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LD 1426

Resolve, To Expand Child Assertive Community Treatment

132nd Legislature (2025-2026) Introduced by Michael Brennan and 9 co-sponsors

Expands children's ACT via a DHHS pilot at one site with a delayed start, using federal funds to provide intensive, community-based mental health care for youth.

Became Law without Governor's Signature
#act #children #mentalhealthservices
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Bill Summary · LD 1426

Summary — LD 1426: Resolve, To Expand Child Assertive Community Treatment

Purpose

LD 1426 directs the Department of Health and Human Services (DHHS) to establish a pilot program to expand children's Assertive Community Treatment (ACT) services — an intensive, team‑based, community mental health model for youth with serious behavioral health needs. The Resolve funds planning and startup of children's ACT teams to deliver community‑based treatment and supports.

Key provisions

  • Authorizes a two‑year pilot to develop and operate children's ACT teams to provide assertive community treatment services for children.
  • Initially funded to create two pilot teams (as amended by the Health & Human Services Committee).
  • Senate amendment (S‑474 to H‑206) delays implementation by one year and reduces the number of pilot sites from two to one.
  • Directs DHHS to oversee development, contracting or partnership with provider(s), and use available federal matching funds (FMAP) and federal block grant dollars where eligible.
  • Designated as an emergency measure; required two‑thirds votes for final passage.

Fiscal impact (summary of fiscal notes)

Two fiscal-note versions reflect the original committee amendment and the later Senate amendment:

  • Fiscal note for Committee Amendment (LR1211(02)) — as amended by committee:

    • One‑time General Fund appropriations to DHHS: $184,446 (FY2025‑26) and $365,433 (FY2026‑27).
    • Federal Expenditures Fund (FMAP) and Federal Block Grant allocations included: $37,830 and $1,488 (FY2025‑26); $310,642 and $12,260 (FY2026‑27).
    • Projection shows no ongoing costs beyond FY2026‑27 in the note.

  • Fiscal note for Senate Amendment to Committee Amendment (LR1211(04)):

    • Implementation delayed one year and reduced to one pilot site, which eliminates the General Fund appropriation in FY2025‑26 and halves FY2026‑27 GF costs.
    • Net General Fund impacts: a projected savings in FY2025‑26 and FY2026‑27 due to shifted timing, with a positive GF appropriation of $182,717 projected in FY2027‑28 when the single pilot is implemented.
    • Federal funds (FMAP and block grant) are adjusted correspondingly.

(See fiscal notes for full line‑item amounts by year and fund.)

Who is affected

  • DHHS: responsible for program planning, contracting, and oversight.
  • Children and families: youth with serious mental health needs who may gain access to intensive community‑based ACT services in pilot areas.
  • Behavioral health providers: potential recipients of contracts/grants to operate ACT teams.
  • State budget: one‑time and timing‑shifted General Fund and federally matched expenditures.

Timeline & procedural status

  • Introduced: April 1, 2025; Committee work and amendments in April–May 2025.
  • Passed both chambers as amended; designated an emergency measure requiring two‑thirds vote.
  • Sent to Governor June 25, 2025.
  • Status: HELD BY THE GOVERNOR (as of July 8, 2025).

Implementation notes

  • The Senate amendment meaningfully reduces scope and delays startup, shifting costs into a later fiscal year for a single site pilot rather than two sites immediately.
  • The Resolve anticipates leveraging federal matching funds where eligible; actual costs will depend on implementation decisions and contracting.

Compiled from official sources — confirm details with the bill’s official record.

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