Video & Transcript Research : 'walleye stamp validation'
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NH
New Hampshire 2026 Regular Session
House Education Policy and Administration (02/20/2026)
Education Policy and Administration
Transcript Highlights:
- homeschooling under 193A previously, and it's a one-time notification, and that notification is, you know, valid
- homeschooling under 193A previously, and it's a one-time notification, and that notification is, you know, valid
- needing an additional layer<02:03:53.119>
of <02:03:53.280>state <02:03:53.520>validation - layer of state validation. layer of state validation.
- the law should establish a parent-issued notarized declaration of completion that is fully legally valid
NH
Transcript Highlights:
- <01:18:44.560>
Totally <01:18:44.960>valid <01:18:45.360>question. - Totally valid question.
- just have administratively, how much of a nightmare is this going to be to administer, trying to validate
- this going to be to administer<01:52:46.639>
trying <01:52:46.960>to <01:52:47.199>validate - <01:52:48.400>
uh administer trying to validate uh administer trying to validate uh >>
HI
Hawaii 2025 Regular Session
JHA Public Hearing - Thu Mar 13, 2025 @ 2:00 PM HST
Judiciary & Hawaiian Affairs
Transcript Highlights:
- But there is a valid use that I want to just bring to this conversation about the .50 cal. that 50 caliber
- 52.639>
I <01:20:52.719>want <01:20:52.840>to <01:20:53.000>just is a a valid - use that I want to just is a a valid use that I want to just bring<01:20:53.360>
to <01:20:53.560 - <02:14:38.119>
of <02:14:38.239>our <02:14:38.400>non-traditional the validity - of our non-traditional the validity of our non-traditional family<02:14:39.480>
would <02:14:39.639
Summary:
The committee met on March 13, 2025, and took up several firearms and fireworks measures. On SB 227, which would create an illegal fireworks enforcement division in the Department of Law Enforcement and appropriate funds, DLE supported the bill, saying fireworks enforcement has become a full-time job requiring dedicated staff rather than a collateral-duty task force. Members discussed whether the bill and the related task force bill were both needed; DLE said yes, explaining that the new division would provide full-time state employees while the task force funding covers interagency costs such as transportation, storage, overtime, and personnel. Testimony on SB 227 was reported as 12 in support and 6 in opposition.
On SB 222, which would fund the illegal fireworks task force and extend its sunset to June 30, 2030, DLE and the Honolulu Police Department supported the measure, emphasizing continued enforcement pressure and interagency coordination. An opponent from the Libertarian Party of Hawaii argued the bill was a waste of time, criticized fireworks prohibition as cultural overreach, and performed a song in opposition. Representative Shimizu asked about results from the extra enforcement effort, and DLE said enforcement has driven up street prices and made investors think twice, which they described as a goal of pricing people out of the market. The chair reported 13 testimonies in support and 6 in opposition.
The committee then heard SB 1324, a more comprehensive fireworks bill that would revise definitions and penalties, create first- and second-degree fireworks offenses, add infractions, and increase penalties for serious injury or death. DLE and the Attorney General strongly supported it, saying the bill would improve enforcement, address black-market activity, and help prosecutors when fireworks have already exploded and evidence is destroyed. The Public Defender opposed the bill, arguing existing laws already punish these offenses and that the real issue is enforcement; the office also raised constitutional concerns about the bill’s concurrent civil infraction and criminal trial process. Honolulu Police supported the bill, while the Honolulu Prosecutor’s Office said the alternative definitions would help in cases involving exploded versus seized fireworks. The chair noted 17 testimonies in support, 7 in opposition, and 3 comments, and members discussed whether the bill could be amended to address the public defender’s concerns.
The committee also began hearing SB 308, which would expand the state’s magazine-capacity restrictions to firearms with detachable magazines over 30 rounds, with a grandfathering provision for certain magazines obtained before January 1, 2026. DLE supported the bill as a fair balance that would grandfather existing magazines while preventing new high-capacity acquisitions. Opposition testimony from Jerry Yuan of the Pool, Oil, Rifle, and Pistol Club argued the proposal was another shifting restriction and opposed magazine bans generally. The hearing continued with additional testimony not fully captured in the excerpt.
NH
New Hampshire 2025 Regular Session
Senate Energy and Natural Resources (02/18/2025)
Energy and Natural Resources
Transcript Highlights:
- have, which are, I mean, I guess you could argue they may be pro-business, but if they're raising valid
- 01:16:05.600>
if <01:16:05.719>they're <01:16:06.120>raising <01:16:06.679>valid - but if they're if they're raising valid but if they're if they're raising valid concerns<01:16:07.679
- always have these fights because there always have these fights because there are<01:16:29.719>
valid - :30.480>
and <01:16:30.639>the <01:16:30.760>lack <01:16:30.960>of Are valid
NH
New Hampshire 2025 Regular Session
House Transportation (01/14/2025)
Transcript Highlights:
- They're more than just cleanup; they should have been in place some time ago, but they're going to validate
- They're more than just cleanup; they should have been in place some time ago, but they're going to validate
- They're more than just cleanup; they should have been in place some time ago, but they're going to validate
- :27.680>
that <00:57:27.799>you <00:57:27.920>get <00:57:28.039>when validate - the receipt that you get when validate the receipt that you get when you<00:57:28.280>
renew <
Summary:
The Transportation Committee met for an opening/orientation session in which members introduced themselves and explained their interest in the committee. Several members noted backgrounds in trucking, piloting, boating, motorcycles, road safety, or constituent concerns about transportation issues. The chair also noted several absent members and said the committee would first hear agency presentations before covering committee procedures.
The Department of Safety gave the main presentation, outlining its seven divisions and how they relate to transportation policy and the Highway Fund. The assistant commissioner emphasized that Highway Fund revenue supports both the Department of Transportation and the Department of Safety, with collections coming largely from the road toll/gas tax, DMV fees, and the new electric vehicle surcharge. He also noted that 12% of Highway Fund revenues go to local road repair through the DOT Betterment Fund, and warned that the fund has had a structural deficit for several biennia, requiring General Fund transfers that may be uncertain this session. He said the department aims to provide data and fiscal context on legislation and fiscal notes.
State Police then provided a detailed overview of its structure and operations, including the Operations Bureau, Investigative Services Bureau, and Justice Information Bureau. Testimony highlighted Troop G’s role in vehicle inspections, commercial motor vehicle enforcement, fraud investigations, and consumer complaint handling, as well as statewide staffing shortages. The division reported rising calls for service, motor vehicle stops, DWI arrests, and other arrests despite a vacancy rate of about 17%. It also described aviation, K-9, bomb squad, special events response, SWAT, narcotics, major crime, forensic laboratory, and other specialized units, with statistics on drug seizures, investigations, and lab workload. No votes or formal committee actions were taken during this portion of the meeting.
NH
New Hampshire 2025 Regular Session
House Finance Division I (01/29/2025)
Transcript Highlights:
- We take mail and we sort it, and you get a slight discount between whatever stamps cost now.
- We take mail and we sort it, and you get a slight discount between whatever stamps cost now.
- We have to work with MetLife every single month to validate the data.
- And I have some early reporting that would need to be validated that we just finished open enrollment
Summary:
The Department of Administrative Services presented an overview of its budget and operations, emphasizing that it is the lowest-spending agency in state government and that its general fund allocation has declined since 2019. Commissioner Arling House explained that DAS also handles back-office functions for several administratively attached boards, which has affected staffing and spending comparisons. He said the department’s current general fund spending is roughly split between retiree health and other operations, and that the presentation was based on adjusted authorized spending rather than the original budget figures.
A major portion of the meeting focused on retiree health benefits and the long-term effort to control costs. Deputy Commissioner Cassie Keane described how the state moved from a projected deficit in retiree health to savings through a series of changes, including higher premium contributions, co-pay adjustments, and shifting Medicare retirees into Medicare Advantage arrangements to capture federal reimbursement. She said the state has about 12,500 retirees and spouses on the plan, with roughly 10,906 Medicare retirees and 1,580 non-Medicare retirees, and that the savings have depended heavily on federal funding and procurement decisions. She also noted that Medicare retirees pay Part B premiums and that the state has grandfathered older retirees from some premium contributions.
Members asked about what the expenditures cover, why the state offers retiree health instead of simply giving retirees a payment to buy coverage themselves, and whether out-of-pocket costs changed under Medicare Advantage. Keane said the plan covers actual health claims or insurance premiums, that co-pays and maximum out-of-pocket limits remain in place, and that the state has no authority to change benefit details without legislative action. She explained that retiree health is a long-standing employee benefit that wraps around Medicare and is not collectively bargained in the usual sense, though its eligibility rules and cost-sharing have been tightened over time to better target the benefit to long-term state service.
The discussion also covered vendor performance problems. Keane said Anthem recently won the contract back from Aetna, but its pharmacy subsidiary, Caroline, caused serious service disruptions. DAS responded by withholding payments, assessing more than $2 million in performance guarantees, and hiring a third-party auditor to review the pharmacy processes. The current contract runs through the end of calendar year 2026, and officials said they are watching federal Medicare Advantage reimbursement changes closely because future savings are uncertain.
MN
Minnesota 2025-2026 Regular Session
Committee on Jobs and Economic Development - 04/15/26
Jobs and Economic Development
Transcript Highlights:
- What I will say is KSTP has been wrong and they continue to be wrong, and no matter how much valid information
- What I will say is KSTP has been wrong and they continue to be wrong, and no matter how much valid information
- $6,000, being geographically outside of the boundaries of the Promise Act. and no matter how much valid
- information and no matter how much valid information that<00:18:42.880>
we <00:18:43.000>give
MN
Minnesota 2025-2026 Regular Session
Committee on Judiciary and Public Safety - Part 1 - 03/25/26
Judiciary and Public Safety
Transcript Highlights:
- we ought to make sure that, you know, we’ve got the proper deterrent for making sure that that’s a valid
- 01:33:00.960>
a <01:33:01.320>uh that that's a uh that that's a uh a<01:33:02.080>valid - a valid claim in the first place. a valid claim in the first place.
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - Part 1 - 03/24/26
Health and Human Services
Transcript Highlights:
- the Board of Marriage and Family Therapy would issue a Minnesota license to an applicant who holds a valid
- applicant who a Minnesota license to an applicant who holds<00:09:55.160>
a <00:09:55.200>valid - c><00:09:55.800>
unrestricted <00:09:56.560>MFT <00:09:56.960>license holds a valid - unrestricted MFT license holds a valid unrestricted MFT license from<00:09:57.640>
another <00
MN
Minnesota 2025-2026 Regular Session
House Judiciary Finance and Civil Law Committee 3/12/26
Judiciary Finance and Civil Law
Transcript Highlights:
- It could help to prove up that document is valid.
- ><00:09:30.640>
that <00:09:30.880>document <00:09:31.360>is <00:09:31.680>valid - to prove up that that document is valid. to prove up that that document is valid.
Keywords:
electronic signatures, estate planning, uniform law, legal documents, Minnesota statutes, open meeting law, transparency, public engagement, social media, government accountability, parenting consultant, parenting time, custody, family court, family law, neutral third party, alternative dispute resolution, child custody, visitation, parenting coordinator
MN
NH
New Hampshire 2026 Regular Session
House Finance Division II (03/09/2026)
Transcript Highlights:
- you<00:40:45.440>
bring <00:40:45.600>up <00:40:45.800>a <00:40:46.080>valid - think um you bring up a valid concern. think um you bring up a valid concern.
- To address your other criteria, I think you bring up a valid concern.
Summary:
The committee took up HB 1563, a special education aid formula bill, after a brief recess. Members reviewed a replace-all amendment that would keep the current reimbursement lag structure but make the bill effective July 1, 2028, with districts beginning to collect the new data in the next biennium. The amendment changes the reimbursement tiers from a dollar-based system to one tied to average per-pupil spending: districts would pay 100% below 2.5 times average per-pupil spending, 85% from 2.5 to 3.5 times, 20% from 3.5 to 10 times, and 10% above 10 times, with the state covering the remainder. Speakers emphasized that the bill is intended as an incremental step to gather better data before any larger expansion of state participation.
A major new section would create a risk-based monitoring program for reimbursement claims. Instead of reviewing every claim individually, the department would review at least 20% of districts each year so every district is reviewed at least once every five years, with additional random or targeted reviews based on risk indicators, anomalies, prior findings, or other department criteria. Members discussed whether the audit sample should be district-based or student-based, and whether the bill should more specifically define the type of audit and the meaning of “other” criteria. Department witnesses said the current process already involves confidential information and that the new approach would not worsen privacy concerns; they also said the department would follow federal and state privacy laws and adopt rules to implement the process.
Several members supported the bill as a practical first step to improve data collection and eventually expand aid, noting that districts currently do not track lower-cost special education students well. Others raised concerns about the lack of a fiscal note, possible local costs, and whether the new monitoring language gives the department too much discretion. The discussion ended with no vote taken in the excerpt, and members indicated they may need more time to review the final amendment before proceeding.
WY
Wyoming 2026 Regular Session
House Labor, Health & Social Services, February 16, 2026
Labor, Health & Social Services
Transcript Highlights:
- The question of the validity of the studies may be a distractor and a diversion because the issue is
- Um the question<00:32:07.679>
of <00:32:07.840>the <00:32:08.000>validity <00:32: - 08.640>
of <00:32:08.880>the <00:32:09.200>studies question of the validity of the - studies question of the validity of the studies may<00:32:09.840>
be <00:32:10.000>a <00
WY
Transcript Highlights:
- And I know I made silly examples, but they're still valid examples. What does it mean?
- examples, but And I know I made silly examples, but they're<01:31:00.159>
still <01:31:00.719>valid - they're still valid examples. they're still valid examples.
Keywords:
sales tax, motor vehicle, family transfer, tax exemption, Wyoming legislation, veteran, property tax exemption, Wyoming National Guard, honorable discharge, tax benefits, surviving spouse, military service, property tax, residential real estate, tax assessment, primary residence, tax revenue, 916, all
MS
Mississippi 2026 Regular Session
Public Health and Welfare - Room 216, 3 February, 2026; 3:00 PM
Public Health and Welfare
Transcript Highlights:
- verifying the bulk drug substances are pharmaceutical grade and quality and accompanied by the requisite valid
- accompanied<01:05:49.680>
by <01:05:49.839>the <01:05:50.000>requisite <01:05:50.559>valid - accompanied by the requisite valid accompanied by the requisite valid certificates<01:05:51.359>
Summary:
The committee met with a quorum and first took up several bills described as vehicles to keep options open for pending rural health issues, especially the rural health transformation fund and the Greenwood Hospital situation. The chair explained that Greenwood Hospital is struggling financially and operationally, including a Medicaid overpayment dispute in which Medicaid planned to recoup $2 million from a December payment, threatening payroll and continued operation. The committee discussed a proposed committee substitute that would delay recoupment until May 1 and preserve legislative flexibility to help Greenwood if a workable plan emerges. The committee adopted motions for title sufficiency and due pass on the block of bills, including the committee substitute and reverse repealer provisions.
The committee then turned to two certificate-of-need bills. One bill, 2474, was presented as a rural hospitals measure that would let certain rural hospitals obtain certificates of need for services such as outpatient dialysis units, ambulatory surgical facilities, and geriatric psychiatric units, with definitions aimed largely at Delta and other rural counties. The chair also included a provision making the state health officer’s licensing decision final and not subject to judicial review, with only a short reconsideration process available. Senator Hill objected, arguing the bill concentrated too much power in the health department, eliminated meaningful court review, and unfairly picked winners and losers instead of letting the market work. The chair responded that the goal was to reduce costly, repetitive litigation and preserve access to care in areas where hospitals struggle financially.
The committee then considered Senator Blackwell’s broader CO bill, which would address appeals and litigation more generally by shifting costs to the losing party in CO disputes. A reverse repealer was adopted first, and the chair explained that the bill was intended to reduce endless and expensive appeals while still allowing a limited opportunity for reconsideration. Senators Hill and others raised concerns about limiting judicial review and expanding health department power, while the chair said many states have no judicial review in this area and that the committee was exploring the issue further. The chair said he had asked several members to study the matter and contact the National Council of State Legislatures. The committee ultimately adopted the motions on the bills and amendments by voice vote, with the ayes prevailing each time.
HI
Hawaii 2026 Regular Session
AGR Public Hearing - Fri Jan 30, 2026 @ 9:30 AM HST
Agriculture & Food Systems
Transcript Highlights:
- Now we understand that this bill is probably up and discussion is warranted and valid, absolutely 100%
- discussion<01:07:26.000>
is <01:07:26.640>warranted <01:07:27.119>and <01:07:27.359>valid - discussion is warranted and valid discussion is warranted and valid absolutely<01:07:28.640>
Keywords:
biosecurity, invasive species, Hawaii Invasive Species Council, Department of Land and Natural Resources, appropriation, agriculture, land use, farm dwelling, renewable energy, income qualification, solar energy, geothermal resources, hydropower, agricultural tourism, aquaculture, commercial activity, swine production, Korean natural farming, land leases, Hawaii
HI
Transcript Highlights:
- in Hawaii are already required to supply written prescriptions at any client's request within the valid
- uh at any client's request um<00:12:36.720>
within <00:12:37.040>the <00:12:37.600>valid - <00:12:38.000>
veterary <00:12:38.480>patient um within the valid veterary patient - um within the valid veterary patient client<00:12:39.519>
relationship.
Keywords:
veterinary medicine, prescription, consumer rights, transparency, pet medication, sustainable agriculture, climate adaptation, food system resilience, grant program, Hawaii agriculture, agriculture, clean plant program, disease-free plants, plant propagation, small farms, midsize farms, sustainable farming, Hawaii, data analysis, market study
Summary:
The committee heard several agriculture-related bills. SB 874 on veterinary medicine would require veterinarians, upon a client’s request, to provide a written prescription for an animal patient in an existing veterinary client-patient relationship, allow Hawaii-licensed pharmacies to dispense those prescriptions, and authorize the Veterinary Medicine Board to set penalties. Testimony was overwhelmingly supportive, with supporters citing lower costs and consumer choice; the Hawaii Veterinary Medical Association said veterinarians already should be doing this and supported the bill if amended. One testifier in opposition argued the bill needed a conspicuous notice requirement so pet owners know they can request prescriptions. Committee members and the Department of Agriculture said they were not aware of widespread problems, and discussion focused on whether the measure was already consistent with current practice and whether amendments would address remaining concerns.
The committee also heard SB 2097, which would create a climate-resilient food systems grant program in the Department of Agriculture and Biosecurity and appropriate funds. The department, Hawaii Farm Bureau, Hawaii Farmers Union, Hawaii Cattlemen’s Council, and others supported the bill, saying it could help farmers and ranchers invest in resilience, infrastructure, and technology. Several testifiers asked for clearer definitions, especially for terms like “food hubs” and “resilience hubs,” and suggested adding technical assistance and clearer eligibility criteria. The department explained the program was intended for shovel-ready projects in the middle of the supply chain, with a focus on farmers in a certain revenue range, and said it was modeled on a USDA program.
SB 2098 would establish a clean plant program to produce and distribute disease-free plant material to growers, nurseries, and other producers. Testimony was supportive, emphasizing biosecurity, nursery industry needs, and preventing invasive species and crop disease. The department described the program as using tested clean stock, tissue culture facilities, and data collection to support future planting decisions, and estimated a two-year ramp-up. Members questioned whether the program duplicated existing work at CTR/other partners and whether data collection should be centralized, but the department said the effort would build on existing varieties and partnerships rather than overlap them.
Finally, SB 2126 would create a conventional farming grant program for small and midsize conventional farmers. Supporters from the department, Hawaii Farm Bureau, and Hawaii Cattlemen’s Council said conventional agriculture deserves support and that the bill would help increase food production. Opposition and comments focused on the bill’s exclusion of organic farmers; one farmer said the measure was unfair unless amended to include organic producers, while a Farmers Union witness said the bill was too vague about the grant’s purpose and should be clearer about its goals. In response to questions, the department said the exclusion of organic farming was not intentional and that the bill was meant to support all agriculture, though no vote or final action was taken in the excerpt provided.
KY
Kentucky 2025 Regular Session
Interim Joint Committee on State Government (11-13-25)
Transcript Highlights:
- Assess, design, implement, and validate all steps that are a part of the actual development process
- :18.639>
design, <01:22:19.360>implement <01:22:20.080>and <01:22:20.400>validate - Assess, design, implement and validate Assess, design, implement and validate all<01:22:21.600><
Keywords:
Discussion of BR 25 (2026 RS) 04:15
Presentation on voting systems by ES&S 48:14
Presentation on voting systems by Hart InterCivic and Harp Enterprises 01:13:07, 958, all
Summary:
The committee met, approved the October 21 minutes, and then took up BR 25 for the 2026 regular session, a proposal to prohibit the use of tax dollars and public resources to advocate for or against ballot questions, including constitutional amendments. Senator Rawlings and the other presenters argued the current law already bars such advocacy but lacks meaningful enforcement, citing the 2024 school choice amendment campaign and other examples where public officials and school systems allegedly used taxpayer-funded resources to influence voters. They said the bill would add civil and criminal penalties, while preserving First Amendment rights for public employees acting in their personal capacities.
Much of the discussion focused on whether the bill should be limited to school districts or broadened to cover other public entities, and on how to define terms such as “advocating in impartial terms.” Members raised concerns about possible effects on county and city lobbying through groups like KLC and KCO, on legitimate factual explanations by public officials, and on whether the bill could unintentionally restrict needed representation for local governments. The sponsors said the measure was intended to be narrow, would be vetted further, and would not bar individuals from speaking on their own behalf.
Several members suggested revisions. Representative Lockett asked that schools and school employees be specifically named, and suggested separating the lobbying restrictions from the ballot-measure provisions into different bills. Representative Layman questioned the meaning of the bill’s language and whether it would cover factual testimony by officials. Representative Heen asked about a Jefferson County example involving legal fees used to challenge petition signatures; counsel said that situation would likely be allowable under the bill as drafted, though some members thought it should be covered. No final vote was taken on BR 25 during this discussion.
NH
New Hampshire 2025 Regular Session
House Education Funding (10/28/2025)
Transcript Highlights:
- magically represents both of them at the same time, and that creates huge issues in terms of the validity
- 02:48:44.560>
the creates huge issues in terms of the creates huge issues in terms of the validity - <02:48:46.640>
If <02:48:46.880>our validity of such examination. - If our validity of such examination.
Summary:
The subcommittee took up several school building aid bills. HB 295, which would make school building aid program funds non-lapsing, drew debate over whether the program is effective and whether funds should be allowed to carry forward. Supporters argued the program is underfunded and that even small leftover amounts should remain available for building aid; opponents said non-lapsing funds limit future budget flexibility and that the program creates winners and losers. The committee voted 4-3 to recommend HB 295 inexpedient to legislate (ITL).
The committee then considered HB 366, which would increase school building aid for eligible projects and include retroactive funding for projects completed in the past. The motion to ITL was supported on the grounds that retroactive payments would be unfair to districts still waiting in line and that the legislature should focus on future projects. Supporters of the bill said the increase was modest and that districts that built during a prior moratorium on aid were left with long-term fiscal burdens. The committee again voted 4-3 to recommend ITL.
The discussion also broadened into special education funding and a retained bill, HB 742, concerning catastrophic special education aid and the source of funding. Members debated whether the education trust fund should cover the aid and whether the committee should act now or wait for a separate commission studying special education costs. Several members emphasized that special education costs are rising, that more data is needed on student identification and funding formulas, and that the commission’s report may provide better guidance. The chair said the subcommittee’s recommendations would go to the full committee, and the next meeting was expected to be rescheduled from November 4 to later that week because of election-related conflicts.
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (10-7-25)
Transcript Highlights:
- next meeting, and then we could share it with the rest of the committee members, because I think it's valid
- , cuz<01:46:02.880>
I <01:46:02.960>think <01:46:03.200>it's <01:46:03.400>valid - > and<01:46:04.520>
um <01:46:04.760>and <01:46:04.960>I cuz I think it's valid - , and um and I cuz I think it's valid, and um and I know<01:46:05.280>
I'm <01:46:05.400>interested
Summary:
The Medicaid Oversight Advisory Board first approved the September 24 minutes and then heard a presentation from four certified community behavioral health clinic providers: Pathways, NorthKey, Seven Counties Services, and NewVista. The presenters explained the difference between traditional community mental health centers and CCBHCs, describing CCBHCs as an enhanced model that integrates behavioral health, primary care, wraparound services, and crisis response. They reviewed the federal history of the model, Kentucky’s entry into the Medicaid demonstration in 2022, and the scheduled end of the enhanced federal match on December 31, 2027. They also emphasized required services such as 24-hour mobile crisis, care coordination, and services for veterans, and described care coordination as a key feature that helps patients follow up after hospital or emergency discharge, manage medications, and connect to transportation and other supports.
The presenters gave examples of improved outcomes, including a patient who was able to remain living independently because of coordinated home-based and telehealth support, and they argued that CCBHCs are helping Kentucky build a more responsive crisis system through 988, mobile crisis teams, and crisis stabilization units. They said the model is data-driven, uses performance metrics, and has led to stronger collaboration among community partners. One speaker said more than 100 agencies participated in a Jefferson County community health needs assessment and continued meeting afterward to reduce redundancies and barriers to care. They also said crisis call hub compliance and mobile crisis outreach compliance improved significantly over the past year.
Members asked about how navigators and connectors fit into the model, how CCBHCs work with managed care organizations, and how the program could expand statewide. The presenters said navigators are not built into the CCBHC model but may be used through referrals, while the CCBHCs continue to bill MCOs the same way and receive a Medicaid wrap payment for the enhanced rate. They said the goal would be for all community mental health centers to become CCBHCs, but that a state plan amendment would be needed and could not be limited only to CMHCs if submitted to CMS. They estimated about $28 million would be needed statewide to continue the program in the next biennium, combining the loss of enhanced federal match and the state share of enhanced service costs. The board also discussed transportation, with one presenter explaining that their program arranges Medicaid transportation for eligible appointments, and members raised concerns about mental inquest warrant transport and whether sheriffs should remain involved. No votes were taken on the CCBHC or transportation items during the discussion.