Transcript Highlights:

• Um, upon the first caucus, the Senate Democrats will meet in room 156 here in this facility.
• Even<01:01:39.040> the<01:01:39.359> intense<01:01:40.079> outpatient<01:01:40.720
• > substance Even the intense outpatient substance Even the intense outpatient substance use<01
• <01:32:14.880> Senator<01:32:15.360> West, nuclear energy facilities.
• Senator West, nuclear energy facilities.

Keywords: 958, all

Transcript Highlights:

• <00:20:47.760> at uh operates alternative facilities at uh operates alternative facilities
• <00:53:20.720> because residences as well as outpatient because residences as well as outpatient
• One of the other challenges that we're facing is aging facilities.
• Operational costs have gone up, and our facilities are aging.
• We run the things like our facilities.

Keywords: 958, all

Summary: The subcommittee first heard from the Justice and Public Safety Cabinet’s Grants Management Division on federal victim-services funding. Staff described the main grant programs they administer, including STOP VAWA, VOCA victim assistance, sexual assault services, Byrne state crisis intervention, and Project Safe Neighborhoods. They emphasized that VOCA is especially volatile because it is funded by the federal Crime Victims Fund, which has declined sharply in recent years, reducing Kentucky’s available awards and forcing cuts to state, local, and nonprofit subgrants. They also outlined steps the cabinet has taken to stabilize funding, including changing the subaward formula, aligning the grant period with the state fiscal year, subawarding one year behind the federal cycle, and retaining a reserve. Members asked about how funds reach victims, how subgrantee amounts are determined, and requested a breakdown of grant recipients and amounts; staff said they would provide that information later. The committee then received a detailed presentation from the Department of Juvenile Justice on alternatives to detention. Commissioner Randy White and staff explained that ATDs are short-term, less restrictive placements for low-risk youth, including electronic monitoring, home supervision, group homes, foster care, private child care, community programs, mentoring, evening reporting centers, and in-home wraparound services. They described the referral and approval process involving court-designated workers, detention alternative coordinators, courts, and county attorneys, and said DJJ currently has 16 ATD-related contracts, with placements, programs, and electronic monitoring among them. They also reported that between July 1, 2024, and July 30, 2025, 1,652 juveniles were involved in the process, including 168 diversion cases. Members questioned the cost of juvenile detention versus adult incarceration, whether families pay for electronic monitoring, whether there is a national model for juvenile detention, and what alternatives exist for truancy and contempt cases. DJJ said families do not generally reimburse for electronic monitoring, there is no single national model, and day treatment centers are an important alternative for some youth. The department also said it builds daily routines and wellness education into its facilities, and that more than two-thirds of its programs are evidence-based. Officials said they currently monitor vendor performance through quarterly reviews and can end contracts for poor performance, but that data tracking is still largely manual. They said the new JCOM system, now in pilot in the eastern region, should improve reporting and help identify outcomes and recidivism more effectively.

Transcript Highlights:

• <01:06:45.440> within<01:06:45.760> a an outpatient therapist who's within a an outpatient
• For outpatient behavioral health facilities, New Hampshire has the fifth highest out-of-network utilization
• <01:34:14.400> for facilities, including primary care. for facilities, including primary care
• . for outpatient<01:34:15.280> behavioral<01:34:15.840> health<01:34:16.080> facilities
• , outpatient behavioral health facilities, outpatient behavioral health facilities, New<01:34:17.199

Keywords: 1189, house, all

Transcript Highlights:

• funding full funding for the doubling of our University of New Mexico Medical School, not only the new facility
• practitioners that, when combined with a new hospital tower that's recently been completed a plan new outpatient

Bills: HB2, SB48, SB64, SB100

Keywords: general appropriation, budget, Medicaid, education funding, public safety, State Fairgrounds District, fairgrounds bonds, public financing, bond authorization, gross receipts tax, gaming tax, tax-backed bonds, infrastructure funding, Albuquerque fairgrounds, State Fair Tid, economic development, municipal bonds, revenue pledge, capital projects, New Mexico finance

Transcript Highlights:

• allowing us to have a full continuum of care, from triage call coordination to crisis response, outpatient
• So we had a chap recently who ended up in a detox facility. I bumped into him.
• We were able to refer him straight into a detox facility, into a residential rehab.
• , larger. ...from the federal government to allow for those services to be paid for in a facility larger
• To have that facility for our youth from 10 to 25 to create a safe space to have those clinical medical

Summary: The joint Assembly Health and Select Committee on Native American Affairs held an oversight hearing on AB 988, California’s 988 crisis line and mobile crisis response system, followed by a discussion of suicide prevention and intervention in California Indian communities. Members and witnesses repeatedly emphasized that AB 988 was intended to create a true alternative to 911 for behavioral health crises, with “someone to call, someone to come, and somewhere to go,” and that Native communities continue to face disproportionately high suicide rates and barriers to culturally responsive care. The first panel of call center and stakeholder witnesses largely argued that implementation is falling short of the law’s intent. They said 988 call centers are underfunded, text/chat answer rates remain far below call answer rates, staffing is strained, and the system still lacks meaningful statewide interoperability between 988 and 911. Several witnesses said mobile crisis teams are not being dispatched through 988 as envisioned, and that funding formulas and governance are too opaque. San Joaquin County was presented as a local success story, with integrated 988, access lines, and mobile crisis handoffs that have reduced reliance on emergency departments and involuntary holds. Witnesses also discussed the need for better tribal outreach, the role of CCBHCs, and the importance of culturally competent services. State officials from CalHHS and DHCS described the five-year 988 implementation plan, the current governance structure across multiple agencies, and efforts to support training, public awareness, and referral tools. They reported growth in 988 contacts, ongoing training with the Trevor Project, a statewide resource directory, and a tribal awareness campaign. DHCS also outlined proposed trailer bill language that would create a formal designation process for 988 centers, set statewide standards, and require existing centers to obtain designation by 2029. Officials said current funding includes SAMHSA grants, block grant dollars, and an expected $67.3 million from the 988 fund in the next budget year, with a large share earmarked for Medi-Cal mobile crisis services. No formal vote or committee action was taken in the portion of the hearing provided.

Transcript Highlights:

• :19:40.160> or proceedings, inpatient treatment, or proceedings, inpatient treatment, or outpatient
• 41.520> It<00:19:41.760> allows<00:19:42.000> for<00:19:42.160> the outpatient
• It allows for the outpatient treatment.
• We really need to bring back the mental facilities so that we can have someplace to put people because
• facilities facilities that<00:47:18.960> we<00:47:19.280> can<00:47:19.599> have

Keywords: 958, all

Summary: The House Judiciary Committee met to consider two major bills. First, House Bill 521, relating to stalking, was presented by Majority Leader Steven Rudy with testimony from the Kentucky Association of Sexual Assault Programs. Supporters said Kentucky’s stalking laws need updating to address modern electronic and technology-based stalking and to better protect victims of persistent, ongoing harassment. Members asked about fiscal impact and prison costs; Rudy said the bill was mainly a statutory update and should have no new prison impact. The committee then voted 17-0 to pass HB 521 with favorable expression. The committee next took up House Bill 422, known as Logan’s Law, which was presented by Rep. Dan Fister and Rep. T.J. Roberts with emotional testimony from George Typton, father of Logan Typton. The bill responds to the 2015 murder of Logan Typton and seeks to revise Kentucky’s insanity defense, limit mandatory re-entry supervision for certain violent offenses, require consecutive sentences for multiple victims, and change life-without-parole rules so juries can impose it more directly in intentional murder cases. Typton described the crime and argued the current system failed his family; several members expressed sympathy and support. After a committee substitute was adopted, Roberts explained that the substitute preserved an insanity defense modeled on Alaska’s rule, rather than abolishing it, and clarified that a defendant must be unable to appreciate the nature of their actions due to mental illness or intellectual disability. He also said the bill would ensure consistency in insanity verdicts across multiple counts and provide treatment options for those found guilty but mentally ill. Rep. Marzian raised concerns about mental health funding, prison costs, and corrections impacts, while Scott West of the Kentucky Association of Criminal Defense Lawyers warned the bill could reduce plea bargaining flexibility and slow the courts if sentencing becomes more automatic. The bill remained under consideration after testimony, with no final vote shown in the transcript.

Transcript Highlights:

• Hina Mauka provides residential treatment, day programs, and outpatient services for individuals who
• :19:40.040> day<00:19:40.280> programs,<00:19:40.960> and<00:19:41.120> outpatient
• treatment, day programs, and outpatient treatment, day programs, and outpatient services<00:19:42.360

Bills: HR206, SB3083, SB2377, SB2816, SB3248, SB2436, SB2259, SB2928, SB2577, SB2697, SB2399, SB2665, SB2851, SB3102, SB2521, SB3157, SB3255, SB3016, SB2765, SB1432, SB17, SB2401, SB2972, SB3014, SB3032, SB3137, SB847, SB2261, SB2271, SB2272, SB2804, SB3007, SB3019, SB3250, SB2603, SB3022, SB2256, SB2147, SB2014, SB2114, SB2115, SB2117, SB2246, SB2519, SB3055, SB3095, SB3144, SB3264, SB2325, SB2211, SB3245, SB2090, SB2803, SB2866, SB2250, SB2497, SB2032, SB2487, SB3136, SB2756, SB2615, SB3262, SB2024, SB2177, SB2552, SB2319, SB2407, SB2153, SB2321, SB2805, SB3010, SB2892, SB2781, SB2489, SB2174, SB2169, SB3123

Keywords: Robert Bob Toyofuku, Hawaii legal community, House Resolution, commendation, honorary resolution, legal education, continuing legal education, CLE, William S. Richardson School of Law, University of Hawaii law school, Pacific Law Institute, attorney training, legal ethics, professional responsibility, legal mentorship, legal profession, court-annexed arbitration, alternative dispute resolution, appellate decisions, Hawaii Supreme Court

Transcript Highlights:

• There are places of service available, post-acute residential brain injury facilities, but these are
• They may be placed in nursing homes, like Kimberly said, or sent home with outpatient or home health
• We had a resident who was discharged home from the hospital with outpatient services.
• state, because if we get help to those individuals that otherwise would be stuck in a nursing home facility

Keywords: 965, house, all

Transcript Highlights:

• So we want to support those companies by giving them co-working space or space within this facility as
• 185% of the federal poverty level, and it's really limited to pregnancy-related services such as outpatient
• include preventive and acute care services, pharmacy therapies, behavioral health, inpatient and outpatient
• The verification can help them ensure facilities have the right resources, staff, equipment, and processes

Summary: The Senate Health Policy Committee met to discuss maternal and infant health, beginning with a presentation from New Jersey’s Maternal and Infant Health Innovation Authority (MiHA). Pamela Taylor described New Jersey’s statewide effort to reduce maternal mortality and racial disparities through the Nurture New Jersey campaign, a strategic plan with more than 80 recommendations, universal home visiting, Medicaid-covered doula care, hospital report cards, limits on non-medically indicated early elective C-sections, and a new maternal and infant health innovation center. Senators asked about doula certification, funding, home visiting, and how New Jersey coordinates across agencies; Taylor said the authority uses quarterly stakeholder meetings, annual summits, and a tracker for recommendations, and that community input helped shape its programs. Florida Agency for Health Care Administration Deputy Secretary Brian Meyer then outlined Florida Medicaid’s maternal coverage and managed care structure. He reviewed eligibility and services for pregnant women, labor and delivery, postpartum coverage, newborn coverage, and family planning, noting 12 months of postpartum coverage, expanded benefits in managed care plans, and new contracts launching February 1 with more maternal-health-focused benefits, quality measures, and a new quality withhold incentive structure. Senators questioned doula certification and duplication with Healthy Start, provider access and network adequacy, kick payments, quality reporting, and whether Florida should consider broader eligibility standards; Meyer said many details are still plan-driven, that quality metrics are public, and that the agency is working on maternal-health work groups and incentives. Department of Health Division Director Shea Holloway followed with an overview of Florida’s maternal and child health programs and data. She cited Florida CHARTS data showing pregnancy-related deaths, severe maternal morbidity, and infant mortality trends, and described the Title V block grant, the Maternal Mortality Review Committee, the Florida Perinatal Quality Collaborative, the electronic prenatal risk screen, Healthy Babies, BH Impact for perinatal mental health, Healthy Start, WIC, family planning, telehealth maternity care, and the Pregnancy Care Network. Senators asked about delays in mortality review reporting, preterm birth, substance use disorder in pregnancy, WIC participation, cesarean rates, and the impact of the abortion ban; Holloway said the department is continuing to monitor outcomes, expand screening and telehealth, and use data and hospital partnerships to improve care. The committee then adjourned without further business.

Transcript Highlights:

• This legislation only expands our ability to provide in-office, non-invasive treatments, not outpatient
• surgery centers or sedation. in-office, non-invasive treatments, not outpatient surgery centers or sedation
• counties are considered maternity deserts. maternity deserts based on the availability of birthing facilities

Transcript Highlights:

• Do you permit smoking anywhere in the facility?
• <00:21:16.400> and<00:21:16.559> does<00:21:16.799> an through the facility
• and does an through the facility and does an inspection<00:21:17.440> to<00:21:17.600> make
• the ones that are uh of these facilities the ones that are uh well-run<00:29:22.159> and<00:29
• And I think there's facilities out there that are running now that are safe.

Keywords: 1189, house, all

Transcript Highlights:

• It's more convenient for the, you know, there are not the facility costs.
• Does the state Medicaid program pay any facility fees on telemedicine?
• Current reimbursement rate is $56 for a facility fee.
• This is really focused on equipment and the renovation of facilities.
• Intervention for facilities who are struggling to meet those.

Keywords: 1184, house, all

Transcript Highlights:

• Thank you. practice for CRNAs in hospitals, outpatient facilities, and dental offices.
• pursue. civil penalties against hotels and other establishments who allow sex trafficking in their facilities
• on these institutions that intentionally turn a blind eye on sex trafficking. occurring at their facilities

Keywords: 988, house, all

Transcript Highlights:

• Um, and certainly we were on the facility side of the conversation.
• Um, and certainly we were on the facility side of the conversation.
• The speaker then asked, "Just one other quick... ambulatory care data set and outpatient data?"
• Um outpatient therapy type services.
• treatment, and intensive outpatient treatment, and intensive outpatient services.<03:03:56.319><

Keywords: 1191, senate, all

Transcript Highlights:

• I have lots of doubts that the ability of a small hospital to have outpatient dialysis actually will
• 01.360> have uh ability of a small hospital to have uh ability of a small hospital to have outpatient
• <00:07:02.800> dialysis outpatient dialysis outpatient dialysis actually<00:07:04.800> will

Keywords: Public Health and Welfare - Room 216, 14 January, 2026; 3:15 PM, 925, all

Summary: The committee met with a quorum and briefly treated the session as an organizational meeting after an earlier hearing that had been difficult to manage. The chair thanked witnesses for their efforts, noting that some had traveled long distances, including nursing students from Mississippi University for Women, a witness from Los Angeles, and another who had come after working overnight in the emergency room at the University of Mississippi Medical Center. The chair also announced committee changes: Senator England and Senator Boyd were new members, Senator Boyd was absent, and Senator Parks was the new vice chair. The main policy discussion focused on anticipated committee work for the year. The chair said a previously passed certificate-of-need bill, vetoed by the governor over one provision, would likely be reintroduced without the objectionable section and sent to the governor early in the session. He also said he was cautious about co-legislation because of unintended consequences, but identified several areas that seemed likely to receive attention, including rural and small hospitals, dialysis, mental health care, and daycare availability as a workforce issue. On hospitals, the chair said small and rural hospitals were struggling because shorter stays and outpatient procedures had shifted revenue away from hospitals, and he suggested looking for ways to capture some of that revenue to support hospital operations. He expressed doubt that outpatient dialysis at small hospitals would be practical, but said the committee would likely consider it. He also said the committee was likely to look at mental health care and public welfare issues, especially daycare affordability and availability. No substantive votes were taken beyond a motion to rise and report, which passed.

Transcript Highlights:

• in their facility.
• in their facility.
• So, Chairman Villio, the bill prohibits smoking in the facility anyway, so.
• Licensed facilities, hospice care, patient care plans, facility requirements, Department of Health oversight
• that are not licensed inpatient hospice facilities.

Bills: HR295, HR296, HR297, HR298, HR299, HR300, HR301, HR302, HR303, HR304, HR305, HR306, HR307, HCR115, HCR116, HCR117, HR286, HR287, HR288, HR290, HR291, HR292, HR293, HR294, SCR61, SCR68, SB121, SB250, SB348, SB444, SB485, HR252, HR253, HCR96, HCR103, HCR108, SB268, SB283, SB414, HCR98, HR179, HR223, HR225, HR274, HCR89, HCR26, HB250, HB265, HB339, HB427, HB445, HB463, HB468, HB606, HB639, HB649, HB665, HB746, HB781, HB853, HB861, HB872, HB886, HB916, HB937, HB1054, HB1068, HB1117, HB1237, HB74, HB108, HB956, HB1085, HB1137, HB75, SB39, SB99, SB111, SB112, SB124, SB134, SB174, SB189, SB190, SB201, SB233, SB236, SB258, SB270, SB273, SB288, SB307, SB313, SB320, SB321, SB325, SB326, SB331, SB339, SB341, SB345, SB346, SB347, SB353, SB357, SB359, SB387, SB393, SB401, SB415, SB419, SB422, SB426, SB435, SB437, SB440, SB451, SB464, SB470, SB487, SB488, SB495, SB504, SB505, SB518, SB523, HR84, HB646, HB998, HB1191, SB78, SB81, SB97, SB100, SB109, SB123, SB125, SB208, SB385, SB479, SB56, SB163, SB197, HB901, HR20, HR74, HR168, HCR65, HCR71, HB284, HB302, HB306, HB341, HB366, HB393, HB458, HB577, HB603, HB605, HB614, HB625, HB733, HB752, HB773, HB798, HB911, HB955, HB996, HB1035, HB1069, HB1113, HB1140, HB1180, HB1240, HB1255, SB82, SB89, HB134, HB258, HB359, HB782, SB29, SB42, SB43, SB149, SB382, SB441

Keywords: Energy Caucus, Louisiana House of Representatives, energy policy, fossil fuels, oil and gas, natural gas, renewable energy, solar, wind power, nuclear power, legislative caucus, industry group, economic development, state legislature, House resolution, energy sector, victims' services, criminal justice, Department of Public Safety and Corrections, Act No. 370

Transcript Highlights:

• the current facility owner.
• All long-term care facilities must publish the facility owner on their website.
• the facility and DHSS as well.
• The website address for both the facilities and DHSS's website regarding facility ownership.
• Assisted living facilities, which are long-term care facilities, are governed by the state, not CMS,

Bills: SB274, SB301, SB249

Keywords: healthcare, life-sustaining treatment, patient preferences, POLST, advance directive, medical orders, hospital discharge, pregnancy, patient care, discharge planning, healthcare policy, substance use, harm reduction, syringe services, needle exchange, overdose prevention, naloxone, opioid antagonist, drug paraphernalia, syringe

Summary: The committee heard and advanced several measures related to health care, public health, and patient protections. House Concurrent Resolution 148, urging a statewide educational strategy on menopause, was presented as a workplace awareness measure and received supportive comments from members before being released. Senate Bill 274, updating Delaware’s MOST program to POLST and clarifying capacity determinations and documentation for end-of-life orders, also drew supportive testimony from medical and nursing groups and was released. House Bill 458, limiting local backflow preventer requirements for certain low-hazard buildings, was presented as a cost-relief measure for homeowners and small businesses; DHSS expressed concerns but said it was willing to work on amendments and a sunset provision, and the bill was released. Senate Joint Resolution 18, designating August 31, 2026 as International Overdose Awareness Day and ordering flags at half-staff, was released after brief supportive remarks. The committee then considered Senate Bill 339, a technical correction to the advance health care directive form clarifying that an agent’s authority for voluntary mental health admission cannot exceed 72 hours, consistent with existing law. Members asked detailed questions about how the 72-hour limit works and whether it applies to voluntary directives; the sponsor and a Disability Rights Delaware witness explained that the bill only aligns the form with current statute and does not expand authority. The bill was released. House Bill 301, requiring hospitals to create discharge plans for pregnant patients discharged while showing signs of labor, prompted extensive discussion. The sponsor and supporters said it would improve safety, transportation planning, and aftercare, while some members noted Delaware hospitals already do much of this work and questioned whether codifying it was necessary; supporters emphasized maternal mortality disparities and the need for guardrails. The bill was released. Senate Bill 196, creating ownership disclosure requirements for long-term care facilities and resident notice rules after ownership transfers, was presented as a transparency measure for seniors and families and was released after supportive testimony from the Delaware Nurses Association and elder-care advocates. Senate Bill 320, expanding pharmacists’ independent prescriptive authority for certain non-controlled medications and allowing opioid use disorder medications under standing order, with added malpractice reporting requirements in Senate Amendment 2, was supported by pharmacists and nurse practitioners as an access-to-care measure and was released. Senate Substitute 1 for Senate Bill 161, establishing a unified licensing and oversight framework for adult behavioral health providers under DSAM, was presented as a patient-protection measure; providers supported the goal but cautioned that regulations must be workable, and the substitute was released. Senate Joint Resolution 19, directing DHSS to study strategies to reduce health care costs, was released with a note reflecting concerns about broadening the analysis to include additional cost drivers and alternatives. Finally, Senate Bill 249 with Senate Amendment 2, modernizing harm-reduction programs and paraphernalia laws, generated the most extended debate: supporters framed it as life-saving public health policy, while opponents raised concerns about needle litter, community impacts, and whether the approach facilitates addiction. Despite the objections, the bill was released.

Transcript Highlights:

• Jared DeVette, Director of Fleet. and Facilities. Amanda Colburn, Director of Housing.
• portfolio of successful investments, and whereas Bernalillo County operates a juvenile detention facility
• We are so close to finishing this, and it's going to be a great facility, again, not only for the folks
• in Albuquerque, but a... a facility that will attract national attention.
• one-third of certain grants to the Drinking Water State Revolving Loan Fund and to the Wastewater Facility

Transcript Highlights:

• PROVIDERS ARE TO BE REIMBURSED UP TO THEIR RESPECTIVE UPPER PAYMENT LIMIT GAP FOR INPATIENT AND OUTPATIENT
• SPENDING AUTHORITY TO MANAGE THE INDIRECT MEDICAL EDUCATION PROGRAM WHICH PROVIDES INPATIENT AND OUTPATIENT
• SPENDING AUTHORITY TO IMPLEMENT A DIRECT PAYMENT PROGRAM PPP FOR HOSPITALS PROVIDING INPATIENT AND OUTPATIENT

Keywords: 999, senate, all

Transcript Highlights:

• You're also affecting veterans in the 14 counties where there are VA facilities.
• Care at some of these facilities, I don't think it's improving patient care.
• The chronic shortages That are documented, both for Indian health facilities and for VA facilities, are
• I'm sorry, 25% higher rate of injury on private equity-owned facilities.
• Of readmission to a hospital after being seen at a private equity facility.