Transcript Highlights:

• We need more services available. We need a bigger workforce.
• In all, we now offer Tier 1 and Tier 3 services to 318 school sites, Tier 2 services to 76 school sites
• Act, and the Behavioral Health Services Act as well.
• Finally, investments in crisis services literally save lives.
• And I've used those services numerous times this year.

Summary: The Select Committee on Youth Mental Health and Treatment Access held its third hearing to review the state of youth mental health, progress under the Children and Youth Behavioral Health Initiative (CYBHI), and remaining implementation and funding challenges. The chair emphasized that schools are often the main point where education, health care, and social services intersect for students, and that the committee’s goal is to ensure public investments translate into better access and outcomes. The hearing featured testimony from researchers, a youth advocate, state officials, and local practitioners. PPIC researcher Shalini Mostala reported that teen mental health remains a serious concern, with high rates of chronic sadness, hopelessness, and suicidal thoughts, though recent California data show some improvement since the pandemic. She noted persistent disparities by gender, race, and rural status, and said school-based health centers, wellness centers, and community schools are associated with lower suicidal thoughts. Youth advocate Ella Cruz, speaking for NAMI California, described her own mental health struggles and argued that youth voice, peer-to-peer support, and reducing stigma are essential; she also said technology and AI cannot replace trusted adults or trained professionals. Committee members asked about phone use, stigma, cultural barriers, and how to make supports more accessible and relatable to students. Dr. Sohill Sood of the California Health and Human Services Agency said statewide survey data show declining stigma, increased counseling use, and lower suicide ideation among students, and he highlighted CYBHI’s certified wellness coaches, digital tools, awareness campaigns, and the first-in-the-nation fee schedule that allows schools and colleges to bill health plans for behavioral health services. He said the program is growing quickly, with more than 230,000 claims and over $11 million in new revenue to date, while acknowledging that billing systems and coordination are still being built. Trina Frazier of Fresno County described a multi-tiered system of care supported by CYBHI, CalAIM, and other grants, serving thousands of students through school-based services, wellness centers, and mobile therapy units; she said ongoing funding and flexibility are critical. Rachel Kroberniski of El Segundo High School’s James Morehouse Project described a long-running wellness center and peer mentorship model that supports students in multiple languages, and said peer programs help students feel seen, connected, and more willing to seek help. Members broadly praised the flexibility, collaboration, and peer-based approaches described by the witnesses. Questions focused on sustaining funding after one-time grants expire, improving coordination among schools, counties, and providers, expanding the fee schedule to higher education, and ensuring continuity of care for students after high school. Officials said county offices of education, DHCS, and other partners are using communities of practice and technical assistance to spread best practices, and that CYBHI services can follow some young adults through age 25, with additional supports through community-based programs and digital platforms.

Transcript Highlights:

• Prenatal supports and services, as well as those that are trying to provide those services and what those
• , to crisis services like 988 and in-person crisis response, like mobile response stabilization services
• Behavioral health services.
• One of the, linked to services, et cetera.
• In terms of that direct service and who's actually providing that direct service, it is either in our

Summary: The House Education Committee held a work session on the Children and Youth Behavioral Health Work Group and its school-based behavioral health and suicide prevention subgroup, followed by a public hearing on House Bill 1634, as amended in a proposed second substitute. Work group leaders Lisa Callan and Tisha Kirschbaum described the group’s statewide, cross-agency structure, its Washington Thriving strategic plan, and the goal of moving toward a more integrated “system of care” for children and youth. They emphasized that behavioral health, physical health, and education are interconnected, that families and schools often face a fragmented system, and that Washington’s youth flourishing outcomes show a need for stronger supports. Committee members raised concerns about regional disparities, rural access, language and cultural responsiveness, and the burden on schools and educators, while the presenters stressed that schools should be supported to identify needs and connect students to outside clinical services rather than carry the full burden themselves. Representative My-Linh Thai and Christian Stark then outlined the school-based subgroup’s work and recommendations. They said the subgroup meets monthly, includes students, parents, educators, providers, and agencies, and has focused on prevention, early identification, early intervention, and crisis response in schools. For the 2026 session, the subgroup recommended maintaining current investments in school behavioral health programs, strengthening statewide guidance on school behavioral health, and creating a coordinated technical assistance and training network for schools. They explained that the proposed substitute for HB 1634 would direct OSPI and the educational service districts to work with behavioral health agencies and community partners to conduct a needs assessment, map resources, and build a statewide framework for technical assistance and training, with public posting required by August 1, 2027. Testimony in support came from school staff, OSPI, behavioral health professionals, students, parents, and advocacy groups, who described high student anxiety, suicide risk, staffing shortages, and the need for coordinated, accessible supports. One witness from a psychiatric watchdog group opposed the bill, arguing it could increase labeling and drugging rather than holistic care. No vote was taken in the transcript provided.

Transcript Highlights:

• stabilization services is a Medicaid<00:10:23.680><c> service.
• actually you provided a less expensive service like a transition service.
• </c> to support services that were provided. to support services that were provided.
• like a transi transition service like a transi transition service. service. service.
• case management services?

Committee: House Fraud Prevention and State Agency Oversight Policy

Transcript Highlights:

• services before receiving the funding to pay for those services, when the state is late in issuing reimbursements
• This means they pay interest to deliver state-funded services."
• filed as a fillable form via the online filing service.
• Human service providers provide critical services.
• is a really key element of the Mayor's Office of Nonprofit Services.

Transcript Highlights:

• Services. Services.
• Services.
• Services.
• Services.
• Services.

Committee: Senate Health and Human Services

Transcript Highlights:

• you have medical services and Mental Health<00:38:22.319><c> Services</c><00:38:23.200><c> allinone</
• who is providing those services.
• We provide primary care, dental services, behavioral health services, and substance abuse services for
• </c><03:38:33.120><c> Services</c><03:38:33.720><c> which</c> Emergency Medical Service Services which
• c> other</c> and services Adult Services and other and services Adult Services and other critical<04:

Summary: The House Finance Committee opened a public hearing on House Bills 1 and 2, which concern the governor’s proposed FY 2026-2027 budget. The chair explained that the committee must fit the budget to House Ways and Means revenue, which is about $800 million below the governor’s estimate in an almost $16 billion budget. He also noted a projected current-budget overspend, the impact of recently passed legislation, possible fee updates, no new tax proposals at that time, and the importance of federal funding and Medicaid stability. Testimony was limited to three minutes, with the chair asking speakers to avoid duplication. Much of the testimony focused on Medicaid, disability services, and home- and community-based care. Speakers urged the committee to restore or protect funding for transportation, Medicaid, day programs, in-home supports, and behavioral health services. Several individuals and providers described how cuts would affect people with disabilities, medically fragile children, and families who rely on services to remain employed and avoid institutional care. A home care provider argued that a proposed 3% Medicaid cut would increase hospitalizations and costs, while a behavioral health representative asked for sustainable Medicaid rates, uncompensated care support, housing resources, and continued funding for community behavioral health clinics. Another major topic was the Group II retirement provisions in HB 2 for public safety workers. Representatives from police, fire, corrections, probation/parole, and related associations testified in support, saying prior pension changes hurt recruitment and retention, pushed experienced workers to neighboring states, and should be reversed to restore promised benefits. They argued the provisions would help keep public safety careers viable and honor commitments made to first responders. An executive counselor also warned that when the state shifts costs away from itself, local property taxpayers bear the burden, and she opposed cost shifts such as Medicaid premiums and universal vouchers. A separate speaker urged funding public schools rather than universal vouchers, arguing vouchers can leave other students behind as resources are diverted.

Transcript Highlights:

• </c> ear, a permanent scar of his service. ear, a permanent scar of his service.
• Uh, sir, regardless of the yoke of this bill, I appreciate your service and the service of everybody
• </c> these services still and for a lifetime? these services still and for a lifetime?
• </c> Lutheran Social Service of Minnesota. Lutheran Social Service of Minnesota.
• and department of youth and services and department of youth and family<01:17:12.640><c> services.

Committee: Senate Agriculture, Veterans, Broadband, and Rural Development - Subcommittee on Veterans

Transcript Highlights:

• services for survivors.
• </c> services they need. services they need.
• </c> Now is not the time to reduce services. Now is not the time to reduce services.
• </c> life-saving services. life-saving services.
• </c> of these services. of these services.

Bills: HF1082 , HF2099 , HF4177 , HF2742

Committee: House Public Safety Finance and Policy

Transcript Highlights:

• And $13.4 billion, about 9.4%, is for developmental services.
• Would OYCR be engaged in how services are going to be provided, and how effective services are going
• drills of O&E reductions, personnel services reductions.
• drills of O&E reductions, personnel services reductions.
• So that is... ...despite this demand and services.

Summary: The committee heard a series of budget and oversight presentations from CalHHS-related departments and agencies. CalHHS opened with a broad overview of its 2026-27 budget and priorities, including behavioral health, housing and human services integration, children and youth services, and aging/disability supports. OICR then presented its budget and its SB 823 realignment report on youth formerly committed to DJJ, saying county implementation varies widely but that the state has not seen evidence of net widening in the available data. OICR recommended climate surveys, youth advisory councils, stronger behavioral health and education programming in secure youth treatment facilities, better transitional planning, and improved longitudinal data systems. The agency also described a Title II federal grant transition problem, saying it cannot yet pay some subrecipients for prior work and is awaiting federal action on retroactive spending authority and an administrative funding adjustment. The Ombudsperson division requested two additional positions to address a growing complaint workload and access issues with counties over youth meetings, records, and grievance files; LAO raised no policy objection but noted the ongoing General Fund cost. The State Council on Developmental Disabilities requested $730,000 General Fund ongoing to cover the gap between federal limits on administrative overhead and the actual cost of an interagency agreement with the Department of Social Services. EMSA presented its department overview and several proposals, including a delayed AB 716 ambulance rate report, a $2.6 million request to replace aging disaster-response vehicles, a $250,000 security architecture assessment, and four positions plus ongoing General Fund for HR, enforcement, and legal workload. Members questioned the delay in the AB 716 report, the optics and timing of the vehicle replacement request, and whether EMSA was doing enough to prevent future staffing and enforcement problems. LAO repeatedly noted the ongoing General Fund implications of EMSA’s requests. The Department of Community Services and Development sought reappropriation of unspent Greenhouse Gas Reduction Fund money for the Low-Income Weatherization Program and described a Proposition 4-funded continuation of the farmworker housing component, which would require a new statewide administrator and program design process. The Department of Rehabilitation requested authority to draw an additional $60 million in federal funds annually and add 54 positions to meet sharply increased Vocational Rehabilitation caseloads; LAO had no concerns. Child Support Services proposed restoring a prior reduction to local child support agency funding and reported higher federal performance incentives, while also presenting a supplemental report on full pass-through of child support collections to CalWORKs families, estimating about $150 million annually for full pass-through or about $80 million for a state/county-only approach, plus automation costs. Members questioned why funding should rise when caseloads are declining, and whether the policy could be made cost-neutral. CDPH closed the hearing with an overview of its $5.1 billion budget and its state of public health report, highlighting record-low mortality and higher life expectancy, but also rising overdose deaths among ages 25-44, persistent maternal and infant mortality disparities, and the need for stable public health and emergency-response capacity; no votes were taken during the hearing.

Transcript Highlights:

• continuum of services in a consolidated, centralized service center.
• continuum of services in a consolidated, centralized service center.
• continuum of services in a consolidated, centralized service center.
• continuum of services in a consolidated, centralized service center.
• continuum of services in a consolidated, centralized service center.

Bills: HF1937 , HF2407 , HF1678 , HF1477 , HF2040 , HF1840 , HF257

Committee: House Human Services Finance and Policy

Transcript Highlights:

• Into the service fund. Correct, into the service fund.
• That would also have been an hourly service.
• Most things are moving toward platform as a service, software as a service.
• An additional $1 million of dedicated emergency communication service revenue for prepaid wireless service
• We needed some help with service desk.

Committee: Joint Information Technology Committee

Transcript Highlights:

• </c> are paying high prices for services are paying high prices for services without<00:03:36.799><c>
• </c> the rent or services that are provided? the rent or services that are provided?
• </c><01:09:28.159><c> Our</c> services does come at a cost. Our services does come at a cost.
• their services.
• as well as life residential services as well as life sharing<01:29:54.000><c> services.

Bills: HF2216 , HF1978 , HF2354 , HF1963 , HF1994 , HF1995 , HF1894

Committee: House Human Services Finance and Policy

Transcript Highlights:

• <00:05:02.160><c> optimistic</c><00:05:03.160><c> that</c> Service Services uh I am optimistic that Service
• This is about client services, the right service at the right time for the right individual.
• </c> residential Behavioral Health Services residential Behavioral Health Services so<00:23:05.799><c
• :34.160><c> there's</c><00:49:34.400><c> better</c> Services under one agency there's better Services
• department also require services in the department also require services in another<00:50:04.599><c>

Summary: The committee convened an informational Division 3 Finance hearing focused on DHHS programmatic issues rather than budget line items. The chair emphasized that members should avoid questions requiring dollar figures and noted that the coming budget cycle would likely be difficult because revenues are expected to be tighter. Commissioner Lori Weaver said the department wanted to use the session to explain its functions at a high level, with more detailed presentations to follow, and to collect questions for later responses. Weaver outlined DHHS’s mission of supporting optimal health for state residents and described the department’s three main responsibilities: protection and prevention, client service delivery, and regulatory oversight. She said DHHS has eight divisions, a $3.6 billion total budget, about $1.217 billion in general funds, roughly a quarter of state positions, and personnel costs that are less than 11% of the budget. She also noted a recent hiring freeze, explained that the department did not request new positions except where required by law, and said vacancy rates had improved from 22% to 14% over the last two years but could rise again because of attrition and the hiring freeze. Weaver and CFO Nathan White then discussed why the DHHS budget is complex, explaining that it is built from multiple funding sources and is shaped by assumptions made months before the fiscal year begins, actual service demand, and cost allocation rules used to draw down federal funds. White highlighted maintenance-of-effort requirements, including TANF, where state spending is needed to secure federal matching funds and shortfalls can trigger penalties. At the committee’s request, DHHS agreed to provide a simplified historical accounting of TANF contributions to show how the match is assembled across positions, contracts, and other factors. The department also reviewed its roadmap, which Weaver described as a framework developed with staff and stakeholders around three themes: culture, community, and customer service. She highlighted priorities such as Mission Zero to end emergency department boarding, expanding access to community-based and residential behavioral health services, reducing reliance on institutional care, improving contract management with nonprofit and provider partners, using data dashboards to guide decisions, and investing in workforce stability and culture. No votes were taken; the main action was DHHS’s commitment to provide additional follow-up materials, including the TANF contribution breakdown.

Transcript Highlights:

• Finally, it excludes from the oversight of the Administrative Services Organization any services provided
• I have yet to find a provider who has gotten paid for outpatient services on the fee-for-service side
• I have yet to find a provider who has gotten paid for outpatient services on the fee-for-service side
• services organization or an MCO.
• decrease in expectations for service delivery, fee-for-service payment model limitations, increases

Bills: SB1086 , SB1193 , SB1318 , SB1345 , SB1346 , SB1451 , SB1496 , SB1611 , SB1630 , SB1631 , SB1632 , SB1672

Committees: Senate Health and Human Services , Senate Senate Health and Human Services COR

Keywords: reimbursement, healthcare, laboratory services, noncontracting providers, Arizona health care cost containment, personal identifying information, PII, privacy, confidential records, public records exemption, commercial disclosure, data privacy, licensure, certification, health professions, health care licensing, Arizona Department of Health Services, ADHS, emergency medical care technician, EMCT

Transcript Highlights:

• We integrate public health, human services, and the county-run health plan to wrap services around our
• These services include the administration of basic maintenance medications or essential services like
• What exactly are the services? we're talking about.
• He would be paid $0 for the service of dispensing the prescription.
• Who are essential services technicians?

Committee: House Health Finance and Policy

Transcript Highlights:

• I received an honorable discharge from active-duty service. I am still in the IRR right now.
• Honestly, in the military service, you know, we have men, women.
• If it's different, can we get them to have these other services, these other pieces?
• I think it's important for us to, of course, recognize the service, but also the impact.
• It's important for us to, of course, recognize the service, but also the impact.

Committee: House Military and Veterans Affairs

Transcript Highlights:

• . services. services.
• are services that services which uh uh are services that uh<00:07:06.800><c> exclude</c><00:07:07.199
• </c> safe, and timely service. safe, and timely service.
• for direct services, $147 million of that went to direct services.
• do get the service and and so we service do get the service and and so we verify<00:25:15.279><c> and

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the October 15 minutes, and began with a moment of silence following a Louisville UPS plane explosion that was described as a local tragedy affecting many families and first responders. The main presentation was an overview of Kentucky’s Medicaid non-emergency medical transportation (NMT) program from the Department for Medicaid Services and the Transportation Cabinet. Witnesses explained that NMT is a federally required Medicaid benefit, administered by the Transportation Cabinet under a risk-based capitated model, with eligibility limited to Medicaid members traveling to medically necessary, Medicaid-covered services and who lack access to other transportation. They also described exclusions, including certain KCHIP, QMB, and PACE members, and outlined the brokered regional structure, call center operations, scheduling rules, vehicle and driver oversight, complaint handling, and rider surveys. The presenters reported that NMT handled more than 3.1 million trips in state fiscal year 2024, with over 1.38 million trips already recorded in October, and said customer satisfaction surveys were high. They said the FY 2025-26 contract total is about $360.6 million, with monthly per-member capitation rates set by region through an actuarial process and approved by CMS. They emphasized that payments are tied to monthly Medicaid enrollment and that the state draws down federal funds for the exact amount paid, with no leftover balance. They also said most NMT use comes from adult day centers and rehabilitative care such as dialysis. Members questioned the witnesses about how quality metrics and contract standards are set, whether the state had explored alternatives such as Uber Health or other integrated models, and how utilization was calculated. The witnesses said contract requirements are developed collaboratively by Medicaid Services, the Transportation Cabinet, and other agencies, and that studies of other models generally found higher costs and lower approval ratings, with additional research on a hybrid model expected by the end of the year. They clarified that one figure reflected the share of Medicaid members with registered vehicles, while another reflected actual NMT users, and they defended the capitated structure as shifting financial risk to brokers rather than the state. Representative Fleming also raised concerns about oversight, reporting, and the apparent gap between budgeted and contracted amounts, asking whether any unused funds would return to general funds; the discussion ended before a final answer was given.

Transcript Highlights:

• Into four services, if they're enrolled in Medicaid outside of the Indian Health Services, they get services
• So, Indian Health Services.
• If it's fee-for-service, which Indian Health Service is fee-for-service... service, then we pay whatever
• services.
• School-Based Medicaid Services.

Committee: House Federal Funding Stabilization Subcommittee

Transcript Highlights:

• those services and what those barriers look like and feel like.
• , to crisis services like 988 and in-person crisis response, like mobile response stabilization services
• and as I'm listening to Behavioral health services.
• , et cetera... ...linked to services, et cetera.
• In terms of that direct service and who's actually providing that direct service, it is either in our

Bills: HB1634

Committee: House Education

Keywords: mental health, behavioral support, education, school districts, student assistance

Transcript Highlights:

• and supports, and maybe even lower-dollar services and supports.
• We need more services available. We need a bigger workforce.
• Finally, investments in crisis services literally save lives.
• of services is the highest return investments.
• Michael Henning, California Alliance and Child and Family Services.