Transcript Highlights:

• That was a line of credit for two facilities to help in the construction of their wastewater facilities
• So we might have to pay rent at the new facility, but still be in the old facility until the move is
• Again, OMB is looking at the facility conditions.
• completely different facilities.
• facilities team, because we do have our own partners that do The project yet, our local facilities team

Keywords: 908, all

Summary: The committee first approved the December 10 minutes and then received a DEQ base budget summary and agency overview. DEQ staff explained that the agency is largely federally and special funded, with major ongoing costs in salaries, operating expenses, grants, and continuing appropriations. Director Dave Glatt and accounting director Beth Jacobson highlighted core programs, the move to a new chemistry laboratory, the new state fuel inspection program, wastewater-related funding from HB 1577, and implementation of SB 2267 for on-site wastewater rules. They also noted the agency’s spending patterns, possible federal EPA cuts, and the likelihood of some fee adjustments or program changes if federal support declines. Members asked about DEQ’s travel, field offices, future staffing, and how the agency would respond to reduced federal regulation. DEQ said most staff are based in Bismarck, with field offices in Fargo, Sawyer, and Gwinner, and that travel is driven by inspections and spill response. Glatt said the agency would continue to rely on science and law, and that any future federal retrenchment could mean more state responsibility but likely not a wholesale increase in FTEs. The committee also discussed a feedlot enforcement case in the Minot area, with DEQ explaining its role in ensuring compliance, permitting, and animal-waste management standards. The Department of Health and Human Services then presented on FTE block grant reporting, TANF balances, child care transfers, and the Rural Health Transformation Program. Donna Ockland explained that no line-item transfers had occurred yet for the new rural health work, but about 33 positions were planned and some current staff time could be reimbursed through approved cost allocation. HHS also reviewed TANF’s frozen eligibility and block grant structure, the transfer of up to 30% of TANF funds to child care, and recent program changes that increased benefits and raised the income limit. Staff said the department is using TANF more strategically to support child care and other allowable uses, while still carrying over unused funds as many states do. Finally, Pat and HHS staff gave an update on the Rural Health Transformation Program, saying the first funding opportunity was being posted and that the state is on track to obligate the federal funds within the required timeline. They described priorities such as workforce retention, preceptor development, technical assistance for critical access hospitals, community wellness projects, and ambulance upgrades. Members asked about rural versus urban eligibility, immigrant recruitment, evaluation of year-two funding, and how the program would address varied local workforce needs. The meeting then shifted to an Office of Management and Budget update on the new State Hospital project, where Lindsay Ashley reported continued construction progress, updated cost information, and selected alternates, with photos and details showing work underway in multiple building sections.

Transcript Highlights:

• Our ports are home to one of these transfer facilities and serve a good purpose.
• Um, the facility we have there is pretty much permanent. We were visited by TCEQ last week.
• We also have, yes, the containment fields within the facility.
• is actually showing and well documented showing leaving the transfer facility.
• The leakage that's occurring at these facilities and then the, the fire hazards.

Transcript Highlights:

• So with that I will answer any questions. generation facility means facility which generation facility
• facility is the only use. facility is the only use.
• means a facility generation facility means a facility which<00:23:03.120> produces<00:23:03.600
• facility.
• One of those is the facility facility.

Keywords: 1189, house, all

Transcript Highlights:

• from the Public Facilities Authority.
• c> significant State facilities face a significant State facilities face a significant backlog<00
• but that cost rises to $196,000 for facilities uh state facility teams do an facilities uh state facility
• <00:05:23.120> in maintenance project for a facility in maintenance project for a facility
• 06:38.319> would<00:06:38.479> be shows all facilities that would be shows all facilities

Keywords: 1183, house

Transcript Highlights:

• Proceeds will be used to convert a work release facility into a full security facility.
• Proceeds will fund facility improvements and related equipment.
• The documents do require a first-fill covenant for the proposed facilities.
• The university will be required to fill the beds in the proposed facility first.
• The purchaser is Raymond James and Associates, Louisiana Public Facilities Authority.

Keywords: 974, senate, all

Summary: The State Bond Commission met on May 21 with a quorum present and approved the April 16 minutes. The commission then reviewed and approved a large slate of local government and public authority financing requests, including election propositions for the November ballot, water and sewer infrastructure projects, fire protection and recreation district bonds, school board financing, and several refunding transactions. Most items were found to meet technical requirements and were approved on motions by Speaker DeVillier and seconded by Senator Talbot. Among the more notable items were the East Baton Rouge City-Parish refunding bonds for the Greater Baton Rouge Airport District, the City of Kenner’s retroactive approval request tied to a convention center agreement with GMB Basketball LLC, a Louisiana Housing Corporation financing increase for the Federal City Building 10 affordable housing project, and preliminary approval for the Northwest Louisiana Finance Authority’s Petro Tower redevelopment in Shreveport. The commission also approved financing for Southern University’s Scott’s Bluff student housing project and the Crescent City Schools/Harriet Tubman Charter School project. The Crescent City Schools item prompted questions about how MFP funds are used; staff explained that lease payments would support the bonds and that MFP funds are generally split between educational expenses and facilities-related costs. The commission received six monthly cost-of-issuance reports, which required no action, and a status update on the state debt schedule. It also approved Resolution No. 2 authorizing up to $425 million in general obligation refunding bonds to refund the Series 2016 bonds and tender other outstanding bonds for savings, with pricing tentatively set for June 16 and closing for June 30. During other business, New Orleans City Council President J.P. Morel thanked the commission for its role in helping address the city’s fiscal crisis and for approving a charter amendment election item aimed at strengthening budget oversight. The meeting adjourned after no further business.

Transcript Highlights:

• . um those facilities recycling facility. um those facilities in<00:03:04.720> in<00:03:04.800
• , which is a Teamsters facility, and Brooklyn Park, which is the steelworkers' facility.
• , which is a Teamsters facility, and Brooklyn Park, which is the steelworkers' facility.
• , which is a Teamsters facility, and Brooklyn Park, which is the steelworkers' facility.
• ' facility.

Bills: HF4770

Keywords: biomass, anaerobic digester, renewable energy, sustainability, energy generation

Summary: The committee approved the March 26 minutes and then took up House File 4770, as amended by an A1 technical amendment. The bill was presented as a proposal to help Liberty Diversified International and Liberty Paper in Becker plan for replacement steam and energy supply as the Shuro facility closure approaches in 2030. Testimony described Liberty Paper’s current closed-loop steam arrangement with Shuro, the need to study future fuel and technology options, and the potential use of anaerobic digestion, biomass, construction and demolition waste, and food waste to produce steam and possibly power. Members asked about feedstock availability, the need for a feasibility study, possible backup natural gas use, and whether waste heat or wastewater heat could be useful. The bill was laid over as amended. The committee then heard a presentation from CenterPoint Energy on Minnesota heating demand and electrification. CenterPoint staff said affordability and reliability are central concerns and outlined how the utility manages customer costs through energy efficiency, contracting, storage, peak shaving, and conservation. Dr. Joel Lynch presented research on peak heating with natural gas and the “missing piece” in Minnesota’s electrification puzzle, explaining that Minnesota’s cold climate makes winter heating demand especially challenging and that replacing natural gas would require substantial new electric capacity and renewable resources. He compared his work with prior national and state studies and said the analysis used Minnesota-specific gas throughput, COP assumptions across several electrification scenarios, and January renewable capacity data. Lynch summarized preliminary findings that Minnesota’s peak gas heating throughput could be up to 40 gigawatts, with electric resistance heating implying roughly 36 gigawatts of new demand, and lower but still substantial demand under heat-pump scenarios. The presentation was informational only; no vote was taken on the CenterPoint presentation. The meeting ended with House File 4770 laid over and the energy demand presentation continuing.

Transcript Highlights:

• Facility. There are some other pictures.
• are open, there will be facilities that are closed.
• The staff at the three facilities we're closing are certainly being transferred to the new facility,
• but that is not enough staff to operate the facility.
• If they leave us and go to that facility, then they've been paroled to that facility, so they're actually

Keywords: 924, joint, all

Transcript Highlights:

• ,<00:38:02.480> but<00:38:02.640> a facility or not of next facility, but a facility
• Which facilities have protective custody facilities?
• a facility with a higher level of care. a facility with a higher level of care.
• question for each of the facilities. question for each of the facilities.
• Halava is a big facility. facility. facility.

Keywords: 912, senate, all

Summary: The working group on restrictive housing met with a quorum present, approved the August 21, 2025 minutes, and adopted a procedure to take public testimony on each agenda item with a two-minute limit per testifier, with some flexibility for follow-up questions. The main presentation came from the Department of Corrections and Rehabilitation on restrictive housing policies and a recent outside assessment of mental health care practices at HSCF and OOTC. DCR said the assessment found strengths such as consistent medication administration and staff commitment, but also identified major problems including outdated workflows, staffing shortages, inadequate physical plant conditions, overuse of suicide/safety watch for personal safety issues, and a need for more individualized treatment plans. DCR described several corrective steps already underway: filling a long-vacant high-level mental health administrator position, adjusting evening medication passes, working with DOH on transfer and referral workflows, planning a new electronic medical records system and revised screening tools, and pursuing additional training for ACOs and mental health staff. For OOTC, DCR said the facility is overcrowded and decrepit, needs a better screening tool, and requires more mental health-specific training and staffing. For HCF, DCR said the layout limits confidential assessments and provider access, and that the proposed consolidated healthcare unit would add 43 beds, private exam rooms, and a de-escalation room. DCR also said the new unit could serve acute and chronic suicide/safety watch needs and possibly some inmates with dementia, Alzheimer’s, or significant cognitive impairment. The discussion then focused on Act 292, which DCR said is difficult to implement as written. DCR said the bill aligns with DOJ, NCCHC, and ACA guidance in defining restrictive housing, limiting duration, requiring reviews, identifying vulnerable populations, and using step-down units, but raised two major concerns: a requirement to refer vulnerable people to DOH for confinement, and a requirement for clinical assessments every 12 hours by a provider. Members responded that the law should be matched with funding and staffing, and asked what resources are needed. DCR said it submitted a request for 35 positions at a cost of about $8.6 million, and also said funding may be needed for community-based beds and contracted medical services. Members also asked about the current MOA/MOU between DOH and DCR, the working group membership, and the timeline for revisions. DCR said the group includes DCR, DOH, and governor’s office medical advisors, that a first draft is complete, and that the revised agreement should be in place by the end of the year. On staffing, DCR said ACO recruitment classes increased from five to eight, vacancy rates dropped from 34% to 24%, but OOTC still faces a projected $7.1 million shortfall and heavy overtime costs, forcing post closures and program reductions. The meeting ended with continued discussion of screening tools, including DCR’s explanation that current broad questions may over-identify people with substance-use-related symptoms as having serious mental illness, and that a more discrete tool is needed to better identify those with acute needs.

Transcript Highlights:

• for the residents, facility closures, information on how the city or municipality supports the facility
• bioskills facilities in the country.
• That's how we run a single-purpose facility called an anatomical facility or bioskills labs.
• We get trained at private facilities.
• Do all the trainings take place within the facility?

Bills: SB1406, SB1681, SB2480, SB2721

Keywords: body donation, medical science, forensic science, willed body program, informed consent, boarding home, boarding home facility, adult care home, group home, assisted living, county reporting, municipal reporting, annual report, reasonable accommodation, fair housing, disability accommodation, local ordinance, permit requirement, Texas Health and Human Services Commission, HHSC

Transcript Highlights:

• coordinators in each facility in 2023. coordinators in each facility in 2023.
• response training for all facilities. response training for all facilities.
• facility modifications.
• The<01:30:43.040> Lynen<01:30:43.600> facility The Lynen facility The Lynen facility uh
• Uh females dedicated facility.

Keywords: Call to Order and Roll Call- 00:00:03 Approve Minutes from July 10, 2025- 00:02:41 Statewide Emergency Responder Voice System Testimony- 00:03:38 Investment of State Funds- 00:46:13 Department of Juvenile Justice Update- 1:11:34 Adjournment- 1:54:08, 958, all

Summary: The committee opened with roll call, welcomed a new member, approved the July meeting minutes, and then took up testimony on the statewide emergency responder voice system, also described as the state police radio system replacement project. John Hicks, secretary of the governor’s executive cabinet and state budget director, testified that the project is unusually complex because it combines multiple IT replacements, land acquisition, and tower construction. He said the existing system dates to the early 1970s and that the administration is treating the project as a priority, with work proceeding in phases and weekly coordination among the Justice Cabinet, Kentucky State Police, and Finance and Administration Cabinet. Hicks said the project has already spent about $110 million, with nearly 1,900 portable radios acquired, microwave replacement completed at 56 sites and underway at 76 more, and routers, switches, and network upgrades addressed. He explained that because the State Police are not set up to handle real property work, the administration brought in outside real property consulting vendors through an RFP, and three vendors are now qualified to help identify and negotiate sites. He said the goal is to speed up land acquisition and tower construction while the State Police continue the technology work, and he emphasized that the project is intended to close coverage gaps for state police first and later benefit local governments and other first responders. Members of the committee expressed concern about the project’s cost and pace. Representative Petri noted that about $218.8 million has been authorized since 2018 and questioned whether the project could stretch into 2030 or later, asking what more the General Assembly could do to help. Representative Blandon also raised concerns about the long timeline and the risk of the project becoming another costly, delayed infrastructure effort, while asking when the vendor RFP was completed and whether any sites had been acquired since then. Representative Sharp asked whether there was a detailed plan and timeline, and Hicks responded that the technology side is well defined but the property acquisition side must proceed site by site because each location depends on ownership, access, power, and other factors. Hicks said the west-to-east phasing has been a smart approach and that the executive branch should improve performance to beat the current timeline expectations.

Transcript Highlights:

• basically regarding facility structure basically regarding facility structure and<00:52:03.440><
• You have facilities, yes, that are lacking. Uh, but there is more than just the facilities.
• You have facilities yes that try rates. You have facilities yes that are<01:05:19.839> lacking.
• Um there's the just the facilities.
• just facilities?

Keywords: 912, senate, all

Transcript Highlights:

• visit, and rely on our public facilities visit, and rely on our public facilities every<00:09:19.480
• :54.720> currently Safety Training Facility currently Safety Training Facility currently serves
• to the facility. to the facility.
• Uh the council city the facility.
• In fact, we events at the facility.

Keywords: 1187, senate, all

Transcript Highlights:

• facility to another? facility to another?
• facilities did they represent? facilities did they represent?
• facility? facility?
• other facilities as they go to them. other facilities as they go to them.
• Speaker." their facilities. This bill restricts their facilities.

Keywords: MS House Floor - 21 January, 2026; 2:00 PM, 925, all

Summary: The House opened with prayer, the Pledge of Allegiance, a quorum call, and several guest introductions, including a pastor, a doctor of the day, medical students and physicians for MSMA White Coat Day, and visitors in the galleries. The chamber then moved to the calendar and took up House Bill 314, the Ibogaine Treatment Drug Development Grant Program Act. The sponsor described ibogaine as a potential treatment for opioid use disorder, PTSD, traumatic brain injury, depression, and related conditions, emphasizing that the bill would not legalize the drug but would authorize the State Department of Health to fund a consortium for FDA-regulated clinical trials with private matching funds, a university and hospital partner, and a requirement that at least 20% of commercialization revenue go to the state. Members asked about VA involvement, whether the trials would serve veterans or civilians, how the drug would be administered and monitored, why a statute was needed, and the source of the proposed state funding. The bill passed by a vote of 110 yeas and 1 nay. The House then considered House Bill 534, as a committee substitute, creating the Mississippi Health Exchange, a statewide health information exchange for real-time sharing of admission, discharge, transfer, and related patient information among hospitals, clinics, payers, and public health officials. The sponsor said the system would improve continuity of care, help with bed availability and mental health placements, and support public health analysis while protecting privacy through HIPAA compliance, an opt-out process, and limits on access to identified data. The bill would require hospitals, community mental health centers, and state hospitals to participate as a condition of licensure, designate a single nonprofit operator selected by the Department of Health, and create a fund for implementation and cybersecurity costs. Members questioned the bill about privacy protections, the opt-out process, whether data could be sold or shared improperly, costs to hospitals, whether hospitals and the hospital association supported the measure, and how the exchange would work in transfer scenarios. The sponsor said the bill would make unauthorized sharing illegal, that most hospitals already participate in some form of HIE, and that the exchange would not cost the state anything immediately because there was no appropriation attached. The discussion also noted possible help from rural transformation funding. The transcript ends during continued questioning of House Bill 534, before final passage or other action is shown.

Transcript Highlights:

• . recovery facilities.
• To this end, DOH also operates two inpatient facilities.
• And so my question for you is, especially with the DOH facilities and the small facilities that we have
• I know they have a new Deputy Director for Facilities.
• And their facilities. Excuse me.

Transcript Highlights:

• Specifically, alcohol into a facility.
• <01:05:48.920> State of say Correctional Facility State of say Correctional Facility State
• Correctional<01:05:49.480> facil<01:05:49.839> Facilities<01:05:50.200> were<01
• :05:50.319> doing Correctional facil Facilities were doing Correctional facil Facilities were
• It applies to local correctional facilities and local detention facilities.

Keywords: 1183, house

Transcript Highlights:

• facilities and some mandated reports. facilities and some mandated reports.
• mandated self-report that a facility mandated self-report that a facility must<00:09:36.399>
• the facility and elope and the facility the facility and elope and the facility doesn't<00:14:55.360
• >> At state facilities. >> At state facilities.
• to do a full facility survey for us. to do a full facility survey for us.

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Human Services met to review budget items carved out in the prior session budget, including long-term care surveyor contracts, funding for local health departments, and expansion of the central laboratory. The committee approved the June 4 minutes and then heard an update from the Office of Inspector General’s Division of Health Care on long-term care certification surveys and complaint investigations. Officials said the $1 million annual appropriation for contracted survey work, along with salary increases and other resources, helped the state reduce its backlog. They reported that Kentucky completed 101 long-term care certification surveys in fiscal year 2024, up from 28 in fiscal year 2023, and had completed 186 surveys by July 7, 2025, with a goal of 40 to 50 more before the end of fiscal year 2025. Outstanding complaints fell from 1,565 at the end of fiscal year 2024 to 695 by July 7, 2025, and outstanding priority-one or immediate-jeopardy complaints were reduced to zero. Members asked about the definition of priority-one cases, survey timing, the number of facilities still overdue, vacancy rates, federal funding reliance, and the use of contract surveyors. Officials said priority-one cases involve serious harm or high risk of harm, that surveys are required within a 12- to 15.7-month window, and that the agency now has 40 contract surveyors and an outside team option. Several members praised the progress but warned that delays in surveys can endanger residents and urged continued funding and monitoring. The committee then began hearing from Mike Tuggle of the Department of Public Health on the Public Health Transformation Initiative, with Tuggle noting the legislation’s importance to public health financing. The transcript cuts off as he began his remarks.

Transcript Highlights:

• Solution with all stakeholders on underground facility safety.
• We have two, and then there's a third right across the street from our facility.
• On the port property, we also have, yes, the containment fields within the facility.
• Actually showing and well-documented evidence of fuel leaving the transfer facility.
• Big terminals as they make it to a transfer facility closer to the international bridge.

Bills: SB290, SB2949

Keywords: LP-gas, property owner notice, natural resources, gas installations, safety notification, motor fuel, fuel transport, fuel export, transloading, export fuel transloading facility, fuel terminal, terminal operator, comptroller, Texas Tax Code, Texas Commission on Environmental Quality, TCEQ, Department of Public Safety, DPS, border security, ports of entry

Transcript Highlights:

• facilities.
• When residents know their facility staffing levels, they are better positioned to choose the facility
• Staff from the facility later testified that there were never enough caregivers on shift.
• Facilities also failed to be transparent about their staffing issues.
• for the elderly and skilled nursing facilities, is pleased to sponsor AB 1068.

Summary: The Assembly Aging and Long-Term Care Committee met on April 22, established a quorum, and adopted its 2023-24 committee rules. The hearing then considered five bills focused on aging, long-term care, immigrant seniors, nutrition, and emergency preparedness. AB 450 would create a task force to study the needs of undocumented Californians age 55 and older; supporters from CHIRLA and other advocates described barriers to housing, health care, retirement, and digital access, while members raised questions about eligibility and process. The bill was approved on a due pass motion and re-referred to the Committee on Human Services. AB 508 would require residential care facilities for the elderly to disclose staffing information upon request at admission and when rates increase. The author and supporters argued that staffing levels are closely tied to quality of care and that families need transparency to make informed choices; a witness described her father’s death in an understaffed facility. Assisted living industry representatives opposed the bill as burdensome but said they were continuing discussions with the author. The committee adopted amendments and passed the bill to Appropriations. AB 1476 would allow senior congregate meal programs to continue offering to-go meals, a practice expanded during the pandemic. Supporters said the option improved access for homebound and food-insecure seniors and helped bring people into senior centers; there was no opposition, and the bill passed to Appropriations. AB 1068 would create a working group on evacuation and sheltering needs for older adults and people with disabilities in long-term care during disasters, and AB 1069 would ensure area agencies on aging and aging/disability resource programs have access to emergency shelters to provide services. Both measures drew broad support from aging, disability, and advocacy groups, with testimony citing recent fires and evacuations, and both were approved and re-referred to the Committee on Emergency Management. The committee also left rolls open for additional members to add votes before adjournment.

Transcript Highlights:

• There's a lot of facility types that do not want to take Medi-Cal.
• , treatment facilities, now we're moving into housing.
• Some of our applications are... ...just for one type of facility type.
• not be able to sustain a full residential facility.
• despite substantial profits being made by these for-profit facilities.

Summary: The hearing opened with remarks from the chair and members about recent federal cuts to public health, mental health, family planning, and Title X funding, with strong concern about the impact on California programs and providers. The committee then turned to the Department of State Hospitals, which presented its 2025-26 budget proposal of $3.4 billion, including new positions, capital improvements, and funding tied to increased patient costs and incompetent-to-stand-trial services. DSH reported major progress in reducing the IST waitlist and wait times, said it had met the court’s 28-day treatment benchmark for those without extenuating circumstances, and described workforce recruitment and retention efforts such as residency programs, fellowships, outreach, and hiring streamlining. Members asked about future IST referral trends, SB 1323’s effect on diversion and community treatment, and workforce lessons in high-cost regions; public comment urged reconsideration of county IST growth cap methodology in light of new criminal justice initiatives. The committee next received an informational overview of Proposition 1 and its changes to behavioral health funding and governance. The Legislative Analyst’s Office explained that Prop. 1 restructured county MHSA funding buckets, expanded the Commission for Behavioral Health, shifted prevention and early intervention responsibilities, and authorized a $6.4 billion bond, including $4.4 billion for behavioral health facilities through BHCIP. DHCS said it had released guidance for county integrated plans and was receiving extensive public comment. Members focused on BHCIP application requirements, especially letters of support and tribal projects, and raised concerns about whether DHCS’s implementation matched statutory intent. DHCS said it had authority to set application requirements and that tribal entities were treated differently because of sovereignty and funding structure. DHCS then updated the committee on BHCIP, the Behavioral Health Bridge Housing Program, and related bond implementation. The department said BHCIP had awarded about $1.7 billion across five rounds, with more than 130 projects and 223 distinct facilities funded, and that it was preparing to award the new bond funds after receiving nearly $8 billion in applications. The LAO’s assessment found that more than half of awards served at least 80% Medi-Cal enrollees, but also raised concerns that the regional allocation model could reinforce inequities, that the program had not sufficiently addressed the highest-need regions such as the southern San Joaquin Valley, and that smaller counties and less launch-ready applicants faced barriers. For bridge housing, DHCS said more than $1.1 billion had been awarded, serving over 5,000 people and supporting more than 2,000 operational beds, but the Governor’s budget proposes to eliminate Round 4 funding as the administration weighs other statewide investments and Proposition 1 implementation workload. Public commenters and members urged more accountability, better regional equity, stronger labor and community involvement, and caution about funding for for-profit psychiatric facilities. Finally, the committee heard on the Children and Youth Behavioral Health Initiative. CalHHS and DHCS described CYBHI as a broad prevention- and equity-focused effort with more than 1,300 organizations funded, over $2.1 billion awarded, and multiple work streams spanning schools, community programs, workforce, and digital supports. DHCS highlighted school-based services, the fee schedule rollout, and digital platforms BrightLife Kids and Soluna, which it said are reaching users statewide and providing low-barrier access to coaching and support. Members and public commenters raised concerns about delays in school fee schedule implementation, the large share of funding going to digital tools, the need for more in-person services, and whether the initiative is sufficiently tracking outcomes and equity impacts. No formal votes were taken during the hearing.

Transcript Highlights:

• Lakeland Village is an intermediate care facility as well as a nursing facility, CMS-certified in both
• Burkrest School up in Shoreline is an intermediate care facility as well as a nursing facility, both
• Burkrest School up in Shoreline is an intermediate care facility as well as a nursing facility both CMS
• Census and intermediate care nursing facility both CMS certified.
• It's not an educational facility.

Summary: The committee heard a lengthy update on Washington child welfare from Casey Family Programs and DCYF. Dr. David Sanders said Washington has sharply reduced out-of-home care and increased kinship placements, but he flagged concerns about low screening-in rates, long stays in foster care for many children, and a recent rise in repeat maltreatment and child fatalities, especially among infants. He urged more focus on infants and young children, better coordination among child protection, health care, and law enforcement, and more proactive review and investigation practices. Members asked for disaggregated data on children lingering in care, fatalities, and causes such as fentanyl exposure. DCYF said it has increased relative placements and guardianships, but also reported a concerning rise in 2025 critical incidents, mostly near-fatalities involving children age three and under, many opioid-related. The department described responses including safe child consults for opioid cases, more training, hotspot analysis, and proposed investments in peer support, public health nurses, community referrals, and an updated safety framework. Members also discussed whether a broader commission on child abuse prevention would be useful, and DCYF said it was open to that idea. The committee then received a DSHS reorganization update from Secretary Angela Ramirez, who described the “Reimagined” plan to consolidate four administrations into three new ones, with the stated goals of reducing silos, improving customer experience, and making transitions between services smoother. She said the agency is seeking statutory changes and CMS approval to align the new structure, and members asked about preparing for federal HR1 impacts, especially SNAP. Ramirez said DSHS is monitoring those impacts closely and emphasized the need for accurate data and cross-agency coordination. Finally, DSHS’s Behavioral Health and Habilitation Administration updated the committee on residential habilitation centers and implementation of Substitute Senate Bill 5393, which phases out Rainier School by June 30, 2027 and limits new admissions. Officials reported current census and staffing levels at the state’s RHCs, said Rainier has had some residents transition to supported living or adult family homes, and explained that emergency and permanent rulemaking was needed to implement the law. They also said Rainier was recently cited by federal surveyors for not meeting the active treatment requirement for two residents, and that the facility has 90 days to return to compliance before possible payment penalties or further remedies. Members pressed for details on the citation, the meaning of active treatment, the assessment process for admissions, and whether Rainier could be repurposed for other services; DSHS said it is working on corrective action and will follow up in writing.