Video & Transcript Research : 'intersection improvements'

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MN

Minnesota 2025 1st Special Session

Transparent Artificial Intelligence Governance Alliance 12/11/25

Minnesota House Floor Meeting

Transcript Highlights:
  • responsible adoption of AI uh to improve responsible adoption of AI uh to improve how<00:04:11.360
  • data, to improve customer service, to improve the impact and reach of our communications, but doing
  • data, to improve customer service, to improve the impact and reach of our communications, but doing
  • data, to improve customer service, to improve the impact and reach of our communications, but doing
  • to improve customer service, to improve to improve customer service, to improve the<00:14:19.920
Keywords: 1183, house
FL

Florida 2025 Regular Session

December 10, 2025 - 01:00 PM

Transcript Highlights:
  • THE GOAL IS TO INCREASE TRANSPARENCY AND IMPROVE QUALITY CARE IN OUR NURSING HOMES.
  • LAST WEEK, ALTHOUGH FIRST ON THE LIST, OUR PERFORMANCE IMPROVEMENT PROJECTS.
  • TO DEVELOP, IMPLEMENT AND MONITOR PERFORMANCE IMPROVEMENT PROJECTS AIMED AT ACHIEVING SUSTAINABLE IMPROVEMENT
  • THIS IS A STRATEGY TO IMPROVE THE QUALITY AND VALUE HEALTHCARE SERVICES A PERSON RECEIVES.
  • I THINK THE THOUGHT IS IT WOULD DRIVE IMPROVEMENT AND PERFORMANCE.
FL
Transcript Highlights:
  • However, improving water quality within state.
  • He asked me to look at the program TV can where we can make improvements.
  • Do they still meet the goals that they still improve water quality.
  • We've improved bmp manuals. We're upping our enrollment.
  • We made big improvements within the office.
Keywords: 999, senate, all
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Monday, September 8, 2025)

US Federal House Floor Meeting

Transcript Highlights:
  • H.R. 3425 contains practical measures to improve oversight, strengthen accountability, and improve safety
  • Targeted training to help close performance gaps and improve public safety.
  • , and improve safety at federal buildings.
  • BY IMPROVING F.P.S.
  • BIPARTISAN BILL THAT WILL IMPROVE THE HEALTH OF AMERICANS, THAT WILL IMPROVE Access to quality, affordable
AZ
Transcript Highlights:
  • efficiencies found in, like, a committee of reference and in the process that you all do here to improve
  • of our staff members here today but the result is consistent higher quality care and continuous improvement
  • for participating schools that are intended to enhance school safety personnel effectiveness and improve
  • , such as improving their school lockdown procedures.
  • . ...and their priority school safety risk areas made school safety improvements, such as improving their
Keywords: 1182, all
Summary: The Senate Education Committee of Reference met for sunset reviews and first heard a presentation on the Credit Enhancement Eligibility Board from the Governor’s Office. The presenter explained that the board, created in 2016, has no dedicated staff or administrative budget and is supported by existing budget and policy staff and the Treasurer’s Office. The board’s purpose is to lower borrowing costs for qualifying schools by using a guarantee fund to enhance credit ratings, and it has largely been used by charter schools. Because the board has reached its statutory leverage cap and has not met since 2022, it is currently in a monitoring role, but it must remain in place to honor guarantees if any approved financing defaults. The committee asked about financing maturities, demand from schools, and whether a shorter continuation period would make sense. No public testimony was offered, and the committee voted to recommend continuing the board for 10 years, until July 1, 2036. The committee then reviewed the Western Interstate Commission for Higher Education (WICHE). WICHE’s president described the interstate compact, its regional role in higher education access, workforce development, and data services, and its major student programs: the Western Undergraduate Exchange, the Western Regional Graduate Program, and the Professional Student Exchange Program. She highlighted tuition savings for Arizona students and the state, the return of many PSEP graduates to practice in Arizona, and additional cost savings through cooperative purchasing and technology contracts. The committee asked no substantive questions, and it voted to recommend continuing WICHE for 10 years, until July 1, 2036. The final major item was the Arizona Department of Education School Safety Program performance audit, followed by testimony from the department. The Auditor General reported that the program has grown substantially, especially after expansion to counselors and social workers and increased appropriations, but that ADE did not consistently ensure schools complied with program requirements. In a sample of 16 schools, most had issues such as missing or incomplete operational plans, inadequate safety team activity, incomplete required training, missing activity logs, or reimbursement requests lacking expenditure reports. The audit said these problems reduced the program’s effectiveness and increased the risk of improper spending, and it recommended stronger monitoring, written procedures, and better documentation review. ADE accepted the findings and said it is implementing the recommendations through more direct staff oversight, training requirements tied to funding, encrypted submission of emergency plans, site visits, and representative desk reviews. The discussion then shifted to whether emergency plans should address federal law enforcement actions; the director said the plans are designed for campus safety threats generally and do not specifically contemplate ICE enforcement. The committee took no vote on the audit presentation and adjourned after discussion.
HI
Transcript Highlights:
  • community improvement board.
  • development infrastructure improvement development infrastructure improvement program<00:27:27.279
  • community improvement program areas. community improvement program areas.
  • oriented community improvement board. oriented community improvement board.
  • transit oriented community improvement transit oriented community improvement board.<00:27:42.080
Keywords: 912, senate, all
Summary: The committee heard testimony and then took up House Bill 1369, which would repeal several tax credits and exemptions, including the renewable fuels production tax credit. Testimony was overwhelmingly opposed: Hawaii Gas, the Hawaii Renewable Fuels Coalition, and the Tax Foundation all raised concerns, with opponents arguing the renewable fuels credit has supported major local investment, cleaner fuel production, and energy resilience, while Hawaii Gas warned repeal would raise costs for customers. The Department of Taxation said it did not take a position but provided revenue estimates, saying the bill would increase revenues by about $33.8 million in FY 2026 and $121.7 million in FY 2027; DBEDT said it would follow up on broader economic impacts. The chair proposed a series of amendments that removed some repeals, added five-year sunsets to certain exemptions, narrowed or conditioned others, and tied the renewable fuels exemption to a dollar-for-dollar match for renewable fuel production certified by the state energy officer. The committee recommended passage with amendments, and the motion was adopted with multiple members voting with reservations. The committee then moved through a series of other measures. HB 159, HB 244, HB 280, HB 316, HB 716, HB 1298, and HB 1295 were recommended for passage, with HB 1295 amended to change a date to 2050. HB 455 was amended to remove the Hawaii Startup Business Loan Program language and instead fund DBEDT contracting for startup financing and support, excluding businesses already eligible for the community-based economic development loan program. HB 504 was amended to add non-recurring appropriations for the Hawaii Tourism Authority, conditioned on formal commitments to purchase local products under the HRS 27-8 timeline; members discussed the cruise passenger tax and where the revenue would go, and the bill was passed with amendments. HB 606 was amended to recognize DHHL authority over mercantile projects licenses, remove some reporting requirements, and replace the appropriation with $25 million for mercantile projects and $25 million for repair and maintenance. HB 1378 was amended to allow the foundation to enter public-private partnerships, adjust appropriation language, and cap a proposed limit at $15 million, with the committee noting the changes addressed concerns raised in testimony from BNF and the attorney general. HB 974 was deferred indefinitely because the House had already passed SB 1501. Finally, HB 1007 was amended to rename the transit-oriented development infrastructure district program as the transit-oriented community improvement program, consolidate the boards into one, expand board membership, add conflict-of-interest provisions, and allow legislative designation of areas; after discussion about HCDA’s role and the stadium district, the measure was adopted with one reservation.
AZ
Transcript Highlights:
  • So, yes, Fondamonte is being reimbursed for their improvements. Mr. Chair.
  • Okay, were there any improvements on that land? Commissioner, Madam Chair, Mr.
  • and looking at ways that we can improve our efficiencies within the department.
  • Our primary goal has been to improve authorization timeframes.
  • There's no partnership working with improvements.
Keywords: 1182, all
Summary: The Joint Natural Resources and House Natural Resources, Energy and Water Committees of Reference heard the Arizona Auditor General’s sunset review of the Arizona State Veterinary Medical Examining Board. The audit found the board generally met some licensing requirements, but it did not timely investigate and resolve 49 of 159 complaints in fiscal year 2024, and it did not fully comply with conflict-of-interest disclosure and filing requirements. The Auditor General also identified weaknesses in continuing-education verification and other sunset-factor areas, and the board agreed to implement all 21 recommendations. Board staff said complaint volume has risen sharply since the pandemic, that the board’s process is slower because every case goes through an investigative committee and then the full board, and that it has already corrected some conflict-of-interest issues and is adding tools to improve continuing-education audits. The committee then heard testimony from the board’s executive director and from the Arizona Veterinary Medical Association. The executive director emphasized the board’s public-protection mission, described the shortage of veterinarians and veterinary technicians, and said the board is working to improve efficiency through a new e-licensing system and staff training. Members asked about the shortage of large-animal veterinarians, complaint backlogs, and whether the board could do more to recruit rural practitioners; the board said it lacks direct recruiting authority but supports multiple licensure pathways and loan-assistance efforts. The veterinary association supported the board’s oversight and said it is also working on rural and large-animal workforce issues through partnerships and advocacy. The committee then voted to recommend continuing the board for eight years, until July 1, 2034. The committee next took up the Arizona State Land Department, beginning with the Auditor General’s presentation on the department’s sunset review and prior special audit. The audit found the department had not updated its required five-year disposition plan since 2011, had sold more than 48,000 acres without an active plan, had allowed agricultural rental rates to go unchanged since 2006 despite market increases, and had not consistently inspected mineral-related leases or properly managed reclamation bonds. The Auditor General said these issues created risks of lost revenue, reduced transparency, and public-safety hazards, and recommended 18 corrective actions in the main review plus 34 additional recommendations on other issues; the department agreed to most recommendations but declined to adopt a written policy for commissioner-initiated land sales. Commissioner Robin Sahid said the department is working through audit recommendations, has created a rules team, improved its customer portal, and is pursuing new policies on water use, transportation-basin leases, and disposition planning. Members questioned the department about agricultural leases, groundwater valuation, the Fondomonte leases and reimbursement for improvements, the canceled Coyotes land auction, backlog and processing times, and the use of consultants and administrative funds. The commissioner said the department had over 2,000 applications in queue when she arrived, that it has made progress reducing the backlog, and that it is conducting stakeholder outreach on water-efficiency standards and lease addenda. No final vote on the land department continuation was taken in the portion provided.
WA
Transcript Highlights:
  • This has led to questions about whether 1163 is achieving its intended outcomes and what improvements
  • Our final objective was focused on the challenges getting certified and the changes that may improve
  • What can be done to improve the process?
  • We have updated our rules to reduce barriers and improve the credentialing process.
  • the program, and I look forward to helping make those improvements in the coming session.
Summary: The Joint Legislative Audit and Review Committee held a public hearing on the State Auditor’s Office performance audit of Washington’s Restoring Quality Home Care Initiative (I-1163). Auditors said the initiative’s background checks and 75-hour training requirement are widely viewed as safety measures, but the state lacks pre-2011 data to directly measure safety outcomes. They also found Washington’s long-term care workforce is still short, though the state ranks better than many others in workers per disabled person, and that some groups and regions have larger gaps between authorized and actually used Medicaid care hours, suggesting access problems for certain clients. The audit focused heavily on the certification process for home care aides. Auditors reported that many applicants never finish certification, that the process often exceeds the 200-day legal deadline, and that delays can cause lost income, job loss, and in some cases repeated employer changes that allow aides to keep working without becoming certified. They recommended that the Department of Health accept applications only after training and testing are completed, move testing into training programs more broadly, and eliminate redundant DOH verification of FBI background checks. Committee members asked about testing contract incentives, language access, and the role of immigration in workforce shortages; auditors said they found no financial performance standards in the Prometric contract, did not specifically study immigration status, and did not focus on language barriers in this audit. Department of Health and Department of Social and Health Services officials largely agreed with the audit’s findings and recommendations. They said they have already made improvements, including expanded in-program testing, more staffing, and rule changes, and that testing has been integrated into more than 110 training programs. DSHS noted testing is offered in 13 languages. Both agencies said they support further streamlining and expect continued collaboration, including possible budget or legislative requests. No public testimony was offered, and the committee adjourned without taking any vote or formal action on the audit.
MN

Minnesota 2025-2026 Regular Session

Committee on Capital Investment - 03/10/26

Capital Investment

Transcript Highlights:
  • And in addition to the critical improvements at Hastings, we would also be able to fund the improvements
  • estimate of total capital improvement estimate of total capital improvement needs<01:05:12.079><
  • <01:31:34.400> safety,<01:31:34.800> improve that money to improve safety, improve
  • that money to improve safety, improve efficiency<01:31:36.320> uh<01:31:36.480> for<01:
  • flow<01:32:05.440> in improve safety, improve traffic flow in improve safety, improve
Keywords: 1187, senate, all
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Monday, March 10, 2025)

US Federal House Floor Meeting

Transcript Highlights:
  • Green: I rise today in support of H.R. 706, the DHS Biodefense Improvement Act.
  • BIODETECTION IMPROVEMENT ACT. Mr.
  • BIODETECTION IMPROVEMENT ACT.
  • With more innovative technology, we can improve C.B.P.'
  • Improvements to this measure, not reflected in this bill today.
MN

Minnesota 2025 1st Special Session

House panel hears bill to rename library grant program after late Rep. Mary Murphy 4/1/25

Minnesota House Floor Meeting

Transcript Highlights:
  • There's still a lot to do to improve and preserve our state's public library buildings.
  • There's still a lot to do to improve and preserve our state's public library buildings.
  • There's still a lot to do to improve and preserve our state's public library buildings.
  • There's still a lot to do to improve and preserve our state's public library buildings.
  • Library buildings in my region alone have been improved through projects of all sizes.
Keywords: 1183, house
US
Transcript Highlights:
  • We continue to work in improving those numbers.
  • That's the fundamental improvement that I think we'll see.
  • We are committed to make... improvements where improvements of needs have been identified.
  • But we are seeing improvements. We also have improved the system so it's easier to use.
  • safety culture and improve lines of communication with workers.
Summary: The meeting primarily focused on significant safety concerns surrounding Boeing and its compliance with federal aviation standards. Lawmakers expressed frustration over the Army's failure to provide requested operational transparency regarding helicopter operations near Washington, D.C., amid recent incidents indicating a strained air traffic control situation. Several members called for reform in Boeing's oversight, emphasizing the need for a robust safety culture and mandatory safety management systems to prevent future disasters like the 737 MAX crashes. The discussions were passionate, with survivors and families impacted by past accidents present, highlighting the urgency and seriousness of the issues at hand.
MN

Minnesota 2025-2026 Regular Session

House Environment and Natural Resources Finance and Policy Committee 2/25/25

Environment and Natural Resources Finance and Policy

Transcript Highlights:
  • their management and programs to remove garbage, making it easier for our local communities to improve
  • > units of government organizations to units of government organizations to help<00:01:55.840> improve
  • <00:01:56.200> their help improve their help improve their management<00:01:57.960> and
  • <00:19:01.440> to<00:19:01.720> park Trails uh improvements to park Trails uh improvements
  • techniques and Technologies to improve techniques and Technologies to improve the<00:27:30.640><
Keywords: 1183, house
WA

Washington 2025-2026 Regular Session

Joint Transportation Committee Jun 23rd, 2026

Joint Transportation Committee

Transcript Highlights:
  • And this includes sidewalk improvements, repair, and construction.
  • Some of these needs may be included in the category of system improvement.
  • Is that improving? Do we need to get on DOT a little more about that?
  • First off is process improvements.
  • We're now looking at the transportation improvements.
Summary: The committee began with member introductions, then heard a presentation on a draft final report studying alternative funding mechanisms for sidewalks and related pedestrian infrastructure. Consultants said current local funding sources are insufficient, with most jurisdictions unable to complete planned sidewalk networks within 50 years. They evaluated four options: a sidewalk utility fee, a modified transportation benefit district sales tax, a new real estate excise tax option, and expanded stormwater fee use for ADA sidewalk ramps. The consultants recommended authorizing the modified TBD sales tax and new REET option, considering a sidewalk utility despite legal uncertainty, broadening any authorization to all pedestrian improvements, and not pursuing the stormwater fee option. Members asked about legal authority, fairness, revenue adequacy, and whether jurisdictions had been consulted; the presenters said state enabling legislation would likely be needed for a sidewalk utility and that fairness could be defined either by direct benefit or by need. The committee then received an update on the 2025 assessment of city transportation funding needs. The consultants reported that city transportation revenues have grown in some local and federal categories since 2019, but state revenues have remained relatively flat and smaller cities are especially affected by declining fuel tax revenues and limited tax bases. They estimated annual city transportation needs at $4.25 billion, average annual spending at $1.89 billion, and a funding gap of $2.37 billion, larger than in the prior study because of updated data, inclusion of system improvements, and higher preservation costs. Draft recommendations focused on reducing costs and improving efficiency, preserving and increasing state support, and expanding local funding options, including preservation-first spending, a permanent federal fund exchange program, streamlined review processes, better coordination with WSDOT, possible property tax flexibility, and exploration of new local tools. Members raised questions about design standards, the role of density and transit, federal compliance, and whether the report would identify specific consolidation or process changes. The committee also heard a project update on evaluating zero-emission vehicle and electrification programs funded by the Climate Commitment Act. Consultants said they had reviewed roughly 23 programs and projects across seven agencies and were now evaluating options to improve delivery, including process improvements, reorganizing programs, or consolidating governance and administrative functions. Early findings highlighted staffing shortages, duplication and variation across agencies, differing levels of risk, and the challenge of coordinating climate priorities across agencies with other core missions. Members asked about program outcomes, administrative costs, whether some programs should have exit strategies, and how to strengthen the EV Coordinating Council. Finally, WSDOT provided an implementation update on its new public-private partnership authority under SB 5801, saying work is underway to prepare governance, legal, policy, and organizational structures ahead of the January 1, 2027 effective date.
NM

New Mexico 2025 Regular Session

IC - Legislative Finance Nov 17th, 2025

Transcript Highlights:
  • That is nearly double the national improvement in the last three years.
  • This has improved transparency and cut our time to hire from 130 days to 70 days.
  • I accredit the leadership at ISD for that, for really making improvements.
  • So if there's improvement in the first year, we kick into the higher cost sharing sooner.
  • It's like we want to improve, but not too much. But then we have to improve all at once.
CA
Transcript Highlights:
  • It will take continued commitment to address ongoing and future threats and improve population health
  • Improve efficiency, transparency, and accountability.
  • Improvement fund abolishment and sub fund conversion.
  • Community improvement plans or Community Health Improvement Plans (CHIPs), which are actionable plans
  • And tenant improvement costs.
Keywords: 988, house, all
FL

Florida 2026 Regular Session

Appropriations Committee on Pre-K - 12 Education Feb 5th, 2025

Appropriations Committee on Pre-K - 12 Education

Transcript Highlights:
  • of our school improvement team.
  • And again, it's thanks to the work and the leadership of our Bureau of School Improvement.
  • We also, with this appropriation, want to improve the skill level and the ability of our students so
  • We also, with this appropriation, want to improve the skill level. classes.
  • Accelerate and increase and improve student achievement for all of our students.
Summary: The Appropriations Committee on Pre-K-12 Education met with a quorum and first heard a Department of Education program review on three district support programs: assistance to low-performing schools, the Florida Partnership program, and regional literacy teams (RAISE). Dr. Paul Burns described how the Bureau of School Improvement supports schools with D/F grades through regional teams, classroom observations, professional learning, and targeted funding, noting that 104 of 168 low-performing schools improved after 2022-23 and that the share of failing schools fell from 6% to 4%. He also outlined the Florida Partnership’s $4 million annual appropriation for advanced-course teacher training and student access, and the RAISE literacy program’s $5 million funding, universal/targeted/intensive supports, and progress monitoring results. Senators asked about rural participation, post-COVID reading data, parent support, and how long schools remain under monitoring after improving; Burns said rural districts can participate statewide, parents can access school and department support, and schools continue to receive monitoring after exiting low-performing status to prevent recidivism. The committee then received a presentation on the school district education foundation matching grants program from Suzanne Pridgen, who explained that the Consortium of the Florida Education Foundations administers the grants, which require private matching funds and support tutoring, literacy, STEM, career education, professional learning, books, and supplies. She said the program leverages about $1.44 in private support for every state dollar. The committee then moved to the regional education consortia, where representatives from PAEC, NEFEC, and Heartland, along with several rural superintendents, described the consortia as member-led organizations that provide economies of scale, professional learning, HR, risk management, purchasing, legal and operational support, crisis assistance, and leadership development for small and fiscally constrained districts. Superintendents from Lafayette, Holmes, Calhoun, Union, DeSoto, and Hendry counties testified that the consortia are essential because rural districts often have very small staffs, multiple-duty administrators, and limited in-house expertise. They cited support with insurance and hurricane recovery, training for new finance and HR staff, instructional coaching, CTE and leadership programs, and help with turnaround schools. Members emphasized that these districts can be high-performing despite limited resources, and several senators praised the consortia’s value. Senator Gaetz asked about additional back-office collaboration, possible regulatory relief, and FEFP issues tied to scholarship-related enrollment swings; rural superintendents responded that more local control would help. The meeting ended with a motion to adjourn, which was adopted without objection.
NH
Transcript Highlights:
  • Number seven: room tower repairs and improvements.
  • Again, at men's fire sprinkler system repair and improvement.
  • improvements at all facilities.
  • We have improved it significantly.
  • These are not cosmetic improvements.
Keywords: 928, house, all
ND

North Dakota 2025-2026 Regular Session

Education Committee Apr 1st, 2026

Transcript Highlights:
  • and retention is all improved.
  • We've seen improvements since implementing Barr.
  • We're still improving, and we're still adjusting.
  • And we have an improvement science, continuous improvement approach that we work with all of our intervention
  • TSI is targeted support and improvement.
Summary: The committee met to hear presentations on dual credit programs from North Dakota higher education leaders, a school superintendent, and teachers. Valley City State University described its dual credit model, emphasizing quality control through annual teacher training, syllabus and outcomes alignment, faculty qualification review, school visits, and pathways aimed at the College Studies Certificate. Members asked about teacher employment, course scheduling, revenue, scholarships, and whether a centralized model might improve efficiency; VCSU said most instructors are K-12 employees, online offerings are still small, and centralization could weaken local relationships and choice. Lake Region State College similarly stressed access and partnerships, noting about half of its headcount is still in high school, with both online and face-to-face dual credit options, district reimbursement arrangements, and support for rural schools. Lake Region also said dual credit helps students who might not otherwise see themselves as college-bound, but reduced tuition can still be a barrier for some families. Fargo Public Schools reported continued growth in dual credit, with 50 courses offered in partnership with several NDUS institutions and a 12.61% increase in participation. The superintendent highlighted a growing education pathway, including students completing Introduction to Education and field experience, and said the district is exploring a grow-your-own teacher pipeline. He also raised concerns about inconsistent institutional processes, teacher credentialing requirements, and transfer clarity, arguing for more aligned statewide systems. In response to questions, he said AP and dual credit can coexist, with AP often better for highly selective out-of-state colleges and dual credit better for students targeting North Dakota institutions, and he described some use of Arizona State online courses in earlier rural partnerships but said Fargo is focused on local institutions. Two teachers then testified on the classroom perspective. A West Fargo anatomy and physiology teacher said dual credit has expanded access, lowered costs, and prepared students well, but agreed that foundational science courses may be more effective when taken later in high school to reduce knowledge loss before college. A Drake-Anamoose English teacher, who has taught dual credit for more than 20 years, said the program has supported many students who went on to a wide range of careers and emphasized that small rural schools rely on dual credit to provide opportunities they otherwise could not offer. No formal votes or actions were taken in the portion of the meeting provided.
KY
Transcript Highlights:
  • Care coordination improved, clear.
  • delivering real measurable improvements delivering real measurable improvements that<00:10:42.800
  • Um, attendance improvement.
  • percentage point attendance improvement percentage point attendance improvement from<00:36:58.800
  • ... the care team, outcomes improve, the care team, outcomes improve, hospitalizations<01:09:59.920><
Summary: The committee first approved the prior meeting minutes and recognized Eric Clark for his service, noting this may be his last meeting before he leaves state government. The main presentation was from Allison Adams, president and CEO of the Foundation for a Healthy Kentucky, who described the organization’s history, nonpartisan mission, and focus on health equity, prevention, and upstream policy solutions. She said Kentucky’s poor rankings in chronic disease, preventable hospitalizations, and life expectancy show the need to shift resources toward prevention and community-driven strategies rather than relying mainly on treatment after people become sick. Adams emphasized leading health indicators, arguing that lawmakers should track actionable measures such as quit attempts and smoke-free policies instead of only lagging indicators like disease rates and mortality. In response to questions, she said accountability should be shared across communities and systems, with possible incentives and disincentives tied to outcomes, and she supported creating a public data utility or dashboard, ideally with university partners, to help legislators and communities monitor progress. She also cited examples of accountable health community models and said Kentucky could adapt similar approaches. The committee then heard from Meade County Schools Superintendent Mark Martin and district health coordinator Karen Kotche about the Healthy Kids Clinic partnership with Cumberland Health. They described a seven-year effort that led to full implementation in the district, which now has a nurse in every school and a nurse practitioner, allowing services such as sports physicals and other clinic functions to be provided on campus. They said the program has been a strong investment for students and the community and began explaining how the district built the partnership after earlier efforts and delays, including the pandemic.