The ADHS has really stepped up the pace of their rulemakings in the last several months. For a long time, stakeholders have been frustrated at the pace of agency rulemakings at the agency. Someone recognized the need for more rule writers in the Operations side of the house.

Among the most important of those rulemakings is one to finally increase the Health Care Institution Fees needed to run the assurance and licensure side of the house. Fees to regulate things like assisted living, skilled nursing, outpatient treatment, hospitals and surgery centers and behavioral health facilities haven’t been adjusted since 2009 when I set them – meaning in real dollars the department only has about ½ the money they did 15 years ago to do that important work.

Among the other important rulemakings underway, the department also finally posted draft rules for Secure Behavioral Health Residential Facilities that will be providing 24-hour on-site supportive treatment and supervision for individuals who are seriously mentally ill and chronically resistant to treatment.

A draft of the proposed rule changes has been posted on the Department’s rulemaking webpage and is available for public comment through July 27, 2025. 

Here’s a listing of the active rulemakings… shows us that someone in leadership over there knows of the need and has finally resourced that critical part of the agency mission.

Rulemakings In Progress – Home

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