Transcript Highlights:

• It is under Part C federal funding for this, and it Senator Harrell: provides early interventions in
• to the managed care plan, each of them have their contract and they are obligated to cover the intervention
• it provided a multifaceted approach to ensure affected children receive early and appropriate interventions
• Early diagnosis, treatment, and intervention make the difference.

Keywords: 998, house, all

Transcript Highlights:

• PROVIDES EARLY INTERVENTIONS AND HOME-BASED SETTINGS SO THE CHILDREN GET ABA THERAPY.
• to the managed care plan, each of them has their contract, and they are obligated to cover the intervention
• it provides a... ...multifaceted approach to ensure that children receive early and appropriate interventions
• Early diagnosis, treatment, and intervention make the difference.

Bills: SJR18, SCR9, SCR13, SB10, SB11, SB19, SB20, SB25, SB62, SB260, SB263, SB293, SB314, SB384, SB412, SB441, SB442, SB494, SB523, SB569, SB616, SB688, SB707, SB766, SB842, SB869, SB890, SB914, SB929, SB971, SB992, SB1066, SB1145, SB1621, SJR36, SJR18, SCR9, SCR13, SB616, SB565, SB384, SB372, SB495, SB842, SB971, SB1066, SB929, SB765, SB523, SB62, SB19, SB18, SB666, SB688, SB707, SB888, SB687, SB706, SB847, SB869, SB890, SB992, SB1145, SB494, SB290, SB766, SB11, SB10, SB13, SB263, SB412, SB20, SB441, SB442, SB1621, SB569, SB314, SB25, SB293, SB914, SB260, SB1248, SB740, SB14, SB1006, SB20, SB25, SB260, SB293, SB314, SB384, SB442, SB494, SB616, SB869, SB890, SB929, SB992, SB1145, SB1621, SR232, SR237, SR242, SB16, SB22

Keywords: capital gains, taxation, constitutional amendment, state revenue, individual investment, Supreme Court, judicial independence, Keep Nine, checks and balances, water rights, treaty compliance, Rio Grande, agriculture, drought, international water, Texas water supply, education, Ten Commandments, public schools, religious display

Transcript Highlights:

• On the behavioral health side, we're looking at CTI, critical time intervention, which is that support
• <00:16:56.000> which um CTI critical time Intervention which um CTI critical time Intervention
• clinical and non-clinical interventions clinical and non-clinical interventions that<00:29:35.919
• probably because of the interventions probably because of the interventions that<00:31:55.519>
• like uh my colleague interventions like uh my colleague mentioned<00:38:19.280> the<00:38:19.440

Keywords: 928, house, all

Summary: The committee met on March 28 for a Health and Human Services Oversight Committee meeting, approved the draft minutes from February 21, and then received updates from DHHS on the sudden termination of about $80 million in federal COVID-era funding. Commissioner Lori Weaver and Trisha Tilly said the funding had been expected to continue through September 2026, but an email ending it immediately created a 15-month budget gap. They explained that most of the money supported public health work, especially epidemiology, laboratory capacity, data systems, community health workers, outbreak response, and some behavioral health supports. DHHS said it had notified contractors, was reassessing which activities could continue, and had managed to avoid layoffs for its 20 affected staff by shifting funding sources, though some contract lab staff had to leave and some work would stop or be put on hold. Senators and representatives asked about impacts on labs, staffing, and the state budget lapse, and DHHS said the water lab and testing supplies would be affected and that the department was trying to backfill where possible with other federal funds. The committee then heard a maternal mortality report from the Maternal Mortality Review Committee. Alison Power and Caroline Naami explained that the MMRC reviews maternal deaths to identify contributing factors and make recommendations, and that it had completed one CDC grant and received another five years of funding. For 2023, the state recorded five pregnancy-associated deaths, including three from overdose, two from cardiovascular causes, and one homicide; the share of deaths related to substance use fell from 62.5% in 2022 to 40% in 2023. Over the 2019–2023 period, half of pregnancy-related deaths were due to overdose, most occurred postpartum, and many involved Medicaid recipients, transportation or financial barriers, and deaths at home. The committee said mental health and substance use remained the main drivers of maternal mortality, but that 79% of pregnancy-related deaths in the five-year aggregate were considered preventable. Presenters highlighted recommendations and ongoing interventions, including expanding Medicaid coverage through one year postpartum, strengthening behavioral health access, partnering with the Department of Corrections on care for pregnant and postpartum women, and continuing clinical education through the Northern New England Perinatal Quality Improvement Network. Members asked why the maternal mortality rate had declined in recent years; staff said the 2021 spike was tied to the pandemic and that recent declines likely reflected both that spike and the impact of interventions, though the small number of cases makes trends hard to interpret. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• Is that in itself reason for them to have an intervention, take away?
• I would just like to reiterate that this is about intervention, right?
• And now the state's focus is more on intervention.
• so if we have this bill intervention so if we have this bill that<01:03:31.760> passes<01:03:
• it it it is intervention it it it is then<01:03:56.359> we<01:03:56.559> go<01:03:56.720

Keywords: 928, house, all

Summary: The subcommittee continued work on HB 553, a bipartisan bill to update the child protection act’s definitions, especially around abuse, neglect, psychological maltreatment, and serious impairment. Supporters said the current law is outdated, vague, and too limited to address modern child welfare concerns, and argued the bill is intended to create clearer standards for DCF/DCYF, courts, and parents without adding criminal penalties or expanding authority to remove children. They also noted the bill had been developed over months of bipartisan work and that similar concepts exist in other states; a committee researcher had circulated a comparison of 17 states with prenatal and substance-use-related provisions. A major focus was whether the bill should include a more explicit definition of emotional abuse. Some members argued that the bill’s current language is not specific enough and could leave parents without fair notice, while others said the bill already addresses the issue through definitions of psychological maltreatment, emotional harm, and serious impairment. Office of Child Advocate staff explained that the drafting process intentionally avoided defining every emotional-abuse term separately and instead used a pattern-based psychological maltreatment standard with examples such as threatening, demeaning, humiliating, and belittling behavior. They said those provisions were drawn from other states and were meant to fill gaps seen in cases involving severe emotional harm and injured infants. The committee also discussed trauma-informed language related to substance use disorder and pregnancy. Members said the amendment was intended to avoid discouraging pregnant people with substance use disorder from seeking medical care, while still allowing intervention when a child is substance-exposed; they noted the proposal would include an exemption when a licensed health care provider is monitoring the pregnancy. Several members emphasized that the bill is meant to protect children while also giving parents clearer notice of prohibited conduct, and one member raised concerns about how the bill could affect other legislation dealing with criminal neglect. No vote or final action was taken in the portion of the meeting provided.

Transcript Highlights:

• And found early intervention is the best course of action with an autism diagnosis.
• And found early intervention is the best course of action with an autism diagnosis.
• Pediatric therapy interventions deliver enormous value to the state.
• We immediately researched what to do, and we found that early intervention is the best course of action
• Pediatric therapy interventions deliver enormous value to the state.

Bills: SB1, SB 1

Keywords: appropriations, budget, state funding, education, healthcare, infrastructure, campground safety, youth camp regulations, flood safety, emergency evacuation, health and safety standards, 1185, senate, all

Transcript Highlights:

• In brief, as the slides I provided demonstrate, this low-cost intervention has been shown to deliver
• and I just want to be here to add the substance use perspective to the room in support of this intervention
• One of the very positive parts of the collaborative care model is that it's one of the few interventions
• that provides secondary prevention services, so early diagnosis and intervention in the primary care
• We know that collaborative care is an effective and evidence-based intervention that increases access

Keywords: 995, all

Summary: The Joint Committee on Mental Health, Substance Use and Recovery held a public hearing on 14 bills focused on insurance, parity, opioids, behavioral health access, and mental health system reform. Chair Mindy Domb and Vice Chair Robyn Kennedy outlined hearing procedures and noted the committee would accept written testimony. The hearing featured testimony from legislators, providers, advocates, and behavioral health organizations, with most speakers urging favorable reports on the bills they addressed. A major topic was psychiatric collaborative care, including H. 222/S. 1390, which would raise reimbursement for collaborative care codes to at least Medicare levels and allow billing outside the MassHealth primary care subcapitation model. Supporters said the model improves access, outcomes, and cost savings by embedding behavioral health in primary care, and several witnesses described successful implementation in practices and schools. Committee members asked questions about how the model works, what specialties use it, barriers to adoption, and whether copays, deductibles, and subcapitation rules should be changed. Witnesses also supported related innovation legislation, including H. 2224, which would create a mental health innovation fund and support nontraditional trauma-healing approaches. Other bills discussed included H. 2212, which would require prescribers to discuss opioid and pain-medication risks, alternatives, and addiction/overdose concerns with patients or guardians; H. 2232 and H. 2233, which would address equitable payment and equitable access for behavioral health providers serving MassHealth patients; and S. 1406, which would add opioid maintenance treatment information to MassPAT and allow patient-authorized access to that information. Witnesses also strongly backed S. 1399, which would set targets to increase behavioral health spending within the overall health care cost benchmark, arguing that Massachusetts underinvests in behavioral health and that greater investment could reduce emergency, hospitalization, homelessness, and criminal justice costs. No votes were taken; the hearing concluded after testimony and committee questions.

Transcript Highlights:

• didn't know what he was going to do, and I feel if we had more training we could have earlier interventions
• because that intervention did lead to him getting help, and he's much better today because of that help
• So I would like to see this go through so that we could get some earlier intervention. Thank you.
• For our community, this is life-saving intervention and instruction.
• It... ...controlling measures and safeguards necessary for effective oversight and intervention when

Summary: The Committee on Fiscal Policy met and reported favorably a series of bills after hearing sponsor presentations, public testimony, and roll-call votes. Among the health and public safety measures, CS/SB 68 would require pediatric readiness standards in hospital emergency departments; CS/SB 340 would require nursing students to complete human trafficking identification training; CS/SB 32 and SB 210 would create a new injunction process and related public records provisions for victims of serious violence by a known person; and SB 418 would add autism-focused law enforcement training and a voluntary Blue Envelope Program for drivers with ASD. Each of these bills received supportive testimony and passed the committee. The committee also approved several child safety and community protection measures. CS/SB 606 would add drowning prevention and safe bathing education to postpartum materials, and SB 428 would expand the state swim lesson voucher program to older children, with strong support from advocates and families concerned about drowning risks, especially for children with autism. CS/SB 302 would streamline permitting and incentives for nature-based coastal resiliency projects, and SB 636 would create an alternative beach management pathway for coastal communities, though beach preservation advocates warned about perpetual easement language and funding concerns. SB 628, designating Warrior Sacrifice Way in Pensacola, also passed unanimously. In addition, the committee advanced CS/SB 1734 on juvenile justice, with a late-file amendment updating definitions for juvenile probation and detention officers and codifying detention cost-share language. It also reported favorably CS/SB 246, a specialty license plate bill that was amended to include the UFC plate and an additional first responders resiliency plate, and CS/SB 1028, which revises Citizens Property Insurance Corporation clearinghouse procedures and related insurance market rules. Several witnesses testified in support or with technical concerns on the insurance bill, and members discussed competitive safeguards, clearinghouse scope, and Citizens’ assessment risk. At the end of the meeting, members requested to be recorded on specific bills, and the committee adjourned.

Transcript Highlights:

• I can't tell you how many times during rounds our interventional cardiologist would come out and ask
• I can't tell you how many times during rounds our interventional cardiologist would come out and ask
• I can't tell you how many times during rounds our interventional cardiologist would come out and ask
• I can't tell you how many times during rounds our interventional cardiologist would come out and ask
• I can't tell you how many times during rounds our interventional cardiologist would come out and ask

Keywords: 958, all

Summary: The committee first heard Senate Bill 173 from Senator David Givens, which would create a legislative review process for the state health plan and state plan amendments, modeled after the administrative regulations process. Givens argued the legislature should have a stronger policy role in reviewing the plan, saying the bill would allow lawmakers to find components deficient rather than approve them outright. He tied the proposal to Medicaid spending growth and projected enrollment changes, saying the state needs a new oversight tool. Committee members generally supported the concept, though Senator Berg expressed concern that the legislature lacks the executive branch’s healthcare expertise. The bill was reported favorably on a unanimous roll call vote. The committee then took up Senate Bill 137, sponsored by Chairman Meredith, which would create a pathway for certain internationally trained physicians to practice in Kentucky without repeating residency in the United States. Supporters said the bill is aimed at addressing Kentucky’s physician shortage, especially in rural areas, and cited projections of a statewide shortage of about 3,000 physicians by 2030 and a shortage of primary care doctors in particular. Testimony from Cicero Action and Baptist Health emphasized that many foreign-trained physicians are already fully trained, that residency slots are limited, and that the bill could help fill shortages in underserved counties while preserving quality through existing exams, ECFMG certification, English proficiency requirements, primary source verification, and mentoring/oversight. Several members raised questions and concerns. Senator Berg asked about verification, required exams, and oversight, and Senator Tishner raised concerns about fraudulent credentials in some countries and whether the bill could admit underqualified physicians. Witnesses responded that applicants would still have to pass the same exams, obtain ECFMG certification, and undergo primary-source credentialing and employer oversight. Supporters also argued the bill would not displace U.S.-trained physicians because it would use otherwise limited residency capacity more efficiently. After discussion, the committee adopted the bill and reported it favorably by unanimous vote.

Transcript Highlights:

• And I did have a slide on some of the evidence-based interventions that are shown to reduce childhood
• And I did have a slide on some of the evidence-based interventions that are shown to reduce childhood
• When investment is early, it reduces costly interventions later in child welfare, health care, and...
• costly interventions later in child welfare, health care, and education, as Ramona had stated.
• We're talking about prevention, not necessarily intervention.

Summary: The committee met to approve prior minutes and then heard a presentation from Dr. Ramona Danielson on adverse childhood experiences (ACEs), focusing on the economic and public-system impacts in North Dakota. She explained that ACEs are a population-level measure, not a diagnostic tool for individuals, and said higher ACE exposure is consistently associated with more chronic illness, mental health challenges, child welfare involvement, justice-system contact, and reduced workforce participation. She emphasized that precise dollar estimates are difficult because of the many interacting factors across a person’s life course, but said the direction of the impact is clear and that evidence-based prevention and protective factors can reduce harm. Members asked about definitions of a “healthy family,” same-sex couples, divorce, substance abuse, historical trends in ACEs, and the role of positive childhood experiences and home visiting. The committee then heard from Allison Mahoney and Missy Barranco about evidence-based home visiting programs in North Dakota, including Healthy Families, Early Head Start, Nurse-Family Partnership, and Parents as Teachers. They described home visiting as voluntary, relationship-based, and tailored to family needs, with referrals coming from hospitals, WIC, human service zones, pregnancy navigators, self-referrals, and other community sources. A parent, Abby, shared that home visiting helped her family after premature births and NICU stays by providing support with postpartum mental health, breastfeeding, developmental screenings, referrals, and parenting guidance. The presenters said the programs are funded through a mix of federal MIECHV/Title IV-E dollars, Medicaid targeted case management, state and tribal funds, philanthropy, charitable gaming, and grants, and they noted that current funding is fragmented and insufficient to serve all eligible families statewide. Members discussed whether the state should expand or better fund these services and how to improve outreach and referrals. Later, the committee received a memorandum on artificial intelligence and sexual exploitation, followed by a presentation from a BCI special agent on how AI is already affecting child exploitation investigations in North Dakota. The memo and testimony described AI-generated child sexual abuse material, deepfakes, sextortion, and risks posed by chatbots, along with relevant federal and state law and recent executive orders. The agent said North Dakota saw 2,698 cyber tips in 2025, the highest on record, and that investigators are increasingly encountering AI-assisted exploitation that is harder to detect and verify. Members discussed the need for child-safety protections, the limits of executive orders, and broader concerns about AI undermining critical thinking and spreading misinformation. No votes were taken on the AI materials during the portion provided, and the committee recessed briefly after the report.

Transcript Highlights:

• Due to behavioral issues arising, he was given a BIP, a behavioral intervention plan in 2nd grade, and
• administrator, he was automatically placed on a 3 day out of school suspension, even though his behavioral intervention
• by teacher, which allows the teacher to enlist the help of school administrators after in-class interventions
• Being in school every day now, he was able to receive the dyslexia interventions and speech therapy he
• And then additionally for him, he began getting some of those interventions that he really Had needed

Bills: HB6, HB120, HB210

Keywords: hemp, consumable hemp products, hemp-derived cannabinoids, CBD, cannabidiol, CBG, cannabigerol, Texas hemp law, hemp regulation, cannabinoid products, delta-9 THC, intoxicating hemp, hemp gummies, hemp vape, retail registration, product registration, QR code labeling, child-resistant packaging, youth access, minor sales

Transcript Highlights:

• more than 10,000 individuals facing mental health and substance use challenges, providing crisis intervention
• providing<00:24:33.360> crisis challenges, providing crisis challenges, providing crisis intervention
• ,<00:24:34.400> detox<00:24:34.799> and<00:24:34.960> withdrawal intervention, detox
• and withdrawal intervention, detox and withdrawal management,<00:24:36.320> outpatient<00:24:

Keywords: 981, all

Summary: The Senate convened, established a quorum, and suspended Senate Rule 1B to allow Senator Sullivan’s granddaughter, daughter, and wife to lead the chamber in the Pledge of Allegiance. The Senate then approved the January 26, 2026 journal as corrected and received routine administrative notices, including that several bills and resolutions were correctly engrossed or revised. Members made a series of announcements and personal privilege remarks recognizing guests and upcoming events. The chamber welcomed representatives from Summit Stone Health Partners, who were praised for their behavioral health and crisis services in Northern Colorado, including crisis intervention, detox, outpatient treatment, mobile crisis response, and peer support. Senators also highlighted an upcoming higher education reception, a Forest Health Council breakfast, a State Affairs Committee hearing on Senate Bill 4, and a Colorado Airport Operators Association reception. Additional announcements noted that the Joint Budget Committee would meet on supplemental budget requests from the Department of Health Care Policy and Financing, and that the Joint Health and Human Services Committee would hold its SMART Act hearing after adjournment. Senator Bridges promoted the Great Colorado Payback and National Unclaimed Property Day. The Senate then adopted a motion to recess until 11 a.m. later that day.

Transcript Highlights:

• We're number one in math growth which We're number one in math growth which We're number one in math
• I'll show you math grade, every subject? I'll show you math grade, every subject?
• Um so we did this in in math the same way. You see that in in math the same way.
• We also do math in 4,6 and 8. outliers. We also do math in 4,6 and 8. outliers.
• Sorry, we do language arts and and math. Sorry, we do language arts and and math.

Bills: SB199, HB142, SB86, HB152, HB297, SB1, SB1

Keywords: parental leave, state employees, local education agencies, adoption, work-life balance, family support, portable benefits, portable benefit account, independent contractor, gig worker, 1099 worker, freelancer, app-based worker, rideshare, delivery driver, worker benefits, health insurance, retirement benefits, life insurance, income replacement insurance

Transcript Highlights:

• allowing time for review or intervention allowing time for review or intervention before<02:24:15.040
• What we do know is that when there is immediate intervention within the first couple of minutes, the
• What we do know is that when there is immediate intervention within the first couple of minutes, the
• What we do know is that when there is immediate intervention within the first couple of minutes, the
• What we do know is that when there is immediate intervention within the first couple of minutes, the

Keywords: 1187, senate, all

Transcript Highlights:

• These events would include our middle school math contest, the summer math institute for middle school
• Live is not a remedial math tutoring or even routine. classroom math.
• Live is a math enrichment that teaches advanced problem-solving using high school math prodigies as the
• Most of the classes we offer through our virtual program are math-based.
• The bulk of our virtual offerings are math classes.

Keywords: 914, all

Transcript Highlights:

• We provide individual counseling, crisis intervention, and support plans to help students address the
• <00:16:20.160> are approach ensures that interventions are approach ensures that interventions
• We need mental health-informed interventions that address the root causes of school avoidance.
• Finally, we must prioritize prevention and early intervention, including school-linked mental health
• <00:20:24.440> that health informed interventions that health informed interventions that

Keywords: 1187, senate, all

Transcript Highlights:

• behavioral consultations, collaborate with community-based agencies and participate in school-based intervention
• And so we're not ready for everything that's happening in kindergarten if they've not had early intervention
• there's research that says for every year that they're behind the new an hour, a day of intentional intervention
• in our community in the hopes that we can spread this message of early identification and early intervention
• So I'm I'm I'm just a firm believer in parent mediated interventions, parent engagement.

Keywords: 999, senate, all

Transcript Highlights:

• English language arts, math, education.
• What exactly should a to do in math?
• ,<00:29:09.760> ELA, only applied to things like math, ELA, only applied to things like math
• math, ELA, art, social studies, science. math, ELA, art, social studies, science.
• every public school has to teach math. every public school has to teach math.

Keywords: 1189, house, all

Summary: The Legislative Oversight Committee met to review statewide education improvement and assessment issues under RSA 193-C:8-a, with the chair focusing on curriculum frameworks, academic standards, and resource elements tied to the state’s adequate education statutes. The chair walked through the statutory relationship between minimum standards for public school approval, academic standards, and local control of curriculum, noting that New Hampshire law requires curriculum frameworks to guide what students should know and be able to do while leaving districts flexibility in instruction. He also raised concerns that some subject areas appear to have current frameworks or standards while others do not, and suggested the committee may need to consider an amendment creating a curriculum frameworks and academic standards coordinator at the Department of Education. Nate Green, director of the Division of Education Analytics and Resources, explained that the terms “academic standards” and “curriculum frameworks” have evolved over time and are often used interchangeably, but can mean different things depending on the subject area. He said the state’s more prescriptive standards largely developed after No Child Left Behind, especially in math, ELA, and science, while older or less-tested subjects such as arts, physical education, and health often retained looser framework-style documents. Green outlined one possible approach of standardizing terminology, but also said New Hampshire could instead define curriculum frameworks separately as a combination of standards, curriculum, and instructional approaches. He emphasized that state standards must support statewide consistency and assessment, while local districts retain control over how they teach. Committee members discussed how these distinctions affect different grade levels and subjects, using examples from math and science to show that minimum standards are broad while academic standards are more specific and grade-level based. Green described how science standards are organized by physical science, life science, and earth/space science across grade bands, while math standards are more directly tied to individual grades. No votes were taken and no formal action was reported during this portion of the meeting; the discussion remained informational and exploratory as members considered whether statutory language or departmental organization should be updated.

Transcript Highlights:

• David Rizek, and I'm an interventional cardiologist who's been working in Scottsdale and Phoenix for
• As of 2013, there were 31 interventional...
• As of 2013, there were 31 interventional cardiologists in this decade who died of brain tumors, and that
• We have well over twice that many deaths from brain tumors alone in interventional cardiologists.
• Radiology and Intervention, showing that these devices... ...showing that these devices almost across

Bills: SB1063, SB1118, SB1153, SB1154, SB1209, SCM1001

Keywords: appropriation, transportation, safety improvements, Route 70, infrastructure, housing, zoning, middle housing, urban development, duplexes, triplexes, fourplexes, townhomes, historic preservation, Grand Canyon, Grand Canyon National Park, special license plate, special plate, license plate, vanity plate

Summary: The Senate Health and Human Services Committee heard and advanced six measures. SB 1118, as amended, appropriates $3 million to the Department of Health Services for grants to rural hospitals to install radiation protection systems in cardiac catheterization rooms; testimony focused on protecting health care workers from ionizing radiation, with the amendment narrowing the bill from an unspecified appropriation to a specific amount and room type. The committee also approved SB 1154, a $500,000 General Fund appropriation for an ADOT traffic and safety study on SR 64 between Williams and the Grand Canyon, after testimony from local officials, law enforcement, and fire personnel describing heavy tourism traffic, crashes, and fatalities. SB 1063, which appropriates $10.4 million for safety improvements on U.S. Route 70, also received a do-pass recommendation after testimony from the San Carlos Apache Tribe, sheriffs, and tribal law enforcement describing a high number of fatalities and dangerous roadway conditions. The committee then passed SB 1153, which creates a Grand Canyon National Park specialty license plate and fund; the Grand Canyon Conservancy testified that proceeds would support park conservation, research, education, and preservation work. SCM 1001, as amended, urging the renaming of State Route 260 as the Donald J. Trump Highway, was approved after a contentious debate over the symbolism of the memorial. Finally, SB 1209, which exempts people without a residence address or whose address is a homeless shelter from non-operating ID license fees and extends the validity period for those IDs, received a do-pass recommendation after testimony from homeless services providers that IDs are essential for housing, employment, and access to services. Votes were 10-0 for SB 1118, 6-4 for SB 1154, 6-4 for SB 1063, 10-0 for SB 1153, 6-4 for SCM 1001, and 9-0 with one not voting for SB 1209.

Transcript Highlights:

• You know, they need five hours a week of behavioral intervention and that's it.
• You know, they need five hours a week of behavioral intervention and that's it.
• You know, they need five hours a week of behavioral intervention and that's it.
• You know, they need five hours a week of behavioral intervention and that's it.
• hours a week of behavioral intervention hours a week of behavioral intervention and<00:30:35.200

Keywords: 958, all

Summary: The Budget Review Subcommittee on Health and Family Services heard a presentation on Kentucky personal care homes from representatives of the Kentucky Association of Healthcare Facilities, Management Systems of Kentucky, and Elder Care Partners. Witnesses described personal care homes as a lower-cost, 24/7 residential option for adults with serious mental illness who do not qualify for nursing home care but need structured support, medication assistance, meals, housekeeping, transportation, and supervision. They said the homes are regulated by the Cabinet for Health and Family Services, are not Medicaid-funded, and rely on a state supplementation rate of about $50.70 per day, which they argued no longer covers operating costs because of rising food, labor, insurance, and maintenance expenses. The presenters said the sector has shrunk significantly over time, citing a drop from 64 homes in 2002 to 34 today among the homes serving this population, with 30 closures over 23 years and two more closures since August. They argued that the closures have contributed to homelessness, hospital overcrowding, and longer stays in psychiatric hospitals, and they gave examples of residents who had spent many months in hospitals before stabilizing in a personal care home. One provider also described spending more than $800,000 on capital improvements after acquiring Kentucky facilities and said reimbursement is too low to sustain safe operations. They asked for an incremental reimbursement increase over two years and said they have also proposed an assisted-living model for people with mental illness. Members asked about staffing, reimbursement, and the number of people still needing placement. The presenters said there is no requirement for licensed or certified staff in these facilities, though some homes use medication technicians and occasional LPNs. They estimated they are currently serving about 2,000 residents and said they receive roughly 30 referrals for every one person admitted, with many referrals involving people whose needs exceed the personal care home level. Senator Meredith and Representative Fleming said any funding request would need documentation of savings and corresponding budget offsets, while Representative Duval expressed support and asked about possible staffing and program improvements. The witnesses also compared Kentucky’s flat-rate reimbursement to a more individualized reimbursement model in Minnesota, saying a needs-based system would better match staffing and reduce hospitalizations.

Transcript Highlights:

• It's pretty simple math. But I've got to go back to my question, because this is real.
• If we did not have that intervention, that need, I'm not sure where we would be.
• The mission of all CSCs is to ensure prevention and early intervention services are available.

Summary: The Committee on Appropriations took up SJR 2-F, the proposed constitutional amendment on property tax relief, which would reduce assessment growth on non-homestead property, expand homestead exemptions, create a new exemption for new homesteaders, and direct counties, cities, and school districts to use property tax revenues for specified core services. Senator Avila presented the measure as the governor’s plan to provide historic relief and argued that local governments should tighten budgets and prioritize core functions. Senators raised concerns about the lack of fiscal scoring, the breadth and ambiguity of the permitted uses, the effect on special districts and local services, and whether the proposal would shift costs to fees or other taxes. The committee adopted several amendments, including Avila’s amendment clarifying that ad valorem revenues could be used for county and municipal operations and administration and other expenditures not prohibited by law, and Trumbull’s amendment removing school board ad valorem taxes from the proposal. Other amendments failed, including proposals to allow user fees and non-ad valorem assessments, add a sunset, redirect tourism development taxes, narrow the small-business provision, and change the ballot title to reference local service reductions. Grall’s amendment removing the constitutional trust fund requirement was adopted, while the committee also rejected Berman’s title-change amendment and Smith’s sunset and tourism-tax amendments. The committee then returned to the bill as amended for questions, including extended debate over whether the proposal would affect noncitizen residents, the impact on local government finances, and whether local governments would respond with higher fees or special assessments. The meeting ended with the bill still under discussion after the final round of questions, with Avila saying he would continue working with the governor’s office on the language before the next vote.