KY SB125

Creates new framework for "high acuity youth" (juveniles exhibiting manifest aggression, violence, or property destruction) requiring behavioral assessments before psychiatric hospital admission, with clinical professionals, Department of Juvenile Justice, and Department for Behavioral Health coordinating treatment plans submitted to courts within 24 hours

Mandates inpatient psychiatric hospitals treating high acuity youth receive Medicaid reimbursement at 200% of standard rates; outpatient services at detention facilities reimbursed at 150% of inpatient rates

Requires Department of Juvenile Justice to construct a minimum 16-bed high acuity mental health facility for residential treatment, with Cabinet for Health and Family Services providing clinical services through contracts with public teaching universities

Restructures juvenile detention system to require at least two female-only facilities (central and western regions) and regional male facilities, all segregating violent from nonviolent offenders as defined in KRS 439.3401

Updates statutory definitions by removing references to "nonsecure facilities," "community-based facilities," and "staff secure facilities," replacing with clearer categories including detention facilities, youth development centers, group homes, and alternatives to detention centers