Transcript Highlights:

• > the best environment for that treatment the best environment for that treatment to<00:28:26.000>
• administer that kind of treatment. administer that kind of treatment.
• behavior but also for the treatment behavior but also for the treatment modality.<00:31:08.960><
• security staff or it's treatment staff. security staff or it's treatment staff.
• this program? this program?

Keywords: 958, all

Summary: The Senate Judiciary Committee met with a quorum and took up Senate Bill 125, sponsored by Sen. Danny Carroll, which would create a structure for evaluating and placing juveniles with acute mental illness, including a continuum of care and a process for resolving placement disputes between the Justice Cabinet and Juvenile Justice Cabinet through a judge. The committee adopted a committee substitute before hearing the bill. Carroll described several changes in the substitute, including removing language that would have made juvenile information nonconfidential in certain lawsuits, requiring public escape information to be removed once a juvenile is returned to custody, clarifying escape charges for juveniles absent without leave, and revising language about when hospitals may discharge high-acuity youth until a new facility is built. Carroll and Justice Cabinet officials Mona Wamik and Dr. Clark Lester argued that Kentucky needs a secure high-acuity mental health facility for violent juveniles because detention centers are not equipped to provide psychiatric treatment, private hospitals often refuse these youth, and current staff cannot administer the level of care needed, including intramuscular medication. They also said the bill would support two new female detention centers to help return DJJ to a regional detention model. Carroll cited prior juvenile detention crises, ongoing lawsuits, and a Department of Justice investigation, saying the bill could affect whether Kentucky faces a consent decree. Wamik said the proposed high-acuity facility would serve youth clinically assessed as needing secure treatment and would be designed to balance security with clinical care. Senators asked about how the bill would apply to a violent 14-year-old, whether the facility would simply isolate dangerous youth, what clinical care DJJ can currently provide, and staffing and cost estimates. Carroll said the bill would not change criminal accountability but would apply only if a youth were found to be severely mentally ill and need treatment placement. Dr. Lester said DJJ currently can provide only oral psychiatric medication and cannot administer intramuscular injections or the physical holds needed for acute psychiatric treatment. Cabinet staff said staffing would need to be higher than in a standard detention setting and estimated annual operating costs for the high-acuity facility at about $12 million, compared with about $8 million for a regular juvenile detention facility. No vote on final passage was taken during the portion of the meeting provided.

Transcript Highlights:

• for diabetes treatment. for diabetes treatment.
• to the treatment environment. to the treatment environment.
• > separate<00:38:16.079> program generous program is a separate program generous program
• Uh the balance program balance program.
• the balance program may be ideal<00:46:00.800> for<00:46:01.200> treatment<00:46:01.520

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone. The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months. Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value. After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.

Transcript Highlights:

• His court-ordered program begins. It's based mostly on drug and alcohol treatment.
• The treatment programs are the same.
• and also our narcotic treatment program licensure.
• to provide community-based restoration diversion opportunities and jail-based treatment programs for
• programs.

Summary: The hearing focused first on behavioral health, especially serious mental illness and anosognosia, a condition described by witnesses as a neurological symptom that prevents people from recognizing they are ill. The chair framed the issue around families cycling through emergency rooms, jails, conservatorships, and short-term stabilization without lasting treatment, and warned that federal changes under H.R. 1 could reduce Medi-Cal funding and worsen access. Dawn Marie Anderson gave a personal account of her son’s long history of psychosis, homelessness, arrests, repeated jail and state hospital stays, and eventual stability when he received sustained medication and coordinated support. She argued that the system often treats the problem as criminal rather than medical and that voluntary programs and short-term services are not enough for people who lack insight into their illness. Other panelists, including representatives from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association, agreed that anosognosia is not denial or noncompliance and said the system needs long-term, coordinated care, including assertive community treatment, mobile crisis, supportive housing, medication support, and stronger handoffs between county and managed care systems. They said CalAIM and other reforms have improved some coordination, but significant gaps remain, especially for people with serious mental illness, for those in jail or locked settings, and for people with private insurance, which witnesses said often offers little meaningful coverage for early psychosis or intensive behavioral health services. Several witnesses urged the Legislature to protect Medi-Cal, shore up county safety-net services, and invest in training and family engagement. The committee then turned to the Children and Youth Behavioral Health Initiative, with a focus on the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, saying the platforms provide free, culturally responsive, early-intervention support statewide and help connect users to higher levels of care when needed. On the fee schedule, DHCS said more than 500 LEAs, colleges, universities, and school-linked providers are participating, 181 LEAs have submitted claims, and $9.6 million has been reimbursed to date, with 41,556 students represented in claims. The chair and several members criticized the pace of implementation and the amount of money spent relative to reimbursement levels, saying the Legislature had requested data earlier and that the return on investment still appeared low. DHCS responded that many claims are still being submitted, that 70% of denials are correctable, that $400 million in capacity grants has been distributed locally, and that reimbursement is increasing rapidly as more districts come online. Public comment included a rural county behavioral health director who said private insurance denials leave counties with significant uncompensated work, especially for unlicensed staff providing case management and mobile crisis services.

Transcript Highlights:

• , which is the nation's largest secure treatment program for civilly committed sex offenders.
• treatment the n nation's largest secure treatment program<00:04:16.959> for<00:04:17.160>
• Direct Care and Treatment gets an allocation for most of our programs from this body.
• This isn't just a DCT issue, as you know; it's hospitals around the state and treatment programs that
• around the state uh and treatment around the state uh and treatment programs<01:18:12.600> that

Keywords: 1183, house

Transcript Highlights:

• : the risk-need responsivity principle, those programs, because we do distinguish programs from treatment
• Do faith services fall into programs? What's programming and what's treatment?
• This does not include medical treatment, special improvement groups, the needs program, AMVET dogs program
• It's not a program. So we're distinguishing treatments from programs.
• Just a couple of clarification: so these are the RNR programs as opposed to treatment.

Keywords: 995, all

Summary: The commission approved the July 11 minutes and then received a detailed follow-up presentation from the Department of Correction on facility footprint, mission-driven housing, programming, and technology. Commissioner Jenkins and Deputy Commissioner Peterson explained recent and planned facility changes, including the closures of Walpole, MCI Cedar Junction, and MCI Concord, the transition of the Plymouth Section 35/Mass Act program to Health and Human Services, the return of Bay State to DOC control for possible future use, and the Shattuck Hospital move to East Newton Pavilion. Members asked about operational capacity, the exclusion of support beds from occupancy figures, and the status of mothballed or unused facilities. Framingham drew particular attention because of its historically low women’s population and planned renovations; members raised concerns about the cost and the need to consider the broader women’s correctional system. A major portion of the meeting focused on mission-driven units and evidence-based programming. DOC described specialized units for health services, nursing care, clinical stabilization, mental health, residential treatment, protective custody, reentry, emerging adults, education, and substance use recovery, and noted that security threat group support beds are not used. Staff explained the distinction between general population beds and support beds, and between programming and treatment. They said core recidivism-reduction programs are based on risk-need responsivity and COMPAS assessments, with Spectrum Health Systems as the current vendor, and presented recidivism data showing lower reoffending among participants who completed programs such as violence reduction, criminal thinking, and the Correctional Recovery Academy. For women, they highlighted the pathways model at MCI Framingham, which combines trauma-informed, gender-responsive services, and reported strong outcomes for those engaged for at least 26 weeks. Members asked about how needs are identified and counted, how declinations are handled, and how the department distinguishes completion from ongoing maintenance. DOC said participation is voluntary, individuals are re-recommended over time, and completion is recorded in the system when criteria are met. They also discussed educational supports for learning disabilities and trauma, including IEP/504 coordination, tutoring, and a new school psychologist for testing. Questions were raised about family reunification programming, and DOC pointed to family-focused services, mediation, Read to Me Mommy, and the Brave unit for young fathers. Sheriff Cabral and Sheriff Cochie praised the presentation and emphasized the importance of family reunification and the realities of trauma in incarcerated people’s lives. The final section highlighted the expanded use of tablets across all facilities. DOC said tablets now support free phone calls, emails, video visits, surveys, educational content, medical updates, sick-call requests, and an earned-good-time app, while also helping with communication during facility closures and with ongoing programming. Staff said the tablets are used both for learning and recreation, and that more than half of the incarcerated population uses them monthly for educational purposes. Members discussed whether user feedback or “reviews” of programs could help increase participation, and DOC said tablet-based surveys make that possible. The meeting ended with general agreement that the department has expanded programming and technology substantially and is using them to support reentry, communication, and facility operations.

Transcript Highlights:

• Ryan's hearing was completely gone in that 21-day window to start antiviral treatment, treatment that
• Brittany actually started treatment.
• Treatment ultimately failed her. We went through every treatment that was designed for her cancer.
• It would be greatly beneficial if the pediatric palliative care program could align with other programs
• program since 2013.

Keywords: 995, all

Summary: The Joint Committee on Public Health heard testimony on a wide range of bills focused on children’s health, tobacco control, newborn screening, pediatric cancer, palliative care, and professional licensure. Early testimony highlighted Senate bills to expand newborn screening for pyruvate dehydrogenase complex deficiency, lysosomal storage disorders, and congenital CMV, with families and clinicians describing severe diagnostic delays, missed treatment windows, and the benefits of early detection. Speakers also supported a bill to improve pediatric cancer research through a dedicated trust fund, and a bill to extend pediatric palliative care services to age 22, with parents and providers emphasizing continuity of care for seriously ill young people. Several witnesses gave personal accounts in support of the newborn screening measures. Families described children who endured years of misdiagnosis before receiving diagnoses such as Gaucher disease, Fabry disease, Pompe disease, Niemann-Pick disease, and CMV, often after irreversible damage had already occurred. Medical and advocacy witnesses said Massachusetts already collects some of the relevant screening data and argued that results should be reported to families, while others urged the committee to add conditions to the state panel because effective treatments already exist. The committee also heard support for a bill to establish a fetal alcohol spectrum disorder program and training for providers. On tobacco and youth health, testimony supported bills to ban internet tobacco sales, strengthen youth protections, and reduce lung cancer deaths through point-of-sale information and quit-line access. A student testified about easily purchasing flavored nicotine products online without meaningful age verification, and public health advocates backed measures to keep tobacco out of children’s environments. The committee also heard testimony on a bill to ensure parents have access to their children’s medical records through age 16, with exceptions for sensitive services already protected by law. The committee additionally took testimony on an optometry licensure bill, where ophthalmologists opposed language they said could broaden scope of practice and allow optometrists to use the title “optometric physician,” while optometry educators and students supported the bill as a modernization measure with no scope expansion. No votes were taken during the hearing; the chair repeatedly reminded speakers of time limits and noted that written testimony could be submitted for additional comments.

Transcript Highlights:

• that<00:32:03.840> was treatment foster care program that was treatment foster care program
• We also in 2024 kicked off our program, which is Regroup Specialized Treatment and Empowerment Program
• We also in 2024 kicked off our program, which is Regroup Specialized Treatment and Empowerment Program
• We also in 2024 kicked off our program, which is Regroup Specialized Treatment and Empowerment Program
• We also in 2024 kicked off our program, which is Regroup Specialized Treatment and Empowerment Program

Keywords: 958, all

Summary: The Joint Committee on Families and Children met with a quorum, approved the August minutes, and received an update that the number of children in out-of-home care with active placements was 8,647 as of September 7, 2025. The first presentation was from Isaiah 117 House, a nonprofit that provides a home-like setting for children on removal day so they do not have to wait in a state office. Speakers described the mission as reducing trauma for children, lightening the burden on case workers, and easing transitions to foster or kinship placements. They said the Kentucky home in Logan County opened on August 15 and had already served 10 children in its first six days. Committee members asked about logistics, including whether children placed with kinship caregivers would still come to the house, how long children can stay, who remains responsible for them, and how volunteers are screened. The presenters said children are brought to the house regardless of whether they are headed to kinship or foster placement, that 72 hours is not a hard cutoff, and that a case worker remains in charge at all times while volunteers provide support. They also said volunteers undergo background checks, trauma-informed training, confidentiality instruction, and annual continuing education. In response to questions about funding and expansion, they said Isaiah 117 House is community-funded without state or federal money, and that new homes are opened only when fully funded, with construction costs typically ranging from $80,000 to $150,000 and first-year budgets around $180,000. The committee then heard a presentation from Remy Eastep Homes on its Family Centered Integrated Healthcare and related services. Leaders described the organization’s history from its origins as separate orphanages in Boyd County to residential treatment, treatment foster care, prevention services, and outpatient behavioral health. They said the organization shifted about 15 years ago toward engaging families more directly because family involvement improves outcomes and helps keep children safely at home when possible. The presentation continued into program details, but no votes or formal actions were taken on either presentation.

Transcript Highlights:

• The third touch point is treatment courts, which are diversion programs led by state judges.
• I'm not currently implementing the MAT program for juveniles, the juvenile program.
• Under the 2024 corrections department, it's to expand re-entry services, treatment programs, housing
• treatment programs.
• suggestions of specific programs?

Transcript Highlights:

• to provide community-based restoration, diversion opportunities, and jail-based treatment programs for
• for treatment.
• If they land in a diversion program, that diversion program will be funded by the DSH program.
• It was a pilot program investment. I don't think it's a pilot program. It was investment.
• In statutes that govern our DHCS alcohol and drug program certification and our narcotic treatment program

Keywords: 987, senate, all

Summary: The subcommittee heard updates from the Department of State Hospitals on its proposed 2026-27 budget, including a $3.2 billion total budget, patient-driven operating cost increases, savings in the IST solutions program, and progress in meeting the Stiavedi court-ordered 28-day treatment standard. DSH reported it has met court benchmarks, reduced the IST pending placement list from a pandemic high of 1,953 to about 250, and is now averaging about five days to initiate treatment. Members asked about the effects of Proposition 36 and SB 1323 on referrals, outside hospitalization costs, Medicare coverage, and whether IST solution funds were being overbudgeted; DSH said referrals are slightly down overall, outside medical costs are rising due to inflation and an aging population, and the IST savings reflect slower-than-expected activation of community programs rather than a service gap. The department also outlined proposed funding for electrical infrastructure upgrades at Napa and Patton, a feasibility study under SB 380 for transitional housing for the CONREP SVP program, and a dental services expansion at Metropolitan and Patton. The committee held those DSH items open after discussion. The Commission for Behavioral Health presented its role in overseeing the transition from MHSA to BHSA, including data, evaluation, transparency, grantmaking, and technical assistance. It described the new Innovation Partnership Fund, a statewide innovation grant program funded at up to $20 million annually for five years, with small and large grants, and said it had received strong interest ahead of the May 8 application deadline. Members asked about what qualifies as innovation, whether grants could be renewed, and how the state would ensure the program supports service delivery rather than general outreach or training. The commission also sought a liquidation deadline extension for up to $4.062 million in remaining Alcove Youth Drop-in Center funds so sites can finish implementation and Stanford can complete the final evaluation; that item was also held open. DHCS provided an overview of behavioral health policy changes under CalAIM and BH Connect, including peer support, mobile crisis, contingency management, traditional health care practices for tribal members, the access reform and outcomes incentive program, workforce investments, evidence-based practice expansion, IMD participation, transitional rent, and upcoming youth-focused guidance such as high-fidelity wraparound and activity funds. On BHSA implementation, DHCS said it is not tracking specific local program cuts, but is monitoring county plans and outcomes while noting that counties must still preserve Medi-Cal specialty mental health and DMC-ODS services. The department also discussed its H.R. 1 implementation strategy, including outreach, streamlined renewals, ex parte exemptions, and proposed clinic navigator and outreach funding to reduce Medi-Cal coverage loss, especially for people with behavioral health needs. In response to questions, DHCS said it has not produced a specific H.R. 1 impact estimate for county behavioral health populations, and later explained that counties can still use BHSA and other funding streams for prevention and early intervention while the state tracks impacts through integrated plans and new performance measures. The department also reported on BH-CHIP bond spending, saying it has awarded $5.8 billion for 437 infrastructure projects creating 546 new or expanded facilities and more than 9,553 residential beds, with tribal set-asides exceeding the original allotment.

Transcript Highlights:

• Number one, under the current law, the treatment providers must justify continued court-ordered treatment
• , be released to seek treatment.
• , and the program no longer received state funding again, and the funding for the program has decreased
• Nurse Home Visitor Program proposed in HB 2828 and the Healthy Families Arizona program. ...and the
• Healthy Families Arizona program.

Keywords: 1182, all

Summary: The committee first took up House Bill 2307, as amended, which would require the Department of Health Services to contract with out-of-state secure mental health facilities when Arizona beds are unavailable for certain involuntary commitment cases involving defendants found dangerous and incompetent. The sponsor and supporters framed it as an emergency stopgap to prevent individuals who are deemed non-restorable from being released because Arizona lacks secure behavioral health beds, while opponents argued it would raise due process, disability rights, family access, and cost concerns, and questioned whether the state could even implement such interstate placements. After debate, the committee adopted the strike-everything amendment and advanced HB 2307 on a 6-5 due pass vote. The committee then heard House Bill 2083, which updates diabetes-related coverage language in health plans to include newer devices and supplies such as continuous glucose monitors, insulin pumps, and smart insulin pens. Supporters said the bill modernizes outdated statutes and improves access and outcomes for people with diabetes, while an insurer representative offered soft opposition, warning that writing these items into statute could create a state mandate and potential cost exposure, especially if the language is read to include GLP-1 medications. The committee adopted the strike-everything amendment and moved HB 2083 forward on an 11-1 due pass vote. Next, House Bill 2673 was heard, addressing mental health screening and treatment for incarcerated people. The sponsor said the bill was being reworked into a study committee concept after stakeholder feedback, but the underlying proposal would require prompt evaluation of prisoners showing mental disorder symptoms and faster referral for treatment. A family member testified about her son’s severe deterioration in jail and death, while an attorney opposed the bill as overbroad and legally problematic. Despite the sponsor’s indication that the bill would become a study committee, the committee voted 12-0 to give HB 2673 a due pass recommendation. The committee also advanced House Bill 2923, which revises timelines, procedures, and notice requirements for judicial review of court-ordered mental health treatment; supporters said it clarifies outdated language and improves communication with families, while opponents argued it shifts burdens onto patients and could prolong confinement. HB 2923 also received a 12-0 due pass vote.

Transcript Highlights:

• treatments.
• of postpartum depression, and esketamine for treatment of treatment-resistant depression.
• The pilot program would be...
• And we see this work is embedded in a treatment community with offices, personnel, and programming intentionally
• We have the Blue Envelope program, but one program that works with public safety.

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use and Recovery opened its first public hearing of the 2025–26 session with remarks from the Senate and House chairs outlining the committee’s priorities. They noted recent work on addiction and recovery legislation, the ongoing youth behavioral health crisis, and that members might need to leave periodically for floor votes. The chairs explained hearing procedures, including three-minute testimony limits, written testimony deadlines, and reporting deadlines for Senate and House bills. The hearing then focused on several bills related to youth mental health, overdose prevention, and psychedelic treatment research. A major portion of the hearing centered on bills to improve youth crisis response and overdose prevention. Testimony strongly supported bills to print the 988 Suicide and Crisis Lifeline on student ID cards, with speakers from mental health organizations, crisis centers, and individuals sharing personal stories of depression, suicide attempts, and the importance of making 988 as familiar as 911. Another set of bills would require schools to stock naloxone and provide overdose prevention education. Physicians, harm reduction advocates, students, and grieving family members testified that school-based Narcan access and education could save lives, reduce stigma, and help students recognize overdoses and understand Good Samaritan protections. Senator O’Connor and Tamika Perry also testified for a bill to strengthen substance use prevention education and reduce overdose abandonment, emphasizing the need to teach students about overdose risks and the legal protections for calling 911. The committee also heard testimony on a bill to authorize a pilot program for psychedelic treatment in licensed facilities. Senator Friedman and several medical and behavioral health professionals argued the proposal was a narrow, research-based approach distinct from the broader ballot question rejected in 2024. They said the bill would allow only a small number of supervised clinics to use psychedelics for conditions such as depression, PTSD, anxiety, and substance use disorders, with data reporting and Department of Public Health oversight. Supporters described it as a cautious way to study promising treatments while avoiding unsupervised or commercialized use. Finally, the committee heard support for a bill to create a special commission and five-year strategic plan for children’s behavioral health services, with testimony that the current system is fragmented, difficult for families to navigate, and strained by workforce and funding challenges. No votes or final actions were taken during the hearing; the committee primarily received testimony and questions on the bills.

Transcript Highlights:

• going on so all young people can attend programming, which then equates to equitable access to treatment
• ability to receive treatment outside of the treatment groups.
• facilities, expanding and stabilizing programs of assertive community treatment, better known as PACT
• The program of assertive community treatment, or PACT, serves individuals in the community with the highest
• This program is both a federal program, the Supplemental Nutrition Assistance Program, and also our state-funded

Summary: The committee held a work session focused first on juvenile rehabilitation system capacity. DCYF officials said the juvenile rehabilitation population is older, includes more adult-sentenced youth, and has longer lengths of stay, especially for “post-25” youth who must remain in secure facilities and cannot go to community beds. They described overcrowding at Green Hill School, placement limits at Echo Glen and Harbor Heights, staffing turnover, mental health acuity, and the need for more medium-security and specialized mental health beds. DCYF said it is pursuing a Parkland facility proposal, a staffing model decision package, and a broader feasibility study and master plan update. No votes were taken; members were asked to follow up with questions later. The committee then heard on behavioral health system capacity from the Behavioral Health Administration and the Health Care Authority. DSHS described growth in forensic and civil bed need, expansion at Olympic Heritage, Maple Lane, and Brockman, and construction of a new 350-bed forensic hospital at Western State expected to open in 2028. HCA reported progress on long-term civil commitment beds, intensive behavioral health treatment facilities, PACT teams, and intensive residential treatment teams, saying the community-based system is being expanded to support step-down care and reduce hospital reliance. Members asked about whether capacity is right-sized, the difference between facility types, and federal match eligibility for services. A federal funding update followed, covering the effects of H.R. 1 and H.R. 5371 on SNAP, Medicaid, marketplace coverage, long-term services and supports, K-12, higher education, and hemp regulation. OFM and agency staff said H.R. 1 adds work requirements, changes non-citizen eligibility, increases state administrative and benefit costs, reduces Medicaid and marketplace subsidies for some groups, tightens redeterminations, and may significantly affect provider payments and state-directed payments. H.R. 5371 extended federal funding through January 30, 2026 and included some agency appropriations and other provisions, including changes affecting hemp producers. Members asked about SNAP error rates and special enrollment periods. Finally, budget coordinator Mary Monroe gave a 2026 supplemental budget preview. She reviewed the state’s near general fund outlook, noting revenue declines since the enacted budget, the effect of reversions, and a preliminary maintenance-level outlook showing a projected increase in NGFO spending over the four-year period. She said the supplemental will reflect updated caseload and cost forecasts and mandatory impacts from H.R. 1, but not policy proposals. No actions or votes were taken during the session.

Transcript Highlights:

• Programs like the NIH Institutional Development Award, the IDEA program, have transformed rural states
• These treatments...
• and Recommended NIH expand the program the IDEA program has had a profound impact in my home state of
• So the IDEA program should grow. And the IDEA program, besides.
• It means less research into life-saving treatments, life-saving cures and treatments.

Transcript Highlights:

• and supervision program.
• Uh, also, Are there special kinds of treatment programs that you would get at TCCO that you wouldn't
• And their program actually dovetails into our program so that the individuals who are civilly committed
• are able to begin their treatment while in prison and then continue that treatment upon release to our
• program.

Transcript Highlights:

• <00:31:47.039> we treatment and the treatment capacity we treatment and the treatment capacity
• What treatment?
• treatment and he was going to prison. treatment and he was going to prison.
• the plant care component program. the plant care component program.
• And program.

Keywords: 912, senate, all

Summary: The Judiciary Committee heard testimony on HB 400, the Judiciary’s biennium budget, and HB 727, a proposal to create a women’s court pilot program. On HB 400, Judiciary officials said the request includes operating funds of about $6.17 million in FY 2026 and $6.25 million in FY 2027, 17 permanent positions and one temporary position, plus $11.9 million for capital improvements. Testifiers from the legal services community, including the Legal Clinic, Legal Aid Society of Hawaii, and the Hawaii State Bar Association, supported the budget and emphasized the need for civil legal services and immigration-related legal help. Judge Kim also highlighted Big Island needs, including courthouse design funding and an additional district court judge. HB 727 drew extensive testimony in support from Judiciary officials, treatment court staff, legal and behavioral health organizations, prosecutors, and individuals with lived experience in drug court. Supporters said women in the justice system often face trauma, abuse, addiction, and mental health challenges that are not adequately addressed in existing programs, and argued that a women’s court could improve rehabilitation and reduce recidivism. Judiciary witnesses explained that the proposed program would be a specialty court within the drug court framework, initially focused on the Kona division of the Third Circuit, with possible future expansion to Hilo. A probation officer and a former drug court participant described the benefits of treatment court and the need for women-specific services, including spiritual counseling options. After testimony, the committee recessed briefly for lack of quorum and later returned to vote. HB 400 was passed with amendments, including added amounts in the committee report for civil legal services and immigration-related legal services, and a revised defective date. HB 727 was also passed with amendments, including changes to the purpose section to make the First Circuit women’s court permanent, create a three-year Third Circuit Kona women’s court pilot, and remove the broader expansion language for the time being. The committee adopted both measures by vote, with Senator Chang excused.

Transcript Highlights:

• I was doing inside programming and re-entry for a program called "What Life Is About."
• and supervision program.
• Also, are there special kinds of treatment programs that you would get at TCCO that you wouldn't get
• Their program actually dovetails into our program so that the individuals who are civilly committed are
• able to begin their treatment while in prison and then continue that treatment upon release to our program

Bills: HB1826, HB1969, HB2708, HB2729, HB3618, HB4515, HB4764, SB1021, SB1610

Keywords: mental health, women's health, county jail, depression screening, criminal justice, inmate release, identification certificate, Texas Department of Corrections, personal identification, driver's license, state law, reentry services, nondisclosure, criminal history, criminal defendants, community supervision, misdemeanors, felonies, rehabilitation, hearsay

Transcript Highlights:

• It's about a year-long program. It's licensed to... CYFD as a residential treatment facility.
• Treatment.
• Residential treatment or accredited adult residential treatment center.
• So, Madam Chair, Senator Pinto, yes, when you discharge from that program, you've completed the treatment
• Program, the Rapid Rehousing Homeless Prevention Program, the Home Supportive Services Program, and the

Transcript Highlights:

• operator training program. operator training program.
• We do inspections on the treatment facilities, like if it's a water treatment plant.
• We do inspections on the treatment facilities, like if it's a water treatment plant.
• We do inspections on the treatment facilities, like if it's a water treatment plant.
• of public public treatment facility. of public public treatment facility.

Keywords: 958, all

Summary: The meeting began with roll call, adoption of the minutes, and brief remarks, including birthday recognition for Representative Maseroni and a moment of reflection for a soldier who died during training at Fort Knox. The committee then heard a presentation from Tony Hatton, commissioner of the Department for Environmental Protection and acting director of the Kentucky Division of Water, with Amanda Lefer, deputy commissioner, on the state’s water and wastewater programs and planning. Hatton described Kentucky’s water resources and the Division of Water’s responsibilities, including watershed and nonpoint source work, KPDES discharge permitting, PFAS response, engineering review of water infrastructure, inspections, public outreach, and sampling. He said Kentucky has 428 public water systems, 263 water treatment plants, about 1.9 million service connections, and nearly 97% of the population has access to municipally treated water. He also noted that the state has 43 systems receiving awards for EPA areawide optimization and emphasized operator training, regionalization, and use of GIS mapping and Kentucky Infrastructure Authority data to support planning and funding decisions. Members raised concerns about aging infrastructure, water loss, staffing shortages, and wastewater problems in local systems. Representative Blandon described severe failures in a city system, including major water loss and sewer backups, and asked whether the state could intervene; Hatton said the division inspects treatment facilities and provides compliance assistance but is not authorized to manage delivery systems, though third-party help and emergency funding can be used in some cases. Senator Smith and others shared similar experiences with line loss and system failures, while Hatton pointed to regionalization and funding support as the main tools available. The discussion also highlighted PFAS as an emerging issue, with Hatton saying the department is working with systems to meet anticipated federal requirements by 2029.

Transcript Highlights:

• The treatment programs are the same.
• or a TK program, or where there is a preschool program on campus, we are supporting those programs as
• and also our narcotic treatment program licensure.
• to provide community-based restoration diversion opportunities and jail-based treatment programs for
• programs.

Keywords: 988, house, all

Summary: The hearing focused first on behavioral health, especially hard-to-treat serious mental illness through the lens of anosognosia, and the impact of potential federal Medi-Cal reductions under H.R. 1. A family member, Dawn Marie Anderson, described her son’s long cycle of psychosis, homelessness, arrests, jail-based stabilization, and repeated relapse when treatment ended, arguing that anosognosia is a symptom of illness rather than refusal of care. She and other witnesses urged more consistent, long-term treatment, family involvement, medication support, and stronger county and state coordination. County and provider representatives said the current system still relies too heavily on crisis response and leaves people with serious mental illness falling through gaps between managed care, county specialty care, housing, and justice systems. Testimony from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association emphasized that people with anosognosia often cannot self-navigate care, making a “no wrong door” system essential. They said H.R. 1 could destabilize coverage and shift costs to counties, while existing private insurance coverage is inadequate for early psychosis and related services. Witnesses highlighted CalAIM, jail in-reach, assertive community treatment, mobile crisis, supportive housing, and LEAP-style family training as promising tools, but said counties still need more resources and that the state should strengthen both Medi-Cal and private insurance behavioral health coverage. A public commenter from Lake County said private insurers denied most claims, especially for unlicensed staff providing case management and mobile crisis services. The committee then heard an update on the Children and Youth Behavioral Health Initiative, including the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule program. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, and said the platforms are serving children and youth statewide, including many who had never previously accessed care. For the fee schedule, DHCS said 72% of school districts and 50 of 58 county offices of education are participating across six cohorts, with $9.6 million reimbursed to date and 41,556 students represented in claims. Members pressed the department on the program’s roughly $69.3 million administrative cost, the slow pace of reimbursement relative to the investment, and the late delivery of requested data. DHCS responded that many claims are still being submitted, most denials are correctable, and local implementation is still scaling up through technical assistance and capacity grants.

Transcript Highlights:

• obesity treatment as of October 2025.
• obesity treatment as of October 2025.
• obesity treatment as of October 2025.
• obesity treatment as of October 2025.
• preventative life-changing treatments. preventative life-changing treatments.

Keywords: 1183, house