Transcript Highlights:

• And in facilities like Wasco and California Health Care Facility in Stockton, members describe heart
• And in facilities like Wasco and California health care facility in Stockton, members describe heart
• on staying out of operations.
• What was once a collection of locally owned, locally operated, mom-and-pop hotel operations in cities
• What was once a collection of locally owned, locally operated, mom-and-pop hotel operations in cities

Summary: The Assembly Labor and Employment Committee heard and advanced a series of bills, mostly on worker safety, wages, workforce training, and retirement savings. AB 2137 (Chen) would strengthen safety rules and certification for artificial stone fabrication shops to reduce silica exposure; AB 2499 (Gibson) would require Cal/OSHA to develop heat-illness protections for incarcerated workers and staff in correctional facilities; AB 2300 (Arambula) would streamline the disbursement of state and federal workforce funds; AB 2646 (Krell) would establish a minimum wage floor for certain agricultural workers; AB 2227 (Connolly) would tighten licensing and bond requirements for farm labor contractors and add default-judgment procedures for wage claims; AB 1869 (Haney) would create a reporting process for alleged REIT interference in hotel operations; AB 2650 (Pellerin) would expand CalSavers with emergency savings accounts and other updates; AB 2634 (Zbur) would prioritize labor-management partnerships in High Road Training Partnership grants; and AB 1888 would require skilled-and-trained workforce and prevailing wage standards for work under the Safe Home Grant Program. AB 1534 (Irwin) would create California’s approval process for short-term Pell-eligible workforce programs. The committee also took up several consent items, including AB 1904, AB 1980, AB 2550, AB 2078, and AB 2682. Most bills were described as aligning state programs with federal law or improving worker protections and program quality, while opponents generally raised concerns about costs, administrative burden, regulatory uncertainty, or reduced oversight. Testimony was largely split along labor and industry lines. Supporters included labor unions, legal aid groups, workforce boards, and affected workers or family members, who emphasized heat illness, wage theft, silica exposure, poor prison conditions, and the need for higher-quality training and retirement access. Opponents on several bills, especially those affecting agriculture, REITs, and workforce administration, argued the measures would increase costs, create uncertainty, or duplicate existing law. On AB 2227, committee members engaged in extended discussion about Labor Commissioner delays and whether the bill’s default-judgment and bond provisions would meaningfully help workers. On AB 1869, members and witnesses debated whether the bill created new standards or simply improved enforcement of existing REIT rules. The committee voted to pass all of the measures heard, generally with motions to do pass and re-refer to the Committee on Appropriations. Several bills were held open for absent members during the meeting, and later add-on roll calls recorded additional ayes, moving the bills out of committee. The meeting concluded after the consent calendar was approved and the committee adjourned.

Transcript Highlights:

• of facilities and transmissions of electricity for the Committee on State Affairs.
• Operate exclusively in the state for the Committee on state affairs HB 1726 by Collier relating to who
• HB 1823 by Thompson relating to the operation of concrete crushing facility near a hospital.
• HB 1848 by Collier relating to the regulation of coin operating machines.
• HP in 1895 by Patterson relating to the operation or expansion of a wind power generation facility refer

Transcript Highlights:

• Shane, Kentucky Veteran Centers are long-term care facilities operated by the Kentucky Department of
• This map shows Kentucky operates four facilities across the state, with one additional facility to open
• Certified capacity represents the maximum number of beds a facility is authorized to operate and is the
• . facility. facility.
• </c> facility expansion. facility expansion.

Summary: The committee first approved the minutes from the November 13, 2025 meeting and then heard testimony from Quarter Hill, the tolling subcontractor for RiverLink on the Indiana-Kentucky bridge system. Quarter Hill described its role in back-office support and call center operations for the Lincoln, Kennedy, and Lewis and Clark bridges, and said the contract began in 2021 with go-live in September 2023. The company reported that revenue has increased since it took over, customer service response times have improved, and it has been operating at a loss because the contract was based on outdated transaction estimates and did not account for higher-than-expected volume and added support costs. Members questioned Quarter Hill about the role of consultants, the low reported collection rate, and why the company was leaving the contract. Quarter Hill said a single large consulting engineering firm had been hired to help shape the RFP and contract, but argued that consultants and overly detailed requirements can create disputes and hinder efficient service. On collection rates, the company said the reported 85% rate reflects the absence of registration holds and other enforcement tools, and that the remaining unpaid tolls are the hardest to collect. The company also said it had lost significant money on the contract and had reached a change order and termination agreement, while emphasizing that the system itself was functioning well. The committee then received a staff report on Kentucky veterans centers. Staff said quality of care is generally high and staffing has improved, but reported occupancy figures are misleading because they are based on certified beds rather than functional capacity after conversions to single-occupancy rooms and capital projects. The report said actual occupancy is closer to 85% than the commonly reported 56%, and that increasing occupancy would not necessarily increase revenue because the state’s cost of care exceeds reimbursement and private-pay revenue. Recommendations included adopting functional occupancy reporting, continuing the move to single-occupancy rooms, reviewing modernization needs at Thompson Hood, including Eastern Kentucky in planning, and referring the Radcliffe HVAC procurement and installation to the Auditor of Public Accounts and Attorney General for review.

Transcript Highlights:

• One of them is the California Hospital Facilities Finance Authority.
• Electronic health records, of course, bring operational efficiency.
• At the time, many district hospitals were operating at the brink of insolvency.
• Did that analysis incorporate visits to the actual facilities? No.
• Board, we operate the only level two trauma service in South County.

Transcript Highlights:

• I'll describe this permitting inequity as follows: across the state, dozens of facility operators and
• In Merced County, a new permit was issued on July 2nd for a facility to open there.
• That use satellite technology to keep an eye on their production operations.
• Is that the one and only facility in the state in Lodi, or are there other facilities that recycle?
• Is that the one and only facility in the state in Lodi, or there are other facilities that recycle?

Summary: The committee first heard SB 14, which would direct state agencies to reduce single-use plastics and improve waste diversion at state facilities by updating integrated waste management plans, increasing reusable foodware use, reducing paper purchasing, and requiring better employee education and recycling/composting practices. Supporters from the California Compost Coalition, Republic Services, Waste Management, and others said the bill would help build composting and recycling markets and let the state lead by example. Several groups that had opposed earlier versions said they were now neutral after amendments, including the removal of a 90% requirement. The bill was moved out on a due pass as amended recommendation. The committee then took up SB 326 on wildfire mitigation. The bill would create a framework for Cal Fire to evaluate the risk-reduction benefits of fuels management and landscape resilience investments, and it would accelerate implementation of Zone Zero defensible-space standards, including grants for local enforcement and broader application to rental and sale properties and post-fire reconstruction. Support came from Stanford climate researcher Michael Mastrandrea and several local government, insurance, and climate groups. With no opposition, the bill passed as amended to Appropriations. Next, SB 34 on port emissions and the South Coast Air Quality Management District drew extensive testimony. The author said the bill was narrowed by committee amendments to preserve the ports’ ability to reduce emissions while preventing cargo throughput caps and addressing concerns about automation, local control, and the timeline for port clean-air planning. Supporters included ILWU, business groups, and port-related stakeholders, while the South Coast AQMD and many environmental and community organizations opposed it, arguing it would weaken public-health protections and set a bad precedent. After lengthy debate, the committee approved the bill on a due pass as amended vote to Transportation, with some members voting no and others abstaining. The committee also heard SB 279, which would expand composting options for farmers and small community composters by allowing limited on-farm composting after large biomass events and increasing the amount small operations may process and sell. Supporters said the bill would help address agricultural waste, expand composting capacity, and reduce landfill disposal. Commercial composting representatives opposed it, warning that the bill could create regulatory inequities, strand recent investments in permitted facilities, and allow too much unregulated food waste. Despite those concerns, the bill passed to Appropriations on a due pass vote. The transcript also briefly referenced SB 613 on upstream methane emissions data, described as having no opposition and intended to improve tracking of imported oil and gas emissions.

Transcript Highlights:

• </c><03:41:12.080><c> can't</c><03:41:12.319><c> operate</c> that means this facility can't operate that
• If we operated as a freestanding facility, they would all have to be transferred out.
• If we operated as a freestanding facility, they would all have to be transferred out.
• do not operate, emergency facilities do not operate, which<04:53:03.680><c> is</c><04:53:03.840><c>
• Uh they operate independent facilities.

Committee: House Health, Human Services and Elderly Affairs

Transcript Highlights:

• updated in terms of what qualifies as an EITE facility, but right now I think none of those three facilities
• in total across the 40 facilities.
• NewCore operates a steel recycling and manufacturing facility in West Seattle, which is the only steel
• So I would just say there are a handful of facilities, large facilities in the state that have self-generation
• that currently existed before CETA is an important opportunity both for those facilities operating under

Bills: SB6013 , SB6291

Committee: House Environment & Energy

Keywords: ski areas, winter sports, terminology, recreation, economic development, SB6291, on-site wastewater treatment, onsite wastewater treatment, septic system, sewage treatment, wastewater inspection, environmental health, local board of health, public health, professional engineer, land surveyor, certificate of competency, inspection standards, design review, supervised practice

Transcript Highlights:

• Obviously, you know, I'm supportive of addressing the issue of especially facilities that are operating
• But I also represent residential neighborhoods where these facilities operate, and I hear regularly from
• in your district, they're frustrated when facilities appear to be operating without clear oversight,
• We've got a problem with the unlicensed and other facilities that are operating outside the law.
• We've got a problem with the unlicensed and other facilities that are operating outside the law.

Summary: The committee first took up SB 490 by Senator Umberg, which would require the Department of Health Care Services to investigate allegations of unlicensed sober living or residential recovery facilities within set timelines, issue notices promptly, and conduct follow-up site visits. Supporters, including a Garden Grove councilmember and the League of California Cities, said the bill would improve public safety, clarify enforcement, and address complaints about illegal operations in neighborhoods. County behavioral health representatives opposed the bill, arguing counties lack jurisdiction over these private facilities, could face liability and unfunded workload increases, and should not be pulled into enforcement responsibilities that belong to the state. After extensive discussion about whether the bill creates a county role or merely a pathway for local assistance, the committee passed SB 490 on an 8-0 vote and placed it on call for missing members. The committee then heard SB 381 by Senator Wahab, which would allow adult adoptees, and in some cases descendants of adoptees, to obtain their original birth certificates, create a contact preference form for birth parents, and remove current limits that omit certain birth information from amended certificates. The bill drew strong support from adoptees, birth parents, and advocates who said access to original records is a matter of identity, dignity, and health because it can reveal family medical history and cultural background. Several committee members expressed support for the goal but raised concerns about privacy, the potential emotional impact on birth parents, and whether the contact preference form adequately protects confidentiality. The author and supporters said the bill is narrowly tailored, that the form is nonbinding, and that many birth parents are open to contact; they also noted the bill had been amended to delay implementation and allow public notice. The transcript ends amid continued debate, with members indicating the bill would continue moving forward with further work, but no final vote is shown in the excerpt.

Transcript Highlights:

• This will give them that capacity to operate a container facility, and that's what this is, a container
• This will give them that capacity to operate a container facility, and that's what this is, a container
• facility, which they can't do right now. a container facility and that's what this is a container facility
• operators for some amount of time.
• Page 35 for park facilities.

Committee: Joint Capital Improvement

Summary: The committee met to finalize the FY27 bond bill, beginning with a roll call and a detailed review of updated appropriation amounts. The Comptroller General walked through major changes across agencies, including additions for OMB, the Department of State, DNREC, Agriculture, Education, and Transportation, and explained the funding sources that would cover the total $1.256 billion package. Members then debated several large items, especially the $110 million appropriation for the Diamond State Port Corporation, the $35 million Legislative Hall addition, the $20 million Community Reinvestment Fund, and the $30 million land and building acquisition line. Questions focused on the port project’s costs, expected jobs, return on investment, and whether the state would face future commitments; Secretary of State Charney Patitofunded Chances and other officials testified that the port expansion would create construction and permanent jobs and support long-term economic growth, while some members remained skeptical and objected to the process and spending priorities. The committee also discussed school construction funding, with officials explaining that additional money would forward-fund projects already in the pipeline and help districts that had been turned down for certificates of necessity. Other items reviewed included funding for park improvements, marina acquisition, the Plummer Center demolition and transfer, the Pyle Center sewer project, the Site Readiness Fund, affordable housing, the Arts Endowment Fund, an unclaimed property task force, and various transportation and community transportation projects. Several members raised concerns about county distribution, minority-party involvement in negotiations, and the scale of certain appropriations, but the majority defended the package as statewide investment and economic development. The committee then voted on the Section 1 addendum and a series of new and replacement epilogue sections, including provisions for the port project, Legislative Hall minor capital improvements, land acquisition, affordable housing, the Community Reinvestment Fund, downtown development districts, the Rite Aid demolition, the Site Readiness Fund, school construction formula review, and enhanced school capital funding. Most motions carried, with a few recorded no votes or abstentions on the main addendum. The meeting concluded with a motion authorizing technical corrections by the Comptroller General’s office, followed by closing remarks thanking staff and members for their work and noting that this was likely the final bond committee meeting for some participants before adjournment.

Transcript Highlights:

• So, in the next 18 months, we feel as though the facility will be fully up and operational.
• And you're trying to run tactical operations.
• Into a DC-owned and operated facility. And I want to thank everyone here for the support for that.
• Utilize Fuchsia technology and drones to enhance Operational monitoring for the facility.
• Facility.

Committee: House Public Safety

Transcript Highlights:

• But it’s limited to how the business operates, not necessarily how the municipality operates.
• Well, then you can't operate on Friday.'
• I don't know how many dogs are supposed to be in this facility.'
• Where I have a difference of opinion, because I do operate a large-scale facility, and I want to make
• the facility where Ollie died... ...owner-operator of the facility where Ollie died.

Committee: Senate Senate Committee on Post Audit and Oversight

Transcript Highlights:

• , storage yards, and equipment traveling between operational locations.
• , aerospace facilities, landing strips, mass transit and passenger rail terminals, postal facilities,
• and freight transportation facilities.
• . into transportation facilities, the inclusion of airports, heliports, space ports, aerospace facilities
• facilities.

Committee: Senate Judiciary C

Transcript Highlights:

• Underground facilities operators must locate and mark the geographic area within 15 business days of
• Underground facilities operators must locate and mark the geographic area within 15 business days of
• We identify and notify owners and operators of underground facilities that may be affected by the proposed
• Those owners and operators are then required to determine whether their facilities are in conflict and
• owners and operators were accurately identified.

Bills: SB1128 , SB1137 , SB1144 , SB1145 , SB1186 , SB1235 , SB1238

Committee: Senate Regulatory Affairs and Government Efficiency

Keywords: scrap metal theft, study committee, Arizona, regulated industries, public safety, underground utilities, utility locating, dig safe, call before you dig, excavation safety, damage prevention, one-call center, locate request, white lining, large project coordination, buried infrastructure, subsurface utilities, utility marking, locator wire, locator strip

Transcript Highlights:

• I think, as I said again, energy is oftentimes the largest annual operating expenditure for these facilities
• And when you consider that, the nature of these facilities are 24/7 facilities that need to be up and
• you're</c> in future uh facilities that you're in future uh facilities that you're going<00:46:17.240
• largest annual operating expenditure for these<00:46:49.720><c> facilities</c><00:46:50.359><c> and<
• </c> they they did a survey of operating they they did a survey of operating utilities<01:21:52.040><

Committee: Senate Energy, Utilities, Environment, and Climate

Transcript Highlights:

• blacked-out operations.
• in close proximity to CVG, with other facilities dispersed around the state, including a large operation
• in close proximity to CVG with operate in close proximity to CVG with other<00:49:40.000><c> facilities
• . facilities. facilities.
• </c><01:19:24.320><c> Our</c> facility, a UPS lab port. Our facility, a UPS lab port.

Summary: The task force met on October 14, confirmed a quorum, and adopted the September 16, 2025 minutes. Members then received a Kentucky Air National Guard 101 briefing from Brigadier General Bruce Bancroft, commander of the Kentucky Air National Guard, who described the Guard’s structure, missions, and statewide role. He emphasized that Kentucky is a single-wing state centered at Louisville’s 123rd Airlift Wing and highlighted several unique capabilities, including the Contingency Response Group, critical care air transport teams, medical detachment for chemical environments, explosive ordnance disposal, fatality search and recovery, and special tactics personnel. General Bancroft also discussed staffing and readiness, saying the Guard has 1,273 authorized positions, with a mix of AGR, Title 32, and Title 5 personnel. He noted that AGR positions are funded at about 96 percent, while technician positions are funded at about 53 percent, leaving the organization to operate at roughly 75 percent of authorized manpower overall. He said the wing converted from the C-130H to the C-130J in 2021 and completed the transition in about 2.5 years, ahead of the original three-year timeline. The briefing further covered the Guard’s operational tempo and community role. Bancroft said the unit has earned 21 Air Force Outstanding Unit Awards, has deployed about 500,000 days since 9/11 across 45 countries, and routinely supports federal and domestic missions. He described the C-130J’s tactical airlift, airdrop, and blacked-out operations as directly useful for disaster response in Kentucky, and he pointed to strong ties with UPS and other aviation employers. No votes or formal actions were taken beyond approval of the prior minutes.

Transcript Highlights:

• of our facilities.
• and cost reduction to taxpayers and maintaining and operating facilities below capacity?
• And humane facility, that's all.
• facilities.
• My facility is the number one dosing agency of an incarcerated facility in the Commonwealth.

Summary: The meeting was the third public session of the Special Commission on Correctional Consolidation and Collaboration. Members introduced themselves, and the commission approved the prior meeting minutes. The main presentation came from the Massachusetts Sheriffs’ Association, led by several sheriffs, who described the role of sheriffs’ offices as independently elected county institutions that operate jails and houses of correction, regional lockups, civil process, 911 communications in some counties, school resource officers, and investigative units. They emphasized that most of their population is pretrial, that admissions and releases are far higher than the Department of Correction’s, and that their facilities now house more people overall than DOC despite having a smaller budget. The sheriffs argued that their work has shifted toward rehabilitation, reentry, and public health, highlighting extensive programming in mental health, substance use treatment, medication-assisted treatment, education, vocational training, and gender-specific, trauma-informed services. They said standardized risk/needs assessments and better funding would help make services more consistent across counties. They also described specialized units and models such as regional evaluation and stabilization units, older-adult housing, emerging adult and gang-intervention programs, and reentry centers that connect people to housing, employment, family support, and community services. Several examples were cited, including Suffolk’s Project Evolve, Middlesex’s older-adult unit, Hampden’s MAGIC program, Worcester’s STOP program, and county reentry centers across the state. A major theme was that these programs are expensive but, in the sheriffs’ view, reduce recidivism and improve safety by stabilizing people before release and supporting them afterward. They pointed to COVID-19 as a period when sheriffs adapted facilities for quarantine and medical care, and said they continue to work with public health partners. They also stressed that their facilities are heavily audited by state and federal agencies and that maintaining humane, safe conditions requires significant staffing and operating costs. Commission members responded favorably at points, noting the importance of the turnover in sheriff populations and the need to understand the different correctional mission compared with DOC. The meeting ended with discussion of future commission dates and a note that the presentation materials would be shared electronically.

Transcript Highlights:

• by name, and how much per facility.
• What are those facilities? Slide 9. Yeah, on the right-hand side. What are those facilities again?
• I was not here prior to other facilities operating.
• Each state used to have larger facilities and more facilities.
• or residential facilities.

Committee: House Appropriations

Summary: The committee first heard a budget presentation on LSU Health Care Services Division and Lallie Kemp Medical Center. Staff reviewed HCSD’s roughly $74.7 million budget, much of it tied to legacy obligations for former LSU hospital systems and support for Lallie Kemp. Committee members asked about prisoner care, risk management costs, declining admissions and emergency visits, and the hospital’s 340B drug program. Lallie Kemp officials explained that prisoner care serves multiple state and local facilities, that lower admissions largely reflect more patients being placed in observation status, and that the in-house 340B program provides major savings to patients and the prison system. Members also asked about care for unhoused patients and the hospital’s discharge practices, and the hospital said social services works to find placement when possible. The committee then moved to the Louisiana Department of Health budget, which was presented as just under $23.5 billion, with Medicaid making up more than 90 percent of the total. The presentation covered the Office of the Secretary, Office of Public Health, Office of Behavioral Health, Office for Citizens with Developmental Disabilities, and Medicaid. Major items included the new Rural Health Transformation Program, the transfer of several functions from DCFS to LDH under the One Door initiative, changes to SNAP administration, and large Medicaid adjustments driven by enrollment, utilization, and federal policy changes. Testimony also highlighted the statewide crisis hub and 988, the commodity food program for seniors, women’s health and maternal outcomes, and the department’s efforts to modernize technology and reorganize services. Members questioned LDH officials on a wide range of budget and policy issues, including the rural health grant, crisis services, Medicaid redeterminations, provider taxes, physician and hospital supplemental payments, nursing home rates, HCBS funding, and the impact of the federal One Big Beautiful Bill Act. LDH said the rural health grant would support workforce, technology, and care-delivery improvements; that the crisis hub and mobile crisis units are being expanded to improve access and reduce emergency room use; and that the department is working to keep the SNAP error rate below 6 percent to avoid a projected state cost increase. Officials also said they expect to return next year with additional funding requests for HCBS and other programs, while emphasizing that current budget changes are largely meant to realign funding with actual expenditures and new federal requirements. No votes or formal actions were taken in the portion provided.

Transcript Highlights:

• , intermediate, and skilled nursing facility levels.
• or ...546 either brand-new behavioral health facilities or current facilities that are expanding a wing
• We currently operate one county-operated mobile crisis team. We are on staff 24-7, 365 days a year.
• Janna Lord, and I'm the Chief Operating Officer of Sycamores.
• We do have six facilities in the state right now, and that is six among more than a thousand SUD facilities

Summary: The subcommittee heard budget and policy updates from the Department of State Hospitals, the Commission for Behavioral Health, and the Department of Health Care Services. DSH described its proposed 2026-27 budget of $3.2 billion, including savings tied to IST solutions, higher patient-driven operating costs, and a small increase in caseload projections. Officials said the department has met court-ordered IST treatment benchmarks, with wait times reduced from a pandemic peak of 1,953 pending placements to about 250, and average treatment initiation now around five days. Members asked about the effects of Proposition 36 and SB 1323, rising outside hospitalization costs, Medicare enrollment, and whether IST solution funding was being overbudgeted; DSH said referrals are slightly down overall, aging and medically complex patients are driving outside care costs, and the IST solution savings reflect slower-than-expected program activation rather than a service gap. The department also outlined proposed funding for CONREP cost increases, a new county-by-county LPS bed allocation model, electrical infrastructure upgrades at Napa and Patton, SB 380 transitional housing feasibility work, and additional dental staffing and space at Metropolitan and Patton. The Commission for Behavioral Health reviewed its role in the Behavioral Health Services Act transition and its new Innovation Partnership Fund. Staff said the commission is shifting from county-level innovation oversight to a statewide grant strategy, with the first $20 million RFA drawing strong interest and awards expected in mid-June. Members asked how “innovation” would be defined, whether grants could be renewed after the initial three-year contracts, and how the state would ensure the money supports real service delivery rather than general outreach or training. The commission also sought a liquidation deadline extension for the Alcove youth drop-in center grants so remaining funds can be spent before they revert, allowing sites to finish implementation and support the final evaluation. DHCS provided an overview of CalAIM and BH Connect implementation, including updated specialty mental health access criteria, new ASAM-based substance use treatment standards, contingency management, traditional health care practices for tribal members, workforce investments, evidence-based practice expansion, IMD participation, and transitional rent services. The department also addressed BHSA implementation, saying it does not track specific local program cuts but will monitor county three-year plans, performance measures, and outcomes as counties shift to the new funding structure. On H.R. 1, DHCS said it is preparing outreach, eligibility simplification, and exemption strategies to reduce Medi-Cal coverage losses, including clinic navigators, a statewide outreach campaign, and possible employment supports through a future waiver. The department also reported that BH-CHIP bond funds have supported 437 infrastructure projects, creating 546 facilities and more than 9,500 residential beds, with additional outpatient capacity and tribal investments. Finally, DHCS outlined a proposed 988 trailer bill to create a statewide designation process for 988 centers and mobile crisis teams, with implementation no earlier than October 1, 2027.

Transcript Highlights:

• And our goal was to find and ensure structurally consistent facilities that operate safely.
• </c><01:18:16.240><c> We</c> um facilities that operate safely.
• We um facilities that operate safely.
• . facilities. facilities.
• . facilities. facilities.

Bills: HF4110 , HF4101 , HF4144 , HF3546

Committee: House Human Services Finance and Policy

Transcript Highlights:

• </c> these facilities? these facilities?
• </c> or certified staff in these facilities. or certified staff in these facilities.
• facilities.
• </c><00:53:05.040><c> So</c><00:53:05.280><c> that's</c><00:53:05.599><c> going</c> operated u facilities
• So that's going operated u facilities.

Summary: The Health and Family Services committee heard an informational presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults, often with serious mental illness, who do not meet nursing home criteria but need structured supervision, medication assistance, meals, and daily support. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and are supported largely through state supplementation payments and residents’ SSI income. The presenters argued that the current reimbursement rate of about $50.70 per day is no longer sufficient to cover staffing, food, insurance, utilities, maintenance, and other costs, and said the sector has shrunk significantly over time. They cited figures showing a decline from 64 to 34 homes serving the seriously mentally ill since 2002, with 30 closures over 23 years, and said the loss of beds contributes to homelessness, hospital overcrowding, and longer psychiatric stays. They also gave examples of residents who had spent many months in hospitals before being successfully placed in personal care homes, which they said can prevent more costly institutional care. Committee members asked about staffing credentials, fraud controls, referral processes, and how reimbursement works in other states. The presenters said Kentucky does not require licensed or certified staff in these facilities, though some homes use certified medication technicians or an LPN, and they described a county case-manager-based assessment process used to set individualized rates in other states such as Minnesota. Members expressed support for the work but emphasized the need for documentation of savings and budget offsets. The presenters said they are seeking an incremental reimbursement increase over two years, roughly 25% to 50% in the first year and another 50% after that, and urged the committee to support the homes to prevent further closures.