Video & Transcript Research : 'collaborative care model'

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MN

Minnesota 2025-2026 Regular Session

Committee on Higher Education - 04/07/26

Higher Education

Transcript Highlights:
  • care and food and all that stuff. care and food and all that stuff.
  • leads to a wide array of health care leads to a wide array of health care careers.<00:50:46.880>
  • but also sonographers, respiratory care but also sonographers, respiratory care specialists,<00:
  • full of patients and health care full of patients and health care professionals<00:54:17.600>
  • Minnesota's one-of-a-kind collaborative Minnesota's one-of-a-kind collaborative for<00:58:45.760
Keywords: 1187, senate, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Health Care Financing Jun 21st, 2026 at 01:00 pm

Joint Committee on Health Care Financing

Transcript Highlights:
  • It describes a payment model for primary care that is referred to as Primary Care for You, or PC for
  • It describes a payment model for primary care that is referred to as primary care for you or PC for you
  • Our model actually decreases the cost of care.
  • Novel models of care that include after-hours care and weekend care for patient convenience and to avoid
  • collaborative care are effective in doing that.
Keywords: 995, all
Summary: The Joint Committee on Health Care Financing held a public hearing on a large docket focused on primary care, workforce development, and medical debt. Chairs Cindy Friedman and John Lawn outlined hearing procedures and noted that testimony would be taken on 17 matters. The committee first heard testimony on bills to establish a community health center nurse practitioner residency program and to strengthen mental health centers. Senator Keenan, Rep. Keefe, and health center leaders described the Worcester nurse practitioner residency as a successful pipeline and retention strategy, citing workforce shortages, training needs in community health centers, and the cost of the program. Rep. O’Day also supported the mental health centers bill, saying it would raise payment rates, improve reimbursement for behavioral health services, and help clinics retain staff and expand access. The committee then took testimony on bills to address medical debt through hospital financial assistance reform. The Attorney General’s Office, Health Care for All, Health Law Advocates, the Leukemia and Lymphoma Society, and individual patients supported the measure, arguing that hospital financial assistance policies are inconsistent, hard to find, and difficult to navigate. Witnesses said the bill would standardize eligibility criteria, create a uniform application, improve notice requirements, and expand access to discounted care up to 400% of the federal poverty level. Several personal stories described medical bills being sent to collections, confusion over insurance billing, and the burden of debt on low-income and chronically ill patients. Committee members asked about hospital concerns, the role of the health safety net, and whether the bill addressed root causes of medical debt; testimony emphasized that the proposal was meant to improve transparency and access rather than replace broader insurance reforms. The hearing also focused heavily on “Primary Care for You” legislation, H. 1370 and S. 867, which would increase primary care investment and create a new payment model. Rep. Haggerty, physicians, a patient, community health center leaders, and the Massachusetts League of Community Health Centers described a primary care crisis marked by low reimbursement, staffing shortages, long waits, burnout, and difficulty recruiting clinicians. Supporters said the bills would shift spending toward preventive, team-based care, improve access and equity, and reduce long-term costs. The Massachusetts Association of Health Plans said it was directionally supportive of increased primary care investment but warned that any new spending must stay within the cost growth benchmark and preserve existing contracting structures. The hearing ended with additional testimony on a community health center workforce and loan repayment grant bill from Rep. Stanley, and with further discussion from Dr. Alan Garo about the need for payment reform in primary care.
MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - 03/11/26

Health and Human Services

Transcript Highlights:
  • my care. my care.
  • health care is already here. health care is already here.
  • to care.
  • > care.
  • access to care. access to care.
Keywords: 1187, senate, all
FL

Florida 2026 Regular Session

Appropriations Committee on Pre-K - 12 Education Jan 15th, 2025

Appropriations Committee on Pre-K - 12 Education

Transcript Highlights:
  • We have a lot of funding models in education.
  • Funding models are what we live for over here.
  • We have a lot of funding models in education.
  • Funding models are what we live for over here.
  • I think collaboration is a great idea, to collaborate with others who have expertise and can help us
Summary: The committee held its first meeting and received an overview of the Pre-K-12 education appropriations jurisdiction and base budget. Staff explained that education funding is driven largely by enrollment and per-student formulas, with most money coming from state and local sources. The presentation highlighted the major budget areas: early learning, the Florida Education Finance Program (FEFP), non-FEFP K-12 programs, federal programs, and the State Board of Education. Members asked about instructional materials funding and how scholarship students who return to public schools are counted and funded; staff explained that instructional materials remain in the base and that funding depends on survey timing, with districts ultimately funded through the enrollment count process. The committee then reviewed federal IDEA funding for students with disabilities. Department of Education officials explained how IDEA Part B funds are split between state set-asides and local educational agencies, and noted that Florida ranked fourth nationally in total IDEA Part B funding and received a 95% state determination for meeting IDEA requirements. They also described the bureau’s responsibilities, including monitoring, dispute resolution, instructional support, and the Hope Florida unit for ages 3 to 5. Members asked for more information on student performance outcomes and how the state measures success beyond compliance, and the department agreed to provide follow-up data. The final major topic was the Florida Diagnostic and Learning Resources System (FDLRS), including associate centers, multidisciplinary centers, and specialized centers for deaf/hard of hearing and visually impaired students. Presenters described services such as child find, family support, assessments, professional learning, accessible instructional materials, and technical assistance. Committee members focused on whether families and schools have equal access to services across the state, how IEP disputes and reevaluations are handled, and whether more support is needed for parents, teachers, and rural districts. FDLRS representatives said they do not write IEPs but help connect families to districts, provide training and assessments, and support compliance and data collection; they also emphasized staffing and resource needs, especially for low-incidence disabilities and multilingual family outreach.
NM

New Mexico 2025 Regular Session

IC - Radioactive and Hazardous Materials Sep 2nd, 2025

Radioactive & Hazardous Materials Committee

Transcript Highlights:
  • That model was then used to site the other extraction wells.
  • And the collaborative nature of this project will likely increase.
  • I think you need to do some cost modeling.
  • It's kind of shocking here that we didn't model.
  • But for some people, unfortunately, all they care about is money.
TX

Texas 89th Regular

Education K-16 (Part II) May 8th, 2025

Education K-16

Transcript Highlights:
  • Uh, just very appreciative of that collaboration.
  • It's where they find stability, caring adults, and a path forward.
  • In the first few years of its founding, the students in the RSIZ, the model for RPEPs, have increased
  • Similarly, PTech students, another model strengthened by this bill, are.
  • Our model works.
Bills: HB6, HB120, HB210
AL
Transcript Highlights:
  • With the goals in mind, we will collaborate and make it happen. Thank you.
  • taking care of.
  • So we focus on both and we put care plans together for both. ...put care plans together for both people
  • People don't even understand the basics of what the levels of care are.
  • Was that model very... Louisiana. Well, thank you again.
Keywords: 1136, house, all
WA
Transcript Highlights:
  • But B, how important collaboration in water polo is. And that's another spirit.
  • This also addresses a question you had earlier around model training.
  • The Health Care and Accessibility Subcommittee is examining the use of AI for health care utilization
  • In collaboration with the Digital Equity Forum work group co-chairs, we created a needs assessment to
  • And so really using the local or ...models for service delivery.
Summary: The committee held a work session focused on technology in government, AI, broadband, and digital equity. Seattle CTO Rob Lloyd described the city’s AI strategy, emphasizing responsible use, privacy, security, community input, and data strategy. He said Seattle is using small pilots and partnerships to test AI for tasks such as public records processing, infrastructure inspection, and permitting, while keeping humans as the final decision-makers. Members asked about bias, liability, training on best practices, labor involvement, and public records; Lloyd said AI should remain an assistant tool, not a replacement for human judgment, and that Seattle is still testing solutions for records requests and permitting. WATech CTO Nick Stow and Deputy Director Mark Quimby discussed the state’s broader AI policy, the generative AI executive order, a sandbox with more than 15 agencies, and use cases including a resident portal, cybersecurity, and wildfire detection. They stressed consent, closed systems, human-centered design, and the need to govern all forms of AI, not just generative AI. Committee members raised concerns about federal data access, labor issues, and wildfire detection effectiveness. Spokane County IT staff described a more restrictive approach to AI, citing privacy, bias, and cyber risks. The county standardized on Microsoft Copilot as its only approved chat-style AI tool, blocked other AI chat platforms, and requires human review of all AI-generated content. They said AI is also being used by criminals for phishing and deepfakes, underscoring the need for strong policy and security controls. The committee also received an update from the Attorney General’s AI Task Force. Yuki Ishizuka said the task force has 19 members and eight subcommittees covering ethics, consumer protection, labor, health care, public safety, education, government efficiency, cybersecurity, and industry/energy. The task force is working toward an interim report due December 1, 2025 and a final report due July 1, 2026, and is reviewing recommendations through public forums and advisory committees. Ishizuka warned that a federal budget reconciliation provision could bar states from enforcing AI regulations for 10 years, and several members voiced support for state authority and asked about possible 2026 legislation. The committee then heard updates on broadband and digital equity. Commerce’s Dave Pringle said the BEAD broadband program is being reshaped by new NTIA guidance, which removed or reduced emphasis on several prior priorities, and Washington is now working under an expedited process to submit its state application by September 4. He noted that no projects have been built yet, that four counties did not receive applications in round two, and that the state is trying to keep applicants engaged through office hours and a shortened review window. The Office of Equity and the Digital Equity Forum reported increased participation, new members, and ongoing outreach to tribal, rural, and underserved communities, while previewing recommendations such as creating an interdepartmental digital equity team and improving data use. Finally, Lumen’s Robert Thoms described private-sector broadband deployment challenges, including permitting, regulation, and the economics of extending fiber, while noting continued investment in overbuild projects, a $30 low-cost service option tied to the former ACP, and work with the state, tribes, and libraries. No votes were taken; the meeting consisted of presentations and member questions.
MN

Minnesota 2025-2026 Regular Session

Establishing an Office of Gun Violence Prevention 3/2/26

Minnesota House Floor Meeting

Transcript Highlights:
  • . collaboration. collaboration.
  • 22.880> played Healthc care professionals have played Healthc care professionals have played an
  • Collaboration is our best defense.
  • Collaboration is our best defense. Collaboration is our best defense.
  • > Minnesota, In collaboration with Protect Minnesota, In collaboration with Protect Minnesota,
Keywords: 1183, house
Summary: The committee heard House File 3668, authored by Chair Beerman, which would create a state Office of Gun Violence Prevention. Beerman and several supporters framed gun violence as a public health crisis, arguing the office would improve research, coordination, data collection, and evidence-based prevention. Supporters cited firearm deaths among children and adults, the trauma experienced by survivors and families, and Minnesota’s need for a centralized structure to guide policy and prevention efforts. Testifying in support were representatives of the Minnesota Medical Association, Protect Minnesota, a parent affected by the Annunciation school shooting, family physicians, an OB-GYN, and a pediatric emergency physician. They described gun violence as a daily clinical and community reality, pointed to rising firearm deaths and injuries, and said Minnesota should apply the same public health approach used for motor vehicle safety, tobacco, and other crises. Several witnesses emphasized the impact on children, suicide prevention, maternal health, and the need for Minnesota-specific research and coordinated responses. Opposition came from the Minnesota Gun Owners Caucus, which argued the bill would create a taxpayer-funded bureaucracy that could be used to advance gun control policy and treat lawful firearm ownership as a public health problem. The group said the state should focus instead on enforcement, prosecution, and victim services. Vice Chair Nidau offered an A2 amendment to move the office from the Department of Health to the Department of Public Safety, citing data-sharing and accountability, but withdrew it after discussion with Chair Beerman. The hearing ended with additional member discussion, including concerns about existing violence-prevention spending and whether school safety investments would be a better use of funds; no final vote was taken in the portion provided.
MN

Minnesota 2025-2026 Regular Session

Committee on Judiciary and Public Safety - 03/05/25

Judiciary and Public Safety

Transcript Highlights:
  • I'm really grateful for this collaboration with The Advocates, who are truly leading this work every
  • Survivors would have to drive over an hour to receive care.
  • Well, you might as well take care of it. The bill's being laid over, right?
  • Well, you might as well take care of it. The bill's being laid over, right?
  • There was meant to be a project we were going to be collaborating on.
Keywords: 1187, senate, all
US
Transcript Highlights:
  • wildfire risk, facilitating early response and suppression, and updating the public-private partnership model
  • Today Colorado has a long track record of successful collaborative forest management projects that bring
  • Forest Service employees are real people, family, friends, and neighbors dedicated to caring for the
  • They were collaboratively developed underneath...
  • Weiner, why is it important that this modeling and technology is developed and targeted for specific
Bills: HB471
Summary: The meeting primarily focused on H.R. 471, the Fix Our Forests Act, which aims to address the ongoing crisis of wildfires exacerbated by climate change and the need for updated forest management practices. Various committee members voiced concerns about past federal management failures and emphasized the necessity for collaborative approaches involving local communities and stakeholders in forest management. As discussions unfolded, there were varying perspectives on the implications of certain provisions in the bill, particularly around regulatory changes and their likely impacts on public participation and environmental reviews.
MN

Minnesota 2025-2026 Regular Session

FULL INTERVIEW: Patient-Centered Care | Senator John Marty Mar 20th, 2026

Minnesota Senate Floor Meeting

Transcript Highlights:
  • And they were going to manage care and they call them managed care organizations.
  • And they were going to manage care and they call them managed care organizations.
  • coordinate care better. coordinate care better.
  • health care providers? health care providers?
  • :04:45.720> primary<00:04:46.160> care increase in primary care increase in primary care
Keywords: 918, senate, all
Summary: The interview focused on Senate File 3612, which the senator described as “patient-centered care” legislation for Minnesota’s Medicaid and MinnesotaCare programs. He said the bill would remove private insurers and HMOs from administering those public programs, replace them with a state contract for claims processing and administrative services, and shift care coordination directly to primary care clinics, counties, and nonprofits. He argued the current managed-care system creates churn, prior-authorization barriers, and fragmented care, and said providers should manage care rather than insurers. The senator repeatedly cited Connecticut as a model, saying that state moved away from managed care, improved primary care participation, and saved money. He also argued Minnesota’s current system lacks transparency and may be overpaying health plans, pointing to fraud concerns and a past example in which UCare returned money to the state after an overpayment. He said the bill would improve accountability, make fraud easier to detect, and could save taxpayers billions, though he emphasized his main goal was better care rather than savings. On support and prospects, he said the bill has backing from the governor and the American Cancer Society but currently only DFL co-authors. He said he does not expect it to become law this year because the fiscal note and details are still pending, and he does not expect insurance companies to support it. He added that he is open to discussion but sees the insurers as fundamentally opposed. The interview ended with him saying workers in insurance and claims processing should be treated fairly and offered retraining or dislocated-worker support if broader reforms reduce their roles.
CA
Transcript Highlights:
  • Would this bill take care of that?
  • While people are taking steps to do more careful development of models, they need to be even more careful
  • It doesn't care who the driver is. It only cares that you have crossed the bridge.
  • This bill will ensure developers and health care professionals collaborate, apply specified focus, and
  • That brings more access to equitable health care, access to the right kind of care, and that we're not
Summary: The committee heard several AI- and consumer-protection-related bills, with extensive testimony from authors, supporters, and industry opponents. SB 53 by Senator Wiener would create transparency requirements for large AI developers, including disclosure of safety and security protocols, reporting of critical safety incidents, whistleblower protections, and the CalCompute public cloud. Supporters said it is a narrower, transparency-based follow-up to last year’s vetoed AI safety bill, while opponents argued it still relies too much on company size, could expose trade secrets, and should be narrowed further. The committee approved SB 53 on a do-pass-as-amended vote to Appropriations, with the roll held open for absent members. SB 766 by Senator Allen would codify the FTC’s Cars Rule and create a three-day cooling-off period for certain used-car purchases, along with stronger disclosure rules on pricing, add-ons, and government affiliation claims. Supporters said it would save consumers money and time and help buyers avoid bad deals, while dealer and industry groups said amendments addressed many of their concerns. Several former opponents moved to neutral, and the committee passed SB 766 unanimously as amended to Appropriations. SB 7 by Senator McNerney would regulate automated decision-making systems in employment by requiring notice, human review for discipline and termination, and limits on predictive behavior analysis. Labor and consumer advocates supported the bill as a safeguard against biased or overly automated workplace decisions, while employer and industry groups raised concerns about scope, notice burdens, and the predictive-analysis ban. The committee passed SB 7 to Appropriations on a 4-2 vote, with the roll held open. SB 833, also by Senator McNerney, would require human oversight of AI used in critical infrastructure, along with training and system assessments; it drew limited opposition focused on scope, and the committee passed it as amended to Appropriations on a 5-0 vote, also holding the roll open. Later, the committee took up SB 11, which would address AI-generated voice, image, and video cloning and deepfakes by clarifying likeness protections, requiring consumer warnings, and addressing misuse and evidence tampering. Supporters framed it as a targeted response to nonconsensual deepfakes, while industry groups said recent amendments improved the bill but still had concerns about penalties and warning language. The committee also heard SB 720, the Safer Streets Act, which would let cities opt into a revised red-light camera system that shifts from driver to owner liability, removes facial identification, makes violations civil rather than criminal, and directs revenue toward transportation safety projects; the author presented the bill, but the transcript ends before any final action on SB 720.
KY
Transcript Highlights:
  • If you don't care, just introduce yourself and begin your presentation. >> Okay, let me start sharing
  • Uh<00:01:10.720> if<00:01:10.920> you<00:01:10.960> don't<00:01:11.120> care
  • Uh if you don't care, just proceed.
  • and to decided decided to collaborate and to work<00:40:36.880> together.
  • So, if you all don't care, please introduce yourselves and you can begin your testimony.
Keywords: 958, all
Summary: The Artificial Intelligence Task Force met and adopted the prior minutes before turning to AI in education. Jeff Gagne of the Southern Regional Education Board described SREB’s Commission on AI in Education, which has organized its work into committees on policy, K-12 instruction, postsecondary instruction, and skills development. He highlighted eight commission recommendations covering statewide AI networks, targeted guidance for different user groups, professional development, standards and curricula, local capacity assessments, risk management, procurement, and AI-ready workforce skills. He also emphasized that states need more specific guidance for students, teachers, faculty, administrators, and parents, and that training is essential because many educators have not been prepared to use AI in instruction. Gagne also summarized two recent SREB reports: one on AI-ready workforce skills and one on AI use in K-12 classrooms. The workforce report recommends embedding AI across standards, strengthening computer science and digital learning standards, collaborating with industry and workforce agencies, building AI competencies into training and upskilling, providing educator professional development, and monitoring readiness. He said the report identifies three skill areas: success skills, industry baseline skills, and technical skills. The classroom guidance report promotes responsible AI adoption, with four pillars focused on increasing cognitive demand, streamlining teaching and administrative work, supporting personalized learning, and developing ethical AI users. He also noted that the report includes an AI procurement tool for school districts. Members thanked Gagne for providing outside examples and resources. One member noted JCPS has an introductory AI professional development offering for educators. Gagne said Kentucky’s David Couch serves on the SREB commission and that the commission’s member list and reports are available on SREB’s website. The committee then heard from Travis Powell of the Council on Postsecondary Education, who said CPE had surveyed campuses and found that Kentucky institutions have broadly embraced AI in teaching, research, student services, and administrative operations. He said all institutions have AI-focused degrees, minors, or courses, and many are integrating AI into general education and across disciplines. Powell also said CPE is considering an AI consortium and that campuses are using AI in research partnerships and applied work, while continuing to focus on ethical and effective use.
KY
Transcript Highlights:
  • <00:10:15.920> and of Justice has been careful and of Justice has been careful and conservative
  • talk about the Citizens Foster Care talk about the Citizens Foster Care Review<00:24:16.799>
  • <00:26:01.520> between The program is a collaboration between The program is a collaboration
  • <00:30:27.600> that access to emergency care that access to emergency care that individuals
  • It reduces intervention model works.
Summary: The Interim Joint Committee on the Judiciary met on November 6, 2025, approved the minutes, and welcomed guests including Kentucky Specialty Courts manager Elizabeth Nichols and Boyle/Mercer Family Court Judge Bruce Petri. The committee then heard the Chief Justice of Kentucky, Deborah Lambert, deliver her state of the judiciary address, focused largely on judicial branch funding, facilities, technology, and specialty court programs. Chief Justice Lambert said the branch is facing a projected $14.3 million shortfall for fiscal year 2026 and asked lawmakers for supplemental support, access to reserve funds, and higher base appropriations to cover inflation and nondiscretionary costs. She also requested a 15% across-the-board pay increase for judicial branch employees, citing salary gaps with other state workers and declining judicial compensation relative to national averages. She emphasized that the branch has received a clean FY 2025 audit and said the requests were intended to sustain current operations rather than expand them. A major portion of her remarks covered court technology and facilities. She described the move to Chamberlain during Capitol renovations, the purchase of that building as a cost-saving measure, and the need to fund courtroom audio/video systems and a new statewide case management system. She also discussed courthouse maintenance, flood damage, mold issues, security system upgrades, and the $47 million asset preservation fund created last session, while asking for additional local facilities funding and one-time disaster-related support. Lambert highlighted specialty court and statewide program results, including foster care review boards, family recovery courts, court designated worker programs, drug and mental health courts, and the Judicial Commission on Mental Health. She thanked legislators for prior bills and support, including House Bill 1, Senate Bill 26, and the CES law, and said 2026 recommendations will focus on civil commitment reforms under KRS 202C. During questions, Senator Wheeler asked whether some courthouses are being overbuilt; Lambert said most facilities are inadequate, though some may be larger than needed, and that future needs and population changes must be considered. She also noted that virtual hearings and technology have improved efficiency. No votes or formal committee actions were taken beyond approving the minutes and receiving the presentation.
CA
Transcript Highlights:
  • When poor staffing delays their care, UC's hiring freeze will worsen the staffing crisis and leave us
  • Possible programs include those tied to health care, business, and education.
  • Partnerships of this kind are representative of one, Health care and education.
  • This is the beginning of what is a different model than what we're used to. Right.
  • And so we're here to support that kind of collaborative work.
Summary: The Assembly Budget Subcommittee on Education Finance held an extended hearing focused primarily on University of California budget issues, enrollment, housing, and Title IX. Chair David Alvarez opened by noting the governor’s proposed 8% ongoing General Fund reduction to UC, the deferral of compact funding, and the College of the Law budget item, while emphasizing that no votes would be taken that day. Public commenters, including UC Davis employees and lecturers, urged restoration of UC funding and opposed the hiring freeze, saying cuts would worsen staffing shortages, reduce research capacity, and harm students and patients. On UC core operations, the Department of Finance said the governor’s budget maintains the compact but defers $240.8 million in ongoing support and continues a planned 7.95% reduction, while the LAO recommended rejecting the deferrals and instead making any changes in the budget year. UC San Diego’s chancellor and UC Office of the President argued the cuts and deferrals would create major campus shortfalls, force hiring freezes, larger class sizes, fewer course offerings, delayed projects, and possible layoffs. Committee members questioned whether cuts could be shifted away from students and toward administration, discussed UCOP reserves and bond debt, and noted that UC’s budget structure makes the campus-level impact larger than the headline reduction. The committee also reviewed enrollment trends and nonresident replacement. The LAO said UC resident enrollment has grown and recommended revisiting 2026-27 targets and pausing the nonresident replacement plan if state funding does not improve. UC said it has exceeded California undergraduate enrollment and nonresident replacement goals, but warned that continued growth without funding would force enrollment reductions and harm quality. Members discussed the role of nonresident and international students, tuition rates, and the value of UC as a pathway for California students and a source of talent for the state. A separate housing item covered the state’s Higher Education Student Housing Grant Program. UC reported that recent bond savings could support additional affordable beds at UC Davis and UC Santa Barbara, but the LAO and Finance noted the Legislature would need to decide how to use the $6.2 million in savings from the original projects. The committee also heard a Title IX update from UC’s systemwide civil rights office, which described campus Title IX structures, training, and policy enforcement, and said the system has been working to improve confidentiality guidance and streamline complaint processes after survey feedback showed confusion and lengthy procedures.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Housing Jun 21st, 2026 at 01:00 pm

Joint Committee on Housing

Transcript Highlights:
  • I filed it in collaboration with Representative Ryan Hamilton and Senator Jamie Eldridge.
  • Tim is actually at La Collaborative, but he's on his way. My name is Elizabeth Alfred.
  • This results in worse health outcomes and higher health care costs down the road.
  • This results in worse health outcomes and higher health care costs down the road.
  • care.
Keywords: 995, all
Summary: The Joint Committee on Housing held a hybrid hearing on a broad slate of housing and homelessness bills. Chairs Rich Haggerty and Julian Cyr opened by noting the committee’s focus on EOHLC programs such as RAFT, MRVP, and HomeBASE, and several members and advocates emphasized the urgency of the state’s homelessness crisis, including rising family homelessness and the need for earlier intervention, more stable subsidies, and stronger long-term housing tools. A major theme was homelessness prevention and rehousing. Multiple witnesses supported bills to codify and strengthen RAFT and HomeBASE, arguing that assistance should be available earlier in a crisis rather than only after a notice to quit or imminent loss of housing. Testimony from legal services, homelessness coalitions, social workers, municipal housing staff, and tenant advocates said the programs help families avoid eviction and shelter, but need more flexibility, higher benefit caps, and permanent statutory protection. Several speakers also urged support for codifying the Massachusetts Rental Voucher Program (MRVP), describing it as a critical long-term subsidy for low-income households and older adults, and warning that codification would protect the program from future budget or policy changes. The committee also heard testimony on housing stability for older adults, affordable homes for people with disabilities, supportive housing, housing cooperatives, home sharing, local preference, and reentry housing for returning citizens. Advocates for older adults described a Somerville bridge subsidy pilot that helped stabilize seniors while they waited for permanent housing, and urged statewide expansion. Supporters of supportive housing called for an interagency board to streamline funding and development, while cooperative housing proponents backed creation of a Massachusetts Center for Housing Cooperatives and a dedicated funding reserve. A bill to secure housing for returning citizens drew support from reentry providers and Senator Adam Gomez, who said stable housing is essential to successful reintegration. No votes were taken during the hearing; witnesses generally asked the committee to report the bills favorably, and some members asked follow-up questions on data and program details.
ND

North Dakota 2025-2026 Regular Session

Senate Appropriations - Human Resources Division Apr 3rd, 2025 at 09:00 am

Appropriations - Human Resources Division

Transcript Highlights:
  • model, it allows us to look at to more of a value-based, and providers to a more value-based care model
  • The QSP, the staff there for personal care and homemaking, respite, companion care, nursing.
  • The QSP, the staff there for personal care and homemaking, respite, companion care, nursing.
  • rate increase for basic care.
  • Basic care?
Keywords: 908, all
Summary: The Senate Appropriations HR Division met with all members present to review the medical services portion of the HHS budget. Sarah Aker, Executive Director of Medical Services, walked the committee through several budget items, including HCBS cost-to-continue adjustments, the DD bed assessment, expansion of value-based purchasing, targeted rate increases for home health and QSP services, and the cross-disability waiver. Members generally supported the targeted increases for home health and QSP, and Aker explained that the cross-disability waiver funding would support startup work, service design, and infrastructure ahead of a planned July 1, 2028 implementation. The committee spent significant time on rate-setting and provider payment issues. Members discussed ambulance rate rebasing, with several senators expressing concern that the proposed increase was too high relative to peer states; the committee ultimately moved toward reducing that item to $1 million rather than zero so it could be revisited in conference committee. They also discussed a House-added critical access hospital networking grant and similarly leaned toward reducing it to $1 million. Aker explained the department’s value-based purchasing plans, including use of a vendor selected through RFP, and clarified how the department’s existing Medicaid managed care and hospital value-based programs work. A major portion of the meeting focused on long-term care and basic care payments, including a House-added extension of the $5 per day basic care add-on and a proposed shift in nursing facility incentive grants toward a withhold-based model. Senator Mathern indicated he would bring an amendment to delay or modify the withhold change, and Aker said the department would prefer language that directly addresses whether a withhold may be implemented. Members also discussed 1915(i) services, FMAP changes, the Medicaid legacy system modernization carryover, and a House-added legislative intent section on medical assistance. The committee adjourned for the morning with plans to return later to continue Human Services budget work and revisit unresolved items in conference committee.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Bonding, Capital Expenditures and State Assets Jun 21st, 2026 at 11:00 am

Joint Committee on Bonding, Capital Expenditures and State Assets

Transcript Highlights:
  • Between 1951 and 1990, requiring higher levels of care and maintenance.
  • So how does the Bright Act, you know, does the Bright Act help that collaboration? Sure.
  • Compounding this is a serious regional shortage of health care workers.
  • Compounding this is a serious regional shortage of health care workers.
  • Compounding this is a serious regional shortage of health care workers.
Keywords: 995, all
Summary: The committee heard testimony on the BRIGHT Act, a higher education capital bill that would use Fair Share surtax revenue to fund major repairs, modernization, and decarbonization projects across UMass, state universities, and community colleges. UMass leadership described a $4.8 billion deferred maintenance backlog, aging buildings, and the need to modernize facilities, improve accessibility, and reduce emissions. Administration officials said the bill would authorize $2.5 billion in capital funding, split roughly 50-50 between UMass and the rest of public higher education, plus additional targeted funding for housing planning, smaller modernization projects, campus master plans, and workforce skills grants. They emphasized that the financing structure is modeled on the Commonwealth Transportation Fund and would not raise student costs, while also supporting affordability through financial aid and free community college. Members raised questions about regional equity, the distribution of funds among the five UMass campuses and the 24 state university/community college campuses, project labor agreements, whether the bill would unlock private or federal matching funds, and how the system is preparing for AI and changing workforce needs. UMass officials said project selection is data-driven, based on deferred maintenance, safety, accessibility, sustainability, and programmatic needs, and that the flagship campus in Western Massachusetts would likely receive a large share because of its size and needs. They also said UMass Boston would receive its own share and would not be shortchanged by the Bayside project. On labor, they said PLAs are commonly used and they would follow existing board and building authority policies. On affordability, they said the university has shifted hundreds of millions into need-based aid and that the state’s recent support has helped keep tuition low for many students. DCAMM and higher education officials said the state’s public campuses account for a large share of state-owned building space and a disproportionate share of operational carbon emissions, making decarbonization a major driver of the bill. They said the legislation would allow larger, more comprehensive projects that can address deferred maintenance, energy efficiency, and program needs at the same time, while also making some projects shovel-ready through the Fair Share supplemental funding already appropriated. A later panel from the State Universities Council of Presidents argued the bill’s authorization is still too small to meet long-term needs and urged the committee to increase the bond cap and ensure a more equitable distribution among segments. No votes or final actions were taken in the portion of the meeting provided.
CA
Transcript Highlights:
  • So I would say that we have to be very careful on that.
  • If we care about American workers and American small businesses, then we most care about America's best
  • America is shifting from a consumer-driven model to a producer-driven model.
  • We, just because of our model, we will never comply with USMCA.
  • , child care, and environmental justice.
Summary: The joint hearing of the Assembly Select Committee on California-Mexico Bi-National Affairs and the Assembly Economic Development, Growth, and Household Impact Committee focused on the USMCA and how the agreement affects California’s economy, jobs, supply chains, and competitiveness. Opening remarks emphasized California’s heavy trade dependence on Mexico and Canada, the importance of stable trade rules, and concerns that tariffs or uncertainty could harm workers, small businesses, agriculture, logistics, manufacturing, and border communities. Members said the hearing would help inform a future legislative report or resolution on California’s priorities for the agreement’s review. Academic and policy witnesses argued that the USMCA is central to North American economic integration and California’s role in it. Testimony from UC San Diego and CETYS University described California and Mexico as co-producers rather than simple trading partners, highlighting sectors such as medical devices, aerospace, semiconductors, logistics, and advanced manufacturing. Witnesses also warned that the upcoming review could involve not just trade but security and immigration issues, and they urged a stronger, longer-term agreement with more certainty, better border efficiency, and new tools such as specialized technician visas, binational certification standards, innovation zones, and a technology fund. Go-Biz and chamber representatives said USMCA provides predictability, market access, and support for small and medium-sized businesses, while also creating compliance burdens through rules of origin, labor standards, and customs procedures. They pointed to California’s trade missions, export support programs, and state-level cooperation with Mexico and Canada as ways to help firms participate in regional supply chains. Mexican government and business representatives said the agreement is largely functioning well, that Mexico’s public consultation process received nearly 800 submissions and about 2,000 chapter-specific comments, and that many stakeholders favor maintaining or extending USMCA. No formal votes were taken; the committee heard testimony and asked witnesses for follow-up information to inform its report and future recommendations.