An assessment of the need for an inpatient hospital or psychiatric residential treatment center for youth; An assessment of cost for needed improvements and structural changes to the system s buildings on the Kearney campus, including restructuring sleeping and bathing facilities and common areas; The clarification to not have a waiting list for youth seeking medical services, including those who sexually harm and youth who are chemically-dependent; The clarification of the stateâs responsibility for educating youth in state facilities; Requiring that notice be given to the Legislature when substantial changes could be made to the facilities and programs by the HHS and the Office of Juvenile Services;