Transcript Highlights:

• </c><00:02:30.360><c> analyst</c> modifies positive support analyst modifies positive support analyst
• </c> Community Support Community Support Services<00:09:55.240><c> also</c><00:09:55.640><c> from</c>
• These are peer support and family peer support clarifying changes, and they relate to initial training
• um these are peer support and family peer<00:14:25.040><c> support</c><00:14:25.360><c> clarifying</
• </c> Bill requires peer recovery Support Bill requires peer recovery Support Services<00:18:56.760><c

Keywords: 1183, house

Transcript Highlights:

• There are several operators, behavioral health residential facilities, sober living homes, behavioral
• There are several operators, behavioral health, residential facilities, so we're living homes, behavioral
• health, inpatient, Behavioral health residential facilities, sober living homes, behavioral health inpatient
• Some folks navigate toward sober living, and some folks do behavioral health.
• Prior authorization... ...fee-for-service behavioral health plan.

Summary: The committee continued its fourth hearing on fraud, waste, and abuse involving Arizona’s Medicaid and behavioral health systems, with a major focus on Access/ALTCS eligibility, behavioral health licensing, and payment delays. Senator Shamp presented findings alleging large gaps in ABD Medicaid asset verification, including that only a portion of enrollees were checked and that many with substantial liquid assets remained on the program. She argued the state’s waiver and lack of asset limits created a compliance and fiscal risk, and urged referrals to law enforcement, tighter verification, and broader reforms. Heather Dukes, representing behavioral health and sober living operators, testified that ADHS and Access have become overly punitive toward licensed providers, often sending technical paperwork violations straight to enforcement instead of allowing correction plans, and that zoning and licensing delays are harming legitimate businesses. Reva Stewart testified that patient brokering and fraudulent recruitment of vulnerable people into behavioral health and sober living settings remain ongoing, especially through social media, and called for stronger accountability and enforcement against bad actors. ADHS Deputy Assistant Director Tiffany Slater said the department has received more than a thousand complaints about unlicensed sober living operations, which has diverted staff from routine oversight of licensed facilities. She said ADHS has expanded enforcement tools for sober living homes, is using a new licensing system to flag repeat bad actors, and is trying to make the application process easier, while acknowledging that inspections can tip off unlicensed operators. Access Director Virginia Roundtree described steps the agency has taken since the prior hearing, including daily staff huddles, live dashboards, added project management support, an external claims vendor, and an independent review of the Division of Fee-for-Service Management. She said Access is trying to balance fraud prevention with support for legitimate providers, and committed to follow up on a specific provider payment dispute by early the next week. Committee members repeatedly pressed Access and ADHS on delayed claims processing, prepayment review, and whether the current system is driving providers out of business. Roundtable testimony from Access staff described the new Provider Resolution Roundtables, which are intended to work with a small number of providers facing the most claims and authorization problems. Members questioned why claims are being denied or held for long periods, why some providers are still waiting on payments from 2023 and 2024, and whether the agency’s actions are sustainable. Access also explained the Targeted Investment Program, saying it is a federally approved Medicaid initiative with large dollar amounts still being paid out on a delayed schedule, and agreed to provide more information on provider participation and payment timing. No formal votes or committee actions were taken in the portion provided, but the chair indicated the committee would continue reviewing the issue and requested additional reports and follow-up information from Access and ADHS.

Transcript Highlights:

• Insert "behavioral health advocates."
• structures, and support services.
• So I support it.
• We are in support of anything that's going to provide culturally competent, language-friendly behavioral
• And so, we also continue to support the Behavioral Health Services Division, the Medicaid program, and

Transcript Highlights:

• </c> on the behavior. on the behavior.
• </c> problematic behavior. So, right on. problematic behavior. So, right on.
• And what they fail to recognize is that most positive behavior support plans or behavior plans that actually
• </c><05:08:41.280><c> support</c><05:08:41.680><c> plans</c><05:08:41.920><c> or</c> most positive behavior
• support plans or most positive behavior support plans or behavior<05:08:42.798><c> plans</c><05:08:43.040

Keywords: 928, house, all

Summary: The committee heard House Bill 1331, which would allow the town of Derry to incorporate the Derry Cooperative School District as a department of the town through a charter amendment. The prime sponsor and several supporters argued the change would increase local control, streamline overlapping town and school functions, and potentially help align school spending with Derry’s tax cap. Supporters also said Derry is large enough to warrant a structure more like Manchester or Nashua, and one witness cited a 2018 nonbinding Derry ballot question that passed 597 to 547 in favor of seeking authorization for this change. Opposition came from NEA New Hampshire President Megan Tuttle, who said the association and the Derry Education Association opposed the bill because schools are not simply another municipal department and because Derry voters had already rejected merging the district into town government. She argued the state should respect local control and the community’s prior decision. Committee members asked about the scope of the proposed charter change, the role of the school board, and the reported prior vote, and the sponsor clarified that the amendment would be limited to this specific purpose rather than opening the entire charter. The hearing then moved to House Bill 1374, which would change the procedures for withdrawing from a cooperative school district. Representative Mary Murphy said current law gives other cooperative towns too much control over a withdrawing town’s decision, and her bill would remove the requirement for approval by the other towns while raising the withdrawing town’s approval threshold to a supermajority. She pointed to Francis Town’s 2024 withdrawal vote and said the bill was intended to protect students and local decision-making. The sponsor asked for an ought to pass recommendation, and committee members asked follow-up questions about the prior withdrawal vote and the number of voters involved.

Transcript Highlights:

• There is a huge need for access to behavioral health services.
• Kind of an overview of the state of behavioral health with DHS.
• Kind of an overview of the state of behavioral health with DHS.
• So we did have four, and we provided support.
• It's just our forensic behavioral health services.

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to behavioral health as the main topic. Representatives Woodridge and Vaught described the work of the behavioral health working group, saying Arkansas needs a more proactive system that improves access, reduces red tape, and focuses on a few achievable policy changes for the 2027 session rather than many bills. Members discussed barriers such as low reimbursement, workforce shortages, licensing and credentialing hurdles, rural access problems, and the need to better use community providers, compacts, and step-down services. Director Paula Stone of DHS’s Office of Substance Abuse and Mental Health gave a detailed overview of the behavioral health system. She said Medicaid pays for more than 75% of behavioral health services in Arkansas and explained that when people are jailed or admitted to the state hospital, Medicaid generally stops, leaving state general revenue to cover care. She described current efforts including family-centered treatment for children, community reintegration group homes, a new adolescent substance use disorder residential unit, expanded community mental health center contracts, a secured restoration unit to reduce state hospital backlogs, and an IMD waiver to allow Medicaid payment for certain residential services. She also said DHS is working on crisis services, forensic evaluations, and provider rebidding in areas previously served by ERISA. Members asked about reimbursement for jail services, the lack of a statewide behavioral health dashboard, civil commitment options, crisis stabilization units, and whether Arkansas should expand step-down or long-term facilities for people who cannot safely return to the community. Stone said the state hospital backlog remains significant, average stays are still about 14 months, and crisis stabilization units have had mixed success, with Fort Smith and Jonesboro performing better than Fayetteville and Little Rock. The meeting ended with a commitment to continue the work, with more substantive discussion planned for August.

Transcript Highlights:

• That is how we support the members that we serve.
• Sheep provided she applied to the behavioral Humana Behavioral application and she submitted this in
• policies serving as the state's behavior.
• More Floridians are each count earlier for support.
• So we had a behavior.

Transcript Highlights:

• And I jotted down that that's behavioral health, residential treatment, substance use, basically behavioral
• So we offer something called supported employment to support them in that.
• This also supports extended foster care youth.
• So those young adults who still need support, and so contracts that we have in supporting them, and then
• Contracts that we have in supporting them.

Summary: The House Health and Welfare Committee approved the February 5, 2026 minutes and then heard a lengthy budget presentation from Department of Health and Welfare Director Juliet Sharon and Medicaid Director Sasha O’Connell. The department outlined numerous supplemental and line-item requests across Medicaid, child and family services, welfare/self-reliance, and support functions, including funding for state hospital billing authority, Medicaid caseload and cost growth, rural health transformation staffing and program funds, child care capacity and program integrity work, kinship navigation, home visiting, and IT and procurement modernization. The committee also discussed the department’s reorganization and the need for additional procurement support for large Medicaid contracts. Much of the discussion focused on Medicaid spending growth, especially in disability services and behavioral health. Sharon said higher utilization and more intensive services, including residential habilitation, youth residential treatment, and substance use services, were driving costs. Members asked about safeguards against provider overuse or steerage; the director said the department uses annual assessments, internal reviews, data mining, and referrals to program integrity, and that some provider behavior had already prompted a proposed rate reduction for residential habilitation. She also explained that the department is seeking to maintain contractor support for disability assessments rather than absorb the work in-house. The committee also reviewed the department’s response to budget reductions and federal changes. Sharon explained the 4% provider rate reduction, the resulting savings, and the need for an additional $22 million in general funds to balance Medicaid, with options for further cuts still before the legislature. Other topics included the state’s Medicaid estate recovery and program integrity contractors, the impact of new SNAP administrative cost-sharing rules, Medicaid work requirements and more frequent eligibility reviews under state and federal law, and a request for three dedicated procurement staff in the Department of Administration to speed Medicaid contracting. No further votes were taken beyond approval of the minutes, and the committee adjourned to attend the floor session.

Transcript Highlights:

• And I'm here to speak in strong support of House Bill 425.
• And I'm here to speak in strong supportive House School 425.
• So students can feel safe, supported, and ready to learn.
• I'm here today to ask for your support for House Bill 425.
• positive school climate and student behavior.

Summary: The Senate Education Committee met with enough members present to conduct business and approved the June 17 minutes. It first heard HB 459 with House Amendment 1, which would prohibit the sale of energy drinks on public middle and high school campuses during school hours or school events. The sponsor and Department of Education explained that the bill targets beverages containing caffeine and marketed as energy drinks, not ordinary soft drinks or coffee/tea products. Public testimony from the Medical Society supported the bill on health grounds, while the beverage industry said its companies already voluntarily limit school offerings and that the bill does not reflect current practice. No vote was taken in the transcript. The committee then heard HB 461, a follow-up to prior legislation on New Castle County property reassessment and school tax rates. Senator Cruz said the bill would let New Castle County school districts adjust and reset tax rates to reflect reassessment changes without increasing projected operating revenue, and that it includes a sunset. DSEA supported the measure, saying fair property values are important to public education funding. The committee also heard HB 452, which would require additional background checks and training for DIAA sports officials and strengthen DIAA enforcement procedures. Members questioned how checks would be handled, who would see the results, and who would provide training; the DIAA compliance coordinator said the checks would be maintained through the state process and that associations would verify eligibility. The bill’s sponsor and DIAA said the goal was to align officials with existing child-safety standards. Next, the committee considered HS1 for HB 425, which raises the salary supplement from 6% to 12% for nationally certified school counselors, nurses, and school social workers, and allows DOE to identify additional qualifying positions by regulation. Supporters, including school social workers, nurses, and DSEA, argued the change would improve retention and recognize advanced credentials. Senator Hansen raised concerns that school psychologists were not included; sponsors said a broader study and possible future legislation or budget language would address other nationally certified school-based professionals. The committee then heard HS1 for HB 358 on student elopement notifications, inspired by Ace’s Law, but administrators and the chair raised concerns that the bill may be too prescriptive and difficult to implement in practice, especially when schools may not immediately know a student has left campus. Finally, the committee discussed HB 379 on the comprehensive school discipline improvement program; DOE said the substitute was intended to consolidate prevention and intervention supports and avoid competition for funding, while DASA asked that the bill be paused or tabled. The meeting ended before action on the remaining bill, and HB 443 was deferred to a future executive meeting.

Transcript Highlights:

• </c> disabilities and other behavioral disabilities and other behavioral support<04:19:59.680><c> needs
• It is supports around academic supports, modeling behaviors throughout the school.
• </c> academic supports modeling behaviors academic supports modeling behaviors throughout<04:26:38.880
• </c> are now tasked to provide behavioral are now tasked to provide behavioral support<05:20:47.120><
• </c> behavioral uh supports, costs don't behavioral uh supports, costs don't disappear,<05:27:22.878>

Keywords: 1189, house, all

Transcript Highlights:

• And I jotted down that that's behavioral health, residential treatment, substance use, basically behavioral
• So we offer something called supported employment to support them in that.
• This also supports extended foster care youth.
• age 26, those young adults who still need support, and so contracts that we have in supporting them.
• Contracts that we have in supporting them.

Keywords: 989, all

Summary: The House Health and Welfare Committee approved the February 5, 2026 minutes and then heard a lengthy budget presentation from Department of Health and Welfare Director Sharon and Medicaid Director Sasha O’Connell. The department reviewed a large number of supplemental and line-item requests across Medicaid, child and family services, welfare/self-reliance, and indirect support services, including funding for state hospital Medicaid billing authority, Medicaid caseload and cost growth, rural health transformation staffing and implementation, child care program integrity and capacity, kinship navigation, home visiting, and IT/procurement modernization. The committee also discussed ongoing litigation affecting Medicaid procurement timelines, the move to centralized IT services, and the department’s request for additional procurement staff to help manage complex Medicaid contracts. A major portion of the hearing focused on Medicaid spending growth and the department’s response to the governor’s 4% provider rate reduction. The director said growth is being driven largely by higher utilization and intensity of services in behavioral health and disability/home-and-community-based services, including residential habilitation and residential treatment, and noted the department has identified some provider behavior concerns and referred cases to program integrity. Members asked about safeguards, assessments, and whether the department could absorb the outside contractor used for disability assessments; the director said state staffing would be too costly and the contractor should remain in place. The committee also discussed the department’s request for an additional $22 million in general funds to balance Medicaid, with the director emphasizing that the department had already taken the reductions and rescissions available to it. Other discussion covered child welfare placements, including a request for transfer authority to pay for youth served at Southwest Idaho Treatment Center when no other safe placement exists, and a request to continue paused child care capacity funds while the department completes a 360-degree review of child care providers. In welfare/self-reliance, the department outlined new costs from federal changes to SNAP administration, Medicaid expansion work requirements, and more frequent eligibility redeterminations, along with a reduction in aged, blind, and disabled funding that the department said it has routinely been able to revert. The committee did not take action on the budget items during this hearing and adjourned to the floor after the presentation and questions.

Transcript Highlights:

• Through the behavioral health response that supports that individual, every day they transport many,
• To date, our investments from the Behavioral Health Fund Balance have helped support crisis response
• We do have significant plans to help support growing behavioral health services across the state.
• Individuals that we are working with have specialized needs and support, and that intersection of behavioral
• other behavioral health support they need, and the workforce training support that they may need, while

Transcript Highlights:

• And what they fail to recognize is that most positive behavior support plans or behavior plans that actually
• And what they fail to recognize is that most positive behavior support plans or behavior plans that actually
• </c><05:08:41.280><c> support</c><05:08:41.680><c> plans</c><05:08:41.920><c> or</c> most positive behavior
• support plans or most positive behavior support plans or behavior<05:08:42.798><c> plans</c><05:08:43.040
• Multi-tiered systems of support for behavior are about addressing, you know, different levels of behaviors

Keywords: 1189, house, all

Transcript Highlights:

• The Office of Children's Behavioral Health Ombudsman.
• that support.
• When I think about the challenges that... ...housing support.
• But we do fund outside of this supported housing.
• We do have supported housing and supported living that we have in place, along with those who are continuing

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:

• It's with the right supportive environment, with supportive adults, with their time filled, constructive
• Really good support from the community.
• Agreed, because essentially what you're talking about is when you have this kind of behavior That behavior
• Yes, strongly support the bill. and I'm the mother of Joshua Beasley. I'm in full support of HB 31.
• My perspective. on children with behavioral challenges and my direct experience with children with behavioral

Bills: HB31, HB3360

Keywords: juvenile justice, community supervision, felony offenses, treatment of children, juvenile facilities, chemical dispensing device, solitary confinement, rehabilitation, criminal proceedings, delinquency, 1184, house, all

Transcript Highlights:

• Medications, behavioral supports, and practical supports.
• Behavioral supports are not all created equal. I want to be clear about that.
• Those are behavioral health supports that give us the most bang for our buck.
• We call it a behavioral addiction, right?
• And taxation is also a way to push down behavior, to change consumer behavior; it becomes more expensive

Keywords: 959, house, all

Transcript Highlights:

• Due to behavioral issues arising, he was given a BIP, a behavioral intervention plan in 2nd grade, and
• Those repeated or consistent behaviors.
• Their off-campus behavior often reflects deeper challenges, poverty, trauma, or lack of adult support
• the classroom, supports, counselors, social workers, which we know helps with student behavior.
• There are far more effective ways in suspension to support teachers and students with this behavior that

Bills: HB6, HB120, HB210

Keywords: hemp, consumable hemp products, hemp-derived cannabinoids, CBD, cannabidiol, CBG, cannabigerol, Texas hemp law, hemp regulation, cannabinoid products, delta-9 THC, intoxicating hemp, hemp gummies, hemp vape, retail registration, product registration, QR code labeling, child-resistant packaging, youth access, minor sales

Transcript Highlights:

• of safe care coordination between CCBHC and other behavioral health settings, similar behavioral health
• Every Missourian has access to behavioral health services at a certified behavioral health clinic.
• She said behavioral health is health, and separating behavioral health from blood pressure and diabetes
• She said behavioral health is health, and if we start separating behavioral health from blood pressure
• I will be supporting your motion.

Keywords: 959, house, all

Transcript Highlights:

• I'm here to support Bill 2364.
• I'm here to support Bill 2436.
• I am here to also testify in strong support of H. 2534 and S. 1574, Support of H. 2534 and S. 1574, an
• schools are facing unprecedented behavioral health challenges, and without support, classrooms are disrupted
• Since COVID, schools are facing unprecedented behavioral health challenges, and without support, classrooms

Keywords: 995, all

Summary: The committee hearing covered a wide range of public health bills, with much of the testimony focused on two major themes: expanding access to care and stabilizing health-related workforces and services. On House 2364, an act relative to medical health and fitness facilities, representatives from Dedham Health and Athletic Club argued for a pilot program recognizing supervised exercise as medicine, saying it could improve outcomes for chronic disease, fall prevention, and mental health while reducing costs. On House/Senate bills concerning community health workers (H. 359/S. 251), multiple witnesses from MACHW, Health Care for All, MHA, Cambridge Health Alliance, Mass General Brigham, Boston Children’s Hospital, Asian Women for Health, and the City of Somerville described CHWs as essential for navigation, trust-building, language access, and addressing social needs, and urged reimbursement by MassHealth, the GIC, and private insurers, along with workforce development measures. One pediatric neurologist also told the committee that losing grant-funded CHW support led to more avoidable ER visits and threatened clinic operations. The committee also heard extensive testimony on hospital closures and essential services. Witnesses including Dr. Alan Sager, MNA President Katie Murphy, nurses from Brockton Hospital and Providence Behavioral Health, and local officials and legislators from Norwood described the loss of hospitals and service lines, especially maternity, pediatric, and behavioral health care, and argued current closure processes are too weak to protect communities. They supported bills such as H. 2460/S. 1503 and H. 2534/S. 1574, which would require earlier notice, community input, stronger state oversight, possible receivership, and limits on reopening or expanding after closures. Testimony emphasized the impact of Steward’s bankruptcy, the closures of Carney and Neshoba Valley, and the need to preserve access to essential services in underserved areas. Several end-of-life and professional regulation bills were also discussed. On H. 2436, Representative Omar Gomez and funeral industry witnesses supported eliminating Office of the Chief Medical Examiner fees for the removal of a child’s body in cases involving children five and under, describing the bill as a small but important relief for grieving families. On H. 2444 and related Senate bills, cemetery and consumer advocates supported legalizing alkaline hydrolysis and natural organic reduction as environmentally friendly after-death options, while cemetery representatives opposed H. 2360, which would allow funeral establishments to operate crematories, arguing cemeteries should retain that role. The committee also heard support for H. 2382, which would exempt dentists and oral surgeons from a new office-based surgical center framework, and for H. 2461, which would create hospital efficiency standards; employers and retailers backed that bill as a way to address rising health care costs. Finally, the committee heard testimony on autism services and hospital governance. On S. 1414, behavior analysts and school representatives said Massachusetts already licenses assistant-level ABA providers but MassHealth does not reimburse them, causing long waitlists and limiting school and family access; an actuary testified that a three-tier ABA reimbursement model could reduce MassHealth costs by up to 6% per child served. Senator Lovely also testified in support of S. 1572, which would require at least one registered nurse on each acute care hospital governing board, arguing nurses’ frontline perspective would improve quality and retention. No votes were taken in the hearing excerpt, but many witnesses urged favorable reports on their respective bills.

Transcript Highlights:

• So it's time that we be a proactive state when it comes to behavioral health.
• There is a huge need for access to behavioral health services.
• So we did have four, and we provided support.
• So trying to support all of them as they move into those new areas.
• So thinking about how do we provide that support, either for the family.

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to a broad discussion of behavioral health policy, taking up work previously handled by a behavioral health working group. Representatives Wooldridge and Vaught described major gaps in Arkansas behavioral health care, emphasizing access problems, workforce shortages, rural service barriers, low reimbursement, and the need to move from a reactive crisis system to more proactive community-based care. Members discussed possible 2027-session priorities such as reducing red tape, improving provider licensing and supervision pathways, expanding billing codes and reimbursement structures, and considering interstate compacts and other workforce fixes. A major focus was the state’s crisis and forensic system, including long waits for competency evaluations, the backlog at the Arkansas State Hospital, and the use of county jails for people awaiting treatment. DHS Director Paula Stone explained that Medicaid pays for most behavioral health services, but cannot pay for services in jails or state hospitals because those individuals are treated as inmates of public institutions, leaving state general revenue to cover much of that cost. She outlined DHS efforts including secured restoration beds, therapeutic communities, community mental health center contracts for jail-based services, and plans for an institution-for-mental-disease waiver that could allow Medicaid payment for certain hospital-based services. Members also discussed crisis stabilization units, with DHS noting that Fort Smith and Jonesboro have been more successful than Fayetteville and Little Rock, largely because of location, partnerships, and law enforcement coordination. Questions covered reimbursement for county jails, step-down facilities, civil commitment options, non-emergency behavioral health transportation, and whether DHS should create a bed-availability dashboard similar to hospital systems. DHS said it does not currently have such a dashboard but is exploring the idea. The meeting ended with a commitment to continue the work, with more detailed discussion planned for August, and the subcommittee adjourned.

Transcript Highlights:

• support, even Medicaid.
• I support this bill.
• I support this bill.
• Jacob's Law was meant to protect children by requiring timely behavioral health access, supporting caregivers
• sexualized behaviors.

Keywords: 1182, all