Transcript Highlights:

• and yet there were no options available and yet there were no options available to<00:07:48.319>
• The bed space from these type, even though they're minimal, takes up 30% of the beds at KCPC right now
• Uh the bed space uh from these Center.
• up 30% of the beds at KCPC right now. up 30% of the beds at KCPC right now.
• And while that's health treatment beds.

Keywords: 00:00:06 - Call to Order/Roll Call 00:01:23 - Review of Referred Administrative Regulations 00:02:00 - Discussion of 26RS HB 485 01:00:40 - Roll Call Vote on 26RS HB 485 01:03:25 - Adjournment, 958, all

Summary: The House Standing Committee on Health Services met with a quorum and took up House Bill 485, a major mental health measure addressing both KRS 202C and KRS 202A. The committee first adopted a committee substitute and then approved a committee amendment correcting misspellings in the bill. Members and witnesses described the bill as the product of years of work with judges, prosecutors, defense attorneys, mental health professionals, advocates, and the Kentucky Judicial Commission on Mental Health. Testimony on the 202C portion focused on individuals charged with serious violent offenses who are found incompetent to stand trial. Witnesses, including a circuit judge and a family member whose mother was killed by her mentally ill brother, argued that current timelines require repeated evidentiary hearings and impose unnecessary trauma on victims’ families and strain on courts and KCPC. Supporters said the bill would lengthen review intervals, clarify the role and payment of guardians ad litem, and reduce repeated relitigation while preserving due process and public safety. They noted that 202C cases are few in number but consume a significant share of KCPC bed space. The committee then turned to the 202A portion, which covers civil mental health commitments for people who may not have committed a crime. Supporters said current law leaves courts with only two choices—hospitalization or release—and that the bill would create a third option by allowing court-ordered outpatient treatment and other guardrails such as medication compliance and follow-up care. Witnesses emphasized that the bill defines terms such as “benefit” and “serious mental illness,” expands the definition of danger, and aims to provide a least restrictive alternative to inpatient hospitalization. No final vote on the bill itself was taken during the portion of the meeting provided, but the substitute and amendment were adopted and testimony continued in support of the measure.

Transcript Highlights:

• Does passing this funding create geriatric psych beds?
• It sounds like the intent is that it provides nursing homes the ability to use some of their beds for
• geriatric psych beds.
• This does not create new beds.
• This is one of the programs that we've talked about how it should be available in every region of the

Keywords: 908, all

Summary: The HR division continued work on the behavioral health budget, with members revisiting several funding items and generally agreeing to hold provider inflation increases until the full division picture is clearer. They tentatively supported additional funding for Community Connect and Free Through Recovery, as well as increases for the drug court program and peer support, while clarifying that some items were already in the House version and others were one-time or grant-related expenditures. The committee spent considerable time on a proposed $2 million behavioral health services program for nursing homes and basic care facilities. Senator Mathern brought revised language to describe a capitated payment model for training, consultation, and direct patient care for residents with medically based behavioral disorders and disruptive behaviors. Some members remained skeptical and wanted to see the amendment before deciding, but the discussion centered on whether the funding would help nursing homes accept patients who otherwise end up in state hospitals or acute care settings. Members also discussed several one-time funding items, including electronic health record and legacy system upgrades, network redundancy for the state hospital, partial hospitalization/intensive day treatment expansion, and a bathroom remodel at the Southeast Human Service Center. The committee restored the bathroom project to the original $972,000 estimate after concerns that the House reduction would not cover the needed ADA and plumbing work. They also debated a $12.96 million behavioral health facility grant for Altru in Grand Forks, with some members opposing it and others supporting it as a regional service expansion, but ultimately set it aside for later consideration. The meeting ended with staff flagging other sections of the bill, including the opioid settlement advisory language, the state hospital steering committee, behavioral health education grants, and the system of care grant. The chair announced that medical services would be taken up the next day, and members agreed to adjourn after planning to revisit unresolved behavioral health items and vote on the held bill later.

Transcript Highlights:

• for Maricopa County, and this bill just lifts that cap of 55 beds.
• limited to 55 beds.
• I mean, we'll build and build; you can only use 55 beds.
• The bed limit is not a Supreme Court mandate.
• This is not an expansion of beds. No money is needed.

Keywords: 1182, all

Summary: The Senate met in Committee of the Whole on several calendars, with opening prayer, pledge, attendance, guest introductions, and recognition of doctors of the day and student visitors. The chamber also approved the prior day’s journal and later adopted multiple Committee of the Whole reports assigning bills for further action. Several measures were retained on the calendar, including SB 1366, SB 1503, SB 1787, SB 1803, and SB 1628. On the first calendars, the Senate advanced SB 1232 on military compatibility permit zoning, SB 1493 on disciplinary action appeals for law enforcement officers, SB 1538 on civil traffic violations and warrant-related penalties, and SB 1618 on the military affairs commission, all with amendments. The chamber also advanced SB 1424 on firearm safety instruction in public schools, SB 1456 on state highways and routes, SB 1552 on a tax revision, SB 1554 on chiropractic claims, SB 1572 on civics instruction, SB 1633 on an income tax subtraction for a primary residence, SB 1684 on school liability for serious injury, and SCR 1004 on photo enforcement systems. SCR 1004 drew comments that the amended version would require photo radar to be put to voters in affected cities or towns in the 2028 election cycle. A substantial portion of the meeting focused on SB 1094, which would create civil liability for physicians performing irreversible gender-reassignment surgery on minors. Supporters argued it would protect minors and hold doctors accountable, while opponents said it would discriminate against transgender youth, increase malpractice costs, chill medical care, and reduce provider availability. The Senate also debated SB 1124 on psychiatric evaluations ordered by boards, SB 1496 on Department of Child Safety procedures and representative payees, and SB 1713 on AHCCCS procurement contracting, with concerns raised about access, delays, and agency discretion. SB 1813, dealing with the state hospital governing board and Maricopa County bed limits, prompted debate over litigation risk versus expanding capacity for people with serious mental illness. In later calendars, the Senate advanced SB 1246 on homeowners associations and foreclosure, SB 1271 on municipal authority and alarm-system reporting, SB 1338 on state and local public benefits eligibility, SB 1428 on county board membership, SB 1663 on freedom of speech and the Freedom of Speech Monument Committee, SB 1688 on membership association fees and disclosures, SB 1805 on county recorder/court claim deeds and notaries, SCR 1024 on legislative qualifications and residency requirements, and SB 1808 on homeowners associations and county flags. SB 1338 drew opposition from Sen. Kuby, who said it would remove refugees, DACA recipients, and asylum seekers from eligibility for state and local benefits. SCR 1024 was amended to require one year of party affiliation in addition to district residency, and the sponsor explained it was intended to align party and district requirements. Most measures were adopted from Committee of the Whole with do-pass recommendations, many as amended.

Transcript Highlights:

• An archived copy will be made available on the Legislature's website and will be available for future
• we need—we lost, I think, 500 beds at least.
• available.
• They're looking around, there's no bed available. So are they also asking for an OPC?
• But they're coming specifically for a bed in a treatment program that's not available in Massachusetts

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on several harm reduction bills, including measures to decriminalize simple possession and paraphernalia, authorize overdose prevention centers, and expand access to naloxone for first responders. Chair Mindy Domb and Senator John Velis opened by describing harm reduction as an evidence-based public health strategy and noting Massachusetts’ recent decline in fatal overdoses. They emphasized that testimony would help shape whether and how the bills advance, and explained the hearing process, including time limits and written testimony. Testimony was sharply divided. Supporters, including Rep. Kate Donaghue, Sen. Cindy Friedman, Rep. Marjorie Decker, Rep. Manny Cruz, public health professionals, recovery advocates, and people with lived experience, argued that harm reduction saves lives, reduces stigma, and can connect people to treatment. They supported overdose prevention centers and decriminalization as tools to keep people alive long enough to enter recovery, and several speakers described personal losses to overdose or family experiences with addiction. Some supporters also framed the bills as racial justice measures, arguing that criminal penalties for possession have disproportionately harmed Black and brown communities. Opponents, including Sen. Nick Collins and several South End residents, argued that overdose prevention centers and decriminalization would worsen public drug use, crime, and neighborhood disorder, especially around Mass and Cass. They said current approaches such as Section 35, diversion, and police leverage into treatment are more effective, and they urged more treatment beds and recovery facilities instead of harm reduction sites. Committee members questioned witnesses about research, local siting, crime data, and the relationship between harm reduction and treatment, and several members said neighborhood impacts must be considered alongside overdose prevention. The committee did not take a vote during the hearing; it continued receiving testimony and announced a later break before resuming on H. 2196 and S. 1393.

Transcript Highlights:

• It's available.
• And that's another hundred and, or 96 beds.
• at is that we would have 408 general population beds and then 192 preferred housing beds, which is what
• That money will be available there.
• We could make it available electronically.

Keywords: 908, all

Transcript Highlights:

• And as everybody says, you can't get into Albuquerque, we don't have beds, right?
• I'll pick hospital beds as just one example because so much of the... ...hospital beds as just one example
• That are available to support the cost of the residents and reimburse the providers.
• Richards has spoken to has availed itself.
• It's 131 beds. We have 131 individuals residing in that new facility in Truth or Consequences.

Bills: SB37, SB29

Keywords: high-quality literacy instruction, science of reading, structured literacy, reading instruction, literacy assessment, dyslexia screening, phonics, phonemic awareness, fluency, vocabulary, comprehension, biliteracy, English language learner, ELL, bilingual education, dual language program, reading intervention, reading difficulty, reading improvement plan, literacy coach

Transcript Highlights:

• Let's solve the immediate crisis right now, get you into a bed.
• Let's solve the immediate crisis right now, get you into a bed.
• With that, I'm available for questions. ...legislation similar to this one.
• With that, I'm available for questions. Members, any questions for Anilke?
• You have auditing tools available to you in this body.

Bills: HB2048, HB2189, HB2248, HB2403, HB2728, HB2729, HB2730, HB2731, HB2906, HCR2058

Keywords: orders of protection, domestic violence, court procedures, legal guardian, enforcement, healthcare, licensed health aides, scope of practice, ventilator care, training standards, medical freedom, healthcare mandates, employment requirements, public health, government regulation, elderly, physical disabilities, Arizona Health Care Cost Containment System, home and community based services, funding increase

Summary: The committee first heard a presentation from Central Arizona Shelter Services (CASS) on homelessness in Maricopa County and CASS programs for single adults, families, and older adults. The witness described rising homelessness, especially among older adults, and said recent declines were linked to American Rescue Plan Act funding for shelters and flexible rental assistance. Members asked about CASS partnerships with mutual aid and service organizations; the witness described collaborations for food, banking, haircuts, digital access, and behavioral health. No vote was taken on this presentation. The committee then considered HB 2248, the Arizona Medical Freedom Act, which would bar businesses, schools, and government entities from denying services or employment based on medical interventions and limit employer medical requirements, with a school outbreak amendment adopted. Proponents framed the bill as protecting bodily autonomy and informed consent, while opponents argued it would weaken employers’ ability to control communicable diseases and protect public health. The committee adopted the amendment and advanced the bill on a 4-3 vote. It also advanced HB 2906, requiring one oral and maxillofacial surgeon on the State Board of Dental Examiners, and HB 2189, directing the Nursing Board to implement rules for licensed health aides performing routine ventilator care; both passed with amendments and strong support from sponsors and board representatives. Later, the committee approved HB 2403, appropriating $2.5 million in FY2027 for home- and community-based services providers serving elderly and physically disabled Arizonans. Supporters said the funding would help retain caregivers and reduce more expensive hospital or facility care. The committee also passed several continuation bills, including HB 2731 for the Physician Assistants Board, HB 2730 for the Occupational Therapy Board, and HB 2729 for the Nursing Board, all on largely party-line or near-unanimous votes after testimony from board staff emphasizing public protection and oversight. The committee then took up HB 2728, a DES continuation bill that also incorporated nine previously vetoed policy bills affecting SNAP, unemployment, and related benefits. Opponents argued it would make access to essential benefits harder and turn a routine continuation bill into a vehicle for controversial policy changes; supporters said it was needed for oversight and program integrity. The bill advanced on a 4-3 vote. Finally, the committee approved HB 2048, a strike-everything amendment requiring AHCCCS to treat a new non-opioid pain medication no more restrictively than opioids in utilization controls, and ACR 2058, which would require a comprehensive Medicaid claims audit funded by recoveries. Both measures drew support from sponsors and some personal testimony, while opponents warned about cost, duplication of oversight, and incentives that could bias audits; each advanced on 4-3 votes. The committee then adjourned.

Transcript Highlights:

• So it's not that we have more foster parents; we have numbers of beds within the home.
• So you're right, there is an additional number of foster beds than a number of kids.
• There is an additional number of foster beds than a number of kids.
• So we are doing, and we have done, a study to project the need for the number of foster beds and other
• And so we wanted the money to be available to them for perhaps education or something like that further

Keywords: 996, all

Transcript Highlights:

• Next, the President asked for beds.
• President Trump is looking for more beds to hold criminal illegals waiting to be deported.
• This bill partners, Beds to hold criminal illegals waiting to be deported.
• detention beds for criminals awaiting deportation.
• And additionally, the governor and cabinet will review the number of vacant detention beds available

Summary: The Senate opened with prayer, the pledge, and a moment of silence honoring former Senator and Judge Thomas Gallen. The chamber then moved to special order items focused on immigration and related enforcement measures. Senate Memorial 6C, urging the U.S. Department of Homeland Security to provide guidance and training for 287(g) agreements, passed by voice vote. The Senate then took up Senate Bill 4C, an immigration measure that would impose a mandatory death penalty for unauthorized aliens convicted of capital felonies and create state crimes for illegal entry and re-entry. Senators Pizzo, Polsky, and Sharief raised concerns about constitutional issues, plea bargaining, trial and penalty-phase procedures, prosecutorial discretion, and the effect on victims’ families. Supporters, including Senators Fine and Gruters, argued the bill was a strong deterrent and a response to serious crimes committed by undocumented immigrants. The bill passed 25-11. The chamber next debated Senate Bill 2C, a broader immigration enforcement package. The bill would create a State Board of Immigration Enforcement, expand local-federal cooperation, fund detention and enforcement efforts, strengthen pretrial detention rules for unauthorized aliens, and end in-state tuition waivers for undocumented students. Senators Davis and Pizzo questioned enforcement mechanics, jurisdiction, bond procedures, and whether local agencies were actually mandated to participate; supporters said the bill was designed to maximize cooperation with federal authorities and the Trump administration. A late-filed amendment by Senator Pizzo to preserve tuition waivers for current students failed 14-22, and a second amendment was withdrawn after discussion. Debate then continued on the bill, with opponents arguing it was costly, federal in nature, and harmful to Dreamers and other students, while supporters said it was necessary to crack down on illegal immigration and align state policy with federal enforcement priorities.

Transcript Highlights:

• As part of our BED program, the federal fund, $382 million, we ran two bidding processes.
• As part of our BED program, the federal fund, $382 million, we ran two bidding processes.
• The reference that I made to Starlink and Amazon Project Kuiper was specifically for the BED program,
• where the federal government mandated that we consider all companies, whether Specifically for the BED
• I mean, we have Starlink, but there's nothing available.

Keywords: 996, all

Transcript Highlights:

• <00:02:18.160> for were told there wouldn't be a bed for were told there wouldn't be a bed
• Uh all I got in reply was we available?
• residents and then they'll have a bed residents and then they'll have a bed for<00:37:16.880>
• Effective available monies are tight.
• We aren't just sleeping in our own beds or hanging out.

Bills: HF2216, HF1978, HF2354, HF1963, HF1994, HF1995, HF1894

Keywords: assisted living, nursing home, long-term care, guardian, conservator, resident rights, arbitration, mandatory arbitration, consumer protection, fee increase, rate increase, price hike, private pay, public funds, Medicaid, waiver services, elderly, seniors, older adults, disability rights

Transcript Highlights:

• I think what I The freeing up beds has been a legislative concern.
• There are some people who do still bring up the beds issue. That can be resolved.
• Ness, I want to compliment. the freeing up beds has been a legislative concern.
• You know, 2024, 2025 data is all available?
• And the 600-bed prison that we’re planning is not enough. No.

Summary: The committee opened with a moment of silence honoring a deceased member, then approved the April minutes. The first major presentation was from Chelsea Florey of Child and Family Services on the Diversion Task Force and related grant programs created with one-time funding from HB 1012. She reported that five of six proposals were funded, with youth diversion services operating in Bismarck, Fargo, Grand Forks, Minot, and a Red River Children’s Advocacy Center program focused on problematic sexualized behavior. Members discussed barriers such as staffing shortages, voluntary family engagement, service fatigue, and the need for better coordination, broader outreach, and possible changes to diversion eligibility rules so low-level cases can remain in diversion longer. Several legislators pressed for more practical system changes and clearer service navigation, while Florey said the task force is trying to build a service array or hub and is leaning on the Children’s Cabinet for broader recommendations. The committee then heard from North Dakota Lottery Director Thomas Lawler, who gave an operational overview and biennium report. He described the lottery’s history, games, retailer commissions, Pick and Click subscriptions, Players Club membership, and revenue distribution. For the 2023-25 biennium, about $67 million in tickets were purchased, with roughly $16.2 million transferred overall, including money for the general fund, drug task force grants, and compulsive gambling prevention and treatment. Members asked about the compulsive gambling allocation and whether the amount is set by statute. A lengthy presentation followed from the Department of Corrections and Rehabilitation on criminal justice data connectivity and reentry. Adam Anderson explained that North Dakota’s jail, court, HHS, and correctional systems use multiple separate databases that do not communicate in real time, requiring manual cross-checks and staff communication. He said the department is exploring a centralized hub or other integration approach, but noted challenges with identifiers, vendor contracts, confidentiality, and cost. Robin Schmolenberger then updated the committee on a Medicaid data-sharing project with HHS, saying monthly application assistance is now occurring in correctional facilities and that automated bi-directional data exchange is expected in late 2026 to help suspend and reactivate Medicaid coverage and identify former foster care youth. Members also discussed parole, probation, transitional housing, and the need for better real-time notifications and clearer data definitions. The committee also received an update from county representatives on the 24/7 sobriety program, including a recent attorney general opinion that if a court waives 24/7 fees, sheriffs may use the cheaper twice-daily breath test or urine testing instead of SCRAM bracelets or drug patches. Finally, Bruce Johnson of the Racing Commission presented on an audit report, acknowledging serious findings involving overspending from the promotion fund, grant documentation failures, a breeders fund eligibility reversal, and repeated procurement violations. He said the commission has already changed its procedures by tracking fund limits monthly, requiring grant applications and itemized reports, enforcing breeders fund rules as written, and routing purchases through procurement with written contracts. The committee asked follow-up questions throughout but took no formal votes on these presentations.

Transcript Highlights:

• Senate File 1861 relates to hospital swing bed licensing condition modifications.
• critical access hospital, a 37-bed skilled nursing facility, a home health agency, and an ambulance
• and we have no Assisted Living available and we have no Assisted Living available the<00:05:17.520
• if if Medicaid is uh currently available if if Medicaid is uh currently available this<00:37:18.359
• And finally, we want to be able to clear up their beds.

Keywords: 1187, senate, all

Transcript Highlights:

• of healthy food being available.
• And the tech one, there's so much to know in the tech one that's available.
• So if you could be available. Work on any bills that have not been acted on.
• Crisis stabilization beds.
• Ensuring each region has readily available crisis stabilization beds would also mean that families, often

Bills: HB1623

Keywords: HB 1623, North Dakota, rural health, rural health transformation program, medical facility infrastructure loan fund, medical facility infrastructure loan program, rural health loan program, Bank of North Dakota, Department of Health and Human Services, HHS, federal grant, health care infrastructure, rural hospitals, critical access hospitals, nonprofit health care providers, gap financing, loan fund, public health funding, healthcare financing, Medicaid

Summary: The committee heard House Bill 1623, the appropriations bill tied to North Dakota’s Rural Health Transformation Program, which is funded through a new federal rural health care grant. Senator Bekkedahl explained the bill’s background, the interim committee process that developed it, and the federal conditions attached to the award, including spending deadlines, administrative cost limits, and restrictions on uses such as new construction, supplanting existing funding, and certain other costs. Legislative staff then walked through the seven sections of the bill, including appropriation authority, transfer authority, contingent appropriations for pass-through grants, procurement and public improvement exemptions, recipient reporting, legislative reporting, and immediate effective date. Commissioner Traynor and HHS staff described how the department plans to implement the program, emphasizing that the funding is intended to improve rural access, workforce recruitment and retention, technology and data connectivity, and community health initiatives. They said the department will rely on local applications, technical assistance, templates, listening sessions, and partnerships with providers, schools, public health units, tribal entities, and other community groups. Members asked about reimbursement timing, upfront costs, administrative expenses, sustainability after the five-year grant period, and whether CTE centers, public health units, gyms, grocery stores, and other community partners could participate; the department said yes, within program rules and with a focus on measurable outcomes and sustainability. Several supporters testified in favor. Mental Health America of North Dakota and the Mental Health Advocacy Network supported the bill and urged investment in community-based mental health, crisis response, children’s services, peer support, and mobile crisis teams. HIA Health described the grant as a chance to expand home-based and hospice care, noting that rural providers already have workable models but need funding to scale them. A cybersecurity representative also supported the bill, warning that the large amount of health data and AI-related tools will require strong data protection and professional support. The hearing was closed with no opposition testimony, and the committee announced it would return later in the day for further work on the bill and other measures.

Transcript Highlights:

• An archived copy of it will be made available on the Legislature's website and will be available for
• For example, the two Wildflower peer respites have three beds and five beds, so those are three-bed and
• five-bed numbers.
• To study, even though there's a ton of research already available.
• For too many, the help available still falls short.

Keywords: 995, all

Summary: The hearing opened with remarks from House Chair Mindy Domb and Senate Vice Chair Robyn Kennedy, who outlined procedures for the hybrid public hearing, noted the committee would hear testimony on 15 bills related to treatment settings, and recognized members present. The first major bill discussed was H. 4200, authorizing a pilot program for psychedelic-assisted treatment in licensed facilities. Representative Jim O’Day and witnesses from Control Z supported the bill, describing it as a tightly controlled, medically supervised pilot with DPH oversight, limited sites, and screening requirements. Committee members asked about the number of sites and whether Column Health still existed; witnesses said the bill contemplated three separate pilot programs and that Column Health no longer existed after being purchased by another company. The committee also heard testimony on S. 1405 to make the drug stewardship program permanent by removing its 2026 sunset date. Senator John Keenan and others said the program helps collect and safely dispose of unused medications, reduces diversion, and should remain in place because manufacturers should bear disposal costs. A member from Boston added support based on local concerns about people searching through bags for drugs, and Keenan explained the original sunset reflected pilot status and industry pushback. A large portion of the hearing focused on S. 1394 and H. 2193, which would strengthen implementation of the 2023 Roadmap for Behavioral Health Reform. The Children’s Mental Health Campaign, Parent/Professional Advocacy League, Massachusetts Association for Mental Health, and Elliott Community Human Services testified that the roadmap’s helpline, community behavioral health centers, and crisis services are important but unevenly implemented. They urged a single point of accountability within EOHHS, regular strategic planning, a public data dashboard, and financial analysis of the behavioral health system and the access and crisis intervention trust fund. Witnesses said commercial insurance often does not fully reimburse community behavioral health center services, making sustainability difficult, and asked for better coordination across agencies and crisis response systems. Committee members asked whether the roadmap includes substance use disorder; witnesses said it is intended to cover behavioral health broadly, including mental health and substance use. The committee also heard testimony on bills to ban aversives and on suicide prevention signage. Lisa Jean Graff testified in support of S. 1394 by urging a statewide ban on aversive practices, including electric shock, withholding food or bathroom access, and other painful interventions, arguing disabled people deserve the same protections from harm as others. Fonda Bryant and Carol McLean supported a bill requiring suicide prevention signs on tall parking garages, describing personal experiences and saying the signs could create a brief pause and connect people to 988 or other help. McLean said her son died by suicide from a parking garage and that signage might have made a difference. The committee also heard strong testimony in support of creating intensive stabilization and treatment units within DMH facilities (S. 1398/H. 2204), with the Massachusetts Nurses Association and a DMH nurse arguing that highly assaultive patients need specialized, more secure units to protect staff and other patients and to improve care. Additional testimony supported creating a dedicated board for licensed mental health counselors (H. 4696/S. 1382), with Rep. John Badger, the Mass Mental Health Counselors Association, and others saying LMHCs are a large and growing workforce that needs its own licensing board, clearer standards, and faster implementation of existing licensure reforms. The committee also heard extensive testimony on H. 2223 regarding benzodiazepines and non-benzodiazepine hypnotics. Survivors and advocates described severe withdrawal, lack of informed consent, cognitive harms, and long-term disability, while a physician supported the bill as a way to improve disclosure of risks. Finally, the committee heard multiple witnesses in favor of H. 2231/S. 1383 to establish peer-run respite centers statewide. Advocates and people with lived experience said peer respites provide non-coercive, home-like alternatives to hospitalization, can reduce trauma and repeated admissions, and may be especially important for marginalized communities; they also cited cost savings and existing positive outcomes from current respite programs. No votes or final committee actions were taken during the hearing portion reflected in the transcript.

Transcript Highlights:

• So Allina decided to close overnight pediatric beds, and Mercy, we had a meeting, and they even took
• there's but they they Clos those beds there's but they they Clos those beds without<00:10:19.720
• <00:10:25.880> well said well there's only two beds well said well there's only two beds well
• A social worker can provide insight on available resources.
• Seeing none, I do think it's an important mode that should be available to people.

Keywords: 1187, senate, all

Transcript Highlights:

• Are we talking about 4,000 beds? Is will that talking about 4,000 beds?
• So, this this 2,000 beds versus 4,000. So, this this 2,000 beds versus 4,000.
• So, we're beds are a priority of us. So, we're beds are a priority of us.
• It's it's for whatever is available in those areas, but it's available in those areas, but it's available
• So in would be available to them. Okay? So in would be available to them. Okay?

Bills: HJR 4, HJR 6, HB 195, HB 13, HB 143, HB 135

Keywords: occupation tax, securities, financial regulation, tax exemption, legislative amendment, capital gains tax, realized gains, unrealized gains, investment income, asset sale, capital assets, wealth tax, estate tax, trust tax, tax limitation, constitutional amendment, Texas Constitution, Article VIII, property tax, sales tax

Transcript Highlights:

• beyond this notion that shelter is a bed beyond this notion that shelter is a bed I<02:16:13.000
• Adult shelter beds are by bed night, and we operate a program that's beyond beds so that we can help
• Adult shelter beds are by bed night, and we operate a program that's beyond beds so that we can help
• Adult shelter beds are by bed night, and we operate a program that's beyond beds so that we can help
• than a bed.

Keywords: 928, house, all

Summary: The Finance Committee held a hearing on several bills and announced at the outset that no votes would be taken because the measures would go to divisions later. The first major bill, HB 197, would require the state to pay 7.5% of political subdivision employer pension contributions for teachers, police officers, and firefighters. Representative Mike Edgar, the prime sponsor, argued the state had repeatedly reduced and then eliminated its promised share of retirement costs, shifting the burden to municipalities and property taxpayers. He said the bill would partially restore that commitment and provide relief to local governments, businesses, and taxpayers. Several witnesses testified in support of HB 197, including Representative John Cluder, Bradford selectman Marlene Fryer, the New Hampshire Municipal Association’s Margaret Burns, and Epping representative Mark Fone. Supporters said the bill would help with property tax pressure, school budgets, and municipal hiring, and they emphasized that much of the retirement cost reflects unfunded liability decisions made at the state level rather than by local governments. Committee members questioned whether the bill would change local incentives to control costs and how it would affect hiring and compensation. Burns said the state contribution would function as property tax relief because it offsets existing municipal expenses, and she noted the state is already on a long-term schedule to pay down the retirement system’s unfunded liability. After closing the hearing on HB 197, the committee opened a hearing on HB 97, introduced by Representative Tom Buco. He said the bill would continue funding for delayed and deferred wastewater projects and help municipalities finance expensive wastewater infrastructure, which he tied to housing development and local debt planning. No action or votes were taken on either bill during the hearing.

Transcript Highlights:

• And sort of we're saying, I'm going to build a facility with 50 beds.
• And so 25 beds are filled the whole year, right?
• Because any bed they hold is a bed that can't be used for somebody. Right?
• Because any bed they hold is a bed that can't be used for somebody else, right?
• And then we take 72 more beds out of the man camp.

Keywords: 908, all

Summary: The committee first took up Senate Bill 2399, concerning therapeutic leave days for psychiatric residential treatment facilities (PRTFs). Sarah Aker from the Department of Health and Human Services explained the current Medicaid rate-setting methodology, how occupancy affects rates, and why paying the full rate for leave days would create additional fiscal impact. Members debated whether the bill should pay the full Medicaid rate, a flat reduced rate, or a tiered rate, and discussed whether a cap or department authorization should be used to control use of leave days. The department said it was not supporting the change as it was not in the governor’s budget, though it supported family engagement in care. After discussion, the committee settled on a compromise motion to set therapeutic leave days at a $500 daily rate and require department authorization of the number of leave days. The motion passed 6-2, with Representative Anderson voting no and the rest of the recorded members voting yes. The committee then moved on to Department of Corrections and Rehabilitation budget materials, where Michelle Zander walked through detailed population and rate calculations for women’s and men’s facilities, county holds, deferred admissions, transitional facilities, work release, and proposed reentry, man camp, and Grand Forks-related costs. Members asked about the county jail reimbursement rates and the overall pool of funds, and Zander explained the calculations and noted the proposal was roughly break-even depending on assumptions. The committee also heard an overview of DOCR IT requests from Amy and NDIT staff, including data processing, medical modules, a new client management system, body scanners, data management tools, facility management software, medical software upgrades, college solutions, and body cameras/tasers. Staff explained that the new client management system would likely be a multi-phase project with a wide cost range based on vendor selection and scope, and that the current request was for phase one. Members emphasized the importance of better data tracking, staff safety tools, and information that could help explain programming and release outcomes to the public. The committee planned to continue with Veterans Affairs the next day and then return to Senate Bill 2015.

Transcript Highlights:

• We are not adding any bed space.
• any bed space. any bed space.
• new beds. new beds.
• It does not add any new beds.
• those beds, you will fill those beds by any means necessary.

Bills: HF4094, HF3390, HF3813, HF3583, HF3751, HF4324, HF4789, HF3596, HF4033, HF4424, HF4053

Keywords: Crosby, local sales tax, bonding authority, community projects, voter approval, Owatonna, use tax, special law, community center, municipal finance, capital project, sales and use tax, local option tax, city tax, public facility, general election, bond referendum, debt limit, levy limit, Minnesota local government