Transcript Highlights:

• impacting individuals and families who are struggling with mental health conditions, substance use disorders
• By recognizing the unique struggles faced by those with behavioral health disorders and their loved ones
• higher rates, and our API youth have higher rates of diagnosable mental, behavioral, or emotional disorders
• And with co-occurring substance use disorders who should have and could receive services for their mental

Transcript Highlights:

• algorithms to ensure kids are able to get their hands on drugs and become inflicted with eating disorders
• Aprexia is a neurological disorder caused by abnormalities or damage to the brain.
• types of aprexia, but today I want to focus on childhood aprexia of speech, a rare motor speech disorder
• Day, I urge my colleagues to remember this, when we cut services for children with developmental disorders

Transcript Highlights:

• per biennium supports are things like referrals to mental health care, referrals to substance use disorder
• 23.280><c> use</c> health care, referrals to substance use health care, referrals to substance use disorder
• > treatment,</c><00:19:25.120><c> making</c><00:19:25.520><c> sure</c><00:19:25.760><c> that</c> disorder
• treatment, making sure that disorder treatment, making sure that when<00:19:26.320><c> you</c><00:19

Bills: HF2446 , HF2563 , HF2444

Committee: House Ways and Means

Transcript Highlights:

• Oftentimes at the root of intoxicated-related offenses is a person with a substance use disorder.
• An estimated 65 percent of the U.S. prison population has an active substance use disorder Mental health
• professionals have emphasized the importance of treating this disorder from a public health approach
• Indicate that substance use disorder programs like PRSAP are so ineffective that participants are more

Bills: SB476 , SB664 , SB745 , SB826 , SB989 , SB1080 , SB1171 , SB1320 , SB1437 , SB1727 , SB1809 , SB2289 , SB2320

Committee: Senate Criminal Justice

Summary: The committee heard and advanced several criminal justice bills, with most of the discussion focused on oilfield theft, DWI enforcement, juvenile justice, reentry licensing, jail transparency, and court/judicial standards. SB 1320 would create a DPS oilfield theft unit headquartered in the Permian Basin; supporters from industry, law enforcement, and a district attorney described increasingly sophisticated, organized theft tied to cartels and multi-jurisdictional criminal networks, while DPS said it currently has only two officers working the issue. The committee voted SB 1320 out unanimously and placed it on the local and uncontested calendar. SB 826, which would enhance DWI committed in a school zone to a state jail felony, also passed unanimously after brief explanation and no testimony. SB 1171, adding juvenile justice OIG peace officers to Schedule C salary, was reported favorably on a committee substitute, and SB 1080, which would allow incarcerated people to obtain occupational licenses effective upon release, also passed on a committee substitute after testimony from formerly incarcerated advocates and reentry supporters. The committee also considered several bills aimed at tougher DWI penalties. SB 476 would increase intoxication manslaughter penalties when the offender violates an ignition interlock restriction; the bill was supported by the author, victims’ family members, Galveston officials, and law enforcement, but opposed by the Texas Civil Rights Project, which argued treatment and prevention would be more effective. After discussion about possible amendments, the bill was left pending. SB 745 would create a new first-degree felony option for intoxication manslaughter involving multiple deaths, and it was reported favorably after testimony from a prosecutor supporting the need for a stronger sentencing option. SB 2320 would broadly increase penalties for DWI offenses, including first-time DWI, DWI with an open container, high-BAC DWI, and repeat offenses; it was supported by a grieving family member and a sheriff, and the committee voted it out favorably. On juvenile justice, SB 1727 would expand tools to address assaults on staff at Texas Juvenile Justice Department facilities by lowering the age for transfer to adult prison in some cases, allowing earlier transfer of determinate-sentence youth, and restricting release when a criminal case is pending. Juvenile probation officials supported the bill as a public safety and victim-rights measure, while the Texas Civil Rights Project opposed it, arguing it would send children to inappropriate adult facilities and conflict with juvenile justice principles; the bill was left pending. SB 1437 would expand the juvenile justice do-not-hire registry to include non-certified positions, and it passed unanimously after supporters said it would help close loopholes that allow predators to move between child-serving jobs. SB 2289, requiring counties that house inmates out of state to report that information and any deaths to the Texas Commission on Jail Standards, also passed unanimously. Finally, SB 989, requiring criminal background checks for court personnel who determine bail, and SB 664, establishing statewide qualifications and oversight for magistrates and associate judges, were explained and discussed as transparency and public-safety measures, with SB 989 reported favorably and SB 664 under committee consideration at the end of the transcript.

Transcript Highlights:

• address. oftentimes at the root of intoxicated-related offenses is a person with a substance use disorder
• An estimated 65 percent of the U.S. prison population has an active substance use disorder. health professionals
• have emphasized the importance of treating this disorder from a public health approach rather than.
• program outcomes by comparing rates of program participants and indicate that quote substance use disorder

Bills: SB476 , SB664 , SB745 , SB826 , SB989 , SB1080 , SB1171 , SB1320 , SB1437 , SB1727 , SB1809 , SB2289 , SB2320

Committee: Senate Criminal Justice

Keywords: education, funding, school infrastructure, public schools, teacher support, intoxication manslaughter, criminal penalties, ignition interlock devices, youth offenders, vehicular homicide, Texas courts, judicial officers, associate judge, magistrate, master, referee, hearing officer, court administration, Government Code Chapter 54, Government Code Chapter 54A

Summary: The Senate Committee on Criminal Justice convened to address pressing issues surrounding oil field crime and safety on Texas highways. The meeting was initiated by Chair Flores, who emphasized the need for improved tools to combat repeat offenders having committed intoxicated driving, alongside tackling oil field theft that has escalated due to organized criminal activities. The committee heard public testimonies and engaged with various stakeholders, including law enforcement and industry representatives, who highlighted the complexities and dangers associated with these crimes. Notably, a significant focus was placed on Senate Bill 1320, which aims to establish a dedicated unit within the Department of Public Safety to investigate and address thefts specific to the oil and gas industry. This initiative seeks to strengthen coordination among various law enforcement agencies and improve training for local officers to combat these sophisticated theft operations more effectively.

Transcript Highlights:

• we put in some policies to address the pressing needs of mental health treatment, substance use disorder
• we put in some policies to address the pressing needs of mental health treatment, substance use disorder
• we put in some policies to address the pressing needs of mental health treatment, substance use disorder
• we put in some policies to address the pressing needs of mental health treatment, substance use disorder
• we put in some policies to address the pressing needs of mental health treatment, substance use disorder

Committee: House Ways and Means

Transcript Highlights:

• Those drivers were referred to alcohol use disorder treatment, and evaluating that program, they found
• urge you to really study what's being offered and to look at the way that we address substance use disorder
• and drug and alcohol disorders in our society and to apply those modalities when you're looking at this
• urge you to really study what's being offered and to look at the way that we address substance use disorder
• and drug and alcohol disorders in our society and to apply those modalities when you're looking at this

Transcript Highlights:

• health care, providing primary care services, dental, vision, mental health care, substance use disorder
• In the U.S., one in five women experience a maternal mental health disorder during or after pregnancy
• Postpartum depression, anxiety, and other disorders... ...in silence.
• Postpartum depression, anxiety, and other disorders can bring on overwhelming feelings of fear, sadness
• This includes clinical trials for evaluating psychedelic compounds to treat opioid use disorders, traumatic

Summary: The Assembly met after a quorum call, prayer, and Pledge of Allegiance, then moved through a long Daily File with several guest introductions and floor speeches. Members recognized visiting student leaders, championship football teams from Tuolumne County, Alpha Kappa Alpha members at their Capitol day, and later a descendant of Wong Kim Ark. The chamber also adopted a procedural motion allowing certain members to host guests in the rear of the chamber. Among the major policy items, AB 578 on food delivery platform refund practices passed 47-2, AB 344 on successor beer manufacturer definitions passed 61-0, AB 454 to make California’s migratory bird protections permanent passed 55-12 on the urgency clause, AB 482 updating the Table Grape Commission passed 64-1, AB 1237 to support transit access for 2026 FIFA World Cup ticket holders passed 56-15 on the urgency clause, AB 738 on wildfire rebuild solar exemptions passed 42-2, AB 1460 on 340B pharmacy access for clinics passed 41-5, AB 750 on homeless shelter oversight passed 49-1, AB 1061 on housing in historic districts passed 41-13, AB 1523 on expanding mandatory mediation thresholds passed 65-0, and AB 316 on AI-related civil liability passed 56-0. AB 761 authorizing the Monterey-Salinas Transit District to seek a sales tax ballot measure passed 47-12. The chamber also adopted several resolutions. AJR 3 urging protection of Social Security, Medicare, and Medicaid passed 53-2 after extensive debate that included criticism of federal cuts and counterarguments focused on state Medi-Cal policy and budget decisions. ACR 65 proclaiming California Tourism Month was adopted by voice vote after coauthors were added, and ACR 62 recognizing California Nonprofits Day was also adopted by voice vote with 65 coauthors. AJR 5 affirming birthright citizenship and opposing efforts to end it passed 58-1 after a lengthy, highly partisan debate centered on the 14th Amendment and the Wong Kim Ark precedent. The session also included passage of AB 571, a CEQA exemption for the Southern California Veterans Cemetery at Gypsum Canyon, which was presented as a long-running bipartisan effort to create a final resting place for Orange County veterans.

Transcript Highlights:

• House Bill 1790FN, relative to involuntary admissions for certain individuals with a substance use disorder
• with much lived experience specifically on the topic of involuntary commitment for substance use disorder
• Um, and the reality is this: the response to people with a substance use disorder of stripping them of
• As a parent, for substance use disorder.
• substance use disorder waiting for an<00:34:26.159><c> involuntary</c><00:34:26.800><c> bed.

Committee: House Health, Human Services and Elderly Affairs

Transcript Highlights:

• 41:58.560><c> behavioral</c> illness or significant behavioral illness or significant behavioral disorders
• c> that</c><00:42:00.800><c> render</c><00:42:01.200><c> them</c><00:42:01.440><c> extremely</c> disorders
• uh that render them extremely disorders uh that render them extremely violent,<00:42:02.480><c> often
• mental illness as well as serious mental illness as well as serious behavioral<00:55:58.319><c> disorders
• and often uh you behavioral disorders and often uh you know<00:56:00.480><c> it's</c><00:56:00.799><

Summary: The interim Budget Review Subcommittee for Justice and Judiciary received an update on Northern Kentucky University’s capital project to house the Northern Kentucky Medical Examiner’s Office and the Northern Kentucky Crime Lab in the former Highland Heights Civic Center building on NKU’s campus. NKU and Justice Cabinet staff described the project timeline: the building was identified in late 2022, lease terms were agreed to in early 2023, a pre-construction evaluation agreement was executed in May 2023, the General Assembly authorized $21 million in April 2024, and the lease and construction agreement were finalized in spring 2026. The project is now being prepared for bid, with construction expected to start in August and occupancy targeted for January 2028. About $1 million has been spent so far on design and related investigations. Testimony emphasized that the vacant building was structurally sound but required major upgrades, including HVAC, plumbing, electrical, roof, windows, a generator, specialized mechanical systems, security, and geothermal work to meet the needs of two separate operations sharing one facility. NKU said it is contributing $3.7 million to the project. Committee members asked about the condition of the building, the urgency of the project, and why the process took so long. Justice Cabinet and real properties officials said the medical examiner’s office had been shut down since roughly late 2017 or 2018, that the state had first sought funding in the 2022 budget for staffing, a lease, and equipment, and that it took time to find a suitable leased location because the facility has highly specialized requirements. Members also asked about operating costs, annual lease costs, and the impact of the office’s absence on families and counties in Northern Kentucky. Officials said the lease cost is based on NKU’s expected maintenance-related expenses, while utilities and staffing are covered through the Office of the State Medical Examiner or Kentucky State Police, with seven medical examiner positions funded in House Bill 500 and two additional KSP positions requested for the crime lab. They explained that, until the new facility opens, bodies from Northern Kentucky are generally transported to Louisville for autopsy, with transportation costs borne by the coroner’s office. No votes were taken, but the committee requested follow-up information, including lease cost numbers and additional details on facility usage and timing.

Transcript Highlights:

• We have youth who have psychotic disorders, and so getting to criminogenic risk is a We have youth who
• have psychotic disorders.
• I think personally, because the DSM continues to say that personality clusters, personality disorders
• I'm seeing is the higher personality disorder issues, more than the big three of, you know, bipolar,
• bipolar with psychosis, major depressive disorder, and schizophrenia, much more, by far.

Committee: Senate Criminal Justice

Transcript Highlights:

• doctor: communication impediment, hearing loss, blindness or visual impediment, autism spectrum disorder
• , traumatic brain injury, schizophrenia, Alzheimer's disease or dementia, post-traumatic stress disorder
• ><00:37:31.359><c> traumatic</c><00:37:31.839><c> brain</c><00:37:32.079><c> injury</c> spectrum disorder
• traumatic brain injury spectrum disorder traumatic brain injury schizophrenia<00:37:33.760><c> Alzheimer's
• </c> dementia post-traumatic stress disorder dementia post-traumatic stress disorder epilepsy<00:37:37.359

Bills: SB57 , SB155 , HB39 , HB77 , HB104 , SB57 , SB155 , HB39 , HB77 , HB104

Committee: Senate Finance and Taxation General Fund

Keywords: property, acknowledgment, conveyance, business entities, limited liability companies, state employees, payroll deduction, salary deduction, comptroller, membership association, membership dues, voluntary contributions, insurance premiums, financial instruments, deferred compensation, state payroll, employee benefits, association dues, withholding, Alabama Code 36-1-4.3

Transcript Highlights:

• be entitled an act relating to an awareness program for Alzheimer's disease and dementia-related disorders
• be entitled an act relating to an awareness program for Alzheimer's disease and dementia-related disorders
• for Senate Bill 1620, a bill to be entitled and act relating to mental health and substance use disorders
• There are good people that have substance use disorder disease. And we just need an opportunity.
• findings and recommendations of the 2025 report of the Commission on Mental Health and Substance Use Disorders

Summary: The Senate convened with opening prayer, the Pledge of Allegiance, and several recognitions and introductions, including guests from Miami Northwestern Senior High School, Clay County, and a moment of silence for Pope Francis. The chamber then took up a motion to reconsider the prior day’s failed vote on CS for SB 1080 (local government land regulation), which was adopted without objection, and moved into the special order calendar. A series of bills were debated and mostly passed, often after substituting House companions. Measures approved included funding for expedited DNA testing grants, additional aggravating factors in capital cases, fertility preservation coverage for cancer patients, commuter rail indemnification, migrant vessel disposition, specialty license plates, an Alzheimer’s and dementia awareness campaign, relocation of the Council on the Social Status of Black Men and Boys to Florida Memorial University, charter school changes, sexual offender registration updates, utility worker assault/battery penalties, juvenile justice revisions, student mental health outcome reporting, foster home licensure transfers, water access facilities, Florida Virtual School changes, school readiness resources for children with disabilities, sexual images/child exploitation penalties, tampering with electronic monitoring devices, certified recovery residences, the FSU Election Law Center, the Office of Faith and Community, and bonuses for county tax collector/property appraiser employees. Several bills were temporarily postponed, including measures on social media use by minors, veterans’ nursing homes, Parkinson’s disease, mental health and substance use disorders, education, educator preparation, benefits for certain officers injured in the line of duty, school social workers, and brownfields. Debate centered on public safety, health care access, education, recovery housing, and government administration. Some of the most substantive discussion came on the Office of Faith and Community bill, where an amendment to bar political activity by office staff was offered and defeated after extended debate over election-related communications and the proper scope of existing ethics laws. The certified recovery residences bill also drew extensive support and testimony about addiction recovery and housing stability. Most bills passed on strong bipartisan votes, with a few receiving notable opposition, including the charter schools bill, the aggravating factors bill, and the Office of Faith and Community bill.

Transcript Highlights:

• be entitled an act relating to an awareness program for Alzheimer's disease and dementia-related disorders
• be entitled an act relating to an awareness program for Alzheimer's disease and dementia-related disorders
• for Senate Bill 1620, a bill to be entitled and act relating to mental health and substance use disorders
• There are good people that have substance use disorder disease, and we just need an opportunity.
• findings and recommendations of the 2025 report of the Commission on Mental Health and Substance Use Disorders

Summary: The Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including guests from Miami Northwestern Senior High School, Clay County, and a moment of silence for Pope Francis. Members then moved to the special order calendar after adopting a motion to reconsider the earlier failed vote on CS/SB 1080, which was temporarily postponed. The chamber also temporarily postponed several bills during the day, including measures on social media use by minors, veterans’ nursing homes, Parkinson’s disease, mental health and substance use disorders, education, educator preparation, benefits for certain officers injured in the line of duty, Brownfields, and school social workers. The Senate passed a series of bills with little or no opposition, often substituting House companions for Senate bills. These included expedited DNA testing grants for law enforcement; additional aggravating factors in capital felony sentencing; fertility preservation coverage for cancer patients; commuter rail indemnification; disposition of migrant vessels; specialty license plates; an Alzheimer’s and dementia awareness campaign; relocation of the Council on the Social Status of Black Men and Boys to Florida Memorial University; charter school changes; registration rules for sexual predators and offenders; assault and battery penalties for utility workers; juvenile justice revisions; reporting of student mental health outcomes; foster home licensure transfers; water access facilities and boating-related funding; Florida Virtual School changes; school readiness program improvements; protections against lewd sexual images of children; age-related criminal offense provisions; tampering with electronic monitoring devices; certified recovery residences; and codification of the FSU Election Law Center. Most of these bills passed overwhelmingly, though the charter school bill and the aggravating factors bill drew more divided votes. One of the most debated measures was SB 820, codifying the Office of Faith and Community. Senator Polsky offered an amendment to bar political activity by office employees while on duty and using government resources, citing alleged election-related emails and concerns about mixing government and religious influence. Supporters argued the amendment was needed as a guardrail; opponents said existing law already covered the conduct and that the amendment could be confusing or overly broad. The amendment failed 13-23, and the underlying bill passed 27-9 after extended debate about faith, politics, and the office’s role. Another notable debate involved SB 954 on certified recovery residences, where senators emphasized the need for stable housing in addiction recovery and the bill passed unanimously after supportive remarks from members who had personal experience with recovery. The Senate also passed SB 674 on bonuses for county tax collector and property appraiser employees after questions about safeguards and the purpose of the bonuses.

Transcript Highlights:

• health advocate with more than 20 years of expertise in the areas of mental health and substance use disorders
• health advocate with more than 20 years of expertise in the areas of mental health and substance use disorders
• my passion is translating scientific knowledge for the public and policy. use disorders.

Committee: Joint Joint Committee on Revenue

Summary: The Joint Committee on Revenue held a hybrid hearing on a large slate of bills related to advertising, economic development, tourism, digital advertising, delivery taxes, and alcohol taxation. The first panel supported H. 3249, which would create a high school trade partnership program linking public schools with private employers, especially in manufacturing, and would offer employers a tax credit for participation. Representative Soder, Uxbridge High School leaders, and others argued the bill would strengthen career pathways, build a skilled workforce, and keep students and jobs in Massachusetts. The committee then heard testimony on H. 3031 and S. 2003 to modernize the Massachusetts Tourism Trust Fund by dedicating an additional share of hotel occupancy tax revenue to tourism promotion. Tourism and hospitality representatives from Cape Cod, Southwick Zoo, and Indian Ranch said the proposal would not raise taxes but would reinvest existing visitor-generated revenue into marketing that supports jobs, local businesses, and municipal tax receipts. A tech-industry coalition opposed several digital advertising tax bills and a delivery tax bill, warning they would raise costs, create uncertainty, and burden consumers, small businesses, and delivery workers. The largest portion of the hearing focused on S. 2029, which would raise the alcohol excise tax by 10 cents per drink and dedicate the revenue to public health programs. Public health experts, advocates, a student prevention leader, and representatives from Jane Doe, Inc. argued the tax would reduce alcohol-related harms, address decades of inflation-driven erosion in the tax, and generate substantial new funding for prevention, treatment, domestic violence services, and community schools. Committee members asked questions about the current tax structure, inflation, and how the proposal compares with neighboring states. No votes were taken during the hearing, and the chair adjourned after public testimony concluded.

Transcript Highlights:

• and Community Corrections to administer grants supporting mental health treatment, substance use disorder
• may also support Proposition 36 implementation, including mental health treatment, substance use disorder
• Proposition 36 implementation, including mental health treatment, substance use disorder treatment, diversion

Committee: Senate Joint Legislative Audit

Transcript Highlights:

• Marshall for cannabis research, 10% to WVU's Rockefeller Neurosciences Institute for Substance Use Disorder
• Marshall for cannabis research, 10% to WVU's Rockefeller Neurosciences Institute for Substance Use Disorder
• Marshall for cannabis research, 10% to WVU's Rockefeller Neurosciences Institute for Substance Use Disorder

Summary: The Senate Finance Committee met with a quorum present, approved the prior meeting minutes, and then considered a series of House bills and committee substitutes. House Bill 5438, dealing with changes to Step 7 of the school aid formula and allowable uses of certain education allocations, was amended to adopt the Education Committee’s changes and then reported to the full Senate. House Bill 4087 creating the West Virginia-Ireland Education Alliance was also reported, as was House Bill 4191, which expands child care tax credit eligibility for employer-sponsored facilities and changes subsidy payments from attendance-based to enrollment-based reimbursement; senators emphasized its workforce and economic development benefits. House Bill 5074, which reallocates medical cannabis fund balances and future revenues, was amended to increase the Child Protective Commission pilot funding from $3 million to $5 million and remove proposed ibogaine research funding for Marshall and WVU before being reported. House Bill 5353, regulating virtual currency kiosks and money transmission licensure, and House Bill 5527, creating licensure and oversight for wellness reimbursement program administrators, both received strike-and-insert amendments and were reported. House Bill 5687, which phases down the metallurgical coal severance tax and adds a temporary oil and gas tax reduction with county/municipal revenue adjustments, was amended and reported. House Bill 4418, creating an electronic system for municipal business and occupation tax filing and collection with a 1% administrative fee and a participation threshold, was also reported. The committee then took up House Bill 4245, the Revenue Rules Bundle, which bundles 26 legislative rules from the Department of Revenue and related agencies. The bundle included alcohol, banking, insurance, racing, and tax rules, with several sunset extensions and repeals of outdated rules; the committee adopted a strike-and-insert amendment affecting a lottery consumer protection rule and a pre-need cemetery company rule, then reported the bill. House Bill 5168, providing a $12 million lottery-funded stream for emergency medical services, was amended to clarify the uses of the funds, rename one fund, require a 30% county match for mental health treatment spending, and create two additional county-based EMS funds; senators described it as a needed permanent funding source for EMS, and it was reported. Throughout the meeting, members generally supported the measures, with some discussion on technical details, funding allocations, and the impact of the bills on local services and workforce needs. At the end of the meeting, the chair announced that Senate House Bills 4004, 4006, and 4009 would not be taken up that day, and the committee adjourned.

Transcript Highlights:

• had mentioned New Jersey, and I think almost every other state does direct money toward gambling disorder
• I'm wondering if... ...direct money toward gambling disorder.
• you're aware of, do you have a sense of how much the tribes here in Washington direct toward gambling disorder

Bills: HB2205 , HB2309 , HB2206 , HB2123 , HB2120 , HB2411

Committee: House State Government & Tribal Relations

Keywords: sports wagering, gambling regulation, state control, licensing, consumer protection, state employment, classified service, civil service, job qualifications, degree requirements, postgraduate degree, master's degree, doctorate, higher education, Office of Financial Management, OFM, classification plan, salary survey, market rate pay, compensation

Transcript Highlights:

• with complex needs; and overdose response to help prevent overdoses for people with substance use disorder
• while the social worker would help with concerns like housing or food insecurity, substance use disorder
• community paramedics in some counties can administer antipsychotics and medications to manage opioid use disorder

Committee: Joint JLARC I-900 Subcommittee for SAO Performance Audits

Summary: The Joint Legislative Audit and Review Committee’s State Auditor Subcommittee held a hybrid public hearing on two Initiative 900 performance audits. The first audit examined CARES programs run by fire agencies to reduce non-emergency use of emergency systems. Auditors reported there are 52 such programs statewide, but many communities still lack one despite need. Key barriers identified were unstable funding, difficulty hiring qualified staff, lack of statewide guidance, and inconsistent access to patient records. The audit also found that only about half of programs tracked both required performance measures, and it recommended legislative action to consider private insurance reimbursement and to convene a statewide CARES work group. Fire agency representatives largely agreed with the findings and emphasized that short-term grants and one-year contracts make programs hard to sustain, while some noted support from accountable communities of health and hospitals. Committee members asked about why only a small share of programs receive Medicaid or accountable community of health funding, and auditors clarified that the 10% figure referred to direct Medicaid reimbursement for treat-and-refer services, which some agencies do not pursue because the payment is too low relative to the administrative effort. Agency witnesses said ACH support can help but is often temporary and uncertain. Members also asked whether the new public safety sales tax authority could help fund these programs, but fire district representatives said it is generally not a direct option for them. The second audit focused on improving performance management in the Department of Commerce’s economic development programs. Auditors found the Office of Economic Development and Competitiveness lacks a division-wide strategic plan and has inconsistent performance management across its 16 programs. They recommended stakeholder engagement, clearer goals and measures, alignment between program and division goals, and stronger contract and grant performance provisions. Commerce officials agreed with the findings, said work on a statewide economic development plan is already underway, and described efforts to align divisional planning with broader agency strategy. The chair asked Commerce to return next year with progress updates, and the meeting ended with notice that written testimony could still be submitted and that another JLARC meeting would occur in November.

Transcript Highlights:

• with complex needs; and overdose response to help prevent overdoses for people with substance use disorder
• while the social worker would help with concerns like housing or food insecurity, substance use disorder
• community paramedics in some counties can administer antipsychotics and medications to manage opioid use disorder

Committee: Joint JLARC I-900 Subcommittee for SAO Performance Audits

Summary: The Joint Legislative Audit and Review Committee’s Initiative 900 subcommittee held a hybrid public hearing on two State Auditor performance audits. The first audit examined efforts to reduce non-emergency use of emergency systems through CARES programs. Auditors reported that Washington has 52 fire-agency-led CARES programs in 26 counties, but many communities without programs said they need one. Major barriers included unstable funding, difficulty hiring qualified staff, volunteer-based rural departments, and lack of statewide guidance. The audit also found that only about half of programs tracked both required performance measures, and it recommended that the legislature consider private insurance reimbursement options and convene a statewide work group to develop guidance, standards, and possible changes to the role of the Department of Health. Agency representatives and fire officials largely supported the findings and emphasized that short-term grants and one-year contracts make programs hard to sustain. Committee discussion focused heavily on financing, especially Medicaid reimbursement and accountable communities of health (ACHs). Auditors clarified that the 10% figure cited in the report referred to direct Medicaid reimbursement for treat-and-refer services, which some agencies do not pursue because the $115 rate is too low relative to the administrative effort. Several fire officials testified that their programs rely on grants and ACH support, but that funding is often year-to-year and uncertain. They also described the value of CARES programs in reducing emergency room use, jail detentions, and long ambulance wait times, while noting barriers to sharing patient records across systems. Members asked whether the new public safety sales tax authority could help, but fire district representatives said it is not a direct funding option for them. The second audit reviewed performance management in the Department of Commerce’s Office of Economic Development and Competitiveness. Auditors found that the division does not yet have a statewide economic development strategic plan and that performance management is inconsistent across its 16 programs. In a limited review, all six sampled programs had goals, but only half clearly identified performance measures and targets, and only three tracked outcomes and published results. The audit highlighted leading practices from other states, including strategic planning, regular progress reporting, aligning program goals with agency goals, and using performance-based contracts and grant monitoring. Recommendations urged Commerce to seek stakeholder input, assess internal and external conditions, set goals and measures, align programs with the strategy, and strengthen monitoring and evaluation. Commerce officials agreed with the audit and said the division is already working toward a strategic plan, with a new assistant director to be hired and a target of completing the work by mid-next year. Members pressed the department on how the plan would connect to workforce, higher education, housing, and other economic development systems, and asked Commerce to return to JLARC next year with progress updates. The meeting ended with instructions for submitting written public comments and notice of the next JLARC meeting schedule.