Transcript Highlights:

• Really, from the spectrum of children to seniors, how critical that funding is and how dire it would
• Um really from the<00:09:08.000> spectrum<00:09:08.320> of<00:09:08.560> children
• ><00:09:08.880> to<00:09:09.200> seniors,<00:09:09.760> how the spectrum of children
• to seniors, how the spectrum of children to seniors, how critical<00:09:10.399> that<00:09:10.720

Keywords: 1183, house

Transcript Highlights:

• RECOGNIZED FOR ITS IMPACT ON INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES, INCLUDING MANY DIAGNOSED WITH AUTISM

Keywords: 993, senate, all

Summary: The Senate convened, approved the prior journal, and then took up a Rules Committee report advancing several bills directly to third reading, including Senate Print 9630, an appropriations extender for government operations, and Senate Print 9631, an extender related to Part U1 of Chapter 61 of the Laws of 2023. The chamber then moved to the controversial calendar and debated the first extender, with Senator O’Mara questioning what the bill covered, how much funding it extended, and the status of budget negotiations. Senator Krueger said the extender covered about $1 billion for payroll and certain payments for agencies including Health, Law, OPWDD, and Veterans Services through April 7, and described the budget talks as still unresolved, with no announced follow-up Joint Budget Conference Committee meetings or table targets. She also discussed utility affordability proposals, including a three-year moratorium on A.I. and crypto data/storage facilities and support for green energy and low-income ratepayer relief. O’Mara argued the lack of urgency and absence of written proposals on climate and utility costs was concerning. Both extender bills were then passed, with the first receiving 59 ayes and the second passing 46-13 after debate over its two-year duration. The Senate then adopted the resolution calendar, excluding two items initially, and took up two resolutions. Resolution 1821, sponsored by Senator Ramos, recognized Farmworkers Day and highlighted the essential role of farmworkers, the history of organizing for farmworker rights, and concerns about immigrant workers facing fear and retaliation; Senator May added support, noting the importance of farm labor to dairy production and food supply and the impact of deportation fears on farms in her district. The resolution was adopted. Resolution 1823, sponsored by Senator Zellner, proclaimed March 20, 2026 as Behavior Analysis Day in New York, recognizing applied behavior analysis and its benefits for individuals with developmental disabilities, autism, education, healthcare, and other fields; it was also adopted. The chamber also welcomed a group of students from Queens visiting Albany, with Senator Comrie speaking about the importance of civics education and government engagement. After the introductions and acknowledgments, there was no further business, and the Senate adjourned until Wednesday, April 1, at 11:00 a.m.

Transcript Highlights:

• This is particularly important in the state of Florida for children with autism who, when they feel overwhelmed

Summary: The Committee on Regulated Industries met and reported several bills favorably. SB 530 on state lotteries was presented with two technical amendments and passed as amended. The bill revises Department of Lottery powers and duties, updates bid/proposal information requirements, adds definitions related to ball machines, and gives the department more flexibility to purchase rather than lease machines. SB 204 also passed favorably; it increases penalties for illegal slot machine operations to a third-degree felony and creates a process for veteran service organizations to seek binding declaratory statements from the Gaming Commission about whether a machine is lawful. Testimony on SB 204 included support from Florida Gaming and soft opposition from a veteran organization that wanted clearer language and more cooperation on electronic bingo-type games. The committee then took up a combined proposed committee substitute merging SB 658 and SB 608 on water safety requirements for rental and residential properties. The merged bill requires certain rental properties near water bodies or with swimming pools to have specified safety devices, such as exit alarms, self-closing/self-latching locks, pool fences, pool covers, or pool alarms, and allows DBPR enforcement for vacation rentals. Supporters emphasized the bill’s goal of preventing child drownings, citing Florida’s high number of fatal drownings and the disproportionate impact on young children and children with autism. The combined bill was reported favorably. SB 980 on nicotine dispensing devices was amended with a delete-all amendment creating the Florida Agegate Act. The substitute bill restricts advertising, promotion, and display of non-FDA-approved nicotine devices in retail settings accessible to those under 21, sets escalating penalties, directs fine revenue to enforcement and youth prevention, and authorizes inspections and warrantless searches tied to retail permits. Members discussed whether the bill would effectively curb illegal and counterfeit products and how enforcement would work; the sponsor said the measure is intended to reduce youth access in light of limited enforcement resources. The bill passed favorably. SB 1708 on veterinary licensure by endorsement also passed, removing a three-year out-of-state practice requirement for licensed veterinarians while keeping other qualifications intact to help address veterinary shortages. Finally, SB 680 on electric vehicle charging taxation passed with a strike-all amendment creating a sales tax exemption for electricity sold to EV charging station operators and transferred to consumers, provided it is separately metered and properly documented. The committee adjourned after noting additional support forms and inviting members to a later K-12 speech and debate bill presentation.

Transcript Highlights:

• <00:08:20.680> And<00:08:21.240> for disorder treatment services.
• And for disorder treatment services.
• You know, substance use disorders, individuals with substance use disorders are exempt because they are
• , You know, substance use disorders, You know, substance use disorders, individuals<00:24:51.520>
• with substance use disorders individuals with substance use disorders are<00:24:53.240> exempt

Keywords: 958, all

Summary: The Budget Review Subcommittee for Health and Family Services met for its first meeting, established quorum, and heard a presentation from Department for Medicaid Services Commissioner Lisa Lee and CFO Steve Becktold. The department reviewed its compliance with House Bill 695, which requires legislative approval before certain Medicaid eligibility, service, benefit, or waiver changes, along with fiscal impact reporting to the Legislative Research Commission. They described current waivers, including home and community-based waivers, managed care and transportation waivers, and the 1115 re-entry waiver, and said the community engagement waiver is in public comment and on track for submission to CMS. They also said required reports and other HB 695 tasks, including a pharmacy rebate fund, budget analyses, expenditure reports, and a behavioral health scorecard, are underway or completed as required. The CFO outlined Medicaid’s budget, saying the department has two appropriation units and projecting near-full use of state funds while leaving some federal funds unspent because of matching-rate differences. They reported roughly 211 filled positions and 11 vacancies. Members asked about the vacancy makeup, the behavioral health scorecard, and whether a provider involved in quality metrics could have a conflict if used in the scorecard process; the department said it would follow up. Members also asked about the community engagement waiver and its interaction with federal policy, and the department said CMS guidance is still pending and that it will proceed under HB 695. A substantial portion of the discussion focused on federal Medicaid policy changes under a reconciliation bill, including possible limits on provider taxes, directed payments, cost-sharing, and community engagement requirements. Department officials said the final federal impact is still uncertain because the Senate bill is not finalized, but they have modeled several scenarios and warned that any reduction in federal support or benefits would be harmful, especially for hospitals and rural hospitals. They estimated Medicaid benefits are funded about 80% federal and 20% state overall, with expansion populations closer to 90% federal funding, and said administrative costs would also rise if federal requirements change. Members also asked about work requirements and eligibility. The department said the community engagement waiver would mainly affect the expansion population, which they estimated at about 450,000 people out of roughly 1.5 million total Medicaid enrollees, and that many groups are exempt, including children, the aged, blind, disabled, and people in substance use disorder treatment. Officials said they can provide data on how many enrollees are working or work-ready and explained that their eligibility system is designed to prevent duplication by automatically placing people in the correct category and correcting errors quickly. They also noted a federal proposal to require expansion eligibility reviews every six months, compared with current annual renewals.

Transcript Highlights:

• Health Association and the California Access Coalition represent mental health and substance use disorder
• Every day I witness the devastating impacts of substance use disorders on individuals and their family
• Again, while we share the author's goal of ensuring individuals suffering from substance use disorder
• While we share the author's goal of ensuring individuals suffering from substance use disorder receive
• . across California, 12 and up are considered to have a substance use disorder across California.

Summary: The Assembly Health Committee met on April 22 and took up a special order of bills focused largely on prior authorization and utilization management in health care. The chair framed the discussion as part of a broader legislative effort to reduce delays and barriers to care, especially in behavioral health, chronic disease management, cancer treatment, and rehabilitation services. AB 384 by Assembly Member Connolly would prohibit prior authorization for inpatient mental health or substance use emergency admissions and related physician care; supporters said it would prevent dangerous delays in crisis care, while insurers and health plans warned about fraud, abuse, and ambiguity around residential treatment facilities. The bill was moved on a due pass as amended motion and passed the committee on a party-line style vote, with Republicans largely absent or not voting. The committee then heard AB 510 by Assembly Member Addis, which would require health plans, upon request, to provide a peer reviewer of the same or similar specialty when a treating provider appeals a prior authorization denial or modification. Supporters argued that specialty-matched review would make appeals fairer and more clinically informed; opponents said the requirement was too rigid and that timelines and electronic submission rules needed changes. After discussion about the need for timely, specialty-specific review, the bill was approved on a due pass as amended motion and placed on call. AB 539 by Assembly Member Schiavo would extend prior authorization approvals to one year or the duration of the physician’s prescribed treatment for chronic conditions; supporters cited repeated denials and treatment interruptions, while opponents raised concerns about overbreadth, fraud, and the need for shorter validity periods. The bill was also passed as amended and placed on call. The committee next considered AB 669 by Assembly Member Haney, which would bar concurrent and retrospective review for the first 28 days of medically necessary substance use disorder treatment and limit prior authorization for related outpatient medications. The bill was presented with a powerful personal story from Ryan Matlock’s mother about her son’s death after an insurer cut off treatment early; supporters said the measure would keep patients in care long enough to stabilize, while opponents argued it would reduce oversight and could allow lower-quality or non-evidence-based care. The bill was moved on a due pass as amended motion and placed on call. Finally, AB 512 by Assembly Member Harabedian would shorten prior authorization response times to 24 hours for urgent requests and 48 hours for non-urgent requests; supporters said delays can worsen outcomes, while opponents warned the timelines were unrealistic and could increase administrative burdens and safety issues. The bill was approved as amended and placed on call. AB 574 by Assembly Member Mark Gonzalez was then heard; it would allow up to 12 medically necessary physical therapy sessions for a new episode of care without prior authorization, with supporters emphasizing stroke and neurological recovery and opponents warning of reduced oversight and unnecessary care. The transcript ends during testimony on AB 574, before final action is shown.

Transcript Highlights:

• Or the story that Carol Levin and AJ Lago did on the woman who lives with autism that they evicted her
• person with a brain injury whose DSP keeps them safely housed, the parent praying that their child's autism
• 01:19:41.240> that<01:19:41.360> their<01:19:41.480> child's<01:19:41.880> autism
• praying that their child's autism praying that their child's autism supports<01:19:42.800> don't

Keywords: 1187, senate, all

Transcript Highlights:

• state-mandated training for use of force, crisis response, conflict management, cultural diversity, and autism
• state-mandated training for use of force, crisis response, conflict management, cultural diversity, and autism
• state-mandated training for use of force, crisis response, conflict management, cultural diversity, and autism
• Cultural diversity and autism training.
• and just for further clarification on the previous amendment, it had to do primarily with adding autism

Keywords: 1187, senate, all

Transcript Highlights:

• I'm Jillian Nelson, policy director at the Autism Society of Minnesota, and I'm here to ask for your
• sometimes they fall out of their wheelchair and they have to call 911 because sometimes they have autism
• :51:13.960> have call 911 because sometimes they have call 911 because sometimes they have autism
• c> they<01:51:14.880> get<01:51:15.040> overstimulated<01:51:15.920> and autism
• and they get overstimulated and autism and they get overstimulated and they<01:51:16.159> maybe

Bills: HF1937, HF2407, HF1678, HF1477, HF2040, HF1840, HF257

Keywords: PACE, elderly, Medicaid, health services, long-term care, community-based services, support person, healthcare, patient rights, assisted living, community support, caregiver respite, financial eligibility, Minnesota Statutes, HF1477, residential program licensing, community residential setting, small group home, licensed capacity six or fewer, rental licensing

Transcript Highlights:

• At the time, we received a lot of training surrounding autism, which was good and important, but we now
• At the time, we received a lot of training surrounding autism, which was good and important, but we now
• received a lot of<00:59:31.200> training<00:59:31.640> surrounding<00:59:32.039> autism
• <00:59:32.480> which<00:59:32.599> was of training surrounding autism which was of
• training surrounding autism which was good<00:59:32.920> and<00:59:33.119> important<00

Bills: HF6, HF52, HF53

Keywords: education, literacy, science of reading, school performance, funding flexibility, innovation zones, equity and inclusion, HF52, New Germany, wastewater treatment, wastewater facility, sewer infrastructure, capital investment, bonding bill, state bonds, Public Facilities Authority, municipal infrastructure, water quality, sanitation, sewage treatment

Transcript Highlights:

• 10% and 16% of young children ages 2 to 8 have a diagnosed mental, behavioral, or developmental disorder
• behavioral or developmental disorder. behavioral or developmental disorder.
• specialize in the prevention, diagnosis, and treatment of communication, swallowing, and hearing disorders
• communication, swallowing<00:50:00.240> and<00:50:00.559> hearing<00:50:00.880> disorders
• swallowing and hearing disorders. swallowing and hearing disorders.

Keywords: 981, all

Summary: The Senate convened with a quorum, approved the corrected February 25, 2026 journal, and received a series of committee reports. Those reports advanced several bills, including SB 110, SB 20, SB 115, SB 61, SB 35, SB 26, and SB 3, while SB 24 was postponed indefinitely. The chamber also confirmed or placed on the consent calendar several appointments, including reappointments to the boards of Fort Lewis College and the University of Northern Colorado, and later confirmed appointments to the Clean Fleet Enterprise. The Senate elected Senator Kathy Kip as President Pro Tem by a vote of 21-12. It then took up SJR 013, recognizing Youth Mental Health Action Day, which was adopted 33-0 after remarks emphasizing youth suicide, rural behavioral health needs, and the importance of expanding access to mental health care. The Senate also passed SB 37, allowing local elected judicial officers to set weekend bonds, and SB 84, concerning privileges for certain state entities in connection with the state auditor’s fraud hotline. In the Committee of the Whole, the Senate passed HB 1035 on second reading and HB 1064, concerning modifications to the youthful offender system, after adopting amendment L004. The House bill on youthful offenders was described as clarifying Department of Corrections contracting and helping youth with disabilities participate in YOS programming. The Senate also confirmed appointments to the Institute of Cannabis Research Governing Board. Several items were laid over, including SB 53, SB 43, and SB 21, and the chamber recessed until 11:30 a.m.

Transcript Highlights:

• As many of you know, I'm one of millions of people in the world that live with substance use disorder
• center because they went somewhere, although it's illegal, those of us that live with substance use disorder
• We know that substance use disorder disease is a disease that is scientifically defined as a disease
• need to help you guys understand that there are many people like me that live with substance use disorder
• we understood that it will protect many of us, but for those of us that battle with substance use disorder

Summary: The Appropriations Committee on Criminal and Civil Justice heard and approved several bills. SB 504 and its related public records bill SB 506, both by Sen. Burgess, would allow local governments to authorize code enforcement officers to use body cameras under standardized policies and create a public records exemption for certain recordings; members raised questions about disclosure and when cameras may be used, and both bills were reported favorably. The committee also approved CS/SB 32 and SB 210 by Sen. Sharif, creating a new injunction for protection against serious violence by a known person and extending public records protections to petitions under that injunction category. Supporters included law enforcement, women’s advocacy groups, and justice organizations. The committee then favorably reported SB 676 by Sen. Arrington, which creates a graduated penalty structure for adults who involve minors in certain animal cruelty offenses and increases penalties related to fighting or baiting animals. SB 432 by Sen. Yarbrough was also approved; it adds certain concentrated 7-OH to Schedule I, exempts FDA-approved veterinary xylazine products, creates penalties for candy-like xylazine products, and establishes trafficking penalties for xylazine. Sen. Osgood spoke in support of the bill, emphasizing the dangers of adulterated street drugs for people with substance use disorder. Finally, the committee approved SB 524 by Sen. Simon, which makes a series of technical and administrative changes affecting the Medical Examiners Commission, district medical examiner appointments, the Criminal Justice Standards and Training Commission, and notice procedures for administrative complaints. The Florida Department of Law Enforcement appeared in support. All measures were reported favorably, and the committee adjourned without objection.

Transcript Highlights:

• As many of you know, I'm one of millions of people in the world that live with substance use disorder
• center because they went somewhere, although it's illegal, those of us that live with substance use disorder
• We know that substance use disorder disease is a disease that is scientifically defined as a disease
• need to help you guys understand that there are many people like me that live with substance use disorder
• we understood that it will protect many of us, but for those of us that battle with substance use disorder

Bills: S0032, S0210, S0432, S0504, S0506, S0524, S0676

Keywords: injunctions, protection orders, domestic violence, serious violence, court procedures, enforcement, risk protection, statewide communication system, public records, violence protection, confidentiality, defamation, code inspector, code enforcement, body camera, body-worn camera, police body cam, municipal code enforcement, local government, video recording

Summary: The Appropriations Committee on Criminal and Civil Justice met with a quorum present and considered several bills. The committee heard and approved SB 504, allowing local governments to adopt standardized policies for code enforcement officers to use body cameras, and SB 506, which creates a related public records exemption for certain body camera recordings, including protections for minors and private information. Senator Smith raised questions about notice to property owners and use limitations, and Senator Osgood asked whether cameras must be on at all times; the sponsor said he would follow up on specifics. Both bills had support from local government and code enforcement groups and were reported favorably after adoption of an amendment to SB 504 clarifying training and familiarity with camera rules. The committee also approved CS/SB 32, creating a new injunction for protection against serious violence by a known person, and SB 210, the companion public records exemption for petitions involving that injunction. Senator Sharif said the bills fill a gap for victims who do not qualify under existing injunction categories, and supporters waived in favor. SB 676, by Senator Arrington, was also reported favorably; it creates a graduated penalty structure for contributing to the delinquency of a minor when the underlying conduct involves certain animal cruelty offenses, and increases penalties for fighting or baiting animals. Senator Osgood spoke in support, tying the bill to protecting children and animals, and several law enforcement and animal welfare groups waived in support. The committee further approved SB 432, which adds certain concentrated 7-OH to Schedule I, exempts FDA-approved veterinary xylazine products, creates a first-degree felony with a mandatory minimum for certain candy-like xylazine products, and establishes trafficking penalties for xylazine. Senator Osgood spoke at length in support, emphasizing overdose risks and the impact on people with substance use disorder. Finally, the committee passed SB 524, which revises duties and appointments related to the Medical Examiners Commission and district medical examiners, clarifies responsibilities within Chapter 943, and changes notification and curriculum approval provisions for criminal justice standards. All measures were reported favorably, and the committee adjourned without objection.

Transcript Highlights:

• testify in favor of H. 3950, an act relative to supporting parents in recovery from substance use disorder
• testify in favor of H-3950, an act relative to supporting parents in recovery from substance use disorder
• Having recurring or quarterly trainings with professionals in the field of substance use disorder and
• Having reoccurring or quarterly trainings with professionals in the field of substance use disorder and
• If a parent with substance use disorder had an action plan with the department, the department shall

Keywords: 995, all

Summary: The committee held a public hearing on a broad set of mental health, substance use, recovery, and patients’ rights bills. Early testimony focused on H. 2227, which would replace stigmatizing substance use terminology in the General Laws, and H. 3950, which would support parents in recovery involved with DCF by requiring more individualized recovery plans, clearer benchmarks for parenting time, access to recovery coaches or counselors, family counseling after sustained recovery, and staff training on addiction and lived experience. Speakers described the bills as ways to reduce stigma, increase accountability, and improve reunification outcomes for families. A major portion of the hearing centered on S. 1386, which would transfer Bridgewater State Hospital from the Department of Correction to the Department of Mental Health. Advocates, family members, and disability groups testified that Bridgewater functions like a prison rather than a hospital, with excessive restraint, seclusion, involuntary medication, poor conditions, and racial disparities, and argued DMH should oversee a treatment setting. One DMH occupational therapist and MNA member opposed the transfer, saying the real issue is mixing forensic and continuing-care patients and that DMH should instead create designated forensic units under bills H. 228/S. 1408. Committee members asked about Bridgewater’s population, the history of DOC control, capacity, staffing, and how a transfer might be implemented. The committee also heard testimony on modernizing the six fundamental rights for psychiatric inpatients, including expanding communication options, clarifying visitation and advocacy definitions, and improving access to gender-appropriate and culturally relevant items. Another bill, H. 2216, would require stronger oversight before antipsychotic medication is prescribed in nursing homes, prompted by concerns about inappropriate use. Finally, testimony supported H. 2240 and H. 2239 on sober homes, with supporters saying discharge and relocation policies are needed when a resident returns to active use or becomes unsafe, while preserving the recovery environment and resident rights. No votes or formal actions were taken during the hearing.

Transcript Highlights:

• or substance use disorder that needs to be addressed.
• them to what will effectively be mandatory minimum sentences is the solution to a substance abuse disorder
• serving time for long sentences for alcohol-related offenses have told me that the substance use disorder
• For substance use disorder, I ask that we start pouring more resources into long-term treatment to address
• Yes, it is a choice, but it's a choice related to a mental health disorder.

Bills: HB1482, HB2017, HB2103, HB2341, HB2756

Keywords: community supervision, repeat offenders, intoxication, Texas Penal Code, criminal justice reform, intoxication manslaughter, criminal penalties, mandatory supervision, parole eligibility, Grayson's Law, mental health, trauma, jailers, law enforcement, occupational health, diligent participation, state jail felony, time credits, rehabilitation programs, de-escalation

Transcript Highlights:

• I'm also a mother of two sons with epilepsy. and autism and a daughter who will be blind by adulthood
• Today I serve students who have specific learning disabilities, also some have moderate to severe autism
• He was reading more, writing more, and becoming more social in his special day autism core program.

Keywords: 988, house, all

Transcript Highlights:

• This gives an opportunity for school choice to kids at the lower end of the economic spectrum.
• This gives an opportunity for school choice to kids at the lower end of the economic spectrum.
• the lower end of the economic spectrum. the lower end of the economic spectrum.
• So it goes, you know, it's on both ends of the spectrum.
• You know, you you could the spectrum.

Keywords: 958, all

Summary: The Interim Joint Budget Review Subcommittee on Education met with a quorum, approved the August 20, 2025 minutes, and then heard a discussion tied to Constitution Day and Kentucky’s constitutional duty to provide an efficient system of common schools. Chairman James Tipton reviewed the history of Kentucky’s model laboratory schools, postsecondary academy programs such as Gatton and Craft, magnet schools, virtual learning, and computer science opportunities, arguing that Kentucky has long expanded educational opportunity through different school models. He described model schools and academy programs as hybrid or innovative approaches that serve specialized student needs and noted that some of these programs receive state appropriations and, in some cases, tuition. Senator Steve West then gave a retrospective on school choice in Kentucky, beginning with the 2017 charter school law and explaining that Kentucky’s charter framework was designed as public-only to comply with the state constitution. He said charter schools have remained largely dormant in Kentucky and used that as context for Senate Bill 207, the School Innovation Act, which he said was modeled on a South Carolina approach. Under SB 207, a local school board can contract with a third-party entity to manage an existing school, receive SEEK funding, and seek waivers from certain state regulations in order to innovate, while retaining limits on items such as school safety and attendance rules. Members asked about how the new model differs from charter schools, whether schools could cherry-pick students, and whether teachers would remain district employees. West and Tipton said the bill is intended to keep the school within the public system, with the local district initiating the process and maintaining accountability through a time-limited contract that can be ended if the school fails to perform. They emphasized that the school would serve the existing student population rather than select students, and that teachers would remain district employees with their pensions and related contributions unchanged. Representative Brown raised concerns that exceptions and charters could leave lower-income children behind, while West responded that the bill is meant to expand choice for families who otherwise lack access and cited examples from other states where outside management and parental involvement helped turn around low-performing schools. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• Mayo Clinic MLD is a rare genetic disorder with symptoms that include loss of motor skills like walking
• Genetic disorders have such a powerful impact on families, and now we know that technology is advancing
• /c> be here supporting this effort uh be here supporting this effort uh genetic<00:02:15.280> disorders
• have such a such a genetic disorders have such a such a powerful<00:02:19.080> impact<00:02:19.440
• it's really important that we disorders it's really important that we as<00:02:38.120> a<00:02

Keywords: 1187, senate, all

Transcript Highlights:

• and substance use disorder.
• , that have either been brought on by substance use disorder or substance use disorder was then the lynchpin
• Uh, 70% struggle with mental health disorder. 76% have a history of substance use disorder.
• Uh, 70% struggle with mental health disorder. 76% have a history of substance use disorder.
• <01:19:09.360> than<01:19:09.600> others disorders than others disorders than others >

Keywords: 0:00:04 Call to Order 0:00:50 Dept for Public Advocacy 0:51:31 Life Learning Center 1:21:06 Adjournment, 958, all

Summary: The Budget Review Subcommittee on Justice and Judiciary heard testimony from the Department of Public Advocacy (DPA) on attorney compensation and alternatives to incarceration. Because the committee lacked a quorum, the chair skipped formal roll call and minutes approval, then invited DPA Public Advocate Damon Preston, Deputy Public Advocate Melanie Lowe, and alternative sentencing worker Cena/Tina Mills to present. Preston said DPA is fully state-funded, has 698 funded positions, and was near full staffing with 673 filled positions and 42 new law graduates expected to join in August. He argued that DPA’s resources lag behind those of prosecutors, noting that local prosecutorial offices receive substantially more total funding and have additional revenue sources beyond the state budget. Preston focused on salary disparities and turnover. He said DPA trial-office attorneys total about $26 million in salaries, compared with about $41.9 million for prosecutors on publicly listed state funding, and estimated that more than 100 additional prosecutors are paid through other sources, bringing total prosecutor compensation to a little over $50 million versus DPA’s $26 million. He said starting DPA attorney pay is $58,200, experienced attorney pay averages about $73,000, and that these levels are too low given law school debt and the state’s constitutional obligation to provide defense counsel. He also said DPA attorney turnover is about 20%, median service time before separation was 15 months in 2024, and exit interviews often cite salary as the main reason for leaving. He gave examples of former DPA attorneys moving to prosecutor offices for raises ranging from 12% to 50%. Committee members asked about how often defendants are represented by private counsel versus DPA and how that affects workload. Preston said a 2017 study found about 50% of misdemeanor cases and about 75% of circuit court cases were handled by DPA, with DPA handling most of the most labor-intensive cases. He said DPA will step aside when a defendant hires private counsel or is found ineligible, and he acknowledged the system historically erred by denying counsel in some cases, though he said the current concern is whether DPA is now appointed too broadly. Members requested updated trend data on appointments over the past decade. Preston also described DPA’s pay scale and said the agency’s compensation structure makes retention difficult. Mills then described DPA’s alternative sentencing worker program, which she said has operated for about 20 years and has received national recognition. She shared a case example involving a client named Patrick, who faced a prison sentence on a possession charge and was referred to a horse-based treatment and certification program in Shelbyville. She said the client wanted treatment and a fresh start, a bed became available, and she and the client’s attorney presented an alternative sentencing plan to the court. The presentation was interrupted briefly by a technical issue, but the testimony continued.

Transcript Highlights:

• But this rule is for adolescent residential substance use disorder treatment services in a hospital setting
• But this rule is for adolescent residential substance use disorder treatment services in a hospital setting
• So we have not had a specific provider type for substance use disorder services for adolescents, for
• treat it kind of secondarily if there's something going on, but this is specific for substance use disorder

Summary: The committee opened with prayer and approved the minutes. It then heard an emergency rule from the Department of Human Services on hospital-based residential treatment for adolescents with substance use disorders. Paula Stone explained that the rule would allow Medicaid reimbursement for residential treatment services provided in a hospital unit for ages 12 and up, with Unity Hospital in Searcy expected to be the first provider. Members asked about licensure, length of stay, and cost; Stone said stays would be determined by ASAM criteria rather than a fixed cap, the projected rate submitted to CMS was $850 per day, and the unit would have 24 beds split between boys and girls with an on-site school. The committee next considered an electronic visit verification rule for in-home personal care, attendant care, respite care, and home health services. Elizabeth Pittman said the update was intended to keep the state compliant with federal EVV requirements, improve auditing and corrective action authority, and encourage more electronic claims submissions. She also noted the rule would remove the W-9 submission requirement for provider enrollment to allow IRS verification. Members asked whether EVV was federally required and were told Arkansas uses an open system that allows providers to use the state option or a third-party vendor. After the presentations, the committee took no further action beyond noting that the EVV rule stood reviewed. The meeting then adjourned.

Transcript Highlights:

• I have over 30 years' experience in substance use disorder, providing treatment and training for staff
• , to limit the over one year exemptions to only the purposes of fraud or abuse. in substance use disorder
• , in substance use disorder, providing<00:10:00.160> treatment<00:10:00.760> and<00:10:
• It also helps ensure the people facing mental health and substance use disorder challenges can get the
• who are faced substance use disorder who are faced with<00:25:13.800> challenges<00:25:14.240

Keywords: 919, house, all

Summary: The committee took up House File 729, an omnibus policy bill, and walked through a series of amendments before moving the bill forward. Early amendments addressed adult maltreatment accountability, senior nutrition flexibility, MA provider enrollment and fraud prevention, Direct Care and Treatment data and staffing provisions, disability and aging policy changes, technical corrections from DHS, behavioral health language, and MDH policy updates. Most amendments were adopted without public opposition, and several members and testifiers described them as clarifications or technical fixes to existing policy. Testimony focused on the practical effects of the bill’s provisions. Direct Care and Treatment representatives said the changes would help with data sharing, governance, staffing, patient care, and longer return stays for certain patients. Several witnesses from the substance use disorder and health care provider community supported changes to discharge summary deadlines and claims recoupment rules, arguing that business-day timelines and limits on late clawbacks would reduce administrative burden and financial uncertainty. A disability advocate also urged passage of the bill, saying services for people with disabilities were at risk if it did not advance. After public testimony and member discussion, the committee adopted the DE2 amendment as amended and then approved the bill as amended. Chair Noor renewed the motion to re-refer House File 729 to the Committee on Ways and Means, and that motion passed.