Video & Transcript : 'campaign planning' :
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WA
Washington 2025-2026 Regular Session
House Civil Rights & Judiciary Jan 20th, 2026
Transcript Highlights:
- So defendants would have to get assigned to collections to get on a payment plan, and that has higher
- There are basically two different kinds of payment plans.
- We charge $5 a month to handle payment plans, to set people up and handle the payments.
- And then we can do collection plans as a part of our collection services.
- , and keeping them current on those plans.
Summary:
On January 20, 2026, the committee held public hearings on House Bill 2102, House Bill 2161, and House Bill 2332. HB 2102 would sharply limit legal financial obligations by prohibiting courts from imposing costs unless specifically authorized by statute, repealing many fees and interest on restitution, and making eliminated debts unenforceable and satisfied. The sponsor and supporters argued that LFOs are harmful, inconsistently applied, and create uncollectable debt that burdens indigent defendants and hinders reentry. Opponents, including local government and collections representatives, warned the bill would shift costs to cities and counties, reduce accountability tools, and could cost local jurisdictions millions. No vote was taken.
HB 2161 would expand the Attorney General’s authority to issue civil investigative demands for possible violations involving civil rights, labor standards, jail standards, immigration-related restrictions, and police use-of-force laws. Supporters from the Attorney General’s office, labor groups, and civil rights advocates said the bill would make investigations faster and more effective, especially in wage theft and discrimination cases, while not changing substantive enforcement authority. Opponents from law enforcement, cities, and business groups argued the bill was overbroad, lacked sufficient standards, and could create due process, confidentiality, and separation-of-powers concerns. Members asked about safeguards, and staff and the AGO described court challenge procedures and internal review standards. No action was taken.
HB 2332 would regulate automated license plate readers used by state and local agencies, generally limiting use to specified law enforcement, parking, toll, and transportation purposes, restricting sharing and retention, and prohibiting uses tied to immigration enforcement or protected health care. The sponsor and privacy, immigrant-rights, and reproductive-rights advocates said the bill was needed to prevent misuse of sensitive location data and to close loopholes that could allow out-of-state or federal access. Law enforcement, cities, vendors, and some business and campus representatives supported privacy guardrails but said the 72-hour retention limit, warrant requirements, and other restrictions were too strict and could hinder investigations, victim recovery, and parking enforcement. The hearing ended with testimony still underway and no vote or final action reported.
NM
New Mexico 2025 Regular Session
IC - Transportation Infrastructure Revenue Subcommitee Nov 3rd, 2025
Transcript Highlights:
- The funding plan of the bonding package.
- And Representative, that's our plan.
- Responses must ensure safer clearances that lessen impact, as well as pre-planning conditions.
- Is there a plan to increase that? Mr.
- That is the plan off of which we identified needs, and it's the plan off of which we identify ITS solutions
WA
Washington 2025-2026 Regular Session
House Consumer Protection & Business Oct 21st, 2025
Transcript Highlights:
- There was a large-scale public-private earthquake plan that took place exactly this.
- It was a multiple month planning, was a lot of thought process.
- But yeah, 2027 is the plan. We're on track for that two-year cycle.
- But yeah, 2027 is the plan. We're on track for that two-year cycle.
- But yeah, 2027 is the plan we're on track for that two-year cycle.
Summary:
The committee heard a work session on earthquake insurance, beginning with background from the Office of the Insurance Commissioner. OIC staff explained that earthquake and earth movement are generally excluded from standard property policies, that earthquake coverage is usually purchased through endorsements or standalone policies with high deductibles and relatively high premiums, and that surplus lines are a limited backstop market not covered by the state guarantee fund. They also described parametric insurance and captive insurance as more specialized products generally suited to commercial or governmental buyers rather than ordinary consumers. A second panel of insurance and banking experts focused on commercial earthquake exposure, especially for older buildings, collateralized loans, and potential knock-on effects to banks and consumers if a major quake caused widespread damage. Members asked about consumer impacts, mitigation incentives, inventories of vulnerable buildings, and whether legislation such as prior work on unreinforced masonry could help reduce risk. The Washington Bankers Association said earthquake insurance is expensive and that affordability is a major concern, while also noting banks participate in disaster-recovery planning and would be affected by major regional losses. No votes or formal actions were taken.
The committee then received a presentation from the Washington State Institute for Public Policy on its cannabis and Initiative 502 research. WSIPP staff described the agency as a nonpartisan research institute that conducts legislative-directed studies and explained that its long-term I-502 assignment includes periodic reports leading to a final benefit-cost evaluation in 2032. Staff summarized findings from a 2023 report showing that cannabis possession convictions fell sharply after legalization, though some racial disproportionalities persisted, and that closer retail access was associated with higher reported adult cannabis use, more fatal traffic crashes involving drivers from nearby areas, and higher rates of cannabis use disorder diagnoses among Medicaid enrollees. A 2023 youth-focused report found that students attending schools near retailers were more likely to report cannabis use, had more unexcused absences, and were less likely to graduate on time. In the newest 2025 Medicaid study, staff said retail access was associated with higher probabilities of cannabis use disorder diagnoses, related hospitalizations, inpatient treatment, and co-occurring mental health diagnoses, with event-study analysis suggesting the increases appeared after retailers opened rather than before. Members asked about racial disproportionality, the meaning of cannabis use disorder diagnoses, THC and impairment, whether the findings reflected medical versus recreational use, and how the results should be interpreted in light of broader trends and data limitations. No formal committee action was taken.
NM
New Mexico 2025 Regular Session
IC - Transportation Infrastructure Revenue Subcommitee Oct 6th, 2025
Transcript Highlights:
- and has served on a planning commission.
- This allows us, from a transportation planning perspective, to address existing goals.
- From a transportation planning perspective, this is significant.
- Into urban planning in terms of its development. So thank you. That's good. Thank you.
- They are in our planning years in the STIP.
FL
Florida 2026 Regular Session
Appropriations Committee on Agriculture, Environment, and General Government Apr 15th, 2025
Appropriations Committee on Agriculture, Environment, and General Government
Transcript Highlights:
- By creating transparency in the bill, we are requiring land management plans for parcels within a state
- So we want to really have a sum of what's going on so we know how to plan in the future for the dollars
- We want a report of the cost of the backlog of park maintenance and repairs, including a plan to reduce
- And while it was announced the plans would be placed on hold, we have seen in recent times.
- And while it was announced the plans would be placed on hold, it's expected they will resurface.
Summary:
The committee first took up SB 80, the Parks Preservation Act, which would define state park purposes around conservation-based recreation and public access, prohibit uses such as golf courses, tennis courts, pickleball courts, ball fields, and hotels, require more public notice and advisory input on land management changes, and mandate reporting on park spending and maintenance backlogs. Testimony was overwhelmingly supportive, with conservation groups, youth advocates, and other members of the public backing stronger protections for state parks. The bill was reported favorably.
Members then approved SB 200, directing DEP to develop a statewide waste reduction and recycling plan, and CS for SB 496, which clarifies that timeshare facilities are governed by Chapter 721 and only need annual board meetings. CS for CS for SB 1404, dealing with illegal gambling, was amended to add reporting requirements, tighten penalties, preempt local gambling legalization, and create a process for vetting certain machines and veteran-service-organization gaming questions; the bill drew significant concern from veterans groups and others over vague machine definitions and the need for clearer standards, but it was still reported favorably. The committee also passed SB 622 to allow pari-mutuel permit holders to lease facilities across horse-racing classes.
The committee next approved CS for CS for SB 712 after adopting a strike-all and amendment that covered synthetic turf rules, change-order timelines, public works scoring, elevator and alarm contractor issues, mass timber code updates, pool and spa contractor scope changes, spaceport building-code exemptions, and solar/energy-storage inspection provisions. Support came from timber, construction, and industry groups, while pool contractors objected to parts of the scope changes. The committee also reported favorably CS for CS for SB 1742, a major condominium reform bill that pauses reserve funding after milestone inspections, expands financial flexibility, adds disclosure and conflict-of-interest rules, and increases data collection and oversight; members from both parties praised the sponsor’s work on condo issues.
Finally, the committee approved SB 1574 on renewable natural gas infrastructure and SB 1580 authorizing DEP coastal resiliency public-private partnerships. It also passed CS for SB 1760, which requires certain public officials and agency leaders to meet Florida residency or proximity requirements. The last bill, SB 820, would codify the Office of Faith and Community in the Governor’s office; while supporters said it would permanently support faith-based and community organizations and improve coordination, several senators raised concerns about church-state separation, the office’s ties to Hope Florida, and whether codifying it could make the program more political. Despite those concerns, the bill was reported favorably.
TX
Transcript Highlights:
- First, the order that we plan to follow today, we're gonna start with our visiting members, SCR5. will
- Chairman and members Senate bill 57 relates to provisions and plans by public schools to ensure the safety
- Members current law requires Texas schools to implement emergency operation plans but it does not mandate
- Without proper planning, drills can be overwhelming. and even dangerous for students with disabilities
- During the cap, it was far too easy for 504 plans to.
Committee:
Senate Education
Keywords:
special education, funding, individualized education program, visual impairments, accessibility, support services, state education code, SCR 5, Senate Concurrent Resolution 5, Texas School for the Deaf, TSD, Robert Rives, gymnasium naming, building naming, honorary resolution, commemorative resolution, deaf education, hard of hearing, Gallaudet University, alumni hall of fame
AL
Alabama 2025 Regular Session
Alabama Joint Legislative Budget Hearings (PM) Feb 6th, 2025
Transcript Highlights:
- Department of Mental Health, often I'm asked what is the plan this year.
- So really, we have three goals for our Five-Year Plan.
- We are planning to open a 16-bed crisis residential unit in the spring of 2026.
- We're still planning on funding the operational funds for the Pediatric crisis center.
- , it appears that they're... ...an insurance plan, it appears that they're on a low plan in terms of
ND
North Dakota 2025-2026 Regular Session
Human Services Committee May 27th, 2026
Transcript Highlights:
- And it's a mutually agreed-on plan that is targeted to be implemented...
- It's a mutually agreed-on plan that is targeted to be implemented June 1st.
- And I think what's important is for our council to hear what that plan is.
- Because you're right, I think this is an excellent plan.
- With the CHIP state plan. Good afternoon, Chair Davison, members of the committee.
Summary:
The committee first heard an update on North Dakota’s Interagency Council on Homelessness and Continuum of Care funding. Jennifer Henderson of the North Dakota Housing Finance Agency reported that homelessness remains driven by tight housing markets, low incomes, rising rents, and barriers to rental assistance, public benefits, and disability determinations. She said the state’s one-time North Dakota Homeless Grant is serving all regions but reaches far fewer households than the former Rent Help program, and that aging homelessness, shelter staffing shortages, and limited affordable units are growing concerns. Members discussed the need for more housing supply, better coordination with Health and Human Services, landlord engagement, reentry housing, and possible continued one-time funding for the $10 million Homeless Grant and $25 million Housing Incentive Fund. Henderson also warned that federal Continuum of Care funding is uncertain, with HUD expected to issue a new notice June 1 and possible shifts away from permanent supportive housing toward transitional housing and other models.
The committee then took testimony on accessibility of government services for people who are blind, visually impaired, deaf, or hard of hearing. Paul Olson of North Dakota Vision Services School for the Blind described the school’s services for infants, children, and adults, including screenings, mobility training, assistive technology, and outreach across the state. He said the agency works closely with Vocational Rehabilitation and is also involved in improving website and document accessibility, especially for PDF materials. Public testimony highlighted barriers such as inaccessible CAPTCHA systems, online forms, driver’s license requirements on job applications, and limited transportation in rural areas. A deaf resident urged broader use of video remote interpreting and video relay services, along with training so people know how to use them effectively.
Finally, Kay Larson presented the final report on the child care provider licensing study. The report recommended streamlining North Dakota’s child care licensing structure into three provider types plus a preschool designation, while preserving health and safety standards and maintaining eligibility for child care assistance. The committee discussed simplifying training and qualification rules, revising ratio and group-size requirements, and adjusting age bands for infants and toddlers. The report also noted that some changes would require statutory amendments and later administrative rule changes, with a transition period likely extending through 2029. No formal votes were taken in the transcript, but the committee accepted the updates and scheduled follow-up presentations for a later meeting.
VT
KY
Transcript Highlights:
- I would just say if it's not in the current plan, if it doesn't fit within the current plan on our website
- I would just say if it's not in the current plan, if it doesn't fit within the current plan on our website
- So that is rural plan atky.gov page.
- So that is rural plan atky.gov rural<00:14:14.800><c> health</c><00:14:14.959><c> plan</c><00:14:15.279
- When we get rural health plan atky.gov.
Committee:
House Health Services
MN
Minnesota 2025-2026 Regular Session
Legislative Audit Commission - Evaluation Subcommittee 10/6/25
Transcript Highlights:
- What are the plans with that one? Did we have plans or not? That was a question.
- </c> What What are the plans with that one? What What are the plans with that one?
- That was a Did we have plans or not? That was a question. question. question.
- work you're planning on for next<00:49:33.040><c> session.
- </c> role in in you know developing a plan role in in you know developing a plan that's<01:05:17.920>
Summary:
The Legislative Audit Commission Evaluation Subcommittee met on October 6, 2025, to choose additional program evaluation topics for the Office of the Legislative Auditor. Deputy Legislative Auditor Jody Mson Rodriguez explained that the commission had previously selected seven topics from an initial list of 11, with background papers already prepared on five of those items, and that the subcommittee was now being asked to select five more topics for background papers before narrowing the full set to four recommendations later in the fall or early spring.
Members discussed several possible topics, especially emergency medical services, non-emergency medical transportation, MinnesotaCare eligibility, child care assistance, medical assistance fraud prevention, and U.S. Bank Stadium. David Kersner of OLA said emergency medical services and non-emergency medical transportation are distinct programs, and noted the EMS topic was evaluated in 2022 while non-emergency medical transportation had not been reviewed since 2011. Auditor Judy Randall said MinnesotaCare eligibility, child care assistance, and medical assistance fraud prevention are better suited to OLA’s financial audit division or special review unit rather than program evaluation, and that financial audits and special reviews do not require Legislative Audit Commission nomination.
On process, Mson Rodriguez said the subcommittee had already met its minimum required selections under the commission’s policy and was free to choose additional topics. The discussion also covered whether to broaden the stadium topic beyond U.S. Bank Stadium; staff said the U.S. Bank financing structure alone would be a major undertaking, but they could help craft a future topic focused on maintenance across multiple facilities. No final vote or motion was taken in the portion of the meeting provided, and the chair indicated the committee would continue nominations and discussion.
ID
Idaho 2026 Regular Session
Agenda Feb 16th, 2026
Transcript Highlights:
- the health district, but then also are there some updates and maybe some of the safety, operational plans
- The state of Idaho has primacy through a state plan they submit to the federal government to administer
- district, but then also are there some updates and maybe, you know, some of the safety, operational plans
- The state of Idaho has primacy through a state plan they submit to the federal government to kind of
- Idaho has primacy through a state plan they submit to the federal government to administer those RCRA
Summary:
The Senate Health and Welfare Committee heard several RS introductions and one House bill. RS 33393, by Sen. Van Orden, would create an audit/transparency process related to residential habilitation and provider rate increases; after clarification that it was the audit piece only, the committee voted to send it to print by voice vote. RS 33404, presented by a University of Idaho law student for Sen. Anthon, would allow pharmacists to seek voluntary dual licensure as naturopathic doctors; it was sent to print. RS 33355, by Sen. Blaylock, would restructure Health and Welfare oversight by eliminating administrative regions, regional directors, the Board of Health and Welfare, and regional behavioral health boards; despite concerns from Sen. Wintrow about losing advisory capacity, it was sent to print. RS 33406 would require hospitals to provide clearer, bundled labor-and-delivery pricing information, and RS 33419 would update newborn screening exemption language to align with existing vaccine exemptions; both were sent to print without opposition.
The committee then heard House Bill 555, a rewrite of the Idaho Solid Waste Code, presented by Rep. Weber with testimony from Nate Francisco of the Idaho Solid Waste Association. The bill would move solid waste regulatory authority from health districts to the Department of Environmental Quality, with supporters citing greater expertise, statewide consistency, fewer conflicts of interest, and user-fee funding for DEQ’s added responsibilities. Members asked about impacts on septic systems, public health protections, and federal primacy under RCRA; the presenters said the bill concerns municipal solid waste, preserves public health and safety, and is intended to maintain Idaho’s primacy. The committee voted to send HB 555 to the Senate floor with a due pass recommendation. The meeting then adjourned.
FL
Florida 2026 4th Special Session
February 2, 2026 - 03:30 PM
Transcript Highlights:
- taxpayer to receive their same level of service while bringing predictability to the county's long-term planning
- When annexation occurs without clear transitional framework, it disrupts long-term planning complicates
- Right now, the current annexation plan has 16 of our fire stations encapsulated in the plan to occur
- Marion County will make all decisions on density, comprehensive planning, and all land use permits.
- The stewardship does not supersede local government and is subject to the comp plan.
WA
Washington 2025-2026 Regular Session
House Housing Jan 12th, 2026
Transcript Highlights:
- As you recall, last year the legislature authorized a county that is fully planning under the GMA to
- it easier for, in particular, small counties to be confident that as they're completing their comp plans
- House Bill 2269 would allow rural counties that fully plan under the Growth Management Act to authorize
- House Bill 2269 does strike a thoughtful balance between housing expansion and local plan authority.
- , my name is Curtis Steinhauer, representing the Washington State Association of County Regional Planning
Summary:
The Housing Committee opened its 2026 session with introductions and brief remarks from members, with Chair Peterson noting a light workload and inviting members to submit bills and ideas for future work sessions. The committee then held a public hearing on House Bill 2269, which would narrow last year’s middle-housing authority in limited areas of more intensive rural development to rural counties, while leaving urban growth area authority unchanged. The bill also clarifies that these developments may be served by publicly owned sanitary sewer systems and expands allowable wastewater systems to include large on-site sewage systems; the sponsor said a technical amendment would remove an unintended restriction on urban counties.
Representative Bernbaum said the bill was developed over the interim with Representative Engell, Futurewise, and WASAC to address ambiguity from last year’s middle-housing law, especially for small counties like Jefferson County that may need large on-site septic systems. Testimony in support came from Anthony Mixer, the Washington State Association of County Regional Planning Directors, the Association of Washington Business, the Building Industry Association of Washington, and Futurewise, all of whom said the bill would add housing flexibility, support local planning, and help address affordability and supply shortages. Futurewise and committee members discussed the difference between individual septic systems and large on-site systems, with questions about state versus local oversight and flood-prone areas.
Members also asked how the bill relates to prior middle-housing legislation, including House Bill 1110 and last year’s engrossed substitute 5471, and whether it would work alongside a separate rural ADU bill. The hearing closed without a vote or other action taken on the bill, and the committee adjourned after the testimony and questions.
FL
Florida 2025 Regular Session
December 3, 2025 - 03:30 PM
Transcript Highlights:
- LAST MONTH WE UNVEILED FDOT'S BUSINESS PLAN FOR AAAM IMPLEMENTATION WHICH INCLUDES THE ESTABLISHMENT
- OUTREACH TO THE COMMUNITY AND THEN AS WE GO THROUGH WE CAN IMPLEMENT THOSE AND GET A GOOD TRAFFIC PLAN
- AND GET A GOOD TRAFFIC PLAN TO SWITCH THE TRAFFIC OVER TO THE OTHER SIDE.
- WE HAVE A BUSINESS PLAN THAT WE JUST ROLLED OUT. IT'S AGGRESSIVE.
- 4 CORRIDOR JUST BECAUSE THAT'S WHERE THE BULK OF THE WORK IS GOING ON RIGHT NOW BUT THAT BUSINESS PLAN
TX
Transcript Highlights:
- support changes to allow the recapitalization of SWIFT, as this program that funds our state water plan
- As we know, the first state flood plan was issued not too long ago, and it outlined $54.5 billion in
- And when we look at the draft regional plans, over half the money expected to be spent on water management
- FIUPs, the state water plan, the flood infrastructure plan—what's really missing in all of this, to be
- I think that when we see the next water plan come out... ...we're going to see an enormous increase in
Bills:
SB7
Committee:
House Natural Resources
HI
Hawaii 2025 Regular Session
AGR/TOU Joint Public Hearing - Wed Feb 5, 2025 @ 8:45 AM HST
Transcript Highlights:
- In section 2, page 4, subsection E, the Planning Commission to Planning Department to make sure the counties
- subsection e the Planning Commission to planning<01:04:44.480><c> department</c><01:04:45.480><c> to<
- And so far, I don't know of any plans for Maui.
- and a plan with the whole sector to move processing forward.
- /c> have a Statewide plan and a plan with have a Statewide plan and a plan with the<02:34:43.880><c>
Summary:
The joint House Agriculture and Food Systems and Tourism hearing focused on HB 189 and HB 966, both dealing with agricultural tourism. HB 189 would require counties to adopt ordinances governing review and permitting of agricultural tourism as secondary uses on working farms, require the principal agricultural use to pre-exist any tourism-related permit, and limit ag tourism to land where productive agriculture is occurring. HB 966 would create statewide uniform standards for agricultural tourism, require county registration of activities, require ag tourism to coexist with agricultural activity on a farming operation, and end the tourism use when agricultural activity ceases.
Testimony on HB 189 was mixed. The Department of Agriculture and Kualoa Ranch opposed the bill, arguing that the proposed restrictions and income-based limits could burden bona fide farms and ranches, reduce flexibility for counties, and harm food production, jobs, and diversification efforts. Kualoa Ranch said ag tourism supports its food sales and community market and warned the bill could cost more than 350 jobs. The Hawaiʻi Cattlemen’s Council also opposed the measure for similar reasons. The Hawaiʻi Farmers Union supported the bill with suggested amendments, including clearer language around agricultural dedication. The Hawaiʻi Farm Bureau supported the intent of the bill but urged caution, saying ag tourism should remain tied to actual agricultural production and that counties need flexibility to address abuses without imposing overly rigid standards.
Members discussed how to define a bona fide agricultural operation and whether property tax agricultural dedication could serve as a clearer qualifier. They also raised concerns about how counties would enforce revenue thresholds or separate accounting for tourism and farm income, and whether state law should better target clearly non-agricultural uses such as gondolas or other abusive developments. The Department of Agriculture and Farm Bureau said counties already have authority to regulate ag tourism through ordinances, but that any new standards should avoid unintended burdens on true farmers and ranchers.
HB 966 was then introduced, and initial testimony again reflected support for the bill’s intent from some agricultural groups and opposition or caution from others. Kualoa Ranch said ag tourism can help educate visitors and support agriculture, the Hawaiʻi Farmers Union supported county flexibility, and the Hawaiʻi Farm Bureau reiterated concerns about the bill’s income comparison provisions and the need to distinguish legitimate agricultural tourism from misuse. No votes were taken during the hearing.
MN
Transcript Highlights:
- privileged access so that they could access all aspects of an IT system, both related to the game plan
- subject matter experts and agency plans subject matter experts and agency management<00:58:08.039><c
- hiring practices as operations plans hiring practices as well<00:59:16.880><c> as</c><00:59:17.119><
- This agency risk assessment plan is a template that allows agency personnel to plan and document agency
- agency Personnel to plan and allows agency Personnel to plan and document<01:02:19.279><c> agency</c>
Committee:
Senate Finance
WY
Wyoming 2026 Regular Session
House Agriculture, State and Public Lands & Water Resources, February 12, 2026
Agriculture, State and Public Lands & Water Resources
Transcript Highlights:
- The first bill for our consideration: House Bill 87, um, omnibus water planning bill.
- We have eight municipal master plans.
- Uh, pretty much all of our planning projects, we put three-year reversion dates on them.
- We have eight municipal master plans.
- We have eight municipal master plans.
Keywords:
groundwater, water resource management, state engineer, aquifer study, corrective controls, monitoring wells, public reporting, irrigation, water management, funding, maintenance projects, tax assessments, state law, water conservation, Colorado River, drought, water rights, voluntary program, interstate agreements, water development
KY
Kentucky 2025 Regular Session
Budget Review Subcommittee on Health and Family Service (9-17-25) - Reupload
Transcript Highlights:
- So, they have state plan services. They're not going totally without, uh, any medical care.
- So, they have state plan services. They're not going totally without, uh, any medical care.
- So, they have state plan services. They're not going totally without, uh, any medical care.
- </c><01:25:14.639><c> We</c><01:25:14.960><c> had</c> the American Rescue Plan funds.
- We had the American Rescue Plan funds.
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.