Transcript Highlights:

• was no information about social behavior was no information about social behavior Family<03:50:28.040
• <04:17:22.920> or not just focus on um sexual behavior or not just focus on um sexual behavior
• <04:29:01.520> occurring significant uh risk behaviors occurring significant uh risk behaviors
• We address the behavior.
• include all manner of student Behavior include all manner of student Behavior what<05:35:21.760>

Keywords: 928, house, all

Summary: The House Education Policy and Administration Committee heard testimony on House Bill 71, which would bar public elementary and secondary schools and higher education facilities from being used as shelters for certain non-citizens, with a stated exception for short-term emergency sheltering of up to 72 hours and for community-wide emergency use. Prime sponsor Rep. Juliet Harvey-Bolia said the bill was modeled on federal and out-of-state proposals and was prompted by examples in New York and Massachusetts where schools or other facilities were used as shelters, causing disruption. She argued the bill does not truly “ban” anything, but instead places a condition on receipt of state funds, and said the fiscal note’s projected loss of federal funding was unsupported and should have been described as undeterminable. Committee members questioned the bill’s scope and practical effects, including whether it would apply to vacant school-owned buildings, schools used during summer, charter schools, and situations where other states send people without advance notice. Harvey-Bolia said vacant buildings not functioning as schools would not be covered, and that the bill would still allow short-term emergency sheltering and community-wide use during weather events. She also said the bill would not prevent remote learning, and that its purpose was to avoid displacing students. Several members pressed her on the fiscal note and whether any federal or state program would actually be at risk; she said she found no evidence that funding would be lost and that DHHS had not identified a real threat. A witness from the New Hampshire Association of School Administrators, Jerry FW, raised practical concerns about who would determine eligibility at a shelter site, how the 72-hour limit would be enforced, and whether the bill would apply to charter schools. He also noted that remote learning is no longer an option in New Hampshire, making one of the bill’s stated concerns less relevant. The discussion also included clarification of the terms “refugee” and “asylum seeker,” with members and the sponsor debating the distinction and whether refugees are vetted. No vote or final committee action was taken in the portion of the meeting provided.

Transcript Highlights:

• I'm also a board-certified behavior analyst.
• And we know that when we go out, when we provide the behavioral supports, when we provide the behavior
• We used to have three behavior analysts plus myself before, and now we're down to two.
• services, without language, that is manifesting as behavior issues.
• So we work with our educators, our hospitals, are dating. and early intervention.

Summary: The committee held its first meeting and received an overview of the Pre-K-12 education appropriations jurisdiction and base budget. Staff explained that education funding is driven largely by enrollment and per-student formulas, with most money coming from state and local sources. The presentation highlighted the major budget areas: early learning, the Florida Education Finance Program (FEFP), non-FEFP K-12 programs, federal programs, and the State Board of Education. Members asked about instructional materials funding and how scholarship students who return to public schools are counted and funded; staff explained that instructional materials remain in the base and that funding depends on survey timing, with districts ultimately funded through the enrollment count process. The committee then reviewed federal IDEA funding for students with disabilities. Department of Education officials explained how IDEA Part B funds are split between state set-asides and local educational agencies, and noted that Florida ranked fourth nationally in total IDEA Part B funding and received a 95% state determination for meeting IDEA requirements. They also described the bureau’s responsibilities, including monitoring, dispute resolution, instructional support, and the Hope Florida unit for ages 3 to 5. Members asked for more information on student performance outcomes and how the state measures success beyond compliance, and the department agreed to provide follow-up data. The final major topic was the Florida Diagnostic and Learning Resources System (FDLRS), including associate centers, multidisciplinary centers, and specialized centers for deaf/hard of hearing and visually impaired students. Presenters described services such as child find, family support, assessments, professional learning, accessible instructional materials, and technical assistance. Committee members focused on whether families and schools have equal access to services across the state, how IEP disputes and reevaluations are handled, and whether more support is needed for parents, teachers, and rural districts. FDLRS representatives said they do not write IEPs but help connect families to districts, provide training and assessments, and support compliance and data collection; they also emphasized staffing and resource needs, especially for low-incidence disabilities and multilingual family outreach.

Transcript Highlights:

• Some of these things can be quite low cost, small behavioral nudges, like text message or postcard interventions
• Intervention implementing school-based interventions, again, attendance contracts, those have been helpful
• We try to develop an intervention plan. What can we do?
• And it provides tips and interventions for parents, again, all.
• Early warning interventions for our Tier 2 students are the same.

Summary: The committee met to discuss student attendance and chronic absenteeism in Florida K-12 schools, with Chair Simon outlining the state’s attendance requirements and intervention process, including school contact after unexcused absences, child study team review, district superintendent referral, DJJ family services referral, truancy petitions, and possible parental prosecution and driver’s license consequences. Dr. Chris Curran of the University of Florida presented statewide data showing chronic absenteeism has risen sharply since the pandemic, with Florida at about 31.4% in 2023–24, and noted that absenteeism varies by district, school level, demographics, and urbanicity. He emphasized that causes are multifaceted—ranging from transportation, mental health, housing instability, safety concerns, and family circumstances—and said effective responses include early warning systems, text or phone outreach, multi-tiered interventions, mentoring programs like Check & Connect, and community partnerships. He also cautioned that punitive responses alone are often less effective than addressing root causes and keeping students engaged academically even when they miss school. Collier County Superintendent Leslie Ricciardelli described her district’s attendance efforts as a priority supported by attendance specialists, social workers, mental health staff, home visits, attendance contracts, and extensive parent communication. She said Collier’s chronic absenteeism rate was about 9% in 2023–24 and attributed success to consistent monitoring, family outreach, and community support, while stressing that students must be physically present to learn. She also argued that many absences are tied to barriers such as clothing, transportation, childcare, or family mental health, and that districts need resources to address those issues. Dr. Rachel Dawes added that Collier uses multilingual brochures, attendance awareness campaigns, vacation-planning guidance, door tags, automated calls and letters, and a truancy flow chart, with truancy court used as a last resort. Volusia County Executive Director Mike McAuliffe described a districtwide overhaul that included an attendance matters campaign, automated notices sent early and often, same-day and period-by-period notifications, a data dashboard, and tiered supports through MTSS. He said Volusia reduced chronic absenteeism from 34% in 2023–24 to a projected 29% and reported a first-quarter rate of about 20% in the current year. He highlighted community partnerships, including AdventHealth support for washers and dryers, bikes for students with transportation barriers, and monetary recognition for schools that reduce absenteeism. In response to questions, both district leaders emphasized that funding, staffing, and consistent follow-through are essential, and that attendance work is most effective when paired with family engagement, data monitoring, and practical supports rather than punishment alone.

Transcript Highlights:

• It established the 24/7 behavioral health helpline, a network of community behavioral health centers
• It established the 24-7 behavioral health helpline, a network of community behavioral health centers,
• The bill also requires CHIA to conduct an analysis of the behavioral health access and crisis intervention
• health interventions.
• health interventions.

Keywords: 995, all

Summary: The hearing opened with remarks from House Chair Mindy Domb and Senate Vice Chair Robyn Kennedy, who outlined procedures for the hybrid public hearing, noted the committee would hear testimony on 15 bills related to treatment settings, and recognized members present. The first major bill discussed was H. 4200, authorizing a pilot program for psychedelic-assisted treatment in licensed facilities. Representative Jim O’Day and witnesses from Control Z supported the bill, describing it as a tightly controlled, medically supervised pilot with DPH oversight, limited sites, and screening requirements. Committee members asked about the number of sites and whether Column Health still existed; witnesses said the bill contemplated three separate pilot programs and that Column Health no longer existed after being purchased by another company. The committee also heard testimony on S. 1405 to make the drug stewardship program permanent by removing its 2026 sunset date. Senator John Keenan and others said the program helps collect and safely dispose of unused medications, reduces diversion, and should remain in place because manufacturers should bear disposal costs. A member from Boston added support based on local concerns about people searching through bags for drugs, and Keenan explained the original sunset reflected pilot status and industry pushback. A large portion of the hearing focused on S. 1394 and H. 2193, which would strengthen implementation of the 2023 Roadmap for Behavioral Health Reform. The Children’s Mental Health Campaign, Parent/Professional Advocacy League, Massachusetts Association for Mental Health, and Elliott Community Human Services testified that the roadmap’s helpline, community behavioral health centers, and crisis services are important but unevenly implemented. They urged a single point of accountability within EOHHS, regular strategic planning, a public data dashboard, and financial analysis of the behavioral health system and the access and crisis intervention trust fund. Witnesses said commercial insurance often does not fully reimburse community behavioral health center services, making sustainability difficult, and asked for better coordination across agencies and crisis response systems. Committee members asked whether the roadmap includes substance use disorder; witnesses said it is intended to cover behavioral health broadly, including mental health and substance use. The committee also heard testimony on bills to ban aversives and on suicide prevention signage. Lisa Jean Graff testified in support of S. 1394 by urging a statewide ban on aversive practices, including electric shock, withholding food or bathroom access, and other painful interventions, arguing disabled people deserve the same protections from harm as others. Fonda Bryant and Carol McLean supported a bill requiring suicide prevention signs on tall parking garages, describing personal experiences and saying the signs could create a brief pause and connect people to 988 or other help. McLean said her son died by suicide from a parking garage and that signage might have made a difference. The committee also heard strong testimony in support of creating intensive stabilization and treatment units within DMH facilities (S. 1398/H. 2204), with the Massachusetts Nurses Association and a DMH nurse arguing that highly assaultive patients need specialized, more secure units to protect staff and other patients and to improve care. Additional testimony supported creating a dedicated board for licensed mental health counselors (H. 4696/S. 1382), with Rep. John Badger, the Mass Mental Health Counselors Association, and others saying LMHCs are a large and growing workforce that needs its own licensing board, clearer standards, and faster implementation of existing licensure reforms. The committee also heard extensive testimony on H. 2223 regarding benzodiazepines and non-benzodiazepine hypnotics. Survivors and advocates described severe withdrawal, lack of informed consent, cognitive harms, and long-term disability, while a physician supported the bill as a way to improve disclosure of risks. Finally, the committee heard multiple witnesses in favor of H. 2231/S. 1383 to establish peer-run respite centers statewide. Advocates and people with lived experience said peer respites provide non-coercive, home-like alternatives to hospitalization, can reduce trauma and repeated admissions, and may be especially important for marginalized communities; they also cited cost savings and existing positive outcomes from current respite programs. No votes or final committee actions were taken during the hearing portion reflected in the transcript.

Transcript Highlights:

• Early intervention<01:34:30.520> intervention<01:34:31.120> is<01:34:31.280> the
• <01:34:31.400> best intervention intervention is the best intervention intervention is the best
• most of those kids get no intervention. most of those kids get no intervention.
• getting no intervention at all, largely. getting no intervention at all, largely.
• less violent behaviors.

Keywords: 1187, senate, all

Transcript Highlights:

• We have up HB 391 relating to faith-based content and batterers intervention program.
• I understand there's no fiscal impact on the state, but it's my experience that batterer intervention
• For years, our faith-based batterers intervention program transformed lives, teaching accountability
• The data collection does not include behavioral health symptoms, treatment, and outcomes.
• behavioral health symptoms, treatment, and outcomes.

Summary: The Human Services Subcommittee met with a full agenda and reported all measures favorably. The committee first heard HB 1327, which would codify the Hope Florida program in state law, and HB 1329, the related public-records exemption for Hope Florida participants; both bills drew questions about oversight, duplication of services, staffing, and data privacy, and both passed 17-0 after an amendment to HB 1329. The committee then approved HB 391, allowing certified batterers intervention programs to include optional faith-based content while remaining grounded in required therapeutic models; an amendment clarified that participation in faith-based components must be strictly voluntary. Supporters argued the bill restores choice and access, while opponents raised concerns about church-state separation and uneven availability of secular alternatives; the bill passed 17-0. Members also advanced HB 1065, creating an Alzheimer’s disease awareness initiative through the Department of Elder Affairs, with broad support from members who shared personal experiences and emphasized early detection and public education. HB 1163, dealing with recovery residences, passed 12-5 after debate over local zoning authority, home rule, and whether the bill would help or hinder placement of level four recovery homes near urban cores. Several members said they supported recovery housing in principle but wanted more clarity on task force findings and local impacts before fully backing the measure. The committee next approved HB 969, which shifts evaluation of school district mental health assistance programs to OPAGA and requires reports on outcomes and effectiveness; members stressed the need to know whether substantial mental health funding is improving student outcomes. HB 1191, which decriminalizes allowing children to travel to school, play outdoors, or stay home for reasonable periods and codifies current DCF policy, passed 16-0 with support framed around parental rights and child development. Finally, HB 1207, the Tristan Murphy Act, passed 15-0 and would expand mental health diversion and treatment options, including training for first responders, a forensic hospital diversion pilot, a behavioral health data repository, and additional evaluation requirements before inmate work assignments. The meeting adjourned after all agenda bills were reported favorably.

Transcript Highlights:

• So this is a take-home for us, that these interventions—people listen.
• So this is a take-home for us: these interventions, people listen.
• So this is sort of a holistic intervention.
• Yes, I appreciate an intervention while incarcerated, but what about in the community?
• And we got certain information to them, and that behavior, if you want to call it, stopped.

Keywords: 995, all

Summary: The Special Commission on Xylazine convened its second meeting, approved the minutes from its June 23 meeting, and reviewed its timeline and working groups. The co-chairs said the commission’s final report is due to the House and Senate clerks by March 30, 2026, and outlined three working groups focused on regulation/oversight of xylazine, treatment and outreach for exposed patients, and education/training for first responders, clinicians, treatment providers, and people who use substances. Staff will schedule working group meetings, with group presentations planned for December 11, followed by commission meetings in February and March to review and finalize the draft report. Public comment centered on research and practical responses to xylazine contamination in the drug supply. Dr. Tracy Green of Brandeis reviewed recent studies showing severe xylazine-related wounds and amputations in Philadelphia, withdrawal symptoms, the value of wound identification tools, and the usefulness of drug checking in detecting xylazine even when users did not suspect it was present. She urged expanded low-barrier wound care, more access to medications for opioid use disorder, overdose prevention sites, housing, and trauma-informed care, while cautioning that stricter controls could push the market toward other dangerous alpha-2 substances. Commissioners asked about early wound identification, dilution/cutting strategies, supplier engagement, and how to reduce stigma and improve treatment access. Tia Johnson of Boston Medical Center and Boston Health Care for the Homeless testified that xylazine contamination still requires naloxone for overdose response, but sedation can last longer and may require low-dose naloxone, oxygen support, and low-threshold monitoring spaces. She emphasized that xylazine-associated wounds can heal with consistent care, but patients often lose access to services when sent to hospitals unnecessarily. Commissioners discussed reimbursement barriers, especially in MassHealth and behavioral health settings, and the need for wound care to be available within detox and treatment programs rather than requiring transfers. The meeting ended with agreement to continue working group planning and adjournment.

Transcript Highlights:

• I can go on and on with the number of recommendations and interventions we have to allow states to get
• One thing they can do is establish the certified community behavioral health clinic program statewide
• Support law enforcement interventions and diversion programs.
• And some of the behavioral health agencies or the CSSPs, community support service providers, already
• Behavioral health agencies who take care of our adults with serious mental illness.

Summary: The committee first approved a motion, then heard a lengthy presentation on homelessness in Arkansas, with a focus on unsheltered homelessness, untreated mental illness and substance use, public safety, and the role of local law enforcement and shelters. Presenters from law enforcement, homeless service providers, mental health, and policy groups discussed federal Continuum of Care funding, the need for better data and accountability, and proposals such as statewide camping enforcement, stronger treatment access, and consolidating or reworking the continuum-of-care structure. Much of the discussion centered on the Certified Community Behavioral Health Clinic (CCBHC) model, with witnesses describing it as a way to expand crisis services, treatment, and coordination with housing and justice systems. They also discussed homelessness among sex offenders, family homelessness, workforce supports, and how to scale successful local programs statewide. No formal action was taken on the homelessness proposals during the discussion. The committee then reviewed several Department of Energy and Department of Health/Board of Nursing rules. The energy rule updated solid waste post-closure cleanup thresholds from $50,000 to $2 million to match Act 791 of 2025. Nursing-related rules added fees for the new dialysis patient care technician registration created by Act 198 of 2025, updated contact-information requirements, implemented APRN authority under Act 862 of 2025, clarified durable medical equipment language under Act 431 of 2025, and incorporated delegation changes from Act 959 of 2025. Additional nursing rules updated certified medication assistant training and duties under Act 265 of 2025, and corrected rules for full independent practice to include clinical nurse specialists under Act 872 of 2023. Each rule was reviewed without objection. At the close of the meeting, members received an update that UAMS had completed its NCII designation submission for the Winthrop Rockefeller Cancer Institute, which was described as a major milestone. The committee then adjourned.

Transcript Highlights:

• Moving on to CYFD, we looked at protective services, prevention, and intervention.
• Intervention services.
• Next up is the Behavioral Health Services Division of the Health Care Authority.
• A $258 million increase in the Medicaid behavioral health program.
• Moving on to Medicaid behavioral health, there's just one line on here.

Transcript Highlights:

• Laura Vlegelz and then Yale-Kinig from County Behavioral Health.
• We partner with County Behavioral Health all the time.
• They're doing therapeutic interventions at the person's home.
• Now they are tasked with behavioral health counseling.
• Now they are tasked with behavioral health counseling.

Summary: The hearing focused on youth mental health and treatment access in California, with opening remarks emphasizing that youth distress, self-harm-related emergency visits, and difficulty obtaining care remain elevated, while workforce shortages and reliance on one-time funding continue to limit access. Assemblymember Lori Davies echoed concerns about unstable funding and said lawmakers need to hear directly from providers and families as they prepare for the budget and legislation. The chair framed the hearing as a chance to hear from county, school, provider, and student perspectives, especially in San Diego County, where needs are high and investments have not always matched demand. County and school officials described the current system and recent state initiatives, including the Children and Youth Behavioral Health Initiative, school-linked fee schedules, payment reform, and the Behavioral Health Services Act transition. San Diego County Behavioral Health said it serves Medi-Cal youth with specialty mental health needs through a broad continuum of care, including outpatient clinics, school-based services, crisis response, residential treatment, and new crisis and residential facilities. San Diego County Office of Education and San Marcos Unified School District described efforts to expand school-based services and reimbursement through CYBHI, but said implementation is slowed by complex billing rules, insurance-data collection concerns from families, administrative burden, and uncertainty about sustaining staff positions funded by grants or soft money. School counselor testimony highlighted reduced stigma through campus outreach and clubs, but also noted that counselor-to-student ratios remain well above national standards and that budget cuts threaten supports. Provider testimony stressed that the system remains fragmented and that youth often move between emergency rooms, inpatient care, outpatient therapy, schools, and county programs without smooth handoffs. A child psychiatrist described crisis cases in which the main choices are brief hospitalization or discharge with limited follow-up, and argued for stronger warm handoffs, more outpatient and intensive outpatient options, better school-clinic coordination, and broader use of mobile crisis and 988. Rady Children’s Hospital and Aurora Behavioral Health described large increases in behavioral health demand, expansion of integrated care, and major barriers tied to low reimbursement rates, delayed payments, and administrative complexity. Across the panel, witnesses called for more stable funding, clearer reimbursement rules, better parent education on warning signs, and stronger collaboration among schools, counties, hospitals, and community providers to reduce stigma and improve timely care for youth.

Transcript Highlights:

• . interventions. interventions.
• Community Behavioral Health Association. Community Behavioral Health Association.
• intervention any longer. intervention any longer.
• <05:12:15.080> health community-based behavioral health community-based behavioral health
• Behavioral Health. Behavioral Health.

Keywords: 1189, house, all

Transcript Highlights:

• I oversee a number of our investigative units, including our Behavioral Health Unit.
• Is it clearly a behavioral health call for service?
• The intervention portion of this is when there is an intervention and maybe not an arrest, because sometimes
• Lean into the judicial system to help us with the intervention aspect of this.
• Members of the board, I can speak to the behavioral health side, and it's broader than the behavioral

Transcript Highlights:

• , more intensive intervention.
• , more intensive intervention.
• , more intensive intervention.
• , more intensive intervention.
• , more intensive intervention.

Bills: HF984, HF921, HF922

Keywords: education funding, nonpublic schools, counseling services, guidance services, transportation for students, HF921, tax increment financing, TIF, excess tax increment, school district aid, levy adjustment, property tax levy, education finance, Minnesota education aid, decertification, local government finance, school funding formula, state aid reduction, referendum equalization aid, debt service equalization

Transcript Highlights:

• Community Behavioral Health Association. Community Behavioral Health Association.
• And uh level of intervention possible.
• And the these behavioral health clinics.
• <04:57:26.600> that Fast Forward as the intervention that Fast Forward as the intervention
• Second is, it is the bundle of the intervention.

Keywords: 928, house, all

Summary: The committee held a public hearing on Senate Bill 562, which would create a home damage mitigation and resilience grant program aimed at helping homeowners make property improvements that could reduce insurance costs and non-renewals. Commissioner DJ Bettencourt of the New Hampshire Insurance Department explained that the program is modeled in part on Alabama’s safer homes program, but tailored for New Hampshire hazards such as floods, microbursts, heavy snow, ice, and falling trees. He said the grants would be limited to primary residences, subject to a means test, capped at $10,000, and intended to help homeowners make targeted improvements such as roof fortification or tree removal that could improve underwriting outcomes and lead to premium discounts. Bettencourt said the program would not use state taxpayer funds and would instead rely on philanthropic donations, possible federal or regional housing-bank funding, and other outside sources. He said the department would not need new staff, and that a current position could be reconfigured to help administer the program part-time. Committee members asked about the funding language, the meaning of “loans” in the bill, whether there were any other states using a similar no-state-funds model, and how many homeowners could be helped. Bettencourt said Rhode Island and Connecticut were moving forward in a similar way, and that the number of beneficiaries would depend on how much money is raised. Members also questioned how the grant program would actually lower premiums, whether savings would apply only to participants or more broadly, and how the IBHS evaluation process would work. Bettencourt and department staff said the direct benefit would be to the homeowner whose property is improved, though neighbors could also benefit in some cases. They explained that IBHS is a building-safety organization that certifies contractors and inspectors and that its standards can qualify homes for insurer discounts. Questions were also raised about confidentiality provisions, first-come-first-served grant awards, rollover of unused applications, and possible tax treatment of donations. The sponsor said those details would be addressed through rulemaking or existing tax rules, and no vote was taken during the hearing.

Transcript Highlights:

• should you select, At this time, we will take up Tab 1, SB 894, Faith-Based Content in Batterers' Intervention
• Senate Bill 894 expands the scope of batterers' intervention programs in Florida by allowing the inclusion
• content alongside the existing cognitive behavioral and psychoeducational models required by law.
• It's not required, and I just want to remind everyone that these batterer intervention programs, they're
• I have served for the past year on the Behavioral Health Commission.

Summary: The committee met with a quorum present and took up several bills. SB 894, relating to faith-based content in batterers’ intervention programs, was explained as allowing certified programs to offer voluntary faith-based components alongside existing models. Members raised questions about how faith would be defined, whether participation would be optional, and how all faiths would be included. An amendment was adopted clarifying that faith-based activities may be offered but not required and removing language directing DCF to repeal a rule. After supportive testimony from faith-based advocates and some debate, the committee reported the bill favorably, with Senators Harrell and Garcia later recording affirmative votes. The committee then considered SB 1240 on substance abuse and mental health care, which would assign state oversight of the 988 Lifeline, remove the annual needs assessment barrier for medication-assisted treatment licensing, and require annual continuing education for forensic evaluators. An amendment with technical conforming changes and two substantive clarifications was adopted. Members expressed support for expanded access to behavioral health services, and the bill was reported favorably. Later, the chair presented SB 1736, which would allow direct support professionals and relatives to administer insulin in group home settings for individuals with developmental disabilities. After an amendment clarifying sliding scale insulin and related medication administration, the committee heard testimony from family advocates describing how the bill would prevent unnecessary institutionalization and reduce costs. The bill was reported favorably. The committee also passed SB 1286, which clarifies that allowing children to engage in unsupervised activities such as biking or playing outside does not by itself constitute neglect unless reckless or dangerous. After brief support testimony, that bill was also reported favorably, and the meeting adjourned.

Transcript Highlights:

• You know, they need five hours a week of behavioral intervention and that's it.
• You know, they need five hours a week of behavioral intervention and that's it.
• You know, they need five hours a week of behavioral intervention and that's it.
• You know, they need five hours a week of behavioral intervention and that's it.
• <00:30:34.480> intervention hours a week of behavioral intervention hours a week of behavioral

Keywords: 958, all

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

Transcript Highlights:

• Zachary had a history of aggressive behaviors towards staff and others.
• , or self-injurious behaviors.
• interventions, on autism.
• health behavior needs.
• So, IDD and behavioral health, and we are working to implement it January 1.

Summary: The Joint State Agencies committee met to approve prior minutes and then focused on the death of Zachary Moore at the Southeast Arkansas Human Development Center, later clarified in discussion as the Warren facility. DHS officials described Moore’s background, said he died after a prolonged prone restraint followed by a delayed chemical restraint, and reported that 13 staff were terminated, the superintendent was replaced, a consultant was brought in, and the agency entered a settlement with the family for $725,000. Members pressed DHS on the cause of death, restraint policies, staff training, supervision, family notification, and why the family had not been kept informed; DHS said a family-notification procedure exists but that communications during litigation had been handled through counsel. The committee also heard that six staff had been criminally charged with manslaughter and neglect of a vulnerable person, and that the death certificate listed the manner of death as homicide with cause of death tied to physiologic stress associated with struggle and prone restraint. DHS officials gave broader context on the five human development centers, their licensing and accreditation, resident population, mortality review process, and training programs. They said the centers serve highly medically and behaviorally complex residents, that annual restraint training and CPI-based instruction are required, and that the mortality review committee and Office of Long-Term Care review deaths and make recommendations. Members repeatedly criticized the agency for not having complete information at the meeting and for what they saw as gaps in oversight, staffing, and chain-of-command clarity during emergencies. DHS responded that the Warren facility had not been meeting the same standards as the others, that the consultant’s root-cause analysis identified multiple failures, and that new crisis-team and chain-of-command procedures were being drafted. A second major topic was staffing and recruitment. Members discussed low pay, turnover, use of float and on-call staff, rural staffing shortages, and a waiting list of about 2,000 people for home- and community-based services. DHS said CNAs at the centers start at about $39,000 a year, that a broader retention and recruitment plan is being drafted for all five centers, and that a separate rate study for PASS services will be implemented in January 2027 but does not cover CNA pay. The meeting ended with testimony from Moore’s mother, Angela Stevens, who said money could not replace her son and urged stronger training, background checks, and supervision so other residents would be protected. The committee asked DHS to keep members and Stevens updated on consultant reports, recruitment efforts, and follow-up on the family communication issue, and then adjourned.

Transcript Highlights:

• It could result in a referral, which could have some education or some interventions.
• Even when a case is substantiated, that doesn't mean that interventions occur.
• And even when interventions are offered, they are voluntary, correct?
• The state was required to put together a prevention and early intervention plan.
• Oh, interventions, yes. Great. Does it give them standing?

Transcript Highlights:

• It funds community-defined, culturally responsive prevention and early intervention strategies through
• And so with that, we will start our first issue: the Commission for Behavioral Health.
• , county behavioral agencies, community-based organizations, and state partners.
• Our focus is really on prevention and early intervention.
• Moving on to SB 326 or Prop 1 related to behavioral health transformation.

Keywords: 988, house, all

Transcript Highlights:

• Due to behavioral issues arising, he was given a BIP, a behavioral intervention plan in 2nd grade, and
• Um, When he was in 8th grade, he was having a behavioral day.
• intervention plan was not followed.
• Those repeated or consistent behaviors.
• Those are gifted and talented students who also have behaviors.

Bills: HB6, HB120, HB210

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