Video & Transcript Research : 'multisystemic therapy'

Page 109 of 142
AL

Alabama 2026 Regular Session

Alabama Senate Feb 5th, 2026

Alabama Senate Floor Meeting

Transcript Highlights:
  • Uh, this is similar to what we did with the massage therapy board and the Department of Health, and I
  • 17.279> massage similar to what we did with the massage similar to what we did with the massage therapy
  • 18.319> and<03:02:18.399> the<03:02:18.479> department<03:02:18.720> of therapy
  • board and the department of therapy board and the department of health<03:02:19.040> and<03:02
Keywords: 920, all
Summary: The Alabama Senate convened with prayer, the pledge, and a roll call establishing a quorum. The chamber approved routine motions to excuse absent senators, dispense with the previous day’s journal, and allow introduction of bills and committee reports throughout the day. The Senate also received several House messages referring bills to committee, including local constitutional amendments for Limestone, Blount, and Mobile counties, a human cloning bill, a Fair Campaign Practices Act bill, a public education bill, a court fees bill, and a physician assistance bill. Committee reports were then taken up. The Finance and Taxation General Fund, Confirmations, State Governmental Affairs, County and Municipal Government, Education Policy, Banking and Insurance, Fiscal Responsibility and Economic Development, Transportation and Energy, and Local Legislation committees all reported a number of bills favorably, many with amendments or substitutes. Several measures were advanced to the calendar for the next legislative day, and the Senate confirmed multiple appointments, including Eileen Meyer and Tiffany Martin to the Alabama Board of Midwifery, Jennifer Ag, Jerry Gross, and Edgar Hower II to the University of West Alabama Board of Trustees, Patricia Sims, Tony Cochran, and Sandy Stimson to the Alabama State Port Authority Board of Directors. The Senate then adopted a special order calendar under Senate Resolution 34, setting the order of business for the 10th legislative day. The main floor debate centered on House Bill 161, the App Store Accountability Act, which was described as a child-protection measure requiring parental permission, age verification by app stores, accurate app age ratings, and limits on minors entering contracts through app downloads. Senators speaking in support said the bill was needed to protect children from harmful online content and preserve parental control, and they discussed an amendment clarifying the meaning of “act” and preserving compliance with other state age-verification laws. The debate was ongoing in the portion provided, and no final vote on HB 161 appears in this excerpt.
TX

Texas 89th Regular

Disaster Preparedness & Flooding, Select Jul 31st, 2025

Disaster Preparedness & Flooding, Select

Transcript Highlights:
  • And that's the basic emotional support that you make available. therapy session necessarily.
  • It's not therapy. It is not. It's not gonna happen this soon.
  • that have. greater needs and that will need that psychiatric intervention and that will need the therapy
  • mental. mental illnesses, and we have contract therapists who have of specializations in trauma therapies
Keywords: 997, house, all
NH

New Hampshire 2025 Regular Session

House Finance Division III (03/17/2025)

Transcript Highlights:
  • I appreciate that because I have a therapy at 1:00.
  • because<02:00:41.920> I<02:00:42.079> have<02:00:42.199> a<02:00:42.679> therapy
  • appreciate that because I have a therapy appreciate that because I have a therapy at<02:00:43.599
Keywords: 928, house, all
Summary: Division 3 Finance held a work session to move through five bills before noon, noting one member’s early departure and adjusting the order of bills accordingly. The first item, HB 54, would allow some alternative treatment centers in the medical cannabis system to operate for profit. Members discussed a fiscal note showing a one-time $133,000 cost, which was described as a Division 1 budget item to be handled through HB 2 rather than directly in Division 3. After discussion about keeping Division 1 informed and the distinction between retaining a bill versus funding it, the committee voted unanimously to retain HB 54 for further finance work and conversion into HB 2. The committee then took up HB 547, concerning reimbursement to counties for enhanced FMAP funds during the COVID period. The chair summarized the issue as federal enhanced Medicaid matching funds that were received by the state before authority existed to pass them through to counties, creating a disputed amount owed to counties. County representatives said the money should have gone to counties and clarified the relevant time period, while the department did not take a position. The chair proposed retaining the bill and moving it into HB 2, with discussion of a possible four-year repayment structure in equal annual installments. The committee agreed to retain the bill for continued work in the budget process. During the HB 547 discussion, members also clarified the fiscal and accounting details, including that the fiscal note had not been widely available and that some figures in the note should be treated as county revenue rather than county expenditure. Testimony explained that the enhanced FMAP increased from 50 percent to 56.2 percent, and that the state’s and counties’ shares of claims were affected by the timing of the federal change and the later state authorization. The committee emphasized that the issue was complex and budget-dependent, and that retaining the bill would allow further negotiation and incorporation into HB 2 rather than immediate final action.
MN

Minnesota 2025 1st Special Session

House Floor Session 3/13/25

Minnesota House Floor Meeting

Transcript Highlights:
  • She walks with a limp and has had years of therapy, but she ran a marathon. Pretty cool.
  • walks with the limp and has had<01:03:05.279> years<01:03:05.720> of<01:03:06.440> therapy
  • but<01:03:07.599> she<01:03:07.839> ran<01:03:08.119> a had years of therapy
  • but she ran a had years of therapy but she ran a marathon<01:03:10.680> pretty marathon pretty
Keywords: 1183, house
NH

New Hampshire 2025 Regular Session

Senate Session (03/06/2025)

New Hampshire Senate Floor Meeting

Transcript Highlights:
  • It might be a community health center that is providing, say, speech therapy.
  • <00:57:03.880> know<00:57:04.000> some<00:57:04.319> speech<00:57:04.720> therapy
  • c><00:57:05.599> U<00:57:05.960> they<00:57:06.119> can you know some speech therapy
  • U they can you know some speech therapy U they can get<00:57:06.720> reimbursed<00:57:07.520>
Keywords: 1191, senate, all
WY

Wyoming 2026 Regular Session

House Floor Session-Day 4, February 12, 2026-PM

Wyoming House Floor Meeting

Transcript Highlights:
  • Professionals Licensing Board; the Board of Nursing Home Administrators; the Board of Occupational Therapy
  • Professionals Licensing Board; the Board of Nursing Home Administrators; the Board of Occupational Therapy
  • Professionals Licensing Board; the Board of Nursing Home Administrators; the Board of Occupational Therapy
  • Professionals Licensing Board; the Board of Nursing Home Administrators; the Board of Occupational Therapy
  • Professionals Licensing Board; the Board of Nursing Home Administrators; the Board of Occupational Therapy
Keywords: 916, all
NH

New Hampshire 2026 Regular Session

House Judiciary (02/20/2026)

Judiciary

Transcript Highlights:
  • He said studies show that after a year on hormone replacement therapy, there is no competitive advantage
  • He said studies show that after a year on hormone replacement therapy, there is no competitive advantage
  • He said studies show that after a year on hormone replacement therapy, there is no competitive advantage
  • He said there is no competitive advantage after a year on hormone replacement therapy, so there is no
  • girls, if they take puberty blockers before they hit puberty and then they take hormone replacement therapy
Keywords: 1189, house, all
MN

Minnesota 2025 1st Special Session

Seclusion Working Group - 08/13/25

Minnesota Senate Floor Meeting

Transcript Highlights:
  • years<00:09:50.320> at<00:09:50.480> an<00:09:50.640> autism<00:09:51.040> therapy
  • <00:09:51.440> center<00:09:52.080> with years at an autism therapy center with years
  • at an autism therapy center with young<00:09:53.040> children<00:09:54.160> uh<00:09:54.320
Keywords: 1187, senate, all
TX

Texas 89th Regular

Judiciary & Civil Jurisprudence Apr 9th, 2025

Judiciary & Civil Jurisprudence

Transcript Highlights:
  • That when you have a child or adult victim of sexual abuse, you're looking at a lifetime Of therapy,
  • My family would have paid for their ongoing recovery, whether it be medication, therapy, or whatever
  • the front office of Beacon Cave Elementary on October 29, 2024, to pick him up for an occupational therapy
WY

Wyoming 2026 Regular Session

Joint Appropriations Committee, January 14, 2026

Appropriations

Transcript Highlights:
  • Uh, in the witchie programs, there's occupational therapy, physical therapy, MD, OOD, and the veterinarians
  • witchie programs,<05:20:54.240> there's<05:20:54.638> occupational<05:20:55.200> therapy
  • , programs, there's occupational therapy, programs, there's occupational therapy, physical<05:20:
  • 56.718> therapy,<05:20:57.600> MD,<05:20:58.080> OOD,<05:20:58.798> and<05
  • :20:59.040> the<05:20:59.760> um physical therapy, MD, OOD, and the um physical therapy
Keywords: 916, all
NH

New Hampshire 2025 Regular Session

House Municipal and County Government (01/30/2025)

Municipal and County Government

Transcript Highlights:
  • proof that the modifications address their service-connected disability needs, so meaning physical therapy
Keywords: 1189, house, all
MD

Maryland 2026 Regular Session

House Floor Session, 3/31/2026 #1

Maryland House Floor Meeting

Transcript Highlights:
  • the Supreme Court delivered yet another devastating blow to LGBTQ+ rights, overturning conversion therapy
  • the Supreme Court delivered yet another devastating blow to LGBTQ+ rights, overturning conversion therapy
Summary: The House convened with prayer, quorum call, and approval of the previous day’s journal, then received Senate Bill 890 and several House committee reports. The first major measure taken up was House Bill 627, which establishes a Commission on Histories, Culture, and Civics in Education. Committee amendments clarified the commission’s purpose, membership, and charge to review curriculum materials and school calendars and make recommendations to the State Board of Education and the Maryland Higher Education Commission. Additional amendments added a disability community expert and preamble language. The bill prompted extended debate about whether the commission would promote diversity in curriculum, how it would address religious and ethnic representation, and whether it would include Christian or Catholic perspectives; supporters said it was meant to reflect communities that had requested inclusion and to improve the completeness of Maryland history, while critics questioned the need for a new commission and raised concerns about identity politics and curriculum control. The bill was ordered printed for third reading after second-reader consideration. The House also considered House Bill 1582, the Education Program Accountability, Comprehensive Outcomes and Measures of Progress for Supporting Schools (COMPASS) Act. An amendment removed references to advanced professional certificates and national board certification from school quality indicators and required annual reporting on the relationship between composite scores and concentrations of low-income students. During discussion, members asked whether the bill was changing the scoring system and how much weight academics would carry; the response was that academic indicators would remain a majority of the score, but no single indicator could exceed 20% of the composite. The amendment and favorable report were adopted, and the bill was ordered printed for third reading. The House then took up House Bill 1514 concerning Calvert County county officials and Board of Education salaries and benefits. Committee amendments were technical and removed a benefit provision related to a former commissioner; both the amendment and favorable report were adopted without opposition, and the bill was ordered printed for third reading. Finally, the chamber moved to special order calendar item Senate Bill 283, the Maryland Consolidated Capital Bond Loan of 2026. The House Appropriations Committee presented 198 amendments to the capital budget, describing them as balanced across regions and within debt affordability limits, and began moving the amendments in groups, starting with a technical amendment.
KY

Kentucky 2026 Regular Session

Senate Standing Committee on Banking and Insurance. (3-24-26)

Banking & Insurance

Transcript Highlights:
  • The Chiropractic Association is neutral, and the Physical Therapy Association is neutral.
  • The Chiropractic Association is neutral, and the Physical Therapy Association is neutral.
FL

Florida 2026 Regular Session

Appropriations Mar 2nd, 2026

Appropriations

Transcript Highlights:
  • and community-based services for these individuals, community transition services, peer support, therapy
  • Is there a mechanism for that to happen, to give them the flexibility to continue with cancer therapies
Summary: The Appropriations Committee met and considered a large agenda of bills, reporting several measures favorably. Early action included SB 6, a settled claim bill involving the Department of Children and Families and the estate of Leila Estrada and Sapphire Williams, which was approved for $3.8 million. The committee also passed a cybersecurity internships bill creating a Department of Commerce program with Cyber Florida, and SB 532, which lets clerks of court retain the full amount of certain excess revenue and clarifies foreclosure-sale procedures. Veterans housing measures, CS for CS for SB 1602 and SB 1604, were approved to create a pilot program and a related trust fund for vacancy relief and risk mitigation for veteran housing. The committee also favorably reported SB 1110 on Medicaid and insurance coverage for orthotics and prosthetics, with emotional testimony from a student and family describing the high cost and importance of activity-specific prosthetics. Members also approved CS for CS for SB 1012 after adopting an amendment that removed inmate emergency and specialty medical service compensation provisions while retaining changes to the contractor-operated institutions inmate welfare trust fund. Another bill, CS for CS for SB 1614, was narrowed by a delete-all amendment to focus on limiting the use of excess fees for new building construction by local governments. All of these measures were reported favorably after brief debate, with some support testimony submitted in writing or waived. The most extensive discussion centered on CS for CS for SB 17, a major Medicaid and public assistance overhaul. The bill would create a Joint Legislative Committee on Medicaid Oversight, allow the Legislature to retain its own actuary, tighten Medicaid program oversight, update encounter-data reporting, set performance standards for managed care plans, revise pharmacy benefit manager rules, and require DCF to implement SNAP fraud-reduction and payment-accuracy reforms, including photo IDs on EBT cards and updated work requirements. It also would direct agencies to seek federal waivers for Medicaid work requirements for able-bodied adults and expanded behavioral health services. After lengthy questioning and testimony, the committee adopted amendments adding a transitional medical benefits glide path for people who gain employment and later lose Medicaid eligibility, and exempting hospice patients with six months or less to live. Supporters argued the bill would improve accountability, reduce fraud, and save money, while opponents warned it would create administrative burdens, increase paperwork, and cause eligible people to lose coverage or food assistance. The committee ultimately reported the bill favorably as amended.
KY
Transcript Highlights:
  • An individual who has a body mass index of 60 or 70 is probably going to need a combination of therapies
  • An individual with a body mass index of 60 or 70 is probably going to need a combination of therapies
Keywords: 958, all
Summary: The Medicaid Oversight and Advisory Board met on February 23, 2026, approved the January 12 minutes, and then focused primarily on Kentucky Medicaid’s coverage and potential expansion of GLP-1 drugs, especially for weight loss. Department for Medicaid Services Commissioner Lisa Lee explained that Medicaid currently does not cover drugs for weight loss, anorexia, or weight gain, but the department had filed a regulation to remove that blanket exclusion so GLP-1s could be covered when used for an underlying health condition. She said the administrative regulation review subcommittee found the regulation deficient, and the co-chairs wanted the board to discuss the policy and financing implications before any change. DMS also said it would be open to adding caveats to ensure coverage would not extend to cosmetic weight loss alone. The department provided several data points on current utilization and spending. In 2025, Kentucky Medicaid paid for appetite-stimulating drugs such as Megestrol, Dronabinol, and Marinol, but did not pay for weight-loss drugs. For GLP-1s, DMS said coverage began in 2025 and is limited to FDA-approved medical conditions, with prior authorization requiring a type 2 diabetes diagnosis code and A1C documentation. DMS reported $234.6 million in GLP-1 spending in 2025 before rebates, about 240,931 prescriptions, and said GLP-1s accounted for 7.3% of pharmacy spend in 2024 and 8.3% in 2025. It also said there were 24,844 expansion members and 13,638 non-expansion members using GLP-1s, with spending of about $156 million and $78.5 million respectively, and that 10 pediatric weight-loss prescriptions were covered under EPSDT. The department said outcome analyses, including whether GLP-1 use reduces insulin or other diabetes treatment, are underway and should be completed in a couple of months. Members asked about cost, rebates, and whether the state should wait for more outcomes data before expanding coverage. DMS said average reimbursement to pharmacies was $975 per prescription and the average dispensing fee was $109; it also said 2025 rebate invoices totaled $90.8 million, with $7.6 million collected so far. Several members expressed concern about the high cost and the need to evaluate whether the drugs improve health outcomes before expanding access, while others noted the potential benefits for obesity and diabetes treatment. Some members also discussed whether GLP-1s are effectively being used for weight loss in diabetic patients and whether broader data collection should be used to assess long-term value. After the Medicaid discussion, Eli Lilly executive Tracy Sims presented on obesity as a chronic disease and the economic burden it creates in Kentucky. She said Kentucky’s adult obesity rate is a little over 37%, that obesity is linked to about 200 diseases, and that untreated obesity costs the state billions in GDP and hundreds of millions in state budget impact. She highlighted recent federal access programs for GLP-1s, including a Medicaid-related program that she said could lower the state share of a Zepbound prescription to about $71 per month after federal matching. No votes were taken on the GLP-1 policy question during the meeting, and the main action was the receipt of testimony and discussion of the department’s proposed regulatory change.
KY
Transcript Highlights:
  • going towards building a Kosair for Kids Complex Care Center, or is it going towards multi-systemic therapy
  • We already have a contract with Home of the Innocents to provide multi-systemic therapy services.
Keywords: 958, all
Summary: The committee first approved the September 19 meeting minutes and then took up a deferred University of Kentucky personal services contract amendment for guardianship services. UK officials explained that the contract covers court-appointed guardians for patients who cannot make medical decisions and are not eligible for state guardianship, with the work funded by UK Medical Center agency dollars rather than the general fund. Members questioned the large increase in the not-to-exceed amount, the number of cases, the hourly billing structure, and whether there are safeguards to prevent unnecessary costs or reimbursement issues if a patient later has resources. UK said the increase reflects shifting work from a prior firm, anticipated new cases, a move from a monthly fee to hourly billing, and the need for a second firm because one prior attorney died and another firm has had difficulty appearing in court promptly. The committee ultimately approved the contract, while Senator Thomas said he would vote aye but urged future review of attorney fee limits and broader guardianship statutes, which he described as outdated and inconsistent. The committee then deferred three Office of Energy Policy memorandum of agreement items to the November 2025 meeting without objection. After that, it approved the remaining agenda items, including the contract lists and deferred items not separately selected for review. The final major item was a University of Kentucky personal services contract related to fundraising and philanthropic outreach. UK representatives said the contract supports marketing and donor engagement efforts to grow the university’s endowment pipeline and philanthropic support. The transcript cuts off before the committee finished its questions or took final action on that item.
TX
Transcript Highlights:
  • instructional materials, higher education courses, trade certificates, assessment costs, different therapies
  • But the ESA program, through a program called Horse Equine Therapy, helped that child learn how to walk
Bills: SB 2
Keywords: 1185, senate, all
OK
Transcript Highlights:
  • DRTC partnered with the University of Oklahoma Health Sciences Center through an occupational therapy
Summary: The meeting focused on integrated employment and related services for people with intellectual and developmental disabilities, with testimony from several provider agencies and state officials. Robin Arder and Belinda Stevens of ThinkAbility described how their organization supports people through residential services and self-created businesses because community employers often are not ready to hire people with disabilities. They said rigid service rules, difficulty fitting individuals into existing job definitions, and reimbursement requirements can prevent person-centered employment supports. They also reported that, in their experience, employees had not lost benefits when work was coordinated carefully with Social Security and benefits management. Tina Hannah of South Central Industries described a broad business model that includes manufacturing, janitorial and highway contracts, state-use products, a food truck, and an entertainment trailer, along with an adult day program and residential services. She said the organization uses a temp-service style model to make employers more comfortable and noted barriers such as employer concerns about productivity, lack of awareness of tax credits and accessibility resources, and the need for consistent job coaches. Miranda Figueroa of A New Leaf said her agency is moving toward a more person-centered model, including a Transition Academy for young adults that combines independent living instruction, community college classes, internships, and follow-along support; she said the program has an 85% placement rate but is expensive and not eligible for traditional student aid because it is not accredited. She also cited barriers including dual diagnoses, workforce readiness, and low reimbursement rates. Angela Decker and Deborah Copeland of DRTC described their long-running enclave contracts and a new Community Skills and Connection program that uses interest-based cohorts, community exploration, and volunteer experiences to build skills and networks tied to employment. They said the agency is phasing out its 14(c) subminimum wage certificate by the end of the year and is trying to expand community-based opportunities. DRTC and other providers emphasized the need to blend DDS and DRS services more effectively, reduce restrictive rules such as line-of-sight requirements, and better support people in congregate living settings. DRS representatives said the agency does provide school-based transition services, employer accommodations, and job carving support, and noted federal reporting requirements tied to wage outcomes. Members also discussed safety concerns, employer education, data collection, ABLE accounts, and the role of schools in preparing students for work and community life. The co-chairs proposed organizing the task force into three working groups: in-school/transition services, program support and service blending, and community integration/employer engagement. No votes were taken, and the meeting ended with plans for further working-group discussion and follow-up on data and policy ideas.
MA
Transcript Highlights:
  • done that in multiple places, you know, utilizing some special mental health units is not just as a therapy
Keywords: 995, all
Summary: The commission approved the July 11 minutes and then received a detailed follow-up presentation from the Department of Correction on facility footprint, mission-driven housing, programming, and technology. Commissioner Jenkins and Deputy Commissioner Peterson explained recent and planned facility changes, including the closures of Walpole, MCI Cedar Junction, and MCI Concord, the transition of the Plymouth Section 35/Mass Act program to Health and Human Services, the return of Bay State to DOC control for possible future use, and the Shattuck Hospital move to East Newton Pavilion. Members asked about operational capacity, the exclusion of support beds from occupancy figures, and the status of mothballed or unused facilities. Framingham drew particular attention because of its historically low women’s population and planned renovations; members raised concerns about the cost and the need to consider the broader women’s correctional system. A major portion of the meeting focused on mission-driven units and evidence-based programming. DOC described specialized units for health services, nursing care, clinical stabilization, mental health, residential treatment, protective custody, reentry, emerging adults, education, and substance use recovery, and noted that security threat group support beds are not used. Staff explained the distinction between general population beds and support beds, and between programming and treatment. They said core recidivism-reduction programs are based on risk-need responsivity and COMPAS assessments, with Spectrum Health Systems as the current vendor, and presented recidivism data showing lower reoffending among participants who completed programs such as violence reduction, criminal thinking, and the Correctional Recovery Academy. For women, they highlighted the pathways model at MCI Framingham, which combines trauma-informed, gender-responsive services, and reported strong outcomes for those engaged for at least 26 weeks. Members asked about how needs are identified and counted, how declinations are handled, and how the department distinguishes completion from ongoing maintenance. DOC said participation is voluntary, individuals are re-recommended over time, and completion is recorded in the system when criteria are met. They also discussed educational supports for learning disabilities and trauma, including IEP/504 coordination, tutoring, and a new school psychologist for testing. Questions were raised about family reunification programming, and DOC pointed to family-focused services, mediation, Read to Me Mommy, and the Brave unit for young fathers. Sheriff Cabral and Sheriff Cochie praised the presentation and emphasized the importance of family reunification and the realities of trauma in incarcerated people’s lives. The final section highlighted the expanded use of tablets across all facilities. DOC said tablets now support free phone calls, emails, video visits, surveys, educational content, medical updates, sick-call requests, and an earned-good-time app, while also helping with communication during facility closures and with ongoing programming. Staff said the tablets are used both for learning and recreation, and that more than half of the incarcerated population uses them monthly for educational purposes. Members discussed whether user feedback or “reviews” of programs could help increase participation, and DOC said tablet-based surveys make that possible. The meeting ended with general agreement that the department has expanded programming and technology substantially and is using them to support reentry, communication, and facility operations.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on State Administration and Regulatory Oversight Jun 21st, 2026 at 10:30 am

Joint Committee on State Administration and Regulatory Oversight

Transcript Highlights:
  • ILC also responds differently to standard therapies, and patients with ILC have lower long-term survival
Keywords: 995, all
Summary: The committee first heard testimony on a proposed Massachusetts baby bonds program, including H. 3429, S. 2146, and the Treasurer’s related bill H. 48. Treasurer Goldberg and a broad coalition of advocates, researchers, health professionals, and people with lived experience said the program would create trust accounts for children born into low-income families or in DCF custody, with funds available at age 18 for education, homeownership, business startup, or other long-term asset-building uses. Supporters argued the program would help close the racial wealth gap, improve economic mobility, and not affect eligibility for financial aid or public benefits. Committee members asked about administration, investment returns, eligibility, and withdrawal rules; the Treasurer said the accounts would be held in trust and managed by her office with an advisory board, with funds accessible at 18 and usable through age 35 if the beneficiary remains a Massachusetts resident. No vote was taken during the testimony shown. The committee also heard testimony on legislation establishing Lobular Breast Cancer Awareness Day, including S. 2666 and H. 4625. Senator Ross, Representative Badger, physicians, survivors, and advocates described invasive lobular carcinoma as difficult to detect because it often grows in lines rather than forming a lump, can be missed on mammography, and is underfunded and underrepresented in research and clinical trials. Witnesses said the bill would codify an annual October 15 proclamation to raise awareness, improve diagnosis, and encourage more targeted research and treatment. Committee members asked why the disease is so hard to detect, and medical witnesses explained the imaging challenges and the lack of lobular-specific protocols. The witnesses urged favorable reports. The committee then took testimony on H. 4648, a bill concerning the purchase or lease of Fenn Farm in Stockbridge by the Stockbridge-Munsee community. Representative Davis, the Stockbridge Land Trust president, and the tribal president testified that the bill would remove a conservation restriction tied to a state MVP grant so the tribe could manage the land without a restriction that they said would conflict with tribal sovereignty and Indigenous stewardship practices. They said the parcel is a sacred site connected to Monument Mountain and that the restriction is unnecessary because the land is already surrounded by conserved property. The witnesses asked for favorable action on the bill. Finally, the committee heard testimony on H. 3416, a resolution urging Congress to create a national infrastructure bank. Representative Senna and several advocates argued that an off-budget infrastructure bank could finance major repairs and upgrades to roads, bridges, rail, water systems, broadband, and housing without adding to the state budget, while creating jobs and supporting economic growth. Witnesses cited historical precedents for national infrastructure banks and said Massachusetts could benefit substantially from such a program. The transcript shown does not include a committee vote or final action on the resolution.