Transcript Highlights:

• And so the footing of one of the bridge pillars is beneath the Rio Grande River bed.
• Base of the river bed.
• So the river bed is eroding, and now at our last inspection, there was only six feet left between the
• footing and the river bed, which means...
• And there's a pipe, but there's no space between the pavement and the dirt and the pipe.

Transcript Highlights:

• of bed space for folks to utilize.
• of bed space for folks to utilize.
• of bed space for folks to utilize.
• of bed space for folks to utilize.
• of bed space for folks to utilize.

Keywords: 1189, house, all

Transcript Highlights:

• Labor and delivery is a 24-hour service that requires specialized staff, equipment, and space.
• able to, I would say, subsidize that service with general surgery, orthopedic surgery, and our swing bed
• How many beds do you have at your hospital? I'm sorry? How many beds?
• We are a 22-bed critical access hospital.
• This is where something like a cooling bed becomes essential.

Bills: HB18, HB37, HB116, HB388, HB879, HB913, HB1151, HB2216, HB2358, HB2809, SB577, SB1590, SB1782, SB1887, SB2744, HB18, HB37, HB116

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

Transcript Highlights:

• Churches should remain centers of worship and refuge, not spaces for persecution.
• It calls for counting beds in prison.
• They go to bed, two, three in the morning. They put in the sacrifice of hard work.
• They go to bed, two, three in the morning, barely get some rest.
• for our kids, a safe space for us, have to turn their backs on the stranger.

Summary: The House convened with prayer, pledge, quorum call, approval of the journal, and adoption of the Rules and Ethics Committee’s special order report for the day. The chamber then took up House Bill 1B, the immigration bill, and members were told they would have one opportunity to question the sponsor on both the House version and the anticipated Senate changes. Representative McClure described the bill as a major immigration-enforcement package creating a chief immigration officer housed in the Department of Agriculture, an Office of State Immigration Enforcement, a local law enforcement grant program, a state immigration council, and new penalties and enforcement tools. He also outlined anticipated Senate language, including stronger 287(g) participation requirements, enhanced penalties for unauthorized aliens, a mandatory death penalty provision for certain capital offenses, and additional coordination with federal agencies. The bill drew extensive questioning from Democrats about due process, constitutional issues, school and workplace impacts, and the treatment of people whose immigration status changes over time. Members asked about birthright citizenship, TPS, asylum seekers, pretrial detention standards, the lawful basis for detaining someone based on suspected status, and whether teachers, social workers, school resource officers, and even children could be required to cooperate with immigration enforcement. McClure and Representative Garrison repeatedly said the bill would require cooperation with federal authorities, that status determinations would be handled under existing court procedures, and that the Senate death-penalty language was intended to fit within Hurst by requiring a jury finding beyond a reasonable doubt that the defendant was an unauthorized alien. They also said the bill did not provide DMV funding, did not address teacher shortages, and included appropriations such as $25 million for the local law enforcement participation incentive program and broader funding for enforcement and training. Several amendments were considered. Representative Chambliss offered an amendment to protect schools, churches, and places of worship from enforcement activity; supporters argued it would preserve trust in sacred and educational spaces, but the amendment failed. Representative Escamani offered an amendment to preserve in-state tuition for Dreamers; supporters emphasized the educational and economic contributions of Dreamers and the hardship of higher tuition, but that amendment also failed. The debate ended with no bill vote in the excerpt, but the House completed the amendment votes and continued consideration of the immigration measure.

Transcript Highlights:

• For example, do you have guys calling and you just don't have space for them?
• So the housing, the bed nights that are available.
• bed, that pie gets sliced into thinner and thinner pieces for all the providers.
• That space is over; it's gone.
• So the state is doing a lot in this space.

Keywords: 959, house, all

Transcript Highlights:

• <00:28:54.159> statewide one, how many beds statewide one, how many beds statewide um<00:28
• I know you mentioned um again the space I know you mentioned um again the space that<00:34:32.079
• uh we are not um we rent for the space?
• Is the CG rental space going to include the old kitchen space too, then?
• And then very limited amount of space.

Keywords: 910, house, all

Transcript Highlights:

• broke into the sleeping woman's San Francisco apartment in the middle of the night, climbing into her bed
• not require blindly following psychology reports and the liberal governor's push to free up prison beds
• , regardless of public... ...reports and the liberal governor's push to free up prison beds, regardless
• The Committee on Human Services will be meeting in the swing room, Swing Space 2200, immediately after
• During her more than 15 years on City Council, Pat created spaces of belonging, ensuring that every voice

Keywords: 987, senate, all

Summary: The Senate opened with a quorum, prayer, the Pledge of Allegiance, and several floor recognitions, including a birthday acknowledgment for Senator Archuleta and introductions of former Senator George Runner and a Portuguese delegation tied to ACR 185 recognizing Portuguese Heritage Month. The body then approved the Senate journals and moved to confirmations of five Board of Parole Hearings appointees: William Muniz, Michael Ruff, Rosalind Sargent Burns, Mary Thornton, and Jack Weiss. Each confirmation drew extended debate centered on parole decisions, public safety, transparency, and the Board’s handling of elderly parole and sexually violent predator cases. Supporters argued the commissioners were applying existing law, using evidence-based risk assessments, and were not the decision-makers in the controversial cases cited. Opponents criticized the board for releasing dangerous offenders, questioned the commissioners’ judgment, and objected to the board’s closed-door in-bank votes. Roll calls followed each item, and all five appointees were confirmed, with vote totals including 25-9, 24-9, 24-9, 25-9, and 29-9. The Senate then took up Senate Concurrent Resolution 179 by Senator Niello, recognizing May as Celiac Disease Awareness Month. The resolution described celiac disease as a serious autoimmune disorder, highlighted symptoms and challenges with gluten exposure, and emphasized the need for awareness, labeling, and education. SCR 179 passed unanimously, 31-0. The session concluded with committee announcements and several adjournments in memory, including tributes to Marty Arnold, Jim McAulian, and Pat Gagoscos, followed by remarks from the President pro tempore about ongoing bipartisan legislation to improve transparency and public safety in parole decisions before adjournment until June 4, 2026.

Transcript Highlights:

• Oftentimes, a common issue that many in the housing space run into are challenges related to housing
• And the mobile home arena is a unique space and it has its own nuances.
• I was looking for, I was leaving space for the follow-up to the motion.
• Well, I mean, your legislation is making it more complex to operate in the space.
• But why are we not, if you want to reform this space, then why aren't we looking?

Keywords: 988, house, all

Transcript Highlights:

• It creates space for thoughtful, comprehensive solutions, not just one perspective.
• space for thoughtful, comprehensive space for thoughtful, comprehensive solutions,<00:15:30.160>
• A Waconia person was left on a bed pan for 11 and a half hours.
• <01:27:43.520> pan A Waconia person was left on a bed pan A Waconia person was left on a bed
• <01:27:50.080> and resident fell from the bed and resident fell from the bed and repeatedly

Bills: HF3668, HF2779, HF2771

Keywords: gun violence, public health, Department of Health, prevention, criminal justice, health care transparency, ownership disclosure, control reporting, health care consolidation, private equity, management services organization, MSO, provider organization, health insurer, pharmacy benefit manager, hospital system, affiliate reporting, financial disclosure, public reporting, market concentration

Summary: The House Finance and Policy Committee met on March 2 with a quorum present and heard House File 3668, which would create a state Office of Gun Violence Prevention. The bill author argued the office would treat gun violence as a public health crisis, improve research and coordination, and help reduce deaths and trauma, especially among children. Several supporters testified, including representatives from the Minnesota Medical Association, Protect Minnesota, family medicine, public health, and obstetrics/gynecology, all emphasizing firearm injury and suicide as major public health problems and urging a coordinated, data-driven response. Multiple testifiers shared personal accounts of shootings and their effects on children and families, including the Annunciation shooting, and said the office could help align prevention efforts across health care, law enforcement, and community organizations. Opposition came from the Minnesota Gun Owners Caucus, which argued the bill would create a permanent taxpayer-funded bureaucracy that could be used to shape firearm policy and restrict a constitutional right. The group said Minnesota should focus instead on enforcing existing laws, prosecuting violent offenders, and providing direct victim services. During committee discussion, Vice Chair Nadeau offered an A2 amendment to move the proposed office from the Department of Health to the Department of Public Safety, citing data-sharing, accountability, and examples from other cities and states; after discussion with the bill author, he withdrew the amendment. Chair Becker then noted existing state and local spending on violence prevention and public safety programs and raised concerns about duplication of effort.

Transcript Highlights:

• is a patient who is at fall risk attempting to go to the bathroom or do whatever by getting out of bed
• And so we can get ahead of that by having monitored beds 24/7, not just on the units, but in a logistics
• And so we can get ahead of that by having monitored beds 24-7, not just on the units, but in a logistics
• Oftentimes, I feel like in this space we're so focused on utilization versus patient outcomes.
• Oftentimes, I feel like in this space we're so focused on utilization versus patient outcomes.

Summary: The committee held a panel discussion focused on how Florida health care organizations are working to improve access, quality, and affordability. Panelists from Florida Community Care/Independent Living Systems, Sunshine Health, AdventHealth, UF Health, and Nemours described their approaches, including Medicaid managed care, value-based contracting, community partnerships, mobile screening units, smart-room technology, telehealth, and specialized programs for maternal health, children, and complex chronic conditions. Several speakers emphasized that managed care and coordinated care can improve outcomes while reducing unnecessary utilization and costs. Members asked about the impact of Medicare’s V28 changes, mobile cancer screening, urgent care versus emergency room billing, pediatric specialty access, complaint resolution, Black maternal mortality, provider shortages, network adequacy, and the use of AI in prior authorization. Witnesses said V28 has affected providers and revenue, UF Health’s mobile screening program is expanding beyond a few cancer types, and its urgent care model bills patients at the appropriate level rather than both urgent care and ER rates. Nemours said it reduced specialty wait times through scheduling changes, telemedicine, and registry tools, while AdventHealth described postpartum coordination and maternal heart programs to reduce maternal complications and mortality. On complaints and access problems, panelists said their organizations use patient/member advocates, care managers, call centers, and escalation processes to resolve issues, and Sunshine Health specifically discussed a transportation complaint that was addressed with its vendor and the family. Sunshine Health also said it is not using AI for prior authorization, though it is exploring responsible uses elsewhere, and Florida Community Care said it is not using AI in utilization management. In closing, panelists identified workforce shortages, provider burnout, and high-cost drugs as the biggest ongoing challenges. The meeting ended with thanks to the panel and adjournment after Representative Brackett moved to rise, without objection.

Transcript Highlights:

• So there's a lot of instability in the space.
• The county board of supervisors expanded their partnership to commit to build an additional 300 spaces
• of interim options and shelter options that it provides per homeless resident, with just about four beds
• for every 10 residents, far below the national average of about 7.5 beds.
• Roxanne Gould—excuse me, it was six beds.

Summary: The Assembly Committee on Human Services heard several homelessness, public benefits, and aging-related bills. SB 748 would expand Encampment Resolution Funding to support safe parking sites for people living in cars or RVs, require quarterly reporting from HCD on outcomes, and direct LAO evaluation; supporters said it would help local governments reduce RV encampments while connecting people to housing and services. SB 290 would repeal the CalWORKs immunization sanction that reduces aid when parents cannot provide acceptable proof of a child’s vaccination; supporters argued the penalty unfairly harms families already in poverty and can worsen instability, while no opposition testified. SB 606 would define “functional zero” for overall and unsheltered homelessness and require local jurisdictions to plan for and report on the housing and interim shelter needed to reach that goal; supporters said it would add accountability and focus on reducing unsheltered homelessness, and one group moved from opposition to neutral after amendments. SB 433 would create an income-based room-and-board cap and personal needs allowance for all Medi-Cal assisted living participants in residential care facilities for the elderly, not just SSI recipients; supporters said it would prevent eviction and homelessness among low-income seniors and people with disabilities, and facility groups withdrew opposition or moved to neutral after amendments. SB 761 would require students applying for Cal Grants to be notified that they may be eligible for CalFresh and given information on how to apply; supporters said it would address widespread student food insecurity and low enrollment among eligible students. The committee accepted amendments on the bills, and all of the measures discussed were reported out on 7-0 or similar unanimous votes to the Assembly Appropriations Committee, with the consent calendar also approved unanimously.

Transcript Highlights:

• in committee last year by requiring DHS to publish on a quarterly basis the number of approved IC beds
• Requiring DHS to publish on a quarterly basis the number of approved IC beds, the average utilization
• I was just spacing it out, or can...
• I was just spacing it out, or can...
• to do it and and the same number of beds to do it and and the same number of beds get<01:09:44.719

Keywords: 1187, senate, all

Transcript Highlights:

• It's typically either a dry creek bed or just a very small trickle of water.
• He contacted camps, went to bed uneasy, and stayed on alert and ready.
• At 10 p.m., it was: go to your cabins, get cleaned up, get ready for bed, go to bed, lights out.
• There's a bed in Byrd.
• So there's a bed in the Byrd lounge, she tells him.

Keywords: 1185, senate, all

Transcript Highlights:

• Labor and delivery is a 24-hour service that requires specialized staff and equipment and space.
• Labor and delivery is a 24-hour service that requires specialized staff and equipment in space.
• How many beds do you have at your hospital? I'm sorry. How many beds?
• We're 22 beds, critical access.
• This is where something like a cooling bed becomes essential. It gives families...

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:

• My district is home to historic waterways and open spaces, including the Carquinez Strait Regional Park
• Trails and open spaces invite us to reconnect with ourselves and each other away from the stress and
• In my area, in Fullerton, I've had the privilege of working to save almost 500 acres of open space at
• Colleagues, please join me in thanking them for their service to the California California spaces.
• Members, the Appropriations Committee meets upon adjournment in Swing Space Room 1100.

Summary: The Assembly met on May 23, 2025, after a quorum call, prayer, and Pledge of Allegiance. Members also made several guest introductions and memorial recognitions, including tributes to labor leader Louisa Blue and a Memorial Day moment of silence. The body adopted a motion to suspend Assembly Rule 63 for certain Appropriations Committee bills, and later took up a second-day consent calendar and several resolutions. The chamber adopted ACR 68, declaring July 2025 as Parks Make Life Better Month, and ACR 83, proclaiming California Maritime Day; both received broad support. On the floor file, members passed a series of bills covering child passenger safety, student financial aid, downtown office-to-housing conversion districts, rental vehicle theft prevention, fire hazard zone reviews, medical data protections, UC admissions transparency, office-to-housing streamlining, inoperable RV removal, domestic violence and child welfare, insurance classification for social service workers, sustainable aviation fuel CEQA review, UC hiring background checks, accessory dwelling units, fish and wildlife exemptions for Sutter County infrastructure, speed limit assessments, geothermal permitting, special education transfers, recorder fee adjustments, and a BIT program exemption for farmers and ranchers. Most measures passed with little or no opposition. AB 435, which would have implemented a five-step test standard for child passenger safety laws, was later reconsidered and failed on a vote of 36-12 after the call was lifted. The Assembly also adopted the second-day consent calendar, including multiple bills and resolutions, and added co-authors to several resolutions. The session ended with adjournments in memory and an adjournment until Tuesday, May 27 at 1 p.m.

Transcript Highlights:

• So if we were to receive more funding through general revenue, then we would have a little more space
• I think most state agencies have a little space between the cash they receive from general revenue or
• originally this was the $75 million that was supposed to, years back, expand Calico Rock, the 525 beds
• Is any, where are we relative to the situation in Charleston in the 3,000-bed stadium?
• Is any, where are we relative to the situation in Charleston in the 3,000-bed stadium?

Summary: The committee first received a report on the executive protection detail, which was filed without questions. Members were then given a long advance list of House and Senate bills ready for consideration, followed by several amendment requests from agencies. The committee adopted amendments for the Auditor of State to increase special deputy expense allowance, the Administrative Office of the Courts for court interpreters and substitute court reporters, and several other items including local sales tax refunds, county property tax redistribution, and local law enforcement funding. It also held one amendment on House Bill 1034 and moved a Northwest Arkansas Community College cash fund increase tied to tornado-related campus repairs. The committee then considered a series of member amendments and appropriation items, including increases for the Public Defender Commission and deputy prosecuting attorneys to cover higher bar license fees, and a $12 million federal appropriation-only item. A lengthy discussion followed on a proposal from Senator Wallace and Representative Tosh to fund a pilot program for prison cell-phone detection/jamming technology at two correctional facilities. Sponsors and Department of Corrections officials said the system would target illegal contraband phones, would be procured through an RFP, and would be a two-year pilot; members raised questions about legality, cost, scope, data, and whether the department should use existing budget authority. The committee ultimately advanced the item by motion. The committee also took up an amendment from Senator Caldwell for the University of Arkansas Division of Agriculture, seeking a $4 million appropriation increase. Testimony emphasized that the division’s extension offices and research functions are underfunded, that salaries are not competitive, and that the request would help with staffing and flexibility; other members questioned why the division needed more appropriation authority when it already had room under current limits and noted that the request exceeded the higher education board’s recommendation. The amendment was adopted after extended debate. Finally, the committee began acting on governor’s letters, adopting amendments for a $150 million increase to the homestead property tax credit, a $23,000 reallocation for the Insurance Department’s conference costs, $100,000 for property appraisal review work, $1.5 million for career and technical education professional development, $300,000 for DFA regulatory federal spending, $5 million for Inspector General fraud investigations, a consolidation of appraiser/abstractor/home inspector appropriations, deletion of a completed Fort Chaffee readiness center appropriation, and a revised reappropriation for corrections capital projects that would add special language restricting use of the $73.7 million prison-expansion reappropriation. The committee also heard a summary of a supplemental appropriations package involving fund transfers for pregnancy resource centers, senior centers, assistance grants, used tires, and UAMS pregnancy/stroke programs.

Transcript Highlights:

• So if we were to receive more funding through general revenue, then we would have a little more space
• originally this was the $75 million that was supposed to, years back, expand Calico Rock, the 525 beds
• Is any, where are we relative to the situation in Charleston in the 3,000-bed stadium?
• originally this was the $75 million that was supposed to years back to expand Calico Rock, the 525 beds
• Is any, where are we relative to the situation in Charleston in the 3,000-bed stadium?

Summary: The committee first filed a report on the executive protection detail and then reviewed a long list of House and Senate bills that were ready for action, with members instructed to hold any items they wanted removed. The committee then took up several agency requests to amend bills: the Auditor of State’s request for a $370 increase for special deputy expense allowance, the Administrative Office of the Courts’ requests for additional funding for court interpreters and substitute court reporters, and requests tied to local sales tax refunds, county property tax redistribution, emergency medical and law enforcement support, and Northwest Arkansas Community College tornado-related repairs. All of those amendments were adopted, and one amendment on House Bill 1034 was held over at Senator Johnson’s request. A major portion of the meeting focused on an amendment for the Department of Corrections to fund a pilot program using mobile technology to identify and disable illegal inmate cell phones at Varner and Cummins prisons. The bill sponsors and Corrections officials described the problem as a serious public safety issue, saying inmates use contraband phones for criminal activity, trafficking, scams, and outside coordination. Members asked about FCC rules, procurement, whether the system would jam or only identify phones, whether it would affect staff or nearby users, how quickly it would work, whether it would be a one-time or ongoing cost, and whether the department had existing budget authority. Officials said the proposal would require an RFP, that current funding was not available in the department’s budget, and that the technology would be a two-year pilot. The committee ultimately adopted the amendment and then gave the underlying bill a do-pass recommendation. The committee also considered an amendment for the University of Arkansas Division of Agriculture, which sought a $4 million increase in appropriation authority. Senators discussed the division’s role in county extension offices, 4-H, research, and salary competitiveness, while others questioned why the division needed more appropriation room when it already had about $10 million in headroom and had requested a different funding level through higher education. Division representatives said the increase would help with salaries and provide flexibility for future funding, and Higher Education staff clarified the original request and recommendation amounts. After extensive discussion, the committee adopted the amendment and gave it a do-pass recommendation. Finally, the committee began acting on governor’s letters, adopting amendments for a homestead property tax credit increase, insurance department conference travel, property appraisal analysis support, career and technical education professional development, regulatory and casino gaming appropriations, a new program integrity line for the Department of Inspector General, consolidation of licensing board appropriations, deletion of a completed Fort Chaffee Readiness Center appropriation, and a revised reappropriation package for prison expansion that included special language limiting use of the funds. Members asked several questions about the prison reappropriation, including whether it still related to the earlier Calico Rock project and whether special language should be considered separately; the committee moved the governor’s letters forward for drafting and further action.

Transcript Highlights:

• They can't get a full-sized snowplow in the shop and raise the bed. They can't get two of them in.
• <00:04:43.199> They<00:04:43.440> can't the shop and raise the bed.
• They can't the shop and raise the bed.
• Generally, they try to take from 25 to 30 acres of space. I see.
• to 30 acres of of space. I see. to 30 acres of of space. I see.

Bills: SF0069, SF0084, SF0050, SF0109, HB0069, HB0098

Keywords: wastewater, stormwater, infrastructure, environmental quality, public data, data collection, funding, study, water conservation, Colorado River, drought, irrigation, water rights, voluntary program, interstate agreements, groundwater, water resource management, state engineer, aquifer study, corrective controls

Transcript Highlights:

• sense of purpose, we all—I mean, we all—if we don't have a sense of purpose, it's hard to get out of bed
• that on their, uh, cell phone usage and their policies and what they wanted to see happen in that space
• > to<00:19:52.880> get<00:19:53.000> out<00:19:53.120> of<00:19:53.280> bed
• <00:19:53.480> in purpose it's hard to get out of bed in purpose it's hard to get out of bed
• <00:21:29.279> so wanted to see happen in that space so wanted to see happen in that space

Keywords: 1187, senate, all

Transcript Highlights:

• That will give us an extra 43 beds.
• It will give us private extra 43 beds.
• So, there will be a request for funding for bed space and/or, while we look at recruiting, to contract
• So what the facilities do is they make best use of the cell space they have and create spaces that are
• It has one bed. They designed the bunk bed. One person sleeps on the floor.

Keywords: 912, senate, all

Summary: The working group on restrictive housing met with a quorum present, approved the August 21, 2025 minutes, and adopted a procedure to take public testimony on each agenda item with a two-minute limit per testifier, with some flexibility for follow-up questions. The main presentation came from the Department of Corrections and Rehabilitation on restrictive housing policies and a recent outside assessment of mental health care practices at HSCF and OOTC. DCR said the assessment found strengths such as consistent medication administration and staff commitment, but also identified major problems including outdated workflows, staffing shortages, inadequate physical plant conditions, overuse of suicide/safety watch for personal safety issues, and a need for more individualized treatment plans. DCR described several corrective steps already underway: filling a long-vacant high-level mental health administrator position, adjusting evening medication passes, working with DOH on transfer and referral workflows, planning a new electronic medical records system and revised screening tools, and pursuing additional training for ACOs and mental health staff. For OOTC, DCR said the facility is overcrowded and decrepit, needs a better screening tool, and requires more mental health-specific training and staffing. For HCF, DCR said the layout limits confidential assessments and provider access, and that the proposed consolidated healthcare unit would add 43 beds, private exam rooms, and a de-escalation room. DCR also said the new unit could serve acute and chronic suicide/safety watch needs and possibly some inmates with dementia, Alzheimer’s, or significant cognitive impairment. The discussion then focused on Act 292, which DCR said is difficult to implement as written. DCR said the bill aligns with DOJ, NCCHC, and ACA guidance in defining restrictive housing, limiting duration, requiring reviews, identifying vulnerable populations, and using step-down units, but raised two major concerns: a requirement to refer vulnerable people to DOH for confinement, and a requirement for clinical assessments every 12 hours by a provider. Members responded that the law should be matched with funding and staffing, and asked what resources are needed. DCR said it submitted a request for 35 positions at a cost of about $8.6 million, and also said funding may be needed for community-based beds and contracted medical services. Members also asked about the current MOA/MOU between DOH and DCR, the working group membership, and the timeline for revisions. DCR said the group includes DCR, DOH, and governor’s office medical advisors, that a first draft is complete, and that the revised agreement should be in place by the end of the year. On staffing, DCR said ACO recruitment classes increased from five to eight, vacancy rates dropped from 34% to 24%, but OOTC still faces a projected $7.1 million shortfall and heavy overtime costs, forcing post closures and program reductions. The meeting ended with continued discussion of screening tools, including DCR’s explanation that current broad questions may over-identify people with substance-use-related symptoms as having serious mental illness, and that a more discrete tool is needed to better identify those with acute needs.