Transcript Highlights:

• So that is why I'm supporting this bill.
• So please, I support this 100%. Thank you. So please, I support this 100%. Thank you. Thank you.
• systems of support as we look at behavioral health and mental health.
• I was missed for support as a young adult.
• with intense behavioral health needs.

Summary: The Senate Human Services Committee held an evening hearing on several bills. Senate Bill 6249, sponsored by Sen. Torres, would require all people convicted of stalking to be supervised by the Department of Corrections. Staff explained current community custody rules and said the bill would make stalking convictions subject to DOC supervision; the fiscal note had been requested but not yet received. The sponsor and several survivors and advocates testified in support, saying stalking is dangerous, victims need ongoing monitoring, and supervision could help prevent future harm. No vote was taken. The committee also heard Senate Bill 6255, sponsored by Sen. Lovelett, which renames and updates the Legislative Executive Poverty Reduction Oversight Task Force (LuPRO) as the Legislative Executive Economic Justice and Well-Being Task Force, expands membership, and revises duties to monitor and update the state’s 10-year plan to dismantle poverty. Staff said the bill has a partial fiscal note showing a $4,000 OSPI cost for a report, with no additional cost beyond that this biennium. Testimony from DSHS and a constituent supported the bill as a way to improve coordination and accountability in poverty reduction efforts. Senate Bill 6286, sponsored by Sen. Orwall, would authorize the Department of Health to fine private detention facilities that deny inspectors entry, with escalating daily fines and a new account to support people harmed by wrongful detention or ICE-related abuse. The sponsor and supporters framed the bill as a human rights and public health measure, citing complaints about food, sanitation, medical care, and mental health conditions in private detention facilities. The committee then heard Senate Bill 6224, sponsored by Chair Wilson, which would create a Children and Youth Behavioral Health Leadership Council to implement the Washington Thriving Strategic Plan and extend the existing work group. Supporters from state agencies, providers, parents, and advocates emphasized early intervention, cross-system coordination, and youth mental health needs; one witness opposed the bill, arguing it should focus more on non-psychiatric causes of distress. The hearing ended with no recorded votes or final action on the bills.

Transcript Highlights:

• DSH proposes to use Behavioral Health Services Act funds to support its existing workforce development
• Behavioral Health Services Act funds to support its existing workforce development programs, including
• The administration has carefully evaluated existing behavioral health programs supported by General Fund
• The Innovation Partnership Fund is designed specifically to support novel behavioral health programs.
• The Innovation Partnership Fund is designed specifically to support novel behavioral health programs

Summary: The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits. The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements. The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually. The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.

Transcript Highlights:

• related to the delivery of behavioral health services.
• But this is really about testing some new models, being innovative, supporting the state's behavioral
• ...treatments for suicidal behaviors.
• We provide dialectical behavior therapy. It cuts suicidal behaviors in half.
• It cuts suicidal behaviors in half.

Summary: The Assembly Health Committee held an informational hearing on Kaiser Permanente’s behavioral health care system, focusing on Department of Managed Health Care enforcement actions, Kaiser’s corrective action work plan, and testimony from patients, advocates, and union representatives. DMHC officials reviewed a long history of complaints, surveys, fines, and settlements involving Kaiser’s access to behavioral health services, including deficiencies found in 2012 and 2016, a 2022 non-routine survey, and a 2023 settlement that imposed a $50 million penalty and required $150 million in community investments over five years. DMHC said it continues to monitor Kaiser through quarterly meetings, complaint review, follow-up surveys, and a reimbursement process for members who could not obtain timely in-network care. Committee members pressed DMHC on what “timely access” and continuity of care mean in practice, how virtual care and group therapy fit into the standards, and what triggers a non-routine survey. DMHC said initial behavioral health appointments generally should not take more than two weeks, urgent care should be within days, and follow-up care within 10 days, with out-of-network care required when plans cannot meet standards. Officials also said Kaiser’s initial corrective action work plan lacked detail, but the revised plan was accepted and will be tracked through quarterly reporting and possible additional enforcement if Kaiser fails to comply. The second panel featured testimony from a Kaiser enrollee, a behavioral health policy expert, a Kaiser therapist, and the NUHW president. The enrollee described serious delays and inadequate treatment for his daughter after a suicide attempt, while the therapist and union leader said Kaiser’s behavioral health system is understaffed, relies too heavily on short appointments, group therapy, and webinars, and treats behavioral health as less important than medical-surgical care. They argued Kaiser’s one-appointment-at-a-time scheduling rule and limited treatment time violate parity requirements and harm continuity of care. Several members criticized Kaiser for not appearing at the hearing and said the testimony underscored the need for stronger oversight, clearer metrics, and faster remedies for patients.

Transcript Highlights:

• c> which</c><00:03:08.239><c> we</c> support both behavioral health which we support both behavioral
• school-based behavioral support of school-based behavioral health<00:12:21.839><c> services</c> health
• of behavioral health supports, we also increase the need.
• of behavioral health supports, we also increase the need.
• of behavioral health supports, we also increase the need.

Keywords: 1183, house

Transcript Highlights:

• application of the Baker Act across Florida's behavioral health system.
• Responsive behavioral health care system for Floridians.
• Behavioral health ombudsman: This is a new activity under HB 7021.
• , young people, and families are heard and supported as they navigate the behavioral health system.
• So services that were supported with the $48 million... ...of work.

Summary: The Human Services Subcommittee met to receive an update from the Florida Department of Children and Families on implementation of House Bill 7021, which revised the Baker Act and Marchman Act and was funded with a $50 million appropriation. Deputy Assistant Secretary Bill Hardin reported that the department has updated reference guides, training, administrative rules, and forms; launched regional behavioral health collaboratives; and created the Office of Children’s Behavioral Health Ombudsman. He said early data show continued declines in Baker Act use, high diversion rates from involuntary examinations through 988, mobile response teams, and care coordination, along with generally positive provider feedback on changes such as allowing psychiatric nurses to initiate emergency treatment orders and clarifying the 72-hour examination period. Hardin also described Marchman Act changes, including a streamlined petition process, remote testimony, improved discharge planning, and a new annual data report. He said the department has completed or is completing multiple training courses for providers and law enforcement, and has adopted or is finalizing numerous rules and forms. He reported that the regional collaboratives are identifying common statewide needs such as service capacity, resource sharing, funding flexibility, and peer support, while the ombudsman office is handling complaints and helping families navigate services. Members asked about whether the current funding is sufficient, future budget needs, outreach for the new ombudsman office, and services for juveniles. Hardin said DCF has posted legislative budget requests for additional forensic FACT services and short-term residential treatment beds, including children’s beds, and noted the ombudsman office is staffed with two FTEs and supported through existing complaint-management and regional systems. He said outreach is being done through regional collaboratives and coordination with other agencies, especially the Department of Education, and that juvenile transport and placement issues have improved with the new law. No votes were taken, and the meeting adjourned after the presentation and questions.

Transcript Highlights:

• So when I started my career, this was called PBIS, or positive behavior intervention supports.
• So when I started my career, this was called PBIS, or positive behavior intervention supports.
• So when I started my career, this was called PBIS, or positive behavior intervention supports.
• So when I started my career, this was called PBIS, or positive behavior intervention supports.
• So when I started my career, this was called PBIS, or positive behavior intervention supports.

Keywords: 1183, house

Transcript Highlights:

• Today, 988 routinely connects callers needing in-person behavioral health support directly to our specific
• Today, 988 routinely connects callers needing in-person behavioral health support directly to our specific
• connects callers needing in-person behavioral health support directly to our specific mobile crisis
• by the Behavioral Health Services Act, population-based, next steps supported by the Behavioral Health
• Duncan has alluded to, are supported.

Keywords: 988, house, all

Transcript Highlights:

• The mental health support treatment.
• You know, people are going to need certain supports, and we want to make sure that those natural supports
• And behaviors, like I talked about before, behavior gets used a lot in our system around children and
• And in-home supports can be delivered by a DSP, which we can. in-home supports can be delivered by a
• If you have aggressive behaviors, if you have self-harming behaviors, if you are suicidal or homicidal

Keywords: 907, all

Transcript Highlights:

• Today, 988 routinely connects callers needing in-person behavioral health support directly to our specific
• , and behavioral health professionals.
• programs, and behavioral health initiatives.
• They likely could be supported in that manner.
• We ask for your continued support for mobile crisis teams.

Summary: The joint Assembly Health and Select Committee on Native American Affairs held an oversight hearing on AB 988, California’s 988 crisis line and mobile crisis response system, followed by a discussion of suicide prevention and intervention in California Indian communities. Members and witnesses repeatedly emphasized that AB 988 was intended to create a true alternative to 911 for behavioral health crises, with “someone to call, someone to come, and somewhere to go,” and that Native communities continue to face disproportionately high suicide rates and barriers to culturally responsive care. The first panel of call center and stakeholder witnesses largely argued that implementation is falling short of the law’s intent. They said 988 call centers are underfunded, text/chat answer rates remain far below call answer rates, staffing is strained, and the system still lacks meaningful statewide interoperability between 988 and 911. Several witnesses said mobile crisis teams are not being dispatched through 988 as envisioned, and that funding formulas and governance are too opaque. San Joaquin County was presented as a local success story, with integrated 988, access lines, and mobile crisis handoffs that have reduced reliance on emergency departments and involuntary holds. Witnesses also discussed the need for better tribal outreach, the role of CCBHCs, and the importance of culturally competent services. State officials from CalHHS and DHCS described the five-year 988 implementation plan, the current governance structure across multiple agencies, and efforts to support training, public awareness, and referral tools. They reported growth in 988 contacts, ongoing training with the Trevor Project, a statewide resource directory, and a tribal awareness campaign. DHCS also outlined proposed trailer bill language that would create a formal designation process for 988 centers, set statewide standards, and require existing centers to obtain designation by 2029. Officials said current funding includes SAMHSA grants, block grant dollars, and an expected $67.3 million from the 988 fund in the next budget year, with a large share earmarked for Medi-Cal mobile crisis services. No formal vote or committee action was taken in the portion of the hearing provided.

Transcript Highlights:

• My son has made meaningful progress because his team uses proactive, positive behavior supports and a
• And with the school psychologist, I helped design his positive behavioral supports and de-escalation
• The point of reducing isolation and restraint and having positive behavioral supports is making sure
• Senator Cortez, we absolutely support behavior intervention plans and functional behavioral assessments
• With the greater knowledge we have access to today on how to support students with complex behavioral

Summary: The committee opened by explaining that several bills had been removed from the agenda because the Senate must physically possess a bill before holding a public hearing. The chair said the missing bills would be rescheduled for Tuesday. The committee then waived the five-day notice rule for considering substitute House Bills 1705 and 32010, and proceeded to hear substitute House Bill 2219 and substitute House Bill 1795. House Bill 2219, on child care operational efficiency, would allow longer mixed-age ratio periods in child care centers, waive repeat DCYF orientation requirements in certain cases when staff have recently completed the same training, and require licensing standards to include a zero-tolerance policy for imminent physical harm involving high-potency synthetic opioids and related drug residue or paraphernalia. The prime sponsor and supporters said the bill would help child care providers manage staffing shortages, take breaks, and reduce duplicative licensing burdens. Testimony was strongly supportive, with advocates and providers describing the bill as a low-cost way to improve retention and flexibility. Questions focused on how the fentanyl language would apply to prescribed medications. House Bill 1795 would narrow and update state law on restraint and isolation in public schools and other public educational programs. The bill prohibits mechanical and chemical restraints and restraints that restrict breathing or blood flow, bars planned isolation in IEPs and 504 plans, limits planned restraint to cases with parent request and medical necessity, and prohibits new construction or remodeling of spaces intended primarily for student isolation. Supporters, including disability advocates, educators, school psychologists, principals, and state education groups, said the bill is a needed step toward reducing trauma and disproportionality and cited demonstration sites showing reductions in restraint and isolation. Some educators and paraeducators raised concerns about staffing, training, and what tools remain available in crisis situations, while others asked for future work on professional development and resources. No vote was taken on either bill during the hearing.

Transcript Highlights:

• What we mean by that is behavioral health standards are the standards at which behavioral health services
• Access to behavioral health services and behavioral health.
• Prevention, immediate support, which is immediate support during an emergency.
• With behavioral health support, we've got funding in there for certified community behavioral health
• So again, I'm supportive of it.

Transcript Highlights:

• March of Dimes strongly supports policies across the country... ...a huge shortage of behavioral health
• I’m here in strong support of establishing a perinatal behavioral health care workforce trust fund.
• So I am here in support of this bill, and thank you all for your support and attention.
• I would like to testify in support of H. 2208/S. 1411, an act to establish a perinatal behavioral health
• At my clinic, we have integrated behavioral health care, which is a model in which behavioral health

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on 17 bills focused on behavioral health workforce shortages, studies, and commissions. Chairs Mindy Domb and Senator John Velis opened by emphasizing the severity of the Commonwealth’s mental and behavioral health workforce crisis, the resulting gaps in access to care, and the legislature’s ongoing use of loan repayment programs, studies, and commissions to address these issues. They outlined hearing procedures and noted that testimony would be limited to three minutes, with written testimony also accepted. A major portion of the hearing focused on bills to expand the primary care workforce, including H. 2205/S. 1385, which would broaden eligibility for the Mass RePay loan repayment program. Testimony from the Massachusetts Medical Society, Senator Jo Comerford, and Dr. Kate Atkinson described severe primary care shortages, long wait times, physician burnout, high debt burdens, and the need to recruit and retain physicians in more practice settings and regions. Committee members asked about the likely impact of loan repayment, the role of nurse practitioners and physician assistants, and how to prioritize limited funding. Witnesses argued that primary care investment improves access and outcomes and that the bill would help sustain community-based practices. Another large block of testimony supported H. 2208/S. 1411, the proposed perinatal behavioral health care workforce trust fund, often referred to as the Moms Matter Act. March of Dimes, perinatal mental health advocates, doulas, clinicians, parents, and organizations such as the Boston Public Health Commission and Empty Arms Bereavement Support testified that postpartum depression, anxiety, substance use, and grief are widespread, often untreated, and worsened by long waitlists and a shortage of trained, culturally competent providers. Speakers repeatedly stressed that screening alone is not enough without a workforce to provide timely treatment, and several shared personal stories of postpartum illness, loss, and difficulty accessing care. The bill was also framed as a needed complement to the Commonwealth’s recent maternal health law, which increased screening and therefore increased demand for treatment. The committee also heard support for the Bridge Act, H. 2207/S. 1388, which would create mental health capacity grants for organizations serving communities at high risk of hate crimes or hate incidents. Testimony from the Jewish Community Relations Council and the bill’s sponsor described the mental health harms of hate, including anxiety, trauma, isolation, and loss of trust, and argued that community organizations need resources to build resilience and provide support. In addition, the committee heard from the Massachusetts Mental Health Counselors Association on H. 2218/S. 1380, which would update job classifications to explicitly include licensed mental health counselors and licensed supervised mental health counselors in state behavioral health roles. Witnesses said the change would modernize hiring, expand access, and better reflect current licensure and scope of practice. No votes were taken during the hearing, and the session ended with a motion to adjourn after all testimony was completed.

Transcript Highlights:

• Sonia Saez, Behavioral Health Manager.
• health supports will be critical.
• These behavioral health supports often rely on counselors, social workers, and psychologists, but the
• However, coupled with a behavioral health system, a sound behavioral health system really can provide
• school behavioral health program.

Keywords: 996, all

Transcript Highlights:

• </c> behavior events in 2024. behavior events in 2024.
• </c> more behavior events in 2024. more behavior events in 2024.
• to behavior.
• It's also different types of behavioral supports, and so that would be the ideal world.
• </c><00:50:18.319><c> supports</c> different types of behavioral supports different types of behavioral

Keywords: 958, all

Summary: The Education Assessment and Accountability Review Subcommittee received an Office of Education Accountability presentation on student discipline data in Kentucky schools for the 2024 school year. OEA said the study used Safe Schools data, educator and student surveys, site visits to 12 schools, and principal surveys. The report found that about 1 in 10 schools have major behavior-related challenges and up to one-third have at least moderate challenges, with the most common concerns varying by level: high schools cited vapes, cell phone misuse, apathy, and tardiness; middle schools cited apathy, vapes, and cell phone misuse; and elementary schools reported more extreme classroom behaviors such as throwing objects, overturning furniture, and screaming. OEA also noted that 14% of students had at least one behavior event in 2024, but repeated events were rare, and event rates alone do not reliably measure the severity of behavior problems in a school or district. The presentation emphasized that many disciplinary consequences do not align consistently with statutes or local expectations. OEA said law violations made up 19% of more than 250,000 recorded behavior events, while most were board violations, and that some serious incidents resulted in minimal consequences. The report highlighted concerns about weapons, threats, and assaults: only 9.2% of weapon events led to expulsion or alternative placement, few threats resulted in those outcomes, and fewer than 10% of assaults led to expulsion or alternative placement, including some first-degree assaults. OEA also said the Safe Schools data do not identify victims, limiting analysis of assaults on staff or students, and recommended clearer statutory definitions and better data reporting. A major theme was the difficulty schools face in addressing chronic disruption and severe behavior while complying with federal protections for students with disabilities. OEA said principals reported the biggest challenges were federal limits on disciplinary removals and a lack of alternative placement options. The report described variation among districts in how they implement federal requirements, with some administrators discouraging alternative placements or avoiding discipline because of perceived legal risks. Site visits found that many schools lacked chronic-disruption policies, and teachers often reported frustration with minimal consequences and repeated classroom removals. OEA recommended that KDE collect more information from educators, identify promising practices for alternative instructional settings, and develop clearer guidance and training. In discussion, committee members said the findings showed reporting gaps and resource strains, and OEA staff clarified that some underreporting reflects local discretion, while law violations should still be reported.

Transcript Highlights:

• So we are defining the behavioral health workforce as all of the above.
• One in 10 reported an unmet need for behavioral health care in 2023.
• Some of them do have behavioral elements, right, because of behavioral issues that need supports that
• And this is true for the behavioral health field as well.
• A lot of the entry-level roles and support staff...

Keywords: 995, all

Summary: The Massachusetts Commission on the Status of Persons with Disabilities subcommittee on workforce supports met with Chair Andrew Lerault presiding. Members completed roll call, approved the August 2025 minutes, and then heard a presentation from Amy Doyle, director of the Behavioral Health Workforce Center at the Massachusetts Health Policy Commission. Doyle described the center’s launch in September 2024 and its legislative mandate to study behavioral health payment rates, workforce needs, and licensure/certification barriers, with an emphasis on recruitment, retention, capacity building, diversity/equity, and sustainability. She also shared data on unmet behavioral health needs, ED boarding, workforce shortages, aging and turnover in nursing and direct care, and the need to improve data collection on non-licensed workers and populations such as people with developmental disabilities and autism. Committee members asked questions about what provider types were included in the workforce data and whether DDS-related residential and direct support roles were captured. Doyle said the center is still working to define and measure the full behavioral health workforce, including non-licensed roles, and welcomed follow-up on missing data sources. Members suggested additional sources such as CHIA and the Association of Developmental Disability Providers’ workforce survey. Doyle noted that the center is working with CHIA and that new licensure renewal surveys for behavioral health and allied mental health professionals will begin in 2025, which should improve future workforce data. The discussion also touched on the Health Policy Commission’s broader workforce findings, including nurse attrition, burnout, low wages, and the importance of career ladders and advanced training. Doyle said the center’s first policy recommendations will come from its rate study, expected in the next one to two months, and will likely focus on capacity building and sustainability. After the presentation, members thanked Doyle and discussed subcommittee leadership. Chair Lerault announced he was stepping down, and Chris White volunteered to serve as co-chair; the committee agreed to move forward with that arrangement and to revisit FY26 goals once new leadership is in place. The meeting then adjourned by motion and second.

Transcript Highlights:

• Of behavioral health services.
• Supports that they need.
• Before we move on to child support, I just wanted to point out that in program support, support, the
• Are you asking if child support is part of the behavioral health reforms? Yes, not really.
• We're really supporting them, and they should be supported by everyone. So... Thank you.

Keywords: 996, all

Transcript Highlights:

• Washington APCO/NENA is strongly supportive of research and development around 911-based behavioral health
• They were able to provide emotional support, active listening, and helped her explore other social supports
• And then five behavioral hospital.
• of trauma and need those additional supports.
• that additional supports.

Summary: The Community Safety Committee held an interim work session on crisis response, with members and witnesses discussing how Washington can better integrate 911, 988, mobile crisis, co-response, and alternative response models for behavioral health crises in public spaces. Travis Parker opened with an overview of the Sequential Intercept Model and the crisis care continuum, emphasizing early intervention, 988 access, regional coordination, navigators and peer support, and the need for sustainable braided funding. Several Washington witnesses then described current programs and system gaps, including the growth of co-response teams, the importance of integrating 911 and 988 rather than treating them as competing systems, and the need to reduce unnecessary emergency room use and improve first responder wellness and training. City, fire, and crisis-system representatives described local challenges and reforms. Kim Hendrickson of Poulsbo said most crisis calls still come through 911 and urged better coordination among field-based teams, more behavioral health training for fire/EMS, and more alternatives to ER transport. Laura Pippen, a designated crisis responder, described a strained involuntary treatment system, fewer DCRs statewide, difficulty getting law enforcement support for transports, and limited facility capacity, especially for substance use disorder. Jennifer Stuber and South County Fire’s Keith Sharp highlighted workforce training, a crisis responder certificate program, and first responder wellness efforts. Research witnesses Evan Lauder and James Pine said the evidence is still developing but generally supports on-scene resolution, reduced ED transport and detention in some models, and the importance of clear dispatch protocols, coordination, and ongoing evaluation. Dispatch and program operators then gave examples of how systems are working in practice. Katie Myers of Washington APCO/NENA said 911 remains essential, but needs evidence-based triage protocols, liability protections, and additional funding if it is expected to take on more crisis-response responsibilities. Whatcom County described embedding a “community connector” in the 911 center to coordinate alternative response, while ValleyCom reported that its 988 diversion pilot transferred 2,165 calls with 98% resolved through 988/211 without returning to 911. National examples included Denver’s STAR program, Albuquerque’s Community Safety Department, and Atlanta’s PAD initiative, each showing different ways to route low-acuity or behavioral-health-related calls away from police and toward clinicians, peers, or civilian responders. The session ended with Washington examples continuing, including Whatcom County’s alternative response team, underscoring the committee’s interest in refining and expanding integrated crisis response systems in the next session.

Transcript Highlights:

• We'll hear from the County Behavioral Health Directors Association, Santa Clara County's Behavioral Health
• And so the Children and Youth Behavioral Health Initiative has increased access to school-based behavioral
• valuable source of support.
• of behavioral health providers across the state.
• Grants will focus on outreach, not operational support.

Summary: The hearing focused on California’s 988 suicide and crisis lifeline and the broader crisis response system, with members and witnesses emphasizing both the system’s life-saving role and the risks posed by funding gaps, rising demand, and uneven local implementation. Opening remarks highlighted the personal impact of suicide and the need to strengthen crisis response so calls are answered quickly and linked to appropriate care rather than defaulting to 911, emergency rooms, or law enforcement. State officials described the AB 988 five-year implementation plan, which sets goals around public awareness, equitable access, high-quality call/chat/text response, and better integration with ongoing behavioral health services. State agencies reported progress on infrastructure, coordination, and related behavioral health investments. CalHHS said California has expanded mobile crisis teams, crisis stabilization units, and youth behavioral health supports, and is preparing additional public awareness and grant programs tied to Proposition 1. DHCS explained that 988 is funded through a federal SAMHSA grant and the AB 988 surcharge, while Medi-Cal separately funds mobile crisis services; officials said the mobile crisis benefit is active in 53 counties and that statewide expansion remains a work in progress. Cal OES described the statewide technical buildout, including network infrastructure in all 11 crisis centers, interoperability with 911, and a pilot of next-generation routing and call-handling tools. The 988 California Consortium said call volume continues to rise sharply, missed calls remain a major concern, text/chat capacity is limited, and centers need more stable funding, better reimbursement, and stronger feedback loops with the state. County and community witnesses stressed that local systems need more flexible, sustained support to match the demand. Lake County described a peer-led rural mobile crisis model that has reduced law enforcement holds and increased housing placements, but said county-run mobile crisis teams still cannot reliably access 988 surcharge dollars and face reimbursement problems from Medi-Cal and commercial plans. Santa Clara County reported strong performance metrics, rapid call answer times, and a broad continuum of mobile crisis services, but said staffing and funding are strained and commercial reimbursement remains slow. The Mental Health Association of San Francisco said the peer-run warm line complements 988 by offering non-emergency support and warm handoffs, but recent budget changes forced cuts to Spanish-language service, federation support, and hours. No formal votes or legislative actions were taken during the hearing; members mainly asked questions about surcharge levels, budget timing, coordination among agencies, data collection, and how to improve collaboration with frontline crisis centers.

Transcript Highlights:

• He's a certified peer support worker and a certified family peer support worker.
• And our staff are certified peer support workers. We also have family peer support workers.
• They don't have to wait long to connect with a peer support worker or a family peer support worker.
• health supports. focus on behavioral health supports, which is work that they've been leading over the
• , and behavioral health.

Transcript Highlights:

• Hi, Rachel Blucher on behalf of the California Association for Behavior Analysis in support.
• Hi, Odessa McLean, a BCBA for Applied Behavior Consultants Incorporated, in support. Thank you.
• specialists supports three programs within the county's behavioral health system.
• George Cruz on behalf of the California Behavioral Health Association in support. Thank you.
• George Hughes, on behalf of the California Behavioral Health Association, in support.

Keywords: 987, senate, all