Transcript Highlights:

• harmful interventions we can impose. harmful interventions we can impose.
• Child removal is among the most expensive interventions in the child welfare system, and I believe the
• Verbal outbursts, shouting, or disruptive behavior will not be tolerated.
• <00:46:35.640> will shouting, or disruptive behavior will shouting, or disruptive behavior
• <01:14:08.520> because is uh needing uh an intervention because is uh needing uh an intervention

Bills: HF3665, HF3002, HF4217, HF4125, HF4174

Keywords: foster care, early childhood education, child care programs, placement plan, social services, extended foster care, kinship care, relative custody, permanent legal and physical custody, Northstar kinship assistance, independent living plan, transition services, youth aging out of care, medical assistance, Medicaid, child welfare, children youth and families, out-of-home placement, case plan, relative placement

Transcript Highlights:

• So family support, we have Adult Protective Services in our division, we provide early intervention services
• Services in our division we provide Services in our division we provide early<00:09:49.040> intervention
• services for kids and early intervention services for kids and families<00:09:52.640> um<00:09
• <00:25:55.440> to served and you know any interventions to served and you know any interventions
• Do you want to talk about recreation and early intervention while she's coming up with the numbers?

Keywords: 928, house, all

Summary: The Division of Long-Term Supports and Services presented its budget and program overview as part of the Department of Health and Human Services operating budget review. Leadership described the division’s three bureaus—Aging and Adult Services, Developmental Services, and Family-Centered Services—and explained that the division provides guidance, technical assistance, quality monitoring, and contracted provider oversight across the lifespan. Members also discussed staffing, with reported vacancy rates of 4% in Aging and Adult Services, 15% in Developmental Services, and 6% in Family-Centered Services; the division said the higher BDS vacancy rate is partly due to the small number of authorized positions. The governor’s budget had left eight positions unfunded in the division, including three in Aging and Adult Services and five in BDS. A major topic was the division’s roadmap initiatives, especially building a system of care for healthy aging and strengthening developmental disabilities systems through a new reimbursement rate structure. The division said it contracted with an actuary to study DD service costs and found rates had not been reviewed since 2017 and were significantly below actual costs and other states’ rates, contributing to provider shortages even when services are authorized. Members asked about the impact on service delivery and whether rates would need to rise overall; the division said its strategy is to focus on lower-cost services that help people remain in the community. The division also reported waiver enrollment figures, including about 4,161 people on the Choices for Independence waiver, 3,688 average nursing facility residents, 5,061 people on the DD waiver, 228 on the acquired brain disorder waiver, and 488 children on the in-home support waiver, while noting there is no funding waitlist but provider availability remains a constraint. The division highlighted IT modernization as a major accomplishment, especially moving Adult Protective Services and Developmental Services into the New Heights system. Officials said these changes improve case-note access, data retrieval, service authorization tracking, and transparency for providers, and they asked for future oversight discussion focused on IT leverage. Members noted that New Heights maintenance is budgeted in the Office of the Commissioner under class 27 and suggested better transparency on system costs and benefits. The division also reported that it closed out a long-running CMS corrective action plan for BDS on July 1, 2023, and said it is now focused on strengthening the system rather than compliance alone. Other discussion covered the Aging and Adult Services bureau’s name change from Elderly and Adult Services to Adult and Aging Services, intended to avoid negative connotations and better reflect preventative services. The bureau described Adult Protective Services trends involving scams, financial exploitation, self-neglect, and isolation, and explained that it administers the CFI waiver, determines medical eligibility for nursing facility level of care, and braids funding from Medicaid, state funds, Older Americans Act money, Social Service Block Grants, and other grants. Members asked about waiver growth targets and federal consequences if enrollment remains below projections; the division said it would explain the shortfall in a future waiver amendment and did not anticipate a federal penalty. The meeting ended without any votes or formal actions taken.

Transcript Highlights:

• significant risk to public safety is addressed with appropriate rehabilitative and accountability interventions
• meaningful support, treatment, education, and mentoring, they are far more likely to change their behavior
• In fact, targeted intervention programs that address the underlying causes of firearm possession have
• demonstrated Targeted intervention programs that address the underlying causes of firearm possession
• eligible for deferred entry of judgment are precisely those most likely to benefit from early intervention

Keywords: 987, senate, all

Summary: The committee first heard AB 647, a cleanup bill to AB 630 that would clarify that local agencies in Los Angeles and Alameda counties can use a pilot program to remove and dismantle certain abandoned, inoperable RVs valued at $4,000 or less. Supporters, including the author and Los Angeles Mayor Karen Bass’s representative, said the measure would help address public health and safety hazards tied to dilapidated RVs and homelessness. Opponents argued existing abandoned-vehicle laws already provide tools, and warned the bill could be used to remove vehicles occupied by unhoused residents without offering services. AB 647 was later approved on a due pass to Appropriations vote. The committee then considered AB 1656, which would give courts discretion to consider a prosecutor’s scheduling conflict when deciding whether to continue a human trafficking case, with amendments making the continuance discretionary and limited. Supporters said the bill would help preserve vertical prosecution and continuity for traumatized survivors; opponents raised speedy-trial and due process concerns. After discussion about balancing victim support and constitutional rights, the committee voted AB 1656 out on a due pass as amended to the floor. Members also heard AB 917, which would require prosecutors to file a motion to reinstate charges dismissed at a preliminary hearing rather than simply adding them back, with amendments clarifying procedures and violent felony refiling. Supporters said it would protect due process and respect judicial decisions; district attorneys opposed the bill as procedurally unnecessary and burdensome. The committee approved AB 917 on a due pass as amended to Appropriations. AB 2636, which would require courts to consider loaded-firearm possession when deciding whether a juvenile is eligible for deferred entry of judgment, also passed on a due pass to the floor after supporters emphasized public safety and opponents argued it would reduce rehabilitative opportunities for youth. Finally, the committee heard AB 1632, which would replace the notarization requirement for 602 trespass authorization letters with a statement under penalty of perjury. Supporters said the change would reduce administrative burden and help property owners and police address trespassing more efficiently; opponents warned it could weaken safeguards and be misused against tenants or unhoused people. The bill passed on a due pass as amended to the floor. The hearing also began consideration of AB 1974, a voluntary firearm safe-storage bill inspired by Pierce’s Pledge, with the author and a survivor advocate presenting the measure, but the transcript cuts off before the committee completed action on that bill.

Transcript Highlights:

• skilled nursing for medically fragile children and adults who require constant monitoring and rapid intervention
• who require constant monitoring and who require constant monitoring and rapid<00:07:49.640> intervention
• rapid intervention. rapid intervention.
• for sustained skilled nursing need for sustained skilled nursing assessment,<00:22:33.160> intervention
• assessment, intervention, or monitoring. assessment, intervention, or monitoring.

Keywords: 918, senate, all

Summary: The committee heard public testimony on a health insurance/home care nursing provision and on other consumer protection items. Nick Keis and Emily Walters, both parents of medically complex children, testified that commercial health plans had recently begun capping home care nursing as if it were intermittent home health visits, which they said was contrary to Minnesota law and legislative intent dating to 2010. They described severe impacts on their families, including hospitalizations, loss of nursing coverage, strain on waiver budgets, and the risk of children being forced out of the home and into institutions. Representative Bierman echoed that the bill was a straightforward clarification of existing law, not a new mandate or added cost, and a staff member later cited the statutory definition of home care nursing as ongoing, continuous nursing services that cannot be met through intermittent or visit-based care. The committee also discussed the practical difference between home health visits and private duty/home care nursing, with testimony emphasizing that the latter is medically necessary, assessed, and not unlimited in practice. Laura Sales of the Minnesota Attorney General’s Office testified on changes to the Consumer Protection Restitution Fund (CIPRA). She said the fund has begun distributing restitution, starting with consumers harmed by the closure of Woodbury Dental Arts, but that current statutory language limits the office’s flexibility to prorate payments. She asked for an amendment allowing the AGO to distribute available funds more equitably so more eligible consumers can receive some payment, rather than requiring full payment to the oldest claims first. Annette Meeks, representing Citizens Against Gambling Expansion, testified in support of banning sweepstakes gambling in the Commerce Committee omnibus report. She argued that online sweepstakes casinos are an illegal gray-market form of gambling, cited rapid growth and billions in revenue, and said other states have acted through enforcement and legislation to stop them. She urged the committee to include language from Senate File 4474 to clarify state law and prohibit sweepstakes gambling. No votes were taken in the portion of the meeting shown; members mainly asked questions and received testimony.

Transcript Highlights:

• Her intervention did not even touch the patient.
• And I'm Kelly Land, I'm a crisis intervention specialist with the Arlington Police Department.
• It's Behavioral Health. a law enforcement unit.
• I'm an interventional radiologist. I practice... I want to thank the senator for the effort here.
• Senate Bill 1236 would continue the legislature's efforts to address that competitive behavior exhibited

Bills: SB331, SB883, SB926, SB1137, SB1138, SB1144, SB1151, SB1236, SB1270, SB1522, SB1869, SB2207, SB2422

Keywords: healthcare, cost disclosure, transparency, administrative penalties, health facility compliance, COVID-19, off-label use, prescription drugs, patient access, medical standards, insurance, physician ranking, incentives, fiduciary duty, health plan issuers, SB 1137, group home, assisted living, residential care, board and care

Transcript Highlights:

• In a similar role, the crisis intervention services for emergency service response...
• This morning, I gave a training at the Beverly Police Department for their crisis intervention team.
• This morning, I gave a training at the Beverly Police Department for their crisis intervention team.
• limited verbal ability, sensory sensitivities, and dysregulation, and can have very challenging behaviors
• It's necessary... ...few years ago to include confidentiality and group-setting interventions.

Keywords: 995, all

Summary: The hearing focused on a range of public safety bills, with especially emotional testimony on the Maggie Hubbard Rental Safety Act, which would require short-term rentals to be inspected for smoke and carbon monoxide detectors and require platforms or agents to verify compliance before listing. Rep. Hadley Luddy, Sen. Julian Cyr, and the Hubbard and Waldron families described the fatal Airbnb fire that killed Shannon Hubbard and her daughter Maggie in New York, saying the deaths were preventable and that the bill would save lives. Committee members expressed sympathy and support for the families’ efforts to turn their loss into legislation. The committee also heard testimony on a proposed peace officer oath (S. 1680), described by Sen. Lydia Edwards as a binding ethical standard tied to certification and recertification, with discipline and annual reporting to promote accountability and de-escalation. Rep. Tom Walsh testified for a bill requiring hotel and motel workers to be trained to recognize human trafficking and to post hotline signage, and later testimony supported a school safety data grant program to provide first responders with standardized, up-to-date school maps for emergencies. Another major topic was a bill to allow temporary door-locking devices in public buildings; supporters said the devices are removable, do not alter fire code, and could improve lockdown response during active shooter events. Additional bills discussed included measures to transfer the Office of Emergency Medical Services to EOPSS, increase penalties for unlicensed hood-system cleaning, expand membership on the Massachusetts Fire Training Council, and strengthen confidentiality for peer support and critical incident stress debriefings. Firefighters and fire chiefs also supported a bill to tighten penalties for violations of hot-work regulations, citing the 2014 Beacon Street fire that killed Lt. Walsh and Firefighter Kennedy. Law enforcement groups backed a package including a Blue Star plate and Blue Alert system for fallen officers’ families, stronger move-over penalties, and a memorial fund, while the State Police Association supported the move-over provisions but asked for further work on the special state police officer bill before final action. No votes were taken during the hearing.

Transcript Highlights:

• Or intervention services that are linked to probation for all of our kids.
• So some of the escalation of behaviors that we typically see in these instances.
• I think it is necessary to find a way to disincentivize specifically gang behavior.
• And six months, nine months a year is hardly enough time to change behavior.
• Sometimes that kind of behavior takes a lifetime to try to adjust to.

Transcript Highlights:

• Health and Human Services and Appropriations: HB 2559, behavior; HB 2560.
• HB 2586, appropriation intervention.

Keywords: 1182, all

Summary: The House convened with prayer by Paul Sorensen, the Pledge of Allegiance, and approval of the journal from January 15, 2026. Members also recognized the Doctor of the Day, Dr. Tammy Penhollow, and several guests in the gallery, including education leaders and representatives from Republic Services. Attendance was recorded at 57 present, zero absent, and two excused. The main floor business was the reading of communications and a very large slate of bills. The clerk listed numerous House bills for first reading and referral to committees, covering topics such as veterans, natural resources and water, financial services, minimum wage, commerce, education, housing, child care, health and human services, public safety, artificial intelligence, taxation, transportation, agriculture, and appropriations. The House also moved through second reading of another extensive group of bills on subjects including health care, criminal justice, transportation, education, firearms, housing, and state budget matters. No substantive debate or votes on individual bills were recorded in the transcript beyond the procedural referral and reading of measures. The House then received announcements about upcoming committee meetings, birthday wishes for Representative Aaron Márquez, and notices that some committees would not meet. The chamber adjourned on a motion until 1:15 p.m. Wednesday, January 21, 2026.

Transcript Highlights:

• Unaddressed behavioral issues drive many people to incarceration.
• <00:13:28.639> challenges<00:13:29.399> to contending with behavioral challenges to
• contending with behavioral challenges to appropriate<00:13:30.279> programs<00:13:31.040>
• the um ability to manage uh behaviors the um ability to manage uh behaviors that<00:15:45.720>
• Power to promote medical intervention that citizens may not trust.

Keywords: 910, house, all

Summary: The joint hearing opened with House Bill 1462 on crisis services. Testimony from the Department of Law Enforcement, the Community Alliance on Prisons, and the Department of Health supported expanding behavioral health crisis services as an alternative to arrest or incarceration. Witnesses said additional crisis sites would help divert people in mental health crisis to appropriate care, and the Department of Health described its current crisis center in Ewa, including the need for renovations such as a padded room and the time required to get the facility operational. In response to questions, the department estimated the Ewa center’s budgeted cost at about $4.3 million, not including rent or startup repairs, and said a second site’s cost would depend on whether it was freestanding or attached to an existing facility. The committee then heard House Bill 700 on cognitive assessments. The Executive Office on Aging supported the bill’s intent but asked that it be amended to make assessments optional rather than mandated, to pilot the program first, and to allow flexibility in handling HIPAA-protected data. SHPDA also supported the measure but said it should not be mandatory and suggested that payers reimburse for assessments when requested by patients, families, or physicians. The Alzheimer’s Association and caregivers strongly supported standardizing cognitive assessments to improve early detection and access to newer treatments, while noting the existing opt-out provision. The Hawaii State Council on Developmental Disabilities supported the bill but asked that the age 65 threshold be removed because cognitive decline can begin much earlier for people with Down syndrome, autism, traumatic brain injury, stroke, and related conditions. In response to a question, the Office on Aging said a pilot project could likely be done for about $150,000, with data security being the main added cost. The final bill discussed was House Bill 237 on peer support programs. Testimony from Family Hui Hawaii, Early Childhood Action Strategy, peer support workers, and families described peer-to-peer programs as a cost-effective way to reduce isolation, strengthen families, and provide long-term community support. Speakers said these programs help parents and caregivers navigate crises, child welfare involvement, addiction recovery, and other challenges, and can have lasting benefits for children’s development and family stability. Several witnesses tied the bill to broader state goals, including infant and early childhood mental health, trauma-informed care, and child welfare reform. Written testimony from about a dozen organizations and individuals was also noted in support.

Transcript Highlights:

• health care plans and interventions, and psychotherapy.
• It's challenging to access some behavioral health supports, especially in rural areas of the state.
• So again, it was one-on-one caregiving or access to different behavioral health supports. Go ahead.
• So again, it was one-on-one caregiving or access to different behavioral health supports. Go ahead.
• So. ...a board-certified behavior analyst, or BCBA, on staff to support the staff in the homes.

Summary: The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population. On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications. The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.

Transcript Highlights:

• Do public education to address changing behaviors.
• ,<00:35:33.599> our mentoring model and interventions, our mentoring model and interventions
• <02:20:36.000> Mahalo behavioral health assessments.
• Mahalo behavioral health assessments.
• Just as demand for behavioral services.

Keywords: 910, house, all

Summary: This joint informational briefing on Act 310 grants and aid focused on organizations describing how federal funding cuts, Medicaid/SNAP changes, and related policy shifts are affecting their services and budgets. Committee members explained there would be no Q&A, testimony would be limited to one minute, and in-person participants would be heard before Zoom callers. Members repeatedly asked testifiers to identify the amount of federal funding lost or at risk. Testimony came from a wide range of nonprofits and community providers, including Aloha Care, Hawaii Bicycling League, Hawaii Literacy, Hawaii Youth Symphony, Healthy Mothers Healthy Babies Coalition of Hawaii, the Tsunami Museum, The Kohala Center, West Hawaii Community Health Center, West Hawaii Region Hospital Foundation, Sounding Joy Music Therapy, Big Brothers Big Sisters Hawaii, Dynamic Community Solutions, Feeding Hawaii Together, Girl Scouts of Hawaii, Hawaii Disability Rights Center, Hawaii Youth Services Network, Hawaiian Lending and Investments, Homana, Honolulu Theatre for the Youth, Kids Hurt Too Hawaii, and Kokua Kalihi Valley. Most described reduced or threatened federal support and requested state funding to maintain services such as health care access, food security, disaster preparedness, literacy and digital inclusion, youth mentoring, arts education, housing, and climate or agricultural resilience. Several speakers emphasized direct impacts on vulnerable populations, including kūpuna, low-income families, immigrants, homeless youth, and people with disabilities. Requests ranged from relatively small planning or program grants to multi-million-dollar stabilization asks, with some organizations citing specific losses such as reduced Medicaid or USDA funding, canceled EPA or FEMA support, or expiring federal grants. No votes or formal committee actions were taken during the briefing.

Transcript Highlights:

• That ownership that has focus on profit rather than delivering care drives certain behaviors and procedures
• um drives certain and in sense certain um drives certain and in sense certain uh<00:01:25.840> behaviors
• uh behaviors uh behaviors uh<00:01:27.560> and<00:01:27.840> procedures<00:01:28.880
• And then also translate that into policy and fiscal analysis to come up with policy interventions and
• <00:42:34.320> and<00:42:34.440> remedies, with policy interventions and remedies,

Keywords: 1187, senate, all

Transcript Highlights:

• one of the elements that you brought up was the potential of this setting a precedent for future behaviors
• There is always a point for causal intervention to argue that one thing will cause the next, and we can't
• precedent potential of this setting a precedent for<01:03:51.880> future<01:03:52.240> behaviors
• > I<01:03:52.760> think<01:03:52.960> that's<01:03:53.120> a for future behaviors
• I think that's a for future behaviors.

Keywords: 1187, senate, all

Transcript Highlights:

• If improperly used and outside of the scope of the training, that type of behavior is not covered by
• I don't think I wanted to continue the behavior. It was in training, but I...
• If a student's behavior causes physical harm to a teacher or poses an imminent threat of physical harm
• I'm certain that we have zero tolerance for that type of behavior, but we've also got to make sure we
• contracts, or other interventions.

Bills: SCR46, SB31, SB39, SB227, SB330, SB401, SB407, SB467, SB482, SB500, SB506, SB512, SB527, SB584, SB619, SB636, SB646, SB647, SB648, SB659, SB663, SB715, SB732, SB758, SB801, SB816, SB847, SB870, SB884, SB1020, SB1055, SB1065, SB1137, SB1169, SB1181, SB1283, SB1383, SB1395, SB1410, SB1433, SB1490, SB1558, SB1574, SB1626, SB1666, SB1718, SB1727, SB1756, SB1757, SB1845, SB1924, SB1964, SB1972, SB2018, SB2031, SB2075, SB2076, SB2080, SB2111, SB2117, SB2154, SB2161, SB2173, SB2206, SB2225, SB2253, SB2268, SB2314, SB2322, SB2351, SB2371, SB2476, SB2533, SB2540, SB2570, SB2589, SB2623, SB2658, SB2660, SB2692, SB2693, SB2717, SB2722, SB2753, SB2779, SB2877, SB2880, SB2900, SB2920, SB3031, HJR4, SB5, SB260, SB1786, SJR3, SJR18, SB1, SJR36, SJR50, SJR63, SJR84, SJR59, SCR12, SCR39, SCR46, SCR48, SCR19, SB2023, SB62, SB666, SB847, SB284, SB854, SB1073, SB810, SB1505, SB583, SB1502, SB507, SB1026, SB1433, SB1434, SB1376, SB1585, SB1772, SB2016, SB1163, SB619, SB1122, SB732, SB731, SB397, SB508, SB1436, SB287, SB261, SB1882, SB393, SB1791, SB529, SB209, SB2429, SB1999, SB511, SB2309, SB510, SB1924, SB2253, SB2018, SB2206, SB584, SB1085, SB1490, SB2314, SB2046, SB1975, SB2717, SB1262, SB1524, SB1137, SB636, SB2056, SB1558, SB884, SB227, SB517, SB1200, SB1410, SB1626, SB1845, SB1863, SB2681, SB2200, SB2199, SB1757, SB2050, SB2458, SB2201, SB1055, SB2660, SB2662, SB1065, SB801, SB2533, SB3014, SB3013, SB758, SB648, SB647, SB512, SB1721, SB2268, SB2366, SB1013, SB2692, SB2570, SB2797, SB2111, SB2371, SB2383, SB646, SB1169, SB1754, SB1718, SB2779, SB2004, SB1756, SB2119, SB527, SB2322, SB2448, SB1777, SB1283, SB407, SB2392, SB2076, SB2786, SB3031, SB2877, SB2876, SB2284, SB2225, SB1540, SB2920, SB2929, SB1395, SB1972, SB2540, SB2742, SB2595, SB2217, SB2117, SB715, SB2330, SB1964, SB1383, SB500, SB1640, SB2001, SB2080, SB2722, SB506, SB2514, SB2623, SB2658, SB1574, SB2900, SB2753, SB2398, SB401, SB1241, SB2927, SB2173, SB2538, SB898, SB467, SB1449, SB2529, SB1531, SB2846, SB2476, SB2031, SB986, SB1181, SB2075, SB2154, SB2864, SB31, SB2880, SB1359, SB2386, SB771, SB2844, SB2550, SB1351, SB1423, SB1931, SB2245, SB2589, SB2707, SB2807, SB2351, SB410, SB659, SB816, SB2776, SB2693, SB2580, SB1980, SB1886, SB1234, SB739, SB482, SB456, SB127, SB1666, SB2843, SB2801, SB800, SB2055, SB784, SB2986, SB735, SB1012, SB324, SB2926, SB2938, SB2007, SB2138, SB1242, HJR4, HB135, HB1109, SCR30, SCR3, SB2615, SB1049, SB2310, SB1224, SB2972, SB1568, SB2841, SB2885, SB3016, SB2858, SB2610, SB2139, SB1856, SB2035, SB2308, SB2306, SB2041, SB1528, SB1681, SB1141, SB2401, SB2530, SB2375, SB547, SB1266, SB1373, SB1467, SB2069, SB2269, SB2480, SB2544, SB672, SB904, SB2695, SB2891, SB2422, SB2543, SB1854, SB317, SB2539, SB2532, SB2925, SB1250, SB2082, SB2203, SB457, SB2357, HCR35, HCR64

Keywords: Texas beef, cattle industry, agricultural heritage, Texas strip steak, economic growth, SB 31, Life of the Mother Act, Texas abortion law, medical emergency, reasonable medical judgment, pregnancy complications, maternal health, life-threatening condition, ectopic pregnancy, spontaneous abortion, miscarriage, unborn child, abortion exception, abortion ban, physician liability

Transcript Highlights:

• Yet also, our SMMC plans, they all have healthy behavior programs that encourage and reward healthy behaviors
• Rewards are provided when specific interventions are completed.
• and incentivize healthy behavior, such as rewarding for completing postpartum visits between... ...behavior
• Data is also available to understand behaviors such as the maternal and prenatal care behaviors shown
• I want to go into the behavioral health program that is now a pilot program in three counties.

Summary: The Senate Health Policy Committee met to discuss maternal and infant health, beginning with a presentation from New Jersey’s Maternal and Infant Health Innovation Authority (MiHA). Pamela Taylor described New Jersey’s statewide effort to reduce maternal mortality and racial disparities through the Nurture New Jersey campaign, a strategic plan with more than 80 recommendations, universal home visiting, Medicaid-covered doula care, hospital report cards, limits on non-medically indicated early elective C-sections, and a new maternal and infant health innovation center. Senators asked about doula certification, funding, home visiting, and how New Jersey coordinates across agencies; Taylor said the authority uses quarterly stakeholder meetings, annual summits, and a tracker for recommendations, and that community input helped shape its programs. Florida Agency for Health Care Administration Deputy Secretary Brian Meyer then outlined Florida Medicaid’s maternal coverage and managed care structure. He reviewed eligibility and services for pregnant women, labor and delivery, postpartum coverage, newborn coverage, and family planning, noting 12 months of postpartum coverage, expanded benefits in managed care plans, and new contracts launching February 1 with more maternal-health-focused benefits, quality measures, and a new quality withhold incentive structure. Senators questioned doula certification and duplication with Healthy Start, provider access and network adequacy, kick payments, quality reporting, and whether Florida should consider broader eligibility standards; Meyer said many details are still plan-driven, that quality metrics are public, and that the agency is working on maternal-health work groups and incentives. Department of Health Division Director Shea Holloway followed with an overview of Florida’s maternal and child health programs and data. She cited Florida CHARTS data showing pregnancy-related deaths, severe maternal morbidity, and infant mortality trends, and described the Title V block grant, the Maternal Mortality Review Committee, the Florida Perinatal Quality Collaborative, the electronic prenatal risk screen, Healthy Babies, BH Impact for perinatal mental health, Healthy Start, WIC, family planning, telehealth maternity care, and the Pregnancy Care Network. Senators asked about delays in mortality review reporting, preterm birth, substance use disorder in pregnancy, WIC participation, cesarean rates, and the impact of the abortion ban; Holloway said the department is continuing to monitor outcomes, expand screening and telehealth, and use data and hospital partnerships to improve care. The committee then adjourned without further business.

Transcript Highlights:

• Deer can have injuries, not even disease-related, that cause neurologic behavior.
• And since brain abscesses affect the brain, obviously neurologic behavior is associated with it.
• So, you know, many of the... ...neurologic behavior is associated with it.
• approach him, and he wouldn't give them any attention, wouldn't flee, wouldn't have normal deer behaviors
• So these are just images of some of the common targets of intervention.

Keywords: 965, house, all

Summary: The meeting began with roll call, adoption of the agenda, and approval of the prior minutes. The main presentation was from Julie Grenwald of Louisiana Hunters for the Hungry, who described the nonprofit’s protein donation programs, including freezer clean-out days, deer and fish processing partnerships, and a paused feral hog donation program that had collected about 3,500 hogs and 137,000 pounds of pork before funding ran short. She said the group has donated roughly 300,000 pounds of protein over two years, works with food banks and local agencies, and is protected under Louisiana’s Good Samaritan Law. Members asked about processor locations, exotic species, signage, sponsorships, and whether the program could expand to other invasive species or mobile drop-off options; Grenwald said expansion is possible if processors and funding are available. The task force then received a Louisiana Department of Wildlife and Fisheries update from Jonathan Bordelon on chronic wasting disease testing. He reported more than 2,800 samples collected and over 2,300 results returned, with nine positives total: eight in Tensas Parish and one confirmed in Concordia Parish on Richard K. Yancey WMA, which triggered preparation of an emergency declaration and future rulemaking to adjust the control area. He said harvest and sampling remain near record levels, most samples are voluntary, and the agency continues to monitor symptomatic deer reports and public submissions. The final major presentation was from William McKinley of the Mississippi Department of Wildlife, Fisheries and Parks, who gave a detailed overview of Mississippi’s CWD response. He said Mississippi has 529 detections across 18 counties, with prevalence rising from about one in 500 samples to about one in 80 statewide, and much higher in some counties. He described Mississippi’s surveillance system, targeted tags within three miles of positives, environmental sampling, feeder bans in CWD zones, and research showing contamination at feeders and in scrapes. He also discussed possible multiple strains, including one linked to the Wisconsin whitetail strain and another around Vicksburg/Issaquena, and said the disease appears to be expanding about 3.5 miles per year. Members asked about high-fence enclosures, live deer movement restrictions, baiting and feeding rules, hunter participation, and whether Louisiana should develop similar environmental testing capacity; no votes were taken on these issues, but members discussed possible future legislative or budget action.

Transcript Highlights:

• This program will allow rural hospitals and their clinics to screen, assess, and treat behavioral health
• We need criminal penalties for this type of behavior.
• That only cases involving clear and substantial risk of harm warrant government intervention, preserving
• When will we start looking instead of looking at the behavior?
• Because when it's behavior, it gets shifted over to psychiatry to the Diagnostic and Statistical Manual

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions. The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending. Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.

Transcript Highlights:

• For supplemental intervention programs, they're much more shifting to digital models again because they
• student devices because that tends to be one of the areas that students go into that doom-scrolling behavior
• Every time we outsource, we get different boards, we get different installers, we get different behavior
• Every time we outsource, we get different boards, we get different installers, we get different behavior
• K2 really is all about the reading horizons assessments and interventions that we are doing.

Keywords: 916, all

Transcript Highlights:

• I'm going to try to model behavior because Senate Judiciary starts in 13 minutes.
• This bill is not about criminalizing insensitive behavior.
• So this is what SB 357 is: state intervention that is specific to L.A.
• Dialectical behavior, CBT, we involve all of that.
• Dialectical behavior, CBT, we involve all of that.

Summary: The committee heard several public safety measures, with extensive testimony on firearms regulation, disability and sexual assault, mental health diversion, emergency response, and law enforcement masking. SB 704 by Senator Arreguín would require firearm barrels to be purchased through licensed dealers with a background check, as a response to the rise in ghost guns and 3D-printed firearms; supporters said barrels are a key component of untraceable guns, while opponents argued the bill burdens lawful gun owners and does little to stop criminals. SB 258 by Senator Wahab would eliminate the remaining spousal rape exception for victims unable to consent because of disability; supporters called it a needed closure of an archaic loophole, while disability-rights advocates opposed it unless amended, warning it could worsen misunderstandings about capacity to consent and harm disabled people’s autonomy. After debate, SB 258 passed the committee on a due-pass motion to Appropriations, with several members voting aye and the bill held on call. Senator Umberg presented SB 398, which closes a loophole in the law prohibiting paying or offering money or other value to induce someone to vote or register to vote; there was little opposition, and the bill passed on a due-pass motion to Appropriations and was held on call. He also presented SB 27, a CARE Court cleanup measure that would allow certain misdemeanor defendants found incompetent to stand trial to be routed into CARE Court and would expand eligibility to some people with mood disorders with psychotic features. Supporters said it would improve access to treatment and reduce unnecessary incarceration, while county behavioral health directors and disability advocates warned it could blur the line between voluntary civil treatment and coercive criminal proceedings and expand CARE Court beyond its intended scope. SB 27 passed on a due-pass motion as amended to Appropriations. The committee also heard SB 36 from Senator Umberg, a price-gouging measure tied to wildfire-related emergency conditions that also expands search-warrant authority for certain misdemeanor investigations. Public defenders opposed the search-warrant expansion as unnecessary, while a late supporter from the Los Angeles County District Attorney’s Office spoke in favor; the bill was moved on a due-pass motion as amended to Appropriations and held on call. SB 571 by Senator Arreguín would increase penalties for impersonating emergency personnel and related conduct during disasters; supporters cited post-fire looting and impersonation, while opponents argued longer sentences do not deter crime and that existing law is sufficient. The bill passed on a due-pass motion as amended to Appropriations and was held on call. Finally, Senator Wiener presented SB 627, which would prohibit law enforcement from wearing extreme masks except in limited circumstances, aimed largely at masked federal immigration enforcement operations. Supporters said masked, unidentified officers create fear and undermine trust, while law enforcement groups argued the bill wrongly sweeps in local officers, is too broad, and should instead target federal agents or impersonators. Testimony was still underway when the transcript ended, and no final committee action on SB 627 is shown here.

Transcript Highlights:

• Research from the Yale School of Medicine found that midwives reduce unnecessary intervention during
• Clark Harvey, CEO of the California Behavioral Health Association.
• Leandro Clark Harvey, the CEO of the California Behavioral Health Association.
• As California continues to lead the nation in both behavioral health transformation and technological
• George Cruz, on behalf of the California Behavioral Health Association, proud co-sponsor and support.

Summary: The Assembly Business and Professions Committee heard several Senate bills, with most of the discussion focused on worker training, public safety, and consumer protection. SB 1203 by Senator Smallwood-Cuevas would expand training and de-escalation requirements for private security officers. Supporters, including security workers and labor groups, said the bill would better prepare officers who often respond first to mental health crises and violent incidents. Opponents, including security industry representatives and business groups, argued it would impose major costs, create training bottlenecks, and could reduce licensed security coverage. The committee ultimately voted the bill out on a due pass recommendation to Labor and Employment, with some members noting future amendments to address training capacity and employer-provided training. The committee also approved SB 936 by Senator Blakespear, which would restrict retail sales of nitrous oxide canisters larger than 8 grams while preserving legitimate medical, dental, culinary, and automotive uses. Support came from county officials, public health groups, waste management organizations, law enforcement, and local governments, who described rising misuse, impaired driving, and recycling hazards. No opposition testimony was presented, and the bill passed to Public Safety. SB 1271 by Senator Reyes, aimed at strengthening California’s midwifery training pipeline by requiring data collection on licensed midwife preceptor capacity, also passed unanimously to Health. Supporters said the bill would help address shortages in rural birth care and improve access to training for aspiring midwives. SB 903 by Senator Padilla, which would place guardrails on the use of AI in mental health and psychotherapy settings and prohibit AI from being marketed as a therapist, drew emotional testimony from a mother whose son died by suicide after extensive chatbot interactions. Health and behavioral health groups supported the measure, while several industry and health organizations were opposed unless amended; the committee nevertheless sent it to Privacy and Consumer Protection on a unanimous vote. The committee also approved SB 1165 on consent and then adjourned.