Transcript Highlights:

• space, but I know this committee, we talked about is 351 beds that are there that are available.
• space, but I know this committee, we talked about is 351 beds that are there that are available.
• that are that are there that are beds that are that are there that are available<00:08:11.000> we
• I think I could say without much fear of contradiction that the appropriate available bed language was
• Much fear of contradiction that the appropriate available bed language was in the task force report.

Keywords: 1187, senate, all

Transcript Highlights:

• mental health beds available to them.
• mental health beds available to them.
• It is 22 beds.
• their current available beds.
• Eventually, we anticipate 144 beds being available statewide.

Summary: The committee held a work session focused first on juvenile rehabilitation system capacity. DCYF officials said the juvenile rehabilitation population is older, includes more adult-sentenced youth, and has longer lengths of stay, especially for “post-25” youth who must remain in secure facilities and cannot go to community beds. They described overcrowding at Green Hill School, placement limits at Echo Glen and Harbor Heights, staffing turnover, mental health acuity, and the need for more medium-security and specialized mental health beds. DCYF said it is pursuing a Parkland facility proposal, a staffing model decision package, and a broader feasibility study and master plan update. No votes were taken; members were asked to follow up with questions later. The committee then heard on behavioral health system capacity from the Behavioral Health Administration and the Health Care Authority. DSHS described growth in forensic and civil bed need, expansion at Olympic Heritage, Maple Lane, and Brockman, and construction of a new 350-bed forensic hospital at Western State expected to open in 2028. HCA reported progress on long-term civil commitment beds, intensive behavioral health treatment facilities, PACT teams, and intensive residential treatment teams, saying the community-based system is being expanded to support step-down care and reduce hospital reliance. Members asked about whether capacity is right-sized, the difference between facility types, and federal match eligibility for services. A federal funding update followed, covering the effects of H.R. 1 and H.R. 5371 on SNAP, Medicaid, marketplace coverage, long-term services and supports, K-12, higher education, and hemp regulation. OFM and agency staff said H.R. 1 adds work requirements, changes non-citizen eligibility, increases state administrative and benefit costs, reduces Medicaid and marketplace subsidies for some groups, tightens redeterminations, and may significantly affect provider payments and state-directed payments. H.R. 5371 extended federal funding through January 30, 2026 and included some agency appropriations and other provisions, including changes affecting hemp producers. Members asked about SNAP error rates and special enrollment periods. Finally, budget coordinator Mary Monroe gave a 2026 supplemental budget preview. She reviewed the state’s near general fund outlook, noting revenue declines since the enacted budget, the effect of reversions, and a preliminary maintenance-level outlook showing a projected increase in NGFO spending over the four-year period. She said the supplemental will reflect updated caseload and cost forecasts and mandatory impacts from H.R. 1, but not policy proposals. No actions or votes were taken during the session.

Transcript Highlights:

• And so in this state, we wanna make sure that even if we don't have enough beds available at a state
• And then from there they decide how much time, where to send them, and if there's not a bed available
• So if there is a bed available, like in your experience, if there was a state hospital bed available
• So they're, they're staying at our facility until they have a bed available if they're non-restorable
• that monitor psych beds reported by hospitals and publish the real-time availability of beds through

Transcript Highlights:

• available.
• They've got 30 emergency room beds. They had 30 people in the corridor waiting for a bed.
• availability.
• We need the inpatient beds here.
• Reduced availability longer return times from distant hospital limits, the ambulance availability for

Keywords: 995, all

Summary: The committee first heard testimony on H. 3599, a bill concerning access to historic Indian lands and easements for landlocked tribal parcels in Massachusetts. Witnesses, including members of the Mashpee Wampanoag and Herring Pond communities, said the bill would restore access to family lands that have long been treated as landlocked and had been denied easements by necessity in prior court rulings. They described heavy tax burdens, prior litigation, and support from the Mashpee Wampanoag Tribe, with conditional support from the Aquinnah Wampanoag Tribe pending language changes. Committee members asked about the tax assessments and the status of tribal support, and the chair said the committee would follow up on possible amendments. The committee then took up S. 2922, which would authorize an underground easement at Magazine Beach in Cambridge for the Greater Cambridge Energy Project. Eversource representatives said the easement is needed for a transmission line connecting the Brighton and Kendall Square substations, supporting grid reliability and the Commonwealth’s clean energy transition. They said DCR would receive fair market value and replacement land in Wendell to satisfy Article 97 requirements. No objections were raised, and the panel’s testimony concluded without a vote recorded in the transcript. Most of the hearing focused on H. 5047, which would authorize the Commonwealth to take the Norwood Hospital site by eminent domain so the hospital can be restored. Sponsors, local officials, hospital task force members, EMS and fire representatives, a chamber of commerce leader, and a former hospital administrator all argued that the 2020 flood and Steward’s bankruptcy left the region without adequate care, causing longer ambulance transports, emergency room boarding, staffing strain, and economic losses. They said the site remains a partially completed shell, that the state should be able to acquire it and bring in a nonprofit operator, and that the taking would not require state funding because an operator would pay the acquisition costs. Committee members from both chambers expressed support and asked about costs, timing, infrastructure, and whether a nonprofit operator is being pursued. The chair took the bill under advisement after extensive testimony; no vote was taken in the transcript.

Transcript Highlights:

• And so in this state, we want to make sure that even if we don't have enough beds available at a state
• So if there is a bed available, like, in your experience, if there was a state hospital bed available
• We've been, you know, working with HHSC daily at this point. to look at the bed availability.
• This bill adds up to countless hours spent searching for available beds and results in delayed care.
• that monitor psychiatric beds reported by hospitals and publish the real-time availability of beds.

Bills: SB670, SB1388, SB627, SB912, SB269, SB528, HB2711, HB4819, HB5248, HB4175

Keywords: SB 670, investigational sun protection products, sun protection, sunscreen, FDA approval, clinical trial, phase one trial, patient access, informed consent, physician prescription, Texas Health and Safety Code, Texas Medical Board, compassionate use, experimental treatment, medical freedom, patient autonomy, healthcare regulation, dietitian, dietitians, licensed dietitian

Transcript Highlights:

• not allow us to recruit the number of staff necessary to supervise those available physical beds.
• Speaker: ...to supervise those available physical beds.
• Yes, a thousand beds. We have 578 physical beds there. Chair: Are those beds used or unused?
• So around 300 beds available, more or less. Kelsey Vela: ...to have in one location.
• So around 300 beds available, more or less. Yes, there are around 300 available.

Bills: SB 1

Keywords: campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• Are you looking also at expansion of the number of beds available for that, or is that not a possibility
• The number of beds would really be focused on our availability and whether or not we can do that.
• availability.
• longer than a year waiting for bed longer than a year waiting for bed availability<00:59:07.920>
• bed does not equal one person.

Keywords: 1187, senate, all

Summary: The committee heard testimony on several bills and a Department of Corrections budget overview. On Senate File 9, Senator Rest explained a bipartisan campaign finance refund bill that had previously moved through the Elections Committee and the tax bill process. Members asked about the $10 minimum contribution threshold for reporting and refund eligibility, and Rest said it was a reasonable number suggested by Senator Karan to make the system more efficient. The bill also included data practices language classifying certain refund-related information as private data, with a separate nonpublic classification noted for receipt validation reports. The committee voted to recommend the bill to pass and re-refer it to the Taxes Committee. The committee then took up Senate File 11, a sales tax exemption for firearm safety devices such as trigger locks and gun safes. Rest described the bill as an extension of prior tax exemptions and clarified that it does not apply to the firearm itself. An A1 clarifying amendment defining “government entity” by reference to statute was adopted. Members discussed the bill’s scope and data privacy language, including a provision making purchase or transfer information private if collected by a government entity. The committee then voted to recommend the amended bill to pass and re-refer it to the Taxes Committee. Next, the committee heard Senate File 456, a bill to update Minnesota’s drug statutes to address fentanyl more directly. Anoka County Assistant County Attorney Sebastian Mesa and Senator Oumou Verbeten testified in support, arguing that fentanyl has become more dangerous than methamphetamine and that the law needs to be updated to give prosecutors a better tool. Members discussed overdose trends and whether more recent statistics were available; one member noted 2023 fentanyl deaths exceeded 1,000, while another said national fatal overdoses had declined since mid-2023. The bill was laid over, with the committee noting it would wait for fiscal analysis before further action. Finally, Commissioner Paul Schnell gave an overview of the Department of Corrections, describing its mission, staffing, prison population, community supervision responsibilities, and budget context. He emphasized rehabilitation, evidence-based practices, reentry support, and the public safety benefits of reducing recidivism. No vote was taken on the department presentation.

Transcript Highlights:

• The beds less the support beds? The beds less the support beds.
• We have 208 of those beds through our system.
• That's about 208 beds? No, more than not. Sorry. RTU is 208 beds across the system. I got you.
• It's 100% available. Medical and mental health, yeah.
• We would lose a ton of beds, right?

Keywords: 995, all

Summary: The commission approved the July 11 minutes and then received a detailed follow-up presentation from the Department of Correction on facility footprint, mission-driven housing, programming, and technology. Commissioner Jenkins and Deputy Commissioner Peterson explained recent and planned facility changes, including the closures of Walpole, MCI Cedar Junction, and MCI Concord, the transition of the Plymouth Section 35/Mass Act program to Health and Human Services, the return of Bay State to DOC control for possible future use, and the Shattuck Hospital move to East Newton Pavilion. Members asked about operational capacity, the exclusion of support beds from occupancy figures, and the status of mothballed or unused facilities. Framingham drew particular attention because of its historically low women’s population and planned renovations; members raised concerns about the cost and the need to consider the broader women’s correctional system. A major portion of the meeting focused on mission-driven units and evidence-based programming. DOC described specialized units for health services, nursing care, clinical stabilization, mental health, residential treatment, protective custody, reentry, emerging adults, education, and substance use recovery, and noted that security threat group support beds are not used. Staff explained the distinction between general population beds and support beds, and between programming and treatment. They said core recidivism-reduction programs are based on risk-need responsivity and COMPAS assessments, with Spectrum Health Systems as the current vendor, and presented recidivism data showing lower reoffending among participants who completed programs such as violence reduction, criminal thinking, and the Correctional Recovery Academy. For women, they highlighted the pathways model at MCI Framingham, which combines trauma-informed, gender-responsive services, and reported strong outcomes for those engaged for at least 26 weeks. Members asked about how needs are identified and counted, how declinations are handled, and how the department distinguishes completion from ongoing maintenance. DOC said participation is voluntary, individuals are re-recommended over time, and completion is recorded in the system when criteria are met. They also discussed educational supports for learning disabilities and trauma, including IEP/504 coordination, tutoring, and a new school psychologist for testing. Questions were raised about family reunification programming, and DOC pointed to family-focused services, mediation, Read to Me Mommy, and the Brave unit for young fathers. Sheriff Cabral and Sheriff Cochie praised the presentation and emphasized the importance of family reunification and the realities of trauma in incarcerated people’s lives. The final section highlighted the expanded use of tablets across all facilities. DOC said tablets now support free phone calls, emails, video visits, surveys, educational content, medical updates, sick-call requests, and an earned-good-time app, while also helping with communication during facility closures and with ongoing programming. Staff said the tablets are used both for learning and recreation, and that more than half of the incarcerated population uses them monthly for educational purposes. Members discussed whether user feedback or “reviews” of programs could help increase participation, and DOC said tablet-based surveys make that possible. The meeting ended with general agreement that the department has expanded programming and technology substantially and is using them to support reentry, communication, and facility operations.

Transcript Highlights:

• capacity we anticipate facility um bed capacity we anticipate 34<00:13:14.079> beds<00:13:15.040
• Twenty-four beds at this time.
• And those facilities are 28 beds.
• helpful and those facilities are 28 beds helpful and those facilities are 28 beds um<00:39:09.160
• <00:42:46.800> is know the the cost per bed is know the the cost per bed is astronomically

Keywords: 958, all

Summary: The committee heard an overview from Department of Juvenile Justice Commissioner Randy White on the state’s juvenile detention network and several facility projects. He identified the currently operating detention centers as Boyd County for females, Breathitt County for low-risk males, Fayette County for high-risk males, Adair County for high-risk youth from Jefferson and surrounding counties, Warren County for high-risk males, and McCracken County for low-risk males. Members asked about capacity and staffing; White said Boyd County houses 33 and is usually near full, Breathitt County is about half full, Fayette County runs about 80-90% full, Campbell County’s operational limit is about 25 due to staffing, Adair County can hold 60 and has hit capacity several times this year, Warren County holds 43 and usually runs near capacity, and McCracken County holds 43 and is not currently full. He said staffing is generally harder in higher-risk facilities and in metropolitan areas because of wages and housing costs. White then updated the committee on the Louisville Detention Center downtown renovation and the Lyon facility project. For the Louisville downtown facility, he said schematic design and design development are complete, construction documents are expected by late February or early March, bids are anticipated in April, and completion is projected for March 2027. He explained the delay is due to extensive renovation work needed to bring the building up to current building, life-safety, ACA, and PREA standards, including security, mechanical, electrical, plumbing, food service, and roof work. The project is designed for 64 beds for high-risk Jefferson County boys, with the facility currently vacant and those youth being housed in Adair County and Campbell County. For the Lyon project, he said the contract was issued November 21, 2024, demolition is underway, completion is expected June 14, 2026, and the facility will have 34 beds in four pods for low-risk offenders; he said the project appears to be on time and on budget within the $4.5 million authorization. The committee also discussed the medical services contract. DJJ officials said they are reviewing whether to continue with the current state contract provider, Wellpath, or pursue an RFP, while retaining current merit staff and continuing oversight through four nurse program administrators. They said DJJ uses a state master agreement to staff nurses, APRNs, and the chief medical officer, and that the current contract is about $20 million per year. Members asked about Wellpath’s bankruptcy filing; officials said they were aware of it, asked questions, and were told it would not affect Kentucky service delivery or contracting, though they could not recall the bankruptcy type and offered to provide more detail later. They also said DJJ is working with the Cabinet for Health and Family Services to become a Medicaid provider, and any future contractual partner will need to be a Medicaid provider. Finally, White described the proposed high-acuity juvenile mental health treatment facility. He said DJJ must accept court-ordered youth even when they have severe mental illness, but detention centers are not equipped to treat those youth and private psychiatric hospitals often refuse them or discharge them early. He argued that a dedicated secure treatment facility is needed for a small number of highly violent, high-need youth who require intensive psychiatric care and are disruptive in detention. The facility would provide behavioral and psychiatric treatment, reduce delays caused by lack of beds or outside placements, and serve youth determined by clinical assessment to need a secure treatment environment. No votes were taken during the discussion.

Transcript Highlights:

• Um, and so we have a total of 277 beds that are available throughout the state of New Mexico.
• is a bed.
• That is all the beds that are available that are staffed within the state, or are they the ones that
• Those are open beds, ma'am. Open beds, OK. And then I would just suggest, um.
• and not available to them.

Transcript Highlights:

• We currently have 20,000 nursing home beds available and 53,000 assisted living beds available.
• We currently have 20,000 nursing home beds available and 53,000 assisted living beds available.
• We currently have 20,000 nursing home beds available and 53,000 assisted living beds available.
• <00:31:56.240> beds<00:31:56.559> available.
• assisted assisted living beds available. assisted assisted living beds available.

Keywords: 1183, house

Transcript Highlights:

• BED 116, sequence 301: consolidation of BED 5, BED 117, and BED 118. The House does not concur.
• BED 117, sequence 301: consolidation of HT regenerative tourism development with BED 116.
• BED 118, sequence 3001: consolidation of HDA Workforce ... 301 consolidation of bed5 bed 117 bed 301
• consolidation of bed5 bed 117 bed 118<01:03:36.680> and<01:03:36.799> bed<01:03:37.200>
• Page 111, BED 144, sequence 301: transfer out Land Use Commission to BED 103.

Keywords: 910, house, all

Transcript Highlights:

• For CSU beds in total... ...billion for CSU beds in total, we fund about 1,347 beds and then 216 short-term
• residential treatment beds across 47 facilities.
• So when you total that up, the 50 beds still certainly helped, equaling about 3% more beds to the system
• So the crisis stabilization unit beds and short-term residential beds, we did see an increase in the
• request for additional beds for that.

Summary: The Human Services Subcommittee met to receive an update from the Florida Department of Children and Families on implementation of House Bill 7021, which revised the Baker Act and Marchman Act and was funded with a $50 million appropriation. Deputy Assistant Secretary Bill Hardin reported that the department has updated reference guides, training, administrative rules, and forms; launched regional behavioral health collaboratives; and created the Office of Children’s Behavioral Health Ombudsman. He said early data show continued declines in Baker Act use, high diversion rates from involuntary examinations through 988, mobile response teams, and care coordination, along with generally positive provider feedback on changes such as allowing psychiatric nurses to initiate emergency treatment orders and clarifying the 72-hour examination period. Hardin also described Marchman Act changes, including a streamlined petition process, remote testimony, improved discharge planning, and a new annual data report. He said the department has completed or is completing multiple training courses for providers and law enforcement, and has adopted or is finalizing numerous rules and forms. He reported that the regional collaboratives are identifying common statewide needs such as service capacity, resource sharing, funding flexibility, and peer support, while the ombudsman office is handling complaints and helping families navigate services. Members asked about whether the current funding is sufficient, future budget needs, outreach for the new ombudsman office, and services for juveniles. Hardin said DCF has posted legislative budget requests for additional forensic FACT services and short-term residential treatment beds, including children’s beds, and noted the ombudsman office is staffed with two FTEs and supported through existing complaint-management and regional systems. He said outreach is being done through regional collaboratives and coordination with other agencies, especially the Department of Education, and that juvenile transport and placement issues have improved with the new law. No votes were taken, and the meeting adjourned after the presentation and questions.

Transcript Highlights:

• Um, and the RFP was for 92 beds.
• Um, and the RFP was for 92 beds.
• Um, and the RFP was for 92 beds.
• One is available beds in available settings.
• One is available beds in available settings.

Keywords: 1189, house, all

Summary: House Finance Division 3 met in work session and opened with procedural remarks from the chair about the committee’s schedule, deadlines, and recommendation options, noting the meeting was advisory and no votes were expected. The first bill discussed, House Bill 1569, concerned repealing the directive to sell the Anna Philbrook Center for Children property in Concord. Testimony from DHHS and New Hampshire Hospital focused on whether the property could be subdivided, the relationship to Senate Bill 572, the status of the city of Concord’s first right of refusal, and the practical effects of a sale. Witnesses said the $5 million sale estimate was a budget assumption, that moving staff and equipment would create some relocation costs, and that the center had required significant recent maintenance and renovation spending. Members also discussed the number of transitional housing beds at the site, the temporary nature of those beds, and whether the property should remain available given hospital workforce and service needs. The committee then turned to House Bill 661, which had been recommitted for further review after new information emerged. The chair summarized federal developments, including a December 2025 ACF letter and a related executive order, as well as a federal HHS press release about states diverting foster youths’ Social Security survivor benefits. Representative Walner explained that amendment 3055H had been drafted to move the bill forward in smaller steps, with a fiscal note requested on the amendment because the original bill was viewed as too large and expensive. Members discussed whether the committee had received copies of the amendment and whether federal guidance or funding had changed the policy landscape. The discussion also included broader questions about foster youth benefits and whether federal action would support state implementation. One member cited ACF language stating that only 11 states had enacted policies to stop interception of survivor benefits and that technical assistance would be available to the remaining states. The meeting remained in work-session mode throughout, with no votes taken and no final recommendations made during the portion provided. The chair indicated the committee could return to the bills later in the month.

Transcript Highlights:

• <00:17:31.160> available<00:17:31.720> through<00:17:32.120> the but the beds
• available through the but the beds available through the provisions<00:17:32.840> of<00:17:33.120
• to be needed, but the beds available through the policy in this bill suggest that there will only be
• :40.040> the<00:20:40.160> beds<00:20:40.440> available<00:20:41.120> through
• needed, but the beds available through needed, but the beds available through the<00:20:42.000><

Keywords: 981, all

Summary: The House first took a call of the House, locked the doors, and then raised the call after members were counted. The chamber then considered Senate Bill 149, concerning pathways for individuals with mental health disorders and an appropriation, along with House Bill 1307 being set as a special order. A recorded vote adopted the motion to make SB 149 and HB 1307 special orders, 50 ayes, 5 noes, and 10 excused. The House adopted the Appropriations and Judiciary committee reports on SB 149. Appropriations explained that its amendment corrected earlier deficiencies and left the fiscal note at roughly $30 million. Judiciary described an amendment resolving overlap with HB 1343 by moving a cash fund and electronic reporting provisions into SB 149. Members then debated the bill’s fiscal note and capacity estimates, with one member questioning whether the projected beds and costs would meet the need; sponsors responded that the bill is based on fiscal analysis, that capacity will be built over time through hardened facilities, new beds, and contracted beds, and that the issue should be monitored in future budgets. On the floor, the bill’s sponsors and supporters described SB 149 as a major reform to create a constitutional pathway for civil commitment and treatment of defendants found incompetent to stand trial and unlikely to be restored, especially in serious violent or sexual offense cases. They emphasized due process protections, counsel, hearings, judicial oversight, least restrictive placement, and treatment rather than punishment, while citing public safety concerns and victim cases. The House then adopted a series of mostly technical and conforming amendments, including changes to definitions, agency references, reporting and placement language, HIPAA-related disclosure language, and terminology such as replacing treatment references with restoration services. After the amendments, one member raised concerns about stakeholder positions, noting many groups were listed as “amend” rather than “support,” and the sponsor replied that the bill had broad stakeholder involvement and that amend positions reflected the complexity of the measure rather than opposition.

Transcript Highlights:

• It's 24 total, but it is 16 beds that would be considered clinical.
• U most of that is related to bed five.
• Um I thought 24 beds would be great.
• just don't have the space available. just don't have the space available.
• <00:38:03.440> on amount of space that's available on amount of space that's available on

Keywords: 958, all

Summary: The committee heard from the Department of Corrections first about Wellpath’s medical services contract and the contractor’s Chapter 11 bankruptcy. DOC officials said Wellpath’s reorganization plan was confirmed in May 2025, the contract was automatically assumed, and services have continued without lapses. They said DOC has not seen any reduction in care, staffing problems, or known impact on Kentucky operations, and that DOC and health services staff meet with Wellpath almost weekly. Members asked whether “emergence” meant discharge from bankruptcy; staff clarified that Wellpath has not yet been discharged and is still in the process of paying debts. The discussion then shifted to the Department of Juvenile Justice’s proposed high-acuity juvenile mental health treatment facility. DJJ said the facility is still in the conceptual and preliminary programming stage, with no full design funding yet and no entry into the formal A/B process with DECA. The proposed facility would have 24 beds total, split into 16 clinical beds and 8 assessment/stabilization beds, and would need to separate males and females as well as high- and low-risk youth under Senate Bill 162. Officials said the concept was developed with DJJ and CHFS mental health staff and outside design experts, and that the project was submitted in the capital plan for consideration. Members questioned the need for the facility, the estimated construction and staffing costs, and whether the state has enough youth to justify it. DJJ said the number of youth needing this level of care changes frequently, that they currently have one youth in Pennsylvania and typically send one to five youth out of state each year, and that out-of-state placement is increasingly difficult. Officials argued that a dedicated facility would reduce delays, keep youth closer to home, and avoid the need to retrofit multiple detention centers. Some members expressed concern that the projected operating costs seemed high compared with the small number of current out-of-state placements, and asked for more information on annual out-of-state spending and the number of youth who would qualify for the facility.

Transcript Highlights:

• The um going from 36 beds to 90 beds.
• The completion of that project and using all available bed space, we have the capacity to meet our population
• <00:39:18.480> bed that project and using all available bed that project and using all available
• And use of CIP, as a for instance, and maximizing every available bed, it is and should be a part of
• It is and should be a available bed.

Keywords: 1187, senate, all

Transcript Highlights:

• So of those dollars, those dollars were attributed to crisis beds, meaning our CSU beds, our short-term
• residential treatment beds, our Marchman Act beds.
• So though we do pay for crisis beds, we are not the only funding source for those crisis beds.
• We also received one funded CSU bed so that we're able to fund one of our beds.
• We operate 50 CSU beds, crisis stabilization unit beds.

Summary: The Health Care Budget Subcommittee held a panel discussion on Florida’s mental health and substance abuse system, with representatives from DCF, AHCA, two managing entities, and two providers describing how the state’s behavioral health network is funded and operated. Members focused on the implementation of prior legislative investments, especially the $50 million in recurring funding from Representative Maney’s bill and the earlier $126 million community behavioral health appropriation. Witnesses said the newer funds were used mainly for crisis beds, discharge planning, outpatient services, regional collaboratives, and a USF Marchman Act report, while the larger behavioral health appropriation supported CAT, FACT, FIT, forensic teams, residential and outpatient services, and crisis care, with most dollars going directly to services and only a small share to administration. A major theme was access to crisis care and the role of mobile response teams, 988, and central receiving facilities in diverting people from Baker Act admissions and reducing readmissions. DCF and providers said mobile response teams have expanded, are being used to de-escalate crises and connect people to care, and have shown strong diversion results and reductions in Baker Acts in some regions. Members also asked about waitlists, children in crisis, and how to handle people without housing or support; providers said discharge planning is individualized but often constrained by homelessness, transportation, and a lack of safe placements, and several witnesses identified housing as one of the biggest barriers to recovery and stability. The committee also examined provider sustainability, reimbursement, and funding gaps. Witnesses described delays caused by contract timing, cost allocation rules, and Medicaid reimbursement rates that do not always keep pace with labor and operating costs, especially for smaller providers and rural networks. DCF and AHCA said managing entities can provide advances, retroactive rate adjustments, and technical assistance, and that Medicaid managed care plans have network standards and complaint/dispute processes. Members raised concerns about a reported $7 million loss in federal non-sustainable funds, provider closures, and whether there is a formal ombudsman process for disputes; DCF said the federal reductions were known and tied to one-time funds, and that the department generally handles provider issues informally while working with managing entities to preserve continuity of care.

Transcript Highlights:

• And it's not just a bed.
• You funded 5,600 dorm beds. There are 400 apiece. There are 400 dorm beds each.
• And over the From that became a one 500 bed unit. And then now, and then two 100-bed units.
• If we can automate a lot of that, we can make it available to the public, we can make it available to
• Shelter beds like respite beds that would for children who don't want detention could be critical to

Keywords: 1184, house, all

Transcript Highlights:

• And why are those folks waiting for beds? Do we just not have the beds available?
• What we have on paper in terms of bed space and what the actual capacity availability is on any given
• of beds.
• That's 16 beds.
• beds added.