Transcript Highlights:

• million pounds annually, one of the largest growers in the country, shipping across the U.S. and internationally

Bills: HM19

Keywords: New Mexico Aviation and Aerospace Day, aviation, aerospace, space industry, missile programs, Spaceport America, White Sands Missile Range, White Sands Test Facility, Kirtland Air Force Base, drone, unmanned aircraft systems, commercial space transportation, NASA, aircraft, STEM education, research laboratories, Sandia National Laboratories, Los Alamos National Laboratory, flight testing, medical evacuation

Transcript Highlights:

• the PRC is is engaged in unfair trade practices to boost its own economy To boost its standing internationally

Keywords: committee meeting, bill discussions, nomination, David Perdue, Monica Crawley, U.S.-China relations, foreign policy

Summary: The meeting of the committee was marked by significant discussions regarding various bills, including HB22 and SB5. A notable moment was the introduction of nominees Senator David Perdue and Ms. Monica Crawley, which led to discussions on the implications of their roles, particularly in relation to U.S.-China relations and foreign policy. Members exchanged views on the nominees' qualifications, emphasizing the importance of leadership in foreign diplomacy. Additionally, the committee heard testimonies from several witnesses both supporting and opposing certain bills, showcasing the diverse perspectives present.

Transcript Highlights:

• for the occasion, and I want to take a moment to lift up all of the work that they do to provide training
• AND I WANT TO TAKE A MOMENT TO LIFT UP ALL OF THE WORK THAT THEY DO TO PROVIDE TRAINING, TECHNICAL ASSISTANCE
• And organ donations are done by physicians, by doctors.
• AND ORGAN DONATIONS ARE DONE BY PHYSICIANS, BY DOCTORS.

Keywords: 993, senate, all

Summary: The Senate opened with an invocation focused on memory, gratitude, and recognizing the unseen people who sustain public life, then approved the prior day’s journal and moved through introductions of guests, including domestic violence advocates, medical scholars, and student advocates. Senator Webb’s Resolution 1633, designating February 23, 2026 as Domestic Violence Awareness and Prevention Day, was adopted after remarks describing the scope of domestic violence in New York and the need for more survivor services. The chamber also adopted memorial Resolution 1558 honoring Margaret D. Williams, a vocalist, public servant, and community leader, and Resolution 1630 marking the 20th anniversary of Park and Public Lands Advocacy Day, with comments emphasizing the health and community benefits of parks and green space. The Senate then took up a series of bills on the calendar, passing measures including amendments to the Environmental Conservation Law, Labor Law, Education Law, Administrative Code of New York City, General Municipal Law, Tax Law, Cannabis Law, and Executive Law. Senator Ramos explained her support for the labor bill as the Anti-Waiver of Employment Rights Act, which would prevent employers from forcing workers to waive labor and human rights protections in applications or onboarding documents. Several bills were passed by wide margins, while some were laid aside for the day. The chamber also restored Senate Print 438 to the third reading calendar after reconsideration. A contested amendment to Calendar 234, Senator Comrie’s Executive Law bill, was ruled non-germane by the chair; Senator Walczyk appealed, arguing the amendment addressing the state energy code and all-electric building mandate was relevant to housing costs, but the Senate voted 20 to sustain the chair’s ruling. The underlying bill was then returned to the non-controversial calendar and passed. Finally, the Senate adopted a concurrent resolution electing two members to the Board of Regents, with supporters praising the nominees’ experience and critics objecting to the limited vetting time; the resolution passed 42-15. The Senate then adjourned until Thursday, February 26 at 11:00 a.m.

Transcript Highlights:

• Focusing broadly on CYFD, if an individual is in the informal train of—excuse me—if a child is involved
• The informal train of—excuse me—if a child is involved in the informal justice system, what happens is
• And so, I don't know what the solution is, but we have to find a way to incentivize physicians to prescribe
• you're reflecting the same thing that Allegra reflected, that we're having the challenge In finding physicians

Transcript Highlights:

• We're adding mental health training to veteran suicide prevention officers through their pilot program
• And that is when a pharmacist is works with a physician to establish a protocol under which the pharmacist
• complex conditions, such as heart failure, coronary artery disease, whatever we need to have the physician
• Assistant to the development of workforce training, including flood and sea level Rise.

Keywords: 999, senate, all

Transcript Highlights:

• They can depose that treating physician.
• I mean, you might as well ask a physician to be tortured. They hate it, right?
• I do believe this bill would allow physicians to treat and they would treat.
• I think that's educating our physicians is going to be a big piece.
• No, go see my physician.

Transcript Highlights:

• This amends an existing federal grant to increase by $6,000, and this is for training of specialized
• This amends an existing federal grant to increase by $6,000, and this is for training of specialized
• And then lastly, they are... ...going around and training physicians on how to do comprehensive screening
• This is physician services at the Southeast Arkansas Human Development Center.

Summary: The subcommittee reviewed multiple methods of finance and construction items, including projects for Arkansas State University, Black River Technical College, UAMS, the University of Arkansas at Pine Bluff, and UCA. The UAPB Allied Health and Sciences Building appeared both as a method of finance and as an alternative delivery construction project, with East Harding Construction selected and AMR Architects as designer. Members approved the methods of finance, the alternative delivery project, and several discretionary grants, including Department of Health grants for a heart attack center designation and community health worker training, and DHS grants related to homeless services, behavioral health transition support, and an enabling technology pilot. The committee then reviewed service contracts, including RFQs, construction-related contracts, intergovernmental agreements, and a large number of out-of-state and in-state contracts. Testimony focused heavily on DHS staffing and state hospital contracts, the Arkansas State Police seatbelt survey, AEDC’s lithium supply chain analysis, and Shared Administrative Services’ new SuccessFactors performance-management contract. Members asked detailed questions about contract nursing costs, turnover, hiring timelines, and whether some contracts were being renewed or amended beyond their original projected costs. DHS and Veterans Affairs officials explained staffing shortages, retention incentives, and the use of contract labor as a supplement to state employees. Several contracts drew scrutiny and were held for further review. Representative Wardlaw raised concerns about projected costs and repeated amendments on the Department of Education security contract and on DHS staffing contracts, arguing that some had exceeded their original projected totals. The committee voted to hold contracts 5, 7, and 8 until Friday, while adopting the remaining contracts. The meeting ended after informational reports on service contract amendments without material change, executed contracts, and emergency procurements were presented, with no further business before adjournment.

Transcript Highlights:

• have resulted in significant dysfunctions in terms of access to care, supply, and distribution of physicians
• and physician networks in and outside of Medicaid programs.
• The idea here is to work with speech language pathologists and psychologists or behaviorally trained
• Does training need to be done with the social workers at CYFD?
• In order to have this be really successful, we would like to do some intense training with the speech

Transcript Highlights:

• Allied Health would do the training, and it would start with clinical training, because it's important
• Is that because of lack of training?
• Is that because of lack of training?
• If I were trained, no.
• So let me get this training, training on how to do those things. Go ahead, Mr. Chair.

Bills: SB1041, SB1088, SB1118, SB1128, SB1168, SB1176, SB1189, SB1207, SB1250, SB1272, SB1274, SB1286, SB1428, SB1457, SB1461, SB1503, SB1519, SB1537, SB1582, SB1618, SB1654, SB1713, SB1827, SCR1012, SCR1020

Keywords: electronic monitoring, nursing care, assisted living, resident rights, privacy, consent, surveillance, cybersecurity, homeland security, artificial intelligence, state appropriation, VPN security, zero trust, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes

Transcript Highlights:

• Since 1991, our organization has been dedicated to water safety education in Hawaii and internationally
• Hawaii and internationally.
• They do not clean up after they have these ranges and these training exercises.
• They do not clean up after they have these ranges and these training exercises.
• wave finders which provide Place trained wave finders which provide Place trained young<02:00:19.400

Keywords: 910, house, all

Summary: The committee heard testimony on HB 1233, relating to storm management systems, which would add safety and maintenance requirements for detention and retention ponds. Supporters, including Alison Schafers of the Ki Injury Prevention Coalition and Kristen Herstead of the Hawaii Lifeguard Association, said the measure is needed because poorly maintained ponds can become hidden drowning hazards, especially for children, and argued that fencing, signage, and life-saving equipment would have minimal cost. Schafers described the death of her daughter in a detention pond and said the bill reflects recommendations in the Hawaii Water Safety Plan. Members asked about whether the issue should be handled at the county level; testifiers responded that a statewide standard is needed, though counties would likely handle permitting. No vote was taken on the bill during the excerpted discussion. The committee then heard HB 867, relating to recreational facilities, which would require accessible playgrounds. The Department of Land and Natural Resources said it submitted comments and that state parks do not generally have recreational facilities affected by the bill, while most such facilities are under county jurisdiction. The Hawaii State Council on Developmental Disabilities, the Disability Communication Access Board, and the Disability Rights Center all supported the bill’s intent but recommended changes, including replacing the term “special needs” with “accessible,” focusing the requirement on new and renovated playgrounds, and specifying wheelchair-accessible swings. Testifiers emphasized that accessible play spaces promote inclusion for children with disabilities and benefit all children. No final action or vote was reported. The committee also took up HB 1358, relating to a public land trust working group. DLNR supported the measure and said it had provided written comments, while the Office of Hawaiian Affairs strongly supported the bill and described longstanding problems with incomplete land inventories, self-reported revenue data, and disputed public land trust payments. OHA said an audit it funded suggests the state owes more than current payments reflect, and other supporters said the bill is needed for transparency, accountability, and a complete inventory of public trust lands, including submerged lands. Committee questions focused on how the public land trust information system is maintained, who updates it, and how revenue reporting works; DLNR said the system is older, has limited dedicated IT staffing, and relies on agency self-reporting rather than independent verification. No vote or final committee action was announced in the excerpt.

Transcript Highlights:

• I'm an infectious disease physician.
• So I'll just say that the public health concerns that I and my fellow physician colleagues have around
• So I'll just say that the public health concerns that I and my fellow physician colleagues have around
• Our contractors and union plumbers are familiar with them, so they're trained, certified, and ready to
• We trained about 900 plumbers at that time—plumbers and apprentices—to do this, but it's a very small

Keywords: 995, all

Summary: The Joint Committee on Environment and Natural Resources held a hybrid hearing with testimony on a range of environmental bills. Early testimony focused on H. 1018, which would update management of the Commonwealth’s water resources and limit new conditions on historic water registrations. Water officials from Wellesley and the Springfield Water and Sewer Commission supported the bill, arguing that drought-related restrictions on registered withdrawals are difficult to administer, create customer confusion, and can undermine utility revenue needed for infrastructure upgrades. A Massachusetts Waterworks Association representative also backed the bill, saying registered systems have long operated within their allocations and should not have those withdrawals conditioned by regulation. A major portion of the hearing centered on H. 1040, which would ban tire-derived materials on playgrounds and playing fields. The bill’s petitioner, environmental advocates, and an environmental chemist testified that crumb rubber and other tire-derived infill can release chemicals into soil and water and may pose risks to aquatic life and public health. Committee members asked about alternatives and costs; witnesses said natural grass and some organic infills are available, though more research is needed on some substitutes. Rep. Schwartz also testified on CSO-related bills, describing combined sewer overflows as a public health and environmental problem and saying the bills set deadlines but leave implementation methods to local and regional officials. Rep. Chacolo supported H. 909, a grant program for low-noise, low-emission landscape equipment, citing worker health, noise, and emissions concerns, and Sen. Cyr testified for bills addressing coastal and environmental acidification and nutrient pollution. The hearing also included extensive testimony on H. 4040, which would prevent discharge of radioactive materials from the Pilgrim decommissioning process. Speakers including a Sierra Club representative, a physician, and the Massachusetts Lobstermen’s Association opposed Holtec’s plan to dispose of radioactive wastewater through evaporation or discharge, citing public health, transparency, and economic risks to fisheries and coastal communities. Another large block of testimony addressed CSO legislation, especially H. 1046 and related bills for the MWRA service area. Environmental groups, residents, and river users described sewage overflows into the Charles, Mystic, and Alewife Brook, impacts on health and recreation, and the need for a timeline to eliminate or sharply reduce overflows. Industry representatives opposed the CSO and waste bills, arguing they would be costly, duplicative, and disruptive, while waste facility operators said they already use continuous emissions monitoring and comply with existing regulations. No votes were taken during the hearing.

Transcript Highlights:

• infrastructure, hospitals, mental health centers, home care, community clinics, nursing homes, physicians
• Currently, just 7% of physicians feel confident diagnosing long COVID, and only 4% feel confident treating
• Can you imagine how devastating that must be to have your dreams taken away after years of training and
• We help train caregivers, social services, and home health aides in the special needs of people like
• I was a physician who, until 2020 when I got long COVID, was busy taking care of patients—pregnant patients

Bills: HF2435

Keywords: healthcare, dementia services, public health funding, opioid prevention, women's health, community health boards, mental health

Transcript Highlights:

• Peran Kumar to the Texas Senate to serve as our physician of the day. Dr.
• Kumar, a family physician, serves patients of all backgrounds and conditions from the acute to the overall
• Kumar isn't the only doctor in his family, with his wife also serving our community as a physician.
• Jordan Leadership Institute, which has empowered African-American women who strive for diversity and training
• And Jim was the Democratic House chair, and for some of us House-trained members, you'll remember Jim

Summary: The Senate opened with a quorum, an invocation, and routine motions to excuse Senator King and dispense with the reading of the previous journal. Members then took up several ceremonial resolutions and recognitions, including honoring Duncanville High School’s boys basketball state championship, recognizing the city of Palestine, welcoming the Texas African American Lawyers Foundation and Barbara Jordan Leadership Institute, acknowledging the Cibolo Chamber of Commerce, and designating Texas County Treasurer’s Day and Mesquite Day. A memorial resolution for Clyde Vance Dunham of Waco was adopted, with multiple senators speaking in tribute to his long legal career and community service; the Senate agreed to adjourn in his memory. The chamber then considered a series of bills, most of which were advanced on expedited motions. Senate Bill 1948, concerning fire prevention standards for certain agricultural facilities, passed after suspension of the rules and the three-day rule. Senate Bill 1394, updating weight and tire-load rules for ready-mix concrete trucks, passed unanimously. Senate Bill 1814, creating an electronic database to provide information to certain veterans, also passed unanimously. Senate Bill 241, tightening enforcement of the public camping ban and authorizing state enforcement and reimbursement mechanisms, drew questions about impacts on unhoused people but ultimately passed. Senate Bill 1147, withdrawing Texas from the Interstate Mining Compact, passed unanimously. The Senate also passed Committee Substitute for Senate Bill 921 on Medicaid ex parte renewals after a narrower vote, and Senate Bill 609, requiring school districts and charter schools to comply with legally required policies, after rejecting an amendment by Senators Menendez and Perry that would have added a good-faith/resource-limitation safeguard for districts. Committee Substitute for Senate Bill 660, requiring bollards or similar barriers near certain hospital emergency rooms, passed with rural exemptions and exceptions for existing protections. Senate Bill 2155, a cleanup bill returning veterinary board authority from TDLR to the State Board of Veterinary Medical Examiners, passed with amendments. Committee Substitute for Senate Bill 1209 on election dates and Committee Substitute for Senate Bill 1396 prohibiting national sex education standards in public schools also passed. The Senate then received first-reading bills and adjourned until the next day.

Transcript Highlights:

• The cars, the buses, the trains, the tracks—that's all made of metal.
• Also here registering support for Clean Water Action, another co-sponsor, the San Francisco Bay Physicians
• Also here registering support for Clean Water Action, another co-sponsor, the San Francisco Bay Physicians
• It's a matter of trust between physician and patient. Both effective and safe.
• It's a matter of trust between physician and patient. That's why SB 646 is so important.

Summary: The committee heard SB 404 on metal shredding facilities, SB 601 on water quality protections after the U.S. Supreme Court’s Sackett decision, SB 682 on phasing out PFOS in certain consumer products, and later SB 646 on prenatal vitamins and toxic metal contamination. SB 561 had been pulled from the hearing. In each of the measures, the authors and supporters emphasized environmental and public health protections, while opponents raised concerns about overregulation, implementation, and unintended economic impacts. The committee also spent time on the policy details of each bill, including how smaller operators would be treated under SB 404, how “nexus waters” would be defined under SB 601, and whether alternatives and testing standards were adequate under SB 682 and SB 646. For SB 404, Senator Caballero said the bill would create a permitting and enforcement framework for metal shredding facilities, with operational standards for fire prevention, stormwater, and releases of shredder residue, while supporters argued it would bring needed certainty to a critical recycling industry. Opponents, including small recyclers and community/environmental advocates, said the bill was either too broad or not strong enough, with some warning it would burden smaller facilities and others arguing it would fail to protect overburdened communities. The committee approved SB 404 on a due-pass-as-amended motion to Appropriations, with recorded support from the chair and some members and opposition from others. SB 601 sought to restore state-level protections for waters that lost federal Clean Water Act coverage after Sackett, using a “nexus waters” framework and revised enforcement provisions after amendments removed the private right of action. Supporters said California needed to preserve protections for seasonal streams and wetlands and avoid backsliding, while opponents from business, agriculture, water districts, and local governments argued the definition remained too broad and could create uncertainty, costs, and unintended consequences. The committee also approved SB 601 on a due-pass motion to Appropriations, again with split votes. SB 682, which the committee also advanced, would phase out intentionally added PFOS in six product categories, including cleaning products, cookware, dental floss, ski wax, food packaging, and juvenile products, with an amendment delaying cookware implementation until 2030. Supporters framed it as a source-control measure to reduce PFAS contamination and lower long-term water treatment costs, while manufacturers and cookware interests argued the bill was overbroad, lacked workable testing standards, and could push consumers and businesses toward uncertain alternatives. The committee chair recommended an aye vote, and the measure passed to Appropriations. SB 646 was then introduced on prenatal vitamins, with supporters saying it would require testing and disclosure of heavy metals like lead, arsenic, cadmium, and mercury, while the opposition said disclosure must be handled carefully so as not to confuse consumers or undermine confidence in prenatal supplements.

Transcript Highlights:

• and dentists have I think the physicians and dentists have some<00:10:29.120> language<00:10:
• We authorized them to do training.
• We put in place a child care training.
• Um, and they may use it for some training, but they use it for operational cost.
• , but they use it for some training, but they use it for operational<00:55:06.319> cost.

Keywords: Public Health and Welfare - Room 216, 21 January, 2026; 3:30 PM, 925, all

Summary: The committee first took up House Bill 3, a certificate-of-need measure that had passed last year but was vetoed by the governor because of one objectionable provision. The chair explained that the House had just passed the bill unanimously and urged quick Senate action so it could be sent to the governor again. He said the bill is intended to restore the prior law, with the main policy focus on rural hospitals and other future certificate-of-need changes. A question was raised about language affecting the University of Mississippi Medical Center’s academic exemption; the chair said the intent was to preserve the teaching hospital’s core exemption around its main campus while requiring certificate-of-need review for facilities it operates elsewhere, and the committee then voted title sufficient, due pass. The committee then considered Senate Bill 2476, requested by the Board of Pharmacy. Senator Hill explained that it would let licensed pharmacists self-report substance abuse or mental health issues and enter treatment before disciplinary action, similar to programs already available for nurses and with comparable provisions for physicians and dentists. Board representatives said participants would have to stop practicing until cleared, and that failure to comply would trigger discipline; the bill was described as an alternative to professional discipline, not immunity from criminal law. After questions about definitions and how many times a person could use the program, the committee voted title sufficient, due pass. The meeting concluded with an informational presentation from Mr. Anderson on child care funding and program operations. He said the state used ARPA funds during the pandemic to support child care certificates and providers, but those funds were exhausted, leading to a pause and a waiting list of about 20,000 families; the program currently serves about 18,000 children. He said the department is continuing $15 million in state support, is converting 30% of the TANF state assistance grant to child care, and is exploring additional TANF direct-assistance options, though cautiously because the state has not done that before. He also discussed child care tax credits, employer-based child care, and efforts to expand capacity through provider support and technical assistance.

Transcript Highlights:

• Um, our middle child got married in April of '23, and I know I did not train our children not to get
• Um, our middle child got married in April of '23, and I know I did not train our children not to get
• As a coach, we go through specific training every three years or so on this.
• In committee, we did hear from four physicians, long-practicing physicians, by the way, about the science
• > by Physicians long practicing Physicians by Physicians long practicing Physicians by the<02:

Keywords: 1183, house

Transcript Highlights:

• Nevada ranks last in the nation when it comes to the ratio of physicians to patients.
• For every 100,000 people, Nevada has only 218 physicians.
• Nevada continues to rank between 45th and 49th in terms of physician supply based on specialty in the
• I'm asking for your support in supporting SB 262 as increasing Nevada's resident physician positions
• So this bill proposes appropriate changes to increase the amount of resident physicians in our state

Bills: AB568, SB90, SB133, SB147, SB229, SB233, SB240, SB245, SB280, SB378, SB393, SB417, SB434, SB494, SB495, AB62, SB104, SB119, SB132, SB193, SB262, SB422, SB431, SB435, SB468, SB503

Keywords: higher education, Nevada System of Higher Education, operational expenses, instructional expenses, public funding, education funding, teacher grants, classroom supplies, instructional support, specialized personnel, civics education, Nevada Center for Civic Engagement, funding, youth programs, civic involvement, Southern Nevada, Clark County, Las Vegas Valley, regional planning, economic resiliency

Transcript Highlights:

• For those of you that don't know, TDCAA does training for all the prosecutors across the state. state
• And it is because of you and the people that you have. trained to teach us that there are right ways
• But I'll close saying this, is when I talk about training young prosecutors.
• This medical school specifically will seek to train and retain primary care physicians out in rural Texas
• The caption uses the term insider training to refer to misuses of official information. the result in

Bills: HB29, HB 125, HB145, HB171, HB255, HB50, HB796, HB363, HB 116, HB491, HB589, HB1495, HB368, HB 1285, HB1905, HB1360, HB2002, HB917, HB2723, HB2067, HB 1238, HB2337, HB745, HB 1188, HB1606, HB2003, HB2147, HB2391, HB2355, HB2546, HB2495, HB2818, HB2249, HB1749, HB3109, HB3228, HB3240, HB1507, HB658, HB1748, HB1851, HB1922, HB2001, HB2798, HB 107, HCR29, SB5, SB262, HB 11, HJR72, HB 106, HB18, HB48, HB27, HB37, HB1481, HB581, HB1696, HB2216, HB 1035, HB1633, HB742, HB754, HB1689, HB1690, HB2669, HB391, HB517, HB 1024, HB1607, HB252, HB1716, HB1562, HB4116, HB1866, HB1741, HB2103, HB2637, HB2884, HB503, HB 1089, HB2986, HB972, HB502, HB29, HB 125, HB145, HB171, HB255, HB50, HB796, HB363, HB 116, HB491, HB589, HB1495, HB368, HB 1285, HB1905, HB1360, HB2002, HB917, HB2723, HB2067, HB 1238, HB2337, HB745, HB 1188, HB1606, HB2003, HB2147, HB2391, HB2355, HB2546, HB2495, HB2818, HB2249, HB1749, HB3109, HB3228, HB3240, HB1507, HB658, HB1748, HB1851, HB1922, HB2001, HB2798, HB 107, HCR29

Keywords: water audit, water loss, water loss mitigation plan, municipally owned utility, municipal utility, water conservation, Texas Water Development Board, TCEQ, Texas Commission on Environmental Quality, water leakage, leak detection, billing data accuracy, utility validation, water audit validation, water scarcity, water management, infrastructure, public utility, conservation plan, administrative penalty

Transcript Highlights:

• <00:17:34.559> were<00:17:34.720> some<00:17:34.880> other<00:17:35.160> training
• <00:17:36.120> um side there were some other training um side there were some other training
• We have healthcare professionals on the committee, five physicians actually, two state representatives
• It's very helpful if the train is starting to go off the rails.
• It's very helpful if the train is starting to go off the rails.

Keywords: 928, house, all

Summary: The committee met on March 28 for a Health and Human Services Oversight Committee meeting, approved the draft minutes from February 21, and then received updates from DHHS on the sudden termination of about $80 million in federal COVID-era funding. Commissioner Lori Weaver and Trisha Tilly said the funding had been expected to continue through September 2026, but an email ending it immediately created a 15-month budget gap. They explained that most of the money supported public health work, especially epidemiology, laboratory capacity, data systems, community health workers, outbreak response, and some behavioral health supports. DHHS said it had notified contractors, was reassessing which activities could continue, and had managed to avoid layoffs for its 20 affected staff by shifting funding sources, though some contract lab staff had to leave and some work would stop or be put on hold. Senators and representatives asked about impacts on labs, staffing, and the state budget lapse, and DHHS said the water lab and testing supplies would be affected and that the department was trying to backfill where possible with other federal funds. The committee then heard a maternal mortality report from the Maternal Mortality Review Committee. Alison Power and Caroline Naami explained that the MMRC reviews maternal deaths to identify contributing factors and make recommendations, and that it had completed one CDC grant and received another five years of funding. For 2023, the state recorded five pregnancy-associated deaths, including three from overdose, two from cardiovascular causes, and one homicide; the share of deaths related to substance use fell from 62.5% in 2022 to 40% in 2023. Over the 2019–2023 period, half of pregnancy-related deaths were due to overdose, most occurred postpartum, and many involved Medicaid recipients, transportation or financial barriers, and deaths at home. The committee said mental health and substance use remained the main drivers of maternal mortality, but that 79% of pregnancy-related deaths in the five-year aggregate were considered preventable. Presenters highlighted recommendations and ongoing interventions, including expanding Medicaid coverage through one year postpartum, strengthening behavioral health access, partnering with the Department of Corrections on care for pregnant and postpartum women, and continuing clinical education through the Northern New England Perinatal Quality Improvement Network. Members asked why the maternal mortality rate had declined in recent years; staff said the 2021 spike was tied to the pandemic and that recent declines likely reflected both that spike and the impact of interventions, though the small number of cases makes trends hard to interpret. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• And it's been an incredible program with its challenges, but we trained over 200 primary care physicians
• That takes some experience and training.
• So I think my concern has been when I show up to train, it's...
• And I think PTA is one place where parents can go for training.
• And I think PTA is one place where parents can go for training.

Summary: The hearing focused on youth mental health and treatment access in California, with opening remarks emphasizing that youth distress, self-harm-related emergency visits, and difficulty obtaining care remain elevated, while workforce shortages and reliance on one-time funding continue to limit access. Assemblymember Lori Davies echoed concerns about unstable funding and said lawmakers need to hear directly from providers and families as they prepare for the budget and legislation. The chair framed the hearing as a chance to hear from county, school, provider, and student perspectives, especially in San Diego County, where needs are high and investments have not always matched demand. County and school officials described the current system and recent state initiatives, including the Children and Youth Behavioral Health Initiative, school-linked fee schedules, payment reform, and the Behavioral Health Services Act transition. San Diego County Behavioral Health said it serves Medi-Cal youth with specialty mental health needs through a broad continuum of care, including outpatient clinics, school-based services, crisis response, residential treatment, and new crisis and residential facilities. San Diego County Office of Education and San Marcos Unified School District described efforts to expand school-based services and reimbursement through CYBHI, but said implementation is slowed by complex billing rules, insurance-data collection concerns from families, administrative burden, and uncertainty about sustaining staff positions funded by grants or soft money. School counselor testimony highlighted reduced stigma through campus outreach and clubs, but also noted that counselor-to-student ratios remain well above national standards and that budget cuts threaten supports. Provider testimony stressed that the system remains fragmented and that youth often move between emergency rooms, inpatient care, outpatient therapy, schools, and county programs without smooth handoffs. A child psychiatrist described crisis cases in which the main choices are brief hospitalization or discharge with limited follow-up, and argued for stronger warm handoffs, more outpatient and intensive outpatient options, better school-clinic coordination, and broader use of mobile crisis and 988. Rady Children’s Hospital and Aurora Behavioral Health described large increases in behavioral health demand, expansion of integrated care, and major barriers tied to low reimbursement rates, delayed payments, and administrative complexity. Across the panel, witnesses called for more stable funding, clearer reimbursement rules, better parent education on warning signs, and stronger collaboration among schools, counties, hospitals, and community providers to reduce stigma and improve timely care for youth.