Video & Transcript Research : 'collaborative care'
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TX
Texas 89th Regular
Disaster Preparedness & Flooding, Select Aug 5th, 2025
Disaster Preparedness & Flooding, Select
Transcript Highlights:
- Once again, I want to emphasize that this is a collaborative process.
- Well, we would collaborate with them. What do you think that collaboration would look like?
- I think the collaboration piece is...
- When you look at the, it talks about collaboration on page one. and it's his collaboration with TDEM
- And I don't care.
Keywords:
emergency communication, interoperability, grant program, first responders, state council, disaster response, emergency management, mass fatality, justices of the peace, training programs, emergency manager license, volunteer management, justice of the peace training, criminal history checks, state health services, broadband, public safety, disaster preparedness, funding, flood disaster plan
TX
Texas 89th Regular
Appropriations - S/C on Article III Feb 27th, 2025
Appropriations - S/C on Article III
Transcript Highlights:
- In addition, because of of our collaboration with the United States Army.
- That's. innovation collaboration at its best.
- Health care for rural communities is an urgent crisis.
- services for women in maternal care deserts. providing emergency obstetrical care training for rural
- They don't really care if the state of Texas owns or contracts.
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.
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
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 6 on Public Safety Apr 7th, 2025
Transcript Highlights:
- We are collaborating with incarcerated people to reduce staff sexual violence.
- So you guys have a lot on your hands, but we need to get this taken care of.
- We've been collaborating with other entities outside of the institution.
- The team includes local grievance staff and health care professionals.
- We collaborate with them. I mentioned that I used to work for them.
Summary:
The hearing focused first on sexual abuse, harassment, and retaliation in California’s women’s prisons, with testimony from CDCR wardens, the Office of Inspector General, advocacy groups, and formerly incarcerated survivors. Legislators and witnesses described a pattern of staff misconduct, fear of retaliation, gaps in reporting, and the need for stronger accountability, better investigations, and more outside access for survivor support organizations. CDCR said it has expanded training, body-worn and stationary cameras, outside partnerships, and PREA-related response procedures, while the Inspector General requested additional funding and staff to monitor more grievances and staff sexual misconduct cases under SB 1069. Members pressed CDCR on why accused staff are not always placed on leave, how cases are referred to prosecutors, and whether current protections are enough; several members argued the state should aim to investigate all complaints and do more to prevent retaliation and repeat abuse.
The second issue was rehabilitative and reentry programming in women’s prisons. CDCR’s Division of Rehabilitative Programs and the wardens highlighted education, vocational training, substance use treatment, peer support, and community reentry programs, citing increased enrollment and recent graduates earning diplomas, degrees, and certifications. They said these programs are intended to reduce recidivism and improve public safety. Formerly incarcerated advocates and community providers argued that current offerings are still too limited, outdated, and not aligned with today’s job market, especially around digital literacy and transferable credentials, and they urged more funding for community-based, trauma-informed, gender-responsive programming. A coalition representative asked for a $20 million continuation and expansion of the Wright Grant program, and members discussed additional budget requests for reentry and related women’s services.
HI
Hawaii 2026 Regular Session
FIN-WAM Joint Info Briefing - Mon Jan 26, 2026 @ 1:00 PM HST
Hawaii House Floor Meeting
Transcript Highlights:
- , speaking of collaboration, speaking of collaboration, I<00:47:46.160>
think <00:47:46.600 - , you're not providing appropriate care, you're not providing appropriate care, you're<01:08:37.920
- <01:10:39.720>
for <01:10:39.800>which collaboration with the state for which collaboration - I don't care amazing year this year.
- :50.760>
we <01:31:50.960>want cross-sector collaboration that we want cross-sector collaboration
CA
California 2025-2026 Regular Session
Assembly Transportation Committee Jun 8th, 2026
Transcript Highlights:
- Is there anything else when you are collaborating?
- With Waymo's team, we've had tremendous collaboration.
- So we need to be careful when we assess safety.
- So we need to be careful when we assess safety.
- So we need to be careful when we assess safety.
Summary:
The Assembly Transportation Committee heard an informational hearing on California’s newly finalized autonomous vehicle regulations, with DMV and CHP officials describing the updated framework and committee members pressing them on safety, enforcement, and first-responder impacts. DMV said the rules, effective April 28, 2026, expand reporting, create a phased permitting system from testing to deployment, add requirements for safety cases, remote operations, and first-responder coordination, and open a path for heavy-duty AV testing and deployment while still prohibiting oversized loads and hazardous materials. CHP said it worked with DMV on enforcement tools, first-responder interaction plans, and training local agencies on the new notice of noncompliance process. Members asked about crash data, immobilizations, freeway and construction-zone safety, weigh-station enforcement, and whether foreign licenses can qualify for remote assistants or drivers; DMV and CHP said the rules are intended to keep AVs accountable and that heavy-duty AVs will be held to the same roadway standards as human-driven commercial vehicles.
A second panel focused on data collection and enforcement. Consumer attorneys argued the prior rules were too limited because DMV stopped collecting meaningful data once AVs moved from testing to deployment, making it difficult for the public and litigants to understand incidents; they supported the new regulations but urged that the collected information be made public. The industry association said California now has the nation’s most robust AV oversight, with monthly or quarterly reporting of collisions, system failures, immobilizations, harsh braking, vehicle miles traveled, and notices of noncompliance, plus broad DMV authority to restrict or suspend operations. In response to questions, the industry said it generally supports the new framework, believes the regulations are clear, and does not favor full federal preemption of state AV rules, though it wants federal standards for design, construction, and performance.
A third panel addressed first-responder interaction and remote operations. The San Francisco Fire Department described repeated AV interference with emergency scenes and said AVs have generated hundreds of “sleeper calls,” where passengers fall asleep and trigger 911 responses; the department said these incidents consume significant staff time and it wants better protocols to reduce unnecessary dispatches. Waymo said it has trained thousands of public-safety personnel, maintains a 24/7 emergency line, uses geofencing/avoid-the-area messages, and can allow first responders to manually override or move vehicles when needed. Committee members asked about sleeper-call prevention, remote assistant licensing and drug testing, communication redundancies during outages, and how manual overrides work for vehicles without traditional controls; Waymo said it is collaborating with responders and that its vehicles are designed to reach a safe stop if connectivity is lost.
The final panel began with testimony on heavy-duty autonomous vehicles. A transportation researcher said freight is essential to California’s economy and that heavy-duty AVs pose distinct safety risks because of their weight, stopping distance, and the potentially severe consequences of crashes or immobilizations on highways. He said the new regulations are important because they create a regulated pathway for heavy-duty AV deployment, require a safety case, set mileage thresholds, and add reporting categories that can serve as leading safety indicators. The hearing was still in progress when the transcript ended, with additional testimony expected from labor and industry witnesses on heavy-duty AV deployment.
NH
New Hampshire 2025 Regular Session
Health and Human Services Oversight Committee (09/26/2025)
Transcript Highlights:
- So basically your primary care and emergency care and mental health care would not be subject to cost
- acute care facility. acute care facility.
- We're focused on acute care.
- We're focused on acute care.
- will help to access that care. will help to access that care.
Summary:
The committee first approved the draft minutes of its May 16, 2025 meeting, with one correction removing Representative Dry from the attendance list because she was present as a guest rather than an appointed member. The committee then received a Department of Health and Human Services update from Commissioner Lori Weaver, who focused on the rural health transformation grant process. She said the department has been gathering stakeholder input since July, issued a request for information on September 22, and is working toward an end-of-October draft and a November 3 deadline, with a grant writer request expected to go before Governor and Council at no cost to the state.
The bulk of the meeting centered on federal changes affecting SNAP and Medicaid. Karen Heert explained that the federal law changes commonly referred to as the “Big Beautiful Bill” or HR1 will affect SNAP eligibility and state costs, including a shift in administrative cost sharing from 50/50 to 75/25 beginning in October 2026 and a possible state share of benefits if New Hampshire’s error rate is too high. She said the program affects about 43,000 households, that New Hampshire’s federal fiscal year 2024 error rate was 7.57% versus a national rate of 10.93%, and that the state must get below 6% to avoid liability. She also said DHS is preparing remediation steps, auditing cases, and seeking technology and staffing support, including a grant for automation and training.
Henry Litman then described Medicaid changes under HB2 and the new federal law. He said New Hampshire returned to pre-pandemic eligibility verification rules on July 1, including a 10% income compatibility standard and reduced ex parte renewals, which has increased manual work and contributed to a drop in enrollment from about 185,000 in late June to about 178,000 in early September. He also reviewed new child premiums, pharmacy copays, Granite Advantage premiums, and possible Medicaid work requirements, noting that DHS is working with CMS on implementation details and may use a state plan option rather than an 1115 waiver because it would be less expensive and faster. Members asked several questions about the SNAP error-rate rules, the distinction between administrative and client errors, the effect of unpaid copays, and the timing and legal risk of the Medicaid work requirement; no votes were taken on those policy issues.
KY
Transcript Highlights:
- <00:21:37.440>
Too released without a plan of care. Too released without a plan of care. - This legislation will create a strong collaboration between our health care professionals and the court
- And this allows the access that care.
- care homes which are funded abysmally. care homes which are funded abysmally.
- ,<00:43:13.599>
but seems like it's more collaborative, but seems like it's more collaborative
Keywords:
00:00:06 - Call to Order/Roll Call
00:01:23 - Review of Referred Administrative Regulations
00:02:00 - Discussion of 26RS HB 485
01:00:40 - Roll Call Vote on 26RS HB 485
01:03:25 - Adjournment, 958, all
Summary:
The House Standing Committee on Health Services met with a quorum and took up House Bill 485, a major mental health measure addressing both KRS 202C and KRS 202A. The committee first adopted a committee substitute and then approved a committee amendment correcting misspellings in the bill. Members and witnesses described the bill as the product of years of work with judges, prosecutors, defense attorneys, mental health professionals, advocates, and the Kentucky Judicial Commission on Mental Health.
Testimony on the 202C portion focused on individuals charged with serious violent offenses who are found incompetent to stand trial. Witnesses, including a circuit judge and a family member whose mother was killed by her mentally ill brother, argued that current timelines require repeated evidentiary hearings and impose unnecessary trauma on victims’ families and strain on courts and KCPC. Supporters said the bill would lengthen review intervals, clarify the role and payment of guardians ad litem, and reduce repeated relitigation while preserving due process and public safety. They noted that 202C cases are few in number but consume a significant share of KCPC bed space.
The committee then turned to the 202A portion, which covers civil mental health commitments for people who may not have committed a crime. Supporters said current law leaves courts with only two choices—hospitalization or release—and that the bill would create a third option by allowing court-ordered outpatient treatment and other guardrails such as medication compliance and follow-up care. Witnesses emphasized that the bill defines terms such as “benefit” and “serious mental illness,” expands the definition of danger, and aims to provide a least restrictive alternative to inpatient hospitalization. No final vote on the bill itself was taken during the portion of the meeting provided, but the substitute and amendment were adopted and testimony continued in support of the measure.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 6 on Public Safety Mar 24th, 2025
Transcript Highlights:
- American Indian populations and culture, historical trauma, youth diversion programs, trauma-informed care
- Through collaboration and effective partnerships, the surge operations have recognized the following
- And that's the way it is explained to me that it is occurring, that there is that collaboration.”
- Well, there's definitely collaboration and working together and being trained by the experts.
- But I believe, and I think the group believes, that further funding—and we speak about collaboration,
Summary:
The Assembly Budget Subcommittee on Public Safety heard several items focused on youth safety and law enforcement resources. The committee first took up tribal youth diversion programs, with the Legislative Analyst’s Office describing the Tribal Youth Diversion Grant Program and its two cohorts of grantees funded through the Board of State and Community Corrections. Tribal representatives from the Yurok Tribe and San Pasqual Band of Indians testified that diversion, tribal courts, school partnerships, mentoring, and culturally grounded services helped reduce truancy and justice-system involvement, but that short-term funding interruptions and limited capacity prevented them from serving all youth in need. Committee members discussed the importance of early intervention, tribal-state court collaboration, and possible misidentification of Native youth in the justice system.
The committee then heard the California Highway Patrol’s overview of surge operations supporting local crime suppression, including organized retail theft. CHP reported that its surge teams have been used in response to mutual aid requests and cited arrests, stolen vehicle recoveries, and firearm seizures in Oakland, Bakersfield, and San Bernardino. Members asked about demand for these operations and whether CHP could meet requests without affecting other duties; CHP said requests have increased and are accepted when resources allow. The committee also heard CHP’s request for a $5 million General Fund augmentation and 12 positions for its Computer Crimes Investigation Unit to make child sexual abuse material and human trafficking investigations a higher priority. CHP cited rising cybertip volumes, a case involving AI-generated CSAM, and the need for more investigators and forensic capacity.
A larger portion of the hearing focused on the Internet Crimes Against Children task forces and a separate $5 million ongoing General Fund proposal for Cal OES to continue the program. Task force commanders from Sacramento, San Diego, Silicon Valley, and Fresno described rapidly growing cybertip volumes, heavy caseloads, forensic backlogs, and the need for training and equipment for affiliate agencies statewide. They emphasized that the ICAC model relies on local partnerships, deconfliction, and subject-matter expertise to identify victims, execute warrants, and rescue children, and they gave examples of cases that led to arrests and child rescues. Members generally supported the work but raised questions about overlap between CHP and ICAC efforts, the need for broader statewide collaboration, and whether more resources should be directed to task forces and victim services. A public commenter also urged expansion of homeless youth exploitation services and the California Youth Crisis Line.
NM
New Mexico 2026 Regular Session
IC - Radioactive and Hazardous Materials Dec 8th, 2025
Transcript Highlights:
- You know, shame on me, because I'm not taking care of my own house.
- So that's a lot of the cost that goes to the post-injection site care.
- So that's a lot of the cost that goes to the post-injection site care.
- Chairman, it was a collaborative process. Yeah, that language is pretty damn slick.
- And, you know, I'm here because I really care about— ...nuclear safety.
Summary:
The committee first heard a presentation from the Environment Department on PFAS contamination in private wells in La Cienega, Santa Fe County. Staff said the plume likely came from historic use of firefighting foam associated with airport and National Guard fire-training activities, with possible additional contribution from septic systems and consumer products. They described the contamination as affecting about 200 private wells, the short-term response of providing residential filters through a $2 million legislative appropriation, and ongoing work to define the plume’s full extent, identify responsible parties, and consider longer-term regional water solutions. Members asked about filter costs, replacement schedules, disposal of used cartridges, follow-up testing, health studies, and whether cleanup or containment had begun; the department said cleanup would follow once the plume is fully mapped and that DOH is soliciting interest in a blood study. The committee also discussed the need to track disposal of PFAS filters and the possibility of broader statewide capacity for similar work.
The committee then took up abandoned uranium mine cleanup. NMED and EMNRD staff reviewed the new uranium mine reclamation program created by HB 164, the state dashboard tracking sites, and the FY26 appropriation of $20 million for neglected contaminated sites, of which $12 million is being used for neglected uranium mines and the remainder for other contaminated sites. They said six contractors were hired, three priority sites in Grant County are moving forward quickly, and additional sites are being prepared for possible FY27 work. Members pressed for details on how funds are spent, why the revolving fund remains unfunded, how federal, state, tribal, and landowner requirements are coordinated, where contaminated material will be moved, and whether cleanup could also address homes built with contaminated materials. Staff said the work is governed by multiple regulatory layers, that the state is seeking an additional $25 million for FY27-FY28 plus a time extension, and that partnerships with tribes would require longer-term agreements.
The committee also discussed federal cleanup efforts and the new Good Samaritan law, with members urging stronger advocacy for New Mexico sites, including tribal lands, and asking whether the Attorney General should pursue legal action against federal parties responsible for legacy contamination. Staff explained that some sites are already covered by settlement funds tied to responsible parties, while neglected sites are those with no responsible party and no other cleanup program. The committee then heard from EMNRD on Class VI carbon sequestration primacy. Staff said New Mexico currently has no operating Class VI wells, about 27 Class II acid-gas injection wells are operating, and only a small number might be candidates for conversion. They explained that the state’s primacy application would require more public outreach than federal rules alone, and that cost estimates for post-injection site care are based on long planning horizons, with some costs borne by operators and some by the state after closure. No votes were taken on the substantive items discussed; the committee approved the prior meeting minutes and took a brief recess between presentations.
WA
Washington 2025-2026 Regular Session
House Community Safety Oct 29th, 2025
Transcript Highlights:
- Our collaboration and response, and his true care for the community, has been really, really humbling
- Our collaboration and response, and his true care for the community, has been really, really humbling
- Portland included their own care department. So Dr.
- that's the best appropriate care for them.
- that's the best appropriate care for them.
Summary:
The Community Safety Committee held an interim work session on crisis response, with members and witnesses discussing how Washington can better integrate 911, 988, mobile crisis, co-response, and alternative response models for behavioral health crises in public spaces. Travis Parker opened with an overview of the Sequential Intercept Model and the crisis care continuum, emphasizing early intervention, 988 access, regional coordination, navigators and peer support, and the need for sustainable braided funding. Several Washington witnesses then described current programs and system gaps, including the growth of co-response teams, the importance of integrating 911 and 988 rather than treating them as competing systems, and the need to reduce unnecessary emergency room use and improve first responder wellness and training.
City, fire, and crisis-system representatives described local challenges and reforms. Kim Hendrickson of Poulsbo said most crisis calls still come through 911 and urged better coordination among field-based teams, more behavioral health training for fire/EMS, and more alternatives to ER transport. Laura Pippen, a designated crisis responder, described a strained involuntary treatment system, fewer DCRs statewide, difficulty getting law enforcement support for transports, and limited facility capacity, especially for substance use disorder. Jennifer Stuber and South County Fire’s Keith Sharp highlighted workforce training, a crisis responder certificate program, and first responder wellness efforts. Research witnesses Evan Lauder and James Pine said the evidence is still developing but generally supports on-scene resolution, reduced ED transport and detention in some models, and the importance of clear dispatch protocols, coordination, and ongoing evaluation.
Dispatch and program operators then gave examples of how systems are working in practice. Katie Myers of Washington APCO/NENA said 911 remains essential, but needs evidence-based triage protocols, liability protections, and additional funding if it is expected to take on more crisis-response responsibilities. Whatcom County described embedding a “community connector” in the 911 center to coordinate alternative response, while ValleyCom reported that its 988 diversion pilot transferred 2,165 calls with 98% resolved through 988/211 without returning to 911. National examples included Denver’s STAR program, Albuquerque’s Community Safety Department, and Atlanta’s PAD initiative, each showing different ways to route low-acuity or behavioral-health-related calls away from police and toward clinicians, peers, or civilian responders. The session ended with Washington examples continuing, including Whatcom County’s alternative response team, underscoring the committee’s interest in refining and expanding integrated crisis response systems in the next session.
MA
Massachusetts 2025-2026 Regular Session
Violence Prevention Services Funding Jun 21st, 2026 at 04:00 pm
Transcript Highlights:
- We refer services outsourced through collaborators in the community.
- That's why prevention must include trauma-informed care and behavioral support.
- Nationally, 20% of individuals in adult criminal justice systems were once in foster care.
- Different than many after-school child care providers, 30% of our members are actually teenagers.
- Different than many after school child care providers, 30% of our members are actually teenagers.
Summary:
The commission on Violence Prevention Services Funding opened by explaining that its purpose is to examine how state dollars for gun violence prevention are being spent, whether they are reaching the right places, and how effective they are. Chair Marjorie Decker noted the commission was created through a legislative bill as part of a broader gun ownership package, and emphasized that the commission will produce recommendations rather than new law. The hearing began with a moment of silence for the National Day of Remembrance for homicide victims, followed by introductions from commissioners and staff.
A series of community-based organizations testified about violence prevention, intervention, and survivor services. Emmanuel Williams of the Transformational Prison Project described work with incarcerated and returning youth and families, stressing lived experience, relationship-building, and the impact of budget cuts on travel, staffing, and programming; commissioners asked about his budget, caseload, and funding mix. Teresa D. Grigario and Antonio Gutierrez of Lynn Youth Street Outreach Advocacy said their work focuses on youth ages 12 to 24 in Lynn and Lawrence, with outreach at courts and shooting scenes, and argued that prevention is most effective when it starts early, includes family engagement, counseling, therapy, case management, food, and basic needs support; they said a million-dollar annual budget would help them expand. Ruth Rollins of We Are Better Together/Warren Daniel Hairston Project, speaking as a survivor, called for long-term flexible funding, trauma-informed care, and a community-informed database, and said her organization would ideally need about $2.5 million annually. Ruth Zakarin of the Massachusetts Coalition to Prevent Gun Violence explained that the commission grew out of listening sessions during the firearms-law update process and said the goal is to identify gaps, support grassroots groups, and address regional equity in resource allocation.
Other testimony highlighted youth development, reentry, and survivor response as violence prevention. More Than Words described its job-training and supportive-services model for court-involved, homeless, foster-care, and out-of-school youth, citing high rates of graduation, postsecondary enrollment, and employment; a participant, Jorge, shared how the program helped him avoid adult incarceration and build a career in trucking. The Louis D. Brown Peace Institute described its homicide-response and healing work, noting that it served more than 1,100 survivors in 2024, facilitated healing groups and trainings, and is seeking a permanent center in Dorchester; its leaders said the operating budget is $4.5 million and the desired budget is $8 million. The Massachusetts Alliance of Boys & Girls Clubs emphasized that gun violence is a youth health crisis and urged continued investment in after-school and out-of-school-time programs. UTEC called for multi-year, flexible funding, more training and networking support, and attention to nonprofit cost recovery, while Roca described its outreach to high-risk young people, strong outcomes, and major federal grant cuts that forced staff reductions. Portal to Hope discussed domestic violence and stalking services, the importance of on-site police-department-based advocacy, and the instability caused by funding restrictions. New North Citizens Council briefly underscored that violence prevention funding is needed to address poverty, lack of education, and mental health needs.
State officials also presented on existing grant programs. Kevin Stanton of the Office of Grants and Research described the Commonwealth Project Safe Neighborhood Initiative and the state’s broader public safety grant portfolio, saying partnerships between law enforcement and community organizations are central to violence prevention and citing seizures of illegal firearms, narcotics, and suspected drug proceeds. Renee Contreras said the Shannon Community Safety Initiative is a national model built on nearly 20 years of sustained investment, with multidisciplinary collaborations in 25 communities and research partnerships guiding strategy and evaluation. Throughout the hearing, commissioners repeatedly asked about budgets, staffing, caseloads, and how organizations measure impact, and several speakers said they would follow up with written materials or additional data.
KY
Kentucky 2025 Regular Session
Disaster Prevention and Resiliency Task Force (8-20-25)
Transcript Highlights:
- Um and and we healthc care coalitions.
- <00:17:22.319>
facilities to support the healthc care facilities to support the healthc care - <00:18:32.559>
site during CO 19 as an alternate care site during CO 19 as an alternate care - At health care system here in the US.
- So encouraging our collaborative models.
Summary:
The committee met to adopt the minutes of the second meeting by voice vote, then heard an update focused on disaster preparedness, resiliency, response, and coordination among state agencies and partners. The chair emphasized avoiding duplication of resources and highlighted the importance of agriculture-related response issues, including animal evacuation, feed distribution, and the role of extension services during disasters. The Department for Public Health was invited to explain its role in emergency planning and response.
Public Health described its Emergency Preparedness and Response Branch as the lead coordinating agency for Emergency Support Function 8, covering health and medical services under Kentucky’s emergency operations framework. Testimony outlined its broad responsibilities, including support for hospitals, morgues, local health departments, behavioral health, crisis counseling, suspicious package testing, disease outbreaks, and coordination with emergency management, EMS, transportation, and nonprofit and private partners. Officials also described the agency’s risk-assessment process, training and exercise programs, and deployed assets such as PPE caches, deployable communications, a federal medical station, a mobile treatment center, and alternate care support used in events like the eastern Kentucky floods and COVID-19.
The agency also discussed funding through federal cooperative agreements for public health emergency preparedness and hospital preparedness, noting that these programs have evolved since 9/11 and have been shaped by major disasters and emerging threats. Officials said Kentucky’s funding has declined over time and that current awards are partially funded for the first time in the program’s history. They expressed support for efficiency if federal programs are consolidated, but cautioned that combining programs could risk further funding losses.
FL
Florida 2026 5th Special Session
Appropriations Apr 2nd, 2025
Transcript Highlights:
- health care cost the same level as current.
- to accessible quality health care for families and individuals in need.
- the collaborative to provide... ...Connect Collaborative Research Incubator to be overseen by the collaborative
- a lot about raising the standard of care in our nursing homes, as we all do.
- a lot about raising the standard of care in our nursing homes, as we all do.
Summary:
The Appropriations Committee met for Budget Day and heard presentations on the Senate’s proposed 2025-2026 budget, SPB 25-200, totaling $117.4 billion. Chair Hooper said the plan reduces overall spending from the prior year, keeps strong reserves, includes a 4% pay raise for state employees, maintains employee health care contributions, and makes major investments in water quality, transportation, and education infrastructure. Committee chairs then summarized their budget silos, including K-12 education, higher education, health and human services, criminal and civil justice, transportation/tourism/economic development, and agriculture/environment/general government. Members asked questions mainly about school funding, AP and dual enrollment support, voucher and scholarship impacts, and the My Safe Florida Home program.
The committee adopted a large consent package of amendments and then approved three late-file amendments: funding virtual college tours for high school students, funding the FSU Sunshine Genetics program, and providing money for the Port of Fernandina customs facility. The committee then voted to report SPB 2500, the General Appropriations Bill, as a committee bill. It also favorably reported SPB 2502 (implementing bill), SPB 2504 (state employees placeholder), SB 7022 (Florida Retirement System contribution rates and DROP changes), CS/SB 1320 (recreating the Resilient Florida Trust Fund), SPB 2506 (gaming compact revenue distributions, including water projects and rural lands), SPB 2508 (29 new judgeships), SB 7014 (ending the court mediation and arbitration trust fund), SPB 2510 (K-12 conforming bill), SPB 2512 (higher education conforming bill), and SPB 2514 (health and human services conforming bill).
The committee also took up several policy bills. It approved SB 7028 on cancer research, creating grant parameters, reporting requirements, a five-year pediatric cancer research incubator, and the Bascom Palmer Eye Institute VisionGen Initiative. It approved CS/CS/SB 170 on nursing home quality, adding resident satisfaction surveys, medical director standards, safety culture reviews, electronic health record requirements, financial reporting penalties, and a study of best practices. It approved CS/CS/SB 168, the Tristan Murphy Act, which expands mental health diversion options, adds Hillsborough County to a forensic hospital diversion pilot, expands grant uses, and creates a behavioral health data repository. It also approved SB 114 creating the Florida Center for Excellence in Insurance and Risk Management at FSU and moving the public hurricane loss model there. The committee then began considering SB 180 on emergency preparedness and response, including a late-file amendment, but the transcript cuts off before final action on that bill.
NM
New Mexico 2025 Regular Session
IC - Indian Affairs Jun 2nd, 2025
House Government, Elections & Indian Affairs
Transcript Highlights:
- Um, second to that, I would love to delve deeper into the actual state Tribal Collaboration Act since
- Prenatal care on the Navajo Nation or other tribal areas, that would be helpful for us.
- There's a lot of people that care about what happens with these lawsuits.
- In collaboration that discussions probably need to be created, so we're not trying to cram this in.
- And collaborate and partner in delivering um healthcare in, in anticipation of further cuts.
HI
Hawaii 2026 Regular Session
HHS, HHS DEFER Public Hearings 02-18-2026
Transcript Highlights:
- Aloha Care. Mike Wen, in support. Thomas Lee, Hawaii Data Collaborative, in support.
- Large Holamua Collaborative in support.
- >> Holua Collaborative in support. >> Holua Collaborative in support.
- Aloha Care. Mike >> In support. Thank you. Aloha Care.
- We recommend acute care hospitals.
Summary:
The committee heard testimony on SB 3025, relating to medical debt, with multiple organizations and individuals, including the Office of Wellness and Resilience, Healthcare Association of Hawaii, Queens Health Systems, the American Cancer Society Cancer Action Network, Aloha Care, Hawaii Health and Harm Reduction, Hawaii Data Collaborative, and Hawaii Appleseed, all speaking in support. No opposition was heard, and the member present had no questions.
The committee then took up SB 3199, which would establish a mental health emerging therapies task force. Testimony was overwhelmingly in support, with speakers including veterans, clinicians, researchers, and advocacy groups describing personal experiences with PTSD, depression, traumatic brain injury, and treatment-resistant conditions, and arguing that Hawaii should prepare for regulated access to emerging therapies such as MDMA, psilocybin, ketamine, and ibogaine. The Department of Health and some medical organizations provided comments, and one opposition witness was called but not present. The chair noted broad support, especially from veterans, and no vote was taken during the excerpt.
The final measure discussed was SB 3324, relating to Medicaid. The Department of Human Services, Department of Health, Hawaii State Council on Developmental Disabilities, Hawaii Disability Rights Center, Aloha Care, and numerous care-provider and aging/disability organizations testified in support, while one witness was in opposition and several others offered comments. The discussion then moved to SB 2563, relating to homelessness, where the Department of the Attorney General offered comments on specific sections and recommended adopting suggested amendments if the bill proceeds. Additional testimony on SB 2563 began with support from several individuals, including Shelby Pikachu, who emphasized the severity of homelessness and related social problems in the community.
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Families and Children (6-25-25)
Transcript Highlights:
- homes or long-term long-term care homes or long-term long-term care facilities.<00:30:26.640>
- or federal funds that operate to care or federal funds that operate to care for<00:31:50.720>
- So, the collaboration between guardianship and APS. So, we work collaboratively.
- So, the collaboration between guardianship and APS. So, we work collaboratively.
- We work collaboratively individuals.
Keywords:
Call to Order and Roll Call – 00:00:24
Discussion of The Center for Courageous Kids – 00:02:46
Discussion of Adult Protective Services and State Guardianship Programs – 00:25:22
Discussion of Annual Report of the External Child Fatality and Near Fatality Review Panel – 01:00:34
Consideration of Referred Administrative Regulations – 01:33:41
Adjournment – 01:42:07, 958, all
Summary:
The Interim Joint Committee on Families and Children opened its first meeting with roll call and a reminder about the number of children in out-of-home care with active placements, which the chair said was 8,641 as of June 1, 2025. The committee then heard a presentation from the Center for Courageous Kids, a donor-funded camp in Scottville that serves children with lifelong illnesses and disabilities at no charge. Representatives described the camp’s year-round family retreats and summer sessions, its medically safe and inclusive model, and examples of campers gaining confidence and independence. They said the camp has served more than 43,000 campers from Kentucky, other states, and other countries, and that it is seeking legislative support for two capital projects: a new art barn and a medical lodge, with a combined request of $3.2 million. Members praised the program and asked about awareness, staffing, volunteer recruitment, accreditation, and how the projects would expand capacity; the camp said the medical lodge would help increase volunteer housing and allow future growth beyond its current summer cap of 128 campers per session.
The committee then moved to adult protective services and state guardianship programs. Jessica Wayne, director of the Division of Guardianship, and Cliff Bryant of DCBS explained the legal framework for guardianship and conservatorship, including state guardianship as a last-resort option when no family member or private entity is available or appropriate. They outlined the court petition process, emergency appointments, and the distinction between full and limited guardianship or conservatorship. They emphasized that guardianship is based on legal incapacity to make decisions, not simply on a medical disability diagnosis, and noted that state guardianship can be arranged for some 17-year-olds aging out of youth services.
The presenters said the state currently serves 4,645 individuals under guardianship, with most cases involving developmental intellectual disabilities, supported community living waiver participants, and people in nursing homes or long-term care facilities. They also described the division’s three branches: field services, which handles visits and day-to-day decisions in all 120 counties; a benefits branch that applies for public benefits; and a fiduciary branch that manages funds and pays bills. They reported 89 field workers statewide, an average caseload of 52, and said the agency is hiring to reduce that load. No votes or formal committee actions were taken during the meeting.
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 2/18/26
Health Finance and Policy
Transcript Highlights:
- specialty care as well.
- . care. care.
- Mano the long-term care facility Mr. Mano the long-term care facility Mr.
- who pays charity care?
- , including abortion care and gender-affirming care.
Bills:
HF1925
CA
California 2025-2026 Regular Session
Joint Hearing Assembly Environmental Safety and Toxic Materials and Senate Environmental Quality Dec 11th, 2025
Transcript Highlights:
- We also have collaborations with folks in Mexico as well.
- We also have collaborations with folks in Mexico as well.
- When a billion gallons spills in I.B., no one cares. Right?
- If there's a sewage spill in Tijuana, no one in Mexico cares.
- how come California doesn't care about us?
Summary:
The joint Senate and Assembly Environmental Quality/Environmental Safety and Toxic Materials informational hearing focused on the Tijuana River Valley sewage crisis, with members from both parties emphasizing that the problem is long-running, cross-border, and severe enough to require federal, state, local, and binational action. Opening remarks described the crisis as an environmental and public health emergency affecting beaches, air and water quality, marine life, tourism, and residents’ quality of life in South Bay communities. Assembly Member Boerner and Senator Jones both stressed the need for continued funding and cooperation, while Senator Padilla said the issue is underappreciated because of where it occurs but has major public health, economic, and educational consequences. Congressman Mike Levin’s office reported more than $650 million in federal funding secured for infrastructure and cleanup, along with federal legislation and requests for CDC and EPA involvement.
Supervisor Paloma Aguirre gave a detailed overview of county efforts and the scope of the crisis, citing decades of sewage flows from Tijuana, nearly four years of beach closures, and the county’s expanded water-quality monitoring. She said the county is pursuing warning signs, an air purifier distribution program, an epidemiological study, soil testing, an economic impact study, and a feasibility analysis to remove the “hot spot” near Saturn Boulevard, which she described as a key local source of airborne pollution. She also pointed to binational funding for treatment plant upgrades and said the county is seeking state support, including from Proposition 4 cross-border river funds, to expand relief and mitigation efforts.
Scripps researchers Dr. Sarah Giddings and Dr. Kimberly Prather presented scientific findings on water and air transport. Giddings described a high-resolution forecast model that predicts wastewater movement and beach closure risk up to five days ahead, using real-time observations and showing about 72% accuracy against county measurements. Prather said the main exposure route is through air, not just water, and reported that turbulence at the river hot spot aerosolizes pollutants, with hydrogen sulfide and other gases spiking at night and dropping when river flow is diverted. She said the team has identified thousands of gases and linked measurements closely to odor complaints, while also noting that air purifiers can reduce indoor exposure but are not a permanent solution.
Dr. Paula Stigler Granados added that community health surveys and CDC assessments show widespread symptoms, sleep disruption, anxiety, and daily life impacts, especially during nighttime odor events. She said her team has found more than 900 contaminants in river water and 106 chemicals uniquely associated with the Saturn Boulevard hot spot, with passive air sampling showing similar chemical fingerprints in nearby homes. The panel discussion ended with questions about standards and accountability, and witnesses and legislators agreed that the crisis requires updated air-quality standards, more health research, and continued coordination to reduce exposure and address the source of pollution.
HI
Hawaii 2026 Regular Session
JHA Public Hearing - Tue Apr 7, 2026 @ 2:00 PM HST
Judiciary & Hawaiian Affairs
Transcript Highlights:
- us to work in collaboration with them. us to work in collaboration with them.
- we should be working in collaboration. we should be working in collaboration.
- ...appropriate level of care that they need instead.
- appropriate care. appropriate care.
- ,<00:35:03.840>
in <00:35:04.000>particular, of collaboration, in particular, of collaboration
Summary:
The committee heard a series of resolutions and a few bills, with testimony largely in support across the agenda. Early measures included HCR 15/HR 17 supporting Kamehameha Schools’ admissions policy, and HCR 22/HR 22 urging Congress to pass federal kidney disease legislation; both drew support and no opposition. The committee also heard HCR 146 HD1/HR 138 HD1 on “excited delirium,” with testimony from advocates urging the resolutions be broadened to include related terms such as hyperactive delirium and agitated delirium, and from family members and disability-rights advocates describing the issue as harmful pseudoscience tied to police-custody deaths and calling for a ban on the term and better mental-health responses.
The committee then took up HCR 123/HR 115 on creating a coordinated support and stabilization task force for Native Hawaiians experiencing homelessness or extreme low income. Department of Hawaiian Home Lands testified in support, describing its transitional housing work and saying collaboration and data-sharing with the state homelessness office would help beneficiaries and others; members questioned whether existing entities already do similar work and whether the proposal would extend beyond beneficiaries. HCR 32/HR 32, which asks the governor’s senior advisor on mental health and the justice system to develop a plan to increase access to Hawaii State Hospital for certain criminal defendants, drew support from the Department of Health, the governor’s office, and disability-rights advocates, who emphasized coordinated planning, diversion from arrest when appropriate, and matching people to the right level of care.
Additional resolutions addressed a range of policy issues: renaming Leeward Community College to Puloulou Community College (with no testimony), creating an ʻōlelo Hawaiʻi pathway under the Niʻihau dialect at UH (UH noted existing courses already cover the dialect but not a degree pathway), moving to a demerit-point driver licensing system (support only), and coordinating transportation infrastructure planning for Hawaiian home lands (DHHL supported the measure and said an expired DOT memorandum of understanding had covered related collaboration). The committee also heard support for expanding DHHL financial literacy and homeownership-preparedness programs, a resolution asking the Hawaii Civil Rights Commission to examine algorithmic discrimination, and a resolution urging the Oahu Metropolitan Planning Advisory Committee to follow its rules, comply with the Sunshine Law, review its executive director, and strengthen accountability; the last measure drew 11 written supports and no opposition. No final votes or decisions were taken in the portion provided, as the hearing focused on testimony and questions.