Video & Transcript Research : 'behavior analysis'
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FL
Florida 2025 Regular Session
December 4, 2025 - 11:00 AM
Transcript Highlights:
- CONCERNING BEHAVIORS.
- ON CONCERNING BEHAVIORS HAS BEEN A DRASTIC IMPROVEMENT FOR US.
- I'M ASKING ABOUT CONCERNING BEHAVIOR REPORTING.
- AND THE REASON BEING IS YOU WANT TO ESTABLISH BASELINE BEHAVIOR.
- TO ESTABLISH THE BASELINE BEHAVIOR FOR THE DAY.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Municipalities and Regional Government Jun 21st, 2026 at 01:00 pm
Joint Committee on Municipalities and Regional Government
Transcript Highlights:
- Nowhere in the law is there any place for behavioral support for these animals that have true medical
- These bills place behavioral authority into the hands of organizations that do not represent the full
- I'm a certified canine training and behavior specialist.
- Great teaching tricks and behaviors, just not how to stop them.
- the tools correctly and responsibly to help a dog, or behavioral euthanasia.
Summary:
The committee held a lengthy hybrid hearing of the Joint Committee on Municipalities and Regional Government, with testimony spanning local board training, animal welfare and enforcement, municipal charters, water district dissolution, and other home rule matters. Chairs Rausch and Lewis set strict time limits because of the large number of speakers and explained that written testimony would also be accepted. Members heard from local officials, advocates, municipal employees, and residents, with many bills receiving broad support from municipal and advocacy witnesses.
Several speakers supported bills requiring or expanding training for local boards and commissions, including pre-service training for planning, zoning, and other land use boards. Supporters said training would help volunteers understand complex laws, improve consistency, reduce legal challenges, and speed up housing and development decisions. Related testimony also backed a bill to modernize historic district commissions and another to allow associate planning board members to serve more broadly when needed to maintain quorums.
A major portion of the hearing focused on animal legislation. Witnesses supported bills to expand citations for cruel conditions beyond dogs, update dangerous dog procedures, improve animal health inspections and breeder oversight, strengthen tethering rules, and protect pet consumers. Animal control officers, humane organizations, and some victims of dog attacks described enforcement gaps and the need for clearer standards, while several dog trainers and the American Kennel Club opposed parts of the dangerous dog bill and tethering restrictions, arguing they would limit humane training tools and professional discretion. The committee also heard strong support for a bill to create a statewide pet shop and consumer protection framework.
The committee also heard testimony on several local home rule petitions. Medford officials and residents strongly supported a new city charter that would replace the current at-large council with ward-based representation and periodic charter review. Wayland representatives supported a bill to preserve the library’s Millennium Fund as intended, Cambridge officials backed creation of an employment and job training trust, and Carver officials supported dissolving the North Carver Water District due to compliance and financial problems. No votes were taken during the hearing, and the chair repeatedly invited written testimony and follow-up materials.
NM
New Mexico 2025 Regular Session
House - Health and Human Services Feb 5th, 2025
House Health & Human Services
Transcript Highlights:
- County Manager for Behavioral Health for Bernalillo County.
- of the Behavioral Health Collaborative.
- It may be cited as the Behavioral Health Medicaid Waiver Act.
- I see the Behavioral Health Medicaid Waiver Act as functional.
- in the past as the Director of the New Mexico Behavioral Health Services Division and CEO of the Behavioral
MN
Minnesota 2025-2026 Regular Session
Committee on Commerce and Consumer Protection - 03/24/26
Commerce and Consumer Protection
Transcript Highlights:
- service the medical market, there should be additional incentives or rewards for participating in that behavior
- we are subject to an independent and we are subject to an independent actuarial<01:35:45.400>
analysis - c><01:35:45.960>
every <01:35:46.200>year <01:35:46.560>regarding actuarial analysis - every year regarding actuarial analysis every year regarding the<01:35:47.400>
loss <01:35:47.640 - When you try to ban digital behavior that people want, it doesn't disappear, it moves.
AZ
Transcript Highlights:
- People do behavior analytics.
- by a behavioral health tech or a transporter.
- These are officers that are not trained in behavioral health transports.
- Qualified behavioral health professional.
- That behavior is obviously reckless.
Keywords:
critical infrastructure, foreign adversaries, China, communications, security, law enforcement, disciplinary action, administrative appeals, investigative files, due process, retaliation, county seal, law enforcement authority, sheriff's posse, public safety, county governance, ambulance services, certificate of necessity, emergency medical services, state regulations
MN
Minnesota 2025 1st Special Session
House Fraud Prevention and State Agency Oversight Policy Committee 3/17/25
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- <00:01:19.320>
Health Behavioral Health Behavioral Health Administration<00:01:21.320>and< - <00:02:03.119>
health commissioner of the behavioral health commissioner of the behavioral - <00:02:45.800>
health established the behavioral health established the behavioral health - in the midst of a national Behavioral in the midst of a national Behavioral Health<00:02:57.680>
- shortage as well having a behavioral shortage as well having a behavioral health<00:03:15.879>
MN
Minnesota 2025 1st Special Session
House Human Services Finance and Policy Committee 3/6/25
Human Services Finance and Policy
Transcript Highlights:
- approach that integrates Behavioral approach that integrates Behavioral Health<00:10:10.240>
- <00:10:31.399>
health patients experiencing behavioral health patients experiencing behavioral - primary care provider a behavioral primary care provider a behavioral health<00:10:38.880>
clinician - <00:10:55.399>
Health traditional models Behavioral Health traditional models Behavioral Health - <00:11:08.000>
Health access to these Behavioral Health access to these Behavioral Health
Keywords:
mental health, behavioral health, psychiatric care, collaborative care model, healthcare funding, service dog, service animal, service dog in training, assistance dog, guide dog, disability rights, housing accommodations, fair housing, landlord, rental housing, homeowners association, HOA, Minnesota human services, accessible housing, reasonable accommodation
MN
Minnesota 2025-2026 Regular Session
Intelligent speed assistance program established 2/23/26
Minnesota House Floor Meeting
Transcript Highlights:
- He said those behaviors are continuing.
- You talked you asked behavioral change.
- for sure if we're changing the behavior for sure if we're changing the behavior of<00:36:33.119>
- ,<00:38:28.720>
life <00:38:29.280>taking <00:38:29.680>behavior dangerous behavior - , life taking behavior dangerous behavior, life taking behavior on<00:38:30.480>
our <00:38:30.720
MN
Minnesota 2025-2026 Regular Session
Rules and Administration - Subcommittee on Ethical Conduct - Part 1 - 05/05/25
Rules and Administration - Subcommittee on Ethical Conduct
MN
Transcript Highlights:
- Cloud region this summer over the ... the behavioral aspect that comes from the behavioral aspect that
- Effectiveness um or impact on Behavior Effectiveness um or impact on Behavior it<00:21:33.600>
<00:31:25.840>- But does that really change behavior?
but consequences change driver Behavior but consequences change driver Behavior - other kind of social disorder behaviors other kind of social disorder behaviors that<01:04:25.760
MN
Minnesota 2025-2026 Regular Session
House Floor Session 5/6/26 - Part 2
Minnesota House Floor Meeting
Transcript Highlights:
- action and a process of accountability when people do things that are outside the lines of acceptable behavior
- When people do things, they're outside the lines of acceptable behavior on this campus in this building
- House Republicans like to make clear this behavior is not acceptable.
- House Republicans like to make clear this behavior is not acceptable.
- They want to conduct their own analysis of the state's voter file.
Summary:
The House took up Senate File 3432, a public safety bill requiring identifying equipment and insignia to be removed from emergency vehicles sold to the public. The chamber first adopted a House language amendment, then debated a broader security package that would fund judicial and courthouse security, Capitol security measures, short-term protection for legislators facing credible threats, State Patrol deficiency funding, and additional BCA analysts and investigators to assess threats statewide. Supporters framed the bill as necessary to protect public safety, democracy, and First Amendment activity at the Capitol and courthouses; they also said the package was pared down from larger requests and based on security reviews. The House adopted an A-1 amendment clarifying that BCA staff could investigate threats statewide, and later rejected a Schultz A-3 amendment that would have eliminated all appropriations in the bill. The A-3 was defeated on a 37-94 vote after the House upheld the Speaker’s ruling that a proposed school-safety secondary amendment was not germane, with that appeal decided 69-62.
A major theme of debate was whether the Legislature should prioritize security for members and the Capitol before passing school safety funding. Several members argued they could not support spending tens of millions on Capitol and legislative security without first funding school safety for all students, including public, charter, private, and tribal schools. Others defended the bill as necessary because of recent threats and violence, including the June 14 tragedy, and said the Capitol security changes were based on professional recommendations. Some members also criticized the new security setup as overly restrictive or “security theater,” while supporters said the measures were needed to keep the public, staff, and lawmakers safe.
After the A-3 was defeated, the bill was read for third time and members continued floor debate. The discussion remained split between those emphasizing immediate Capitol and legislative security needs and those insisting school safety should come first. Representative Agbaje then moved to table the bill, and the clerk began a roll call on that motion.
HI
Hawaii 2026 Regular Session
CPC Public Hearing - Wed Mar 4, 2026 @ 2:00 PM HST
Consumer Protection & Commerce
Transcript Highlights:
- is that one of the criteria that we recommend that all property managers and landlords use is the behavior
- landlords<00:27:15.480>
use <00:27:15.840>is <00:27:16.000>the <00:27:16.120>behavior - <00:27:16.600>
of <00:27:16.680>the landlords use is the behavior of the landlords - use is the behavior of the pet.<00:27:17.200>
And <00:27:17.320>if <00:27:17.400>someone - Could you share that analysis with the committee later, too, once you have it? Yeah, we can. Yeah.
Keywords:
renewable energy, solar energy, self-certification, building permits, environmental regulations, HB1593, affordable housing, pet-inclusive housing, pet friendly housing, rental housing, affordable rental housing, HHFDC, Hawaii Housing Finance and Development Corporation, tenant pets, companion animals, dogs, cats, landlord-tenant law, security deposit, pet deposit
Summary:
The committee heard testimony on HB 1984 HD2, which would require government entities issuing building permits to create a self-certification process for certain behind-the-meter rooftop solar and energy storage systems, allowing approved applicants to proceed without waiting for standard permit review. The Public Utilities Commission and DLNR offered comments, and the Hawaii Solar Energy Association, Holoholo Energy, Photon Works Engineering, Malama Solar, RevoluSun, and others testified in strong support. Supporters said the bill would reduce permitting delays, lower costs, and help meet Hawaii’s renewable energy goals while still relying on licensed engineers, electricians, and county inspections for safety. Committee members asked about risk, existing county pilot programs, and whether self-certification had been used before; witnesses said the professional liability remains with licensed signers and that current automated review systems often flag minor issues that slow projects. The committee also noted 16 additional written testimonies in support.
The committee then took up HB 1593 HD1, which would require HHFDC-financed affordable rental housing projects to allow residents to own or keep common household pets. The Hawaiian Humane Society testified that the bill is a top priority because housing restrictions are a major reason pets are surrendered and because many unhoused residents with pets avoid housing that does not allow animals. In response to questions, the Humane Society said concerns about pet-related damage are overstated, suggested pet behavior screening as a safeguard, and said it would be willing to work on broader private-market pet-friendly housing policies. Members raised concerns about whether allowing pets in public housing could create problems for residents who later transition to the private market, and the witness said California has a similar law and no major negative effects had been identified.
Finally, the committee heard HB 2423 HD2, which would require that by January 1, 2028, diesel fuel sold in Hawaii for on-highway vehicles contain at least 5% biodiesel by volume. The Hawaii State Energy Office offered comments, and Hawaii Transportation Association and Pacific Biodiesel Technologies testified in support. Pacific Biodiesel argued the mandate would improve energy security, stabilize fuel prices amid global supply disruptions, and support local clean-fuel production. In response to questions, the company said its nameplate capacity is 5.5 million gallons per year and it has produced over 6 million gallons annually, but much of its output is tied up in standby generator contracts that can fluctuate. Witnesses said the mandate would provide a stable market signal and could support future investment in expanded local biodiesel production, including agricultural feedstock development and a possible second refinery. No votes or final actions were taken during the portion of the meeting provided.
HI
Transcript Highlights:
- The response was that they did not match those students, but that in the analysis of return on investment
- of the population, 20% for people in low economic status, and then close to 18% of people with behavioral
- of the population, 20% for people in low economic status, and then close to 18% of people with behavioral
- of the population, 20% for people in low economic status, and then close to 18% of people with behavioral
- of the population, 20% for people in low economic status, and then close to 18% of people with behavioral
Summary:
The House Committee on Higher Education met at the University of Hawaiʻi’s Bachman Hall and heard testimony on several UH-related bills. HB 542 would expand the Hawaiʻi Promise Program to provide unmet-need scholarships at four-year UH campuses. UH system officials, the UH Student Caucus, and a Honolulu Community College student testified in support, emphasizing college affordability, student retention, and workforce needs. Committee members asked about current program data, eligibility, transfer patterns, and cost; UH said it had data available, noted about 10% of current Hawaiʻi Promise students transfer to four-year campuses, and estimated the full expansion would cost about $12 million. UH also suggested a possible alternative of focusing on transfer opportunities from two-year to four-year campuses.
The committee then heard HB 840, which concerns athletics appropriations for UH. UH Mānoa and UH Hilo supported the bill. UH officials said the funding would help cover recurring athletics operating costs, women’s sports travel and recruiting, Austin Awards, and a new nutrition fueling station, while Hilo said the money would help with travel, per diem, and conference-related costs. Members asked about the history of the athletics funding, the difference between Austin Awards and special talent waivers, NIL planning, and whether the appropriation should be restored to the base budget. UH explained that a $4 million athletics appropriation was originally made in 2018 or 2019, later removed from the base, and has been reappropriated annually since then.
Finally, the committee heard HB 842, which would fund three additional permanent mental health practitioner positions at UH Mānoa’s Counseling and Student Development Center. UH supported the bill, and Academic Labor United and a high school student testified in favor, citing student stress, overwork, and the need for more counseling access. In questions, members discussed the current counselor-to-student ratio, recruitment challenges in a tight labor market, and strategies for hiring, including looking at candidates on soft-money grants who may be seeking stable employment. No votes or final committee actions were taken during the portion of the meeting provided.
TX
Transcript Highlights:
- The offender does this behavior for weeks, months, and years on end.
- Yet his worrisome behavior didn't end.
- Yet his worrisome behavior didn't end.
- And you mentioned impaired behavior.
- And much of the evidence used against them was because of their behavior in prison, aggressive behavior
Keywords:
mental health, women's health, county jail, depression screening, criminal justice, inmate release, identification certificate, Texas Department of Corrections, personal identification, driver's license, state law, reentry services, nondisclosure, criminal history, criminal defendants, community supervision, misdemeanors, felonies, rehabilitation, hearsay
Summary:
The Corrections Committee first took up pending business and reported several previously heard bills favorably to the full House, including HB 1515 and SB 2405, the TDCJ Sunset bill and its Senate companion, HB 5639 on the veteran housing program, HB 2854 on hospital visits as a parole or mandatory supervision condition and related hospital liability, and SB 1080 on occupational licenses for people with criminal convictions. The committee also heard and advanced SB 1080 without amendment, then moved into new business.
A major portion of the meeting focused on HB 3618, which would limit invasive group strip searches of female inmates in TDCJ facilities. Formerly incarcerated women and advocates testified in support, describing humiliation, trauma, barriers to programming, and arguing that searches were often ineffective and that contraband more often comes from staff. TDCJ’s resource witness said the agency has looked at technology such as millimeter scanners and is in the process of placing them in facilities, while the bill sponsor said the measure would preserve searches in emergencies and require female officers when women are unclothed. HB 3618 was left pending.
The committee also heard HB 4515 on expanding orders of nondisclosure, with the author saying the committee substitute would narrow the bill to marijuana possession only; supporters from Alliance for Safety and Justice and Right on Crime argued it would improve reentry and public safety, while members asked about eligibility and related offenses. HB 1826, requiring depression screenings for pregnant and postpartum incarcerated women, drew support from women’s health advocates and formerly incarcerated witnesses; the bill was left pending. HB 1969, to help people leaving prison renew or obtain driver’s licenses, and HB 2708, expanding nondisclosure eligibility for certain misdemeanor convictions, were also laid out and left pending.
Later, the committee heard HB 2729, which would bar hearsay evidence in hearings on violations of release conditions, and SB 1021, which would make stalking convictions ineligible for community supervision and add related victim-protection provisions; both were left pending. SB 1610, addressing civil commitment facility safety, sex offender registration, and penalties for assaults on staff, drew strong opposition from civil commitment residents, family members, and civil rights advocates who argued it was punitive and raised due process concerns; the resource witness said assaults had increased and explained the civil commitment process and existing legal safeguards. Finally, HB 4764 would require TDCJ to report detailed annual data on restrictive housing; supporters said the bill would improve transparency around solitary confinement, and the committee left it pending before adjourning.
FL
Florida 2026 Regular Session
Appropriations Committee on Criminal and Civil Justice Feb 5th, 2025
Appropriations Committee on Criminal and Civil Justice
Transcript Highlights:
- Also, we have the Florida Behavioral Health Association to discuss the effectiveness of medication-assisted
- Also, we have the Florida Behavioral Health Association to discuss the effectiveness of medication-assisted
- It does involve medication in combination with counseling and behavioral therapies.
- So you saw on the first slide that behavioral health is very important to this.
- And so while this particular... ...behavioral health is very important to this.
Summary:
The Appropriations Committee on Criminal and Civil Justice met to continue its review of performance measurement in the criminal justice system. The first presentation, from State Courts Administrator Eric McClure, described how the court system uses multiple data sources to track filings, dispositions, clearance rates, workload, and support services, and how those data inform judge need, budget requests, resource allocation, and court administration. He also discussed ongoing efforts to improve case-level reporting, the use of case management systems in trial and appellate courts, and performance efforts in problem-solving courts and civil case management. McClure noted that the legislature provides dedicated funding for problem-solving courts and for medication-assisted treatment, and that the courts are required to report outcomes and monitor compliance with contract requirements.
Melanie Brown-Whor of the Florida Behavioral Health Association then reviewed the medication-assisted treatment program funded through the courts budget. She said the program combines medication with counseling and behavioral supports, serves people involved in or at risk of criminal justice involvement, and has expanded over time to include additional medications and more counties. She reported improved engagement and retention, with more than 10,000 people screened over five years, about 9,200 receiving medication, and over 6,600 successfully discharged. Senators asked about racial and ethnic demographics, hospital referrals, and how services are delivered; Brown-Whor explained that local community providers deliver treatment under contract and that the program is working to improve data reporting and consistency.
The Department of Law Enforcement then presented on investigations, forensics, and criminal justice information services. Deputy Commissioner Vaden Pollard outlined FDLE’s strategic plan and major investigative priorities, including cybercrime, targeted violence, crimes against children, mutual aid, and the SAFE fentanyl eradication program. He said SAFE has led to major seizures, arrests, and a reported decline in fentanyl deaths. Director Jason Bundy described FDLE’s forensic laboratory operations, DNA and rapid DNA capabilities, cold case and missing persons work, and the staffing and turnaround-time challenges tied to complex evidence testing. Director Lucy Saunders reviewed FDLE’s criminal history, biometric, incident-based crime reporting, and criminal justice transparency systems, noting that Florida is still transitioning agencies from summary reporting to incident-based reporting. The committee raised questions about Rapid DNA deployment, cold case coordination, and the slow pace of NIBRS/FIBRS adoption. No votes were taken, and the meeting adjourned after the presentations and questions.
KY
Kentucky 2025 Regular Session
House Standing Committee on Judiciary (2-12-25)
Transcript Highlights:
- And stalking behavior when there is a protective order is a Class D felony on the first offense.
- And stalking behavior when there is a protective order is a Class D felony on the first offense.
- And stalking behavior when there is a protective order is a Class D felony on the first offense.
- And stalking behavior when there is a protective order is a Class D felony on the first offense.
- stalking behavior and stalking behavior<00:21:47.440>
when <00:21:47.679>there <00:21:47.880
Summary:
The House Judiciary Committee met for its first meeting, established a quorum, welcomed new members and guests, and announced that committee rules would be sent out later. The committee then took up House Bill 38, sponsored by Representative Tipton, which would increase the penalty for repeated violations of an order of protection. Under the committee substitute, a third violation of the same protective order could be charged as a Class D felony instead of a Class A misdemeanor. The substitute was adopted by voice vote.
Representative Tipton said the bill was prompted by a constituent’s experience with repeated abuse and violations of protective orders, and he argued the change was needed to better protect the public. Maryanne Pratt testified in support of the bill, describing a long history of domestic violence, repeated violations of protective orders, stalking through calls and social media, and her fear for her safety. Several members expressed support and praised her courage. Questions focused on whether the bill would cover social media contact and on the committee substitute’s language requiring the same victim and same order.
Representative Burke raised concern that the same-victim language could allow an abuser to victimize multiple partners without triggering the felony provision. Tipton said the original bill was broader, that the change was added because of concerns about reverse protective orders, and that the issue might be revisited in the Senate. Scott West, speaking for the Kentucky Association of Criminal Defense Lawyers, said the bill addressed some concerns but warned that the third-offense trigger could be based on technical contempt findings rather than violent conduct, and he noted that stalking already can be charged as a felony in some cases. The discussion continued on those concerns, but no final action on the bill beyond adoption of the committee substitute was taken in the portion provided.
DE
Delaware 2025-2026 Regular Session
Senate Legislative Session - Session 2 - 42nd Legislative Day Jun 30th, 2026
Delaware Senate Floor Meeting
Transcript Highlights:
- Well, to be fair, sir, we're already covering the cost of that bad behavior because most of these fines
- and fees are not collected, so we are still supporting those programs. ...bad behavior because most
- this slightly different case involving a geofence warrant, but still say the same Fourth Amendment analysis
- The courts, we trust, do the proper Fourth Amendment analysis.
- satisfy all those, as the Supreme Court said yesterday, that'll fall under the Fourth Amendment analysis
Summary:
The Senate received communications from the House on numerous measures, including several bills and resolutions passed with amendments, committee reports on bills such as large energy use facilities, campaign finance, voting rights, and appropriations, and a list of pre-file legislation. The chamber then moved through a long floor session with confirmations, bill readings, and roll-call votes, ultimately confirming the nomination of Morgan T. Zern to the Delaware Supreme Court by a 21-0 vote.
Among the major policy items considered were property tax and school tax measures tied to the statewide reassessment. The Senate passed House Bill 460, clarifying monthly municipal permit-data reporting to New Castle County; House Bill 461, granting temporary authority for New Castle County school districts to reset school tax rates for one cycle; and House Bill 462, making the split school tax rate permanent with a lower nonresidential cap. Members discussed the fiscal effects at length, including testimony from a school district finance officer that HB 461 would allow revenue-neutral rate setting and offset the fiscal note on HB 462. The Senate also passed House Bill 365 creating a Delaware Indigenous Affairs Commission, House Bill 458 on backflow requirements for low-hazard buildings, Senate Bill 27 establishing the Office of New Americans with a sunset and interagency coordination, and Senate Bill 315 on the Delaware Technical Innovation Program.
The chamber also approved Senate Substitute 1 for Senate Bill 300, a firearms dealer regulation bill, after extensive debate over amendments, confidentiality, background checks, and the balance between public safety and burdens on lawful dealers. Several members raised constitutional and practical objections, while supporters argued the bill would reduce trafficking, straw purchases, and theft from dealers. In addition, the Senate passed House Bill 305 creating a diabetes wellness pilot program, with supporters emphasizing the state’s diabetes burden and the program’s federal funding, and House Concurrent Resolution 157, which asks the State Lottery Office to report on iLottery’s impact on small businesses. Senate Bill 325, a fire prevention/background-check bill, was laid on the table after concerns about a late House amendment and requests for more time to consult stakeholders.
WY
Transcript Highlights:
- behaviors even after the stalking case. behaviors even after the stalking case.
- After she was caught, she was moved on. just creepy behavior, and it's not just creepy behavior, and
- She used her position of behavior.
- <01:07:47.440>
of a a bad novel as you saw the behavior of a a bad novel as you saw the behavior - So often this kind<01:09:55.600>
of <01:09:55.760>behavior, kind of behavior, kind of behavior
Keywords:
stalking, minors, felony, protection orders, criminal penalties, grooming, sexual offenses, child protection, 916, all
MO
Missouri 2026 Regular Session
Joint Committee on Administrative Rules Jun 12th, 2026
Joint Committee on Administrative Rules
Transcript Highlights:
- I work for the Department of Mental Health and the Division of Behavioral Health.
- Every Missourian has access to behavioral health services at a certified behavioral health clinic.
- So a certified community behavioral health clinic has staff all the way from someone like Dr.
- I don't do behavioral health exclusively. I don't do pain management.
- I don't do behavioral health exclusively. I don't do pain management.
Summary:
The Joint Committee on Administrative Rules met to consider a Missouri Prescription Drug Monitoring Program rule proposal after the Department of Natural Resources withdrew its items. The hearing focused on 1 CSR 60-1.010, which would expand delegate-level PDMP access to additional licensed behavioral health professionals, including licensed clinical social workers, licensed master social workers, marital and family therapists, professional counselors, and psychologists, while also correcting prior rule language involving medical assistants and clinical nurse specialists.
Testimony from the PDMP executive director and supporters from Compass Health and the Department of Mental Health argued the change would improve care coordination, medication reconciliation, and safety in multidisciplinary behavioral health settings, especially CCBHCs. They said access would remain limited to licensed professionals working under a prescriber/dispenser relationship, with individual logins and penalties for misuse. Opponents and some committee members raised concerns that the rule would expand access beyond the original statutory framework without legislative change, could be used beyond treatment purposes, and should instead be addressed through statute rather than rulemaking.
After public testimony, the committee debated whether the proposal exceeded statutory authority and whether the expansion was too substantive for rulemaking alone. A motion was made to disapprove the rule on grounds including lack of statutory authority, conflict with state law, and arbitrariness. The motion passed by a roll call vote of 7-1, and the committee disapproved Rule 1 CSR 60-1.010 before adjourning.
KY
Kentucky 2025 Regular Session
Medicaid Oversight and Advisory Board (7-30-25) - Reupload
Transcript Highlights:
- New behavioral health preceding year.
- increase Kentucky Medicaid behavioral increase Kentucky Medicaid behavioral health<01:31:29.360>
- <01:31:51.600>
health licensed behavioral health licensed behavioral health professionals. - comparing some commonly used behavioral comparing some commonly used behavioral health<01:31:59.679
- <01:32:25.679>
health higher rates for behavioral health higher rates for behavioral health
Keywords:
00:00:22 - Call to Order and Roll Call
00:03:00 – Approval of June 25, 2025 Minutes
00:03:22 - Update on Federal Changes to the Medicaid Program
01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky
Hospitals
01:29:42 – Public Comments
01:45:25 – Announcements
01:46:19 - Adjournment, 958, all
Summary:
The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants.
A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028.
Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.