Transcript Highlights:

• Carrizo Springs is in the process of closing theirs.
• We didn't remove all the levers, I don't think, through this process.
• We didn't remove all the levers, I don't think, through this process.
• the history of misconduct or felony convictions will be excluded from this process.
• How does that process work?

Bills: HB18, HB37, HB 116, HB388, HB879, HB913, HB 1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744

Keywords: rural health, hospital funding, healthcare access, mental health services, financial stability, perinatal bereavement, healthcare, hospital training, bereavement support, maternal care, fetal demise, stillbirth, neonatal death, parent-child relationship, involuntary termination, family law, child welfare, child protection, HB 388, HB388

Summary: The Senate Committee on Health and Human Services met with a quorum and took up several House and Senate bills, with public testimony limited to two minutes per witness. The committee first heard HB 2358, a cleanup bill requested by HHSC that would repeal outdated training and conference requirements for long-term care facility surveyors and certain providers; there were no witnesses, and the bill was left pending. The committee then heard HB 18, the rural hospital stabilization bill, which would create financial assessment tools, a rural hospital finance office at HHSC, an academy for rural hospital officers, multiple grant programs, enhanced Medicaid reimbursement tied to average cost, OB/GYN add-on payments, expanded pediatric telehealth connectivity, and a rural pediatric mental health program. Senator Perry and witnesses from TORCH, a rural hospital, AARP Texas, and ARCHI strongly supported the bill as a way to stabilize rural hospitals, improve OB access, and address workforce and financial pressures. Committee members discussed rural hospital closures, low-volume quality metrics, system affiliation, and the need for predictable monthly reimbursement; the bill was left pending after testimony and questions. The committee next heard HB 37, which would create a perinatal bereavement care initiative for families experiencing stillbirth, neonatal death, or intrauterine fetal demise, including counseling, staff training, and access to cooling devices, with possible grants and a recognition program for hospitals. Senator Huffman explained the bill, and several witnesses testified in support, sharing personal stories about infant loss and the importance of time with the baby, trained staff, and cuddle cots or similar devices. A neonatologist also supported the bill while suggesting clarification that hospitals should not be penalized if state funding is unavailable and recommending use of regional advisory councils to help implement training. Public testimony was then closed and the bill left pending. The committee also heard HB 879, which would create a streamlined licensing pathway for veterans with medical or nursing experience to practice in Texas, and HB 913, which would add new state hospitals to statute and split the North Texas State Hospital into two separate hospitals with their own superintendents; both bills had no opposition testimony and were left pending. Later, the committee heard SB 2744, a heart disease screening bill that would update the 2009 Texas Heart Attack Prevention Act to require insurance coverage for coronary CT angiography with plaque analysis, including soft plaque detection, as a preventive screening tool. The author and invited witnesses argued the technology is more effective than calcium scoring alone, can identify patients before symptoms appear, and could save lives at a cost comparable to or lower than colonoscopy. An insurance industry witness opposed the bill, arguing the technology has not been recommended by the U.S. Preventive Services Task Force for universal screening and that the mandated coverage and payment level would raise costs; the bill was left pending after testimony. Finally, the committee heard HB 1151, a parental rights bill clarifying that refusing psychotropic medication or psychiatric treatment is not neglect unless the child is harmed. Supporters, including parent advocates and attorneys, said the bill would protect parents from CPS overreach and preserve medical decision-making authority, while one witness urged broader attention to physical causes of behavioral issues. Public testimony was closed and HB 1151 was left pending.

Transcript Highlights:

• This is the process that we have followed for years with the belief that the Board of Nursing was aware
• This ensures that while parents are informed about potential dangers, the process respects the legal
• It ensures that the notification process protects the rights of the employee while keeping parents informed
• Two quick examples that I could give you are the long interruptions in the educational process.
• that the committee stand in recess until final adjournment, recess of the House, or during bill referral

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

Transcript Highlights:

• Hearing officers at impartial due process hearings. The chair offers a committee substitute.
• curriculum requirements for public schools by adding focused instruction on local and state civic process
• curriculum requirements for public schools by adding focused instruction on local and state civic processes

Bills: HB178, HB1551, HB1939, HB2040, HB2354, HB2674, HB3029, HB3460, HB3631, HB3662, HB5201, HB5381, HB178

Keywords: 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, religious literature, Hebrew Scriptures, Old Testament, New Testament, ninth grade

Transcript Highlights:

• And so that, you know, the bill basically wants to heal that process. All right.
• This bill is about their due process rights. As you know, In law enforcement.
• This bill is about their due process rights.
• There's a long process. The process is we have an interview process.
• So this has already been approved during the process.

Bills: HB240, HB2097, HB2731, HB3087, HB3234, HB3319, HB3394, HB3687, HB4105, HB4205, HB4350, HB4462, HB4642, HB4801, HB5403

Keywords: quorum, tax levy, county governance, local government, population regulations, quorum requirement, Texas counties, population threshold, deputy sheriff, civil service, law enforcement, appeals process, sheriff's department, HB 2731, roadside vendors, solicitors, county regulation, border counties, Mexico border, Transportation Code

Summary: The subcommittee on county and regional government heard a long agenda of county-related bills, with most measures left pending after testimony. HB 2097, by Rep. Martinez, would let counties that opt in use an independent hearing examiner instead of a civil service commission for certain deputy sheriff discipline appeals; the bill drew support from CLEET’s Robert Leonard, who said it would be fairer and faster, and it was left pending. HB 4642, by Rep. Gonzalez, would require counties that contract with out-of-state jail facilities to include Texas jail-standard protections and oversight; Gonzalez, detainee Jess Hampton, his wife, Texas Jail Project’s Krish Kundu, and TCJS director Brandon Wood all discussed deaths and poor conditions in Louisiana facilities, staffing shortages, and the need for guardrails and data collection. The bill was left pending. The committee also heard HB 4350, by Rep. Capriglione, allowing peace officers to request redaction of personal information from online real property records. Supporters said officers face targeted threats and should have protections similar to judges; a title industry witness warned about preserving the integrity of land records. The bill was left pending. HB 3687, by Rep. Harless, would require county fire marshals in counties over 100,000 to meet training and certification standards within set timeframes; Harris County Fire Marshal Laurie Christensen supported professionalization, and the bill was left pending. HB 4105 would let very large counties give a local-bid preference for construction and infrastructure contracts, and HB 4205 would require pay parity for similar law enforcement ranks within large counties; both were supported by Harris County officials and constables and left pending. Later, the committee heard HB 5403, which would repeal a special rule limiting Dallas and Tarrant county sheriffs’ control over commissary funds; the author said it would remove an outdated population bracket, and the bill was left pending. HB 4462 would require large counties to allow elected officials named in civil suits to seek outside counsel and have a role in settlement decisions; supporters argued county attorneys and commissioners court can have conflicts of interest, while questions focused on who qualifies and whether the bill could complicate settlements. The bill was left pending. Finally, HB 240, by Rep. Swanson, would restore a five-member quorum requirement for Harris County tax levies, effectively preventing tax action without all commissioners present and defaulting to the no-new-revenue rate if quorum is not met; urban counties opposed it as a potential budget obstruction, while supporters said it protects taxpayers and representation. That bill was also left pending. The transcript ends as the committee begins HB 3319, which would create a civil service system for constable department employees in large counties, but the discussion is cut off before testimony or action.

Transcript Highlights:

• So how far have we gotten in the process, and where do we? go from here?
• And we actually have a very specific process for that. So.
• Additionally, the reimbursement process can take multiple months.
• Where are those referrals going?
• Is there some kind of infectious disease process?

Bills: HB5141, HB4638, HB2264, HB2035, HB4813, HB4408, HB2684, HB1621, HB2300, HB216, HB3829, HB4466, HB1747, HB2284, HB3614, HB2587, HB3219, HB3318, HB5147, HB4014, HB216

Keywords: lease, state property, public purpose, Travis County, Health and Human Services, pharmaceutical initiative, drug distribution, healthcare services, generic drugs, advanced pharmaceuticals, cost savings, mental health, patient discharge, medical records, health care professionals, substance use, family involvement, chemical dependency, treatment facilities, minor admissions

Transcript Highlights:

• Sheriff's deputies are authorized to use an alternative appeals process.
• If the deputy elects to use the alternative appeals process, ...process, however, they waive the right
• This bill is about their due process rights.
• There's a long process. The process includes an interview process.
• So this has already been approved during the process.

Bills: HB240, HB2097, HB2731, HB3087, HB3234, HB3319, HB3394, HB3687, HB4105, HB4205, HB4350, HB4462, HB4642, HB4801, HB5403, HB240

Keywords: quorum, tax levy, county governance, local government, population regulations, quorum requirement, Texas counties, population threshold, deputy sheriff, civil service, law enforcement, appeals process, sheriff's department, HB 2731, roadside vendors, solicitors, county regulation, border counties, Mexico border, Transportation Code

Transcript Highlights:

• even though they couldn't be on the ballot later, we're still having to go through that election process
• We still have to put everybody on the ballot and go through the process. Is that right?
• Adding in another provision will only delay the process and create more litigation, and there is no incentive
• Slowing the process down from the landowner's perspective, from the property owner's perspective, is
• They get—even after an award is put into the court... ...during the process, none of the money that's

Bills: SB38, SB287, SB291, SB292, SB508, SB618, SB901, SB1436, SB1494, SB1626, SB1719, SB1999, SB1333, SB 38

Keywords: evictions, property law, tenant rights, landlord responsibilities, justice court, court rules, SB 287, Texas Alcoholic Beverage Code, sexually oriented business, adult entertainment, strip club, nude entertainment, live nude performance, alcohol prohibition, alcohol consumption, possession of alcohol, criminal offense, Class A misdemeanor, state jail felony, third degree felony

Transcript Highlights:

• candidate, arrived at the election department at 10:30 a.m. to witness the partial manual recount process
• SB618 would transform the existing violation into an enforceable mandate through a structured process
• The bill includes a process for notification and the opportunity to correct before penalties are imposed
• across multiple counties reported that poll watchers were blocked from observing the transfer and processing

Bills: SB38, SB287, SB291, SB292, SB508, SB618, SB901, SB1436, SB1494, SB1626, SB1719, SB1999, SB1333, SB 38

Keywords: evictions, property law, tenant rights, landlord responsibilities, justice court, court rules, SB 287, Texas Alcoholic Beverage Code, sexually oriented business, adult entertainment, strip club, nude entertainment, live nude performance, alcohol prohibition, alcohol consumption, possession of alcohol, criminal offense, Class A misdemeanor, state jail felony, third degree felony

Transcript Highlights:

• We are working on processes for process improvements so we could potential for automation of some of
• We are in the process.
• Oftentimes they are frustrated by the referral and scheduling process, so I think that's another reason
• processes.
• A standard and a process for appeal.

Bills: SB124, SB201, SB275, SB410, SB478, SB607, SB610, SB611, SB654, SB702, SB787, SB831, SB892

Keywords: Department of Veterans Affairs, disciplinary procedures, accountability, personnel actions, whistleblower protection, cancer, military, aircrew, veterans, health study, toxins, morbidity, mortality, service members, mental health, community care, accessibility, treatment programs, substance abuse, appointments

Summary: During the meeting, various members engaged in extensive discussions surrounding 15 proposed bills related to veterans' affairs. Notably, concerns regarding recent VA workforce changes sparked debates, particularly about potential cuts and their implications for veterans' care and benefits. Chairman Moran emphasized the need for thoughtful reforms and coordination with stakeholders, urging responsible measures to prevent negatively impacting service delivery. The meeting highlighted a significant bipartisan effort to enhance veterans' access to essential health services, particularly in light of recent challenges faced by the VA workforce. Senator Blumenthal's assertions about the urgent plight of veterans due to cuts in personnel drew strong reactions, showcasing the deep concern among committee members regarding the current state of veteran services.

Transcript Highlights:

• Some have said they're concerned about due process protections in your bill for the landlord, that's
• Senate Bill 790 does not remove due process, it simply allows for a more efficient resolution. minor
• As you're aware, Senator, the appropriation process goes to the Finance Committee.
• Monday March 10th for the reading and referral of bills upon the conclusion of reading and referral of
• Monday March the 10th for the reading and referral of bills.

Bills: SJR34, SB10, SB18, SB19, SB21, SB72, SB140, SB262, SB370, SB480, SB495, SB627, SB703, SB767, SB790

Keywords: parental rights, parents, children, custody, care and control, upbringing, family law, constitutional amendment, Texas Constitution, child welfare, education policy, medical decisions, parental authority, primary decision makers, family autonomy, education, Ten Commandments, public schools, religious display, First Amendment

Transcript Highlights:

• And we use this as a way to basically walk you through our process of where our referrals come from and
• And we use this as a way to basically walk you through our process of where our referrals come from and
• administrative processes are out there. administrative processes are out there.
• We can take referrals.
• is the integrity of the bidding process. is the integrity of the bidding process.

Keywords: 1189, house, all

Summary: The committee chair opened by explaining that the committee has expanded from a traditional audit-follow-up role into an oversight role focused on whether audit recommendations are implemented and whether controls are in place to detect fraud. He said the committee was concerned about fraud uncovered in social service programs in other states and wanted to understand New Hampshire’s safeguards, especially around major contracts and program performance. Charles Buchanan, director of the New Hampshire Medicaid Fraud Control Unit, and investigator Tim Brackett described the unit’s structure and mission. Buchanan said the unit, housed in the Attorney General’s Criminal Justice Bureau, investigates and prosecutes fraud by health care providers serving Medicaid beneficiaries, as well as abuse, neglect, and financial exploitation of residents in health care facilities. He outlined common Medicaid fraud schemes such as billing for services not rendered, upcoding, using unqualified staff, drug substitution, kickbacks, supplemental charges, and inflated customary charges. He also described resident abuse/neglect and drug diversion in hospitals, nursing homes, and assisted living settings. Brackett said his role is financial investigator/auditor and noted the unit is grant-funded and must include a prosecutor, investigator, and auditor. The witnesses then explained how cases reach the unit and how they are handled. Most referrals come from the state Department of Health and Human Services’ program integrity unit and from managed care organizations’ special investigations units, which look for fraud, waste, and abuse and refer credible allegations. Other sources include qui tam whistleblower actions, the national Medicaid Fraud Control Units association, citizen complaints, provider referrals, adult protective services law-enforcement referrals, local law enforcement, and federal agencies. Once a referral is received, the unit can accept or deny it; accepted matters may be investigated criminally or civilly, while nonviable matters can be referred back to HHS or other agencies for administrative action, including repayment demands and reimbursement offsets. No votes or formal committee actions were taken in the portion provided.

Transcript Highlights:

• and non-delinquent referrals.
• What’s the process?
• I'm looking on page 14 regarding referrals—referrals to the juvenile justice system. by referral type
• Our process does not change.
• Will resolve itself from our end and making sure that our referrals are processed, but probably need

Transcript Highlights:

• , 25, so late into the budget process, 25, so late into the budget process, where<00:16:32.920>
• And we have over 100 providers on the network today that are able to leverage it for referral processing
• These are the referrals and all?
• the the referrals and all? the the referrals and all?
• referral system.

Keywords: 1189, house, all

Summary: The committee first approved the March 20 minutes and then adopted the remainder of the consent calendar, after removing two items for separate discussion. On item 26071, members questioned a $95,000 DoubleTree Manchester contract for a two-day conference. Department staff said the hotel was the only bidder, the conference typically draws more than 500 attendees, most of the cost is food offset by registration fees, and attendees pay their own lodging except for presenters. The committee then approved the item. On item 26068, members asked for clearer reporting on remaining federal funds in continuing items. DHHS said about $10.3 million remained as of February 28, 2026, and agreed to provide the original award amounts and a reconciliation later. The committee approved the item. The committee then took up a DHHS transfer item for the developmental disability system, where officials said projected costs had risen because of delayed pandemic-era billings, new individuals entering the system, and higher individual service budgets. They said the budget was built on older assumptions, that carryforward funds had fallen from about $94 million to $72 million, and that the transfer would not affect lapse because it shifts general funds while federal Medicaid funds are accepted in return. The item was adopted. The committee also approved a hiring request and then a late Corrections item tied to overtime and recruitment. Corrections officials said the department is about 50% staffed for corrections officers, typical overtime is an eight-hour shift, inmate populations are beginning to rise again, and the department is using academy blitzes, out-of-state recruiting, targeted advertising, and a $10,000 sign-on bonus paid after academy completion and one year of service. Senator Gray said the late item was intended to help reduce a larger request expected in June, and the committee adopted the item. Finally, members questioned DHHS item 26074 on the New Hampshire Care Connection system and its interoperability with provider and managed care systems. DHHS said the system already has SMART on FHIR integration, single sign-on, and deeper integration options, and that managed care organizations are working with the contractor on use cases and data exchange. Officials said the project has been multi-phase, including the 988 crisis-response migration, privacy/security work, a provider network of more than 100 organizations, and a searchable resource portal managed by Granite United Way. They said the closed-referral solution is funded largely with Medicaid federal funds and is planned to continue in the base budget, not the rural health grant. The discussion ended without further action noted in the excerpt.

Transcript Highlights:

• supporting closed loop referrals supporting closed loop referrals September<00:09:55.680> 29th
• closed loop referral system. closed loop referral system.
• So this is response um processing.
• uses only the term closed loop referral uses only the term closed loop referral system<00:20:01.679
• The process is normal in every business process change that I've gone through in my career.

Keywords: 928, house, all

Summary: The committee approved the minutes from its June 30 meeting and then considered Capital Project 2515, a request from the Pease Development Authority Division of Ports and Harbors to spend up to $125,000 from the Harbor Dredging and Pier Maintenance Fund to replace a deteriorated 99-foot floating dock at Rye Harbor. Acting Director Richard Hartley said the dock is used for passenger loading and unloading for charters and whale-watching tours and is in poor condition. Representative Edgar moved approval, Representative Wiler seconded, and the motion carried. The committee then received several informational items, including quarterly and maintenance reports from the Department of Administrative Services, the Community College System of New Hampshire, and the Pease Development Authority. It also heard a presentation from the Department of Health and Human Services on Capital Project 2516, the Beneficiary Service Improvement project supporting closed-loop referrals and related systems. DHHS described the project as a mix of Medicaid enterprise functions and New Hampshire Care Connections tools, including provider modules, third-party liability, event notifications, and closed-loop referrals to connect health and human service providers. Officials said the project is largely federally funded, with capital funds representing only part of the overall effort. Members asked about the accounting breakdown, prior committee review, provider participation, patient experience, and public response. Representative Burr questioned whether the project had been fully presented previously and raised concerns about the scope and necessity of the $8 million effort; DHHS responded that earlier work was discussed in other committees and that the current presentation covered only capital funds. Senator Waters asked about user response and patient experience, and DHHS said feedback has been generally positive but the system is still in design and implementation. In response to questions about participation, DHHS said 84 providers are currently on the network and clarified that a “provider” generally means an individual organization or health system, not each individual clinician. The committee also set its next meeting for December 9 at 9:00 a.m. at Granite Place, Room 228, and then adjourned.

Transcript Highlights:

• Other referrals.
• They can share in the referral. This is a referral for these type of services.
• They can share in the referral. This is a referral for these type of services.
• They can share in the referral. This is a referral for these type of services.
• . process. process.

Keywords: 1189, house, all

Summary: The meeting opened without a quorum, so approval of the prior draft minutes was deferred until later. The committee then heard a DHS update from Commissioner Lori Weaver and COO David Weers, who described the recent flood at the Brown building and the relocation of nearly 400 DHS staff while operations are restored. They also outlined New Hampshire Care Connections, a privacy- and consent-focused closed-loop referral platform intended to improve referrals among providers, reduce duplication, and support continuity of care, with an Upper Valley implementation partnered with Dartmouth Health and an Epic integration already underway. Members asked whether the system would merge medical records or simply track referrals. DHS said it is not intended to store or transmit full medical records, but to integrate with providers’ electronic health record systems so referrals can be sent, received, and tracked, with consent controls limiting what information can be shared. Officials said the project will be tested over the coming months, with metrics, governance, and advisory committee oversight, and that it is tied to broader rural health transformation efforts and statewide implementation after the regional pilot. The committee also received the annual report from the Child Care Advisory Council. Maryanne Barter and Jessica Carver said the council worked with licensing to streamline the child care licensing rules, reducing the handbook by about 30%, and is now helping develop an informal dispute resolution process, revising the Granite Steps for Quality system, and creating a clearer handbook for providers handling state scholarship audits. They reported ongoing concern about child care closures and workforce shortages, said there is currently no wait list for child care assistance, and discussed questions about federal CCDF immunization requirements, which DHS said it would follow up on with federal technical assistance partners. After quorum was established, the committee moved to approve the minutes from the prior meeting.

Transcript Highlights:

• So what you see on the screen is the process through which we went.
• We went to our members, we had to speak, It's the process through which we went.
• This is a complicated, long process to develop.
• It was developed extremely well and in a very open process. But it's a lot.
• Our team will also then provide more referrals.

Keywords: 962, all

Summary: The meeting focused on maternal health and behavioral health services for pregnant and postpartum people in Connecticut. Dr. Fatmata Williams of DSS gave an update on the Husky maternity payment bundle, explaining that it was created in response to worsening maternal and neonatal outcomes and racial disparities. She said the bundle, launched in 2025, shifts payment away from fee-for-service toward prospective case rates, quality measures, and shared savings, while covering services such as doulas and maintaining access to behavioral health and other non-pregnancy-related care outside the bundle. She noted 26 maternity practices are participating, quarterly quality reports have been distributed, reconciliation is planned for 2026, and DSS is considering refinements such as adding newborns, revisiting shared losses, and possibly expanding to FQHCs after further stakeholder review. Shelly Nolan of DMHAS then described the state’s women’s services and recovery continuum, including pregnant and parenting treatment programs, women’s recovery support programs, community transition support with rent subsidies, the Proud program, REACH navigation, recovery houses, and outpatient services. She emphasized that many programs are under capacity and that DMHAS uses a no-wrong-door approach, real-time bed availability, technical assistance, and training to improve access. She also reviewed initiatives tied to substance-exposed pregnancies and safe sleep, secure storage, naloxone distribution, reproductive health integration, breastfeeding support, and upcoming conferences and trainings. She said the department works closely with DCF and community partners to reduce stigma and improve family-centered care. Beth Garrigan presented on the Access Mental Health and Substance Use for Moms program, a statewide consultation service for providers serving pregnant and postpartum individuals up to 12 months after delivery. She said the program offers real-time psychiatric consultation, referral support, and one-time face-to-face assessments, and has provided more than 4,300 consultations and resource/referral support to over 700 individuals since 2022. Members and legislators praised the service and discussed how it helps providers connect patients to care, follow up on referrals, and address barriers such as fit, stigma, and workflow. No votes were taken; the meeting ended with plans for the next meeting on June 8 and a request for Dr. Williams’ slides to be posted online.

Transcript Highlights:

• And when we look at the totality of juvenile justice referrals, most juvenile justice referrals are for
• At a high level, how the juvenile justice process is a multi-stage process where CYFD staff, district
• Two-thirds of juvenile justice referrals were forwarded, but a quarter of juvenile justice referrals
• I would really like to see on the referrals of the 7,634 referrals, unless I'm missing it in the chart
• You'll turn to slide 16; you'll see that of the referrals, a little over half are re-referrals.

Transcript Highlights:

• So as they made their procession to the tomb, it must have, in some ways, felt very much like their own
• funeral procession.

Bills: SJR39, SJR47, SB227, SB1942, SB1627, SB625, SB1716, SB1303, SB2180, SB504, SB1209, SB1448, SB1597, SB1679, SB2182, SB2112, SB2170, SB2084, SB1496, SB1595, SB1655, SB1876, SB1621, SB1944, SB1266, SB2072, SB2104, SB1769, SB1827

Keywords: property valuation, tax limit, homestead, income threshold, elderly, constitutional amendment, voter ID, elections, Oklahoma, proof of identity, gross production tax, ad valorem tax, property exemption, Oklahoma Tax Commission, oil and gas production, regulatory impact, economic implications, dental insurance, health care, medical necessity

Transcript Highlights:

• Um, but that covers our referral process, our day-to-day activities, and our accounting provisions. and
• Um, but that covers our referral process, our day-to-day activities, and our accounting provisions.
• Um, but that covers our referral process,<00:26:46.400> our<00:26:46.640> day-to-day<00
• And then we're promoting consistency on the referral process and who's appropriate for the state to be
• It does—it is not a quick process.

Keywords: Call to Order and Roll Call – 00:00:24 Discussion of The Center for Courageous Kids – 00:02:46 Discussion of Adult Protective Services and State Guardianship Programs – 00:25:22 Discussion of Annual Report of the External Child Fatality and Near Fatality Review Panel – 01:00:34 Consideration of Referred Administrative Regulations – 01:33:41 Adjournment – 01:42:07, 958, all

Summary: The Interim Joint Committee on Families and Children opened its first meeting with roll call and a reminder about the number of children in out-of-home care with active placements, which the chair said was 8,641 as of June 1, 2025. The committee then heard a presentation from the Center for Courageous Kids, a donor-funded camp in Scottville that serves children with lifelong illnesses and disabilities at no charge. Representatives described the camp’s year-round family retreats and summer sessions, its medically safe and inclusive model, and examples of campers gaining confidence and independence. They said the camp has served more than 43,000 campers from Kentucky, other states, and other countries, and that it is seeking legislative support for two capital projects: a new art barn and a medical lodge, with a combined request of $3.2 million. Members praised the program and asked about awareness, staffing, volunteer recruitment, accreditation, and how the projects would expand capacity; the camp said the medical lodge would help increase volunteer housing and allow future growth beyond its current summer cap of 128 campers per session. The committee then moved to adult protective services and state guardianship programs. Jessica Wayne, director of the Division of Guardianship, and Cliff Bryant of DCBS explained the legal framework for guardianship and conservatorship, including state guardianship as a last-resort option when no family member or private entity is available or appropriate. They outlined the court petition process, emergency appointments, and the distinction between full and limited guardianship or conservatorship. They emphasized that guardianship is based on legal incapacity to make decisions, not simply on a medical disability diagnosis, and noted that state guardianship can be arranged for some 17-year-olds aging out of youth services. The presenters said the state currently serves 4,645 individuals under guardianship, with most cases involving developmental intellectual disabilities, supported community living waiver participants, and people in nursing homes or long-term care facilities. They also described the division’s three branches: field services, which handles visits and day-to-day decisions in all 120 counties; a benefits branch that applies for public benefits; and a fiduciary branch that manages funds and pays bills. They reported 89 field workers statewide, an average caseload of 52, and said the agency is hiring to reduce that load. No votes or formal committee actions were taken during the meeting.

Transcript Highlights:

• process was in good shape.
• process.
• And I guess I'm just curious what is the process between taking some of those referrals, um, like maybe
• between taking some of those process between taking some of those referrals<00:37:33.440> um<
• So that’s a triage process.

Keywords: 1183, house