Transcript Highlights:

• didn't know what he was going to do, and I feel if we had more training we could have earlier interventions
• because that intervention did lead to him getting help, and he's much better today because of that help
• So I would like to see this go through so that we could get some earlier intervention. Thank you.
• For our community, this is life-saving intervention and instruction.
• It... ...controlling measures and safeguards necessary for effective oversight and intervention when

Summary: The Committee on Fiscal Policy met and reported favorably a series of bills after hearing sponsor presentations, public testimony, and roll-call votes. Among the health and public safety measures, CS/SB 68 would require pediatric readiness standards in hospital emergency departments; CS/SB 340 would require nursing students to complete human trafficking identification training; CS/SB 32 and SB 210 would create a new injunction process and related public records provisions for victims of serious violence by a known person; and SB 418 would add autism-focused law enforcement training and a voluntary Blue Envelope Program for drivers with ASD. Each of these bills received supportive testimony and passed the committee. The committee also approved several child safety and community protection measures. CS/SB 606 would add drowning prevention and safe bathing education to postpartum materials, and SB 428 would expand the state swim lesson voucher program to older children, with strong support from advocates and families concerned about drowning risks, especially for children with autism. CS/SB 302 would streamline permitting and incentives for nature-based coastal resiliency projects, and SB 636 would create an alternative beach management pathway for coastal communities, though beach preservation advocates warned about perpetual easement language and funding concerns. SB 628, designating Warrior Sacrifice Way in Pensacola, also passed unanimously. In addition, the committee advanced CS/SB 1734 on juvenile justice, with a late-file amendment updating definitions for juvenile probation and detention officers and codifying detention cost-share language. It also reported favorably CS/SB 246, a specialty license plate bill that was amended to include the UFC plate and an additional first responders resiliency plate, and CS/SB 1028, which revises Citizens Property Insurance Corporation clearinghouse procedures and related insurance market rules. Several witnesses testified in support or with technical concerns on the insurance bill, and members discussed competitive safeguards, clearinghouse scope, and Citizens’ assessment risk. At the end of the meeting, members requested to be recorded on specific bills, and the committee adjourned.

Transcript Highlights:

• I don't want to say that the litmus test for intervention is a beating heart, but to a certain degree
• , as long as you've got some interest, you're probably going to be granted intervention and standing
• I don't want to say that the litmus test for intervention is a beating heart, but to a certain degree
• <00:29:33.520> and<00:29:33.760> a there is an intervention and a there is an intervention
• <00:30:29.520> Um, for intervention. Um, for intervention.

Keywords: 910, house, all

Summary: The task force held its first meeting, beginning with roll call and introductions of members and participants in the room and on Zoom. The chair emphasized Sunshine Law transparency, noted the meeting was on September 11, and opened public testimony on the orientation report. No one testified in person or on Zoom, and the chair observed a moment of silence in remembrance of 9/11 before moving into the agenda. The chair then reported on several orientation presentations given statewide between July 18 and September 5, including meetings with transit-oriented development, the Maui Chamber of Commerce, the Kona-Kohala Chamber, the Japanese Chamber of Commerce on Hawaiʻi Island, the Hawaiʻi Island Chamber of Commerce, the Hawaiʻi Island Native Hawaiian Chamber, and the Capo Chamber of Commerce. The main presentation item was a detailed overview from Kauaʻi County on its permitting process. County staff explained that zoning and building permits are handled separately on the outer islands, with zoning focused on form, character, and compatibility, and building permits focused on health and safety. They described a two-tier zoning system: ministerial permits that are automatically approved if not acted on within 30 days, and discretionary permits that go to the planning commission and can become lengthy contested cases if there is intervention. They also discussed special management area review in coastal areas, which can add time, and explained that building permits must conform to what was approved in zoning. Kauaʻi County staff also outlined the building permit process, including online and in-person submission, coordination with planning, engineering, water, wastewater, health, and fire agencies, and the county’s fully electronic review system using ProjectDox and related software. They noted that applicants are encouraged to check zoning, water, wastewater, and floodplain issues before hiring someone to prepare plans, especially for homeowners. The county shared permit and utility statistics and said the public can check permit history through Click2Gov. No votes were taken during the portion of the meeting provided; after the Kauaʻi presentation, the chair opened a question period for members.

Transcript Highlights:

• If you go in and you have a tourniquet, you can do medical intervention.
• So if you are to remove some of those academic times and/or advisory times, intervention times where
• What goes is it intervention time?
• <01:35:24.480> Um<01:35:24.880> and<01:35:25.120> intervention intervention
• Um and intervention intervention time?

Keywords: 1191, senate, all

Transcript Highlights:

• These statistics highlight the critical need for targeted interventions such as the African-American
• <00:01:47.759> such<00:01:47.920> as<00:01:48.079> the interventions such as the
• So, uh, in youth interventions.
• <00:09:39.680> to supports, and interventions to supports, and interventions to effectively
• I'm here in support youth interventions.

Keywords: 1187, senate, all

Transcript Highlights:

• This bill strengthens accountability, increases transparency, and encourages early interventions when
• <00:41:35.680> when and encourages early interventions when and encourages early interventions
• Article 4, section 13, beginning on line 39.12, makes clear that literacy programs and interventions
• <01:02:09.040> models approved literacy intervention models approved literacy intervention
• used by the Minnesota and interventions used by the Minnesota reading<01:02:33.680> corps<01:

Keywords: 1183, house

Transcript Highlights:

• Center for Health Information and Analysis to analyze the behavioral health access and crisis intervention
• The bill also requires CHIA to conduct an analysis of the behavioral health access and crisis intervention
• This trust fund supports payer-agnostic access to the BHHL, youth and mobile crisis intervention, youth
• While research on the specific intervention is limited, in part due to...
• We've heard about 988 as a crisis intervention.

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:

• I can't tell you how many times during rounds our interventional cardiologist would come out and ask
• I can't tell you how many times during rounds our interventional cardiologist would come out and ask
• I can't tell you how many times during rounds our interventional cardiologist would come out and ask
• I can't tell you how many times during rounds our interventional cardiologist would come out and ask
• I can't tell you how many times during rounds our interventional cardiologist would come out and ask

Keywords: 958, all

Summary: The committee first heard Senate Bill 173 from Senator David Givens, which would create a legislative review process for the state health plan and state plan amendments, modeled after the administrative regulations process. Givens argued the legislature should have a stronger policy role in reviewing the plan, saying the bill would allow lawmakers to find components deficient rather than approve them outright. He tied the proposal to Medicaid spending growth and projected enrollment changes, saying the state needs a new oversight tool. Committee members generally supported the concept, though Senator Berg expressed concern that the legislature lacks the executive branch’s healthcare expertise. The bill was reported favorably on a unanimous roll call vote. The committee then took up Senate Bill 137, sponsored by Chairman Meredith, which would create a pathway for certain internationally trained physicians to practice in Kentucky without repeating residency in the United States. Supporters said the bill is aimed at addressing Kentucky’s physician shortage, especially in rural areas, and cited projections of a statewide shortage of about 3,000 physicians by 2030 and a shortage of primary care doctors in particular. Testimony from Cicero Action and Baptist Health emphasized that many foreign-trained physicians are already fully trained, that residency slots are limited, and that the bill could help fill shortages in underserved counties while preserving quality through existing exams, ECFMG certification, English proficiency requirements, primary source verification, and mentoring/oversight. Several members raised questions and concerns. Senator Berg asked about verification, required exams, and oversight, and Senator Tishner raised concerns about fraudulent credentials in some countries and whether the bill could admit underqualified physicians. Witnesses responded that applicants would still have to pass the same exams, obtain ECFMG certification, and undergo primary-source credentialing and employer oversight. Supporters also argued the bill would not displace U.S.-trained physicians because it would use otherwise limited residency capacity more efficiently. After discussion, the committee adopted the bill and reported it favorably by unanimous vote.

Transcript Highlights:

• And I did have a slide on some of the evidence-based interventions that are shown to reduce childhood
• And I did have a slide on some of the evidence-based interventions that are shown to reduce childhood
• When investment is early, it reduces costly interventions later in child welfare, health care, and...
• costly interventions later in child welfare, health care, and education, as Ramona had stated.
• We're talking about prevention, not necessarily intervention.

Summary: The committee met to approve prior minutes and then heard a presentation from Dr. Ramona Danielson on adverse childhood experiences (ACEs), focusing on the economic and public-system impacts in North Dakota. She explained that ACEs are a population-level measure, not a diagnostic tool for individuals, and said higher ACE exposure is consistently associated with more chronic illness, mental health challenges, child welfare involvement, justice-system contact, and reduced workforce participation. She emphasized that precise dollar estimates are difficult because of the many interacting factors across a person’s life course, but said the direction of the impact is clear and that evidence-based prevention and protective factors can reduce harm. Members asked about definitions of a “healthy family,” same-sex couples, divorce, substance abuse, historical trends in ACEs, and the role of positive childhood experiences and home visiting. The committee then heard from Allison Mahoney and Missy Barranco about evidence-based home visiting programs in North Dakota, including Healthy Families, Early Head Start, Nurse-Family Partnership, and Parents as Teachers. They described home visiting as voluntary, relationship-based, and tailored to family needs, with referrals coming from hospitals, WIC, human service zones, pregnancy navigators, self-referrals, and other community sources. A parent, Abby, shared that home visiting helped her family after premature births and NICU stays by providing support with postpartum mental health, breastfeeding, developmental screenings, referrals, and parenting guidance. The presenters said the programs are funded through a mix of federal MIECHV/Title IV-E dollars, Medicaid targeted case management, state and tribal funds, philanthropy, charitable gaming, and grants, and they noted that current funding is fragmented and insufficient to serve all eligible families statewide. Members discussed whether the state should expand or better fund these services and how to improve outreach and referrals. Later, the committee received a memorandum on artificial intelligence and sexual exploitation, followed by a presentation from a BCI special agent on how AI is already affecting child exploitation investigations in North Dakota. The memo and testimony described AI-generated child sexual abuse material, deepfakes, sextortion, and risks posed by chatbots, along with relevant federal and state law and recent executive orders. The agent said North Dakota saw 2,698 cyber tips in 2025, the highest on record, and that investigators are increasingly encountering AI-assisted exploitation that is harder to detect and verify. Members discussed the need for child-safety protections, the limits of executive orders, and broader concerns about AI undermining critical thinking and spreading misinformation. No votes were taken on the AI materials during the portion provided, and the committee recessed briefly after the report.

Transcript Highlights:

• While there have been medical interventions for children born deaf, deaf blind, or hard of hearing, there's
• that means is that children when they're born deaf or deaf blind, likely what happens in early intervention
• <00:04:39.919> is<00:04:40.039> that happens in early intervention is that happens
• in early intervention is that they're<00:04:40.680> given<00:04:41.680> home<00:04:42.080
• Families have plentiful access to the medical interventions, but when families try to make sure that

Keywords: 1187, senate, all

Transcript Highlights:

• Due to behavioral issues arising, he was given a BIP, a behavioral intervention plan in 2nd grade, and
• administrator, he was automatically placed on a 3 day out of school suspension, even though his behavioral intervention
• by teacher, which allows the teacher to enlist the help of school administrators after in-class interventions
• Being in school every day now, he was able to receive the dyslexia interventions and speech therapy he
• And then additionally for him, he began getting some of those interventions that he really Had needed

Bills: HB6, HB120, HB210

Keywords: hemp, consumable hemp products, hemp-derived cannabinoids, CBD, cannabidiol, CBG, cannabigerol, Texas hemp law, hemp regulation, cannabinoid products, delta-9 THC, intoxicating hemp, hemp gummies, hemp vape, retail registration, product registration, QR code labeling, child-resistant packaging, youth access, minor sales

Transcript Highlights:

• more than 10,000 individuals facing mental health and substance use challenges, providing crisis intervention
• providing<00:24:33.360> crisis challenges, providing crisis challenges, providing crisis intervention
• ,<00:24:34.400> detox<00:24:34.799> and<00:24:34.960> withdrawal intervention, detox
• and withdrawal intervention, detox and withdrawal management,<00:24:36.320> outpatient<00:24:

Keywords: 981, all

Summary: The Senate convened, established a quorum, and suspended Senate Rule 1B to allow Senator Sullivan’s granddaughter, daughter, and wife to lead the chamber in the Pledge of Allegiance. The Senate then approved the January 26, 2026 journal as corrected and received routine administrative notices, including that several bills and resolutions were correctly engrossed or revised. Members made a series of announcements and personal privilege remarks recognizing guests and upcoming events. The chamber welcomed representatives from Summit Stone Health Partners, who were praised for their behavioral health and crisis services in Northern Colorado, including crisis intervention, detox, outpatient treatment, mobile crisis response, and peer support. Senators also highlighted an upcoming higher education reception, a Forest Health Council breakfast, a State Affairs Committee hearing on Senate Bill 4, and a Colorado Airport Operators Association reception. Additional announcements noted that the Joint Budget Committee would meet on supplemental budget requests from the Department of Health Care Policy and Financing, and that the Joint Health and Human Services Committee would hold its SMART Act hearing after adjournment. Senator Bridges promoted the Great Colorado Payback and National Unclaimed Property Day. The Senate then adopted a motion to recess until 11 a.m. later that day.

Transcript Highlights:

• That is not a neutral intervention.
• That is not a neutral intervention.
• Um, that is not a neutral intervention.
• We interventions during the school day.
• They significant medical intervention.

Keywords: 1191, senate, all

Transcript Highlights:

• If you identify these students early, we want to make sure they get the appropriate interventions.
• Plans must include evidence-based interventions aligned with instructional best practices in reading
• I think this is really going to go a very long way in helping those students get the interventions as
• Senate Bill 624, a bill to be entitled an act relating to batterers intervention program activities.
• Intervention program activities. relating to betterers invention program activities intervention program

Summary: The Senate convened with a quorum, opening with prayer, the Pledge of Allegiance, and several introductions, including recognition of the day’s doctor of the day, an intern, and a resolution honoring the late Bob Graham and firefighter Roger Timmy Miley. The chamber also adopted a resolution designating August 9, 2026, as Bob Graham Day. After routine announcements, the Senate moved to the special order calendar and took up a series of bills, many of them with House companion bills substituted in place of Senate versions. The first major floor action was passage of a tax-related bill conforming Florida’s Internal Revenue Code to federal changes while excluding certain provisions from H.R. 1; it passed 34-0. The Senate then considered CS/SB 1758 on public assistance and Medicaid, which proposed stronger fraud enforcement, a Medicaid work requirement for able-bodied adults, expanded behavioral health services, pharmacy and drug rebate reforms, and SNAP fraud reduction measures. A Berman amendment to require Medicaid expansion before work requirements was rejected, as was an Osgood amendment to add photo-ID protections and exemptions for certain SNAP users. The bill remained on the calendar for third reading after extensive debate and questioning about implementation, exemptions, and potential impacts on beneficiaries. The chamber also passed bills on technology education and AI instruction, a Parkinson’s disease registry and related public records exemption, designation of the SS American Victory as Florida’s official flagship, electronic payments for local governments, repeal of the sunset on gold and silver legal tender, public records exemptions for financial institutions and custodians, a Florida stablecoin pilot program, local government finance transparency, digital voyeurism, and insurance customer representative licensing. Most of these measures were adopted after brief explanation, minor amendments, or substitution of House companions, with votes generally in favor and several passing unanimously or by wide margins. Later, the Senate took up CS/SB 1756 on medical freedom, which would expand parental vaccine information requirements, add a conscience-based exemption, allow behind-the-counter ivermectin access, and repeal the sunset on the mRNA mandate prohibition. The bill’s first amendments clarified anti-kickback rules for vaccine manufacturers and required informational materials to address risks, benefits, safety, and efficacy; the transcript ends during consideration of this bill, before final passage is shown.

Transcript Highlights:

• We provide individual counseling, crisis intervention, and support plans to help students address the
• <00:16:20.160> are approach ensures that interventions are approach ensures that interventions
• We need mental health-informed interventions that address the root causes of school avoidance.
• Finally, we must prioritize prevention and early intervention, including school-linked mental health
• <00:20:24.440> that health informed interventions that health informed interventions that

Keywords: 1187, senate, all

Transcript Highlights:

• So we think that there's some synchronization that can happen where we can do early intervention and
• And so all of those align with the early intervention and supports needed for these students.
• In doing so, we'll delay identifying struggling readers when intervention matters most.
• Research shows that targeted interventions are needed to address the unique educational barriers faced
• Research shows that targeted interventions are needed to address the unique educational barriers faced

Keywords: 987, senate, all

Summary: The committee heard the Governor’s May Revision proposals for TK-12 education, beginning with a Proposition 98 overview from the Department of Finance and the Legislative Analyst’s Office. Finance said the May Revision increases the Proposition 98 minimum guarantee by about $6.4 billion relative to the Governor’s January budget across the three-year window, with higher guarantees in each year, continued full payment of the outstanding settle-up obligation in 2024-25, and a reduced $3.9 billion settle-up amount in 2025-26. Finance also described larger mandatory and discretionary deposits into the Proposition 98 reserve, ending with an estimated $10.3 billion reserve balance. The LAO said the overall estimates were reasonable, but urged the state to fully fund the guarantee and use other budget tools, including reserves, to manage volatility rather than delay settle-up payments. Members questioned the remaining settle-up amount, the risk of revenue volatility, and possible alternatives such as advance payments or other reserve strategies. The second panel covered Department of Education proposals and trailer bill language. Finance outlined additional state operations funding and positions for CDE, along with trailer bill changes affecting community schools, preschool, literacy, special education, charter accountability, teacher-related programs, and other technical cleanups. The LAO supported the overall structure of the package but recommended changes to several items, including rejecting some additional one-time community schools, literacy, math, multilingual screener, and inclusive college proposals, while supporting the ongoing LCFF and special education increases and raising concerns about the paid pregnancy disability leave proposal’s cost and implementation complexity. CDE supported the special education increase, community schools, literacy and math investments, homelessness funding, and the paid pregnancy leave proposal, while asking for more funding for county office support, clearer homelessness definitions, and continued preschool parity. Members also asked about immigrant student supports, community schools reporting, and the rationale and cost estimate for the paid pregnancy leave proposal, which Finance estimated at $218 million annually. The final panel addressed the Commission on Teacher Credentialing. Finance proposed additional legal staffing for SB 848 implementation and educator misconduct caseloads, a fee increase for clear credential renewals from $100 to $125, a $5 million one-time Proposition 98 investment to build a transcript review platform, $2 million ongoing for transcript review staffing, and $30 million one-time for the statewide residency technical assistance center. The LAO had no concerns about the legal staffing, supported the transcript review platform if the fee increase and ongoing staffing were adopted, and recommended rejecting the residency technical assistance center expansion because existing funding runs through 2029. The Commission explained that the misconduct workload has grown over several years, that AI would assist but not replace human review in transcript matching, and that the residency technical assistance center helps recruit and retain teachers and support rural districts. Public commenters largely supported special education, discretionary block grants, community schools, literacy investments, homelessness funding, and teacher credentialing alternatives, while some urged rejection of the settle-up proposal and preschool COLA reduction.

Transcript Highlights:

• I'm an interventional radiologist. I practice in San Antonio.
• Treatments and interventions which are not common, but Senators, prior authorization should have no role
• The medical insurance covers anesthesia for medically necessary dental procedures. ...interventions,
• I'm an interventional radiologist in San Antonio and chair of the TMA's Council.
• Require an inpatient admission or surgical intervention at all.

Bills: SB227, SB269, SB407, SB463, SB527, SB547, SB1283, SB1380, SB1383, SB1511, SB1640, SB1784, SB2069

Keywords: school funding, education reform, state budget, property taxes, equity in education, healthcare policy, vaccines, exemptions, religious beliefs, public health, workplace violence, healthcare facilities, definition expansion, safety regulations, health and safety code, health insurance, anesthesia, pediatric dental services, coverage, medical necessity

Transcript Highlights:

• behavioral consultations, collaborate with community-based agencies and participate in school-based intervention
• And so we're not ready for everything that's happening in kindergarten if they've not had early intervention
• there's research that says for every year that they're behind the new an hour, a day of intentional intervention
• in our community in the hopes that we can spread this message of early identification and early intervention
• So I'm I'm I'm just a firm believer in parent mediated interventions, parent engagement.

Keywords: 999, senate, all

Transcript Highlights:

• David Rizek, and I'm an interventional cardiologist who's been working in Scottsdale and Phoenix for
• As of 2013, there were 31 interventional...
• As of 2013, there were 31 interventional cardiologists in this decade who died of brain tumors, and that
• We have well over twice that many deaths from brain tumors alone in interventional cardiologists.
• Radiology and Intervention, showing that these devices... ...showing that these devices almost across

Bills: SB1063, SB1118, SB1153, SB1154, SB1209, SCM1001

Keywords: appropriation, transportation, safety improvements, Route 70, infrastructure, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes, townhomes, historic preservation, Grand Canyon, Grand Canyon National Park, special license plate, special plate, license plate, vanity plate

Summary: The Senate Health and Human Services Committee heard and advanced six measures. SB 1118, as amended, appropriates $3 million to the Department of Health Services for grants to rural hospitals to install radiation protection systems in cardiac catheterization rooms; testimony focused on protecting health care workers from ionizing radiation, with the amendment narrowing the bill from an unspecified appropriation to a specific amount and room type. The committee also approved SB 1154, a $500,000 General Fund appropriation for an ADOT traffic and safety study on SR 64 between Williams and the Grand Canyon, after testimony from local officials, law enforcement, and fire personnel describing heavy tourism traffic, crashes, and fatalities. SB 1063, which appropriates $10.4 million for safety improvements on U.S. Route 70, also received a do-pass recommendation after testimony from the San Carlos Apache Tribe, sheriffs, and tribal law enforcement describing a high number of fatalities and dangerous roadway conditions. The committee then passed SB 1153, which creates a Grand Canyon National Park specialty license plate and fund; the Grand Canyon Conservancy testified that proceeds would support park conservation, research, education, and preservation work. SCM 1001, as amended, urging the renaming of State Route 260 as the Donald J. Trump Highway, was approved after a contentious debate over the symbolism of the memorial. Finally, SB 1209, which exempts people without a residence address or whose address is a homeless shelter from non-operating ID license fees and extends the validity period for those IDs, received a do-pass recommendation after testimony from homeless services providers that IDs are essential for housing, employment, and access to services. Votes were 10-0 for SB 1118, 6-4 for SB 1154, 6-4 for SB 1063, 10-0 for SB 1153, 6-4 for SCM 1001, and 9-0 with one not voting for SB 1209.

Transcript Highlights:

• And, of course, that is, like somebody had indicated before, it truly is for early interventions, right
• , but the early intervention helped so that they could read at a third-grade level by third grade and
• We got to do interventions to see, you know what I mean, if they're responding, because that would indicate
• We talked a little bit during the last presentation about how, when there is early intervention at younger
• And I go back to early intervention and some of those supports that we can do both, but recognizing that

Keywords: 908, all

Transcript Highlights:

• You know, they need five hours a week of behavioral intervention and that's it.
• You know, they need five hours a week of behavioral intervention and that's it.
• You know, they need five hours a week of behavioral intervention and that's it.
• You know, they need five hours a week of behavioral intervention and that's it.
• hours a week of behavioral intervention hours a week of behavioral intervention and<00:30:35.200

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services heard a 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 with serious mental illness who do not qualify for nursing home care but need structured support, medication assistance, meals, housekeeping, transportation, and supervision. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and rely on a state supplementation rate of about $50.70 per day, which they argued no longer covers operating costs because of rising food, labor, insurance, and maintenance expenses. The presenters said the sector has shrunk significantly over time, citing a drop from 64 homes in 2002 to 34 today among the homes serving this population, with 30 closures over 23 years and two more closures since August. They argued that the closures have contributed to homelessness, hospital overcrowding, and longer stays in psychiatric hospitals, and they gave examples of residents who had spent many months in hospitals before stabilizing in a personal care home. One provider also described spending more than $800,000 on capital improvements after acquiring Kentucky facilities and said reimbursement is too low to sustain safe operations. They asked for an incremental reimbursement increase over two years and said they have also proposed an assisted-living model for people with mental illness. Members asked about staffing, reimbursement, and the number of people still needing placement. The presenters said there is no requirement for licensed or certified staff in these facilities, though some homes use medication technicians and occasional LPNs. They estimated they are currently serving about 2,000 residents and said they receive roughly 30 referrals for every one person admitted, with many referrals involving people whose needs exceed the personal care home level. Senator Meredith and Representative Fleming said any funding request would need documentation of savings and corresponding budget offsets, while Representative Duval expressed support and asked about possible staffing and program improvements. The witnesses also compared Kentucky’s flat-rate reimbursement to a more individualized reimbursement model in Minnesota, saying a needs-based system would better match staffing and reduce hospitalizations.