Video & Transcript Research : 'collaborative care model'
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ND
North Dakota 2026 1st Special Session
Joint Policy Jan 21st, 2026 at 01:00 pm
Transcript Highlights:
- models.
- In models of care involving pharmacists' test-to-treat services, a large portion of patients who access
- In our rural state, we strongly feel that this kind of model can fill gaps in care without sacrificing
- Our rural state, we strongly feel that this kind of model can fill gaps in care without sacrificing quality
- Currently, health care providers continually collaborate with pharmacists to utilize their expert advice
Summary:
The committee first took up Senate Bill 2401, which would require physicians to complete continuing education on nutrition and metabolic health as part of the state’s rural health transformation effort. HHS supported the bill, saying it would help physicians better address chronic disease and preserve federal grant points tied to the state’s application. A member of the public also testified in favor, arguing that better nutrition education could improve diabetes outcomes and reduce costs. The committee then adopted an amendment to add the Board of Occupational Therapy Practice to the background-check statute so the occupational therapy compact could proceed, and it passed the bill as amended on a roll call vote.
The committee next heard House Bill 1621, which would require the Presidential Fitness Physical Fitness Test in elementary, middle, and high school physical education courses. HHS said the bill was part of the rural health transformation application and could help preserve federal funding, but members raised many questions about the test’s criteria, adaptive options for students with disabilities, equipment needs, and whether the bill should apply to non-public schools. Senator Clemens offered an amendment to limit the requirement to public schools, but it failed. Senator Hogan then offered an amendment to clarify exemptions and allow DPI to align implementation with federal guidance; that amendment passed. A further amendment adding language allowing DPI to establish criteria for and exceptions to the test also passed. The committee then approved the bill as amended on a roll call vote.
The committee also considered House Bill 1622, which joins North Dakota to the physician assistant licensure compact. HHS said the compact would improve access to care, especially in rural areas, support military families, and help preserve rural health transformation funding. Members noted the compact had been discussed in a prior session and that many earlier concerns had been resolved. After brief discussion about the compact process and its consistency with other interstate compacts, the committee voted to do pass the bill.
Finally, the committee began Senate Bill 2402, which expands pharmacists’ prescriptive authority and therapeutic substitution powers. HHS and the Board of Pharmacy supported the bill as a way to improve access to care and maintain rural health transformation funding. Senator Roers introduced a detailed amendment negotiated with the Board of Medicine and Board of Pharmacy to narrow and clarify the bill, including notification requirements, limits on certain drug categories, and patient-protection language for therapeutic substitution. The Board of Pharmacy then testified in support of the broader bill and explained the CLIA-waived testing provisions and the repeal of the older, narrower pharmacist-testing language. The hearing and amendment discussion were still underway when the transcript ended.
OK
Oklahoma 2026 Regular Session
Senate Legislative Session Feb 12th, 2026 at 09:30 am
Oklahoma Senate Floor Meeting
Bills:
SB2026, SB1376, SB1355, SB2115, SB1533, SB1732, SB1217, SB1443, SB1455, SB1457, SB1459, SB1465, SB1944, SB1946, SB1218, SB1942, SB1352, SB2132, SB1920, SB1285, SB1304, SB1305, SB1326, SB1590, SB1767
Keywords:
military discharge, veterans, DD Form 214, confidentiality, grandchildren access, Oklahoma National Guard, education assistance, military benefits, dependents, CareerTech Assistance Act, burial grant, memorial headstone, eligibility requirements, funding, Oklahoma Department of Veterans Affairs, fiscal management, state law, veteran burial, burial assistance, indigent veterans
TX
Texas 89th Regular
89th Legislative Session - Second Called Session Sep 2nd, 2025
Texas House Floor Meeting
Transcript Highlights:
- And they didn't care.
- HB 18 strikes a careful balance between...
- give it to a member down the road or if you already have, and I will simply say for this, I don't care
- They happened to use the Tennessee standard because our constitution was modeled off of the state of
- We're following the Lieutenant Governor's model here. And that's why I picked this number.
Bills:
HB18, SB 54, SB 10, HR 76, HR 77, HR 78, HR 82, HR 83, HR 88, HR 89, HR 93, HR 94, HR 95, HR 98, HR 101, HR 102, HR 104, HR 105, HR 107, HR 108, HR 109, HR 110, HR 111, HR 112, HR 113, HR 123, HR 125, HR 79, HR 80, HR 81, HR 84, HR 85, HR 86, HR 87, HR 90, HR 91, HR 92, HR 96, HR 97, HR 100, HR 103, HR 106, HR 114, HR 115, HR 116, HR 117, HR 118, HR 119, HR 120, HR 121, HR 122, HR 124, HB 18, SB 54, SB 10, HB 8
Keywords:
HB 18, Texas Legislature, quorum break, quorum-busting, legislative walkout, absent legislators, political contributions, campaign finance, political expenditures, legislative caucus, specific-purpose committee, Texas Ethics Commission, civil penalty, show cause order, district court, Fifteenth Court of Appeals, session fundraising, travel lodging food expenses, legislative session, compelled attendance
TX
Transcript Highlights:
- Thank you, Senator Flores, for authorizing the bill. ...health care near where they live, regardless
- The hospital includes an emergency department, intensive care unit, and state-of-the-art surgery suites
- , offering continued care without leaving the hospital.
- Well, you can, you can review the language there, and I'm sure y'all will take care of us.
- Right now, we're anxious about the cost of living in Texas, from groceries to health care, and every
Bills:
SB1331, SB1375, SB1443, SB1578, SB2251, SB2519, SB2553, SB2655, SB2764, SB2907, SB3030, SB3033, SB3035, SB3036, SB3037, SB3043, SB3047, SB3050, SB3051, SB3056, SB3057, SB3063, HB9, HB467, HB331, HB1244, HB1399, HB2559, HB2730, HB3307, HJR1, HJR99, SB3048, SB3052, SB3053, SJR78, HB1327, HB2723, HB9, HJR1
Keywords:
civil service, firefighters, police officers, municipalities, local government, repeal, voter petition, health care, provider participation, continuation programs, population-based regulation, health care provider participation, Medicaid, hospital funding, voluntary compliance, mandatory payments, public health, healthcare program, county participation, nonpublic hospitals
TX
Transcript Highlights:
- We have to have the laws respected and take care of the interests of those taxpayers, and this bill does
- You know, we need to take care of the taxpayer. Thank you very much. Thank you.
- The committee substitute matches the language to the LPPF model and raises the administrative cost cap
- This is then distributed by Health and Human Services to health care providers to reimburse them for
- delivering patient care to Medicaid and uninsured patients.
Bills:
HB9, HJR1, SB1331, SB1375, SB1443, SB1578, SB2251, SB2519, SB2553, SB2655, SB2764, SB2907, SB3030, SB3033, SB3035, SB3036, SB3037, SB3043, SB3047, SB3050, SB3051, SB3056, SB3057, SB3063, HB9, HB467, HB331, HB1244, HB1399, HB2559, HB2730, HB3307, HJR1, HJR99, SB3048, SB3052, SB3053, SJR78, HB1327, HB2723
Keywords:
HB 9, Texas Tax Code, property tax, ad valorem tax, voter-approval tax rate, no-new-revenue tax rate, truth in taxation, local government finance, municipality, county, special taxing unit, sales and use tax, sales tax revenue, tax rate calculation, tax levy, maintenance and operations, debt rate, unused increment rate, disaster relief rate, taxing unit
TX
Bills:
SCR 22, SB 53, SB 204, SB 266, SB 268, SB 291, SB 292, SB 296, SB 304, SB 305, SB 413, SB 447, SB 455, SB 462, SB 493, SB 504, SB 519, SB 522, SB 532, SB 541, SB 667, SB 670, SB 673, SB 681, SB 687, SB 711, SB 746, SB 765, SB 783, SB 827, SB 850, SB 860, SB 888, SB 897, SB 901, SB 927, SB 955, SB 963, SB 984, SB 989, SB 993, SB 996, SB 1023, SB 1033, SB 1058, SB 1062, SB 1101, SB 1119, SB 1172, SB 1173, SB 1215, SB 1220, SB 1227, SB 1228, SB 1229, SB 1238, SB 1239, SB 1245, SB 1248, SB 1254, SB 1259, SB 1273, SB 1277, SB 1302, SB 1332, SB 1341, SB 1346, SB 1350, SB 1352, SB 1353, SB 1355, SB 1358, SB 1370, SB 1371, SB 1378, SB 1403, SB 1404, SB 1415, SB 1437, SB 1448, SB 1450, SB 1464, SB 1493, SB 1494, SB 1537, SB 1566, SB 1569, SB 1589, SB 1598, SB 1644, SB 1709, SB 1719, SB 1729, SB 1733, SB 1744, SB 1772, SB 1810, SB 1841, SB 1895, SB 1930, SB 2039, SB 2289, SB 2312, SCR 1, SCR 6, SCR 27, SCR 32, SB 2232
Keywords:
mental health, court proceedings, notice requirements, legal filings, electronic documents, parental rights, education, school trustees, training, handbook, tax collection, managed audits, taxpayer rights, dispute resolution, penalty, health care, licensing, complaint procedure, disciplinary action, law enforcement
NM
New Mexico 2025 Regular Session
IC - New Mexico Finance Authority Oversight Sep 9th, 2025
New Mexico Finance Authority Oversight Committee
Transcript Highlights:
- And that's because their business model depends on that.
- The model does make an adjustment for local businesses that are present.
- And I think we need to take care of business.
- Our model never intended to stop flying, right?
- It's trying to run models of what's going to happen.
WA
Washington 2025-2026 Regular Session
Joint Transportation Committee Jun 23rd, 2026
Joint Transportation Committee
Transcript Highlights:
- So when you're looking at that with the revenue model...
- So, what you're actually referring to are the various different models under a P3. I'm a...
- I take note of the fact that you're going slow and wanting to be careful.
- I would say it felt to me like there's a lot of interest in looking at the P3 model.
- And we've really collaborated with our information.
Summary:
The committee began with member introductions, then heard a presentation on a draft final report studying alternative funding mechanisms for sidewalks and related pedestrian infrastructure. Consultants said current local funding sources are insufficient, with most jurisdictions unable to complete planned sidewalk networks within 50 years. They evaluated four options: a sidewalk utility fee, a modified transportation benefit district sales tax, a new real estate excise tax option, and expanded stormwater fee use for ADA sidewalk ramps. The consultants recommended authorizing the modified TBD sales tax and new REET option, considering a sidewalk utility despite legal uncertainty, broadening any authorization to all pedestrian improvements, and not pursuing the stormwater fee option. Members asked about legal authority, fairness, revenue adequacy, and whether jurisdictions had been consulted; the presenters said state enabling legislation would likely be needed for a sidewalk utility and that fairness could be defined either by direct benefit or by need.
The committee then received an update on the 2025 assessment of city transportation funding needs. The consultants reported that city transportation revenues have grown in some local and federal categories since 2019, but state revenues have remained relatively flat and smaller cities are especially affected by declining fuel tax revenues and limited tax bases. They estimated annual city transportation needs at $4.25 billion, average annual spending at $1.89 billion, and a funding gap of $2.37 billion, larger than in the prior study because of updated data, inclusion of system improvements, and higher preservation costs. Draft recommendations focused on reducing costs and improving efficiency, preserving and increasing state support, and expanding local funding options, including preservation-first spending, a permanent federal fund exchange program, streamlined review processes, better coordination with WSDOT, possible property tax flexibility, and exploration of new local tools. Members raised questions about design standards, the role of density and transit, federal compliance, and whether the report would identify specific consolidation or process changes.
The committee also heard a project update on evaluating zero-emission vehicle and electrification programs funded by the Climate Commitment Act. Consultants said they had reviewed roughly 23 programs and projects across seven agencies and were now evaluating options to improve delivery, including process improvements, reorganizing programs, or consolidating governance and administrative functions. Early findings highlighted staffing shortages, duplication and variation across agencies, differing levels of risk, and the challenge of coordinating climate priorities across agencies with other core missions. Members asked about program outcomes, administrative costs, whether some programs should have exit strategies, and how to strengthen the EV Coordinating Council. Finally, WSDOT provided an implementation update on its new public-private partnership authority under SB 5801, saying work is underway to prepare governance, legal, policy, and organizational structures ahead of the January 1, 2027 effective date.
HI
Hawaii 2025 Regular Session
HLT/CPC Joint Public Hearing - Mon Feb 10, 2025 @ 2:00 PM HST
Transcript Highlights:
- <00:48:46.559>
have a western model of care we should have a western model of care we should - HB 1328 does allow true collaborative care.
- HB 1328 does allow true collaborative care.
- care and dominating models practice in care and dominating models of<02:23:21.000>
supremacist - collaborative care it supports Medicaid collaborative care it supports Medicaid reimbursements<02
Summary:
The joint House Committee on Health and Committee on Consumer Protection and Commerce heard two midwifery bills, with testimony focused primarily on HB 1194. Committee chairs opened the hearing with rules for Zoom testimony and noted the bills relate to midwives. The Department of Commerce and Consumer Affairs said it supported the intent of HB 1194 and offered comments. Supporters of the bill, including the Midwives Alliance of Hawaii, argued that midwifery should remain subject to mandatory licensure to protect consumer safety, citing the state’s regulatory licensing standards and a 2025 state auditor sunset analysis. They said the bill would strengthen educational standards and public protection, and some offered clarifying amendments.
Opponents argued HB 1194 would restrict access to care and fail to protect traditional, cultural, and community-based birth practices. Testifiers from the Hawaii Home Birth Task Force, the Hawaii Home Birth Collective, the Libertarian Party of Hawaii, the Center for Reproductive Rights, Pacific Birth Collective, and Papa Ola Lōkahi said the bill would limit licensure pathways, reduce access in rural and underserved areas, and burden Native Hawaiian and traditional practitioners. Several speakers said the measure could worsen Hawaii’s maternal health shortages, especially on Maui, and urged lawmakers to defer HB 1194 or instead advance HB 1328, which they said better protects practitioner access and cultural practices.
The Hawaii affiliate of the American College of Nurse-Midwives said it opposed HB 1194 because it did not align with national or state standards for certified midwives and could create conflicts with Medicaid reimbursement and prescriptive authority. The ACLU also opposed the measure, emphasizing reproductive rights, privacy, and the need to preserve apprenticeship pathways to licensure. No vote or final committee action was taken during the portion of the hearing reflected in the transcript.
CA
California 2025-2026 Regular Session
Assembly Emergency Management Committee Jul 14th, 2025
Emergency Management
Transcript Highlights:
- bill that will take a crucial step towards improving the availability and affordability of health care
- To reach the goal of improving wildfire safety, the model unites two critical strategies, building a
- publicly-funded model. accessible model alongside outreach initiatives to identify and educate users
- of the model.
- Wildfire models can be critical to building safer community keys.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on the Judiciary Jun 21st, 2026 at 01:00 pm
Joint Committee on the Judiciary
Transcript Highlights:
- Share resources, collaborate, and work together.
- harm access to care.
- These best interest factors were not included in the ENCOIL model or any other federal model because
- These best interest factors were not included in the ENCOIL model or any other federal model because
- I just wanted to say that, you know, it's not exclusive caring about people and caring about animals,
Summary:
The Joint Committee on the Judiciary held a lengthy public hearing on a wide range of civil actions, labor, consumer protection, and animal welfare bills. Chair Lydia Edwards and Representative Michael Day opened with strict testimony rules and time limits, then heard from legislators and advocates on measures including animal-abuser pet ownership bans (S. 1207/H. 1914), a name-change privacy bill (S. 1045/H. 1973), tort claims reform (H. 1724), law enforcement council coverage under the Tort Claims Act (S. 1199), civil rights and qualified immunity-related proposals (H. 1641), employee free speech/captive audience restrictions (S. 1078/H. 1653), consumer protection and civil rights jurisdiction expansion (S. 1041), private right of action for wage theft (H. 1916), gun-owner liability insurance (H. 1836), pseudoephedrine sales tracking (S. 1243/H. 1581), prepaid legal services plans (H. 1612), structured settlement protections (H. 1863), third-party litigation financing disclosure (H. 1861), antitrust reform for small businesses and workers (S. 1038/H. 1982), legal notices in online-only newspapers (S. 1279/H. 1632), and several animal cruelty and protection bills including H. 1938, H. 1949, S. 1277/H. 1934, and H. 1764.
Testimony was largely supportive from bill sponsors and advocacy groups, with repeated themes of protecting vulnerable people and animals, improving access to justice, and updating outdated laws. Supporters of the animal bills argued for stronger possession bans, broader cruelty citations, and civil removal tools to prevent repeat abuse; opponents or conditional supporters raised due process and enforcement concerns, especially around warrantless seizures and requiring retail or shelter staff to check registries. On the labor and consumer side, supporters said the antitrust bill would curb monopoly power and help small businesses and workers, while opponents warned it could destabilize competition and burden successful firms. The employee free speech bill was backed as a response to captive audience meetings, and the wage-theft bill was presented as a way to let workers or organizations pursue claims when individual employees are afraid to come forward.
Several public officials and association representatives testified on the law enforcement and civil rights bills. Chiefs of police supported adding law enforcement councils to the Tort Claims Act, saying it would close a liability gap for regional mutual-aid collaborations. But police representatives opposed changes to the Massachusetts Civil Rights Act and qualified immunity-related provisions, arguing the federal system already provides a workable forum and that expanding liability could increase costs, reduce morale, and worsen recruitment and retention. On the consumer/civil rights bill, Senator Collins and a veteran described an out-of-state assault case that they said showed the need for Massachusetts to let residents seek redress at home when rights are violated elsewhere.
No votes or formal committee actions were taken during the hearing itself; the committee mainly received testimony and questions. Several witnesses indicated they had submitted written testimony or proposed amendments, and some bills drew requests for favorable reports while others were explicitly opposed unless amended.
WY
Wyoming 2026 Regular Session
Joint Transportation, Highways & Military Affairs Committee, May 4, 2026 - PM
Transportation, Highways & Military Affairs
Transcript Highlights:
- >
the <00:16:06.920>DOT renamed it they modeled it after the DOT renamed it they modeled - McCann said, the best model for us is going to be the Wyoming model.
- <01:28:41.320>
Um careful about. Um careful about. - collaboration being another. collaboration being another.
- care costs of just a rural state, too. care costs of just a rural state, too.
HI
Hawaii 2026 Regular Session
House Chamber - Wed Jan 21, 2026, 10:00AM HST - Day 1 Opening Day
Hawaii House Floor Meeting
Transcript Highlights:
- <01:21:17.520>
and serving his constituents with care and serving his constituents with care - Health care is preventive and accessible. And homelessness is dramatically reduced.
- A place Hawaii is a model for the world.
- Health care is Housing is affordable.
- Health care is preventable<01:36:49.440>
and <01:36:49.760>accessible.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health May 19th, 2025
Transcript Highlights:
- It does cover the first 90 days of long-term care, but trying to think about other models out there and
- Have you modeled other ways to do this so that people wouldn't wholesale lose access to dental care?
- With this more prescriptive model... ...what we worked on collaboratively.
- and specialty care for example the the the dollar For primary care and specialty care, for example,
- There will be no rate increases for primary care, specialty care, abortion, or reproductive care under
Summary:
The Assembly Budget Subcommittee on Health held the first of several hearings on the Governor’s May Revision for health care, with opening remarks focused on the state’s projected $12 billion deficit, looming federal Medicaid changes, and the potential impact on Medi-Cal, public health, reproductive health, and safety-net providers. Several members criticized the proposal as balancing the budget on vulnerable Californians, while others defended the need for cost containment and questioned the administration’s assumptions. The chair set ground rules for respectful, focused questioning and outlined three topics: the Medi-Cal proposals, Proposition 35, and Proposition 56.
DHCS Director Michelle Baas presented the May Revision’s Medi-Cal package, saying the department’s budget totals $200.6 billion overall, including $45.2 billion General Fund, and that the proposals are intended to address rising caseloads, pharmacy costs, and managed care spending. She described proposed changes for adults with unsatisfactory immigration status, including a freeze on new full-scope enrollment for those 19 and older, $100 monthly premiums beginning in 2027, elimination of adult dental and long-term care coverage, removal of PPS/RAP payments to FQHCs and rural health clinics for that population, and a pharmacy rebate aggregator. Other proposals included eliminating certain OTC drug classes, removing GLP-1 coverage for weight loss, prior authorization and step therapy changes, reinstating the Medi-Cal asset test, eliminating acupuncture as an optional benefit, allowing utilization management for hospice, raising the managed care minimum medical loss ratio to 90%, reducing PACE capitation rates toward the midpoint of the actuarial range, eliminating the skilled nursing facility workforce and quality incentive program, and suspending the SNF backup power requirement.
The LAO said the revised Medi-Cal spending estimate is about $2.5 billion higher than the Governor’s Budget in the budget year, and that the increase appears driven more by higher per-enrollee costs than by caseload alone. The LAO said the budget solutions are concentrated in a few areas, are largely ongoing, and should be considered in light of federal uncertainty, but suggested the Legislature could explore alternatives such as more targeted income thresholds for the undocumented expansion and simpler asset-test rules. Department of Finance officials said the proposals are difficult but necessary to address a third consecutive deficit and rising Medi-Cal costs. Members then pressed the administration on the methodology and impacts of the proposals, especially the enrollment freeze, premiums, asset test, hospice controls, PACE reductions, and the elimination of benefits and provider payments. No votes or formal actions were taken at this hearing.
AZ
Arizona 2026 Regular Session
02/03/2026 - House Natural Resources, Energy & Water
Natural Resources, Energy & Water
Transcript Highlights:
- And what we have to have is collaboration of people working together.
- Love to work on that on the housing front, on the child care front, and on the health care front, as
- Not to minimize that, but we're also looking at housing costs, child care costs, and health care costs
- Those studies and that modeling are typically triggered by that sort of event.
- Let's go ahead and take care of that. 21.33. 23. Okay. And we're going to do that.
Bills:
HB2014, HB2113, HB2145, HB2331, HB2340, HB2389, HB2400, HB2401, HB2428, HB2494, HB2696, HB2756, HB2795, HB2955, HCM2008
Keywords:
air emissions, fuel blends, environmental quality, feasibility study, Arizona Department of Agriculture, utility consumer, rate intervention, public service corporation, Arizona Revised Statutes, residential rates, consumer protection, fuel reformulation, gasoline standards, environmental regulations, ethanol supply, Air Quality, energy reliability, electric service providers, reliable resources, public power entity
Summary:
The committee heard several energy and transportation bills, with testimony largely split between sponsors, industry groups, local governments, and environmental advocates. HB 2428, dealing with county and ADEQ authority to issue voluntary permits certifying emission reduction credits for mobile and non-road sources, drew neutral support from ADEQ and support from Maricopa County; it was amended and passed 10-0 with a due pass recommendation. HB 2145, which expands who may petition on gasoline supplier alternative standards, also passed, 5-4, with no amendment.
A lengthy debate followed on HB 2331, as amended, which would require electric utilities to ensure 85% of generating capacity serving retail load comes from “reliable resources” by 2030. The sponsor and supporters argued the bill was needed to preserve affordable, dependable power and prevent overreliance on intermittent renewables, while opponents from the Sierra Club and Rural Arizona Action said it would effectively favor fossil fuels, raise costs, and limit cleaner energy options. The committee adopted the strike-everything amendment and the sponsor’s amendment, then passed the bill 6-4. HB 2795, which limits county zoning authority over small modular reactors once federal permitting and certification steps are met, drew strong support from nuclear and business advocates and opposition from county, city, and environmental representatives concerned about local control, safety, waste, and preemption; it passed 6-4 after amendment-related discussion.
The committee also passed HB 2340, which allows the power plant and transmission line siting committee to evaluate the plant itself when reviewing transmission line applications, by a 5-4 vote. Finally, HB 2400, an emergency measure to suspend the motor vehicle fuel tax in Areas A and C during summer months and replace the lost revenue with state highway funds, prompted testimony about gas prices, boutique fuel requirements, and transportation funding needs; cities and counties opposed the diversion of highway funds, while the sponsor argued it would help consumers facing higher fuel costs. The Griffin amendment was adopted, and the bill passed with a due pass recommendation after debate on affordability versus road funding.
ND
North Dakota 2025-2026 Regular Session
Senate Appropriations - Human Resources Division Apr 9th, 2025 at 09:30 am
Appropriations - Human Resources Division
Transcript Highlights:
- to fund the value-based care incentive program for nursing facilities.
- So it's not going to hurt the basic care at all, no.
- They're trying to improve the system and the quality of care and their work with the Long-Term Care Association
- That's why she's trying to improve the system and the quality of care.
- This is a form of care that is needed, and if this form of care is not provided, the next layer up goes
Bills:
SB2399
Keywords:
mental health, psychiatric treatment, reimbursement, medical assistance, legislative report, 908, all
Summary:
The Senate Appropriations HR Division met to work through amendments and budget items in House Bill 2012/HB 1004, focusing first on long-term care, disability services, and behavioral health. Members discussed competing approaches to a four-plex for medically complex individuals, a value-based care payment withhold for nursing facilities, accreditation requirements for providers, a study of developmental disability services, and funding for Family Voices and Ann Carlson-related services. Several amendments were accepted or set aside after discussion, including a study amendment for disability services and a Family Voices grant amendment that was adjusted to remove “one-time” language so it could continue as an ongoing grant. The committee also agreed to keep or defer some items for conference committee, including the youth crisis stabilization pilot and other long-term care proposals.
A major discussion centered on the state hospital project. Members debated whether the $330 million project should remain in the DHS budget or be moved to the OMB budget for construction management. After discussion of costs, alternates, and the role of a steering committee and BND loan language, the committee agreed to remove the state hospital funding and related loan language from the DHS budget while leaving the steering committee language in place. The committee also considered a proposed Altru grant for additional beds and settled on a smaller planning-focused approach, with a $1 million grant and a line of credit concept to be refined later.
The committee then turned to behavioral health items, including QRTP funding, nursing home behavioral health training, and a youth crisis stabilization pilot. Members generally supported keeping the QRTP funding level, but were divided on the nursing home behavioral health training and the crisis stabilization pilot, with some preferring to leave those issues for conference committee. The division also reviewed the HHS block grant and underfunding structure, with Donna Ackland explaining salary, vacancy, and flexibility calculations; the committee discussed adjusting the underfund and revenue assumptions but did not finalize every number before moving on.
Finally, the committee took up House Bill 1577 on wastewater treatment grants. Senator Davison moved to hoghouse the bill into a study-focused version using the proposed amendment language, and the motion passed. The committee then moved HB 1577 as amended with a do pass recommendation; the roll call passed with Senators Cleary, Davison, Dever, and Mathern voting yes, and Senator Magrum not recorded as voting. The meeting adjourned with plans to return later in the day to continue budget work.
MA
Massachusetts 2025-2026 Regular Session
Senate Committee on Intergovernmental Affairs Jun 21st, 2026 at 01:00 pm
Senate Committee on Intergovernmental Affairs
Transcript Highlights:
- There's lots of models that work well in business and lots that fail.
- But I'm deeply suspicious of that model. When we're talking about...
- Deeply suspicious of that model.
- When we're talking about regulation, I don't normally care what you do.
- We collaborated on most things fishing and almost always agree. Welcome, Dr. O'Keefe.
Summary:
The joint hearing focused on the Atlantic sea scallop fishery, with particular attention to Massachusetts ports, federal scallop management, the proposed reopening of the Northern Edge on Georges Bank, and permit stacking/consolidation. The chair opened by noting the hearing would take written and oral testimony, that time was limited, and that the discussion was intended to inform legislative engagement with federal regulators rather than decide the issue directly. Dan McCarron of the Massachusetts Division of Marine Fisheries and Dr. Kate O’Keefe of the New England Fishery Management Council outlined the federal management structure under the Magnuson-Stevens Act, the role of annual catch limits and rotational closures, and the economic importance of scallops to New Bedford, Gloucester, and other Massachusetts ports. O’Keefe said the council’s current scallop framework is based on annual management, research surveys, and public input, and that recent environmental changes and uncertainty are affecting catch advice and biomass.
Dr. O’Keefe and later Dr. Kevin Stokesbury of UMass Dartmouth described the fishery’s recent condition: abundance has increased in some areas, but biomass has fallen because many scallops are still too small to harvest, and changing ocean conditions and natural mortality are affecting the stock. They said the Northern Edge action was considered as a joint scallop/habitat framework but was discontinued in 2024 because the council could not reconcile competing objectives involving scallop yield, habitat protection, and impacts on other species such as cod, lobster, and herring. Stokesbury emphasized the long-running collaborative survey work with industry, said the fishery remains highly productive, and argued that the science supports careful rotational management and that the Northern Edge could be highly productive for scallops, though he acknowledged habitat tradeoffs. Committee members pressed both witnesses on why the issue had remained unresolved for so long and whether the council could revisit it through a future framework.
Representatives of the Sustainable Scalloping Fund, including attorney Drew Kavage, John Lees, Sam Blasley, and Tony Alvernes, urged support for reopening the Northern Edge and for permit stacking, which would allow more than one scallop permit on a vessel while keeping ownership caps in place. They argued the fishery is a major economic driver, that industry-funded research has supported sustainable management, and that stacking would help family-owned operators reduce costs, improve safety, and avoid financial distress. They also stressed the need to protect working waterfront infrastructure in New Bedford and other ports. The chair said he was not opposed to stacking in principle but wanted to avoid a slippery slope toward excessive consolidation or private equity control; he noted that any stacking change would require an amendment to the fishery management plan or federal action. No votes were taken, and the hearing concluded with an invitation for continued engagement and future updates on the council process.
CA
California 2025-2026 Regular Session
Assembly Public Safety Committee Jul 15th, 2025
Transcript Highlights:
- Senator Eggman and I carried a bill that established the CARE program and CARE Court.
- , Senator Eggman and I carried a bill that established the care program and care.
- Eggman and I carried a bill that established the care program and care court.
- CARE Court does not pay for real care, like treatment or housing.
- That's not caring. What's caring is trying to take control and offer assistance.
Summary:
The committee heard several public safety measures, with extensive testimony on firearms regulation, disability and sexual assault, mental health diversion, emergency response, and law enforcement masking. SB 704 by Senator Arreguín would require firearm barrels to be purchased through licensed dealers with a background check, as a response to the rise in ghost guns and 3D-printed firearms; supporters said barrels are a key component of untraceable guns, while opponents argued the bill burdens lawful gun owners and does little to stop criminals. SB 258 by Senator Wahab would eliminate the remaining spousal rape exception for victims unable to consent because of disability; supporters called it a needed closure of an archaic loophole, while disability-rights advocates opposed it unless amended, warning it could worsen misunderstandings about capacity to consent and harm disabled people’s autonomy. After debate, SB 258 passed the committee on a due-pass motion to Appropriations, with several members voting aye and the bill held on call.
Senator Umberg presented SB 398, which closes a loophole in the law prohibiting paying or offering money or other value to induce someone to vote or register to vote; there was little opposition, and the bill passed on a due-pass motion to Appropriations and was held on call. He also presented SB 27, a CARE Court cleanup measure that would allow certain misdemeanor defendants found incompetent to stand trial to be routed into CARE Court and would expand eligibility to some people with mood disorders with psychotic features. Supporters said it would improve access to treatment and reduce unnecessary incarceration, while county behavioral health directors and disability advocates warned it could blur the line between voluntary civil treatment and coercive criminal proceedings and expand CARE Court beyond its intended scope. SB 27 passed on a due-pass motion as amended to Appropriations.
The committee also heard SB 36 from Senator Umberg, a price-gouging measure tied to wildfire-related emergency conditions that also expands search-warrant authority for certain misdemeanor investigations. Public defenders opposed the search-warrant expansion as unnecessary, while a late supporter from the Los Angeles County District Attorney’s Office spoke in favor; the bill was moved on a due-pass motion as amended to Appropriations and held on call. SB 571 by Senator Arreguín would increase penalties for impersonating emergency personnel and related conduct during disasters; supporters cited post-fire looting and impersonation, while opponents argued longer sentences do not deter crime and that existing law is sufficient. The bill passed on a due-pass motion as amended to Appropriations and was held on call.
Finally, Senator Wiener presented SB 627, which would prohibit law enforcement from wearing extreme masks except in limited circumstances, aimed largely at masked federal immigration enforcement operations. Supporters said masked, unidentified officers create fear and undermine trust, while law enforcement groups argued the bill wrongly sweeps in local officers, is too broad, and should instead target federal agents or impersonators. Testimony was still underway when the transcript ended, and no final committee action on SB 627 is shown here.
CA
California 2025-2026 Regular Session
Assembly Local Government Committee Jul 1st, 2026
Local Government
Transcript Highlights:
- He is the chair of the continuum of care.
- He is the chair of the continuum of care.
- Our continuum of care has already been chosen as a willing partner in this model.
- Our continuum of care has already been chosen as a willing partner in this model.
- SB 1414 is built on proven models.
KY
Kentucky 2025 Regular Session
Commission on Race and Access to Opportunity (10-21-25)
Transcript Highlights:
- Schools is to create a collaborative Schools is to create a collaborative community<00:03:05.040
- <00:32:00.880>
with college and that's in collaboration with college and that's in collaboration - of themselves and able to take care of themselves and their<00:56:56.079>
family. - <01:26:07.920>
and We're looking at different models and We're looking at different models - Cuz what I seen is, you collaboration?
Summary:
The committee met with a quorum, approved the September meeting minutes, and heard presentations from Carter G. Woodson Academy in Lexington and related school programs in Fayette County Public Schools. School leaders described the academy as an all-male public school option focused on culture, belonging, and opportunity, with a mission to educate, empower, and equip young men academically, socially, and morally. They emphasized culturally responsive instruction, restorative practices, mentorship, brotherhood circles, and access to advanced coursework, dual enrollment, and career pathways. Student speakers highlighted school culture, leadership opportunities, and clubs such as SGA, Beta Club, FFA, and the Bow Tie Club, along with service and community engagement.
Presenters said the academy began in 2012, is housed with Frederick Douglass High School, uses an application and lottery process, and can serve up to about 350 students but is intentionally kept near 300 because of space. They reported 302 enrolled students, about 38 seniors, a 100% graduation rate, 95% average attendance, 100% postsecondary success, and $1.8 million in scholarship offers last year. They also shared demographic and achievement data, noting growth in MAP scores, strengths in reading and writing, and math as an ongoing focus area. The school said 90% of high school scholars are taking at least one dual credit class this year, and some students have earned opportunities at selective programs such as Gatton Academy and Craft Academy.
Committee members praised the school’s results and asked about enrollment, funding, and whether the model could be replicated statewide. School leaders said the program is fully funded through Fayette County Public Schools, could be replicated with committed staff and training, and that teachers receive preparation through the Gearing Institute to better understand how boys learn. They also noted that Fayette County has other specialized programs, including girls’ academies and other options for underrepresented students. Members expressed interest in long-term tracking of graduates, and the school said it is preparing to study outcomes as the first graduating class approaches its 10-year anniversary.