Transcript Highlights:

• So our most common presenting concern is general anxiety and anxiety-related disorders.
• Third is PTSD or trauma-related disorders. Fourth is social anxiety.
• And fifth is relationship distress, which isn't a mental health disorder, but is one of their significant
• Which isn't a mental health disorder, but is one of their significant concerns, most often with a romantic

Committee: House Postsecondary Education & Workforce

Summary: The committee heard a series of informational presentations on student mental health, artificial intelligence, and the High School and Beyond Plan. Central Washington University, Washington State University, the University of Washington, and the State Board of Community and Technical Colleges described campus and system efforts to support student well-being through counseling, peer programs, behavioral intervention teams, basic-needs assistance, crisis response, and partnerships with community providers. Presenters said students are reporting high levels of anxiety, loneliness, basic-needs insecurity, and substance-use concerns, while also increasingly seeking services. Members asked about substance-use treatment, student feedback, historical trends, and the distinction between counseling and academic advising. The community and technical colleges also discussed a four-college mental health pilot that expanded access through licensed counselors, telehealth, referral pathways, and stronger connections to basic-needs supports. The committee then shifted to artificial intelligence in higher education. Washington State University, the University of Washington, Western Washington University, and the State Board of Community and Technical Colleges described how they are developing AI policies, governance structures, faculty guidance, and training for students and staff. Topics included academic integrity, ethical use, privacy, cybersecurity, equitable access to AI tools, and using AI to support teaching, research, advising, and operations. Presenters emphasized that AI should be used with human oversight and that students need clear course-level policies and foundational skills. Members asked about deepfakes, AI use in hiring and admissions, student monitoring, K-12 alignment, and the risk of bias or privacy problems. Finally, OSPI presented the statewide High School and Beyond Plan platform, School Links, as a practical tool to help students plan for postsecondary pathways and connect to career and college information. The presenter said the new platform is intended to create more equitable access across districts, improve implementation data, and support students’ future planning, while also helping them see a pathway forward. OSPI reported that about 200 districts and 694 middle and high schools are using the platform, with roughly 282,000 students rostered, and said additional funding is needed to complete the statewide rollout beyond June 30, 2026. No votes or formal actions were taken during the meeting.

Transcript Highlights:

• So our most common-related presenting concern is general anxiety and anxiety-related disorders.
• Third is PTSD or trauma-related disorders. Fourth is social anxiety.
• And fifth is relationship distress, which isn't a mental health disorder, but is one of their significant
• Which isn't a mental health disorder, but is one of their significant concerns, most often with a romantic

Summary: The committee spent much of the meeting hearing presentations on student mental health supports at Central Washington University, Washington State University, the University of Washington, and the State Board of Community and Technical Colleges. CWU described high levels of student distress, loneliness, anxiety, depression, suicidal ideation, and basic-needs insecurity, along with a campus-wide holistic well-being model that includes behavioral intervention teams, emergency aid, peer outreach, community partnerships, and a collegiate recovery community. WSU emphasized loneliness, common presenting concerns such as anxiety, depression, PTSD, and relationship distress, and the role of housing and residence life, resident advisors, living-learning communities, and coordinated crisis response in identifying and supporting students. UW highlighted prevention and support programs through LiveWell, including alcohol and other drug consultations, confidential advocacy, suicide intervention, student needs navigation, peer health educators, and peer wellness coaches. The community and technical college system reported persistent access barriers, especially for students ages 18 to 24 and those facing housing or food insecurity, and said the legislature-funded mental health pilot at four colleges expanded counseling access, telehealth, and referral pathways, while broader system efforts focus on awareness, telehealth, basic-needs supports, and workforce training in behavioral health fields. Members asked each panel how they gather student feedback, and the institutions said they use surveys, evaluations, and ongoing outreach to students in services. Questions also focused on substance-use and recovery resources, Greek life outreach, and whether colleges have enough licensed mental health staff versus academic advisors; the community college board said not all colleges have licensed mental health providers on staff, and some rely on community contracts or telehealth. The committee also discussed whether counseling services are increasing because of post-pandemic effects or because students are more willing to seek help, with presenters saying both factors likely play a role. The committee then shifted to artificial intelligence in higher education. Washington State University, the University of Washington, Western Washington University, and the community and technical college system described campus AI task forces, governance structures, and efforts to set policies for students, faculty, and staff. Presenters said institutions are requiring course-level AI use statements, promoting ethical and transparent use, expanding access to approved tools such as Microsoft Copilot, and using AI for teaching, research, advising, and administrative support while guarding privacy, equity, and academic integrity. Members raised concerns about deepfakes, bias, student monitoring, and whether AI should be used to screen applications or evaluate student work; presenters said human review remains essential and that some institutions prohibit AI use in hiring or admissions screening. The final presentation, from OSPI, described the statewide rollout of the School Links high school and beyond plan platform under 2023 legislation, saying it will standardize career and college planning across K-12, provide better data and student guidance, and connect students to postsecondary pathways and employers; OSPI said the rollout is underway but current funding only extends through June 30, 2026.

Transcript Highlights:

• Often, it's all three, combined with chronic pain, substance use disorders, and everything else in between
• Often, it's all three, combined with chronic pain, substance use disorders, and everything else in between
• So these are treatment approaches that have been tested and proven to work in treating specific disorders
• And we treat things like post-traumatic stress disorder, combat and other related trauma, anxiety, depression

Summary: The Joint Committee on Veterans and Military Affairs heard updates from Joint Base Lewis-McChord, Navy Region Northwest, Fairchild Air Force Base, the Coast Guard, state licensing agencies, the Washington National Guard, and a veterans behavioral health presenter. Across the military briefings, commanders emphasized readiness and major missions, while also highlighting quality-of-life issues affecting service members and families, including housing, child care, food insecurity, medical and dental access, and spouse employment. JBLM reported progress on 212 new family homes, ongoing PFAS cleanup, continued work on the Lewis Army Museum, and efforts to expand child care and food assistance. Navy Region Northwest discussed its economic impact, infrastructure projects, environmental stewardship, and future shipyard and homeport planning. Fairchild described its tanker and survival training missions, child care shortages, food insecurity during the shutdown, aging housing, and concerns about wind turbine development near military airspace. The Coast Guard highlighted its polar icebreaker buildup, rebuilding of Base Seattle waterfront infrastructure, and access-to-care challenges at remote stations such as Neah Bay, along with progress on housing and dental services. Committee members repeatedly raised support for military spouses, child care, food access, and licensure compacts. The Department of Licensing reported about 9,000 active military members or spouses licensed, with expedited processing, license portability, and an average time to license of just under nine days. The Department of Health said it had implemented prior military licensure laws, maintained a military-to-civilian crosswalk for health professions, and issued 129 credentials to military-trained health professionals and 1,300 to military spouses/domestic partners in the last fiscal year, all within 30 days. The Professional Educator Standards Board said military-affiliated applicants for educator credentials receive a streamlined process requiring fewer documents and expedited review. Members asked about verification of military spouse status, compact implementation, and whether future federal changes could affect existing interstate compacts. The Washington National Guard briefing focused on dual state and federal missions, election security, wildfire readiness, and a new National Guard Response Force requirement to train 700 personnel. The Guard also described the impact of the recent federal shutdown on employees and outlined policy and budget requests, including youth academy protections, alignment of the Washington Code of Military Justice with the federal UCMJ, making Civil Air Patrol a division of the Military Department, public records exemptions for critical infrastructure, 911 system improvements, disaster assistance funding, and capital requests for a new Joint Forces headquarters and a King County Readiness Center. Members pressed for more detail on drone threats, wildfire response, and whether the new response force would be used for immigration-related duties; the Guard said it understood the force to be intended for all-hazards response and would follow up. The final presentation, from a veterans behavioral health representative, focused on access barriers, suicide risk, and the need for culturally competent care, especially for women veterans and caregivers. The speaker cited high veteran suicide rates in Washington, long waits for services, and the ways child care, transportation, chronic pain, substance use, and military sexual trauma complicate treatment. No formal votes were taken during the meeting, but members and presenters discussed several pending or future legislative priorities, including licensure compacts, child care, military justice updates, and support for military and veteran families.

Transcript Highlights:

• private, public, and non-profit partners to promote the development of innovative substance use disorder
• This is to expand the Of high-quality evidence-based early psychosis and mood disorder detection and
• include programs to address the needs of older adults, psychiatric emergency rooms, substance use disorders
• private, public, and non-profit partners to promote the development of innovative substance use disorder

Transcript Highlights:

• As a person who lives with substance use disorder disease, it is refreshing to see a bill that's providing
• Substance use disorder disease is a disease that impacts the brain and behavior of individuals like myself
• local law enforcement agencies to enhance the safety and well-being of children with autism spectrum disorder
• spec. enforcement agencies to enhance the safety and well-being of children with autism spectrum disorder

Summary: The committee heard and voted on a long agenda of criminal justice, public safety, and civil justice bills. Among the measures reported favorably were SB 984, which adds aggravating factors for capital sentencing when a murder occurs during religious, school, or public government gatherings; SB 1140, creating a Hillsborough County pilot program to address substance abuse among offenders on probation; SB 1180, expanding child pornography laws to cover lewd altered or filtered images and solicitation; SB 10, providing compensation to Sidney Holmes for a wrongful conviction; SB 500, creating a Spectrum Alert system and training for missing children with autism; SB 1054, increasing penalties for tampering with electronic monitoring devices; SB 1072, establishing an expedited DNA testing grant program; and SB 240, the Haven Act, which aligns domestic and dating violence protections and creates a feasibility study for a discreet emergency contact system for victims. Several bills were amended before passage, including funding for the Spectrum Alert program and technical changes to the DNA, juvenile justice, and other proposals. Members also advanced SB 494, creating a statewide FDLE animal abuse database and increasing sentencing consequences for aggravated animal cruelty, with strong support from animal welfare groups and county officials. SB 1422 was reported favorably to strengthen penalties for unmanned aircraft over critical infrastructure and for weaponized drones, though members raised concerns about the bill’s “reasonable force” language. SB 1268 updated FDLE statutes and increased reimbursement for retired police dogs. SB 1252 was amended into a feasibility study for a statewide pawn data database, and SB 1386 increased penalties for assaults and batteries on utility workers, drawing support from utility and industry groups. The committee also approved SB 1084 on sexual cyber harassment, which criminalizes dissemination of intimate images and digitally forged intimate images, and SB 1654, which revises sexual offender and predator registration rules, including online reporting for certain in-state travel residences. SB 1650 expanded the vexatious litigant law, and SB 1652 created a public records exemption for stricken non-criminal court filings. Finally, SB 1284, expanding Florida’s Wrongful Death Act to allow civil claims for the death of an unborn child, drew extensive testimony both for and against; supporters called it a life-affirming measure, while opponents warned it could increase litigation, affect abortion-related care, and discourage physicians from practicing in Florida. The bill was heard with multiple public comments, but the transcript excerpt does not show a final vote on SB 1284.

Transcript Highlights:

• I am here to present AB 1037, which updates substance use disorder laws to reflect what actually works
• the Region 95% initiative, designed to increase access to services for people with substance use disorders
• reaching about 5% of people with these conditions, with the other 95% of people with substance use disorders
• of people who are knocking on our treatment doors, but for the 95% of people with substance use disorders

Summary: The Assembly Health Committee met on April 8 and heard a long series of bills, beginning with AB 54 on medication abortion access. The author and supporters, including the Attorney General’s office and reproductive justice advocates, said the bill would protect California’s medication abortion supply chain and shield providers and manufacturers from civil, criminal, and professional liability. Opponents from the California Family Council argued the bill removes safeguards and increases risks. The bill was moved forward on a committee motion. The committee then heard several reproductive and public health measures, including AB 551 to create a pilot program supporting emergency departments in providing reproductive health services, AB 260 to protect medication abortion access and telehealth, AB 309 to remove sunset dates on laws allowing pharmacy syringe sales and lawful possession of sterile syringes, AB 536 to preserve colorectal cancer screening coverage if federal guidelines are challenged, AB 804 to make housing support services a Medi-Cal benefit, AB 594 to address student health insurance billing and transparency, AB 836 to study and expand the midwifery workforce, AB 1418 to collect data on health coverage for eligible employees, and AB 1500 to maintain and expand the abortion.ca.gov information site. Supporters emphasized access, preventive care, workforce shortages, and public health benefits, while opponents raised concerns about abortion, syringe distribution, and the focus of state resources. Most measures were advanced by committee vote, with roll calls showing broad support and a few no votes from members on some bills. The final bill discussed in the transcript was AB 1037, which would update substance use disorder laws to reflect evidence-based, harm-reduction approaches and remove barriers to treatment. The author and supporters described it as a compassionate response to overdose and treatment access problems, while law enforcement opposition argued it would encourage drug use and endanger communities. The transcript cuts off during testimony on AB 1037, so no final committee action on that bill is shown in the provided text.

Transcript Highlights:

• I am here to present AB 1037, which updates substance use disorder laws to reflect what actually works
• the Region 95% initiative, designed to increase access to services for people with substance use disorders
• reaching about 5% of people with these conditions, with the other 95% of people with substance use disorders
• of people who are knocking on our treatment doors, but for the 95% of people with substance use disorders

Committee: House Health

Summary: The Assembly Health Committee met on April 8 and heard a long series of bills focused largely on reproductive health, public health, housing, and health workforce issues. Early items included AB 54 and AB 260, both aimed at protecting access to medication abortion in California by shielding providers, manufacturers, pharmacies, and others from liability and by preserving access through telehealth and other delivery methods. Supporters, including the Attorney General’s office, Planned Parenthood, Black Women for Wellness, and other reproductive justice groups, argued the bills were needed to preserve access after Dobbs and amid federal threats. Opponents from the California Family Council and California Catholic Conference argued the measures removed safeguards and promoted unsafe abortion access. Both bills were moved forward on committee votes. The committee also heard AB 551, which would create a pilot program to help emergency departments provide evidence-based reproductive health services, and AB 309, which would remove sunset dates on laws allowing pharmacists to sell syringes without a prescription and clarifying that possession of sterile syringes for personal use is not a crime. AB 551 drew support from emergency physicians and reproductive health organizations, while opponents said it would expand abortion access without adequate safeguards. AB 309 was supported by public health, pharmacy, and harm-reduction groups as a proven HIV and hepatitis prevention tool; the California Narcotic Officers Association opposed it. AB 309 was approved, while AB 551 was also advanced. Other measures advanced included AB 536, which would preserve colorectal cancer screening coverage if federal preventive-care rules are disrupted; AB 804, which would make housing support services a Medi-Cal benefit and seek federal matching funds; AB 594, which would protect students from being charged for school health insurance after they withdraw and require notice of premium increases; AB 836, which would study and expand California’s midwifery education pipeline; AB 1418, which would require reporting on health coverage trends for eligible employees; and AB 1500, which would expand and preserve abortion.ca.gov as a trusted reproductive health information resource. Each drew supportive testimony from sponsors, health care providers, and advocacy groups, with some opposition to AB 1500 arguing the state should provide broader women’s health information rather than an abortion-focused site. Most of these bills were moved out of committee on party-line or near-party-line votes, and several measures were placed on call before final roll calls.

Transcript Highlights:

• Commander for veterans suffering from substance use disorder admitting they need help and showing up
• And you mentioned three great alternatives and many veterans suffer. from post-traumatic stress disorder
• might have experienced military sexual trauma, anxiety, stress and other mental health and addictive disorders
• system, specifically, the VA's preeminent system of care for veterans. with spinal cord injuries and disorders

Committee: Senate Senate Veterans' Affairs

Keywords: veteran services, Secretary Collins, healthcare provisions, contract cancellations, transparency, accountability, committee meeting, legislation

Summary: During this committee meeting, various bills were discussed with a specific focus on veteran services and healthcare provisions. Notably, the cancellation of critical contracts under Secretary Collins sparked significant debate, with representatives emphasizing the adverse impact on veteran care. The meeting featured testimonies from veterans and stakeholders who expressed their concerns regarding the potential fallout of these cancellations, demonstrating the urgency of transparency and accountability in management decisions. Discussions also delved into various legislative proposals aimed at improving services for veterans amidst these challenges.

Transcript Highlights:

• Intended that this act not cover a mental disorder or mental injury that has neither been produced nor
• move on to another amendment that's basically fitting in with the statute that deals with mental disorders
• ... ...children fight, and that was, you know, somebody was maybe claiming post-traumatic stress disorder
• Especially when we have young people who are expressing challenges with behavioral disorders, all types

Bills: SJR 1 , SB 9 , SB 40 , SJR 36 , SJR 1 , SJR 5 , SB 9 , SB 40 , SR 61 , SR 91 , SR 97 , SR 103 , SR 104 , SR 112 , SR 115 , SR 116 , SCR 16 , SB 26 , SB 26

Transcript Highlights:

• program is, how you can enroll in it, and what benefits it could have for drivers with autism spectrum disorder
• include information about voluntary initiatives available to drivers diagnosed with autism spectrum disorders
• It had previously applied to those diagnosed with autism spectrum disorder or an intellectual disability

Summary: The Virginia Disability Commission held its first meeting of the year on June 18, established a quorum, and introduced members. Senator Barbara Favola was elected chair and Delegate Amy Laufer was elected vice chair, both unanimously. The commission also reviewed and unanimously approved its electronic/remote participation policy, which mirrors last year’s policy and allows limited remote participation under Virginia FOIA rules. Staff then reviewed a package of 14 disability-related bills that passed last session and were signed into law. Topics included disabled veterans’ vehicle registration fee exemptions, open captioning requirements for movie theaters, guardianship/conservatorship order forwarding, service dog team definitions, education and transition planning for students with disabilities, Blue Envelope and driver communication training for law enforcement and driver education, deferred disposition and jury service protections, voting rights in guardianship cases, expansion of the Virginia Human Rights Act, continuation of a DD waiver eligibility change, and DMAS training authority for autism competency checklists. Members discussed implementation concerns, especially making the Blue Envelope/driver communication program more visible and considering a follow-up letter and DMV presentation. The commission then adopted its interim work plan unanimously, with discussion of possible presentations on DMAS and Medicaid waivers, DBHDS telehealth training implementation, SCHEV and VDOE transition planning, transition from institutions to community settings, criminal justice reform, transportation and parking accessibility, adult-sized changing tables, and school accessibility. Members also suggested adding EVV concerns, seclusion and restraint, rare disease issues, and insurance coverage problems for needed medications. Public commenters urged the commission to address burdensome EVV requirements for family caregivers, improve accessibility for local government meetings and documents, and explore a standardized credential/career pathway for direct support professionals. The chair said follow-up work would be assigned on EVV and implementation issues, and the meeting location would move to the Senate side of the Capitol going forward.

Transcript Highlights:

• people here are not keen on committees, but let me tell you this: when it comes to substance use disorder
• , this is an official diagnosable disorder.
• This is an official diagnosable disorder.

Summary: The House convened with prayer and the Pledge of Allegiance, approved the journal, and then spent much of the opening portion of the session recognizing administrative assistants and other guests in the gallery, including a doctor of the day and a visiting robotics team. Members repeatedly thanked their staff for keeping offices and the chamber running, and one member also welcomed civic leaders from Buckeye and a foreign delegation connected to a circular economy forum. The chamber then moved into Committee of the Whole on a series of Senate bills. SB 1060, concerning voting eligibility for certain overseas-born children of service members, drew opposition from one member who argued it would disenfranchise military families; the bill still received a do-pass recommendation. SB 1093, described by opponents as an anti-protest bill, also received a do-pass recommendation. SB 1162 and SB 1270 were both advanced as amended after committee and floor/subfloor amendments, and SB 1814, dealing with substance use disorder-related issues, was amended with a friendly change and advanced with comments about the need for broader study and bipartisan work on fraud, waste, and abuse in that area. The House then entered an additional Committee of the Whole for SB 1345 and SB 1401. SB 1345 was amended to focus on licensure timing and DHS collaboration, then advanced. SB 1401, the Workforce Housing Accelerator Act, was amended after debate over affordability standards and public benefit; supporters said it would speed permitting and reduce housing costs, while critics wanted stronger affordability requirements. The bill was ultimately advanced as amended. The House also took up third reading on SB 1041, a health care institutions bill, where members explained yes votes by citing a recent abuse case in assisted living and arguing the measure would help protect vulnerable adults. The transcript ends during vote explanations on SB 1041.

Transcript Highlights:

• patients, those battling opioid Addiction, epileptic children, those suffering from neurological disorders
• to cancer patients, opioid survivors, epileptic children, those suffering from rare neurological disorders
• Symptoms, severe nausea, and neurological disorders, PTSD, autism increase.

Transcript Highlights:

• health condition, the disciplining authority may refer the licensee to a voluntary substance use disorder
• It's a program that helps health care professionals, nurses, that are suffering with substance use disorder
• It's a program that helps health care professionals, nurses, that are suffering with substance use disorder

Summary: The House Health Care & Wellness Committee held public hearings on several bills. House Bill 2232 would create a Department of Health-operated time-sensitive emergency data repository covering trauma, cardiac, and stroke events, with quality improvement reporting and support for rural facilities; it drew strong support from emergency physicians, nurses, and the Department of Health, while the Washington State Hospital Association said hospitals support the goal but lack the resources to absorb the added requirements. House Bill 1812, as a proposed substitute, would bar insurers and public plans from imposing anesthesia time limits or related reimbursement caps; the sponsor and anesthesia providers said it protects patient safety and fair payment, and the Washington State Society of Anesthesiologists asked for a clarifying amendment on physical status modifiers. House Bill 2250 would limit hospital charity care to Washington residents, while preserving emergency care access; supporters from rural hospitals and the Washington State Hospital Association said the change would help border hospitals facing rising nonresident charity care, and opponents from legal aid, patient advocacy, and LGBTQ groups warned it would create barriers, chill access for immigrants and other vulnerable patients, and conflict with Washington’s safety-net values. The committee also heard House Bill 2340, which would extend existing substance-use monitoring program protections and stipend eligibility to nursing assistants under the Board of Nursing’s CARES program. The sponsor described it as a simple equity measure, and the Board of Nursing supported it, saying it would improve access and reduce stigma; members asked where the stipend funding comes from, and staff and the board said it is currently general-fund supported at about $25,000 annually. House Bill 2577 would change hospital inspection law by requiring acute care hospital inspections every 18 months rather than on average, allowing some accredited inspections to satisfy the requirement every 36 months, and clarifying fire-protection reinspection standards; the sponsor and Department of Health said it responds to a JLARC audit and provides needed clarity, while DOH said it is still working to catch up from inspection delays caused by the public health emergency. The meeting ended after public testimony on the bills was closed and the committee adjourned.

Transcript Highlights:

• understand the seriousness of giving this drug to a student that potentially has some kind of cardiac disorder
• understand the seriousness of giving this drug to a student that potentially has some kind of cardiac disorder
• understand the seriousness of giving this drug to a student that potentially has some kind of cardiac disorder

Summary: The House Education Committee first heard House Bill 2246, which would update school discipline rules for firearm-related violations. Committee staff explained that the bill extends existing firearm expulsion and readmission provisions to charter schools, state tribal education compact schools, the School for the Blind, the Center for Deaf and Hard of Hearing Youth, and educational service districts, and would allow governing boards to deny readmission or limit participation in activities after a firearm-related incident. Representative Lowe said the bill was prompted by a local incident and was intended to give districts more flexibility and clarity while still ensuring students continue receiving educational services. Committee members questioned how the bill interacts with constitutional rights to public education, whether it applies to imitation firearms or social media threats, and whether the school board or administration should make the initial discipline decision. OSPI testified “other,” noting concern about limiting appeals to one reconsideration and citing 48 firearm-related expulsions and 198 suspensions in 2023-24. Team Child testified in opposition, arguing the bill would make reentry harder and could unnecessarily exclude students from extracurriculars after they had served their discipline period. The public hearing on HB 2246 closed with 246 pro, 7 con, and 1 other signed in. The committee then heard House Bill 2360, which would allow public and private schools to maintain stock albuterol under a statewide standing order for use in asthma or other respiratory emergencies. Staff described the bill as authorizing trained school personnel or nurses to administer school-supplied albuterol in certain circumstances, including on school property, buses, and sanctioned excursions, with limited liability protections and a refusal option for employees not wishing to administer it. Representative Donaghy said the bill was meant to address life-threatening asthma attacks, especially when a student’s own inhaler is unavailable or when emergency response times are long. OSPI and the Washington State Nurses Association/School Nurse Organization of Washington testified in support, emphasizing the prevalence of asthma, the bill’s permissive nature, and the need for a standing order. The Department of Health had sent a letter asking to strike one section, and some witnesses raised concerns about administering albuterol to students without a prior prescription or diagnosis. Opponents, including a school nurse, argued the bill should wait until the state has clearer protocols, more training, and better staffing, and said nurses should not be asked to diagnose or medicate without physician orders. Supporters, including a pediatric pulmonologist and school nurses, said stock albuterol is safe, can prevent emergency room visits and deaths, and should be paired with parent notification and follow-up care. The public hearing on HB 2360 closed with 113 pro, 2 con, and 1 other signed in.

Transcript Highlights:

• I think if we treat people with substance use disorder disease, we can cut a lot of the costs that we
• I think if we treat people with substance use disorder disease, we can cut a lot of the costs that we
• like in my mind, I'm saying, okay, I know a large number of people in prison have substance use disorder

Bills: S0054 , S0156 , S0296 , S0298

Committee: Senate Appropriations Committee on Criminal and Civil Justice

Summary: The committee first heard a presentation on the Governor’s fiscal year 2026-27 public safety budget, which totals about $8.2 billion within a $117.4 billion overall state budget. Caitlin Dawkins of the Governor’s Office of Policy and Budget outlined funding and reductions across the public safety silo, including the Department of Corrections, Juvenile Justice, FDLE, Legal Affairs, the courts, and related entities. Agency heads then presented their requests, with FDLE seeking funding for fentanyl enforcement, career offender registry staffing, alert system upgrades, alcohol testing equipment, officer mental health, criminal alien detection, and statutory staffing needs; DJJ requesting money for the Florida Scholars Academy, uniforms, residential contract rate increases, a new Broward detention center, and facility maintenance; and DOC requesting major funding for correctional officer pay increases, 500 additional FTE, facility construction and maintenance, communications and security technology, offender information system modernization, inmate health care, pharmaceuticals, and food service. Members discussed staffing shortages, prison conditions, immigration enforcement, public records burdens, mental health and substance use treatment, and the need for continued investment in corrections. A member of the public also testified about poor conditions in some prisons, including clothing, food, medical care, and maintenance issues. The committee then considered and passed CS/SB 156, the Jason Rayner Act, which would clarify that a person may not resist a law enforcement officer with violence when the officer is performing official duties and would increase penalties in cases involving violence against officers. The bill sponsor described the case of Officer Jason Rayner and said the measure was intended to prevent defendants from using claims about unlawful detention or arrest to justify violence. An amendment conforming the bill’s language was adopted, and the bill was reported favorably after support was noted from several law enforcement and municipal groups. Next, the committee passed CS/SB 54, which addresses use of substances affecting cognitive function. An amendment narrowed the medical-records language to records relevant to investigations of violent offenders and clarified privacy protections. The bill was then reported favorably. The committee also passed CS/SB 296, the Haven Act, which would direct a study of a secure web-based alert system for domestic violence victims so they can contact 911 without alerting an abuser, and would expand the Address Confidentiality Program to include dating violence victims. Testimony from survivors and advocates emphasized the danger victims face when trying to leave abusive situations. Finally, the committee passed CS/SB 298, the public-records companion bill, which extends confidentiality protections for participants in the Address Confidentiality Program to dating violence victims as well. All three bills were reported favorably, and the committee adjourned after no further business.

Transcript Highlights:

• syncope, so fainting. upon getting the vaccine, but you've also got Guillain-Barre, neurological disorders
• , cognitive disorder. and deaf.
• 2.3 percent incidence of serious adverse events reported in clinical studies. including cognitive disorders

Bills: HB 1105 , HB1527 , HB1787 , HB1972 , HB2081 , HB3296 , HB3976 , HB4071 , HB4234 , HB4438 , HB4701 , HB5092 , HB5150 , HB5180 , HB5265 , HB5333 , HJR203

Committee: House Higher Education

Keywords: tuition exemption, paramedics, higher education, laboratory fees, emergency medical services, peace officers, criminal justice, law enforcement, degree programs, public institutions, HB 1787, HPV, human papillomavirus, college health, university health, student health, public health education, prevention program, screening, early detection

Transcript Highlights:

• diseases, such as cancer, heart and lung diseases, mental<00:26:03.200><c> health</c><00:26:03.440><c> disorders
• ,</c><00:26:04.400><c> and</c> mental health disorders, and mental health disorders, and complications

Committee: House Health

Summary: The Committee on Health met on April 2, 2025, and heard several resolutions focused on student mental health, autism data collection, school heat exposure, and climate change as a public health issue. Testimony on HCR 96/HR 92 supported encouraging the University of Hawaii to evaluate and expand student mental health services; the University of Hawaii testified in support, and a student speaker said expanded services would make students more likely to seek help. The committee also heard HCR 145/HR 139, which urges state agencies to collaborate on planning for Hawaii’s participation in CDC autism prevalence surveillance; supporters included the Hawaii State Council on Developmental Disabilities and an autism advocate who said Hawaii needs better local representation in the data. The committee then heard HCR 186/HR 179, requesting a study of heat exposure management in Department of Education and charter schools. The Department of Health and the climate change and health working group supported the measure, citing rising temperatures, heat-related illness risks during outdoor activities, and the value of wet bulb globe temperature standards. Finally, the committee heard HCR 188/HR 182, declaring climate change a public health emergency and calling for statewide coordination on cross-sector solutions. Supporters from the Hawaii Public Health Institute, the climate change and health working group, and a Native Hawaiian physician emphasized climate-related health harms such as heat illness, wildfire impacts, chronic disease, and inequities; one member opposed the measure as politicized and said it could dilute attention from other urgent problems. In decision-making, the committee adopted recommendations to pass HCR 96/HR 92, HCR 145/HR 139, and HCR 186/HR 179 as is. For HCR 188/HR 182, the committee recommended passage with amendments, specifically a House draft one for technical clarity, consistency, and style. During the vote on the climate emergency resolution, Representatives Elos and Garcia voted no, while the rest of the members present supported the recommendation. The meeting then adjourned.

Transcript Highlights:

• dealing with some of the severe mental illness conditions such as schizophrenia, severe bipolar disorder
• , and other serious mental health disorders.

Summary: The committee met briefly to clarify priorities for available funding, with the chair noting that JFAC had already removed funding for one SRO-related item and that the committee would need to decide how to proceed. Senator Kevin Cook was invited to outline several potential behavioral health and Medicaid-related uses of funds, emphasizing that he was not lobbying but providing information on costs and impacts. Much of the discussion focused on three behavioral health services that had been cut: Assertive Community Treatment (ACT), Adult Peer Support Services, and Healthy Connections. Senator Cook and Department of Health and Welfare Medicaid administrator Sasha O’Connell described ACT as an evidence-based team service for people with severe mental illness, noting it had been cut under the governor’s holdback and that restoring it would cost about $1.3 million for the remainder of FY 2026 and $4.1 million in FY 2027. Peer support was described as a trained recovery-based service, with estimated costs of $2 million for FY 2026 and $6 million for FY 2027. Healthy Connections, which had ended due to statute rather than department action, was estimated at $1.5 million to finish FY 2026 and $6.3 million for FY 2027. O’Connell explained that the cuts were driven by budget holdbacks and limited options under state and federal law, and that ACT had been moved into the Magellan Medicaid contract to leverage federal matching funds. Members asked about the Medicaid match, the number of people served, and why these services were not included in earlier Medicaid funding decisions. Several members and Senator Cook argued that ACT in particular reduces costs and risks by preventing hospitalizations, jail stays, and law enforcement crises, and cited letters and personal examples supporting the program. The committee did not take final action, but members expressed support for ACT and discussed whether statutory changes or another meeting would be needed before any funding decision.

Transcript Highlights:

• standards governing how insurers conduct utilization reviews for mental health and substance abuse disorder
• standards governing how insurers conduct utilization reviews for mental health and substance abuse disorder

Bills: SB1673 , SB1500 , SB1447 , SB1646 , SB2007 , SB1275 , SB2074

Committee: Senate Business and Insurance

Summary: The Senate Business and Insurance Committee met to consider several bills, with the chair emphasizing pharmacy benefit managers (PBMs) and the impact on local and rural pharmacies. Before taking up the bills, the committee announced that Senate Bills 1620 and 1625 would be laid over. The committee also adopted an amendment to Senate Bill 1673 to exempt certain state-funded flexible benefit plans, and then passed the bill, which creates the Prosthetic Access and Accountability Act of 2026 and requires health plans that already cover prosthetic benefits to administer them without disability-based discrimination. The committee then passed several PBM-related measures. Senate Bill 1500 requires PBMs to reimburse rural pharmacies within 30 calendar days. Senate Bill 1447 adds safeguards to the Oklahoma Employee Insurance Plan by restricting PBM contracts, including disfavoring PBMs involved in recent lawsuits or those affiliated with insurers, retail pharmacy chains, specialty pharmacies, mail-order pharmacies, or drug manufacturers. Senate Bill 1646 strengthens utilization review standards for mental health and substance use disorder treatment, and Senate Bill 2007 prohibits PBMs from reducing reimbursement after a successful appeal and adds administrative fees when they fail to make required adjustments. The committee also passed Senate Bill 1275, which requires upfront disclosure of all fees for short-term rental bookings such as Airbnb and VRBO, with only tax added at checkout. Finally, the committee passed Senate Bill 2074 after extensive debate; it would require fairer and more transparent PBM reimbursement using a Medicaid-based methodology and a professional dispensing fee, with supporters arguing it would help independent and community pharmacies and opponents raising concerns about consumer costs and legal issues. All bills considered in the meeting were reported out with favorable votes, and the meeting adjourned after the chair noted one more meeting would be held the following week.

Transcript Highlights:

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Summary: The Division 3 work session focused largely on amendment 1176 to HB 2, which would have incorporated the substance of HB 548FN, a House-passed bill creating a direct-pay or membership-based model for health care facilities. Representative Mlan described the proposal as a way to increase competition in health care by extending the direct-care model used in primary care to facilities, arguing it could encourage innovation and that concerns about widespread harm to critical access hospitals were overstated. He pointed to Oklahoma’s long-standing Surgical Center model as evidence that the approach had not spread broadly or displaced hospitals there. Several members and witnesses raised concerns. Representative Stringham questioned whether the model would shift profitable services and patients away from existing hospitals, potentially worsening their finances and affecting Medicaid-related funding. David Ross, speaking for county nursing homes, opposed the language because it also removed moratoriums on nursing home, skilled nursing, inpatient rehabilitation, and self-pay beds, warning that it could increase pressure on Medicaid rates and undermine community-based care. Ben Bradley of the New Hampshire Hospital Association said the proposal appeared to create a separate regulatory framework for direct-pay facilities and raised concerns about patient safety, CMS participation rules, and a separate patient bill of rights. The chair concluded that, because HB 548 was already moving through the Senate, the HB 2 process was not the best vehicle for the policy and that the issue should be left to the Senate’s more deliberative committee process. Representative Ferski moved to not accept or remove amendment 1176 from the agenda, and the committee approved the motion by roll call, 9-0, withdrawing the item from HB 2.