Transcript Highlights:

• So what we are asking is for Jewish students to have the same protections as other students.
• When schools lack accountability, harmful behaviors and educational gaps persist, leaving affected students
• When schools lack accountability, harmful behaviors and educational gaps persist, leaving affected students
• with trans students.
• I am also a high school student.

Keywords: 959, house, all

Transcript Highlights:

• And again, that funding varies by student depending on the students they serve.
• Is this for all students? Mr.
• How is it impacting students?
• behavioral expectations.
• that we hear from students.

Transcript Highlights:

• The behavioral health access crisis is not new.
• significant behavioral health needs.
• And most of all, she worried about our students because without behavioral services, their progress had
• , teachers are burnt out, and students fall behind.
• are disrupted, teachers are burnt out, and students fall behind.

Keywords: 995, all

Summary: The committee hearing covered a wide range of public health bills, with much of the testimony focused on two major themes: expanding access to care and stabilizing health-related workforces and services. On House 2364, an act relative to medical health and fitness facilities, representatives from Dedham Health and Athletic Club argued for a pilot program recognizing supervised exercise as medicine, saying it could improve outcomes for chronic disease, fall prevention, and mental health while reducing costs. On House/Senate bills concerning community health workers (H. 359/S. 251), multiple witnesses from MACHW, Health Care for All, MHA, Cambridge Health Alliance, Mass General Brigham, Boston Children’s Hospital, Asian Women for Health, and the City of Somerville described CHWs as essential for navigation, trust-building, language access, and addressing social needs, and urged reimbursement by MassHealth, the GIC, and private insurers, along with workforce development measures. One pediatric neurologist also told the committee that losing grant-funded CHW support led to more avoidable ER visits and threatened clinic operations. The committee also heard extensive testimony on hospital closures and essential services. Witnesses including Dr. Alan Sager, MNA President Katie Murphy, nurses from Brockton Hospital and Providence Behavioral Health, and local officials and legislators from Norwood described the loss of hospitals and service lines, especially maternity, pediatric, and behavioral health care, and argued current closure processes are too weak to protect communities. They supported bills such as H. 2460/S. 1503 and H. 2534/S. 1574, which would require earlier notice, community input, stronger state oversight, possible receivership, and limits on reopening or expanding after closures. Testimony emphasized the impact of Steward’s bankruptcy, the closures of Carney and Neshoba Valley, and the need to preserve access to essential services in underserved areas. Several end-of-life and professional regulation bills were also discussed. On H. 2436, Representative Omar Gomez and funeral industry witnesses supported eliminating Office of the Chief Medical Examiner fees for the removal of a child’s body in cases involving children five and under, describing the bill as a small but important relief for grieving families. On H. 2444 and related Senate bills, cemetery and consumer advocates supported legalizing alkaline hydrolysis and natural organic reduction as environmentally friendly after-death options, while cemetery representatives opposed H. 2360, which would allow funeral establishments to operate crematories, arguing cemeteries should retain that role. The committee also heard support for H. 2382, which would exempt dentists and oral surgeons from a new office-based surgical center framework, and for H. 2461, which would create hospital efficiency standards; employers and retailers backed that bill as a way to address rising health care costs. Finally, the committee heard testimony on autism services and hospital governance. On S. 1414, behavior analysts and school representatives said Massachusetts already licenses assistant-level ABA providers but MassHealth does not reimburse them, causing long waitlists and limiting school and family access; an actuary testified that a three-tier ABA reimbursement model could reduce MassHealth costs by up to 6% per child served. Senator Lovely also testified in support of S. 1572, which would require at least one registered nurse on each acute care hospital governing board, arguing nurses’ frontline perspective would improve quality and retention. No votes were taken in the hearing excerpt, but many witnesses urged favorable reports on their respective bills.

Transcript Highlights:

• So please join me in giving a warm welcome to the students, and I ask students and the teachers and educators
• So please join me in giving a warm welcome to the students, and I ask students and the teachers, educators
• And a very warm welcome to an amazing champion of student equity and student success for the community
• A very warm welcome to an amazing champion of student equity and student success for the community colleges
• likely for these students.

Summary: The Assembly convened after a quorum call, offered a prayer and Pledge of Allegiance, and then spent much of the session on guest introductions recognizing visitors, community college delegations, students, caregivers, a retired Assembly staff member, and a championship high school football team. Members also observed an adjournment in memory for Alex Preddy, a VA nurse killed in Minnesota, and later for Kathy Wooten and Rowena Ramos. The chamber then moved through the daily file and third reading file, with several items passed, retained, or continued. Among the bills taken up, AB 34 on renewable portfolio standard exemptions for publicly owned utilities passed 55-0; AB 35 to accelerate implementation of Proposition 4 climate resilience funds passed 62-0; AB 52 on food and agriculture equity passed 50-6; AB 72 creating an EV economic opportunity zone passed 58-0; AB 96 removing a diploma requirement for Medi-Cal peer support specialists passed 55-0; AB 230 extending Pierce’s disease control programs passed 64-0; AB 277 requiring background checks for behavioral health employees passed 59-0; AB 647 clarifying a county RV disposal pilot passed 54-0; AB 664 authorizing limited bachelor’s programs at Southwestern Community College passed 60-1; AB 673 creating a support grant for unaccompanied homeless youth passed 55-1; AB 710 on dynamic electricity pricing passed 54-0; AB 748 streamlining pre-approved housing plans passed 65-0; AB 767 expanding protections around sexually violent predator placements near schools and daycares passed 65-0; AB 883 protecting officials’ personal information from data brokers passed 66-0; AB 946 expanding 30x30 conservation efforts to urban areas passed 65-0; AB 1054 creating a deferred retirement option program for CHP and Cal Fire passed 61-1; AB 1070 on missing middle housing code simplification passed 66-0; AB 1159 strengthening student data privacy passed 54-4; AB 1204 revising the Local Control Funding Formula passed 54-1; AB 1265 extending the historic building tax credit passed 64-0; AB 1349 banning speculative ticketing passed 61-0; AB 1359 allowing seniors 80+ to opt out of jury service without a doctor’s note passed 67-1; AB 643 on organic waste procurement credits passed 48-4; AB 685 creating a small business resiliency fund passed 63-0; AB 714 tightening oversight of commercial driving programs passed 65-1; and AB 805 establishing a youth apprenticeship bridge program passed 66-0. Several other items were passed and retained or continued without debate. Debate on AB 1054 drew the sharpest disagreement, with opponents warning about pension costs and supporters arguing it would help retain experienced CHP officers and firefighters. AB 767 also prompted strong comments about public safety and placement of sexually violent predators in rural communities. On AB 1349, supporters from both parties backed the anti-speculative ticketing bill as consumer protection, while AB 664 drew support from members emphasizing access to higher education in underserved regions. The Assembly then adjourned until January 29, 2026, after announcing upcoming session dates and recording a few vote changes from the dais.

Transcript Highlights:

• The Board of Behavioral Sciences and the Board of Psychology.
• to training the mental and behavioral health workforce.
• And third, and most concerningly, students suffer.
• Today's students simply do not stay in one place.
• efforts within the bill to ensure proper safeguards for students?

Keywords: 988, house, all

Transcript Highlights:

• OK, uh, as you know, the behavior after a conviction, uh, changes in an inmate.
• That would include the, the type of students that, uh, that y'all have responsibility for.
• identified as a student with a disability.
• They'd like to get them evaluated to see if they have a behavior abnormality, and it's just a.
• The tiered program is based on individual progress in treatment as well as that client's behavior.

Transcript Highlights:

• DESE and the DESE educators who serve Pappas students remain committed to those student successes.
• Student A has had disrupted attendance at a public school, received his diploma four years early, Student
• Open the school to today's students.
• Open the school today's students.
• Altogether, these students highlight our current quandary: Are our students too medically complex or

Keywords: 995, all

Summary: The special legislative commission on the future of Pappas Rehabilitation Hospital for Children held a hybrid public hearing focused on the hospital’s future, admissions, staffing, infrastructure, and whether the facility should be preserved, expanded, or reimagined. Opening remarks from legislators, commissioners, parents, and union representatives emphasized that Pappas provides a unique combination of medical, rehabilitative, educational, and residential services for children with complex needs, and several speakers argued that the hospital is effectively being depopulated through reduced admissions and ongoing discharges despite public assurances that it remains open. Multiple speakers urged the commission to extend its authorization and continue its work before any closure or major change can occur. Testimony from labor leaders, including AFSCME, SEIU Local 509, and the Massachusetts Nurses Association, described a “silent closure” in practice, with staff reporting confusion about the hospital’s status, declining census numbers, blocked admissions, and uncertainty about the workforce’s future. They called for immediate action to stop admission denials and unnecessary discharges, and some proposed short-term solutions such as temporary modular structures to address infrastructure barriers and allow admissions to resume. Parents and former patients testified that Pappas provided life-changing independence, specialized therapy, and campus-based supports that they said could not be replicated elsewhere, and they criticized alternative placements as inadequate. Commissioner Robert Goldstein of the Department of Public Health said the administration supports keeping Pappas open and funded while the commission works, but he argued that admissions must comply with hospital-level-of-care rules and that the campus’s deteriorating infrastructure limits the kinds of children who can safely be served there. He said the department is continuing admissions for appropriate patients, working to expand outreach and services, and exploring long-term options, including broader statewide models of care. Commissioners pressed him on whether discharge status or lack of a clear discharge plan had been used as a barrier to admission, and requested de-identified data on patients recommended for admission but denied. No formal votes were taken during the hearing.

Transcript Highlights:

• <00:45:21.200> in that's where a high school student in that's where a high school student
• then it's not going to help students then it's not going to help students learn<01:42:46.760>
• <02:11:06.119> primary student their students as their primary student their students as their
• That's off-task behavior, and off-task behavior is not learning behavior in terms of what is being taught
• not learning behavior in behavior is not learning behavior in terms<04:17:46.040> of<04:17:46.279

Keywords: 928, house, all

Summary: The committee heard testimony on House Bill 362, which would give the Department of Education rulemaking authority over educator licensing and testing requirements, including professional education assessments. Representative Ladd argued the bill is meant to preserve New Hampshire’s higher standards for teacher preparation and to avoid lowering requirements for licensed educators, while also allowing flexibility for career and technical education (CTE) instructors who may have strong industry experience but not traditional classroom credentials. Members discussed whether the bill should preserve industry-recognized credentials and basic academic skills testing while exempting CTE teachers from content exams; DOE Director Steven Appy said an amendment would clarify that the bill applies to initial licenses, exempt CTE teachers from the content-testing requirement, and keep current administrative practice on basic skills and industry credentials in statute. The committee also noted that an executive session would be scheduled later, likely the following week, to act on the bills and amendment. The committee then took up House Bill 90, dealing with the definition of part-time teachers. Representative Ladd explained that the bill is intended to let university and community college faculty teach limited hours in high school concurrent enrollment settings, especially in subjects like math and STEM where some schools cannot find locally certified teachers with a master’s degree. He said the measure is designed to expand student access to college-level courses, not to replace fully certified teachers or reduce standards, and emphasized that the bill is limited to faculty employed or contracted by the University System of New Hampshire or the Community College System of New Hampshire, with criminal background checks and ethics/conduct rules still applying. No votes were taken during the hearing, and the discussion ended with the understanding that further action would come in executive session.

Transcript Highlights:

• to their students.
• Students shouldn't be on the hook to continue premium payments when they are no longer students.
• While I was a student, I received a fellowship that covered my student health insurance premium.
• students as a student leader, this is a full circle for me to come back and advocate for our students
• who fought for the CSU and the 400,000 plus students as a student leader, this is a full circle for

Summary: The Assembly Health Committee met on April 8 and heard a long series of bills, beginning with AB 54 on medication abortion access. The author and supporters, including the Attorney General’s office and reproductive justice advocates, said the bill would protect California’s medication abortion supply chain and shield providers and manufacturers from civil, criminal, and professional liability. Opponents from the California Family Council argued the bill removes safeguards and increases risks. The bill was moved forward on a committee motion. The committee then heard several reproductive and public health measures, including AB 551 to create a pilot program supporting emergency departments in providing reproductive health services, AB 260 to protect medication abortion access and telehealth, AB 309 to remove sunset dates on laws allowing pharmacy syringe sales and lawful possession of sterile syringes, AB 536 to preserve colorectal cancer screening coverage if federal guidelines are challenged, AB 804 to make housing support services a Medi-Cal benefit, AB 594 to address student health insurance billing and transparency, AB 836 to study and expand the midwifery workforce, AB 1418 to collect data on health coverage for eligible employees, and AB 1500 to maintain and expand the abortion.ca.gov information site. Supporters emphasized access, preventive care, workforce shortages, and public health benefits, while opponents raised concerns about abortion, syringe distribution, and the focus of state resources. Most measures were advanced by committee vote, with roll calls showing broad support and a few no votes from members on some bills. The final bill discussed in the transcript was AB 1037, which would update substance use disorder laws to reflect evidence-based, harm-reduction approaches and remove barriers to treatment. The author and supporters described it as a compassionate response to overdose and treatment access problems, while law enforcement opposition argued it would encourage drug use and endanger communities. The transcript cuts off during testimony on AB 1037, so no final committee action on that bill is shown in the provided text.

Transcript Highlights:

• Um, so in when you are in a school, um, if a student has an IEP and they have behaviors within the school
• . students. students.
• special ed students? special ed students?
• no students who potentially no students no students who potentially no students with<01:47:19.440
• . student. student.

Keywords: 1189, house, all

Transcript Highlights:

• Students may often show up at a school with no record of their past traumas, their academic needs, or
• It's required by the federal Every Student Succeeds Act.
• They need behavioral health services, educational support, or help at home.
• President of Behavioral Health Children's Services at Advocates.
• They have very little power to actually address the needs of the students that sit before them.

Keywords: 995, all

Summary: The Joint Committee on Children, Families, and Persons with Disabilities held a hybrid hearing on a series of child welfare bills focused on DCF, foster care, mandated reporting, educational records, and family support. Chair Kennedy and Chair Livingstone opened with accessibility and testimony rules, then heard testimony on bills including S.127 on expanding mandated reporters, S.107/H.235 on a Foster Children’s Bill of Rights, S.106/H.228 on transferring foster care review from DCF to the Office of the Child Advocate, H.258/S.125 on an electronic backpack for foster children’s educational records, H.205 on kinship foster care background checks, H.246/H.266 on minimizing trauma in care and protection cases, and S.159 on support for families after sudden unexpected infant death. Supporters of the mandated reporter bill, led by Sen. Feeney and Foxborough advocates, described a local model that trains all adults who work with children and argued the state should scale that approach statewide to improve recognition and reporting of abuse. Testimony on the foster care bills emphasized the need for clearer rights, better notice to children and attorneys, stronger remedies, and independent oversight. Advocates, youth with lived experience, and legal organizations described placement instability, delayed notifications, abuse in care, poor educational continuity, and the need for rights around safety, family contact, culture, language, and access to records. Several witnesses urged that the Foster Children’s Bill of Rights include enforceable court remedies, not just reporting requirements. On the oversight bill, supporters argued DCF should not review its own foster care system and pointed to poor outcomes, high placement instability, and recent investigative reporting as evidence for moving review responsibilities to the Office of the Child Advocate. On the electronic backpack bill, testimony focused on the need for real-time data sharing and a centralized system so schools can receive foster students’ records quickly and support continuity. On the trauma-minimization bill, Rep. Miskin framed the proposal as a set of practical changes to reduce harm during removals and court involvement. On the SUID bill, Sen. Lovely said families should be given information about available grief and support resources after an infant death. No votes were taken during the hearing; the committee primarily received testimony and questions.

Transcript Highlights:

• H.B. 133 provides for penalties for students who commit attacks on other teachers and students in the
• This student had injured every student in her classroom.
• The student, again, didn't comply.
• who does the attack is a student with exceptionalities, as well as these penalties only involve a student
• Behavioral health check-ins are included when appropriate. remain intact, behavior health check-ins are

Keywords: 974, senate, all

Transcript Highlights:

• I had students who are 10th- and 11th-grade students.
• Every single student counts in that top half because every single student is a student.
• We often talk about this in the behavioral health realm and high-behavior students who may or may not
• , not just students in special education. ...piece is for all students, not just students in special
• A student has a behavior problem. Well, I'll put a para with them. A student has difficult reading.

Summary: The committee met with a quorum, approved the March 4, 2026 minutes, and received a lengthy Department of Public Instruction presentation from Stanley Schauer Jr. on North Dakota student performance data in math and ELA, with comparisons between students with disabilities and students without disabilities. Schauer explained the assessment systems used, the 1% alternate assessment cap for students with the most significant cognitive disabilities, the absence of 2019-20 data due to the pandemic, and how state standards are set by North Dakota educators. Members asked about cohort trends, the role of alternate assessments, grade-level patterns, and whether the state should focus more on reducing the novice category than on moving students from approaching to proficient. Schauer also discussed the new NDA Plus assessment, the state’s planned growth model, and the possibility of future breakdowns by disability category or by schools using science-of-math approaches. Special education educators testified that students with disabilities continued to receive services during COVID because of FAPE obligations, which likely helped limit learning loss, and emphasized that IEP teams focus on individual growth rather than only proficiency buckets. Committee members then shifted to special education funding and possible funding models. Brandon Bombach of Grand Forks Public Schools presented on the state aid formula, focusing on the special education weighting factor and arguing that the current formula does not adequately respond to growing student needs because it counts enrollment but does not adjust when the number of students with IEPs rises. He used examples to show that a district can have the same enrollment and receive the same weighting even if the number of students needing services increases. Members discussed whether the formula should be tied more closely to actual need and accountability, and the chair indicated that the committee would continue gathering data and ideas for a later meeting.

Transcript Highlights:

• And so, like, we have our Behavioral Student Services Act Fund. That’s for a specific purpose.
• So, I mean, we have our Behavioral Student Services Act Fund. That’s for a specific purpose.
• So, I mean, we have our Behavioral Student Services Act Fund. That’s for a specific purpose.
• And so, like, we have our Behavioral Student Services Act Fund. That's for a specific purpose.
• So, I mean, we have our Behavioral Student Services Act Fund.

Keywords: 987, senate, all

Summary: The hearing opened with Department of Finance and Legislative Analyst’s Office remarks on the May Revision, which both described efforts to reduce large out-year operating deficits through a mix of revenue increases, spending reductions, and reserve use. Finance said the May Revision more than halves projected deficits in later years, while LAO stressed that revenues are at unprecedented levels yet the state still faces a significant structural deficit and is drawing down reserves; LAO urged maintaining at least the administration’s level of budget solutions and adding to reserves rather than new ongoing commitments. The chair echoed concern about cuts to vulnerable populations and noted the tension between service reductions and requests for additional administrative positions. The committee then heard a series of California Health and Human Services and HCAI proposals, including additional legal support for CalHHS to respond to federal HR1 changes; a net-zero transfer of positions for a centralized eligibility/data-sharing platform; 988 crisis line implementation funding and continued work with the Trevor Project to train crisis centers to better serve LGBTQ youth; EMS data system maintenance funding; HCAI implementation of AB 1312 hospital charity care screening; SB 660 data exchange framework funding; CalRx biosimilar insulin reappropriation; and a diaper access initiative that would provide free diapers to newborns in participating hospitals and support a future direct-to-consumer purchasing option. Members questioned the diaper program’s universal design, the use of a Public Contract Code exemption, and the selection of Baby2Baby, with the chair expressing concern about optics and the lack of an income threshold. The committee also discussed distressed hospital funding, with HCAI requesting up to $50 million for another round of grants to hospitals in immediate financial distress. HCAI said it receives annual and quarterly financial reports but the data lag limits real-time monitoring, and the LAO recommended stronger program parameters and turnaround plans. Members argued the repeated need for distressed hospital aid reflects a structural problem, not a short-term gap, and raised broader concerns about hospital reimbursement and patient flow. Other items included reverting $19.6 million in unused opioid settlement funds from HCAI to DHCS for General Fund offset, and a Rural Health Transformation Program request to increase HCAI spending authority to cover the full federal award. Later, DMHC presented funding requests to implement PBM licensing and financial review requirements under AB 116, modernize the managed care complaint system, and build an electronic claims settlement data system under AB 3275. The final major discussion focused on the Behavioral Health Services Oversight and Accountability Commission, which opposed the May Revision’s proposed reduction of its Innovation Partnership Fund from $20 million to $10 million and a $6.7 million cut to community advocacy grants. The Commission argued these programs are core to Proposition 1’s goals of statewide innovation and community accountability, while Finance said the proposal is consistent with Proposition 1’s maximum funding levels and reflects a broader effort to prioritize direct services and use unspent prior-year funds; members pressed for more information and questioned whether the cuts would undermine the new behavioral health framework.

Transcript Highlights:

• reported feeling consistently students reported feeling consistently sad<00:39:54.720> or<00:
• behavioral or developmental disorder. behavioral or developmental disorder.
• advocating more and more for behavioral advocating more and more for behavioral health<00:43:06.160
• health care, energy and behavioral health care, energy affordability,<00:44:09.280> and<00:44
• health care rose mental and behavioral health care rose to<00:44:22.560> the<00:44:22.720>

Keywords: 981, all

Summary: The Senate convened with a quorum, approved the corrected February 25, 2026 journal, and received a series of committee reports. Those reports advanced several bills, including SB 110, SB 20, SB 115, SB 61, SB 35, SB 26, and SB 3, while SB 24 was postponed indefinitely. The chamber also confirmed or placed on the consent calendar several appointments, including reappointments to the boards of Fort Lewis College and the University of Northern Colorado, and later confirmed appointments to the Clean Fleet Enterprise. The Senate elected Senator Kathy Kip as President Pro Tem by a vote of 21-12. It then took up SJR 013, recognizing Youth Mental Health Action Day, which was adopted 33-0 after remarks emphasizing youth suicide, rural behavioral health needs, and the importance of expanding access to mental health care. The Senate also passed SB 37, allowing local elected judicial officers to set weekend bonds, and SB 84, concerning privileges for certain state entities in connection with the state auditor’s fraud hotline. In the Committee of the Whole, the Senate passed HB 1035 on second reading and HB 1064, concerning modifications to the youthful offender system, after adopting amendment L004. The House bill on youthful offenders was described as clarifying Department of Corrections contracting and helping youth with disabilities participate in YOS programming. The Senate also confirmed appointments to the Institute of Cannabis Research Governing Board. Several items were laid over, including SB 53, SB 43, and SB 21, and the chamber recessed until 11:30 a.m.

Transcript Highlights:

• I walked into school that morning determined to try a positive new behavior strategy for student A.
• <01:23:02.159> I'd behavior strategy for student A. I'd behavior strategy for student A.
• student was expelled? student was expelled?
• for this behavior. for this behavior.
• <02:20:11.600> to<02:20:11.840> appeal student or uh other students to appeal student

Keywords: Meeting Start: 00:00:00 Agency Updates: 00:01:45 26RS SB 125: 00:02:10 26RS SB 101: 01:14:58, 958, all

Summary: The Juvenile Justice Oversight Council met on February 6, 2026, took roll, approved a motion to convene, and heard agency updates from materials in the packet. The council then took up Senate Bill 125 out of order because Senator Carol was present. The bill was presented as a collaborative effort focused on creating a secure, state-run high-acuity mental health facility for justice-involved youth who need specialized psychiatric care and cannot be appropriately served in detention or by private hospitals. Speakers said the facility would fill a gap in services, improve safety and treatment outcomes, and be designed with trauma-informed, medically equipped spaces rather than a jail-like setting. The presenters also outlined other parts of the bill, including a placement process in which DJJ and CHFS would evaluate youth and provide recommendations before the judge makes the final decision, with certain hospital-declination provisions to be delayed until the new facility is operating. They described payment incentives for hospitals treating high-acuity youth, confidentiality and escape-related disclosure provisions, and contracts with a public teaching university for clinical services. The proposed facility was described as a 24-bed center at Central State, with staffing to include mental health professionals and juvenile detention staff receiving enhanced training. Dr. Clark Lester said staffing needs would vary by youth and could include one-to-one supervision for some patients. The bill also addressed female juvenile detention capacity. Speakers said the number of detained girls has risen sharply since 2024, peaking at 51 in 2025, and that current facilities cannot meet the separation requirements for boys and girls or high- and low-level youth. The proposal would build two female detention centers, with possible locations discussed in central Kentucky and western Kentucky, and a third or fourth center could be added if population data show the need. Members asked about hospital placement authority, staffing, and average length of stay for girls; the presenters said the current court-order process would remain until the new facility is built and that they would provide additional data later. No vote was taken during the portion of the meeting provided.

Transcript Highlights:

• for student mental 1.7 million annually for student mental health<00:52:31.480> and<00:52:31.720
• <00:54:08.680> in<00:54:08.880> higher students in higher students in higher education<
• behavioral behavioral clinics<01:00:31.920> and clinics and clinics and 5.5<01:00:34.280>
• We have about 170,000 students in the DOE. We've got over 12,000 teachers.
• That's a ratio of about 13 students for every teacher.

Keywords: 910, house, all

Transcript Highlights:

• to<00:07:08.800> get behaviors, which tend to get behaviors, which tend to get misdiagnosed
• <00:07:10.040> as<00:07:10.480> behaviors,<00:07:11.320> as misdiagnosed as behaviors
• , as misdiagnosed as behaviors, as psychiatric<00:07:12.080> issues.
• You've got some behavioral support.
• because at some point, those behaviors because at some point, those behaviors will<00:18:54.120>

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services met in person, approved the July 15 minutes, and heard a presentation from Dr. Matthew Holder and Dr. Henry Hood of the Lee Specialty Clinic in Louisville. The clinic serves people with complex intellectual and developmental disabilities through a transdisciplinary model that combines medical, dental, behavioral, psychiatric, therapy, and other services under one roof. The presenters argued that this population is large-cost but small in number, often receives little provider training, and is vulnerable to diagnostic overshadowing, overmedication, and missed medical or dental problems. The clinic reported that in Tennessee, payer data showed average costs of about $5,200 per member per month before clinic involvement, with a 44% reduction in overall health care spending after patients were seen, including lower emergency room use, inpatient admissions, and prescription use. They said those savings were measured by the payer, not the clinic, and that the savings accrued to Medicaid or managed care payers rather than the clinic itself. They also shared a case example of a patient who had been placed on hospice but improved after diagnosis and treatment at the clinic. Patient and parent satisfaction were described as very high, generally above 95%. The clinic asked for roughly $5 million to expand into Northern Kentucky, estimating 500 to 700 patients would use the new site and projecting annual savings of about $13 million to $19 million once mature. Members asked about the budget, startup and operating costs, where the savings go, and whether the clinic had considered taking full risk or another value-based model. Senator Meredith and others encouraged the clinic to explore an accountable care or risk-based arrangement, while the presenters said they were open to that discussion but had not pursued it yet. The exchange ended with follow-up questions about the clinic’s overall budget structure and public-private funding mix.

Transcript Highlights:

• illness or significant behavioral illness or significant behavioral disorders<00:42:00.480> uh
• and violent behavior. and violent behavior.
• because of their violent behavior because of their violent behavior towards<00:43:10.480> medical
• . behaviors. behaviors.
• <00:53:30.800> of and the outcomes and the behaviors of and the outcomes and the behaviors

Keywords: 0:00:01 Call to Order and Roll Call 0:01:19 NKU Capital Project Update 0:38:57 DJJ High Acuity Services Update 1:03:53 Adjournment, 958, all

Summary: The interim Budget Review Subcommittee for Justice and Judiciary received an update on Northern Kentucky University’s capital project to house the Northern Kentucky Medical Examiner’s Office and the Northern Kentucky Crime Lab in the former Highland Heights Civic Center building on NKU’s campus. NKU and Justice Cabinet staff described the project timeline: the building was identified in late 2022, lease terms were agreed to in early 2023, a pre-construction evaluation agreement was executed in May 2023, the General Assembly authorized $21 million in April 2024, and the lease and construction agreement were finalized in spring 2026. The project is now being prepared for bid, with construction expected to start in August and occupancy targeted for January 2028. About $1 million has been spent so far on design and related investigations. Testimony emphasized that the vacant building was structurally sound but required major upgrades, including HVAC, plumbing, electrical, roof, windows, a generator, specialized mechanical systems, security, and geothermal work to meet the needs of two separate operations sharing one facility. NKU said it is contributing $3.7 million to the project. Committee members asked about the condition of the building, the urgency of the project, and why the process took so long. Justice Cabinet and real properties officials said the medical examiner’s office had been shut down since roughly late 2017 or 2018, that the state had first sought funding in the 2022 budget for staffing, a lease, and equipment, and that it took time to find a suitable leased location because the facility has highly specialized requirements. Members also asked about operating costs, annual lease costs, and the impact of the office’s absence on families and counties in Northern Kentucky. Officials said the lease cost is based on NKU’s expected maintenance-related expenses, while utilities and staffing are covered through the Office of the State Medical Examiner or Kentucky State Police, with seven medical examiner positions funded in House Bill 500 and two additional KSP positions requested for the crime lab. They explained that, until the new facility opens, bodies from Northern Kentucky are generally transported to Louisville for autopsy, with transportation costs borne by the coroner’s office. No votes were taken, but the committee requested follow-up information, including lease cost numbers and additional details on facility usage and timing.

Transcript Highlights:

• The new normal behavior for cats.
• veterinarian has a toolbox of behavioral veterinarian has a toolbox of behavioral modification<00
• , clients about normal cat behavior, clients about normal cat behavior, details<00:10:30.800>
• We have veterinarian students<00:37:29.480> students<00:37:29.880> who<00:37:29.960>
• are<00:37:30.040> graduating<00:37:30.520> not students students who are graduating

Keywords: 1183, house