Video & Transcript Research : 'interoperable communications'
Page 219 of 500
TX
Transcript Highlights:
- You live in my community in the area. Fourteen counties, the tier one.
- Our school district, the pride of our community, is struggling mightily.
- I urge you all to consider the unique challenges our coastal communities and schools face.
- These facilities are not only centers of education but also hubs of community life.
- Parents in our community asked for our school as an option.
Bills:
HB178, HB178, HB1551, HB1939, HB2040, HB2354, HB2674, HB3029, HB3460, HB3631, HB3662, HB5201, HB5381
Keywords:
efficiency audit, political subdivision, tax rate, fiscal management, government accountability, Texas education, public schools, curriculum, social studies, high school graduation requirements, State Board of Education, Education Code, ethnic studies, world history, world geography, U.S. history, government, economics, personal financial literacy, free enterprise
KY
Kentucky 2025 Regular Session
Senate Standing Committee on Economic Development, Tourism, & Labor. (2-13-25)
Transcript Highlights:
- I'm the CEO of the Kentucky Association of Community Rehabilitation Providers. Hi, I'm Dr.
- And so what Senator Carroll is referring to will help us as community rehabilitation providers to be
- referring to will help us as Community referring to will help us as Community Rehabilitation<00:
- them get involved in Community them get involved in Community employment<00:16:00.319>
it - uh when our kids are working communities uh when our kids are working uh<00:16:07.600>
and <00
Keywords:
Meeting Start 00:00
Roll Call 00:13
SB 15 Discussion 00:45
SB 15 Vote 08:40
SB 103 Discussion 11:12
SB 103 Vote 29:49, 958, all
Summary:
The Senate Committee for Economic Development, Tourism, and Labor heard two bills. Senate Bill 15, sponsored by Sen. Amanda Bledsoe, was presented with testimony from Major League Baseball in support of exempting minor league baseball players from Kentucky wage-and-hour treatment. Witnesses said the bill would preserve the negotiated collective bargaining structure for players, avoid impractical time-tracking requirements, and keep Kentucky aligned with other states. Senators discussed minor league salary levels, the importance of baseball to Kentucky communities, and the bill’s relationship to minimum wage law. The committee then took a roll call vote and passed the bill with unanimous support from members present.
The committee next heard Senate Bill 103 from Sen. Danny Carroll, which would require the Office of Vocational Rehabilitation to adopt regulations under Chapter 13A, limit reciprocal agreements with other states until in-state provider contracts are exhausted, establish procedures for service fee memos before a new fiscal year, and require an annual report with operating and financial information. Testimony from community rehabilitation providers and disability advocates emphasized that the bill would increase transparency, protect local providers, and improve services for people with disabilities seeking competitive employment. They said Kentucky has a large disability population, that many working-age individuals with disabilities are not employed, and that better oversight could help address workforce shortages and reduce reliance on public assistance. Senators asked about the disability population, age ranges served, funding, and recent changes to provider rates and selection processes. The committee then voted to pass Senate Bill 103 unanimously.
MN
Transcript Highlights:
- . community. community.
- So why have a community services.
- admitted from community hospitals. admitted from community hospitals.
- avoidable days in community hospitals. avoidable days in community hospitals.
- community care hub with everything else. community care hub with everything else.
HI
Hawaii 2026 Regular Session
EDN Public Hearing - Thu Feb 19, 2026 @ 2:00 PM HST
Transcript Highlights:
- or communities that are not necessarily a part of the urban core.
- <01:15:30.480>
or <01:15:31.040>communities >> or in rural communities or communities - >> or in rural communities or communities that<01:15:31.600>
are <01:15:32.000>not - school is as unique as the community school is as unique as the community they<01:44:20.000>
- But the on the communities they in.
Summary:
The committee heard testimony on HB 2485, which would require cardiovascular screening for student athletes. The Department of Education and Department of Health said they support the bill’s intent but noted that many screenings are already part of existing school-entry and well-child exams. The Attorney General’s office asked for clarifying language on who performs the screenings, where results go, how “positive findings” are defined, how referrals would work, and whether funding would be appropriated if DOE must hire health professionals. The American Heart Association strongly supported the bill, citing the risk of sudden cardiac arrest in young athletes and arguing that sports physicals are an effective opportunity for early detection. No vote was taken, and the committee moved on after testimony.
The committee then heard HB 89, concerning a school psychologist working group and possible licensing or credentialing of school psychologists. The Department of Education and Board of Psychology supported the measure. The Hawaii Psychological Association said it supports licensing school psychologists but asked to be included in the working group, arguing it is an important stakeholder. The Hawaii Association of School Psychologists opposed including HPA, saying the issue is between school psychologists and DCCA and that HPA is not part of their organization. Testimony and discussion focused on the long-running disagreement over whether school psychologists should be regulated under the Board of Psychology or another mechanism, and on title protection and scope of practice. No action was reported during this portion.
The committee also took up HB 2445, relating to standardized emergency responses for immigration enforcement at or near schools. The Department of Education said it already issued internal law-enforcement guidance and questioned whether the bill was necessary, while also raising concerns about the bill’s 1,000-foot buffer language and the limits of school authority over activity off campus. The Board of Education echoed those concerns and suggested the bill may need clearer definitions. Supporters, including the White Coalition for Immigrant Rights, the Legal Clinic, and an attorney testifying on Know Your Rights training, argued that recent federal changes have increased ICE activity near schools and that a law is needed to ensure clear, public protocols, staff training, and family protections. A student testifier said the measure was a top priority of the state student council. The transcript ends during testimony, with no vote or final committee action shown.
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Veterans, Military Affairs, & Public Protection (9-24-25)
Transcript Highlights:
- Next slide, their local communities.
- some of these small communities face. some of these small communities face.
- . communications. communications.
- :03:17.119>
is know, the off-road community is know, the off-road community is definitely<01:03 - :37.600>
Kentucky <01:20:38.000>in military community in Kentucky in military community
Summary:
The committee met with a quorum, approved the August minutes, and heard a brief announcement from Senator Richardson about the Missing in America Project interring unclaimed veterans’ remains at the Western Kentucky Veterans Cemetery in Hopkinsville. He read the names of several veterans being laid to rest with military honors, and the chair thanked the volunteers involved in the effort.
The main presentation was an update on Kentucky’s urban search and rescue program from the Department of Military Affairs and Kentucky Emergency Management. Officials said the program is being built around two regional task force hubs, a helicopter aquatic rescue team, an incident support team, and a rescue aid fund for local search and rescue units. They reported that the $8.3 million appropriated for the program in the 2025 budget was fully executed, that $482,670 of the rescue aid fund went to 29 local teams, and that $493,592 has already been allocated in the current year to 36 teams. They also described warehouse and equipment purchases, staffing with full-time and part-time personnel, and a new training site on state property for collapsed-structure and multi-agency exercises.
Officials said the program has already been used in recent disasters, including flood response and urban search and rescue operations in several parts of the state, and claimed the effort has impacted more than 1,500 citizens through rescues, evacuations, and related assistance. They said the helicopter aquatic rescue team is fully operational, the task force roster should be finalized by January, incident support should be online by April, and the full program should be deployable by June 30 or July 1, 2026. Members asked about statewide response times, K-9 search capabilities, and the long-term cost of the program, including concerns about reliance on federal matching funds. The presenters said K-9 assets will be part of the task force, that pre-positioning during forecasted storms can reduce response times significantly, and that they would provide more detailed budget information later.
MN
Transcript Highlights:
- reduction, reuse, communities for reduction, reuse, community<01:07:35.119>
composting, <01:07 - :35.920>
and <01:07:36.160>strong community composting, and strong community composting - environment tremendous community and environment tremendous community and environment that<01:20:
- So, I'm very fond of my community and I understand the growth opportunities in our community.
- <01:46:35.440>
to flexibility as a local community to flexibility as a local community to
MA
Massachusetts 2025-2026 Regular Session
Formal House Session 84 Jun 21st, 2026 at 11:00 am
Massachusetts House Floor Meeting
Transcript Highlights:
- Instead of supporting safety net hospitals and community health centers, federal policy has stripped
- House Bill 4530 provides temporary but necessary funding to sustain our hospitals and community health
- Massachusetts hospitals and community health centers do not turn people away.
- transfer will allow hospitals and community health centers to keep their doors open and ensure that
- It is a recommitment to our providers, our patients, and our communities.
Summary:
The House opened with the pledge and quickly took up several committee reports and local matters. It adopted a resolution congratulating Captain Mark S. Tommel on his retirement as fire captain in Maynard. The chamber then advanced multiple bills from Ways and Means, including a fiscal year 2025 supplemental appropriations bill (House 4530), a bill setting the 2026 state primary election date (House 4531), and a local bill on affordable housing and branch library space in Dorchester (House 4532, with an amendment). It also passed to enact two local bills already on final passage: one authorizing Lexington to grant additional on-premises wine and malt beverage licenses and another authorizing Melrose to establish a means-tested senior property tax exemption.
The most substantial debate centered on House 4530, the supplemental appropriations bill. Representative Lawn spoke in support, describing it as an urgent response to federal health care funding cuts and emphasizing support for safety net hospitals, community health centers, and the Health Safety Net. He cited a total $234 million investment, including $122 million for acute care hospitals, $35 million for community health centers, $2.5 million for the Massachusetts League of Community Health Centers, and $77 million for the Health Safety Net. After a roll call vote, the House passed the bill to be engrossed by a vote of 148-1.
The House also observed a moment of silence in memory of former House clerk Bartley J. Bart Joyce, recognizing his long service to the chamber. Earlier, members briefly recessed and later resumed after a quorum issue and a roll call. The session concluded with adoption of an order to meet the next day at 11 a.m., and the House adjourned to meet Thursday in informal session.
CA
California 2025-2026 Regular Session
Assembly Communications and Conveyance Committee Apr 21st, 2026
Transcript Highlights:
- The Communications and Conveyance Committee is now called to order.
- We're also joined by Emilio Perez, Chief Consultant, Communications Committee; Elizabeth Delgado, the
- I'm here to present AB 2790 on behalf of the Communications and Conveyance Committee.
- This is for AB 2790, Communications and Conveyance Committee bill. It is due pass.
- Okay, that bill, AB 2790, from the Committee on Communications and Conveyance, is at 9 to 0.
Summary:
The Assembly Communications and Conveyance Committee met with Chair Tasha Berner presiding and reviewed one item, AB 2790, a committee bill concerning the California Teleconnect Fund. The chair opened with extensive ground rules on orderly conduct and public comment, then the committee secretary called the roll and established a quorum. The bill was described as updating eligibility and administrative procedures for the CTF, clarifying treatment of non-instructional facilities, and revising how applicants coordinate CTF applications with the federal E-Rate program.
Supporters said the measure responds to concerns raised in a prior oversight hearing about CPUC rulemaking that could make the program harder for schools and other eligible entities to use. Kim Lewis of CENIC said the bill would preserve continuity, stability, and fairness for broadband support to educational and research institutions, while Christina DeCaro of the California Library Association and Kimberly Rosenberger on behalf of Superintendent Tony Thurmond also voiced support. No opposition testimony was presented.
The committee then voted to pass AB 2790 and refer it to the Assembly Committee on Appropriations. The roll was left open briefly for additional votes, and the bill ultimately passed 9-0 before the committee adjourned.
VT
Transcript Highlights:
- <00:09:26.520>
design, transportation, and community design, transportation, and community - ,<00:09:47.080>
and <00:09:47.240>other local communities, and other local communities - its communities, and its history. its communities, and its history.
- communities feel impossible. communities feel impossible.
- <00:54:37.680>
communicating importance of communing communicating importance of communing
Summary:
The House opened with a devotional by former member Jason Lorber, who spoke humorously about the difference between asking questions and making statements, urging members to be direct and add value in deliberation. The chamber then took up several resolutions: JRH 11, urging Congress to enact the National Infrastructure Bank Act of 2025, was read and referred to the Committee on Commerce and Economic Development; JRS 51, setting weekend adjournment for May 1, 2026, was adopted in concurrence; and H.C.R. 261 was read, recognizing May 2026 as Older Americans Month and designating May 6, 2026 as Age Strong Vermont Day. Members also used announcements to welcome guests and highlight events, including the Age Strong Vermont initiative, a former member’s return, visitors connected to psychedelic medicine advocacy, an art social, fisheries and trout-in-the-classroom guests, a legislative intern, and a reminder about the May 16 NAMI walk.
The House then took up Senate Bill 230, an omnibus labor measure relating to fair employment practices. The committee explanation described technical clarifications to parental and family leave for full-time teachers, expansion of protections for survivors of domestic violence, sexual assault, and stalking, removal of outdated statutory language on mandatory retirement for tenured faculty, and clarification that elected and appointed municipal officers are not employees for minimum wage and overtime purposes. The main new policy in section 3B would prohibit non-compete agreements for non-exempt employees, with an exception for collective bargaining agreements, and would restrict certain non-compete and related clauses in health care provider contracts while preserving continuity of care and excluding non-clinical business support services. The committee reported extensive testimony and voted 11-0-0 to recommend the bill favorably with amendment; the House agreed to propose the amendment to the Senate and ordered third reading.
The House also began consideration of Senate Bill 179, updating Vermont’s Uniform Disclaimer of Property Interests Act. The committee presentation explained that the bill would eliminate the current 9-month deadline for disclaimers, reflecting changes in federal tax law and the much larger modern estate and gift tax exclusion, and would modernize the statute in several ways. Proposed changes include clearer rules for jointly held property, allowing pre-death disclaimers, authorizing trustees and parents in limited circumstances to disclaim on behalf of trusts or minor children, permitting disclaimers by proxy for infirm persons, clarifying partial disclaimers and entity disclaimers, improving delivery rules for non-real-estate property, and specifying that a disclaimer is not a transfer for transfer-tax purposes. The bill was described as a response to outdated law in light of an impending large intergenerational wealth transfer, and the House proceeded with second reading discussion.
FL
Florida 2026 Regular Session
FL House Floor Session - 2025-04-24 (10:00AM Session)
Florida House Floor Meeting
Transcript Highlights:
- Business leaders, and there is no better county to represent, and no finer community.
- to support faith and community organizations serving vulnerable Floridians.
- That were sent to Florida's faith and community leaders.
- He has come down to my community.
- So I understand some of the concerns from the community.
Summary:
The Senate opened with prayer, the Pledge of Allegiance, and several recognitions, including guests from Miami Northwestern Senior High School, Clay County, and a moment of silence for Pope Francis. Members then moved to the special order calendar after adopting a motion to reconsider the earlier failed vote on CS/SB 1080, which was temporarily postponed. The chamber also temporarily postponed several bills during the day, including measures on social media use by minors, veterans’ nursing homes, Parkinson’s disease, mental health and substance use disorders, education, educator preparation, benefits for certain officers injured in the line of duty, Brownfields, and school social workers.
The Senate passed a series of bills with little or no opposition, often substituting House companions for Senate bills. These included expedited DNA testing grants for law enforcement; additional aggravating factors in capital felony sentencing; fertility preservation coverage for cancer patients; commuter rail indemnification; disposition of migrant vessels; specialty license plates; an Alzheimer’s and dementia awareness campaign; relocation of the Council on the Social Status of Black Men and Boys to Florida Memorial University; charter school changes; registration rules for sexual predators and offenders; assault and battery penalties for utility workers; juvenile justice revisions; reporting of student mental health outcomes; foster home licensure transfers; water access facilities and boating-related funding; Florida Virtual School changes; school readiness program improvements; protections against lewd sexual images of children; age-related criminal offense provisions; tampering with electronic monitoring devices; certified recovery residences; and codification of the FSU Election Law Center. Most of these bills passed overwhelmingly, though the charter school bill and the aggravating factors bill drew more divided votes.
One of the most debated measures was SB 820, codifying the Office of Faith and Community. Senator Polsky offered an amendment to bar political activity by office employees while on duty and using government resources, citing alleged election-related emails and concerns about mixing government and religious influence. Supporters argued the amendment was needed as a guardrail; opponents said existing law already covered the conduct and that the amendment could be confusing or overly broad. The amendment failed 13-23, and the underlying bill passed 27-9 after extended debate about faith, politics, and the office’s role. Another notable debate involved SB 954 on certified recovery residences, where senators emphasized the need for stable housing in addiction recovery and the bill passed unanimously after supportive remarks from members who had personal experience with recovery. The Senate also passed SB 674 on bonuses for county tax collector and property appraiser employees after questions about safeguards and the purpose of the bonuses.
FL
Florida 2026 5th Special Session
Senate in Special Session B Jan 28th, 2025
Florida Senate Floor Meeting
Transcript Highlights:
- Are there messages from the governor or other communications? To committee reference.
- You may have an illegal immigrant in the community. They're working.
- And I hope that Senator agrees. ...our communities.
- He has heard that from the people, our people, our communities.
- They're uninvited guests in our communities.
Summary:
The Senate opened with a quorum, prayer, and the Pledge of Allegiance, then read an amended joint proclamation expanding the special session call to include financial penalties for government officials, criminal penalties for offenses committed by illegal aliens, and programs and appropriations to support law enforcement cooperation with federal immigration enforcement. No committee reports, governor’s messages, or House messages were on the desk before the chamber moved to the special order calendar.
The main item was Committee Substitute for Senate Bill 2B, the immigration bill, along with a late-filed strike-all amendment by Senator Gruters. Gruters said the amendment aligned terminology with federal law, increased penalties for crimes by unauthorized aliens, added transnational crime organizations to gang definitions, required stronger participation in the federal 287(g) program, created financial penalties for noncompliance, offered a $1,000 bonus for officers assisting ICE in large operations, directed more information-sharing with federal agencies, and barred DHSMV from issuing licenses or IDs to unauthorized aliens. He framed the bill as supporting President Trump’s immigration agenda and focusing on criminal illegal aliens rather than street-level enforcement.
A long question-and-answer period followed, with Senators Polsky, Pizzo, Smith, Jones, Roscoe, Berman, and others pressing the sponsor on scope, legality, costs, and implementation. Questions focused on whether the bill would require participation beyond jails and detention centers, whether schools or churches could be affected, liability and immunity for local agencies, the size and purpose of the proposed appropriations, and the impact on undocumented students receiving in-state tuition waivers. Gruters and Senator Fine said the 287(g) provisions were intended to apply to jails and detention facilities, that green-card holders and lawful residents would not be affected, and that the tuition waiver repeal would end discounted tuition for students in the country illegally while not affecting their ability to attend. Fine also defended the mandatory death penalty provision for certain capital offenses committed by illegal immigrants, acknowledging it would likely be challenged in court but arguing the bill was designed to test and advance the policy. No final vote or other action on the bill is reflected in the excerpt.
NH
New Hampshire 2026 Regular Session
House Executive Departments and Administration (04/15/2026)
Executive Departments and Administration
Transcript Highlights:
- service array teams in our community. service array teams in our community.
- therapeutic communication. therapeutic communication.
- , established folks within the community, established folks within the community, you<00:31:21.960
- engaged with the medical community. engaged with the medical community.
- communicated that. communicated that.
FL
Transcript Highlights:
- The first part relates to the Florida Small Cities Community Development Block Grant Program.
- Florida's rural economic development initiative already is designed to help rural communities access
- Thank you for communicating with me prior to today.
- We have the right to know in here, to be informed when communicating with AI versus humans.
- A lot of people, in a lot of communities and among the population, do not know what to expect.
Keywords:
special districts, funding, financial assistance, rural community, state agency, economic development, artificial intelligence, personal data protection, consumer rights, chatbot, deceptive practices, government contracts, public records, consumer protection, data privacy, investigations, proprietary information, chatbots, Florida statutes, nonprofit
Summary:
The Committee on Commerce and Tourism heard and advanced several bills focused on economic development, consumer protection, workforce issues, and technology. SB 1076 would raise Florida’s research and development tax credit cap from $9 million to $50 million beginning with the 2027 allocation, and it was reported favorably. SB 1266, as amended, creates a cybersecurity experiential internship and clearance-readiness program with Cyber Florida and was also reported favorably. SB 554, a Florida Bar-backed update to the not-for-profit corporations statute, was approved without opposition. SB 1004, aimed at protecting buyers of dogs and cats from deceptive sales practices and predatory financing at retail pet stores, received supportive testimony from animal welfare advocates and was reported favorably. SB 1074, which sets rounding rules for cash transactions if pennies are unavailable, also passed favorably.
The committee also considered SB 998, the Department of Commerce package, which combines updates to the Small Cities CDBG program, clarification of rural community eligibility, an exemption from a reverter clause for military-related land conveyances, and revisions to E-Verify enforcement. The E-Verify portion drew the most debate, with questions about employer cure periods, treatment of current investigations, and whether the bill creates a loophole for independent contractors. Senator Smith opposed the bill, arguing it creates unequal enforcement between employers and immigrant workers, while Senator Wright supported the military-related provisions. SB 998 was reported favorably on a divided vote.
SB 214, which expands the rural community definition to include special districts in rural counties, was reported favorably. The committee then took up SB 482, an artificial intelligence consumer-protection bill that creates an “AI bill of rights” covering companion chatbots, parental controls for minors, data privacy, de-identified data, unauthorized use of likeness, and enforcement by the Attorney General, with a limited private cause of action for minors. The bill drew extensive testimony both in support and in opposition, including concerns about privacy, age verification, and enforcement, but it was reported favorably. Finally, the committee approved SPB 7030, a public-records exemption tied to Department of Legal Affairs investigations under the AI bill, and adjourned after members requested to be recorded on certain votes.
NM
New Mexico 2025 Regular Session
IC - Legislative Education Study Dec 17th, 2025 at 09:20 am
Transcript Highlights:
- That includes the state, the community, and the school.
- We communicate that we're available to support them in that way if needed.
- with LESC as well as this committee as those communications move forward.
- So a PSB is a Professional Learning Community.
- They want to serve that community.
TX
Transcript Highlights:
- Well, he went on, um, I was director of a community center in Houston.
- And that evening, I took it over to my community center.
- Of Texas A&M community, UTMD Anderson Cancer Center, the Houston Rides for Kids, just to name a few.
- It's one of my great honors to represent the community of Kline, Texas, situated in North Harris County
- Founded by Asher Richardson, Asherton has grown from a small settlement to an important community in
FL
Florida 2025 Regular Session
Community Affairs Mar 25th, 2025
Transcript Highlights:
- >> COMMITTEE ON COMMUNITY AFFAIRS WILL NOW COME TO ORDER.
- PLEASE FIRE EMERGENCY MANAGEMENT, PUBLIC WORKS, ALL ISSUES THAT ARE CRITICAL FOR OUR COMMUNITY TO BE
- ABLE TO KEEP HER COMMUNITIES SAFE.
- WITHIN OUR COMMUNITY ALONE, WE PAY 3.5 MILLION. WE ARE A SMALL COMMUNITY. 2.4 SQUARE MILES.
- IF THAT HAPPENS HOWDY OUR COMMUNITIES REPLACE. THAT IS TIME. CARRIE AND THE.
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 3/23/26
Health Finance and Policy
Transcript Highlights:
- /c><00:03:02.879>
health addresses the state community health addresses the state community health - . community. community.
- <00:57:25.839>
and frontline care in our communities and frontline care in our communities - business community is supporting it. business community is supporting it.
- for good jobs, good community for good jobs, good community development.<01:18:14.880>
And
Keywords:
healthcare, WIC, community health, licensing, speech-language pathology, audiology, contract term limits, healthcare services, provider enrollment, disenrollment, premium payments, medical assistance, substance use disorders, mental health, children's mental health, early childhood, early intervention, consultation grants, Head Start, child care
MN
Transcript Highlights:
- <00:20:24.520>
advisory joined their Community advisory joined their Community advisory committee - by the community-based organizations across the state.
- Senate File 815, Omar Fateh speaking of Community First Services and Supports.
- Correct, because we know that from the disability community that the community is vast and it's not just
- disability community that the community<01:15:25.120>
vast <01:15:25.679>and <01:15:25.800
MN
Minnesota 2025-2026 Regular Session
Committee on Housing and Homelessness Prevention - 02/25/25
Housing and Homelessness Prevention
Transcript Highlights:
- of the Minnesota Consortium of community of the Minnesota Consortium of community developers<00:
- <00:36:59.480>
and on on common interest communities and on on common interest communities - <00:42:34.559>
and <00:42:34.680>homeowners communities and homeowners communities and - <01:07:01.079>
and group on common interest communities and group on common interest communities - because they wanted to make a difference in their community and serve.
KY
Kentucky 2025 Regular Session
Budget Review Subcommittee on Health and Family Service (9-17-25) - Reupload
Transcript Highlights:
- I want to in the community without it.
- We spent alternative community care.
- <00:48:01.200>
care included in alternative community care included in alternative community - <01:07:58.559>
based have the home and community based have the home and community based waiver - have one which is the home and community have one which is the home and community based<01:09:22.960
Summary:
The Health and Family Services committee heard an informational presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults, often with serious mental illness, who do not meet nursing home criteria but need structured supervision, medication assistance, meals, and daily support. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and are supported largely through state supplementation payments and residents’ SSI income.
The presenters argued that the current reimbursement rate of about $50.70 per day is no longer sufficient to cover staffing, food, insurance, utilities, maintenance, and other costs, and said the sector has shrunk significantly over time. They cited figures showing a decline from 64 to 34 homes serving the seriously mentally ill since 2002, with 30 closures over 23 years, and said the loss of beds contributes to homelessness, hospital overcrowding, and longer psychiatric stays. They also gave examples of residents who had spent many months in hospitals before being successfully placed in personal care homes, which they said can prevent more costly institutional care.
Committee members asked about staffing credentials, fraud controls, referral processes, and how reimbursement works in other states. The presenters said Kentucky does not require licensed or certified staff in these facilities, though some homes use certified medication technicians or an LPN, and they described a county case-manager-based assessment process used to set individualized rates in other states such as Minnesota. Members expressed support for the work but emphasized the need for documentation of savings and budget offsets. The presenters said they are seeking an incremental reimbursement increase over two years, roughly 25% to 50% in the first year and another 50% after that, and urged the committee to support the homes to prevent further closures.