Video & Transcript : 'aging facilities' :
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MO
Missouri 2026 Regular Session
Corrections and Public Institutions Mar 10th, 2026
Transcript Highlights:
- I've got to raise the age bill this penny.
- The average age has gone up substantially.
- The resourcing to improve the physical plant of our facilities, the staffing of our facilities, the programming
- that we can offer in those facilities.
- facilities as they stand now, the 19 facilities as they stand now, that you'll be fully staffed by the
Summary:
The Committee on Corrections and Public Institutions heard Senate Substitute No. 3 to Senate Bill 888, a broad criminal justice measure sponsored by Sen. Nick Schroer. The bill would change juvenile procedures, including fingerprinting certain offenders under 18, sealing those records for law enforcement and prosecutors, closing juvenile proceedings to the public in some cases, allowing shackling in limited circumstances, and revising the juvenile detention assessment form. It also revises sentencing rules for certain felonies by increasing minimum time-served thresholds, limiting or eliminating conditional release for some offenses, changing how jail-time credit is calculated and challenged, and adding or reclassifying several offenses as dangerous felonies, including some sex offenses, trafficking-related crimes, and endangering the welfare of a child. The sponsor said the bill was intended to improve consistency, public safety, and transparency for victims and offenders, while clarifying that it did not change the elements of endangering the welfare of a child or create a vaccination-based offense.
Testimony was mixed. The Missouri Prosecutors Association and Missouri Sheriffs’ United supported the bill, emphasizing clearer sentencing information for victims and stronger consequences for violent and repeat offenders. The Missouri Department of Corrections also supported the sentencing portion, saying the bill’s parole-percentage changes were conviction-based and that the department’s main goal was transparency at sentencing. Opponents, including the Missouri Justice Coalition, the Public Defender System, and several juvenile justice advocates, argued that the juvenile provisions would push more children into adult court, undermine Missouri’s nationally recognized juvenile model, and increase racial disparities and recidivism. They also criticized the mandatory minimums and longer sentences as costly and punitive, warning of higher prison populations and possible new prison construction. Several witnesses raised concerns about the bill’s treatment of vaccination status in the child endangerment section.
Committee members questioned the sponsor and witnesses extensively about whether the bill changed commitments versus convictions, the fiscal note, prison capacity, juvenile detention bed space, and whether the measure would apply retroactively. The sponsor and DOC said the sentencing changes were forward-looking and that the bill was meant to provide more certainty at sentencing, though some details were left to experts and later cleanup. The committee recessed during testimony to return after session, then reconvened in executive session. Representative Davis offered an amendment clarifying that vaccination status alone cannot prove endangering the welfare of a child in the first degree, and the committee discussed the amendment before continuing consideration of the bill.
CA
California 2025-2026 Regular Session
Assembly Human Services Committee Jun 30th, 2026
Human Services
Transcript Highlights:
- These facilities.
- Whether it's nursing homes, residential care facilities, hospitals, juvenile facilities, or schools,
- There are no psychiatric facilities nor juvenile detention facilities within Calaveras County.
- If these closed, then these facilities don't are, if these facilities closed, then these children don't
- These were children ages 5 and under, most of whom were under the age of 2.
MN
Minnesota 2025-2026 Regular Session
Legislative Commission on Pensions and Retirement - 04/22/25
Minnesota Senate Floor Meeting
Transcript Highlights:
- And does that play into why some facilities are in and some facilities are out?
- And does that play into why some facilities are in and some facilities are out?
- And does that play into why some facilities are in and some facilities are out?
- We hover between 95% and 99% for all age ranges except those aged 60 to 67.
- except those aged 60 to age ranges except those aged 60 to 67.<01:36:10.159><c> You</c><01:36:10.320
CA
Transcript Highlights:
- You wouldn't think this bill would be necessary, but in this day and age, in the city of Napa, we have
- a longtime child care provider who had the dream and need really to purchase her own facility because
- These facilities are crucial from a developmental and social perspective and really foundational keys
- CEQA shouldn't be what's characterized as a nightmare in the process to open a new facility.
- The median age of those who died was 77, and at least one-third had mobility impairments.
Summary:
The Senate Committee on Human Services heard four bills and ultimately advanced each one unanimously. SB 557 by Senator Hurtado would update California’s statutory definition of family resource centers to align with the federal definition and reflect their prevention-focused, low- or no-cost, community-based role. Supporters from the Child Abuse Prevention Center and California Family Resource Association said the bill would clarify the law and help position California for future funding and partnerships; there was no opposition. The committee also heard SB 299 by Senator Cabaldon, which would correct a technical issue in a prior CEQA child care exemption so it applies to child care centers in residential zones as well. Supporters, including a Napa County supervisor and rural county representatives, described a real-world project delayed by CEQA litigation and argued the bill would help expand child care access; no opposition was heard.
The committee then heard SB 837 by Senator Gomez Reyes, which would require aging and disability resource connection programs to provide disaster and emergency preparedness training tailored to older adults and people with disabilities. The author and supporters from the California Commission on Aging and the California Foundation for Independent Living Centers cited the deaths in the Eaton and Palisades fires and said the bill would help prevent vulnerable residents from being left behind in emergencies. Finally, SB 479 by Senator Menjivar would allow Berkeley, Pasadena, and Long Beach, as local health jurisdictions, to use multidisciplinary homeless response teams and share specified information across teams, similar to county authority under existing law. Berkeley officials said the change would improve coordination and outcomes for unsheltered residents, while a privacy group had raised concerns in a letter; no formal opposition testified.
After quorum was established, the committee voted 5-0 to send SB 299 to the Senate Environmental Quality Committee, SB 557 and SB 837 to the Senate Appropriations Committee, and SB 479 to the Senate Judiciary Committee. The meeting adjourned after members and the outgoing chair exchanged thanks and remarks about the importance of the committee’s work on the social safety net.
CT
Connecticut 2026 Regular Session
Juvenile Justice Policy and Oversight Committee May 21st Meeting May 21st, 2026
Transcript Highlights:
- I listed educational services for youth in justice facilities.
- And we don't make a facility just for kids.
- That sight and sound at both of the facilities. Next slide.
- I've also been reaching out to facilities that have the capacity to detain youth to identify which facilities
- It's going to have to be under the age of 25.
Summary:
The Juvenile Justice Policy and Oversight Committee (JJPOC) met for administrative updates, approved the April meeting minutes, and discussed a proposed shift from monthly full committee meetings to a quarterly schedule beginning later this year. Members generally supported the change, saying it would reduce strain on agency and committee resources and allow more time for work groups to complete implementation tasks. Several members also asked for more flexible agendas and a clearer way to add issues between meetings, with staff suggesting a standardized form for submitting topics in advance.
Work group updates covered cross-agency data sharing, diversion, education, incarceration, and community expertise. The data-sharing group reported continued work on the Equity Dashboard 2.0, a statewide expulsions analysis, municipal-level data collaboration with UConn’s IMRP, and a cross-system analysis of crossover youth. The diversion group described work on POST curriculum revisions for juvenile law, a youth-focused law enforcement interaction training, a community-police relationship toolkit, expansion of youth diversion teams, and pre-arrest diversion policy. The education group is reviewing implementation of the law creating educational oversight in juvenile facilities, along with a free public transportation pilot for high school students and truancy cleanup legislation. The incarceration group is tracking conditions of confinement, DOC restraint and chemical agent reports, the DOJ settlement monitoring process, the reentry success plan, and gender-responsive programming. The community expertise group emphasized elevating lived experience, youth voice, prevention, and conditions of confinement, with members urging the committee to focus on stability, infrastructure, and meaningful use of lived-experience perspectives.
A major presentation from OPM outlined Connecticut’s effort to re-enter the federal Title II juvenile justice formula grant program. OPM explained the program’s core compliance requirements, including deinstitutionalization of status offenders, adult jail and lockup removal, sight-and-sound separation, and addressing racial and ethnic disparities. Staff said Connecticut is currently not fully compliant because of issues including youth being held in adult facilities and the state’s six-hour detention rule, and that Title II funding is on hold while OPM works toward compliance. OPM is developing a monitoring manual, identifying facilities to be monitored, and forming a state advisory group (SAG) to support the application and compliance process. Members questioned why a separate SAG is needed, whether JJPOC or the community expertise group could serve that role, and how lived-experience members would be selected; OPM said federal rules require the SAG to include youth or parents with lived experience and that the group cannot be composed of state or government employees in the key leadership roles. The committee agreed to circulate the federal parameters and ask members to suggest candidates for the SAG and to help move compliance work forward over the summer.
HI
Transcript Highlights:
- </c> 2024 uh AGS 2024 uh AGS 203<00:03:04.159><c> uh</c><00:03:04.280><c> representing</c><00:03:04.799
- </c> have our risk manager uh Tracy Koko AGS have our risk manager uh Tracy Koko AGS 211<00:03:10.440
- </c><00:03:56.360><c> 251</c> analyst Jacob Jake Chang from AGS 251 analyst Jacob Jake Chang from AGS
- </c><00:04:32.240><c> 881</c> officer Scott Naga from AGS 881 officer Scott Naga from AGS 881 representing
- How do we deal with facilities?
Summary:
The joint Ways and Means and Government Operations committees received a biennium budget preview from Keith Regan, Comptroller and Director of the Department of Accounting and General Services (DAGS), who introduced department leadership and described DAGS’ broad responsibilities across accounting, public works, procurement, elections, archives, risk management, and other attached agencies. He emphasized that DAGS supports nearly every state department and cited ongoing workforce challenges, while noting progress in reducing the department-wide vacancy rate from 21% in 2023 to 17.7% in 2024. He also highlighted recruitment efforts, including new salary schedules for engineers and architects, job fairs, internships, and outreach to retiring federal employees.
A major focus was modernization of the state’s aging financial systems, especially the 55-year-old FAMIS platform and the Enterprise Financial System (EFS) project. DAGS said it expects to release the RFP for the FAMIS replacement by the end of January and is seeking a second tranche of CIP funding, including $35 million, plus position augmentation and creation of a Business Transformation Office to manage EFS and future modernization work. The department also described major capital projects such as the Aloha Stadium Entertainment District, Wahiawā Civic Center, Kauaʻi Civic Center, and Ahuimanu Community Correctional Center, and reported that Public Works is managing 455 projects statewide valued at more than $2.5 billion.
Other budget requests discussed included funding for cemetery operations, with DAGS asking for two positions and $1 million in operating funds to support maintenance of eight cemeteries; a $200 million ceiling increase tied to anticipated insurance proceeds for West Maui fire-related recovery and rebuilding; and several staffing and operating items for district offices and facilities. These included full-year funding for positions in West Hawaiʻi and East Hawaiʻi, support for a small business coordinator at the State Procurement Office, funding for cloud hosting and PeopleSoft licensing, six positions and staff augmentation for the EFS project, electricity costs, and security-related funding. DAGS also noted that two requested reductions totaled $7.9 million, including transferring the security contract to the Department of Law Enforcement and reducing nonrecurring expenses; members discussed whether some security funding should remain with or be moved to DLE, and DAGS said it would not object to that transfer. No votes were taken in the portion provided.
VT
Transcript Highlights:
- </c> age or older. age or older.
- ,</c><00:09:21.760><c> social</c> aging, healthy aging for all, social aging, healthy aging for all,
- </c> multi-sector plan on aging. multi-sector plan on aging.
- </c> healthcare facility. healthcare facility.
- </c> participating healthcare facilities. participating healthcare facilities.
KY
Kentucky 2026 Regular Session
House Budget review Sub. on Postsecondary Education. (2-19-26)
Transcript Highlights:
- At WKU, priorities include aging building systems, roofs, utilities, and infrastructure.
- :00.320><c> building</c> WKU, priorities include aging building WKU, priorities include aging building
- </c><00:10:12.320><c> or</c> replacing up to a dozen aging or replacing up to a dozen aging or underperforming
- </c><00:21:02.480><c> And</c><00:21:02.799><c> it's</c><00:21:03.039><c> really</c> facility is.
- And it's really facility is.
Summary:
The House Budget Review Subcommittee on Postsecondary Education met without a quorum, so no minutes were approved. The committee then heard a presentation from Western Kentucky University President Timothy Kabone, who highlighted WKU’s recent gains in graduation rate, retention, degree production, graduate enrollment, research activity, and financial stability. He said WKU’s FY 2026 budget is structurally balanced without one-time reserves, and he tied the university’s growth to its strategic plan and to Senate Bill 77, which created a pathway for WKU’s first PhD program. WKU’s initial PhD offering is planned in data sciences for fall 2027, and Kabone said the university continues to pursue R2 research status.
Kabone also outlined WKU’s budget requests, including a 4.5% base appropriation increase for each year of the biennium, a $30 million increase in the performance funding pool, a $30 million trust fund for tuition waiver reimbursement, and $2 million per year for the Gatton Academy. He also requested continued funding for the Kentucky Mesonet, 8.9% of proposed asset preservation funding, and support for a $280 million new Potter College facility. He emphasized inflationary pressures, rising fixed costs, and the burden of mandated tuition waivers, and said the university supports performance funding but wants the model adjusted to better reward student success rather than enrollment growth.
Members asked about WKU’s student housing situation and the transition away from the former student life foundation model. Kabone said the foundation structure had run its course, that the university had lacked adequate oversight under the old arrangement, and that WKU is moving to a public-private partnership with Gilbane and the College Housing Foundation. He said the new model would not increase the university’s debt load and would replace older residence halls with a roughly 1,000-bed complex, eliminate community-style bathrooms over time, and expand living-learning communities. Representatives McCool and Tipton praised WKU’s graduation and retention results and asked questions about the housing project and its timeline.
The committee then heard from CareerVXR and KCTCS about a proposed career exploration pilot. Company representatives said the platform uses web-based and virtual reality experiences to show students real jobs and workplaces, with the goal of addressing an “awareness gap” in workforce participation. They proposed a $1.8 million, two-year pilot to reach 50,000 to 60,000 students in three regions, including Hazard Community and Technical College, Southeast Community and Technical College, and western Kentucky. Members asked about cost, funding source, and locations, and were told the request would come through the KCTCS budget. The meeting ended with notice that the next meeting was scheduled for Thursday, February 26.
AR
Arkansas 2026 1st Special Session
CHILDREN & YOUTH COMMITTEE- SENATE & AGING, CHILDREN & YOUTH, AND LEGISLATIVE AFFAIRS- HOUSE Feb 11th, 2026
Transcript Highlights:
- In 2020, we were down to four facilities.
- We have a 24-bed facility.
- We've had more than half of them—probably two-thirds—come out to tour our facility at the Alexander facility
- And after he went to the facility, while we were all shocked and nervous, he went to the facility and
- , the Colt facility and the 11- to 17-year-old facility located in Dermott.
Summary:
The Senate and House Joint Committee on Children and Youth approved the December 10 minutes and confirmed Representative Mary Bentley to the Child Maltreatment Investigations Oversight Committee. The committee then heard the annual Arkansas Infant and Child Death Review report, which said the state reviewed 148 of 170 non-natural child deaths in 2023; the reviewed deaths included 69 accidents, 14 suicides, 18 homicides, and 47 undetermined causes. Members asked about how the report’s recommendations could be used, grant opportunities tied to prevention work, and whether the data could be broken down by age; presenters said the report is intended as a prevention tool for agencies and nonprofits and that some age detail is available in later pages of the report.
The committee next took up HCR 1010 and then a broader discussion of juvenile justice reform. Senator Missy Irvin, judges, and Administrative Office of the Courts staff described Arkansas’s use of validated risk assessments, including SAVRY, the Ohio Youth Assessment Tool, MAYSI, and substance-abuse screening, as part of a long-running effort to reduce juvenile incarceration and tailor services to individual youth and families. They said the reforms have contributed to fewer delinquency filings, fewer DYS commitments, and more diversions, while also emphasizing that mental health, substance abuse, school issues, and trauma often drive juvenile court involvement. Several members raised concerns about data gaps, school collaboration, and whether community-based services are sufficient, and presenters said more shared data and stronger school use of safety dashboards could help intervene earlier.
Division of Youth Services Director Michael Crump then presented custody, education, recidivism, and cost data. He said DYS commitments rose after the pandemic, secure residential populations remain high, and detention-center use increased when intake beds filled; he also noted that DYS pays about $320 per day for secure custody and that detention beds cost roughly $90 to $100 per day. Crump said most youth in custody are older teens, about 80 percent are male, and many have behavioral-health needs or educational deficits; he reported 222 GEDs and 102 high school diplomas over six years. He also said about 15 to 19 percent of youth return to DYS within three years and that a larger share later enter the Department of Corrections, while members pressed him on how assessments relate to commitments, how low-risk cases are handled, and how to improve mental health and substance-abuse services statewide.
NH
New Hampshire 2025 Regular Session
House Health, Human Services and Elderly Affairs (04/09/2025)
Health, Human Services & Elderly Affairs
Transcript Highlights:
- This facility is Cedar Crest.
- </c><00:05:22.479><c> This</c><00:05:22.720><c> facility</c> very specialized facility.
- This facility very specialized facility.
- Our age range as of today is from infancy through age 22. We're both a home and a school.
- So, mental health facilities, alcohol and drug treatment facilities, correct?
LA
Transcript Highlights:
- And I appreciate your concerns. facilities that are operated by non-prolations. your concerns, facilities
- It establishes a statewide quality oversight initiative for our nursing facilities.
- I think you have an age limit on this, maybe? Well, no, my age limit was...
- I think you have an age limit on this, maybe? Well, no, my age limit was...
- And so that's why I put that age limit there.
Summary:
The House Committee on Health and Welfare met on May 26 for what was described as the last meeting of the legislative session. H.R. 318 was voluntarily deferred without discussion. The committee first took up H.R. 298, which would have directed the Louisiana Department of Health, with the legislative auditor, to study LDH’s relationships with certain nonprofits, foundations, professional associations, and other nongovernmental entities. The author presented amendments narrowing the definitions, but LDH testified the language was still too broad, would still require substantial review of contracts, memberships, conferences, and related interactions, and would still carry a significant fiscal note. Members raised concerns that hospitals, provider associations, nonprofit care facilities, and other stakeholders could be swept in. The author then voluntarily deferred the resolution, and the committee agreed without objection.
The committee then heard Senate Bill 405, which establishes a statewide quality oversight initiative for nursing facilities, directs LDH to work with facilities on care standards and remediation for lower-rated homes, and requires reporting and transparency for families. The bill drew broad support from members and stakeholders, including nursing home and senior advocacy groups, and was reported favorably without objection. House Resolution 290, which asked LDH to study a possible correlation between gender-affirming hormone therapy medications and psychosis or related psychiatric conditions in people 26 and younger, prompted questions about the purpose of the study and concerns that it could affect broader policy debates. The author, a licensed clinical social worker, said the request was intended to examine whether medications were being used too quickly and what effects they might have on adolescent mental health; after discussion, the author voluntarily deferred the resolution, and the committee agreed.
Finally, the committee considered Senate Concurrent Resolution 61, urging LDH and commercial insurers to increase reimbursement rates for behavioral health crisis centers operating under a crisis receiving center license. Testimony focused on the Bridge Center for Hope, described as the state’s only Level 3 crisis receiving center, and the need to revisit Medicaid reimbursement for the first 23 hours of crisis care. With no questions or objections, the resolution was adopted. The meeting ended with members thanking the chair and staff, and the committee adjourned for the year.
CA
California 2025-2026 Regular Session
Senate Human Services Committee Jan 12th, 2026
Transcript Highlights:
- You wouldn't think this bill would be necessary, but in this day and age, in the city of Napa, we have
- These facilities are crucial from a developmental and social perspective and really foundational keys
- CEQA shouldn't be what's characterized as a nightmare in the process to open a new facility.
- But it just makes no sense for us to make it easier to build an advanced manufacturing facility, but
- The median age of those who died was 77, and at least one-third had mobility impairments.
Summary:
The Senate Committee on Human Services met on January 12, 2026, beginning without a quorum but hearing four bills. SB 557 by Senator Hurtado would update California’s statutory definition of family resource centers to align with the federal definition and reflect their prevention-focused, low- or no-cost, multi-generational role. Supporters from the Child Abuse Prevention Center and California Family Resource Association said the change would clarify state law and help position California for future federal partnerships; no opposition was heard.
SB 299 by Senator Cabaldon would correct a prior CEQA exemption for child care facilities so it applies in residential as well as nonresidential areas. Supporters, including Napa County Supervisor Liz Alessio and the Rural County Representatives of California, said the current language unintentionally blocks child care projects in places families need them most and has been used to delay or stop projects; several local government and early care organizations also supported the bill, and there was no opposition. SB 837 by Senator Gomez-Reyes would require aging and disability resource connection programs to provide disaster and emergency preparedness training tailored to older adults and people with disabilities. Testimony from the California Commission on Aging and the California Foundation for Independent Living Centers emphasized recent wildfire deaths and the need for better evacuation and preparedness support; no opposition was presented.
SB 479 by Senator Arreguín would allow the cities of Berkeley, Pasadena, and Long Beach, as local health jurisdictions, to use multidisciplinary homeless response teams and share specified information across teams and departments, similar to counties under existing law. Supporters said the bill would improve coordination and outcomes for unsheltered residents, while noting confidentiality safeguards already exist; a privacy letter from Oakland Privacy was mentioned, but no formal opposition testified. After quorum was established, the committee voted 5-0 to pass each bill: SB 299 to Senate Environmental Quality, SB 557 and SB 837 to Senate Appropriations, and SB 479 to Senate Judiciary. All four measures were placed on call briefly and then cleared with unanimous votes.
CA
Transcript Highlights:
- You wouldn't think this bill would be necessary, but in this day and age, in the city of Napa, we have
- a longtime child care provider who had the dream and need to purchase her own facility because it's
- These facilities are crucial from a developmental and social perspective and really foundational keys
- CEQA shouldn't be what's characterized as a nightmare in the process to open a new facility.
- The median age of those who died was 77, and at least one-third had mobility impairments.
Summary:
The Senate Committee on Human Services met on January 12, 2026, and began hearing bills before a quorum was established. SB 557 by Senator Hurtado would update California’s statutory definition of family resource centers to align with a federal definition and reflect their prevention-focused, low- or no-cost, multi-generational role. The bill was supported by the Child Abuse Prevention Center and the California Family Resource Association, which said the change would help California better position itself for future federal partnerships and funding. No opposition was heard.
The committee also heard SB 299 by Senator Cabaldon, which would correct a prior CEQA childcare exemption so it applies to childcare centers in residential zones as well as nonresidential ones. Supporters, including Napa County Supervisor Liz Alessio and Rural County Representatives of California, said the current language has allowed CEQA to be used to block needed childcare projects, including a Napa church-site conversion, and that the bill would help expand access to childcare. The committee chair noted similar unintended CEQA barriers in other communities. No opposition was presented.
SB 837 by Senator Gomez Reyes would require Aging and Disability Resource Connection programs to provide disaster and emergency preparedness training tailored to older adults and people with disabilities. Supporters from the California Commission on Aging and the California Foundation for Independent Living Centers tied the bill to deaths in the Palisades, Eaton, Tubbs, and Camp fires and argued that current emergency systems fail people with access and functional needs. SB 479, presented by Senator Arreguín, would allow Berkeley, Pasadena, and Long Beach, as local health jurisdictions, to use the same multidisciplinary homelessness response information-sharing authority already available to counties. Supporters said the change would improve coordination and outcomes for unsheltered residents, while a privacy group had raised amendment concerns. After quorum was reached, all four bills were approved on 5-0 votes and sent onward: SB 299 to Senate Environmental Quality, SB 557 and SB 837 to Senate Appropriations, and SB 479 to Senate Judiciary.
MN
Minnesota 2025-2026 Regular Session
Committee on Judiciary and Public Safety - Part 2 - 03/25/26
Judiciary and Public Safety
Transcript Highlights:
- </c> additional facilities. additional facilities.
- facility facility and<00:02:18.440><c> allows</c><00:02:18.840><c> for</c><00:02:18.960><c> short-term
- </c> ag on Friday. ag on Friday.
- </c> the age 18. the age 18.
- </c> 18 years of age or older. 18 years of age or older.
ND
North Dakota 2026 1st Special Session
Human Services Committee May 27th, 2026
Human Services Committee
Transcript Highlights:
- to under age one.
- of age to under age one.
- There's a lot of children less than 18 months of age, two, under age one.
- days in like-age instead of mixed-age classrooms.
- 39% ages 18 and older.
Summary:
The committee first approved the February 11, 2026 minutes and then received an update from the North Dakota Housing Finance Agency on the interagency council on homelessness and continuum of care funding. Testimony described rising homelessness tied to tight housing markets, low incomes, aging homelessness, barriers to rental assistance and public benefits, and limited shelter and case-management capacity. Members discussed the need for more affordable housing, continued one-time funding for the North Dakota Homeless Grant and Housing Incentive Fund, better coordination with Health and Human Services on economic assistance and human service zones, landlord engagement, recovery housing, and reentry housing. The committee also heard that federal continuum of care funding remains uncertain, with possible shifts away from permanent supportive housing and housing-first models; members asked for a future update on the impact if federal rules reduce the share available for permanent housing.
The committee then took testimony on accessibility of government services for people who are blind or visually impaired. Paul Olson of North Dakota Vision Services School for the Blind described current screening and service delivery, including infant referrals, regional staff, short-term programs, and collaboration with vocational rehabilitation. He said the targeted screening system is working, recommended maintaining the current model, and noted ongoing challenges with staffing, public awareness, and accessible state websites and documents. Public testimony from a visually impaired resident and a deaf resident emphasized barriers such as CAPTCHAs, inaccessible PDFs, employment forms that screen out applicants based on driver’s license status, shortages of interpreters, and the need for video remote interpreting and video relay services, along with training for users and agencies.
Finally, the committee heard a final report on the study of child care provider licensing from HHS Early Childhood Director Kay Larson. The report summarized provider input and committee discussion on simplifying North Dakota’s child care licensing structure, reducing administrative burden, and balancing that with health and safety standards. Key topics included licensing categories, child care assistance eligibility, food program sponsorship, staff qualifications, training requirements, ratios and group size, age bands, and preschool exemptions. The committee’s recommendations included streamlining to three provider types plus a preschool designation, revising ratio and age-band rules, and carrying forward certain preschool outdoor-space exemptions. Larson noted that any changes would require statutory changes, rulemaking, and a transition period before new licensing rules could take effect.
AR
Transcript Highlights:
- They want to build a two-story health facility with a 17-space parking lot on their campus.
- And number 12 with DHS, Division of Aging Adults and Behavioral Health with Lennon King.
- This is for an 18-bed female reentry facility located in Jonesboro.
- Jay Hill, Division of Aging Adult Services with DHS.
- We'll get you that for all of our facilities, all seven. Great. Thank you.
WA
Washington 2025-2026 Regular Session
JLARC – Joint Legislative Audit & Review Committee Jul 15th, 2026
Transcript Highlights:
- And while Echo Glen and Green Hill are larger facilities, the national trend is toward smaller facilities
- , which research suggests are more... facilities, the national trend is toward smaller facilities, which
- to a community facility.
- Both of these facilities have over 100 beds.
- Placement at facilities is determined by age and gender.
Summary:
The committee met on July 15, 2026, but initially lacked a quorum, so it could not adopt prior minutes. Chair Jerry Pollett welcomed new member Senator Victoria Hunt and new JLARC staff, and noted national recognition for recent JLARC reports. The meeting then moved into a series of preliminary audit presentations and an agency strategic management update, with committee members asking questions after each item.
JLARC presented a preliminary audit of DCYF’s Juvenile Rehabilitation programs. Staff concluded that crowding, staffing shortages, weak risk assessments, and inconsistent programming combine to create unsafe conditions. The report found that most youth are housed in two large secure facilities operating near or above capacity, incidents rise as population rises, 47% of frontline staff leave within a year, current assessment tools are not valid for the population, and program access depends more on facility than individual need. JLARC made one recommendation to the legislature to address crowding and seven to DCYF, including improving retention, training, incident response procedures, validated assessments, program alignment, and data quality. DCYF Secretary Ross Hunter said the agency agreed overcrowding is a serious problem, described ongoing efforts to improve staffing and safety, and said a detailed response would be provided later. Committee members raised concerns about education access, retaliation against staff or youth who participated in the audit, and whether JR-25 has helped or worsened conditions.
JLARC then presented a preliminary audit of Labor and Industries’ enforcement of farm worker labor laws. The audit found that L&I generally meets inspection timelines for health and safety complaints, but not for wage and hour or retaliation complaints, where delays are driven largely by time before assignment to an investigator. Staff said complaint volume exceeds capacity, though the agency has added staff, created screening processes, and reorganized workloads, and 2026 legislation now allows prioritization of complaints and broader investigations. JLARC recommended that L&I report back in December 2026 and December 2027 on backlog reduction and implementation of the new law. An L&I representative said the agency is hiring additional staff and will provide a formal response later. The committee also received a JLARC overview and Department of Health strategic management plan update on hospital data reporting, inspections, complaints, and adverse event reporting. DOH reported measurable progress on inspection compliance, new staffing and licensing systems, translated complaint forms, and plans for future work on language access, adverse event reporting, and financial data dashboards.
After lunch, JLARC began its 2026 tax preference performance reviews. The first review covered the Main Street tax credit, which JLARC said has helped increase the number of Main Street communities and businesses, with positive growth near designated districts; JLARC recommended continuing the preference and improving business-count data. The second review covered the equitable access to credit program, which JLARC said appears to support underserved communities by funding loans through CDFIs; JLARC recommended continuing the preference beyond its 2027 expiration. The committee began questions on the program mechanics and the role of the Community Reinvestment Act, and the presentation was still underway when the transcript ended.
ND
Transcript Highlights:
- If we look at this 2023 data, look by race and age, If we look at this 2023 data, look by race and age
- Just like how wide the age range is.
- Inter-facility transfer quality measures.
- folks of all ages as well.
- to an existing medical facility?
Summary:
The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important.
The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further.
Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach.
After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.
MN
Transcript Highlights:
- Demand for these emergency repair funds has grown due to the increasing age of state facilities and limited
- facility.
- This significant cost is due to the age and complexity of these facilities.
- Many of our prisons are aging, with two of the facilities more than a century old.
- ><01:41:30.679><c> need</c> facilities are aged and they need facilities are aged and they need significant
MA
Massachusetts 2025-2026 Regular Session
Senate Committee on the Census May 4th, 2026
Senate Committee on the Census
Transcript Highlights:
- That includes correctional facilities, juvenile facilities, nursing facilities, colleges, universities
- That includes correctional facilities, juvenile facilities, nursing facilities, colleges, universities
- We have administrative lists from nursing facilities and long-term care facilities.
- We have administrator lists from nursing facilities and long-term care facilities.
- Nursing care facilities and correctional facilities, right.
Summary:
The hearing focused on census data privacy, administrative data sharing, and the role of state and local governments in improving census accuracy, especially for the 2030 census. Dr. Philip Rocco testified first, arguing that the census is increasingly intergovernmental and that state and local investments in address list work, outreach, and complete count commissions can materially improve self-response and reduce undercounts. He emphasized that hard-to-count communities are most affected when states delay planning, politicize census work, or lack capacity, and he pointed to examples such as LUCA participation, outreach funding, and group quarters review as important tools. He also warned that recent federal actions and a broader climate of distrust could threaten 2030 operations, and urged Massachusetts to begin readiness planning now.
Members then questioned Dr. Rocco about the use of administrative data such as DMV, TANF, SNAP, and WIC records, and about group quarters enumeration. He explained that those data-sharing efforts were voluntary agreements with the Census Bureau, unlike group quarters data, which are often provided by facility administrators and sometimes state agencies. He said the Trump-era effort to use DMV and other records was tied to Executive Order 13880 and was widely resisted because states had confidentiality and legal concerns, and because the stated purpose appeared to shift toward citizenship-related uses. On group quarters, he described e-response, paper response, in-person enumeration, and administrator-provided directory information, noting that privacy issues arise mainly from FERPA limits on university data and from missing demographic details in administrative records.
A second panel, Beth Giroz and Amy O'Hara, then explained how administrative data are used by the Census Bureau and why data quality and privacy concerns matter. They described administrative data as records collected for operational purposes, useful for frame-building, nonresponse follow-up, enumeration, and post-enumeration evaluation, but often incomplete or mismatched on key census variables such as race, ethnicity, household relationships, and residence timing. They highlighted that some sources, like IRS, Medicare, USPS, SSA, and Bureau of Prisons records, are especially valuable, while others such as SNAP, TANF, WIC, Medicaid, CHIP, foster care, and driver’s license data vary in completeness and sharing. They stressed that privacy means collecting only what is needed, and that the Bureau typically uses limited header or roster data rather than full records. No votes or formal actions were taken during the hearing, and the committee recessed briefly before continuing testimony.