Transcript Highlights:

• , as well as safety planning and coordinating warm transfers to mobile crisis intervention and the behavioral
• I am the president and CEO of the Association for Behavioral Health Care, or ABH.
• He got intrusive thoughts and OCD behaviors. This was not our Sam.
• We stop asking what's driving the symptoms, and instead we manage behavior.
• He had increased anxiety, emotional dysregulation, obsessive behaviors.

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use and Recovery opened its first public hearing of the 2025–26 session with remarks from the Senate and House chairs outlining the committee’s priorities. They noted recent work on addiction and recovery legislation, the ongoing youth behavioral health crisis, and that members might need to leave periodically for floor votes. The chairs explained hearing procedures, including three-minute testimony limits, written testimony deadlines, and reporting deadlines for Senate and House bills. The hearing then focused on several bills related to youth mental health, overdose prevention, and psychedelic treatment research. A major portion of the hearing centered on bills to improve youth crisis response and overdose prevention. Testimony strongly supported bills to print the 988 Suicide and Crisis Lifeline on student ID cards, with speakers from mental health organizations, crisis centers, and individuals sharing personal stories of depression, suicide attempts, and the importance of making 988 as familiar as 911. Another set of bills would require schools to stock naloxone and provide overdose prevention education. Physicians, harm reduction advocates, students, and grieving family members testified that school-based Narcan access and education could save lives, reduce stigma, and help students recognize overdoses and understand Good Samaritan protections. Senator O’Connor and Tamika Perry also testified for a bill to strengthen substance use prevention education and reduce overdose abandonment, emphasizing the need to teach students about overdose risks and the legal protections for calling 911. The committee also heard testimony on a bill to authorize a pilot program for psychedelic treatment in licensed facilities. Senator Friedman and several medical and behavioral health professionals argued the proposal was a narrow, research-based approach distinct from the broader ballot question rejected in 2024. They said the bill would allow only a small number of supervised clinics to use psychedelics for conditions such as depression, PTSD, anxiety, and substance use disorders, with data reporting and Department of Public Health oversight. Supporters described it as a cautious way to study promising treatments while avoiding unsupervised or commercialized use. Finally, the committee heard support for a bill to create a special commission and five-year strategic plan for children’s behavioral health services, with testimony that the current system is fragmented, difficult for families to navigate, and strained by workforce and funding challenges. No votes or final actions were taken during the hearing; the committee primarily received testimony and questions on the bills.

Transcript Highlights:

• <00:03:49.440> health, maternal health, behavioral health, maternal health, behavioral health
• uh deal with acute crisis intervention uh deal with acute crisis intervention uh<00:07:14.000>
• :30:32.360> and insecurity, behavioral health and insecurity, behavioral health and substance<
• If that behavior correct that behavior.
• . interventions. interventions.

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.

Transcript Highlights:

• health conditions and receiving behavioral health treatment.
• behavioral health expenditure growth for the following three years.
• So the behavioral health expenditure target ...of 100 on behavioral health care.
• I am the president and CEO of the Association for Behavioral Health Care.
• We actually do pretty well on children's access to behavioral health.

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use and Recovery held a public hearing on 14 bills focused on insurance, parity, opioids, behavioral health access, and mental health system reform. Chair Mindy Domb and Vice Chair Robyn Kennedy outlined hearing procedures and noted the committee would accept written testimony. The hearing featured testimony from legislators, providers, advocates, and behavioral health organizations, with most speakers urging favorable reports on the bills they addressed. A major topic was psychiatric collaborative care, including H. 222/S. 1390, which would raise reimbursement for collaborative care codes to at least Medicare levels and allow billing outside the MassHealth primary care subcapitation model. Supporters said the model improves access, outcomes, and cost savings by embedding behavioral health in primary care, and several witnesses described successful implementation in practices and schools. Committee members asked questions about how the model works, what specialties use it, barriers to adoption, and whether copays, deductibles, and subcapitation rules should be changed. Witnesses also supported related innovation legislation, including H. 2224, which would create a mental health innovation fund and support nontraditional trauma-healing approaches. Other bills discussed included H. 2212, which would require prescribers to discuss opioid and pain-medication risks, alternatives, and addiction/overdose concerns with patients or guardians; H. 2232 and H. 2233, which would address equitable payment and equitable access for behavioral health providers serving MassHealth patients; and S. 1406, which would add opioid maintenance treatment information to MassPAT and allow patient-authorized access to that information. Witnesses also strongly backed S. 1399, which would set targets to increase behavioral health spending within the overall health care cost benchmark, arguing that Massachusetts underinvests in behavioral health and that greater investment could reduce emergency, hospitalization, homelessness, and criminal justice costs. No votes were taken; the hearing concluded after testimony and committee questions.

Transcript Highlights:

• The third, 18313, repeals a three-year behavioral interventionist pilot program.
• the services or interventions they need before the underlying causes of the absences are exacerbated
• , which may be To preventative measures for intervention on behalf of students.
• And so I don't disagree that early intervention is very critical. I don't disagree with that.
• Don't disagree with the earlier interventions. Early interventions are always critical and helpful.

Keywords: 994, senate, all

Summary: The committee met, established a quorum, and approved the minutes from the prior meeting. It then took up House Bill 5537, a repeal bill that removes several obsolete code sections related to professional development, a behavioral interventionist pilot program, child daycare facility lists, and high school graduation rates, and also adds another outdated section to the repeal list. After adopting the committee amendment, the committee voted to report HB 5537 to the full Senate with a recommendation that it do pass as amended. The committee then spent most of its time on House Bill 4656, which would replace the current truancy status-offense framework with a chronic absenteeism and child-in-need-of-supervision model. Counsel explained that the bill shifts the focus toward earlier, preventative intervention, including wraparound services, student support specialists, and a new definition of chronic absenteeism tied to failed interventions, lack of meaningful contact, grade-level impact, or absences reaching 10% of instructional days. Senators questioned how the new process would work, how it would affect court authority, prosecutors, juvenile drug courts, and whether it would change the role of schools and DHHS. Witnesses from Fayette, Greenbrier, and Taylor counties testified. School attendance and juvenile justice officials generally said the current truancy process and court involvement help secure family participation and services, and they warned that removing the status offense could weaken enforcement and reduce the ability to compel participation in interventions. They described existing diversion programs, improvement periods, and court-supervised services as effective tools, with Greenbrier reporting that most diversions do not result in petitions. The committee ultimately voted to report HB 4656 to the full Senate without recommendation and with a further recommendation that it be re-referred to the Committee on Education. The committee then adjourned.

Transcript Highlights:

• Is absenteeism a behavior problem or a barrier problem?
• And what they're really needing is an intervention that addresses that, right?
• We try to develop an intervention plan. What can we do?
• And it provides tips and interventions for parents, again, all... ...and it provides tips and interventions
• Early warning interventions for our tier two students are the same.

Summary: The committee on Pre-K through 12 Education met to discuss chronic absenteeism, district attendance interventions, and related truancy procedures. Chair Simon reviewed Florida’s attendance laws and escalation process, including school-based interventions, child study team meetings, referrals to the Department of Juvenile Justice, truancy petitions, and possible sanctions for parents and driving privileges. The committee heard first from University of Florida professor Dr. Chris Curran, who presented state and national absenteeism data showing chronic absenteeism has risen sharply since the pandemic, with Florida at about 31.4% in 2023-24. He emphasized that absenteeism has multiple causes, including transportation, mental health, housing instability, safety concerns, and family barriers, and said effective responses include early warning systems, multi-tiered supports, mentoring, and community partnerships rather than relying only on punitive measures. Members questioned Dr. Curran about whether absenteeism is a behavior or barrier issue, whether exclusionary discipline is counted, the need for a uniform definition across districts, and whether more punitive truancy enforcement is effective. He said the issue is usually a mix of barriers and choices, that excused and unexcused absences both matter for chronic absenteeism data, and that root-cause analysis and supportive interventions are generally more productive than punishment alone, though consequences can still play a role. The committee then heard from Collier County Superintendent Leslie Ricciardelli and district staff, who described a highly structured attendance system built around attendance specialists, social workers, mental health staff, home visits, attendance contracts, multilingual outreach, and frequent parent notifications. They said Collier’s chronic absenteeism rate was about 9% in 2023-24 and credited their success to early contact, community partnerships, and a strong district culture around attendance. Volusia County Schools Executive Director Mike McAuliffe described a newer districtwide attendance initiative that uses automated letters, same-day notifications, data dashboards, MTSS tiers, incentives, and community supports such as bikes, washers and dryers, and faith-based partnerships. He reported Volusia reduced chronic absenteeism from 34% in 2023-24 to a projected 29% and said the district is now seeing about 20% in the first quarter of the current year. No formal votes were taken.

Transcript Highlights:

• Along the spectrum of homelessness, you have to have interventions the whole way.
• We need interventions along that whole spectrum.
• And then the third piece is improving prevention and early intervention services.
• And Allie Hedrick, division director for Family Support Early Intervention.
• Our Family Support and Early Intervention division has really our strong prevention to intervention continuum

Transcript Highlights:

• interventions, then they're able to quickly put those interventions and remediation in place based off
• Students are intervened as part of our intervention process.
• Sometimes I like to call it the ABCs: attendance, behavior, and coursework.
• Are they exhibiting behaviors?
• They really come together as a group to identify what interventions should be put in place.

Summary: The subcommittee first heard an overview from Department of Education Chancellor Paul Burns on Florida’s K-12 governance structure and major divisions, including early learning, public schools, safe schools, school choice, and accountability. He highlighted school readiness and VPK, teacher preparation and licensure, school safety functions, scholarship and virtual/home education programs, and FAST progress monitoring. Burns also cited statewide gains such as higher mid-year reading performance, a record graduation rate of 89.7%, and record CTE enrollment, while members questioned the meaning of Florida’s “number one” education rankings, teacher pay, post-COVID learning loss, vacancies, and chronic absenteeism. St. Lucie County Superintendent John Prince then described the scale and responsibilities of a mid-sized district, emphasizing student safety, transportation, meals, hurricane shelter operations, career and technical education, teacher recruitment and retention, progress monitoring, remediation, and mental health supports. Members asked about school shelter construction standards, remediation funding, late school start times, attendance, and concordance scores; Prince argued for more flexibility for CTE pathways and noted that local districts use a mix of state and federal funds to support remediation and staffing. The committee then moved to an early warning systems panel. Burns explained that Florida law requires districts to use attendance, behavior/suspensions, course performance, FAST results, and other academic indicators to identify students needing support, with districts and families developing intervention plans. Superintendents from Putnam, St. Johns, and St. Lucie counties said chronic absenteeism is tied to achievement and NAEP decline, but causes vary by district, including poverty, transportation, daycare, family instability, travel, and student athletics. They described MTSS, PBIS, home visits, attendance letters, and community partnerships as responses. Members also discussed VPK access, full-day VPK funding, excused versus unexcused absences, and the need for earlier intervention in pre-K and K-2. Finally, Vice Chancellor Darren Norris outlined Florida’s post-Parkland school safety measures, including armed school officers, anonymous reporting, behavioral threat assessment teams, mental health training, panic alert systems, emergency drills, active assailant response policies, and firearm detection canines. Superintendents said compliance is costly and often requires shifting local funds, but they praised state grants for mental health, hardening, and mapping. They noted ongoing challenges with new mandates, capital costs, manual reporting burdens, and the need to balance safety requirements with classroom resources.

Transcript Highlights:

• The topics of behavioral health workforce studies and commissions.
• As the legislature, we have focused on the issues related to the behavioral health workforce through
• I desperately needed intervention. I felt so alone. Thank you. My spouse couldn't do it.
• At my clinic, we have integrated behavioral health care, which is a model in which behavioral health
• It includes integrative behavioral health. We treat patients with substance use disorder.

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on 17 bills focused on behavioral health workforce shortages, studies, and commissions. Chairs Mindy Domb and Senator John Velis opened by emphasizing the severity of the Commonwealth’s mental and behavioral health workforce crisis, the resulting gaps in access to care, and the legislature’s ongoing use of loan repayment programs, studies, and commissions to address these issues. They outlined hearing procedures and noted that testimony would be limited to three minutes, with written testimony also accepted. A major portion of the hearing focused on bills to expand the primary care workforce, including H. 2205/S. 1385, which would broaden eligibility for the Mass RePay loan repayment program. Testimony from the Massachusetts Medical Society, Senator Jo Comerford, and Dr. Kate Atkinson described severe primary care shortages, long wait times, physician burnout, high debt burdens, and the need to recruit and retain physicians in more practice settings and regions. Committee members asked about the likely impact of loan repayment, the role of nurse practitioners and physician assistants, and how to prioritize limited funding. Witnesses argued that primary care investment improves access and outcomes and that the bill would help sustain community-based practices. Another large block of testimony supported H. 2208/S. 1411, the proposed perinatal behavioral health care workforce trust fund, often referred to as the Moms Matter Act. March of Dimes, perinatal mental health advocates, doulas, clinicians, parents, and organizations such as the Boston Public Health Commission and Empty Arms Bereavement Support testified that postpartum depression, anxiety, substance use, and grief are widespread, often untreated, and worsened by long waitlists and a shortage of trained, culturally competent providers. Speakers repeatedly stressed that screening alone is not enough without a workforce to provide timely treatment, and several shared personal stories of postpartum illness, loss, and difficulty accessing care. The bill was also framed as a needed complement to the Commonwealth’s recent maternal health law, which increased screening and therefore increased demand for treatment. The committee also heard support for the Bridge Act, H. 2207/S. 1388, which would create mental health capacity grants for organizations serving communities at high risk of hate crimes or hate incidents. Testimony from the Jewish Community Relations Council and the bill’s sponsor described the mental health harms of hate, including anxiety, trauma, isolation, and loss of trust, and argued that community organizations need resources to build resilience and provide support. In addition, the committee heard from the Massachusetts Mental Health Counselors Association on H. 2218/S. 1380, which would update job classifications to explicitly include licensed mental health counselors and licensed supervised mental health counselors in state behavioral health roles. Witnesses said the change would modernize hiring, expand access, and better reflect current licensure and scope of practice. No votes were taken during the hearing, and the session ended with a motion to adjourn after all testimony was completed.

Transcript Highlights:

• And so that's our goal, again, to target interventions.
• From the actual commencement of the period of the intervention.
• So cognitive behavioral therapy change just takes time, right?
• If you look at some of the interventions in the literature, like behavioral therapy, they recommend six
• We had some unused money from the Behavioral Health Initiative.

Keywords: 995, all

Summary: The Special Commission on Correctional Consolidation and Collaboration met to approve the May 5 minutes and hear a presentation from the Massachusetts Probation Service. The minutes were approved unanimously, with a request that a member’s closing remarks be added to the record. The commission also noted online participants and confirmed quorum before moving to the presentation. Probation leaders described the agency’s role as the state’s largest post-release supervision system and emphasized its focus on reentry, accountability, and reducing technical violations. They outlined the from-and-after sentencing structure, dual supervision with parole, and efforts to reduce revocations and non-criminal violations. Members asked about racial and ethnic disparity work, and probation said that effort is funded through the trial court and state budget, not federal grants. The presentation highlighted community engagement, simplified and translated probation conditions, workforce diversification, and training aimed at improving trust and access for court users. A major portion of the discussion focused on Community Justice Support Centers, evidence-based programming, and shared services such as housing, MassHealth enrollment, transportation, and behavioral health referrals. Probation said the centers are underutilized but have shown improved outcomes in non-randomized studies, with lower recidivism among participants compared with similar probationers. Members discussed mental health access, veterans identification, medication-assisted treatment, and the importance of state IDs and driver’s licenses for successful reentry. The commission also heard about housing supports, including transitional and sober housing, and a statewide behavioral health initiative for justice-involved individuals. The meeting ended with plans for the next session on July 11 and a motion to adjourn, which passed.

Transcript Highlights:

• :35.520> be there interventions that can be there interventions that can be implemented<00:17:
• that that's too long for a behavioral that that's too long for a behavioral health<00:57:11.359>
• where are we between IEP and behavior? where are we between IEP and behavior?
• I think if a provide intervention.
• uh intervention system in place.

Keywords: 928, house, all

Summary: The commission met to review and amend the minutes from its previous meeting, correcting the date, several spelling and wording errors, and clarifying references to a scholarship fund and a member’s title. The minutes were then approved as amended, with some members abstaining because they were not present at the prior meeting. The chair then turned to the commission’s work plan under SB 57, emphasizing the need to prioritize the statutory topics and identify which issues require additional research, documentation, and possible spreadsheets. Members discussed a broad range of special education cost drivers and policy questions, including student referral rates, why students are classified as other health impaired, whether referrals increased after COVID school closures, intervention processes before referral, the cost of services required under IEPs and 504 plans, differences between federal law, state law, and DOE rules, reporting of special education costs, out-of-district and residential placements, district sharing of resources, dispute resolution, graduation rates, and adult learning outcomes. Several members raised concerns that school environments, mental health, bullying, and possible overidentification may be contributing to rising special education numbers and costs, while others cautioned that some reported district percentages may be inflated or unclear because of how the data are counted. A major portion of the meeting focused on HB 742, which would eliminate prorated special education aid when state appropriations are insufficient and require the governor to draw a warrant to cover shortfalls. Representative Ames explained that the bill had been recommended for interim study because the commission is already examining special education costing, and he highlighted the gap between FY24 special education costs of about $977.1 million and state aid of $33.9 million for catastrophic aid, $67.4 million for differentiated aid, and $50.8 million in federal IDEA funds, leaving local districts to cover about $825.1 million. He argued the commission should ultimately make clear that both the federal government and the state should contribute more. The Department of Education, through Melissa White, answered questions about data and oversight. She said special education counts come from IEPs entered into the state system using SASIDs, that DOE monitors districts through both desk audits and on-site visits, and that billing is checked against the services listed in each student’s IEP. She also said DOE’s special education work is largely federally funded, with roughly $56.7 million received through IDEA this year and about $49.1 million flowing through to LEAs, while the department retains a small amount for administration and statewide support activities. Members also discussed how adequacy calculations use special education counts from the state system and how those figures are reported.

Transcript Highlights:

• Almost every school has some sort of a tiered intervention system where interventions are already in
• Behavior data is tracked weekly using our school's behavior matrix system.
• school year, school-wide, we had 155 behavioral referrals.
• , maximize good behaviors.
• is to address the Tier 2 and Tier 3 intervention.

Keywords: 908, all

Transcript Highlights:

• She served in various roles including classroom teacher, reading intervention coach, behavioral specialist
• And then, of course, we have our school counselors, our social worker, our behavior specialists, intervention
• And then, of course, we have our school counselors, our social worker, our behavior specialists, intervention
• And behavior is better.
• So behavior is also a big one.

Summary: The Student Academic Success Subcommittee met to review Florida’s cell phone and social media literacy law, with Representative Brad Yeager describing the 2023 policy as aimed at removing classroom distractions and teaching students how to use social media responsibly. He said the law was intended to keep phones out of classrooms unless used for instruction, require social media literacy education, and limit access to certain sites on school Wi-Fi and government devices. Yeager said feedback since passage has been mixed: many teachers support it and some have adopted inexpensive shoe-organizer or pouch systems, but implementation varies by school and administrator enforcement. He said he is not currently pursuing a broader statewide mandate. Superintendent Dr. Maria Vazquez and Timber Creek High School Principal Mr. Wasco described Orange County’s approach as bell-to-bell phone restrictions, while Pasco County’s Dr. Zetchy described a similar policy with some flexibility during lunch or passing periods at the high school level. Both districts said the policy was implemented with parent communication, town halls, surveys, and transition periods, and that concerns about emergencies were addressed by allowing phones to be returned at the end of the day and by establishing procedures for parent contact. They reported few theft problems and said discipline issues related to phones have generally been manageable, though some teachers still struggle with enforcement or with students trying to evade the rules. A major portion of the discussion focused on social media literacy instruction. Orange County said it uses counselor-led programs, Canvas courses, resiliency days, and curriculum materials to teach students about cyberbullying, human trafficking, privacy, and the permanence of online posts, with progress tracked through the learning platform. Pasco said it has some resiliency modules but lacks a fully built-out, pre-made social media curriculum and would welcome more guidance from DOE, especially for high school classrooms where instructional time is limited. Members also asked about student anxiety, 504/IEP accommodations, caregiver students, and parent education; the districts said exceptions are handled through school committees and that parent academies and district resources are being used to help families set boundaries and understand the risks and benefits of phones and social media. No votes were taken.

Transcript Highlights:

• We're a community mental health center and a grant-funded certified community behavioral health clinic
• This flat funding and count estimate is important because the effectiveness of interventions changes
• a better number of recommendations and interventions we have to allow states to get a better handle
• Support law enforcement interventions and diversion programs.
• One of the big challenges nationally is we just don't have enough behavioral health practitioners.

Keywords: 1204, all

Summary: The committee first heard a presentation on homelessness in Arkansas, with speakers from law enforcement, behavioral health, homeless service providers, and policy groups. Presenters argued that Arkansas should focus more on treatment, accountability, better data, and stronger coordination among providers, and they highlighted the Certified Community Behavioral Health Clinic (CCBHC) model as a way to expand Medicaid-reimbursed crisis, mental health, substance use, jail-based, and homeless outreach services. Testimony emphasized that Arkansas has relatively low overall homelessness numbers but a significant unsheltered population with serious mental illness or substance use disorders, and several members asked about sex offender tracking, provider accountability, statewide coordination, and whether the state could apply for federal funding or a statewide continuum of care arrangement. Speakers also discussed workforce supports, family homelessness, and the need for more transparent reporting and outcomes-based funding. The committee then reviewed several Department of Energy and Department of Health/Board of Nursing rules. DEQ sought to raise the threshold for commission review of certain post-closure cleanup expenditures from $50,000 to $2 million to match Act 791 of 2025, and members asked about financial assurance and oversight; the rule was reviewed without objection. The Board of Nursing presented multiple rule changes implementing recent acts, including adding fees for dialysis patient care technician registration, updating contact-information requirements, clarifying APRN authority to sign death certificates and prescribe certain durable medical equipment, implementing delegation of certain nursing tasks to unlicensed workers, adding a declaratory-order process, revising certified medication assistant training and insulin-injection authority, and conforming independent-practice rules for clinical nurse specialists. Each nursing rule was reviewed without objection after brief questions. In closing remarks, Senator Irvin announced that UAMS had completed its National Cancer Institute designation submission, calling it an important step for the state. The committee then adjourned.

Transcript Highlights:

• interventions, and medication management.
• policy and advocacy for Action Behavior Centers.
• early intervention from specialized providers.
• interventions and medication management.
• policy and advocacy for Action Behavior Center.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• . surgical intervention.
• So that would be anything, even if it's behavioral health information.
• My understanding is that CYFD has a team of behavioral health specialists.
• Are they not doing 24-hour crisis intervention.
• They don't have these interventions.

Keywords: 996, all

Transcript Highlights:

• <01:28:55.280> or personal characteristics behaviors or personal characteristics behaviors
• characteristics, behaviors or beliefs. characteristics, behaviors or beliefs.
• trying<01:40:45.600> to why these behaviors occur and trying to why these behaviors occur
• <01:43:42.400> Would school bullying type behavior? Would school bullying type behavior?
• is allowable and what behavior is not allowable, or what behavior would at least constitute bullying

Keywords: 928, house, all

Summary: The committee heard testimony on SB 69, including a germane amendment about local school boards’ acceptance or rejection of gifts and donations and a non-germane amendment creating a virtual early childhood readiness family engagement program for preschool children not yet in kindergarten. Rep. Cordelli said the early literacy proposal was a modified version of an earlier kindergarten readiness bill, would rely on gifts and donations rather than state appropriations, and would include reporting requirements. Members questioned the shift from a broader technology program to an online-only model, the lack of detailed evaluation metrics, how long children would use the program, and whether it was appropriate for very young children. Cordelli said the change was intended to avoid government dependence and still allow the program to be offered next school year. Several members raised concerns about the gift-acceptance language on the underlying bill, including whether school boards would need to vote on small donations, whether gifts could be handled in blocks or at regular meetings, and how anonymous donations would work under right-to-know laws. Rep. Han noted that some gift discussions might belong in non-public session under RSA 91-A, while Rep. Cornell said acceptance or rejection of gifts could be handled at regular meetings and suggested a dollar threshold could be added later. The New Hampshire School Boards Association said it was not taking a position but wanted clearer guardrails, policy guidance, and clarification on timing, anonymity, and public-meeting requirements. Supporters of the early childhood program, including Waterford.org, said the proposal would provide an evidence-based, adaptive online literacy program with family engagement for four- and five-year-olds, and that it could help close early learning gaps. Waterford said it could work collaboratively with school districts and IEP teams, and that it would provide devices and internet access for families who need them. Committee members pressed on how the program would interact with existing special education services and whether districts could use it as part of an IEP; the response was that it would be supplementary and not an approved special education service. No votes were taken during the hearing; the chair indicated the committee would later executive the bills and try to get reports filed promptly.

Transcript Highlights:

• Today we will hear testimony on legislation related to affordability and access to behavioral health
• They represent lost opportunities for intervention during critical developmental windows.
• They represent lost opportunities for intervention during critical developmental windows.
• This bill—has there been any pushback that you know of from the licensed behavioral groups?
• My understanding is that the providers and the licensed behavioral groups are in support of it.

Keywords: 995, all

Summary: The Joint Committee on Health Care Financing held a public hearing on several health care bills focused primarily on autism services and kidney disease coverage. Committee chairs John Lawn and Cindy Friedman opened by outlining hearing procedures, testimony rules, and filing deadlines, and noted the hearing would be recorded and written testimony accepted. They said the day’s topics included affordability and access to behavioral health services, provider reimbursement, Medicare coverage for vulnerable populations, and MassHealth eligibility asset exemptions. A major portion of the hearing concerned House Bill 4623, which would add board-certified assistant behavior analysts (BCABAs) as a recognized mid-level supervisory role in the MassHealth reimbursement framework to help address long wait lists for autism spectrum disorder services. Representative Lisa Field, actuaries, clinicians, and autism service providers testified that the current two-tier model limits workforce capacity, contributes to long delays, and leaves families waiting months for care. Supporters said the bill could expand access, improve retention, and potentially reduce MassHealth costs, while also helping providers meet growing demand and new administrative requirements. The committee also heard testimony on House Bill 4425 and Senate Bill 2737, which would allow Massachusetts residents under 65 with end-stage renal disease to purchase Medigap coverage. Legislators, dialysis advocates, and patients described high out-of-pocket costs under Medicare, barriers to kidney transplant eligibility without secondary insurance, and the financial strain on patients and families. Testifiers said the change would affect about 846 residents, could modestly increase premiums, and might reduce Medicaid spending by preventing asset spend-downs. Senator Gomez and others spoke from personal experience with dialysis and transplant care. Finally, the committee heard testimony on House Bill 4353 and Senate Bill 2587, which would require regular data-driven review of MassHealth ABA reimbursement rates. Providers and association representatives argued that reimbursement has not kept pace with inflation, workforce shortages, accreditation costs, and new 2026 MassHealth policy requirements, and said the bills would improve transparency and ensure rates reflect the true cost of care. No votes were taken; the hearing concluded with the chairs thanking participants, inviting additional written testimony, and adjourning the meeting.

Transcript Highlights:

• Instead, we see intervention rate going down.
• Have we inadvertently... ...intervention rate going down.
• And it's helped Eastern State Hospital staff gain knowledge about successful interventions.
• Upkar Mangat, Deputy Assistant Secretary, Behavioral Health and Habilitation Administration.
• can adapt and manage their behaviors to function independently or without any challenges.

Summary: The committee heard a lengthy update on Washington child welfare from Casey Family Programs and DCYF. Dr. David Sanders said Washington has sharply reduced out-of-home care and increased kinship placements, but he flagged concerns about low screening-in rates, long stays in foster care for many children, and a recent rise in repeat maltreatment and child fatalities, especially among infants. He urged more focus on infants and young children, better coordination among child protection, health care, and law enforcement, and more proactive review and investigation practices. Members asked for disaggregated data on children lingering in care, fatalities, and causes such as fentanyl exposure. DCYF said it has increased relative placements and guardianships, but also reported a concerning rise in 2025 critical incidents, mostly near-fatalities involving children age three and under, many opioid-related. The department described responses including safe child consults for opioid cases, more training, hotspot analysis, and proposed investments in peer support, public health nurses, community referrals, and an updated safety framework. Members also discussed whether a broader commission on child abuse prevention would be useful, and DCYF said it was open to that idea. The committee then received a DSHS reorganization update from Secretary Angela Ramirez, who described the “Reimagined” plan to consolidate four administrations into three new ones, with the stated goals of reducing silos, improving customer experience, and making transitions between services smoother. She said the agency is seeking statutory changes and CMS approval to align the new structure, and members asked about preparing for federal HR1 impacts, especially SNAP. Ramirez said DSHS is monitoring those impacts closely and emphasized the need for accurate data and cross-agency coordination. Finally, DSHS’s Behavioral Health and Habilitation Administration updated the committee on residential habilitation centers and implementation of Substitute Senate Bill 5393, which phases out Rainier School by June 30, 2027 and limits new admissions. Officials reported current census and staffing levels at the state’s RHCs, said Rainier has had some residents transition to supported living or adult family homes, and explained that emergency and permanent rulemaking was needed to implement the law. They also said Rainier was recently cited by federal surveyors for not meeting the active treatment requirement for two residents, and that the facility has 90 days to return to compliance before possible payment penalties or further remedies. Members pressed for details on the citation, the meaning of active treatment, the assessment process for admissions, and whether Rainier could be repurposed for other services; DSHS said it is working on corrective action and will follow up in writing.

Transcript Highlights:

• the Kentucky Youth Risk Behavior Survey. the Kentucky Youth Risk Behavior Survey.
• um for behavior and attention issues. um for behavior and attention issues.
• . intervention. intervention.
• prior to that intervention and after. prior to that intervention and after.
• our GO365 rewards for healthy behaviors. our GO365 rewards for healthy behaviors.

Keywords: 958, all

Summary: The task force opened with a moment of silence for the Louisville UPS plane tragedy, approved the October 15 minutes, and reminded members to submit policy recommendations before the December 16 meeting, when the group will discuss its report to LRC. The first informational presentation, from the Department for Public Health, focused on youth vaping. Elizabeth Good and Julie Brooks cited a recent Surgeon General report warning that youth vaping can harm brain development, mental health, lungs, asthma, and hormones, and noted Kentucky survey data showing 8.7% of students reported daily vaping and 19.7% used vaping products in the prior 30 days. They described prevention and cessation resources including Catch My Breath, I Can End the Trend, Not on Tobacco, My Life, My Quit, Quitline services, and the Kentucky TRUST retailer education program, which trained 3,371 individuals in 2024 and distributed 253 Tobacco 21 toolkits. The next presentation came from Kentucky ABC on implementation of SB 100, which created the division of tobacco, nicotine, and vapor product licensing. Commissioner Scotty Tracy and Jamar Carter said all retailers selling tobacco, nicotine, or vapor products must be licensed, regulations were filed October 31, 2025, and the online application portal is live. In response to questions about sales to minors, they said violations carry escalating fines for clerks and owners, with a fourth violation resulting in no license renewal for two years and unpaid fines also blocking renewal. They said complaints can be submitted through the portal, by phone, or on the ABC website, and enforcement investigates tips and may use underage compliance checks. The committee then heard from Kim McKenna Johnson of One Cross Community Health, who argued for a “deficiency-first” and holistic approach to care centered on nutrition, lifestyle, and targeted supplementation. She said her clinic serves more than 7,000 patients in Taylor and Marion counties and described a model that includes primary care, behavioral health, functional medicine, addiction recovery, and chronic care. She cited Kentucky health rankings, claimed nutritional deficiencies cost the state billions, and said many children are overprescribed while undernourished. She urged broader insurance coverage for nutritional testing and supplements, rural demonstration grants, and Medicaid pilots for clinically prescribed supplements. Members asked about testing costs, dietitian support, long-term cost savings, compliance, and whether medications are often used to prevent damage from noncompliance; the presenter said the lab tests are generally covered, supplements are the main cost barrier, and seeing lab results can improve family buy-in. No votes were taken during the meeting.

Transcript Highlights:

• <00:11:48.160> is aggressive, that their behavior is aggressive, that their behavior is different
• up with a lot of different intervention up with a lot of different intervention strategies,<00:17
• What what's your in these behaviors.
• , anonymous threat reporting intervention, anonymous threat reporting systems,<00:38:18.640> behavioral
• ><01:49:40.480> I culturally responsive interventions I culturally responsive interventions I

Bills: HF3653, HF2717, HF3451, HF3857

Keywords: education finance, safe schools revenue, school safety, charter schools, funding, safe schools, school security, school levy, pupil units, safe schools aid, cooperative units, intermediate school district, school resource officer, peace officer liaison, sheriff liaison, drug abuse prevention, gang resistance education, violence prevention, suicide prevention, mental health services

Summary: The committee first adopted the March 3rd minutes by voice vote after Representative Lee moved them and there was no discussion. Members then reviewed hearing rules on decorum, safety, and participation before taking testimony from Dr. James Densley and Dr. Jillian Peterson of the Violence Prevention Project Research Center at Hamline University. The presenters summarized research on mass shootings and K-12 school shootings, drawing on a database of homicides in school settings from 2000 to 2025 and a smaller set of 15 K-12 mass shooting cases. They said school shooters are usually insiders, most often current or former students, and typically young males. They described common patterns including a noticeable crisis before attacks, perpetrators viewing the shooting as a final act, studying prior shooters online, and “leakage” in which most tell someone in advance. They also emphasized that many perpetrators use unsecured firearms from family members and argued that prevention should combine reporting systems, behavioral threat assessment, counseling, mentoring, secure storage, and other layered interventions rather than rely on a single solution. The presenters also discussed broader violence trends in the Twin Cities, saying much school violence is spillover from community violence and that pandemic-era disruptions and weakened trust in institutions contributed to serious violence. They cited a national survey finding that exposure to gun violence is associated with PTSD, anxiety, depression, and fear of public spaces, especially among young people. During member questions, Representative Wam asked for clarification on the data set and the rural/small-town share of the survey sample.