Transcript Highlights:

• We will talk about the Medicaid program, the Developmental Disability Supports Division, and the Behavioral
• support the Senate Bill 3 behavioral health reform efforts.
• With your support, at the Behavioral Health Services Division, we've added certified community behavioral
• That includes support, for example, we're adding some support for CARA Navigators.
• Program Support, Juvenile Justice, Protective Services, and Behavioral Health Division.

Keywords: 996, all

Transcript Highlights:

• I am the new Assistant Behavioral Health Advocate in the Office of the Behavioral Health Advocate.
• I am the new Assistant Behavioral Health Advocate in the Office of the Behavioral Health Advocate.
• I am the clinical behavioral health manager here at the department and our behavioral health...
• The treatment focuses on supporting parent caregivers and addressing the youth behavioral health issues
• and their supporters.

Keywords: 962, all

Summary: The meeting opened with approval of the April minutes and brief administrative updates, including notice that House Bill 5447 had passed both chambers of the General Assembly. Speakers reflected on the bill’s key provisions, which include eating-disorder working groups, an evidence-based screening requirement for school-based health centers beginning July 1, 2027, and a DSS-led feasibility process to explore an inpatient psychiatric facility for young adults ages 14 to 21. New staff introductions were also made for the Behavioral Health Advocate’s office and the TCB team. A major portion of the meeting focused on marketing and outreach for urgent crisis centers (UCCs) and the broader youth crisis continuum. Daydream Communications presented research showing low public awareness of UCCs but strong interest once families learn about them, with parents wanting specialized, compassionate care, clear expectations, insurance clarity, and bilingual support. United Way described its parallel work on a statewide crisis continuum marketing toolkit, using the SAMHSA framework of “someone to talk to, someone to respond, and somewhere safe to go,” and outlined plans to distribute consistent messaging through websites, social media, flyers, and community venues. Members emphasized coordinating with existing platforms and ensuring the marketing reflects the actual experience at UCC sites. DCF then presented on adolescent substance use services, citing data showing high need and low treatment access among Connecticut youth. The department reviewed its ASAM-based continuum, SBIRT efforts in outpatient psychiatric clinics, medication-assisted treatment access, and statewide services such as MST, MST emerging adults, STRIDE, multidimensional family therapy, youth recovery supports, and the AIM matching tool. A new young people peer support program was highlighted, with referrals accepted from families, hospitals, community providers, DCF, youth diversion, and the judicial branch. Questions addressed parent consent, peer matching, and whether the AIM tool could be linked through 211. The meeting concluded with an update from the Connecticut Suicide Advisory Board and its regional boards and grant-funded initiatives. Presenters reviewed the state suicide prevention plan, regional coalition work, postvention response, lethal means safety efforts, and the 988 capacity improvement grant that supports Connecticut’s centralized 988 contact center at United Way. They also shared youth suicide risk data from the Connecticut Youth Risk Behavior Survey, noting recent declines in reported suicidal ideation and attempts, and provided resources for training and materials. No formal votes were taken beyond the approval of the April minutes.

Transcript Highlights:

• This will support the engagement of these populations in behavioral health systems.
• health support.
• of their three-year plans using funds from the Behavioral Health Services and Supports allocation.
• Using funds from the Behavioral Health Services and Supports allocation.
• support for organization and ongoing help desk support.

Summary: The committee heard opening budget remarks from the Department of Finance and the Legislative Analyst’s Office on the May Revision for Health and Human Services. Finance said the proposal significantly reduces projected out-year operating deficits through a mix of revenue increases and program cost reductions, while the LAO warned that even with booming revenues the state still faces a structural deficit and should prioritize reserves and avoid new ongoing commitments. The chair and members echoed concern about cuts to vulnerable populations, but also noted the need to maintain the overall level of budget solutions and add to reserves. The hearing then moved through a series of CalHHS and HCAI proposals, mostly held open after presentation. CalHHS requested additional legal support to respond to federal H.R. 1-related issues and a net-zero transfer of positions for a shared eligibility/data-sharing platform. Other items included ongoing funding for the 988 Behavioral Health Crisis Service Fund and a request for EMSA to fund maintenance of its enterprise data management system. HCAI presented proposals for hospital fair pricing implementation, the data exchange framework, the all-payer claims database, CalRx insulin development, the diaper access initiative, distressed hospital grants, opioid settlement fund reversion, and the Rural Health Transformation Program. Members questioned funding sources, special fund use, contracting exemptions, timelines, and whether some proposals should be more targeted or supported by alternative funding. A major discussion centered on HCAI’s diaper access initiative and the use of a Public Contract Code exemption to continue contracting for free diapers distributed through hospitals. The chair and some members criticized the optics of the selected vendor and questioned the lack of an income threshold, while HCAI said the program was designed to be universal and administratively simple, with future phase-two direct-to-consumer purchasing to be handled by a different vendor. Another extended exchange focused on distressed hospital funding, where HCAI said the May Revision would provide up to $50 million for hospitals at immediate risk of closure, but members argued the repeated annual need shows a structural problem and asked for broader reforms to hospital payment and care transitions. The final major topic was the Behavioral Health Services Oversight and Accountability Commission’s budget. The Commission opposed the May Revision’s reduction of the Innovation Partnership Fund from $20 million to $10 million and a $6.7 million cut to community advocacy contracts, arguing both are core Proposition 1 tools for statewide innovation and community engagement. Finance responded that the proposal is within Proposition 1’s allowable maximums and that prior unspent appropriations could be redirected if the Legislature wanted to restore the full amount. No votes were taken; items were generally held open for later action.

Transcript Highlights:

• I did not support the ballot initiative, but I absolutely support...
• I did not support the ballot initiative, but I absolutely support what this particular pilot program
• It established the 24/7 behavioral health helpline, a network of community behavioral health centers
• It established the 24-7 behavioral health helpline, a network of community behavioral health centers,
• behavioral health system.

Keywords: 995, all

Summary: The hearing opened with remarks from House Chair Mindy Domb and Senate Vice Chair Robyn Kennedy, who outlined procedures for the hybrid public hearing, noted the committee would hear testimony on 15 bills related to treatment settings, and recognized members present. The first major bill discussed was H. 4200, authorizing a pilot program for psychedelic-assisted treatment in licensed facilities. Representative Jim O’Day and witnesses from Control Z supported the bill, describing it as a tightly controlled, medically supervised pilot with DPH oversight, limited sites, and screening requirements. Committee members asked about the number of sites and whether Column Health still existed; witnesses said the bill contemplated three separate pilot programs and that Column Health no longer existed after being purchased by another company. The committee also heard testimony on S. 1405 to make the drug stewardship program permanent by removing its 2026 sunset date. Senator John Keenan and others said the program helps collect and safely dispose of unused medications, reduces diversion, and should remain in place because manufacturers should bear disposal costs. A member from Boston added support based on local concerns about people searching through bags for drugs, and Keenan explained the original sunset reflected pilot status and industry pushback. A large portion of the hearing focused on S. 1394 and H. 2193, which would strengthen implementation of the 2023 Roadmap for Behavioral Health Reform. The Children’s Mental Health Campaign, Parent/Professional Advocacy League, Massachusetts Association for Mental Health, and Elliott Community Human Services testified that the roadmap’s helpline, community behavioral health centers, and crisis services are important but unevenly implemented. They urged a single point of accountability within EOHHS, regular strategic planning, a public data dashboard, and financial analysis of the behavioral health system and the access and crisis intervention trust fund. Witnesses said commercial insurance often does not fully reimburse community behavioral health center services, making sustainability difficult, and asked for better coordination across agencies and crisis response systems. Committee members asked whether the roadmap includes substance use disorder; witnesses said it is intended to cover behavioral health broadly, including mental health and substance use. The committee also heard testimony on bills to ban aversives and on suicide prevention signage. Lisa Jean Graff testified in support of S. 1394 by urging a statewide ban on aversive practices, including electric shock, withholding food or bathroom access, and other painful interventions, arguing disabled people deserve the same protections from harm as others. Fonda Bryant and Carol McLean supported a bill requiring suicide prevention signs on tall parking garages, describing personal experiences and saying the signs could create a brief pause and connect people to 988 or other help. McLean said her son died by suicide from a parking garage and that signage might have made a difference. The committee also heard strong testimony in support of creating intensive stabilization and treatment units within DMH facilities (S. 1398/H. 2204), with the Massachusetts Nurses Association and a DMH nurse arguing that highly assaultive patients need specialized, more secure units to protect staff and other patients and to improve care. Additional testimony supported creating a dedicated board for licensed mental health counselors (H. 4696/S. 1382), with Rep. John Badger, the Mass Mental Health Counselors Association, and others saying LMHCs are a large and growing workforce that needs its own licensing board, clearer standards, and faster implementation of existing licensure reforms. The committee also heard extensive testimony on H. 2223 regarding benzodiazepines and non-benzodiazepine hypnotics. Survivors and advocates described severe withdrawal, lack of informed consent, cognitive harms, and long-term disability, while a physician supported the bill as a way to improve disclosure of risks. Finally, the committee heard multiple witnesses in favor of H. 2231/S. 1383 to establish peer-run respite centers statewide. Advocates and people with lived experience said peer respites provide non-coercive, home-like alternatives to hospitalization, can reduce trauma and repeated admissions, and may be especially important for marginalized communities; they also cited cost savings and existing positive outcomes from current respite programs. No votes or final committee actions were taken during the hearing portion reflected in the transcript.

Transcript Highlights:

• Support to help community-defined evidence practices become integrated into the behavioral health system
• This will support the engagement of these populations in behavioral health systems.
• of their three-year plans using funds from the behavioral health services and supports allocation.
• of their three-year plans using funds from the behavioral health services and supports allocation.
• Using funds from the behavioral health services and supports allocation.

Keywords: 987, senate, all

Transcript Highlights:

• our proposed strategies to transform the way that the behavioral health workforce is trained and supported
• , recruit, retain, and support the folks to serve individuals with significant behavioral health conditions
• We leverage CYBHI funding to support some of our behavioral health scholarships, loan repayments, and
• We also support the $4 million allocation to HCAI to support CHWs.
• We also support the $4 million allocation to HCAI to support CHWs.

Summary: The hearing began with a stakeholder presentation from Let California Kids Hear urging coverage of pediatric hearing aids for children in the large group market. Advocates described the issue as a long-running developmental emergency, argued that existing state efforts have been inefficient, and said the new proposal would cover about 70% to 80% of affected children without new spending by redirecting existing dollars. Public commenters, including parents, audiologists, and children’s advocates, strongly supported the proposal and emphasized the need for timely access to sound. The chair thanked the group and noted hope for a future fix, including continued work on the exchange market. The Department of Finance then gave a broad budget warning about the state’s more than $20 billion structural deficit and said new investments must be weighed against out-year shortfalls. HCAI followed with an overview of its programs, including CalRx insulin and naloxone, reproductive health grants, the Office of Health Care Affordability, seismic hospital compliance, workforce programs, and the Data Exchange Framework. Members asked about geographic targeting of workforce funds, behavioral health pipeline programs, the status of the 21st Century Nursing Initiative, and future CalRx products such as EpiPens and GLP-1s. HCAI also described its enforcement approach for health care spending targets, saying the board would not change the targets in response to H.R. 1, and outlined the diaper access initiative, which will distribute diapers through hospitals in higher-need areas. Several HCAI budget items were discussed and held open, including additional expenditure authority, the transfer of the Data Exchange Framework and Office of the Patient Advocate, long-term care payment transparency staffing, and reporting on health care worker waiting periods. The department also presented its Behavioral Health Services Act workforce initiative and a proposed $100 million General Fund offset, which both the LAO and the chair questioned as unclear and potentially one-time in nature. HCAI said the final workforce plan would be adjusted after stakeholder consultation if the offset proceeds. The department also described the Rural Health Transformation Program, saying California received $233.6 million in federal funds, had to revise its proposal to satisfy CMS, and must obligate the money by October 30; the program will fund rural care models, workforce development, and technology, with grants rolled out on a phased basis. The Department of Managed Health Care then presented its budget and three legislative implementation requests: SB 41 on PBM reform, SB 306 on prior authorization transparency, and AB 1041 on provider credentialing timelines. Finally, the administration outlined a menopause care proposal requiring coverage and education for menopause-related services, provider training, and an outreach campaign, with DMHC requesting staffing and funding to implement and enforce the new requirements. Throughout the hearing, most items were held open for later action, and no final votes were taken in the portion provided.

Transcript Highlights:

• proposed strategies to transform the way the behavioral health workforce is trained and supported.
• That would be scholarship support, support for stipends during their clinical training, and support for
• , recruit, retain, and support the folks who serve individuals with significant behavioral health conditions
• We leverage CYBHI funding to support some of our behavioral health scholarships, loan repayments, and
• We leverage CYBHI funding to support some of our behavioral health scholarships, loan repayments, some

Keywords: 987, senate, all

Transcript Highlights:

• . ...including expenses related to hiring, training, facilities, and support staff.
• The bill amends the government code to require... ...develop a first responders peer support network.
• Committee substitute for House Bill 35, relating to the peer support network for first responders.
• Committee substitute for House Bill 35, relating to a peer support network for first responders.
• Would you rise so that we can recognize you, who has testified in support of this bill and on behalf

Bills: SB393, SB731, SB801, SB867, SB1232, SB1798, SB2082, SB2717, SB2919, SB3074, HJR133, HB2, HB18, HB24, HB26, HB35, HB43, HB49, HB75, HB103, HB120, HB126, HB143, HB163, HB180, HB216, HB413, HB647, HB700, HB748, HB851, HB1422, HB1445, HB1481, HB1545, HB1562, HB1586, HB1732, HB1828, HB1851, HB1916, HB1991, HB2014, HB2026, HB2038, HB2067, HB2193, HB2282, HB2293, HB2310, HB2464, HB2508, HB2516, HB2518, HB2524, HB2530, HB2674, HB2713, HB2715, HB2974, HB3016, HB3057, HB3062, HB3071, HB3120, HB3161, HB3180, HB3214, HB3234, HB3250, HB3463, HB3512, HB3556, HB3627, HB3680, HB3732, HB3801, HB3824, HB3833, HB3966, HB4044, HB4129, HB4226, HB4230, HB4263, HB4377, HB4384, HB4395, HB4396, HB4535, HB4668, HB4690, HB4751, HB4903, HB5033, HB5149, HB5154, HB5247, HB5331, HB5436, HB5667, HB5688, HB5693, HCR9, HCR40, HCR59, HCR127, SJR5, SB3, SB4, SB9, SB20, SB21, SB23, SB27, SB33, SB34, SB36, SB38, SB40, SB75, SB213, SB269, SB379, SB458, SB528, SB647, SB648, SB650, SB681, SB740, SB777, SB840, SB843, SB924, SB1061, SB1120, SB1121, SB1150, SB1188, SB1198, SB1202, SB1253, SB1318, SB1333, SB1398, SB1405, SB1423, SB1448, SB1535, SB1566, SB1574, SB1621, SB1709, SB1723, SB1789, SB1862, SB2037, SB2078, SB2268, SB2405, SB2406, SB2407, SB2544, SB2570, SB2601, SB2778, SB1, SB17, SB260, SB509, SB1506, SB1637, SB1833, SB2155, SB2308, HB2525, SB1538, SB1749, SB2603, SB3038, SB3062, SB3065, HB24, HB128, HB216, HB388, HB519, HB609, HB685, HB766, HB1237, HB1314, HB1445, HB1458, HB1522, HB1592, HB1606, HB1612, HB1633, HB2011, HB2025, HB2061, HB2259, HB2273, HB2358, HB2421, HB2434, HB2464, HB2518, HB2563, HB2637, HB2697, HB2713, HB2791, HB2856, HB3114, HB3126, HB3161, HB3233, HB3395, HB3424, HB3487, HB3505, HB3510, HB3597, HB3745, HB3803, HB3804, HB3806, HB4224, HB4310, HB4396, HB4738, HB4945, HB5084, HB5155, HB5180, HB5667, HB5686, HCR9, HCR10, HCR135, HCR142, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB1749, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3038, SB3045, SB1538, SB3071, SB3065, SB3062, HJR133, HB2715, HB3627, HB5033, HB2282, HB26, HB388, HB1633, HB685, HB1606, HB1458, HB2791, HB2061, HB647, HB4738, HB2563, HB128, HB766, HB2259, HB2358, HB4384, HB748, HB5180, HB3806, HB3804, HB3803, HB1522, HB3597, HB1612, HB4224, HB1314, HB1237, HB3126, HB2856, HB3114, HB3505, HB5652, HB2025, HB3395, HB18, HB2516, HB2713, HB24, HB519, HB609, HB1592, HB120, HB2421, HB2273, HB2464, HB5084, HB4396, HB43, HB5686, HB2518, HB4310, HB180, HB3745, HB4044, HB5155, HB5667, HB1445, HB1306, HB2637, HB5436, HB3966, HB2026, HB3487, HB4226, HB216, HB49, HB4112, HB3233, HB2310, HB2674, HB322, HB1481, HB126, HB3062, HB3180, HB2530, HB2524, HB1916, HB5650, HB4894, HB3120, HB1629, HB103, HB3234, HB3680, HB5698, HB3171, HB5693, HB2694, HB5664, HB3732, HB2508, HB2293, HB1991, HB2014, HB5331, HB5247, HB4751, HB4690, HB4668, HB4464, HB4395, HB4063, HB3833, HB3623, HB3214, HB3512, HB3250, HB3016, HB2520, HB2221, HB2213, HB3824, HB2067, HB1732, HB1562, HB700, HB1545, HB252, HB146, HB5596, HB1851, HB3619, HB3071, HB3556, HB851, HB4230, HB5320, HB5651, HB5670, HB5665, HB5437, HB5679, HB5699, HB5661, HB5662, HB5654, HB5672, HB5656, HB5149, HB4903, HB4743, HB4666, HB4377, HB4535, HB4129, HB3812, HB3801, HB3595, HB3057, HB2035, HB721, HB35, HB346, HB2974, HB2512, HB5695, HB5694, HB5671, HB5674, HB5688, HB1586, HB5154, HB2038, HB163, HB413, HB3463, HB3185, HB2761, HB2593, HB2348, HB2073, HB1828, HB1422, HB75, HB1871, HB108, HB2306, HB2017, HB1135, HB144, HB3689, HB5308, HB101, HB2193, HB5666, HB5677, HB5682, HB5680, HB5658, HB5696, HB4144, HB3159, HB3254, HB3866, HB3010, HB4520, HB3642, HB3928, HB3815, HB2686, HB2012, HB1960, HB227, HB654, HB1690, HB2128, HB4158, HB4530, HB4630, HB5659, HB1523, HB2078, HB2427, HB145, HB1973, HB3333, HB3697, HB3546, HB3225, HB3181, HB3133, HB3053, HB2885, HB2820, HB2294, HB2253, HB1661, HB1506, HB1234, HB640, HB621, HB551, HB521, HB493, HB272, HB229, HB223, HB201, HB186, HB119, HB2080, HB2818, HB5394, HB4795, HB4466, HB4454, HB3940, HB3749, HB3151, HB3284, HB1403, HB1106, HB2844, HB2851, HB1500, HB4488, HB4264, HB4, HB4170, HB3909, HB4081, HB4145, HB4157, HB4281, HB4285, HB4463, HB4749, HB4995, HB5081, HB5115, HB5138, HB5624, HB1449, HB3711, HB2598, HB3629, HB4361, HB824, HB1868, HB4848, HB2243, HB40, HB117, HB2313, HB3686, HB500, HB3793, HB112, HB104, HB1056, HB42, HB4486, HB3000, HB100, HB2240, HB718, HB27, HB4904, HB4202, HB2853, HB5129, HB5093, HB4765, HB4748, HB4559, HB4350, HB4214, HB3388, HB3112, HB5196, HB4211, HB3516, HB3092, HB4233, HB4687, HB705, HB1094, HB2037, HB3005, HB3848, HCR141, HCR118, HCR127, HCR40, HCR59, HCR10, HCR135, HCR142, HCR9, HCR76, HCR108, HJR133, HB18, HB35, HB43, HB49, HB75, HB103, HB120, HB163, HB216, HB413, HB647, HB851, HB1422, HB1481, HB1545, HB1562, HB1586, HB1732, HB1828, HB1851, HB1916, HB1991, HB2014, HB2026, HB2067, HB2193, HB2293, HB2310, HB2464, HB2508, HB2524, HB2530, HB2974, HB3062, HB3071, HB3120, HB3180, HB3214, HB3234, HB3250, HB3463, HB3512, HB3680, HB3732, HB3801, HB3824, HB3833, HB4044, HB4129, HB4226, HB4230, HB4377, HB4395, HB4396, HB4535, HB4668, HB4903, HB5149, HB5154, HB5247, HB5331, HB5436, HB5688, HB5693, HB2282, HB2715, HB3627, HB5033, HB2674, HB3556, HCR127, SB3, SB21, SB379, SB1405, SB1538, SB1749, SB3038, SB3062, SB3065, HB24, HB128, HB388, HB519, HB609, HB685, HB766, HB1237, HB1314, HB1445, HB1458, HB1522, HB1592, HB1606, HB1612, HB1633, HB2025, HB2061, HB2259, HB2273, HB2358, HB2421, HB2518, HB2563, HB2637, HB2713, HB2791, HB2856, HB3114, HB3126, HB3233, HB3487, HB3505, HB3597, HB3745, HB3803, HB3804, HB3806, HB4224, HB4310, HB4738, HB5084, HB5155, HB5180, HB5667, HB5686, HCR9, HCR10, HCR135, HCR142, SB2603, HB3395, HB636, HB5655, HB5689, HB5690, HB636, HB5655, HB5689, HB5690

Keywords: SB 393, Sparks, Middleton, local government, political subdivision, public securities, government debt, municipal bonds, general obligation bonds, certificates of obligation, anticipation notes, debt maturity, weighted average maturity, economic life, useful life, tangible personal property, real property improvements, public finance, Texas Government Code, Chapter 1253

Bills: SB393, SB731, SB801, SB867, SB1232, SB1798, SB2082, SB2717, SB2919, SB3074, HJR133, HB2, HB18, HB24, HB26, HB35, HB43, HB49, HB75, HB103, HB120, HB126, HB143, HB163, HB180, HB216, HB413, HB647, HB700, HB748, HB851, HB1422, HB1445, HB1481, HB1545, HB1562, HB1586, HB1732, HB1828, HB1851, HB1916, HB1991, HB2014, HB2026, HB2038, HB2067, HB2193, HB2282, HB2293, HB2310, HB2464, HB2508, HB2516, HB2518, HB2524, HB2530, HB2674, HB2713, HB2715, HB2974, HB3016, HB3057, HB3062, HB3071, HB3120, HB3161, HB3180, HB3214, HB3234, HB3250, HB3463, HB3512, HB3556, HB3627, HB3680, HB3732, HB3801, HB3824, HB3833, HB3966, HB4044, HB4129, HB4226, HB4230, HB4263, HB4377, HB4384, HB4395, HB4396, HB4535, HB4668, HB4690, HB4751, HB4903, HB5033, HB5149, HB5154, HB5247, HB5331, HB5436, HB5667, HB5688, HB5693, HCR9, HCR40, HCR59, HCR127, SJR5, SB3, SB4, SB9, SB20, SB21, SB23, SB27, SB33, SB34, SB36, SB38, SB40, SB75, SB213, SB269, SB379, SB458, SB528, SB647, SB648, SB650, SB681, SB740, SB777, SB840, SB843, SB924, SB1061, SB1120, SB1121, SB1150, SB1188, SB1198, SB1202, SB1253, SB1318, SB1333, SB1398, SB1405, SB1423, SB1448, SB1535, SB1566, SB1574, SB1621, SB1709, SB1723, SB1789, SB1862, SB2037, SB2078, SB2268, SB2405, SB2406, SB2407, SB2544, SB2570, SB2601, SB2778, SB1, SB17, SB260, SB509, SB1506, SB1637, SB1833, SB2155, SB2308, HB2525, SB1538, SB1749, SB2603, SB3038, SB3062, SB3065, HB24, HB128, HB216, HB388, HB519, HB609, HB685, HB766, HB1237, HB1314, HB1445, HB1458, HB1522, HB1592, HB1606, HB1612, HB1633, HB2011, HB2025, HB2061, HB2259, HB2273, HB2358, HB2421, HB2434, HB2464, HB2518, HB2563, HB2637, HB2697, HB2713, HB2791, HB2856, HB3114, HB3126, HB3161, HB3233, HB3395, HB3424, HB3487, HB3505, HB3510, HB3597, HB3745, HB3803, HB3804, HB3806, HB4224, HB4310, HB4396, HB4738, HB4945, HB5084, HB5155, HB5180, HB5667, HB5686, HCR9, HCR10, HCR135, HCR142, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB1749, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3038, SB3045, SB1538, SB3071, SB3065, SB3062, HJR133, HB2715, HB3627, HB5033, HB2282, HB26, HB388, HB1633, HB685, HB1606, HB1458, HB2791, HB2061, HB647, HB4738, HB2563, HB128, HB766, HB2259, HB2358, HB4384, HB748, HB5180, HB3806, HB3804, HB3803, HB1522, HB3597, HB1612, HB4224, HB1314, HB1237, HB3126, HB2856, HB3114, HB3505, HB5652, HB2025, HB3395, HB18, HB2516, HB2713, HB24, HB519, HB609, HB1592, HB120, HB2421, HB2273, HB2464, HB5084, HB4396, HB43, HB5686, HB2518, HB4310, HB180, HB3745, HB4044, HB5155, HB5667, HB1445, HB1306, HB2637, HB5436, HB3966, HB2026, HB3487, HB4226, HB216, HB49, HB4112, HB3233, HB2310, HB2674, HB322, HB1481, HB126, HB3062, HB3180, HB2530, HB2524, HB1916, HB5650, HB4894, HB3120, HB1629, HB103, HB3234, HB3680, HB5698, HB3171, HB5693, HB2694, HB5664, HB3732, HB2508, HB2293, HB1991, HB2014, HB5331, HB5247, HB4751, HB4690, HB4668, HB4464, HB4395, HB4063, HB3833, HB3623, HB3214, HB3512, HB3250, HB3016, HB2520, HB2221, HB2213, HB3824, HB2067, HB1732, HB1562, HB700, HB1545, HB252, HB146, HB5596, HB1851, HB3619, HB3071, HB3556, HB851, HB4230, HB5320, HB5651, HB5670, HB5665, HB5437, HB5679, HB5699, HB5661, HB5662, HB5654, HB5672, HB5656, HB5149, HB4903, HB4743, HB4666, HB4377, HB4535, HB4129, HB3812, HB3801, HB3595, HB3057, HB2035, HB721, HB35, HB346, HB2974, HB2512, HB5695, HB5694, HB5671, HB5674, HB5688, HB1586, HB5154, HB2038, HB163, HB413, HB3463, HB3185, HB2761, HB2593, HB2348, HB2073, HB1828, HB1422, HB75, HB1871, HB108, HB2306, HB2017, HB1135, HB144, HB3689, HB5308, HB101, HB2193, HB5666, HB5677, HB5682, HB5680, HB5658, HB5696, HB4144, HB3159, HB3254, HB3866, HB3010, HB4520, HB3642, HB3928, HB3815, HB2686, HB2012, HB1960, HB227, HB654, HB1690, HB2128, HB4158, HB4530, HB4630, HB5659, HB1523, HB2078, HB2427, HB145, HB1973, HB3333, HB3697, HB3546, HB3225, HB3181, HB3133, HB3053, HB2885, HB2820, HB2294, HB2253, HB1661, HB1506, HB1234, HB640, HB621, HB551, HB521, HB493, HB272, HB229, HB223, HB201, HB186, HB119, HB2080, HB2818, HB5394, HB4795, HB4466, HB4454, HB3940, HB3749, HB3151, HB3284, HB1403, HB1106, HB2844, HB2851, HB1500, HB4488, HB4264, HB4, HB4170, HB3909, HB4081, HB4145, HB4157, HB4281, HB4285, HB4463, HB4749, HB4995, HB5081, HB5115, HB5138, HB5624, HB1449, HB3711, HB2598, HB3629, HB4361, HB824, HB1868, HB4848, HB2243, HB40, HB117, HB2313, HB3686, HB500, HB3793, HB112, HB104, HB1056, HB42, HB4486, HB3000, HB100, HB2240, HB718, HB27, HB4904, HB4202, HB2853, HB5129, HB5093, HB4765, HB4748, HB4559, HB4350, HB4214, HB3388, HB3112, HB5196, HB4211, HB3516, HB3092, HB4233, HB4687, HB705, HB1094, HB2037, HB3005, HB3848, HCR141, HCR118, HCR127, HCR40, HCR59, HCR10, HCR135, HCR142, HCR9, HCR76, HCR108, HJR133, HB18, HB35, HB43, HB49, HB75, HB103, HB120, HB163, HB216, HB413, HB647, HB851, HB1422, HB1481, HB1545, HB1562, HB1586, HB1732, HB1828, HB1851, HB1916, HB1991, HB2014, HB2026, HB2067, HB2193, HB2293, HB2310, HB2464, HB2508, HB2524, HB2530, HB2974, HB3062, HB3071, HB3120, HB3180, HB3214, HB3234, HB3250, HB3463, HB3512, HB3680, HB3732, HB3801, HB3824, HB3833, HB4044, HB4129, HB4226, HB4230, HB4377, HB4395, HB4396, HB4535, HB4668, HB4903, HB5149, HB5154, HB5247, HB5331, HB5436, HB5688, HB5693, HB2282, HB2715, HB3627, HB5033, HB2674, HB3556, HCR127, SB3, SB21, SB379, SB1405, SB1538, SB1749, SB3038, SB3062, SB3065, HB24, HB128, HB388, HB519, HB609, HB685, HB766, HB1237, HB1314, HB1445, HB1458, HB1522, HB1592, HB1606, HB1612, HB1633, HB2025, HB2061, HB2259, HB2273, HB2358, HB2421, HB2518, HB2563, HB2637, HB2713, HB2791, HB2856, HB3114, HB3126, HB3233, HB3487, HB3505, HB3597, HB3745, HB3803, HB3804, HB3806, HB4224, HB4310, HB4738, HB5084, HB5155, HB5180, HB5667, HB5686, HCR9, HCR10, HCR135, HCR142, SB2603, HB3395, HB636, HB5655, HB5689, HB5690, HB636, HB5655, HB5689, HB5690

Keywords: SB 393, Sparks, Middleton, local government, political subdivision, public securities, government debt, municipal bonds, general obligation bonds, certificates of obligation, anticipation notes, debt maturity, weighted average maturity, economic life, useful life, tangible personal property, real property improvements, public finance, Texas Government Code, Chapter 1253

Transcript Highlights:

• It sends a strong message of support for Texas-Taiwan relations and encourages continued cooperation
• Support for the strengthening of our partnership with Taiwan. Thank you, Mr. President, members.
• I appreciate your support for this very important matter and for supporting this resolution. Mr.
• Serves as a comprehensive set of reforms aimed at supporting survivors of sexual assault while strengthening
• The industry has recommended a program to support growth. For those reasons, Mr.

Bills: SB393, SB731, SB801, SB867, SB1232, SB1798, SB2082, SB2717, SB2919, SB3074, HJR133, HB2, HB18, HB24, HB26, HB35, HB43, HB49, HB75, HB103, HB120, HB126, HB143, HB163, HB180, HB216, HB413, HB647, HB700, HB748, HB851, HB1422, HB1445, HB1481, HB1545, HB1562, HB1586, HB1732, HB1828, HB1851, HB1916, HB1991, HB2014, HB2026, HB2038, HB2067, HB2193, HB2282, HB2293, HB2310, HB2464, HB2508, HB2516, HB2518, HB2524, HB2530, HB2674, HB2713, HB2715, HB2974, HB3016, HB3057, HB3062, HB3071, HB3120, HB3161, HB3180, HB3214, HB3234, HB3250, HB3463, HB3512, HB3556, HB3627, HB3680, HB3732, HB3801, HB3824, HB3833, HB3966, HB4044, HB4129, HB4226, HB4230, HB4263, HB4377, HB4384, HB4395, HB4396, HB4535, HB4668, HB4690, HB4751, HB4903, HB5033, HB5149, HB5154, HB5247, HB5331, HB5436, HB5667, HB5688, HB5693, HCR9, HCR40, HCR59, HCR127, SJR5, SB3, SB4, SB9, SB20, SB21, SB23, SB27, SB33, SB34, SB36, SB38, SB40, SB75, SB213, SB269, SB379, SB458, SB528, SB647, SB648, SB650, SB681, SB740, SB777, SB840, SB843, SB924, SB1061, SB1120, SB1121, SB1150, SB1188, SB1198, SB1202, SB1253, SB1318, SB1333, SB1398, SB1405, SB1423, SB1448, SB1535, SB1566, SB1574, SB1621, SB1709, SB1723, SB1789, SB1862, SB2037, SB2078, SB2268, SB2405, SB2406, SB2407, SB2544, SB2570, SB2601, SB2778, SB1, SB17, SB260, SB509, SB1506, SB1637, SB1833, SB2155, SB2308, HB2525, SB1538, SB1749, SB2603, SB3038, SB3062, SB3065, HB24, HB128, HB216, HB388, HB519, HB609, HB685, HB766, HB1237, HB1314, HB1445, HB1458, HB1522, HB1592, HB1606, HB1612, HB1633, HB2011, HB2025, HB2061, HB2259, HB2273, HB2358, HB2421, HB2434, HB2464, HB2518, HB2563, HB2637, HB2697, HB2713, HB2791, HB2856, HB3114, HB3126, HB3161, HB3233, HB3395, HB3424, HB3487, HB3505, HB3510, HB3597, HB3745, HB3803, HB3804, HB3806, HB4224, HB4310, HB4396, HB4738, HB4945, HB5084, HB5155, HB5180, HB5667, HB5686, HCR9, HCR10, HCR135, HCR142, SJR36, SJR50, SJR63, SCR12, SCR39, SB2023, SB62, SB666, SB847, SB284, SB854, SB810, SB1505, SB583, SB507, SB1434, SB1772, SB2016, SB1122, SB731, SB397, SB508, SB1436, SB287, SB1882, SB393, SB1791, SB209, SB2429, SB1085, SB1975, SB2717, SB1262, SB636, SB2056, SB884, SB1200, SB1845, SB2458, SB801, SB3014, SB3013, SB758, SB2797, SB2076, SB2876, SB1640, SB1449, SB1181, SB1234, SB2926, SB2841, SB1528, SB1854, SB317, SB1250, SB2082, SB1237, SB2819, SB629, SB2608, SB1602, SB2009, SB867, SB640, SB1698, SB2680, SB913, SB1071, SB1086, SB1087, SB1483, SB1444, SB1553, SB1556, SB1703, SB2133, SB2297, SB2298, SB2622, SB2955, SB2334, SB1367, SB2044, SB2363, SB2565, SB1888, SB3036, SB3057, SB3043, SB3063, SB3035, SB203, SB2688, SB2522, SB2459, SB2655, SB2251, SB1884, SB2928, SB2566, SB1749, SB2549, SB2553, SB2919, SB1944, SB1232, SB1798, SB2603, SB2607, SB2683, SB1319, SB3038, SB3045, SB1538, SB3071, SB3065, SB3062, HJR133, HB2715, HB3627, HB5033, HB2282, HB26, HB388, HB1633, HB685, HB1606, HB1458, HB2791, HB2061, HB647, HB4738, HB2563, HB128, HB766, HB2259, HB2358, HB4384, HB748, HB5180, HB3806, HB3804, HB3803, HB1522, HB3597, HB1612, HB4224, HB1314, HB1237, HB3126, HB2856, HB3114, HB3505, HB5652, HB2025, HB3395, HB18, HB2516, HB2713, HB24, HB519, HB609, HB1592, HB120, HB2421, HB2273, HB2464, HB5084, HB4396, HB43, HB5686, HB2518, HB4310, HB180, HB3745, HB4044, HB5155, HB5667, HB1445, HB1306, HB2637, HB5436, HB3966, HB2026, HB3487, HB4226, HB216, HB49, HB4112, HB3233, HB2310, HB2674, HB322, HB1481, HB126, HB3062, HB3180, HB2530, HB2524, HB1916, HB5650, HB4894, HB3120, HB1629, HB103, HB3234, HB3680, HB5698, HB3171, HB5693, HB2694, HB5664, HB3732, HB2508, HB2293, HB1991, HB2014, HB5331, HB5247, HB4751, HB4690, HB4668, HB4464, HB4395, HB4063, HB3833, HB3623, HB3214, HB3512, HB3250, HB3016, HB2520, HB2221, HB2213, HB3824, HB2067, HB1732, HB1562, HB700, HB1545, HB252, HB146, HB5596, HB1851, HB3619, HB3071, HB3556, HB851, HB4230, HB5320, HB5651, HB5670, HB5665, HB5437, HB5679, HB5699, HB5661, HB5662, HB5654, HB5672, HB5656, HB5149, HB4903, HB4743, HB4666, HB4377, HB4535, HB4129, HB3812, HB3801, HB3595, HB3057, HB2035, HB721, HB35, HB346, HB2974, HB2512, HB5695, HB5694, HB5671, HB5674, HB5688, HB1586, HB5154, HB2038, HB163, HB413, HB3463, HB3185, HB2761, HB2593, HB2348, HB2073, HB1828, HB1422, HB75, HB1871, HB108, HB2306, HB2017, HB1135, HB144, HB3689, HB5308, HB101, HB2193, HB5666, HB5677, HB5682, HB5680, HB5658, HB5696, HB4144, HB3159, HB3254, HB3866, HB3010, HB4520, HB3642, HB3928, HB3815, HB2686, HB2012, HB1960, HB227, HB654, HB1690, HB2128, HB4158, HB4530, HB4630, HB5659, HB1523, HB2078, HB2427, HB145, HB1973, HB3333, HB3697, HB3546, HB3225, HB3181, HB3133, HB3053, HB2885, HB2820, HB2294, HB2253, HB1661, HB1506, HB1234, HB640, HB621, HB551, HB521, HB493, HB272, HB229, HB223, HB201, HB186, HB119, HB2080, HB2818, HB5394, HB4795, HB4466, HB4454, HB3940, HB3749, HB3151, HB3284, HB1403, HB1106, HB2844, HB2851, HB1500, HB4488, HB4264, HB4, HB4170, HB3909, HB4081, HB4145, HB4157, HB4281, HB4285, HB4463, HB4749, HB4995, HB5081, HB5115, HB5138, HB5624, HB1449, HB3711, HB2598, HB3629, HB4361, HB824, HB1868, HB4848, HB2243, HB40, HB117, HB2313, HB3686, HB500, HB3793, HB112, HB104, HB1056, HB42, HB4486, HB3000, HB100, HB2240, HB718, HB27, HB4904, HB4202, HB2853, HB5129, HB5093, HB4765, HB4748, HB4559, HB4350, HB4214, HB3388, HB3112, HB5196, HB4211, HB3516, HB3092, HB4233, HB4687, HB705, HB1094, HB2037, HB3005, HB3848, HCR141, HCR118, HCR127, HCR40, HCR59, HCR10, HCR135, HCR142, HCR9, HCR76, HCR108, HJR133, HB18, HB35, HB43, HB49, HB75, HB103, HB120, HB163, HB216, HB413, HB647, HB851, HB1422, HB1481, HB1545, HB1562, HB1586, HB1732, HB1828, HB1851, HB1916, HB1991, HB2014, HB2026, HB2067, HB2193, HB2293, HB2310, HB2464, HB2508, HB2524, HB2530, HB2974, HB3062, HB3071, HB3120, HB3180, HB3214, HB3234, HB3250, HB3463, HB3512, HB3680, HB3732, HB3801, HB3824, HB3833, HB4044, HB4129, HB4226, HB4230, HB4377, HB4395, HB4396, HB4535, HB4668, HB4903, HB5149, HB5154, HB5247, HB5331, HB5436, HB5688, HB5693, HB2282, HB2715, HB3627, HB5033, HB2674, HB3556, HCR127, SB3, SB21, SB379, SB1405, SB1538, SB1749, SB3038, SB3062, SB3065, HB24, HB128, HB388, HB519, HB609, HB685, HB766, HB1237, HB1314, HB1445, HB1458, HB1522, HB1592, HB1606, HB1612, HB1633, HB2025, HB2061, HB2259, HB2273, HB2358, HB2421, HB2518, HB2563, HB2637, HB2713, HB2791, HB2856, HB3114, HB3126, HB3233, HB3487, HB3505, HB3597, HB3745, HB3803, HB3804, HB3806, HB4224, HB4310, HB4738, HB5084, HB5155, HB5180, HB5667, HB5686, HCR9, HCR10, HCR135, HCR142, SB2603, HB3395, HB636, HB5655, HB5689, HB5690, HB636, HB5655, HB5689, HB5690

Keywords: SB 393, Sparks, Middleton, local government, political subdivision, public securities, government debt, municipal bonds, general obligation bonds, certificates of obligation, anticipation notes, debt maturity, weighted average maturity, economic life, useful life, tangible personal property, real property improvements, public finance, Texas Government Code, Chapter 1253

Transcript Highlights:

• Supportive environments matter too.
• services and supports.
• They've supported through CYBHA about 70,000 individuals along their behavioral health career trajectory
• That is supportive. It is investing in county offices of education to support the employees.
• Supportive.

Keywords: 988, house, all

Transcript Highlights:

• our proposed strategies to transform the way that the behavioral health workforce is trained and supported
• That would be scholarship support, support for stipends during their clinical training, and support for
• We leverage CYBHI funding to support some of our behavioral health scholarships, loan repayments, and
• We leverage CYBHI funding to support some of our behavioral health scholarships, loan repayments, some
• Fund support.

Summary: The hearing began with testimony from Let California Kids Hear and supporters urging action on pediatric hearing aid coverage. Advocates said California has repeatedly failed to enact a workable solution over the past eight years and argued that children need early access to sound to support development. The proposal discussed would limit the coverage mandate to the large-group market, which advocates said would cover roughly 70% to 80% of affected children and avoid the exchange-related cost issue that contributed to prior vetoes. Supporters, including parents, audiologists, and children’s health groups, backed the proposal, and the chair expressed sympathy and support while noting hope for a federal solution for exchange plans. The Department of Finance then gave opening remarks about the state’s structural deficit and the need to balance new investments against projected out-year shortfalls. HCAI followed with a broad overview of its programs, including CalRx insulin and naloxone initiatives, reproductive health grants, the Office of Health Care Affordability, hospital seismic compliance, workforce programs, and the diaper access initiative. Members asked about geographic targeting of workforce funds, the behavioral health workforce pipeline, and the status of the 21st Century Nursing Initiative, which HCAI said had reverted funds. The committee also discussed a proposed transfer of the Data Exchange Framework and Office of the Patient Advocate to HCAI, new reporting on long-term care staffing and health coverage waiting periods, and a Behavioral Health Services Act workforce proposal that would use BHSA funds to support training, stipends, and technical assistance while offsetting $100 million in General Fund spending; members and LAO questioned the offset and asked for more detail, and the item was held open. HCAI also presented the Rural Health Transformation Program, explaining that California received $233.6 million in federal funds for the first year and had to revise its proposal so that $35 million in provider payments would be tied to specific transformative activities rather than general financial relief. The program will fund rural care model redesign, workforce development, and technology/infrastructure improvements, with grants to be rolled out on a tight timeline and subject to CMS approval. Members asked about the size of California’s award, the use of funds for maternity care, labor and delivery access, dialysis, tribal set-asides, and the role of a technical assistance contractor. The department said the program will use supply-and-demand workforce modeling to target funding and that all funds must be obligated by October 30. Finally, the Department of Managed Health Care outlined its budget and two major bill-related proposals: SB 41 on PBM reform and SB 306 on prior authorization transparency. DMHC said SB 41 would require PBM licensure, ban spread pricing, require rebate pass-through, and regulate pharmacy network practices, while SB 306 would require reporting on prior authorization and create a list of services exempt from prior authorization. DMHC requested additional positions and funding to implement both measures.

Transcript Highlights:

• Supportive environments matter too.
• services and supports.
• And DHCS, California Behavioral Health, Sacramento and Santa Clara county offices all try to support
• That is supportive. It is investing in county offices of education to support the employees.
• Supportive.

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:

• part, parental support.
• part, parental support.
• part, parental support.
• part, parental support.
• </c> support across Northeast Minnesota. support across Northeast Minnesota.

Keywords: 1187, senate, all

Transcript Highlights:

• He was inside the classroom being punished for another behavior, and we're not correcting those behaviors
• but also the family's behavior.
• but also the family's behavior.
• but also the family's behavior.
• but also the family's behavior.

Summary: The committee held an interim study on how to educate and support students with severe violent or disruptive behavior while protecting classmates, teachers, and school staff. Members framed the issue as one involving students who have often experienced trauma and may be removed from class through suspension, expulsion, or juvenile placement, but who still need a meaningful path back to school. Several legislators shared personal experiences as former educators or administrators and emphasized that schools need clearer criteria for removal and return, along with stronger support for families and staff. Dr. Michelle Butler, an alternative education director, testified that Oklahoma’s current alternative education system is not designed to serve students removed for major discipline issues because placement is generally voluntary and programs are built around students who need a different learning environment, not punitive removal. She argued for early intervention, stronger attendance enforcement, trauma screening, teacher training, and a regional or cooperative model that would combine credentialed educators, social workers, therapists, and family counselors. She also described existing programs such as Trace Academy, Rogers County Youth Services diversion programs, and the limitations of virtual-only models and current funding, saying the system lacks sufficient resources and staffing. Representatives and senators asked about funding, staffing, credentials, and whether statutes should be changed to prevent alternative education dollars from going to programs that do not provide direct services. Other testimony came from Family and Children’s Services and Mid-Del Youth and Family Services, both of which described embedded school-based mental health, crisis response, intensive outpatient services, family engagement, and juvenile diversion programs. Witnesses stressed that wraparound services, school-community partnerships, and a bridge back to the home school are essential, and that many students and families need mandatory or strongly supported participation rather than purely voluntary help. The study concluded with members noting possible next steps, including expanding or supplementing alternative education, improving early intervention, and examining participation requirements and transition supports; no votes were taken, and the committee adjourned after the presentations.

Transcript Highlights:

• This experience of lack of mental health and behavioral health support is reflected in a lot of the conversations
• Youth will have to wait months, just a very long time, in order to have the deep behavioral health support
• So I think that the lack of behavioral health support is a really significant issue and one that we should
• And, and so I think that, you know, the lack of behavioral health support is a really significant issue
• supports.

Summary: The committee began with a work session on juvenile rehabilitation institution capacity, services, and staffing. DCYF Assistant Secretary Jennifer Redmond described overcrowding at Green Hill School and Echo Glen, driven by longer adult-style sentences extending past age 25, limited community placements, and small facility sizes. She said Green Hill remains above safe operating capacity, but staffing, injuries, large-scale aggression, and use-of-force incidents have improved over the past year. She also discussed Harbor Heights, a new 46-bed flex facility that had opened with 22 youth and would expand once a medical trailer arrives, as well as community transition services, vocational programming, behavior management reforms, and a request for more resources for mental health-focused facilities and staffing. Members asked about success metrics, developmental disability screening and supports, college access at Echo Glen, Mission Creek planning, and gender-responsive programming; Redmond said JR uses assessments, family involvement, and specialized living units, and that some requested funding had already been secured for returning a girls’ program at Echo Glen. The committee then heard from Team Child and the Youth Action Coalition. Greta Schultz said youth perspectives should guide system reforms and identified key concerns: overuse of sentence extensions, underuse of community transition services, continued criminal referrals from Green Hill to Lewis County, limited family contact, inadequate mental health access, and unequal education opportunities, especially for young women at Echo Glen. Justella Gonzalez, a former system-involved youth, said her time in county and state facilities was harmful, with staff mistreatment, poor education, limited therapy access, and humiliating restraint practices; she also said girls at Echo Glen lacked the same college opportunities as boys at Green Hill. Committee members asked for follow-up on county versus state experiences and on telehealth mental health services. The next presentation covered county-level services for youth involved or at risk of involvement with the justice system, led by juvenile court administrators Christine Simon-Smeyer and Judge Rachel Anderson. They outlined the juvenile court continuum from prevention and truancy work through diversion, detention alternatives, community supervision, and disposition alternatives, emphasizing evidence-based, trauma-informed, and restorative practices. Clark County was used as an example of a court that partners closely with schools and community providers, uses risk assessments and wraparound behavioral health probation, and offers detention alternatives without electronic home monitoring. They said most courts do not use detention for status offenses, but instead use court involvement to connect youth to services. They also described funding, noting that courts rely on a mix of state block grant and local dollars, and that recent cuts to early intervention funding reduced programming and staff hours. Members asked about detention for truancy, developmental disability identification, restorative justice practices, and the juvenile block grant. Finally, DCYF Assistant Secretary Nicole Rose and Katie Warren of the Washington State Association of Head Start and ECAP discussed child care and early learning impacts from recent policy and budget changes. Rose said Fair Start for Kids investments had increased child care access, provider participation, and kindergarten readiness, with more than 60,000 children in Working Connections care and rising ECAP enrollment and provider capacity. She said recent reductions will raise most family copays in 2026, delay eligibility expansions, eliminate some expanded eligibility categories, reduce ECAP slots by about 3,000, delay entitlement timelines, and cut provider supports such as rate increases for centers, complex-needs grants, trauma-informed and dual-language incentives, and infant/early childhood mental health consultation. Warren emphasized ECAP’s role in family stability, workforce participation, and reducing poverty, and noted its two-generation approach to supporting both children and parents.

Transcript Highlights:

• In this model, behavioral health providers partner with nursing home staff to provide tailored behavioral
• Washington's expanded behavioral supports, or EBS program, and the EBS Plus program were the first or
• This EBS program is designed to serve those with both complex medical care needs and behavioral supports
• health professionals, the development of a specific behavioral support care plan, identification and
• able to care for those with behaviors.

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• </c> support specialist. support specialist.
• a behavioral health multipety group that they can only employ a RA peer support.
• If we’re being told now that a behavioral health multipety group has to have an RA peer support, how
• <00:15:33.279><c> A</c><00:15:33.600><c> BHSO1</c> support? A BHSO1 support?
• </c> support a regular peer report. support a regular peer report.

Keywords: 00:00 - Call to Order/Roll Call 01:27 - Discussion of 26RS HB 470 29:05 - Roll Call Vote on 26RS HB 470 32:06 - Discussion of 26RS HJR 25 34:49 - Roll Call Vote on 26RS HJR 25 37:08 - Adjournment, 958, all

Transcript Highlights:

• </c> supporting supportive housing options. supporting supportive housing options.
• And our mission is we support meaningful lives through specialized behavioral health services others
• And our mission is we support meaningful lives through specialized behavioral health services others
• And our mission is we support meaningful lives through specialized behavioral health services others
• </c> your continued support for DCT. your continued support for DCT.

Bills: HF2434

Keywords: healthcare, personal care assistance, worker retention, disability services, state funding, 1183, house

Transcript Highlights:

• The child that is having some challenging behaviors is getting the necessary support that they need in
• My question is, you talk about a board-certified behavior analyst to supervise a behavior technician.
• When Ian first entered pre-K, I requested applied behavior analysis support, trying to be proactive to
• LFT supported Rep. Mack's original bill, and we still support it. We agree. for services.
• LFT supported Rep Max original bill, and we still support it. We agree. Rep.

Summary: The House Education Committee met on March 25, 2026, with a quorum present and heard a series of education-related bills and one resolution. The committee first took up HB 636 on hazing at public post-secondary institutions. Representative LaFleur presented the bill as a response to Caleb Wilson’s death, and family members, former Rep. Jason Hughes, and other supporters urged stronger prevention, reporting, and penalties. The committee adopted amendments adding implementation details and a lifetime ban on re-chartering an organization if hazing results in death, then reported the bill as amended as the “Caleb Wilson Hazing Prevention Act.” The committee then heard HB 218 on food insecurity screenings in public schools. LaFleur said the bill would formalize a process to identify hungry students and connect families to resources, with amendments tying the screening to existing McKinney-Vento forms and adding food-insecurity questions. Support came from charter school representatives, the Department of Education, and others, while Dr. Will Hall suggested involving caregivers and faith-based groups. The bill was reported with amendments. The committee also approved HB 626, which would require colleges and universities to provide suicide-prevention information, hotline access, and aggregated non-identifiable reporting on suicide risk. Rep. Jordan described it as a response to an uptick in suicides among college-age students, and the Board of Regents said most institutions already use telehealth or 988 resources. The bill was reported favorably. Next, the committee heard HB 749 on the administration of START, START K-12, and ABLE savings accounts. Rep. Carver said the bill would modernize and secure the program by allowing a third-party manager and online platform, while Treasury and Board of Regents staff explained that oversight would remain in place and that ABLE accounts would not be charged fees. The bill was reported favorably. The committee then considered HB 352 on behavioral health services for public school students. Rep. Mack and advocates from the Arc and ABA providers said the bill would ensure medically necessary services can be delivered in classrooms or other school settings, while the Louisiana Federation of Teachers asked for clearer pre-conference expectations to avoid classroom disruption. After testimony from parents, providers, and school stakeholders, the bill was reported with amendments. Finally, the committee approved HB 201 creating a state seal of fine arts for high school graduates, and HB 738 revising student disciplinary proceedings at colleges and universities to ensure evidence and fairness in disciplinary actions. Both bills were reported favorably. The committee also began hearing HCR 14, which expresses support for federal efforts to eliminate the U.S. Department of Education, but the transcript cuts off before any final action on the resolution is shown.