Transcript Highlights:

• Obviously, they're children's hospitals, and Medicare pays for a lot of those patients.
• Obviously, they're children's hospitals, and Medicare pays for a lot of those patients.
• </c> for a lot of of those patients. for a lot of of those patients.
• </c> Over personal whims and preferences.
• Insurance data reveals one in 10 patients experience a serious adverse event.

Transcript Highlights:

• We are investigating an issue with where easy voter transaction party preference as of 1/17/24 are now
• containing the word party at the end of the party preference value.
• As a result, the current Avid system may set up an easy voter party preference to other by default.'
• registrations were changed from a recognized political party to party not... ...preference registrations
• Cavanaugh has been patiently waiting, and I know he is very excited to listen to this presentation because

Committee: House House Federalism, Military Affairs & Elections Committee of Reference

Summary: The Committee on Federal and Military Affairs and Elections met with all members present and began with an extended presentation on an investigative referral packet concerning alleged voter registration anomalies from March 2023 to the present. The presenter described multiple examples of registrations tied to out-of-state residents, deceased individuals, temporary residents, and registrations allegedly generated through Service Arizona, MVD, Access, county recorders, and third-party/NGO channels. The committee also discussed a Secretary of State email about party-preference changes, discrepancies between county and state counts, and a proposed criminal referral to the Department of Homeland Security and Department of Justice. Members asked questions about whether the issues were glitches or intentional, and several members said the examples reflected serious problems with voter-roll maintenance and automatic voter registration. A roll call was taken on whether members wished to sign onto the referral; some declined, while others agreed, and the committee said the referral would be transmitted after the meeting. The committee then considered Senate Bill 1259, which would allow certain protected individuals to use an alternate mailing address when filing candidate and financial disclosure paperwork. The sponsor said it closes a confidentiality loophole for people whose addresses are protected for safety reasons. Members raised concerns about how the bill interacts with in-district residency requirements, but the bill passed on a 6-1 vote. Senate Bill 1281, dealing with state land procedures for covered federal designations and notification of legislative leaders about land takings, drew opposition from the Sierra Club’s Grand Canyon Chapter, which argued the bill was unnecessary, unfunded, and insufficiently protective of tribal consultation; it passed 4-3. Senate Bill 1037, concerning election equipment security and internet connectivity, prompted debate over whether the bill could be read to permit internet-connected election equipment and over a hostile strike-everything amendment that would have expanded voter-registration and election-administration programs, including ERIC participation and new funding. The amendment failed, and the underlying bill also failed on a 3-3-1 vote. Finally, the committee heard Senate Bill 1040, which would require county recorders to provide public online access to voter registration rolls and prohibit fees for downloading them. Staff explained that the bill would replace the current chairperson-request process with public access, while still excluding sensitive information such as Social Security numbers. Members debated how much information would be public and whether the bill adequately defined “voter registration rolls.” The bill passed on a 4-3 vote. The chair closed by asking members to look into school app data-sharing contracts and offered to show unredacted materials privately, then noted that dinner had been provided.

Transcript Highlights:

• Hello counties, we are investigating an issue with where easy voter transaction party preference as of
• 1/17/24 are now containing the word party at the end of the party preference value as a result, the
• current AVID system may set up an easy voter party preference to other or by default.
• political party to party not Preference registrations were changed from a recognized political party
• Cavanaugh has been patiently waiting, and I know he is very excited to listen to this presentation because

Bills: SB1037 , SB1040 , SB1259 , SB1281

Committees: House Federalism, Military Affairs & Elections , House House Federalism, Military Affairs & Elections Committee of Reference

Keywords: elections, voting systems, vote tabulation, election security, internet connectivity, offline voting, chain of custody, polling place equipment, counting center, central counting center, election management system, EMS gateway, tabulation equipment, secretary of state, certification, decertification, HAVA, Help America Vote Act, ballot images, audit logs

Transcript Highlights:

• Too often patients encounter a health care system that is disjointed and is a dysfunctional maze.
• Whether patients who are on Medicare fee-for-service, on traditional Medicare?
• We need to listen to what people want; they would prefer to be on private insurance.
• short of the 5,000 patients that ACOs need. short of the 5,000 patients that ACOs need.
• We talked about the challenges that health care providers and patients are facing.

Committee: Senate Finance Committee

Transcript Highlights:

• </c> With 90,000 annual visits, we are the primary provider for low-income and underinsured patients
• </c> In the school, we see approximately 90,000 patients, as has been said, but of those 90,000-plus,
• Do you guys give a preference to Minnesotan residents versus out-of-state residents when it comes to
• Do you guys give a preference program.
• Do you guys give a preference to<00:15:48.960><c> Minnesotan</c><00:15:49.760><c> residents</c><00:15

Committee: Senate Capital Investment

Transcript Highlights:

• I'm wondering why if we budgeted for I'm wondering why if we budgeted for 4,182 patient<00:04:14.319>
• So, uh the 23rd is much preferred on my schedule.
• So, uh the 23rd is much preferred on my schedule. >> Okay.
• So, uh the 23rd is much preferred on my schedule. >> Okay.
• So, uh the 23rd is much preferred on my schedule. >> Okay.

Summary: The Fiscal Committee met on December 19, with Senators Long and Lang serving as replacements. The committee approved the November 21 minutes and adopted the consent calendar after removing two Department of Health and Human Services items for separate discussion. It then took up an HHS request involving nursing facility rates, where Nathan White explained that $2.2 million would be transferred from a long-term care Medicaid eligibility contract to the nursing facilities budget. He said the funds would offset an otherwise projected 3.9% average rate decrease and bring the overall average change to zero for the next six months, with rates reset again in July under state law. Members asked about the budget adjustment factor, bed counts, and whether additional funds could raise rates further; White said the factor is statutory, capped at 28.76%, and that more money would lower the factor and increase rates. The committee also corrected a date in the request from February 1, 2025 to February 1, 2026, and approved the item. The committee next approved another HHS item related to rural health transformation grants. Members confirmed the request covered the full amount applied for this biennium, and asked about the technology component. HHS said the grant is not solely about AI, but about broader technology improvements such as electronic medical records, back-end systems, and tools to improve access and sustainability in underserved areas. The committee approved that item as well. The Judicial Council then requested funds for contract attorneys providing indigent defense on a fixed-fee basis. The council said current funds had already been exhausted and that the new appropriation would be used immediately. Members questioned the size of the request and the number of people awaiting counsel; the council reported about 150 incarcerated people and about 300 non-incarcerated people waiting for counsel, more than in recent years. It attributed the increase to competition for attorneys, public defender offices closing intake in some locations because of caseload limits, and broader case and court-system changes. One member raised constitutional concerns about delays in counsel for incarcerated defendants. The committee ultimately amended the request downward to $1 million, approved it, and then approved a motion to place several annual financial reports on file and release them to the public when available. The committee also discussed dashboard reporting from HHS, asking for more detail on community mental health center caseloads and budget-reduction information, and HHS agreed to provide more useful monthly detail.

Transcript Highlights:

• services without requiring formal entry into the child welfare dependency system. 44% of the EU preferred
• requirements in those facilities such as affiliated physicians and nurses on staff with certain staff, patient
• nurse, patient ratio or CNA J, J Ratio and those particular situations.
• are you using as the, you know, the foundation to say, okay, this facility can handle this type of patient

Transcript Highlights:

• I prefer to call it WUCIOA just because it's funnier.
• , diabetes, or large open wounds to city sidewalks because I have to prioritize even sicker patients
• Not only is this inhumane, it's also wasteful, as these patients cycle right back through our medical
• The passage of House Bill 2266 increases the likelihood that our patients could reliably discharge to
• I wish I had the opportunity to share patient cases and pictures so that you could better appreciate

Bills: HB2304 , SGA9280 , SGA9281

Committee: Senate Housing

Keywords: condominium, housing, warranty, property rights, construction

Transcript Highlights:

• I prefer to call it Wakayawa just because it's funnier.
• , diabetes, or large open wounds to city sidewalks because I have to prioritize even sicker patients
• Not only is this inhumane, it's also wasteful, as these patients cycle right back through our medical
• The passage of House Bill 2266 increases the likelihood that our patients could reliably discharge to
• I wish I had the opportunity to share patient cases and pictures so that you could better appreciate

Summary: The Senate Housing Committee held public hearings on four bills and then took executive action on several measures and two gubernatorial appointments. At the start, the committee waived the five-day notice rule for Substitute House Bill 2354, Engrossed Substitute House Bill 2266, and Second Substitute House Bill 2590. The committee also heard public testimony on House Bill 1859, which would expand affordable housing on property owned by religious organizations by lowering the affordability threshold needed to qualify for a density bonus. Supporters, including the sponsor, faith leaders, and local officials, said the current 100% affordability requirement has made projects difficult to finance and that the bill would better unlock underused church land for housing. The committee then heard Engrossed Substitute House Bill 2266, which would further standardize where and how permanent supportive housing, transitional housing, indoor emergency housing, and shelters can be sited, while limiting local barriers and allowing some negotiated conditions near schools or when local governments provide significant support. The sponsor and supporters from King County, housing providers, the Attorney General’s office, disability advocates, medical professionals, and others argued the bill would reduce discriminatory or inconsistent local siting rules and expand needed housing. Some local government representatives supported the bill but asked for additional amendments to preserve local flexibility, require on-site contacts, and clarify how operating conditions and funding agreements would work. The committee also heard House Bill 2590, which would revise rules for limited equity cooperatives so they can better function as a long-term affordable homeownership model and remain exempt from certain Washington Uniform Common Interest Ownership Act requirements. Supporters said the bill would help preserve manufactured housing communities and other cooperative housing while maintaining affordability and oversight. House Bill 2354, a trailer bill to WACOIA, would make technical changes affecting common interest communities, including EV charging and heat pump cost responsibility, reserve studies, and audit thresholds; the Washington State Community Association’s Institute testified in support. In executive session, the committee confirmed gubernatorial appointments Aaron T. McGrath and Ann T. Malone and voted do-pass recommendations for EHB 1687, SHB 2269, and HB 2304, all subject to signatures.

Transcript Highlights:

• No, these are medical patients. This is state-sanctioned.
• The same equity we'd give William Dale Clark: anybody else, any patient with prescribed drugs from their
• Jodi James: Are you treating me as a patient who is legally using medical marijuana the same way that
• That's my primary care physician because there is no box to say that I'm a medical marijuana patient.
• Thank you for waiting patiently. Chair: And you're recognized and the floor is yours.

Transcript Highlights:

• And it's not due to the lack of patient encounters.
• In fact, those hospitals are seeing an increase, Claudia, in patient encounters.
• Currently, Texas ranks number 47 in the nation for physician-to-patient ratios.
• metropolitan areas where they have a single health hospital, university health center, where the patient
• For the Health Sciences Center, where you have protected patient information, we get between four and

Bills: HB42 , HB 125 , HB 1233 , HB2853 , HB3148 , HB3326 , HB3701 , HB4066 , HB4361 , HB4762 , HB4909 , HB4912 , HB42 , HB125

Committee: House Higher Education

Keywords: higher education, funding, financial allocation, state budget, Texas A&M University, University of Houston, education funding, medical education, osteopathic medicine, healthcare workforce, Tarleton State University, industry-recognized credentials, workforce development, career opportunities, feasibility study, student fees, university funding, student union, education, UT El Paso

Summary: The Committee on Higher Education met to hear several bills and first corrected the minutes from its April 1, 2025 meeting to reflect that a committee substitute for HB 271 had been adopted before the bill was reported favorably. The committee then heard HB 3326, which would help Texas higher education employees, especially adjunct faculty, qualify for federal Public Service Loan Forgiveness by counting classroom hours toward full-time status, requiring institutions to verify employment within 60 days, and requiring annual notice to eligible employees. No witnesses testified against the bill, and it was left pending. Members then heard HB 2853, authorizing UTEP to phase in a student union fee increase to fund demolition and reconstruction of its aging student union. Representative Perez and UTEP student and university witnesses said the current facility is outdated and insufficient for a campus of more than 25,000 students, while some members raised concerns about the size of the fee increase and its impact on low-income students. UTEP representatives said most students receive aid, the fee would be phased in over time, and the project was student-approved; the bill was left pending. The committee also heard HB 4066, a one-line bill to abolish the Texas Research Incentive Program after the state cleared its backlog of matching obligations, with the author saying the program was no longer needed in light of newer research funding approaches. The bill was left pending. The committee spent substantial time on HB 125, which would create the Tarleton State University College of Osteopathic Medicine. Supporters, including Tarleton leadership, the founding dean, a rural hospital CEO, and a feasibility consultant, argued the school would address severe rural physician shortages by recruiting Texas and rural students, training them in rural settings, and developing new residency slots rather than competing for existing ones. Members asked about affordability, residency placement, and whether the school would draw students from rural Texas; Tarleton said it would seek to keep tuition and debt low, had already raised private donations, and would request $25 million in state support over the biennium. The bill was left pending. Finally, the committee heard HB 42, which would increase the annual Higher Education Fund appropriation and adjust its allocation methodology. The chair and university witnesses described rising deferred maintenance, inflation, cybersecurity needs, and enrollment growth at HEAF-eligible institutions, with witnesses from Texas Tech, Sam Houston State, and UNT saying the additional funding would help address aging facilities and technology needs. After testimony, the committee left HB 42 pending and recessed.

Transcript Highlights:

• ...interventions in the general care of our patients.
• These solutions are used to treat hospitalized patients, including premature babies, patients receiving
• cancer treatment, or resuscitating trauma patients.
• Patients and providers are often unaware of the chemicals in the very treatments intended to help patients
• While reaching patients who otherwise go without.

Committee: Joint Joint Committee on Public Health

Summary: The Joint Committee on Public Health held a lengthy hearing to take testimony on a wide range of bills related to environmental health, PFAS, medical device chemicals, food access, lead poisoning, air quality, oral health, and school food additives. Chair Driscoll and Chair Decker emphasized that the hearing was for testimony only, no decisions would be made that day, and that written testimony could still be submitted. They also noted the high volume of speakers and asked witnesses to keep remarks brief. A major portion of the hearing focused on PFAS-related legislation, including bills to restrict PFAS in products and food packaging and to create a PFAS remediation trust fund. Municipal officials and advocates described the high costs of PFAS cleanup, especially for drinking water systems, citing Easton’s multimillion-dollar treatment investments and rate increases. Testimony from legislators and advocates argued that Massachusetts should act despite federal uncertainty, and that the state should stop PFAS at the source rather than leaving municipalities and residents to pay for remediation. The committee also heard strong support for a bill banning DEHP in medical devices, with physicians, nurses, and a bill sponsor saying the chemical can leach from IV bags and tubing and that safer alternatives already exist. The committee also heard testimony on bills to establish statewide food truck permitting, with food truck owners and a senator describing the current system as costly, duplicative, and inconsistent across municipalities. Another set of witnesses supported the “Bean New Deal,” which would expand plant-based food options in public institutions, senior nutrition programs, and WIC, citing health, equity, and cost savings. On lead poisoning, housing advocates and a representative backed bills to expand lead-safe housing requirements to all rental units, arguing the current law contributes to discrimination against families with children and leaves too much pre-1978 housing uncertified. The committee also heard support for an outdoor air pollution bill that would create an advisory committee, identify pollution hotspots, expand monitoring, and set reduction targets, with testimony from environmental justice groups, pediatricians, and legislators describing disproportionate asthma and other health harms in overburdened communities. Later testimony addressed oral health bills to create dental therapists and allow dental hygienists to administer nitrous oxide, with supporters saying the measures would expand access, reduce costs, and help underserved patients. The committee also heard testimony on a bill to prohibit harmful food dyes in competitive school foods, with parents describing behavioral and health concerns tied to synthetic dyes. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• Chairman, for your patient. Representative Banderman. To inquire. Proceed. Thank you, Mr.
• And I'll read, election contest at preference and order of hearing.
• The election shall have preference in the order of hearing to all other cases and shall be commenced
• And I'll read, election contest at preference and order of hearing.
• The You can be... election contest have preference and order of hearing.

Committee: House Local Government, Elections and Pensions

Summary: The committee heard House Bill 3146, sponsored by Rep. John Simmons, which would expand legislatively written ballot summary statements from 50 to 100 words and create a revised process for court challenges to ballot language. Simmons said the bill is essentially the same as last year’s Senate Bill 22, minus the section the Supreme Court struck down, and argued it would preserve the General Assembly’s role while allowing the Secretary of State and courts to work through objections to ballot summaries. Supporters said the longer summary would better inform voters and that the back-and-forth process had worked in the recent Amendment 3 litigation. Members raised concerns that the bill would encourage misleading or argumentative ballot language, create extra procedural steps, and potentially let the clock run out before challenges are fully resolved. Rep. Woods and others argued the courts are needed to prevent “ballot candy” and dishonest summaries, while supporters countered that the legislature and Secretary of State should have primary authority and that courts should not act as a “super legislature.” The sponsor and supporters also pointed to the recent Amendment 3 process as evidence that the revised procedure can work and produce agreed-upon language. Testimony was split. Campaign Life Missouri, Missouri Right to Life, and a representative from the Secretary of State’s office testified in favor, emphasizing transparency, voter information, and the elected status of the officials drafting ballot language. Opponents included the Missouri Voter Protection Coalition, League of Women Voters, Jobs with Justice, Missouri Right to Education, and private citizens, who argued the bill is unconstitutional, undermines separation of powers, and would allow misleading language to survive by dragging out litigation. No vote was taken in the portion provided.

Transcript Highlights:

• >> I would prefer this thing an option. >> That I need to talk with Justin and company about. >> Okay
• </c> &gt;&gt; I would prefer this thing an option. &gt;&gt; I would prefer this thing an option.
• Most psychologists aren't accepting new patients.
• Most psychologists aren't accepting new patients.
• Most psychologists aren't accepting new patients.

Committee: Senate Executive Departments and Administration

Transcript Highlights:

• And then it also is a good benefit to draw patients into the hospital so the residents have the patients
• That unit is focused on the patient licensing, patient education, and outreach, collaboration with medical
• Same for patient licenses, we are at about a four-day turnaround on patient license processing right
• But first patients, we're planning on taking 18 patients in December and then phasing in another 18 beds
• So, this is getting those patients who have been patients of Children's Hospital and will remain patients

Committee: House A&B Health Subcommittee

Transcript Highlights:

• A preference is given to New Mexico residents when there is a waiting list, but every veteran is welcome
• courtyards, allowing our veterans to go outside, spend time barbecuing, gardening, or whatever they prefer
• We encourage family-style eating, but it's also their preference, so if they choose not to, that's up
• If you take the amount of patients or clients that you have in there, and then you take the seven and

Transcript Highlights:

• And could an application then or employment form include a prefer not-to-answer option?
• </p> <p>And then how exactly would someone who is an employee require an employer to use their preferred
• because of the protections afforded me, I've been able to just focus on learning and focus on my patients
• </p> <p>I oppose this right-to-discriminate bill by prohibiting the use of preferred pronouns that don't

Committee: Senate Governmental Oversight and Accountability

Summary: The committee took up several bills and reported each favorably after brief presentations, amendments, and roll calls. SB 1760, by Senator Grall, would require certain elected officials and agency heads to reside in Florida, with agency heads also required to be U.S. citizens and live in the county where their agency is headquartered; it also clarifies the constitutional prohibition on holding more than one office. SB 1202, by Senator McClain, expands insurance benefits for firefighters who are totally and permanently disabled during official training exercises, and its amendment was adopted to avoid local fiscal impact. SB 582, by Senator Leak, increases penalties for unlawful demolition of historic buildings and limits the higher penalty to properties on the National Register of Historic Places or in a listed district; supporters included representatives of St. Augustine and the Florida League of Cities, while one opponent waived in opposition. SB 312, by Senator Gates, revises governance of the Florida Institute for Human and Machine Cognition and allows affiliated nonprofit subsidiaries to enter agreements with universities; an amendment adding one public member to the board was adopted, and the bill was reported favorably. The committee then considered SB 676, by Senator Martin, which would allow employees to waive the state minimum wage right under a framework the sponsor said would help young or inexperienced workers gain entry-level experience. The bill drew extensive public testimony, with supporters arguing it could help small businesses hire and create opportunities, and opponents saying it would undermine the voter-approved minimum wage, invite coercion, and exploit vulnerable workers. Senator Martin’s amendment clarifying the Fair Labor Standards Act exception was adopted, and the bill passed on a favorable vote despite opposition from Senator Arrington and others. Finally, SB 440, by Senator McClain, was heard as an expansion of prior law to cover public employees and prohibit certain employment practices related to gender identity and pronoun use; after an amendment narrowing the bill by deleting references to training, instruction, or other activity regarding sexual orientation, the committee heard extensive testimony both for and against, with supporters framing it as protecting conscience rights and opponents calling it discriminatory. The committee ultimately reported SB 440 favorably as well.

Transcript Highlights:

• Its immediate use gives patients the greatest chance of survival. survival while seeking additional emergency
• mentioned, Texas Education Code currently requires at least one AED at every campus of course with preference
• sexual education priority must be to present abstinence, as the bill says, from sexual activity as a. preferred
• So of the two we support both but prefer the mechanism in this bill because it ends both the occupations

Bills: SB207 , SB611 , SB920 , SB1174 , SB1207 , SB1325 , SB1396 , SB1551 , SB1619

Committees: Senate Education , Senate Education K-16

Transcript Highlights:

• That's a big step and will be a big helper for these patients. So this is where we started.
• So ultimately, if you're a patient anywhere and you go anywhere with... ...and providers.
• Remote patient monitoring... ...that EMR and then one that'll be by itself.
• Remote patient monitoring, electronic caregivers, kiosks, and facilitated video visits.
• This includes adding a second window in the patient room, fitting up the northwest and southwest patient

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on health-related projects and Department of Health and Human Services budget matters. Representatives from CHI St. Alexius in Bismarck and Williston, and Altru in Grand Forks, reported progress on behavioral health expansion projects, including demolition and construction milestones, updated timelines, funding status, staffing plans, and barriers such as an unbudgeted air handler replacement in Williston. Members asked about original completion dates, use of telehealth, recruitment of psychiatrists and other staff, and whether the new beds might reduce the need for patients to travel to Jamestown State Hospital. The projects were described as on track overall, with completion expected in 2027 for the larger builds and earlier openings for some phases in Williston. The committee then heard from HHS leadership on technical line-item transfers and the Salaries and Wages Block Grant. Donna Ockland explained that recent transfers were administrative corrections to place spending in the proper budget lines and did not involve new spending, and she reviewed FTE counts and vacancies across the department. Questions focused on behavioral health staffing changes and the use of consultants in the Rural Health Transformation Program. Pat Rainer outlined the rural health program’s first-year grants and priorities, including workforce retention, rural rotations and housing, community wellness initiatives, behavioral health promotion, safety net services, hospital equipment, suicide prevention training, technology, and EMS support. He said North Dakota’s plan was drawing positive national attention, but the department still needed to obligate roughly $199 million by September and was working with CMS on timing and compliance. The committee also received an update on certified community behavioral health clinics from Elena Zeller. She said North Dakota had been accepted as a demonstration state, with certification efforts underway in Williston, North Central, Fargo, and Dickinson. Members asked about care coordination, service growth, staffing, and whether certification would expand to all clinics; the department said it was still collecting baseline data and evaluating impacts before making future recommendations. Finally, Rebecca Askins reviewed SNAP payment error rates, explaining that the 2025 rate was finalized at 9.89 percent and that the department is working on training, system changes, and quality assurance steps to get below 6 percent. Members pressed on the causes of monthly variability, the performance of the SPACES system, and accountability for ongoing errors, and the department said it expects improvement over the next 6 to 12 months.

Transcript Highlights:

• There is less time to assess, counsel, educate, and reassure other patients.
• Patients are the most vulnerable people in the state. So we are in favor of having this.
• and practitioners alike. ...to ensure safety for both patients and practitioners alike.
• Being desperate, I found a patient advocacy group called ClusterBusters.
• Evidence-based treatment... to reaching patients in an equitable way across Massachusetts.

Committee: Joint Joint Committee on Mental Health, Substance Use and Recovery

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.