Transcript Highlights:

• And I'm afraid that people will be dropped from the program who categorically need the program because
• who categorically need the the program who categorically need the program<00:21:33.600> because
• that do show positive treatment that do show positive treatment response. response. response.
• treatment. That's actually incorrect. treatment. That's actually incorrect.
• down a pilot program for this in 2023. down a pilot program for this in 2023.

Keywords: 1191, senate, all

Transcript Highlights:

• are transitioning in or out of a residential treatment program or a psychiatric hospitalization, say
• program or a residential treatment program or a psychiatric<00:56:02.079> hospitalization<00:
• Community treatment program um all of Community treatment program um all of those<02:55:34.960><
• We help support our treatment programs.
• source we help support our treatment source we help support our treatment programs<04:36:47.959>

Keywords: 928, house, all

Summary: The House Finance Committee’s Division 3 held a public work session on the Behavioral Health budget on February 27, 2025. The chair opened by explaining the schedule, materials, and deadlines for the budget process, and noted there would be no motions or votes in the division that day. Division of Behavioral Health Director Ktia Fox and DHHS CFO Nathan White then walked the committee through the division’s mission, structure, and budget materials, describing the division’s four bureaus: Mental Health Services, Children’s Behavioral Health, Drug and Alcohol Services, and Homeless Services, along with the policy unit. They emphasized the division’s role in oversight, technical assistance, quality assurance, contracting, and the continuum of care from prevention and early intervention through crisis and residential services. Much of the discussion focused on major programs and funding lines, including the 988 Lifeline contract with Headrest, a technical assistance contract with UNH, Medicaid pass-through payments to New Hampshire Hospital and Glencliff, crisis response services, cold-weather homeless responses, housing supports, and the children’s system of care. Members asked about the UNH contract, the 988 program, crisis stabilization centers, and the peer certification program; Fox explained that the peer certification is a training-and-credentialing pathway for people with lived experience to enter community-based behavioral health work, not a volunteer program. The committee also discussed the “Choose Love” program, which Fox said was created after the Sandy Hook tragedy to build resilience and strength-based emotional regulation in schools and communities. On the children’s side, Fox described the system of care account as the place where many contracted services are budgeted, including community mental health centers, care management entities, rapid response services, and residential programs. Members asked about temporary staffing, and Fox said roughly $500,000 in temporary staff costs shown in the current year would not be spent next year because the money came from a nonlapsing appropriation in HB 1573 for oversight of children’s residential services. She also said provider rate increases were a prioritized need but were not funded in the governor’s current budget, and that the Children’s Behavioral Health Resource Center was not funded, resulting in about a $1 million reduction. The session ended while the division was still moving through the children’s behavioral health slides, including questions about the Fast Forward high-fidelity wraparound program and medication management.

Transcript Highlights:

• Of course, treatment is a good thing, but without the stick, a lot of people refuse to get treatment.
• treatment. We also have to be realistic that not everyone wants to go and receive treatment.
• program, and then we conduct a warm handoff.
• As they stay engaged in that treatment, we've been able to, As they stay engaged in that treatment, we've
• re-entry program.

Bills: HB2043, HB2044, HB2108, HB2131, HB2132

Keywords: felony murder, unborn child, homicide, Arizona Revised Statutes, life imprisonment, death penalty, abandonment, concealment, dead body, class 5 felony, criminal offense, unlawful flight, eluding police, fleeing law enforcement, police pursuit, vehicle pursuit, reckless endangerment, felony enhancement, class 4 felony, class 2 felony

Summary: The Judiciary Committee first conducted a sunset review of the Arizona Civil Rights Advisory Board. The board’s executive director described its history, membership, and recent work on civil rights issues such as human trafficking remedies, service animals, hate-based crimes, housing, disability access, and rural concerns. With no opposition and no further questions, the committee voted to recommend continuing the board for eight years. The committee then heard HB 2131, which would make weapons and explosives trafficking involving three or more items a prison-mandatory offense and remove the financial-gain requirement from the trafficking definition. Support came from the sponsor, the Attorney General’s Office, and county law enforcement, who said the bill targets criminal syndicates and would not affect lawful gun dealers or private sales. Some members raised concerns about limiting judicial discretion and the effect on plea negotiations, but the bill received a do-pass recommendation by a 7-0 vote with one present. Next, HB 2132 proposed lowering the fentanyl trafficking threshold for enhanced penalties from 200 grams to 100 grams. Law enforcement and county attorneys argued the change would better address mid-level dealers and the volume of fentanyl seen in their counties, while opponents and some members warned it could sweep in addicted users and rely too heavily on mandatory minimums instead of treatment. Testimony also highlighted county reentry and treatment programs, especially Yavapai County’s “Reach Out” model. The committee approved the bill 7-2. The committee also considered HB 2108, which increases penalties for unlawful flight when the conduct is especially dangerous, including when it causes serious injury, involves a child, or occurs during a DUI. Law enforcement supported the bill as a public-safety measure, while an opponent argued it could worsen tensions and discourage compliance with police. Members also raised concerns about unmarked vehicles and public fear. The bill received a 6-3 do-pass recommendation. Finally, HB 2044, as amended, would increase penalties for abandoning or concealing a dead human body when done to conceal a crime or when the offender caused the death. Supporters said it closes a gap in statute exposed by recent cases, while opponents warned the language could be overbroad and potentially reach unintended situations; the committee adopted an amendment and then approved the bill 6-3.

Transcript Highlights:

• , or substance use disorder treatment.
• The amendment is to remove mental health treatment and substance use disorder treatment from the list
• The program indicated the program costs are currently being covered, so there's no additional fiscal
• The purpose of the bill is to rename the batterer intervention program as an abuse intervention program
• The purpose of the bill is to rename the batterer intervention program as an abuse intervention program

Keywords: 994, senate, all

Transcript Highlights:

• So I think DRC program, which I know Commissioner Jenkins spoke to the program, So I think DRC programming
• What is, how is programming being utilized, especially key types of programs when we think about programming
• that program.
• We don't have parole specific programs. We are CRJ programs.
• We have two programs here in Boston, a female program and a male program.

Keywords: 995, all

Summary: The commission on correctional consolidation and collaboration heard testimony focused on how Massachusetts uses custody levels, staffing, programming, and medical release tools, with Prisoners’ Legal Services arguing that the system is overusing expensive high-security settings and underusing step-down options. Dave Rainey said the incarcerated population has dropped substantially over the last several years, but spending and staffing have not fallen in proportion. He argued that DOC overclassifies people into medium and maximum security, relies too heavily on behavioral assessment units that function like segregation, and keeps people in restrictive settings such as Souza-Baranowski and Shattuck Hospital longer than necessary. He also said medical parole is underused and that many people with serious chronic illness or advanced age pose little public-safety risk and should be released through existing legal pathways. Sheriffs and other commission members pushed back on some of those points, emphasizing that staffing needs are driven by the acuity of the current population, that corrections is not overstaffed, and that classification decisions involve serious public-safety judgments. They also stressed that some high-cost medical placements are necessary because people remain under sentence and require care, and that furloughs and other release tools can create security risks if contraband or substance use is involved. The discussion also covered the role of county sheriffs versus DOC in reentry, with several members saying county systems tend to do more day-to-day step-down and release planning, while DOC has more difficulty moving people through lower-security settings before release. Ben Foreman of MassINC offered a more systemwide, data-focused perspective, praising the state’s transparency and arguing that Massachusetts has made major progress in reducing incarceration and increasing public safety. He said the state still has an opportunity to improve by right-sizing facilities, investing in community-based mental health treatment, and using the commission to better understand the capital and operating costs of the current system. In response to questions, he said he was aware of DOC studies on programs like furlough but had not reviewed recent ones, and he noted that total-control facilities like Souza-Baranowski have long been criticized in the research literature for poor outcomes. Nora Wassel of the Women and Incarceration Project then testified that the commission should issue an interim report and scrutinize the planned new women’s prison, which she said is not justified by current population trends or available data. She argued that women are overclassified under DOC’s own tools, that reentry beds and minimum-security placements are underused, and that the system may be failing to account for women’s distinct medical and reentry needs. The meeting ended with continued discussion of reentry, furloughs, day reporting, and whether consolidation should mean fewer facilities, better step-down pathways, or both.

Transcript Highlights:

• COMPLIANCE OF TREATMENT IS FUNDAMENTAL TO THE PRETRIAL DIVERSION PROGRAM SO THE COURT MAY ONLY CONSIDER
• COURT PROGRAMS.
• THIS PILOT PROGRAM HELPS RESTORE COMPETENCY AND PROVIDE MORE COMPREHENSIVE TREATMENT.
• THE DIVERSION PROGRAM WILL ALLOW THE LOVED ONES TO GET TREATMENT RATHER THAN JAIL TIME .
• OPTIONS OF TREATMENT.

Keywords: 999, senate, all

Transcript Highlights:

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

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

Transcript Highlights:

• Research is very clear that voluntary treatment is more effective than involuntary treatment.
• programs.
• Instead of expanding this program, we should focus on evidence-based addiction treatment and prevention
• other vital services and treatment other vital services and treatment programs<00:50:15.319>
• Who is funding these programs?

Keywords: 910, house, all

Summary: The Committee on Health heard testimony on several bills. On SB 1441, which would repeal the transfer of the Oahu Regional Health Care System from HHSC to the Department of Health, the Department of Health said it strongly supports the measure and requested clarifying amendments. HHSC/Oahu Region also supported the bill and said it had no objection to the department’s amendments. In response to questions, witnesses said the agencies have been working on an MOU to support transfers of long-term care patients to Leahi, with the current goal being about 10 to 15 patients, but transfers would occur only as space and staffing allow; one patient was reportedly being admitted at the time, and the process was described as slow and case-by-case. The committee then heard SB 1443 on payment rates for state hospital patients and related Department of Health services. The hospital administrator said the bill would allow rates above Medicaid for community or foster-home placements if patients cannot be placed at Leahi or elsewhere, and would set Medicaid-level reimbursement for outside medical services used by state hospital patients. He said at least one provider was interested in offering services at that rate and that the population involved is largely non-ambulatory long-term care patients. Members asked about availability and training, and the witness said special training could be provided. SB 1322, a broad mental health bill, drew mixed testimony. The Department of Law Enforcement supported giving crisis-intervention-trained officers more discretion to transport people to medical care instead of arresting them. The Attorney General supported the bill but recommended revisions to emergency-transport language and restoring liability protections. HHSC and Queens Hospital supported the overall goal but sought amendments to preserve the mental health emergency worker role in decision-making and to avoid negative impacts on emergency departments. The Disability Rights Center and ACLU opposed parts of the bill, arguing that it weakens due process, reduces protections in involuntary treatment and transport, and should retain a three-person treatment panel rather than reduce it to one. A Queens representative said the current program works well and reported that more than 90% of MH1 cases once went to hospitals, but that figure has dropped to about 60-70%, with about 20% now diverted to community settings or the behavioral health crisis center. No votes or final committee actions were taken in the portion provided.

Transcript Highlights:

• , also known as the hearing aid coverage for children's program.
• While there are many programs for older adult education, I don't know.
• SB 490 by Umburg regarding alcohol and drug programs.
• Treatment at unlicensed sober living homes.
• But now she is receiving treatment and services.

Summary: The Assembly Health Committee heard several measures, beginning with SB 331 by Sen. Menjivar, which would require large-group health plans to cover hearing aids for children. The author and supporters described the bill as a long-running effort to address a developmental emergency and reduce out-of-pocket costs for families, while opponents were absent. Testimony from parents, advocates, medical experts, and organizations emphasized the importance of early access to hearing aids; committee members voiced strong support, and the bill was moved on a do-pass basis to Appropriations, with several members requesting to be added as coauthors. The committee then heard SB 608, also by Sen. Menjivar, to expand access to condoms in school-based health centers and related settings and to prevent barriers such as ID checks. Supporters, including students and school health advocates, argued the bill would improve sexual health and reduce stigma, while opponents from family and faith groups argued it would undermine parental authority and normalize early sexual activity. The bill was supported by committee members and moved forward on a do-pass basis to Appropriations. Next, SB 971 by Sen. Choi proposed community-based healthy aging partnerships for older adults, with testimony from the California Senior Legislature and supporters from aging and dementia organizations. The measure was described as voluntary and focused on connection, independence, and local collaboration; there was no opposition, and the committee moved it on a do-pass basis to Appropriations. The committee also heard SB 869 by Sen. Weber Pierson, which would require warning icons and statements on chain restaurant menus for beverages with very high added sugar content. Supporters framed it as a transparency and public health measure, while restaurant and beverage industry representatives opposed it unless amended, citing cost and menu-space concerns; the bill was nevertheless moved on a do-pass basis to Appropriations after a roll call vote, with some members voting no and the measure placed on call. The committee also considered SB 950 by Sen. Weber Pierson, aimed at ensuring timely coverage of FDA-approved, medically necessary treatments for early-onset Alzheimer’s disease on commercial plans. Supporters, including the Alzheimer’s Association and a patient advocate, said the bill would reduce delays and barriers to care, while health plan representatives opposed it over step therapy and utilization-management concerns. Members discussed the limited treatment window and the need for early access, and the bill was moved on a do-pass basis to Appropriations. In addition, SB 490 by Sen. Umberg would set timelines for DHCS investigations of unlicensed sober living homes and allow counties to assist if the department cannot act in time; supporters from Anaheim and a patient-brokering survivor described serious abuse and oversight gaps, while county behavioral health representatives opposed the county role as an unfunded and potentially liability-creating burden. After discussion, the bill was also moved on a do-pass basis to Appropriations. Finally, the committee began hearing SB 1037 by Sen. Weber Pierson on health insurance affordability and rate review, with supporters arguing it would tie premium increases more closely to affordability targets and public reporting; the transcript cuts off before the committee completed action on that measure.

Transcript Highlights:

• <01:06:11.119> maintain treatment program to obtain and maintain treatment program to obtain
• <01:10:56.719> programs, residential treatment programs, residential treatment programs, specifically
• the treatment program must provide the treatment program must provide the following<01:11:24.640
• explicitly exclude residential treatment explicitly exclude residential treatment programs. programs
• So, um I residential treatment programs.

Keywords: 910, house, all

Summary: The joint hearing opened with House Bill 1969, which would provide state funding for colorectal cancer screenings for uninsured and underinsured residents. The Department of Human Services said it supports the goal of early screening but would need new administrative capacity, including a program manager and claim pre-screening, to run the program. The Department of Health supported the measure and cited low screening rates in Hawaii, noting an educational campaign to encourage screening. The Insurance Division raised concerns about reliance on federal FAQs, warning that guidance can change and may create state cost exposure. Supporters including the American Cancer Society Cancer Action Network and the Hawaii Medical Association argued the bill would close a preventive-care gap, reduce late-stage diagnoses, and save long-term costs; the committee also discussed implementation costs, estimated by DHS at roughly $1.4 million to $2 million annually plus administrative expenses, and a 6-month to 1-year timeline to establish the program. The committee then took up House Bill 1965, which would require health carriers to spend at least 6% of total medical expenditures on primary care providers. The Insurance Division said several provisions raise technical and legal concerns, including the premium freeze, the medical loss ratio language, the lack of an existing external review process for downcoding claims, and a new mandate for medically necessary inter-island transportation that could trigger an ACA defrayal. The Department of Human Services supported the intent but suggested broader language to include primary care supports and services, and noted that QUEST integration plans already invested at least 9% of total medical expenditures in primary care in 2024, with additional spending on supports and low-value care reductions. State health planning officials strongly supported the bill as an investment in primary care, saying it could improve outcomes and lower long-term costs, though they acknowledged a possible temporary premium increase during the transition. Testimony in support emphasized Hawaii’s physician shortage, especially on Maui, the Big Island, and other neighbor islands, and warned that clinics are under financial strain and may close without higher primary care reimbursement. The Hawaii Healthcare Task Force, AARP Hawaii, and other supporters said the bill would help retain providers, improve access for Medicare and Medicaid patients, and prevent downstream costs from emergency room use and avoidable hospitalizations. No votes or final committee action were taken in the portion of the hearing provided.

Transcript Highlights:

• U so the Coordinated Care treatment with U so the Coordinated Care treatment with what<00:26:00.840><
• adherence to Medical Treatments adherence to Medical Treatments prevention<00:28:54.760> of
• <01:08:30.960> empowers communities this programming empowers communities this programming
• Outreach coordinator and program Outreach coordinator and program facilitator<01:19:20.159> at
• return out without proper uh treatment return out without proper uh treatment in<01:28:19.920>

Keywords: 1183, house

Transcript Highlights:

• programs, and expand the opportunities for treatment for individuals.
• > expand programs, uh, expand programs, expand programs, uh, expand programs, expand the<00:51:44.480
• So this is treatment not only treatment.
• program, almost 1,300, and opioid use disorder medication-assisted treatment, almost 1,250 unique claims
• and<01:14:55.600> opioid treatment program almost 1300 and opioid treatment program almost

Keywords: 1189, house, all

Summary: The committee met on January 23, 2026, to approve prior minutes and receive an update from the Department of Health and Human Services. The main presentation focused on “Project Compass,” an internal cross-department effort to prepare for changes to Medicaid and SNAP eligibility. Department staff said the goal is to maintain continuous coverage for eligible people, align policy, operations, communications, legal, finance, and eligibility work, and use the new integrated New HEIGHTS system to streamline implementation. They emphasized outreach to beneficiaries, providers, managed care organizations, and other partners, and said temporary manual workarounds had already been used to stay in compliance with fast-moving SNAP changes. Members questioned how the department would avoid repeating the costly outreach effort used in a prior Medicaid work-requirement rollout. Department officials said they are focusing on ex parte processes, sharing eligibility information across programs, and using community partners to reduce duplicate contacts and paperwork. They also said the department is monitoring the SNAP error rate closely, expects automation and a planned system contract amendment to help reduce it, and noted that current error rates are trending downward and remain below the national average. Questions were also raised about possible future SNAP restrictions on certain foods; the department said it can implement whatever the legislature directs, but that defining and administering such restrictions would be complex. The commissioner and CFO then outlined the department’s budget reduction plan. They said the department has begun implementing required “back of the budget” reductions for fiscal year 2026, using contract savings and not cutting existing services where possible. Examples included dental and home-visitation contracts, where spending was adjusted based on utilization and projected need. Officials said they had already written down a little over $15 million in prior-year encumbrances, but that this one-time source will not be available next year, making fiscal year 2027 more difficult. They also explained the difference between legally required back-of-budget cuts and lapse, and said staffing remains a major challenge because vacancies have increased and customer-facing service levels are strained. Dr. Jonathan Ballard then began an update on opioid overdose fatalities, presenting the latest medical examiner data and describing the long-term rise in deaths after fentanyl entered the illicit drug supply, with a peak in 2017 and a later increase in 2022. The transcript cuts off before his full presentation and any further committee action beyond discussion of the minutes and receipt of the department updates.

Transcript Highlights:

• So in the spring of 2024, the department launched the Fuels Treatment Effectiveness Program application
• Thanks to the Fuels Treatment Effectiveness Program, we can now better measure the effectiveness of the
• Thanks to the fuels treatment effectiveness program, we can now better measure the effectiveness of the
• What about treatments in the WUI versus treatments in the general forest?
• , and that program...

Summary: The subcommittee began by announcing a change in the agenda order, moving item 6 ahead of item 1 and then item 7, and noting there would be no votes taken on any items that day. Item 6 covered a proposed operational efficiencies control section for the Natural Resources Agency that would let multiple departments jointly fund landscape-scale or multi-jurisdictional projects and allow Finance to transfer climate bond funds to a lead state entity. The LAO said the proposal was reasonable but suggested the Legislature consider requiring summary notification on how it is used; Finance said it would consider that request. Item 7 focused on the 2026-27 biodiversity and nature-based solutions spending plan. Finance and the Wildlife Conservation Board described the climate bond funding for habitat restoration, wildlife crossings, public access, tribal nature-based solutions, and related work, including $111 million proposed for WCB and $30 million for Salton Sea habitat and public access projects. The LAO supported the overall approach but flagged the San Andreas Corridor Program as an area where the Legislature may want to specify geographic priorities. Members discussed the pace of Salton Sea work and whether the proposed projects would count toward disadvantaged community goals. Item 8 addressed Cal Fire’s aviation contract and staffing needs for wildfire response. Cal Fire said year-round fire activity, a larger and more complex aircraft fleet, and labor market pressures justified the proposed contract increase, including more mechanics, pilots, and maintenance support. The LAO recommended approval, saying the proposal addressed health and safety concerns. Members asked about contractor staffing, competition in the bidding process, and future technology for early fire detection and suppression. The committee then took up item 1 on golden mussel containment. Fish and Wildlife described the invasive species’ spread in the Delta, the task force and response framework, and a request for eight new positions funded by Prop. 4 to support control plans, outreach, monitoring, research, and coordination with partners and law enforcement. Members pressed the department on whether the state should fund more direct decontamination infrastructure and grants to local water managers, and on the realistic goal of containing the mussel. The chair and several members emphasized the urgency of the threat and requested an itemized breakdown of the $20 million request. The hearing then moved to a broader LAO overview of wildfire prevention and response funding, where the LAO summarized the state’s funding mix and warned that ongoing wildfire resilience funding will likely decline as one-time bond and GGRF funds are exhausted, prompting discussion of long-term funding options and the balance between prevention, suppression, and community hardening.

Transcript Highlights:

• And what that can lead to is denial of treatment, delay of treatment, and actual lack of treatment.
• Second, the proposal restricts treatment to narrowly defined manualized treatments.
• Second, the proposal restricts treatment to narrowly defined manualized treatments.
• He's denied treatment.
• He's denied treatment.

Summary: The committee first received an update from the Attorney General’s office on a new workers’ rights unit and two request bills. The office said the unit will focus on wage theft and civil rights enforcement, using existing resources for a small staff. It also described a bill to expand civil investigative demand authority for labor, wage theft, prevailing wage, and discrimination investigations, and an Immigrant Worker Protection Act that would require employer notice when federal immigration authorities request employee records, limit access to nonpublic work areas without a warrant, and restrict disclosure of employee data without proper legal process. Senators asked about costs, funding sources, and the scope of the proposed authority, and the office said it would follow up with more detail. The committee then heard a detailed presentation on Washington’s workers’ compensation system from Labor and Industries, including how claims are filed, how the medical provider network works, and how treatment authorizations and utilization review are handled. L&I said the network was created to improve care quality and return workers to work, and explained that most routine care is automatically authorized while certain procedures require prior approval or review. A question from Senator Conway focused on the role of the medical director and the appeals process; L&I said decisions can be protested and reconsidered, with exceptions reviewed through a complex treatment unit and medical staff. An experience panel followed with testimony from labor representatives, physicians, and an injured-worker attorney, who argued that the medical provider network and treatment guidelines can delay or deny needed care, especially in complex cases such as PTSD, brain injuries, and serious orthopedic injuries. They described long appeals, utilization review barriers, provider shortages, and the impact on injured workers and families, while L&I’s presentation emphasized the system’s structure and review safeguards. The committee then heard a report from the Underground Economy Task Force in the construction industry. L&I summarized the task force’s findings on worker misclassification, unregistered contractors, and unpaid taxes and premiums, and outlined consensus and majority recommendations, including better interagency communication, stronger penalties for repeat offenders, more authority to address successorship, possible contractor notice requirements, and further study of cash payments. The Attorney General’s office, labor, and business representatives generally supported the report’s goals but differed on some recommendations, especially those affecting independent contractors, contractor liability, and administrative burdens. The chair and Senator Conway thanked participants and said the report would inform future legislation.

Transcript Highlights:

• IF THEY DON'T SAY FOR THE TREATMENT, IF THEY DON'T SAY FOR THE TREATMENT, THE DIAGNOSIS, THE FOLLOW-UP
• ANY ONGOING TREATMENT, IF A CHILD IS HIV-POSITIVE AND NEEDS DIFFERENT TYPES OF ONGOING TREATMENT THESE
• THE TREATMENT OF IT.
• , YOUNG GIRLS TO GET TREATMENT FOR STDS.
• YOU ARE RECOGNIZED. >> CAN A MINOR GET TREATMENT, GET MENTAL HEALTH TREATMENT USING THE HOTLINE?

Keywords: 999, senate, all

Transcript Highlights:

• Finally, the bill strengthens the Department of Health's education program for the care and treatment
• but But You know, the state and how many have viewed this type of treatment.
• And financing of our own Medicaid program.
• It's almost a $40 billion program. It's the largest portion of our budget.
• For those not familiar, the ASR program is the profit-sharing mechanism.

Summary: The committee first heard Senate Bill 1414 by Sen. Polsky on congenital cytomegalovirus (CMV) education. The bill would require the Department of Health, working with medical experts, to create and distribute CMV educational materials to expectant and new parents or caregivers through hospitals, birth centers, and OB/GYN practices. An amendment removed a section that would have required instruction for medical professionals, and the amended bill was reported favorably as a committee substitute. The committee then took up a block of confirmations. Appointees on tabs 2 through 7 were recommended favorably in one vote, and Chavon Harris was separately confirmed as Secretary of the Agency for Health Care Administration after extensive questioning. Senators praised her leadership and experience, while others raised concerns about Medicaid redeterminations, the state’s CORE modernization project, Hope Florida, and a DCF anti-marijuana ad campaign; Harris said she would follow up on some issues and defended the agency’s work on transparency, managed care oversight, and access to care. Her confirmation was recommended favorably, with Sen. Berman noting opposition. Several health-related bills were then heard and advanced. SB 186 by Sen. Garcia expanded epilepsy training requirements for school personnel, including charter school bus drivers, and was reported favorably. SB 902 by Sen. Garcia, after amendments narrowing dental workforce provisions and allowing certain seizure rescue medication delegation to family home health aides, was reported favorably; testimony focused on medical marijuana regulation, practitioner accountability, and concerns about park and child-care proximity restrictions. SB 196 by Sen. Sharif created a uterine fibroid research database with privacy protections and was reported favorably after emotional testimony from a patient and supporters. SB 688 by Sen. Rodriguez would reestablish licensure of naturopathic doctors; it drew both support and skepticism about diagnosis and treatment boundaries, but was reported favorably. SB 1574, Maddie’s Law, would add biliary atresia screening to newborn screening and was strongly supported by parents describing a delayed diagnosis; it was reported favorably. SB 878 on clinical laboratory personnel, SB 1092 on podiatric medicine and certain cellular/tissue-based products, and SB 1032 on medical marijuana registry timelines and veteran fee waivers were also reported favorably, while SB 1032 drew debate over longer renewal/supply periods. The committee then began SB 1760 on Medicaid oversight and program transparency, with the sponsor describing the bill’s creation of a joint legislative oversight committee and a legislative actuary.

Transcript Highlights:

• That complicated his treatment.
• And so it's very, very challenging to get them treatment if the only treatment available to them is by
• choice, but they don't know that they need treatment.
• Behavioral health treatment services include applied behavior analysis, commonly referred to as ABA treatment
• programs, peer support programs, and other innovative approaches that complement traditional care.

Summary: The Assembly Health Committee heard a series of bills focused on behavioral health, cancer screening, provider reimbursement, research funding, workforce licensing, and tobacco regulation. SB 16 would require counties to maintain procedures for designating and training professionals authorized to perform 5150 evaluations and initiate involuntary holds; supporters said it would expand the pool of qualified clinicians and reduce reliance on law enforcement, while opponents raised concerns about local control and implementation. SB 1124 would require CDPH to create and post lung cancer screening eligibility signage at tobacco point-of-sale locations; supporters emphasized low screening awareness and early detection, and the bill was advanced with amendments. SB 28, a CARE Court cleanup bill, proposed an ombudsperson, reporting, electronic petitions, remote participation, and other changes to improve accountability and access; it drew both strong support and significant opposition over concerns about coercion, scope, and whether the program is working as intended, but it passed the committee as amended to Judiciary. The committee also heard SB 874, which would strengthen oversight of Medi-Cal behavioral health treatment services, including background checks for providers and a stakeholder workgroup to develop standards; it passed to Public Safety. SB 1049 would let providers resubmit corrected claims within 90 days after a plan’s denial or recoupment action when the original claim had a correctable technical defect; supporters described delayed and withheld payments harming practices, while insurers argued the bill could duplicate existing dispute processes. The bill passed to Appropriations on call. SB 1224 would create a state framework to compete for federal ARPA-H funding for emerging therapies research, with testimony from a UC Davis psychiatrist and veterans’ advocates supporting expanded research into treatments for PTSD, depression, and other conditions; it passed to Military and Veterans Affairs. Later, SB 1057 would change how the Department of Public Health evaluates conviction history for certified nurse assistants and home health aides, shifting from automatic denial toward individualized assessment based on the offense, time elapsed, and rehabilitation; it passed to Appropriations with some no votes. Finally, SB 1314, a tobacco-related bill, sought to create a 600-foot buffer around schools and day care centers for certain tobacco retailers and address related issues such as cigar lounge definitions and nitrous oxide sales; several local government and public safety groups supported it, while health organizations and business groups opposed it unless amended. The chair announced that committee amendments were being set aside for now and the bill would move forward to Business and Professions with a commitment to continue working on the language; it passed out of committee.

Transcript Highlights:

• The whole program is geared to taking care of the individual child.
• Every other managed care program is under AHCA.
• AHCA is handling the whole program now.
• It incorporates Patient treatment and continuity of care.
• and especially substance abuse treatment.

Summary: The Appropriations Committee on Health and Human Services met to consider a full agenda of bills, moving quickly through 20 measures and several amendments. Early bills reported favorably included SB 976 on procedures for challenging court-appointed psychologists in family law cases, SB 306 on Medicaid managed care provider access outside regular business hours, and SB 584 on housing supports for foster youth and college students, which drew supportive testimony from former foster youth and was backed by members as a way to improve stability and educational opportunity. The committee also approved SB 1412 to modernize home health regulations and SB 1800 to create a Parkinson’s research consortium at USF, with members citing the need for more research and future funding opportunities. The committee adopted amendments on several bills, including technical and conforming changes to the Parkinson’s bill and other measures. The committee then advanced a series of health care and child welfare bills. SB 524 added Duchenne muscular dystrophy to newborn screening; SB 1156 revised the Home Health Aide Program for medically fragile children, including training, reimbursement, and work-hour flexibility; and SB 1490 reorganized services for medically fragile children by shifting program administration to AHCA and requiring a redesign plan for the Medicaid waiver. SB 1174 allowed foster home and child-caring agency licenses to be amended when a foster parent relocates, and SB 1620 implemented selected recommendations from the Commission on Mental Health and Substance Use Disorders, including a new research center at USF and school-based behavioral health review requirements. SB 1568 revised e-prescribing exemptions, and SB 78 authorized certain veterans’ nursing home beds and related certificate-of-need transfers. All of these measures were reported favorably after brief debate or supportive testimony. Several bills prompted more extensive discussion and some opposition. CS for CS SB 1270, the Department of Health agency package, included provisions on vaccination-related patient rights, medical marijuana reporting, background screening, temporary licensure, compact participation, and sovereign immunity for volunteer dentists; it passed despite concerns from Senators Berman, Brodeur, and Harrell about vaccination language and board/voting-power provisions. CS for SB 1606 on patient access to records drew strong opposition from physicians and health information professionals over privacy, security, fines, and portal access; it was initially reported unfavorably, then reconsidered and ultimately reported favorably as a committee bill. CS for SB 1736, allowing insulin administration by direct support professionals and relatives for individuals with developmental disabilities, and SB 1808, requiring timely refunds to patients, both passed. CS for SB 1842, requiring referring providers to help patients determine whether referred providers are in-network, also passed over concerns about burden on small practices. The committee also advanced SB 1354, a behavioral health oversight bill requiring audits, performance reporting, and system transparency measures for managing entities, and SB 1768, which authorizes physicians to perform certain stem cell therapies using specified products and requires informed consent; both drew supportive comments but also concerns about patient understanding and oversight. Finally, the committee approved SPB 7032 as a committee bill to create presumptive Medicaid eligibility for permanently disabled individuals during redetermination, and after reconsideration it reported SB 1606 favorably as a committee bill. The meeting ended with members noting their recorded votes on select tabs and adjourning after completing the agenda.

Transcript Highlights:

• Senate Bill 155 by Senator Talbot is an act to amend Title 22 relative to dental care and cancer treatment
• This is the bill dealing with cancer treatment for dental patients with cancer.
• was put on at the request of the Department of Health just to add more specificity in terms of the program
• In terms of the program that it applies to, I see that I have a question.
• Members, the bill was kind of gutted on the House side as the pilot program for average bid, but we did

Bills: SCR12, HB221, HB509, HCR58, SB78, SB25, SB80, SB132, SB155, SB157, SB202, SB228, SB250, SB414, SB433, SB479, SB513, SCR9, SCR58, SB65, SB215, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, SB514, HCR32, HB17, HB41, HB73, HB223, HB244, HB759, HB906, HB966, HB1006, HB1009, HB1086, HB1107, HB1112, HB1215, HB1242, SB217, SB283, SB469, HB36, HB42, HB74, HB119, HB159, HB259, HB302, HB414, HB459, HB776, HB848, HB956, HB1017, HB1028, HB1095, SB208, SB312, SB382, SB389, HB210, HB258, HB359, HB368, HB468, HB552, HB732, HB784, HB870, HB953, HB1117, HB1236

Keywords: logging, recognition, John Keith, environment, safety, Mississippi River bridge, Trump Expressway, transportation, federal funding, Louisiana highways, injection wells, public hearing, geologic sequestration, environmental impact, public comment, Ascension Parish, state capitol, economic development, community partnership, celebration day

Transcript Highlights:

• Senate Bill 155 by Senator Talbot is an act to amend Title 22 relative to dental care and cancer treatment
• This is the bill dealing with cancer treatment for dental patients with cancer.
• was put on at the request of the Department of Health just to add more specificity in terms of the program
• Members, the bill was kind of gutted over on the House side as the pilot program for average bid, but
• contact information for the accrediting entity for each non-public school with a pre-kindergarten program

Bills: SCR12, HB221, HB509, HCR58, SB78, SB25, SB80, SB132, SB155, SB157, SB202, SB228, SB250, SB414, SB433, SB479, SB513, SCR9, SCR58, SB65, SB215, SB249, SB269, SB282, SB296, SB323, SB363, SB369, SB474, SB490, SB492, SB500, SB514, HCR32, HB17, HB41, HB73, HB223, HB244, HB759, HB906, HB966, HB1006, HB1009, HB1086, HB1107, HB1112, HB1215, HB1242, SB217, SB283, SB469, HB36, HB42, HB74, HB119, HB159, HB259, HB302, HB414, HB459, HB776, HB848, HB956, HB1017, HB1028, HB1095, SB208, SB312, SB382, SB389, HB210, HB258, HB359, HB368, HB468, HB552, HB732, HB784, HB870, HB953, HB1117, HB1236

Keywords: logging, recognition, John Keith, environment, safety, Mississippi River bridge, Trump Expressway, transportation, federal funding, Louisiana highways, injection wells, public hearing, geologic sequestration, environmental impact, public comment, Ascension Parish, state capitol, economic development, community partnership, celebration day

Summary: The Senate met with 29 members present, heard a prayer and national anthem presentation, and approved the journal without objection. The chamber then received multiple messages from the House on conference committee reports and concurrence actions, and took up a long calendar of Senate resolutions and House/Senate bills returned from the House with amendments. Several resolutions were adopted without objection, including commendations and requests for reports or studies, while others were left over or returned to the calendar. The Senate concurred in or adopted amendments on a series of bills covering registrar compensation (SB 25), broadband administration and reimbursement (SB 80), school safety master key boxes (SB 132), dental coverage for cancer treatment (SB 155), paid parental leave for educators (SB 157), election supervisor compensation days (SB 202), water utility service line replacement funding (SB 228), weight management services through the Office of Group Benefits (SB 250), medical debt protection (SB 414), Medicaid coverage of weight-loss medication (SB 443), and design-build authority for vertiport facilities (SB 513). It also adopted a House concurrent resolution urging backup motors for the St. Claude Avenue Bridge (HCR 32). One bill, SB 479 on removal of certain judges, had its amendments rejected and was sent to conference. The chamber then considered conference committee reports on several measures. Reports were adopted on SB 312 (labor organization dues and fees), SB 208 (veterans services and VA-related restrictions), SB 382 (workers’ compensation advisory council and reimbursement schedule timing), SB 389 (agent and athlete registration and fee review), and multiple House bills including HB 359 (party primary qualifying rules), HB 368 (New Orleans historic preservation lien procedures), HB 468 (wholesale residential real estate definitions), HB 552 (DWI-related responsive verdict language), HB 732 (motor vehicle fines/fees and hybrids), HB 870 and HB 1236 (pharmacy benefit manager and insurance provisions), and HB 1117 (prescription period issues). HB 210 on retroactivity was also adopted after debate. Several conference reports were temporarily passed over or returned to the calendar, including HB 953, and the Senate adjourned to reconvene the next morning for final work.