Transcript Highlights:

• CYFD as a residential treatment facility.
• As you all know, nursing homes are the most highly regulated facilities outside of nuclear facilities
• Are there any other facilities?
• The new detox facility is a new service line.
• Of children and the way the facility was set up.

Transcript Highlights:

• No indoor facilities for community.
• containing both indoor and outdoor facilities, came in far higher than expected.
• <00:04:54.600> containing regional athletics facility containing regional athletics facility
• ,<00:04:57.800> came both indoor and outdoor facilities, came both indoor and outdoor facilities
• <00:05:05.920> project, the athletic fac- facilities project, the athletic fac- facilities

Keywords: 919, house, all

Summary: Representative Hicks presented House File 4194, which would change how Rochester’s approved local option sales tax funds could be used for a regional athletics facility. Hicks argued the city’s 2023 ballot materials promised substantial community and stakeholder engagement and an indoor/outdoor community recreation complex, but that the project shifted to an outdoor-only plan without meaningful public input. She said the bill was needed to center Rochester residents’ voices and prevent a precedent of approved projects being changed after the vote. Rochester City Council President Randy Schubring opposed the bill, saying the city is following the 2023 authorization and building as much as possible within the approved funding. He said the ballot question passed with 53% support and urged the committee not to overturn local election results, while asking lawmakers to work with the city and Rochester delegation on the remaining funding shortfall. Testifier Kamau Wilkins also opposed the city’s current direction, saying voters were promised indoor recreation facilities but are now getting mostly outdoor baseball diamonds, which he described as a bait-and-switch. Several members supported Hicks’ concerns, saying legislators have a duty to ensure local sales tax projects match what voters were told. Representative Lee raised a broader issue about legislative oversight of local option sales taxes and referenced a possible St. Paul-related fix. Hicks closed by saying she supported the tax originally but no longer believes the project matches what voters approved. The committee then laid House File 4194 over for possible inclusion in the omnibus tax bill.

Transcript Highlights:

• No, I mean, the way a provider or facility is defined is in the bill.
• To provide money for struggling healthcare facilities or hospitals.
• They are rural facilities, and some of them are Owned by private equity parent corporate.
• I think you were asking me, were there facilities in Las Cruces, for example? I misspoke.
• The answer is that there are facilities in Doña Ana.

Transcript Highlights:

• Wherever that enrichment facility, the conversion facilities, recycling facilities, associated power
• facilities that we'll talk about in the future. ...including all the new nuclear facilities that we'll
• We have 49 radiological facilities.
• Since we have high-hazard nuclear facilities, they'll always need us.
• In the TREAT, there is a T-REX facility.

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:

• Assembly Bill 436 expedites the siting and permitting of composting facilities.
• Siting and permitting composting facilities is a complex and slow process.
• In my day job, I permit and develop composting facilities.
• Part of that is diverting organic waste away from landfills to facilities like composting facilities.
• like composting facilities.

Summary: The committee heard and advanced a series of natural resources and climate-related bills. AB 70 would codify a definition of pyrolysis and allow procurement credit for projects using organic waste to generate pipeline biomethane; supporters said it would help divert organic waste from landfills, reduce methane, and support energy reliability. AB 30 would authorize E15 fuel sales in California, with supporters arguing it could lower consumer fuel costs and emissions, while opponents from boating and marine groups raised concerns about engine damage and the need for clear labeling and continued E10 availability. AB 66 would create a CEQA exemption for emergency evacuation routes in high fire-risk areas; supporters emphasized wildfire evacuation safety, while some members worried the bill lacked sufficient guardrails and environmental review. AB 399 would let the Coastal Commission consider blue carbon sequestration in coastal permitting and authorize blue carbon demonstration projects; environmental groups supported it, while business groups objected to new costs and regulatory uncertainty. AB 491 would codify California’s nature-based solutions climate targets for lands and wetlands, with supporters citing climate and adaptation benefits and the Farm Bureau opposing statutory targets. AB 580 would extend Metropolitan Water District authority related to the Colorado River Aqueduct, and AB 43 would make permanent state authority to protect federally designated wild and scenic rivers if federal protections are weakened. The committee also considered AB 436 to streamline siting and permitting of composting facilities and AB 539 to streamline certain Coastal Act procedures and reporting. Most measures received due-pass recommendations and were reported out on roll calls, with several bills also moving on consent; AB 404 was pulled at the author’s request.

Transcript Highlights:

• Next up, we have school facility funding needs.
• facilities that three elementaryaries facilities that three elementaryaries that<00:23:10.480>
• And they have facilities is is enormous.
• You also see a significant increase in the cost of building and maintaining facilities.
• building and maintaining facilities. building and maintaining facilities.

Keywords: 958, all

Summary: The House Budget Review Subcommittee on Primary and Secondary Education and Workforce Development met for an information-gathering session and opened by clarifying that the subcommittee would not be voting on budget requests. Because there was no quorum at first, the committee did not take up approval amendments. The first presentation focused on a budget request to incentivize national certification for school social workers and school psychologists. Rep. Vanessa Gracal, along with Amy Oats and Leslie Gilpin, argued for a $500,000 annual appropriation to provide $2,000 salary supplements to nationally certified school social workers and school psychologists working primarily in their certification areas. They said the stipend would help recruit and retain professionals amid shortages, noted that current Kentucky certification numbers are low, and explained the rigorous certification and renewal requirements. In response to questions, they said there is currently no appropriation for this purpose in HB 500 and none they were aware of in HB 6 in 2024. The next topic was school facility funding needs, led by Rep. Bob McCool, Johnson County Superintendent Tom Cochran, Commissioner of Education Robert Fletcher, and other district representatives. They described the “gap funding” issue for school construction projects that had already started before COVID-era inflation sharply increased costs. Johnson County and Harrison County were highlighted as examples of districts that had already committed local funds, passed nickel taxes, and begun construction but now need additional state support to finish projects. Speakers emphasized that many projects were audited and approved, that the state has already funded about half of the gap, and that roughly $130 million more is being sought in HB 500 to complete the remaining work. They stressed that unfinished projects would leave districts with half-built schools and that completing them would bring long-term savings and better facilities for students. The committee then turned to testimony from KASA representatives on the impacts of HB 500 as introduced. The witnesses discussed the importance of school psychology and school social work certification, the benefits of advanced training for student services, and the need to recognize and support highly qualified staff. A member asked whether HB 500 or HB 6 included an appropriation for the certification stipend, and the witnesses answered no. The meeting also included a motion to approve the minutes from the prior meeting once a quorum was present, and the minutes were approved by voice vote.

Transcript Highlights:

• Choice the employees of these facilities Choice the employees of these facilities should<00:03:35.840
• restricts these employees and Facilities restricts these employees and Facilities from<00:04:33.440
• who are seeking Care at these facilities who are seeking Care at these facilities the<00:09:18.079
• These facilities are unregulated. They are passing themselves off as medical facilities.
• <00:43:13.440> please apply to healthcare facilities please apply to healthcare facilities

Keywords: 1183, house

Transcript Highlights:

• I'll just note that nursing facility and intermediate care facilities for persons with developmental
• and intermediate care facilities for persons with developmental disabilities are facilities, and the
• and treatment facilities and treatment facilities um<00:44:23.000> the<00:44:23.200> most
• Peter facility if they progress in the treatment process. St.
• As of November 18, 2024, there were 739 individuals receiving treatment in MSOP facilities.

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:

• closed in North Conway, 45 bed facility closed in North Conway, 45 bed facility last<01:33:54.159
• facilities saw a cut over 30 facilities facilities saw a cut over 30 facilities saw<01:41:04.719
• > that<01:43:59.360> had facility that I referenced that had facility that I referenced
• Chairman, in facilities.
• It was really wonderful facilities.

Keywords: 1189, house, all

Transcript Highlights:

• one is we want a worldclass facility one is we want a worldclass facility here<00:13:35.240>
• <00:13:57.240> is animal health and this new facility is animal health and this new facility
• I think that's probably true with pretty much all state facilities.
• <00:32:17.279> is have to cover until this facility is have to cover until this facility is
• Society while our facilities across the Society while our facilities across the state<01:19:19.360>

Keywords: 1183, house

Transcript Highlights:

• This is a facility that has to be constantly maintained.
• In our facilities, you're talking from going in the front door. We do.
• So talk a little bit about kind of standard uses for a standard facility.
• And they very much design their facilities around them.
• They might have big hydro facilities.

Keywords: 1184, house, all

Transcript Highlights:

• the money on there for facilities and operations.
• the money on there for facilities and operations.
• and receive facility-related services.
• The current statute says the term 'underused, vacant, or surplus facility' means an entire facility or
• But if, only if, there are no district facilities that are... ...district facilities that are underused

Summary: The House met on the final day of session, swore in Representatives Boyles and Hodgers, and observed a moment of silence for the Minnesota House Speaker Melissa Hortman and her husband, as well as for Representative Rosenwald’s father. The chamber then moved into final budget work, with leaders outlining the plan to take up H.J.R. 5019, HB 7031, HB 5017, HB 5015, and then the general appropriations act once the Senate transmitted it. H.J.R. 5019, a proposed constitutional amendment to expand the budget stabilization fund, was explained and amended to raise the rainy day fund cap, require annual deposits, and allow withdrawals for critical state needs by a two-thirds vote; it passed 100-1. The House then adopted the conference report on HB 7031, the tax package. The bill repeals the business rent tax and aviation fuel tax, delays the natural gas fuel tax, creates or expands several sales tax holidays and exemptions, including permanent exemptions for disaster-preparedness items, hunting/fishing/camping items, and ammunition and firearms-related purchases, and makes changes to property, corporate income, local tax, and economic development provisions. Members debated the removal of recurring housing trust fund and transit-related revenue streams, the new ammunition exemption, and the data center tax changes; supporters argued the package reduces taxes and preserves annual budget flexibility, while opponents raised concerns about housing, transportation, and gun violence. The conference report passed 93-7. HB 5017, creating a debt reduction program funded by a recurring transfer to retire state bonds early, passed unanimously. HB 5015, the state group insurance conforming bill, which directs DMS to develop a formulary management plan and codifies the administrative health insurance assessment, also passed. The House then began explanation and questions on the fiscal year 2025-26 general appropriations act, described as a $115.1 billion budget that is down $3.8 billion from the current year and includes more than $12 billion in reserves. Subcommittee chairs summarized major spending areas, including pre-K-12 funding increases, health care funding for Medicaid, KidCare, nursing homes, opioid treatment, and mental health, transportation and economic development funding, environmental and water projects, higher education, state administration, justice, and information technology. Questions focused on school vouchers, inflationary pressures on school districts, and the adequacy of funding for housing, transportation, and other priorities.

Transcript Highlights:

• to apply could do so, but there are now criteria to meet. facilities having to um pay CMP funds facilities
• > this in those are voluntary facilities this in those are voluntary facilities the<00:38:26.119>
• <00:38:37.760> in 269 uh certified nursing facilities in 269 uh certified nursing facilities
• , long-term care facilities, for nurses is about 53%.
• > for facilities long-term care facilities for facilities long-term care facilities for nurses

Keywords: This meeting will take place upon adjournment of both chambers today. There is not an exact time, there for the live stream has been created with a place holder time of 4:00 PM est., 958, all

Summary: Chairman Hart called the meeting to order, confirmed a quorum, welcomed Representative Rachel Roarx, and the committee approved the February 11 minutes. The committee then moved through its agenda of PSC and related contract items, including a motion to consider the reviewed contracts without objection. One Department of Highways item was deferred when the virtual representatives were not yet available. The committee first took up Kentucky Housing Corporation contracts. Members questioned outside legal services for foreclosures and bankruptcies, why the work was not handled entirely in-house, and how much of the workload and cost it represented. Witnesses said the agency’s need was largely geographic rather than a lack of expertise, that less than 1% of the loan portfolio is referred out for foreclosures, and that many fees are reimbursable through FHA. Both Kentucky Housing Corporation items were approved. The committee then considered a Department for Community Based Services contract tied to a protest and a temporary renewal with PCG. Witnesses said the contract increase was needed to bridge the gap while the protest and RFP process were unresolved, and that the initial vendor received no funds. The committee approved the item, with Senator Douglas explaining his vote as a preference for straightforward answers. The committee also heard a Northern Kentucky University contract for a Workday ERP replacement, including implementation consulting and separate license fees. University officials explained the move from SAP to Workday, the complexity of the systems, and the need for a consulting partner; they said the total effort would span 10 years and that the contract was priced below comparable institutions. After extensive questioning about cost, budget, and value, the vote ended 4-4 and the chair noted the contract would move forward through the Finance Committee if no disapproval motion was made. Finally, the Office of Inspector General presented a contract for culture change training in nursing facilities funded by civil monetary penalties; witnesses said the goal was to improve staff satisfaction, communication, and resident outcomes, and that the CMP fund balance was about $38 million. Discussion also covered survey backlogs and CMS restrictions on the funds, with the item still under review as the transcript ended.

Transcript Highlights:

• And through the ND TAP program, she has about 20-some hours to be an LAC in our facility.
• The IMD exclusion also does not apply to facilities of 16 beds or less.
• The IMD exclusion also does not apply to facilities of 16 beds or less.
• Again, the only facilities where methadone can be provided, and all are located in urban areas.
• Again, the only facilities where meth don't can be provided, and all are located in urban areas.

Summary: The meeting focused heavily on behavioral health and substance use treatment, especially the IMD exclusion and whether North Dakota should pursue a Section 1115 waiver to allow Medicaid reimbursement for services in institutions for mental diseases for adults ages 21 to 64. Turtle Mountain representatives described major local needs, including limited access to care, high syphilis rates, and the importance of timely public health data. They also discussed the tribe’s recovery center, which opened the prior year, now operating five levels of care with 16 beds, and the desire to expand capacity, possibly through an IMD waiver or related policy changes. Committee members also raised related issues such as rural health transformation funding, telehealth, workforce retention, and the need for better coordination between tribal and state public health systems. A central issue was Turtle Mountain Public Health’s long-running effort to secure a data use agreement with the state so it can receive surveillance data and respond directly to infectious disease cases among tribal members. Speakers said the tribe had a successful COVID-era agreement that allowed faster contact tracing and case management, but that agreement ended with the pandemic. They argued that current delays in sharing data, especially for sexually transmitted infections, leave the tribe unable to respond quickly, while the state and county epidemiology workload is too distant and stretched to be effective. Committee members expressed support and said they would look into the issue, noting that other tribes have secured similar agreements. The committee also heard a detailed presentation from the National Health Law Program on the IMD exclusion. The presenter explained that federal Medicaid law generally bars payment for care in facilities with more than 16 beds, but that states can use other tools such as state plan amendments, managed care arrangements, telehealth, and community-based services. He said IMD waivers are administratively complex, time-limited, and have shown mixed results in other states, with some gains in residential treatment access but limited evidence of improved overdose outcomes or stronger community-based care. He urged the committee to consider broader continuum-of-care solutions and cautioned that waivers alone are not a cure-all. No final vote was taken on the bill draft during the portion shown, but the committee discussed the proposal to appropriate $49,000 and one FTE to HHS to pursue an IMD waiver and report back in the next interim. Members also debated the policy rationale for the 16-bed limit, the role of the state versus tribal sovereignty, and whether the bill should move through the Health Care or Human Services committee in the future.

Transcript Highlights:

• When our department began our reviews of civil immigration detention facilities, there were 10 facilities
• Only four facilities were privately operated.
• Last year, when the California City Detention Facility opened, we inspected it and found a facility that
• And although these are civil detention facilities, the conditions at the facilities have been described
• Our office has Facilities, the conditions at the facilities have been described as worse than prisons

Summary: The committee heard several bills. SB 911, by Senator Becker, would require notification and verification of defensible-space compliance when homes in high wildfire severity zones are transferred, using the preliminary change of ownership report; supporters said it would improve wildfire resilience and insurance availability, while county assessors opposed the use of the PCOR and urged a different recorded document. Members generally supported the bill but raised concerns about the 12-month compliance window and the need to keep working with assessors; the bill was held pending a quorum and later placed on call. SB 1016, by Senator Blakespear, would create a pathway for a higher-level mental health evaluation when a Care Court petition is dismissed because the person is too ill to participate or otherwise needs more intensive care. Supporters, including psychiatrists, family members, and local officials, said Care Court is leaving many severely ill people untreated and that the bill would connect them to existing LPS processes. Opponents, including Disability Rights California, county behavioral health directors, counties, and other advocacy groups, argued it would expand involuntary detention, bypass existing pre-petition screening safeguards, and undermine Care Court’s voluntary nature. The bill passed the committee on a roll call vote and was placed on call. SB 1112, by Senator Archuleta, would create a faster court process for victims of illegal or excessive “bandit towing” to recover their vehicles by posting a bond and obtaining a release certificate. Support came from Enterprise Mobility and the author, who said the bill targets bad actors and helps equalize leverage for vehicle owners; the California Auto Body Association sought an amendment to exclude auto repair shops. The committee passed the bill as amended to Appropriations and placed it on call. SB 1119, by Senator Padilla, would impose child-safety requirements on AI chatbots, including risk assessments, crisis-response protocols, parental controls, limits on time and data use, reporting, audits, and a private right of action. The bill was driven by testimony from the mother of a teenager who died by suicide after prolonged chatbot interactions; industry and business groups opposed or sought amendments, citing overlap with recent law, vague standards, and prescriptive design mandates. Members expressed strong support for the bill’s goals while urging tighter definitions, and the bill was moved on a roll call vote and placed on call.

Transcript Highlights:

• They pay $2 a ton, and my look at the mapping of our solid waste facilities shows 25 facilities, for
• For a facility that opts into the waste disposal, it would be the charge for a solid waste facility that
• offers composting at that facility.
• What would that cost difference be for a facility?
• The $2 versus $3 a ton is an incentive for solid waste facilities to offer composting at their facility

Bills: SB47, SB110, SB122, SB143, SB168

Keywords: food recovery, composting, waste management, solid waste surcharge, organic waste reduction, environment, grants, advisory group, bosque management, Rio Grande, environmental protection, water resources, fiscal appropriation, drinking water, well owners, water testing, water treatment, public health, agriculture, New Mexico Department of Agriculture

Transcript Highlights:

• The department is state facilities.
• Correctional Medical Facility Correctional Medical Facility Replacement,<00:50:57.520> that's
• It's construction of a 353 bid facility. facility. facility.
• Four four deaths at that facility.
• facility. It's just a reality, right? facility. It's just a reality, right?

Bills: HB60

Keywords: geoengineering, weather modification, environmental safety, atmospheric pollutants, criminal pollution, Meeting Start: 00:00:02 Roll Call: 00:00:08 26 RS HB 60 - AN ACT relating to geoengineering: 00:01:35 Department of Corrections Update: 00:32:59 Kentucky Parole Board Update: 01:19:21, 958, all

Transcript Highlights:

• Every person who died in this facility had a family.
• In facilities like California City in Kern County, the largest ICE detention facility in the state...
• Detention Facility on September 29, 2025, died.
• detention facility.
• are like modern-day slave-holding facilities.

Summary: The Assembly met in session, established a quorum, approved dispensing with the previous day’s journal, and then took up a long third-reading file. Early procedural actions included moving AB 1589 to the inactive file and continuing reconsideration items. The chamber then considered a series of bills largely focused on immigration enforcement, detention, worker protections, child care, voting access, and related public services. Several immigration-related measures passed, including AB 2393 on damages for false imprisonment/arrest, AB 1994 on an immigrant victims’ rights and resources card, AB 1929 on health plan investment disclosures, AB 1633 imposing a tax on for-profit detention facilities, AB 1650 requiring decals on rental vehicles used for enforcement, AB 1655 protecting CalWORKs benefits when a child is detained, and AB 1896 disqualifying people who participated in immigration enforcement from certain public employment. AB 2230, which would bar immigration enforcement near polling places and child care facilities, also passed after extensive debate. Supporters framed these bills as accountability and protection for vulnerable communities; opponents argued they targeted federal law enforcement, were unnecessary, or raised constitutional concerns. AB 1851 on statewide school mental-health guidance also passed unanimously. After the midday recess, the Assembly returned and continued with more bills tied to immigration impacts and child welfare. AB 2379 passed with urgency, requiring child care providers to be informed of constitutional rights and trained on protections when confronted by immigration enforcement. AB 2460 passed to update school behavioral-health referral protocols for students affected by immigration enforcement trauma. AB 2495 passed to expand prohibitions on employer immigration-related threats, and AB 2662 was presented as a way for California to monitor and document federal enforcement actions and report on their community impacts. Throughout the day, the floor featured repeated exchanges over whether the bills addressed real problems or were political messaging, but the measures that came to a vote generally advanced with majority support.

Transcript Highlights:

• My grandfather was among those who used the Student Union when it was still a new facility.
• Since then, enrollment has gone up significantly, and of course, this requires facilities.
• However, the current facilities hinder these activities.
• Even non-residents who probably will not use the facility once it's finished? Yes, sir.
• Since HEAF is funded, we can address the facility inefficiencies across our campus.

Bills: HB42, HB 125, HB 1233, HB2853, HB3148, HB3326, HB3701, HB4066, HB4361, HB4762, HB4909, HB4912, HB42, HB125

Keywords: higher education, funding, financial allocation, state budget, Texas A&M University, University of Houston, education funding, medical education, osteopathic medicine, healthcare workforce, Tarleton State University, industry-recognized credentials, workforce development, career opportunities, feasibility study, student fees, university funding, student union, education, UT El Paso

Transcript Highlights:

• <00:22:47.600> that we do have a mainland facility that we do have a mainland facility that
• , um to a separate facility, um to a separate facility, then then then you<00:30:00.320> will<
• says shall not be held in a facility says shall not be held in a facility controlled<00:34:42.159
• Have you folks thought of a separate facility somewhere, some an intermediate facility? Okay.
• somewhere some an intermediate facility? somewhere some an intermediate facility?

Keywords: 912, senate, all

Summary: The briefing focused on the Hawaii State Hospital’s overcrowding, construction defects in the new addition, and how Act 26 and related court-ordered processes are affecting admissions and discharges. The chair said the hospital has become increasingly forensic-focused, has lost beds after the closure of Kahimohala, and may face further costs and possible litigation over the defective addition. Hospital and Department of Health officials said they are working with the attorney general and contractors on repairs, and that the hospital is currently using all 292 licensed beds, including 13 waiver beds, while average daily census last fiscal year was 376. Officials explained that the high census is driven by both increased admissions and discharge barriers. They said the loss of Kahimohala returned patients to the state hospital, and that Act 26-related petty misdemeanor cases are contributing to admissions. They also said limited lower-level placement options delay discharges. Hospital staff reported that many patients are repeat admissions, about 22% were unhoused before admission, and a significant share are in categories such as fitness-to-proceed evaluations and conditional-release violations. They said these groups could potentially be reduced if evaluations were done elsewhere and if more community or supportive housing were available. The chair and senators questioned whether some fitness-to-proceed detainees need to be held at the state hospital at all, and whether the Clark consent order requires transfer to the hospital. The attorney general’s office said the Clark injunction does not govern unfitness-to-proceed cases; instead, the requirement comes from state statute, and the statute could be changed. Director Johnson said DCR cannot keep such detainees because the court orders them into the custody of the Department of Health, and the department cannot provide the needed therapeutic level of care in a correctional setting. The discussion also emphasized co-occurring substance use and mental illness, especially among petty misdemeanor defendants, and the need for supportive housing and a decompression plan to reduce readmissions and free beds for civil commitments.