Transcript Highlights:

• communities, and made it possible for them to bill Medicaid for providing these mental health and autism
• Where do we send kids who are on the spectrum and need some additional services for autism?
• <02:49:57.760> and autism and autism and um<02:49:59.680> other<02:50:00.080> behavioral
• > autism?
• It could be autism, Down syndrome, brain injuries.

Keywords: 916, all

Transcript Highlights:

• The challenge of substance use disorder brings real impacts on people, families, and neighborhoods.
• leaders of the public behavioral health agencies that serve the mental health and substance use disorder
• I was born with the rare genetic skin disorder epidermolysis bullosa, or EB.
• Bill Roby on behalf of the National Bleeding Disorders Foundation in support.
• and other psychotic disorders.

Keywords: 988, house, all

Transcript Highlights:

• The other end of the spectrum here are our northern businesses, our resorts, and everything that's connected
• One of them has an IEP; he's on the autism spectrum.

Transcript Highlights:

• And that goes across the spectrum.
• Give me your child with autism. Give me your child who's oppositional defiant.
• Representative Campbell and others, House Bill 711, a bill to be entitled an Act relating to the Spectrum

Bills: HB 1520, HB 1545, HJR 110, HJR 203, HB 245, HB 1465, HB 1482, HB 294, HB 793, HB 809, HB 3928, HB 334, HB 2037, HB 1973, HB 285, HB 4341, HB 4264, HB 1043, HB 837, HB 1234, HB 1193, HB 1194, HB 1646, HB 1729, HB 2498, HB 1314, HB 2295, HB 1353, HB 1531, HB 1988, HB 5398, HB 3960, HB 3923, HB 1407, HB 1764, HB 2221, HB 2214, HB 2517, HB 2518, HB 2213, HB 5008, HB 5092, HB 3421, HB 3663, HB 3748, HB 3800, HB 3756, HB 2613, HB 3782, HB 5246, HB 4344, HB 4044, HB 4066, HB 2702, HB 2807, HB 2869, HB 2898, HB 3181, HB 3250, HB 4153, HB 2091, HB 2115, HB 2542, HB 2768, HB 3349, HB 3352, HB 4406, HB 1593, HB 1899, HB 3133, HB 4432, HB 4960, HB 3214, HB 3915, HB 3508, HB 2145, SB 304, SB 608, SB 2312, SB 494, SB 530, HB 45, HB 2520, HB 35, HB 47, HB 318, HB 349, HB 554, HB 1359, HB 1373, HB 2254, HB 2259, HB 2853, HB 3073, HB 3088, HB 353, HB 355, HB 786, HB 762, HB 705, HB 932, HB 849, HB 1119, HB 3041, HB 713, HB 3104, HB 3970, HB 4042, HB 4490, HB 1731, HB 2607, HB 3689, HB 1788, HB 1612, HB 138, HB 15, HB 1971, HB 1338, HB 2989, HB 267, HB 1201, HB 2954, HB 5265, HB 1804, HB 5061, HB 1520, HB 1545, HJR 110, HJR 203, HB 1887, HB 1914, HB 2402, HB 2306, HB 1809, HB 2350, HB 3000, HB 3237, HB 3326, HB 3211, HB 1056, HB 2081, HB 2187, HB 3092, HB 3308, HB 3526, HB 3750, HB 3527, HB 4219, HB 4230, HB 4290, HB 5238, HB 4804, HB 4749, HB 245, HB 1465, HB 1482, HB 294, HB 793, HB 809, HB 3928, HB 334, HB 2037, HB 1973, HB 285, HB 4341, HB 4264, HB 1043, HB 837, HB 1234, HB 1193, HB 1194, HB 1646, HB 1729, HB 2498, HB 1314, HB 2295, HB 1353, HB 1531, HB 1988, HB 5398, HB 3960, HB 3923, HB 1407, HB 1764, HB 2221, HB 2214, HB 2517, HB 2518, HB 2213, HB 5008, HB 5092, HB 3421, HB 3663, HB 3748, HB 3800, HB 3756, HB 2613, HB 3782, HB 5246, HB 4344, HB 4044, HB 4066, HB 2702, HB 2807, HB 2869, HB 2898, HB 3181, HB 3250, HB 4153, HB 2091, HB 2115, HB 2542, HB 2768, HB 3349, HB 3352, HB 4406, HB 1593, HB 1899, HB 3133, HB 4432, HB 4960, HB 3214, HB 3915, HB 3508, HB 2145, HCR 6, HCR 12, HCR 34, HCR 50, HCR 55, HCR 58, HCR 70, HCR 71, HCR 72, HCR 74, HCR 75, HCR 78, HCR 80, HCR 93, HCR 100, HCR 107, HCR 116, HCR 117, HCR 90

Keywords: Angelina and Neches River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, Special District Local Laws Code, local government, natural resources, board of directors, director training, board governance, public testimony, open meetings, public information, conflict of interest, ethics, complaint system, general manager, board president, staggered terms, removal of director

Summary: The Florida House considered multiple bills on Day 59 of the legislative session. Key legislation included CS for HB 1103 on developmental disabilities services, which expanded a pilot program statewide while maintaining current contracts. CS for SB 1730 addressed affordable housing with amendments protecting historic districts. CS for HB 443 on charter schools allowed stricter codes of conduct and virtual student athletic participation. CS for HB 209 prohibited golf courses and hotels in state parks. Lucy's Law (CS for HB 289) increased boating safety penalties and education requirements. CS for HB 1205 significantly restricted citizen ballot initiatives by requiring petition circulator registration, limiting volunteer collections to 25 signatures, adding financial impact statements, and imposing new penalties. The House also passed bills on animal cruelty databases, waste incineration restrictions, and spectrum alerts for individuals with developmental disabilities.

Transcript Highlights:

• because they struggle with serious mental illnesses, drug addiction, and psychological and behavioral disorders
• End of the spectrum and says that if a community will lower the cost of housing and actually produce
• far as the whole array of federal programs related to housing aimed at the lower income end of the spectrum
• create some increase year over year in the available. housing stock aimed at that end of the income spectrum

Keywords: affordable housing, government investment, barriers, legislative solutions, public testimony

Summary: The committee meeting focused on addressing the significant issue of affordable housing in America. Members expressed concern over the persistent barriers faced in the housing sector, despite substantial government investment aimed at alleviating these issues. It was highlighted that government interference plays a critical role in complicating the housing landscape, and discussions revolved around potential legislative approaches to mitigate these challenges. Several witnesses provided testimony, contributing to a thorough exploration of the topic.

Transcript Highlights:

• This bill would expand access to Care Court and help more Californians with schizophrenia spectrum and
• other psychotic disorders receive the care that they need.
• There have been polls and research that says across the entire spectrum of California—independents, Republicans

Summary: The Assembly Health Committee heard several bills focused on mental health access, preventive care, health care costs, detention oversight, and daylight saving time. SB 989 would streamline Care Court referrals by allowing first responders to ask county behavioral health agencies to review and file petitions; supporters, especially firefighters and families, said the current process is too burdensome, while Disability Rights California and other opponents argued Care Court is coercive and unproven. SB 1089, as amended, would direct CalRx/HHS to help distribute GLP-1 medications more broadly and more affordably; the author described her own experience with the drugs, and the bill drew support from medical and life sciences groups with no opposition. SB 1309 would eliminate out-of-pocket costs for medically appropriate lung cancer screening follow-up care; cancer advocates and survivors strongly supported it, while health plans and insurers opposed it as costly and said the bigger problem is low initial screening rates. The committee also heard SB 1284, which would require DHCS to report large employers whose workers are enrolled in Medi-Cal and estimate taxpayer costs, framed by supporters as a transparency measure about corporate reliance on public coverage. SCR 7, urging permanent standard time for health reasons, passed with support from medical groups and no opposition. SB 995, the Masuma Khan Justice Act, would create statewide inspection and enforcement standards for large involuntary residential facilities, including private immigration detention centers and certain youth facilities; supporters cited unsafe and inhumane conditions, while county probation officials objected to duplicative oversight for secure youth treatment facilities. The committee took votes on each measure, and the bills and resolution advanced, with SB 1309 and SB 1284 moving on amended and the others also reported out; the consent calendar was approved as well.

Transcript Highlights:

• :26:15.520> in<04:26:16.000> that There's also a difference in, uh, I know that the autism
• Uh, autism is different between medical and educational autism needs.
• So you can have autism and not have any educational needs at that time, and that is, you know, the decision
• Uh, autism is different between medical and educational autism needs.
• So you can have autism and not have any educational needs at that time, and that is, you know, the decision

Keywords: 1189, house, all

Transcript Highlights:

• <00:07:11.360> in contributions of people with autism in contributions of people with autism
• committed to supporting the autism committed to supporting the autism community<00:07:37.440>
• early and equitable access to autism early and equitable access to autism identification,<00:07:
• Now appreciation of those with autism.
• Minnesota that it recognizes Autism Acceptance Month and its contributions of people with autism

Keywords: 1183, house

Transcript Highlights:

• This is a game changer for families with children with autism.
• And as you may know, we have ...in educating our children with autism.
• Back, you know, just back in 2002, one in 150 children were diagnosed with autism.
• for autism awareness and bringing together all the research and best practices.
• Specifically for children with autism, it's very hard to place a child with autism in a regular summer

Summary: The Committee on Fiscal Policy met to consider CS for SB 1121, a bill on children with developmental disabilities, especially autism. Senator Harrell said the bill would expand early screening and referrals, extend Early Steps services, designate the University of Florida Center for Autism and Neurodevelopment as a statewide hub, create grants for autism-focused charter schools and summer programs, and establish an autism microcredential for instructional personnel. Supporters, including Florida Goodwill Association, Florida DD Council, Florida for Florida’s Future, and Autism Speaks, said the measure would improve workforce training, early intervention, and educational outcomes for children with autism. The committee adopted two amendments. One expanded the Early Steps extended option so services continue until a child enters school, rather than ending at age four. The second addressed fiscal impacts, with discussion indicating no immediate cost this year but projected impacts of about $8.5 million in 2026-27 and about $15 million in 2027-28 as the program fully ramps up. Members also asked about Medicaid coverage, provider shortages, training, and whether private schools could receive charter-school grants; Senator Harrell said Medicaid-covered children would remain covered, the microcredential would be online and free, no provider reimbursement increases were built into the bill, and private schools would not be eligible for the charter-school grants. After debate, including supportive remarks from President Passidomo emphasizing early detection and research into autism causes, the committee voted to report CS for SB 1121 favorably. The motion passed by roll call, and the meeting adjourned.

Transcript Highlights:

• Welcome to the Arkansas Legislative Autism Task Force. Good morning.
• The importance of autism and what we need to do as a state to assist.
• I know that with autism, communication is a huge part of the diagnosis.
• I know that with autism, communication is a huge part of the diagnosis.
• I mean, legally, an adult GI doctor can diagnose autism.

Summary: The Arkansas Legislative Autism Task Force approved the April 1, 2026 meeting minutes and then reviewed several vacant membership slots on the task force, including appointments from the Arkansas Psychology Board, Arkansas Blue Cross Blue Shield, UAMS, and parent or guardian positions. Members discussed trying to fill those vacancies before the next meeting, and noted that if they remain open they may be addressed in the task force’s legislative report and through possible statutory changes in the next General Assembly. Representatives from the Developmental Disabilities Provider Association (DDPA) and Civitan Services presented on DDPA’s role serving children and adults with intellectual and developmental disabilities across Arkansas. They said DDPA now represents 80 providers serving more than 13,000 individuals in 75 counties, with services including early intervention, adult day programs, supported employment, intermediate care facilities, work activities, and community/residential waiver services. They also shared survey data on older clients and said these services remain available to seniors with IDD, including people with autism. The task force then heard a proposal to amend Act 656 of 2021 to include licensed psychological practitioners as qualified providers for autism waiver-related evaluations. The presenter argued this would reduce wait times, avoid duplicate assessments, and help families access services sooner, while still maintaining quality standards. Members asked about training, licensure, and whether other professionals such as speech-language pathologists or audiologists should be included; Dr. Scott noted that current practice already relies on a two-provider model and that speech-language pathologists play a role because autism diagnosis considers communication, cognitive ability, and language. The discussion also touched on the need for proper testing standards and board oversight. No vote was taken on the amendment, and the meeting ended with plans to return to fraud-related discussion and to begin prioritizing recommendations for the 2027 session before adjourning.

Transcript Highlights:

• Across the nation and far too often here in Texas, we have seen disorder, intimidation, Here in Texas
• , we have seen disorder, intimidation, and open hostility replace reason and dialogue.
• USA at the ripe old age of 18 was because the marketplace of ideas had been skewed so far in one spectrum
• President Davis about: this anti-Semitism that seems to be present now in the fringes of the political spectrum
• pleasantly surprised, I think, just to see regards to political affiliation, people from across the spectrum

Summary: The joint Senate and House Select Committee on Civil Discourse and Freedom of Speech in Higher Education convened for its first public hearing, adopted its proposed rules without objection, and framed the hearing as an organizational, invited-testimony-only session. Members repeatedly condemned political violence and the assassination of Charlie Kirk, saying the committee was created in response to concerns about civil discourse, intimidation, and hostility on college campuses. Several members emphasized that the goal was not to suppress speech but to protect open expression while maintaining order, due process, and institutional accountability. The first witness, Texas Higher Education Coordinating Board Commissioner Wyn Rosser, outlined implementation of Senate Bill 37. He described the General Education Advisory Committee, which is reviewing broad core-curriculum knowledge and skills and may recommend reducing the current 42-hour core, while leaving review of specific courses to individual institutions. He also explained the new Office of the Ombudsman, the board’s role in supporting it, and existing training and certification requirements for governing board members. Members asked about enforcement tools, transparency, and whether the ombudsman would investigate complaints involving censorship, retaliation, or political bias; Rosser said some enforcement exists in certain laws, but he deferred on the exact scope of the ombudsman’s investigatory authority and on issues outside the agency’s role. University of Texas at Austin President Jim Davis testified that UT Austin supports free speech, academic freedom, and civil discourse, and he described three areas of focus: speech on campus grounds, classroom discourse, and how people treat one another. He said the university enforces time, place, and manner rules, expects professors to present alternative views on controversial topics, and has created internal reporting and appeal processes for students and faculty. Members questioned him about heckler’s veto incidents, protests, off-campus participants, complaints about professors, hate speech, and whether the university would protect speakers and students from disruption or unfair targeting. Davis said the university would not tolerate disruptions, would use due process and factual review, and is working to align campus practices with the new law and regents’ expectations. Ricky Adam Jr. of Turning Point USA’s Club America described the group’s campus and high-school organizing, praised Charlie Kirk’s approach to open debate, and said the organization is expanding in Texas. He raised concerns about school administrators and a counselor at an Early College High School in Killeen allegedly interfering with a student club and withholding footage, and committee members said they would seek information and, if necessary, use legislative process to investigate. Members from both chambers reiterated support for free speech, criticized political violence and campus suppression of viewpoints, and stressed that future hearings would continue examining implementation and enforcement issues.

Transcript Highlights:

• Welcome to the Arkansas Legislative Autism Task Force. Good morning.
• I know that with autism, communication is a huge part of the diagnosis.
• I know that with autism, communication is a huge part of the diagnosis.
• I mean, legally, an adult GI doctor can diagnose autism.
• In addition to two providers, you have to have an autism-specific measure.

Summary: The Arkansas Legislative Autism Task Force approved the April 1, 2026 meeting minutes and discussed several vacant membership slots, including positions tied to the Arkansas Psychology Board, Arkansas Blue Cross Blue Shield, UAMS, and parent or guardian appointments. Members said they would try to fill the vacancies and, if not, include the issue in the legislative report and consider statutory changes in the next General Assembly. The task force then heard from the Developmental Disabilities Provider Association and Civitan Services about DDPA’s role in supporting 80 provider organizations serving more than 13,000 children and adults with intellectual and developmental disabilities across 75 counties. They described services such as early intervention day programs, adult day programs, supported employment, intermediate care facilities, work activities, and community/residential waiver services, and said autism falls within the populations they serve. They also shared survey information on services used by older adults with IDD and offered contact information for providers. Members also heard a proposal to amend Act 656 of 2021 to add licensed psychological practitioners as qualified providers for autism waiver-related evaluations. The presenter argued this would reduce wait times, avoid duplicate assessments, and help families access services sooner, while noting that Arkansas Medicaid already pays for some of these evaluations. Task force members and Dr. Scott discussed the roles of psychologists, speech-language pathologists, and the possibility of using training or board oversight to ensure evaluators are properly qualified, with some noting that speech pathologists’ inclusion has historical and clinical roots. The task force also said it still needs a future discussion on fraud, plans to invite the Attorney General’s office, and wants to identify priorities for the 2027 session before adjourning.

Transcript Highlights:

• THIS IS A GAME CHANGER FOR FAMILIES WITH CHILDREN WITH AUTISM.
• DESIGNATES THE CENTER FOR AUTISM AND NEURODEVELOPMENT IS A STATEWIDE HUB FOR AUTISM AWARENESS AND BRINGING
• SPECIFICALLY FOR CHILDREN WITH AUTISM.
• IT'S HARD TO PLACE A CHILD WITH AUTISM IN A REGULAR SUMMER CAMP.
• MY LOCAL HOPE SCHOOL FOR AUTISM HAS A WAITLIST OF 150 CHILDREN.

Keywords: 999, senate, all

Transcript Highlights:

• time, I still feel that this budget marks a time when we should be devoting ourselves to the full spectrum
• Thank you. ...the full spectrum of issues that our constituents are suffering from at this moment in
• Construction workers are significantly more likely to develop opioid use disorders and other addictions
• That is why I'm angry and deeply up opioid use disorders and other addictions compared to other professions

Summary: The Senate opened with prayer, the Pledge of Allegiance, communications, committee reports, and leaves of absence. The journal was approved 50-0. The chamber then took up House Bill 1505, which drew extended debate over school funding and adequacy/tax equity. Senators Coleman and Keefer argued the bill continued to pour money into districts like Allentown without accountability or improved results, while Senators Costa, Miller, Haywood, and Anthony Williams defended the funding as a response to historic underfunding and the Commonwealth Court decision. A motion allowing Senator Coleman a third speaking turn was adopted 27-23, and the bill ultimately passed 45-5. The Senate then considered House Bill 2400, the General Appropriation Act. Supporters, including Senators Martin, Dush, Phillips-Hill, Costa, Ward, Street, Hughes, and Pittman, emphasized that the budget was balanced without using the rainy day fund or raising taxes, reduced the governor’s proposal, increased education and child care funding, supported nursing homes, rape crisis centers, infrastructure, and workforce programs, and shifted money from lapsed or unused accounts to current priorities. Opponents, including Senators Saval and Muth, said the budget failed to address structural deficits and omitted new revenue options, emergency services funding, and other major issues. The bill passed 44-6 with amendments and was returned to the House for concurrence. The Senate also passed a series of other bills, including House Bills 2412, 2413, 96, 858, 1042, 1286, 1646, 1851, 1862, 2017, 2024, 2401, and 2559, with varying margins, and sent them to the House, some with amendments. House Bill 1042 drew a negative recommendation from Senator Costa over a late amendment involving second-degree murder/felony language, but after reconsideration and vote changes it passed 30-20 with amendments. House Bill 1862, creating an Ignition Interlock Driver’s License, passed 45-5 after support from Senator Judy Ward. House Bill 1248 passed 43-7 and designates Pennsylvania rye whiskey as the official state spirit, with Senators Bartolotta and Robinson speaking in support. The chamber also adopted Senate Resolution 216, after defeating Senator Haywood’s amendment to narrow the scope of a proposed Legislative Budget and Finance Committee study of managed care organizations; the resolution passed 31-19. Several other bills were held over in their order, and the Senate later moved toward a condolence resolution.

Transcript Highlights:

• are from homelessness, how many people are falling into homelessness, actually thinking about the spectrum
• They're the first to encounter mental health crises, substance abuse disorder episodes, homelessness,
• training that matches the need and certainly we see the need of mental health and substance abuse disorder
• creating havoc on all of our public and private Substance abuse disorder creating havoc on all of our
• disorders receive the care they need by expanding access to CARE Court.

Keywords: 987, senate, all

Summary: The Senate convened with a quorum present, offered a prayer and the Pledge of Allegiance, and then proceeded through gubernatorial appointments and third-reading measures. Three appointments to the California Housing Finance Agency Board and the State Mining and Geology Board were confirmed by unanimous or near-unanimous votes. The body then considered a series of bills on criminal procedure, military authority, housing, refinery safety, land use, music festivals, homelessness planning, solar tax assessment, HOA assessments, privacy, utility accounts, refrigerant disposal, law enforcement training, natural gas planning, school transfers, and regional transportation planning. Among the more debated measures, SB 1173 on lesser related offense instructions passed 25-10 after opposition centered on judicial discretion and consistency. SB 1354, limiting out-of-state military or law enforcement activity without the Governor’s permission, passed 29-9 after supporters framed it as a sovereignty measure and opponents argued federal command authority controls. SB 1090, the Altadena disaster-speculation bill, passed 29-9; supporters said it would curb predatory investor purchases after wildfire disasters, while opponents raised concerns about property rights and market effects. SB 966 on refinery worker participation in safety standards passed 30-9 amid a dispute over worker protections versus regulatory burden, and SB 1256, a local housing/subdivision bill, passed 32-0 despite concerns about fire-safety amendments. The Senate also approved SB 865 on music festivals, SB 866 on homelessness planning with a commitment to exempt smaller cities, SB 1007 on HOA assessment transparency and homeowner approval thresholds, SB 923 on privacy deletion rights, SB 1098 on utility balancing accounts, SB 1010 on refrigerant recovery, SB 937 on flashbang and breaching-device restrictions, SB 1082 on inter-district transfer timelines, and SB 1087 on modernizing regional transportation planning. SB 1329 on solar farm property tax assessment drew extensive debate over county revenues, solar development certainty, and fairness to rural communities, but ultimately passed after the call was lifted. Several measures were supported by authors and committee chairs as balancing consumer, worker, or local government protections against concerns about costs, regulatory stability, and local control.

Transcript Highlights:

• And so there's sort of that end of the spectrum, but then there's also 24/7 care, um, where you have
• So there's a pretty wide spectrum.
• ,<00:49:54.640> but sort of that uh end of the spectrum, but sort of that uh end of the spectrum
• So there's a pretty<00:50:17.440> wide<00:50:17.760> spectrum.
• Uh across the pretty wide spectrum.

Keywords: 928, house, all

Summary: The Committee to Study Long-Term Managed Care met to approve prior minutes and outline its schedule, with meetings set for September 24 and September 29 ahead of an October 1 report deadline. The chair said the committee would use the first two meetings to digest testimony, likely ask follow-up questions of DHS, and then work toward conclusions and a report format. The minutes from the previous meeting were approved unanimously. The main testimony came from Sharon Alexander of Amera Health, who argued in favor of moving from fee-for-service Medicaid long-term services and supports to a managed LTSS model. She described managed LTSS as a capitated, quality-driven system used in about 26 states, and said it can improve care coordination, accountability, access to home- and community-based services, and budget predictability. She cited Amera Health’s experience in Pennsylvania and Delaware, including care coordination, housing and transportation support, caregiver programs, and quality benchmarks tied to state oversight. She also said nursing facilities would remain an important option for people who need that level of care. Committee members asked about how the programs are administered, how rates are set, how care managers work, and how quality is measured. Alexander said states contract with managed care organizations at actuarially sound capitated rates, with annual contracts, reporting, and oversight. She explained that care managers typically conduct quarterly assessments and follow up after trigger events such as hospitalization, and that housing coordinators may assist with transitions to the community. On quality, she said states use CMS-related and HCBS benchmark measures covering service timeliness, care planning, transitions, and other outcomes, and that New Hampshire could build on existing metrics rather than starting from scratch. She also noted that rural areas face workforce and transportation challenges, which managed care plans try to address through technology and self-direction options.

Transcript Highlights:

• Welcome to the Arkansas Legislative Autism Task Force. A motion was made and seconded.
• I know that with autism, communication is a huge part of the diagnosis.
• I mean, legally, an adult GI doctor can diagnose autism.
• I, of course, GI doctor can diagnose autism.
• In addition to two providers, you have to have an autism-specific measure.

Keywords: 1204, all

Transcript Highlights:

• Before we start, I'd like to take a moment to recognize that today is the first day of Autism Awareness
• To talk about the two programs for our students with autism and other disabilities.
• In terms of students, since 2012, 70 students have been supported by autism support program.
• So they could decide that they don't need this intensive autism-specific supports.
• But anything, I think this is the group that could help and get autism identified past 21.

Summary: The committee heard presentations on three Arkansas programs serving students and adults with autism and other developmental disabilities. University of Arkansas representatives described the Empower Program, a non-degree, four-year inclusive postsecondary program for young adults with mild intellectual disabilities, and the Autism Support Program, which provides intensive academic, peer, and career coaching for degree-seeking students with autism. They explained the programs’ person-centered planning, residential and employment supports, fee structure of $5,000 per semester for each program, and scholarship/fundraising efforts to offset costs. Members asked about dorm arrangements, mentoring, individualized plans, and how students move in and out of support services, and the presenters emphasized independence, integrated campus life, and transition planning. Pulaski Technical College staff then presented the 3D program, a three-year transition program in culinary, baking, and hospitality for students with intellectual and developmental disabilities. They outlined integrated classes, internships, job placement outcomes, and data showing strong completion and employment retention rates. Questions focused on how success is measured, tuition and financial aid, and the challenge of securing community partners for practicum and employment sites. The presenters said the program uses rubrics that include technical and professional skills, charges $5,700 per semester, and is pursuing accreditation through the Inclusive Higher Education Accreditation Council. The final presentation was from SLS Community, a Fayetteville nonprofit serving neurodivergent adults through residential supports, supported employment, and community initiatives. Leaders described their vision for a future mixed-use “live-work-play” development at Cato Springs, current residential and vocational services, and community events such as a 5K and a neurodiversity health care conference. Family members testified about the need for adult services, trained direct support professionals, and better reimbursement and behavioral health supports after age 21. No formal votes were taken beyond approving the prior meeting minutes, and members also announced upcoming autism-related events and requested future discussion on task force appointments and ABA-related issues.

Transcript Highlights:

• But this isn't an overall perception, uh, and understanding of where we need to go from a broad spectrum
• <01:42:06.719> point<01:42:06.880> of to go from a broad spectrum point of to go from
• a broad spectrum point of view.<01:42:07.679> So<01:42:08.000> there's<01:42:08.719>
• Um, when we're talking about behavioral health and treatment for substance use disorders, I think it
• , I think it makes sense to to disorders, I think it makes sense to to have<01:52:03.360> someone<

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board reconvened and heard a presentation from the Attorney General’s Office Medicaid Fraud and Abuse Control unit. AG staff described the unit’s structure and work: it investigates and prosecutes Medicaid provider fraud, and also handles abuse, neglect, and exploitation cases involving vulnerable adults in facility settings when asked to assist. They said the office has prosecutors, detectives, auditors, and support staff, works with federal partners, Commonwealth’s attorneys, CHFS, DMS, OIG, and MCOs, and uses a hotline and referral line for complaints. They also explained the MCO referral process, including monthly meetings, stand-down lists, and review of referrals for a “credible allegation of fraud” before the AG office decides whether to open a criminal or civil investigation. The presentation focused heavily on current fraud trends. Staff said behavioral health is a major concern, along with participant-directed waiver services, medically assisted treatment, cash billing for services, controlled-substance billing, and vision and dental fraud. They gave examples such as duplicate time sheets for family caregivers, questionable Suboxone counseling and urine drug screening practices, and a prior optometry case involving false claims for children’s glasses. They also discussed CMS’s estimate that about 5% of Medicaid payments are improper, noted that most improper payments are at the fee-for-service level, and said there is no reliable overall fraud-rate estimate. They highlighted a sharp shift in behavioral health billing after the cabinet’s November 1, 2024 policy changes, saying individual psychotherapy spending dropped while group billing increased, suggesting providers may have moved billing to different codes. Members asked about the scale and timing of cases, how MCO referrals are screened, and whether the data reflected more people being served or just higher spending. The AG office said investigations can take years, with some federal cases still awaiting sentencing from 2018 and 2019 matters, and that they currently had nine individuals awaiting sentencing in federal court. They also reported 58 hotline reports during the referenced period, six cases opened from MCO referrals, and four additional MCO referrals not accepted for active cases. Several members raised concerns about home-based services and the risk of abuse or fraud when family members are reimbursed, and asked whether the process could be streamlined; the AG office said it had no immediate recommendations but would be willing to return with suggestions after further review.

Transcript Highlights:

• The challenge of substance abuse disorder brings real impacts on people, families, and neighborhoods.
• Sober living homes providing unlicensed substance use disorder treatment and activities those centers
• I was born with the rare genetic skin disorder epidermolysis bullosa, or EB.
• Bill Roby, on behalf of the National Bleeding Disorders Foundation, in support.
• and other psychotic disorders.

Summary: The Assembly Health Committee heard several measures, beginning with SB 331 by Sen. Menjivar, which would require large-group health plans to cover hearing aids for children. The author and supporters described the bill as a long-running effort to address a developmental emergency and reduce out-of-pocket costs for families, while opponents were absent. Testimony from parents, advocates, medical experts, and organizations emphasized the importance of early access to hearing aids; committee members voiced strong support, and the bill was moved on a do-pass basis to Appropriations, with several members requesting to be added as coauthors. The committee then heard SB 608, also by Sen. Menjivar, to expand access to condoms in school-based health centers and related settings and to prevent barriers such as ID checks. Supporters, including students and school health advocates, argued the bill would improve sexual health and reduce stigma, while opponents from family and faith groups argued it would undermine parental authority and normalize early sexual activity. The bill was supported by committee members and moved forward on a do-pass basis to Appropriations. Next, SB 971 by Sen. Choi proposed community-based healthy aging partnerships for older adults, with testimony from the California Senior Legislature and supporters from aging and dementia organizations. The measure was described as voluntary and focused on connection, independence, and local collaboration; there was no opposition, and the committee moved it on a do-pass basis to Appropriations. The committee also heard SB 869 by Sen. Weber Pierson, which would require warning icons and statements on chain restaurant menus for beverages with very high added sugar content. Supporters framed it as a transparency and public health measure, while restaurant and beverage industry representatives opposed it unless amended, citing cost and menu-space concerns; the bill was nevertheless moved on a do-pass basis to Appropriations after a roll call vote, with some members voting no and the measure placed on call. The committee also considered SB 950 by Sen. Weber Pierson, aimed at ensuring timely coverage of FDA-approved, medically necessary treatments for early-onset Alzheimer’s disease on commercial plans. Supporters, including the Alzheimer’s Association and a patient advocate, said the bill would reduce delays and barriers to care, while health plan representatives opposed it over step therapy and utilization-management concerns. Members discussed the limited treatment window and the need for early access, and the bill was moved on a do-pass basis to Appropriations. In addition, SB 490 by Sen. Umberg would set timelines for DHCS investigations of unlicensed sober living homes and allow counties to assist if the department cannot act in time; supporters from Anaheim and a patient-brokering survivor described serious abuse and oversight gaps, while county behavioral health representatives opposed the county role as an unfunded and potentially liability-creating burden. After discussion, the bill was also moved on a do-pass basis to Appropriations. Finally, the committee began hearing SB 1037 by Sen. Weber Pierson on health insurance affordability and rate review, with supporters arguing it would tie premium increases more closely to affordability targets and public reporting; the transcript cuts off before the committee completed action on that measure.