Transcript Highlights:

• And the infrastructure division that you all have created at DFA has staff specifically to support that
• For instance, in DFA, we set up the capital outlay division there with the intent that they would help

Bills: SB190, HB247, HB8

Keywords: cancer treatment, revenue bonds, Gila Regional Medical Center, Nor-Lea General Hospital, healthcare funding, capital outlay, capital projects, appropriations, reversion, encumbrance, reauthorization, reappropriation, general fund, capital development and reserve fund, tribal infrastructure project fund, Department of Finance and Administration, DFA, state board of finance, severance tax bonds, tax-exempt bonds

Bills: HB3126, HB3177, HB3311, HB3465, HB3786, HB3915, HB4333, HB4476, HB3403

Keywords: education funding, concurrent enrollment, school aid, Oklahoma State Regents, permanent school funds, higher education, revolving fund, court reporters, salaries, legislation, employment compensation, state administration, Oklahoma, community development, infrastructure, economic development, local government, financing, pooled finance, Oklahoma Emission Reduction

Keywords: KY LRC YouTube, https://www.youtube.com/watch?v=JfGbyu195O8, 2026-06-21T07:17:08+00:00, 2.2.24, Data collected via generic collector engine, 0:12 – Meeting start/roll call 0:36 – Approval of minutes 0:48 – Kentucky Higher Education Assistance Authority, Division of Student Financial Aid 2:22 – Education and Labor Cabinet, Education Professional Standards Board 5:21 – State Board of Elections 8:26 – Office of the Attorney General 10:25 – Personnel Board 12:17 – Finance and Administration Cabinet 14:18 – Board of Pharmacy 15:42 – Board of Licensure for Occupational Therapy 16:38 – Education and Labor Cabinet – Department for Workers’ Claims 17:35 – Public Protection Cabinet – Department for Housing, Buildings & Construction 22:04 – Cabinet for Health & Family Services – Office of the Secretary: Medicinal Cannabis Program 32:18 – Cabinet for Health & Family Services – Department for Community Based Services, 958, all, 2.2.42, 2.1.47

Transcript Highlights:

• department university across the corporation with comprehensive treatment person qualified person disability
• mental health services advocates, state, council, Brasper planning, development and disciples of division
• assisted living, University, Bay Area Health Region, and all the practitioners of development and disability
• Practitioner development disability service president, organized advocate person, development, to the
• The bill authorizes the division to contract with regional behavioral health authorities and describes

Bills: LB737, LB753, LB788, LB913, LB1055, LB1195, LB1216, LB1256, LB429, LB721, LB722, LB727, LB743, LB745, LB749, LB778, LB787, LB365A, LB823, LB900, LB903, LB940, LB954, LB1127, LB1127A, LB1205, LB1240, LR293, LR296, LR422, LR505, LR507

Keywords: LB737, Olmstead, developmental disabilities, disability services, community-based services, integrated settings, DHHS, Department of Health and Human Services, stakeholder advisory committee, independent consultant, public hearing, legislative oversight, disability rights, community integration, housing, employment, education, transportation, community supports, self-advocacy

Transcript Highlights:

• Of honorable or general under honorable conditions, and to a person who is 50% or more disabled as a
• L.R. 422 asks Congress to fully fund the Individuals with Disabilities Education Act, or IDEA.
• This landmark law's name changed through the Individuals with Disabilities Education Act, or IDEA, in
• Before this law was enacted, only one in five children with disabilities went to school, and many states
• excluded children with disabilities, including the deaf and blind.

Bills: LB737, LB753, LB788, LB913, LB1055, LB1195, LB1216, LB1256, LB429, LB721, LB722, LB727, LB743, LB745, LB749, LB778, LB787, LB365A, LB823, LB900, LB903, LB940, LB954, LB1127, LB1127A, LB1205, LB1240, LR293, LR296, LR422, LR505, LR507

Keywords: LB737, Olmstead, developmental disabilities, disability services, community-based services, integrated settings, DHHS, Department of Health and Human Services, stakeholder advisory committee, independent consultant, public hearing, legislative oversight, disability rights, community integration, housing, employment, education, transportation, community supports, self-advocacy

Transcript Highlights:

• The SMI designation is reserved for severe disabling brain disorders, such as schizophrenia and severe
• It's important to know that SMI is funded very differently from DDD, the Department of Developmental
• Disabilities.
• Disabilities... ...is entirely funded with Medicaid matching dollars.
• Specific disabilities like autism and intellectual disabilities get housing services, caregiver stipends

Bills: SB1052, SB1115, SB1118, SB1120, SB1121, SB1124, SB1171, SB1172, SB1174, SB1175, SB1214, SB1233, SB1235, SB1316, SB1345, SB1372, SB1399, SB1458, SB1494, SB1496, SB1564, SB1602, SB1621, SB1628, SB1630, SB1631, SB1668, SB1672, SB1814, SB1821

Keywords: assisted living, health care, hyperbaric oxygen therapy, physician orders, informed consent, AHCCCS, remote work, state agency, employment, public health, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes, townhomes, historic preservation, radiation protection

Summary: The committee first heard Senate Bill 1121, which would prohibit hospitals from requiring lead aprons for cardiac catheterization staff when a radiation protection system is in place, while still allowing hospitals to require aprons outside the designated safety zone or when exposure levels warrant additional protection. An amendment added flexibility for radiation safety officers to require lead or other PPE if exposures approach occupational limits and removed expedited rulemaking language. Supporters, including the sponsor and interventional cardiologists, argued the devices reduce radiation and orthopedic injuries and improve recruitment and retention; hospital groups shifted to neutral after the amendment. The committee adopted the amendment and passed SB 1121 on a 9-2 vote. The committee then considered Senate Bill 1120, which would require hospitals performing cardiac catheterization procedures to equip at least 50% of those rooms with radiation protection systems by 2027. Supporters said the systems protect clinicians from radiation and long-term injury, while opponents, including hospital and radiology groups, argued the bill was overly prescriptive, could create a captive market, and might not fit all rooms or procedures. After adopting a children’s hospital exemption amendment, the committee passed SB 1120 on a 6-6 vote, with the chair breaking the tie in favor of the bill. Senate Bill 1118, an appropriation measure tied to the radiation protection system proposal, was also advanced after brief discussion, passing 6-5. The committee then took up Senate Bill 1214, which would create guardrails for non-FDA-approved stem cell and regenerative therapies, including provider standards, informed consent, advertising limits, reporting requirements, and a private right of action for violations. Supporters described it as a patient-protection and access bill, while testimony emphasized concerns about unregulated “bad actors” and patients traveling out of state for treatment. The committee adopted an amendment removing a reference to the National Law and passed SB 1214 on a 9-3 vote. The transcript then began discussion of SB 1630, which would create a Medicaid-funded home and community-based service benefit for adults with serious mental illness, with AHCCCS taking a neutral position and estimating a significant fiscal impact.

Transcript Highlights:

• He's developmentally delayed, ADHD. He has some real problems.
• The PEC, charter school division, and the charter school community are making great strides increasing
• Mind you, some with disabilities cannot work outside their home.
• If you're a student with an IEP, you still generate what students with a disability would generate.
• We have persons with families with disabilities, as we heard, many different circumstances that distance

Bills: HB2, SB204, SB241, HB34

Keywords: general appropriation, budget, Medicaid, education funding, public safety, higher education, research funding, federal funding, New Mexico, appropriation, University of New Mexico, New Mexico State University, New Mexico Institute of Mining and Technology, child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool

Transcript Highlights:

• disabilities, known as IDD adults.
• disabilities.
• Some of our most vulnerable Texans are adults with intellectual and developmental disabilities residing
• This could potentially cost Fort Cavazos a division if they get relocated.
• We don't want to lose a division to Fort Carson or somewhere else.

Bills: HB511, HB972, HB 1035, HB2481, HB2723, HB2742, HB2894, HB2962, HB3077, HB3093, HB3307, HB3684, HJR67, HJR72

Keywords: ad valorem taxation, caregiver exemption, Medicaid, long-term services, tax relief, assisted living, housing support, property tax exemption, caregiver support, residence homestead, tax exemption, unpaid caregiver, state tax code, property tax, caregiver, waiting list, intellectual disability, developmental disability, ad valorem tax, family support

Transcript Highlights:

• State Council on Developmental Disabilities.
• in the state council on developmental in the state council on developmental disabilities. disabilities
• Developmental Disabilities. Developmental Disabilities.
• Developmental Disabilities.
• council on developmental disabilities. council on developmental disabilities.

Keywords: 912, senate, all

Summary: The Health and Human Services Committee heard and considered a series of gubernatorial nominations and reappointments, primarily to the Hawaii Advisory Commission on Drug Abuse and Controlled Substances, the State Council on Developmental Disabilities, the Hawaii Health Systems Corporation board, the Commission on Fatherhood, and the Policy Advisory Board for Elder Affairs. Testimony was overwhelmingly supportive across the measures. The Department of Health repeatedly testified in support of the drug and controlled substances nominees, and several nominees and supporters emphasized experience in public health, rural health access, disability advocacy, family services, and elder affairs. Some nominees were not present live but had submitted written answers, which the chair noted had been posted online. For the developmental disabilities nominations, testimony highlighted lived experience and representation from neighbor islands, with supporters saying the nominees would bring valuable perspectives and help strengthen services and advocacy. For the Hawaii Health Systems Corporation nominations, testimony stressed rural health, system collaboration, and broad community and hospital experience. The Commission on Fatherhood nominee said he wanted to advocate for fathers and be a voice for them, and supporters from Maui Family Support Services backed that nomination. The elder affairs nominee also received support from caregiver and aging-related organizations. At the end of the hearing, the committee moved to advise and consent on the nominations it had heard, and each recommendation was adopted by the members present. The chair noted that all members were present for the votes, and the meeting concluded with congratulations to the nominees and adjournment.

Transcript Highlights:

• I'm just wondering, just the coordination with all the intergovernmental agencies, departments, divisions
• [clears throat] >> We see Council on Developmental Disabilities in support. >> We stand on our testimony
• >> We see council on developmental >> We see council on developmental disabilities<01
• disabilities in support. disabilities in support.
• <01:43:09.360> or on it or consult with ledge division or on it or consult with ledge division

Bills: HB1719, HB1742, HB1737, HB2049, HB1725, HB1726, HB1738, HB1799, HB1700

Keywords: housing crisis, manufactured homes, factory-built housing, zoning, relocatable housing units, farm employee housing, agriculture, Hawaii Revised Statutes, agricultural districts, land use, regulation, renewable energy, community development, housing, affordable housing, real estate, state regulation, building codes, construction, permitting

Summary: The joint public hearing covered several housing-related bills and one building-code measure. HB 1719 would make manufactured homes a permitted use by right on residentially zoned lots in the urban district, HB 1742 would authorize self-contained relocatable housing units with restrictions, and HB 1737 would clarify that a farm dwelling in an agricultural district may include an accessory employee housing structure. Testimony on these bills was overwhelmingly supportive from groups including Hawaii Realtors, Grassroot Institute of Hawaii, Housing Hawaii’s Future, the Modular Building Institute, the Hawaii Farmers Union, and others, with a few agencies offering comments. No one testified in opposition on HB 1719 or HB 1742, while HB 1737 drew one opposition and one comment in addition to broad support. No votes were taken during the hearing segment provided. A major portion of the hearing focused on HB 2049, which restructures the conveyance tax into a marginal-rate system and changes how the revenue is allocated, including funding for the Department of Hawaiian Home Lands and the rental housing revolving fund, while also affecting the legacy land conservation fund. Supporters, including DHHL, Hawaii Appleseed, Aahu Youth Action Board, Hawaii YIMBY, and others, argued the bill would help Native Hawaiian housing and, for most transactions, function as a tax cut. Opponents, including NAP Hawaii, Hawaii Realtors, Hawaii Land Trust, Mhai Land Trust, and the Tax Foundation of Hawaii, objected to using conveyance tax as a revenue-generating tool and raised concerns about higher upfront costs and reduced funding for other housing uses. Committee members and staff discussed the bill’s revenue estimates, the reduced percentage but higher cap for the land conservation fund, the effect on rental housing funding, and the bill’s cost-of-living adjustment language; staff said a line-by-line comparison of the current and proposed tax structure would be provided before decision-making. The hearing also took up HB 1725, which would extend the state building code adoption cycle from two years to six years, apply the IRC to triplexes and fourplexes, allow counties to adopt more or less stringent amendments, and appropriate funds for code adoption work. Most testimony supported the bill, with advocates saying the current process is unmanageable, too resource-intensive, and creates confusion because state and county codes can diverge; supporters said a longer cycle would improve clarity and allow more focused review. The International Code Council and the American Society of Heating, Refrigerating, and Air-Conditioning Engineers opposed the measure, warning that delaying adoption could have negative consequences and urging the committee to let an existing statewide code-adoption strategy proceed first. Members asked about sequencing, county implementation, and whether the longer cycle would create catch-up problems, but no action was taken in the excerpt provided.

Transcript Highlights:

• Accessible design on buildings is regulated under the Americans with Disabilities Act.
• Designs under the Americans with Disabilities Act on their property.
• I remember how significant it was, and it has been significant. for Americans with disabilities having
• Folks that want to comply and make it more accessible for disabled individuals, that they can do that
• We also take advantage of the local options for over 65 and disabled individuals.

Bills: HB329, HB361, HB546, HB1547, HB1745, HB2786, HB3235, HB3370, HB3575, HJR83

Keywords: appraisal, property value, residential real estate, tax code, appraisal review board, property owners, property tax, homeowners, property owner rights, property appraisal, taxation, Texas Tax Code, real estate, ad valorem tax, homestead exemption, market value, condemnation, tax appraisal, open-space land, land use

Bills: HB3081, HB3127, HB3128, HB3498, HB2035

Keywords: fire extinguisher, licensing, public safety, age qualification, State Fire Marshal, medical marijuana, employment rights, safety-sensitive positions, workplace policies, public assistance, workforce development, economic competitiveness, task force, apprenticeships, training programs, training barriers, business growth, industry coordination, business entities, corporation law

Transcript Highlights:

• <00:03:05.400> Disabilities Council on Developmental Disabilities Council on Developmental
• Council on Developmental Disabilities. Council on Developmental Disabilities.
• <00:05:14.240> Thank on developmental disabilities. Thank on developmental disabilities.
• She used to work for the Department of Health Developmental Disabilities Division, so she's very inclined
• <00:19:35.679> Chair's developmental disabilities. Chair's developmental disabilities.

Keywords: 912, senate, all

Summary: The committee first considered a series of Governor’s Message nominations, largely to the State Council on Developmental Disabilities and one to the Hawaii Advisory Commission on Drug Abuse and Controlled Substances. Testifiers and agencies spoke in strong support of the nominees, emphasizing their advocacy, community involvement, and lived experience. The committee heard from nominees and supporters for John Paul Moses III, Cynthia Fowler, Joshua Eay, Alicia Kim, Raymond Mamea, Maria Christina Valenzuela, Eden Watabayashi, Sierra Whiteside, and Brandy Lynn Macallani Hayen. After hearing testimony, the committee voted to advise and consent on each nomination, with the votes adopted by the members present. The committee then took up SR 53 / SCR 69, which asks the Department of Health to convene a pharmacy benefit manager working group to improve transparency, fairness, and drug affordability. Supporters included the Hawaii Pharmacist Association, the University of Hawaii system, and several individuals, while the Department of Health said the issue is complex and may require additional support or a different structure. Members discussed whether the Department of Health should lead the effort or whether another entity, such as SHIPA with an appropriation, might be more workable; the Department of Health suggested a $100,000 appropriation could be sufficient. Next, SR 56 / SCR 73 proposed a report on the developmental needs of children born during the COVID-19 pandemic. The Office of Wellness and Resilience supported the measure and asked for an extended deadline to the end of 2026, and several youth, mental health, and community organizations testified in support. The committee also heard SR 69 / STR 86 on creating an aeromedical services working group, with support from Air Methods, the Department of Health, and the Hawaii Medical Association, and SR 99 / STR 118 on studying the use of filtered catchment water for business activity, which drew support from the Plumbing and Mechanical Contractors Association and comments from the Department of Health that the issue is complicated and should include the Department of Agriculture. No final votes on the resolutions were taken in the portion of the meeting provided.

Transcript Highlights:

• Well, the Developmental Disabilities Council, but I, sorry, it's a developmental disabilities division
• Well, the Developmental Disabilities Council, but I, sorry, it's a developmental disabilities division
• Well, the Developmental Disabilities Council, but I, sorry, it's a developmental disabilities division
• Well, the Developmental Disabilities Council, but I, sorry, it's a developmental disabilities division
• Well, the Developmental Disabilities Council, but I, sorry, it's a developmental disabilities division

Keywords: 912, senate, all

Summary: At a joint Senate hearing on SCR 198 and SR 178, the committees considered resolutions urging Hawaii insurers and the Hawaii Property Insurance Association to seek subrogation claims against polluters linked to worsening climate impacts and higher insurance costs. Testimony was overwhelmingly supportive, with 47 written testimonies in support and additional oral support from former Honolulu chief resilience officer Josh Tamro. The committees recommended passage with amendments, narrowing the language to refer specifically to polluters who knowingly engaged in misleading and deceptive practices about the connection between their products and climate change, along with technical non-substantive edits. Both committees adopted the amended resolutions by vote. At a separate joint hearing on STR 226 and SR 201, which urged changes to Medicaid 1915 home and community-based services waiver eligibility criteria, supporters argued the current rules and administrative guidance were inconsistent and left some people with intellectual and developmental disabilities, including those with mental health dual diagnoses, without proper access. The Hawaii State Council on Developmental Disabilities and Hawaii Disability Rights Center supported the intent but noted factual issues and said a memo from the department addressed only part of the problem, not the mental health-related concerns. After discussion, the chair concluded the resolution was not the best vehicle and deferred it, suggesting a more comprehensive bill would be needed. The Commerce and Consumer Protection committee also took up HB 799 HD2 SD1 on healthcare and recommended passage with amendments, including striking a written transfer-agreement requirement, shortening the sunset to June 30, 2028, removing a related timeline, and making technical corrections. In another joint hearing, SCR 222 and SR 197, which would have urged towing companies to have on-site ATMs for vehicle owners, drew opposition from the Office of Consumer Protection, which said Act 60 already requires credit and debit card acceptance and that ATMs could let companies evade the law. Members noted ongoing complaints and weak enforcement, and the chair recommended turning the issue into a task force for further study, with decision-making deferred because of quorum issues. The committee also heard several other resolutions: STR 57 and SR 41, urging Congress to create a national reinsurance program, received only supportive testimony; STR 70 and SR 54, calling for a pharmacy reimbursement working group, also drew support; and STR 123, proposing an attorney general-led landlord-tenant working group, received comments from the Attorney General’s Office suggesting a more appropriate lead agency and noting the Legislative Reference Bureau may be better suited to assist. No final adverse action was taken on those measures during the hearing segment described.

Transcript Highlights:

• um developmental disabilities and Hawaii um developmental disabilities and Hawaii um disability
• Come on up, Developmental Disabilities Division of the Department of Health.
• I am the program administrator for the Developmental Disabilities Division of the Department of Health
• Our division serves people with intellectual and developmental disabilities statewide.
• support the full budget request by the Developmental Disabilities Division through the Department of

Keywords: 912, senate, all

Summary: The Committee on Health and Human Services held an informational briefing on the Developmental Disabilities Council and related agencies. The Hawaii State Council on Developmental Disabilities outlined its 2025 legislative priorities, including a pilot project for guardian ad litem and capacity evaluations in guardianship/conservatorship cases, a supported decision-making bill, a health disparities study for people with disabilities, an ABLE savings outreach/staffing measure, a Medicaid buy-in proposal, an adult changing tables equity bill, and a resolution on fetal alcohol spectrum disorder. Council representatives emphasized that supported decision-making would complement tools like powers of attorney and medical releases, and that the health disparities study would help identify unmet needs by ZIP code and improve state data on the intellectual and developmental disability population. The Center on Disability Studies at the University of Hawaii described its role as the research and training arm within the DD system, working with the DD Council and the Hawaii Disability Rights Center. It reported activities such as interdisciplinary training, community education, technical assistance, research collaborations, the Pacific Rim International Conference on Disability and Diversity, publications, telehealth, ECHO Autism, and counseling for Maui fire survivors. The center said it leveraged about $16 million in outside funding last year and highlighted goals focused on workforce development, community capacity, research with direct participation from people with disabilities, and accessible dissemination of information. The Hawaii Disability Rights Center, the state’s protection and advocacy agency, supported the Council’s priorities, especially supported decision-making, which it said could help some people avoid guardianship while preserving liberty and reducing state resource use. The center also raised concerns about the DD system budget and urged legislators to review whether the Developmental Disabilities Division is requesting enough funding, noting possible backsliding in services and eligibility. The Developmental Disabilities Division of the Department of Health then outlined its statewide waiver program serving just over 3,500 people, its service array, and its budget request for increased waiver funding, a federal initiatives coordinator, and IT upgrades to comply with the new HCBS access rule; no votes or formal actions were taken during the briefing.

Transcript Highlights:

• by the Department of Human Services Division of Developmental Disability Services.
• Disabilities... ...which is I'm over the Division of Developmental Disabilities, the Office of Substance
• This is the sole responsibility of the Division of Developmental Disability Services.
• This is the office... ...of the Division of Developmental Disability Services.
• of developmental disability services this is the office of the division of developmental disability

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:

• Um, and I'm joined at the table today by Jennifer Rodriguez, the director of the Developmental Disability
• I'm Jennifer Rodriguez from the Developmental Disability Supports Division, and I would love to be able
• Very successful in receiving 5 positions from the Medical Assistance division into the Developmental
• Um, another really great success in, in New Mexico with the Developmental Disability Supports Division
• We appreciate the Healthcare Authority and Developmental Disability Supports division considering rate

Transcript Highlights:

• So, uh, I want to start with, um, what is a developmental disability.
• So, DDSD, the Developmental Disability Support Division, was originally in the Department of Health.
• The Developmental Disabilities Council and the Governor's Commission on Disability.
• Around uh developmental disabilities.
• I'm an advocate for developmentally disabled folks.

Transcript Highlights:

• And I'm sure I said that incorrectly. ...of the Division of Developmental Disability Services, Jennifer
• Jennifer Brisei, Director of the Division of Developmental Disability Services. Hey, good morning.
• by the Department of Human Services Division of Developmental Disability Services. ...facilities and
• are operated by the Department of Human Services Division of Developmental Disability Services.
• This is the sole responsibility of the Division of Developmental Disability Services.

Keywords: 1204, all

Summary: The Joint State Agencies committee met to approve the October 8, 2025 minutes and then held an extended oversight discussion with the Department of Human Services about the death of Zachary Moore at the Southeast Arkansas Human Development Center (later clarified in testimony as the Warren facility). DHS officials described Moore’s background, said he died after being restrained in a prone position for about 13 minutes, and reported that a nurse later administered a chemical restraint before CPR was attempted. They said the agency settled with the family for $725,000, terminated 13 staff members, changed facility leadership, and brought in consultants under a directed plan of correction from the Office of Long-Term Care to review policies, retrain staff, and conduct a root-cause analysis. Later testimony clarified that the death certificate listed the manner of death as homicide and the cause as physiologic stress associated with struggle and prone restraint; committee members also noted that six people had been charged with manslaughter and neglect of a vulnerable person. Members focused on restraint policy, staff training, chain of command during emergencies, family communication, and whether warning signs had been missed. DHS said it has written restraint protocols, annual restraint training, and a mortality review process, but acknowledged that the Warren facility had multiple failures, including use of a prone restraint, improper chemical restraint, poor supervision, inadequate communication, and problems with equipment and behavior plans. Officials said they were revising policies, creating clearer crisis-team roles, and retraining staff, and that the consultant work would be shared across the other human development centers. Several members pressed DHS on why the family had not been kept informed, why the agency was not prepared with basic facts, and whether a more formal independent audit of facilities should exist. The committee also discussed broader staffing and funding issues across the human development centers. DHS said CNAs start at about $39,000 a year, that the centers rely heavily on float and contract staff, and that there are about 2,000 people on a waiting list for services. Members argued that low pay, turnover, and rural staffing shortages contribute to risk and asked for recruitment and retention plans, possible regional pay differentials, and more legislative support. DHS said it is drafting a systemwide retention and recruitment plan and expects to bring it to ALC, while also implementing a separate rate study for certain PASS program services in January 2027. The meeting ended after comments from Zachary Moore’s mother, Angela Stevens, who said money cannot replace her son and urged the state to ensure no other family experiences the same loss; the committee asked DHS to keep members and Ms. Stevens updated on consultant reports and recruitment efforts before adjourning.

Transcript Highlights:

• , developmental, and intellectual disabilities.
• Health, Developmental, and Intellectual Disabilities.
• , Developmental, and Intellectual Disabilities.
• support for developmental disabilities. support for developmental disabilities.
• people with de developmental people with de developmental disabilities. disabilities. disabilities

Keywords: 958, all

Summary: The committee first approved contracts 98, 99, and 100, then heard from the Kentucky Department of Tourism on a contract with the United Kingdom and other European markets. Tourism officials said the state has had similar international marketing contracts since 2013, that international visitors spend about six times more per day than domestic travelers, and that the work includes marketing, public relations, familiarization trips, and media outreach. After questions about costs and effectiveness, the contract was approved by roll call. Members then reviewed Finance Cabinet facilities contracts 29 and 48 for engineering and architectural services tied to project design, including a specialized lab expansion project. The chair raised concerns that the fees seemed high for services that do not include construction, while the agency explained the work covers design for mechanical, electrical, plumbing, and architectural planning, and that the lab project’s specialized pathogen-related work limits the pool of firms. The committee voted to approve the contracts. The Attorney General’s office then presented an opioid abatement agreement. Senator Meredith asked how the commission coordinates with other state behavioral health efforts, and staff explained that the commission allocates settlement funds based on applications and includes related agency representation to help avoid duplication. The contract was approved. The committee also approved a behavioral health contract for 988 chat and text services, which will expand Kentucky-based crisis response coverage to 24/7 and move more of the state’s calls, chats, and texts from a national center to local specialists. A related amendment for the Voices of Hope overdose response contract was approved after staff said the increase simply extends services into the next fiscal year. Finally, the committee approved a DCBS contract for the Building Bridges Initiative, which provides training and peer mentoring for residential child care providers, and then approved three contracts for the Council on Developmental Disabilities. Those contracts were explained as necessary because the council is the designated state agency for federal DD Act funding, and one questioned item involving an advocacy and sexuality initiative was described as part of the council’s five-year plan focused on self-advocacy, systems change, and capacity building. The committee also discussed a food insecurity survey contract with a Kentucky nonprofit, with staff saying the organization was chosen for its statewide network and ability to gather raw data, while members raised concerns about whether the study should distinguish between lack of food and poor diet. All of the reviewed contracts were approved by roll call.