Transcript Highlights:

• the California Association for behavior analysis Calaba I'm here today in support of SB 402 which again
• I'm here on behalf of Advanced Behavioral Pathways in support. Thank you. Thank you. Good morning.
• Thank you Hi Lana McBee on behalf of behavior management solutions and stroke support.
• I want to thank you and your staff for the analysis.
• There are no amendments in the analysis but the analysis does raise a few potential areas to work on

Keywords: 988, house, all

Transcript Highlights:

• analysis, ABA, ...
• analysis, ABN, Diagnosis can receive services such as applied behavioral analysis, ABA, through MassHealth
• to MassHealth of allowing licensed applied behavior analysis providers between the current BCBA and
• Maria McLean, and I am speaking on behalf of the Massachusetts Association for Behavior Analysis in support
• of House Bill 4353 and Senate Bill 2587, acts relative to the applied behavior analysis reimbursement

Keywords: 995, all

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

Transcript Highlights:

• In the cost and utilization of the Medicaid behavioral health.
• Analysis.
• analysis treatments for people diagnosed with symptoms of autism.
• On behavioral health, the cost associated with the applied behavior analysis treatments or therapies
• Aymana, you just heard a lot about behavioral health care.

Transcript Highlights:

• Fund in 2026-27 for existing statewide behavioral health programs.
• Moving on to the Behavioral Health Services Act state allocation.
• Thank you. the Behavioral Health Services Act state allocation.
• As noted in our analysis, we found this was quite successful.
• Diana Luna, with the County Behavioral Health Directors Association.

Summary: The Assembly Budget Subcommittee on Health held a May Revision hearing covering several health-related budget proposals and broader concerns about the state’s budget structure. The Chair opened by praising some May Revision changes, such as added health IT funding, county administration support tied to Medi-Cal changes, a delay in Medi-Cal cuts for some lawfully present immigrants, and additional support for Covered California subsidies, while criticizing proposed increases in Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other reductions affecting counties, mobile crisis units, workforce incentives, and physician shortages. The Legislative Analyst’s Office said the state’s budget condition remains weak despite progress on the structural deficit, and the Department of Finance said the May Revision uses a mix of reductions, reforms, revenue proposals, and fund shifts to cut out-year deficits. The committee first heard Department of State Hospitals proposals, including adjustments to county bed billing authority, contract exemption language for online clinical/pharmacy subscriptions, reversion of unspent funds, a revised Metro Central Utility Plant replacement project, electronic health record implementation, and workforce development funded partly through Behavioral Health Services Act resources. DSH also described savings and realignments in incompetent-to-stand-trial and conditional release programs, including extending the independent placement panel program and shifting funds to support additional bed capacity and a mental health rehab center. Members asked about the use of BHSA funds for workforce programs, and the department said the proposal would replace General Fund support with BHSA reimbursements. The Emergency Medical Services Authority proposed funding for statewide behavioral health crisis response guidance and for enterprise system development, and the Department of Managed Health Care proposed modernization of its complaint system and claims-settlement data system to improve oversight and comply with AB 3275. The largest discussion centered on the administration’s BHSA spending plan under Proposition 1, including state-directed prevention, workforce, and other uses, plus General Fund offsets for existing programs. The LAO questioned whether some proposed offsets fit Proposition 1’s non-supplant and eligible-use requirements, while the administration argued the uses were consistent with the measure and that the state-directed share can be adjusted annually. The Commission for Behavioral Health’s proposals drew the most public and member concern. The administration proposed cutting the commission’s Innovation Partnership Fund from $20 million to $10 million and reducing the Community Advocacy Program by $6.7 million, while redirecting BHSA dollars to other state purposes and direct services. Commissioners, advocates, and several members argued the cuts would weaken community voice, reduce support for underserved populations, and disrupt grants already in process; they also objected to using BHSA funds to backfill General Fund commitments. Public commenters, including youth, disability, behavioral health, LGBTQ, tribal, veteran, immigrant, and community-based organization representatives, overwhelmingly opposed the cuts and urged preservation of prevention, advocacy, mobile crisis, and innovation funding. No votes or final actions were taken during the hearing.

Transcript Highlights:

• health bed capacity, and system of care analysis.
• Detailed financial and operational analysis was not consistently available.
• It provides two views of 11 behavioral health performance measures.
• Now the landing page takes you straight to the behavioral health indicators.
• We conducted a pretty significant data analysis.

Summary: The subcommittee heard two Department of Children and Families implementation updates on measures passed in prior sessions. First, DCF reviewed House Bill 633, which increased oversight of behavioral health managing entities through biennial independent audits, standardized claims-based reporting, and new monthly outcome dashboards. The department said it had awarded the inaugural audit to Ernst & Young, found no significant waste, fraud, or abuse, but identified process risks involving financial controls, claims validation, data access, and system access controls. DCF also described its transition to standardized behavioral health coding and said the new public dashboard of 11 measures is posted on its website, though members asked for easier access and for hard copies of the audit report. Members asked about how the department distinguishes Medicaid-covered services from department-funded services, how duplicate payment risks are being addressed, and whether the new reporting and audit requirements would improve oversight without disrupting services. DCF said it is the payer of last resort for uninsured or underinsured individuals, that some overlap with Medicaid is expected because Medicaid does not cover all behavioral health services, and that new claims edits and cross-checks are being built into the system. The department also said it had not found significant negative feedback from providers and that the new requirements are intended to improve transparency and accountability. DCF then updated the committee on Senate Bill 7012, covering human trafficking data collection, domestic violence center certification, limited background-screening exemptions, expanded recruitment for child welfare staff, subcontractor liability protections, a four-year treatment foster care pilot, case management efficiency recommendations, and a statewide study of residential bed capacity for child victims of commercial sexual exploitation. The department said several items are already complete or underway, including limited exemptions in the screening clearinghouse, while others are in procurement or rulemaking. It identified Circuits 4 and 12 as the treatment foster care pilot sites and said the pilot will launch in January 2026. Members questioned recruitment metrics, pilot timing, and report deadlines; the department said final reports are expected by January and that some dates were flexible because of procurement and implementation timelines. The meeting ended after the presentations and questions, and the subcommittee adjourned.

Transcript Highlights:

• It pays for behavioral health services.
• to the authority, um, enacted the Behavioral Health Reform and Investment Act, and created a new behavioral
• The certified behavioral health, community behavioral health clinics, those are those evidence-based,
• Uh, the root cause analysis and get to the problems early by looking at trends and data analysis.
• Um, what is behavioral health?

Transcript Highlights:

• Zachary had a history of aggressive behaviors towards staff and others.
• , or self-injurious behaviors.
• So through our root cause analysis process, it was identified that...
• It seemed like you mentioned root cause analysis, and that's the first thing: root cause analysis, who
• health behavior needs.

Summary: The Joint State Agencies committee met to approve prior minutes and then focused on the death of Zachary Moore at the Southeast Arkansas Human Development Center, later clarified in discussion as the Warren facility. DHS officials described Moore’s background, said he died after a prolonged prone restraint followed by a delayed chemical restraint, and reported that 13 staff were terminated, the superintendent was replaced, a consultant was brought in, and the agency entered a settlement with the family for $725,000. Members pressed DHS on the cause of death, restraint policies, staff training, supervision, family notification, and why the family had not been kept informed; DHS said a family-notification procedure exists but that communications during litigation had been handled through counsel. The committee also heard that six staff had been criminally charged with manslaughter and neglect of a vulnerable person, and that the death certificate listed the manner of death as homicide with cause of death tied to physiologic stress associated with struggle and prone restraint. DHS officials gave broader context on the five human development centers, their licensing and accreditation, resident population, mortality review process, and training programs. They said the centers serve highly medically and behaviorally complex residents, that annual restraint training and CPI-based instruction are required, and that the mortality review committee and Office of Long-Term Care review deaths and make recommendations. Members repeatedly criticized the agency for not having complete information at the meeting and for what they saw as gaps in oversight, staffing, and chain-of-command clarity during emergencies. DHS responded that the Warren facility had not been meeting the same standards as the others, that the consultant’s root-cause analysis identified multiple failures, and that new crisis-team and chain-of-command procedures were being drafted. A second major topic was staffing and recruitment. Members discussed low pay, turnover, use of float and on-call staff, rural staffing shortages, and a waiting list of about 2,000 people for home- and community-based services. DHS said CNAs at the centers start at about $39,000 a year, that a broader retention and recruitment plan is being drafted for all five centers, and that a separate rate study for PASS services will be implemented in January 2027 but does not cover CNA pay. The meeting ended with testimony from Moore’s mother, Angela Stevens, who said money could not replace her son and urged stronger training, background checks, and supervision so other residents would be protected. The committee asked DHS to keep members and Stevens updated on consultant reports, recruitment efforts, and follow-up on the family communication issue, and then adjourned.

Transcript Highlights:

• Health from the Behavioral Health Services Act Fund.
• Fund in 2026-27 for existing statewide behavioral health programs.
• And then on the behavioral health side, I'm sorry, on behavioral health side on the public health side
• Moving on to the Behavioral Health Services Act state allocation.
• Thank you. the Behavioral Health Services Act state allocation.

Keywords: 988, house, all

Summary: The Assembly Budget Subcommittee on Health heard presentations on several May Revision proposals, beginning with an overview from the Legislative Analyst’s Office and the Department of Finance on the state’s budget condition and the administration’s efforts to reduce out-year deficits through a mix of revenue measures, fund shifts, and program reductions. The chair expressed support for some administration proposals, such as added health IT funding, county administration support, a delay in Medi-Cal cuts for some immigrants, and additional Covered California subsidy backfill, but also criticized proposed Medi-Cal premiums, changes to senior eligibility, the lack of a Medi-Cal dental solution, and other cuts affecting counties, workforce, and rural access. The LAO said the budget still relies heavily on reserves and borrowing and urged more reserves and caution on new commitments. The Department of State Hospitals presented several proposals, including reduced county bed billing authority, limited contract exemption authority for online clinical subscriptions, reversion of unspent prior-year funds, additional lease revenue authority for the Metro Central Utility Plant replacement, funding for electronic health record implementation, and a shift of workforce development costs to Behavioral Health Services Act funds. The department also described savings and realignments in its IST and CONREP programs, including making the Independent Placement Panel permanent and adjusting funding for jail-based competency treatment and conditional release services. Members questioned the BHSA workforce funding swap, and the administration said it was part of a broader General Fund offset strategy. The Emergency Medical Services Authority requested funding for statewide behavioral health crisis response guidance and for continued operation of its enterprise systems, and the Department of Managed Health Care sought funds to modernize its complaint system and claims settlement data systems. The largest debate centered on the administration’s proposed use of Behavioral Health Services Act revenues to offset General Fund spending and fund state-directed behavioral health programs. The Department of Finance said the proposal would support population-based prevention, workforce programs, mobile crisis services, and other state-directed uses, while the LAO said it was still reviewing whether the uses comply with Proposition 1 and whether the non-supplement and eligible-use requirements are met. The Commission for Behavioral Health strongly opposed proposed cuts to its Innovation Partnership Fund and community advocacy grants, arguing that both programs are central to community voice, culturally responsive services, and statewide innovation. Commissioners and many public commenters said the cuts would reduce grants to community-based organizations, tribal groups, veterans, LGBTQ communities, youth, and other underserved populations, and that the advocacy program helps communities participate in local planning and access services. The Department of Finance defended the reductions as a way to prioritize direct services and said the programs fit within Proposition 1, but members criticized the proposal as a midstream shift that would weaken community engagement and redirect funds away from prevention and advocacy.

Transcript Highlights:

• We've got to be a minimums and analysis. ...try to figure it out and the amendments and the analysis
• We've accepted the amendments and analysis.
• , behavior analysis.
• So how are you... ...working in conjunction with behavioral specialists?
• The discussion in the analysis on the environmental analysis is dead right.

Keywords: 988, house, all

Transcript Highlights:

• behavioral program within Nevada nursing homes.
• behavioral program within Nevada nursing homes.
• In this model, behavioral health providers partner with nursing home staff to provide tailored behavioral
• able to care for those with behaviors.
• They did this cost analysis for us, and they prepared the final report that contains the analysis.

Summary: The committee began with an extended work session on the long-term care workforce. DSHS Assistant Secretary B. Rector described the new Home and Community Living Administration and outlined major workforce pressures: Washington had about 126,000 long-term care workers in 2022, with demand expected to outpace supply as the 85-plus population and dementia prevalence rise sharply. She emphasized that direct care workers are largely women, people of color, and immigrants, and that family caregivers are also a major part of the system. She highlighted recruitment and retention efforts funded through federal Money Follows the Person dollars, including high school training partnerships, a retention toolkit, transportation support, caregiver newsletters, tribal workforce navigators, and a remote caregiving pilot. Committee members asked about career pathways, technology use, and turnover drivers; Rector said wages, benefits, unstable hours, and workplace support are key issues and promised follow-up data. Aidan Swain of the Washington Health Care Association said skilled nursing and assisted living facilities face acute RN vacancies, wage pressures, and Medicaid reimbursement that does not cover costs, and urged modernization of training, better reimbursement, and continued support for facility-based care. Maddie Fouch of SEIU 775, representing about 55,000 caregivers, said low wages, weak benefits, lack of voice, and certification delays are driving turnover and shortages, and argued for higher compensation, better worker protections, and more transparent reimbursement. Catherine Smith of Behavioral Health Solutions described growing behavioral health needs in nursing homes, the role of expanded behavioral supports programs, and credentialing delays that slow hiring. No votes were taken; the panel was informational only. The second agenda item was an overview of the palliative care benefit work group report required by 2024 legislation. Nico Jansen of the Office of the Insurance Commissioner explained that the work group, convened with the Health Care Authority, studied a potential palliative care benefit for fully insured commercial plans and also Medicaid, PEBB, and SEBB. He said palliative care is a philosophy of care focused on symptom management, coordination, and support for serious illness, and is distinct from hospice because it can be provided alongside curative treatment. The actuarial analysis concluded that creating a new benefit would likely increase costs, estimating about a 28-cent per member per month increase overall and roughly $2.6 million to $4.5 million in annual state Medicaid costs if implemented in 2027. Jansen said the consultants did not find sufficient evidence to assume savings from avoided hospitalizations or long-term care, though several work group members disagreed and submitted response letters. Senators asked about other states, Medicare, health homes, and whether more research could clarify cost savings; OIC said some states, including Hawaii, are moving ahead with Medicaid palliative care benefits, Medicare covers some related services but not in the same way, and further evidence may emerge over time. OIC did not take a position on whether the Legislature should create the benefit. The final presentation covered health care price transparency tools in Washington and federally. Evan Klein and HCA Chief Data Officer Vishal Chaudry reviewed federal hospital and health plan transparency rules, the state all-payer claims database, prescription drug price transparency, the Health Care Cost Transparency Board, the Prescription Drug Affordability Board, and other reporting systems. They explained that the APCD contains claims from fully insured commercial plans, Medicaid, and public employee programs, but not self-insured employer data except for limited voluntary submissions. They also described how machine-readable files, consumer price tools, and aggregated dashboards are used, and noted that data limitations, delays, and complexity remain significant. Senators asked about voluntary self-insured participation, the role of AI in making data more usable, and whether transparency can really help consumers given access barriers and medical debt. HCA said AI is increasingly used by private entities to mine large transparency datasets, but state agencies still face limits in data access and analytic capacity. The committee did not take action; the session was informational and ended with a discussion of how transparency data might better inform policy and purchasing decisions in the future.

Transcript Highlights:

• behavior events in 2024. behavior events in 2024.
• more behavior events in 2024. more behavior events in 2024.
• to behavior.
• of student behavior challenges. of student behavior challenges.
• Chronic behavior.

Keywords: 958, all

Summary: The Education Assessment and Accountability Review Subcommittee received an Office of Education Accountability presentation on student discipline data in Kentucky schools for the 2024 school year. OEA said the study used Safe Schools data, educator and student surveys, site visits to 12 schools, and principal surveys. The report found that about 1 in 10 schools have major behavior-related challenges and up to one-third have at least moderate challenges, with the most common concerns varying by level: high schools cited vapes, cell phone misuse, apathy, and tardiness; middle schools cited apathy, vapes, and cell phone misuse; and elementary schools reported more extreme classroom behaviors such as throwing objects, overturning furniture, and screaming. OEA also noted that 14% of students had at least one behavior event in 2024, but repeated events were rare, and event rates alone do not reliably measure the severity of behavior problems in a school or district. The presentation emphasized that many disciplinary consequences do not align consistently with statutes or local expectations. OEA said law violations made up 19% of more than 250,000 recorded behavior events, while most were board violations, and that some serious incidents resulted in minimal consequences. The report highlighted concerns about weapons, threats, and assaults: only 9.2% of weapon events led to expulsion or alternative placement, few threats resulted in those outcomes, and fewer than 10% of assaults led to expulsion or alternative placement, including some first-degree assaults. OEA also said the Safe Schools data do not identify victims, limiting analysis of assaults on staff or students, and recommended clearer statutory definitions and better data reporting. A major theme was the difficulty schools face in addressing chronic disruption and severe behavior while complying with federal protections for students with disabilities. OEA said principals reported the biggest challenges were federal limits on disciplinary removals and a lack of alternative placement options. The report described variation among districts in how they implement federal requirements, with some administrators discouraging alternative placements or avoiding discipline because of perceived legal risks. Site visits found that many schools lacked chronic-disruption policies, and teachers often reported frustration with minimal consequences and repeated classroom removals. OEA recommended that KDE collect more information from educators, identify promising practices for alternative instructional settings, and develop clearer guidance and training. In discussion, committee members said the findings showed reporting gaps and resource strains, and OEA staff clarified that some underreporting reflects local discretion, while law violations should still be reported.

Transcript Highlights:

• Our project was—we proposed to the state behavioral health services division that we develop behavioral
• You need to complete an analysis, develop a plan, and select technology.
• I'm a very big believer in insourcing and outsourcing analysis.
• Then, it would require doing the necessary actuarial and other analysis and financial analysis to develop
• health centers, as well as other kinds of behavioral health centers.

Transcript Highlights:

• preventive care Services Behavioral preventive care Services Behavioral Health<01:18:56.960>
• integrated physical and behavioral integrated physical and behavioral health<01:44:06.119> care
• <01:50:32.320> Health increases access to Behavioral Health increases access to Behavioral
• hampsh New Hampshire's behavioral hampsh New Hampshire's behavioral children's<02:15:41.040>
• North uh we're a nonprofit Behavioral North uh we're a nonprofit Behavioral Health<02:37:46.160>

Keywords: 1191, senate, all

Transcript Highlights:

• Zachary had a history of aggressive behaviors towards staff.
• Zachary had a history of aggressive behaviors towards staff and others.
• It seemed like you mentioned root cause analysis, and that's the first thing: root cause analysis.
• They brought in behavioral specialists.
• Can implement those actions and steps for that specific person's behavioral health behavior needs.

Summary: The Joint State Agencies committee met to approve the October 8, 2025 minutes and then held an extended hearing on the death of Zachary Moore at the Southeast Arkansas Human Development Center. DHS officials Lori McDonald, Jennifer Brise, and Melissa Weatherton described the HDC system, staffing and resident needs, and said Moore died after being held in a prone restraint for about 13 minutes, followed by a delayed chemical restraint and delayed CPR. They said the family settled a wrongful death claim for $725,000, 13 staff were terminated, the facility leadership was changed, and at least five staff had been criminally charged, with the death certificate later described as homicide and the cause of death as physiologic stress associated with struggle and prone restraint. Members pressed DHS on why the family was not kept informed, whether there was a written restraint protocol, how staff are trained, and why the agency did not have more complete information ready for the hearing. DHS said staff receive CPI restraint training, annual restraint training is mandatory, and a consultant is reviewing policies, retraining staff, and conducting a root cause analysis under a directed plan of correction from the Office of Long-Term Care. Legislators also raised broader concerns about low pay, staffing shortages, use of float and contract staff, and a waiting list of about 2,000 people for home- and community-based care. DHS said it is working on a retention and recruitment plan and a rate report for certain PASS services, but that the PASS rate study does not cover CNA pay. Several members said the incident reflected both a failure of restraint practice and a broader staffing and oversight problem. DHS acknowledged that prone restraint should not have been used, that the chemical restraint was given at the wrong time, and that multiple breakdowns occurred in supervision, communication, and equipment use. The committee also discussed whether there should be more regular independent audits of HDC policies, and DHS said it does not currently have a separate annual policy audit beyond existing oversight. At the end of the meeting, the committee asked DHS to keep it updated on recruitment, consultant reports, and to contact Moore’s mother about the communication she had been promised. The meeting adjourned without any additional formal action beyond approving the minutes.

Transcript Highlights:

• Uh, we'll take a quick look at the workforce, behavioral health.
• So that's something we like to look at um as we're doing this analysis.
• And we, the, the fund is for all behavioral health services.
• I think, um, the Behavioral Health Collaborative did start out strong.
• The Behavioral Health Executive Committee.

Transcript Highlights:

• We've got to be a minimums and analysis.
• Try to figure it out and the amendments and the analysis being accepted.
• We've accepted the amendments and analysis.
• It bans using predictive analysis and behavior analysis.
• The discussion in the analysis on the environmental analysis is dead right.

Summary: The committee heard testimony on several bills, beginning with SB 16, which would require county behavioral health directors to create clear pathways for clinicians to be authorized to initiate 5150 involuntary holds. The author and supporters argued the bill would reduce reliance on law enforcement and create more consistent crisis response standards statewide, while county behavioral health directors opposed it as an unfunded mandate that could increase law enforcement involvement and create implementation burdens. Members raised questions about county costs and funding, but the author emphasized the bill’s role in building a more clinical response system. SB 561 would require public guardians to acknowledge conservatorship referrals, make determinations within a reasonable time, and provide status updates on request. Supporters said the bill would reduce delays that leave vulnerable adults in limbo, while the opposition from public guardian representatives was removed after amendments. SB 381 drew extensive public testimony in support; it would allow California-born adoptees, and descendants of deceased adoptees, access to original birth certificates, with a nonbinding contact preference form for birth parents. Supporters framed the bill as a matter of dignity, identity, and health, and there was no formal opposition on the record. The committee also discussed SB 880, which would give tenants and prospective owner-occupants notice and a first opportunity to make an offer when institutional investors sell certain homes. Supporters said it would expand homeownership opportunities and preserve neighborhood stability, while opponents warned about conflicts with federal law, bundled-sale restrictions, and impacts on build-to-rent and affordable housing projects. Members and the author discussed possible amendments to address those concerns. SB 1238 would impose a duty of care and additional transparency requirements on HOA managers and boards; supporters said it would protect homeowners from mismanagement, while the main opposition argued the duty should remain contractual and could increase litigation. Finally, SB 423 would require disclosure of emergency-service records related to private detention facilities, and SB 28 would make changes to the CARE Court process, including a statewide ombudsperson and expanded oversight; both drew support and opposition, with concerns focused on transparency, privacy, implementation, and the balance between treatment and coercion. SB 574, discussed at the end, would require disclosure and human oversight for AI use in courts and legal practice and create a complaint process for ADR providers, with the State Bar noting requested amendments related to complaint handling and confidentiality.

Transcript Highlights:

• provider rates for applied behavior provider rates for applied behavior analysis<00:24:47.039>
• Association for Behavioral Analysis. Thank you, Chair, Vice Chair, and members of the committee.
• Mario Cholage here on behalf of the Hawaii Association for Behavioral Analysis.
• We stand by our written testimony in supporting increased rates for applied behavior analysis for children
• We stand by our written testimony in supporting increased rates for applied behavior analysis for children

Keywords: 912, senate, all

Summary: The Ways and Means Committee convened at 10:00 a.m. and opened with instructions about live streaming, one-minute testimony limits, and the possibility of reconvening on March 31 if technical problems interrupted the hearing. The committee then took up HB 300, which drew extensive testimony from state agencies, commissions, nonprofits, and advocacy groups. Many agencies, including Budget and Finance, Education, Health, Housing, and others, said they stood on their written testimony and supported the measure. One witness from the Kohala Island Reserve Commission supported the bill and asked for funding for a CIP project at its Kihei site to consolidate offices and generate revenue for Maui. Several groups, including the Hawaii Oral Health Coalition and the Hawaii Association for Behavior Analysis, supported funding for mandated oral health services and higher ABA provider rates for children with autism. In contrast, the Re-imagining Public Safety in Hawaii Coalition and Hawaii Friends of Restorative Justice opposed $30 million for jail planning and additional incarceration-related spending, urging more investment in housing, mental health, youth programs, education, and restorative justice. The chair noted the testimony totals for HB 300: 186 in support, 91 opposed, and 52 comments. The committee then heard brief testimony on HB 794 and HB 795. The Department of Budget and Finance supported HB 794, and the Tax Foundation was listed for HB 795 but was not present. No additional testimony was offered on either bill. After the testimony phase, the committee deferred all three measures—HB 300, HB 794, and HB 795—for decision making to March 31 at 10:00 a.m. in the same room.

Transcript Highlights:

• to control the student’s behavior.
• They may trigger certain behaviors and actions. So, Mr.
• Speaker, gentlelady, positive behavior intervention supports. Mr.
• This seems like not necessarily behavior...
• This seems like not necessarily behavior de-escalating, right?

Bills: HB111, HB103, HB60, HB108, HB120, HB145, HB154, HB164, HB291, HJR6, HR1, HJM2, HJM3, HJM1, HM7, HM17, HM4, HM22, HM23, HM24, HM26, HM2, HM16, HM32, HM13, HM47, HM11, HM14, HM21, HM34, HM50, HB38, HB47, HB63, HB64, HB127, HB165, HB184, HB200, HM20, HM51

Keywords: water law, state engineer, civil penalty, compliance order, water rights, overdiversion, illegal diversion, groundwater storage and recovery, well license, permit violation, water enforcement, New Mexico water code, irrigation district, conservancy district, water diversion, unauthorized water sales, measuring device, district court appeal, water resources, water compliance

Transcript Highlights:

• of independent analysis that is done, does the analysis based on the bill as written.
• , the kind of independent analysis that is done, does the analysis based on the bill as written.
• To report any inappropriate behavior.
• As you have read in the analysis, we have been working to transform our behavioral health delivery system
• I'm reading straight from page four of the analysis.

Summary: The Assembly Health Committee heard a long agenda of health bills focused on access to preventive care, behavioral health, hospital services, and patient safety. Early items included AB 554, which would expand and protect access to HIV prevention drugs like PrEP, including injectable forms and coverage protections; supporters said it would shore up access amid federal threats, while insurers opposed it as a costly benefit mandate. AB 577 would limit insurer and PBM practices that steer medications away from physician offices and require more transparency and patient consent; doctors and patient advocates supported it, while health plans and insurers warned it could raise drug costs and disrupt specialty pharmacy networks. AB 546 would require coverage for portable HEPA purifiers for vulnerable enrollees during declared emergencies, especially wildfire smoke events, with support from air quality and public health groups and opposition from insurers concerned about benefit expansion and cost. The committee also heard AB 224, which would codify California’s updated essential health benefits benchmark plan after a public review process, adding infertility treatment, hearing aids, and durable medical equipment if approved by CMS for the 2027 plan year. DMHC said the state had completed the review and needed legislation to meet federal timing, and the measure drew broad support. AB 1032 would require plans and insurers to reimburse up to 12 additional behavioral health visits for enrollees in wildfire-affected counties for a limited period after an emergency; supporters argued it would fill gaps in trauma care after disasters, while insurers said existing parity and continuity-of-care rules already address the issue and that the bill could create inequities. AB 849 would require trained chaperones for sensitive ultrasound exams and training on how to observe and intervene; it was backed by a survivor and patient advocates, with hospitals and health districts raising staffing concerns. Later, AB 1196 would direct the Department of Public Health to update outdated rules requiring three surgeons for certain heart surgeries using cardiopulmonary bypass; supporters said the rule no longer reflects modern practice and strains staffing, while cardiology representatives had no formal opposition but wanted to review amendments. AB 1113 would codify a right to wear a mask for health reasons in public spaces, with support from disability and public health groups. AB 1386 sought to add perinatal care to the list of basic hospital services, prompting testimony about maternity ward closures, workforce shortages, and rural access; the author said the bill would be amended further and that the committee would need to revisit timelines and implementation details. The committee also heard AB 1429, which would address Kaiser’s repeated mental health parity violations and improve access to behavioral health care, though the transcript cuts off before any action on that bill is shown. Several bills were moved with motions and seconds, but many were held for quorum; AB 1196, AB 1113, and AB 1386 were among the measures advanced to a roll call or held on call, and the committee repeatedly noted that final votes would occur when quorum was available.

Transcript Highlights:

• This includes the Behavioral Health Helpline, the Office of Behavioral Health, This includes the Behavioral
• Our behavioral helpline has made substantial inroads with 911 dispatch.
• And so this is the analysis of looking at pharmacy deserts.
• So we did an analysis.
• The next two slides are about our behavioral health workforce center.

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held a Health and Human Services budget hearing in Clinton, with opening remarks from Chairs Meg Kilcoyne and Robin Kennedy, local officials, and many House and Senate members introducing themselves. The hearing focused on Governor Healey’s FY27 EOHHS and MassHealth budgets, with repeated themes of rising health care costs, federal funding uncertainty, workforce shortages, and access to care in underserved regions. Members also raised concerns about primary care shortages, rural and regional disparities, behavioral health access, maternal health, food insecurity, and the impact of federal policy changes on Massachusetts programs. EOHHS Secretary Kiame Mahaniah said the FY27 EOHHS budget totals $33.7 billion, reflecting mostly non-discretionary growth from health care costs, labor costs, caseload increases, and provider rate pressures. He highlighted targeted investments in foster care, family resource centers, maternal health, youth services, nutrition programs, immigrant legal services, and human service workforce rates, while warning that federal actions could strip roughly $3.5 billion annually from the state’s health care funding. In response to questions, he defended the administration’s cooperation with federal audits and program integrity efforts, discussed the primary care crisis, and said the state is trying to preserve core services while preparing for a more difficult FY28 budget cycle. MassHealth Undersecretary Mike Levine then described two major FY27 challenges: double-digit cost growth and the expected effects of the federal One Big Beautiful Bill Act. He said MassHealth’s proposed $22.7 billion gross budget includes a 7.5% increase and relies on a moratorium on new expansions plus targeted reductions, including a $1,000 annual adult dental cap, ending GLP-1 coverage for weight loss only, reducing care management to peer-state levels, and work groups to slow growth in PCA, adult foster care, and adult day health spending. Members questioned the impact on Boston Health Care for the Homeless, preventive care, and regional access; Levine said the changes are meant to preserve sustainability, that children and certain disabled populations remain protected, and that the administration will continue working with providers, advocates, and the Legislature on implementation and longer-term reforms.