Video & Transcript Research : 'stroke system'
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MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Public Health Jun 21st, 2026 at 09:00 am
Joint Committee on Public Health
Transcript Highlights:
- So while awareness has grown, systemic barriers remain.
- We still have every major health system. We still have a thousand practices in.
- also engaged in advocacy to reform the housing and criminal justice systems.
- The issues within the kids' behavioral health system are as complex as the complexity of the system.
- hospitals and health systems, particularly.
Summary:
The Joint Committee on Public Health held an introductory informational hearing for the new session, with Chairs Marjorie Decker and Senator Michael Driscoll outlining the committee’s scope and emphasizing the impact of the federal landscape on Massachusetts public health. They noted the hearing would focus on testimony from agencies and advocates, with short testimony limits due to the hybrid format. No votes were taken; the meeting was for briefing and discussion of priorities.
Commissioner Robbie Goldstein of the Department of Public Health described the department’s budget and federal funding, warning that recent CDC grant terminations could cut nearly $100 million and affect lab testing, surveillance, vaccines, and community engagement. He highlighted DPH priorities including racial equity, maternal health, substance use and child welfare coordination, emergency preparedness, data transparency, and public hospital quality. MassHealth Assistant Secretary Michael Levine discussed MassHealth’s role covering about 2 million residents and its priorities in health equity, behavioral health, primary care, member independence, and customer service, while noting the agency relies heavily on federal Medicaid dollars and would face major strain from federal cuts.
Several advocacy and provider groups focused on reproductive health and maternal health. Planned Parenthood warned of threats to Title X, 340B savings, and other federal funding, and supported a bill to eliminate parental consent and judicial bypass for abortion care for young people. Reproductive Equity Now urged stronger shield-law protections and changes to Massachusetts’ later-abortion framework. Dr. Indyamaka Anugaka called for full implementation of the maternal health law, better reimbursement for doulas and midwives, stronger data collection, and support for full-spectrum pregnancy care coverage. The Health Policy Commission said new maternal health and primary care task forces would begin work soon.
Mental health and health system access were also major themes. The Mass Medical Society urged action on vaccine hesitancy, removal of non-medical school vaccine exemptions, and primary care reform. The Massachusetts Association for Mental Health and the Children’s Mental Health Campaign opposed proposed cuts to DMH and substance use services, called for more school-based supports, and raised concerns about inpatient capacity, including a unit serving LGBTQ youth. The Massachusetts Nurses Association and 1199 SEIU warned that staffing shortages, low wages, workplace violence, hospital closures, and possible Medicaid cuts threaten patient care and the health care workforce. The Betsy Lehman Center also urged investment in automated patient-safety monitoring to reduce harm and costs.
MN
Minnesota 2025 1st Special Session
House passes transportation finance bill with increased road funding, transit cuts 4/28/25
Minnesota House Floor Meeting
Transcript Highlights:
- user trust distribution system. user trust distribution system.
- And with systemic change, the system fights back whether it realizes it or not.
- And with systemic change, the system fights back whether it realizes it or not.
- And with systemic change, the system fights back whether it realizes it or not.
- It is a system<02:04:26.800>
for system for system for walkers<02:04:29.440>and <02:04:
ND
North Dakota 2026 1st Special Session
Higher Education Institutions Committee Jun 18th, 2026
Higher Education Institutions Committee
Transcript Highlights:
- administrative duplication across the system.
- the system office.
- the state higher education system.
- System-wide marketing campaign at $500,000.
- And then on the next page for the system governance... ...for system governance, we'd be looking at restoring
Summary:
The Higher Education Institutions Committee met at NDSU and heard an extensive presentation from President David Cook/President Stewart and NDSU leadership on the university’s priorities, including enrollment, student success, research growth, and use of New Horizons funding. Leaders emphasized NDSU’s land-grant mission, its role in workforce development, and its goal of becoming more distinctive through strategic planning, recruitment and retention, commercialization, and partnerships. They highlighted that NDSU awarded 2,370 degrees in 2025, produces a large share of the state’s engineering, nursing, and agriculture graduates, and reported strong outcomes for graduates staying and working in North Dakota. They also noted enrollment headwinds, competition from other institutions, and the need to manage tuition waivers more carefully through a scholarship optimization effort.
Provost Sherry Vale outlined academic stewardship efforts, including review or consolidation of low-producing programs, strategic hiring tied to institutional priorities, faculty workload policy changes, and expanded online and regional offerings. She said the university is using New Horizons dollars to strengthen advising, student support, and programs in engineering, agriculture, and health. NDSU leaders also described new or expanded academic offerings such as robotics and automation, artificial intelligence, material science and engineering, nuclear engineering certificates, accelerated nursing, nurse practitioner certificates, a Master of Health Administration, and a clinical research master’s program with Sanford Health. They stressed that these investments are intended to improve student completion, meet workforce needs, and increase return on public investment.
The committee also heard testimony from students and recent graduates who described the value of NDSU’s education, mentorship, internships, research opportunities, and support services. Alyssa Hodges spoke about pharmacy education, public health work, and campus support as a parent and student; Ethan Blessy described engineering coursework, internships with Marvin, and career preparation; and Aiden Freolic discussed neuroscience research, federally funded projects, and plans for graduate study. Their testimony was followed by presentations on partnerships with Gateway to Science for K-12 STEM outreach and with Sanford Research on biomedical research, clinical trials, obesity research, and a joint biostatistics hire. NDSU also highlighted systemwide shared services, Governor’s School programming, and research growth, including a reported 8% increase in research expenditures from $199 million to $215 million. No bill votes were taken; the meeting was informational and featured presentations, testimony, and discussion of future planning and partnerships.
MN
Minnesota 2025-2026 Regular Session
Committee on Energy, Utilities, Environment and Climate - 02/23/26
Energy, Utilities, Environment, and Climate
Transcript Highlights:
- and a gas we have a electric system and a gas system<00:04:38.560>
that <00:04:38.880>are< - in an electric system into three pieces. in an electric system into three pieces.
- end of their life, but maybe the system end of their life, but maybe the system has<00:12:55.279
- to the gas system, the gas system has the same basic dynamics.
- uh to the table when it comes to system uh to the table when it comes to system reliability.
MN
Transcript Highlights:
- <00:03:02.159>
planning responsibility for system planning responsibility for system planning - that's actually a part of our system that's actually a part of our system tribal<00:08:19.720>
- responsible for oversight of the systems responsible for oversight of the systems procurement<00
- is outpacing collectively the the system is outpacing collectively the the system as<00:41:55.079
- corner with some help from the system corner with some help from the system this<00:42:06.920>
CA
California 2025-2026 Regular Session
Assembly Higher Education Committee Nov 17th, 2025
Transcript Highlights:
- How is the system between private universities, CSUs, UCs, the— The system between private universities
- You know, hopefully it's stackable so that they can continue either within our system or into other systems
- WebGrants system.
- We're currently undergoing a system-wide survey with ChatGPT system-wide, showing what students truly
- a world-renowned educational system.
Summary:
The Assembly Higher Education Committee held an oversight hearing on how federal actions are affecting California higher education, with opening remarks from the chair and members emphasizing the importance of state-federal shared governance and the need to protect access, affordability, and campus diversity. The first panel included leaders from the CSU, University of the Pacific, California Community Colleges, and UC, who described broad impacts from federal grant terminations, changes to student aid, loan limits, visa and immigration policy, and proposed reductions to research support. Testimony focused on the elimination of Grad PLUS loans, caps on Parent PLUS and Pell-related changes, the loss or suspension of hundreds of grants, and the resulting harm to student support services, research, workforce pipelines, food assistance, and health care training. UC and CSU representatives warned of major losses in research funding, indirect cost reimbursement, and student opportunities, while community college leaders highlighted uncertainty around federal grants and the need to maintain services for low-income, first-generation, undocumented, and other vulnerable students.
Committee members asked how the state could respond, including through intersegmental partnerships, dual enrollment, transfer pathways, and support for basic needs and nutrition programs. Witnesses said California could help by sustaining financial aid, protecting minority-serving institution programs, and investing in research, housing, and workforce development. Several speakers stressed that federal changes were creating instability for students and campuses, and that the effects would likely be long-lasting, especially in health care, teaching, STEM, and social work pipelines.
A second panel then focused on equitable access. The California Student Aid Commission described state efforts such as the $3.9 billion investment in aid programs, the Cal Grant system, the Dream Act, and possible reforms to better serve adult learners, foster youth, undocumented students, and students with dependents. The Los Angeles Community College District reported that federal cuts and policy shifts are discouraging students from applying for aid, threatening TRIO and MSI/HSI-funded services, and reducing support for basic needs, counseling, and workforce programs. The Association of Independent California Colleges and Universities and the CSU Academic Senate echoed concerns about FAFSA confusion, international student restrictions, grant losses, and the erosion of equity-focused programs. No formal votes or legislative actions were taken during the hearing; the committee primarily received testimony and discussed possible state responses.
MN
Transcript Highlights:
- <00:23:16.039>
for system heat is a life support system for system heat is a life support - bus system just the transitway system bus system just the transitway system has<00:42:48.800>
- These are local projects that are on the municipal collection system, the public system.
- These are local projects that are on the municipal collection system, the public system.
- Projects that are on the municipal collection system, the public system.
LA
Transcript Highlights:
- with the sheriffs' and other systems.
- And added borderline Firefighters' Retirement System, white cards only. And motion.
- Well, she's still paying into the retirement system, or he's still paying into the retirement system.
- I'm the director of the Teacher Retirement System.
- And I guess one more question for the system.
Summary:
The Senate Committee on Retirement met on May 5 with four members present. HB 41 was deferred until the following week, and the committee approved the April 20, 2026 minutes. The committee then took up several retirement-system bills, many of them negotiated measures involving municipal police, firefighters, teachers, district attorneys, and judges.
HB 45, by Rep. Bacallat, was amended and reported favorably. It makes changes to the Municipal Police Employees Retirement System, including retention bonuses, recognition of out-of-state police service, benefits for three officers killed in the line of duty before full enrollment, a DROP fix, and more competitive accrual rates. Testimony from the Louisiana Municipal Association, MEPERS, police representatives, and Mayor Helena Marino was strongly supportive, emphasizing that the bill resolves longstanding disputes and litigation. HB 1237, also by Rep. Bacallat, was reported favorably after testimony that it eliminates partial dissolution penalties for municipal police and adjusts related firefighter provisions; witnesses said it was a negotiated fix supported by municipal and fire stakeholders.
HB 42, concerning phased retirement in the Teacher Retirement System, was reported favorably as a permissive framework allowing universities to offer phased retirement options. HB 17, by the District Attorneys’ Retirement System director, was reported favorably to add the Louisiana District Attorneys Association to the definition of employer and require annual reporting on the rehire statute. HB 21, a cleanup bill for the Municipal Employees Retirement System, was also reported favorably. HB 1134, creating a backdrop retirement option for certain judges whose positions are abolished, was amended and reported favorably after LASERS raised questions about early retirement eligibility and the need to bar future judicial candidacy.
HB 24, by Rep. Owen, drew the most discussion. It would allow retired or certified teachers to return to work through contracts with school systems, with a three-year sunset. The sponsor argued it would help keep qualified teachers in classrooms and avoid midyear departures, while TRSL, the Louisiana School Board Association, and committee members raised concerns about fiscal impact, contractor status, workers’ compensation, leave rules, and overlap with a separate bill being worked on by the chairman. After an amendment clarifying the independent-contractor definition was adopted, the committee chose to hold the bill in committee for further work rather than advance it immediately. The meeting ended with a motion to adjourn.
MN
Minnesota 2025-2026 Regular Session
House Human Services Finance and Policy Committee 3/4/26
Human Services Finance and Policy
Transcript Highlights:
- system that really needs a lot of work. system that really needs a lot of work.
- management system from a fragile system management system from a fragile system as<00:53:55.280>
- multiple complex systems. multiple complex systems.
- <01:12:39.760>
Uh, challenges in the system. Uh, challenges in the system. - we adopt the new system?
Keywords:
pediatric care, hospital discharge, home care, healthcare accessibility, nursing services, family support, mental health, crisis services, Dakota County, mobile crisis response, public safety, treatment services, rehabilitation, behavioral health fund, client eligibility, home and community-based services, case management, waiver services, county services, disability advocacy
MN
Minnesota 2025-2026 Regular Session
House Floor Session - part 2 Apr 28th, 2025
Minnesota House Floor Meeting
Transcript Highlights:
- This is systemic change that we're trying to make: to think differently about our transportation system
- And then there's the large transit systems.
- So the key word here is "system." We need a system.
- What should our transportation system do?
- Our system now needs to help us drive less, which is a really big change for our system, especially when
TX
Transcript Highlights:
- School systems and school systems with higher levels of poverty.
- a TIA system.
- Everyone that we've worked with has their system driven by the school system.
- Different systems, but they've designed the system that works for them.
- In our Texas education system, you all are the top of the system. I hope you know that.
Keywords:
teacher compensation, education funding, public school educators, teacher retention, teacher designation, SB 26, Texas Property Code, colonia, colonias, Spanish translation, bilingual contract, real estate contract, executory contract, residential property, border county, international border, economically distressed area, consumer protection, language access, translator certified in Spanish
NH
New Hampshire 2025 Regular Session
House Science, Technology and Energy (02/18/2025)
Science, Technology and Energy
Transcript Highlights:
- , an AMI network system.
- information system and a billing system information system and a billing system that<00:55:32.400
- It just makes sense. ...in my career was implement large IT systems, enterprise-level systems.
- They have specific systems for utilities, which include billing systems.
- <02:11:36.840>
for systems they have specific systems for systems they have specific systems
AZ
Arizona 2026 Regular Session
06/01/2026 - Joint Legislative Audit Committee
Joint Legislative Audit Committee
Transcript Highlights:
- We talk about the voucher system.
- We talk about the voucher system. There needs to be accountability.
- Verify that changes in the system have not been made?
- the electronic system. ...about years down the road to test out the electronic system.
- We will have a discussion with them about the new system.
AR
Arkansas 2026 1st Special Session
CHILDREN & YOUTH COMMITTEE- SENATE & AGING, CHILDREN & YOUTH, AND LEGISLATIVE AFFAIRS- HOUSE Feb 11th, 2026
Transcript Highlights:
- . ...the entire system, how the system is being efficient or non-efficient, how we can continue to develop
- Because if you're going to have a system that tracks their grades, why not also have a system to track
- I'll just talk about our case management system.
- Justice system.
- Justice system.
Summary:
The Senate and House Joint Committee on Children and Youth approved the December 10 minutes and confirmed Representative Mary Bentley to the Child Maltreatment Investigations Oversight Committee. The committee then heard the annual Arkansas Infant and Child Death Review report, which said the state reviewed 148 of 170 non-natural child deaths in 2023; the reviewed deaths included 69 accidents, 14 suicides, 18 homicides, and 47 undetermined causes. Members asked about how the report’s recommendations could be used, grant opportunities tied to prevention work, and whether the data could be broken down by age; presenters said the report is intended as a prevention tool for agencies and nonprofits and that some age detail is available in later pages of the report.
The committee next took up HCR 1010 and then a broader discussion of juvenile justice reform. Senator Missy Irvin, judges, and Administrative Office of the Courts staff described Arkansas’s use of validated risk assessments, including SAVRY, the Ohio Youth Assessment Tool, MAYSI, and substance-abuse screening, as part of a long-running effort to reduce juvenile incarceration and tailor services to individual youth and families. They said the reforms have contributed to fewer delinquency filings, fewer DYS commitments, and more diversions, while also emphasizing that mental health, substance abuse, school issues, and trauma often drive juvenile court involvement. Several members raised concerns about data gaps, school collaboration, and whether community-based services are sufficient, and presenters said more shared data and stronger school use of safety dashboards could help intervene earlier.
Division of Youth Services Director Michael Crump then presented custody, education, recidivism, and cost data. He said DYS commitments rose after the pandemic, secure residential populations remain high, and detention-center use increased when intake beds filled; he also noted that DYS pays about $320 per day for secure custody and that detention beds cost roughly $90 to $100 per day. Crump said most youth in custody are older teens, about 80 percent are male, and many have behavioral-health needs or educational deficits; he reported 222 GEDs and 102 high school diplomas over six years. He also said about 15 to 19 percent of youth return to DYS within three years and that a larger share later enter the Department of Corrections, while members pressed him on how assessments relate to commitments, how low-risk cases are handled, and how to improve mental health and substance-abuse services statewide.
NH
New Hampshire 2026 Regular Session
House Executive Departments and Administration (01/14/2026)
Executive Departments and Administration
Transcript Highlights:
- and I'll call up the retirement system. and I'll call up the retirement system.
- system had anything to add to this. system had anything to add to this.
- into the system.
- the penalty to the retirement system. the penalty to the retirement system.
- retirement system would have on hand. retirement system would have on hand.
TX
Transcript Highlights:
- The bill also ensures school systems have advanced notice of changes to the accountability system. them
- And to me, this system...
- systems.
- Then it builds off... ...of the existing local accountability system in the A through F system, with
- Restoring confidence and trust in the system is crucial.
Bills:
HB8
Keywords:
HB 8, Texas public school accountability, school accountability, public school transparency, STAAR, state assessments, instructionally supportive assessment program, Student Success Tool, Texas Education Agency, TEA, accountability ratings, A-F ratings, through-year assessment, benchmark testing, norm-referenced assessment, college career military readiness, CCMR, local accountability plan, school district performance, campus turnaround
TX
Transcript Highlights:
- system.
- system.
- system.
- a system.
- a system.
Summary:
The Senate Committee on Business and Commerce held its first interim hearing on securing critical infrastructure and supply chain integrity, with a focus on Texas’s electric grid and the Lone Star Infrastructure Protection Act. The chair also highlighted Texas’s relatively low electricity prices and welcomed new committee members. ERCOT, the Public Utility Commission (PUC), and the Attorney General’s office were invited to explain how the state screens market participants and grid equipment for ties to China, Russia, Iran, and North Korea, and how the agencies respond to noncompliance.
ERCOT testified that it has implemented the requirements of three related Senate bills by requiring attestations on corporate affiliations and on critical grid equipment and services. ERCOT said it has processed thousands of attestations, used additional requests for information and third-party verification tools such as Dun & Bradstreet, and terminated nonresponsive market participants. ERCOT also said it has not seen a case requiring direct Attorney General involvement, but it does refer matters to the PUC when needed. The PUC said it can investigate suspected violations and impose penalties of up to $1 million per violation per day, and that most investigations into late or missing attestations have been resolved through compliance, market exit, or removal by ERCOT. The Attorney General’s office said its role is currently limited to audits and court involvement, and that it lacks broad independent investigatory authority under the act.
Members pressed the panel on whether the current system is too reliant on self-reporting and whether it adequately addresses indirect foreign influence, especially through supply chains for batteries, inverters, transformers, and other equipment with routable connectivity. ERCOT acknowledged that the current attestation process has gaps and said it plans to refine definitions of critical grid equipment and grid services, improve information requests, and continue stakeholder rulemaking. The panel also discussed possible legislative changes, including tying prohibitions to the Department of Defense Section 1260H list and the Texas Prohibited Technologies list, clarifying warranty and service access, and expanding the statute to cover grid services more directly. Several senators raised concerns about cost, reliability, and the extent to which foreign-sourced components remain embedded in Texas infrastructure, while others suggested incentives for domestic manufacturing and stronger verification tools, including possible work with national labs such as Sandia.
FL
Florida 2025 Regular Session
December 10, 2025 - 03:30 PM
Transcript Highlights:
- And so it's important that if we're using AI systems, they're AI systems that actually support learning
- These are systems that are district.
- Those systems require for a cop, a compliance within the system for student use.
- It is very likely they're in an open system are closed system that is student is going to get an answer
- Notice your your recommendation about not using open systems in the K through 12 System K to 12 setting
MS
Mississippi 2026 Regular Session
Appropriations - Room 409, 28 January, 2026; 1:30 P.M.
Appropriations
Transcript Highlights:
- system that we currently have in place. system that we currently have in place.
- <00:14:22.800>
that's kind of rebuild the system that's kind of rebuild the system that's - we're going to have to make some system we're going to have to make some system modifications.
- that is the LMS system, which license management system about 12 different agencies use.
- that is the LMS system, which license management system about 12 different agencies use.
Summary:
The committee heard budget presentations from the Mississippi Board of Pharmacy and the Mississippi State Board of Chiropractic Examiners, followed by the physical therapy board. The Pharmacy Board said it licenses pharmacists, technicians, students, and many facilities and supply-chain entities, including wholesalers, manufacturers, 3PLs, PBMs, and nonresident compounders. Its main requests were a 3% salary increase for specialized staff, about $118,000 for contract help to evaluate pharmacists with substance abuse or mental health issues under a recently passed public health bill, and additional IT spending authority for system upgrades and cloud migration. Members discussed the board’s role in protecting the public, vetting out-of-state facilities, and the need to keep sensitive data secure; no vote was taken.
The Chiropractic Examiners board described itself as a small, contract-staffed agency with about 700 active licenses and a database system that is no longer supported by Microsoft. It said it had requested about $173,000, but the legislative budget recommendation was $134,000, and it needs roughly $40,000 more to upgrade or rebuild the system, including security fixes and online renewal capability. Members focused on the cybersecurity risk of using unsupported software and the need to protect personal information; the board also noted that its licensing data does not include banking information because payments are handled through the state portal.
The Physical Therapy Board said it regulates physical therapists and physical therapist assistants, with 4,242 licenses and 252 complaints in the last fiscal year, and that demand for the profession continues to grow. Its requests included $6,000 in salary progression for long-serving staff, about $360 more in PDM salary authority, and roughly $38,610 for a one-time upgrade to its LMS licensing system, plus related cloud-migration costs. Senators noted the board’s strong reputation, discussed the burden of annual or biennial renewals, and supported the technology upgrade because the current system is no longer supported and could create liability risks if not addressed.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Oct 9th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- health system.
- That's a fourth system.
- did in the juvenile justice system and in the child welfare system.
- than in the system.
- justice system.