Transcript Highlights:

• The governor funds available.
• Opposed, nay. was available, so was available, so >> Okay,<00:19:11.800> thank<00:19:12.040
• still facing a shortage of shelter beds. still facing a shortage of shelter beds.
• <00:46:15.720> couples Agate also maintains a 48-bed couples Agate also maintains a 48-bed
• the 48 beds that we have in existence. the 48 beds that we have in existence.

Keywords: 1187, senate, all

Transcript Highlights:

• What do you think our available bed capacity is right now in the aggregate between county facilities
• I told you last time I was here there were 1,500 available beds that ICE had in the state of Florida.
• what they need are beds.
• I told you last time I was here, there were 1,500 available beds that ICE had in the state of Florida
• And additionally, the governor and cabinet will review the number of vacant detention beds available

Summary: The Senate Appropriations Committee took up SB 2-C, a major immigration enforcement bill sponsored by Senator Gruters and co-introduced by Senator Fine. Gruters described the measure as a broad crackdown on illegal immigration that would replace a single immigration officer with a State Board of Immigration Enforcement, create a $250 million grant program for local law enforcement, fund additional Department of Agriculture interdiction staff and facilities, expand pretrial detention for certain unauthorized immigrants, increase criminal penalties, require more cooperation with ICE, and eliminate in-state tuition eligibility for undocumented students. He and supporters framed the bill as a way to support law enforcement, deter illegal immigration, and align Florida with federal enforcement efforts. Committee questioning focused heavily on the bill’s education, detention, and enforcement provisions. Senators pressed Gruters and Fine on why the bill did not address employer sanctions or E-Verify, whether the tuition changes would affect students who had grown up in Florida, how sanctuary-policy enforcement would work, and whether the bill would create practical burdens for prosecutors, jails, and local officials. Gruters said he was open to working on E-Verify in regular session but not to amending this bill, and Fine argued the tuition repeal would apply to undocumented students who had qualified under existing law. Sheriff Bob Gualtieri testified in support, saying ICE bed capacity was still insufficient and that county jails needed more resources to honor detainers. Mark Schlachman of FSU Law offered historical context, noting prior state-federal cooperation efforts and warning of unintended consequences, while several public witnesses opposed the bill as unconstitutional, costly, and harmful to immigrant families and the economy. Opponents from the Southern Poverty Law Center, ACLU of Florida, Florida Center for Fiscal and Economic Policy, Florida Policy Institute, AFL-CIO, and immigrant advocacy groups argued the bill would invite litigation, encourage racial profiling, harm the workforce and higher education, and punish law-abiding immigrants and their families. They emphasized that immigration is a federal matter, that K-12 education must be provided regardless of status, and that removing in-state tuition would reduce access to college and hurt Florida’s economy. Some speakers urged the committee to grandfather current students if the tuition waiver is repealed. The meeting ended with continued public testimony and no final vote reflected in the transcript provided.

Transcript Highlights:

• of even needing these beds. of even needing these beds.
• more beds is not the answer. more beds is not the answer.
• More beds for me, more beds is not the answer.
• So, Colorado, do the math. 700 beds, $56,000 times 700 beds.
• So, do we need more beds? >> Yes, we probably need more beds.

Keywords: 981, all

Summary: The House convened, led the pledge of allegiance, and established a quorum before approving the corrected journal. The Majority Leader then moved a long list of bills—House Bills 1150 through 1179—to be made special orders for February 11, 2026 at 9:15 a.m., and the chamber agreed without objection. The committee then took up House Bill 1150, a supplemental appropriation for the Department of Agriculture. Representative Serna explained it included technical adjustments tied to other agencies, plus a pilot program to test a biocontrol strategy for the mountain pine beetle infestation in Colorado’s ponderosa pine forests. After brief opposition from a member who said he would vote no on spending measures generally, the bill passed. House Bill 1151, the supplemental appropriation for the Department of Corrections, generated extensive debate. Supporters said the bill was necessary to cover major costs such as medical case loads, outside medical and mental health contracts, local jail payments, prison case load, private prison utilization, and food services, while also addressing staffing and parole/community corrections coordination. Opponents argued the state keeps funding more beds instead of investing in services that reduce incarceration, criticized DOC management and delays, and said the legislature should demand better accountability and efficiency. Supporters countered that DOC does not control the parole board or community corrections, that the prison population is aging, and that the state must pay for required custody and care. The transcript ends amid continued debate over the corrections supplemental, with no final vote on House Bill 1151 shown in the excerpt.

Transcript Highlights:

• So out of 36 beds, typically 50% of those are filled by children.
• We're a 156-bed shelter and we include many of the services that Mr.
• Parker, how many beds do you have in your facility? 156. Thank you.
• If it's about the number of beds we would hold for specific, um, for, um,... ...the number of beds we
• It's going to become an issue of our bed number of beds.

Summary: The committee held a panel discussion on Florida’s domestic violence system, focusing on the roles of the state, the federally designated coalition, direct-service providers, and law enforcement. Members reviewed the history of the system after the dissolution of the former coalition in 2020, the creation of the Florida Partnership to End Domestic Violence, DCF’s Office of Domestic Violence, and the current contract structure involving Women in Distress and its subcontractors for hotline and legal services. Panelists also discussed the 2024 lethality assessment law, the workgroup’s conclusion that the evidence-based Maryland tool could not be used because of copyright and cost issues, and the state’s current use of statutory questions instead. DCF and FDLE described the statewide certification and funding framework, including more than $60 million in domestic violence funding for fiscal year 2025-26 and the requirement that law enforcement complete lethality-assessment training by October 1, 2026. Testimony highlighted both collaboration and conflict. Florida Partnership to End Domestic Violence and Women in Distress described overlapping training and technical-assistance roles, but disagreed sharply about the quality of their relationship with DCF and whether the current structure is duplicative. DCF said it maintains communication with both the coalition and the centers and emphasized that the coalition is federally required, while the coalition argued that the department has obstructed its work. Women in Distress and Hope Villages stressed direct services, prevention, and the need for more housing, staffing, and funding, especially in rural areas. They also described programs in schools, hospitals, and child welfare settings, and noted that children exposed to domestic violence often need specialized services. Members asked about funding flows, certification, rural coverage, the number of centers, and the lethality assessment rollout. DCF said the 41 certified centers serve all 67 counties and that no new applications have been received in about 15 years. FDLE reported that 46 of roughly 400 law enforcement agencies had completed the lethality-assessment training and attestation, with the statutory deadline still ahead. Panelists said domestic violence appears to be increasing, citing higher hotline demand, shelter occupancy, and local case numbers, while also noting that statewide crime data remains outdated. The discussion ended with calls for better coordination, clearer implementation of statutes, more funding, and possible legislative fixes to improve data collection, training, and service delivery.

Transcript Highlights:

• So, I to have that option available.
• And that will free up the bed space for the person in the seven-bed jail that’s trying to get in there
• amount of community resources available amount of community resources available to<00:59:59.200>
• And then the hope that the future availability of bed dates, it’s my understanding some of the data we
• availability.

Bills: SF0007, SF0008, SF0009, SF0010

Keywords: theft, penalties, larceny, criminal offense, felony, Wyoming, absconding, law enforcement, criminal justice, fentanyl, controlled substances, minors, drug distribution, enhanced penalties, mental health, detention, competency evaluation, treatment, contractual agreements, 916

Transcript Highlights:

• available, people are surprised.
• But, you know, there are a limit to the number of beds.
• So I think it's, I think it's an important, it's available.
• You're protecting them by having the ombudsman available to them.
• You're protecting them by having the ombudsman available to them.

Keywords: 995, all

Summary: The Special Commission on Continuing Care Retirement Communities met for its third meeting, focused on regulations, oversight, and enforcement. Staff and agency presenters reviewed the current framework: the Executive Office of Aging and Independence explained that assisted living regulations generally do not apply to CCRCs unless an assisted living component markets itself separately, and that CCRCs must submit marketing materials, contracts, and disclosure statements for public posting. The Attorney General’s office described Chapter 93A consumer protection standards and noted it is working on draft assisted living-specific regulations. DPH outlined its oversight of licensed nursing facilities associated with some CCRCs, including routine surveys, complaint investigations, and enforcement tools such as admissions freezes, fines, receivership, and license actions, along with federal CMS sanctions for certified facilities. Commission members and presenters then discussed gaps and ambiguities in how CCRCs are defined and regulated, especially whether communities without on-site skilled nursing should still be treated as CCRCs, how assisted living-like services within CCRCs are classified, and whether residents have enough clarity about the services they are buying. A major theme was disclosure: members raised concerns about entrance fees, refund timing and conditions, whether skilled nursing is on-site or provided by contract, and how residents can compare communities. Several participants suggested more standardized disclosure and possibly broader consumer protection rules, while others cautioned that overly rigid requirements could affect community finances and development. The commission also explored enforcement and resident protections. Some members argued that independent living residents are already covered by landlord-tenant law and that existing complaint systems and community education may be sufficient, while others said residents in supported or assisted settings within CCRCs should have clearer access to ombudsman services and oversight. The discussion turned to closure and ownership transfer, with members citing recent national examples of sales and bankruptcies that changed resident terms. DPH explained its closure process for licensed nursing facilities, and members noted that Chapter 197 of 2024 adds oversight for facility transfers and financial disclosures. The meeting ended with logistics for the next session at Brookhaven at Lexington on June 2, a public hearing on June 16, and a request to circulate the hearing notice broadly to residents and stakeholder organizations.

Transcript Highlights:

• We want to make sure that we have the right number of mental health beds, residential mental health beds
• have available.
• But, you know, this idea that just because the bed is open doesn't mean it's an appropriate bed.
• Just because the bed is open doesn't mean it's an appropriate bed.
• The bed is not a bed is not a bed. And that's one of the challenges we see, right?

Summary: The committee heard testimony on the effects of H.R. 1 on Washington’s Medicaid, developmental disability, long-term care, and food assistance systems, followed by a separate discussion of juvenile rehabilitation caseloads and placement capacity. DSHS officials said HR1 could affect home equity rules, immigration-related eligibility, work requirements for some expansion-population enrollees, and provider taxes, while also creating a future opportunity for a new 1915(c) waiver. Advocates and providers warned that any state response that cuts home and community-based services would worsen already thin provider networks, increase waiting lists, push more people into hospitals or out-of-state placements, and strain families and workers. A pediatric behavioral health expert and a supported living provider said Medicaid reimbursement is already too low and further reductions would threaten outpatient, residential, and inpatient services for people with intellectual and developmental disabilities and severe behavioral needs. The committee then turned to SNAP and the state food assistance program. DSHS said HR1 would tighten work requirements and exemptions, end some immigrant eligibility for the federal program, eliminate the SNAP education program, raise state administrative costs, and eventually require Washington to share in benefit costs based on its error rate. Officials estimated large numbers of residents could lose or see reduced benefits, with significant added state costs. Anti-hunger advocates, a food bank director, and a SNAP recipient described the program as essential for low-income families, seniors, and people with disabilities, and said the changes would increase paperwork, reduce benefits, and worsen food insecurity while also harming local food economies. Testimony emphasized that food banks cannot replace SNAP and that work requirements may be difficult to meet for caregivers, people with disabilities, and those facing child care or transportation barriers. In the juvenile justice portion, the Caseload Forecast Council presented the JR forecast, which is currently mostly flat through the end of the biennium but expected to grow modestly over the longer term. Members discussed how policy choices, including the 2019 JR-25 law, have increased lengths of stay for adult-sentenced youth in JR, while diversion and other reforms have affected regular JR trends. A court researcher explained the data available to help forecast admissions and noted ongoing efforts to improve data sharing with JR, AOC, and county systems, though staffing and system-lag issues limit how quickly data can be produced. Juvenile court administrators and DCYF officials described the community-based juvenile justice continuum, rising complexity in the JR population, overcrowding at Green Hill and placement constraints at Echo Glen and Harbor Heights, and the need for more flexible community transition and mental health capacity. No votes were taken.

Transcript Highlights:

• and comfort of knowing there's going to be an aide or a nurse there available around the clock.
• There's space throughout the entire state, representing about just under 3,500 beds.
• Of significance, the assisted livings are predominantly less than 25 beds.
• There are a total of about 10,800 beds that exist in West Virginia.
• of the beds or their insurance companies trying to get them out of the facility.

Keywords: 994, senate, all

Summary: The committee met with a quorum present and heard a presentation from Marty Wright, CEO of the West Virginia Healthcare Association, on the state’s long-term care system. He described the continuum from home care to assisted living to skilled nursing facilities, emphasizing that these settings increasingly serve short-term rehab-to-home patients as well as older adults needing round-the-clock care. He also outlined the number of facilities in West Virginia, the predominance of Medicaid as the payer for long-term nursing home care, the private-pay nature of assisted living, and the role of OFAC/CMS in regulation. A major focus of the presentation was workforce shortages and turnover, especially for CNAs, LPNs, and RNs, along with declining interest in nursing careers and the impact of regulatory burden and burnout. Wright said the system is also struggling to serve younger patients with substance use disorder, mental illness, or other behavioral needs, who are often not well suited for traditional nursing home placement but have limited alternatives. Senators raised concerns about where such patients are being housed, the long-term effects of opioid and behavioral health issues, and the gap between school-age special needs populations and adult care needs. Wright said Medicaid can cover long-term nursing home care for those who meet financial and medical eligibility requirements, but affordability and spend-down requirements remain major barriers. He also warned that Medicare Advantage can create confusion and shorter covered stays for rehab patients, and he urged early planning around long-term care insurance and estate planning. No votes were taken on the presentation, and the committee adjourned after questions and discussion.

Transcript Highlights:

• Also, crisis stabilization or respite is available.
• Census in the intermediate care facility is 84, with 104 funded beds and 116 CMS-certified beds, and
• the nursing facility census is 85, with 100 funded beds and 100 certified beds.
• Census and intermediate care facility is 84 with 104 funded beds and 116 CMS certified beds and the nursing
• facility is census is 85 with 100 funded beds and 100 certified beds.

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

Transcript Highlights:

• And so that's another sort of option available.
• And then black are lignite beds.
• So those two beds, the rain bed, the Bairden, if you can keep those in your head, the Bairden, that upper
• Then when we got down to the Bairden and the rain bed, now the entire bed is enriched.
• It's pretty close to the rain bed.

Summary: The committee met to review advanced nuclear energy issues in North Dakota, beginning with approval of the April 21, 2022 minutes. Nucleon presented an overview of the advanced reactor landscape, distinguishing light-water SMRs, advanced Gen 4 reactors, and microreactors. The presentation emphasized that light-water SMRs are the most near-term deployable and use familiar low-enriched uranium fuel, while many Gen 4 designs may require high-assay low-enriched uranium (HALU), which is not yet supported by a mature U.S. supply chain. Nucleon also noted that advanced reactors are being developed primarily for industrial heat applications, while microreactors are niche, higher-cost systems for remote or mission-critical uses. Committee members asked about fuel availability, safety, recycling, and whether large reactors such as AP-1000s were evaluated; the presenter said fuel development is proceeding in parallel but remains a bottleneck, and that siting and grid capacity often make SMRs more practical than gigawatt-scale plants in North Dakota. Representatives from the National Association of State Energy Officials described how other states are supporting advanced nuclear through task forces, roadmaps, regional coordination, grants, tax incentives, workforce and supply-chain efforts, and pilot programs. They highlighted the Advanced Nuclear First Mover Initiative and said states are focusing on multi-state coordination, demand aggregation, regulatory coordination, waste management, workforce readiness, and community engagement. They also discussed affordability tools such as construction work in progress (CWIP), financing incentives, and consumer protections, citing examples from Kentucky, Texas, Virginia, Illinois, Missouri, Utah, Tennessee, and others. In response to questions, they explained that pilot programs often involve site-readiness and feasibility studies, and that the federal Nuclear Innovation Campus process is moving forward with multiple submissions while broader waste and recycling policy may require congressional action. The Public Service Commission said it would likely have a major role in any North Dakota nuclear project through certificate-of-public-convenience-and-necessity review, siting, and rate regulation, but noted gaps in current law for small reactors, co-located facilities, NRC coordination, and long-term site stewardship. The commissioner said the commission has no authority over a private, self-contained reactor not connected to the grid. The Department of Environmental Quality explained that the state regulates radioactive materials under its agreement-state authority, but NRC retains primacy over fission reactors; DEQ would likely assist with emergency planning and could have a larger role if fusion reactors emerge. The Department of Emergency Services said it would serve as the lead off-site preparedness agency, requiring a dedicated radiological emergency preparedness program, training, drills, public outreach, and likely additional funding and staffing, with industry expected to bear much of the cost. The Department of Water Resources said North Dakota’s water laws and prior-appropriation system are adequate for nuclear siting, that the Missouri River is the best likely source, and that no statutory or budget changes are currently needed from a water perspective. The committee recessed for lunch after these agency presentations.

Transcript Highlights:

• They are now able to know in real time what beds are occupied and which are available, should someone
• number of beds that are available<02:51:41.920> and<02:51:42.040> then<02:51:42.239>
• to be sheltered, and whether the drop from 2023 to 2024 was a drop in beds available or a drop in persons
• available.
• admission so we have those beds admission so we have those beds available<04:37:25.400> um

Keywords: 928, house, all

Summary: The House Finance Committee’s Division 3 held a public work session on the Behavioral Health budget on February 27, 2025. The chair opened by explaining the schedule, materials, and deadlines for the budget process, and noted there would be no motions or votes in the division that day. Division of Behavioral Health Director Ktia Fox and DHHS CFO Nathan White then walked the committee through the division’s mission, structure, and budget materials, describing the division’s four bureaus: Mental Health Services, Children’s Behavioral Health, Drug and Alcohol Services, and Homeless Services, along with the policy unit. They emphasized the division’s role in oversight, technical assistance, quality assurance, contracting, and the continuum of care from prevention and early intervention through crisis and residential services. Much of the discussion focused on major programs and funding lines, including the 988 Lifeline contract with Headrest, a technical assistance contract with UNH, Medicaid pass-through payments to New Hampshire Hospital and Glencliff, crisis response services, cold-weather homeless responses, housing supports, and the children’s system of care. Members asked about the UNH contract, the 988 program, crisis stabilization centers, and the peer certification program; Fox explained that the peer certification is a training-and-credentialing pathway for people with lived experience to enter community-based behavioral health work, not a volunteer program. The committee also discussed the “Choose Love” program, which Fox said was created after the Sandy Hook tragedy to build resilience and strength-based emotional regulation in schools and communities. On the children’s side, Fox described the system of care account as the place where many contracted services are budgeted, including community mental health centers, care management entities, rapid response services, and residential programs. Members asked about temporary staffing, and Fox said roughly $500,000 in temporary staff costs shown in the current year would not be spent next year because the money came from a nonlapsing appropriation in HB 1573 for oversight of children’s residential services. She also said provider rate increases were a prioritized need but were not funded in the governor’s current budget, and that the Children’s Behavioral Health Resource Center was not funded, resulting in about a $1 million reduction. The session ended while the division was still moving through the children’s behavioral health slides, including questions about the Fast Forward high-fidelity wraparound program and medication management.

Transcript Highlights:

• appropriation for the pre-planning process to create a psychiatric residential treatment facility, a 30-bed
• Facility, a 30-bed facility for children.
• First, as the memo in your packet outlines, over the past 20 years, Minnesota has lost over 850 beds
• <00:02:30.040> in Minnesota has lost over 850 beds in Minnesota has lost over 850 beds in
• are available for questions. are available for questions.

Keywords: 1183, house

Transcript Highlights:

• Boarding in the ER due to lack of availability in behavioral beds for children could be up to three weeks
• are not available.
• , including 70 psychiatric beds.
• Well, it was only for 130 beds. We lost 61 psych beds that were at the hospital for years.
• beds and a birthing center as well.

Keywords: 995, all

Summary: The committee hearing covered a wide range of public health bills, with much of the testimony focused on two major themes: expanding access to care and stabilizing health-related workforces and services. On House 2364, an act relative to medical health and fitness facilities, representatives from Dedham Health and Athletic Club argued for a pilot program recognizing supervised exercise as medicine, saying it could improve outcomes for chronic disease, fall prevention, and mental health while reducing costs. On House/Senate bills concerning community health workers (H. 359/S. 251), multiple witnesses from MACHW, Health Care for All, MHA, Cambridge Health Alliance, Mass General Brigham, Boston Children’s Hospital, Asian Women for Health, and the City of Somerville described CHWs as essential for navigation, trust-building, language access, and addressing social needs, and urged reimbursement by MassHealth, the GIC, and private insurers, along with workforce development measures. One pediatric neurologist also told the committee that losing grant-funded CHW support led to more avoidable ER visits and threatened clinic operations. The committee also heard extensive testimony on hospital closures and essential services. Witnesses including Dr. Alan Sager, MNA President Katie Murphy, nurses from Brockton Hospital and Providence Behavioral Health, and local officials and legislators from Norwood described the loss of hospitals and service lines, especially maternity, pediatric, and behavioral health care, and argued current closure processes are too weak to protect communities. They supported bills such as H. 2460/S. 1503 and H. 2534/S. 1574, which would require earlier notice, community input, stronger state oversight, possible receivership, and limits on reopening or expanding after closures. Testimony emphasized the impact of Steward’s bankruptcy, the closures of Carney and Neshoba Valley, and the need to preserve access to essential services in underserved areas. Several end-of-life and professional regulation bills were also discussed. On H. 2436, Representative Omar Gomez and funeral industry witnesses supported eliminating Office of the Chief Medical Examiner fees for the removal of a child’s body in cases involving children five and under, describing the bill as a small but important relief for grieving families. On H. 2444 and related Senate bills, cemetery and consumer advocates supported legalizing alkaline hydrolysis and natural organic reduction as environmentally friendly after-death options, while cemetery representatives opposed H. 2360, which would allow funeral establishments to operate crematories, arguing cemeteries should retain that role. The committee also heard support for H. 2382, which would exempt dentists and oral surgeons from a new office-based surgical center framework, and for H. 2461, which would create hospital efficiency standards; employers and retailers backed that bill as a way to address rising health care costs. Finally, the committee heard testimony on autism services and hospital governance. On S. 1414, behavior analysts and school representatives said Massachusetts already licenses assistant-level ABA providers but MassHealth does not reimburse them, causing long waitlists and limiting school and family access; an actuary testified that a three-tier ABA reimbursement model could reduce MassHealth costs by up to 6% per child served. Senator Lovely also testified in support of S. 1572, which would require at least one registered nurse on each acute care hospital governing board, arguing nurses’ frontline perspective would improve quality and retention. No votes were taken in the hearing excerpt, but many witnesses urged favorable reports on their respective bills.

Transcript Highlights:

• Second, if we want fewer homeless people in our city, we need more beds.
• We need additional beds, but we need different types of beds in our city.
• What is the average occupancy rate of your existing 280 beds?
• So I really appreciate you saying, we need to increase the beds.
• So those records will always be available for investigators.

Transcript Highlights:

• My first question, though, how much would be available?
• Yes, we have for the local mental health authority beds, we have a cap on $800. per bed per day.
• to be available, is that?
• available since Ubaldi is not open yet.
• whether that's with us or a private bed.

Keywords: budget, House Bill 1, public education, healthcare, border security, federal funding, spending limits

Summary: The meeting primarily focused on reviewing the proposed budget for the upcoming biennium, with substantial discussions around House Bill 1 and its implications for public education, healthcare, and border security. The Comptroller presented a revenue overview indicating a total of $194.6 billion available for general purpose spending, which reflects a slight decrease compared to previous years due to fluctuating economic conditions. Members raised questions regarding spending limits and the impact of federal funding on state programs, highlighting concerns about the sustainability of funding in light of potential changes at the federal level.

Transcript Highlights:

• So the three-phase power and the amount you needed was not available; you had to add poles and lines,
• So the three-phase power and the amount you needed was not available, you had to add poles and lines,
• of the 204 beds that we're allotted.
• to figure out how we're going to retool this to actually utilize those beds.
• And thank you, sir. out how we're going to retool this to actually utilize those beds.

Keywords: 1204, all

Transcript Highlights:

• Plus, you'd have to vacate the lower 24 beds...
• So my view is actually that we don't need beds.
• One way to decrease the cost per bed is to add more beds.
• Instead, we're taking beds out, which increases the cost per bed, if that's the way you want to think
• So the next item is the grant to Altru for additional beds. Grant to Altru for additional beds.

Bills: SB2399

Keywords: mental health, psychiatric treatment, reimbursement, medical assistance, legislative report, 908, all

Summary: The Senate Appropriations HR Division met to work through amendments and budget items in House Bill 2012/HB 1004, focusing first on long-term care, disability services, and behavioral health. Members discussed competing approaches to a four-plex for medically complex individuals, a value-based care payment withhold for nursing facilities, accreditation requirements for providers, a study of developmental disability services, and funding for Family Voices and Ann Carlson-related services. Several amendments were accepted or set aside after discussion, including a study amendment for disability services and a Family Voices grant amendment that was adjusted to remove “one-time” language so it could continue as an ongoing grant. The committee also agreed to keep or defer some items for conference committee, including the youth crisis stabilization pilot and other long-term care proposals. A major discussion centered on the state hospital project. Members debated whether the $330 million project should remain in the DHS budget or be moved to the OMB budget for construction management. After discussion of costs, alternates, and the role of a steering committee and BND loan language, the committee agreed to remove the state hospital funding and related loan language from the DHS budget while leaving the steering committee language in place. The committee also considered a proposed Altru grant for additional beds and settled on a smaller planning-focused approach, with a $1 million grant and a line of credit concept to be refined later. The committee then turned to behavioral health items, including QRTP funding, nursing home behavioral health training, and a youth crisis stabilization pilot. Members generally supported keeping the QRTP funding level, but were divided on the nursing home behavioral health training and the crisis stabilization pilot, with some preferring to leave those issues for conference committee. The division also reviewed the HHS block grant and underfunding structure, with Donna Ackland explaining salary, vacancy, and flexibility calculations; the committee discussed adjusting the underfund and revenue assumptions but did not finalize every number before moving on. Finally, the committee took up House Bill 1577 on wastewater treatment grants. Senator Davison moved to hoghouse the bill into a study-focused version using the proposed amendment language, and the motion passed. The committee then moved HB 1577 as amended with a do pass recommendation; the roll call passed with Senators Cleary, Davison, Dever, and Mathern voting yes, and Senator Magrum not recorded as voting. The meeting adjourned with plans to return later in the day to continue budget work.

Transcript Highlights:

• make sure that we have beds you make sure that we have beds available<01:31:03.440> expansions
• Housing available or appropriate housing available for people to ultimately live in so that they can
• We have seen that small uptick in designated receiving facility beds, DRF beds.
• <01:36:41.280> that facility beds drf beds we've seen that facility beds drf beds we've seen
• <01:40:24.159> at increased the number number of beds at increased the number number of beds

Keywords: 928, house, all

Summary: House Finance Division III held an informational hearing with the Department of Health and Human Services focused on child and family services, children’s behavioral health, DCF, juvenile justice, and adult mental health. Before the presentation, members discussed scheduling a future site visit to Waypoint, including possible dates, mileage reimbursement logistics, and whether to reschedule the department’s developmental disabilities and healthy aging presentation because the associate commissioner was out sick. The department then outlined that it would concentrate on children’s behavioral health, DCF residential care and the Sununu Youth Services Center/YDC new build, and adult mental health, while noting the broader DHHS structure and the value of keeping related services under one leadership. The department emphasized an integrated “system of care” approach and said it was trying to shift resources toward earlier, lower-intensity interventions rather than relying mainly on high-cost residential and acute services. It cited youth risk data showing roughly four in ten New Hampshire high school students feeling sad or hopeless and about one in five considering suicide in the past year, and said these trends worsened during the pandemic, peaking in 2021 and easing somewhat by 2023. Members asked how New Hampshire compared with neighboring states and about pre-COVID trends; the department said it would follow up with more exact data. The presentation also described a long-term policy effort beginning with federal funding in 2012, the state’s 10-year mental health plan, and later legislation aimed at strengthening children’s behavioral health and transforming juvenile justice so that youth with behavioral health needs are not routed into punitive systems first. Members raised questions about out-of-state residential placement oversight and the statutory basis for inspections and follow-up. The department said the General Court had funded more “boots on the ground” oversight, in coordination with the Office of the Child Advocate, and agreed to provide a longer follow-up presentation on that topic after the governor’s budget is released. The department also described evidence-based prevention efforts, including home visiting programs such as Healthy Families America and a DCF-connected home visiting cohort for families already touching the child welfare system, as examples of trying to keep children out of deeper system involvement.

Transcript Highlights:

• available in state.
• With that, I'm available for any questions. Any questions for staff?
• Right now, that bed does not exist on a permanent basis.
• Cesar Estrada Chavez Day and which, And with that, I'm available for questions.
• And with that, I'm available for questions.

Keywords: 1182, all

Summary: The caucus briefly reviewed House Bill 2307, which addresses the placement and treatment of dangerous, incompetent defendants when no secure mental health beds are available in Arizona. Staff explained the Senate amendments would allow one such defendant to be housed temporarily at the Arizona State Hospital in a secure setting, require DHS to study the cost of building or converting a secure facility on ASH grounds, create a study committee on long-term secure mental health facility options, and include an emergency clause. The sponsor said the bill is intended as a temporary fix while the state works toward a permanent secure facility, and noted the individual would receive mental health treatment aimed at restoring competency to stand trial. Members asked about where the person would be housed, whether treatment would be provided, and whether out-of-state compacts might be used if needed. The group then discussed House Bill 272, which as passed the House would have created an optional state certification program for lactation care providers and a related advisory committee under the Arizona Department of Health Services. Staff reported that the Senate adopted a strike-everything amendment turning the bill into an emergency measure repealing Dr. Cesar Estrada Chavez Day. The sponsor, Representative Fink, was reported to concur with the Senate amendments. No votes were taken during the caucus discussion.

Transcript Highlights:

• health hospital beds.
• health hospital beds.
• > this behavioral health hospital beds and this behavioral health hospital beds and this bill<00:
• to another state state operated bed to another state operated<00:24:09.440> bed<00:24:10.120>
• > this there's a bed that is available this there's a bed that is available this Friday<00:35:44.040

Keywords: 1183, house