Transcript Highlights:

• is<00:25:09.159> if Services forensic Services which is if Services forensic Services
• services.
• services.
• recovery support services, and service ongoing service coordination.
• and vocational services, rehabilitation services, and then forensic services.

Keywords: 1183, house

Summary: The committee met for an introductory overview of its jurisdiction and staff roles. Nonpartisan House Research and House Fiscal staff explained that they draft bills and amendments, prepare bill summaries and background research, answer legal and fiscal questions, and help track revenue and budget effects. They also distributed a Budget Overview Brief intended to condense the larger budget materials into a more usable format for members. Staff then walked through the Human Services budget and the committee’s areas of responsibility. They described the department structure, noting that DHS oversees administration, compliance, rulemaking, and county support, and that the overall Human Services budget is large, with medical assistance as the dominant program. They also explained recent and upcoming reorganizations: many children and family-related functions are moving to the new Department of Children, Youth, and Families, Direct Care and Treatment is becoming its own agency, and some homelessness-related functions remain at DHS. Staff reviewed how the budget is organized by program and budget activity, the difference between direct appropriations and standing appropriations, and how forecasted programs and “tails” work in the budget process. The presentation also covered Medicaid financing and long-term care. Staff explained the federal-state FMAP match, including Minnesota’s current 51.16% federal match for most Medicaid spending, the CHIP match, and the 90% federal share for the expansion population. For long-term care, they outlined Medical Assistance services for elderly and disabled people, state-funded long-term care supports, and Board on Aging programs. They highlighted the personal care assistance program’s phaseout and replacement by Community First Services and Supports, and reviewed the five home- and community-based waivers. Members asked one question about refugee resettlement funding, specifically whether it covers flights; staff said they would need to follow up on the exact use of the federal funds. No bills were heard, and no formal votes or other committee actions were taken during this meeting.

Transcript Highlights:

• , that she is passionate about gun violence prevention.
• She concluded that this is not inevitable but preventable.
• I'm community service, and I support, strong support.
• Under that plan, service providers like Mr.
• To services.

Summary: The committee first adopted a seven-bill consent calendar, then heard several public safety measures. AB 1127 by Assembly Member Gabriel would restrict sale of certain semi-automatic handguns that can be easily converted to automatic weapons with “switches”; supporters, including Everytown and Moms Demand Action, said it targets a specific Glock-style design flaw linked to mass shootings, while the NRA and gun-rights groups argued the bill duplicates existing federal law and effectively bans popular handguns. The bill was moved on a due-pass-as-amended motion to Judiciary and remained on call. AB 468, also by Gabriel, would increase penalties and clarify offenses involving looting and impersonating emergency personnel in evacuation zones and during disasters; firefighters, district attorneys, and law enforcement supported it as a deterrent, while public defenders and justice advocates warned it was overbroad and could worsen racial profiling. The committee approved the bill on a due-pass-as-amended motion to Appropriations, also held on call. The committee then heard AB 1187 by Assembly Member Celeste Rodriguez, which would require eight hours of firearm safety training, including live-fire instruction, before obtaining a firearm safety certificate and would add a requirement for new residents who import firearms. Supporters said California should require training comparable to other safety-sensitive activities and that the measure would reduce gun deaths; opponents argued the bill misunderstands the existing FSC process, would be hard to implement because of range and instructor limits, and would burden a constitutional right. The bill passed on a due-pass-as-amended motion to Appropriations and was held on call. The committee also heard AB 1424 by Rodriguez, which would require CDCR climate resiliency and heat-safety measures in prisons, including temperature monitoring, shade, showers, fans, and emergency planning. Prisoner-rights and labor groups strongly supported the bill, citing extreme heat, wildfire, and flooding risks, while one opponent said the monitoring mandate could be too costly; the bill was moved on a due-pass motion to Labor and Employment and held on call. Finally, the committee began hearing AB 1258 by Assembly Member Kalra, which would extend the sunset of the Young Adult Deferred Entry Program through 2029 for selected counties. Kalra and Santa Clara County Judge Erica You described the program’s success in reducing recidivism and providing wraparound services for young adults with felony charges, including housing, counseling, and parenting support. The transcript cuts off before the committee completed action on AB 1258.

Transcript Highlights:

• training and/or the fire service.
• At in-service training and/or the fire service.
• So you have created, through helping to change the law, a preventive service.
• to access these services.
• And thank you for your service.

Keywords: 995, all

Summary: The Special Commission on xylazine held its first meeting, with House Chair Mindy Domb and Senate Co-Chair John Keenan outlining the commission’s charge and a proposed work plan. The commission is tasked with studying the public health and safety impacts of xylazine in the illicit drug supply, including whether it should be scheduled as a controlled substance, how to regulate its production and distribution, and how to improve outreach and treatment for people exposed to it. Members were told the report deadline had been extended to March 30, 2026, and staff proposed a series of public hearings and working groups leading to a final report. The meeting also included attendance, packet materials, and procedural planning. The first major testimony came from BSAS Director Deirdre Calvert, who described xylazine’s appearance in Massachusetts drug supply data, the state’s public health alerts, and DPH’s partnership with Brandeis, CDC, and harm reduction organizations. She emphasized four priorities: reducing stigma and discrimination in health care, expanding self-directed wound care support and coverage for supplies, expanding access to drug checking and test strips, and supporting low-barrier services such as mobile vans and drop-in centers. Commission members asked about first responder awareness, medical education, and whether harm reduction services might face federal restrictions; Calvert said misinformation remains a problem and noted ongoing training efforts, including collaboration with public safety agencies. Several other speakers reinforced the need for low-barrier care and drug checking. Dr. Raghini Jala, an infectious disease and addiction medicine physician, said xylazine has become a common component of the unregulated opioid supply and urged support for rapid-response education teams, community-based drug checking, and better hospital and detox protocols for xylazine withdrawal and wounds. Recovery coach Alan Young testified from lived experience, describing severe wounds, fear of inadequate withdrawal treatment in emergency settings, and the value of mobile care vans that can provide methadone, buprenorphine, and wound care in the community. Dr. Sarah Wakeman echoed the need for naloxone, rescue breathing, low-threshold treatment, and non-stigmatizing health care settings, while Sarah Macon of the Boston Public Health Commission described Boston’s harm reduction and drug checking work, including on-site testing, wound care, and a decline in opioid mortality. Tracy Green of the Massachusetts Drug Supply Data Stream explained that xylazine has declined in recent samples while metatomidine is rising, said drug checking is increasingly used but still not enough, and argued for more funding, staffing, and statewide access to real-time drug checking and harm reduction services.

Transcript Highlights:

• We're looking at preventative services in regard to public health nurses that will, once again, go out
• I love the preventive services.
• I have a bill addressing those preventive services, so I'm very excited to hear you say that and confirm
• services or look ahead.
• services?

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:

• Services. Services.
• Services.
• Services.
• Services.
• Services.

Keywords: 1187, senate, all

Transcript Highlights:

• Dental hygienists can fill that gap by providing preventive and therapeutic services.
• Preventive and therapeutic services, including advanced periodontal care.
• They would bus them in for preventative services, and then communicate.
• Deferred from formal services.
• Services. CARE is unique.

Transcript Highlights:

• Lead agency service delivery.
• One in modeling out prevention services and this current iteration there was not consistency and how
• That is something that we are adjusting in see was to be able to model prevention services.
• So future iterations of this model could have prevention services bucket it out as its own tier. 2 item
• or prevention services?

Keywords: 999, senate, all

Transcript Highlights:

• Our caucus has passed fraud prevention Our caucus has passed fraud prevention and<00:00:58.400><
• Prevention<00:07:23.919> is<00:07:24.160> critical<00:07:25.160> and Prevention
• , Minnesota Department of Human Services, Minnesota Department of Human Services, it<00:09:17.320
• investments in our human services investments in our human services technology<00:09:35.600>
• place to deliver services to people. place to deliver services to people.

Keywords: 918, senate, all

Summary: Senate DFL leaders held a press conference outlining a fraud-prevention agenda centered on transparency, accountability, and modernization of state systems. Majority Leader Erin Murphy said Minnesotans are angry about fraud and that the caucus has already passed multiple fraud-prevention measures, but more work is needed. She and other senators emphasized that outdated county and state IT systems leave programs vulnerable to waste and abuse, and said they want to pursue both immediate upgrades and longer-term funding solutions, including possible bonding for technology infrastructure. Senator Zena Mohamed described legislation to overhaul program integrity in Medicaid and human services by adding safeguards before, during, and after provider enrollment and service delivery. She said the goal is to prevent theft before dollars are spent, rein in third-party entities that profit without accountability, and improve consumer protections and reporting pathways. Senator Amanda Hemmingsen-Jaeger highlighted a bill to ban cryptocurrency kiosks, arguing they are heavily used in scams targeting seniors and vulnerable people, and also backed a state consumer financial protection bureau and stronger False Claims Act enforcement. Senator Rob Kupec focused on ethics and conflicts of interest, including a proposal to bar legislative members and certain state employees from quickly moving into jobs tied to entities receiving state appropriations or grants. He also said lawmakers should strengthen penalties for theft of public funds and restrict state contracts for people convicted of fraud. Senator Heather Gustafson promoted her Office of Inspector General bill, saying oversight is fragmented and an independent office is needed for investigations, safeguards, and early detection; she said the Senate passed the bill 60-7 last year and she wants it enacted. In response to questions, Murphy and Gustafson said the OIG should have law-enforcement powers, that bipartisan support exists in principle, and that the House needs to settle on a single proposal. The senators also said prepayment review can be useful but can disrupt services, and they argued agencies must use the tools already given to them while lawmakers continue oversight.

Transcript Highlights:

• I believe uh health and human services.
• of Medicaid Services. of Medicaid Services.
• > part at prevention.
• And the preventative part at prevention.
• conducted in a way that prevents conducted in a way that prevents somebody<00:12:05.120> from

Keywords: 928, house, all

Summary: The committee first approved the minutes and then adopted the consent calendar without objection. On the regular calendar, it took up a Health and Human Services Medicaid rule on laboratory services. Committee members questioned why an expired rule was still needed and whether any fees, fines, or appeals had occurred during the lapse. DHHS staff said there were no fees or fines, the service remains in the state Medicaid plan, providers continued to be reimbursed under the billing manual, and there had been no known appeals. The committee then approved the rule. The next item was a Natural Resources rule package covering wood processing mills, wood concentration yards, forestry health, forest fire, and administrative fines. Representative Leon pulled the item from consent and objected to the rule’s repeated 5-inch diameter limit for burnable material, arguing that the statute authorizes permits for camp or cooking fires but does not clearly authorize a diameter limit, and that larger wood can be responsibly burned or otherwise managed in forested properties. DNCR’s forest protection chief responded that the 5-inch limit is intended to reduce smoldering and wildfire risk, align with DEES air rules defining brush as 5 inches or less, and keep backyard burning consistent with air-quality regulations. He said larger material can be handled through other permitting processes and that the rule is meant to educate the public and prevent unsafe burning. Members continued to debate whether the rule exceeded statutory authority and whether it was practical for landowners managing larger wooded parcels. One member suggested narrowing the 5-inch restriction in the category 4 permit language, while another noted the statute appears to speak in terms of small or large amounts of material rather than a specific diameter. The discussion ended without a final resolution in the excerpt, with the committee still considering possible amendments to the Natural Resources rules.

Transcript Highlights:

• Transportation, translation services, housing support services, and all of those were the same group.
• Transportation, translation services, housing support services, and all of those were the same group.
• Transportation, translation services, housing support services, and all of those were the same group.
• I think he provided lip service, unfortunately. Right.
• I think he provided lip service, unfortunately. Right.

Keywords: 1187, senate, all

Summary: The discussion focused on fraud in Minnesota public assistance and human services programs, with an emphasis on the harm done to vulnerable recipients rather than just the dollar amounts. The senator described cases involving childcare, PCA, adult daycare, autism, housing support, and food programs, arguing that fraud and poor oversight leave children, disabled people, nursing home residents, and others in neglect or unsafe conditions. He said many of the programs are Medicaid-related or state-funded entitlements intended to address social needs, and that stolen funds directly worsen outcomes for those they are meant to help. He traced the problem to weak state oversight and agency inaction, citing the creation of the DHS Office of Inspector General after earlier childcare fraud concerns, whistleblower reports, and alleged failures by agency leadership to pursue larger, organized schemes. He pointed to the Feeding Our Future case as a major example, saying federal investigators uncovered broader fraud patterns across multiple programs and that state agencies failed to act despite warning signs. He also said recent audits, including one involving DHS Behavioral Health Administration, showed inadequate site visits and other serious deficiencies. The senator said he recently met with federal officials in Washington, D.C., because a large share of Minnesota spending includes federal dollars and federal partners have a stake in preventing misuse. He argued that federal action is necessary but not sufficient, and that Minnesota also needs stronger internal controls, standardized eligibility verification, identity and residency checks, site visits, and better use of data tools. He supported creating an independent Office of Inspector General passed last session, but said it is only a partial solution and that agencies themselves must be retrained and held accountable. No formal votes were taken in the exchange, but the senator described ongoing legislative efforts and said he was pessimistic about the governor’s willingness to act.

Transcript Highlights:

• This funding is used for fuel reduction, wildfire prevention, planning... as well as wildfire prevention
• We don't have a presence yet in the Bay Area; it is serviced by our Solano Center.
• and professional services costs.
• If those services aren't being provided, do fees need to be adjusted?
• I'm the Assistant Deputy Director of Technical Services.

Keywords: 988, house, all

Transcript Highlights:

• vaccination and other Health Service vaccination and other Health Service locations<00:07:23.560
• including when patients seek preventive including when patients seek preventive care<00:08:08.599
• such as diagnostic imaging, laboratory services, infusions, and other outpatient therapy services.
• such as diagnostic imaging, laboratory services, infusions, and other outpatient therapy services.
• such as diagnostic imaging, laboratory services, infusions, and other outpatient therapy services.

Keywords: 1187, senate, all

Transcript Highlights:

• That is some of the best dollars that we can spend is investing in prevention and diversion services.
• That is some of the best dollars that we can spend is investing in prevention and diversion services
• , reunification, prevention, associated services, and adoption services, and they contract through the
• , community based care lead agencies to deliver a number of services, foster care, reunification, prevention
• Direct prevention services are going to be blended into Tier 2.

Summary: The Human Services Subcommittee met with a quorum present and took up a presentation from the Department of Children and Families on HB 7089, which revises how Florida’s community-based care (CBC) lead agencies for child welfare are funded. Representative McFarland described the bill’s background, arguing that the prior formula relied too heavily on outdated, static factors and produced inequities among CBCs. She emphasized that the new approach is intended to provide a more stable, transparent, and statute-based funding method that better supports prevention, case management, and family services while reducing year-to-year political uncertainty. DCF Chief of Staff Casey Penn explained that HB 7089 required an actuarially sound, reimbursement-based formula developed with CBC and provider input. The new model uses a cost-based structure with three tiers: Tier 1 for operational and administrative costs, Tier 2 for per-child/per-month service costs, and a possible Tier 3 incentive component for performance measures if the Legislature chooses to fund it. The model includes regional growth factors, inflation adjustments, a 2% risk corridor for Tier 2, a hold-harmless provision for agencies that would otherwise receive less than prior funding, and the ability for CBCs to retain some state general revenue savings. DCF said the model produced a total budget need of about $1.392 billion, roughly $28.6 million above the prior year after offsets, and that the department is also updating its child welfare case management system to improve data quality and future modeling. Members asked about whether prevention spending is captured, how Tier 3 incentives would work and how much they might cost, how the formula accounts for insurance, hurricanes, child acuity, and staffing costs, and whether CBC executives’ compensation is capped. DCF said prevention is included in the model but is not yet separately broken out due to data limitations, Tier 3 is optional and not yet costed, and the formula can incorporate additional growth factors if needed. On executive pay, DCF explained that compensation is limited by statute for CBC contracts, but multiple contracts and non-state funding sources can affect total compensation; staff later clarified that CBC CEOs with multiple contracts had been reviewed for compliance. The meeting ended after questions, and Representative Miller moved to adjourn; the subcommittee adjourned without any vote on the bill.

Transcript Highlights:

• preventable disease. preventable disease.
• preventable disease. preventable disease.
• and other preventable illnesses. and other preventable illnesses.
• preventable childhood disease. preventable childhood disease.
• . services. services.

Keywords: 1187, senate, all

Transcript Highlights:

• <00:54:45.680> particularly the municipality Services particularly the municipality Services
• and fire services that they need.
• <01:22:33.760> premature the municipality to prevent premature the municipality to prevent
• <01:22:56.199> they services and fire services that they services and fire services that they
• > part into public services and so that's part into public services and so that's part of<01:23

Keywords: 1191, senate, all

Transcript Highlights:

• and it's always spent on DD services. and it's always spent on DD services.
• We value their service.
• about prevention.
• I think you um prevention.
• data directly to then inform prevention. data directly to then inform prevention.

Keywords: 928, house, all

Summary: The committee met with DHS Chief Financial Officer Nathan White to receive an update on the department’s budget lapse and vacancy rates. White explained the difference between the “back-of-the-budget” reduction and lapse assumptions, saying DHS is facing a current biennium reduction of about $23 million and estimating roughly a $60 million general fund lapse in state fiscal year 2025, compared with about $13.5 million the prior year. He said DHS’s lapse is driven largely by program utilization, labor market conditions, contract spending, and statutory carry-forwards in areas such as Medicaid and developmental disabilities, which tend to produce a smaller lapse in the first year of the biennium and a larger one in the second year. He also noted that the House and Senate budgets differ on some operating items, including Medicaid rates, with the Senate having struck a House proposal to reduce rates by 3%. Members questioned White about whether DHS ever spends down lapse money on last-minute purchases. He said the department does not engage in that practice, though it does retain some flexibility in its facilities budget for emergencies. He also described the process for transferring funds within and between class lines, including the need for fiscal committee approval above statutory thresholds, and gave examples such as moving funds to cover overtime in the SYSC budget and to ensure Medicaid payments for nursing facilities. White said such transfers are public and transparent and are reviewed by the governor and Executive Council. The committee then discussed DHS staffing. White said the department has a little over 3,200 authorized positions, with a vacancy rate around 14.5%, and that a hiring freeze had been imposed a few months earlier while exempting direct care positions. He said DHS is planning for about a $30 million general fund reduction to personnel, equivalent to just under 400 positions, and is managing postings centrally to stay within budget by July 1. In response to questions about the loss of about $80 million in federal funds, White and Associate Commissioner Patricia Tilly said DHS avoided layoffs by shifting staff into vacant positions, but that the cuts affected community contracts, public health workers, laboratory work, and some IT/data projects. Tilly said roughly 20 positions were affected, most were reassigned, a few staff left voluntarily, and the department has less flexibility going forward if more federal funding ends.

Transcript Highlights:

• up, and if you vote no, just to prevent up, and if you vote no, just to prevent a<00:02:32.680><
• adopt evidence-based policies to prevent adopt evidence-based policies to prevent human-caused<00
• service 1 hour every other week. service 1 hour every other week.
• <01:36:04.520> In prevention yields $11 in benefit. In prevention yields $11 in benefit.
• And as we know, providing the services for children when they are younger will help prevent issues later

Keywords: 1187, senate, all

Transcript Highlights:

• I really want to talk to somebody about any of the prevent that nothing would prevent about a guidance
• Nothing would prevent them.
• I can say that no one does more than 2 prevent unintended pregnancies through the comprehensive services
• Child services would be involved.
• This law would have prevented me from getting an abortion and proactive treatment to prevent further

Keywords: 999, senate, all

Transcript Highlights:

• The Oil Fund also helps to prevent oil spill releases as part of our prevention program, including the
• oil spill releases part of our prevent oil spill releases part of our prevention<00:45:59.800> program
• The home heating oil category has fewer regulations, so those spills are harder to prevent.
• The bill is relative to repealing the Communication Service tax. Representative Alry, yes.
• repealing of the Communication Service repealing of the Communication Service tax<01:29:03.800><

Keywords: 928, house, all

Summary: The committee first held a public hearing on HB 660, which would require historic horse racing facilities to pay 10% of HHR winnings to host communities as mitigation. Representative Om said the amendment was intended to leave charities and the state whole while funding local costs tied to large gaming facilities. Supporters argued the measure would address future municipal expenses, while opponents said host towns have not reported current problems and that the bill would single out one industry. Members questioned the 10% rate, whether the proposal was retroactive, and whether it would apply to existing facilities; the sponsor said it would apply to facilities already in place or later added. The hearing was then closed without any vote recorded in the transcript. The committee then opened a hearing on HB 658-FN, which raises reimbursement caps and adjusts fees for the Oil Discharge and Disposal Cleanup Fund and the Oil Pollution Control Fund. Representative Malloy introduced the bill, and Representative Aly explained the funds as a state-backed insurance mechanism for oil spill cleanup and prevention, including replacement of leaking home heating oil tanks for low-income homeowners. Bob Scully of the Energy Marketers Association supported the bill, saying the fee structure helps fund remediation and tank replacement, though costs are ultimately passed on to consumers. Department of Environmental Services officials Robert Bishop and Jennifer Marts described the bill as extending the fee collection for 10 years, changing reporting dates, increasing the cap for low-income tank replacement, and rebalancing fees based on an actuarial review. DES testified that the actuarial study found the fund needed to remain solvent and that home heating oil releases are the largest category of new releases, with the fuel oil fee otherwise needing to rise by more than 200% to cover projected costs. The board instead proposed a smaller increase and adjusted other fees accordingly, while maintaining a reserve to cover the first days of a major coastal spill before federal funds become available. Members asked about the basis for the fee changes, the role of the actuarial review, and the statutory language governing who pays the fees. The transcript ends during this hearing, with no final committee action or vote shown.

Transcript Highlights:

• Division of Developmental Disability Services.
• It was a rate report for services provided underneath our service. We are.
• We act as subject matter expert on all IDD programs and services, including autism services, OT/PT, speech
• A lot of in-home and school-based behavioral health services are in this rate study.
• This is the office... ...of the Division of Developmental Disability Services.

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.