Transcript Highlights:

• BY SHERIFFS OR A CHIEF CORRECTIONAL OFFICER CAN SELECT THE PROGRAM THAT PROVIDES THE MOST EFFECTIVE MODEL
• The whole purpose of this is the coordination and collaboration with the federal government and ICE to
• It has nothing to do, and you guys took careful pains to include immigration status and all other parts
• This is the person whose dreams I care about. They are dead. They don't get...
• The next president asked for better collaboration, as President Trump is looking for more enforcement

Bills: SJR2, SB4, SJR36, SJR2, SB4, SJR1, SJR5, SB9, SB40, SJR2, SB4, SR98, SJR40, SJR41, SJR42, SJR43, SJR44, SJR45, SJR46, SJR47, SCR13, SB6, SB13, SB21, SB826, SB827, SB828, SB829, SB830, SB831, SB832, SB833, SB834, SB835, SB836, SB837, SB838, SB839, SB840, SB841, SB842, SB843, SB844, SB845, SB846, SB847, SB848, SB849, SB850, SB851, SB853, SB854, SB855, SB856, SB857, SB858, SB859, SB860, SB861, SB862, SB863, SB864, SB865, SB866, SB867, SB868, SB869, SB870, SB871, SB872, SB873, SB874, SB875, SB876, SB877, SB878, SB879, SB880, SB881, SB882, SB883, SB884, SB885, SB886, SB887, SB888, SB889, SB890, SB891, SB892, SB893, SB894, SB895, SB896, SB897, SB898, SB899, SB900, SB901, SB902, SB903, SB904, SB905, SB906, SB907, SB908, SB909, SB910, SB911, SB912, SB913, SB914, SB915, SB916, SB917, SB918, SB919, SB920, SB921, SB922, SB923, SB924, SB925, SB926, SB927, SB928, SB929, SB930, SB931, SB932, SB933, SB934, SB935, SB936, SB937, SB938, SB939, SB940, SB941, SB942, SB943, SB944, SB945, SB946, SB947, SB948, SB949, SB950, SB951, SB952, SB953, SB954, SB955, SB956, SB957, SB958, SB959, SB960, SB961, SB962, SB963, SB964, SB965, SB966, SB967, SB968, SB969, SB970, SB971, SB972, SB973, SB974, SB975, SB976, SB977, SB978, SB979, SB980, SB981, SB982, SB983, SB984, SB985, SB986, SB987, SB988, SB989, SB990, SB991, SB992, SB993, SB994, SB995, SB996, SB997, SB998, SB999, SB1000, SJR40, SJR41, SJR42, SJR43, SJR44, SJR45, SJR46, SJR47, SCR13, SB6, SB13, SB21, SB826, SB827, SB828, SB829, SB830, SB831, SB832, SB833, SB834, SB835, SB836, SB837, SB838, SB839, SB840, SB841, SB842, SB843, SB844, SB845, SB846, SB847, SB848, SB849, SB850, SB851, SB853, SB854, SB855, SB856, SB857, SB858, SB859, SB860, SB861, SB862, SB863, SB864, SB865, SB866, SB867, SB868, SB869, SB870, SB871, SB872, SB873, SB874, SB875, SB876, SB877, SB878, SB879, SB880, SB881, SB882, SB883, SB884, SB885, SB886, SB887, SB888, SB889, SB890, SB891, SB892, SB893, SB894, SB895, SB896, SB897, SB898, SB899, SB900, SB901, SB902, SB903, SB904, SB905, SB906, SB907, SB908, SB909, SB910, SB911, SB912, SB913, SB914, SB915, SB916, SB917, SB918, SB919, SB920, SB921, SB922, SB923, SB924, SB925, SB926, SB927, SB928, SB929, SB930, SB931, SB932, SB933, SB934, SB935, SB936, SB937, SB938, SB939, SB940, SB941, SB942, SB943, SB944, SB945, SB946, SB947, SB948, SB949, SB950, SB951, SB952, SB953, SB954, SB955, SB956, SB957, SB958, SB959, SB960, SB961, SB962, SB963, SB964, SB965, SB966, SB967, SB968, SB969, SB970, SB971, SB972, SB973, SB974, SB975, SB976, SB977, SB978, SB979, SB980, SB981, SB982, SB983, SB984, SB985, SB986, SB987, SB988, SB989, SB990, SB991, SB992, SB993, SB994, SB995, SB996, SB997, SB998, SB999, SB1000

Keywords: SJR 2, Senate Joint Resolution 2, constitutional amendment, homestead exemption, property tax relief, school property tax, ad valorem tax, residence homestead, school district taxes, Texas Constitution Article VIII, public school finance, homeowner exemption, elderly exemption, senior tax relief, disabled exemption, tax year 2025, voter approval, November 2025 ballot, local government, Ways & Means

Transcript Highlights:

• So when we filed the bill initially, we were trying to move from a supervisory model to a collaborative
• <00:40:40.040> to<00:40:40.200> a<00:40:40.240> collaborative<00:40:40.800> model
• ,<00:40:41.720> which model to a collaborative model, which model to a collaborative model
• explore and expand health care explore and expand health care opportunities<00:48:43.000> in<
• health care. health care.

Keywords: 958, all

Transcript Highlights:

• the standard of care. the standard of care.
• care model.
• working on the psychiatric collaborative working on the psychiatric collaborative care<01:52:15.360
• > model.
• model. um it's um CPT um bundled care model. um it's um CPT um bundled care<01:52:20.080> rate

Keywords: 958, all

Summary: The Medicaid Oversight and Advisory Board reconvened and heard a presentation from the Attorney General’s Office Medicaid Fraud and Abuse Control unit. AG staff described the unit’s structure and work: it investigates and prosecutes Medicaid provider fraud, and also handles abuse, neglect, and exploitation cases involving vulnerable adults in facility settings when asked to assist. They said the office has prosecutors, detectives, auditors, and support staff, works with federal partners, Commonwealth’s attorneys, CHFS, DMS, OIG, and MCOs, and uses a hotline and referral line for complaints. They also explained the MCO referral process, including monthly meetings, stand-down lists, and review of referrals for a “credible allegation of fraud” before the AG office decides whether to open a criminal or civil investigation. The presentation focused heavily on current fraud trends. Staff said behavioral health is a major concern, along with participant-directed waiver services, medically assisted treatment, cash billing for services, controlled-substance billing, and vision and dental fraud. They gave examples such as duplicate time sheets for family caregivers, questionable Suboxone counseling and urine drug screening practices, and a prior optometry case involving false claims for children’s glasses. They also discussed CMS’s estimate that about 5% of Medicaid payments are improper, noted that most improper payments are at the fee-for-service level, and said there is no reliable overall fraud-rate estimate. They highlighted a sharp shift in behavioral health billing after the cabinet’s November 1, 2024 policy changes, saying individual psychotherapy spending dropped while group billing increased, suggesting providers may have moved billing to different codes. Members asked about the scale and timing of cases, how MCO referrals are screened, and whether the data reflected more people being served or just higher spending. The AG office said investigations can take years, with some federal cases still awaiting sentencing from 2018 and 2019 matters, and that they currently had nine individuals awaiting sentencing in federal court. They also reported 58 hotline reports during the referenced period, six cases opened from MCO referrals, and four additional MCO referrals not accepted for active cases. Several members raised concerns about home-based services and the risk of abuse or fraud when family members are reimbursed, and asked whether the process could be streamlined; the AG office said it had no immediate recommendations but would be willing to return with suggestions after further review.

Transcript Highlights:

• are changing so rapidly and the deficit that we have in health care as far as health care providers,
• areas were left without care.
• So, our broad preventative care.
• How close is this collaboration?
• Collaboration changes over time.

Bills: HB31, HB31

Keywords: absentee voting, disabled, blind, voter assistance, voting rights, SNAP, public assistance, nutritional standards, waiver, food regulation, 1136, house, all

Transcript Highlights:

• Yet many do need long-term care, home care, adult day health care, and assisted living at some point
• The model that the C-BAS programs use is really a collaborative one.
• It is working collaboratively with a team of care professionals at the centers, both medical and social
• care facilities.
• With respect to direct services, in close collaboration with the Department of Health Care Services,

Summary: The joint Assembly Budget Subcommittee hearing focused first on long-term services and supports for older adults, especially the “forgotten/overlooked middle” who earn too much for Medi-Cal but cannot afford private long-term care. Administration witnesses from DHCS, the Department of Aging, and Social Services described Medicare’s limited long-term care coverage, Medi-Cal’s role, the elimination of the Medi-Cal asset test, and ongoing state studies and listening sessions on financing options. Testimony from advocates and researchers emphasized rising homelessness among older adults, the need for better navigation and coordination across health, aging, housing, and social service systems, and short-term policy steps such as share-of-cost reform, housing stability supports, and protecting home- and community-based services. Members highlighted the need for a coordinated, no-wrong-door approach and asked for the most impactful budget investments to address affordability and homelessness risk. The second major topic was the Community-Based Adult Services (CBAS) program. CDA reported that CBAS helps participants remain in the community, that 304 centers operate statewide serving about 42,000 people, and that demand is stable but access gaps remain in some regions. DHCS explained that a 2024 rate increase authorized by SB 159 became inoperative after Proposition 35, and that a separate 10% rate change on the fee schedule was the result of a DHCS system error; the department said it would not require recoupment, though managed care plans may act under their contracts. CBAS providers and advocates warned that reimbursement rates have not kept pace with costs, that several centers have closed, and that clawbacks could trigger more closures. They requested $74.8 million ongoing General Fund to close part of the rate gap and preserve the program, while members expressed concern about closures and the cost savings of keeping people out of more expensive institutional care. The hearing then moved to In-Home Supportive Services (IHSS) and statewide collective bargaining. CDSS reviewed provider recruitment and retention efforts, including electronic timesheets, direct deposit, and the now-completed IHSS Career Pathways program, which trained more than 59,000 providers. CDSS also summarized its AB 102 workgroup report on statewide versus regional bargaining, saying the final report would be sent to the Legislature soon and that statewide bargaining appeared more viable than regional bargaining, though it would require clear statutory scope and major fiscal changes. The department estimated that each $1 per hour statewide wage increase would cost at least $1.3 billion to $1.5 billion annually. Labor advocates argued that IHSS wages, benefits, and training are too inconsistent across counties and called for statewide bargaining, consumer participation, and ongoing state funding. County representatives supported stronger wages but cautioned that counties need protection from new costs and administrative burdens, and consumer advocates warned that moving bargaining to the state could weaken local consumer control and the program’s consumer-driven structure.

Transcript Highlights:

• WE ARE GETTING THE OPTIMAL CLINICAL CARE.
• NURSES CAN DELIVER CARE -- HOW CAN WE LEVERAGE THESE AI TOOLS TO DEVELOP NEW KIND OF MODEL WE CAN PROVIDE
• I ALSO WANT TO MENTION ABOUT IF WE CAN IMAGINE THE KIND OF CARE WHAT I CALL HIGH-TECH, HIGH TOUCH CARE
• SHOULD HAVE MORE TIME TO DO PATIENT CARE.
• MODEL BASED ON PAST HISTORY AND THINGS LIKE THAT WITH THE MEMBER ROUTING THEM INTO CARE COURT NADIR

Transcript Highlights:

• report on the the you say hybrid model. report on the the you say hybrid model.
• This is another statewide collaboration. My collaborator, Dr.
• This is another statewide collaboration. My collaborator, Dr.
• <01:03:33.039> My statewide collaboration. My statewide collaboration.
• establishing a new hospice care center. establishing a new hospice care center.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the October 15 minutes, and began with a moment of silence following a Louisville UPS plane explosion that was described as a local tragedy affecting many families and first responders. The main presentation was an overview of Kentucky’s Medicaid non-emergency medical transportation (NMT) program from the Department for Medicaid Services and the Transportation Cabinet. Witnesses explained that NMT is a federally required Medicaid benefit, administered by the Transportation Cabinet under a risk-based capitated model, with eligibility limited to Medicaid members traveling to medically necessary, Medicaid-covered services and who lack access to other transportation. They also described exclusions, including certain KCHIP, QMB, and PACE members, and outlined the brokered regional structure, call center operations, scheduling rules, vehicle and driver oversight, complaint handling, and rider surveys. The presenters reported that NMT handled more than 3.1 million trips in state fiscal year 2024, with over 1.38 million trips already recorded in October, and said customer satisfaction surveys were high. They said the FY 2025-26 contract total is about $360.6 million, with monthly per-member capitation rates set by region through an actuarial process and approved by CMS. They emphasized that payments are tied to monthly Medicaid enrollment and that the state draws down federal funds for the exact amount paid, with no leftover balance. They also said most NMT use comes from adult day centers and rehabilitative care such as dialysis. Members questioned the witnesses about how quality metrics and contract standards are set, whether the state had explored alternatives such as Uber Health or other integrated models, and how utilization was calculated. The witnesses said contract requirements are developed collaboratively by Medicaid Services, the Transportation Cabinet, and other agencies, and that studies of other models generally found higher costs and lower approval ratings, with additional research on a hybrid model expected by the end of the year. They clarified that one figure reflected the share of Medicaid members with registered vehicles, while another reflected actual NMT users, and they defended the capitated structure as shifting financial risk to brokers rather than the state. Representative Fleming also raised concerns about oversight, reporting, and the apparent gap between budgeted and contracted amounts, asking whether any unused funds would return to general funds; the discussion ended before a final answer was given.

Transcript Highlights:

• state's health care programs.
• The problem is we pay that rate, and somebody can get zero care or zero dental care, and we're going
• The Kentucky model switched to a transparent model with a single PBM.
• model in retail pharmacy.
• In Minnesota, the Medicaid Using a managed care model and PBMs to care for about 85% of Medicaid patients

Transcript Highlights:

• our managed care program.
• , that they had the care.
• We're a Medicaid-managed care state.
• We're a Medicaid-managed care state.
• model.

Summary: The Health Care Budget Subcommittee held a panel discussion on Florida’s mental health and substance abuse system, with representatives from DCF, AHCA, two managing entities, and two providers describing how the state’s behavioral health network is funded and operated. Members focused on the implementation of prior legislative investments, especially the $50 million in recurring funding from Representative Maney’s bill and the earlier $126 million community behavioral health appropriation. Witnesses said the newer funds were used mainly for crisis beds, discharge planning, outpatient services, regional collaboratives, and a USF Marchman Act report, while the larger behavioral health appropriation supported CAT, FACT, FIT, forensic teams, residential and outpatient services, and crisis care, with most dollars going directly to services and only a small share to administration. A major theme was access to crisis care and the role of mobile response teams, 988, and central receiving facilities in diverting people from Baker Act admissions and reducing readmissions. DCF and providers said mobile response teams have expanded, are being used to de-escalate crises and connect people to care, and have shown strong diversion results and reductions in Baker Acts in some regions. Members also asked about waitlists, children in crisis, and how to handle people without housing or support; providers said discharge planning is individualized but often constrained by homelessness, transportation, and a lack of safe placements, and several witnesses identified housing as one of the biggest barriers to recovery and stability. The committee also examined provider sustainability, reimbursement, and funding gaps. Witnesses described delays caused by contract timing, cost allocation rules, and Medicaid reimbursement rates that do not always keep pace with labor and operating costs, especially for smaller providers and rural networks. DCF and AHCA said managing entities can provide advances, retroactive rate adjustments, and technical assistance, and that Medicaid managed care plans have network standards and complaint/dispute processes. Members raised concerns about a reported $7 million loss in federal non-sustainable funds, provider closures, and whether there is a formal ombudsman process for disputes; DCF said the federal reductions were known and tied to one-time funds, and that the department generally handles provider issues informally while working with managing entities to preserve continuity of care.

Transcript Highlights:

• this model across the state with other subrecipients as well.
• They're implementing train-the-trainer models...
• We have great collaboration with them, strategic alignment.
• So bringing everyone together collaborating is incredibly important.
• The only thing they cared about was did they arrive?

Summary: The Appropriations Committee on Pre-K-12 Education met with a quorum and first heard a Department of Education program review on three district support programs: assistance to low-performing schools, the Florida Partnership program, and regional literacy teams (RAISE). Dr. Paul Burns described how the Bureau of School Improvement supports schools with D/F grades through regional teams, classroom observations, professional learning, and targeted funding, noting that 104 of 168 low-performing schools improved after 2022-23 and that the share of failing schools fell from 6% to 4%. He also outlined the Florida Partnership’s $4 million annual appropriation for advanced-course teacher training and student access, and the RAISE literacy program’s $5 million funding, universal/targeted/intensive supports, and progress monitoring results. Senators asked about rural participation, post-COVID reading data, parent support, and how long schools remain under monitoring after improving; Burns said rural districts can participate statewide, parents can access school and department support, and schools continue to receive monitoring after exiting low-performing status to prevent recidivism. The committee then received a presentation on the school district education foundation matching grants program from Suzanne Pridgen, who explained that the Consortium of the Florida Education Foundations administers the grants, which require private matching funds and support tutoring, literacy, STEM, career education, professional learning, books, and supplies. She said the program leverages about $1.44 in private support for every state dollar. The committee then moved to the regional education consortia, where representatives from PAEC, NEFEC, and Heartland, along with several rural superintendents, described the consortia as member-led organizations that provide economies of scale, professional learning, HR, risk management, purchasing, legal and operational support, crisis assistance, and leadership development for small and fiscally constrained districts. Superintendents from Lafayette, Holmes, Calhoun, Union, DeSoto, and Hendry counties testified that the consortia are essential because rural districts often have very small staffs, multiple-duty administrators, and limited in-house expertise. They cited support with insurance and hurricane recovery, training for new finance and HR staff, instructional coaching, CTE and leadership programs, and help with turnaround schools. Members emphasized that these districts can be high-performing despite limited resources, and several senators praised the consortia’s value. Senator Gaetz asked about additional back-office collaboration, possible regulatory relief, and FEFP issues tied to scholarship-related enrollment swings; rural superintendents responded that more local control would help. The meeting ended with a motion to adjourn, which was adopted without objection.

Transcript Highlights:

• We refer services outsourced through collaborators in the community.
• At the heart of our model is Rewire CBT.
• At the heart of our model is Rewire CBT.
• And our model is cost-effective.
• And our model is cost-effective.

Keywords: 995, all

Summary: The commission on Violence Prevention Services Funding opened by explaining that its purpose is to examine how state dollars for gun violence prevention are being spent, whether they are reaching the right places, and how effective they are. Chair Marjorie Decker noted the commission was created through a legislative bill as part of a broader gun ownership package, and emphasized that the commission will produce recommendations rather than new law. The hearing began with a moment of silence for the National Day of Remembrance for homicide victims, followed by introductions from commissioners and staff. A series of community-based organizations testified about violence prevention, intervention, and survivor services. Emmanuel Williams of the Transformational Prison Project described work with incarcerated and returning youth and families, stressing lived experience, relationship-building, and the impact of budget cuts on travel, staffing, and programming; commissioners asked about his budget, caseload, and funding mix. Teresa D. Grigario and Antonio Gutierrez of Lynn Youth Street Outreach Advocacy said their work focuses on youth ages 12 to 24 in Lynn and Lawrence, with outreach at courts and shooting scenes, and argued that prevention is most effective when it starts early, includes family engagement, counseling, therapy, case management, food, and basic needs support; they said a million-dollar annual budget would help them expand. Ruth Rollins of We Are Better Together/Warren Daniel Hairston Project, speaking as a survivor, called for long-term flexible funding, trauma-informed care, and a community-informed database, and said her organization would ideally need about $2.5 million annually. Ruth Zakarin of the Massachusetts Coalition to Prevent Gun Violence explained that the commission grew out of listening sessions during the firearms-law update process and said the goal is to identify gaps, support grassroots groups, and address regional equity in resource allocation. Other testimony highlighted youth development, reentry, and survivor response as violence prevention. More Than Words described its job-training and supportive-services model for court-involved, homeless, foster-care, and out-of-school youth, citing high rates of graduation, postsecondary enrollment, and employment; a participant, Jorge, shared how the program helped him avoid adult incarceration and build a career in trucking. The Louis D. Brown Peace Institute described its homicide-response and healing work, noting that it served more than 1,100 survivors in 2024, facilitated healing groups and trainings, and is seeking a permanent center in Dorchester; its leaders said the operating budget is $4.5 million and the desired budget is $8 million. The Massachusetts Alliance of Boys & Girls Clubs emphasized that gun violence is a youth health crisis and urged continued investment in after-school and out-of-school-time programs. UTEC called for multi-year, flexible funding, more training and networking support, and attention to nonprofit cost recovery, while Roca described its outreach to high-risk young people, strong outcomes, and major federal grant cuts that forced staff reductions. Portal to Hope discussed domestic violence and stalking services, the importance of on-site police-department-based advocacy, and the instability caused by funding restrictions. New North Citizens Council briefly underscored that violence prevention funding is needed to address poverty, lack of education, and mental health needs. State officials also presented on existing grant programs. Kevin Stanton of the Office of Grants and Research described the Commonwealth Project Safe Neighborhood Initiative and the state’s broader public safety grant portfolio, saying partnerships between law enforcement and community organizations are central to violence prevention and citing seizures of illegal firearms, narcotics, and suspected drug proceeds. Renee Contreras said the Shannon Community Safety Initiative is a national model built on nearly 20 years of sustained investment, with multidisciplinary collaborations in 25 communities and research partnerships guiding strategy and evaluation. Throughout the hearing, commissioners repeatedly asked about budgets, staffing, caseloads, and how organizations measure impact, and several speakers said they would follow up with written materials or additional data.

Transcript Highlights:

• a regional service delivery model. a regional service delivery model.
• And so, they are cross-collaboration<00:27:44.600> collaborating<00:27:45.320> with cross-collaboration
• collaborating with cross-collaboration collaborating with the<00:27:45.520> people<00:27:45.880
• So we were very careful.
• So we were very careful that. Once have. So we were very careful that.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Justice and Judiciary received an update from the Administrative Office of the Courts on implementation of House Bill 504, the judicial branch budget, and court facility projects. AOC leaders said they do not anticipate problems balancing the outgoing biennium or fiscal year 2026, and explained that the budget changes were driven by the need to reduce costs while preserving required constitutional, court-rule, and statutory services. They also said the new filing fee increases authorized by HB 504 took effect that day and are expected to generate up to $5 million, while the reorganization is projected to save about $3 million in general fund dollars. The bulk of the presentation focused on a major reorganization of the Office of Statewide Programs, which includes specialty courts, family and juvenile services, and pretrial services. AOC said the plan eliminates 170 positions and creates 109 new ones, mainly by reducing middle-management layers, expanding regional service delivery, and cross-training staff. Officials said 110 employees had already been offered or accepted placements, 24 had chosen voluntary separation, and the final number of employees leaving remains fluid until the process concludes around August 1. They emphasized that specialty court programs were not eliminated, but state-funded treatment court contracts and behavioral health liaison positions were removed, with treatment costs shifted to Medicaid or participants where appropriate. Members asked about the process, staffing impacts, specialty court participation, juvenile services, and how AOC will monitor the changes. AOC said the reorganization was developed by leadership, HR, and legal staff under direction of the Chief Justice and approved by the Supreme Court, and that it is intended to improve efficiency and frontline support rather than reduce services. They said specialty court participant levels are being watched closely, that CDW services will continue to use outside providers for programming, and that the agency will keep judges and stakeholders informed as the new structure goes into effect. No votes were taken, and the committee did not approve minutes because a quorum was not present.

Transcript Highlights:

• It's not refusal of care.
• primary care settings.
• primary care settings.
• level of care.
• restorative care and examinations.

Keywords: 988, house, all

Summary: The hearing focused first on behavioral health, especially hard-to-treat serious mental illness through the lens of anosognosia, and the impact of potential federal Medi-Cal reductions under H.R. 1. A family member, Dawn Marie Anderson, described her son’s long cycle of psychosis, homelessness, arrests, jail-based stabilization, and repeated relapse when treatment ended, arguing that anosognosia is a symptom of illness rather than refusal of care. She and other witnesses urged more consistent, long-term treatment, family involvement, medication support, and stronger county and state coordination. County and provider representatives said the current system still relies too heavily on crisis response and leaves people with serious mental illness falling through gaps between managed care, county specialty care, housing, and justice systems. Testimony from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association emphasized that people with anosognosia often cannot self-navigate care, making a “no wrong door” system essential. They said H.R. 1 could destabilize coverage and shift costs to counties, while existing private insurance coverage is inadequate for early psychosis and related services. Witnesses highlighted CalAIM, jail in-reach, assertive community treatment, mobile crisis, supportive housing, and LEAP-style family training as promising tools, but said counties still need more resources and that the state should strengthen both Medi-Cal and private insurance behavioral health coverage. A public commenter from Lake County said private insurers denied most claims, especially for unlicensed staff providing case management and mobile crisis services. The committee then heard an update on the Children and Youth Behavioral Health Initiative, including the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule program. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, and said the platforms are serving children and youth statewide, including many who had never previously accessed care. For the fee schedule, DHCS said 72% of school districts and 50 of 58 county offices of education are participating across six cohorts, with $9.6 million reimbursed to date and 41,556 students represented in claims. Members pressed the department on the program’s roughly $69.3 million administrative cost, the slow pace of reimbursement relative to the investment, and the late delivery of requested data. DHCS responded that many claims are still being submitted, most denials are correctable, and local implementation is still scaling up through technical assistance and capacity grants.

Transcript Highlights:

• <00:20:58.600> care lives that believe in and care care lives that believe in and care care
• the traditional teacher training model the traditional teacher training model may<00:21:03.679><
• <00:26:25.120> to your children you're a role model to your children you're a role model to
• So this is a model. This is a brand new model. This is the first time we've done this.
• <01:18:45.000> um<01:18:45.159> this model this is a brand new model um this model

Keywords: 1187, senate, all

Transcript Highlights:

• the lower levels of care up near the top of the screen and the higher levels of care, the more intense
• , which is the IOP level of care.
• care model.
• And this is the model you're going to want to access. This is an intensive in-home model.
• So, as Chris mentioned, some of the treatment models require family participation in order for the model

Keywords: 962, all

Summary: The meeting opened with approval of the April minutes and brief administrative updates, including notice that House Bill 5447 had passed both chambers of the General Assembly. Speakers reflected on the bill’s key provisions, which include eating-disorder working groups, an evidence-based screening requirement for school-based health centers beginning July 1, 2027, and a DSS-led feasibility process to explore an inpatient psychiatric facility for young adults ages 14 to 21. New staff introductions were also made for the Behavioral Health Advocate’s office and the TCB team. A major portion of the meeting focused on marketing and outreach for urgent crisis centers (UCCs) and the broader youth crisis continuum. Daydream Communications presented research showing low public awareness of UCCs but strong interest once families learn about them, with parents wanting specialized, compassionate care, clear expectations, insurance clarity, and bilingual support. United Way described its parallel work on a statewide crisis continuum marketing toolkit, using the SAMHSA framework of “someone to talk to, someone to respond, and somewhere safe to go,” and outlined plans to distribute consistent messaging through websites, social media, flyers, and community venues. Members emphasized coordinating with existing platforms and ensuring the marketing reflects the actual experience at UCC sites. DCF then presented on adolescent substance use services, citing data showing high need and low treatment access among Connecticut youth. The department reviewed its ASAM-based continuum, SBIRT efforts in outpatient psychiatric clinics, medication-assisted treatment access, and statewide services such as MST, MST emerging adults, STRIDE, multidimensional family therapy, youth recovery supports, and the AIM matching tool. A new young people peer support program was highlighted, with referrals accepted from families, hospitals, community providers, DCF, youth diversion, and the judicial branch. Questions addressed parent consent, peer matching, and whether the AIM tool could be linked through 211. The meeting concluded with an update from the Connecticut Suicide Advisory Board and its regional boards and grant-funded initiatives. Presenters reviewed the state suicide prevention plan, regional coalition work, postvention response, lethal means safety efforts, and the 988 capacity improvement grant that supports Connecticut’s centralized 988 contact center at United Way. They also shared youth suicide risk data from the Connecticut Youth Risk Behavior Survey, noting recent declines in reported suicidal ideation and attempts, and provided resources for training and materials. No formal votes were taken beyond the approval of the April minutes.

Transcript Highlights:

• So, looking at the way this bill is structured, it looks like we have an uncompensated care model for
• We’ve done that through collaboration, and we’ve continued to improve on that model very recently in
• integrated care model which means we integrated care model which means we provide<01:18:52.080> oral
• And we usually collaborate in our communities around how we provide that safety net care.
• And we usually collaborate in our communities around how we provide that safety net care.

Keywords: 1191, senate, all

Transcript Highlights:

• Care and Wellness Committee work session.
• of care, and quality of care. ...which is around access to care, affordability of care, and quality
• of care.
• That's going to be charity care or uncompensated care for hospitals.
• So as we balance caring for our communities and dealing with our increasing costs of providing care,

Summary: The committee heard a JLARC presentation on the Department of Health’s oversight of hospital inspections, complaints, and reporting. JLARC said DOH was late on 72% of acute care hospital inspections as of December 2024, had not verified that third-party accrediting standards were substantially equivalent to state standards, did not consistently require proof of those inspections, did not review adverse health event corrective plans, and could make hospital data more accessible. JLARC also raised a possible language-access barrier in the complaint system. Members asked about complaint filing by staff, the meaning of adverse health events, inspection outcomes, and whether the audit compared DOH to other agencies. JLARC said it had not reviewed inspection results or cross-agency comparisons, but noted inspectors were dedicated and working long hours. DOH later said it concurred with the recommendations and outlined a strategic plan with target dates for improving timeliness, verifying accreditation standards, expanding language access, reviewing adverse event laws, and improving public data access, with annual reporting to the Legislature expected. The committee then heard a Department of Health presentation on certificate of need modernization. DOH described the current certificate of need process, which reviews need, financial feasibility, quality, and cost containment for certain facility changes and new services, and said the program has not been modernized since the 1980s. DOH proposed 10 statutory modernization recommendations, including clarifying the program’s purpose, creating a planning entity, adding flexibility, reducing legal costs, updating access-to-care standards, expanding oversight to freestanding emergency departments and urgent care, addressing equity, improving cost control coordination, strengthening long-term funding, and using better data systems. Members asked about oversight of freestanding urgent care and EDs, funding sources, and whether the process could be streamlined or made more responsive to complaints or other triggers. A third panel discussed artificial intelligence in health care. Lucy O’Rourke of the Coalition for Health AI described CHAI’s work on responsible AI principles, technical standards, model cards or “nutrition labels,” testing and governance tools, and educational resources for providers. She said the group is focused on trust, transparency, fairness, safety, security, and privacy, and noted Washington’s AI-related policy work as among the more progressive in the country. No questions were asked. The final portion focused on the financial impact of federal and state health care policy changes. The Washington State Hospital Association said hospitals are facing low or negative operating margins, service reductions, layoffs, and closures, and that state cuts and taxes enacted in 2025, combined with federal HR1 changes, will significantly worsen finances. Providence Swedish leaders described staffing reductions, service cuts, delayed capital investments, and pressure from denials, tariffs, and reimbursement changes, while emphasizing that frontline staffing cuts are tied to service reductions rather than nurse-to-patient ratio changes. The Washington Health Benefit Exchange then began a presentation on expiring federal ACA premium tax credits, state Cascade Care Savings assistance, and eligibility changes affecting lawfully present non-citizens, with examples showing large premium increases for customers if federal subsidies expire.

Transcript Highlights:

• MODEL THEY ARE FOCUSED ON ENROLLMENT IN THE ADVANCED COURSES.
• IT'S ABOUT COLLABORATIVELY PLANNING WITH TEACHERS. IT IS ABOUT DATA ANALYSIS.
• THINK OF THESE SMALL DISTRICTS COMING TOGETHER TO SOLVE A PROBLEM COLLABORATIVELY.
• RINGING EVERYONE TOGETHER AND COLLABORATING IS INCREDIBLY IMPORTANT.
• THE ONLY THING THEY CARED ABOUT WAS DID THEY ARRIVE.

Keywords: 999, senate, all

Transcript Highlights:

• taken care of.
• There are other models that other model.
• These meetings are a model of collaboration and the shared learning that continues to grow.
• We want to lead this collaborative community response model.'
• These meetings are a model of<01:06:14.480> collaboration<01:06:15.359> and<01:06:15.599

Keywords: 958, all

Summary: The committee first approved the minutes and then approved an agency amendment to a health and family services regulation. The amendment reversed a prior change so that neonatal ICU beds would remain subject to regular review rather than nonsubstantive review. The remaining administrative regulations were then reviewed without objection. The main presentation was from State Auditor Allison Ball on a report finding $836 million in concurrent Medicaid capitation payments from 2019 through 2022, involving individuals enrolled in Kentucky and at least one other state. Ball said Kentucky relied on the PARIS system, which has limitations because it is updated quarterly and depends on voluntary state participation, while a better federal data source, T-MSIS, was not fully available to the state. She said the audit found weak internal controls, siloed processes, outdated guidance, and a low-priority attitude toward residency checks, all of which contributed to missed alerts and improper payments. She also said the report identified additional problems, including payments made after beneficiaries died and cases involving multiple states paying for the same person. Ball recommended better access to federal data, stronger MCO contract provisions, and more active oversight by the Department for Medicaid Services and managed care organizations. She said the contracts reviewed did not provide a clear way to recoup the improper payments, though she and her counsel suggested possible equitable legal theories might be explored. Members expressed concern about the scale of the waste and the lack of contract enforcement, and asked whether any money could be recovered. Ball said the audit did not identify a clear contractual path to recoup the funds.

Transcript Highlights:

• So within the first two weeks, once the process opened for model submissions, four major modeling companies
• requested a review of their models.
• By the way, this model on wildfire would be the first in the country.
• So we'll have the CAT model review and their integrity review.
• So we'll have the CAT model review and their integrity review approved by June.

Summary: The committee first heard AB 597, a bill to strengthen consumer protections for disaster survivors who use public adjusters. The author and the Department of Insurance said the measure would cap public adjuster fees at 15% for claims tied to declared disasters, require clearer contracts, prohibit solicitation during emergency conditions, and allow consumers to rescind contracts that were solicited during prohibited periods. Insurance industry groups supported the bill, while public adjuster representatives opposed it as written but said they were willing to work on revisions. The committee approved the bill and re-referred it to Appropriations; the roll call was ultimately recorded as 16-0. The committee then held its fourth oversight hearing on the Department of Insurance’s Sustainable Insurance Strategy, with Commissioner Ricardo Lara giving an extensive update on wildfire-related market reforms and consumer protections. He said the recent Southern California wildfires had not derailed the strategy and described actions including advance claim payments, a one-year moratorium on residential non-renewals in affected areas, a new fraud strike team, smoke-damage claim guidance, additional living expense protections, and a consumer claims tracker. He reported more than $12.1 billion in claims paid, over 37,000 claims filed, and more than 7,000 survivors assisted directly. He also discussed related bills and reforms, including AB 597, SB 495, SB 547, SB 429, SB 616, AB 888, and AB 2026. Members questioned the commissioner about the Fair Plan’s growing exposure, the $1 billion assessment, rate increases, non-renewals, underinsurance, and whether the reforms would actually stabilize the market. Lara said the assessment was already approved, that policyholders would not be hit with one large bill because insurers have two years to recover costs, and that the department was pushing insurers to use catastrophe modeling and reinsurance tools in exchange for commitments to write more policies in wildfire-distressed areas. He said the department expects to see market stabilization by 2026, though he emphasized the timeline depends on insurer participation, implementation of the new regulations, and future disaster activity. Members generally expressed support for the goals of the strategy while pressing for clearer expectations for consumers and faster action on mitigation and market reform.