Transcript Highlights:

• That's how we come up with our great speeches. And we support or defeat these things.
• professions, including but not limited to physicians, nurses, social workers, and occupational therapists

Bills: HB1621 , HB1624 , HB1623 , HB1622 , HB1625 , HB1626 , HB1627 , HCR3038

Summary: The House convened in special session, opened with prayer and the Pledge, confirmed a quorum, and recognized visiting students from Shiloh High School. Members also observed a moment of silence for former Representative Cindy Shriver Beck, and the House adopted the Employment Committee report approving special-session staff appointments. The chamber then considered House Bill 1621, which would require the presidential physical fitness test in K-12 physical education courses with exemptions for students with disabilities and an effective date of August 1, 2027. Supporters framed it as a return to a historic fitness standard and a response to federal direction; the bill passed 90-0. The House next took up House Bill 1624, a universal school meals bill that would place the program in statute rather than the Constitution, start it a year earlier than the initiated measure, and appropriate $65 million for the first year. Debate centered on whether universal meals were needed, whether the bill would preserve legislative flexibility and property-tax relief, and whether it would help families or subsidize those who could pay. The bill passed 55-38. Finally, the House began debate on House Bill 1623, the rural health transformation package tied to federal grant funds and a Bank of North Dakota loan program to support rural health projects, EMS, behavioral health, and related infrastructure. The sponsor and supporters emphasized North Dakota’s strong grant award, the need to move quickly, and the bill’s role in filling rural health gaps statewide. Some members raised concerns about federal spending, inflation, and telehealth, while others stressed the need to address EMS and workforce shortages. The transcript ends during debate on HB 1623, before any final vote is shown.

Transcript Highlights:

• reimbursement for ABA, or Applied Behavior Analysis, billing codes that are used by the behavioral therapists
• as outpatient, additional decreases are going to reduce the ability for applied behavior analysis, speech

Committee: Senate Human Services

Summary: The Senate Human Services Committee held a work session focused first on the impacts of H.R. 1 on Medicaid and SNAP, especially for people with intellectual and developmental disabilities, older adults, and low-income families. DSHS Assistant Secretary B. Rector explained Washington’s Medicaid structure for developmental disabilities and long-term care, noting that most community-based services are optional under federal Medicaid rules and could be vulnerable if state budgets tighten. He described several H.R. 1 changes, including possible cost sharing, a lower home equity limit, work requirements affecting the ACA expansion population, immigration-related eligibility losses, and a future new waiver opportunity. He said Washington could see about 2,700 people lose Medicaid eligibility due to immigration status and that most people with DD or long-term care needs would likely qualify for work requirement exemptions, but he warned that reduced federal dollars could put home and community-based services at risk. Advocates and providers described the practical effects of Medicaid cuts on crisis services, supported living, and family stability. Dr. Eric Bolter said Washington has only a small continuum of services for people with IDD and severe behavioral needs, and that lower ABA reimbursement and other Medicaid reductions could shrink already limited outpatient, residential, and inpatient options, leading to more hospital stays and out-of-state placements. Scott Leavengood said supported living is already underfunded, with high turnover and staffing shortages, and warned that past cuts led to longer waitlists and fewer people served. Stacey Dimm of The Arc of Washington argued that HCBS is the main service system for most people with developmental disabilities and that cuts would push people into more restrictive and expensive institutional care. She also emphasized that many families already lack access to paid services and that workforce, housing, and family support shortages make the system fragile. The committee then shifted to SNAP and food assistance. DSHS Assistant Secretary Carla Reyes outlined H.R. 1 changes to SNAP, including expanded work requirements, reduced exemptions, tighter immigration eligibility, elimination of the SNAP education program, higher state administrative costs, and a new state share of benefit costs tied to error rates. She said about 129,000 Washington residents could be at risk under the new work rules, roughly 30,000 legal immigrants could move to the state-funded food program, and the state could face hundreds of millions in new costs. Anti-hunger advocates and food bank leaders said the changes would increase hunger and administrative burden while reducing benefits, and they stressed that food banks cannot replace SNAP. A SNAP recipient, Amy Rourke, testified that even with extensive civic involvement she barely meets the proposed work-hour threshold and said the rules would punish parents, caregivers, and people facing transportation or child care barriers. She urged the state to count caregiving, advocacy, and community service as qualifying work and to build more flexible pathways for compliance. In the second half of the meeting, the committee turned to juvenile rehabilitation caseload forecasting and court data. Caseload Forecast Council staff presented the current JR forecast, saying caseloads had declined for years, rebounded after COVID, and are now projected to remain mostly flat through the current biennium before rising modestly over the longer term. Members asked about the distinction between regular JR and adult-sentenced youth, and staff explained that longer lengths of stay in the adult-sentenced population reflect policy choices made in prior legislation. Andrew Peterson of the Administrative Office of the Courts described data-sharing efforts intended to help JR forecast admissions, including quarterly counts of pending felony cases and youth criminal history information. He said the courts began sharing some data in 2022 and 2024, but staffing limits interrupted the effort, and JR recently asked to resume and expand the information flow to support weekly forecasting and better planning for facility capacity.

Transcript Highlights:

• They're going to lose the connection with the public schools where the speech-language therapists and

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• of the constant concerns we get from nurses about how they're getting limited, behavioral health therapists
• and Kaiser, how they're cycling through patients constantly because the hospitals... ...health therapists
• And now we're going to have not just the nurses and behavioral health therapists, now we're going to
• have the physicians coming and saying, well, the hospitals are also... ...behavioral health therapist

Summary: The committee heard a series of bills on access to care, professional licensing, and consumer protection, beginning as a subcommittee because quorum was initially lacking. AB 1307 would create a pilot program allowing up to 30 qualified dentists from Mexico to work in underserved California areas for up to three years; the author and sponsor framed it as a cost-neutral way to address dental shortages, the California Dental Association moved from opposition to neutral after amendments, and members expressed support. AB 1703 would restrict use of osteopathic titles and osteopathic manipulative treatment to licensed DOs; supporters said it would prevent patient confusion and unlicensed practice, while non-physician osteopaths argued it would criminalize a long-standing, safe practice and reduce access. Members raised concerns about consumer clarity and access, and the author said she would continue working with opponents. AB 2250 made technical cleanup changes to last year’s hemp enforcement law, with support from the cannabis industry and no opposition. AB 1758 would raise the annual seller-of-travel assessment for the Travel Consumer Restitution Fund from $35 to $60, and AB 1794 would allow prescribed enteral nutrition formulas to be drop-shipped directly to patients’ homes with pharmacist oversight; both drew support and no opposition. AB 1775 would expand state licensing priority and related support for veterans discharged because of a federal transgender military policy, with emotional testimony from a transgender Army captain and support from equality and women’s organizations. AB 1939 would allow licensed professional fiduciaries to form corporations, and AB 2477 would create a limited provisional period for new pest control employees to work under supervision while licensing is pending; both were supported, though AB 2477 drew questions about supervision and committee amendments. AB 1999 would address veterinary workforce shortages by creating retired volunteer status, a shelter-veterinarian pathway, changes to VCPR rules, and narrowing the owner exemption to exclude surgical procedures; supporters cited animal welfare concerns, while some opponents warned about overreach. AB 2010 would permit high-quality, high-volume spay/neuter clinics in nontraditional settings to expand access, but the Veterinary Medical Board and some advocates opposed it unless amended over safety and clarity concerns. AB 2311 would let public health care district hospitals directly employ physicians, with supporters saying it would improve recruitment and access and opponents warning about erosion of physician autonomy; the author said the bill included safeguards, a sunset, and reporting requirements, and continued negotiations were ongoing. After quorum was established, the committee took roll-call votes and advanced the bills, generally on party-line or broad bipartisan votes, with several measures placed on call and others sent to Appropriations, Judiciary, Revenue and Taxation, Military and Veterans Affairs, or other committees as noted.

Transcript Highlights:

• He's a licensed massage therapist.
• :11:06.160><c> a</c><00:11:06.200><c> licensed</c><00:11:06.600><c> massage</c><00:11:07.000><c> therapist
• </c><00:11:08.080><c> He</c> He's a licensed massage therapist.
• He He's a licensed massage therapist.

Transcript Highlights:

• I'm a licensed clinical social worker, a certified sex addiction therapist, and a certified partner trauma
• therapist.
• I'm a licensed clinical social worker, a certified sex addiction therapist, and a certified partner trauma
• therapist.

Summary: The committee first heard House Bill 2325, which would create a tourism self-supported assessment program to fund statewide tourism promotion. Staff explained that the bill would let the Washington Tourism Marketing Authority develop and administer an assessment program overseen by a 10-member ratepayer board, subject to a referendum of affected businesses, and would add a public records exemption for business financial and commercial information. The prime sponsor and supporters from State of Washington Tourism, the hospitality industry, the Port of Seattle, breweries, and wine interests argued that Washington is underinvesting in tourism compared with other states and that an industry-led assessment would provide sustainable, competitive funding. Opposition testimony from a taxpayer group objected to new assessments and unelected authority over tax-like charges. No vote was taken on the bill in the hearing. The committee then heard House Bill 2481, which would prohibit surveillance-based price discrimination and surge pricing for certain retail goods, require clear price posting, and temporarily bar electronic shelf labels in larger grocery stores while Commerce studies their effects. The sponsor said the bill is intended to ensure that customers in the same store pay the same price and to prevent AI-driven pricing based on personal data. Labor, privacy, and consumer advocates supported the bill, citing concerns about hidden price discrimination, worker stress, and consumer harm. Grocery and retail groups, along with an ESL manufacturer and a tech association, opposed the bill as written, warning that the definitions were too broad and could interfere with loyalty programs, discounts, inventory management, and electronic shelf label systems; several said they were working with the sponsor on amendments. The chair indicated amendments were expected and asked stakeholders to submit language soon, but no vote occurred. Finally, the committee opened House Bill 2503, which would require developers of generative AI systems to post high-level documentation about training data before public release and make violations a Consumer Protection Act issue. The sponsor described the bill as a transparency measure meant to function like an ingredients label for AI, helping consumers, researchers, and creators understand what goes into a model. Supporters from TechNet and Chamber of Progress said they generally backed the concept but wanted the bill aligned more closely with California’s recent law, especially on enforcement and the private right of action. Members raised questions about trade secrets, applicability to large versus small developers, and whether the bill could affect medical or other specialized AI uses; the sponsor said amendments were anticipated and that the bill was still early in the process. The hearing on HB 2503 then moved to public testimony.

Transcript Highlights:

• We took her advice and we were sent to physical therapy, where we met with a physical therapist who told
• 45.880><c> physical</c> therapy where we met with a physical therapy where we met with a physical therapist
• 47.479><c> he</c><00:04:47.639><c> just</c><00:04:47.800><c> had</c><00:04:48.120><c> floppy</c> therapist
• who told us he just had floppy therapist who told us he just had floppy muscles<00:04:50.520><c> and

Transcript Highlights:

• And usually in a collaborative care team, there's a master's-level therapist also as part of the team
• down the hall... ...extra, and so now you still have to pay to staff Cassie down the hall and the therapist
• I'm a licensed marriage and family therapist with over 20 years of clinical experience and behavioral

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 14 bills focused on insurance, parity, opioids, behavioral health access, and mental health system reform. Chair Mindy Domb and Vice Chair Robyn Kennedy outlined hearing procedures and noted the committee would accept written testimony. The hearing featured testimony from legislators, providers, advocates, and behavioral health organizations, with most speakers urging favorable reports on the bills they addressed. A major topic was psychiatric collaborative care, including H. 222/S. 1390, which would raise reimbursement for collaborative care codes to at least Medicare levels and allow billing outside the MassHealth primary care subcapitation model. Supporters said the model improves access, outcomes, and cost savings by embedding behavioral health in primary care, and several witnesses described successful implementation in practices and schools. Committee members asked questions about how the model works, what specialties use it, barriers to adoption, and whether copays, deductibles, and subcapitation rules should be changed. Witnesses also supported related innovation legislation, including H. 2224, which would create a mental health innovation fund and support nontraditional trauma-healing approaches. Other bills discussed included H. 2212, which would require prescribers to discuss opioid and pain-medication risks, alternatives, and addiction/overdose concerns with patients or guardians; H. 2232 and H. 2233, which would address equitable payment and equitable access for behavioral health providers serving MassHealth patients; and S. 1406, which would add opioid maintenance treatment information to MassPAT and allow patient-authorized access to that information. Witnesses also strongly backed S. 1399, which would set targets to increase behavioral health spending within the overall health care cost benchmark, arguing that Massachusetts underinvests in behavioral health and that greater investment could reduce emergency, hospitalization, homelessness, and criminal justice costs. No votes were taken; the hearing concluded after testimony and committee questions.

Transcript Highlights:

• So this would allow that availability, and in the areas that we don't have enough therapists that have
• Availability, and in the areas that we don't have enough therapists that have that as part of their program
• I think it's really important that folks can find a counselor or a therapist that speaks their language

Summary: The Human Services Subcommittee met with a full agenda and reported all measures favorably. The committee first heard HB 1327, which would codify the Hope Florida program in state law, and HB 1329, the related public-records exemption for Hope Florida participants; both bills drew questions about oversight, duplication of services, staffing, and data privacy, and both passed 17-0 after an amendment to HB 1329. The committee then approved HB 391, allowing certified batterers intervention programs to include optional faith-based content while remaining grounded in required therapeutic models; an amendment clarified that participation in faith-based components must be strictly voluntary. Supporters argued the bill restores choice and access, while opponents raised concerns about church-state separation and uneven availability of secular alternatives; the bill passed 17-0. Members also advanced HB 1065, creating an Alzheimer’s disease awareness initiative through the Department of Elder Affairs, with broad support from members who shared personal experiences and emphasized early detection and public education. HB 1163, dealing with recovery residences, passed 12-5 after debate over local zoning authority, home rule, and whether the bill would help or hinder placement of level four recovery homes near urban cores. Several members said they supported recovery housing in principle but wanted more clarity on task force findings and local impacts before fully backing the measure. The committee next approved HB 969, which shifts evaluation of school district mental health assistance programs to OPAGA and requires reports on outcomes and effectiveness; members stressed the need to know whether substantial mental health funding is improving student outcomes. HB 1191, which decriminalizes allowing children to travel to school, play outdoors, or stay home for reasonable periods and codifies current DCF policy, passed 16-0 with support framed around parental rights and child development. Finally, HB 1207, the Tristan Murphy Act, passed 15-0 and would expand mental health diversion and treatment options, including training for first responders, a forensic hospital diversion pilot, a behavioral health data repository, and additional evaluation requirements before inmate work assignments. The meeting adjourned after all agenda bills were reported favorably.

Transcript Highlights:

• barrier to those helping people leaving jail, like probation officers, courts, social workers, therapists
• barrier to those helping people leaving jail, like probation officers, courts, social workers, therapists
• barrier to those helping people leaving jail, like probation officers, courts, social workers, therapists
• barrier to those helping people leaving jail, like probation officers, courts, social workers, therapists
• barrier to those helping people leaving jail, like probation officers, courts, social workers, therapists

Committee: House Public Safety Finance and Policy

Transcript Highlights:

• . therapist. therapist.
• behavioral</c> behaviors, if we do not have behavioral behaviors, if we do not have behavioral therapists
• who have a clinical therapists who have a clinical supervisor<01:19:13.840><c> who's</c><01:19:14.239
• > who</c><01:19:19.679><c> can</c><01:19:19.920><c> ask</c><01:19:20.159><c> for</c> behavioral therapists
• who can ask for behavioral therapists who can ask for support<01:19:21.280><c> and</c><01:19:21.679>

Transcript Highlights:

• She also had a challenging time finding a therapist, waiting months for an appointment only for the therapist
• She also had a challenging time finding a therapist, waiting months for an appointment only for the therapist
• She also had a challenging time finding a therapist, waiting months for an appointment only for the therapist
• She also had a challenging time finding a therapist, waiting months for an appointment only for the therapist
• She also had a challenging time finding a therapist, waiting months for an appointment only for the therapist

Committee: House Human Services & Homelessness

Summary: The committee heard testimony on SB 281 SD1, which would define and prohibit torture as a Class A felony. The Honolulu Prosecutor’s Office, HPD investigators, and other supporters said the bill is needed because existing laws do not adequately capture torture, especially cases involving children and vulnerable persons. Several testifiers emphasized that starvation is a common method of torture that often leaves little visible evidence, and they urged the committee to restore the original starvation language removed from the measure. The Office of the Public Defender said it did not oppose the bill’s purpose but raised concerns that the language was too broad and could create trial issues, particularly around minors and vulnerable people, and suggested narrowing amendments. The chair indicated the testimony had made a strong impression and said the committee would try to move the bill forward. The committee then heard SB 292 SD1, relating to sexual exploitation and safe harbor protections for survivors seeking medical or law enforcement help. The Honolulu Prosecutor’s Office supported the measure, noting that a prior version raised equal protection concerns that were no longer present, and said survivors should be able to seek help without fear of prosecution. Written support was also noted from several advocacy and state groups. Testimony in support focused on retaliation fears, trafficking, and the need for manpower and resources to address exploitation and related crimes. Finally, the committee took up SB 295 SD1, which would increase penalties for violating temporary restraining orders and orders for protection and treat a violation of one as a second offense for the other. The Public Defender’s Office objected to the mandatory jail component, arguing judges should retain discretion and that there was no clear evidence mandatory jail deters violations. The transcript cuts off before any final committee action or vote on SB 295 was recorded.

Transcript Highlights:

• I am a therapist, I'm sure you know, a dual-license therapist.

Summary: The Assembly Committee on Human Services heard four bills and one consent item. AB 1574 by Assemblymember Chris Rogers would expand tribal access to prevention and diversion services aimed at keeping Native youth out of foster care. Supporters, including tribal representatives and child welfare advocates, said the bill would help address the overrepresentation of Native children in foster care and strengthen culturally relevant, tribally run services. There was no opposition, and the committee passed the bill 6-0 to the Assembly Appropriations Committee. The committee then heard AB 1618, also by Assemblymember Rogers, which would require California to continue a household food insecurity survey if the federal government does not. Supporters from End Child Poverty California, AARP, food banks, and county and local government groups said reliable data is needed to track hunger, target services, and respond to expected federal cuts to food assistance. The bill was approved 5-0 as amended to the Assembly Appropriations Committee. AB 1688 by Assemblymember Carrillo would require notice to additional attorneys when there are allegations of abuse or neglect in a foster placement, including attorneys for parents and other children in the same home. The author and the Children's Law Center said the measure would close a safety gap and improve coordination to protect foster youth. Committee members also spoke in support based on their professional experience, and the bill passed 6-0 as amended to the Assembly Public Safety Committee. The committee also approved the consent calendar, including AB 1602, and adjourned after completing its business.

Transcript Highlights:

• I had to find out from herbal supplements from a Chinese therapist.
• But I was told in Cambridge, Massachusetts, go back to Hawaii and see a Chinese therapist.
• </c><01:00:13.200><c> But</c><01:00:13.359><c> I</c><01:00:13.599><c> was</c> Chinese therapist to find
• But I was Chinese therapist to find out.
• She will cure you in therapist. She will cure you in nine<01:00:23.200><c> months.

Committee: Senate Health and Human Services

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

Transcript Highlights:

• Page 32 is physical therapists. Page 33 continues physical therapists.
• Page 37 is speech-language pathologists.
• Page 39, the bottom begins occupational therapists.
• And then on page 44 we get into section three. physical therapists. Uh page 33 physical therapists.
• Page 34 continues physical therapists.

Committee: Joint Appropriations

Transcript Highlights:

• With me today is Keith McCann, a marriage and family therapist and clinical supervisor at the Kaiser
• Only 55% of private practice therapists in California even accept insurance.
• As a therapist who sees patients in private practice, I can also attest to the reality firsthand.
• I mean, here, I think this is a huge piece of the problem for mental health providers and therapists
• And I hear from therapists in my community about how challenging it is to take insurance, that you're

Summary: The Assembly Health Committee heard a long agenda of health-related bills, with most items presented for later vote once quorum was reached. Early in the hearing, the committee adopted a consent calendar of multiple bills with motions for due pass to Appropriations, and it noted that AB 2029 had been pulled from the agenda. The committee also took up AB 1973, a bill by Aguiar-Curry to expand who may provide procedural abortion care. Supporters, including physicians and certified nurse midwives, argued the bill would align law with current training and improve access, while opponents said later-term abortion procedures require physician-level surgical training and raised safety concerns. The author emphasized hands-on training, consultation, and transfer protocols, and the bill was held pending quorum with a motion and second recorded. The committee then heard AB 1558 by Arambula, which would adopt the Uniform Emergency Volunteer Health Practitioners Act to speed the use of out-of-state licensed volunteers during declared disasters. Supporters from the Uniform Law Commission and the Red Cross said the bill would reduce delays and clarify legal authority for volunteer health workers; there was no opposition testimony. AB 2282 by Alanis, a temporary rural emergency stabilization center for Patterson while a permanent hospital is built, drew support from local emergency responders and a late opposition from the California chapter of ACEP. The chair praised the bill as a creative local solution and agreed to coauthor it; a motion and second were recorded, with the vote to occur later. Several public health access bills followed. AB 1843 by El-Hawari would limit prior authorization and align hepatitis C treatment coverage with medical guidelines; supporters said it would remove barriers to a curable disease, while health plans opposed it as a mandate, citing premium impacts and the recent SB 306 prior-authorization process. AB 2247 by El-Hawari would create the THRIVE program for mental health services for youth affected by gun violence; Youth Alive and other supporters described trauma-informed, community-based care, and the chair and another member asked to be added as coauthors. AB 2138 by Krell would expand access to certified peer support specialists in enhanced care management and remove automatic disqualifications based solely on criminal history; supporters said peers are essential to engagement and recovery, and the bill was held with a motion and second. Later, AB 1682 by Hart would require coverage of scalp cooling for chemotherapy patients, with emotional testimony from cancer survivors and clinicians; insurers opposed it as another mandate, but the author stressed the modest per-member cost and the bill was moved with a motion and second. AB 1879 by Dixon would standardize data reporting for alcohol and drug treatment facilities, including private providers, to improve statewide information on outcomes and access; the bill drew broad support from recovery organizations and the prior opposition was withdrawn after amendments. AB 1906 by Aguiar-Curry would require coverage of at-home cervical cancer screening kits without cost sharing; supporters cited improved access for rural and working Californians, insurers opposed it on affordability grounds, and the bill passed on a recorded roll call after quorum was established. Finally, AB 1556 by Haney would clarify and support drug-free recovery housing and return-to-use policies; supporters said it would expand sober housing options, while opponents warned it could allow evictions after relapse and conflict with Housing First principles. The hearing ended with the bill still under discussion and opposition-unless-amended concerns noted.

Transcript Highlights:

• With me today is Keith McCann, a marriage and family therapist and clinical supervisor at the Kaiser
• Only 55% of private practice therapists in California even accept insurance.
• As a therapist who sees patients in private practice, I can also attest to the reality firsthand.
• I mean, here, I think this is a huge piece of the problem for mental health providers and therapists
• And I hear from therapists in my community about how challenging it is to take insurance, that you're

Committee: House Health

Transcript Highlights:

• I hear experience after experience where people had a mental health professional or a therapist, as it
• And so the therapist can no longer. These folks have to go to a lot of schooling.
• And I hear experience after experience where people had a mental health professional or a therapist,
• And so the therapist can, is no longer providing the rate that it once provided.
• When I called the VA for help, I was told it was a 14-month wait for a therapist for PTSD.

Summary: The Assembly Health Committee heard a long agenda of health-related bills, beginning with AB 2651 by Bonta, which would require schools to notify parents when school vaccination rates fall below herd immunity thresholds. Supporters, including family physicians, PTA representatives, and medical groups, said the bill would improve transparency and help parents protect children and vulnerable family members. Opponents argued the data could be misleading, could identify medically exempt or conditional students, and might lead to stigma or discrimination. The bill was later moved out of committee on a due-pass-as-amended motion, with one no vote recorded on the roll call. The committee also heard AB 2123 by Aguirre-Curry on medical debt relief, AB 1570 by Wilson to eliminate out-of-pocket costs for medically necessary breast diagnostic and supplemental imaging, AB 2201 by Berner to restore Medi-Cal eligibility and renewal flexibilities, AB 2448 by Berman to strengthen privacy protections for reproductive and gender-affirming care records, AB 2034 by Addis on food additive safety and transparency, and AB 2598 by Krell to require better notification of next of kin when a patient dies in a hospital. Each bill drew strong support from authors, advocates, and affected individuals, while some drew opposition from insurers, industry groups, or transparency critics who raised concerns about cost, duplication, implementation, or unintended harm. Several bills were moved forward on due-pass-as-amended motions, including AB 2123, AB 2201, AB 2448, AB 2034, and AB 2598. The committee also heard AB 2551 by Elhawary, which would require health plans to collect and publish data on how often enrollees must go out of network for behavioral health care and why. Supporters said the measure would expose access barriers and high out-of-pocket costs, especially for communities of color and people with language access needs; opponents said it would add another reporting mandate and might not solve provider shortage problems. Members generally expressed support for the bill’s goals and several described personal or district-level experiences with behavioral health access problems. The bill was then moved out of committee on a due-pass motion. The committee also took up consent items and other procedural motions, with multiple bills reported out and some placed on call.

Transcript Highlights:

• very personal level, and they don't have a lot of the professional boundaries that a counselor or a therapist
• And then for behavioral health, we have 11 school-based therapists in 13 different school districts,
• shortage, work shortage, workforce shortage of those who provide treatment, competent counselors and therapists
• I'm your therapist. There's a number you call. I'll have an appointment in you six months.
• I'm your therapist. There's a number you call. I'll have an appointment in you six months.

Summary: The task force heard extensive testimony on recovery support, harm reduction, and community-based care. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he said recovery housing, peer support, employment, accountability, and stable housing are what help people stay sober and avoid relapse. Members asked about funding, housing shortages, transportation, treatment courts, and support for medication-assisted treatment (MAT). Haniken said Into Action relies on a braided mix of federal, state, county, city, foundation, and private funding, and that recovery housing needs longer-term support than many current funding streams provide. He also said Missouri should expand recovery housing, peer recovery support, and recovery community centers, and improve awareness and access to MAT in recovery settings and after incarceration. Matt Cushman, a community paramedic with Raytown Fire Protection District, urged Missouri to expand harm reduction, including syringe service programs and broader access to clean needles and drug-checking tools. He argued that stigma and abstinence-only approaches keep many people from seeking help, and said harm reduction reduces disease transmission, overdose deaths, hospitalizations, and other harms while creating pathways to recovery. He cited naloxone distribution as a successful example and said similar strategies should be decriminalized and expanded. Members asked about naloxone access, community paramedicine funding, and whether safe consumption sites should be considered; Cushman said syringe exchange should be a near-term priority, while safe consumption sites are a longer-term policy question. Representatives from Ozarks Medical Center/COMC and Four Rivers Community Health Center focused on the need to reimburse peer support specialists and community health workers, especially in rural and underserved areas. COMC’s Monet Lehman shared her trauma and recovery story and described her jail reentry work, helping incarcerated people with housing, benefits, IDs, employment, MAT, and community supports before release. Four Rivers said its care coordinators and CHWs provide wraparound services such as transportation, housing help, Medicaid enrollment, clothing, and same-day MAT access. Members and staff discussed confusion over reimbursement rules, noting that CCBHCs can bill for peer services through Medicaid while FQHCs generally cannot, and that CHWs are often funded through grants rather than reimbursement. No votes were taken; the meeting consisted of testimony and member questions, with several requests for follow-up information on funding, transportation, and reimbursement rules.

Transcript Highlights:

• Teachers are not therapists.
• Teachers are not therapists.
• Teachers are not therapists.
• Teachers are not therapists.
• </c> are not therapists. are not therapists.

Committee: House Education Policy and Administration