Video & Transcript Research : 'refining facilities'

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TX

Texas 89th 2nd C.S.

Human Services Apr 15th, 2025

Human Services

Transcript Highlights:
  • And diminishing the need for board meetings to be conducted outside of a CAC facility.
  • When creating new assisted living facilities or seeking to modify an existing structure.
  • The construction and request one final survey of their completed facility.
  • As you know, HHSC is charged with inspecting nursing facilities and other providers.
  • And so it really discourages facilities, our members to take the time to challenge one.
TX

Texas 89th Regular

Human Services Apr 15th, 2025

Human Services

Transcript Highlights:
  • So, what does it take to shut down a facility?
  • We wanted a more intimate setting than a large facility.
  • So, what does it take to shut down a facility?
  • and must comply with the regulations as an assisted living facility. ...living facility by going through
  • Medicaid does not cover these facilities.
TX

Texas 89th Regular

Human Services Apr 15th, 2025

Human Services

Transcript Highlights:
  • These facilities are regulated by both the federal government, CMS, and the state government.
  • Touchstone manages or operates 34 skilled nursing facilities, all in the state of Texas.
  • HHSC is charged with inspecting nursing facilities and other providers.
  • On this new journey of going here, that you're seeing you can help them and other facilities.
  • If MPRO has a finding and rules in favor of the facility, that's a state law claim that they have.
TX

Texas 89th Regular

Homeland Security, Public Safety & Veterans' Affairs Mar 12th, 2025

Homeland Security, Public Safety & Veterans' Affairs

Transcript Highlights:
  • It's facilities as well.
  • including a police officer, federal special investigator, employee, or official of a correctional facility
  • HB 214 builds on that work by refining the statute to include additional target defenses and expanding
  • Members, refining our terrorism statute.
HI

Hawaii 2026 Regular Session

EDU-WLA, EDU Public Hearings 02-13-2026

Education

Transcript Highlights:
  • But, um, these facility use procedures, um, we have rules for it and you know how much they can charge
  • But, um, these facility use procedures, um, we have rules for it and you know how much they can charge
  • But, um, these facility use procedures, um, we have rules for it and you know how much they can charge
  • But um<00:16:30.399> these<00:16:30.880> facility<00:16:31.360> use<00:16:32.240
  • um um these facility use um procedures um we<00:16:33.759> have<00:16:33.839> rules<00
Bills: SB2613, SB2147
Summary: The committee heard SB 2613, a cleanup bill relating to public school land transfers under Act 307 (2022), which revises tax map key references and the conveyance process for properties transferred to the Department of Education. The Hawaii State Public Library System supported the measure, saying it would complete the long-unfinished separation of the library system from DOE property control and make future building projects more efficient and cost-effective. DOE also supported the bill and requested an amendment to remove TMK 43-62 parcel 10, the Wilcox Elementary School parcel, so that it could instead be transferred to the county for use with the adjacent park and tennis courts. Members focused heavily on why land transfers and construction approvals have been slow, especially the need for right-of-entry documents and an MOA for a library construction project. Library and DOE witnesses said the delays stemmed from site-control issues and confusion over property status, and that the bill would clarify which parcels are transferred by operation of law and remove the need for additional transactional documents in many cases. Several members questioned whether the bill actually changes authority or simply clarifies existing practice, and DOE said it wanted legislative clarity so the transfers are unmistakably effective on a date certain. The committee also discussed a separate section of the bill dealing with public use of school facilities after hours, including parking fees on property under DOE jurisdiction. DOE explained that any parking charges would apply only to property it controls, not county roads, and that fees are set through existing facility-use procedures. Members raised concerns about the pace of land transfers generally and urged DOE to move more expeditiously on pending parcels. The hearing then moved on to SB 2147, which would designate the first Friday in February as Love My Library Day; the library system testified in support as the committee began that measure.
WY

Wyoming 2026 Regular Session

Senate Appropriations Committee, February 9, 2026

Appropriations

Transcript Highlights:
  • Tomorrow we have scheduled for noon time or upon Senate recess: Senate File 37K to2 School Facilities
  • 53.199> school recess of Senate file 37 K to2 school recess of Senate file 37 K to2 school facilities
  • <00:14:54.079> maintenance<00:14:54.720> and facilities maintenance and facilities maintenance
Bills: HB0105, HB0107, SF0002
WY

Wyoming 2026 Regular Session

House Appropriations Committee, February 9, 2026

Appropriations

Transcript Highlights:
  • appropriated to the school facilities appropriated to the school facilities commission<00:03:55.440
  • committee on school facilities and we're committee on school facilities and we're usually<00:13:01.600
  • Um I'm kind of proud of that facilities.
  • So it's an important facility. Wyoming. So it's an important facility.
  • Campbell County transportation facility.
Bills: HB0105, HB0107, SF0002
OK
Transcript Highlights:
  • The idea I had was for instance, everybody, when you come into a healthcare facility, whether it's an
  • I was actually in a bathroom recently at one of our healthcare facilities, and they had a red sharpie
  • You know, we've got this looming danger of them closing the state-run facilities.
  • fiscal impact in the opposite direction when you have someone that's not in crisis and ending up in a facility
  • The PCS explains that if they use any kind of prescriptive medication in their facility, they would remain
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 14th, 2025 at 02:00 pm

Appropriations - Human Resources Division

Transcript Highlights:
  • Behavioral health facility grant, $5 million. Behavioral Health Facility Grant, $5 million.
  • Section 6 is the Behavioral Health Facility Grant.
  • the committee, this particular Section 33 actually deals with residential mental health treatment facilities
  • I think this is probably reviewing the facilities and land and how that is most appropriately used.
  • Section 51 is behavioral health facility grants, reporting to the Legislative Management regarding the
Bills: SB2015
Summary: The Senate Appropriations Human Resources Division met with all members present and took up several bills, focusing most of the discussion on SB 1577 and SB 1619, along with a detailed review of the HHS budget bill draft. On SB 1577, Senator Magrum explained that the bill was being revised to focus on wastewater rather than raw water, possibly shifting the Washburn project to the Department of Water Resources so it could access matching funds, and potentially converting the bill into a line of credit if federal money is restored later. Members discussed whether to keep an emergency clause or instead use a date-based approach, and agreed the bill would likely be handled through the full committee and possibly reconsidered later. On SB 1619, Senator Davison said amendments were still being worked on, including changes requested by the Bank of North Dakota, and the committee planned to hold it for possible amendment before full committee consideration. The bulk of the meeting was a section-by-section review of the HHS appropriations bill draft. Members discussed one-time funding items such as technology projects, child care programs, housing programs, behavioral health facility grants, infant and toddler care provider support, juvenile justice diversion, medical housing, and other public health and human services projects. Several adjustments were noted, including reductions or changes to IMD-related funding, incarcerated-person treatment funding, the child welfare technology project, and the provider rate increase. The committee also discussed the FTE block grant structure at length, with staff explaining that the apparent increase in positions reflected budgeting mechanics, zero-dollar “phantom” positions, and positions approved previously but not counted in the FTE total. Members raised concerns about transparency and whether the bill should list FTE numbers, but staff said the block grant was intended to give the department flexibility while quarterly reporting would provide oversight. Other topics included Medicaid expansion funding and provider reimbursement rules, the move toward certifying human service centers as certified community behavioral health clinics, a moratorium on new ICF beds, and studies or reports on Medicaid, obesity, disability services, truancy, and behavioral health facility grants. The committee also discussed removing or revising broad intent language in Section 31 so the department would report findings rather than implement changes without further legislative action. No final votes were taken in the transcript; instead, members agreed to make a few technical adjustments, continue reviewing the bill, and likely revisit it the next day before moving it to conference committee.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 11th, 2025 at 09:30 am

Appropriations - Human Resources Division

Transcript Highlights:
  • And then there was also a requirement that they operate the facility for a minimum of 10 years.
  • with that okay I'll remove that part and then there was also a requirement that they operate the facility
Bills: SB2015
Summary: The Senate Appropriations Human Resources Division met to finalize changes to the human services budget bill and related amendments. Members discussed several items, including a proposed $5 million appropriation for the Altru Hospital project to address inflationary costs, with the rest of the funding question left for conference committee. They also agreed to keep the 10-year operating requirement language for the project and remove a matching-funds provision that was no longer needed. The committee spent considerable time on the OASIS child welfare IT system. Donna Auckland explained that the project is still in the RFP stage, with vendor selection and contract negotiation likely taking months, and that the system will require 50-50 federal matching authority. Based on that testimony, the committee agreed to reduce the general fund amount from $14 million to $6 million and use a line of credit for the remaining authority, while preserving the federal match authority so the contract can be signed and the project can proceed. Members also approved a technical fix to add governor’s designee language for the Children’s Cabinet, which had been missed in another bill already on the governor’s desk. Keith reviewed updated long sheets showing additional budget adjustments, including provider inflation changes, a $50,000 Family Voices grant, reductions to CARES Act COVID funds, and moving the $5-per-day basic care rate increase from ongoing to one-time funding. No formal votes were recorded in the transcript, and the committee adjourned with plans to reconvene Monday if the final bill version was ready.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 10th, 2025 at 02:00 pm

Appropriations - Human Resources Division

Transcript Highlights:
  • I'm the director for the Division of Municipal Facilities at the North Dakota Department of Environmental
  • Chairman, is to have this four-plex facility available to all different kinds of needs.
  • appropriation that it only So is your concern regarding the appropriation that it only funds one facility
  • What program does the Manchester House use to construct their facilities?
  • may be provided separately from the facility ownership interest.
Bills: SB2015
Summary: The committee first discussed a wastewater infrastructure bill, centered on whether state support should be provided as a grant or through the existing Clean Water State Revolving Fund as a low-interest loan program. Department of Environmental Quality official David Brushwine explained that the SRF already finances wastewater projects, can leverage federal funds with state bond proceeds, and could accommodate the Washburn, Lincoln, and Peasant projects if they are ready to proceed. Members noted that losing federal grant support would make projects harder for local residents to afford because costs would be recovered through utility rates or special assessments, but the projects would still be eligible for loans. Senator Magrum indicated he would likely concur with the budget after this discussion, and the bill was set aside for later consideration. The committee then turned to a proposed amendment for a four-plex housing project for people with disabilities or other special needs. Senator Mathern described Sections 7 and 8 as creating a design consultation appropriation and a revolving loan fund modeled on existing hospital and nursing home loan programs, while Section 9 would transfer $3.3 million from the state infrastructure fund. Members debated ownership, rent subsidies, repayment terms, and whether the state should finance the project directly or leave it to a private developer with Department of Human Services oversight. Concerns were raised that the state should not own the housing and that the proposal needed more work to be workable, but the committee ultimately reached consensus to adopt Sections 7 and 8 and leave out Section 9 for further conference committee discussion. The committee also reviewed provider inflation and long-term care rate issues, with members discussing whether to support a 2% and 1.5% inflation adjustment and how to handle the $5-per-day basic care rate. Staff explained that the $5 payment was already in the base budget, but members debated whether it should remain ongoing or be treated as one-time funding and paired with a study of rate rebasing. The committee agreed to have draft language prepared to remove the $5 from the base budget and add study language, then moved the bill forward for drafting.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 10th, 2025 at 09:30 am

Appropriations - Human Resources Division

Transcript Highlights:
  • doing, and that would save the whole discussion on the floor about having another behavioral health facility
  • is the provider rate increase, and we're going to get more information; the other is the All True facility
  • And nobody talked about any ICF facilities intending to build in the coming biennium.
  • I think some of the concern of the facilities or the providers is that this may be just a start and preclude
  • And nobody talked about any ICF facilities intending to build in the coming biennium.
Bills: SB2015
Summary: The committee met to review revised long sheets and section-by-section language for a human services/health budget bill, with much of the discussion focused on how to present block grant funding and full-time equivalent (FTE) positions for behavioral health clinics and CCBHCs. Members debated whether to keep FTE counts in the budget at all, ultimately leaning toward removing or zeroing out the FTE references while keeping the dollar authority, and reducing the salaries-and-wages block grant by about $4.75 million. They also discussed public health federal authority, agreeing to remove about $60 million in unused federal spending authority tied to COVID-era funds, and clarified that if federal money later becomes available it could be requested through the Emergency Commission. A major topic was the provider inflation increase. The House version had 2% and 2%, while members debated alternatives and appeared to settle, at least for further work, on 2% in the first year and 1.5% in the second year, with staff asked to recalculate the fiscal impact. The committee also reviewed FMAP changes, noting a revised 2027 FMAP estimate and its effect on general fund and other funds, and discussed whether to adjust public health and other line items accordingly. Several members emphasized that many of these numbers are still tentative and will be refined before final action. The committee also touched on several policy items and capital-related provisions, including behavioral health services, Medicaid expansion, the moratorium on new ICF beds, and a proposed amendment for a medical homes/fourplex-related item that would show a $400,000 legislative investment with repayment from a developer. There was extended discussion of the All True hospital/facility proposal, with some members favoring leaving it in with a smaller initial commitment and others preferring to remove it and revisit later in conference committee. The meeting ended with staff asked to continue updating the bill language and members instructed to review remaining sections before the next meeting; no final votes were taken in the portion provided.