Long-Term Care and Community Residential Facilities

At a glance

• What: How the District should serve people who need long-term care, especially those with serious mental illness, including closing Community Residential Facilities (CRFs), hospital patients who cannot be discharged, and low reimbursement rates.

Context

At a 2026-10-15 roundtable, witnesses reported CRF closures outpacing beds, short closure notices, shelter placements in discharge plans, and 29 patients hospitalized beyond medical clearance. Providers said the behavioral health add-on ($82 per day since 2018) and a $126.25 residential per diem are inadequate. Proposals included an independent study of the mental health residential system, annual rate adjustments, memory care regulation, and workforce and data planning.

Status

Discussion only; no votes. The hearing record stays open until October 29, 2026.

Sources

• 2026-10-15 - Committee on Health (Council video captions)

Log

• 2026-10-15: Roundtable on the long-term care continuum; see 2026-10-15 - Committee on Health.