Transcript Highlights:

• And we're paying those managed care companies um something called a per member per month capitation.
• For, if our enrollment in a very high-cost uh capitation cohort group in long-term care is spiking at
• We're not having to pay for that capitation premium.
• Uh, piece of equipment that, uh, Representative Cerreana had purchased with capital outlay money.
• And, you know, I hate to pick on the Forest Service, and I know that, you know, they're just the boots

Transcript Highlights:

• baseball tomorrow in Oakes, and I don't know if you got the email, but we don't have to dig out our snow boots
• baseball tomorrow in Oakes, and I don't know if you got the email, but we don't have to dig out our snow boots
• Remodeling and capital expenditures is the big one.
• in school safety expenditures for the 2024-25 school year, against almost $71 million coming from capital
• in my mind, is very far from The intent of that, in my mind, is very far from, like, remodeling in capital

Keywords: 908, all

Transcript Highlights:

• And I'm a capital outlay analyst with the Legislative Finance Committee.
• We haven't bonded capital in 6 years.
• It would have created a new major projects fund for higher education capital.
• I mean, $6.3 billion in capital outlay projects.
• You might want to get him a pair of work boots.

Transcript Highlights:

• Affairs and Government Efficiency, having had under consideration SB 1205 relating to motor vehicle booting
• Affairs and Government Efficiency, having had under consideration SB 1205 relating to motor vehicle booting
• Anecdotally, I had a situation: I parked at a lot in the Biltmore, I received a ticket, I received a boot
• In addition to that, when we talk about capitalism, that's something that we seem to prioritize here

Keywords: 1182, all

Summary: The Senate convened, recorded attendance, dispensed with reading the journal, and recognized several guest groups, including landscape architects and FFA representatives who delivered plants to senators. The chamber then moved through multiple Committee of the Whole calendars, considering a large number of bills and resolutions, with most measures receiving do-pass recommendations, often after committee or floor amendments. Topics included public monies and cryptocurrency/stablecoin use by the state (SB 1042, SB 1043, SB 1044, SB 1045, SCR 1003, SCR 1033), attorney discipline and family court matters (SB 1039, SB 1139, SB 1147, SB 1148, SB 1328), public records, scholarship organizations, HOA flag rules, deed conveyances, environmental restrictions on solar radiation management, federal land acquisition consent, small modular reactors, water quality testing, and state revenue-related constitutional changes (SCR 1028). One notable procedural dispute occurred when an Epstein amendment to SB 1043 was ruled not germane; the chair’s ruling was upheld on a 14-10 division vote, and the bill later advanced without that amendment. The Senate also retained SB 1419 on the calendar. On later calendars, the Senate advanced health and human services measures focused on Arizona’s Access program and DCS, including SB 1052, SB 1115, SB 1149, SB 1193, SB 1233, SB 1345, SB 1346, and SB 1631. Testimony on SB 1115 centered on whether Access employees should be barred from remote work, with supporters arguing in-person work was needed and critics warning of staffing and service disruptions without a new facility or appropriation. SB 1233 drew discussion about a short cure period for administrative deficiencies; supporters said the bill addressed retaliatory enforcement practices, while opponents said the timeframe was too short. SB 1345 and SB 1346 also drew Access-related debate, including a floor amendment removing Access from SB 1345 and an objection that the bill could conflict with federal Medicaid law. The committee reports for these bills were adopted, and the measures were sent forward with do-pass recommendations. The Senate also advanced regulatory and utility-related bills on another calendar, including SB 1137, SB 1144, and SB 1205. SB 1137 dealt with underground facilities excavation notification and passed with a Kavanaugh floor amendment described as stakeholder-driven technical detail. SB 1144 addressed veterinary technician certification and education alternatives and passed with committee amendment. SB 1205, concerning motor vehicle booting fees regulation, was amended to require an appeals process for private parking lots using booting services after a senator described a personal experience of paying a boot fee and receiving no response to an appeal. The calendar was still in progress at the end of the transcript, with SB 1286 just beginning to be read.

Transcript Highlights:

• But Kentucky has absolutely always been the horse racing capital of the world, and now we're absolutely
• always been, you know, the horse they've always been, you know, the horse racing<00:26:10.720> capital
• of the world and now racing capital of the world and now we're<00:26:12.559> absolutely<00:26
• You're pretty close to boots and a belt buckle. >> Uh, I have the belt buckle.
• I don't own any real boots.

Keywords: 958, all

Summary: The committee approved the minutes from its August 21 meeting and then received an update from Kentucky Horse Racing and Gaming Corporation leadership on implementation of Senate Bill 299 and House Bill 566. Jamie Eids and staff described the agency’s new structure after charitable gaming was brought under the corporation, including new divisions, staffing, banking, payroll, insurance, procurement, and reporting systems. They also unveiled the corporation’s new logo and tagline, and said the transition had been designed to avoid interruption for charities, licensees, and racing operations. A major focus was the fee structure required by House Bill 566. Eids outlined current licensing fees across racing, sports wagering, and charitable gaming, compared Kentucky’s fees with other states, and recommended keeping the status quo for one more year because the agency has only recently brought all three components fully in-house. Members asked about whether charitable gaming had harmed veterans’ groups or other nonprofits, whether any revenue should be transferred back to the state, and whether the charitable gaming licenses cover one-off raffles as well as standing operations. Eids said she had not heard complaints, said the licenses include all such activity with some exemptions, and agreed to look at the question of future transfers. The committee then heard from Melissa Combs Wright on pari-mutuel wagering and Hannah Sims on sports wagering. They reported continued growth in historical horse racing, more than $11 billion in total pari-mutuel wagering in fiscal year 2025, over $10.5 billion in HHR wagers, and about $161 million in pari-mutuel tax revenue, with most of that supporting the general fund and horse-breeding development funds. They also said sports wagering has generated nearly $5 billion in wagers since launch, $73 million for the public pension fund, and more than $2 million for problem gambling services, while expanding to 13 retail locations and 92 additional sports events. Members raised concerns about players being cut off after winning, the lack of local government revenue sharing from gaming facilities, and the growth of computer-assisted wagering; the witnesses said they were reviewing CAWs and that Kentucky does not license poker rooms through the corporation.

Transcript Highlights:

• Boot camp, I suspect.
• And get to the work as y'all go on with your school finance boot camp.
• I would say safety, and then just capital improvement projects. to upkeep your buildings in order to
• to open. 12 schools in the last four years alone, have additional resources to assist with human. capital
• In a fast-growing district we're in the process of needing to make capital improvements and build new

Bills: HB2, HB2

Keywords: public education, teacher compensation, certification, funding, school finance, educator rights, education funding, charter schools, staff compensation, state aid, retention allotment, disaster preparedness, emergency management, flooding, mass fatality, mass casualty, fatality tracking, body recovery, autopsy, justice of the peace

Transcript Highlights:

• benefits, and that's the funding that typically goes to the regional collaboratives for them to be boots
• for<00:49:27.680> them<00:49:27.839> to<00:49:28.000> be<00:49:28.240> boots
• collaboratives uh for them to be boots collaboratives uh for them to be boots on<00:49:28.640>
• attend all of our professional development opportunities that we provide, and you know they're our boots
• That's an outside entity that we utilize, boots on the ground locally, where we're handing out money

Keywords: Meeting Start 00:00:00 Attendance Roll Call 00:00:07 Chair Comments 00:00:36 Approval of Minutes 00:04:01 Volunteers of America 00:04:21 Soil and Water Conservation/Energy and Environment Cabinet 00:14:52 Kentucky Office of Drug Control Policy/Justice & Public Safety Cabinet 00:21:05 Kentucky Department of Agriculture 00:26:01 Early Childhood Advisory Council 00:45:18, 958, all

Summary: The Tobacco Settlement Agreement Fund Oversight Committee met to review how tobacco settlement dollars are being used and to press recipients for detailed information on total funding, administrative versus program spending, and measurable outcomes. The chair emphasized that the committee was not there for general program overviews, but to assess return on investment and whether each program should continue to receive tobacco settlement support. The committee approved the minutes from its December 22, 2025 meeting and then heard presentations from several agencies and organizations. Volunteers of America Mid-States described its southeastern Kentucky restorative justice program, which uses an evidence-based New Zealand model for juvenile cases in nine counties. The group reported tobacco settlement funding of $516,000 in FY24 and $233,500 in FY25, representing about 17% and then about 5% of the program budget, respectively. It said the funding helped expand the program from 13 cases in 2021 to 180 youth served, and cited an independent evaluation showing recidivism of 24.5% compared with 40.4% in AOC data, along with a cost of a little under $20 per day versus detention and other placements. Some members questioned whether the program fit the tobacco settlement funding categories and suggested it might be better supported through other justice-related funding sources. The Energy and Environment Cabinet’s Division of Conservation explained that tobacco funds support $1 million in direct aid to conservation districts and $2 million in cost-share projects for farmers, with 5% of the cost-share appropriation allowed for administration, or about $100,000 in FY26. Officials said the direct-aid line was moved into tobacco funding in 2019, reducing money available for farmer cost-share, and described a multi-year project approval and reallocation process. Senator Webb asked for a more specific breakdown of the $850,000 direct-aid amount, and the cabinet said it would provide that information. The Kentucky Office of Drug Control Policy reported that in FY24 it expended just under $30 million across tobacco funds, general funds, restricted funds, and a one-time federal grant, with less than 2% used for administration. Officials said most tobacco settlement money goes to Kentucky ASAP local boards in all 120 counties, supporting prevention, treatment, and some law enforcement work. The Department of Agriculture then began its presentation, describing strategic investments, loan programs, county funding, administrative costs, and a reported return of about $2.30 for every dollar spent, but the transcript cuts off before that presentation was completed.

Transcript Highlights:

• Who has the capital to do that?
• I'm just telling you what I've experienced boots on the ground.
• And boots on the ground meant that there were underhoused folks that were either, and especially during
• Look, I do not believe in unfettered capitalism. I really don't.
• This is free enterprise capitalism to buy up homes to improve those homes, make them livable and rentable

Summary: The committee heard several bills, with the most detailed discussion focused on AB 316, AB 251, AB 474, AB 1201, AB 464, and AB 614. AB 316 would prevent AI developers or deployers from arguing in civil cases that an AI system’s alleged autonomy absolves them of responsibility. Supporters framed it as a narrow guardrail to protect families, especially children, from harms like dangerous chatbots and deepfakes; opponents, including TechNet and the Chamber of Progress, raised concerns about possible strict-liability implications. The bill was moved out of committee to Privacy and Consumer Protection. AB 251 would let judges lower the burden of proof in elder abuse cases when a skilled nursing facility or RCFE intentionally destroys evidence. Supporters said the measure is needed because elder abuse victims are often unable to testify and records are vulnerable to spoliation, while opponents argued existing sanctions are sufficient and warned of more litigation. The bill passed, with committee members emphasizing the vulnerability of elder abuse victims. AB 474 sought to expand nonprofit home-sharing programs, including tax incentives for low-income homeowners and changes to housing law and lodger rules. Supporters said it would help older adults and low-income Californians avoid homelessness, but several members and the California Apartment Association raised concerns about removing lodger-law protections for homeowners; the author committed to keep working on the issue. The bill passed to Human Services. AB 1201 would give courts discretion to provide family reunification services to parents with certain violent felony convictions, rather than applying an automatic bypass. Supporters from Starting Over Inc. described personal experiences with permanent family separation and argued the bill would give parents a fair chance when the conviction is unrelated to child safety. Some members supported the measure but questioned whether domestic violence histories should be treated differently; the author said the bill still allows courts to deny services when reunification would endanger a child. The bill passed to Human Services. AB 464 addressed sexual abuse and retaliation in state prisons by extending reporting time after release, adding 90-day monitoring after reports, barring rehiring of confirmed abusers, and strengthening reporting and anti-retaliation rules. Survivors testified about abuse, retaliation, and failures in CDCR’s response; the bill passed to Appropriations. AB 614 would standardize the Government Claims Act filing deadline at one year for all claims. The author and supporters argued the current six-month deadline for injury and wrongful death claims is too short for victims to learn the process, find counsel, and gather evidence, while businesses often get a full year. A civil rights attorney and a family member of a deceased jail detainee testified in support, describing how the current deadline can block meritorious claims. The bill was presented for committee consideration as the hearing continued.

Transcript Highlights:

• I request capital leave for Senator Kim Ward.
• Senator Pittman requests capital leave.
• May we have Senator Colver on capital leave?
• I have request capital... Thank you, Mr. President.
• I have requested capital leave for each of them.

Summary: The Senate opened with prayer, the Pledge of Allegiance, communications, committee reports, and leaves of absence. The journal was approved 50-0. The chamber then took up House Bill 1505, which drew extended debate over school funding and adequacy/tax equity. Senators Coleman and Keefer argued the bill continued to pour money into districts like Allentown without accountability or improved results, while Senators Costa, Miller, Haywood, and Anthony Williams defended the funding as a response to historic underfunding and the Commonwealth Court decision. A motion allowing Senator Coleman a third speaking turn was adopted 27-23, and the bill ultimately passed 45-5. The Senate then considered House Bill 2400, the General Appropriation Act. Supporters, including Senators Martin, Dush, Phillips-Hill, Costa, Ward, Street, Hughes, and Pittman, emphasized that the budget was balanced without using the rainy day fund or raising taxes, reduced the governor’s proposal, increased education and child care funding, supported nursing homes, rape crisis centers, infrastructure, and workforce programs, and shifted money from lapsed or unused accounts to current priorities. Opponents, including Senators Saval and Muth, said the budget failed to address structural deficits and omitted new revenue options, emergency services funding, and other major issues. The bill passed 44-6 with amendments and was returned to the House for concurrence. The Senate also passed a series of other bills, including House Bills 2412, 2413, 96, 858, 1042, 1286, 1646, 1851, 1862, 2017, 2024, 2401, and 2559, with varying margins, and sent them to the House, some with amendments. House Bill 1042 drew a negative recommendation from Senator Costa over a late amendment involving second-degree murder/felony language, but after reconsideration and vote changes it passed 30-20 with amendments. House Bill 1862, creating an Ignition Interlock Driver’s License, passed 45-5 after support from Senator Judy Ward. House Bill 1248 passed 43-7 and designates Pennsylvania rye whiskey as the official state spirit, with Senators Bartolotta and Robinson speaking in support. The chamber also adopted Senate Resolution 216, after defeating Senator Haywood’s amendment to narrow the scope of a proposed Legislative Budget and Finance Committee study of managed care organizations; the resolution passed 31-19. Several other bills were held over in their order, and the Senate later moved toward a condolence resolution.

Transcript Highlights:

• I'm hoping that the, uh, State Department maybe will allow that person to be able to get out and get boots
• And they loved showing off what they were doing with the grant. boots on the ground in some of these
• boots on the ground in some of these rural<00:14:37.440> squirrel<00:14:38.399> rural<00

Bills: SF0014, SF0018

Keywords: literacy, education, reading assessment, intervention program, public school funding, department of education, K-12 education, part-time attendance, public schools, student enrollment, education funding, 916, all

Transcript Highlights:

• the mines, they didn't give them any protective gear whatsoever, gave them a hard hat and steel-toe boots
• later they were probably laughing at us because we were in there with just hard hats and steel-toe boots
• That gentleman later died. ...and steel-toe boots.

Bills: SB66, SB79, SB108

Keywords: environment, cleanup, contamination, uranium mining, abandoned sites, state funding, mosquito control, public health, surveillance, prevention funds, local government grants, food security, agriculture, food bank, regional program, appropriation, 996, all

Transcript Highlights:

• So, President Kunkle, would you have any suggestions or recommendations, being the boots...
• Kunkle, would you have any suggestions or recommendations, being the boots on the ground, not here in
• So I think that, boots on the ground, we need to do a better job setting expectations at the beginning

Summary: The Human Services Subcommittee met to receive implementation briefings on House Bill 1267, which was enacted to address benefit cliffs and help public assistance recipients move toward economic self-sufficiency. The Department of Children and Families reviewed SNAP, Temporary Cash Assistance (TCA), and Medicaid-related eligibility and work requirements, including who must participate in work activities, the role of Florida Commerce and CareerSource Florida, and the new standardized intake and exit surveys required by the law. Members also discussed the TCA program’s household-based structure, the 48-month adult limit, and how work requirements differ for SNAP and TCA participants. Florida Commerce and CareerSource Florida then reported on implementation of HB 1267, including the CLIFF financial forecasting tool, case management changes, and survey data collected from welfare transition participants. They said intake surveys showed common barriers such as child care, transportation, and flexible work schedules, while exit surveys showed many participants were employed or had gained credentials, though response rates were low because the surveys are voluntary. A local workforce board, CareerSource Tampa Bay, described using CLIFF in case management and shared a success story about a participant who completed training, earned certifications, and moved into employment. The committee also heard a separate DCF briefing on the federal One Big Beautiful Bill Act and its impact on SNAP. DCF said the law expands able-bodied adult without dependents requirements, changes non-citizen eligibility, ends future SNAP-Ed funding, increases state administrative cost sharing, and may require states to share in benefit costs if payment error rates remain above federal thresholds. Members focused heavily on Florida’s SNAP payment error rate, which DCF said was 15.13% for federal fiscal year 2024 and 12.60% for 2023, with the state currently on a corrective action plan. DCF described steps to reduce errors, including more verification of rent and utility expenses, improved income matching, staff training, and system modernization. No votes were taken, and the meeting adjourned after questions concluded.

Transcript Highlights:

• Why would they need additional money outside of capital outlay?
• They did get a capital appropriation previously to construct the dormitory.
• So PSFA staffs and supports the Public School Capital Outlay Council pursuant to the Public School Capital
• Public School Capital Outlay Act.
• The funding that supports operation and capital for our organization comes out of the Public School Capital

Keywords: 996, all

Transcript Highlights:

• They are the boots on the ground doing the hard work in the classroom day after day.
• They are the boots on the ground doing the hard work in the classroom.

Keywords: 1183, house

Transcript Highlights:

• in Minnesota, especially how those are addressed at a legislator's home rather than so much in the capital
• We've had a policy for legislators that when they live a certain geographical distance away from the capital
• old age, working or listening... ...or having a lesson over 30 days prior to when I really hit my boots

Summary: The Legislative Procedures and Arrangements Committee met with a quorum and approved the minutes from the previous meeting. The committee first considered and adopted a Joint Rule 211 change clarifying the deadline and statutory references for bill drafts involving health insurance mandates, after discussion that the process is still somewhat cumbersome but improved by the clarification. The committee then reviewed a revised draft addressing confidentiality protections for certain legislators and candidates, but members expressed concerns about the breadth, enforceability, and transparency implications of the proposal, and the committee chose not to advance it at this time. The committee received an informational update on the new NCSL Legislator Security Fund. Staff explained that North Dakota is applying for the grant, which could provide about $200 per legislator for home security or related safety expenses, subject to Emergency Commission approval and reimbursement procedures. Members asked about eligible expenses, administrative burden, and whether new legislators would be covered; staff said guidance would be provided if funding is approved. The committee also approved the 2027 timing for the State of the Judiciary, tribal-state relationship message, and State of the State address on January 5, and set the Commerce Department and agricultural commodity reports for January 13 and 14, respectively, as required by statute. A major portion of the meeting focused on legislative staffing and organizational planning. The committee approved a recommendation for 36 Senate staff positions and 41 House staff positions, along with a 3% compensation increase for session staff. Discussion centered on replacing some procedural clerk duties with permanent policy analyst staff, retaining quality assurance roles for now, and adding or repurposing positions in IT, program evaluation, legal, and administration. Members also discussed expanding program evaluation capacity and the need for clearer oversight of new programs, with staff noting upcoming training and model-sharing with other states. Finally, the committee reviewed a proposed new legislator orientation day on November 30 and broader organizational session training changes, including mock committee and floor sessions, security training, and more robust budget/appropriations instruction, but took no final action on the agenda items and adjourned after completing the budget-related recommendations.

Transcript Highlights:

• Boots on the ground, Senator Finchem said, you've done your time, you pay back to the community. ...said
• Shah of Iran visited the White House, which brought both supporters and opposition to the nation's capital
• For the record, my name is Anna Oliver with Capital Consulting, here on behalf of the Anti-Defamation

Bills: HB2244, HB2364, HB2573, HB2749, HB2862, HB2870, HB4117, HCR2004

Keywords: evictions, judgment satisfaction, tenant rights, landlord obligations, court procedures, abortion-inducing drugs, medical abortion, pharmaceutical regulation, felonies, state law, DUI, ignition interlock, substance abuse treatment, driving privileges, alcohol education, felony conviction, misdemeanor designation, court judgment, criminal justice reform, rehabilitation

Summary: The committee heard and acted on several bills. HB 2749, as amended, would allow certain nonviolent class 4, 5, or 6 felonies to be redesignated as class 1 misdemeanors after five years and after completion of sentence terms, with exclusions for crimes such as cruelty to animals, weapons misconduct, and failure to register as a sex offender. Supporters framed it as a redemption and reintegration measure, and the committee adopted the amendment and gave the bill a due pass recommendation on a 6-0 vote with one not voting. HB 2870 would prohibit certain level 2 and level 3 sex offenders from living together in the same single-family dwelling, with exceptions for relatives, community reentry centers, and certain existing supervised facilities. The sponsor and neighborhood residents described a real-life situation in Chandler involving multiple offenders in one house and argued the bill would protect families; opponents warned it could push people into homelessness and undermine supervision. After testimony from residents, housing operators, and a structured-housing provider, the committee approved the bill 3-2 with two not voting. HB 2862, which increases penalties for offenses committed while wearing a mask to conceal identity, drew support from the City of Scottsdale and opposition from the ACLU over First Amendment concerns; it passed 3-2 with two not voting. HB 2364 would create criminal penalties for mailing or delivering abortion-inducing drugs, including felony penalties for providers and a misdemeanor for ordering such drugs by mail. Supporters said it would enforce existing law and protect women; opponents argued it conflicts with Proposition 139 and constitutional protections for abortion access. The committee gave it a 4-3 due pass recommendation. HB 2244, supported by Phoenix Vice Mayor Keisha Hodge Washington, would streamline satisfaction of eviction judgments when tenants have paid and allow sealing of eviction records in some cases; it passed unanimously 7-0. HB 2573, which removes the 45-day waiting period before some repeat DUI offenders can apply for an ignition interlock restricted license, also passed unanimously 7-0. The committee also considered HB 4117, a strike-everything amendment creating a new offense for interfering with a religious service or worship by obstructing access or engaging in disorderly conduct intended to disrupt the service. Supporters, including ADL and Jewish community representatives, said it would protect worshippers from obstruction and intimidation; opponents argued it was vague, unnecessary, and could chill protest speech. After extensive debate, the committee adopted the strike-everything amendment and gave the bill a due pass recommendation. Finally, HCR 2004, a mirror resolution to SCR 1004, would require voter approval for local photo enforcement systems and periodic reauthorization; it was discussed with support from city and league representatives, but the transcript ends before a final vote on that measure.

Transcript Highlights:

• their park, if it goes on sale, will give residents a true home that is protected from predatory capitalism
• . lives a true home that is protected from predatory capitalism.
• I worked at Dan's Boots and Saddles. Manal was a great job. I loved it.

Transcript Highlights:

• The reality of it is when you have your boots on the ground, not every case or investigation that we
• 31:38.320> not<00:31:38.880> every<00:31:39.600> case<00:31:39.919> or boots
• on the ground, not every case or boots on the ground, not every case or investigation<00:31:40.720><
• So, um, you're not going to receive a whole lot of other testimony from people that are boots on the
• <00:35:20.079> on testimony from people that are boots on testimony from people that are boots

Bills: HB0130, HB0095, HB0096, HB0097, SF0101, SF0106, SF0067, SF0123

Keywords: Second Amendment, firearms, state rights, federal regulation, law enforcement, civil penalties, government liability, concealed carry, public colleges, university facilities, weapons legislation, self-defense, campus safety, weapons, age requirement, permits, HB0097, Wyoming firearms privacy, merchant category code, MCC

Transcript Highlights:

• Brian's testimony also highlighted where are the boots on the ground, and one of the issues that's arisen
• :28:49.760> there highlighted where is there are there highlighted where is there are there boots
• 00:28:50.640> and<00:28:50.799> one<00:28:50.960> of<00:28:51.039> the boots
• on the ground and one of the boots on the ground and one of the issues<00:28:51.360> that's<00
• on the ground aren't have enough boots on the ground aren't necessarily<00:28:59.200> versed<

Bills: HB1601, HB1828, HB1616, HB1603, HB1606, HB1604, HB1605

Keywords: biosecurity, invasive species, Hawaii Invasive Species Council, Department of Land and Natural Resources, appropriation, agriculture, land use, farm dwelling, renewable energy, income qualification, solar energy, geothermal resources, hydropower, agricultural tourism, aquaculture, commercial activity, swine production, Korean natural farming, land leases, Hawaii

Transcript Highlights:

• providing a safe environment for you to speak freely about what you're experiencing as a day-to-day boots
• And I was actually having a conversation with some people over in the capital this morning about this

Summary: The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to behavioral health as the main topic. Representatives Woodridge and Vaught described the work of the behavioral health working group, saying Arkansas needs a more proactive system that improves access, reduces red tape, and focuses on a few achievable policy changes for the 2027 session rather than many bills. Members discussed barriers such as low reimbursement, workforce shortages, licensing and credentialing hurdles, rural access problems, and the need to better use community providers, compacts, and step-down services. Director Paula Stone of DHS’s Office of Substance Abuse and Mental Health gave a detailed overview of the behavioral health system. She said Medicaid pays for more than 75% of behavioral health services in Arkansas and explained that when people are jailed or admitted to the state hospital, Medicaid generally stops, leaving state general revenue to cover care. She described current efforts including family-centered treatment for children, community reintegration group homes, a new adolescent substance use disorder residential unit, expanded community mental health center contracts, a secured restoration unit to reduce state hospital backlogs, and an IMD waiver to allow Medicaid payment for certain residential services. She also said DHS is working on crisis services, forensic evaluations, and provider rebidding in areas previously served by ERISA. Members asked about reimbursement for jail services, the lack of a statewide behavioral health dashboard, civil commitment options, crisis stabilization units, and whether Arkansas should expand step-down or long-term facilities for people who cannot safely return to the community. Stone said the state hospital backlog remains significant, average stays are still about 14 months, and crisis stabilization units have had mixed success, with Fort Smith and Jonesboro performing better than Fayetteville and Little Rock. The meeting ended with a commitment to continue the work, with more substantive discussion planned for August.