Transcript Highlights:

• to ensure compliance and enforcement; by March 15, 2025, report on the number of vacant detention beds
• One one one at the reason why— Capacity and availability basis.
• They only have 1,500 beds, and they are 95% full.
• And what they're after to go back to is the beds. And there's a lot of discussion about beds.
• What is beds?

Summary: The Appropriations Committee took up SB 2B, a major immigration bill by Senator Gruters, described by supporters as a Trump-aligned package to strengthen Florida’s role in immigration enforcement. The bill would create a grant program for local law enforcement, expand jail-ICE agreements beyond sheriff-operated jails, establish a chief immigration officer and a state immigration enforcement council, require more coordination on E-Verify and detention-bed reporting, allow immigration status to be considered in bail decisions, increase penalties for certain offenses tied to illegal reentry and voting, and repeal in-state tuition waivers for undocumented students. Much of the sponsor’s presentation and debate emphasized focusing on criminal offenders, improving coordination with federal authorities, and using state resources to support detention and enforcement. Committee questioning focused heavily on the tuition-waiver repeal, reimbursement for jail costs, E-Verify coverage, and whether the bill could lead to street-level immigration enforcement in schools or churches. Senator Smith, Senator Pizzo, Senator Polsky, Senator Sharief, and others challenged the tuition repeal as unfair to students who were brought to Florida as children and argued for grandfathering current students or studying the fiscal impact first. Senator Fine defended the repeal as ending a state subsidy for people who are not lawfully present and argued the change would save tens of millions of dollars. Sheriff Bob Gualtieri testified that the bill was limited to jail-based enforcement, said there was no current street-level 287(g) program in Florida, and stated he did not believe the bill raised concerns for law enforcement or schools/churches. A representative of the Florida Supervisors of Elections supported the voting-related section, while a Florida Highway Patrol representative said state agencies would need additional funding if they were expected to take on more enforcement duties. The committee adopted Senator Gruters’ late-filed amendment correcting a drafting error. Senator Smith’s amendment to require an OPAGA study on the tuition-waiver policy was withdrawn after discussion, and his handwritten amendment to delete the repeal of in-state tuition for undocumented students failed on a roll-call vote. The bill then advanced as amended, with several members speaking in debate both for and against it. Supporters framed it as a focused public-safety and enforcement measure; opponents criticized the special-session process, the cost, and the tuition repeal’s impact on students already enrolled.

Transcript Highlights:

• You can see there $6.5 million is the total project, 10-bed unit.
• to, if we only have staff for 32 for a period of time, then we have 32 beds available.
• So we wouldn't need to staff 48 beds immediately.
• So we won't be under complete pressure to fill 48 beds immediately.
• And we're also working on the study for the 600-bed men's Also working on the study for the 600-bed men's

Summary: The committee met with a quorum, approved the March 18 minutes, and then received a series of updates on health-related projects and Department of Health and Human Services budget matters. Representatives from CHI St. Alexius in Bismarck and Williston, and Altru in Grand Forks, reported progress on behavioral health expansion projects, including demolition and construction milestones, updated timelines, funding status, staffing plans, and barriers such as an unbudgeted air handler replacement in Williston. Members asked about original completion dates, use of telehealth, recruitment of psychiatrists and other staff, and whether the new beds might reduce the need for patients to travel to Jamestown State Hospital. The projects were described as on track overall, with completion expected in 2027 for the larger builds and earlier openings for some phases in Williston. The committee then heard from HHS leadership on technical line-item transfers and the Salaries and Wages Block Grant. Donna Ockland explained that recent transfers were administrative corrections to place spending in the proper budget lines and did not involve new spending, and she reviewed FTE counts and vacancies across the department. Questions focused on behavioral health staffing changes and the use of consultants in the Rural Health Transformation Program. Pat Rainer outlined the rural health program’s first-year grants and priorities, including workforce retention, rural rotations and housing, community wellness initiatives, behavioral health promotion, safety net services, hospital equipment, suicide prevention training, technology, and EMS support. He said North Dakota’s plan was drawing positive national attention, but the department still needed to obligate roughly $199 million by September and was working with CMS on timing and compliance. The committee also received an update on certified community behavioral health clinics from Elena Zeller. She said North Dakota had been accepted as a demonstration state, with certification efforts underway in Williston, North Central, Fargo, and Dickinson. Members asked about care coordination, service growth, staffing, and whether certification would expand to all clinics; the department said it was still collecting baseline data and evaluating impacts before making future recommendations. Finally, Rebecca Askins reviewed SNAP payment error rates, explaining that the 2025 rate was finalized at 9.89 percent and that the department is working on training, system changes, and quality assurance steps to get below 6 percent. Members pressed on the causes of monthly variability, the performance of the SPACES system, and accountability for ongoing errors, and the department said it expects improvement over the next 6 to 12 months.

Transcript Highlights:

• The project narrative is available.
• <00:24:11.919> Um, are available may be limited. Um, are available may be limited.
• that someone needs is not available that someone needs is not available anymore<00:59:15.680>
• these open beds.
• to do inpatient beds and the ability to do swing beds, which is care after the inpatient.

Keywords: 918, senate, all

Summary: The Select Subcommittee first took up adoption of three previously prepared nonpartisan committee summary reports dated October 15, November 13, and November 21. Senator Rasmusson objected to the lack of advance notice about the day’s testifiers and criticized the practice of having nonpartisan staff summarize what he described as a partisan agenda. The chair responded that the committee’s purpose is to gather information, not hear bills, and that the summaries were intended as neutral resources for the Senate. Senator Coopek moved adoption, the motion was opposed by Rasmusson and another member, and the motion passed. The committee then turned to the day’s hearing on federal impacts on Minnesota, with the chair focusing on federal funding threats and the effect of congressional budget actions on health care, especially in greater Minnesota. The first presentation came from the Minnesota Department of Health on the state’s rural health transformation work. Assistant Commissioner Carol Broom introduced the team and described the rural hospital transformation program as a major opportunity to invest in rural health, while acknowledging longstanding challenges such as demographics, transportation barriers, and the financing of care. Nitha Moibi outlined the state’s rural health chart book and data showing an aging population, workforce shortages, and many health professional shortage areas, and described proposed strategies including workforce pipelines, bridge payments for low-volume birth hospitals, telehealth access points, mental health urgent care, and chronic disease prevention. Acting Assistant Commissioner Anna Ashby of the Minnesota Management and Budget office explained the state’s application to CMS for the Rural Health Transformation Program, which was created in federal law and awarded Minnesota just over $193 million for federal fiscal year 2026. She said the application was shaped by public comments, stakeholder meetings, and legislative outreach, and included initiatives on preventive care, workforce, care access, behavioral health, and provider financial stability. She also reviewed implementation constraints, including a January 30 revised budget deadline, limits on administrative spending, restrictions on using funds to offset Medicaid losses, and the need to show measurable progress to remain eligible for future funding. The presentation noted that most year-one funding would go to rural hospitals, with additional support for federally qualified health centers, community mental health centers, tribal partners, and technical assistance.

Transcript Highlights:

• We have a lot of test beds related to national security.
• Oh, one thing: these slides are publicly available.
• All the slides are available, will be available online.
• We have the test beds. It's good, but look at the bottom one: we have the test beds.
• Going back again, the whole point was the test bed.

Summary: The meeting was an extended briefing from Idaho National Laboratory officials on the lab’s mission, its role in nuclear energy research, and the federal push to accelerate advanced reactor deployment. Speakers described INL’s size and capabilities, including test reactors, fuel and materials facilities, cybersecurity and critical infrastructure work, and partnerships with DOE, the NRC, the Department of Defense, and private companies. They emphasized that the lab is supporting both commercial nuclear development and national security work, while also training a large intern workforce. A major theme was the current federal effort to streamline nuclear regulation and speed up licensing and demonstration. The speakers said recent executive orders and DOE/NRC coordination are reducing redundant requirements, shortening environmental review timelines, and aiming for three new nuclear systems to reach criticality by July 4, 2026. They argued that regulatory uncertainty has been a major driver of nuclear cost and that the administration’s actions, along with DOE’s pilot and demonstration programs, are intended to rebuild the domestic supply chain and industrial base. The discussion also focused on advanced reactor types, including small modular reactors, microreactors, molten salt concepts, and liquid-metal designs. Officials said these technologies are being developed for data centers, military bases, remote communities, industrial heat, hydrogen production, and other nontraditional uses. They highlighted several projects and companies, including Oklo, Aalo, Radiant, X-energy, TerraPower, Kairos, and DOE’s MARVEL and Project Pele efforts, and said some reactors are expected to reach criticality or operation in the next few years. Questions from attendees covered safety, public health impacts, materials and heat management, waste or used fuel handling, costs, and whether nuclear could remain competitive against other energy sources; the speakers responded that advanced reactors are designed with passive safety features, that used fuel should be viewed as a resource, and that cost remains highly design- and supply-chain-dependent.

Transcript Highlights:

• <00:28:06.559> of Um the bill extends the availability of Um the bill extends the availability
• Then we have some bed cost and bed savings lines starting on 241.
• Then we have some bed cost and bed<00:30:34.640> savings<00:30:35.039> lines<00:30:35.360
• Line 242, we have bed costs on cost.
• it available until June 30th, 2029. it available until June 30th, 2029.

Keywords: 1187, senate, all

Transcript Highlights:

• Would have had consumers, and we have 32 beds there.
• It does include some equipment, beds, etc.
• How many total beds do you have at OF? We'll double-check that, but we believe it's 280 beds.
• And many of those beds are currently unfilled.
• New build a new facility, build up beds inside. It's got working on.

Keywords: 914, all

Transcript Highlights:

• put two to four people in the bedroom, in the bunk beds, or if there are larger rooms, two beds.
• :34:57.240> beds room two beds room two beds and<00:34:58.359> then<00:34:58.480> you're
• The beds are the WC beds, are within the facility, and you have staff coming in.
• I'll be available for questions.
• We only pay if a bed is filled, so we pay per bed.

Keywords: 910, house, all

Summary: The Public Safety Committee held a hearing on House Bill 433, which would appropriate $4 million for Department of Corrections and Rehabilitation re-entry services to connect offenders with community-based services. Director Tommy Johnson said the department supports the bill’s intent but noted the governor’s executive budget already includes $4 million for the same purpose and asked that the measure defer to that budget. Supporters, including the Hawaii Correctional System Oversight Commission, Community Alliance on Prisons, and the ACLU, backed the funding but urged that it be tied to a clear re-entry plan, performance measures, transparency, and regular reporting to the legislature. They emphasized that re-entry should begin at intake and involve community partnerships, housing, treatment, employment, and family reunification services. Committee members questioned the department about current re-entry services, pre-trial detainees, and how the new funds would be used. Johnson said the department’s current statewide re-entry budget is about $1.5 million to $1.7 million, separate from the larger Corrections Program Services Division budget for in-facility programs. He described the proposed $4 million as supporting a mix of services, including a pilot apprenticeship program, substance abuse treatment, navigator or warm-handoff services, and short-term transitional housing. He also said the department already tracks performance outcomes in its annual report and can provide a matrix showing the intake-to-discharge process, program contracts, and volunteer organizations. The discussion also covered pre-trial detainees, electronic monitoring, and mental health services. Johnson said the department has limited jurisdiction over pre-trial detainees but works with courts to seek supervised release when possible; he noted that many requests are denied, though electronic monitoring has improved release rates somewhat. On mental health, he said the jail is not an ideal therapeutic setting for people found unfit to proceed and suggested a secure community-based step-down facility run by the Department of Health for those needing care above what the jail can provide but below forensic-level treatment. No vote or final action on the bill was taken during the hearing.

Transcript Highlights:

• How do we get these kids in beds in a timely manner and get them in the right bed?
• availability is because we do not know.
• So this will require the agencies to report to the CBC what they have available.
• Chamberlin: Florida Statute 409.9931(a) requires that liability insurance be available and remain available
• Liability insurance ensures that there are resources available to help them recover.

Transcript Highlights:

• So make no mistake, inclusion of these provisions would result in fewer beds available in both nursing
• So make no mistake, inclusion of these provisions would result in fewer beds available in both nursing
• So make no mistake, inclusion of these provisions would result in fewer beds available in both nursing
• So make no mistake, inclusion of these provisions would result in fewer beds available in both nursing
• We'd have to vacate beds within a facility. Well, you vacate beds, you reduce your revenue.

Keywords: 1187, senate, all

Transcript Highlights:

• the drug and biologic device available the drug and biologic device available but<03:17:00.880><
• stop to creating new nursing home beds stop to creating new nursing home beds so<04:35:55.039>
• available, the government can deny a person and save money that way, and whether creating more beds
• if we will create more beds if we will create more beds um<04:43:32.240> then<04:43:32.958
• are these new beds that have opened up. are these new beds that have opened up.

Keywords: 1189, house, all

Transcript Highlights:

• So there's no bed space available.
• ><00:14:19.800> space availability so there's no bed space availability so there's no bed space
• able a<00:14:59.399> bed<00:14:59.600> available<00:15:00.000> we<00:15:00.079>
• I guess what I'm trying to get at is, are there community beds available at that?
• <00:18:12.799> available at is are there Community beds available at is are there Community

Keywords: 910, house, all

Summary: The Committee on Health heard testimony on several bills. On SB 1441, which would repeal the transfer of the Oahu Regional Health Care System from HHSC to the Department of Health, the Department of Health said it strongly supports the measure and requested clarifying amendments. HHSC/Oahu Region also supported the bill and said it had no objection to the department’s amendments. In response to questions, witnesses said the agencies have been working on an MOU to support transfers of long-term care patients to Leahi, with the current goal being about 10 to 15 patients, but transfers would occur only as space and staffing allow; one patient was reportedly being admitted at the time, and the process was described as slow and case-by-case. The committee then heard SB 1443 on payment rates for state hospital patients and related Department of Health services. The hospital administrator said the bill would allow rates above Medicaid for community or foster-home placements if patients cannot be placed at Leahi or elsewhere, and would set Medicaid-level reimbursement for outside medical services used by state hospital patients. He said at least one provider was interested in offering services at that rate and that the population involved is largely non-ambulatory long-term care patients. Members asked about availability and training, and the witness said special training could be provided. SB 1322, a broad mental health bill, drew mixed testimony. The Department of Law Enforcement supported giving crisis-intervention-trained officers more discretion to transport people to medical care instead of arresting them. The Attorney General supported the bill but recommended revisions to emergency-transport language and restoring liability protections. HHSC and Queens Hospital supported the overall goal but sought amendments to preserve the mental health emergency worker role in decision-making and to avoid negative impacts on emergency departments. The Disability Rights Center and ACLU opposed parts of the bill, arguing that it weakens due process, reduces protections in involuntary treatment and transport, and should retain a three-person treatment panel rather than reduce it to one. A Queens representative said the current program works well and reported that more than 90% of MH1 cases once went to hospitals, but that figure has dropped to about 60-70%, with about 20% now diverted to community settings or the behavioral health crisis center. No votes or final committee actions were taken in the portion provided.

Transcript Highlights:

• So is that per patient per bed? Is that how that's contracted?
• Is it just a flat rate per patient per bed? Yes, ma'am.
• Is it just a flat rate per patient per bed? Yes, ma'am.
• Those hospitals have no inpatient beds.
• When do you think that report would be available?

Summary: The subcommittee met to review Department of Human Services hospital payments in Arkansas Medicaid, with DHS Secretary Janet Mann and Deputy Secretary Misty Eubanks presenting first, followed by Arkansas Hospital Association Executive Vice President Jody Ann Tritt and a brief comment from Arkansas Children’s. DHS outlined the main hospital payment streams: fee-for-service per diem payments, upper payment limit (UPL) supplemental payments, cost settlements, and smaller payments such as graduate medical education and disproportionate share hospital funds. Members asked for plain-language explanations of cost settlements, why per diem rates vary by hospital type, and why UPL applies to private hospitals. DHS said cost settlements and UPL are mechanisms to help offset Medicaid underpayment, with SFY 2025 hospital payments totaling hundreds of millions of dollars and no general revenue used for supplemental payments beyond the state share funded through hospital assessments and related financing structures. Committee members focused heavily on whether Arkansas hospitals are adequately reimbursed and why rural hospitals struggle. Tritt explained that critical access hospitals, rural emergency hospitals, PPS hospitals, and specialty hospitals operate under different federal and state rules, and said lower per diem rates for some facilities help with cash flow and later cost settlement adjustments. She said Arkansas hospitals are under financial strain, citing a negative patient services margin statewide and noting that Medicaid, Medicare, and commercial payers all contribute to the problem. She also said the association had just authorized a statewide survey of hospital finances and costs, which she expected would take about a year to complete. A major theme was commercial insurance reimbursement. Tritt argued Arkansas hospitals are paid far less than hospitals in neighboring states even though premiums are similar, and said administrative burdens, prior authorizations, and denials add to the problem. She said hospitals receive about 52 to 53 cents on the dollar for Medicaid costs without UPL and about 78 cents with UPL, still below cost. Members also discussed Medicare wage index issues, Medicare Advantage, and whether hospitals could use technology or alternative arrangements to improve finances. No votes were taken on the hospital presentation. At the end of the meeting, DHS provided a brief update on Living Choices and assisted living reimbursement. Officials said one assisted living facility, Pillars of the Community in Crossett, had announced closure, with nine waiver clients being transitioned to other settings. DHS said the current cost reporting period was underway and that a new rate study could be ready for review before the end of the fiscal year if reports were submitted on time. Members also asked about the broader waiver plan, and DHS said the next waiver iteration would likely be brought back to the committee in the summer.

Transcript Highlights:

• Or in our wisdom, we could say only 75 beds. Or we could say 90 beds.
• to expand your hospital 85 beds." to expand your hospital 85 beds."
• beds. Or we could say 90 beds. beds. Or we could say 90 beds.
• where they could add beds. where they could add beds.
• replacing those beds, but they can't. replacing those beds, but they can't.

Keywords: 918, senate, all

Summary: The Senate opened with a call of the Senate, prayer, and the Pledge of Allegiance, then established a quorum and moved to messages from the House. The chamber received several House-passed Senate files, including SF 2814 (real estate appraisers), SF 3637 (transportation), and SF 4244 (technical corrections), and took up SF 1714 on payment transparency and public contracts. The Senate concurred in the House amendments to SF 1714, advanced it to third reading, and then passed the bill 65-0. The Senate also received House amendments to SF 3432 on public safety, but instead of concurring, it voted to send the bill to a five-member conference committee. The Senate likewise agreed to a conference committee request on HF 4188, a commerce bill dealing with consumer protections for insurance and financial products. The Senate then handled additional House messages and routine business, including first reading of several House files and adoption of committee reports. A committee report on SF 453, relating to thermal energy networks as public improvements and water works, recommended amendment and passage under Senate Concurrent Resolution 6, and the report was adopted except for the referenced resolution item. The chamber also completed second readings of several Senate bills and one House bill, and approved a motion to withdraw SF 4464 from the Committee on State and Local Government and return it to the author. The main floor debate centered on HF 1141, the housing finance and policy omnibus. Senator Port described the bill as focused on affordability, including $50 million in housing infrastructure bonds, greater Minnesota infrastructure grants, manufactured housing protections, limits on large institutional investors buying single-family homes, and increased oversight of the Minnesota Housing Finance Agency. The Senate adopted several amendments, including a technical A12 amendment, A7 to dedicate $5 million of bonding to manufactured home park improvements, and A4 on manufactured housing protections such as rent receipts and longer move-out time after eviction. Senator Abler then offered A14, which would limit rent increases in certain non-market-rate, tax-credit housing for seniors to CPI-based increases; supporters framed it as a humanitarian measure for elderly residents facing steep rent hikes, while opponents raised concerns about rent control, the scope of the amendment, and the need for more detail. The transcript ends during continued debate on A14, with no final vote shown on that amendment.

Transcript Highlights:

• But this is the number of beds that we provide, skilled nursing and assisted living facility beds all
• It's also going to have adult day health care, 40-bed availability, which again, a first of its kind
• I would love for you to be there if you're available to come.
• Where they go is where there’s not the availability.
• Marion County is low in population for a number of beds available for veterans, so that’s how it’s determined

Summary: The committee first heard a presentation from Major General James Hartzell of the Florida Department of Veterans’ Affairs on the agency’s mission, outreach efforts, state veterans nursing homes, and support programs. He highlighted Florida’s large and growing veteran population, the state’s existing nursing homes and the planned 10th home in Collier County, and the department’s dental assistance program, which served 245 veterans in the first quarter of the fiscal year and completed 1,631 procedures while saving more than $525,000. He also discussed veteran service officers, the benefits guide, the department newsletter, efforts to reduce veteran homelessness, and mental health outreach through the Overwatch/Firewatch program. Senators asked about future nursing home locations, adult day health care, homelessness, and the dental program; Hartzell also announced that retired Colonel D.J. Reyes will become deputy executive director on November 7. The committee then heard from Kevin Guthrie, Executive Director of the Division of Emergency Management, on disaster response, recovery, and agency modernization. He described the State Emergency Response Team, the new Florida Central Operations and Coordination Office warehouse in Auburndale, and the new state emergency operations center in Tallahassee, which is ahead of schedule and designed to hold about 220 people and withstand 200-mph winds. Guthrie reviewed recovery efforts for recent storms, including debris removal, volunteer villages, sheltering, and FEMA reimbursement totals for Hurricanes Milton, Helene, Debbie, Idalia, Ian, and earlier storms. He also discussed the Elevate Florida home-elevation program, the Florida Recovery Obligation Calculation training initiative, the DEMES platform, and WebEOC, noting that 60 counties and 22 colleges and universities are using the system. Members asked Guthrie about flood-response resources for cities, training for local officials, and lessons from inland flooding after recent storms. He explained how local governments can request pumps and other assistance through county and state channels, described upcoming elected-official training, and emphasized mutual aid and EMAC as key future disaster-response tools. The committee took no formal votes or other legislative action and adjourned at the end of the meeting.

Transcript Highlights:

• For the past few years, HLC has supported winter beds with off-budget sources.
• We're talking today about shelter beds.
• We're talking today about shelter beds.
• , and two, people need those beds, but they're ineligible.
• available for them.

Keywords: 995, all

Summary: The Joint Committee on Ways and Means held a public FY27 budget hearing at Barnstable Town Hall, with opening remarks emphasizing the Cape and Islands’ seasonal infrastructure, housing, transportation, workforce, and digital needs. The hearing began with testimony from the Executive Office of Labor and Workforce Development, which outlined the Healey-Driscoll administration’s budget priorities for job training, apprenticeship, youth employment, reentry programs, and unemployment insurance modernization. The secretary highlighted proposed funding for the Workforce Competitiveness Trust Fund, Career Technical Initiative, YouthWorks, reentry workforce development, and services for young adults with disabilities, along with a proposal to streamline youth work permits. Members also discussed the unemployment trust fund, the COVID assessment on employers, rising unemployment, and the need to improve DUA customer service and claims processing. Committee members asked about job seeker barriers such as child care, housing, transportation, and out-migration of young workers, as well as how to keep Cape Cod graduates and seasonal workers in the region. The administration said its strategy is to pair training with broader affordability investments and to expose students to career pathways earlier, including through middle school, early childhood STEM, YouthWorks, pre-apprenticeships, and Building Pathways. Senators and representatives also raised concerns about regional funding disparities, especially for Hampshire Franklin MassHire, and the administration said it is reviewing MassHire funding and service equity through a policy committee and statewide workforce board. On unemployment assistance, officials reported major improvements in wait times and claims processing, but said they are still working through backlogs and staffing challenges while maintaining program integrity. The committee then heard testimony from the Executive Office of Economic Development. The secretary described House 2 as a fiscally restrained budget with no new taxes or fees, while preserving core programs and using the Mass Leads Act tools to support competitiveness. EOED’s proposal included funding for the Community One Stop for Growth, rural economic development, social enterprise operating grants, regional economic development organizations, the Workforce Investment Trust Fund, Community Workforce Partnerships, Pathmaker, advanced manufacturing training, life sciences, innovation vouchers, AI initiatives, small business assistance, and tourism and live theater support. The Office of Consumer Affairs and Business Regulation also testified on its FY27 request, focusing on consumer protection, licensing, banking, insurance, and public safety regulation. No votes were taken during the hearing.

Transcript Highlights:

• For many years, that was available in the community for commercial insurance. available in the community
• We have about 20 beds for adolescents and children.
• We have about 20 beds for adolescents and children.
• We have over 2,000 staff, over 900 patient beds.
• It's going to increase our inpatient capacity to 48 beds.

Summary: The hearing focused on youth mental health and treatment access in California, with opening remarks emphasizing that youth distress, self-harm-related emergency visits, and difficulty obtaining care remain elevated, while workforce shortages and reliance on one-time funding continue to limit access. Assemblymember Lori Davies echoed concerns about unstable funding and said lawmakers need to hear directly from providers and families as they prepare for the budget and legislation. The chair framed the hearing as a chance to hear from county, school, provider, and student perspectives, especially in San Diego County, where needs are high and investments have not always matched demand. County and school officials described the current system and recent state initiatives, including the Children and Youth Behavioral Health Initiative, school-linked fee schedules, payment reform, and the Behavioral Health Services Act transition. San Diego County Behavioral Health said it serves Medi-Cal youth with specialty mental health needs through a broad continuum of care, including outpatient clinics, school-based services, crisis response, residential treatment, and new crisis and residential facilities. San Diego County Office of Education and San Marcos Unified School District described efforts to expand school-based services and reimbursement through CYBHI, but said implementation is slowed by complex billing rules, insurance-data collection concerns from families, administrative burden, and uncertainty about sustaining staff positions funded by grants or soft money. School counselor testimony highlighted reduced stigma through campus outreach and clubs, but also noted that counselor-to-student ratios remain well above national standards and that budget cuts threaten supports. Provider testimony stressed that the system remains fragmented and that youth often move between emergency rooms, inpatient care, outpatient therapy, schools, and county programs without smooth handoffs. A child psychiatrist described crisis cases in which the main choices are brief hospitalization or discharge with limited follow-up, and argued for stronger warm handoffs, more outpatient and intensive outpatient options, better school-clinic coordination, and broader use of mobile crisis and 988. Rady Children’s Hospital and Aurora Behavioral Health described large increases in behavioral health demand, expansion of integrated care, and major barriers tied to low reimbursement rates, delayed payments, and administrative complexity. Across the panel, witnesses called for more stable funding, clearer reimbursement rules, better parent education on warning signs, and stronger collaboration among schools, counties, hospitals, and community providers to reduce stigma and improve timely care for youth.

Transcript Highlights:

• They have been posted online, and there are some copies available in the front room.
• In the Department of Corrections, there are bed impacts from two bills.
• The bed impact of $34,000 is not realized until the beginning of fiscal year 2028.
• On line 25, we have a felony for theft from a vulnerable adult, and the bed impact of $13,000 in fiscal
• Department of Corrections, there are bed Department of Corrections, there are bed impacts<00:02:

Keywords: 919, house, all

Summary: The Conference Committee on Senate File 3432 met on May 15, 2026, and first approved a motion to continue meeting past midnight. Members then reviewed the public safety and judiciary budget agreement, including funding for non-fatal shooting clearance grants, a domestic violence task force, services for released adults and juveniles, trafficking prevention for youth, corrections bed impacts from assault and theft-related provisions, increased Philando Castile training reimbursements, and transfers into the Victims of Crime Account. The committee also noted that some items were removed because they had already passed as stand-alone bills, including impersonation of a peace officer and the grooming penalty, and that the first responder uniform ID task force would not be funded in this bill. Policy provisions discussed for the public safety side included a domestic violence response task force, trafficking and sexual exploitation prevention grants, juvenile re-entry services, the Minnesota clearance grant program, the Philando Castile Memorial Training Fund, confidentiality for victim statements to the Clemency Review Commission, the fourth-degree assault amendment for hospital or clinic security guards, the enhanced penalty for theft from a vulnerable adult, child sexual abuse material venue and evidence provisions, and revised language on prediction markets and the Attorney General’s administrative subpoena authority. The chair also said the committee had to make late fixes to some stakeholder-requested changes and expressed frustration about the timing. The committee then reviewed the safety and security budget agreement, which included funding for judicial security, a judicial security unit, security threat response, safe and secure courthouse grants, appeals court and district court security, state patrol deficiency funding, capital security screening and enhancements, legislative protective services, BCA threat assessment and investigation, a security services task force, legislative security reimbursements, and security for constitutional officers. The agreement also included technical court reallocation adjustments and DNR carry-forward authority for certain non-budgeted public safety costs incurred in 2026. After no public testimony was offered, the committee adopted both the public safety budget agreement and the safety and security budget agreement, directed non-partisan staff to prepare the conference committee report with technical and conforming changes, and then adjourned.

Transcript Highlights:

• beds ensure that we have beds at the appropriate care settings for those individuals that really need
• <00:07:26.800> ensure systems because those um beds ensure systems because those um beds ensure
• We've attrition in the number of beds.
• Ours are 32 and of the homes is 61 beds.
• Kentucky is psychiatric hospital beds.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services heard a presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults with serious mental illness who do not qualify for nursing home care but need structured support, medication assistance, meals, housekeeping, transportation, and supervision. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and rely on a state supplementation rate of about $50.70 per day, which they argued no longer covers operating costs because of rising food, labor, insurance, and maintenance expenses. The presenters said the sector has shrunk significantly over time, citing a drop from 64 homes in 2002 to 34 today among the homes serving this population, with 30 closures over 23 years and two more closures since August. They argued that the closures have contributed to homelessness, hospital overcrowding, and longer stays in psychiatric hospitals, and they gave examples of residents who had spent many months in hospitals before stabilizing in a personal care home. One provider also described spending more than $800,000 on capital improvements after acquiring Kentucky facilities and said reimbursement is too low to sustain safe operations. They asked for an incremental reimbursement increase over two years and said they have also proposed an assisted-living model for people with mental illness. Members asked about staffing, reimbursement, and the number of people still needing placement. The presenters said there is no requirement for licensed or certified staff in these facilities, though some homes use medication technicians and occasional LPNs. They estimated they are currently serving about 2,000 residents and said they receive roughly 30 referrals for every one person admitted, with many referrals involving people whose needs exceed the personal care home level. Senator Meredith and Representative Fleming said any funding request would need documentation of savings and corresponding budget offsets, while Representative Duval expressed support and asked about possible staffing and program improvements. The witnesses also compared Kentucky’s flat-rate reimbursement to a more individualized reimbursement model in Minnesota, saying a needs-based system would better match staffing and reduce hospitalizations.

Transcript Highlights:

• Um, 220,000 square feet, 175 beds.
• to 1423 beds per facility.
• , that's what the VA calls bed hold.
• But those two facilities, that's 302 beds at Claremore, 301 beds at Norman.
• It is a 52-bed facility.

Keywords: 914, all

Transcript Highlights:

• In a nutshell, the barriers include time availability.
• But of the about almost 4,700 licensed beds right now, which we have lost a lot, 565 of those beds are
• This requirement was added when our model moved from only having three-bed homes to four-bed homes, but
• You can have sleep staff at a six-bed intermediate care facility, but you can't in a four-bed group home
• and none of that's available anymore.

Keywords: 1184, house, all