Transcript Highlights:

• Moving on to CYFD, we looked at protective services, prevention, and intervention.
• Intervention services.
• In fact, the majority of the clinical interventions that comprise that 61% are evidence or research-based
• captured in a way that allows analysts to tie exact expenditure amounts with specific clinical interventions
• We're happy to get you the specific number of interventions that each agency is looking at.

Transcript Highlights:

• I'll point out two buckets in particular under Proposition 63: first, the prevention early intervention
• Lastly, earlier intervention is a required subcomponent of the behavioral health services and supports
• held a rulemaking and priority-setting role and responsibility regarding the prevention early intervention
• , including access to preventative, early intervention, and other behavioral health services provided
• This type of early intervention prevents escalation to higher levels of care, including crisis intervention

Keywords: 988, house, all

Transcript Highlights:

• Now, as an ER doctor, I see the downstream impact of those early interventions.
• Now, as an ER doctor, I see the downstream impact of those early interventions.
• Now, as an ER doctor, I see the downstream impact of those early interventions.
• Now, as an ER doctor, I see the downstream impact of those early interventions.
• Now, as an ER doctor, I see the downstream impact of those early interventions.

Bills: HCR92, HCR46, HCR172, HCR147, HCR112, HCR100, HR84, HR42, HR139, HR104, HR92

Keywords: automated external defibrillator, AED, cardiac arrest, state buildings, health education, public health, lifeguards, first responders, public safety, ocean safety, emergency response, Hawaii, workers' compensation, auditor, procurement audit, compliance, Department of Human Resources Development, transparency, accountability, medical care

Transcript Highlights:

• Complications and unsatisfactory results. are at risk of all medical interventions.
• Interventions.
• The bill is making no judgments, nothing about the actual interventions themselves.
• There are known consequences for the interventions that we do. Many of them have...
• Too young to vote or fully understand the consequences of these interventions.

Bills: HB778, HB 1266, HB1576, HB2213, HB2517, HB2518, HB2841, HB3306, HB3320, HB3388, HB3508, HB3520, HB3689

Keywords: credentialing, healthcare, physician assistants, advanced practice nurses, managed care, hurricane, windstorm, loss mitigation, grants, insurance discounts, property retrofitting, insurance, Texas Windstorm Insurance Association, board composition, coastal counties, property insurance, taxation, Texas FAIR Plan Association, premium taxes, maintenance taxes

Transcript Highlights:

• So if my math is correct, and this happened with regard to WIOA...
• Have you had a chance to look into UMass and math biologic and trying to get a facility that we thought
• We worry that without continued strategic intervention and investment, manageable stress will become
• We worry without the continued strategic intervention and investment manageable stress will become potentially

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held a public FY27 budget hearing at Barnstable Town Hall, with opening remarks emphasizing the Cape and Islands’ seasonal infrastructure, housing, transportation, workforce, and digital needs. The hearing began with testimony from the Executive Office of Labor and Workforce Development, which outlined the Healey-Driscoll administration’s budget priorities for job training, apprenticeship, youth employment, reentry programs, and unemployment insurance modernization. The secretary highlighted proposed funding for the Workforce Competitiveness Trust Fund, Career Technical Initiative, YouthWorks, reentry workforce development, and services for young adults with disabilities, along with a proposal to streamline youth work permits. Members also discussed the unemployment trust fund, the COVID assessment on employers, rising unemployment, and the need to improve DUA customer service and claims processing. Committee members asked about job seeker barriers such as child care, housing, transportation, and out-migration of young workers, as well as how to keep Cape Cod graduates and seasonal workers in the region. The administration said its strategy is to pair training with broader affordability investments and to expose students to career pathways earlier, including through middle school, early childhood STEM, YouthWorks, pre-apprenticeships, and Building Pathways. Senators and representatives also raised concerns about regional funding disparities, especially for Hampshire Franklin MassHire, and the administration said it is reviewing MassHire funding and service equity through a policy committee and statewide workforce board. On unemployment assistance, officials reported major improvements in wait times and claims processing, but said they are still working through backlogs and staffing challenges while maintaining program integrity. The committee then heard testimony from the Executive Office of Economic Development. The secretary described House 2 as a fiscally restrained budget with no new taxes or fees, while preserving core programs and using the Mass Leads Act tools to support competitiveness. EOED’s proposal included funding for the Community One Stop for Growth, rural economic development, social enterprise operating grants, regional economic development organizations, the Workforce Investment Trust Fund, Community Workforce Partnerships, Pathmaker, advanced manufacturing training, life sciences, innovation vouchers, AI initiatives, small business assistance, and tourism and live theater support. The Office of Consumer Affairs and Business Regulation also testified on its FY27 request, focusing on consumer protection, licensing, banking, insurance, and public safety regulation. No votes were taken during the hearing.

Transcript Highlights:

• teaches how to prevent suicide by recognizing signs, engaging someone, and connecting them with the intervention
• She helped me organize a step-by-step intervention and to get my family member the help that they so
• reason why we aren't meeting on Wednesday is that we don't have targets yet to put together our final math
• 01:58:10.000> together<01:58:10.239> our<01:58:10.480> final<01:58:10.800> math

Keywords: 1187, senate, all

Transcript Highlights:

• AND THIS TAKES THE NEXT STEPS REALLY ADDRESSING THE PROBLEM IN PROVIDING INTERVENTION, EDUCATION OPPORTUNITIES
• LEAP IS AN EARLY INTERVENTION PROGRAM THAT CAPTURES THEN AT 2.5 TO 3.5 IT REALLY HAS CHANGED THE LIVES
• IF YOU ARE NOT TREATED DE-ESCALATION YOU WILL NOT BE ABLE TO DO THE INTERVENTION WELL.
• WE KNOW FOR A FACT IF THEY GET EARLY INTERVENTION BEFORE SIX IT CAN SAVE MILLIONS OF DOLLARS ONCE THEY

Keywords: 999, senate, all

Transcript Highlights:

• We address mental health concerns, improve attendance, provide crisis intervention, connect families
• We address mental health concerns, improve attendance, provide crisis intervention, connect families
• As previously stated, we provide crisis intervention, individual and group counseling, and even learn
• We know that early intervention in schools can help prevent more costly outcomes. ...health needs.
• We know that early intervention in schools can help prevent more costly outcomes, including emergency

Bills: SB231

Keywords: school social workers, salary supplement, LCSW, mental health, education funding, Delaware Code, certification, professional standards

Summary: The House Administration Committee met and first considered Senate Bill 231, which would extend the existing 6% salary supplement for school-based mental health professionals with advanced credentials to school social workers who hold licensed clinical social worker credentials and have passed the national exam. The bill sponsor and multiple witnesses described school social workers as essential to student mental health, crisis response, attendance, and family support, and argued the measure corrects an oversight and inequity in the current salary supplement structure. Public testimony was uniformly supportive, and the committee voted to release the bill. The committee then heard Senate Substitute 1 for Senate Bill 212, a constitutional amendment to protect the rights to hunt, fish, and trap. Supporters, including sportsmen’s groups and individual residents, said the amendment would preserve longstanding traditions, support wildlife management, and guard against future threats to hunting and trapping. An opposing witness argued there was no current threat in Delaware and said the Constitution should not be used to protect trapping or elevate hunting and trapping over other wildlife management approaches. Despite the opposition, the committee voted to release the substitute bill. Finally, the committee took up Senate Substitute 1 for Senate Bill 284, the First State Emergency Response Act, which would create a 25-foot buffer around first responders at emergency scenes after warning, with misdemeanor penalties for knowingly entering or remaining in the zone to interfere with duties. Supporters said the bill would protect police, firefighters, EMTs, and paramedics from interference, while opponents from the ACLU and the Office of Defense Services raised concerns about vague terms, potential First Amendment impacts, enforcement clarity, and jurisdictional issues. Committee members also questioned how the buffer would be marked and enforced. The sponsor and staff said they would continue working on the language, and the committee voted to release the bill.

Transcript Highlights:

• another piece of this project is to prevent crashes from happening with those real-time safety interventions
• information, and collect data whenever you want, wherever you want, but also be able to apply safety interventions
• And then for our post-conviction, we're using evidence-based programs and interventions that are high
• significantly so that we can respond quickly to non-compliant behaviors and also present skill-building interventions
• And then for our post-conviction, we're using evidence-based programs and interventions that are high

Summary: The Senate Transportation Committee met in Yakima to focus on tribal traffic safety, with members and Yakima Nation leaders emphasizing the importance of safety, the right to travel, and continued partnership on U.S. 97 corridor improvements. Yakima Nation Vice Chair Christopher Wallachie and engineering staff described the Tribal Traffic Safety Committee, the U.S. 97 safety project, heritage connectivity trails, roundabout construction, and the use of federal grants and advanced sensing technology to identify hazards before crashes occur. They highlighted collaboration with WSDOT, the Traffic Safety Commission, the University of Washington, and other regional partners, and explained that the goal is to move from reactive crash response to proactive risk reduction. The Yakima Nation engineering team and AI Vision presented the MUST sensor project, which uses compact AI-enabled devices to collect traffic counts, speeds, near-miss events, roadway conditions, and pedestrian activity, with data transmitted to a dashboard and used for real-time warnings and longer-term planning. Committee members asked about speed tracking, driver behavior, enforcement, and partnerships with WSDOT and counties. Yakima Nation staff said the relationship with WSDOT has improved over time, especially after community outreach on proposed roundabouts, and that the tribe now supports several roundabout projects and broader safety coordination. The Washington Traffic Safety Commission then presented statewide fatality trends and tribal traffic safety data. Mark McKekney said 2024 showed a roughly 10% decrease in fatalities statewide, though recent years remain among the highest in decades. He noted that race and ethnicity data are only available for people who die in crashes, and that many American Indian and Alaska Native fatalities involve passengers, pedestrians, or bicyclists rather than drivers. Penny Rerick outlined tribal traffic safety coordinator grants and other state-funded tribal projects, including work with Yakama Nation, Colville, Kalispel, Makah, Port Gamble S'Klallam, Muckleshoot, Lower Elwha, and Puyallup, stressing that flexible state funding helps fill gaps left by federal programs and supports community-led solutions. The final presentation covered impaired driving enforcement and ignition interlock compliance in Yakima County. Yakima Police Chief Sean Boyle said the city created a DUI enforcement and education officer program that helped reduce serious injury and fatal impaired-driving crashes, supported by state funding and social media outreach. Yakima County District Court’s Nick Bazan described a supervision program for DUI offenders and interlock compliance, reporting more than 1,000 DUI convictions in 2024-25 and about 3,800 noncompliant interlock users countywide. He said the court is using a two-pronged approach—pretrial assistance for indigent clients and post-conviction accountability and case planning—to improve compliance and reduce impaired driving. The committee expressed support for the work, noted the progress made, and adjourned the work session after thanking presenters for their updates.

Transcript Highlights:

• Next up, we will take CS for HB 391 face content in Batterers Intervention Program by Representative
• Thank you for the opportunity to present HB 391 faith-based content in Battered intervention program
• It allows but does not require better intervention programs to offer they face content.
• These faith-based intervention programs have delivered some of the lowest recidivism rates in our state
• We're no longer allowed to offer our faith-based batterers intervention program.

Transcript Highlights:

• They're playing games and learning math because all the games are built around math.
• You know, I myself love math.
• My son loved math, and he was really fortunate to have good math teachers.
• Whereas I was not a math lover, Senator, I learned quickly how important math is.
• are good at math because poor math skills are limiting.

Transcript Highlights:

• Plans must include evidence-based interventions aligned with instructional best practices in reading
• They would then get an IEP, but there would be these interventions before that actually happened.
• And because of early intervention, both through homeschooling and other ways, they were able to overcome
• So it does make a difference, this early intervention.
• going to set us on a path to identify these kids as early as possible, get them the appropriate interventions

Summary: The committee heard and advanced several education-related measures. CS/SB 1062 on speech and debate, sponsored by Senator Brodeur, was amended with a delete-all and rewritten to create a Speech and Debate Hall of Fame, designate Florida Speech and Debate Week, authorize a teacher endorsement and FLVS institute, direct statewide coursework and credentials, and require annual district reporting. Supporters, including parents, the Florida Debate Initiative, and school representatives, praised the bill’s funding and statewide expansion of debate opportunities. The committee adopted the amendment and reported the bill favorably. The committee also heard and reported favorably SB 1718 on educator preparation and certification, which aims to reduce administrative delays for initial certification and reinstatement while maintaining standards; an Orange County school administrator suggested adding language to allow educators to bank professional learning hours. SB 1646 on educational facilities was presented as revising the funding formula and priorities for school capital projects, with added attention to safety, maintenance, and planning, and it was reported favorably. CS/SB 564 on student volunteers at polling locations was amended to clarify that pre-registered or registered high school students may volunteer at polling places and count the hours toward graduation or postsecondary financial aid; election officials and civic groups supported the bill, and it was reported favorably. SB 1340 on coordinated screening and progress monitoring was also reported favorably. It requires school districts to screen students for characteristics of dyslexia and dyscalculia, place identified students on support plans, and use evidence-based interventions, with the sponsor emphasizing early identification and intervention. The committee then recommended confirmation of Laila Collins to the State Board of Education, and the meeting concluded after a birthday recognition and adjournment.

Transcript Highlights:

• They maybe have done interventions or tried some other things, and that's not working.
• They maybe have done interventions<00:01:50.560> or<00:01:50.720> tried<00:01:51.040>
• <00:08:54.240> So behavioral intervention services. So behavioral intervention services.
• Sometimes it's really early intervention.
• So, it is students that intervention.

Bills: HF4893

Keywords: education finance, student support, aid allowances, appropriation, school funding

Transcript Highlights:

• IMPATH is really how do we deal with acute crisis intervention and then get people on the right path.
• uh deal with acute crisis intervention uh deal with acute crisis intervention uh<00:07:14.000>
• <00:35:22.960> They evaluation of intervention impact.
• They evaluation of intervention impact.
• . interventions. interventions.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.

Transcript Highlights:

• Moving down the continuum, we have early intervention services, things like Friday Night Live, to us
• Moving down the continuum, we have early intervention services, things like Friday Night Live, We have
• Schools have become the front line for youth mental health intervention.
• They're doing therapeutic interventions at the person's home.
• And also more innovative interventions that aren't just pilots that last for 18 months.

Summary: The hearing focused on youth mental health and treatment access in California, with opening remarks emphasizing that youth distress, self-harm-related emergency visits, and difficulty obtaining care remain elevated, while workforce shortages and reliance on one-time funding continue to limit access. Assemblymember Lori Davies echoed concerns about unstable funding and said lawmakers need to hear directly from providers and families as they prepare for the budget and legislation. The chair framed the hearing as a chance to hear from county, school, provider, and student perspectives, especially in San Diego County, where needs are high and investments have not always matched demand. County and school officials described the current system and recent state initiatives, including the Children and Youth Behavioral Health Initiative, school-linked fee schedules, payment reform, and the Behavioral Health Services Act transition. San Diego County Behavioral Health said it serves Medi-Cal youth with specialty mental health needs through a broad continuum of care, including outpatient clinics, school-based services, crisis response, residential treatment, and new crisis and residential facilities. San Diego County Office of Education and San Marcos Unified School District described efforts to expand school-based services and reimbursement through CYBHI, but said implementation is slowed by complex billing rules, insurance-data collection concerns from families, administrative burden, and uncertainty about sustaining staff positions funded by grants or soft money. School counselor testimony highlighted reduced stigma through campus outreach and clubs, but also noted that counselor-to-student ratios remain well above national standards and that budget cuts threaten supports. Provider testimony stressed that the system remains fragmented and that youth often move between emergency rooms, inpatient care, outpatient therapy, schools, and county programs without smooth handoffs. A child psychiatrist described crisis cases in which the main choices are brief hospitalization or discharge with limited follow-up, and argued for stronger warm handoffs, more outpatient and intensive outpatient options, better school-clinic coordination, and broader use of mobile crisis and 988. Rady Children’s Hospital and Aurora Behavioral Health described large increases in behavioral health demand, expansion of integrated care, and major barriers tied to low reimbursement rates, delayed payments, and administrative complexity. Across the panel, witnesses called for more stable funding, clearer reimbursement rules, better parent education on warning signs, and stronger collaboration among schools, counties, hospitals, and community providers to reduce stigma and improve timely care for youth.

Transcript Highlights:

• However, even with the most ambitious automation timelines, implementation of such data matching interventions
• Jenny Perlman, chief of the Safety Prevention and Early Intervention Branch of the Department of Social
• It also strengthened intervention, ensuring that when hate incidents do occur, there is a coordinated
• sustained investment is critical to sustaining this momentum and ensuring that prevention and intervention
• ... ...is critical to sustaining this momentum and ensuring that prevention and intervention efforts

Keywords: 988, house, all

Summary: The Assembly Budget Subcommittee on Human Services held an informational hearing focused largely on the implementation of federal HR1 changes and their effects on CalFresh, Medi-Cal, and related county workloads. CDSS, DHCS, DDS, CWDA, LAO, and Finance discussed the CalFresh able-bodied adult without dependents time limit, with CDSS saying about two-thirds of affected adults are already known to be exempt in the system and that roughly 200,000 more could be auto-exempt through new data matches with DHCS and DDS. Officials said those exemptions should be in place by mid-August, before the first possible discontinuance in October, and that counties would receive policy guidance, handbook updates, and client-facing materials. DHCS said Medi-Cal work requirements would be implemented later, with rules and testing completed ahead of a January 2027 rollout, and noted automatic exemptions for some IHSS-related cases. CWDA urged more county staffing and funding, citing examples where high-touch outreach improved exemptions, reduced churn, and increased participation, while warning that without additional resources counties expect delays, higher error risk, and reduced engagement. The committee also discussed a possible CFAP Plus expansion to provide state-funded food benefits to people losing CalFresh eligibility under HR1. CDSS said implementation could not occur before the planned October 1, 2027 CFAP expansion timeline and would depend on final policy choices, system design, and the complexity of adding new eligibility groups. Finance cautioned that any benefit expansion would carry significant General Fund costs, potentially in the hundreds of millions or more. Members asked for written timelines, county-by-county impact data, and feedback on trailer bill language, and CDSS agreed to provide follow-up materials and technical assistance. A separate item reviewed the CalFresh strategic plan and the revision of CDSS’s online mandated reporter training. CDSS said the strategic plan lead position should be posted in May and that the plan would be data-driven and collaborative. For mandated reporter training, CDSS reported that the revised curriculum is being developed with lived experts and stakeholders, will include content on structural racism, ICWA protections, implicit bias, and the distinction between reporting and supporting, and is on track to launch in fall/winter 2026 ahead of the statutory deadline. The committee also heard updates on Promise Neighborhoods, where advocates described strong outcomes and argued for continued and expanded state support, including AB 1969 to deepen partnerships with community schools; members emphasized the need for more stable braided funding and institution-building rather than short-term program funding. The hearing concluded with updates on the Stop the Hate program and housing assistance programs. CDSS said Stop the Hate has provided direct services, prevention and intervention programming, and statewide coordination, reaching millions through outreach and serving more than 11,200 people through transformative grants; advocates urged reauthorization and more targeted funding for solidarity, harm reduction, legal services, and education. Finally, CDSS said proposed one-time investments of $55 million for H-DAP and $105 million for HSP would help avoid funding cliffs and maintain homelessness prevention and housing stabilization services through 2026-27, while the absence of new funding would force reductions in emergency housing assistance, rental subsidies, and enrollments. No votes were taken during the hearing.

Transcript Highlights:

• Jenny Perlman, chief of the Safety, Prevention, and Early Intervention Branch of the Department of Social
• Second, our service providers deliver prevention and intervention services in the form of bystander training
• It also strengthened intervention, ensuring that when hate incidents do occur, there is a coordinated
• And without education, dialogue, bystander intervention training, and prevention initiatives, misinformation
• sustained investment is critical to sustaining this momentum and ensuring that prevention and intervention

Summary: The Assembly Budget Subcommittee on Human Services held an informational hearing focused on the impacts of federal HR1 on CalFresh and Medi-Cal, along with related state mitigation efforts. CDSS, DHCS, DDS, county representatives, LAO, and Finance discussed automatic exemptions, data-sharing between departments, county workload, and the timing of implementation. CDSS said about two-thirds of adults ages 18 to 64 are already known to be exempt in CalFresh, and that administrative data matches could newly exempt about 200,000 of the roughly 955,000 adults potentially at risk. DHCS said Medi-Cal work requirements would begin in 2027 and the department is working to automate exemptions, including for IHSS recipients and some caregivers, while DDS said its population is expected to be covered by auto-exemptions. County welfare directors emphasized that individualized worker contact is critical, that counties need more staffing and stable funding, and that without it they expect delays, higher error rates, and reduced exemption screening capacity. Members pressed for written timelines, county-by-county impact data, and clearer guidance; the administration said it would provide follow-up materials and technical assistance. No votes were taken. The committee then heard a separate discussion on a proposed CFAP expansion or “CFAP Plus” concept to provide state-funded benefits to additional populations affected by HR1, including lawfully present non-citizens and ABODs. CDSS said implementation could not occur before October 1, 2027 because of policy and system-design constraints, and that adding unique eligibility rules would increase complexity and cost. Finance cautioned that any expansion would have General Fund impacts likely in the hundreds of millions to multiple billions. Members asked for cost estimates and technical feedback on trailer bill language, and CDSS said it would review the proposal and respond. The hearing also covered CDSS’s CalFresh strategic plan and mandated reporter training updates. CDSS said it is hiring a strategic plan lead to develop a long-term, data-informed CalFresh plan, and that the revised mandated reporter training is on track for launch in fall/winter 2026, ahead of the July 1, 2027 statutory deadline. The training will include updated content on structural racism, ICWA protections, implicit bias, and the distinction between reporting and supporting families. Members praised the work and asked for continued updates. Later panels focused on Promise Neighborhoods, Stop the Hate, and housing programs. Promise Neighborhood advocates and CDSS described the state’s prior $12 million investment, a positive evaluation showing roughly a 4-to-1 return, and a new proposal to support place-based partnerships and community schools through AB 1969. Stop the Hate grantees and CDSS reported that the program has provided direct services, prevention, and statewide coordination to millions of Californians, and urged reauthorization before funding expires; members asked for best-practice language and discussed focusing future funding on solidarity work, harm reduction, legal services, and education. Finally, CDSS presented on the CalWORKs Housing Support Program and Housing and Disability Advocacy Program, saying proposed General Fund investments of $105 million and $55 million would prevent funding cliffs and allow the programs to continue through 2026-27, while the absence of new funding would force reductions in housing assistance, subsidies, and enrollments.

Transcript Highlights:

• I'll point out two buckets in particular under Proposition 63: first, the prevention and early intervention
• bucket, as well as... ...the Department of Public Health, and lastly, early intervention is a required
• , including access to preventive, early intervention, and other behavioral health services provided by
• school-affiliated behavioral health providers. ...preventive, early intervention, and other behavioral
• This type of early intervention prevents escalation to higher levels of care, including crisis intervention

Summary: The hearing opened with remarks from the chair and members about recent federal cuts to public health, mental health, family planning, and Title X funding, with strong concern about the impact on California programs and providers. The committee then turned to the Department of State Hospitals, which presented its 2025-26 budget proposal of $3.4 billion, including new positions, capital improvements, and funding tied to increased patient costs and incompetent-to-stand-trial services. DSH reported major progress in reducing the IST waitlist and wait times, said it had met the court’s 28-day treatment benchmark for those without extenuating circumstances, and described workforce recruitment and retention efforts such as residency programs, fellowships, outreach, and hiring streamlining. Members asked about future IST referral trends, SB 1323’s effect on diversion and community treatment, and workforce lessons in high-cost regions; public comment urged reconsideration of county IST growth cap methodology in light of new criminal justice initiatives. The committee next received an informational overview of Proposition 1 and its changes to behavioral health funding and governance. The Legislative Analyst’s Office explained that Prop. 1 restructured county MHSA funding buckets, expanded the Commission for Behavioral Health, shifted prevention and early intervention responsibilities, and authorized a $6.4 billion bond, including $4.4 billion for behavioral health facilities through BHCIP. DHCS said it had released guidance for county integrated plans and was receiving extensive public comment. Members focused on BHCIP application requirements, especially letters of support and tribal projects, and raised concerns about whether DHCS’s implementation matched statutory intent. DHCS said it had authority to set application requirements and that tribal entities were treated differently because of sovereignty and funding structure. DHCS then updated the committee on BHCIP, the Behavioral Health Bridge Housing Program, and related bond implementation. The department said BHCIP had awarded about $1.7 billion across five rounds, with more than 130 projects and 223 distinct facilities funded, and that it was preparing to award the new bond funds after receiving nearly $8 billion in applications. The LAO’s assessment found that more than half of awards served at least 80% Medi-Cal enrollees, but also raised concerns that the regional allocation model could reinforce inequities, that the program had not sufficiently addressed the highest-need regions such as the southern San Joaquin Valley, and that smaller counties and less launch-ready applicants faced barriers. For bridge housing, DHCS said more than $1.1 billion had been awarded, serving over 5,000 people and supporting more than 2,000 operational beds, but the Governor’s budget proposes to eliminate Round 4 funding as the administration weighs other statewide investments and Proposition 1 implementation workload. Public commenters and members urged more accountability, better regional equity, stronger labor and community involvement, and caution about funding for for-profit psychiatric facilities. Finally, the committee heard on the Children and Youth Behavioral Health Initiative. CalHHS and DHCS described CYBHI as a broad prevention- and equity-focused effort with more than 1,300 organizations funded, over $2.1 billion awarded, and multiple work streams spanning schools, community programs, workforce, and digital supports. DHCS highlighted school-based services, the fee schedule rollout, and digital platforms BrightLife Kids and Soluna, which it said are reaching users statewide and providing low-barrier access to coaching and support. Members and public commenters raised concerns about delays in school fee schedule implementation, the large share of funding going to digital tools, the need for more in-person services, and whether the initiative is sufficiently tracking outcomes and equity impacts. No formal votes were taken during the hearing.

Transcript Highlights:

• We have several specialty courts, such as women's court, truancy court, and the Early Education Intervention
• Early Education Intervention Program, driving while impaired court, community outreach court, and more
• Our second request is to expand the truancy court and Early Education Intervention Program on Oahu.
• Our second request is to expand the truancy court and Early Education Intervention Program on Oahu.
• Program on aahu Education Intervention Program on aahu we<00:04:13.959> have<00:04:14.480>

Keywords: 912, senate, all

Summary: The Joint Committee on Labor and Judiciary heard the Judiciary’s budget presentation from Brandon Kimura and other court administrators. The Judiciary outlined its mission and access-to-justice programs, including specialty courts, self-help centers, online small claims dispute resolution, and e-reminders. It requested an operating budget of $6.17 million in FY 2026 and $6.25 million in FY 2027, along with 17 permanent and one temporary position, and described a series of staffing and program requests tied to specialty courts, district court operations, technology, and public guardianship. Major program requests included making women’s court permanent by converting seven temporary positions to permanent and adding a substance use counselor; expanding truancy court and the Early Education Intervention Program on Oahu; and making the driving while impaired court permanent. The Judiciary also sought staffing and funding for the new Wahiawa District Court, including security, janitorial, IT, clerical, bailiff, and social worker support, plus an additional district court judge and staff in Kona. Technology requests included cybersecurity tools and a cybersecurity unit, enhanced email protection, and replacement of aging network switches. Other operating requests included continued funding for the Criminal Justice Research Institute, restoration of 12 positions cut during the pandemic, and added support for the Office of the Public Guardian. For capital improvement projects, the Judiciary’s top priorities were $4 million to design a new South Kohala District Court, $900,000 to replace an aging AC chiller on Kauai, and $5 million for lump-sum facility preservation work. Members asked questions about purchase-of-service contract rates, implementation of court-appointed fee increases, federal grant dependence, specialty court effectiveness, truancy court outcomes, and the condition of the Ewa District Court site. Judiciary witnesses said they were working to raise provider rates through contracts and a separate bill, cited low recidivism and reduced petitions as evidence that specialty courts and truancy efforts are working, and said the Ewa site has significant foundation issues that may require further assessment or a different location.

Transcript Highlights:

• This is an extraordinary level of intervention from state government into privately negotiated contracts
• And, you know, we've had significant market interventions by the federal government in the health care
• that have caused, I think, a lot of the problems that we're seeing today, and just more market intervention
• Institute hat, you know, I would tell you that market interventions always have unintended consequences
• And, you know, we've had significant market interventions by the federal government in the health care

Keywords: 965, house, all

Summary: The House Insurance Committee met on April 29 with a quorum present and considered several insurance- and health care-related bills. SB 192, concerning dental reimbursement and payment methods, was amended to clarify opt-in for electronic acceptance and then reported as amended. SB 84, which expands prostate cancer screening coverage for men over 40 and bars cost-sharing, was also amended and reported as amended after testimony from the American Cancer Society supporting earlier detection and reduced out-of-pocket barriers. SB 275, dealing with reimbursement and network access for certified registered nurse anesthetists, was reported favorably with broad support from nurse anesthetists, hospitals, and related groups. SB 169, a biomarker testing cleanup bill, was amended to clarify legislative intent and reported as amended. The committee spent substantial time on two major drug-pricing bills. SB 401 would create a Prescription Drug Affordability Board to study selected prescription drug prices, collect manufacturer and related pricing data, and report findings to the legislature; amendments narrowed the scope, addressed confidentiality, and delayed implementation. Supporters said it would provide transparency similar to Texas and help lawmakers understand drug pricing, while opponents warned about government overreach and confidentiality concerns. SB 387, the companion PBM reform bill, would restrict PBM compensation to flat fees and performance bonuses, require rebate pass-throughs, limit formulary practices, expand audit and reporting requirements, and create enforcement mechanisms; it was amended to delay implementation, refine definitions, and address ERISA-related concerns. Supporters argued it would curb PBM abuses and lower drug costs, while opponents from the Pelican Institute and PCMA said it would interfere with private contracts, reduce flexibility, and could raise premiums. After a roll call vote, SB 387 was reported with amendments. The committee also took up SB 241, which requires certain insurance adjusters and appraisers to include license numbers in written communications. After amendments narrowing the requirement to individual claims and public adjusters, the bill was reported as amended. Throughout the meeting, members repeatedly raised concerns about unintended consequences, especially for cities, school boards, and other non-ERISA plans, and sponsors said they would continue working on the drug-pricing bills before floor consideration.