Transcript Highlights:

• after treatment.
• For patients, this system results in treatment and services being difficult or impossible to access.
• For patients, this system results in treatment and services being difficult or impossible to access.
• To privatize public services.
• Each one required treatments and therapies.

Committee: Joint Joint Committee on Health Care Financing

Summary: The Joint Committee on Health Care Financing held a public hearing on 16 bills, with the chairs noting a busy legislative day and asking speakers to keep testimony brief. The committee first heard testimony on Senate 860/House 1405, the Medicare for All bill, with Sen. Jamie Eldridge and many advocates, clinicians, municipal officials, and patients arguing that a single-payer system would make care a right, reduce administrative waste, lower costs, and protect residents from rising premiums, medical debt, and hospital closures. Several speakers cited the Steward hospital crisis, affordability problems, and polling or ballot questions showing public support for single-payer coverage. No vote was taken during the hearing. The committee then took testimony on S. 863, a bill on non-opioid options for chronic pain. Pain specialists, patients, and advocates said the bill would improve care coordination for MassHealth members, expand access to non-opioid medications, require provider education, and collect data on chronic pain. Testifiers described long delays in diagnosis and treatment, stigma toward pain patients, and the need for multidisciplinary care and transportation support. Again, the committee heard testimony only and took no action. A large portion of the hearing focused on H. 1360/S. 869, which would prevent discrimination against people with disabilities in health care. Disability advocates, clinicians, and patients described being denied or delayed care, pressured into DNR orders, or treated based on assumptions about quality of life rather than medical facts. Speakers referenced COVID-era crisis standards of care, discriminatory metrics, and personal stories involving canceled procedures, inadequate accommodations, and poor treatment in hospitals. Committee members thanked speakers for their testimony and said they would review the bill and its implications, but no vote was announced. The committee also heard testimony on H. 1399, an individual Medicare marketplace option for municipal retirees, where supporters said it would give cities and towns a lower-cost alternative for retiree health benefits through HRAs and individual Medicare plans. The hearing then returned to Medicare for All testimony, with additional supporters repeating arguments about cost, access, municipal budget pressure, and the need for global budgeting and universal coverage. The transcript ends with continued testimony and no recorded committee vote or final action on any bill.

Transcript Highlights:

• for the day, day treatment type services.
• for the day, day treatment type services.
• So currently we are able to license residential treatment facilities to provide detoxification services
• services or recovery and treatment services that also include withdrawal management.
• About 44% of adults who use mobile crisis services engage in mental health treatment within 30 days,

Summary: The subcommittee heard budget and policy updates from the Department of State Hospitals, the Commission for Behavioral Health, and the Department of Health Care Services. DSH described its proposed 2026-27 budget of $3.2 billion, including savings tied to IST solutions, higher patient-driven operating costs, and a small increase in caseload projections. Officials said the department has met court-ordered IST treatment benchmarks, with wait times reduced from a pandemic peak of 1,953 pending placements to about 250, and average treatment initiation now around five days. Members asked about the effects of Proposition 36 and SB 1323, rising outside hospitalization costs, Medicare enrollment, and whether IST solution funding was being overbudgeted; DSH said referrals are slightly down overall, aging and medically complex patients are driving outside care costs, and the IST solution savings reflect slower-than-expected program activation rather than a service gap. The department also outlined proposed funding for CONREP cost increases, a new county-by-county LPS bed allocation model, electrical infrastructure upgrades at Napa and Patton, SB 380 transitional housing feasibility work, and additional dental staffing and space at Metropolitan and Patton. The Commission for Behavioral Health reviewed its role in the Behavioral Health Services Act transition and its new Innovation Partnership Fund. Staff said the commission is shifting from county-level innovation oversight to a statewide grant strategy, with the first $20 million RFA drawing strong interest and awards expected in mid-June. Members asked how “innovation” would be defined, whether grants could be renewed after the initial three-year contracts, and how the state would ensure the money supports real service delivery rather than general outreach or training. The commission also sought a liquidation deadline extension for the Alcove youth drop-in center grants so remaining funds can be spent before they revert, allowing sites to finish implementation and support the final evaluation. DHCS provided an overview of CalAIM and BH Connect implementation, including updated specialty mental health access criteria, new ASAM-based substance use treatment standards, contingency management, traditional health care practices for tribal members, workforce investments, evidence-based practice expansion, IMD participation, and transitional rent services. The department also addressed BHSA implementation, saying it does not track specific local program cuts but will monitor county three-year plans, performance measures, and outcomes as counties shift to the new funding structure. On H.R. 1, DHCS said it is preparing outreach, eligibility simplification, and exemption strategies to reduce Medi-Cal coverage losses, including clinic navigators, a statewide outreach campaign, and possible employment supports through a future waiver. The department also reported that BH-CHIP bond funds have supported 437 infrastructure projects, creating 546 facilities and more than 9,500 residential beds, with additional outpatient capacity and tribal investments. Finally, DHCS outlined a proposed 988 trailer bill to create a statewide designation process for 988 centers and mobile crisis teams, with implementation no earlier than October 1, 2027.

Transcript Highlights:

• and services.
• SB 874 strengthens oversight and standardization of behavioral health treatment services in Medi-Cal.
• Behavioral health treatment services include applied behavior analysis, commonly referred to as ABA treatment
• as other Medi-Cal services.
• services.

Committee: House Health

Transcript Highlights:

• For involuntary inpatient and outpatient services, we invested in key services such as our FACT teams
• For involuntary inpatient outpatient services, we invested in key services such as our fact teams.
• that you have in that treatment setting can benefit from treatment.
• we see that their service gaps.
• So we do have, in terms of services, we track implementation of new services.

Summary: The Human Services Subcommittee met to review implementation of House Bill 7021, the recent overhaul of Florida’s Baker Act and Marchman Act, and to hear from DCF Assistant Secretary Erica Floyd Thomas about how the department is using the $50 million appropriation tied to the bill. Representative Maney, the bill sponsor, gave a lengthy background on why he pursued the reforms and emphasized that the goal was to improve access, reduce unnecessary crisis interventions, and give agencies the resources needed to carry out their responsibilities. He and the chair both noted that the bill was the product of many years of work and broad bipartisan support. DCF reported several early outcomes and implementation steps, including a statewide reduction in Baker Act initiations over the past five years, strong diversion rates from crisis through 988, mobile response teams, care coordination, and forensic multidisciplinary teams, and the creation of new tools such as a Baker Act dashboard and the first annual Marchman Act report. The department described key statutory changes: law enforcement discretion in initiating Baker Acts, a single-petition process, remote appearances, stronger discharge planning, interim services, updated parent notification and hold-period rules, an ombudsman office for children’s behavioral health, and regional collaboratives to identify local service gaps. DCF said it has updated manuals, FAQs, trainings, and rules, and that the managing entities have begun contracting for services. Members asked about how the $50 million was allocated, why much of it went to crisis capacity rather than outpatient care, how much has been spent so far, whether administrative costs are capped, and how the department will measure success. DCF said most of the money was used to preserve and expand crisis beds, detox beds, CSU beds, short-term residential treatment, discharge planning, and outpatient supports, with $1.3 million for the ombudsman and regional collaboratives and $48.3 million to managing entities. The assistant secretary said the department tracks readmissions, utilization, provider capacity, and monthly and quarterly reports from managing entities, but it is still early to see full effects because contracts were only recently executed. Members also raised concerns about children, families, veterans, workforce shortages, transparency, and gaps for hard-to-place individuals, including those with developmental disabilities or dementia. The meeting ended with no formal action beyond adjournment after questions were completed.

Transcript Highlights:

• And one month after a single, I began treatment.
• Thank you for your long... service to our nation for what you did, your service to you and your brothers
• I testify on the Ibogaine treatment. I'm a recipient of that particular treatment.
• Thank you for your service and your sacrifices, very inspirational service, testimony.
• Mexico to undergo Ibogaine treatments.

Bills: SB128 , SB640 , SB672 , SB904 , SB1141 , SB1263 , SB1525 , SB1528 , SB2041 , SB2306 , SB2308 , SB2357 , SB2446 , SB2695 , SB2857 , SB2891 , SB2583

Committee: Senate Health & Human Services

Transcript Highlights:

• treatment.
• , that they can sustain their treatment, and then that treatment can transition to the communities.
• Isolation is not treatment.
• What we call assisted outpatient treatment in our statute is not like the assisted outpatient treatment
• And they are being evicted from their treatment homes.

Summary: The joint Senate and House Behavioral Health committee met for informational presentations on the Oregon State Hospital and civil commitment, followed by a planned tour of the hospital. Oregon Health Authority and Oregon State Hospital leaders reported that Sean Murphy will become the next permanent superintendent on July 13, with Sarah Castle to follow as permanent chief nursing officer on July 20. They described recent leadership turnover, a major organizational restructure, and efforts to build a culture of safety, transparency, and accountability. Officials said the hospital regained Joint Commission accreditation and CMS compliance, and they highlighted daily safety huddles, incident review processes, stronger escalation procedures, and improved management of seclusion and restraint. Committee members pressed hospital leaders on past prolonged seclusion practices, falls, staffing, and the need for better public reporting; OHA said it is building a public dashboard of key safety and workforce metrics. The committee then heard a civil commitment overview from the Oregon Judicial Department. The presenter explained that civil commitment is a separate legal process from criminal cases, usually beginning with a hospital hold, investigation, court review, appointed counsel, and a hearing within five days. She summarized changes made in House Bill 2005, including revised standards for danger to self, danger to others, and basic-needs commitments, plus a second 14-day diversion option. She cautioned that the new law has only been in effect since January and that it is too early to draw firm conclusions from the data, though there has been a recent uptick in commitments and a decrease in diversions. Testimony from NAMI Oregon and a forensic psychiatrist emphasized that Oregon still relies too heavily on jails and state hospitals because community services, housing, and outpatient supports are insufficient. They argued that the state needs more less-restrictive alternatives, including better use of assisted outpatient treatment or outpatient civil commitment, and more supported housing so people do not cycle between homelessness, incarceration, and hospitalization. A family member described a relative remaining psychotic in jail for more than 120 days before ending up back at the state hospital, urging faster intervention and better collaboration among courts, counties, hospitals, and state agencies. Committee members and witnesses also discussed workforce shortages, the expansion of secure residential treatment beds, and the need for broader system reforms beyond the hospital itself.

Transcript Highlights:

• </c> trafficking cases into treatment courts. trafficking cases into treatment courts.
• Treatment courts in general, these are Kentucky treatment courts.
• </c> service graduation ceremony nearby. service graduation ceremony nearby.
• Appreciate your service. Uh, deputy and director, thank you all for your service.
• </c> bravery and your service. Thank you. bravery and your service. Thank you.

Summary: The committee met with a quorum, approved the September 24 minutes, and heard a briefing from representatives of three Kentucky drug task forces: Greater Hardin County, Bowling Green-Warren County, and Bluegrass Narcotics. The presenters described how multi-jurisdictional task forces operate, their partner agencies, and the kinds of drugs and trafficking patterns they are seeing, with fentanyl identified as the most dangerous and fastest-growing threat. They also described large seizures and investigations involving fentanyl pills, cocaine, methamphetamine, marijuana, tractor-trailer shipments, postal shipments, and a case tied to a pill press and undercover work with the DEA. Bluegrass Narcotics said it was formed in response to overdose deaths and has since seen major reductions in complaints and overdose deaths in Harrison and Bourbon counties. A major theme of the presentation was funding. The task forces said Byrne JAG funding has declined from about $2.1 million statewide in 2023-2024 to $1.4 million this year, while their costs for vehicles, fuel, technology, overtime, office space, and training have risen sharply. They said local support and asset forfeiture help, but the revenue is uneven and unpredictable, and they asked the legislature to consider adding about $1 million per year in state support, with oversight from the Justice Cabinet or Office of Drug Control Policy. They also emphasized that if meth labs return, many agencies would need new training and equipment because those capabilities have largely expired or been scaled back. Members asked about possible statutory barriers, coordination across counties and states, the source of drugs, and how seized cash is handled. The task forces said coordination with federal, state, and other local agencies is generally strong, but money remains the main obstacle to broader operations. They explained that seized cash is held as evidence and, after court proceedings, may be awarded back to task forces or split under statute, with 15% going to the Commonwealth’s attorney and 85% to law enforcement. No votes or formal actions were taken beyond approving the minutes and receiving the briefing.

Transcript Highlights:

• This is not treatment. Unmedicated and in psychosis. This is not treatment. This is suffering.
• community treatment.
• community treatment.
• and all mobile crisis services delivered by unlicensed staff services and all mobile crisis services
• The court ordered that the department initiate substantive treatment services within 28 days for IST

Summary: The hearing focused first on behavioral health, especially serious mental illness and anosognosia, a condition described by witnesses as a neurological symptom that prevents people from recognizing they are ill. The chair framed the issue around families cycling through emergency rooms, jails, conservatorships, and short-term stabilization without lasting treatment, and warned that federal changes under H.R. 1 could reduce Medi-Cal funding and worsen access. Dawn Marie Anderson gave a personal account of her son’s long history of psychosis, homelessness, arrests, repeated jail and state hospital stays, and eventual stability when he received sustained medication and coordinated support. She argued that the system often treats the problem as criminal rather than medical and that voluntary programs and short-term services are not enough for people who lack insight into their illness. Other panelists, including representatives from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association, agreed that anosognosia is not denial or noncompliance and said the system needs long-term, coordinated care, including assertive community treatment, mobile crisis, supportive housing, medication support, and stronger handoffs between county and managed care systems. They said CalAIM and other reforms have improved some coordination, but significant gaps remain, especially for people with serious mental illness, for those in jail or locked settings, and for people with private insurance, which witnesses said often offers little meaningful coverage for early psychosis or intensive behavioral health services. Several witnesses urged the Legislature to protect Medi-Cal, shore up county safety-net services, and invest in training and family engagement. The committee then turned to the Children and Youth Behavioral Health Initiative, with a focus on the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, saying the platforms provide free, culturally responsive, early-intervention support statewide and help connect users to higher levels of care when needed. On the fee schedule, DHCS said more than 500 LEAs, colleges, universities, and school-linked providers are participating, 181 LEAs have submitted claims, and $9.6 million has been reimbursed to date, with 41,556 students represented in claims. The chair and several members criticized the pace of implementation and the amount of money spent relative to reimbursement levels, saying the Legislature had requested data earlier and that the return on investment still appeared low. DHCS responded that many claims are still being submitted, that 70% of denials are correctable, that $400 million in capacity grants has been distributed locally, and that reimbursement is increasing rapidly as more districts come online. Public comment included a rural county behavioral health director who said private insurance denials leave counties with significant uncompensated work, especially for unlicensed staff providing case management and mobile crisis services.

Transcript Highlights:

• Calling the Health and Human Services Committee.
• </c> and support Hawaii Youth Services and support Hawaii Youth Services Network<00:04:21.280><c> and
• Services yes um first up we we have okay Services yes um first up we we have okay it's<00:05:01.440><
• </c> Daisy Hartsfield Social Services Daisy Hartsfield Social Services Division<00:05:16.240><c> administrator
• </c><00:42:44.880><c> resistant</c> brain injury and treatment resistant brain injury and treatment resistant

Summary: The Health and Human Services Committee heard testimony on several measures related to child welfare, health care access, overdose response, disability services, and waste management. For SB 710 on child welfare, the Department of Human Services, the Office of Wellness and Resilience, the Attorney General’s office, and multiple advocacy groups testified in support, with the Governor’s office noting support but deferring to the Attorney General on implementation because of separation-of-powers concerns. For SB 952 on child welfare services, DHS, the Governor’s office, and child- and trauma-informed care advocates supported the bill, saying it would help families access services, provide basic material support, and reduce strain on the child welfare system. SB 954 on a home health services rate study also drew support, including from DHS, the Hawaii Healthcare Association, and a public testifier who said the study would help ensure funds reach low-income, disabled, and kupuna recipients. SB 957 on overdose prevention received support from the Department of Health and the Attorney General, who said overdose prevention centers are evidence-based but raised federal-law concerns and recommended amendments; the Hawaii Health and Harm Reduction Center and others also testified in support. The committee then moved to the 1:00 regular calendar and heard SB 850 on disability health disparity, which was supported by the Executive Office on Aging, the Hawaii State Council on Developmental Disabilities, the Hawaii Disability Rights Center, self-advocates, and others. Testimony emphasized that a disparity study could improve workforce development, training, and services for people with disabilities. SB 838 on continuous glucose monitoring drew support from health agencies and advocates, with testimony stressing that monitors can be critical for some diabetes patients. SB 829 on health care was supported by the Department of Health and health care stakeholders, who said it would help rotating physicians serve neighbor islands without local hospital privileges and align with CMS rules. SB 446 on waste management drew mixed testimony: the Department of Health and several public entities provided comments, the County of Maui opposed, and environmental advocates urged stronger aquifer protections and limits on ash reuse. During decision making, the committee adopted recommendations to pass SB 298, SB 322, SB 299, SB 450, SB 451, SB 949, SB 710, SB 957, SB 69, and SD 952 with various amendments, including technical changes, blank appropriations, and defective dates. SB 323, SB 324, SB 712, SB 950, SB 954, and SB 959 were deferred, largely because companion House measures were moving or similar Senate measures had already passed. The chair also announced recesses to find quorum and noted that some bills from the earlier Monday calendar were being deferred to avoid duplication.

Transcript Highlights:

• </c> treatment. 95%. treatment. 95%.
• </c> uh experimental treatments. uh experimental treatments.
• . treatment. treatment.
• </c> for treatment options. for treatment options.
• </c> and treatments. and treatments.

Committee: Senate Health and Human Services

Transcript Highlights:

• for opioid treatment programs.
• for opioid treatment programs.
• In order to provide critical treatment and support services, opioid treatment programs must be accredited
• Another issue is the carrier's retrospective denial of services, despite the service having received
• That plan required step-down treatment with wraparound psychiatric services.

Summary: The Health Care and Wellness Committee held a public hearing on several bills and a joint memorial. SB 5915 would update the health technology assessment program by adding technologies recommended for Medicare populations or in national guidelines to the review priority list, requiring broader evidence review for life-threatening or rare diseases, and setting timelines for posting and deciding review requests. Supporters, including rare disease advocates and providers, said the current process is outdated and too rigid; the bill was then held for later action. SJM 8002 urged Congress to strengthen original Medicare, oppose privatization, add benefits like dental, vision, and hearing, and reduce Medicare Advantage overpayments and fraud. Supporters from labor and senior groups argued it would protect beneficiaries and send a message to federal officials; the memorial was also held after testimony. The committee also heard SB 5395 on prior authorization. Staff explained it would tighten notice requirements, require a licensed clinician—not AI alone—to deny requests based on medical necessity, add transparency around policy changes, and change how retrospective denials are treated. The prime sponsor and provider groups said the bill was a negotiated compromise meant to reduce delays and inappropriate denials, while insurers were generally neutral but sought a narrow amendment. Testifiers described prior authorization as a major source of delay and administrative burden, and the bill was held after public testimony. SB 5845 would require carriers to pay or deny clean claims within 30 days, set timelines for non-clean claims and information requests, and allow penalties for repeated noncompliance. Hospitals, physicians, and health systems supported it as a way to improve predictable payment, while insurers were neutral and asked for a narrow amendment; the bill was also held. The committee heard SB 6025, which would change the definition of fetal death so gestational age is calculated using the best clinically accurate age rather than the last menstrual period. Obstetric and nursing witnesses said the current law can force inaccurate records and unnecessary burdens on grieving families, while opponents objected to the bill’s abortion-related definitions. The bill was held after testimony. Finally, SB 5988 would authorize the Department of Health to continue accrediting opioid treatment programs and charge fees to support that work. The department and the sponsor said the measure would preserve a patient-centered accreditation option amid budget pressure, and the committee closed testimony and held the bill.

Transcript Highlights:

• Welcome to the Health and Human Services Committee. I'm Senator Brian Hardin.
• Whitehall Campus provides treatment through two programs.
• Whitehall Campus provides treatment through two programs.
• However, we need to recognize that the treatment of our youth is our major goal.
• One-hour family sessions and two hours of individual treatment.

Summary: The Health and Human Services Committee held an invited-testimony hearing on LR 425, which examines the Whitehall campus in Lincoln and possible long-term options for youth currently served there. Chair Brian Hardin explained that Whitehall houses two separate programs for adolescent males: a substance use program and a youth-who-sexually-harm program. Testimony from DHHS officials described Whitehall as a Joint Commission-accredited psychiatric residential treatment facility (PRTF) that provides about 40 hours of weekly programming, family involvement, school services, and community reintegration activities. Officials said the department is evaluating whether the programs should remain at Whitehall or move to another state-owned facility, with Hastings described as the department’s preferred alternative because it is more residential in design than a youth rehabilitation treatment center (YRTC).

Transcript Highlights:

• and service provider to have a rebuttable presumption to participate rather than the child's treatment
• I think the question was that the language in here is treatment and service providers.
• I think when you look at this, it's defining treatment and service providers.
• and service providers have to be the child's treatment and service providers.
• And judge, I'd like you to hear the evidence and rule on whether that treatment or service provider should

Committee: House Judiciary, Rules and Administration

Transcript Highlights:

• Department for Community Based Services Department for Community Based Services<00:02:23.519><c> in<
• </c> southern part of frankfurt's service southern part of frankfurt's service area<00:14:26.000><c>
• It also includes the operation of a temporary treatment solution until a permanent treatment solution
• It also includes the operation of a temporary treatment solution until a permanent treatment solution
• It also includes the operation of a temporary treatment solution until a permanent treatment solution

Summary: The committee first handled informational reports on several bond and lease matters, including school district and board of education debt-service items, upcoming revenue bond issues in Henderson and Jessamine counties, and three advertised lease-space requests for state agencies. Members also reviewed prior lease transactions that had not been approved in November and December; the Finance and Administration Cabinet later canceled and rebid the Harlan County lease and moved ahead with the Perry County lease modification. Additional information items included a Kentucky Communications Network Authority quarterly capital projects report and Eastern Kentucky University asset preservation revisions. The committee then heard from Deputy State Budget Director Janice Thomas on four action items. She reported a $2.85 million USDA-funded renovation at Kentucky State University’s Betty White Building, a $294,000 increase for the Kentucky School for the Deaf’s Middleton Hall renovation, and a $6.1 million restricted-funds scope increase for the KCTCS Science Building Expansion in Elizabethtown. Members asked about how often the statutory 15% increase authority is used for school dormitory and cottage projects and about the competitiveness of construction bids; Thomas said bids are typically competitive but recent estimates have been difficult because of higher material and equipment costs. The committee approved the three action items unanimously and also received a no-action report on a $3.918 million Corrections project to repair and replace the KCIW kitchen drain line. Next, the Kentucky Infrastructure Authority presented seven loans and grants, all of which the committee approved unanimously. The package included sewer and water projects for Frankfort, Sturgis, Scottsville, Morganfield, Western Pulaski County Water District, and Springfield, plus an emergency $5.487 million Kentucky Waters grant for Eddyville after a catastrophic sewer plant failure and weather-related emergency declarations. The projects covered wastewater interceptor and treatment upgrades, sewer collection rehabilitation, water transmission main installation, and planning/design work, with loan terms ranging from five to 30 years and interest rates from 0.5% to 2.25%. Finally, the committee considered a $38.4 million Kentucky Housing Corporation conduit issuance for a 322-unit multifamily rental project in Jefferson County. A member asked how the committee participates in the transaction, and staff explained that it is a conduit issuance and not state debt. The committee then moved to approve the issuance.

Transcript Highlights:

• related to the delivery of behavioral health services.
• or one-on-one treatment provider treatment.
• ...in treatments for suicidal behaviors.
• The ones suffering with the different treatment.
• This leads to delays in care, dropped treatment, inappropriate services, or families being forced to

Committee: House Health

Summary: The Assembly Health Committee held an informational hearing on Kaiser Permanente’s behavioral health care system, focusing on Department of Managed Health Care (DMHC) enforcement actions, Kaiser’s corrective action work plan, and member access to timely behavioral health services. DMHC officials reviewed a long history of deficiencies and enforcement, including a 2012 survey and fine, a 2017 settlement, a 2022 non-routine survey that found multiple deficiencies in Northern and Southern California, and a 2023 settlement that included a $50 million penalty and $150 million in required community investments over five years. Officials said Kaiser’s corrective action work plan was initially too vague, was revised after extensive meetings, and will be monitored through quarterly reports, ongoing surveys, complaint review, and possible additional enforcement if Kaiser fails to comply. Committee members pressed DMHC on what “timely access” means, how continuity of care should work in behavioral health, and how the department evaluates whether treatment is clinically appropriate. DMHC explained that appointments generally should be available within about two weeks for initial care, within days for urgent needs, and within 10 days for follow-up, with out-of-network care required when in-network access is unavailable. Officials also said the department looks at complaints, medical records, surveys, and annual timely-access reporting, and that the help center can assist enrollees in real time. Members raised concerns that the corrective action plan lacked specific dates and metrics, and DMHC said the quarterly reporting process is intended to provide more detail and flexibility as implementation continues. In the second panel, a Kaiser enrollee described delayed and inadequate care for his daughter after a suicide attempt, including long waits for follow-up, intensive outpatient treatment, and dialectical behavior therapy. A Kennedy Forum representative argued that stronger transparency, standardized reporting, and more aggressive corrective enforcement are needed, including out-of-network reimbursement when networks are inadequate. A Kaiser therapist and NUHW member testified that short appointment times, heavy caseloads, inappropriate referrals, and pressure to use group therapy or webinars undermine clinical care, while NUHW’s president said Kaiser systematically undervalues behavioral health compared with medical-surgical care, especially in Southern California, and urged legislative action. Several lawmakers echoed concerns about Kaiser’s absence from the hearing and asked about workforce shortages, regional disparities, and whether the state’s remedies are arriving too slowly to protect patients in real time.

Transcript Highlights:

• services within 28 days for IST defendants. substantive treatment services within 28 days for IST defendants
• , like someone coming in for the day, day treatment-type services.
• So currently we are able to license residential treatment facilities to provide detoxification services
• services, or recovery and treatment services that also include withdrawal management.
• About 44% of adults who use mobile crisis services engage in mental health treatment within 30 days,

Transcript Highlights:

• related to the delivery of behavioral health services.
• versus in-person or one-on-one treatment provider treatment.
• ...treatments for suicidal behaviors.
• The ones suffering with the different treatment.
• This leads to delays in care, dropped treatment, inappropriate services, or families being forced to

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

Transcript Highlights:

• We've seen everything from specialized microbes to advanced treatment systems to make wastewater treatment
• at the treatment plants.
• Sources of contamination include chemical treatments, physical treatments, use a lot of high pressure
• Sources of contamination include chemical treatments, physical treatments, use a lot of high pressure
• Research Foundation for the secondary effluent treatment.

Summary: The Assembly Select Committee on Biotechnology and Medical Technology held an informational hearing at Bakar Labs on the UC Berkeley campus titled “Biotechnology Industries’ Role in Wastewater Treatment.” Chair Assembly Member Ward and Assembly Member Papan opened by framing wastewater as a major California challenge tied to water scarcity, aging infrastructure, regulatory demands, affordability, and the need for innovation. Bakar Labs described its biotech incubator and public-private model, emphasizing the role of state support in helping early-stage companies commercialize technologies and create jobs. The first panel focused on the current wastewater treatment landscape. BACWA Executive Director Laurie Fono described wastewater plants as part of a circular economy that can produce recycled water, environmental benefits, renewable energy, and biosolids for land application, but said agencies face major challenges from aging 1970s-era infrastructure, nutrient reduction mandates, climate change, sea level rise, evolving regulations, and Prop. 218 limits on rate structures. She highlighted PFAS as a major source-control issue, saying most of it comes from households rather than local manufacturing, and argued that treatment plants are not designed to handle everything entering the sewer system. Members asked about regional differences, energy generation, financing, smaller decentralized plants, and agricultural collaboration. The second panel highlighted biotechnology research and testing tools. A Berkeley Lab scientist described using microbial communities and machine learning to improve PFAS and produced-water treatment, while a CEL Analytical laboratory director discussed pathogen testing for direct potable reuse, wastewater surveillance, and the need for larger sample volumes and better filtration methods to validate log reductions. A Stanford researcher presented an anaerobic membrane bioreactor system that converts domestic wastewater into clean water and biogas with lower energy use and less biosolids, reporting a demonstration project in Redwood City that is net energy positive and can reduce operating costs. Legislators asked about AI, scaling technologies, pathogen detection, and funding needs. Panelists and public commenters urged more pilot funding, stronger utility-state-industry partnerships, and better coordination among regulatory agencies. The hearing ended with public comment from the California Association of Sanitation Agencies and adjournment.

Transcript Highlights:

• So the staff doing the treatment services, this would cover kind of like staff that is just—because you're
• I go into this service program and then I can go back to work on Thursday because my treatment is complete
• They would be getting treatment services from their community provider.
• It is the SUD Treatment Services Fund Swap at just over $14 million.
• It is the SUD Treatment Services Fund Swap at just over $14 million.

Summary: The Budget Committee heard the Department of Mental Health’s FY 2027 budget presentation, with Director Valerie Hoon outlining a $4.4 billion department budget, including $1.7 billion in general revenue, and describing the department’s roles in substance use, behavioral health, and developmental disabilities services. Early questioning focused on marijuana-related mental health impacts, but the main discussion centered on the department’s new decision items, funding sources, and expected wait lists. The director explained several increases tied to Medicaid growth, mental health youth services, outpatient competency restoration, crisis residential services, developmental disability waivers, and provider tax adjustments, along with offsets such as reduced wraparound funding at the Kansas City Assessment and Triage Center and cuts to some youth and self-directed DD services. A major portion of the hearing focused on competency restoration for people found unfit to stand trial and currently held in county jails. Members pressed the department on the cost, effectiveness, and legal implications of keeping people in jail while awaiting services, noting a reported wait list of roughly 524 to 538 individuals and average holds of about 14 months. The department said it currently has eight outpatient competency restoration beds in the community, is seeking funding for 50 additional outpatient slots, and also operates jail-based restoration for about 40 people at a time. Members repeatedly asked for breakdowns of violent versus nonviolent cases, success rates, cost per person, and the split between state and federal funding, while the department explained that Medicaid can cover only the treatment portion, not residential housing or other non-billable costs. The committee also discussed broader capacity constraints in state hospitals and developmental disability services. Hoon said Fulton, Center for Behavioral Medicine, and FTC North are full, with 183 vacancies across the department, and that the department is working on a new Kansas City hospital that would add 150 beds, though completion is now expected closer to 2029 or 2030. In the developmental disabilities section, the department warned that the governor’s recommendation would create wait lists for in-home waiver services and crisis residential services, and members questioned proposed reductions to self-directed services rates and other provider payments. No votes were taken, and the committee recessed before finishing the presentation.

Transcript Highlights:

• This is specifically mental health, behavioral health treatments.
• , and I mean, I think you'd agree that— ...cannot go to treatment.
• These services met him where he was and treated him with dignity.
• We can't connect people to treatment if they're not here anymore.
• We can't connect people to treatment if they're not here anymore.

Bills: SB274 , SB301 , SB249

Committee: House Health & Human Development

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.