Bills: HB1826, HB2854, HB3006, HB4614, HB5261, HB5639

Keywords: mental health, women's health, county jail, depression screening, criminal justice, HB 2854, Pokuaa-Flowers Act, parole, mandatory supervision, electronic monitoring, releasee, parole officer, hospital visit approval, general hospital, law enforcement notification, DSHS, Department of State Health Services, corrections, public safety, liability immunity

Bills: HB2476, HB2893, HB4848, HB5062, SB37, SB60, HB2860, HB4930, SB646, SB 37

Keywords: living expenses, higher education, student support, homeless students, financial aid, grant program, baccalaureate degrees, junior colleges, workforce development, Texas Higher Education Coordinating Board, competency-based education, baccalaureate degree, cost of attendance, dual credit, computer science, course credit, foreign language requirement, curriculum review, governing board, faculty council

Transcript Highlights:

• The committee substitute removes the costly mail-back option and allows DSHS to directly contract with
• It also transfers the agency in charge from TCEQ to DSHS and clarifies that DSHS will... ...be administering

Bills: SB670, SB1388, SB627, SB912, SB269, SB528, HB2711, HB4819, HB5248, HB4175

Keywords: SB 670, investigational sun protection products, sun protection, sunscreen, FDA approval, clinical trial, phase one trial, patient access, informed consent, physician prescription, Texas Health and Safety Code, Texas Medical Board, compassionate use, experimental treatment, medical freedom, patient autonomy, healthcare regulation, dietitian, dietitians, licensed dietitian

Transcript Highlights:

• And according to DSH, one to timely community placement of SVPs and according to DSH one of the reasons
• DSH did not want to take that recommendation.
• There is a housing committee that advises DSH.
• DSH, do you track any regional trends on SVP placement?
• Has Liberty Healthcare or DSH— Has Liberty Healthcare or DSH signed off on transient placement in a court

Summary: The Joint Legislative Audit Committee held an oversight hearing on the state auditor’s October 2024 report on California’s Forensic Conditional Release Program (CONREP) for sexually violent predators. Members and witnesses discussed public safety, the long delays in finding community housing, the role of local housing committees, and the Department of State Hospitals’ oversight of Liberty Healthcare, which operates much of the program. Several legislators from rural and high-desert districts said their communities have been disproportionately affected by placements and questioned why many placements end up in remote areas. State Auditor Grant Parks said the audit found that CONREP participants were convicted of new offenses less often than sexually violent predators who were unconditionally released, but that 18 of 56 participants had been revoked and returned to state hospitals for noncompliance. He said it took an average of 17 months to place current participants in the community, with 20 additional people awaiting placement for an average of 20 months, and that the program incurred significant pre-placement costs. Parks also said local officials were often unclear about their role, DSH had not given clear guidance at the time of the audit, and California lacks a transitional housing option used in some other states. He reported that DSH had implemented four of the five audit recommendations, while declining the recommendation to explore state-owned transitional housing. DSH Director Stephanie Clendendon and Liberty representative Ken Carabello defended the program as a court-ordered, highly supervised treatment model intended to reduce reoffending and support reintegration. They said DSH is actively involved in placement review, that Liberty searches countywide under statutory restrictions, and that community feedback and court approval are part of the process. DSH said it has now implemented guidance for housing committee designees, formal program reviews, an outcome tracker, and an analysis of whether to separate some Liberty services into different contracts. DSH continued to oppose transitional housing, arguing it would not solve the core siting and statutory problems and would add cost. Several members remained critical, arguing the program is broken, costly, and unfairly concentrated in certain communities, and some called for major statutory changes or suspension of the program.

Transcript Highlights:

• DOH also requiring confirmation and also processed by DSHS.
• And does the Department of Health have anything in addition to DSHS, or is that joint?
• My video isn't showing, but Christine Morris, I'm the office chief at DSHS for...
• And I wholeheartedly, representing DSHS, agree that it would be a good change.
• And representing DSHS, I just agree that it would be a good change to make to integrate.

Keywords: 904, all

Summary: The Joint Legislative Audit and Review Committee heard a State Auditor’s Office performance audit on the Restoring Quality Home Care Initiative (I-1163), which created home care aide certification requirements, FBI background checks, and an abuse/neglect registry. Auditors said some requirements likely improve safety, especially background checks and training, but the state lacked pre-2011 data to measure outcomes directly. They also found Washington has a long-term care workforce shortage, though its workforce supply ranks better than many states, and that more stringent entry requirements do not appear to reduce workforce participation compared with other states. The audit’s main concern was that the certification process is slow and burdensome. Auditors reported that most applicants never finish certification, that only about one-third of fiscal year 2025 applicants were certified within the 200-day legal deadline, and that the average time to certification was 463 days. They identified delays between training and testing, limited testing access in some areas, and redundant Department of Health verification of FBI background checks as key causes. The audit recommended streamlining the process by accepting applications later in the process, expanding testing within training programs, and eliminating the redundant background-check verification. Department of Health and Department of Social and Health Services staff largely agreed with the audit’s findings and recommendations. They said they have already made improvements, including moving exams into more than 110 training programs, increasing credentialing staff, and reducing barriers through rule changes. DSHS noted testing is offered in 13 languages. Committee members asked about testing contract incentives, language access, and whether the agencies would seek statutory or budget changes to implement the recommendations. No public testimony was offered, and the meeting adjourned without any vote or formal action by the committee.

Bills: SB868, SB1337, SB1371, SB1377, SB1426, SB1620, SB2064, SB2065, SJR4

Keywords: SB 868, rural volunteer fire department assistance program, volunteer fire department assistance fund, Texas Government Code, wildfire, wildland fire, high-risk wildfire area, fire suppression, rural fire departments, volunteer firefighters, emergency response, public safety, grant allocation, appropriations, disaster preparedness, tax penalties, interest calculation, overpayment, tax law, refund process

Summary: The Senate Finance Committee heard several bills focused on tax administration, transportation, emergency services, historic preservation, forensic training, pension funding, and the state’s rainy day fund. Senate Bill 1337, by Senator Creighton, would require the comptroller to assess penalty and interest only on the net tax due and allow sales and use tax overpayments to offset underpayments more automatically; it was left pending while the author, comptroller staff, and a private witness continued working on the language and fiscal note. Senate Bill 1371, by Senator Hinojosa, would address Corpus Christi transit authority operations, including emergency refueling coordination, fare-setting procedures, and board term limits; it received supportive testimony and was left pending. Senate Bill 1377, by Senator Perry, would create a grant program for rural counties to buy ambulances, with a committee substitute expanding eligible uses in some cases to equipment and setting a sunset date; numerous EMS officials, county representatives, and association witnesses testified in support, emphasizing rising ambulance costs, staffing shortages, and the need for rural emergency coverage, and the bill was left pending after testimony. Senate Bill 868, by Senator Sparks, would direct at least 10% of volunteer fire department assistance funding to high wildfire-risk areas; Texas A&M Forest Service explained the map and methodology, and the committee substitute was adopted. The committee also heard Senate Bill 1426, which would place the First Capitol State Historic Site in West Columbia under Texas Historical Commission stewardship, and Senate Bill 1620, which would create a Texas Forensic Analyst Apprenticeship Pilot Program through the Office of Court Administration to address forensic scientist shortages; both had no opposition in testimony and their committee substitutes were adopted. Senate Bill 2065 would change the Texas Emergency Services Retirement System funding structure to require an actuarially determined state contribution and address the system’s unfunded liability over 30 years; Pasadena fire department representatives testified that the pension is an important volunteer retention tool, and the bill was left pending after testimony. Senate Joint Resolution 4 would raise the Economic Stabilization Fund cap from 10% to 15% of biennial revenue deposits, with a committee substitute correcting the effective date to September 1, 2027; the committee discussed the fund’s current balance and purpose before adopting the substitute. After quorum was established, the committee voted out the measures. Senate Bill 1868, Senate Bill 1371, Senate Bill 264, Senate Joint Resolution 4, Senate Bill 1426, Senate Bill 1620, and Senate Bill 2065 were all reported favorably to the full Senate, with some bills also certified for the local and uncontested calendar. The committee substitute for Senate Bill 868 was adopted and the bill was reported favorably as well. The committee then recessed subject to the call of the chair.

Transcript Highlights:

• And does the Department of Health have anything in addition to DSHS, or is that joint?
• Okay, so do we have anyone from DSHS on? Yes, we do. Okay, I'm sorry about that. It's okay.
• My video isn't showing, but Christine Morris, I'm the office chief at DSHS for...
• And I wholeheartedly, representing DSHS, agree that it would be a good change.
• And representing DSHS, I just agree that it would be a good change to make to integrate.

Summary: The Joint Legislative Audit and Review Committee held a public hearing on the State Auditor’s Office performance audit of Washington’s Restoring Quality Home Care Initiative (I-1163). Auditors said the initiative’s background checks and 75-hour training requirement are widely viewed as safety measures, but the state lacks pre-2011 data to directly measure safety outcomes. They also found Washington’s long-term care workforce is still short, though the state ranks better than many others in workers per disabled person, and that some groups and regions have larger gaps between authorized and actually used Medicaid care hours, suggesting access problems for certain clients. The audit focused heavily on the certification process for home care aides. Auditors reported that many applicants never finish certification, that the process often exceeds the 200-day legal deadline, and that delays can cause lost income, job loss, and in some cases repeated employer changes that allow aides to keep working without becoming certified. They recommended that the Department of Health accept applications only after training and testing are completed, move testing into training programs more broadly, and eliminate redundant DOH verification of FBI background checks. Committee members asked about testing contract incentives, language access, and the role of immigration in workforce shortages; auditors said they found no financial performance standards in the Prometric contract, did not specifically study immigration status, and did not focus on language barriers in this audit. Department of Health and Department of Social and Health Services officials largely agreed with the audit’s findings and recommendations. They said they have already made improvements, including expanded in-program testing, more staffing, and rule changes, and that testing has been integrated into more than 110 training programs. DSHS noted testing is offered in 13 languages. Both agencies said they support further streamlining and expect continued collaboration, including possible budget or legislative requests. No public testimony was offered, and the committee adjourned without taking any vote or formal action on the audit.

Transcript Highlights:

• within DSHS utilizes $80 million in Medicaid funds per biennium.
• At this time, DSHS estimates a $750 million four-year fiscal impact.
• So I'd like to turn it over to DSHS. Any questions for Josh before we move on?
• So I'd like to turn it over to DSHS. Any questions for Josh before we move on?
• So DSHS has 34 systems that are part of the One Washington Phase 1A.

Summary: The Ways and Means Committee held a work session to review how H.R. 1 (the One Big Beautiful Bill Act) could affect Washington’s Medicaid, long-term care, developmental disabilities, and food assistance programs, with a focus on implementation challenges, fiscal impacts, and likely coverage losses. Staff and agency officials explained Washington’s Medicaid financing structure, eligibility categories, caseload trends, and the role of the Health Care Authority and DSHS in administering Apple Health and related services. They also described how Medicaid expansion increased access to behavioral health services and how H.R. 1’s provisions are expected to affect the expansion population most directly. Health Care Authority and DSHS officials outlined several major H.R. 1 changes: new work and community engagement requirements for the Medicaid expansion population, six-month redeterminations instead of annual renewals, changes to immigrant eligibility, limits on provider taxes and state-directed payments, new cost-sharing requirements, reduced retroactive coverage, and changes affecting long-term care eligibility. They said Washington is still awaiting federal guidance on many details, but estimated that about 620,000 Apple Health expansion enrollees could be subject to work requirements, that roughly 30,000 immigrants could lose Medicaid eligibility under the new definition of qualified alien, and that some long-term care and developmental disability clients could be indirectly affected. Officials also said the state is working with other agencies to build shared verification systems and may seek a delay waiver, though they do not expect broad federal flexibility. The committee also heard that H.R. 1 immediately blocks Medicaid reimbursement for Planned Parenthood services for one year, with the state planning to backfill about $11 million to preserve access. In addition, officials warned that the law could reduce federal Medicaid revenue by billions over time and strain hospitals and emergency rooms as more people become uninsured. They noted that Washington’s rural health transformation grant application is due November 5 and could bring some funding, but not to offset coverage losses. No votes were taken; the session was informational only. The committee then heard a separate presentation on food assistance, where staff and DSHS described H.R. 1’s SNAP changes, including expanded work requirements, immigrant eligibility restrictions, higher state administrative costs, and a possible future state share of benefit costs tied to payment error rates. DSHS estimated a four-year fiscal impact of about $750 million for food assistance changes and said the state is working on system and policy changes across agencies before the new requirements take effect.

Transcript Highlights:

• DSH also requests budget bill language to allow DSH to seek Department of Finance and legislative approval
• For the DSH Metropolitan Increased Secure Bed Capacity Project, DSH reports a one-time current year savings
• Specific to the DSH Coalinga telepsychology pilot, DSH has historically experienced recruitment challenges
• DSH is requesting to pilot telepsychology at DSH Coalinga.
• Specifically, DSH proposes to redirect four existing vacant psychology positions at DSH Coalinga to provide

Keywords: 988, house, all

Transcript Highlights:

• Rector, and I am temporarily acting as the DSHS Secretary. Glad to have you, B.
• I'm director of the WAC CARES Fund at DSHS.
• Rulemaking is currently taking place by DSHS.
• Yeah, it's operated by DSHS. Yes, it's operated by DSHS. I should have known that. Sorry.
• I think you'll hear about this again from DSHS.

Summary: The committee met for what was described as its final meeting, with members and staff reflecting on the work of the Joint Legislative Executive Committee on Aging and Long-Term Care and noting that future work would likely shift to standing health and wellness committees. The meeting began with introductions and then moved into updates on major initiatives that originated from the committee, including Washington Cares, the Dementia Action Collaborative, and Medicaid long-term care programs. Presenters emphasized that these efforts were developed through long-term legislative-executive collaboration and were intended to help Washington prepare for the state’s aging population. On Washington Cares, DSHS described the program’s development from a 2014 research effort to its 2019 enactment, premium collection beginning in 2023, portability improvements in 2024, and 2025 changes including a grandfathered opt-out fix and a framework for supplemental private long-term care insurance. The agency said benefits are expected to go fully live next summer, with a pilot of up to 400 applicants planned for next January. On dementia policy, the Dementia Action Collaborative reported on the state dementia plan, Project ECHO training for providers, and pilot dementia-capable community programs at area agencies on aging, citing preliminary results that about 85% of family caregivers said services helped people remain at home. DSHS also reviewed Medicaid Transformation Project initiatives, including Medicaid Alternative Care, Tailored Supports for Older Adults, presumptive eligibility, and health-related social needs benefits such as rental assistance, nutrition support, and home modifications. The committee then heard an emerging issues panel from ombuds and disability advocates. Patricia Hunter of the long-term care ombuds program raised concerns about staffing shortages, resident rights, surveillance technology, private equity ownership of facilities, and illegal discharges or evictions. Betty Sweeterman of the Developmental Disabilities Ombuds discussed people stuck in hospitals without medical need, gaps in behavioral health services for people with developmental disabilities, and the need for better workforce training. Todd Carlyle of Disability Rights Washington urged expansion and bundling of community supports such as PACT, GOSH, and peer bridgers to reduce repeated institutionalization and support discharge from inpatient psychiatric settings. Provider and labor panels followed, with nursing home, assisted living, supported living, and union representatives all emphasizing workforce shortages, low wages, Medicaid rate inadequacy, case management bottlenecks, behavioral health complexity, and the need for more flexible care models and stronger accountability for rate increases. No formal votes were taken; the meeting ended with public comment on manufactured housing and closing remarks thanking staff and participants for the committee’s work.

Transcript Highlights:

• DSH also requests budget bill language to allow DSH to seek Department of Finance and legislative approval
• Specific to the DSH Coalinga telepsychology pilot, DSH historically has experienced recruitment challenges
• , particularly for hospitals in more rural areas such as DSH Coalinga.
• is requesting to pilot telepsychology at DSH Coalinga.
• Specifically, DSH proposes to redirect four existing vacant psychology positions at DSH Coalinga to provide

Summary: The Assembly Budget Subcommittee on Health held an informational hearing on the Governor’s May Revision, focusing first on the Commission on Behavioral Health, then EMSA, and then the California Department of Public Health (CDPH). The Department of Finance said the state faces a third consecutive deficit and that the May Revision includes difficult trade-offs, including proposed eliminations or reversions of some behavioral health and public health funds. The LAO echoed concern about the structural deficit and said it was still awaiting some budget details before offering a full analysis. For the Commission on Behavioral Health, Finance proposed eliminating $20 million in Mental Health Wellness Act funds, arguing the money would help offset General Fund costs and noting future Proposition 1 innovation funding. The commission strongly opposed the cut, saying it would eliminate or delay launch-ready grants for early childhood supports, full-service partnerships, and peer respite, and would eventually end ongoing grant programming. Several advocates and commissioners testified that the funds support underserved communities and that Proposition 1 is not a substitute for the existing programs. The chair asked Finance to look for alternatives, but no vote was taken. EMSA presented mostly technical budget adjustments: increased authority for the California Poison Control System, a correction to EMSIS funding, and a reappropriation for enterprise services and data management. CDPH then reviewed a broader set of May Revision proposals, including reversions from the California Reducing Disparities Project, workforce development, STD prevention, hepatitis C prevention, hospice, and extreme heat funding, as well as a new generative AI pilot for health facility survey reporting. Members raised concerns about cuts to CRDP and gender health equity programs, especially because many grants are mid-contract and serve underserved communities; CDPH said the reversions were part of solving the deficit and that CRDP had been successful, while also clarifying that abortion.ca.gov would not be eliminated. Public comment was overwhelmingly opposed to the CRDP and related cuts, with many speakers describing the programs as life-saving and cost-effective. No formal votes or actions were taken during the hearing.

Transcript Highlights:

• It's hard to see, but DCYF, DSHS, and DOC are the top three payout departments.
• It gave us the opportunity to clean house at DSHS, which was absolutely important.
• All of that came as a result of DSHS not taking the medicine, not Of that came as a result of DSHS not
• To make the changes necessary with DSHS.
• So we have seen this recently in DSHS, not, I would say actually a cottage industry.

Summary: The committee held a work session on tort liability and parole, with the chair explaining that the topics were linked because criminal justice reform and state liability often intersect, especially in cases involving child welfare and corrections. Staff first outlined Washington’s tort liability framework, including the state’s broad waiver of sovereign immunity, statutes governing mandatory reporting and investigation of abuse, the childhood sexual abuse statute of limitations, and the lack of caps on non-economic damages. Staff and presenters also compared Washington to other states and noted that Washington remains among the broadest states for state liability and childhood sexual abuse claims. Presenters from the Attorney General’s office, Washington State Association for Justice, DCYF, DSHS, and DOC discussed how tort exposure has grown, especially in claims involving DCYF, historical child abuse, juvenile rehabilitation, vulnerable adults, employment discrimination, medical negligence, and negligent supervision. DCYF and AG staff said claims and payouts are rising, with many claims tied to older abuse and new theories of liability, while defense counsel emphasized the human harm behind the claims and argued that tort cases have historically driven accountability and reform. Agency witnesses said they face large volumes of old claims with limited records, rising verdicts and settlements, and staffing and systems challenges, and they highlighted efforts such as early resolution programs, electronic health records, medication-assisted treatment, and improved incident review processes. The committee then shifted to parole. Sentencing experts reviewed Washington’s move from indeterminate sentencing to the current determinate sentencing system under the Sentencing Reform Act, and explained how parole could be integrated with sentencing guidelines through different models used in other states. They also summarized Criminal Sentencing Task Force recommendations related to a determinate-plus approach for three-strikes and persistent offender laws and a second-chance review process, noting there was no consensus on those ideas. Judges from the Minority and Justice Commission and the Superior Court Judges Association said a parole system could support rehabilitation and reduce disparities if it includes data collection, fairness, transparency, due process, and meaningful judicial review; they also pointed to research suggesting parole and structured reentry can reduce recidivism and costs, while warning that access and outcomes can vary by geography and other factors.

Transcript Highlights:

• In authorizing the program on an ongoing basis, DSH will be able to Thank you. ...four-year program.
• In authorizing the program on an ongoing basis, DSH will be able to continue to provide re-evaluation
• The court set deadlines and interim benchmarks for DSH to meet the 28-day requirement, and these were
• The current deadline for DSH to achieve 28 days was March 1, 2025.
• We are creating a residency program at DSH Patton in partnership with Loma Linda University.

Summary: The hearing opened with remarks from the chair and members about recent federal cuts to public health, mental health, family planning, and Title X funding, with strong concern about the impact on California programs and providers. The committee then turned to the Department of State Hospitals, which presented its 2025-26 budget proposal of $3.4 billion, including new positions, capital improvements, and funding tied to increased patient costs and incompetent-to-stand-trial services. DSH reported major progress in reducing the IST waitlist and wait times, said it had met the court’s 28-day treatment benchmark for those without extenuating circumstances, and described workforce recruitment and retention efforts such as residency programs, fellowships, outreach, and hiring streamlining. Members asked about future IST referral trends, SB 1323’s effect on diversion and community treatment, and workforce lessons in high-cost regions; public comment urged reconsideration of county IST growth cap methodology in light of new criminal justice initiatives. The committee next received an informational overview of Proposition 1 and its changes to behavioral health funding and governance. The Legislative Analyst’s Office explained that Prop. 1 restructured county MHSA funding buckets, expanded the Commission for Behavioral Health, shifted prevention and early intervention responsibilities, and authorized a $6.4 billion bond, including $4.4 billion for behavioral health facilities through BHCIP. DHCS said it had released guidance for county integrated plans and was receiving extensive public comment. Members focused on BHCIP application requirements, especially letters of support and tribal projects, and raised concerns about whether DHCS’s implementation matched statutory intent. DHCS said it had authority to set application requirements and that tribal entities were treated differently because of sovereignty and funding structure. DHCS then updated the committee on BHCIP, the Behavioral Health Bridge Housing Program, and related bond implementation. The department said BHCIP had awarded about $1.7 billion across five rounds, with more than 130 projects and 223 distinct facilities funded, and that it was preparing to award the new bond funds after receiving nearly $8 billion in applications. The LAO’s assessment found that more than half of awards served at least 80% Medi-Cal enrollees, but also raised concerns that the regional allocation model could reinforce inequities, that the program had not sufficiently addressed the highest-need regions such as the southern San Joaquin Valley, and that smaller counties and less launch-ready applicants faced barriers. For bridge housing, DHCS said more than $1.1 billion had been awarded, serving over 5,000 people and supporting more than 2,000 operational beds, but the Governor’s budget proposes to eliminate Round 4 funding as the administration weighs other statewide investments and Proposition 1 implementation workload. Public commenters and members urged more accountability, better regional equity, stronger labor and community involvement, and caution about funding for for-profit psychiatric facilities. Finally, the committee heard on the Children and Youth Behavioral Health Initiative. CalHHS and DHCS described CYBHI as a broad prevention- and equity-focused effort with more than 1,300 organizations funded, over $2.1 billion awarded, and multiple work streams spanning schools, community programs, workforce, and digital supports. DHCS highlighted school-based services, the fee schedule rollout, and digital platforms BrightLife Kids and Soluna, which it said are reaching users statewide and providing low-barrier access to coaching and support. Members and public commenters raised concerns about delays in school fee schedule implementation, the large share of funding going to digital tools, the need for more in-person services, and whether the initiative is sufficiently tracking outcomes and equity impacts. No formal votes were taken during the hearing.

Transcript Highlights:

• DSHS has a regional office in Lubbock.
• So our DSHS employees have been doing that.
• And how much do you think the DSHS spends on marketing vaccines?
• over the staff. staff that work at DSHS are really amazing.
• DSHS.

Keywords: 1184, house, all

Transcript Highlights:

• of DSH beds, and the positions requested will assist in managing the referral intake. with these new
• DSH proposes $2.8 million in the General Fund for the preliminary plans phase.
• The current deadline for DSH to achieve 28 days is by March 1st, 2025.
• The individuals DSH serves have some of the most difficult-to-treat behavioral health challenges and
• We are also creating a residency program at DSH Napa.

Keywords: 988, house, all

Transcript Highlights:

• And I will also highlight the DSHS website redesign.
• What I can commit to is we have our team now that is not just DSHS, too.
• And DSHS alone, I think, had about a $900 million four-year increase, mainly, I think, around SNAP.
• And we're going to stay in the DSHS territory.
• I first want to say how much I appreciate getting more information about the restructuring of DSHS and

Summary: The committee heard a lengthy update on Washington child welfare from Casey Family Programs and DCYF. Dr. David Sanders said Washington has sharply reduced out-of-home care and increased kinship placements, but he flagged concerns about low screening-in rates, long stays in foster care for many children, and a recent rise in repeat maltreatment and child fatalities, especially among infants. He urged more focus on infants and young children, better coordination among child protection, health care, and law enforcement, and more proactive review and investigation practices. Members asked for disaggregated data on children lingering in care, fatalities, and causes such as fentanyl exposure. DCYF said it has increased relative placements and guardianships, but also reported a concerning rise in 2025 critical incidents, mostly near-fatalities involving children age three and under, many opioid-related. The department described responses including safe child consults for opioid cases, more training, hotspot analysis, and proposed investments in peer support, public health nurses, community referrals, and an updated safety framework. Members also discussed whether a broader commission on child abuse prevention would be useful, and DCYF said it was open to that idea. The committee then received a DSHS reorganization update from Secretary Angela Ramirez, who described the “Reimagined” plan to consolidate four administrations into three new ones, with the stated goals of reducing silos, improving customer experience, and making transitions between services smoother. She said the agency is seeking statutory changes and CMS approval to align the new structure, and members asked about preparing for federal HR1 impacts, especially SNAP. Ramirez said DSHS is monitoring those impacts closely and emphasized the need for accurate data and cross-agency coordination. Finally, DSHS’s Behavioral Health and Habilitation Administration updated the committee on residential habilitation centers and implementation of Substitute Senate Bill 5393, which phases out Rainier School by June 30, 2027 and limits new admissions. Officials reported current census and staffing levels at the state’s RHCs, said Rainier has had some residents transition to supported living or adult family homes, and explained that emergency and permanent rulemaking was needed to implement the law. They also said Rainier was recently cited by federal surveyors for not meeting the active treatment requirement for two residents, and that the facility has 90 days to return to compliance before possible payment penalties or further remedies. Members pressed for details on the citation, the meaning of active treatment, the assessment process for admissions, and whether Rainier could be repurposed for other services; DSHS said it is working on corrective action and will follow up in writing.

Transcript Highlights:

• And then I spoke with a representative from DSHS about some points there.
• And then the last thing that just completely defies understanding is that DSHS has confirmed that, as
• of this week, Camp Mystic has still not reported the deaths of the campers to DSHS, as required by the
• Not reported the deaths of the campers to DSHS, as required by the Texas Administrative Code.
• This is a statement provided to me from DSHS to provide to you, and it is wrong.

Keywords: 1184, house, all

Transcript Highlights:

• of Washington, and the outpatient community services are all eligible for federal match, while the DSHS
• An enhanced service facility, do you like to jump in with this one because it's DSHS?
• So, DSHS. There we go. Okay. I'm sorry. DSHS. There we go. Thank you. Oh, I'm sorry. There you go.
• So, DSHS. There we go. Okay. I'm sorry. DSHS. There we go. Thank you. Oh, I'm sorry. There you go.
• And then you'll notice that many of the health and human services areas, like DSHS, DCYF, as well as

Summary: The committee held a work session focused first on juvenile rehabilitation system capacity. DCYF officials said the juvenile rehabilitation population is older, includes more adult-sentenced youth, and has longer lengths of stay, especially for “post-25” youth who must remain in secure facilities and cannot go to community beds. They described overcrowding at Green Hill School, placement limits at Echo Glen and Harbor Heights, staffing turnover, mental health acuity, and the need for more medium-security and specialized mental health beds. DCYF said it is pursuing a Parkland facility proposal, a staffing model decision package, and a broader feasibility study and master plan update. No votes were taken; members were asked to follow up with questions later. The committee then heard on behavioral health system capacity from the Behavioral Health Administration and the Health Care Authority. DSHS described growth in forensic and civil bed need, expansion at Olympic Heritage, Maple Lane, and Brockman, and construction of a new 350-bed forensic hospital at Western State expected to open in 2028. HCA reported progress on long-term civil commitment beds, intensive behavioral health treatment facilities, PACT teams, and intensive residential treatment teams, saying the community-based system is being expanded to support step-down care and reduce hospital reliance. Members asked about whether capacity is right-sized, the difference between facility types, and federal match eligibility for services. A federal funding update followed, covering the effects of H.R. 1 and H.R. 5371 on SNAP, Medicaid, marketplace coverage, long-term services and supports, K-12, higher education, and hemp regulation. OFM and agency staff said H.R. 1 adds work requirements, changes non-citizen eligibility, increases state administrative and benefit costs, reduces Medicaid and marketplace subsidies for some groups, tightens redeterminations, and may significantly affect provider payments and state-directed payments. H.R. 5371 extended federal funding through January 30, 2026 and included some agency appropriations and other provisions, including changes affecting hemp producers. Members asked about SNAP error rates and special enrollment periods. Finally, budget coordinator Mary Monroe gave a 2026 supplemental budget preview. She reviewed the state’s near general fund outlook, noting revenue declines since the enacted budget, the effect of reversions, and a preliminary maintenance-level outlook showing a projected increase in NGFO spending over the four-year period. She said the supplemental will reflect updated caseload and cost forecasts and mandatory impacts from H.R. 1, but not policy proposals. No actions or votes were taken during the session.

Bills: SB868, SB1337, SB1371, SB1377, SB1426, SB1620, SB2064, SB2065, SJR4, SJR 4

Keywords: SB 868, rural volunteer fire department assistance program, volunteer fire department assistance fund, Texas Government Code, wildfire, wildland fire, high-risk wildfire area, fire suppression, rural fire departments, volunteer firefighters, emergency response, public safety, grant allocation, appropriations, disaster preparedness, tax penalties, interest calculation, overpayment, tax law, refund process

Transcript Highlights:

• Samaripa from DSHS? I've met with her.
• Adam Buck, who is the Associate Deputy Commissioner for Consumer Protection at DSHS.
• I'm Commissioner at DSHS. The youth camp program falls under my agency, DSHS, and under Mr.
• Buck's..." ...falls under my agency, DSHS, and under Mr.
• The licensing process is going through you, right, through DSHS.

Keywords: 1185, senate, all