Transcript Highlights:

• But easier access to addiction treatment cannot happen without a substantially larger addiction treatment
• And I would tell everyone just this, you know we have to have treatment, we know we have to have treatment
• Past that, we want to make sure that people can receive treatment, good treatment.
• We said medical-based treatment therapy is the gold standard for treatment, greater access to naloxone
• behavioral treatment.

Committee: Senate Aging (Special) Committee

Keywords: opioid crisis, overdose, naloxone, drug trafficking, law enforcement, treatment, prevention, older adults, Medicaid expansion

Summary: The meeting convened to address the dire opioid crisis affecting communities nationwide, with a particular focus on the alarming rise of opioid use disorder among older adults. Key testimonies highlighted the critical need for a comprehensive approach that encompasses prevention, treatment, and strict law enforcement actions against drug traffickers. Sheriff Dennis Lima from Seminole County outlined successful strategies implemented in Florida, including increased access to naloxone and legislative changes to hold drug dealers accountable for overdoses. Various members expressed a united front on tackling this multifaceted issue, advocating for the expansion of Medicaid and better access to treatment as essential steps to curbing the epidemic.

Transcript Highlights:

• On page 219 is SUD Community Treatment.
• It is the SUD Treatment Services Fund Swap at just over $14 million.
• It is the SUD Treatment Services Fund Swap at just over $14 million.
• $1.3 million in prevention programs, $3.2 million that would fall under SUD treatment.
• On page 260 is FQHC-SUD medication-assisted treatment.

Committee: House Budget

Transcript Highlights:

• operate with less public oversight. oversight, making it harder to ensure proper conditions and fair treatment
• four correctional centers, three state jails, one multi-occupancy use facility, and we also operate treatment

Bills: HB153 , HB1410 , HB1461 , HB1760 , HB1762 , HB3261 , HB3773 , HB153

Committee: House Corrections

Keywords: education, funding, student resources, technology access, equal opportunity, veterans treatment court, mental health, criminal justice, rehabilitation, eligibility criteria, veterans, treatment court, military service, legislation, private prisons, inmate confinement, criminal justice reform, Texas Department of Criminal Justice, government contracts, inmate housing

Transcript Highlights:

• health care workforce available to meet that need for treatment.
• Despite this, 75% affected never receive the treatment they need.
• And yet 75% of those affected never get treatment.
• I think time is of the utmost importance with postpartum treatment.
• They experience delayed diagnosis and treatment.

Committee: Joint Joint Committee on Mental Health, Substance Use and Recovery

Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on 17 bills focused on behavioral health workforce shortages, studies, and commissions. Chairs Mindy Domb and Senator John Velis opened by emphasizing the severity of the Commonwealth’s mental and behavioral health workforce crisis, the resulting gaps in access to care, and the legislature’s ongoing use of loan repayment programs, studies, and commissions to address these issues. They outlined hearing procedures and noted that testimony would be limited to three minutes, with written testimony also accepted. A major portion of the hearing focused on bills to expand the primary care workforce, including H. 2205/S. 1385, which would broaden eligibility for the Mass RePay loan repayment program. Testimony from the Massachusetts Medical Society, Senator Jo Comerford, and Dr. Kate Atkinson described severe primary care shortages, long wait times, physician burnout, high debt burdens, and the need to recruit and retain physicians in more practice settings and regions. Committee members asked about the likely impact of loan repayment, the role of nurse practitioners and physician assistants, and how to prioritize limited funding. Witnesses argued that primary care investment improves access and outcomes and that the bill would help sustain community-based practices. Another large block of testimony supported H. 2208/S. 1411, the proposed perinatal behavioral health care workforce trust fund, often referred to as the Moms Matter Act. March of Dimes, perinatal mental health advocates, doulas, clinicians, parents, and organizations such as the Boston Public Health Commission and Empty Arms Bereavement Support testified that postpartum depression, anxiety, substance use, and grief are widespread, often untreated, and worsened by long waitlists and a shortage of trained, culturally competent providers. Speakers repeatedly stressed that screening alone is not enough without a workforce to provide timely treatment, and several shared personal stories of postpartum illness, loss, and difficulty accessing care. The bill was also framed as a needed complement to the Commonwealth’s recent maternal health law, which increased screening and therefore increased demand for treatment. The committee also heard support for the Bridge Act, H. 2207/S. 1388, which would create mental health capacity grants for organizations serving communities at high risk of hate crimes or hate incidents. Testimony from the Jewish Community Relations Council and the bill’s sponsor described the mental health harms of hate, including anxiety, trauma, isolation, and loss of trust, and argued that community organizations need resources to build resilience and provide support. In addition, the committee heard from the Massachusetts Mental Health Counselors Association on H. 2218/S. 1380, which would update job classifications to explicitly include licensed mental health counselors and licensed supervised mental health counselors in state behavioral health roles. Witnesses said the change would modernize hiring, expand access, and better reflect current licensure and scope of practice. No votes were taken during the hearing, and the session ended with a motion to adjourn after all testimony was completed.

Transcript Highlights:

• This chapter governs SUD treatment facilities, including provisions related to licensing requirements
• This governs SUD treatment services, including standards of care, vendor and individual eligibility for
• c> facilities</c> sud licens treat treatment facilities sud licens treat treatment facilities including
• um this governs use disorder treatment um this governs sud<00:38:15.319><c> Treatment</c><00:38:15.720
• sud Treatment Services um including standards<00:38:17.800><c> of</c><00:38:18.000><c> Care</c><00:38

Committee: House Human Services Finance and Policy

Transcript Highlights:

• administration noticed or realized that in our system we were not coding these specific residential SUD
• administration noticed or realized that in our system we were not coding these specific residential SUD
• That requirement for SUD, uh, residential providers was for fiscal year 2024.
• That requirement for SUD, uh, residential providers was for fiscal year 2024.
• I didn't know what treatment was. I didn't even go to treatment.

Committee: Senate Human Services

Committee: Senate Finance Committee

Keywords: Customs and Border Protection, Rodney Scott, border security, asylum, transparency, Hernandez Rojas, migrant treatment, public testimony

Summary: The meeting centered on the nomination of Rodney Scott to serve as the Commissioner of U.S. Customs and Border Protection (CBP). Throughout the session, various senators expressed concerns regarding CBP's recent practices, including issues related to border security and the treatment of migrants. Questions were raised about Scott's involvement in previous incidents, particularly surrounding the controversial death of Mr. Hernandez Rojas while in custody, which sparked a heated discussion about accountability and transparency in current border policies. Senators emphasized the importance of balancing efficient border security with humane treatment of individuals seeking asylum.

Transcript Highlights:

• The next bill before you is Senate Bill 6291 concerning on-site wastewater treatment system inspections
• that a non-certified individual may review designs and conduct inspections of on-site wastewater treatment
• that a non-certified individual may review designs and conduct inspections of on-site wastewater treatment

Bills: SB6181 , SB6154 , SB6211 , SB6234 , SB6242 , SB5633 , SB6279 , SB6291 , SB6274 , SB6309

Committee: Senate Local Government

Keywords: city incorporation, local governance, municipalities, state law, government structure, culvert replacement, fish passage, hydraulic project approval, Department of Fish and Wildlife, stream crossing, bank stabilization, flood control, erosion control, emergency permit, expedited permit, SEPA, environmental review, local government, county authority, agricultural irrigation

Transcript Highlights:

• And I want to add, the key over here is active treatment.
• active treatment, because...
• Will that individual benefit from active treatment or will they engage in active treatment?
• Help me understand what active treatment is.
• And as far as SUD treatment, we do not provide SUD treatment in our facilities and the RHCs.

Summary: The committee heard a lengthy update on Washington child welfare from Casey Family Programs and DCYF. Dr. David Sanders said Washington has sharply reduced out-of-home care and increased kinship placements, but he flagged concerns about low screening-in rates, long stays in foster care for many children, and a recent rise in repeat maltreatment and child fatalities, especially among infants. He urged more focus on infants and young children, better coordination among child protection, health care, and law enforcement, and more proactive review and investigation practices. Members asked for disaggregated data on children lingering in care, fatalities, and causes such as fentanyl exposure. DCYF said it has increased relative placements and guardianships, but also reported a concerning rise in 2025 critical incidents, mostly near-fatalities involving children age three and under, many opioid-related. The department described responses including safe child consults for opioid cases, more training, hotspot analysis, and proposed investments in peer support, public health nurses, community referrals, and an updated safety framework. Members also discussed whether a broader commission on child abuse prevention would be useful, and DCYF said it was open to that idea. The committee then received a DSHS reorganization update from Secretary Angela Ramirez, who described the “Reimagined” plan to consolidate four administrations into three new ones, with the stated goals of reducing silos, improving customer experience, and making transitions between services smoother. She said the agency is seeking statutory changes and CMS approval to align the new structure, and members asked about preparing for federal HR1 impacts, especially SNAP. Ramirez said DSHS is monitoring those impacts closely and emphasized the need for accurate data and cross-agency coordination. Finally, DSHS’s Behavioral Health and Habilitation Administration updated the committee on residential habilitation centers and implementation of Substitute Senate Bill 5393, which phases out Rainier School by June 30, 2027 and limits new admissions. Officials reported current census and staffing levels at the state’s RHCs, said Rainier has had some residents transition to supported living or adult family homes, and explained that emergency and permanent rulemaking was needed to implement the law. They also said Rainier was recently cited by federal surveyors for not meeting the active treatment requirement for two residents, and that the facility has 90 days to return to compliance before possible payment penalties or further remedies. Members pressed for details on the citation, the meaning of active treatment, the assessment process for admissions, and whether Rainier could be repurposed for other services; DSHS said it is working on corrective action and will follow up in writing.

Transcript Highlights:

• And I want to add, the key over here is active treatment.
• they engage in active treatment?
• Because…” “Will that individual benefit from active treatment, or will they engage in active treatment
• Help me understand what active treatment is.”
• And as far as SUD treatment, we do not provide SUD treatment in our facilities and the RHCs.”

Committee: House Early Learning & Human Services

Summary: The committee heard an update on Washington’s child welfare system from Casey Family Programs and then from DCYF. Dr. David Sanders presented national and state trends showing fewer children entering and remaining in out-of-home care, more kinship placements, and relatively low use of group homes, but he also flagged concerns about children lingering in care for years and an increase in repeat maltreatment and child fatalities. He urged stronger focus on infants and young children, better coordination among child protection, health care, and law enforcement, and more proactive review and decision-making practices. Members asked for disaggregated data on children remaining in care, fatalities, and the role of fentanyl and other factors. DCYF said Washington has increased relative placements and guardianships, citing prior legislative changes such as HB 1747, HB 1227, and SB 6109. Officials reported a rise in critical incidents in 2025, especially near-fatalities involving children age three and under, many tied to opioid exposure, and described responses including safe child consults, hotspot identification, more training on neglect and medically complex cases, updated safety tools, and expanded community supports and peer services. Members pressed DCYF on cross-agency collaboration, preventive services, and whether a broader commission on child abuse prevention should be created; DCYF said it would be open to discussing that and noted existing work with health and legal partners. The committee then received a DSHS update on the agency’s “Reimagined” reorganization. Secretary Angela Ramirez said the restructuring consolidates administrations to reduce silos, improve customer experience, and better coordinate services across behavioral health, habilitation, aging, long-term support, technology, and analytics. She said DSHS will seek statutory alignment and CMS approval and is also redesigning its website. Members asked about federal HR1 impacts, SNAP, and whether DSHS has a team tracking federal changes; Ramirez said the agency is monitoring developments and will coordinate with legislators. Finally, DSHS provided an update on residential habilitation centers and implementation of SB 5393, which phases out new long-term admissions at Rainier School and closes it by June 30, 2027. Officials reported current census and capacity figures for the state’s RHCs, described recent resident transitions from Rainier, and said emergency and permanent rulemaking are underway. They also disclosed that a recent CMS survey found Rainier out of compliance with the active treatment condition of participation, prompting corrective action plans and a 90-day window to return to compliance. Members questioned the meaning of active treatment, the lack of available capacity, the consequences of noncompliance, and whether Rainier could be repurposed for other services; DSHS said it is working to correct the deficiencies and is open to future uses if directed and funded by the legislature.

Transcript Highlights:

• And as you all know, SUD is a critical need.
• And as you all know, SUD is a critical need.
• we are currently a short-term treatment we are currently a short-term treatment<00:15:27.040><c> program
• of a locked psychiatric residential treatment facility.
• I'm one of the executive directors of Direct Care and Treatment.

Committees: Senate Health and Human Services , Senate Human Services

Transcript Highlights:

• </c><00:22:02.240><c> and</c> a lot of money in in treatment and a lot of money in in treatment and services
• or mental health, could be just SUD or mental health, could be blood<00:25:21.440><c> pressure.
• The focus is more on the mental health and SUD component.
• So in New health and SUD uh component.
• </c> early substance use disorder treatment early substance use disorder treatment in<00:41:42.319><c

Summary: The committee first handled roll call and approved the prior meeting minutes. Members discussed attendance and substitutions, then moved to the DHS commissioner’s update, which focused on New Hampshire’s Medicaid 1115 waiver and the new community re-entry initiative for people leaving correctional facilities. The presenter explained that the waiver lets the state cover certain services not normally covered under Medicaid, including substance use disorder treatment, serious mental illness services, adult dental benefits, and the new community re-entry component. She also noted that a separate youth re-entry component is federally required, with youth defined up to age 21 and foster-care-related coverage extending to age 26. The update described how the adult re-entry program works for incarcerated individuals with behavioral health needs, providing up to 45 days of pre-release services, care coordination with managed care organizations and DOC staff, telemedicine assessments, discharge prescriptions, insurance cards, and connections to community mental health, primary care, and substance use providers. For youth, the program includes more intensive case management, 30 days of pre-release services, and 30 days of post-release care coordination, with a stronger emphasis on screening, diagnosis, and holistic assessment. The presenter said New Hampshire received the adult waiver in July 2024, has implemented the program in state correctional facilities, and is beginning work at the youth center. Members and the presenter discussed why the program is structured as a waiver rather than a standard Medicaid benefit, with the explanation that CMS is allowing this as a newer policy area and that states generally pursue waivers for certain services. The chair and others emphasized the need for real cost and outcome data, and the presenter said an independent evaluator and evaluation plan are required under the 1115 waiver. Early results cited included 30 adults enrolled so far, 10 released, five youth enrolled with one released, and anecdotal early successes such as housing, employment, and better continuity of medication and treatment. The committee did not take any additional votes or formal actions beyond approving the minutes.

Transcript Highlights:

• We have some of these same standards in other residential treatment facilities.
• We are asking that... ...other residential treatment facilities, we are asking that just because you're
• already or has a... ...who has either engaged in treatment already or has a environment where that’s
• North Carolina has a plan to increase treatment education as individuals are both in or out of prison
• found that prison-based CBT and substance use treatment programs significantly reduced reoffending.

Bills: HB1228 , HB1239 , HB2310 , HB2464

Committee: House Community Safety

Keywords: DUI, driving under the influence, impaired driving, toxicology, forensic toxicology, breath test, blood test, THC, marijuana, cannabis, alcohol concentration, state toxicologist, implied consent, evidence admissibility, venous blood draw, forensic phlebotomist, certified laboratory, accredited laboratory, law enforcement, DWI

Transcript Highlights:

• So stand downs are a little different than what veterans treatment courts do.
• abuse treatment services, or fellow veteran mentors who have gone through the program.
• And that's when I was introduced to Veterans Treatment Court.
• I was introduced to Veterans Treatment Court.
• So the Veterans Treatment Court was the first component to this program.

Bills: HB2620 , HB2960

Committee: Senate Military Affairs and Border Security

Keywords: homeless veterans, emergency shelters, state funding, veterans' services, grant distribution, veterans, treatment court, rehabilitation, recidivism, mental health, substance abuse

Transcript Highlights:

• Reduces funding for SUD for IMDs to $250,000. So we reduced the House.
• I think the House had $500,000 in there for IMDs, and that's not for the treatment.
• That from $5 million for SUD funding added by the House for treatment for incarcerated individuals.
• Partial hospitalization day treatment, $2 million. Thank you.
• Partial hospitalization day treatment, $2 million.

Bills: SB2015

Committee: Senate Appropriations - Human Resources Division

Summary: The Senate Appropriations Human Resources Division met with all members present and took up several bills, focusing most of the discussion on SB 1577 and SB 1619, along with a detailed review of the HHS budget bill draft. On SB 1577, Senator Magrum explained that the bill was being revised to focus on wastewater rather than raw water, possibly shifting the Washburn project to the Department of Water Resources so it could access matching funds, and potentially converting the bill into a line of credit if federal money is restored later. Members discussed whether to keep an emergency clause or instead use a date-based approach, and agreed the bill would likely be handled through the full committee and possibly reconsidered later. On SB 1619, Senator Davison said amendments were still being worked on, including changes requested by the Bank of North Dakota, and the committee planned to hold it for possible amendment before full committee consideration. The bulk of the meeting was a section-by-section review of the HHS appropriations bill draft. Members discussed one-time funding items such as technology projects, child care programs, housing programs, behavioral health facility grants, infant and toddler care provider support, juvenile justice diversion, medical housing, and other public health and human services projects. Several adjustments were noted, including reductions or changes to IMD-related funding, incarcerated-person treatment funding, the child welfare technology project, and the provider rate increase. The committee also discussed the FTE block grant structure at length, with staff explaining that the apparent increase in positions reflected budgeting mechanics, zero-dollar “phantom” positions, and positions approved previously but not counted in the FTE total. Members raised concerns about transparency and whether the bill should list FTE numbers, but staff said the block grant was intended to give the department flexibility while quarterly reporting would provide oversight. Other topics included Medicaid expansion funding and provider reimbursement rules, the move toward certifying human service centers as certified community behavioral health clinics, a moratorium on new ICF beds, and studies or reports on Medicaid, obesity, disability services, truancy, and behavioral health facility grants. The committee also discussed removing or revising broad intent language in Section 31 so the department would report findings rather than implement changes without further legislative action. No final votes were taken in the transcript; instead, members agreed to make a few technical adjustments, continue reviewing the bill, and likely revisit it the next day before moving it to conference committee.

Transcript Highlights:

• Despite DSH's efforts to expand treatment capacity, the growing rate of IST referrals resulted in an
• programs, the court ordered the department to initiate substantive treatment services within 28 days
• SB 1323 prioritizes community treatment for individuals who are incompetent to stand trial on felony
• capacity and address timely treatment needs.
• capacity and address timely treatment needs.

Summary: The hearing opened with remarks from the chair and members about recent federal cuts to public health, mental health, family planning, and Title X funding, with strong concern about the impact on California programs and providers. The committee then turned to the Department of State Hospitals, which presented its 2025-26 budget proposal of $3.4 billion, including new positions, capital improvements, and funding tied to increased patient costs and incompetent-to-stand-trial services. DSH reported major progress in reducing the IST waitlist and wait times, said it had met the court’s 28-day treatment benchmark for those without extenuating circumstances, and described workforce recruitment and retention efforts such as residency programs, fellowships, outreach, and hiring streamlining. Members asked about future IST referral trends, SB 1323’s effect on diversion and community treatment, and workforce lessons in high-cost regions; public comment urged reconsideration of county IST growth cap methodology in light of new criminal justice initiatives. The committee next received an informational overview of Proposition 1 and its changes to behavioral health funding and governance. The Legislative Analyst’s Office explained that Prop. 1 restructured county MHSA funding buckets, expanded the Commission for Behavioral Health, shifted prevention and early intervention responsibilities, and authorized a $6.4 billion bond, including $4.4 billion for behavioral health facilities through BHCIP. DHCS said it had released guidance for county integrated plans and was receiving extensive public comment. Members focused on BHCIP application requirements, especially letters of support and tribal projects, and raised concerns about whether DHCS’s implementation matched statutory intent. DHCS said it had authority to set application requirements and that tribal entities were treated differently because of sovereignty and funding structure. DHCS then updated the committee on BHCIP, the Behavioral Health Bridge Housing Program, and related bond implementation. The department said BHCIP had awarded about $1.7 billion across five rounds, with more than 130 projects and 223 distinct facilities funded, and that it was preparing to award the new bond funds after receiving nearly $8 billion in applications. The LAO’s assessment found that more than half of awards served at least 80% Medi-Cal enrollees, but also raised concerns that the regional allocation model could reinforce inequities, that the program had not sufficiently addressed the highest-need regions such as the southern San Joaquin Valley, and that smaller counties and less launch-ready applicants faced barriers. For bridge housing, DHCS said more than $1.1 billion had been awarded, serving over 5,000 people and supporting more than 2,000 operational beds, but the Governor’s budget proposes to eliminate Round 4 funding as the administration weighs other statewide investments and Proposition 1 implementation workload. Public commenters and members urged more accountability, better regional equity, stronger labor and community involvement, and caution about funding for for-profit psychiatric facilities. Finally, the committee heard on the Children and Youth Behavioral Health Initiative. CalHHS and DHCS described CYBHI as a broad prevention- and equity-focused effort with more than 1,300 organizations funded, over $2.1 billion awarded, and multiple work streams spanning schools, community programs, workforce, and digital supports. DHCS highlighted school-based services, the fee schedule rollout, and digital platforms BrightLife Kids and Soluna, which it said are reaching users statewide and providing low-barrier access to coaching and support. Members and public commenters raised concerns about delays in school fee schedule implementation, the large share of funding going to digital tools, the need for more in-person services, and whether the initiative is sufficiently tracking outcomes and equity impacts. No formal votes were taken during the hearing.

Transcript Highlights:

• Brandon Caffey: ...residential treatment placement.
• He had mental health issues and we tried a treatment facility, a trade school.
• He experienced harsh treatment and taunting from guards in TJJD facilities.
• Some kids are not willing or able to receive treatment.
• How is this just treatment under the law? This is harsher than the adult system.

Bills: HB31 , HB3360

Committee: House S/C on Juvenile Justice

Keywords: juvenile justice, community supervision, felony offenses, treatment of children, juvenile facilities, chemical dispensing device, solitary confinement, rehabilitation, criminal proceedings, delinquency

Transcript Highlights:

• Until recently, despite DSH's efforts to expand treatment capacity, the growing rate of IST referrals
• Within 28 days, the report reflected that the average time to initiate treatment for ISTs in February
• Before, we were talking about facilities and treatment facilities; now we're moving into housing.
• capacity to address timely treatment needs.
• These areas include access, workforce development, practice, SUD integration, automation of non-treatment

Transcript Highlights:

• For veterans to be able to undergo hyperbaric oxygen treatment therapy.
• So a veteran can undergo this treatment, say 30 dives, and be cured.
• And finally, I would say that... ...repeated treatments.
• But in conclusion, it's an absolutely wonderful treatment. It's an absolutely wonderful treatment.
• . ...assessed as to whether or not they're appropriate for the treatment and then proceed.

Bills: SB1055 , SB1065

Committee: Senate Military Affairs and Border Security

Keywords: immigration enforcement, law enforcement, illegal aliens, state legislation, civil penalties, hyperbaric oxygen therapy, veterans, military health, mental health treatment, funding allocation

Transcript Highlights:

• And they took their son to a treatment facility to get him treatment for chemical dependency, at which
• For delayed care, misdiagnosis, and disrupted treatment.
• This is part of the treatment plan.
• And these folks are part of the diagnostic treatment...
• And these folks are part of the diagnostic treatment plan, almost prescribed for a course of treatment

Bills: HB5141 , HB4638 , HB2264 , HB2035 , HB4813 , HB4408 , HB2684 , HB1621 , HB2300 , HB216 , HB3829 , HB4466 , HB1747 , HB2284 , HB3614 , HB2587 , HB3219 , HB3318 , HB5147 , HB4014 , HB216

Committee: House Public Health

Keywords: lease, state property, public purpose, Travis County, Health and Human Services, pharmaceutical initiative, drug distribution, healthcare services, generic drugs, advanced pharmaceuticals, cost savings, mental health, patient discharge, medical records, health care professionals, substance use, family involvement, chemical dependency, treatment facilities, minor admissions

Summary: The Committee on Public Health met with a quorum and heard public testimony on a long agenda, with members repeatedly reminded of a two-minute limit for witnesses. Several bills were voted out favorably, including HB 2588 on cottage food, HB 1639 on cancer incidence and female firefighters, HB 2581 on a reporting form for contracted services for pregnant women, and SB 922 on electronic disclosure of certain sensitive medical information. Those measures generally passed on party-line or near-unanimous votes, while HB 216 on itemized medical statements was left pending after the committee substitute was withdrawn. The committee also left pending HB 5141, HB 4638, HB 2035, HB 4813, HB 2264, HB 4014, and HB 3829 after hearing testimony and questions. The final item introduced in the excerpt was HB 4408 on health care market transparency and corporate consolidation, but the discussion was cut off before testimony or action was completed. A major theme of the hearing was mental health diversion and access to treatment. HB 5141, by Rep. Howard, would allow Travis County to use vacated Austin State Hospital property for a local mental health jail diversion center; law enforcement, the Travis County sheriff, county judge, and urban counties group all testified in support, describing the lack of alternatives for people in crisis and the burden on jails and emergency rooms. Members asked about eligible offenses, bed capacity, and whether the facility would serve only Travis County, and the bill was left pending. HB 2264, by Rep. Schoolcraft, would create a friends-and-family form for loved ones to provide information to providers during emergency mental health treatment; NAMI and hospital groups supported it, while one neutral witness and several members raised concerns about patient control, credibility of information, and liability protections. The bill was also left pending. The committee also heard multiple psychedelic-therapy and drug-policy bills. HB 4813 would speed Texas rescheduling of Schedule I substances if the FDA reclassifies them, with testimony focused on psilocybin and MDMA and their potential use for PTSD and depression; members questioned whether the bill was too broad and how state rescheduling works, and it was left pending. HB 4014 would direct HHSC to study psychedelic therapies, building on prior state research, and witnesses said Texas should prepare regulatory and clinical infrastructure before FDA approval; it too was left pending. HB 2035 would require parents to be informed that they may seek substance-use treatment for a child even if one facility turns them away, prompted by a constituent’s account of a fatal fentanyl overdose after receiving incorrect advice; it was left pending. HB 4638 would extend and expand the Texas Pharmaceutical Initiative board and timeline, with the author saying the program is still in early implementation and needs more time, and it was left pending as well. Other bills addressed public health administration and animal welfare. HB 3829 would require a study of the animal-friendly account and its grant process for spay/neuter funding, with the author arguing that the current application and reimbursement process is too burdensome for shelters and nonprofits; no opposition was heard and the bill was left pending. HB 2581 and HB 1639 were reported favorably, while HB 216 drew discussion about enforcement of itemized medical billing and was held after the committee substitute was withdrawn. Throughout the hearing, members also discussed broader concerns about homelessness, competency restoration waitlists, jail overcrowding, and the need for more treatment options outside the criminal justice system.