Transcript Highlights:

• We therefore support...
• I urge you to support Senate Bill 5945.
• We're recognizing that that behavior, that behavior is a juvenile.
• We're recognizing that that behavior, We're not punishing people for their behavior as a juvenile.
• I’m here in support of Bill 5945.

Summary: The committee began with a Department of Corrections update focused on agency culture, staff safety, reentry, and health services. Secretary Tim Lang highlighted DOC’s “Washington Way” approach, expanded visitation reforms, safety summits, community-corrections sanction changes, education and transportation improvements, partial confinement expansion, and efforts to increase volunteer and peer-led programming. Assistant Secretaries Danielle Armbruster and David Flynn described progress on Pell Grant implementation, reentry transportation, partial confinement, behavioral health standards, HIPAA compliance, the 1115 Medicaid waiver, telehealth expansion, and budget requests for opioid use disorder treatment, close-custody capacity, and staffing relief. Members asked about veterans’ units, telehealth for substance use treatment, women’s placement on the east side, correctional industries, and firefighting training. The new Office of Correction Ombuds director, Jeremiah Bourgeois, then outlined the office’s mission and limited resources, saying he would focus on the most serious complaints and continue building accountability with DOC. He described recent OCO reports, including findings of excessive force at the women’s prison, and said DOC had agreed to implement all recommendations. He also noted a new process for referring possible criminal misconduct to DOC leadership and law enforcement. Committee members praised the DOC-OCO partnership and Bourgeois’s appointment. The committee then heard Senate Bill 5895, which would add a new basis for extraordinary medical placement when DOC cannot meet an incarcerated person’s basic medical care needs. Senator Saldana said the bill is intended to provide a compassionate, workable path for people with serious or end-of-life medical needs while maintaining public safety. Testifiers in support included family members, Disability Rights Washington, and the League of Women Voters, who said the current EMP process is too restrictive and rarely results in release. DOC testified that it supports the EMP framework but has concerns about the bill’s definition of “basic medical care.” A former DOC physician suggested extending the qualifying time period and adding “approximately” to the language. The committee also heard Senate Bill 5873, which would expand escorted leaves of absence to include reentry-focused outings and broaden the family definition for funeral or bedside visits. Senator Wilson said the bill is meant to support a “slow release” and better prepare people for community reentry. DOC supported the concept, and witnesses from public defense, DOC reentry, and Amend said escorted reentry outings are consistent with evidence-based and international correctional practices. Finally, the committee heard Senate Bill 5945, which would limit persistent offender sentencing to convictions occurring after age 18 and require resentencing for affected people. Supporters argued the bill aligns with youth brain-development research and would address racial disparities; opponents, including prosecutors, victim advocates, and sheriffs’ representatives, said it would reopen painful cases, undermine finality, and impose costs. The hearing on that bill was still underway when the transcript ended.

Transcript Highlights:

• But we would support any deterrent that we can get to help decrease driving behavior and get it back
• </c> so to help curve uh curve the Behavior so to help curve uh curve the Behavior Uh<00:10:06.480><c
• </c><00:10:55.519><c> any</c> well um but we would support any well um but we would support any deterrent
• </c><00:11:01.320><c> and</c> you know decrease driving behavior and you know decrease driving behavior
• I'm here today in support of SB 14.

Keywords: 1191, senate, all

Transcript Highlights:

• support state operations.
• We are working with Carillon Behavioral Health to provide step-by-step resolution support during the
• We look forward to continuing these conversations so that we can provide the behavioral health supports
• We look forward to continuing these conversations that we can provide the behavioral health supports
• Thank you for your time. conversations that we can provide the behavioral health supports our students

Summary: The committee heard a budget oversight hearing on the Department of Health Care Services, focusing first on the overall Medi-Cal budget and a March General Fund loan to cover a current-year shortfall. DHCS said the 2025-26 budget proposal totals $193.4 billion, with Medi-Cal projected at $188.1 billion total funds and $42.1 billion General Fund, driven by higher enrollment, pharmacy costs, managed care growth, and costs tied to eligibility expansions and the COVID-era redetermination unwinding. The department said the $3.44 billion loan was needed to manage cash flow and ensure timely payments to providers and plans, while the LAO noted Medi-Cal’s cash-basis budgeting creates volatility and that more detailed estimates would come with the May Revision. Members discussed federal Medicaid threats, the need for transparency on cost drivers, and the impact of pharmacy spending, long-term care, and immigration-related coverage expansions. The second major topic was family health programs, including California Children’s Services, the continuous coverage unwinding, and opioid settlement fund spending. DHCS described CCS funding methodology changes, ongoing county stakeholder work, and a delayed rollout of CCS monitoring and oversight until July 1, 2025, while county representatives and advocates argued the program is underfunded and asked for more technical assistance and a delay in implementation. On the unwinding, the department explained that federal redetermination flexibilities helped maintain coverage after the pandemic, but the Governor’s budget proposes ending them at the end of June 2025; advocates urged making the flexibilities permanent to avoid coverage losses. For opioid settlement funds, DHCS and Finance said the budget increases funding for naloxone distribution while reducing other harm-reduction spending based on updated settlement revenues, prompting criticism from members and public commenters who argued the change would weaken effective harm-reduction programs. The hearing also included an update on Proposition 35 implementation. DHCS said the voter-approved measure continuously appropriates MCO tax revenues beginning in 2025, with up to $4.6 billion annually available for specified Medi-Cal and provider investments in 2025 and 2026, but implementation depends on consultation with the required stakeholder advisory committee. The department and LAO noted uncertainty about future federal rules affecting the MCO tax after 2026. Public testimony largely supported maintaining Medi-Cal expansions, protecting immigrant coverage, preserving harm-reduction funding, and increasing support for community health workers, pediatric dental care, and CCS county administration. No votes were taken during the portion of the hearing provided.

Transcript Highlights:

• Behavioral Health Helpline.
• of the move and in support of supporting them budgetarily and through referrals.
• We do want to be available for support.
• health community behavioral health centers.
• They use those funds to support nutrition programs, to support legal assistance for older adults, to

Keywords: 995, all

Summary: The committee heard budget testimony from Department of Mental Health Commissioner Brooke Doyle, who said DMH serves about 29,000 people and is facing rising demand, higher operating costs, and uncertainty about federal funding. She explained that the FY26 budget prioritizes fully funding the state-operated inpatient system, which is at 100% occupancy and often serves people transferred from Bridgewater State Hospital, while making reductions in other areas to balance the budget. Those reductions include a 50% cut to case managers, a pause on closing the Pocasset unit pending a working group on Cape access, and changes to youth and contracted services such as right-sizing IRTP and CIRT, reducing Youth PACT from seven teams to three, scaling back flex and jail diversion grants as ARPA funds wind down, and preserving the behavioral health helpline and community-based crisis services. Members from Western Massachusetts and the Cape raised concerns about access, staffing, and the impact of cuts, and Doyle said the department would continue operating IRTP services, improve the referral process, and work with stakeholders on the Pocasset review and other access issues. The committee also discussed school-based mental health, 988, loan forgiveness for workforce recruitment, and the role of co-response programs for law enforcement. Secretary Robin Lipson then testified for the Executive Office of Aging and Independence, describing a proposed FY26 budget increase of about 21% to support councils on aging, home care, elder abuse investigations, caregiver support, care transitions, and nutrition programs. She said the agency is managing rising demand, especially from the growing 80-plus population, and noted uncertainty around federal Older Americans Act funding after the federal disbursement agency was disbanded. To control costs, the office will manage intake and caseload growth in a fully state-funded home care program, but current clients will not lose services. Lipson also highlighted a new $1 million line item for local mini-grants to support age-friendly initiatives. In questions, members focused on elder scams, and Lipson said scams are increasing and the agency is working with banks, district attorneys, and public awareness campaigns. The Health Policy Commission’s Executive Director David Seltz presented the agency’s FY26 request and said the biggest challenge is health care affordability, with family premiums near $29,000 annually and many residents delaying care because of cost. He emphasized that recent legislation significantly expands HPC’s role through a new Office of Pharmaceutical Policy and Analysis, which will examine the drug supply chain and pricing, and a new Office of Health Resource Planning, which will support statewide planning around closures and access gaps. The new law also creates task forces on maternal health access and primary care, and adds transparency and oversight for private equity in health care. Members asked about pharmaceutical costs, GLP-1 weight-loss drugs, 340B, and maternal health closures; Seltz said the data show rapid growth in GLP-1 spending and that the new offices will help the state better understand cost drivers and access problems. The Center for Health Information and Analysis then began its testimony, describing its role as the state’s data hub for health care spending, utilization, quality, and affordability analysis.

Transcript Highlights:

• <00:43:44.880><c> behaviors,</c><00:43:45.440><c> and</c> addressing those behaviors, and addressing
• </c> mentioning a full ban without supports. mentioning a full ban without supports.
• </c> funding and supports in alternatives. funding and supports in alternatives.
• </c> uh timetable or a reasonable support uh timetable or a reasonable support look<01:01:51.520><c>
• </c> supports does that come into play? supports does that come into play?

Keywords: 1183, house

Transcript Highlights:

• Thank you, waving in support. We've got Michelle Avala Brown, waving in support.
• Courtney Larkin, Abate Florida, waving in support. Joy Ryan, waving in support.
• I support the bill today.
• We have to change behavior.
• It's waiving in support.

Summary: The Appropriations Committee on Transportation, Tourism, and Economic Development met to review its fiscal year 2025-2026 budget proposal and several bills. The chair outlined a roughly $18 billion budget area, including major funding for the Department of Transportation work program, Visit Florida, library/cultural/historical initiatives, affordable housing, National Guard tuition assistance, and Highway Safety and Motor Vehicles needs. The committee adopted a motion allowing technical adjustments and then approved the budget proposal as a recommendation to the full Senate Appropriations Committee. The committee next heard and approved CS/SB 666, creating a Miami Northwestern Alumni Association specialty license plate, with proceeds supporting scholarships, academic, athletic, and arts programs at Miami Northwestern Senior High School. Members praised the school’s academic and athletic achievements, and the bill was reported favorably without opposition. The committee also heard extensive testimony on CS/SB 1318, which would rename Florida’s texting-while-driving law as the hands-free driving law and expand the prohibition to handheld use of wireless devices, including in work zones. Supporters, including law enforcement, health care, bicycling, and crash victims’ advocates, argued it would save lives and make enforcement clearer; some senators supported the goal but raised concerns about enforcement, privacy, and impacts on drivers with older vehicles. The bill was reported favorably. The committee then approved SB 1408, designating memorial highways in Hillsborough and Charlotte counties for Master Patrol Officer Jesse Madsen and Sergeant Elio Diaz, and SB 1516, creating the International Aerospace Innovation Fund to be administered by Space Florida to support partnerships between Florida and international aerospace companies. Both bills were reported favorably with little debate. Senators also requested to be recorded in the affirmative on selected bills, and the meeting adjourned.

Transcript Highlights:

• Madam Chair, I have Michelle Walker signed in in support. Are you here?
• Stuart Goodman, Arizona Association for Behavioral Analysis.
• For the record, Stuart Goodman here on behalf of the behavior analysts.
• As you might imagine, there are differences between psychologists and behavior analysts.
• like me, just help the community overall, I'd encourage your strong support for this bill.

Summary: The Committee on Regulatory Affairs and Government Efficiency met and approved the January 21, 2020 minutes. It heard Senate Bill 1137, which would require excavators to white-line proposed dig areas before submitting 811 notices, create coordination requirements for large projects, establish an interactive positive response system, and direct the Arizona Corporation Commission to adopt rules. Supporters from the construction industry said the bill would reduce delays and improve communication on complex projects, while the League of Arizona Cities and Towns raised concerns about the bill’s scope, staffing burdens, meeting requirements, and liability issues. The bill sponsor said the measure was a consensus effort to improve efficiency, and SB 1137 received a due pass recommendation on a 7-0 vote, with several members noting they wanted continued work with stakeholders before floor action. The committee then considered Senate Bill 1145, which would shift final authority over behavior analyst licensing and regulation from the Board of Psychologists to the Committee of Behavior Analysts, reduce the board size, and remove the requirement for two behavior analysts on the board. Testimony from the Arizona Association for Behavioral Analysis and an individual speaker supported the bill, saying the current structure creates delays and that the change would allow each group to focus on its own profession. SB 1145 was approved unanimously, 7-0. The committee also heard Senate Bill 1128, which creates a temporary study committee on scrap metal theft to review current laws, industry compliance costs, penalties, and crime deterrence, and to report recommendations by December 1, 2026. The scrap recyclers’ representative supported the study as a way to evaluate whether further changes are needed, while some members questioned the committee’s partisan appointment structure and whether a study committee was necessary; the bill still passed 7-0. Finally, the committee heard Senate Bill 1238, adopting the Physician Assistant Licensure Compact to allow licensed physician assistants to obtain compact privileges in participating states and to support interstate practice, military families, telehealth, and rural access to care. The Arizona State Association of Physician Assistants testified in support, and members asked about physician supervision, federal rural health funding implications, and which states have joined the compact. SB 1238 also received a due pass recommendation on a 7-0 vote. The sponsor of SB 1235 requested that bill be held, and the committee adjourned after completing its agenda.

Transcript Highlights:

• I'm going to stay here; behavioral health is still...
• senator's support.
• We need to provide the necessary support that our industry needs.
• We support that. We want to be able to support it as there are ebbs and flows in the oil industry.
• We have 429 new physicians and 469 new behavioral health workers.

Transcript Highlights:

• It is not providing behavioral health services, but it is coordinating them to get into the door of behavioral
• community behavioral health clinics.
• for discharge and sustaining community supports.
• for discharge and sustaining community supports.
• Thank you for your continued support and partnership as we work to strengthen the services and support

Keywords: 908, all

Transcript Highlights:

• By supporting SB 1323, you are supporting basic human dignity.
• By supporting 1323, you are supporting basic human dignity.
• In support.
• In support.
• We are proud to support SB 874 because it advances important safeguards in the delivery of behavioral

Keywords: 987, senate, all

Transcript Highlights:

• We're going to talk a little bit more about behavioral health.
• So with our model, and I'm thinking specifically of behavioral health, we spent a lot more money on behavioral
• So with our model, and I'm thinking specifically of behavioral health, we spent a lot more money on behavioral
• We have huge issues elsewhere in the behavioral health space.
• They are utilizing those to support the services that they identify. Wow, okay.

Keywords: 907, all

Summary: The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits. CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs. The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.

Transcript Highlights:

• And I urge your support.
• </c> association strongly supports this bill. association strongly supports this bill.
• </c> behaviors even after the stalking case. behaviors even after the stalking case.
• </c> prosecutors and I support this bill. prosecutors and I support this bill.
• So often this kind<01:09:55.600><c> of</c><01:09:55.760><c> behavior,</c> kind of behavior, kind of behavior

Bills: HB0008, HB0009

Keywords: stalking, minors, felony, protection orders, criminal penalties, grooming, sexual offenses, child protection, 916, all

Transcript Highlights:

• , professional support, and access to<00:15:30.079><c> trained</c><00:15:30.560><c> behavioral</c><00
• supportive.
• I think my district needs support, or my administrator needs support.'
• I think my district needs support, or my administrator needs support.'
• I think my district needs support, or my administrator needs support.'

Keywords: 916, all

Transcript Highlights:

• c><00:42:29.920><c> support,</c> Wanoa High School in support, Wanoa High School in support, UPW UPW
• </c><01:21:13.360><c> Um,</c> but in support. Um, but in support.
• </c> Hawaii uh in support. Hawaii uh in support.
• </c> in support.
• Aloha, United Way in support in support.

Keywords: 910, house, all

Summary: The committee on Education heard testimony on HB 1895, which would add education-worker protections by expanding harassment-related offenses. The Department of Education, HSTA, HGA, and several school employees and principals testified in support, describing increased harassment and threats toward teachers and staff, especially since COVID, and saying the bill would help deter bad actors. The Office of the Public Defender opposed the measure, saying the language was vague and overbroad, could criminalize ordinary parental advocacy or speech, and might not survive constitutional scrutiny. In response to questions, the public defender said existing statutes already cover threatening or assaultive conduct against educational workers, while DOE representatives said the bill was aimed at excessive and repetitive disruptive behavior. No vote or final action was taken in the excerpt. The committee then took up HB 1592, concerning protections for educational workers and sports officials. DOE, the Charter School Commission, HGA, HSTA, school principals, athletic programs, and many individual testifiers supported the bill, with several describing threats, harassment, and aggressive behavior at schools and athletic events. One principal said he had repeatedly involved law enforcement after threats and incidents on campus, and a teacher testified about the need to keep school environments safe and orderly. The Office of the Public Defender again opposed the bill, arguing that current law already enhances penalties for assaults and terroristic threatening against educational workers and sports officials, and that new offenses would have little deterrent effect. Committee members questioned whether the bill should be a separate statute and how to distinguish passionate advocacy from harassment; DOE said the line was crossed when conduct became excessive and repetitive, while the public defender urged clearer drafting and more emphasis on prevention, education, security, and de-escalation. No vote or final action was announced in the excerpt.

Transcript Highlights:

• support services.
• support services.
• MoConnect is an electronic platform that's going to support the behavioral health crisis continuum.
• At $500,000, this request provides ongoing support of youth behavioral health liaisons.
• I have a lot of support in the gallery. I have a lot of support in the gallery.

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:

• Such behavior may be grounds behavior.
• </c><00:03:28.640><c> incarcerated</c> the state to best support incarcerated the state to best support
• Um we support correction rehabilitation.
• <c> which</c><00:05:08.080><c> urges</c><00:05:08.320><c> the</c> support of STR20, which urges the support
• Most importantly, she hasn't behavior.

Keywords: 910, house, all

Summary: The House Committee on Public Safety met on April 17, 2025, to hear STR20, which urges the Department of Corrections and Rehabilitation to re-evaluate policies on in-person contact visitation at correctional facilities statewide so incarcerated people can stay connected with loved ones who support rehabilitation. Director Tommy Johnson testified that the department supports the intent of the measure and would review its policies and procedures to see whether contact visits could be restarted at all facilities, noting that some facilities already allow them. The committee also acknowledged 11 written testimonies in support, and one Zoom testifier, Panda Valdono, spoke in favor, arguing that in-person visitation supports rehabilitation, mental health, family connection, and successful reentry, and that visitation is not a major source of contraband. After testimony, the committee initially lacked quorum and recessed until 3:40 p.m. When the meeting reopened with six members present, the chair recommended passing STR20 as is. The committee voted to adopt the chair’s recommendation, with members Morikawa, Puo, Witson, and Shimizu voting aye and several members excused. The measure was approved and the meeting adjourned.

Transcript Highlights:

• and linkages to continued services to address their behavioral health needs.
• the state's behavioral health transformation goals, and more importantly, to support those most in need
• the state's behavioral health transformation goals, and more importantly, to support those most in need
• We need these Mental Health Wellness funds to be able to support the gaps.
• It would mean losing a vital source of support, identity, and hope.

Summary: The Assembly Budget Subcommittee on Health held an informational hearing on the Governor’s May Revision, focusing first on the Commission on Behavioral Health, then EMSA, and then the California Department of Public Health (CDPH). The Department of Finance said the state faces a third consecutive deficit and that the May Revision includes difficult trade-offs, including proposed eliminations or reversions of some behavioral health and public health funds. The LAO echoed concern about the structural deficit and said it was still awaiting some budget details before offering a full analysis. For the Commission on Behavioral Health, Finance proposed eliminating $20 million in Mental Health Wellness Act funds, arguing the money would help offset General Fund costs and noting future Proposition 1 innovation funding. The commission strongly opposed the cut, saying it would eliminate or delay launch-ready grants for early childhood supports, full-service partnerships, and peer respite, and would eventually end ongoing grant programming. Several advocates and commissioners testified that the funds support underserved communities and that Proposition 1 is not a substitute for the existing programs. The chair asked Finance to look for alternatives, but no vote was taken. EMSA presented mostly technical budget adjustments: increased authority for the California Poison Control System, a correction to EMSIS funding, and a reappropriation for enterprise services and data management. CDPH then reviewed a broader set of May Revision proposals, including reversions from the California Reducing Disparities Project, workforce development, STD prevention, hepatitis C prevention, hospice, and extreme heat funding, as well as a new generative AI pilot for health facility survey reporting. Members raised concerns about cuts to CRDP and gender health equity programs, especially because many grants are mid-contract and serve underserved communities; CDPH said the reversions were part of solving the deficit and that CRDP had been successful, while also clarifying that abortion.ca.gov would not be eliminated. Public comment was overwhelmingly opposed to the CRDP and related cuts, with many speakers describing the programs as life-saving and cost-effective. No formal votes or actions were taken during the hearing.

Transcript Highlights:

• My understanding is that the providers and the licensed behavioral groups are in support of it.
• Behavioral groups are in support of it.
• I urge you to support this bill.
• We appreciate your leadership and urge your support for S2587 and H4353. Okay.
• Maria McLean, and I am speaking on behalf of the Massachusetts Association for Behavior Analysis in support

Summary: The Joint Committee on Health Care Financing held a public hearing on a range of health care financing bills focused largely on autism services and kidney disease coverage. Committee chairs John Lawn and Cindy Friedman outlined hearing procedures and noted that written testimony would continue to be accepted until each bill is acted upon. They said the day’s bills addressed affordability and access to behavioral health services, provider reimbursement, Medicare coverage for vulnerable patients, and MassHealth eligibility asset exemptions. A major portion of the hearing concerned House Bill 4623, which would recognize board-certified assistant behavior analysts (BCABAs) in the MassHealth reimbursement framework to help address long wait lists for autism spectrum disorder services. Representative Lisa Field and several providers testified that Massachusetts families face long delays for ABA services and that adding BCABAs would expand workforce capacity, reduce costs, and improve access. Wakely actuary Annie Tasman Ewing said a three-tier model could reduce MassHealth costs by up to 6% annually, while Dr. Sandra Beaton and others described severe wait lists and said the bill would allow more families to be served sooner. The committee also heard extensive testimony on House Bill 4425 and Senate Bill 2737, which would allow people under 65 with end-stage renal disease to purchase Medigap coverage. Representative Stanley, Senator Gomez, and advocates from the American Kidney Fund and Dialysis Patient Citizens argued that current law unfairly excludes these patients, leaves them with high out-of-pocket costs, and can delay transplant eligibility because many centers require secondary insurance. Testifiers said the change would help about 846 residents, could cost insurers only a small premium increase, and might reduce Medicaid spending by avoiding asset spend-downs. Committee members asked questions about the existing statutory carve-out and the practical effects on transplant access. The hearing also included testimony on House Bill 4353 and Senate Bill 2587, which would require regular Medicaid rate reviews for ABA services. Providers and clinicians said current MassHealth rates no longer reflect the cost of delivering care, especially with new 2026 policy requirements, workforce shortages, and accreditation obligations. They emphasized that the bills would not mandate a rate increase but would create a data-driven, transparent review process. At the end of the hearing, the chairs thanked participants, invited additional written testimony, and the committee voted unanimously to adjourn the hearing.

Transcript Highlights:

• That's a recovery support provider.
• The peer support field is growing.
• It would be increasing long-term funding and support for care coordination and peer support services.
• Whereas in the substance use treatment programs, you have the behavioral health wraparound supports,
• We've recently created a peer recovery support navigator position to further support our clients with

Summary: The task force heard extensive testimony on recovery support, harm reduction, and community-based care. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he said recovery housing, peer support, employment, accountability, and stable housing are what help people stay sober and avoid relapse. Members asked about funding, housing shortages, transportation, treatment courts, and support for medication-assisted treatment (MAT). Haniken said Into Action relies on a braided mix of federal, state, county, city, foundation, and private funding, and that recovery housing needs longer-term support than many current funding streams provide. He also said Missouri should expand recovery housing, peer recovery support, and recovery community centers, and improve awareness and access to MAT in recovery settings and after incarceration. Matt Cushman, a community paramedic with Raytown Fire Protection District, urged Missouri to expand harm reduction, including syringe service programs and broader access to clean needles and drug-checking tools. He argued that stigma and abstinence-only approaches keep many people from seeking help, and said harm reduction reduces disease transmission, overdose deaths, hospitalizations, and other harms while creating pathways to recovery. He cited naloxone distribution as a successful example and said similar strategies should be decriminalized and expanded. Members asked about naloxone access, community paramedicine funding, and whether safe consumption sites should be considered; Cushman said syringe exchange should be a near-term priority, while safe consumption sites are a longer-term policy question. Representatives from Ozarks Medical Center/COMC and Four Rivers Community Health Center focused on the need to reimburse peer support specialists and community health workers, especially in rural and underserved areas. COMC’s Monet Lehman shared her trauma and recovery story and described her jail reentry work, helping incarcerated people with housing, benefits, IDs, employment, MAT, and community supports before release. Four Rivers said its care coordinators and CHWs provide wraparound services such as transportation, housing help, Medicaid enrollment, clothing, and same-day MAT access. Members and staff discussed confusion over reimbursement rules, noting that CCBHCs can bill for peer services through Medicaid while FQHCs generally cannot, and that CHWs are often funded through grants rather than reimbursement. No votes were taken; the meeting consisted of testimony and member questions, with several requests for follow-up information on funding, transportation, and reimbursement rules.

Transcript Highlights:

• I want to make sure that we are supporting the regionalization of the behavioral health regions and services
• Some key deadlines that recently passed, um, on June 1st, of the Behavioral Health Supports division
• And we, the, the fund is for all behavioral health services.
• Um, that's, that's why I supported this.
• The Behavioral Health Executive Committee.