Video & Transcript Research : 'multisystemic therapy'

Page 43 of 137
NH
Transcript Highlights:
  • The alignment of naturopathic doctors and this alternative therapy seemed appropriate.
  • alternative therapy seemed uh seemed<00:48:29.520> appropriate.
  • So the cannabis therapy is a very individualized medicine.
  • So cannabis therapy is a very individualized medicine.
  • is a very the it's a cannabis therapy is a very individualized<00:59:23.760> uh<00:59:24.000>
Keywords: 1189, house, all
Summary: The Health and Human Services Oversight Committee met on April 17 and approved the prior meeting minutes, then set its next meeting for May 29 at 9:30 a.m. Members also discussed a New Futures effort to collect questions about Medicaid changes and post answers as an FAQ, with a preference that the FAQ live on New Futures’ website rather than the state website. The commissioner’s office said it would coordinate responses and that the issue is still evolving. The main presentation was an HHS update focused on the state public health laboratory and its work during Public Health Lab Week. Officials reviewed the lab’s history, its biosafety functions, and its role in disease prevention, food safety, preparedness, and response. They highlighted mosquito surveillance for eastern equine encephalitis, West Nile virus, and Jamestown Canyon virus, noting that the lab tested more than a quarter million mosquitoes last year and that mosquito testing helps provide early warning for local public health decisions. They also discussed rabies testing, saying New Hampshire’s lab is the only one in the state that performs it, that rabies is fatal once symptoms begin, and that the work is preventable through early prophylaxis. Members asked about federal funding cuts, water testing, and whether CDC changes to rabies testing would affect New Hampshire. The department said it had been affected by an $80 million federal clawback but was managing through other funds and staff reassignments; for the water lab, temporary staff had been hired to continue swimming-area testing. Officials said the state remains able to handle rabies testing and that federal changes would mainly affect areas without similar services. They also answered questions on Jamestown Canyon virus, saying New Hampshire had one human case in 2025 and three in 2024, compared with zero West Nile cases in 2025 and one in 2024, and that weather and protective measures influence mosquito-borne disease levels. Additional questions covered biosafety levels, cyanobacteria coordination with the Department of Environmental Services, and the Brown Building flood mitigation, which was described as about halfway complete with a hoped-for reopening of the west side by June.
NH

New Hampshire 2026 Regular Session

Senate Finance (02/03/2026)

Finance

Transcript Highlights:
  • So, for example, there’s CAR-T cell therapies, a specific type of cancer treatment.
  • It’s approximately $700,000 just for the therapy itself, never mind the associated costs.
  • So, for example, there’s CAR-T cell therapies, a specific type of cancer treatment.
  • It’s approximately $700,000 just for the therapy itself, never mind the associated costs.
  • <01:44:50.480> as<01:44:50.719> an that has a a CARTT cell therapy as an that has a
Keywords: 1191, senate, all
MN

Minnesota 2025-2026 Regular Session

Committee on Education Finance - 03/25/25

Education Finance

Transcript Highlights:
  • :15.200> of<00:23:15.279> a<00:23:15.440> sudden Palmer also receives speech therapy
  • , physical therapy, occupational therapy, and ASL instruction from MDS.
  • Physical Therapy occupational therapy Physical Therapy occupational therapy and<00:23:33.360> ASL<
  • to find him a place that understood him as deaf plus and hard of hearing, somewhere he could get therapies
  • heart of hearing somewhere he could and heart of hearing somewhere he could get<00:26:46.320> therapies
Keywords: 1187, senate, all
MA

Massachusetts 2025-2026 Regular Session

Senate Session (Full Formal with Calendar) Jun 21st, 2026 at 11:00 am

Massachusetts Senate Floor Meeting

Transcript Highlights:
  • It protects against AI chatbots providing therapy or psychotherapy.
  • It would prohibit chatbots from providing therapy or psychotherapy.
  • professionals obtain patient consent before using AI for supportive services like transcription or therapy
Keywords: 995, all
Summary: The Senate considered a series of amendments to a primary care health care bill and also took up a separate literacy bill. Several amendments were withdrawn, including one on artificial intelligence in health care and others related to cost controls, direct primary care, and provider studies. The Senate adopted amendments on preserving access to treatment for serious mental illness, modernizing the definition of primary care, clarifying payment rates for community health centers, excluding pharmaceutical spending from primary care expenditure calculations, and strengthening health equity reporting. Other amendments on rate bands, alternative payment systems, private equity reporting, scope of practice, and ownership disclosure were rejected. The Senate then approved the Ways and Means amendment and ordered the primary care bill to a third reading. The chamber also took up final passage of An Act Relative to Teachers Preparation and Student Literacy, with senators describing it as a long-awaited compromise focused on improving early reading outcomes. Supporters said the bill requires evidence-based K-3 literacy curricula, regular student screening and family notification, dyslexia screening protocols, professional development for teachers, and a free state-developed curriculum option. Senators emphasized the need to address declining third-grade reading proficiency and equity gaps. The bill passed to be enacted by a unanimous roll call and was sent to the Governor. After the literacy bill, the Senate returned to the primary care bill, where senators again debated cost containment, innovation, and access. The final version included the adopted amendments and was passed to be engrossed by a roll call vote of 35-4. The Senate then adopted an adjournment order and recessed, adjourning in memory of Henry Thomas III, former Representative Ben Swan, and Mr. Dennis Frane.
LA
Transcript Highlights:
  • Smith, that I think needs to be stressed, and that is the need for additional medical therapy for brain
  • I think needs to be stressed, and that is the need for additional medical therapy for brain injury patients
  • what you're referencing here, to make sure we try to get insurance companies to cover additional therapy
Summary: The committee met with four members present and approved the May 7, 2026 minutes. It then considered a series of transportation, motor vehicle, aviation, port, and memorial designation bills. Several measures were reported favorably, including HB 1086 on electronic titling and digital title transfers, HB 745 extending special tandem load permits, HB 1175 updating the definition of aerospace, HB 1108 creating a Homeschool Proud license plate, HB 722 changing reinstatement procedures so certain suspended licenses are restored once fees are paid, HB 1024 creating a Louisiana Democratic Party license plate, HB 1173 giving drivers on reinstatement payment plans a three-month grace period before late fees apply, and HB 98 imposing a $25 annual royalty fee on a retired legislators’ plate to help restore the Pentagon Barracks. HB 487, dealing with red-light overtaking and an added fine, and HB 1032, a technical cleanup bill aligning DWI/drug-impairment language, were also reported favorably. HB 1050, a CDL cleanup bill that adjusts age and testing provisions and removes outdated vision-waiver language, and HB 1192, creating a Louisiana Dental Hygienist Association plate, were approved as well. HB 989, which would have raised public license tag agent convenience fees, was supported by private tag agents but drew questions about fee parity and business impacts; it was reported favorably. A separate bill on driving school pricing and refunds was deferred and turned into a study resolution after the sponsor said more stakeholder discussion was needed. The committee also advanced several memorial and infrastructure measures. HB 401 designated the Lance Corporal Justin McLeese Memorial Bridge, with members speaking about his military service and sacrifice. HB 1081 moved the Louisiana Ports and Waterways Investment Commission under the Office of Multimodal Commerce for administrative support while leaving port boards independent. HCR 63 created a task force to study whether certain active-duty military personnel could operate federally owned vehicles on state highways without a civilian license. HCR 69 urged priority improvements to the Interstate 12 corridor, especially the bottleneck and interchange areas near I-55, citing safety and evacuation concerns. SCR 58 asked DOTD to review public-private partnership practices, using the Belle Chasse Toll Bridge as a case study and focusing on lessons learned for future projects. HB 1001 designated a portion of U.S. 190 as the Jesse Jackson Memorial Highway. HB 1218 named Highway 1090 the Lewis Pett Miramon Memorial Highway, with family members and supporters describing Miramon’s wartime service and role in building Slidell. HB 1172 designated a highway segment in memory of a 14-year-old hit-and-run victim, Kulin Carrier. One major policy bill, SB 514, was amended and reported favorably. It updates Louisiana’s aeronautics statutes, transfers responsibility for aeronautics activities and facilities from the DOTD secretary to the Office of Multimodal Commerce commissioner, and modernizes the law to align with federal aviation rules and new technologies, including advanced aviation and electric vertical takeoff and landing programs. Members asked about the lengthy amendments, fuel tax language, airport development reporting, and the Transportation Trust Fund, and the sponsor and DOTD explained that the changes were largely technical and intended to keep Louisiana eligible for federal aviation funding and compliant with current standards. The committee also heard extensive testimony on HB 1244, which would add a brain-injury designation to driver’s licenses and require law-enforcement training. The sponsor and advocates described how the designation could help de-escalate encounters and improve safety for people with brain injuries; the bill was reported favorably, with members noting it could also cover broader brain-injury conditions if medically certified. After that testimony, the committee adjourned without objection.
CA

California 2025-2026 Regular Session

Assembly Appropriations Committee May 14th, 2026

Transcript Highlights:
  • AB 1910, Tasha Boerner Horvath, pelvic floor therapy resources, do pass out on an A roll call.
  • AB 2497, Johnson, physical therapy, do pass as amended to remove dry needling.
  • AB 2773, Committee on Business and Professions, Board of Occupational Therapy sunset, do pass.
Summary: The Assembly Appropriations Committee held a suspense-file hearing on May 14, 2026, reviewing hundreds of Assembly bills and a few committee bills. The chair opened by explaining the committee’s budget constraints and the factors used in suspense decisions, including fiscal impact, return on investment, effects on constituents, and protection of the state’s social safety net. The agenda was organized alphabetically by author, and the committee noted that results would be posted later that day online. The committee then acted on a very large number of measures, sending many bills to the Assembly floor on do pass or do pass as amended motions, while holding many others in committee. Topics covered a broad range of policy areas, including housing, health care, education, labor, public safety, wildfire mitigation, water, energy, transportation, cannabis, immigration, and state governance. Many bills were amended to narrow scope, make implementation contingent on appropriations or existing resources, remove provisions, or clarify agency responsibilities; several bills were held without further action. Among the notable actions, the committee advanced bills on items such as Medi-Cal services, child care, wildfire-related programs, housing financing, school and college issues, public safety and criminal justice, environmental and energy policy, and various consumer and business regulations. Some measures were sent out on A or B roll calls, with Republicans often not voting on amended bills. The hearing concluded after the committee reported that a large number of bills had been moved to the Assembly floor, either as do pass or do pass with amendments, and the committee adjourned.
FL

Florida 2026 4th Special Session

January 29, 2026 - 03:00 PM

Transcript Highlights:
  • to succeed in school, including specific accommodations like read-aloud and services like speech therapy
  • It's only the services like speech therapy. So a provider comes in and does a service.
  • This takes the burden off of the teachers and only applies to services like speech therapy, but not read-aloud
ND

North Dakota 2026 1st Special Session

House Floor Session Jan 23rd, 2026 at 09:00 am

North Dakota House Floor Meeting

Transcript Highlights:
  • North Dakota Century Code, relating to criminal history record checks by the Board of Occupational Therapy
  • History record checks by the Board of Occupational Therapy Practice.
  • small change to legislation we passed during the last session related to the Board of Occupational Therapy
Summary: The North Dakota House convened in special session with prayer, roll call, and a quorum present, then took up several rural health-related bills. Senate Bill 2401, as amended, required physicians to complete one hour of continuing education in nutrition and metabolic health each renewal cycle and also added language allowing criminal history background checks for the Board of Occupational Therapy Practice. Supporters emphasized the role of nutrition in reducing chronic disease, and the bill passed 92-0. The House then considered Senate Bill 2402, which expanded pharmacists’ limited prescriptive and therapeutic substitution authority for certain low-acuity conditions and clarified related lab-test and communication requirements. Members discussed examples such as motion sickness, cold sores, lice, hypoglycemia, COVID and flu testing, emergency access to medications and supplies, and limits excluding certain drug classes; the bill passed 91-1. Senate Bill 2403 created a temporary medical facility emergency operating loan option through the Bank of North Dakota for qualifying rural hospitals facing severe financial distress, with extensive debate over the targeted nature of the aid, anti-gifting concerns, repayment terms, and the hospital’s turnaround plan; it passed 80-12. Senate Bill 2404 appropriated funds for NDIT to address federal digital accessibility requirements and for the Public Service Commission’s litigation efforts related to transmission costs, with a backup loan authorization available if needed; it passed 92-0. At the close of the session, leaders thanked members and staff for their work on the rural health transformation package, a committee notified the Governor and the Senate that the House had completed its business, absent members were excused, and the House adjourned sine die.
FL

Florida 2026 Regular Session

Appropriations Committee on Criminal and Civil Justice Nov 19th, 2025

Appropriations Committee on Criminal and Civil Justice

Transcript Highlights:
  • Culturally competent therapy with culturally competent therapists.
  • The trauma therapy they use is accelerated resolution therapy. And then collaborative care.
Summary: The Appropriations Committee on Criminal and Civil Justice met to hear budget presentations from the Florida Department of Law Enforcement (FDLE), an FDLE update on the Uniform Arrest Affidavit and Florida Incident-Based Reporting System (FIBERS), the Department of Juvenile Justice on Florida Scholars Academy, and the Clerks of Court Operations Corporation. FDLE requested funding for a wide range of items, including a new Fort Myers regional operations center lease, technology upgrades for missing persons alerts and criminal justice data systems, replacement breath-test instruments, recurring support for critical public safety contracts, cybersecurity, a career offender registry unit, expanded wellness and peer support for law enforcement, cryptocurrency seizure efforts, vehicle replacement, forensic lab and digital forensics upgrades, a repaired Jacksonville firearm range, and additional resources for criminal alien detection, fentanyl enforcement, and other operational needs. Senators questioned FDLE about the reported 79% increase in officer misconduct cases, body cameras, masking by officers, public records request burdens, and the status of criminal alien detection funding. FDLE’s second presentation explained that FIBERS is Florida’s incident-based crime reporting system and that 61% of agencies, covering 74% of the population, have transitioned to it. The agency also described the Uniform Arrest Affidavit initiative, which standardizes arrest data for statewide sharing. Senators asked about NCIC/FCIC access, hate crime reporting requirements, and why more agencies have not adopted the UAA and FIBERS systems; FDLE said it is working with law enforcement associations and vendors to address technology and implementation barriers. The committee also heard from DJJ Secretary Matt Walsh, who praised FDLE’s wellness program and then reported on Florida Scholars Academy’s first year, including unified education across 39 residential facilities, security fixes after early website access issues, strong enrollment and graduation numbers, and extensive support for students with disabilities. Walsh said the program still faces staffing shortages and a wait list for residential beds, and estimated about 260 additional beds are needed. The final presentation came from Clerk of Court and Comptroller Stacey Butterfield, who said clerks are operating with outdated funding levels and requested $22 million to stabilize operations. She highlighted reimbursement shortfalls for injunctions for protection and other high-risk cases, rising postage and summons costs, and the need to fund clerk staffing for 37 new judges under the “fund the entire courtroom” concept. Senators asked about SB 532, a CPI-based court-fee bill, and about collections of court fines and fees. Butterfield said clerks work with defendants on payment plans and collections, but the system still faces a structural deficit. After the presentations and questions, the committee adjourned without taking any substantive votes or other action.
TX

Texas 89th Regular

Insurance May 7th, 2025

Insurance

Transcript Highlights:
  • Currently, kids must be diagnosed before their 10th birthday in order to access ABA therapy, which is
  • Applied Behavior Analysis Therapy.
  • Kids and teens of all ages can benefit from this therapy, and we really want to make this easier for
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Financial Services Jun 21st, 2026 at 01:00 pm

Joint Committee on Financial Services

Transcript Highlights:
  • For the past 12 years, I've worked and developed therapies for genetically defined diseases.
  • Genetic testing also plays a growing role in identifying eligibility for clinical trials and emerging therapies
Keywords: 995, all
Summary: The Joint Committee on Financial Services held a fully virtual public hearing after a blizzard and state emergency closed the State House and created travel and cleanup concerns. Chairs Senator Paul Feeney and Representative James Murphy opened by thanking first responders and committee staff for making the hearing possible and noted that several members attended remotely. The committee heard testimony on three bills: H.5112, An Act Prohibiting Genetic Discrimination; H.4914, An Act Relative to the Massachusetts Uniform Commercial Code; and S.2921, An Act Relative to Travel Insurance. Most of the testimony focused on H.5112. Representative Dave Rogers and his constituent Robin Biggs testified in support of H.5112, describing gaps in federal genetic nondiscrimination law that do not cover life, long-term care, or disability insurance. Biggs shared her experience as a BRCA2 mutation carrier and said genetic knowledge helped her take preventive steps, but that people fear testing because insurers may use results against them. Lindsay Jack of the ALS Association and Lisa Schlager of FORCE also supported the bill, arguing that it would encourage preventive care, research participation, and fairer underwriting without harming insurance markets. They said insurers could still use medical history and diagnoses, but not genetic test results alone. Committee members asked questions about whether insurers currently request genetic testing and how such information is used in underwriting. Testifiers said the information is routinely asked for or found in medical records, but the bill would prohibit its use in coverage decisions and would prevent insurers from requiring testing. No votes were taken. After testimony concluded and no additional witnesses came forward, the chairs closed the hearing and adjourned the meeting by unanimous voice vote.
CA

California 2025-2026 Regular Session

Assembly Appropriations Committee Apr 8th, 2026

Transcript Highlights:
  • Children with autism across California are facing real challenges accessing applied behavior analysis therapy
  • you're aware of the recent press articles by The Wall Street Journal and the federal audit into these therapies
Summary: The Assembly Appropriations Committee met on April 8, 2026, with a quorum established and 59 bills listed for consideration. The committee first approved two consent calendars: several bills were sent to the Assembly floor on a due-pass basis, and a smaller set was approved due-pass but not eligible for the floor consent calendar. The proposed suspense calendar was then deemed approved without individual debate on those measures. The committee heard several bills in regular order. AB 1977, sponsored by the Secretary of State, would clean up and clarify the Online Notarization Act to support implementation by 2030; it drew no opposition and was approved. AB 2011 would codify existing federal mental health parity standards into state law; supporters said it would preserve enforcement authority, while health plans opposed it as premature given federal uncertainty and possible premium impacts; the bill was placed on the B roll call. AB 1673 would give county fish and game commissions more flexibility to use certain revenues for wildlife conflict prevention, and it advanced on an A roll call. AB 2233 would allow unused authorized ABA therapy hours for children with autism to be made up within the authorization period; supporters emphasized access and continuity of care, while insurers warned of higher costs and reduced utilization safeguards; it advanced on an A roll call. AB 1660, as amended, would give courts more flexibility in cases involving financial institutions and public guardians/conservators, with supporters saying it could save counties time and money; it was approved due-pass as amended. During general public comment, speakers voiced support for AB 2081 and AB 1667, and opposition to AB 1777. After public comment and final vote recording for absent members, the committee adjourned.
ND
Transcript Highlights:
  • medical services personnel, the Interstate Medical Licensure Compact, the nurses' compact, occupational therapy
  • , physical therapy, the psychological interjurisdictional compact, and social work.
Keywords: 908, all
Summary: The Health Care Task Force reconvened to hear reports from its divisions. The Appropriations Division reviewed a draft bill appropriating $198 million in federal grant funds for the current year and another $198 million for the next grant year, authorizing DHS to transfer funds within its budget, allowing OMB to adjust federal fund authority for related grants, speeding procurement and bulk purchasing, requiring grant recipients to acknowledge the temporary nature of the funding, and mandating periodic reporting. After questions were answered to the division’s satisfaction, the committee voted to forward the appropriations bill draft to Legislative Management. The Policy Division then reviewed four bills. One would require the presidential physical fitness test to be included in high school physical education; another would require physicians to complete one hour of continuing education on nutrition and metabolic health each renewal cycle; a third would add physician assistants to the interstate licensure compact framework; and a fourth would authorize limited pharmacist prescriptive authority and therapeutic substitution. Members generally supported the first three measures and noted that the pharmacist bill had been amended in discussion but was left in its current form so stakeholders could comment before the special session. The division also discussed that all four policy bills were tied to the federal grant funding and that failure to pass them, or changing them in a way that reduced CMS scoring, could reduce or eliminate funding. Department officials confirmed that if any of the bills failed or were altered in a way that lowered the score, the state could lose money and could not make up the points elsewhere. Members raised concerns about the physical fitness bill, including possible exemptions for students with severe illnesses or physical limitations, and noted the need for DPI input. Leadership indicated the special session hearings would likely begin Wednesday morning. The committee then approved a motion for Legislative Council to prepare a committee report for Legislative Management and adjourned, noting the task force may need to remain available during the special session.
FL

Florida 2025 Regular Session

Joint Session Mar 4th, 2025

Florida Senate Floor Meeting

Transcript Highlights:
  • THANKS TO HELP OF A HOPE FLORIDA NAVIGATOR THIS HELPED HER COMPLETE HER PHYSICAL THERAPY PROGRAM AND
  • SHE IS NOW PHYSICAL THERAPY ASSISTANT AND SHE IS ON HER WAY TO REALIZING HER DREAMS.
Keywords: 999, senate, all
FL

Florida 2025 Regular Session

FL House Floor Session - 2025-03-04 (11:00AM Session)

Florida House Floor Meeting

Transcript Highlights:
  • Thanks to the help of a Hope Florida navigator, this helped her complete her physical therapy program
  • and she is now a physical therapy assistant and she is on her way to realizing her dreams.
Keywords: 998, house, all
MS

Mississippi 2026 Regular Session

MS Senate Floor - 9 March, 2026; 4:00 PM

Mississippi Senate Floor Meeting

Transcript Highlights:
  • recognition of occupational license for aggravated garden guarding practices of marriage and family therapy
  • of marriage garden guarding practices of marriage and<00:43:05.440> family<00:43:05.760> therapy
  • <00:43:06.360> and and family therapy and and family therapy and uh<00:43:07.560> psychology
Summary: The Senate convened with a quorum present, opened with prayer and the Pledge of Allegiance, and then handled a series of introductions and announcements. Members welcomed guests in the gallery, recognized the doctor of the day, and later made several announcements about memorials, committee meeting times, and calendar deadlines. The chamber also agreed to dispense with the reading of the journal and the titles of bills and resolutions. The body then took up multiple measures, mostly on the appropriations, rules, and general bills calendars. Among the bills discussed and passed were House Bill 941 on the Mississippi Healthcare Industry Zone Act, with an amendment changing the repealer date to 2028; House Bill 1633 on the Site Development Grant Program, with a strike-all clarifying eligible utility and site-improvement expenditures; House Bill 1404 on fraudulent utility conversion, with a substitute strike-all adding protections and criminal penalties related to landlords failing to pay tenant-funded utilities; House Bill 907 revising the timing for sample ballots from the Secretary of State; House Bill 867 allowing Ross Barnett Reservoir funds to be used for shoreline maintenance and erosion prevention; House Bill 1558 revising compensation and reimbursement for the Tishomingo County Water District; and House Bill 514 revising the Veterinary Practice Act to protect certified veterinary technicians and update board membership and fees. Several other measures were also addressed, including Senate Bill 2648, which would let the MSU Extension Service assist poultry farmers with comprehensive nutrient management plans and was amended by the House to add Alcorn State University; Senate Bill 2637, on flexibility for the Northeast District livestock show location, on which the Senate voted not to concur and invite conference; House Bill 1069, the Mississippi Agriculture and Farmland Wind Tower Protection Act of 2026, which was amended to shift review of a waterfowl impact assessment to the Department of Wildlife, Fisheries, and Parks and impose a one-year moratorium with a study committee; House Bill 1073, a consumer choice bill restricting bans on gas-powered farm equipment and lawn tools; House Bill 942 extending the chiropractic licensure repealer and allowing certain animal chiropractic work under veterinarian supervision; and House Bill 479, which extended temporary licensing timeframes for psychology and marriage and family therapy and added safeguards tied to background checks and qualifications. Most of these measures were adopted and passed by voice vote or by afternoon or morning roll call, with a few items retained on the calendar and several motions to reconsider or hold bills for later action.
KY

Kentucky 2026 Regular Session

Senate Legislative Session Day 42 (3-9-26)

Kentucky Senate Floor Meeting

Transcript Highlights:
  • Senator back, and we also extend our prayers to his wife, Jane, as she goes through her rehab, physical therapy
  • she goes through her rehab, uh Jane, as she goes through her rehab, uh physical<00:05:05.920> therapy
  • ,<00:05:06.280> and<00:05:06.360> everything<00:05:06.800> from physical therapy
  • , and everything from physical therapy, and everything from her<00:05:07.280> car<00:05:07.480
Keywords: 958, all
WA

Washington 2025-2026 Regular Session

Senate Human Services Dec 5th, 2025

Transcript Highlights:
  • additional decreases are going to decrease the ability for applied behavior analysis, speech and language therapy
  • , occupational therapy, and these other types of community supports for this population.
  • It cuts pediatric therapy services and visiting nurse services. Complex kids.
  • It cuts pediatric therapy services and visiting nurse services, and that's already going on before we
Summary: The committee heard testimony on the effects of H.R. 1 on Washington’s Medicaid, developmental disability, long-term care, and food assistance systems, followed by a separate discussion of juvenile rehabilitation caseloads and placement capacity. DSHS officials said HR1 could affect home equity rules, immigration-related eligibility, work requirements for some expansion-population enrollees, and provider taxes, while also creating a future opportunity for a new 1915(c) waiver. Advocates and providers warned that any state response that cuts home and community-based services would worsen already thin provider networks, increase waiting lists, push more people into hospitals or out-of-state placements, and strain families and workers. A pediatric behavioral health expert and a supported living provider said Medicaid reimbursement is already too low and further reductions would threaten outpatient, residential, and inpatient services for people with intellectual and developmental disabilities and severe behavioral needs. The committee then turned to SNAP and the state food assistance program. DSHS said HR1 would tighten work requirements and exemptions, end some immigrant eligibility for the federal program, eliminate the SNAP education program, raise state administrative costs, and eventually require Washington to share in benefit costs based on its error rate. Officials estimated large numbers of residents could lose or see reduced benefits, with significant added state costs. Anti-hunger advocates, a food bank director, and a SNAP recipient described the program as essential for low-income families, seniors, and people with disabilities, and said the changes would increase paperwork, reduce benefits, and worsen food insecurity while also harming local food economies. Testimony emphasized that food banks cannot replace SNAP and that work requirements may be difficult to meet for caregivers, people with disabilities, and those facing child care or transportation barriers. In the juvenile justice portion, the Caseload Forecast Council presented the JR forecast, which is currently mostly flat through the end of the biennium but expected to grow modestly over the longer term. Members discussed how policy choices, including the 2019 JR-25 law, have increased lengths of stay for adult-sentenced youth in JR, while diversion and other reforms have affected regular JR trends. A court researcher explained the data available to help forecast admissions and noted ongoing efforts to improve data sharing with JR, AOC, and county systems, though staffing and system-lag issues limit how quickly data can be produced. Juvenile court administrators and DCYF officials described the community-based juvenile justice continuum, rising complexity in the JR population, overcrowding at Green Hill and placement constraints at Echo Glen and Harbor Heights, and the need for more flexible community transition and mental health capacity. No votes were taken.
WA
Transcript Highlights:
  • to us with kind of what their next steps are going forward, and also that access to counseling and therapy
  • So on the bottom left is actually one of our detention staff with our therapy llama.
  • And we also have a therapy dog. We have an urban garden that they have.
  • And we also have a therapy dog.
Summary: The committee began with a work session on juvenile rehabilitation institution capacity, services, and staffing. DCYF Assistant Secretary Jennifer Redmond described overcrowding at Green Hill School and Echo Glen, driven by longer adult-style sentences extending past age 25, limited community placements, and small facility sizes. She said Green Hill remains above safe operating capacity, but staffing, injuries, large-scale aggression, and use-of-force incidents have improved over the past year. She also discussed Harbor Heights, a new 46-bed flex facility that had opened with 22 youth and would expand once a medical trailer arrives, as well as community transition services, vocational programming, behavior management reforms, and a request for more resources for mental health-focused facilities and staffing. Members asked about success metrics, developmental disability screening and supports, college access at Echo Glen, Mission Creek planning, and gender-responsive programming; Redmond said JR uses assessments, family involvement, and specialized living units, and that some requested funding had already been secured for returning a girls’ program at Echo Glen. The committee then heard from Team Child and the Youth Action Coalition. Greta Schultz said youth perspectives should guide system reforms and identified key concerns: overuse of sentence extensions, underuse of community transition services, continued criminal referrals from Green Hill to Lewis County, limited family contact, inadequate mental health access, and unequal education opportunities, especially for young women at Echo Glen. Justella Gonzalez, a former system-involved youth, said her time in county and state facilities was harmful, with staff mistreatment, poor education, limited therapy access, and humiliating restraint practices; she also said girls at Echo Glen lacked the same college opportunities as boys at Green Hill. Committee members asked for follow-up on county versus state experiences and on telehealth mental health services. The next presentation covered county-level services for youth involved or at risk of involvement with the justice system, led by juvenile court administrators Christine Simon-Smeyer and Judge Rachel Anderson. They outlined the juvenile court continuum from prevention and truancy work through diversion, detention alternatives, community supervision, and disposition alternatives, emphasizing evidence-based, trauma-informed, and restorative practices. Clark County was used as an example of a court that partners closely with schools and community providers, uses risk assessments and wraparound behavioral health probation, and offers detention alternatives without electronic home monitoring. They said most courts do not use detention for status offenses, but instead use court involvement to connect youth to services. They also described funding, noting that courts rely on a mix of state block grant and local dollars, and that recent cuts to early intervention funding reduced programming and staff hours. Members asked about detention for truancy, developmental disability identification, restorative justice practices, and the juvenile block grant. Finally, DCYF Assistant Secretary Nicole Rose and Katie Warren of the Washington State Association of Head Start and ECAP discussed child care and early learning impacts from recent policy and budget changes. Rose said Fair Start for Kids investments had increased child care access, provider participation, and kindergarten readiness, with more than 60,000 children in Working Connections care and rising ECAP enrollment and provider capacity. She said recent reductions will raise most family copays in 2026, delay eligibility expansions, eliminate some expanded eligibility categories, reduce ECAP slots by about 3,000, delay entitlement timelines, and cut provider supports such as rate increases for centers, complex-needs grants, trauma-informed and dual-language incentives, and infant/early childhood mental health consultation. Warren emphasized ECAP’s role in family stability, workforce participation, and reducing poverty, and noted its two-generation approach to supporting both children and parents.
TX
Transcript Highlights:
  • When our children turn three years old, they have access to education and therapies with their local
  • In NICU bills, therapy bills, special equipment, medications, it cost our family $25,000 just... for
  • opportunity to be included— in extracurricular activities, such as cheerleading, or to get speech therapy
  • it's In the distinction between this being in the education category and the behavioral health and therapy