Video & Transcript Research : '1999 models'

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AL

Alabama 2025 Regular Session

Alabama House Apr 22nd, 2025

Alabama House Floor Meeting

Transcript Highlights:
  • And I'm down here now because I've been living in my house since 1999.
  • I voted in the same precinct since... 1999. I voted in the same precinct since 1999.
  • Number two, artificial intelligence model.
  • The term does not include any downstream system or application that uses the model.
  • model.
CA

California 2025-2026 Regular Session

Senate Floor Session Apr 27th, 2026

California Senate Floor Meeting

Transcript Highlights:
  • He previously served on the commission between 1999 and 2007, and after a hiatus, he rejoined the commission
  • We've seen this interim housing model.
  • We've seen this interim housing model.
  • We have a model that is working now, and we need to scale it up with focus. Thank you. Thank you.
  • In doing so, they model patience, kindness, and respect for every child on that bus, often serving as
Keywords: 987, senate, all
TX
Transcript Highlights:
  • Senate Bill 1999 is related to public employees.
  • Any questions for the bill author on Senate Bill 1999?
  • I'm here to ask you all to vote against SB... 1999.
  • I'm here representing myself in relation to Senate Bill 1999.
  • I strongly urge this committee to reject Senate Bill 1999.
TX

Texas 89th Regular

Corrections Mar 12th, 2025

Corrections

Transcript Highlights:
  • We have about three different training models. that are in motion right now.
  • We have a very intensive model that we're piloting up in northeast Texas on that region.
  • So we are certainly receptive to that model where there is a certified teacher working. with someone
  • In 1999, our office was given the responsibility of handling the civil commitments of sexually violent
  • Civil Commitment was created in 1999, although It was first proposed by three people, three representatives
Keywords: 1184, house, all
CA

California 2025-2026 Regular Session

Senate Appropriations Committee Jun 29th, 2026

Appropriations

Transcript Highlights:
  • We will start with AB 1999 by Assembly Member Calra.
  • Do we have any witnesses who would like to testify in support of AB 1999?
  • Seeing none, do we have... ...who would like to testify in support of AB 1999?
  • Calra's bill, AB 1999, but we are in strong support. ...prompt enough for Mr.
  • Of AB 1999, sorry. Thank you.
Keywords: 987, senate, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on the Judiciary Jun 21st, 2026 at 01:00 pm

Joint Committee on the Judiciary

Transcript Highlights:
  • H. 1999 directs the Attorney General, district attorneys, and police departments to file annual reports
  • I ask the committee to report H. 1999 favorably.
  • It's a program that you've been models to change into.
  • It's a program that allows to pick a school year school model. ...to take both here slow model and break
  • But in Virginia, we founded a national model recovery program in 2004.
Keywords: 995, all
Summary: The hearing covered a wide range of Judiciary Committee bills, with much of the testimony focused on criminal justice, public safety, and civil asset forfeiture reform. Several lawmakers and advocates supported bills to increase penalties or create new offenses related to assaults on sports officials, assaults on transit workers, reckless discharge of firearms, fires and explosives, pill press machines, and drug-induced homicide. Testifiers described rising harassment and violence against youth sports officials and transit workers, as well as the fentanyl overdose crisis and the need for stronger tools to prosecute dealers whose conduct leads to death. Supporters of the sports-official and transit-worker bills emphasized declining referee availability and repeated assaults on commuter rail and MBTA workers. District attorneys also backed bills on reckless firearm discharge and fires/explosives, saying current law does not adequately address dangerous conduct that endangers bystanders. The committee also heard testimony on several proposals related to youth diversion and prison mitigation. Supporters of the youth court justice fund bill said youth courts are peer-led diversion programs with strong compliance and low recidivism, and argued for a stable funding source rather than annual earmarks. A representative from Bridgewater supported a prison mitigation fund for municipalities that host state prisons, saying the costs of public safety and emergency services are not fully covered. On gun policy, testimony split between supporters of a bill to ban in-state manufacture of assault-style rifles for civilian sale and opponents or skeptics of other firearm-related measures, including a bill on collateralizing firearms and a bill to increase penalties for drug trafficking combined with illegal firearm offenses. A major portion of the hearing was devoted to civil asset forfeiture reform. Advocates from the ACLU, CPCS, the Boston Bar Association, the Institute for Justice, and others supported bills to increase the burden of proof, improve transparency and reporting, require counsel, and limit or eliminate the current practice of directing forfeiture proceeds to law enforcement. They argued the current system creates perverse incentives, lacks adequate due process, and is insufficiently transparent. District Attorney Paul Tucker defended current forfeiture practices, saying his office has reporting and oversight, uses the funds for investigations and community programs, and warned that reducing forfeiture revenue would hinder crime fighting. No votes or final committee actions were taken during the hearing; the chairs repeatedly thanked witnesses and indicated the bills would remain under consideration.
FL

Florida 2026 Regular Session

Appropriations Committee on Pre-K - 12 Education Feb 5th, 2025

Appropriations Committee on Pre-K - 12 Education

Transcript Highlights:
  • So the Florida Partnership program was created in 1999 and signed into law in 2004.
  • So the Florida Partnership program was created in 1999 and signed into law in 2004.
  • Part of that statewide model, they're focusing on enrollment in our advanced courses.
  • this model across the state with other subrecipients as well.
  • They're implementing train-the-trainer models...
Summary: The Appropriations Committee on Pre-K-12 Education met with a quorum and first heard a Department of Education program review on three district support programs: assistance to low-performing schools, the Florida Partnership program, and regional literacy teams (RAISE). Dr. Paul Burns described how the Bureau of School Improvement supports schools with D/F grades through regional teams, classroom observations, professional learning, and targeted funding, noting that 104 of 168 low-performing schools improved after 2022-23 and that the share of failing schools fell from 6% to 4%. He also outlined the Florida Partnership’s $4 million annual appropriation for advanced-course teacher training and student access, and the RAISE literacy program’s $5 million funding, universal/targeted/intensive supports, and progress monitoring results. Senators asked about rural participation, post-COVID reading data, parent support, and how long schools remain under monitoring after improving; Burns said rural districts can participate statewide, parents can access school and department support, and schools continue to receive monitoring after exiting low-performing status to prevent recidivism. The committee then received a presentation on the school district education foundation matching grants program from Suzanne Pridgen, who explained that the Consortium of the Florida Education Foundations administers the grants, which require private matching funds and support tutoring, literacy, STEM, career education, professional learning, books, and supplies. She said the program leverages about $1.44 in private support for every state dollar. The committee then moved to the regional education consortia, where representatives from PAEC, NEFEC, and Heartland, along with several rural superintendents, described the consortia as member-led organizations that provide economies of scale, professional learning, HR, risk management, purchasing, legal and operational support, crisis assistance, and leadership development for small and fiscally constrained districts. Superintendents from Lafayette, Holmes, Calhoun, Union, DeSoto, and Hendry counties testified that the consortia are essential because rural districts often have very small staffs, multiple-duty administrators, and limited in-house expertise. They cited support with insurance and hurricane recovery, training for new finance and HR staff, instructional coaching, CTE and leadership programs, and help with turnaround schools. Members emphasized that these districts can be high-performing despite limited resources, and several senators praised the consortia’s value. Senator Gaetz asked about additional back-office collaboration, possible regulatory relief, and FEFP issues tied to scholarship-related enrollment swings; rural superintendents responded that more local control would help. The meeting ended with a motion to adjourn, which was adopted without objection.
VT

Vermont 2025-2026 Regular Session

House Session - 2026-03-20 - 9:30AM

Vermont House Floor Meeting

Transcript Highlights:
  • my personal experience with your committee on education yesterday and explained my concern that a model
  • /c><01:06:48.359> concern<01:06:49.400> that<01:06:49.560> a<01:06:49.600> model
  • and explained my concern that a model and explained my concern that a model policy<01:06:50.520>
  • Finally, the bill would repeal session law from 1999 requiring the department to review and update the
  • Finally, the bill would repeal session law from 1999 requiring the department to review and update the
Keywords: 926, house, all
Summary: The House opened with a devotional reflection on Nowruz, the Persian New Year, emphasizing renewal, spring, and the challenges facing Iranian families amid conflict. The speaker connected the holiday’s themes of hope and responsibility to Vermont and democracy, then the chamber moved to routine business, including first readings and referrals of five House bills: H.945 on hemp products, H.946 on utility advertising and costs in rental agreements, H.947 on a residential universal design building code, H.948 on membership of the Retired Employees Committee on Insurance, and H.949 on homestead and non-homestead property tax yields and technical education finance changes. Three Senate bills were also read and referred: S.189 on hospital service reductions, S.203 on penalties for repeat DUI offenses, and S.313 on transforming Vermont’s career technical education system. The House also recognized several guests and announcements, including family members of members, airport employees, a UVM student intern, and visitors from Brazil. A House concurrent resolution, HCR 168, was read and congratulated Girl Scout Troop 60336 of Milton on earning the Bronze Award for a community garden project that improved accessibility through rain barrels and raised beds. The resolution highlighted the troop’s leadership and the role of its co-leaders, and the chamber applauded the guests in attendance. The main floor action centered on House Bill 642, relating to youthful offender proceedings, where Representative Booton of Barre City offered an amendment to stop the scheduled expansion of Raise the Age to 20-year-olds. Supporters argued the change would preserve current treatment of 18-year-olds while preventing an automatic expansion they said could strain the system and raise public safety concerns; opponents, including the Judiciary Committee, urged waiting for required Department for Children and Families reports due in 2026 before making changes. After debate, a roll call vote was taken on the amendment, with members calling the roll as the vote proceeded.
FL

Florida 2025 Regular Session

January 14, 2025 - 03:30 PM

Transcript Highlights:
  • This shift resulted in the privatized model that we operate today.
  • This shift resulted in the privatized model that we operate today.
  • The model would need to predict.
  • I do think the funding model is one that we need to put some good thought into.
  • And so we're very invested in the funding model, as you make, the year.
Summary: The Human Services Subcommittee held its first meeting of the term and heard introductory remarks from the chair, vice chair, ranking member, and members, who broadly described their interest in child welfare, mental health, aging services, homelessness, and agency accountability. The chair then outlined the subcommittee’s jurisdiction, including child welfare, mental health and substance abuse safety net services, domestic violence, developmental disabilities, elder services, and child support, and introduced the Department of Children and Families (DCF) as the first agency panel for the term. DCF presented an implementation update on HB 7089, a 2024 law aimed at increasing accountability and transparency for community-based care (CBC) lead agencies that deliver most child welfare services under contract. The department said the bill was prompted by forensic examinations that found problems such as noncompetitive procurement, related-party transactions, excessive executive compensation, and weak financial oversight. DCF described new contract requirements and monitoring tools covering board governance and annual training, conflict-of-interest disclosures, financial penalties for noncompliance, fidelity bond requirements, limits on direct service provision by lead agencies, related-party procurement rules, procurement thresholds, real-property approvals, compensation caps, expanded public reporting, and a new Future of Child Protection and Funding Work Group. DCF reported that some lead agencies had completed required board training, others were still on schedule, and two agencies exceeding the direct-service threshold had been referred to the Auditor General. Members asked DCF about the reasons for the bill, the impact on children, the work group’s regional representation, aging-out youth, the Embrace Families transition, board training requirements, and whether enforcement actions had been taken. DCF said the bill was intended to protect funds for children and families and improve oversight, and clarified that the Central Florida lead agency contract was awarded through competitive procurement rather than an absorption. DCF also said the board training was designed to be meaningful but not overly burdensome, with timing left partly to lead agencies as they implement the new requirements. The committee then heard from two CBC leaders, who generally supported the accountability goals of HB 7089 and said their agencies had already addressed most of the new governance and disclosure requirements. They reported that board training had been completed or was being scheduled, but both agencies said the fidelity bond requirement has been difficult or impossible to obtain in the market as written, though they were able to secure the separate performance bond. The CBC witnesses also warned that recruiting providers is increasingly difficult, especially for higher-acuity children and group-home placements, due to limited provider supply, regulatory burden, insurance costs, and rising risk. They said these pressures are contributing to budget deficits in some areas and urged lawmakers to consider the funding model, insurance and indemnification issues, and the risk of overregulation reducing provider participation.
TX
Transcript Highlights:
  • One is to focus on debt reduction for those rural hospitals. models.
  • , or 1999 is when the program started, the first person to be released from civil. commitments was in
  • It's a model that's working, and it addresses a need that, if not for this model, it's would be a bad
  • This is a new model that moves away from the service level system to service packages.
  • That might not be the TC3 model as it, it's a. I call it a pagination.
Bills: SB1, SB 1
OK
Transcript Highlights:
  • So this You’re pretty reliant on state use in terms of the way your business model is.
  • This is pre-Melissa at DHS, but in the beginning with this model, because when our clients come to us
  • I was just going to say, so with Robin’s model, that probably would work, right?
  • This is essentially a paid training model. We have volunteer sites, two volunteer sites.
  • We have adopted this model, one, to help the financial sustainability of our program.
Summary: The meeting focused on integrated employment and related services for people with intellectual and developmental disabilities, with testimony from several provider agencies and state officials. Robin Arder and Belinda Stevens of ThinkAbility described how their organization supports people through residential services and self-created businesses because community employers often are not ready to hire people with disabilities. They said rigid service rules, difficulty fitting individuals into existing job definitions, and reimbursement requirements can prevent person-centered employment supports. They also reported that, in their experience, employees had not lost benefits when work was coordinated carefully with Social Security and benefits management. Tina Hannah of South Central Industries described a broad business model that includes manufacturing, janitorial and highway contracts, state-use products, a food truck, and an entertainment trailer, along with an adult day program and residential services. She said the organization uses a temp-service style model to make employers more comfortable and noted barriers such as employer concerns about productivity, lack of awareness of tax credits and accessibility resources, and the need for consistent job coaches. Miranda Figueroa of A New Leaf said her agency is moving toward a more person-centered model, including a Transition Academy for young adults that combines independent living instruction, community college classes, internships, and follow-along support; she said the program has an 85% placement rate but is expensive and not eligible for traditional student aid because it is not accredited. She also cited barriers including dual diagnoses, workforce readiness, and low reimbursement rates. Angela Decker and Deborah Copeland of DRTC described their long-running enclave contracts and a new Community Skills and Connection program that uses interest-based cohorts, community exploration, and volunteer experiences to build skills and networks tied to employment. They said the agency is phasing out its 14(c) subminimum wage certificate by the end of the year and is trying to expand community-based opportunities. DRTC and other providers emphasized the need to blend DDS and DRS services more effectively, reduce restrictive rules such as line-of-sight requirements, and better support people in congregate living settings. DRS representatives said the agency does provide school-based transition services, employer accommodations, and job carving support, and noted federal reporting requirements tied to wage outcomes. Members also discussed safety concerns, employer education, data collection, ABLE accounts, and the role of schools in preparing students for work and community life. The co-chairs proposed organizing the task force into three working groups: in-school/transition services, program support and service blending, and community integration/employer engagement. No votes were taken, and the meeting ended with plans for further working-group discussion and follow-up on data and policy ideas.
MN
Transcript Highlights:
  • Uh, we have not looked at this type of permitting since 1999, so it has been a long time.
  • Uh, we have not looked at this type of permitting since 1999, so it has been a long time.
  • Uh, we have not looked at this type of permitting since 1999, so it has been a long time.
  • even how many feedlots were permitted in 1999 versus now, you know, what's the attrition rate?
  • even how many feedlots were permitted in 1999 versus now, you know, what's the attrition rate?
Keywords: 919, house, all
Summary: The subcommittee met on May 8, 2026, to narrow 12 proposed Legislative Audit Commission evaluation topics down to 8-10 semi-finalists for a legislative survey. Deputy Legislative Auditor Jodi Munson Rodriguez reviewed the selection criteria and explained which topics were promising now, which might be better deferred to fall because of timing or data limitations, and which were less promising because OLA would have limited ability to add value. She identified the Board of Behavioral Health and Therapy, DHS Adult Day Services Licensing, DHS county service approvals and provision, MDH mortuary science program, MPCA feedlot permitting, Minnesota paid leave, the Office of Cannabis Management, and several other DHS-related items as candidates, while recommending that DHS system modernization be shifted to an IT audit and that corporate concentration be narrowed substantially if pursued. Members discussed several topics in detail. Representative Lee asked how a broad DHS county services topic could be narrowed and suggested providing legislators with an addendum listing possible subprograms so they would know what they were ranking; Munson Rodriguez said OLA could add a few suggested subtopics and tailor the survey materials. Representative Hansen urged that the MPCA feedlot permitting review focus on effectiveness and environmental and health impacts, not just speed, and Munson Rodriguez said those kinds of questions could be added. The Office of Cannabis Management was viewed as promising but probably too new to evaluate immediately, and the MDH mortuary science program was also seen as worthwhile but potentially delayed because of overlap with other MDH licensing work. The Minnesota research tax credit drew the most extended discussion. Munson Rodriguez said it remained a weak fit for OLA because of limited data and unclear program goals, and Senator Rest argued it would be better handled by the Department of Revenue’s research staff or possibly the Legislative Budget Office’s tax expenditure research section. Representative Lee asked whether OLA’s financial audit division could review whether the credit “pays for itself,” but Munson Rodriguez said that would require econometric analysis outside the financial audit division’s normal work. The committee did not take a formal vote in the portion provided, but the chair indicated the tax credit issue should be brought to the full commission agenda, and the meeting continued with additional topic review, including the Attorney General Medicaid Fraud Control Unit, which staff said was heavily federally controlled and already reviewed by federal OIG, limiting OLA’s likely impact.
ND

North Dakota 2026 1st Special Session

Agriculture and Water Management Committee Jun 17th, 2026 at 09:00 am

Agriculture and Water Management Committee

Transcript Highlights:
  • So we operate a county partnership model.
  • It's a really innovative model that you don't see anybody else doing.
  • I mean, it's applicable to the whole world, as well as weather modeling, soil, physics-based soil modeling
  • I mean, it's applicable to the whole world, as well as weather modeling, soil, physics-based soil modeling
  • In 1999, that was the year the buyout started in Churchs Ferry.
Keywords: 908, all
NH
Transcript Highlights:
  • They do have a model law they're CSPS.
  • So, this is a quote from a 1999 case that appears in all kinds of AP cases.
  • So, this is a quote from a 1999 case that appears in all kinds of AP cases.
  • So, this is a quote from a 1999 case that appears in all kinds of AP cases.
  • So, this is a quote from a 1999 case that appears in all kinds of AP cases.
Keywords: 1189, house, all
Summary: The commission met on November 12 and first approved the September 17 and October 15 draft minutes unanimously after brief discussion. Members also identified themselves for the record, including a new member from Bumpsk Bank, a staff attorney from the Secretary of State’s Bureau of Securities Regulation, a prior crypto commission participant, and a uniform law commissioner involved in tokenization projects. The main presentation was by UNH law professor Seth Orinberg, who discussed the federal GENIUS Act and the pending Clarity Act and how they affect New Hampshire’s options in the digital asset space. He described the GENIUS Act as governing payment stablecoins/stable tokens, defining them as blockchain-based assets used primarily for payments, redeemable for a fixed amount of national currency, and required to maintain stable value. He said the law creates three possible state roles: hosting federally qualified issuers, becoming a state qualifier for issuers up to a $10 billion threshold, or exploring state-backed issuance as a sovereign. He noted that the state-qualification path would require conforming legislation, examination capacity, and coordination with Treasury, while the sovereign-issuer theory is legally uncertain and may become a test case. Orinberg also outlined the core compliance framework he said applies to covered issuers: 100% reserve backing in high-quality liquid assets, monthly public reserve reporting, no yield or interest-like rewards, segregation of reserve assets, immediate redemption at face value, and anti-money-laundering/know-your-customer obligations. He then turned to the Clarity Act, describing it as a broader market-structure bill that would create categories such as digital asset, digital commodity, digital security, and ancillary asset, with self-certification procedures for issuers. He said the two federal laws together would separate payments from investments, preempt inconsistent state standards for covered payment stablecoins, and likely reshape the boundaries of state authority over digital assets.
NH

New Hampshire 2026 Regular Session

House Transportation (01/23/2026)

Transportation

Transcript Highlights:
  • Um, so definitely you can apply for a 1999.
  • Um, so definitely you can apply for a 1999.
  • You definitely you can apply for a 1999.
  • Hey, we're going to order this model without the trailer.
  • make, model make, model >> of<00:57:33.440> the<00:57:33.599> trailer >>
Keywords: 1189, house, all
TX

Texas 89th Regular

Education K-16 (Part I) May 22nd, 2025

Education K-16

Transcript Highlights:
  • The other thing you've done is you've become the role model for your three brothers.
  • open-enrollment charter schools authorized under Subchapter D of the Education Code was codified in 1999
  • open enrollment charter schools authorized under subchapter D of the education code was codified in 1999
Bills: HB4, HB20
Summary: The Senate Committee on Education K-16 heard a series of higher education and K-12 bills, initially without a quorum and with several measures left pending subject to the call of the chair. Early bills included HB 1868, which would direct a study on lowering the dual-credit funding threshold for public junior colleges from 15 to 9 semester credit hours; HB 2598, which would replace statutory references to “licensed specialist in school psychology” with “school psychologist”; HB 3629, which would bar registered sex offenders from serving on independent school district boards of trustees; and HB 4361, which would require the Higher Education Coordinating Board to adopt rules for timely emergency notifications at public institutions of higher education. Each received brief sponsor explanations, no opposition testimony, and was left pending. The committee also heard HB 4848, requiring public higher education systems to ensure at least one institution offers affordable competency-based bachelor’s degree programs in high-demand fields, and HB 1211, which would remove the age 25 deadline for former foster youth to use public college tuition waivers. HB 1211 drew extensive supportive testimony from Texas CASA, a former foster youth who benefited from the waiver, and a current student headed to medical school, all arguing the change would better match the realities faced by youth aging out of care. Members discussed the bill’s fiscal uncertainty and the argument that the waiver is an investment in workforce participation; the bill was left pending. Later, the committee heard HB 20, creating an Applied Sciences Pathway Program to let high school students earn certificates in targeted industries such as welding, plumbing, electrical work, manufacturing, and oil and gas while in school. Industry and workforce groups strongly supported the bill as a way to address labor shortages, while Texas 2036 raised concerns about allowing applied versions of core academic courses to substitute for traditional instruction. HB 4687, which would extend governmental immunity protections to certain campus/district charter schools and adult charter high schools, also received support from a charter-school attorney who said it would align statutes with existing case law and not expand charter rights. HB 4236, as substituted, would create a study group to examine the property value study’s effect on school finance and alternative valuation methods; it was adopted as a committee substitute and left pending. The committee also heard HB 824 on civics instruction in high school government courses and HB 2243, which would create a commission on teacher job satisfaction and retention; the latter prompted debate over removing “ethnic diversity” language from the commission’s makeup. After adopting the substitute for HB 2243 by roll call, the committee recessed subject to the call of the chair.
AL

Alabama 2026 Regular Session

Alabama House Mar 3rd, 2026

Alabama House Floor Meeting

Transcript Highlights:
  • years 1999 or earlier.
  • year 1999 or earlier upon the owner's application.
  • year 1999 or earlier upon the owner's application.
  • She then asked whether the bill applies from 1999 and older.
  • The manufacturer of mobile homes from 1999, I guess, is asking to bring this piece of legislation.
Keywords: 1136, house, all
MN
Transcript Highlights:
  • institutionalization, which are two components that came out of the Supreme Court Olmstead decision of 1999
  • institutionalization, which are two components that came out of the Supreme Court Olmstead decision of 1999
  • institutionalization, which are two components that came out of the Supreme Court Olmstead decision of 1999
  • institutionalization, which are two components that came out of the Supreme Court Olmstead decision of 1999
  • institutionalization, which are two components that came out of the Supreme Court Olmstead decision of 1999
Keywords: 1187, senate, all
MN

Minnesota 2025-2026 Regular Session

Committee on Capital Investment - 03/12/26

Capital Investment

Transcript Highlights:
  • And the project will serve as a model for high-performance standards, targeting 90% energy reduction
  • will<00:05:18.680> serve<00:05:19.000> as<00:05:19.120> a<00:05:19.160> model
  • <00:05:19.480> for project will serve as a model for project will serve as a model for high-performance
  • Uh, we purchased that<00:31:14.960> in<00:31:15.040> 1999<00:31:16.400> and<00:31
  • got significant that in 1999 and we've got significant issues<00:31:18.520> that<00:31:18.680
Keywords: 1187, senate, all
KY
Transcript Highlights:
  • In fact, we've been proposing an assisted living for the mentally ill model for some time.
  • When you say care model, is that so it's based on an acco?
  • Thank you. >> Acuity-based model. >> Yes, sir.
  • And then we have the model waiver 2 that's will start in October.
  • For SCCL, with 228 also reserved for emergencies, and 10 for Model Waiver 2.
Keywords: 958, all
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.