Transcript Highlights:

• We do data collection on the direct support professional.
• support consultants there as far as I know, there's not enough of anything.
• And they have to be active in behavioral health or recovery support services, and that's a key component
• Yes, they do have to be active in behavioral health services, which can include recovery support services
• , how am I proving that I'm in recovery support services?

Transcript Highlights:

• Because now our standards are behavioral, we're assessing our children's values, beliefs and behaviors
• Um, while I support HB 1481.
• We feel supported and if I guess the school districts feel supported, then they will be able to help
• So, I, I am not in support of this bill, although I am in support of discipline, uh, around the cell
• Please support this bill and give school boards, administrators, teachers the support that they need.

Bills: HB6, HB27, HB123, HB210, HB213, HB222

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

Transcript Highlights:

• That piece of that bill was not supported to support us being a local public health unit.
• Oh, the behavioral health. We do have a tribal liaison." "Oh, the behavioral health.
• "Oh, the behavioral health.
• Oh, the behavioral health.
• To substance use or behavioral health in general.

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Transcript Highlights:

• It’s called long-term care support and services.
• It's incompatible, but the system is not caught up to what the behavioral needs are.
• Well, there are different behavioral facilities that exist. Thank you. Where do they go?
• Well, there are different behavioral facilities that exist.
• So what usually happens with the behavioral individuals is someone will say, all right...

Keywords: 994, senate, all

Summary: The committee met with a quorum present and heard a presentation from Marty Wright, CEO of the West Virginia Healthcare Association, on the state’s long-term care system. He described the continuum from home care to assisted living to skilled nursing facilities, emphasizing that these settings increasingly serve short-term rehab-to-home patients as well as older adults needing round-the-clock care. He also outlined the number of facilities in West Virginia, the predominance of Medicaid as the payer for long-term nursing home care, the private-pay nature of assisted living, and the role of OFAC/CMS in regulation. A major focus of the presentation was workforce shortages and turnover, especially for CNAs, LPNs, and RNs, along with declining interest in nursing careers and the impact of regulatory burden and burnout. Wright said the system is also struggling to serve younger patients with substance use disorder, mental illness, or other behavioral needs, who are often not well suited for traditional nursing home placement but have limited alternatives. Senators raised concerns about where such patients are being housed, the long-term effects of opioid and behavioral health issues, and the gap between school-age special needs populations and adult care needs. Wright said Medicaid can cover long-term nursing home care for those who meet financial and medical eligibility requirements, but affordability and spend-down requirements remain major barriers. He also warned that Medicare Advantage can create confusion and shorter covered stays for rehab patients, and he urged early planning around long-term care insurance and estate planning. No votes were taken on the presentation, and the committee adjourned after questions and discussion.

Transcript Highlights:

• I support that, and I also support line 107 for the wildfire mitigation program and initiatives.
• It's peer support workers, it's justice-involved training, it's patient navigation, it's regional behavioral
• That's to support schools with the highest.
• with behavioral health tax dollars.
• They need support and warm hands.

Transcript Highlights:

• They're already providing really robust reentry support.
• I'm supporting you on this cause.
• I would support that as well, too.
• They lead restorative justice and behavioral programs.
• People get incarcerated for their behavior.

Keywords: 995, all

Summary: The commission on correctional consolidation and collaboration heard testimony focused on how Massachusetts uses custody levels, staffing, programming, and medical release tools, with Prisoners’ Legal Services arguing that the system is overusing expensive high-security settings and underusing step-down options. Dave Rainey said the incarcerated population has dropped substantially over the last several years, but spending and staffing have not fallen in proportion. He argued that DOC overclassifies people into medium and maximum security, relies too heavily on behavioral assessment units that function like segregation, and keeps people in restrictive settings such as Souza-Baranowski and Shattuck Hospital longer than necessary. He also said medical parole is underused and that many people with serious chronic illness or advanced age pose little public-safety risk and should be released through existing legal pathways. Sheriffs and other commission members pushed back on some of those points, emphasizing that staffing needs are driven by the acuity of the current population, that corrections is not overstaffed, and that classification decisions involve serious public-safety judgments. They also stressed that some high-cost medical placements are necessary because people remain under sentence and require care, and that furloughs and other release tools can create security risks if contraband or substance use is involved. The discussion also covered the role of county sheriffs versus DOC in reentry, with several members saying county systems tend to do more day-to-day step-down and release planning, while DOC has more difficulty moving people through lower-security settings before release. Ben Foreman of MassINC offered a more systemwide, data-focused perspective, praising the state’s transparency and arguing that Massachusetts has made major progress in reducing incarceration and increasing public safety. He said the state still has an opportunity to improve by right-sizing facilities, investing in community-based mental health treatment, and using the commission to better understand the capital and operating costs of the current system. In response to questions, he said he was aware of DOC studies on programs like furlough but had not reviewed recent ones, and he noted that total-control facilities like Souza-Baranowski have long been criticized in the research literature for poor outcomes. Nora Wassel of the Women and Incarceration Project then testified that the commission should issue an interim report and scrutinize the planned new women’s prison, which she said is not justified by current population trends or available data. She argued that women are overclassified under DOC’s own tools, that reentry beds and minimum-security placements are underused, and that the system may be failing to account for women’s distinct medical and reentry needs. The meeting ended with continued discussion of reentry, furloughs, day reporting, and whether consolidation should mean fewer facilities, better step-down pathways, or both.

Transcript Highlights:

• We support SB 68.
• I support this bill. My name is Miles Gawson, and I support this bill.
• I support this bill. I'm Ryan Jekyll, and I support this bill.
• I support this bill.
• I support this bill.

Summary: The committee heard several health-related measures. SB 27 by Senator Umberg would revise and expand California’s CARE Court by limiting the expansion to people with bipolar I disorder with psychotic features, clarifying the definition of “clinically stabilized,” and narrowing the role of nurse practitioners and physician assistants. Supporters, including behavioral health officials and family members, said the bill would reduce dismissals and better serve people with severe illness; opponents warned the expansion would strain county staffing and housing resources and could undermine voluntary engagement. The bill passed on a do pass motion to the Committee on Public Safety. SB 503 by Senator Weber Pierson would require AI tools used in health care facilities to be identified, monitored, and mitigated for bias when used in clinical decision-making or resource allocation. The author and supporters from Kaiser Permanente and the California Medical Association said the bill would help prevent discriminatory outcomes and improve trust and safety. The committee discussed the need to clarify developer and deployer responsibilities, and the bill passed as amended to Privacy and Consumer Protection. SB 68 by Senator Menjivar would require restaurants to provide written allergen information for the top nine food allergens, with tiered flexibility for smaller establishments. The bill was supported by patients, families, nurses, and allergy organizations, who described severe reactions and the difficulty of relying on verbal disclosures alone. The California Restaurant Association opposed unless amended, seeking broader use of the national model food code and additional liability language. The bill passed as amended to Appropriations. The committee also heard SB 403 by Senator Blakespear, which would remove the sunset from the End of Life Option Act; supporters described the law as a compassionate, well-functioning option for terminally ill patients, while faith-based groups opposed it. The bill passed to Judiciary. Later, SB 41 by Senator Wiener was introduced to rein in pharmacy benefit manager practices that steer patients to mail-order pharmacies and reimburse community pharmacies below cost; community pharmacists and several health organizations testified in support, describing pharmacy closures and patient access problems.

Transcript Highlights:

• So more behavioral health workers.
• So more behavioral health workers.
• They create those behavioral changes, and that's why we call it behavioral health versus the medical
• </c> &gt;&gt; and now we begin to understand behavior &gt;&gt; and now we begin to understand behavior
• </c> leading them into that type of behavior. leading them into that type of behavior.

Keywords: 910, house, all

Transcript Highlights:

• Behavioral Health Facilities, or BHF, is our collaboration with state, local, and private behavioral
• And they support the project from award start to finish.
• that HCA supports us with, ensuring that certainly the capital project is, HCA supports us with, ensuring
• I'm testifying in support of this bill.
• UMC supports this bill, but we have concerns about its approach.

Bills: HB2330, HB2338

Keywords: energy systems, capital funding, state campus, school infrastructure, sustainability, weatherization, energy efficiency, community projects, environment, 904, all

Transcript Highlights:

• </c><00:03:57.439><c> analyst</c> that modifies positive support analyst that modifies positive support
• We want to support people. We want to support our neighbors, our elders, our children.
• </c> to support people.
• We want to support to support people.
• They do not support this. This proposal. They do not support this.

Keywords: 1187, senate, all

Transcript Highlights:

• It directly affects responder safety and public behavior in real time.
• These are behavioral health problems.
• We're not getting any of the money we need to help us support that.
• supports around the clock.
• And we've included behavioral health in that.

Summary: The committee held a hearing on active and mass shootings in California, focusing on prevention, response, training, communications, and gaps in preparedness across law enforcement, schools, campuses, fire, EMS, and state agencies. Opening remarks emphasized the frequency and impact of gun violence, the need for faster coordinated response, and the importance of learning from recent tragedies such as the Stockton-area mass shooting described by Sheriff Patrick Withrow. The first panel included representatives from police, sheriff, and campus public safety agencies, who discussed incident command, interoperable communications, next-generation 911, threat assessment, emergency notification systems, and the value of joint drills and cross-agency planning. Witnesses also highlighted differences in training and authority across jurisdictions, especially for private university public safety departments versus public campus police. Campus representatives said they rely heavily on municipal law enforcement for armed response, while also using run-hide-fight protocols, text alerts, surveillance, and threat assessment teams. Members raised concerns about standardized training, after-action reviews, mental health resources, school resource officers, and whether campus safety plans and drills are sufficiently consistent or workable. Sheriff Withrow argued that early intervention and accountability are being weakened by well-intentioned laws, while other witnesses stressed prevention through relationships, diversion, and coordinated support services. The second panel from Cal OES, the Department of Education, POST, and EMSA described statewide systems and standards. Cal OES outlined its Reduce the Risk initiative, gun violence restraining orders, mutual aid, unified command, after-action reporting, and nonprofit security grants. The Department of Education explained California’s statutory school safety framework, annual safety plans, regulated armed assailant drills, and local flexibility, while acknowledging compliance gaps and the need for more mental health support. POST described the new requirement for 16 hours of standardized active shooter training for recruits and ongoing local training options. EMSA explained its role in medical response and terrorism training standards. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• Proud can help support that.
• and support during pregnancy.
• We have a resource and referral support team that offers direct telephonic support to their patients,
• Our team also supports psychiatrists.
• Called us for support.

Keywords: 962, all

Summary: The meeting focused on maternal health and behavioral health services for pregnant and postpartum people in Connecticut. Dr. Fatmata Williams of DSS gave an update on the Husky maternity payment bundle, explaining that it was created in response to worsening maternal and neonatal outcomes and racial disparities. She said the bundle, launched in 2025, shifts payment away from fee-for-service toward prospective case rates, quality measures, and shared savings, while covering services such as doulas and maintaining access to behavioral health and other non-pregnancy-related care outside the bundle. She noted 26 maternity practices are participating, quarterly quality reports have been distributed, reconciliation is planned for 2026, and DSS is considering refinements such as adding newborns, revisiting shared losses, and possibly expanding to FQHCs after further stakeholder review. Shelly Nolan of DMHAS then described the state’s women’s services and recovery continuum, including pregnant and parenting treatment programs, women’s recovery support programs, community transition support with rent subsidies, the Proud program, REACH navigation, recovery houses, and outpatient services. She emphasized that many programs are under capacity and that DMHAS uses a no-wrong-door approach, real-time bed availability, technical assistance, and training to improve access. She also reviewed initiatives tied to substance-exposed pregnancies and safe sleep, secure storage, naloxone distribution, reproductive health integration, breastfeeding support, and upcoming conferences and trainings. She said the department works closely with DCF and community partners to reduce stigma and improve family-centered care. Beth Garrigan presented on the Access Mental Health and Substance Use for Moms program, a statewide consultation service for providers serving pregnant and postpartum individuals up to 12 months after delivery. She said the program offers real-time psychiatric consultation, referral support, and one-time face-to-face assessments, and has provided more than 4,300 consultations and resource/referral support to over 700 individuals since 2022. Members and legislators praised the service and discussed how it helps providers connect patients to care, follow up on referrals, and address barriers such as fit, stigma, and workflow. No votes were taken; the meeting ended with plans for the next meeting on June 8 and a request for Dr. Williams’ slides to be posted online.

Transcript Highlights:

• Carly Stelzer, California Behavioral Health Association, in support.
• We're in support. Tara Gambow Eastman with the Steinberg Institute, in support.
• in support.
• Harley Stelser with the California Behavioral Health Association, in support.
• Carly Stalzer with the California Behavioral Health Association, in support.

Summary: The Assembly Health Committee heard a long series of health-related bills, with most measures focused on access to care, administrative simplification, and behavioral health. Early items included AB 583, allowing nurse practitioners to sign death certificates; AB 492, requiring DHCS to notify local governments when new alcohol or drug recovery facilities are licensed; and AB 280, which would tighten provider directory accuracy requirements, add enforcement benchmarks, and allow use of a centralized database. Testimony on AB 280 highlighted the harms of “ghost networks,” while insurers and some provider groups opposed the bill as written, arguing it placed too much responsibility on plans and did not fully address provider-side data problems. AB 280 passed on a roll call vote, and several other bills were placed on consent and approved. The committee also advanced AB 636, expanding Medi-Cal coverage for medically necessary diapers for children up to age 21 and lowering the age threshold for access; AB 1041, streamlining physician credentialing with a uniform form and 90-day review deadline; and AB 787, requiring health plans to help enrollees find in-network providers quickly when directories fail. Supporters of these bills emphasized family financial strain, delays in care, and the burden of administrative red tape, while opponents of AB 1041 and AB 280 raised concerns about provider participation, accuracy, and liability. All three measures were approved and sent to Appropriations. The committee then took up AB 4 and AB 29. AB 4 would allow income-eligible Californians to buy Covered California coverage regardless of immigration status, and AB 29 would authorize Medi-Cal reimbursement for community health workers and doulas conducting ACE screenings. Both bills drew strong support from immigrant-rights, health access, and community-based organizations, and both passed on roll call votes, with AB 4 receiving some no votes. The committee also approved AB 416, which would allow emergency physicians to place 5150 holds in certain circumstances; supporters said it would reduce delays and overcrowding in emergency departments, while Disability Rights California and others warned it could increase unnecessary involuntary hospitalization and transfers to locked facilities. Despite those concerns, the bill passed and was sent onward for further consideration.

Transcript Highlights:

• both the target of the bullying supports both the target of the bullying behavior<00:09:28.040><c> and
• And so, for till January, there was absolutely no intervention, nothing to support this child's behavior
• And so, for till January, there was absolutely no intervention, nothing to support this child's behavior
• Families are asking for support, counselors, behavior specialists, restorative practices, not more ways
• Families are asking for support, counselors, behavior specialists, restorative practices, not more ways

Keywords: 1187, senate, all

Transcript Highlights:

• , support these families.
• , support these families.
• these students, support can we support these students, support these<01:07:26.559><c> families.
• So, I ask for your support of succeed. So, I ask for your support of this<01:36:24.719><c> bill.
• </c> able to properly support our students. able to properly support our students. &gt;&gt; Yep.

Keywords: 1187, senate, all

Transcript Highlights:

• Next up is Office of Behavioral Health.
• Two, think about it as peer support.
• We support it financially.
• permanent supportive housing.
• , behavioral health services.

Summary: The committee first heard a budget presentation on LSU Health Care Services Division and Lallie Kemp Medical Center. Staff reviewed HCSD’s roughly $74.7 million budget, much of it tied to legacy obligations for former LSU hospital systems and support for Lallie Kemp. Committee members asked about prisoner care, risk management costs, declining admissions and emergency visits, and the hospital’s 340B drug program. Lallie Kemp officials explained that prisoner care serves multiple state and local facilities, that lower admissions largely reflect more patients being placed in observation status, and that the in-house 340B program provides major savings to patients and the prison system. Members also asked about care for unhoused patients and the hospital’s discharge practices, and the hospital said social services works to find placement when possible. The committee then moved to the Louisiana Department of Health budget, which was presented as just under $23.5 billion, with Medicaid making up more than 90 percent of the total. The presentation covered the Office of the Secretary, Office of Public Health, Office of Behavioral Health, Office for Citizens with Developmental Disabilities, and Medicaid. Major items included the new Rural Health Transformation Program, the transfer of several functions from DCFS to LDH under the One Door initiative, changes to SNAP administration, and large Medicaid adjustments driven by enrollment, utilization, and federal policy changes. Testimony also highlighted the statewide crisis hub and 988, the commodity food program for seniors, women’s health and maternal outcomes, and the department’s efforts to modernize technology and reorganize services. Members questioned LDH officials on a wide range of budget and policy issues, including the rural health grant, crisis services, Medicaid redeterminations, provider taxes, physician and hospital supplemental payments, nursing home rates, HCBS funding, and the impact of the federal One Big Beautiful Bill Act. LDH said the rural health grant would support workforce, technology, and care-delivery improvements; that the crisis hub and mobile crisis units are being expanded to improve access and reduce emergency room use; and that the department is working to keep the SNAP error rate below 6 percent to avoid a projected state cost increase. Officials also said they expect to return next year with additional funding requests for HCBS and other programs, while emphasizing that current budget changes are largely meant to realign funding with actual expenditures and new federal requirements. No votes or formal actions were taken in the portion provided.

Transcript Highlights:

• Fatal crashes are caused by a range of unsafe driving behaviors.
• And we need to address that behavior immediately.
• statewide efforts in reducing fatal crashes and bad driving behavior.
• I'm here on behalf of my son, Connor Elliott-Lopez, in support of.
• I'm here supporting stronger laws like California SB 907.

Summary: The joint Senate Public Safety and Transportation hearing focused on DUI, impaired driving, speeding, distracted driving, road design, and the broader traffic safety system in California. Chairs Jesse Arreguín and Dave Cortese said the purpose was to inform upcoming legislation and noted that no bills would be acted on at the hearing. They emphasized the scale of the problem, including thousands of fatal and serious injury crashes each year, and framed the discussion around a Safe System approach that combines infrastructure, enforcement, education, and technology. The first panel covered current DUI law and traffic safety research. Thomas Nozowitz of the Committee on Revision of the Penal Code outlined California’s DUI penalty structure, including escalating misdemeanor and felony penalties, license suspensions, ignition interlock devices, Watson advisories, and homicide-related offenses such as vehicular manslaughter while intoxicated and Watson murder. Stephanie Doherty of the Office of Traffic Safety described statewide crash trends, the role of alcohol, drugs, and speeding in fatalities, and state efforts such as the Safe System approach, safety corridors, and grant funding for impaired-driving countermeasures. Dr. Julia Griswold of UC Berkeley SafeTREC presented research favoring systemic interventions like self-explaining roads, safer speed limits, speed safety cameras, intelligent speed assistance, ignition interlocks, sobriety checkpoints, and treatment for chronic offenders, while noting that first-time DUI offenders account for a large share of fatal crashes. Members pressed the panelists on first-offense DUI treatment, ignition interlocks, speed governors, diversion, and whether tougher sanctions or vehicle technology would better reduce recidivism. Several senators raised concerns about repeat offenders, alcohol-use disorder, and the need for earlier intervention, while others questioned the effectiveness and cost of in-car devices. The panel also discussed data gaps and the need for better reporting and coordination between courts and DMV. The second panel, with DMV Director Steve Gordon and Judge Lisa Rodriguez, explained how administrative and court processes work in parallel: DMV receives court abstracts and can impose administrative per se suspensions quickly, while courts handle criminal cases, probation, and sentencing on a slower timeline. Both witnesses said the system is complex and paper-heavy but improving, and they acknowledged the need for better integration, clearer statutes, faster reporting, and more timely license actions to keep impaired drivers off the road.

Transcript Highlights:

• A $258 million increase in the Medicaid behavioral health program.
• Moving on to Medicaid behavioral health, there's just one line on here.
• behavioral health services to reduce vacancy rates and support new and expanded programs for adolescent
• I hope this helps them, supports them.
• COGs and state agencies would like to see continued support for capacity.

Transcript Highlights:

• housing support Minnesota supplemental Aid<00:05:02.360><c> Behavioral</c><00:05:02.880><c> Health</
• c><00:05:03.639><c> generally</c><00:05:04.639><c> um</c> Aid Behavioral Health generally um Aid Behavioral
• </c> Community First services and supports Community First services and supports program<00:35:06.119
• </c><00:36:11.720><c> health</c> now go over the behavioral health now go over the behavioral health
• </c> sections relating to community support sections relating to community support and<00:36:30.400><

Keywords: 1183, house

Transcript Highlights:

• The Behavioral Health and Habilitation Administration comprises the functions of the former Behavioral
• I will use full titles: the Aging and Long-Term Support Administration, Behavioral Health agencies, and
• the The Aging and Long-Term Support Administration, Behavioral Health Administration, and the Developmental
• I'm going to say this very fast: Aging and Long-Term Supports, Developmental Disabilities, and Behavioral
• Administration, and Behavioral Health Mental Disability Administration, Aging and Long-Term Supports

Bills: HB2455, HB2468, HB2529

Keywords: housing assistance, youth, foster care, pilot program, social services, terminology correction, healthcare, regulatory compliance, department reorganization, Washington, DCYF, Department of Children, Youth, and Families, accountability board, oversight board, child welfare, juvenile rehabilitation, juvenile justice, early learning, family preservation, children and families