Montana State Legislature

Agenda (Updated 3/11/2024)

1. Department Updates

• DPHHS Presentation

2. Administrative Rule Review

• CFHHS Administrative Rule Report
• MAR 37-1004
• MAR 37-1009
• MAR 37-1025
• MAR 37-1040
• MAR 37-1043
• MAR 37-1044
• MAR 37-1045
• MAR 37-1047
• MAR 37-1048
• MAR 37-1056
• MAR 37-1063
• Formal Objection Presentation (3/6/2024)
• CFHHS Formal Objection to 37-1044 - Signed
• CFHHS Informal Objection to 37-1004 - Signed
• DPHHS' Response to Formal Objection

4. Nursing Workforce

• Nursing Workforce Presentation
• Montana's Health Care Workforce
• 2023 Nursing Survey

6. Legislation: Long Term Care

• Long Term Services and Supports Continuum of Care Solutions Draft

7. Legislation: Family Peer Support Licensure

• FPS Professional Standards
• Family Peer Support Specialist Certification - Provisional Draft

8. Legislation: Safe Haven

• Health Professional Wellbeing

Final Agenda (as of January 17, 2024)

1. Health Care Provider Burnout Panel

• Wellbeing Panel Slideshow

2. Department updates

• a. SLTC - Yakawich RFI on Long-Term Care
• b. BHDD - OOS Child Placements RFI Response
• c. HCSD - Medicaid Processing Time
• d. DPHHS - TANF Pathways & SNAP ET RFP Response
• e. DPHHS - Executive Presentation Slides

3. Behavioral Health Workforce Burnout

• a. Burnout in Behavioral Health Slides
• b. BHRR - Phase 1 Report Final

4. Family Peer Support Panel

• a. Family Peer Support Slides
• b. Family Peer Support Handouts
• c. FPS Professional Standards
• d. FPS Survey Data (updated 12-28-23)

6. Administrative Rule Review

• a. CFHHS Administrative Rule Report - January 2, 2024 Update
• b. DPHHS Administrative Rule Notice 37-1051
• c. DPHHS Administrative Rule Notice 37-1055
• d. Formal Objection Presentation for CFHHS
• e. DPHHS Administrative Rule Notice 37-1029
• f.   DPHHS Administrative Rule Notice 37-1032
• g.  DPHHS Administrative Rule Notice 37-1033
• h. DPHHS Administrative Rule Notice 37-1041
• i.   DPHHS Administrative Rule Notice 37-1044
• j.  DPHHS Administrative Rule Notice 37-1045
• k.  DPHHS Administrative Rule Notice 37-1048
• l.   DPHHS Administrative Rule Notice 37-1056
• m. DPHHS Administrative Rule Notice 37-1061

Letters from the Committee to DPHHS

• Request for Economic Impact Statement - CFHHS 1/18/24
• Informal Rejection Renewal - CFHHS 1/18/24

JANUARY 19, 2024 - CPS Work Group

January 19 Agenda (as of January 9, 2024)

Child and Family Services Division Updates and Information

• 4 Year Trends
  • Entries
  • Exits
  • Kids in Care
  • Adoption and Guardianship Placement Resource
• Reporter Type by State Fiscal Year
  • 2020
  • 2021
  • 2022
  • 2023
• Family Support Team Data
• Prevention Plan Evaluation Data

November 16, 2023

November 16 Agenda

1. DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES UPDATES

• a. Child Care RFI
• b. Medicaid Audit Process RFI
• c. Summer EBT NOI 11-6-2023

2. SUICIDE IN MONTANA

• a. Suicide in Montana 2023 Report
• b. Montana Suicide Prevention Program
• c. 2019-2020 Annual Report Summary

3. OUT-OF-STATE PLACEMENT REPORT

• Out-of-State Placement  Report 2023

4. ADMINISTRATIVE RULE REVIEW

• CFHHS Administrative Rule Report
• CFHHS MAPA Objection Letter

5. SEQUENTIAL INTERCEPT MODEL

• Sequential Intercept Model: Legislative Action Slides - Amber Widgery, NCSL

6. DEMENTIA SIMULATION

• a. Dementia Live White Paper
• b. DL Case Study - DFFW
• c. Dementia Live H2H Trifold Brochure
• d.  What is Dementia
• e.  Normal Aging or Dementia
• f.   Bookshelf Model of Memory Storage
• g. Miller 2009 - Changes in Intellectual Functioning
• h.  List of Emotions
• i.  Empowerment Tools

8. COMMITTEE WORK SESSION

• Draft Letter Re: TANF Pathways and SNAP Employment and Training

November 17, 2023 -- Subcommittee Meeting

Updated Agenda

Committee Rules and Procedures:

• 2023 Adopted Interim Committee Rules- Milly Allen, Lead Staff

SB 352 Review:

• SB 352- Milly Allen

Work Plan:

• Draft Work Plan- Milly Allen

Child Protective Issues Updates

• Family Support Teams & Prevention Plans Evaluation January 2022-August 2023
• Child and Family Services Division

Agenda

Department of Health and Human Resources

• DPHHS Department Update Presentation
  • DPHHS Organization Chart
  • DPHHS Annual Strategy
• Senior and Long Term Care (SLTC) Legislative Report
• Behavioral Health and Developmental Disabilities (BHDD) Legislative Report
• Child and Family Services Division (CFSD) Legislative Report
• Human and Community Services Division (HCSD) Legislative Report
• Behavioral Health System for Future Generations (BHSFG) Commission Priorities
• DPHHS Responses to CFHHS Committee Questions
  • Background Checks for Long Term Care Services
  • CMS Strategies for Redetermination
  • MFP Program
  • Children Returned at EPS Hearing
  • Medicaid Disenrollment Statistics

Medicaid Waiver: WASP Fertility Preservation Amendment

• 1115 WASP Waiver Status Presentation
• SB 516
• 1115 WASP Waiver Amendment
• 1115 WASP Demonstration Waiver
• Medicaid Change Reporting - June 2023

Legislative Fiscal Division

• Demographics Report

Administrative Rule Review

• CFHHS Informal Objection Overview
• CFHHS Administrative Rule Report
  • MAR 37-1017 adp
  • MAR 37-1036 adp
  • MAR 37-1037 adp
  • MAR 37-1038 adp
  • MAR 37-1026 pro
  • MAR 37-1029 pro

Work Plan and Committee Topic Plans

• 2023-2024 Interim Second Draft Work Plan
• Committee Topic Study Plan

Agenda

Committee Rules and Procedures

• Interim Committee Rules
• Status of Committee Legislation

Administrative Rulemaking

• Overview of Administrative Rulemaking and Committee Rule Review
• Administrative Rule Report
  • MAR Notice No. 37.1033
  • MAR Notice No. 37-1036

Committee Work Plan & Member Topics

• 2023-2024 Work Plan
• SB 352
• Peer Support (Exh. 14)

Reference Documents

• DPHHS - Goals, Objectives, Outcome Measurements