Transcript Highlights:

• , as well as a new self-therapy treatment for solid cancers and several new treatments for rare diseases
• These treatments...
• Relapse treatment was the hardest stretch yet.
• for a cancer, or treatment of a resistant cancer.
• It means less research into life-saving treatments, life-saving cures and treatments.

Committee: Senate Senate Appropriations

Transcript Highlights:

• So stand downs are a little different than what Veterans Treatment Courts do.
• So stand downs are a little different than what Veterans Treatments Courts do.
• And that's when I was introduced to Veterans Treatment Court.
• I was introduced to Veterans Treatment Court.
• So the Veteran Treatment Court is the first component to this program.

Summary: The Military Affairs and Border Security Committee heard two veterans-focused bills. HB 2960 would create a Veterans Specialty Court grant program and fund to help cities and counties start, expand, and improve veterans treatment courts, with the Administrative Office of the Courts overseeing best practices, data collection, and reporting. It would also require the Department of Corrections to identify incarcerated veterans and share monthly information with the Department of Veterans’ Services so veterans do not lose contact with benefits and support services. The sponsor and a veteran testifying in support described the bill as a way to address underlying issues such as PTSD, substance use, and reintegration challenges through diversion and treatment rather than punishment. The committee also heard HB 2620, which would appropriate $300,000 annually from fiscal years 2027 through 2031 to the Arizona Department of Veterans’ Services for grants to large emergency shelters serving homeless veterans, including Central Arizona Shelter Services (CASS). Supporters said the funding would allow shelters to hire dedicated veteran case managers, provide flexible assistance, and move veterans more quickly into permanent housing. A CASS representative and a veteran who had stayed there testified in favor, describing the shelter’s veteran-specific services and the importance of stable, trauma-informed case management. Both bills received strong support from committee members, many of whom spoke personally about veterans treatment courts and homelessness services. HB 2960 was approved on a 6-0 vote with one member not voting, and HB 2620 was also approved 6-0 with one member not voting, each receiving a do-pass recommendation.

Transcript Highlights:

• Thank you. >> Uh, Mike Pekco on Zoom. treatment plan, burden of proof and treatment plan, burden of proof
• </c> on workers compensation treatment plans. on workers compensation treatment plans.
• So you can look at overall treatments are approved, but the additional treatments may not there may not
• the their treatments are approved but the additional<00:21:45.600><c> treatments</c><00:21:46.159><c
• </c> it's reasonable to continue a treatment it's reasonable to continue a treatment &gt;&gt; good<00

Committee: Senate Labor and Technology

Summary: The Senate Committee on Labor and Technology heard testimony on several labor-related bills. SB 2567 would allow public employers to seek temporary restraining orders against harassment of employees; the Judiciary, DHS, DOE, and others supported it, with some asking that coverage be broadened to all public employees. The Judiciary said it would not oppose expanding the bill’s scope. The chair deferred decision-making on SB 2567 to February 13, 2026, to allow further discussion with the Judiciary and Attorney General’s Office. SB 2386 would expand pay-transparency requirements for job listings and lower the small-employer exemption threshold from 50 to 25 employees. Testifiers largely supported the measure, citing transparency and retention benefits, while one opposition was noted. The committee voted to pass SB 2386 with amendments, including changing the effective date to January 1, 2077. SB 2389, the Warehouse Workers Protection Act, drew support from labor advocates but concerns from DLIR and the Attorney General’s Office about enforcement and a prosecutorial provision; after questions about quota tracking and recordkeeping, the chair deferred the bill. SB 2663 would require employers to respond in writing to workers’ compensation treatment plans within seven days and establish related penalties. DLIR opposed the bill as drafted, citing fairness and existing statutory conflicts, while injured workers and labor representatives supported it and described long delays in treatment approvals. The committee voted to pass SB 2663 with amendments, including directing fines to the special compensation fund, clarifying enforcement, and setting the effective date to January 1, 2077. SB 2555 would allow retirees to work in succession-planning positions without losing retirement benefits; ERS supported the intent but suggested an annual reporting requirement and noted existing rehire mechanisms. The committee voted to pass SB 2555 with amendments, including an annual report requirement and the same January 1, 2077 effective date. The meeting then adjourned.

Transcript Highlights:

• So two years in custody could include mental health treatment, substance abuse treatment, whatever that
• There's no mandated mental health treatment.
• I think the key is you need the treatment. It is imperfect.
• Ordering treatment for an actual person who needs that treatment who's found not guilty under the new
• There's no mandated mental health treatment here.

Committee: Senate Criminal Justice

Summary: The committee heard and approved several criminal justice and public safety bills. SB 646 would allow drug-testing tools such as fentanyl test strips and reagent kits to detect adulterants in drugs; it passed unanimously after testimony from the sponsor and supporters describing overdose deaths and the value of early warning. SB 442 would extend the return period for warrants involving digital evidence from 45 days to one year, with prosecutors and law enforcement supporting the change because of encryption, device backlogs, and large volumes of child exploitation evidence; it also passed unanimously. SB 418 would require autism-related law enforcement training and create a Blue Envelope Program for drivers with autism; it passed unanimously after supportive testimony from law enforcement and disability advocates. SB 132 would create a statewide database and instructions to help people determine eligibility for restoration of voting rights; it passed unanimously, with discussion about simplifying access to records and eligibility information. SB 748 would require sentencing score sheets to include notice about voting-rights restoration and ensure defendants receive a copy; it passed unanimously. SB 1734 would recognize juvenile probation and detention officers as officers under state law and extend related training, certification, and benefits; it passed unanimously. SB 1660 would designate June as Responsible Firearm Safety Awareness Month; it passed unanimously. SB 1742, as amended by a delete-all amendment, would replace an older offense with a new crime of indecent exposure of sexual organs to a minor; the amendment and bill passed unanimously. SB 1750 would expand and tighten career offender registration requirements, and SB 1332, a similar career-offender registration bill later corrected on the agenda, also passed unanimously after a question about empirical evidence for registry effectiveness. Both bills were supported by FDLE and sheriffs' groups. The most extensive debate centered on SB 1326, which would eliminate Florida’s traditional insanity defense and replace it with a defense based on lack of culpable mental state caused by mental disease or defect, while also changing competency and sentencing provisions. Supporters argued the bill was needed to protect the public from violent offenders with serious mental illness and to close gaps that can leave dangerous people under-supervised. Opponents, including criminal defense advocates and some senators, warned that the bill could leave acquitted defendants without treatment, reduce judicial discretion, raise reliability and cost concerns over malingering assessments, and potentially worsen public safety by pushing more mentally ill people into prison without adequate care. Despite those objections, the bill passed on a divided vote. Near the end of the meeting, the chair also corrected an earlier mix-up and moved SB 1750 to the next committee hearing after a motion to reconsider, while SB 1332 was taken up and reported favorably.

Transcript Highlights:

• receive that treatment.
• That treatment.
• So involvement in past treatment or current treatment is not an area of eligibility for this program
• So we're going to shift from peer supports to treatment.
• in their lives to help them throughout their treatment.

Summary: The meeting opened with approval of the April minutes and brief administrative updates, including notice that House Bill 5447 had passed both chambers of the General Assembly. Speakers reflected on the bill’s key provisions, which include eating-disorder working groups, an evidence-based screening requirement for school-based health centers beginning July 1, 2027, and a DSS-led feasibility process to explore an inpatient psychiatric facility for young adults ages 14 to 21. New staff introductions were also made for the Behavioral Health Advocate’s office and the TCB team. A major portion of the meeting focused on marketing and outreach for urgent crisis centers (UCCs) and the broader youth crisis continuum. Daydream Communications presented research showing low public awareness of UCCs but strong interest once families learn about them, with parents wanting specialized, compassionate care, clear expectations, insurance clarity, and bilingual support. United Way described its parallel work on a statewide crisis continuum marketing toolkit, using the SAMHSA framework of “someone to talk to, someone to respond, and somewhere safe to go,” and outlined plans to distribute consistent messaging through websites, social media, flyers, and community venues. Members emphasized coordinating with existing platforms and ensuring the marketing reflects the actual experience at UCC sites. DCF then presented on adolescent substance use services, citing data showing high need and low treatment access among Connecticut youth. The department reviewed its ASAM-based continuum, SBIRT efforts in outpatient psychiatric clinics, medication-assisted treatment access, and statewide services such as MST, MST emerging adults, STRIDE, multidimensional family therapy, youth recovery supports, and the AIM matching tool. A new young people peer support program was highlighted, with referrals accepted from families, hospitals, community providers, DCF, youth diversion, and the judicial branch. Questions addressed parent consent, peer matching, and whether the AIM tool could be linked through 211. The meeting concluded with an update from the Connecticut Suicide Advisory Board and its regional boards and grant-funded initiatives. Presenters reviewed the state suicide prevention plan, regional coalition work, postvention response, lethal means safety efforts, and the 988 capacity improvement grant that supports Connecticut’s centralized 988 contact center at United Way. They also shared youth suicide risk data from the Connecticut Youth Risk Behavior Survey, noting recent declines in reported suicidal ideation and attempts, and provided resources for training and materials. No formal votes were taken beyond the approval of the April minutes.

Transcript Highlights:

• </c> treatment with involuntary medication. treatment with involuntary medication.
• </c> treatment plan. treatment plan.
• . treatment. treatment.
• in the meantime, um for treatment in the meantime, um including<01:44:30.560><c> treatment</c><01:44
• also get better. undergo treatment, generic treatment for undergo treatment, generic treatment for whatever

Transcript Highlights:

• And one month after a single, I began treatment.
• I testify on the Ibogaine treatment. I'm a recipient of that particular treatment.
• Hubbard, I was going to ask you, typical treatment cost would be?
• costs $185,000. $8,000 for the initial 120 days of treatment.
• Mexico to undergo Ibogaine treatments.

Bills: SB128 , SB640 , SB672 , SB904 , SB1141 , SB1263 , SB1525 , SB1528 , SB2041 , SB2306 , SB2308 , SB2357 , SB2446 , SB2695 , SB2857 , SB2891 , SB2583

Committee: Senate Health & Human Services

Transcript Highlights:

• into our treatment courts.
• The key with our treatment courts is this: it does provide treatment, but it is not a handholding.
• We don't typically pay their treatment costs.
• We don't typically pay their treatment costs.
• We don't typically pay their treatment costs.

Summary: A joint Senate Finance and House Appropriations committee heard presentations on the Idaho judicial branch budget, beginning with court operations. Legislative staff reviewed the branch’s structure, staffing, recent technology upgrades funded with ARPA dollars, and prior budget enhancements, including support for court technology, judicial compensation, and additional judges in several districts. Court officials explained a late budget request for an additional $800,700 from a dedicated magistrate retirement fund to cover unexpected retirement bonuses and purchase-of-service costs for seven magistrates, as well as the impact of a governor holdback and reduced federal support for some treatment and domestic violence court-related services. Committee members asked about the timing of the revised retirement request, the purpose and success of the magistrate retirement bonus program, the court’s technology modernization, and the effect of losing federal and other outside funding. Court officials said the retirement timing could not be known earlier because magistrates had until January to notify the court, and they described the bonus as helping judges complete their terms. They also said the court had moved case management and recording systems to the cloud and built a statewide network, and that cuts to treatment court and peer support funding would likely force reductions in non-constitutional services. The committee then heard the Guardian ad litem division request, including a $77,900 general fund enhancement for the Second Judicial District CASA program. The CASA director said the money would support a recruiter/trainer/data supervisor position and required compliance costs such as financial review, office space, and liability insurance. She described volunteer shortages across a large rural district, declining VOCA and grant funding, and the need to spend more time fundraising instead of serving children. Members asked about the decline in VOCA funds, the share of funding coming from donations and fundraising, the number of children served, and the role of CASA for older youth. The director said about 30% of the program’s funding comes from fundraising, that the district serves children over age 12 and some older youth, and she gave an example of a case where CASA helped stabilize a family and reunify children with their parents. No votes were taken, and the committee adjourned until the next day.

Transcript Highlights:

• We've seen it when people have been in treatment, not in treatment.
• We've seen it when people have been in treatment, not in treatment.
• In other instances, it takes a much longer period of time, with both treatment—psychological treatment
• I have been receiving treatment since then and my job was guaranteed back if I complete treatment and
• And offer treatment plans.

Committee: Joint Joint Committee on the Judiciary

Summary: The Joint Committee on the Judiciary heard testimony on a wide range of bills, with much of the discussion focused on housing stability and maternal mental health. On H. 1924/S. 1171, supporters including Sen. Joan Lovely, Rep. Jim O’Day, physicians, advocates, and people with lived experience urged the committee to create legal protections and treatment pathways for defendants who experienced postpartum psychosis or other perinatal mood disorders within 12 months of giving birth. Testimony emphasized that these conditions are rare but severe, often treatable, and can lead to tragic outcomes if criminalized rather than addressed through screening, expert evaluation, treatment, and, in some cases, resentencing or mitigation. Committee members asked about diagnosis years after the fact and how the Illinois law has worked; witnesses said retrospective diagnosis is possible and that the Illinois model has led to some successful resentencing petitions and broader awareness. Housing-related bills drew substantial testimony. On H. 1983/S. 1071, witnesses described “zombie” subordinate mortgages that were sold years after borrowers believed they had been resolved, then resurfaced with large balances and foreclosure threats. Supporters said the bill would require disclosures and court review to prevent unlawful servicing and foreclosure practices. On H. 1952, advocates from the Massachusetts Law Reform Institute, tenants, and legal services providers backed a permanent statewide right to counsel in eviction cases, citing data showing strong tenant outcomes and the importance of quality control, multilingual outreach, and full representation. On H. 1895/S. 1184, testimony supported codifying a two-tier summary process in eviction court and prohibiting defaults at the initial case-management stage. On H. 1883, a small property owner supported rent escrow as a way to protect landlords from bad-faith nonpayment while preserving tenant rights. The committee also heard testimony on bills addressing discriminatory housing covenants, tenant oversight, and homelessness. On H. 1762/S. 1080, a housing advocate supported removing void restrictive covenants from deeds, describing the Dirty Deeds Project and the lingering harm of racist language in property records. On H. 1814, tenants and advocates described harassment, retaliation, security problems, and lack of accountability in subsidized housing, arguing for an Office of the Tenant Advocate within the Attorney General’s Office. On S. 1120, multiple witnesses supported a bill of rights for people experiencing homelessness, saying it would affirm the right to rest and seek shelter, reduce criminalization, and extend anti-discrimination protections. No votes or final actions were taken during the hearing; the committee primarily received testimony and questions on the bills.

Transcript Highlights:

• That complicated his treatment.
• And so it's very, very challenging to get them treatment if the only treatment available to them is by
• choice, but they don't know that they need treatment.
• And so it's very, very challenging to get them treatment if the only treatment available to them is by
• Behavioral health treatment services include applied behavior analysis, commonly referred to as ABA treatment

Committee: House Health

Transcript Highlights:

• </c><00:15:23.800><c> plant</c> stations at the wa water treatment plant stations at the wa water treatment
• It also includes the operation of a temporary treatment solution until a permanent treatment solution
• It also includes the operation of a temporary treatment solution until a permanent treatment solution
• It also includes the operation of a temporary treatment solution until a permanent treatment solution
• It also includes the operation of a temporary treatment solution until a permanent treatment solution

Summary: The committee first handled informational reports on several bond and lease matters, including school district and board of education debt-service items, upcoming revenue bond issues in Henderson and Jessamine counties, and three advertised lease-space requests for state agencies. Members also reviewed prior lease transactions that had not been approved in November and December; the Finance and Administration Cabinet later canceled and rebid the Harlan County lease and moved ahead with the Perry County lease modification. Additional information items included a Kentucky Communications Network Authority quarterly capital projects report and Eastern Kentucky University asset preservation revisions. The committee then heard from Deputy State Budget Director Janice Thomas on four action items. She reported a $2.85 million USDA-funded renovation at Kentucky State University’s Betty White Building, a $294,000 increase for the Kentucky School for the Deaf’s Middleton Hall renovation, and a $6.1 million restricted-funds scope increase for the KCTCS Science Building Expansion in Elizabethtown. Members asked about how often the statutory 15% increase authority is used for school dormitory and cottage projects and about the competitiveness of construction bids; Thomas said bids are typically competitive but recent estimates have been difficult because of higher material and equipment costs. The committee approved the three action items unanimously and also received a no-action report on a $3.918 million Corrections project to repair and replace the KCIW kitchen drain line. Next, the Kentucky Infrastructure Authority presented seven loans and grants, all of which the committee approved unanimously. The package included sewer and water projects for Frankfort, Sturgis, Scottsville, Morganfield, Western Pulaski County Water District, and Springfield, plus an emergency $5.487 million Kentucky Waters grant for Eddyville after a catastrophic sewer plant failure and weather-related emergency declarations. The projects covered wastewater interceptor and treatment upgrades, sewer collection rehabilitation, water transmission main installation, and planning/design work, with loan terms ranging from five to 30 years and interest rates from 0.5% to 2.25%. Finally, the committee considered a $38.4 million Kentucky Housing Corporation conduit issuance for a 322-unit multifamily rental project in Jefferson County. A member asked how the committee participates in the transaction, and staff explained that it is a conduit issuance and not state debt. The committee then moved to approve the issuance.

Transcript Highlights:

• For the treatments and the therapy.
• adequate treatment.
• Not adequate treatment.
• , not just the treatments, but also the diagnostic services.
• Medicaid, because of the CMS ruling, has to cover treatments, FDA-approved treatments, but our Medicaid

Committee: All ALZHEIMER'S DISEASE AND DEMENTIA ADVISORY COUNCIL

Summary: The Alzheimer’s Disease and Dementia Advisory Council met to approve the August 12 minutes and then reviewed an updated Arkansas state plan for dementia. David Cook of the Alzheimer’s Association explained that the plan reflects newer research and treatments, and the council discussed adding objectives related to insurance coverage for diagnostics and therapies, access to specialists, provider education, and the use of biomarker testing. Members also raised concerns about low reimbursement rates, hospital financial strain, and the need to recruit and train more neurologists and advanced practice providers, especially in rural areas. The council approved the general outline of the state plan, with objectives to be refined later. The meeting then moved through proposed priority areas for the next state plan: dementia risk reduction and brain health, caregiver support, access to diagnostics and treatment, and access to quality care. Testimony emphasized integrating brain health messaging into existing public health efforts, reducing stigma by framing outreach around “brain health,” expanding education in underserved communities including Marshallese speakers, and improving referral networks and dementia resource centers. Members also discussed the need for more caregiver respite support, broader caregiver navigation services, and possible future legislation to strengthen those programs. Under access and quality of care, participants discussed gaps in Medicaid and other payer coverage, the need for rural telehealth and specialist networks, and the importance of training first responders, home care workers, and other direct care staff. Concerns were raised that some training requirements apply only to licensed providers, leaving private-pay home care outside the same standards. The council also reviewed membership participation and discussed possible changes to the statute to replace inactive members. No additional votes were taken beyond approving the state plan outline, and the council scheduled its next meeting for September 22 at 10 a.m. to focus on finalizing the state plan before the October 1 report deadline.

Transcript Highlights:

• So this bill would add those newer technologies and treatments.
• Unfortunately, Josh only got 15 days of treatment, and I asked why.
• Unfortunately, Josh only got 15 days of treatment, and I asked why.
• treatment, or you might hear me say COT.
• to seek treatment.

Summary: The committee first heard House Bill 2307, as amended by a strike-everything amendment, which would require the Department of Health Services to contract with an out-of-state facility when a person found dangerous and incompetent under a court commitment order cannot be placed in an Arizona secure mental health facility. Supporters, including the sponsor and Senator Angus, said the measure was a temporary stopgap to prevent dangerous individuals from being released because Arizona lacks secure behavioral health beds. Opponents raised due process, disability rights, family access, cost, and interstate-legal concerns, and DHS said it had no fiscal estimate and little experience with such contracts. The committee adopted the amendment and then passed the bill 6-5. The committee then took up House Bill 2083, which updates diabetes-related insurance coverage to include items such as continuous glucose monitors, insulin pumps, smart insulin pens, and certain injectable medications. Supporters said the bill reflects modern diabetes care and can prevent serious complications, while an insurer representative warned that putting the coverage in statute could create state-mandated costs and raised concern that the language might be read to include GLP-1 drugs. The committee adopted the amendment and passed the bill 11-1. House Bill 2673, dealing with mental illness screening and treatment for incarcerated people, would require sheriffs to ensure prisoners showing symptoms of mental disorder are examined within 24 hours and, if appropriate, referred for evaluation and treatment. Representative Hernandez said she intended to revise it into a study committee-style measure after stakeholder feedback, and a family member testified about her son’s death after untreated psychosis in jail. Opposition focused on competency and civil-commitment concerns, costs, and the burden on jails, but the committee passed the bill 12-0. House Bill 2923, which revises timelines and notice procedures for judicial review of court-ordered mental health treatment, also passed 12-0 after supporters said it would clarify outdated language and improve communication with families and guardians; opponents argued it shifted burdens onto patients and could prolong confinement. The committee next passed House Bill 2251, as amended, which expands licensed midwives’ authority to dispense certain medications and devices, adds reporting and oversight requirements, and creates an advisory committee. The sponsor said the amendment narrowed the medication list, clarified transfer-of-care triggers, strengthened oversight, and added sentinel-event reporting after stakeholder discussions with medical groups. Finally, the committee heard House Bill 2914 on electronic monitoring in resident rooms at nursing care and assisted living facilities, with the sponsor’s statement emphasizing the bill as a protection against abuse or neglect and noting similar laws in other states; the transcript cuts off before testimony or a final vote on that bill.

Transcript Highlights:

• ,</c><00:02:30.720><c> consistent</c> insecticide seed treatments, consistent insecticide seed treatments
• </c><00:24:00.799><c> I'll</c> without the use of seed treatment I'll without the use of seed treatment
• We are able to uh cover seed treatment.
• </c> egg commissioner to use seed treatment egg commissioner to use seed treatment &gt;&gt; represent
• </c><00:41:46.800><c> that</c> for farmers to use seed treatments that for farmers to use seed treatments

Transcript Highlights:

• </c><00:09:55.040><c> Thank</c> of treatment offsite. So, okay. Thank of treatment offsite.
• uh for the individuals that treatment uh for the individuals that need<00:21:15.360><c> treatment</c
• </c><00:21:36.799><c> in</c> progressing in treatment in progressing in treatment in Pennsylvania.<00
• I I'm in a treatment environment.
• </c> a a treatment facility would look like. a a treatment facility would look like.

Summary: The committee heard from the Department of Corrections first about Wellpath’s medical services contract and the contractor’s Chapter 11 bankruptcy. DOC officials said Wellpath’s reorganization plan was confirmed in May 2025, the contract was automatically assumed, and services have continued without lapses. They said DOC has not seen any reduction in care, staffing problems, or known impact on Kentucky operations, and that DOC and health services staff meet with Wellpath almost weekly. Members asked whether “emergence” meant discharge from bankruptcy; staff clarified that Wellpath has not yet been discharged and is still in the process of paying debts. The discussion then shifted to the Department of Juvenile Justice’s proposed high-acuity juvenile mental health treatment facility. DJJ said the facility is still in the conceptual and preliminary programming stage, with no full design funding yet and no entry into the formal A/B process with DECA. The proposed facility would have 24 beds total, split into 16 clinical beds and 8 assessment/stabilization beds, and would need to separate males and females as well as high- and low-risk youth under Senate Bill 162. Officials said the concept was developed with DJJ and CHFS mental health staff and outside design experts, and that the project was submitted in the capital plan for consideration. Members questioned the need for the facility, the estimated construction and staffing costs, and whether the state has enough youth to justify it. DJJ said the number of youth needing this level of care changes frequently, that they currently have one youth in Pennsylvania and typically send one to five youth out of state each year, and that out-of-state placement is increasingly difficult. Officials argued that a dedicated facility would reduce delays, keep youth closer to home, and avoid the need to retrofit multiple detention centers. Some members expressed concern that the projected operating costs seemed high compared with the small number of current out-of-state placements, and asked for more information on annual out-of-state spending and the number of youth who would qualify for the facility.

Transcript Highlights:

• intervention treatment for those in our inmate population.
• And we contract with vendors to provide that combined treatment facility, sex offender treatment and
• This slide gives some overview of our treatment program.
• myself so that I can focus on my treatment.
• It's a treatment facility, MTC built and owns. It's a 200, or a 2,200. 236 bed treatment facility.

Committee: House Corrections

Transcript Highlights:

• And I want to add, the key over here is active treatment.
• active treatment, because...
• Will that individual benefit from active treatment or will they engage in active treatment?
• Help me understand what active treatment is.
• And as far as SUD treatment, we do not provide SUD treatment in our facilities and the RHCs.

Summary: The committee heard a lengthy update on Washington child welfare from Casey Family Programs and DCYF. Dr. David Sanders said Washington has sharply reduced out-of-home care and increased kinship placements, but he flagged concerns about low screening-in rates, long stays in foster care for many children, and a recent rise in repeat maltreatment and child fatalities, especially among infants. He urged more focus on infants and young children, better coordination among child protection, health care, and law enforcement, and more proactive review and investigation practices. Members asked for disaggregated data on children lingering in care, fatalities, and causes such as fentanyl exposure. DCYF said it has increased relative placements and guardianships, but also reported a concerning rise in 2025 critical incidents, mostly near-fatalities involving children age three and under, many opioid-related. The department described responses including safe child consults for opioid cases, more training, hotspot analysis, and proposed investments in peer support, public health nurses, community referrals, and an updated safety framework. Members also discussed whether a broader commission on child abuse prevention would be useful, and DCYF said it was open to that idea. The committee then received a DSHS reorganization update from Secretary Angela Ramirez, who described the “Reimagined” plan to consolidate four administrations into three new ones, with the stated goals of reducing silos, improving customer experience, and making transitions between services smoother. She said the agency is seeking statutory changes and CMS approval to align the new structure, and members asked about preparing for federal HR1 impacts, especially SNAP. Ramirez said DSHS is monitoring those impacts closely and emphasized the need for accurate data and cross-agency coordination. Finally, DSHS’s Behavioral Health and Habilitation Administration updated the committee on residential habilitation centers and implementation of Substitute Senate Bill 5393, which phases out Rainier School by June 30, 2027 and limits new admissions. Officials reported current census and staffing levels at the state’s RHCs, said Rainier has had some residents transition to supported living or adult family homes, and explained that emergency and permanent rulemaking was needed to implement the law. They also said Rainier was recently cited by federal surveyors for not meeting the active treatment requirement for two residents, and that the facility has 90 days to return to compliance before possible payment penalties or further remedies. Members pressed for details on the citation, the meaning of active treatment, the assessment process for admissions, and whether Rainier could be repurposed for other services; DSHS said it is working on corrective action and will follow up in writing.

Transcript Highlights:

• ability to receive treatment outside of the treatment groups.
• treatment model.
• They have the ability to receive treatment in the building, in our treatment mall, but then also out
• Behavioral health treatment provided within an intensive behavioral health treatment facility is multidisciplinary
• An intensive behavioral health treatment facility really is mental health treatment.

Committee: House Appropriations

Summary: The House Appropriations Committee held a work session covering juvenile rehabilitation system capacity, behavioral health capacity, federal funding changes, and a 2026 budget overview. DCYF officials said the juvenile rehabilitation population is older, includes more adult-sentenced youth and post-25 residents, and is projected to keep growing, creating crowding at Green Hill School and placement limits across the system. They described safe operating capacity concerns, staffing turnover, mental health acuity, and the need for additional medium-security and specialized mental health beds, including a proposed Parkland facility and continued development of Harbor Heights. Committee members were told to follow up separately with questions, and the presentation moved on due to time. Behavioral health officials from DSHS and HCA then reviewed forensic and civil capacity. DSHS described expanding state hospital and civil treatment capacity through Olympic Heritage, Maple Lane, Brockman Campus, and a new 350-bed forensic hospital at Western State, while noting ongoing construction, staffing, and funding issues. HCA outlined its strategy to move long-term civil commitment care into community settings through contracted long-term civil commitment beds, intensive behavioral health treatment facilities, PACT teams, and intensive residential treatment teams. Members asked about out-of-state placements, Medicaid funding, and the differences among facility types; officials said the goal is to right-size inpatient capacity while expanding community-based supports. OFM then presented an update on federal funding and the effects of H.R. 1 and H.R. 5371. Agency staff said H.R. 1 would tighten SNAP work requirements, reduce exemptions, shift some lawful immigrants to state-funded food assistance, increase state administrative and benefit costs, and affect Medicaid eligibility, redeterminations, cost sharing, and state-directed payments. HCA estimated major Medicaid caseload reductions and significant future fiscal impacts, while OFM also noted marketplace subsidy changes and higher education and K-12 downstream effects. H.R. 5371 was described as a short-term federal funding extension through January 30, 2026, with some full-year appropriations and a change affecting hemp producers. Finally, Mary Monroe gave a 2026 supplemental budget preview, citing declining NGFO revenue forecasts, reversions, vetoes, and the added uncertainty from H.R. 1, with the projected ending fund balance moving from positive amounts to a negative outlook over the four-year period.

Transcript Highlights:

• </c> multiple package wastewater treatment multiple package wastewater treatment plants<00:14:16.519>
• </c> portion of their wastewater treatment portion of their wastewater treatment plant<00:16:27.880><
• It also includes the operation of a temporary treatment solution until a permanent treatment solution
• It also includes the operation of a temporary treatment solution until a permanent treatment solution
• <00:19:58.280><c> process</c> treatment process treatment process it<00:20:00.760><c> also</c><00:20:

Summary: The committee first approved the January minutes and then received several informational reports on school district tax levies, revenue bonds, lease advertisements, and previously rejected lease transactions. Members were told that one rejected lease for the Cabinet for Health and Family Services in Hardin County would be canceled and rebid, while a Perry County lease modification for the Energy and Environment Cabinet would proceed. The Kentucky Communications Network Authority also submitted its quarterly capital projects report, and Eastern Kentucky University reported revisions to asset preservation projects. Janice Thomas, Deputy State Budget Director, presented four capital project action items. These included a Kentucky State University Betty White Building renovation funded by USDA grant money, a Department of Education state schools dormitory and cottage renovation appropriation increase because bids exceeded estimates, a restricted-funds scope increase for the Elizabethtown CTC science building expansion, and a pool project report for the Department of Corrections’ KCIW kitchen drain line repair and replacement. Representative Petrie asked about how often the statutory authority for midstream project increases is used and whether bids are typically competitive; Thomas said the increases are used often when bids come in above estimates and that bids are generally competitive, though construction costs have been difficult to gauge. The committee unanimously approved the first three action items, and the KCIW project was reported with no action required. H. Sandy Williams of the Kentucky Infrastructure Authority then presented six loans and one emergency grant. The items included loans for Frankfort’s East Frankfort Interceptor wet weather facility project, Sturgis wastewater improvements, Scottsville inflow and infiltration work, Morganfield wastewater treatment plant planning and design, Western Pulaski County Water District transmission improvements, and Springfield water system planning and replacement work, plus an emergency Kentucky Waters grant for Eddyville following a sewer treatment plant failure and local emergency declarations. After no questions, the committee unanimously approved the seven KIA transactions. Chelsea Couch then presented a Kentucky Housing Corporation conduit issuance for $38.4 million to finance a multifamily rental project in Jefferson County; members asked how the committee participates and were told it was a conduit issuance rather than state debt. The committee approved that item. Finally, the committee heard an informational Turnpike Authority refunding issuance of about $53 million for present value savings, then approved four SFCC debt issues for Henderson, Pulaski, Scott, and Trimble counties to finance school renovations and construction. The meeting ended with notice of the next meeting date and location.

Transcript Highlights:

• Substance Abuse Prevention and Treatment Initiative with the Pew Charitable Trusts.
• Third, improving access to comprehensive treatment by revising state opioid treatment program regulatory
• treatment.
• Page 3, my question is regarding the treatment program locations.
• Are these outpatient treatment program locations?

Committee: House Legislative Health & Human Services Committee