said she would prioritize staffing, monitoring, and improved reporting, and several health care groups waived in support. The committee next heard and passed several bills, including claims bills SB 28 and SB 22 for South Broward Hospital District settlements, both reported favorably. It also approved SB 772 on undesignated glucagon in schools, SB 998 on allowing physician assistants and APRNs to complete death certificates under hospice/palliative protocols, SB 1412 on home health agency administration and staffing flexibility, SB 1800 creating a Parkinson’s disease research consortium at USF, SB 306 on Medicaid managed care network access during holidays and after hours, SB 1768 on stem cell therapies and informed consent, SB 1602 on pediatric readiness standards in emergency departments, SB 1156 on the home health aide program for medically fragile children, SB 1490 on Children’s Medical Services and Medicaid managed care administration, and SB 1182 on Medicaid coverage of continuous glucose monitors. Most of these bills were amended, generally to narrow scope, align with the House, or make technical changes, and most received support from provider associations, advocacy groups, or affected institutions. The most debated measure was SB 1270, which combined several health freedom and medical marijuana provisions. The strike-all amendment retained language prohibiting discrimination based solely on vaccination status, added protections related to mRNA vaccine documentation requirements, and included medical marijuana regulatory and background-screening language. The committee heard extensive testimony both in support and opposition, including concerns from senators about whether the bill would force providers to treat patients contrary to medical judgment, and support from witnesses arguing it protected patient autonomy and access to care. After a time-certain motion, the bill was reported favorably as a committee substitute. At the end of the meeting, senators recorded their votes on selected tabs, and the committee adjourned.

Transcript Highlights:

• to fingerprinting, ...require background checks for behavioral health treatment providers who are not
• SB 1349 will direct the LAO, the Legislative Analyst's Office, to conduct an analysis of those major
• SB 1349 will direct the LAO, the Legislative Analyst's Office, to conduct an analysis of those major
• analysis, and I will continue to be open to improving this bill with your and others' input.
• The bill also adds predictive behavior analysis. It bans that.

Keywords: 987, senate, all

Summary: The Senate opened with a roll call, a moment of silence for the shooting at the Islamic Center of San Diego, prayer, and the Pledge of Allegiance. The body then handled routine matters and confirmations, including Julia Montgomery as General Counsel for the Agricultural Labor Relations Board, Dr. Cynthia Glover Woods, Dr. Brenda Lewis, and Gabriela Orozco Gonzalez to the State Board of Education, and George Cardona as Chief Trial Counsel for the State Bar. All of those appointments were confirmed, with some no votes from a few members on the education and legal confirmations. The chamber also adopted several resolutions, including SR 111 on the International Day Against Homophobia, Biphobia, Interphobia, and Transphobia; SCR 129 naming part of Highway 152 the Rusty Arraes Highway; SCR 169 proclaiming October 2026 as Women’s Small Business Month; and SCR 173 designating May 2026 as California Fairgrounds Appreciation Month. Senators spoke in support of fairgrounds as community, agricultural, and emergency-response assets. The Senate also welcomed Cal Lutheran University students, faculty, and staff to the gallery. A large number of policy bills were then taken up and mostly passed, covering procurement, elections, education, privacy, housing, transportation, labor, and health care. Among the measures approved were SB 1154 on best-value procurement for community college projects, SB 1369 on judicial recall safeguards, SB 1048 creating a climate literacy seal, SB 1106 shortening data broker deletion timelines, SB 1408 authorizing a Contra Costa transportation tax measure, SB 1172 on local tax-sharing transparency, SB 1383 protecting local labor standards in density bonus projects, SB 1223 on competitive bidding at fairs, SB 1344 extending anti-SLAPP protections to certain housing-related projects, SB 1371 limiting solid waste contract force majeure clauses during labor disputes, SB 908 on residential window replacement permits, SB 1272 on remedies for preexisting home code violations, SB 1406 targeting the “Montana tax loophole,” SB 1238 on HOA transparency, SB 868 on plug-in balcony solar, SB 903 restricting unlicensed AI psychotherapy advertising, SB 950 on early-onset Alzheimer’s coverage, SB 874 on Medi-Cal behavioral health oversight, SB 1049 on corrected health care claims, SB 1067 on early math screening, SB 1202 on Medi-Cal outreach, SB 944 on acupuncture coverage, SB 957 on notice for federal subpoenas to social media companies, SB 959 on wildfire-related school closures, SB 988 on auto glass insurance practices, and SB 1000 on AI content transparency. Most passed on largely party-line or near-unanimous votes, with a few dissenting votes from members who objected to procurement, labor, privacy, or tax-related provisions.

Transcript Highlights:

• We will not accept disruptive behavior or behavior that in some right or threatens violence.
• I would like to begin by accepting the suggested committee amendments noted in the analysis as author
• I appreciate the committee's work on this analysis.
• I do want to just make a comment on both the committee analysis.
• I agree with the analysis that perhaps those are too broad or blunt of instruments right now.

Keywords: 988, house, all

Transcript Highlights:

• And some of this encourages self-harm and maladaptive behavior.
• And so many of our kids have mental behavioral challenges.
• And so many of our kids have mental behavioral challenges.
• Behavioral health is taught. It mentions opioid addiction. Behavioral health is taught.
• , and we did our own independent fiscal analysis as well.

Bills: AB52, AB76, AB163, AB388, AB483

Keywords: health insurance, claims process, insurance regulation, admin penalties, healthcare access, cannabis, cannabis establishment, medical cannabis, adult-use cannabis, advertising regulations, packaging requirements, unlicensed cannabis activities, state prosecution, confidentiality, Cannabis Compliance Board, disciplinary proceedings, mental health, counseling, interstate practice, telehealth

Transcript Highlights:

• We conduct analysis.
• Last legislative session, the state allocated $159 million for a new state behavioral health hospital
• I wanted to ask you, you talk about the Behavioral Health Institute and the impact it has.
• Um, how large of an impact would the Behavioral Health Institute have on Amarillo and the surrounding
• Um, we've done an analysis.

Transcript Highlights:

• The WTAMU Behavioral Health Workforce Initiative would impact the mental health crisis that we have in
• I wanted to ask you, you talk about the Behavioral Health Institute and the impact it has.
• Can you elaborate if if that were funded, how large of an impact would the Behavioral Health Institute
• All of this will be enhanced through this request for the LAR regarding behavior. neural health care.
• We've done an analysis and it looks like if the state were to purchase a aircraft.

Keywords: 1184, house, all

Transcript Highlights:

• I think the reasoning for your bill is that, if I'm reading the bill analysis...
• I mean, is that a fair analysis?
• I think that is a very fair analysis, and that's what my bill gets to the heart of.
• Can you clarify what constitutes behavior or mental health services under this bill?
• We're talking about behavioral or mental health treatment within the school setting.

Bills: HB3902, HB4420, HB3269, HB469, HB336, HB316, HB5396, HB993, HB1342, HB5216, HB2046, HB2188, HB2450, HB2813, HB2857, HB4075, HB2911, HB4682, HB3117, HB3253, HB3442, HB4820, HB4336, HB5356, HB3669, HB3428, HB5465, HB3662, HB2590, HB2288, HB1886, HB3458, HB5603, HB5620, HB1489, HB4101, HB4990, HB5685, HB4950, HB4980, HB5684, HB3507, HB3566, HB4487, HB4462, HB4876, HB4915, HB4663, HB5570, HB2929, HB5261, HB2920, HB4642, HB4746, HB1609, HB5403, HB5453, HB3844, HB2336, HB1572, HB 1226, HB2806, HB2617, HB2827, HB3948, HB3945, HB4266, HB4542, HB3319, HB1772, HB2496, HB1970, HB3434, HB5545, HB5577, HCR59, HCR135, HB4, HB46, HB3221, HB1403, HB3892, HB4234, HB722, HB4105, HB4413, HB170, HB551, HB3053, HB3142, HB3180, HB3722, HB1794, HB1784, HB1581, HB2530, HB4308, HB1896, HB2974, HB3359, HB4580, HB2458, HB2215, HB3332, HB2278, HB3015, HB3151, HB1368, HB40, HB 101, HB 112, HB146, HB214, HB413, HB1523, HB493, HB521, HB594, HB557, HB305, HB549, HB854, HB 1057, HB 1052, HB842, HB3174, HB3196, HB824, HB 1039, HB2529, HB2713, HB4936, HB4995, HB4830, HB4864, HB5219, HB5263, HB5154, HB2674, HB5525, SB529, SB541, SB2004, SB1012, SB2269, SB1886, SB1236, SB693, SB2308, HB2486, HB4862, HB4689, HB4520, HB2225, HB168, HJR218, HB4921, HB5623, HB2494, HB2545, HB2587, HB2625, HB5520, HB5436, HB4926, HB1573, HB5165, HB4811, HB5081, HB4755, HB3179, HB4310, HB4611, HB2159, HB4626, HB3637, HB3153, HB3066, HB2786, HB2966, HB638, HB640, HB876, HB497, HB5539, HB4809, HB5308, HB4687, HB4070, HB4421, HB4412, HB3284, HB3369, HB3420, HB3449, HB4098, HB4281, HB4120, HB4504, HB4370, HB 1106, HB2370, HB2404, HB3863, HB2407, HB2253, HB2273, HB2040, HB1586, HB3788, HB3993, HB4690, HB4309, HB4696, HB2308, HB 1142, HB1533, HB1621, HB2242, HB2012, HB2193, HB2442, HB2464, HB2348, HB2313, HB2289, HB1942, HB2011, HB1629, HB2993, HB3592, HB3824, HB4076, HB4535, HB4623, HB4773, HB 1091, HB5115, HB5515, HB3372, HB5659, HB 127, HB386, HB 115, HB2868, HB 1249, HB4766, HB3720, HB4656, HB4879, HB 105, HB5383, HB4621, HB5431, HB5678, HB5534, HB4174, HB4212, HB3954, HB3966, HB3636, HB3918, HB1422, HB4765, HB4732, HB4742, HB5122, HB4518, HB5084, HB3986, HB4045, HB4144, HB3911, HB3976, HB4473, HB3425, HB3641, HB3642, HB3475, HB3509, HB3424, HB3383, HB4744, HB4531, HB4539, HB3159, HB5228, HB5370, HB4359, HB4398, HB4443, HB4466, HB3861, HB3849, HB4240, HB4706, HB4685, HB5354, HB5141, HB5686, HB3629, HB3554, HB3567, HB2015, HB3575, HB5381, HB1431, HB3514, HB4614, HB4546, HB4683, HB5681, HB5673, HB5663, HB4271, HB4350, HB4035, HB3807, HB3812, HB3552, HB3540, HB3715, HB3710, HB3664, HB4196, HB4233, HB4173, HB1998, HB3333, HB3510, HB4222, HB2070, HB2854, HB2347, HB 113, HB983, HB4847, HB1449, HB3833, HB5151, HB265, HB1845, HB782, HB 108, HB1960, HB158, HB1954, HB1955, HB2512, HB605, HB2581, HB2803, HB627, HB2667, HB1738, HB636, HB3679, HB2638, HB2655, HB871, HB2438, HB 1107, HB1765, HB1822, HB2153, HB4099, HB3732, HB3171, HB3178, HB3182, HB3749, HB2814, HB3977, HB4204, HB4207, HB4449, HB1820, HB1876, HB1939, HB1347, HB2593, HB2136, HB2132, HB2658, HB2413, HB2757, HB2080, HB3154, HB3063, HB3009, HB3448, HB3006, HB2844, HB3241, HB3680, HB3169, HB2078, HB2507, HB4559, HB3946, HB3460, HB3405, HB475, HB3463, HB3441, HB3520, HB2060, HB4731, HB4991, HB1991, HB5596, HB2014, HB2142, HB2673, HB2731, HB2417, HB2399, HB2301, HB3335, HB3234, HB3320, HB5573, HB4848, HB4748, HB4769, HB4795, HB2086, HB2234, HB2203, HB4916, HB5624, HB4505, HB139, HB5093, HB5302, HB5402, HB5606, HB2333, HB4630, HB4701, HB2583, HB2983, HB4924, HB3339, HB3793, HB3631, HB4882, HB5509, HB5499, HB5430, HB5561, HB5611, HB5043, HB5064, HB3733, HB3781, HB3219, HB32, HB4515, HB5348, HB3902, HB4420, HB3269, HB469, HB336, HB316, HB5396, HB993, HB1342, HB5216, HB2046, HB2188, HB2450, HB2813, HB2857, HB4075, HB2911, HB4682, HB3117, HB3253, HB3442, HB4820, HB4336, HB5356, HB3669, HB3428, HB5465, HB3662, HB2590, HB2288, HB1886, HB3458, HB5603, HB5620, HB1489, HB4101, HB4990, HB5685, HB4950, HB4980, HB5684, HB3507, HB3566, HB4487, HB4462, HB4876, HB4915, HB4663, HB5570, HB2929, HB5261, HB2920, HB4642, HB4746, HB1609, HB5403, HB5453, HB3844, HB2336, HB1572, HB 1226, HB2806, HB2617, HB2827, HB3948, HB3945, HB4266, HB4542, HB3319, HB1772, HB2496, HB1970, HB3434, HB5545, HB5577, HCR76, HCR127, HCR9, HCR40, HCR118, HR559, HCR59, HCR135

Keywords: Medicaid, reimbursement, nursing facilities, ownership change, healthcare policy, mental health, psychiatric beds, inpatient psychiatric treatment, acute psychiatric care, bed availability, bed capacity, hospital reporting, HHSC, Health and Human Services Commission, state hospitals, private mental health facilities, civil commitment, competency restoration, not guilty by reason of insanity, jail diversion

Transcript Highlights:

• Kya Fox, Director of the Division for Behavioral Health, thank you for asking me to speak today.
• Funded with funds that were transferred into the Bureau of Children's Behavioral Health from Medicaid
• The behavioral health system is a stable electronic medical record system.
• The behavioral health system is a stable electronic medical record system.
• , which is sort of our programmatic risk analysis.

Keywords: 928, house, all

Summary: Finance Division 3 met for a work session on House Bill 519, which concerns funding for Waypoint. The chair noted general support for the organization but said the bill would likely need to be suspended and folded into the budget process because the committee did not yet know available revenues or what amount, if any, could be committed. Kya Fox, director of the Division for Behavioral Health, testified that the department supports the bill and the program, explaining that it had been funded with other available funds, including $100,000 for 2024 and $400,000 for 2025, under a contract running through June 30 of this year. She said the shelter serves a unique population of young adults and is part of the department’s children’s system of care and Mission Zero efforts to reduce barriers to psychiatric discharge and emergency department use. Members questioned Fox and Waypoint representatives about the budget placement of the request, the difference between the efficiency budget and prioritized needs, and whether state budget documents would show any internal Waypoint revenues. Fox said the request appears as a general fund item and that the state would not see Waypoint’s internal financial operations in the budget. A legislative member explained that prioritized needs are critical services already in place but not necessarily included in the efficiency budget, and another member said the distinction is not strictly applied. The committee also raised a separate question about how DHHS would handle any future state or federal restrictions on DEI practices; Fox said that was a question for department leadership and legal staff, but that the department follows state law and contract requirements. Waypoint CEO Bor Alvare and Director Mandy Lancaster then described the shelter and related services. They said the shelter serves ages 18 to 24, is a 14-bed open-room facility with half walls, and is staffed overnight by two full-time workers. They said admission is first come, first served, with some vulnerability factors considered, and that they do not discriminate by race, gender, or sexual orientation. They reported no known incidents of sexual violence, though some youth are turned away each night because the shelter is full. They also explained that Waypoint provides broader services beyond the shelter, including outreach, drop-in centers, housing support, rental assistance, and family mediation, and said they serve about 400 youth and young adults in Manchester alone. The discussion ended with questions about whether lowering the upper age limit would affect the program; Waypoint said most residents are already in the 18-to-23 range, but that housing shortages make the current age span important for helping young adults avoid chronic homelessness.

Transcript Highlights:

• Do you have that analysis? >> Analysis? We are conducting analysis.
• Um, and that analysis is currently underway.
• <00:15:55.920> Uh, that analysis is currently underway.
• Uh, that analysis is currently underway.
• Because we always say behavioral health, but all the details. Have we received that? We have not.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone. The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months. Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value. After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.

Transcript Highlights:

• <00:03:49.440> health, maternal health, behavioral health, maternal health, behavioral health
• :30:32.360> and insecurity, behavioral health and insecurity, behavioral health and substance<
• If that behavior correct that behavior.
• You also talked about some behavioral You also talked about some behavioral health<01:23:54.960>
• > health<01:24:28.600> being category of behavioral health being category of behavioral

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.

Transcript Highlights:

• And we see change people's behavior.
• addictive behaviors. addictive behaviors.
• <04:25:17.359> and<04:25:17.760> creates behavior and creates behavior and creates dependency
• And dependency and addictive behavior.
• for any of the other uh behavioral for any of the other uh behavioral problems<04:26:38.080>

Keywords: 1189, house, all

Transcript Highlights:

• Um, the next slide on highlights, slide number 8, wanted to highlight our behavioral health and wellness
• that the behavioral health and wellness team um we didn't have really any specialists in that area so
• Um, he can tell, for example, when one is getting ready to calf because their, their travel behaviors
• And so, I mean, I, I, you can't do economic development and do behavioral health.
• So another thing we'd like to do is, um, do some additional reporting and analysis beyond what we've

Transcript Highlights:

• Such illegal behavior, and I welcome his bill.
• The point where I believe that there is some penalty for bad behavior.
• The fact that there's hardly any penalty for bad behavior whatsoever...
• See, they do a cost-benefit analysis. So you hear that laughter out there, okay?
• So if you have a self-ruled city, that analysis applies to a self-ruled city.

Bills: SB434, SB844, SB898, SB1177, SB1214, SB1454, SB1920, SB1927, SB1935, SB1965, SB2010, SB2046, SB2068, SB2073, SB2183, SB2260, SB3034, SB907

Keywords: SB 434, Harris County Hospital District, hospital district police, peace officers, commissioned officers, law enforcement authority, Health and Safety Code, Code of Criminal Procedure, public safety, hospital security, county hospital district, local government, Texas criminal procedure, district police, armed security, SB 898, low income housing tax credits, LIHTC, affordable housing, Texas Department of Housing and Community Affairs

Transcript Highlights:

• Also, after extensive output-based analysis, Dr.
• Based on extensive input-based analysis, Dr. Kimberly R.
• Okay, I would like to go to Donna Magon. based analysis Dr Kimberly REO Saunders based analysis Dr Kimberly
• If they are above average, they might be bored, which can lead to behavior issues.
• <05:37:32.760> issues then there could be some behavior issues then there could be some behavior

Keywords: 928, house, all

Summary: The Education Funding Committee met in executive session and first took up HB 193, which clarifies that dual and concurrent enrollment courses may not exceed four credits. Members said the bill came from the community college system and was intended to preserve the program’s high school-to-college pathway. An amendment changing the effective date to passage was adopted 18-0, and the committee then voted 18-0 to recommend OTPA on the bill as amended, with the bill placed on the consent calendar. The committee then retained HB 295 and HB 366, both related to school building aid, after members said the issues were complex and needed more work. Both motions to retain passed 18-0, leaving the bills in committee without reports. The chair also said HB 354 would not be taken up that day because of possible changes from the Department of Education and others. HB 494, funding the math learning communities program, was then amended to flat-fund the program rather than increase it, with members citing budget uncertainty. The amendment passed unanimously, and the committee then voted 18-0 for OTPA on the bill as amended, placing it on consent. Finally, HB 515, which would repeal charter public school eligibility for state school building aid, drew debate over whether charter schools should be treated differently from traditional public schools. The committee voted 10-8 for inexpedient to legislate, sending the bill to the regular calendar; Representative Damon was assigned the minority report and Representative Popovic the majority report. The committee then began HB 716, an appropriation for the dual and concurrent enrollment program, where members discussed flat-funding the program at $2.5 million per year and the potential impact on course availability, but the transcript cuts off before a final vote is shown.

Transcript Highlights:

• We will not accept disruptive behavior or behavior that incites or threatens violence.
• I was a child with no history of dangerous behavior. I had stray days. None of this mattered.
• I appreciate the committee's analysis.
• I apologize, our updated letter wasn't in time to be reflected in the committee analysis, but we remain
• We appreciate the committee's thoughtful analysis, and we appreciate the author and the sponsors and

Keywords: 988, house, all

Transcript Highlights:

• And you can see in your staff analysis those provisions specifically.
• And you can see and your staff analysis those 82 provisions specifically.
• I like the part in the analysis that says in good faith.
• It literally did not improve or change my behavior in any way.
• It literally did not improve or 1090 or change my behavior in any way.

Summary: The Student Academic Success Subcommittee met with a quorum and heard four bills, beginning with HB 423 on school elopement plans for students with autism or other elopement risks. The sponsors described the bill as a statewide framework for school elopement response plans, immediate parent notification, campus search procedures, and staff training. Public testimony from parents, disability advocates, and a teacher emphasized the dangers of elopement and the need for standardized procedures; members from both parties spoke strongly in support. The bill was reported favorably by a 15-0 vote. The committee next considered HB 1253, which allows coaches to use limited personal funds, up to $15,000 per athletic team per year, to support student-athletes with food, transportation, and physical rehabilitation services. An amendment added guardrails, including that the coach be a school employee, clarified the scope of athletic associations covered, and refined the rehabilitation language. Members discussed the bill as a way to help students in need while avoiding recruiting concerns, and the bill passed favorably 14-0 after the amendment was adopted. HB 1091 addressed dental screenings for K-12 students in districts that voluntarily offer them. The bill requires advance written notice to parents and an opt-out process, and clarifies that screenings are informational only, with any findings sent to parents rather than compelling treatment. An amendment added the language to student welfare provisions as well as school health services. Public testimony from dental and health advocates supported the measure, and the bill was reported favorably 14-0. Finally, the committee heard HB 765 on child care and early learning services. The bill expands before- and after-care options for certain school-based preschool programs without requiring a child care facility license, removes a flu brochure inspection requirement, bars insurance cancellation based on providing child care, creates a professional recognition program, and establishes a child care tuition fund. Two amendments broadened the bill to public and nonpublic elementary schools and created the Brighter Futures fund concept. After debate, the bill passed favorably 13-1, and the meeting adjourned.

Transcript Highlights:

• . >> So, it's pay and not student behavior. >> I think the pay is the biggest one.
• So, speaking of student behavior, that does make the job very challenging.
• How many privileges have you guys revoked because of bad behavior? >> Yeah.
• How many privileges have you guys revoked because of bad behavior?
• Thank you so much for the time behavior.

Bills: SB2024, SB896, SB2613, SB494, SB2391, SB2125, SB2614, SB2615, SB3262, SB3325, SB3118

Keywords: charter schools, public-private partnership, school facilities, education funding, community need, education, capital improvement, reporting, transparency, technical expertise, public school land transfer, Department of Education, DOE, land conveyance, fee simple title, tax map key, TMK, Act 307, Session Laws of Hawaii 2022, Act 139

Transcript Highlights:

• This project is 45% behind schedule, and that's driven primarily by vendor delays related to gap analysis
• So we do that by doing current state assessments and doing what we call gap analysis.
• We also provide after-hours behavioral health crisis support for our eight behavioral health clinics
• If we can help over the phone, we do; if not, then we deploy mobile crisis through our behavioral health
• The university system was present at each of the meetings, and, by way of background, a market analysis

Summary: The committee approved the March 26 minutes and then received a quarterly update on major IT projects from NDIT. Staff reported the portfolio included 116 major projects totaling about $546 million, with the overall portfolio under budget but slightly behind schedule. They reviewed projects over the 20% variance threshold, including an Industrial Commission grants management system and DOT’s roadway pre-construction replacement, and then heard startup and closeout reports from HHS, OMB, DPI, and DOT. Several previously troubled projects were closed, including HHS bed management, vital records modernization, and DOT roadway capital planning; some projects finished under budget and ahead of schedule, while others were significantly behind schedule or over budget but were now closed or being remediated. The committee also reviewed NDIT’s annual report, including service-fund financials, peer-state rate comparisons, records management, and customer satisfaction efforts. Members asked about how service-fund revenue and grant administrative charges are accounted for, how chargebacks work, and whether NDIT tracks customer satisfaction scores. NDIT said it does track CSAT-type measures in some service areas and has survey data, but it is not planning another customer survey this summer. Members encouraged more regular reporting of customer satisfaction, service-level metrics, and performance data to help guide future improvements. A major portion of the meeting focused on the state’s mainframe modernization effort. NDIT said the overall effort is still targeting about 2030, with multiple HHS and DOT projects underway and a $15 million tech-debt appropriation already removing some components. Staff described the main obstacles as data cleanup, complex integrations, limited staff capacity, retirements, and vendor constraints, and said they are seeking a vendor with modernization support in the next contract cycle. Members pressed for clearer accountability and faster progress, and NDIT and HHS emphasized that they are working jointly but need continued support and better tools. The committee then heard a cybersecurity update on NDIT’s statewide services and maturity assessments. NDIT explained that it provides vulnerability scanning, endpoint protection, security awareness training, threat briefings, and penetration testing, and that these services are tied to a cybersecurity maturity assessment based on CIS controls. Members questioned the sharp drop in participation since 2020 and whether the self-assessment should be mandatory or tied more strongly to StageNet access or insurance incentives. NDIT said participation is voluntary, but Enderf is now requiring annual assessments to keep a 4% insurance discount, and members discussed whether stronger requirements or audit authority may be needed. The meeting ended as the committee began a follow-up discussion on BEAD broadband connection costs and why some locations are much more expensive to connect than others.