Transcript Highlights:

• California's Californians with significant behavioral health needs.
• CalFresh may affect key state provisions that support Californians with significant behavioral health
• CalAIM, the Behavioral Health Services Act, and the CARE Act.
• The intention is to support the counties in the implementation.
• Also, just want to support the work Also, just want to support the counties are in need of funding for

Keywords: 988, house, all

Transcript Highlights:

• I'm testifying today in robust support of this bill 2219. today in robust support of this bill 2219 S
• This includes unsafe behavior.”
• MHLAC supports House Bill 2199.
• behavioral crisis.
• His behavior is very odd.

Keywords: 995, all

Summary: The committee held its fourth public hearing of the 2025-2026 session on bills dealing with involuntary commitment and access to addiction treatment, especially proposals to move Section 35 civil commitments away from jails and prisons and into facilities licensed or approved by DPH or DMH. Chairs Velis and Domb framed the hearing as a discussion of how to support people in crisis with compassion, while also warning against using involuntary commitment as a way to remove unhoused people from public view. The hearing also touched on related concerns about discharge practices, treatment capacity, and the need for a broader continuum of care. Testimony split largely along two themes. Addiction researcher Keith Humphreys argued that many people enter treatment under pressure, that involuntary treatment can be ethically justified in the face of overdose risk, but that it should not be mandated unless high-quality services exist first; he emphasized the need for inpatient care when someone is a grave danger, followed by case management and outpatient support. MAMH’s Kate Alicante supported the bill, saying Massachusetts is the only state that commits people with substance use conditions to jails or prisons and that carceral settings add trauma and stigma; she pointed to prior legislative steps, including the Section 35 commission and the planned closure of DOC’s MESAC facility, as evidence that the Commonwealth is moving toward health-based settings. A major portion of the hearing focused on Stony Brook, a sheriff-run stabilization and treatment center in Hampden County. Boston City Councilor John Fitzgerald, several committee members, and multiple people in recovery described the facility as humane, well-run, and effective, with longer stays, medical monitoring, medication-assisted treatment, counseling, and warm handoffs to aftercare. Several witnesses said Stony Brook saved their lives or helped family members recover, and they argued that the sheriff’s office model should be expanded rather than eliminated. Others, including family members and advocates, countered that even a well-run correctional setting remains stigmatizing and that people should not be treated in facilities run by sheriffs or corrections when they have committed no crime. No vote was taken. The hearing concluded with continued testimony, including Senator Friedman’s support for Section 35 as a civil commitment tool but not in a criminal justice setting, and her separate support for a bill to speed inpatient mental health treatment.

Transcript Highlights:

• Kathlin Wanderley supports. Caprice Schuller, in support.
• Here with me to testify and support is the CEO of the California Behavioral Health Association, Dr.
• George Cruz with the California Behavioral Health Association in support. Thank you.
• Malik Bynum, with the County Behavioral Health Directors Association, in support. Good afternoon.
• I fully support and encourage you to support this bill as well.

Summary: The Assembly Health Committee heard a long agenda of health bills focused on access to preventive care, behavioral health, hospital services, and patient safety. Early items included AB 554, which would expand and protect access to HIV prevention drugs like PrEP, including injectable forms and coverage protections; supporters said it would shore up access amid federal threats, while insurers opposed it as a costly benefit mandate. AB 577 would limit insurer and PBM practices that steer medications away from physician offices and require more transparency and patient consent; doctors and patient advocates supported it, while health plans and insurers warned it could raise drug costs and disrupt specialty pharmacy networks. AB 546 would require coverage for portable HEPA purifiers for vulnerable enrollees during declared emergencies, especially wildfire smoke events, with support from air quality and public health groups and opposition from insurers concerned about benefit expansion and cost. The committee also heard AB 224, which would codify California’s updated essential health benefits benchmark plan after a public review process, adding infertility treatment, hearing aids, and durable medical equipment if approved by CMS for the 2027 plan year. DMHC said the state had completed the review and needed legislation to meet federal timing, and the measure drew broad support. AB 1032 would require plans and insurers to reimburse up to 12 additional behavioral health visits for enrollees in wildfire-affected counties for a limited period after an emergency; supporters argued it would fill gaps in trauma care after disasters, while insurers said existing parity and continuity-of-care rules already address the issue and that the bill could create inequities. AB 849 would require trained chaperones for sensitive ultrasound exams and training on how to observe and intervene; it was backed by a survivor and patient advocates, with hospitals and health districts raising staffing concerns. Later, AB 1196 would direct the Department of Public Health to update outdated rules requiring three surgeons for certain heart surgeries using cardiopulmonary bypass; supporters said the rule no longer reflects modern practice and strains staffing, while cardiology representatives had no formal opposition but wanted to review amendments. AB 1113 would codify a right to wear a mask for health reasons in public spaces, with support from disability and public health groups. AB 1386 sought to add perinatal care to the list of basic hospital services, prompting testimony about maternity ward closures, workforce shortages, and rural access; the author said the bill would be amended further and that the committee would need to revisit timelines and implementation details. The committee also heard AB 1429, which would address Kaiser’s repeated mental health parity violations and improve access to behavioral health care, though the transcript cuts off before any action on that bill is shown. Several bills were moved with motions and seconds, but many were held for quorum; AB 1196, AB 1113, and AB 1386 were among the measures advanced to a roll call or held on call, and the committee repeatedly noted that final votes would occur when quorum was available.

Transcript Highlights:

• Governor funding would be prioritized for county behavioral health departments, by treatment, to support
• I support SB 1373.
• I support. Thank you. I support. Thank you. Good afternoon, Mr. Chair.
• In support.
• In support.

Summary: The committee met without a quorum and operated as a subcommittee while hearing several bills on public safety, parole, criminal justice oversight, Proposition 36 implementation, behavioral health, gang database reform, cargo theft, and nonconsensual intimate images. The chair explained hearing procedures and noted that SB 906 was pulled from the agenda. Several measures were heard but not voted on because quorum was lacking. SB 1446, a committee bill, would expand discretion in en banc parole review, make en banc votes public record, and allow CDCR referrals for sexually violent predator evaluation of certain incarcerated people serving determinate or indeterminate terms. Support came from the California District Attorneys Association; opposition came from the Ella Baker Center, Uncommon Law, public defenders, and others who argued it would add confusion, litigation risk, and unnecessary duplication. The author said the bill was intended to clarify review standards and improve transparency. SB 1278 would exclude certain sex offenses and habitual/one-strike offenders from elderly parole eligibility. The San Diego District Attorney’s Office and California District Attorneys Association supported it, citing cases such as Gregory Vogelsang and David Funston; opponents from Uncommon Law, the Ella Baker Center, and others argued elderly parole is already highly restrictive, evidence-based, and cost-effective. Vice Chair Seyarto strongly supported SB 1278, emphasizing victim justice and public safety. SB 1354 would bar out-of-state military personnel not operating under Title 10 from entering California to perform military or law enforcement functions without the governor’s permission; a committee amendment removed a criminal penalty and left enforcement to the Attorney General. SB 926 would provide funding for Proposition 36 implementation, with committee amendments deleting a specific appropriation and shifting funding decisions to the budget process; supporters said counties need resources for treatment, probation, and administration, while opponents criticized the bill as fiscally reckless and duplicative. SB 874 would require background checks and clearer statewide standards for Medi-Cal behavioral health treatment services, especially ABA services for children; supporters said it would improve patient safety and program integrity. SB 1210 would extend CalGang-style oversight, notice, appeal, and DOJ regulation to all gang databases, not just shared ones; supporters described harms from inaccurate, unregulated local databases, while police chiefs opposed applying the CalGang framework to all local investigative files. The committee also heard SB 1019, which would create a DOJ cargo theft task force and add reporting requirements; supporters from BNSF, trucking, shipping, ports, and law enforcement said organized cargo theft is harming supply chains and worker safety, and no opposition was presented. Finally, SB 1217 would create a DOJ clearinghouse to help victims remove nonconsensual intimate images, including AI-generated deepfakes, from covered platforms; amendments narrowed the bill’s scope and clarified law enforcement’s role. The author and survivor witnesses described ongoing trauma from repeated reposting of exploitative images and argued the bill would provide a centralized removal process. The transcript ends during testimony on SB 1217, with no final votes taken on the measures heard.

Transcript Highlights:

• An additional item that we're highlighting from the Martinez Yazi Action Plan includes the behavior support
• intervention support, trauma-informed practices, inclusive practices, and behavior interventions.
• These trainings support districts in prevention, de-escalation, function-based behavior support, and
• development of functional behavior assessment and behavior intervention plans This summer, educators'
• trainings will focus on reframing behavior, a preventative approach, by developing a positive, supportive

Transcript Highlights:

• </c> postcoid we use those as not to support postcoid we use those as not to support reoccurring<00:54
• </c> more effective and supporting for folks? more effective and supporting for folks?
• </c> increase Kentucky Medicaid behavioral increase Kentucky Medicaid behavioral health<01:31:29.360>
• </c><01:31:51.600><c> health</c> licensed behavioral health licensed behavioral health professionals.
• </c><01:32:25.679><c> health</c> higher rates for behavioral health higher rates for behavioral health

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.

Transcript Highlights:

• I'm so grateful to the committee for its longstanding support in the Senate support for court system
• And we have the support of services with their families or with other supports that are there and don't
• This is our electronic surveillance support team.
• Support for Rapid DNA expanded to its use.
• But thank you to your support.

Keywords: 999, senate, all

Transcript Highlights:

• </c> involving extreme driver behavior involving extreme driver behavior such<00:02:50.480><c> as</c>
• ><c> fair</c><00:04:00.440><c> legal</c> Bill 195 supports a fair legal Bill 195 supports a fair legal
• </c><00:14:59.680><c> of</c> I respectfully ask for your support of I respectfully ask for your support
• Um I in support of this legislation.
• </c> policy was important for supporting policy was important for supporting Kentuckians<00:16:00.000

Keywords: 958, all

Transcript Highlights:

• I really support the Portsmith.
• This is actually the key behavior.
• </c><01:54:06.239><c> until</c> can be ordered to good behavior until can be ordered to good behavior
• </c> appreciating what good behavior means. appreciating what good behavior means.
• </c> be supporting the ITL motion. be supporting the ITL motion.

Keywords: 1189, house, all

Transcript Highlights:

• I stand before you to express our support for anything we can do to stop this.
• So we fully support this bill. Thank you all.
• Do we have anyone online that wishes to support this bill?
• We stand in support of the bill. Thank you. Is there anyone else in support?
• next weekend, and the exact same behavior after that.

Transcript Highlights:

• There are a lot of programs that both treatment and recovery support places people can go for peer support
• support, places people can go for peer support and counseling, that don't have the housing element.
• 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,

Keywords: 959, house, all

Transcript Highlights:

• In support. Israel Via, with YCJ, in support. Good morning, Chair and members.
• Thank you for your support.
• I strongly support it.
• I support SB 1373.
• I'm supporting your bill.

Summary: The committee met without a quorum and operated as a subcommittee while hearing several bills, with members repeatedly noting that votes would be taken later once a quorum was established. Early in the meeting, the committee heard SB 1446 on parole en banc review and SB 1278 on elderly parole eligibility for certain sex offenses. SB 1446’s author said the bill would give commissioners more discretion in en banc review, make votes public, and allow referral for sexually violent predator evaluation in certain cases; supporters included the California District Attorneys Association, while opponents from Uncommon Law, the Ella Baker Center, and public defender groups argued it would add confusion, create constitutional and litigation concerns, and duplicate existing safeguards. SB 1278 would exclude certain rape, child sexual abuse, and habitual/serial sex offense convictions from elderly parole eligibility; district attorneys and police chiefs supported it as a victim-safety measure, while civil rights and defense organizations opposed it as unnecessary, costly, and inconsistent with evidence on aging and recidivism. Both bills were discussed but not voted on due to the lack of quorum. The committee then heard SB 1354, which would bar out-of-state military or law enforcement personnel from entering California to perform such functions without the Governor’s permission. The author and supporters framed it as protecting state sovereignty and limiting unauthorized armed incursions; the committee accepted an amendment removing a criminal penalty and leaving enforcement to the Attorney General. No opposition testimony was offered, and members expressed support, but no vote was taken because quorum was still lacking. The committee also heard SB 926, a bill to fund implementation of Proposition 36. Supporters, including sheriffs, district attorneys, probation officials, and the League of California Cities, said local agencies need funding for treatment, supervision, and administration; opponents argued the proposal was fiscally reckless, lacked accountability, and overemphasized incarceration. Amendments removed a specific appropriation and shifted funding decisions to the budget process, but the bill was also held pending quorum. Later, the committee heard SB 874, which would require background checks for unlicensed providers of Medi-Cal behavioral health treatment services, create a stakeholder workgroup, and direct DHCS to issue guidance and report on program integrity. Support came from local health plans and behavior analysis providers, who said the bill would improve safety and consistency; there was no opposition testimony. The committee then heard SB 1210, which would extend CalGang oversight and due process protections to local gang databases as well as shared ones. Supporters described privacy abuses, racial disparities, and personal harm from inaccurate gang labels; law enforcement opposition argued the bill would impose CalGang standards on informal investigative files and would significantly change the gang definition. The author said the bill closes a loophole and preserves prior reforms, but no vote was taken. The committee also began hearing SB 1019 on creating a California Cargo Thief Task Force, with strong support from BNSF, trucking, shipping, port, and supply-chain representatives who described organized, multi-jurisdictional cargo theft and rail sabotage; no opposition was heard, and members indicated support, but action was deferred pending quorum. The meeting then moved to SB 1217 on a non-consensual intimate image clearinghouse, with the chair and author describing privacy-related amendments and the bill’s focus on helping survivors remove exploitative images; the transcript cuts off as that presentation began.

Transcript Highlights:

• He was supporting a group committee.
• </c> supports it, and who is opposed to it. supports it, and who is opposed to it.
• </c><00:31:31.600><c> the</c> legal services to support the legal services to support the individuals
• </c> behavior through the lens of articles. behavior through the lens of articles.
• No one can norm of Senate behavior.

Keywords: 1187, senate, all

Transcript Highlights:

• Thank you for the opportunity to testify in strong support of this legislation.
• Due to our statewide shortage of mental health staff, we must do everything we can to best support the
• </c><00:03:52.239><c> health</c> help build out our our behavioral health help build out our our behavioral
• </c> in strong support of this legislation. in strong support of this legislation.
• the individuals who want to best support the individuals who want to enter<00:04:38.960><c> into</c>

Keywords: 1183, house

Transcript Highlights:

• Do you have thoughts about where we head on behavioral health?
• Yeah, well, first, thank you for your commitment to behavioral health.
• Yeah, well, thank you for your comments and thank you for your support as well.
• That is at the heart of the prevention services bill that you have supported.
• I'm bringing this bill forward, and I'm asking for your support.

Summary: The Senate Health and Long-Term Care Committee held confirmation hearings for Ryan Moran to lead the Health Care Authority and Dennis Worsham to serve as Secretary of Health. Moran emphasized his personal background, experience in Maryland Medicaid, and priorities of protecting coverage amid federal changes, addressing health disparities, strengthening tribal partnerships, and improving agency operations. Worsham described his long public health career in Washington, his statewide listening tour, and his focus on collaboration, science-based decision-making, accountability, workforce support, and rebuilding public trust. Senators raised questions about behavioral health, social determinants of health, communication, misinformation, and the impact of federal policy changes; both nominees said Washington should continue leading on coverage, prevention, and public health resilience. In executive session, the committee advanced several bills. It passed SB 5899, allowing qualified chiropractors to perform chiropractic diagnosis and adjustments on animals; SB 6292, creating a joint legislative-executive committee on health care financing with a substitute; SB 6182, establishing an abortion savings program, after rejecting several Christian-sponsored amendments and adopting a Bateman amendment limiting eligible organizations to DOH-contracted abortion providers or funds; SB 5947, creating the Washington Health Care Board; SJR 8206, proposing a constitutional right to affordable health care; and SB 5933, on overdose mapping information sharing, with a substitute. The committee also recommended confirmation of both gubernatorial appointments. In a second group of bills, the committee passed SB 5823 on patient advocates with a substitute requiring at least one person physically present daily in acute care settings and expanding exemptions for certain hospitals; SB 6210 on the health plan certification process with a substitute; SB 5921 on psilocybin; SB 6226 protecting audiologists’ clinical autonomy with a substitute; and SB 5924 expanding pharmacists’ prescriptive authority with a substitute. Members discussed access, affordability, rural workforce shortages, and patient safety, and the committee adjourned after completing its agenda.

Transcript Highlights:

• for foster families and build out that support.
• There was a study done that was done for adult behavioral health services.
• They are not behavioral health.
• This is like, we believe in peer support.
• We believe in community support workers, so foster parents supporting foster parents, and they were watching

Transcript Highlights:

• Really focused in on maternal health services, behavioral health, dental, diagnostic support, on and
• , patient risk stratification, Support, patient risk stratification, in addition to cybersecurity support
• On behavioral health, I'm just going to spend a moment on this slide because I think behavioral health
• On behavioral health, I'm just going to spend a moment on this slide because I think behavioral health
• So this is also going to support that work.

Summary: The Rural Health Transformation Committee met to receive an overview from Department of Health and Welfare Director Juliet Sharon on Idaho’s Rural Health Transformation Program application and the federal rules governing the five-year funding. Sharon explained the program was created by the One Big Beautiful Bill Act, that Idaho’s award is about $186 million annually in year one, and that the state must obligate the funds by October 30 or risk losing them. She reviewed the application timeline, the federal scoring process, reporting and audit requirements, and the state’s plan to hire a 12-person limited-term team to manage solicitations, monitoring, and compliance. Committee members asked about scope-of-practice issues for dental hygienists and physician assistants, the risk of losing or gaining funds, survey methodology, telehealth, and how the state will use the money for workforce, technology, behavioral health, infrastructure, and tribal set-asides. Sharon said the department would continue working with the legislature on scope-of-practice policy, provide more detail on survey data and funding caps, and set up a shared information space with LSO for committee access. Sharon also walked through the five main initiative areas in Idaho’s plan: technology and access, innovative models, workforce, chronic disease and behavioral health, and rural infrastructure/partnerships. She emphasized that allowable uses include telehealth and EHR modernization, cybersecurity, EMS support, workforce recruitment and retention incentives, evidence-based behavioral health and chronic disease programs, renovations and mobile units, and a 3.5% tribal set-aside. She said the department is still refining what is allowable with CMS and that the committee will receive monthly summaries, procurement information, and performance reports. Members raised concerns about the survey’s heavy use of “other” responses, the amount of money going to administration, and whether telehealth spending is the best use of funds. Chris Jones of Catalyst Policy Group then offered outside perspective on rural health strategy and the federal program. He praised Idaho’s application but urged the committee to think in terms of integrated, patient-centered systems rather than isolated projects. He highlighted examples from other states involving community health workers, telehealth hubs, remote monitoring, value-based care networks, rural training pipelines, and partnerships among hospitals, FQHCs, and tribal providers. He cautioned against focusing on social determinants of health funding, encouraged use of technology to reduce labor burden and improve sustainability, and emphasized that training providers in rural areas tends to keep them there. No votes were taken. The committee agreed to tentatively meet again on May 28 during CMS’s planned Idaho visit, and the meeting adjourned.

Transcript Highlights:

• Behavioral health, it's early on.
• Other specifics around behavioral health, I heard you mention behavioral health, is that we are seeing
• Other specifics around behavioral health, I heard you mentioned behavioral health, is that we are seeing
• I mean, there's a lot to do, but primarily, of course, behavioral... ...behavioral health, that's right
• So I support this confirmation. Thank you.

Summary: The Senate Committee on Rules convened with quorum and first approved several governor’s appointments not required to appear, including Courtney Welsh to the California Housing Partnership Corporation Board, Janessa Goldbeck to the California Veterans Board, and Tom Huntington to the State Parks and Recreation Commission, each by 3-0 vote. The committee also approved reference of bills to committees, the 2026 committee chair and membership appointments, the 2026 session schedule, the 2026 Senate holiday schedule, and floor acknowledgments, all by 4-0 votes. The committee then heard confirmation testimony from Hernando Garzon, M.D., nominated as Chief Medical Officer of the Emergency Medical Services Authority. Senators asked about EMSA’s strategic plan, data integration, local flexibility in statewide standards, ambulance patient offload regulations, stakeholder engagement, disaster response, rural access, and alternatives to transporting 9-1-1 callers to emergency departments. Garzon emphasized data-driven decision-making, technical assistance to local EMS agencies, collaboration with hospitals and providers, and the use of community paramedicine, telehealth, and pre-positioned resources in disasters. Public commenters and members supported his confirmation, and the committee approved the appointment 4-0 for referral to the full Senate. The committee also heard from Stephanie Weldon, nominated as Deputy Director of the Office of Health Equity at the Department of Public Health. She described her tribal background, prior state, county, tribal, and nonprofit experience, and her focus on serving communities facing health disparities. Senators questioned her about how the office sets priorities, measures outcomes, balances equity work amid political opposition to DEI language, and tailors technical assistance to rural and tribal communities. Weldon pointed to work on tribal consultation, behavioral health, youth mental health, the California Reducing Disparities Project, gender-affirming care, reproductive health, housing and climate-related supports, and community advisory boards. Numerous public witnesses, including tribal and health equity advocates, spoke in strong support, and the committee approved her appointment 4-0 for the full Senate.

Transcript Highlights:

• We encourage your support. Thanks.
• The Public Education Department supports House Bill 120.
• It is a continuum of behavior management techniques.
• Is it punishing a behavior or trying to stop a behavior?
• How about supporters? Is there an organized support presentation at all? Did you all sign in too?

Keywords: 996, all

Transcript Highlights:

• I would certainly support that. I would personally support two 90-day sessions.
• I would certainly support that. I would personally support two 90-day sessions.
• There are proven ways to support even very challenging or demanding student behavioral health needs.
• support plans.
• And we are in support.

Bills: HJR6, HJR7, HB120, HB60, HB151, HR1, HM13, SB40, SB104

Keywords: constitutional amendment, legislative sessions, veto override, New Mexico legislature, session length, legislative session, even-numbered years, New Mexico Constitution, student behavior, physical restraint, seclusion, public schools, training, de-escalation, student safety, behavior interventions, criminal offenses, peace officer, Victims of Crime Act, law enforcement