Transcript Highlights:

• AUTHORIZES THE USE OF A VALID CERTIFICATE AUTHORIZED BY THE BOARD FOR CERTIFICATION OF TEACHER EXCELLENCE
• AS A PATHWAY TO PROFESSIONAL CERTIFICATE.
• PROHIBITS EXEMPTIONS FOR BACKGROUND SCREENINGS FOR EDUCATORS CERTIFICATION.

Keywords: 999, senate, all

Transcript Highlights:

• Obtaining these documents certificate.
• They need to have a birth certificate.
• Is cert certificates to their residents.
• You can't find your birth certificate.
• It is to lose your birth certificate.

Keywords: 1189, house, all

Transcript Highlights:

• <00:14:20.079> program<00:14:20.800> uh a water quality certification program uh a
• water quality certification program uh audit<00:14:21.199> come<00:14:21.360> out<00:14
• So, we've moved to electronic certificates of veterinary inspection.
• <01:14:30.960> Uh, certificates of veterary inspection.
• Uh, certificates of veterary inspection.

Keywords: 1183, house

Transcript Highlights:

• much<01:07:15.760> on<01:07:16.079> its certification doesn't cost much on its certification
• premed direct certification premed direct certification implementation implementation implementation
• I don't know of any year that our certification has dropped. Okay, you got me.
• certified, certification.
• Once they're certified, certification.

Keywords: 928, house, all

Summary: The committee first revisited HB 781, the cell phone bill, after previously retaining it. On reconsideration, members moved to OTP the bill, and it passed unanimously. The committee then moved into the budget tracking packet and adopted an amendment to HB 2 to add the same cell phone policy language, also unanimously, and separately reduced HB 1 by $1 million to match the policy change. Members noted the cell phone language had already been stripped of grant funding language in the House version and that the policy and funding pieces were being aligned across the budget bills. The committee then took up a Department of Education technical amendment to HB 2 on charter school grants, which made timing and administrative changes without altering grant amounts, and adopted it unanimously. Members also discussed but held other education-related items, including adequacy grants, pending broader decisions on overall education funding. Another HB 2 item concerning E-911/state police radio communications prompted a longer discussion about whether E-911 surcharge funds were being used for purposes that should instead be general-funded. After debate over whether to leave the current practice in place or split the funding 50/50 between E-911 and general funds, the committee adopted a joint HB 1/HB 2 change to shift the funding source to a 50/50 split and delete the HB 2 language authorizing the prior use; the motion passed 7-0. The committee also discussed but did not act on several lottery-related provisions, including the video lottery terminal amendment, the increase in maximum ticket price from $30 to $50, and related tax split changes, with members planning to hear from the Lottery Commission on Monday. The meeting ended with the committee beginning review of new amendments in the tracking packet, including a Department of Education request related to Public School Infrastructure Commission grant administration, but no action was taken on that item in the portion provided.

Transcript Highlights:

• that will set them obtain a certificate that will set them in<01:09:53.679> a<01:09:53.880>
• We equip students with skills, certifications, and licenses needed to launch their own businesses in
• I recently earned two board certifications, which allowed me to practice in the state.
• They have also paid for my board certifications and all the tools I’ve needed.
• The last part I’ll share is that tech certifications are the new future.

Keywords: 1187, senate, all

Transcript Highlights:

• <01:25:36.560> Existing print certificates online. Existing print certificates online.
• Do they have the certificate with them?
• Do they have the<01:27:34.560> certificate<01:27:34.960> with<01:27:35.199> them?
• Um, so it's the certificate with them?
• the unit is goes through a certification the unit is goes through a certification process<01:32:

Keywords: 958, all

Transcript Highlights:

• But the education they would have or this clinical education, as I mentioned, and certification that's
• But the education they would have or this clinical education, as I mentioned, and certification that's
• But the education they would have or this clinical education, as I mentioned, and certification that's
• But the education they would have or this clinical education, as I mentioned, and certification that's
• But the education they would have or this clinical education, as I mentioned, and certification that's

Keywords: 958, all

Summary: The Medicaid Oversight Advisory Board met with a quorum, approved the November 12 minutes by voice vote, and then heard a presentation from former Governor Ernie Fletcher and Dave Johnson on Medicaid reimbursement for substance use disorder (SUD) treatment. Fletcher argued that addiction should be treated as a chronic disease requiring a longer continuum of care, not just short residential stays, and said recovery should combine clinical treatment with social supports such as housing, transportation, employment, peer coaching, and recovery housing. He cited data on overdose trends, low treatment rates, and high costs for people with SUD, and said current reimbursement models create poor incentives and do not adequately support long-term recovery or measure outcomes well. Fletcher proposed a “carve through” model administered at the MCO level with standardized metrics, data sharing, and an independent recovery coordinator that would assess patients, coordinate care, and connect them to clinical and social recovery services. He suggested using bundled payments, shared savings, and partial risk arrangements, with recovery housing reimbursed on a PMPM or weekly basis and funded in part through existing Medicaid spending and other sources such as opioid abatement funds. He also emphasized peer support, telemedicine, criminal justice coordination, workforce and education supports, and the use of technology, including text messaging and possibly AI, to maintain long-term follow-up and identify relapse risk. Members questioned how the model would work in practice, especially the education and staffing requirements for recovery coordinators, reimbursement levels, and how many patients each coordinator or peer would serve. Fletcher said peers could be certified and would need additional training in assessments such as ASAM and recovery residence standards, but he did not give a precise salary figure, saying the market and bundled rates would determine that. He also said follow-up should continue for years, noting relapse risk over the first 18 to 24 months and that meaningful employment and ongoing peer contact help sustain recovery. No formal vote or action was taken on the substance use presentation.

Transcript Highlights:

• <00:01:18.720> pilot<00:01:19.240> project<00:01:19.600> in certification pilot
• project in certification pilot project in partnership<00:01:20.880> with<00:01:21.040> the<
• what that certification needs to be<00:04:05.560> so<00:04:05.720> it<00:04:05.760>
• pilot project is that our certification pilot project is that our national<00:05:07.840> veteran<
• <00:14:24.639> and<00:14:24.880> career<00:14:25.279> advancement certification

Keywords: 1187, senate, all

Transcript Highlights:

• There are over 160 national industry certifications that are recognized now in the state of Florida,
• . ...and private entities that allow an individual to earn a national industry certification in programs
• and in skills that range everywhere from construction technology and a whole series of certifications
• And if you have a national industry certification, you're just about guaranteed a job.
• SB 1296 changes the threshold for certification and recertification elections from a majority of those

Summary: The Senate convened with a quorum, opening prayer, Pledge of Allegiance, and several introductions and recognitions, including a resolution honoring Bob Graham and a moment of silence for firefighter Roger Timmy Miley. The chamber then moved through a special-order calendar with multiple bills, many of them paired with House companions and amended before final passage. Early action included adoption of a tax conformity bill tied to federal changes in the Internal Revenue Code, with a 34-0 vote. The most extensive debate centered on CS/CS/SB 1758, a Medicaid and SNAP reform bill. The sponsor described provisions to strengthen fraud enforcement, impose work requirements for able-bodied adults, expand behavioral health services through a waiver, modernize Medicaid drug purchasing, and require a SNAP fraud-reduction plan and photo ID on EBT cards. Democrats offered amendments to delay work requirements until Medicaid expansion and to add protections for SNAP users such as caregivers, seniors, disabled individuals, and domestic violence survivors; both amendments failed. Senators also questioned implementation details, exemptions, and potential effects on vulnerable populations. After debate, the bill was placed on the calendar for third reading. The Senate also passed bills on technology education and AI instruction, a public records exemption and related Parkinson’s Disease Registry measures, designation of the SS American Victory as the state flagship, electronic payments for local governments, repeal of the sunset on legal tender recognition for gold and silver, public records protections for financial and digital-asset custodians, a Florida stablecoin pilot program, local government budget transparency, digital voyeurism, insurance customer representative licensing, and a medical freedom bill with amendments on vaccine-related materials and anti-kickback provisions. Most of these measures passed with little or no opposition, though the public records bill for gold/silver custodians and the legal tender repeal drew a few dissenting votes.

Transcript Highlights:

• There are over 160 national industry certifications that are recognized now in the state of Florida,
• . ...and private entities that allow an individual to earn a national industry certification in programs
• and in skills that range everywhere from construction technology and a whole series of certifications
• And if you have a national industry certification, you're just about guaranteed a job.
• SB 1296 changes the threshold for certification and recertification elections from a majority of those

Summary: The Senate convened with a quorum, opened with prayer and the Pledge of Allegiance, and recognized several introductions and memorials, including a resolution designating August 9, 2026, as Bob Graham Day and a moment of silence for firefighter Roger Timmy Miley. The chamber then moved through a long special-order calendar, with several bills substituted with House companions and adopted by voice vote or recorded vote. Early measures included a tax conformity bill tied to federal Internal Revenue Code changes, which passed 34-0, and a Medicaid/public assistance bill that drew extensive debate over work requirements, fraud reduction, behavioral health services, and SNAP/EBT reforms. Amendments offered by Senators Berman and Osgood to condition or soften the work and photo-ID provisions were rejected, and the underlying bill was placed on the third-reading calendar after lengthy questioning about implementation, exemptions, and eligibility effects. The Senate also passed bills on computer science education and AI instruction, a Parkinson’s disease registry public-records exemption and registry update, designation of the SS American Victory as Florida’s official state flagship, electronic payments for local governments, repeal of the legal-tender sunset for gold and silver, public-records protections for gold/silver custodians and stablecoin-related entities, a Florida stablecoin pilot program, and local government budget transparency/spending measures. Most of these measures were adopted after minor amendments or technical substitutions, with votes generally ranging from 31-3 to 34-0. The chamber also recognized the Florida Channel’s 30 years of legislative coverage. Later, the Senate approved a digital voyeurism bill expanding the reasonable-expectation-of-privacy definition to include private fenced yards, and an insurance customer representative licensing bill allowing high school students to complete insurance/personal finance coursework and later qualify for licensure. The final major item was a medical freedom bill that would expand parental vaccine information requirements, add a conscience-based exemption to immunization mandates, allow behind-the-counter ivermectin for adults, and repeal the sunset on the mRNA mandate prohibition; two amendments clarifying anti-kickback rules and requiring vaccine information to include risks, benefits, safety, and efficacy were adopted, while questions from Senators Smith and Massullo focused on public-health impacts and the content of the required materials. The transcript ends during discussion of that bill, with no final vote shown in the excerpt.

Transcript Highlights:

• The problem with this bill is unintended consequences, that in fact if a person gets a certification
• The problem with this bill is unintended consequences: if a person gets a certification and goes into
• The problem with this bill is unintended consequences: if a person gets a certification and goes into
• The problem with this bill is unintended consequences: if a person gets a certification and goes into
• The problem with this bill is unintended consequences: if a person gets a certification and goes into

Keywords: 910, house, all

Summary: The Housing Committee heard testimony on several housing-related bills. On SB 26, SD 2, relating to affordable housing, the Office of Planning and Sustainable Development explained a prior transit-oriented development study that identified roughly 59,000 possible units and about 25,000 affordable units from known projects, and said the bill would help fill gaps by evaluating additional public lands for housing suitability and possible co-use with existing facilities. Members asked about the need for resources and staffing to do that work, and OPSD said it would need time and consultant support to carry it out. Testimony on the bill included support from state and county housing agencies and comments from planning and land use entities. On SB 66, SD 2, relating to housing and historic preservation review, SHPD and OHA both testified. SHPD said the bill would not override existing burial-site protections and that county staff with proper qualifications could make historic-property determinations locally, while OHA asked for clearer language requiring consultation when Native Hawaiian historic sites are involved and clearer procedures if an adverse effect is found. Committee members and SHPD discussed whether the bill should explicitly preserve existing Chapter 6E processes, whether counties have qualified staff, and how quickly a county would have to decide if it cannot complete the review itself and must use a third-party reviewer. Supporters said the measure could speed permitting and keep decisions local; one opponent argued it could rush approvals and strain infrastructure. The committee also heard support from housing, construction, business, and food-industry groups, and opposition from some preservation and community advocates. The committee then heard SB 332, SD 1, on foreclosure-related protections, with testimony focused on Lānaʻi and concerns about speculative real estate after the foreclosure moratorium ended. SB 414, SD 2, on restoring access to disaster-affected areas, drew support from HHFDC, DHS, and the Maui Chamber; HHFDC noted DOH plans for a temporary paved access road to the Kayola temporary housing site and said agencies were discussing which parcels would be needed. On SB 102, SD 2, relating to affordable housing and third-party historic review, SHPD said it would need to do more upfront screening and that the bill’s timelines and third-party provisions should be clearer; OHA said the measure should include a sunset and better staffing, and asked that the department fill positions to meet review demand. No votes or final committee actions were reported in the transcript.

Transcript Highlights:

• and death certificates.
• and death certificates.
• We've been taking a look pragmatically at our certifications and an internal look at our policies.
• We have taken a look at our certification levels and adjusted that to make sure.
• That a state building refused to have you guys come in and issue a certificate of inspection? Mr.

Keywords: 908, all

Transcript Highlights:

• You can do micro-credentials, credentials, certificates.
• And I think that's why we see certificates are not counted because they can be stackable.
• Certificates are not counted because they can be stackable.
• Mount Pleasure mentioned that certificate programs are not listed in the policy.
• They currently serve 48 departments, and they participate through the training certification.

Keywords: 908, all

Transcript Highlights:

• Such facilities shall be constructed, operate and maintain in accordance with the terms of the certificate
• unless it has obtained certificate unless it has obtained certificate pursued<00:43:41.359> to
• and any other federal, the certificate and any other federal, state<00:43:50.000> and<00:43:50.160
• are required for changes or certificates are required for changes or addition<00:44:04.640> to
• <00:45:08.720> are would now read, "Such certificates are would now read, "Such certificates

Keywords: 928, house, all

Summary: The Environment and Agriculture Committee held a hearing on a non-germane amendment to SB 302, a Senate bill originally requiring background checks for solid waste and hazardous waste facility owners. Representative Patenza explained that the amendment was intended to preserve and separate out language developed for the governor’s budget proposal and HB 2 concerning a solid waste facility site evaluation committee, a moratorium, and related public-benefit/site-benefit provisions, so the policy would still have a vehicle if the budget language did not advance. He said the proposal reflects extensive work by the House, the governor’s office, and DES, and he was open to further changes to align with any budget conference committee outcome. Dr. Adam Finkele testified in support of the amendment and the underlying site evaluation concept, arguing that landfill siting decisions should be based on cost-benefit analysis that includes public harms, local impacts, and regional impacts rather than only private benefits. He praised the committee process and prior legislation requiring agencies to respond substantively to public comments, and said the new language improves on the governor’s version by moving the committee’s review earlier in the process and requiring more complete application information, including alternatives and impacts on nearby wells and aquifers. He also supported a three-year moratorium on new landfill applications, saying it would give the state time to address leachate, PFAS, waste reduction, and weak siting rules. Members asked about possible conference committee changes, the value of having a separate review body, and whether the new rules would invite litigation. Dr. Finkele said he would likely sue over the rules because he считает them too weak, but also said the legislature could fix the problems through other bills such as HB 77. He acknowledged that the site evaluation committee is not a perfect solution, but said it is a useful intermediate step between the agency and the courts and likely would meet only rarely if capacity need remains the main trigger for future landfill decisions. No vote or final action was taken during the hearing.

Transcript Highlights:

• <00:12:25.839> of<00:12:26.079> occupancy<00:12:26.639> requirements certificate
• So we you know the the intech uh you know we have a intake certification and certification grants under
• So we, you know, the intake uh, you know, we have an intake certification and certification grants under
• branch<00:58:49.119> also intake and certification branch also intake and certification branch
• and certification grants under wage standards division.

Bills: SB2198, SB2140, SB3055, SB3090, SB3091, SB3092, SB2761

Keywords: workforce development, craftspersons, skilled trades, artisan, craftsmanship, trade recognition, award program, DLIR, Department of Labor and Industrial Relations, Meilleur Ouvrier de France, vocational education, career pathways, cultural preservation, workforce excellence, apprenticeship, Hawaii trades, economic diversification, public nominations, governor awards, historically significant venue

Transcript Highlights:

• across diverse backgrounds and goals; and whereas CCSNH offers more than 200 associate degree and certificate
• <00:07:39.759> programs<00:07:40.720> aligned degree and certificate programs aligned
• degree and certificate programs aligned with<00:07:41.520> workforce<00:07:42.240> demands
• It could be a four-year degree, a two-year degree, a certificate.
• How do we get to those certificate.

Keywords: 928, house, all

Summary: The committee met to review the annual report on collaboration between the University System of New Hampshire and the Community College System of New Hampshire, and the meeting began with approval of the prior minutes and a gubernatorial proclamation recognizing the community college system’s 80th anniversary. Both chancellors praised the proclamation and described the report as a statutory follow-up to the public higher education task force. They said the two systems have built a close working relationship and that the collaboration is intended to continue, though progress may be limited by resources and staffing changes. Much of the discussion focused on transfer pathways and new academic models. The chancellors said House Bill 1530 helped drive the creation of more than 100, and possibly about 130, “universal pathways” between the systems, with a reported 30% increase in community college associate-degree graduates transferring to the university system in the last academic year. They also discussed direct-admit outreach for community college graduates, early college and CTE-to-workforce pathways, and the development of three-year bachelor’s programs at Plymouth State and in some health-care fields. Members asked about nursing, allied dental health, and radiologic technology, and the chancellors said they are exploring whether some programs can be streamlined, while noting that nursing’s requirements may limit how short a pathway can be. Members also raised concerns about whether transfer pathways could affect university enrollment, but the university chancellor said declining enrollment is more likely due to a smaller pool of college-age students and broader competition, not the transfer programs. Another topic was the ERP/technology platform recommendation from the task force: the university system is moving to Workday, while the community college system is working to align business practices and move from an on-premises system to a cloud-based solution. Officials said a shared enterprise system could create efficiencies in the future, but it is not expected in the short term; student-facing tools like Canvas are already shared. The committee also discussed House Bill 112, which would require passing a civics test for graduation, and the chancellors said they support civic education but see implementation challenges. No votes or formal actions were taken beyond approving the minutes and receiving the report.

Transcript Highlights:

• Organization and the Louisiana Department of Education collaborated to establish school nurse certification
• The certification has been revised since then.
• align the role with teacher salary scheduling required two years of nursing experience prior to certification
• The certification has been revised since then.
• In 2025, I earned my national certification as a school nurse.

Summary: The committee heard a personal privilege update on HB 1227, which Representative DeWitt said would return next week as a proposed HCR for a two-year study of the three-doctor panel after discussions with Dr. Nia Colotta. Better Louisiana also presented its new Leadership Louisiana Health Fellows Program, describing it as a data-driven leadership initiative focused on health care workforce, rural access, chronic disease, and other system issues; members discussed whether the program could also help generate policy research, including on managed care organizations. The committee then considered SB 427 on anatomical gifts. After adopting technical amendments, Senator Presley and Dr. Jeff White explained that the bill would strengthen organ donation law by creating a decision registry that records both yes and no choices, clarifying the legal effect of refusal, and codifying ethical principles such as the dead donor rule. Questions focused on organ viability, registry procedures, minors, and a Monroe case involving a disputed donor designation. Supporters included LOPA and the Louisiana Conference of Catholic Bishops, and the bill was reported favorably. HB 946, dealing with hospital price transparency and compliance with federal pricing rules, drew extensive testimony. Representative Landry and a witness from Patient Rights Advocate described it as a consumer transparency measure, but the Louisiana Hospital Association opposed the bill’s state-level enforcement and debt-collection provisions. Landry offered an amendment removing the debt-collection and affirmative-defense language, but after debate the substitute failed on a 5-6 vote and the bill was voluntarily deferred. The committee also reported favorably on SB 109, which revises membership qualifications for the Louisiana Emergency Medical Services Commission; SCR 20, urging federal flexibility on Medicaid redetermination for elderly and disabled beneficiaries; SB 216, allowing coroners to rely on licensed practical nurses for medical pronouncements of death; and SB 45, exempting certain gratuitous hospice houses from licensure, with testimony from hospice house operators and supporters. Finally, HCR 71 by Representative Chasson sought an LDH study of how Louisiana’s law and guidance on pregnancy-related emergency medications is working in hospitals, urgent care, and retail settings. Supporters said providers are hesitant to use medications such as misoprostol because of stigma and uncertainty, while opponents from Louisiana Right to Life argued the resolution was unnecessary and could create controversy. The discussion centered on whether the study should be narrowed or made more objective, but no final action on the resolution was reached in the portion provided.

Transcript Highlights:

• SB1267 by Alvarado, relating to certificates of number and certificates of title issued by and records
• The clerk will read the bill: HB 4753 by a municipality of a certificate of occupancy. to explain the
• This bill relates to situations where a city has previously issued a certificate of occupancy, and when
• HB1178 by Cunningham relating to the creation... ...of a Temporary Educator Certificate for educators
• SB 2310 by Paxson relating to transparency regarding requirements to complete a certificate or degree

Bills: HB1535, HB 123, HB 111, HB180, HB342, HB 1027, HB 1178, HB610, HB 1277, HB1615, HB1620, HB5342, HB4885, HB4751, HB4689, HB4530, HB4488, HB2149, HB2041, HB2071, HB1813, HB2282, HB2248, HB2243, HB2522, HB2310, HB2513, HB2300, HB1902, HB3719, HB4284, HB4327, HB3743, HB3778, HB3801, HB5153, HB5147, HB4877, HB4850, HB3158, HB3261, HB3005, HB3033, HB3138, HB3099, HB2849, HB2967, HB3488, HB3477, HB3466, HB3396, HB3469, HB2594, HB2776, HB2564, HB2298, HB5331, HB5646, HB5247, HB5323, HB2015, HB4384, HB3896, HB4014, HB3627, HB3594, HB2524, HB510, HB561, HB5111, HB5446, HB 1181, HB3963, HB2785, HB1661, HB2460, HB24, HJR138, HB3800, HB42, HB 129, HB677, HB668, HB2128, HB2038, HB2316, HB3686, HB2563, HB 1160, HB3883, HB2788, HB2663, HB3305, HB3474, HB 1105, HB3490, HB3597, HB 1295, HB3512, HB3783, HB2017, HB3010, HB3112, HB4215, HB3223, HB3464, HB3120, HB4214, HB4081, HB4783, HB4063, HB2783, HB5085, HB2510, HB3426, HB4361, HB 1169, HB2516, HB4700, HB3560, HB3860, HB3146, HB184, HB198, HB247, HB367, HB449, HB1778, HB514, HB632, HB2582, HB766, HB2715, HB2712, HB3069, HB3505, HB 1269, HB4224, HB5032, HB2240, HB5180, HB3348, HB4668, HB4665, HB3395, HB3157, HB4395, HB4325, HB4386, HB4273, HB2760, HB2820, HB1828, HB1579, SB2349, SB1268, SB610, SB1577, SB1369, SB2032, SB2034, SB1057, SB1044, SB922, SB1759, SB1143, SB1506, SB1403, SB2361, SB870, SB372, SB72, SB1583, SB2314, SB1267, SB1273, SB765, SB552, HB2145, HJR112, HB1804, HJR110, HB 1194, HB1531, HB5008, HB3421, SCR27, HB5398, HB1407, HB426, HB1535, HB 123, HB1773, HB1871, HB2035, HB2448, HB2492, HB1411, HB4753, HB4666, HB4529, HB1499, HB1610, HB2028, HB1506, HB886, HB3546, HB796, HB223, HB1475, HB3556, HB4638, HB 111, HB180, HB342, HB 1027, HB 1178, HB610, HB 1277, HB1615, HB1620, HB5342, HB4885, HB4751, HB4689, HB4530, HB4488, HB2149, HB2041, HB2071, HB1813, HB2282, HB2248, HB2243, HB2522, HB2310, HB2513, HB2300, HB1902, HB3719, HB4284, HB4327, HB3743, HB3778, HB3801, HB5153, HB5147, HB4877, HB4850, HB3158, HB3261, HB3005, HB3033, HB3138, HB3099, HB2849, HB2967, HB3488, HB3477, HB3466, HB3396, HB3469, HB2594, HB2776, HB2564, HB2298, HB5331, HB5646, HB5247, HB5323, HB2015, HB4384, HB3896, HB4014, HB3627, HB3594, HB2524, HB510, HB561, HB5111, HB5446, HB 1181, HB3963, HB2785, HB1661, HB2460, HCR98, HCR92, HCR126

Keywords: Trinity River Authority, river authority, Sunset Advisory Commission, Texas Sunset Act, board of directors, governor appointment, public water authority, regional water authority, water resources, local government, natural resources, board training, ethics, open meetings, public information, conflict of interest, complaint procedures, public comment, director removal, governance reform

Transcript Highlights:

• But the Couth team, in addition to that, also got additional certification of their data security and
• But the Kuth team, in addition to that, also got additional certification of their data security and
• And they are required to have certification for that profession, and the...
• Two million annually to support a contract for a program certification consultant to help implement the
• Withdrawal management in several sections of statute that govern our certification of alcohol and drug

Summary: The hearing focused first on behavioral health, especially serious mental illness and anosognosia, a condition described by witnesses as a neurological symptom that prevents people from recognizing they are ill. The chair framed the issue around families cycling through emergency rooms, jails, conservatorships, and short-term stabilization without lasting treatment, and warned that federal changes under H.R. 1 could reduce Medi-Cal funding and worsen access. Dawn Marie Anderson gave a personal account of her son’s long history of psychosis, homelessness, arrests, repeated jail and state hospital stays, and eventual stability when he received sustained medication and coordinated support. She argued that the system often treats the problem as criminal rather than medical and that voluntary programs and short-term services are not enough for people who lack insight into their illness. Other panelists, including representatives from the California Behavioral Health Association, Santa Barbara County Behavioral Health, and the County Behavioral Health Directors Association, agreed that anosognosia is not denial or noncompliance and said the system needs long-term, coordinated care, including assertive community treatment, mobile crisis, supportive housing, medication support, and stronger handoffs between county and managed care systems. They said CalAIM and other reforms have improved some coordination, but significant gaps remain, especially for people with serious mental illness, for those in jail or locked settings, and for people with private insurance, which witnesses said often offers little meaningful coverage for early psychosis or intensive behavioral health services. Several witnesses urged the Legislature to protect Medi-Cal, shore up county safety-net services, and invest in training and family engagement. The committee then turned to the Children and Youth Behavioral Health Initiative, with a focus on the virtual services platforms BrightLife Kids and Soluna and the CYBHI fee schedule. DHCS reported strong growth in app registrations, coaching sessions, referrals, and positive user outcomes, saying the platforms provide free, culturally responsive, early-intervention support statewide and help connect users to higher levels of care when needed. On the fee schedule, DHCS said more than 500 LEAs, colleges, universities, and school-linked providers are participating, 181 LEAs have submitted claims, and $9.6 million has been reimbursed to date, with 41,556 students represented in claims. The chair and several members criticized the pace of implementation and the amount of money spent relative to reimbursement levels, saying the Legislature had requested data earlier and that the return on investment still appeared low. DHCS responded that many claims are still being submitted, that 70% of denials are correctable, that $400 million in capacity grants has been distributed locally, and that reimbursement is increasing rapidly as more districts come online. Public comment included a rural county behavioral health director who said private insurance denials leave counties with significant uncompensated work, especially for unlicensed staff providing case management and mobile crisis services.

Transcript Highlights:

• <00:36:03.480> outpatient the transition to outpatient the transition to outpatient certification
• happens in line with the certification happens in line with the new<00:36:06.600> 27-65-109.5.
• There are 6,246 short-term certification and 126, 100, 120 long-term certification cases per year.
• There are 6,246 short-term<01:06:30.480> certification short-term certification short-term certification
• and 126 100 120 long-term certification and 126 100 120 long-term certification cases<01:06:38.040

Keywords: 981, all