Transcript Highlights:

• There were other things going on, I think, that created a level of social disorder, tension, stress,
• </c> created a level of of social disorder created a level of of social disorder tension<00:15:13.759
• </c><01:04:24.559><c> behaviors</c> other kind of social disorder behaviors other kind of social disorder
• That clearly has a tonic effect on all the behaviors, social disorder, crime, etc.
• That clearly has a tonic effect on all the behaviors, social disorder, crime, etc.

Committee: Senate Transportation

Transcript Highlights:

• And one way that has shown is in the opioid use disorder, decreasing over those deaths.
• And all of them, somebody has, this patient has a baseline diagnosis of severe alcohol use disorder.
• For example, in my primary site in Wentzville, Missouri, I do outpatient clinics, substance use disorder
• They know that this person possibly has an opioid use disorder.
• They know that this person possibly has an opioid use disorder.

Committee: House Joint Committee on Administrative Rules

Summary: The Joint Committee on Administrative Rules met with a quorum and approved the minutes from the prior meeting. Members announced that two Department of Natural Resources rules had been withdrawn, leaving only the Missouri Prescription Drug Monitoring Program (PDMP) rule proposal for consideration. Public testimony focused on a proposed expansion of PDMP access to additional licensed behavioral health professionals, including licensed clinical social workers, licensed master social workers, marriage and family therapists, professional counselors, and psychologists, along with related clarifications to delegate access categories such as medical assistants and clinical nurse specialists. Testimony from the PDMP director and supporters from Compass Health and the Department of Mental Health argued the changes would improve care coordination, medication reconciliation, and overdose prevention within multidisciplinary behavioral health teams, especially in CCBHC settings. They said access would remain limited to licensed Missouri professionals working under supervision or collaboration with a prescriber or dispenser, and that the system is intended for treatment-related, view-only use. Opponents and skeptical committee members raised concerns that the rule would expand access beyond the original statutory framework without legislative change, could create privacy risks or misuse in non-treatment contexts such as custody disputes, and might exceed the committee’s rulemaking authority. One public witness opposed the rule, warning it could deter patients from seeking counseling and arguing the change should be made, if at all, by statute. After testimony, committee members debated whether the proposal was a permissible clarification or an impermissible substantive expansion of the law. Supporters of disapproval said the issue was legality, not the merits of PDMP access, and urged the department to seek a bill sponsor if it wanted the change enacted. A motion was made and seconded to disapprove Rule 1 CSR 60-1.010 on the grounds of lack of statutory authority, conflict with state law, and arbitrariness/capriciousness. The committee then took a roll-call vote and approved the motion by 7 ayes to 1 no, disapproving the rule and adjourning with no further business.

Transcript Highlights:

• It's a scalp disorder. It's actually an infection of the hair follicle. It's bacterial.
• If someone is trained on scalp disorders, and that's just one of them, how are they going to know?
• Aestheticians are not trained on that; they're trained on eye mites, which is an eye disorder, a bacterial
• Okay, scalp disorder is fine. You're working with skin.
• Hair disorders, you know, when are you supposed to use heat on someone's hair?

Committee: House Commerce, Consumer Protection, and International Affairs

Summary: The House Committee on Commerce met on May 11, 2026, with a quorum present and took up a series of Senate bills, a resolution, and one House bill. The committee reported favorably Senate Bill 79 to recreate Louisiana Economic Development, Senate Concurrent Resolution 5 to establish the Louisiana-Ireland Trade Commission, Senate Bill 375 on firefighting foam with amendments clarifying use in declared emergencies, Senate Bill 398 moving manufactured and modular housing oversight under the Contractors Licensing Board with technical and substantive amendments, Senate Bill 163 on virtual currency business licensing with an amendment providing for federal preemption if Congress enacts a national licensing regime, and Senate Bill 287 on virtual currency kiosks with consumer-protection provisions and technical amendments. The committee also reported favorably House Resolution 197, as amended, urging the Public Service Commission to study distributed energy generation and storage resources with LSU involvement, and Senate Bill 54, which would allow estheticians to blow-dry hair after certain services; that bill drew extensive testimony from supporters and opponents in the cosmetology and aesthetics industries before being reported favorably. Several bills prompted detailed discussion and testimony. On Senate Bill 398, the sponsor and Contractors Licensing Board representatives said the change would improve enforcement and consumer safety for manufactured-home installation, especially tie-downs, leveling, and foundation blocking, while not affecting HUD-regulated construction. On the virtual currency bills, OFI said it currently licenses 37 virtual currency businesses with 33 pending applications, and supporters described the kiosk bill as a response to fraud complaints by requiring clearer disclosures, refund procedures, live customer support, and reporting to OFI. For House Resolution 197, the sponsor, PSC officials, and energy stakeholders said the study would examine the value of distributed energy resources, including rooftop solar and battery storage, in light of rising demand and grid reliability concerns; PSC staff and LSU energy experts described the study as focused on market value and avoided-cost benefits. House Bill 744, which would have shifted regulation of certain New Orleans utilities from the city council to the PSC, generated discussion about constitutional history, rate impacts, and utility consolidation. PSC officials and the sponsor said the current city-council regulation is a constitutional exception dating back to 1921, and they argued that PSC regulation could reduce costs and simplify oversight, but the sponsor ultimately moved to defer the bill rather than force a floor fight, and the committee agreed. The committee then began consideration of Senate Bill 386, the Louisiana Data Privacy Act, adopting technical amendments and then a larger amendment package that revised definitions and compliance provisions; the transcript ends while that bill’s amendment process is still underway, with no final action shown in the excerpt.

Transcript Highlights:

• They're quite incredible when it comes to substance abuse disorder, for example, heroin and alcohol abuse
• authorities will assist academic health centers in identifying eligible participants with opioid use disorder
• authorities will assist academic health centers in identifying eligible participants with opioid use disorders
• , co-occurring substance use disorders, and treatment-resistant neurological or mental health conditions
• It's very challenging for physicians to treat these disorders.

Bills: SCR37 , SB145 , SB237

Committee: House Health and Welfare

Keywords: informed consent, healthcare, medical procedures, patient rights, surgeon general, regulatory review, adult residential care, generators, emergency power, health safety, Louisiana Department of Health, compliance, regulations

Transcript Highlights:

• They are advocates for the rights of people with communication disorders and differences, and for the
• Whereas communication disorders are among the most common conditions in adults and children, affecting
• And whereas the leading barrier to early identification and treatment of communication disorders is a
• appropriate intervention by speech, language, and hearing professionals, people with communication disorders
• appropriate intervention by speech, language, and hearing professionals, people with communication disorders

Summary: The Senate opened with prayer, the Pledge of Allegiance, attendance, and approval of the prior journal. Members then introduced guests, including Dr. Stephen Brown as doctor of the day, Arizona State Troopers Day participants, the Arizona Speech-Language-Hearing Association, and the Arizona delegation of Delta Sigma Theta Sorority. The Senate also adopted a proclamation recognizing the Arizona Speech-Language-Hearing Association for its work serving people with communication disorders. The Committee of the Whole considered several House bills. HB 2133, dealing with sexual material and synthetic depictions, was amended on the floor and advanced despite objections that it was overbroad and raised First Amendment concerns. HB 2167, relating to the Attorney General, HB 2600, relating to public school clubs and parental consent, and HB 2811, relating to obstruction of public administration, were also advanced. In a second Committee of the Whole, HB 255 on brackish groundwater recovery, HB 2787 on limiting local cooperation with Mexican wolf reintroduction, HB 2795 on county zoning for small modular reactors, and HB 2985 on state land water allocations were considered; HB 2787, HB 2795, and HB 2985 advanced, while HB 2795 later failed on third reading. HB 2003, concerning driver licenses and instruction permits, was also amended to add a delayed effective date and advanced. On third reading, the Senate passed HB 2013, HB 2031, HB 2102, HB 2103, HB 2117, HB 2226, HB 2262, HB 2278, HB 2378, HB 2584, HB 2693, HB 2270, HB 2370, HB 2665, HB 2666, HB 2876, HB 487, HB 2003, HB 255, HB 2133, HB 2167, HB 2600, HB 2787, HB 2811, and HB 2985, with several members explaining no votes over water policy, local control, public safety, and free speech concerns. HB 2795 failed by a 15-13 vote. The Senate also agreed to a free conference committee on HB 2874 and appointed Senators Finchem, Bolick, and Ortiz to it. Bills passed in open session were ordered transmitted to the House.

Transcript Highlights:

• I have the privilege of helping to ensure that our division weaves together substance use disorder prevention
• wraparound with intensive services, or WISe, workforce to serve children and youth with autism spectrum disorder
• Reality, however, tells us that youth with preventable, medically treated disorders, treatable disorders
• , and conditions are often diagnosed... ...treated disorders, treatable disorders, and conditions are

Summary: The committee began with a work session on recommendations from the Children and Youth Behavioral Health Work Group. Tisha Kirshbaum of the Health Care Authority described the Washington Thriving Strategic Plan, a prenatal-to-25 system-of-care framework meant to reduce fragmentation, improve coordination across multiple state agencies, and expand early, community-based behavioral health supports. Members asked about duplication among agencies, simplification of the system, and upstream services such as community health workers, school-based supports, and crisis access. The committee then heard House Bill 2429, which would direct the governor and state agencies to align with the Washington Thriving plan, create an executive coordination officer and leadership council, extend the work group, and require broader alignment by state, tribal, local, and nonprofit entities. The bill received strong support from the governor’s office, the Health Care Authority, parents, youth, providers, and advocates, while a few testifiers raised concerns about government overreach, cost, or the need to address non-psychiatric causes of distress. No vote was taken during the hearing. The committee then heard House Bill 2364, which renames and expands the Legislative Executive Work First Poverty Reduction Oversight Task Force into the Legislative Executive Economic Justice and Well-Being Task Force and updates the related advisory council to align with the state’s 10-year plan to dismantle poverty. Staff and the prime sponsor said the bill reflects the evolution of the poverty-reduction effort and adds agencies such as the Department of Revenue, Health Care Authority, and Workforce Training and Education Coordinating Board. Testimony from DSHS and advocates was uniformly supportive, emphasizing bipartisan collaboration and the need to update statute to match current work. Next, the committee heard House Bill 2171 on supporting foster youth. The bill would create an endangered foster youth alert system, require county rapid-response protocols, establish a foster youth empowerment account, create an oversight board through the Ombuds office, and expand training for foster parents and child welfare workers. The prime sponsor and several advocates described the bill as a response to lived experience and a way to improve accountability and long-term support. DCYF said it supports the intent but raised legal and cost concerns, and some youth advocates warned that public alerts could increase risk or trauma for youth who run away from unsafe placements. The hearing then moved to House Bill 2314, which would create a pilot allowing certain community-based clients with developmental disabilities to receive dental care at residential habilitation centers. Supporters said the bill would use existing dental capacity to address severe access gaps and long waits in the community, while opponents from disability advocacy groups argued it would pull people back into institutional settings instead of building community-based dental capacity. Testimony on the bill was mixed, and no final committee action was taken in the transcript.

Transcript Highlights:

• hospital mental health services, with additional resources allocated for residential substance use disorder
• driver for an expansion adult, and then about 10% of the cost, which is driven by substance use disorder
• that receive services from the state for both outpatient mental health services and substance use disorder
• A similar story at a lower scale for substance use disorder services, about 14,000 adult Medicaid clients
• No, this is exclusively representing outpatient mental health and substance use disorder services, so

Summary: The Ways and Means Committee held a work session to review how H.R. 1 (the One Big Beautiful Bill Act) could affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on implementation challenges, fiscal impacts, and likely coverage losses. Staff and agency officials explained Washington’s Medicaid financing structure, eligibility categories, caseload trends, and the role of the Health Care Authority and DSHS in administering Apple Health and related services. They also described how Medicaid expansion increased access to behavioral health services and how H.R. 1’s provisions are expected to affect the expansion population most directly. Health Care Authority and DSHS officials outlined several major H.R. 1 changes: new work and community engagement requirements for the Medicaid expansion population, six-month redeterminations instead of annual renewals, changes to immigrant eligibility, limits on provider taxes and state-directed payments, new cost-sharing requirements, reduced retroactive coverage, and changes affecting long-term care eligibility. They said Washington is still awaiting federal guidance on many details, but estimated that about 620,000 Apple Health expansion enrollees could be subject to work requirements, that roughly 30,000 immigrants could lose Medicaid eligibility under the new definition of qualified alien, and that some long-term care and developmental disability clients could be indirectly affected. Officials also said the state is working with other agencies to build shared verification systems and may seek a delay waiver, though they do not expect broad federal flexibility. The committee also heard that H.R. 1 immediately blocks Medicaid reimbursement for Planned Parenthood services for one year, with the state planning to backfill about $11 million to preserve access. In addition, officials warned that the law could reduce federal Medicaid revenue by billions over time and strain hospitals and emergency rooms as more people become uninsured. They noted that Washington’s rural health transformation grant application is due November 5 and could bring some funding, but not to offset coverage losses. No votes were taken; the session was informational only. The committee then heard a separate presentation on food assistance, where staff and DSHS described H.R. 1’s SNAP changes, including expanded work requirements, immigrant eligibility restrictions, higher state administrative costs, and a possible future state share of benefit costs tied to payment error rates. DSHS estimated a four-year fiscal impact of about $750 million for food assistance changes and said the state is working on system and policy changes across agencies before the new requirements take effect.

Transcript Highlights:

• With the recent expansion of the program to cover bipolar disorders with psychotic features, in addition
• to the original criteria of schizophrenia spectrum disorders, we do hope to reach more people in need
• Their bridges, schizophrenia spectrum disorders, we do hope to reach more people in need and help redefine

Summary: The Legislature convened in joint convention for the 2026 State of the Judiciary, escorting Chief Justice Patricia Guerrero and the Associate Justices to the rostrum and recognizing statewide constitutional officers in attendance. Legislative leaders welcomed the court and framed the address around the importance of judicial independence, equal justice, and the judiciary’s role in California’s democracy. Chief Justice Guerrero reported on several major judicial branch priorities. She emphasized rising threats to judges and court security, the need to extend authority for remote proceedings beyond its current sunset, and the ongoing implementation of the CARE Act in all 58 counties, including data on petitions, agreements, and plans. She also discussed trial court funding and persistent judgeship shortages, especially in Riverside and San Bernardino counties, where congested calendars have led to case dismissals and heavy use of temporary assigned judges. The Chief Justice also addressed the judiciary’s response to artificial intelligence, including guidance on generative AI, deepfakes, and evidence issues, as well as concerns about federal immigration enforcement at courthouses and its effect on access to justice. She reviewed corrective actions after the February 2025 bar exam problems, including scoring adjustments, a return to in-person testing, and rule changes for attorney admissions. She closed by noting judicial salary concerns, the 100th anniversary of the Judicial Council, and the need for continued collaboration with the Governor and Legislature. No votes were taken. The joint convention ordered the State of the Judiciary address printed in the Journal as a separate appendix and then adjourned, with an invitation extended to a reception with the Chief Justice later that evening.

Transcript Highlights:

• With the recent expansion of the program to cover bipolar disorders with psychotic features, in addition
• to the original criteria of schizophrenia spectrum disorders, we do hope to reach more people in need
• Their bridges, schizophrenia spectrum disorders, we do hope to reach more people in need and help redefine

Summary: The Legislature recessed into a joint convention for the 2026 State of the Judiciary, escorted the California Supreme Court justices to the rostrum, and heard remarks from legislative leaders and Chief Justice Patricia Guerrero. The speakers emphasized judicial independence, the rule of law, and the importance of the courts as a co-equal branch of government. The Chief Justice framed her address as a calm report on the judiciary’s work and major challenges, while thanking legislative and executive partners for collaboration. Chief Justice Guerrero highlighted several policy and operational issues facing the courts. She urged continued support for remote proceedings, noting more than 6 million remote hearings since 2022 and strong user satisfaction, and discussed the CARE Act’s statewide implementation, including petition and agreement numbers and the recent expansion to cover certain bipolar disorders. She also raised concerns about judicial security and privacy, threats and negative rhetoric toward judges, courthouse access issues tied to federal immigration enforcement, and the need for more judgeships and funding in high-need counties such as Riverside and San Bernardino. She also discussed the judiciary’s response to artificial intelligence, including guidance on generative AI, deepfakes, and evidence admissibility, and reported corrective actions after the troubled February 2025 bar exam, including scoring adjustments, expanded provisional licensing, and a return to in-person testing. Additional points included proposed ongoing funding for trial courts, long-standing judicial salary disparities, and the Judicial Council’s 100th anniversary. No votes were taken; the joint convention concluded with the address ordered printed in the Journal and an invitation to a reception for members and guests.

Transcript Highlights:

• Looking back, I now understand I was struggling with body dysmorphic disorder, which led to disordered
• Ironically, Boys and girls with trans delusions often suffer from eating disorders and body dysmorphia

Summary: The committee heard two education-related bills. AB 1572, by Assembly Member Alanis, would require the California Interscholastic Federation to conduct annual reviews of sports officials’ safety training and qualifications and create an online system for schools to verify certification status. The author and CIF support argued it would improve transparency, accountability, and student-athlete safety; one late witness opposed the bill, criticizing CIF policies more broadly. The bill was moved forward on a due-pass motion and ultimately passed the committee 9-0. AB 1665, by Assembly Member Pacheco, would require school coaches to complete a California Department of Education-approved mental health training course. The author and supporters, including a former athlete and representatives from hospitals, professional sports teams, and psychiatrists, said coaches are often the first adults to notice mental health struggles and should be better equipped to respond. Opponents argued the bill could be used to advance gender-identity policies and questioned the need for additional training. Committee members in support said the bill was important for student mental health and that coaches already receive other safety training. The bill was amended and passed the committee 9-0. The chair also noted committee procedures at the start, including limits on witnesses and testimony time, and welcomed the new committee secretary. After both items were taken up and roll calls completed, the committee adjourned for the day.

Transcript Highlights:

• Um, you know, the prevalence of gambling disorder among gamblers is about 4%, perhaps, uh, and that's
• That is, one meta-analysis found 73% of gamblers having an alcohol use disorder and another 38% with
• a substance use disorder.
• other harms associated with gambling, but with respect to individual harm, invocation of gambling disorders
• [laughter] No, the rate of alcoholism is much higher than the rate of gambling disorder. Yeah.

Transcript Highlights:

• also serve as the Governor of Region 1 on the March Board, a statewide association of substance use disorder
• In part, that is looking at all of the co-occurring disorders that happen at the same time.
• Often, people who suffer from substance use disorder could have something else going on, and the screening
• Frederick, if I'm understanding the question, your question is: does the change away from "substance use disorder
• She has diagnoses of ADHD, depression, learning disabilities, and reactive attachment disorder.

Bills: HF2233 , HF1999 , HF1995 , HF1614 , HF2781 , HF1775 , HF1316 , HF2127 , HF2521 , HF689 , HF2380 , HF1273

Committee: House Judiciary Finance and Civil Law

Transcript Highlights:

• For someone with a mental health or substance use disorder, the window to intervene is often just days
• He was diagnosed with major depressive disorder and anxiety and was medically retired in July of 2015
• Further TBI assessment and care have been neglected due to similarities with post-traumatic stress disorder
• Accessing mental health and substance use disorder care is essential.
• in the Code of Federal Regulations do not, in practice, extend to mental health or substance use disorder

Committee: Senate Senate Veterans' Affairs

Transcript Highlights:

• While our state statutes differentiate substance use disorders from other mental health disorders, the
• from me other substance use disorders from me other mental<00:26:40.320><c> health</c><00:26:40.559>
• health disorders the symptoms of mental health disorders the symptoms of our<00:26:42.559><c> patients
• Minnesota's very low Medicaid reimbursement for both substance use disorder and mental health impacts
• Lou Zider: Substance use disorder and mental health impacts us in two ways.

Committee: Senate Health and Human Services

Transcript Highlights:

• animals don't talk, that climate change, human-impacted climate change is happening, that there's genetic
• You know, I think... that there's genetic variance in gender and how it presents, et cetera, et cetera

Committee: House Education

Transcript Highlights:

• and dysmorphic body disorders.
• I'm here not only as an advocate, but as someone who has personally struggled with an eating disorder
• Substance use disorder is a mental health condition. As such, it is a protected class.
• But substance use disorder does not exist in a behavioral vacuum.
• And I want to thank the witness for sharing her sister Chelsea's story in terms of substance use disorder

Summary: The committee heard several immigration-, health-, food access-, and tribal-rights-related bills. AB 1725 would require disclosure of oil wells near homes and sensitive sites and stronger methane monitoring; supporters described health and safety harms in communities near wells, while apartment, realtor, building, and chamber representatives opposed or sought amendments, arguing the bill should better target the responsible industry and fit existing disclosure processes. AB 1650 would require privately rented or leased vehicles used by government agencies for enforcement to be clearly identifiable and equipped with safety lighting; supporters, including immigrant-rights advocates and local officials, said unmarked vehicles create fear and confusion during ICE operations, while the chamber sought clarification and noted exemptions for ordinary undercover law enforcement. AB 1857 would prohibit grocery restrictive covenants that keep new supermarkets from opening after a store closes, with supporters framing it as a food-access and anti-hunger measure; grocers and retailers raised concerns but said amendments addressed many issues, and the committee moved the bill forward as amended to Appropriations on a recorded vote, with all members present voting aye except one absent member and the bill placed on call. The committee also heard AB 1876, which would codify federal health-care nondiscrimination protections in state law. Supporters from Equality California, Disability Rights California, Planned Parenthood, and other health groups said it would preserve coverage protections for LGBTQ people, people with disabilities, and other protected classes amid federal rollbacks; opponents argued it would entrench gender-affirming-care standards and criticized the underlying medical framework. The bill passed to Appropriations on a recorded vote, with most members voting aye and one no vote, and was placed on call. AB 1908 would allow public entities to use judgment obligation bonds to finance self-funded victim compensation funds; Los Angeles County said the bill would fill a financing gap for faster compensation, and the committee advanced it on a recorded vote and placed it on call. AB 1881, the California Indian Freedom Act of 2026, would protect California tribes’ access to sacred sites and traditional practices on state public lands and require meaningful consultation; it drew extensive support from tribal leaders and Native organizations, while cities, counties, utilities, builders, and business groups were opposed unless amended, largely seeking clarification and narrowing. The bill was amended to focus on state public lands and passed to Appropriations on a recorded vote, then placed on call. Later, AB 2465 would bar businesses that profit from private detention facilities or contract with immigration-enforcement agencies from receiving state grants, loans, or tax credits and create an immigrant resilience fund. Supporters said the state should not subsidize businesses tied to immigration raids and detention; opponents, including the chamber, bankers, and contractors, raised vagueness and scope concerns, especially over what contracts would be covered. Members said they supported the concept but wanted the bill tightened, and it passed to Revenue and Taxation on a recorded vote with one no vote and was placed on call. The committee then heard AB 2662, which would create a formal state process to monitor and report on federal immigration enforcement actions and their impacts; supporters from legal aid and health centers said raids have chilled access to work, schools, clinics, and naturalization, and the bill was presented as a modest accountability measure. The transcript cuts off before any vote on AB 2662. The committee also approved a consent calendar of several bills and resolutions, sending some to Appropriations and others to the floor.

Transcript Highlights:

• and dysmorphic body disorders.
• and dysmorphic body disorders.
• I'm here not only as an advocate, but as someone who has personally struggled with an eating disorder
• Substance use disorder is a mental health condition. As such, it is a protected class.
• But substance use disorder does not exist in a behavioral vacuum.

Committee: House Judiciary

Transcript Highlights:

• committee are long-term care, disability waivers, and direct care and treatment, and substance use disorder
• committee are long-term care, disability waivers, and direct care and treatment, and substance use disorder
• committee are long-term care, disability waivers, and direct care and treatment, and substance use disorder
• , but we'll start with substance use disorder treatment, commonly referred to as SUD treatment.
• </c><00:47:12.119><c> developmental</c> substance use disorder developmental substance use disorder developmental

Committee: House Human Services Finance and Policy

Transcript Highlights:

• And we should have a conversation in this commission about the impact on not only perinatal mood disorders
• initial activities of the commission, which way back then included screening for postpartum mood disorders
• personally treated a number of women—they happen to be women, birthing parents—for postpartum mood disorders
• Because we know that that places higher risk for the development of a postpartum mood disorder.

Summary: The meeting was an organizational and planning session of the Ellen Story Commission on Postpartum Depression. After roll call and housekeeping, the co-chairs thanked Senator Liz Miranda for her service and announced Senator Adam Gomez as the new Senate co-chair. Senator Miranda explained her transition off the leadership role due to other responsibilities and personal losses, while Senator Gomez said he was honored to join, would listen and learn, and would bring a Western Massachusetts perspective to the statewide commission. Members discussed current maternal health developments, including a new Department of Public Health regulation implementing the 2024 midwifery law and allowing temporary licenses for licensed certified professional midwives. The commission also reviewed open seats and possible future appointees, with an emphasis on adding regional, clinical, and lived-experience diversity. Several commissioners raised concerns about birthing hospital and inpatient obstetric unit closures, workforce shortages in OB-GYN and midwifery, reimbursement changes, and the need to expand training slots and funding for perinatal care. A major theme was how the commission should focus its work in the coming year. Members suggested more attention to parent-child relational health, pediatric screening for postpartum mood disorders, coordination across OB-GYN, pediatrics, infant mental health, and home visiting systems, and stronger involvement from clinicians and organizations such as PSI of Massachusetts. The Division of Public Health and the Division of Insurance shared updates on community midwifery reimbursement, a payer learning community, insurance coverage for mental health examinations, and the need for better education about birthing centers and doulas. Commissioners also discussed substance use and maternal mental health supports, noting that current funding for community-based organizations is limited compared with demand. The group reviewed upcoming maternal health events in April, including Black Maternal Health Week activities, and agreed there was not enough time to plan a new commission event for May. Instead, members favored using the commission’s communication channels to share relevant events and information. The commission approved a motion to create a biweekly digest for information sharing, with urgent items still able to be sent directly to commissioners, and then adjourned.

Transcript Highlights:

• And we should have a conversation in this commission about the impact on not only perinatal mood disorders
• initial activities of the commission, which way back then included screening for postpartum mood disorders
• personally treated a number of women—they happen to be women, birthing parents—for postpartum mood disorders
• Because we know that that places higher risk for the development of a postpartum mood disorder.

Summary: The Ellen Story Commission on Postpartum Depression met to reopen its work for the year, confirm attendance, and note several membership transitions, including the departure of Beth Buxton, Nekah Hall, and Dr. Lisa Scarfo. Senator Miranda stepped down as co-chair, and Senator Adam Gomez was welcomed as the new Senate co-chair. Both outgoing and incoming leaders spoke about the importance of the commission’s work, the need for continued advocacy on maternal mental health, and personal losses that have shaped their commitment to the issue. Members discussed priorities for the coming year, including implementation of the maternal health omnibus law, publicizing upcoming maternal health events, and improving information-sharing through a biweekly digest. Several commissioners raised concerns about the closure of birthing centers and inpatient obstetric units, workforce shortages in obstetrics and midwifery, and the need to preserve or expand training slots and federal matching opportunities. Others emphasized the need to strengthen community-based perinatal mental health supports, including Moms Do Care and First Steps Together, and to increase funding beyond the $220,000 appropriated for community organizations. The commission also heard updates from the Division of Insurance and the Department of Public Health about regulatory and reimbursement issues, including a new community of learning for payers, mental health exam reimbursement guidance, and concerns about sustainability of birth centers and midwifery reimbursement. Commissioners stressed the importance of better coordination among OB-GYN, pediatric, infant mental health, home visiting, and clinical providers, with some suggesting a stronger role for clinicians and perinatal mental health organizations such as PSI of Massachusetts. The meeting ended with a motion and vote to create a biweekly information digest, with urgent items to be shared by email, followed by adjournment.