Video & Transcript Research : 'shared services'
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NH
New Hampshire 2025 Regular Session
Committee to Study Long-Term Managed Care (10/27/2025)
Transcript Highlights:
- So I have already shared that draft with my colleagues on the committee.
- So, with that, let me share the recommendation I would like to make.
- <00:04:49.120>
with <00:04:49.759>my already shared that draft with my already shared that - and support or long-terms services and support or behavioral<00:06:59.199>
health. - <00:07:15.919>
and long-term managed care services and long-term managed care services and
Summary:
The Committee to Study Long-Term Managed Care met to approve the prior minutes and then focused on its final report. The chair reviewed the committee’s earlier options—maintaining the status quo, adopting DNIP, adopting an HCBS carveout model, or moving fully to managed care for the aging population—and noted that ABD and developmental disabilities had already been excluded from consideration. He proposed a final recommendation that New Hampshire consider adopting DNIP as a voluntary option to better coordinate Medicare and Medicaid for dual eligibles, reduce duplication, and create a possible pathway toward future managed care, while acknowledging that a majority and minority report could be issued if needed.
Members generally supported the draft recommendation and asked questions about whether federal budget changes would incentivize states to move in that direction, how the proposal would align with current department efforts, and whether the program would remain voluntary. Director Henry Litman said he did not see a specific federal mandate in OB3, but noted incentives in rural health transformation funding and said the proposal aligned with existing managed care contract direction. He and others emphasized that DNIP should be voluntary and that implementation timing would need to account for federal deadlines and broader changes facing the department. Members also discussed PACE, with one member saying it appeared feasible mainly in more populous areas and expressing neutrality, while another raised concerns about county risk and the need to preserve patient choice and maintain three MCOs.
After discussion, members indicated agreement with the majority report approach and no further changes were proposed. The committee then moved to accept the draft language as presented and issue it as its report; the motion was seconded and approved by voice vote. The meeting then adjourned.
ND
North Dakota 2026 1st Special Session
Legislative Task Force on Government Efficiency Mar 25th, 2026 at 10:00 am
Legislative Task Force on Government Efficiency
Transcript Highlights:
- I'm with the Office of Management and Budget, and I'm the Shared Services Division Director.
- I'm with the Office of Management and Budget, and I'm the Shared Services Division Director.
- He's my director of audit services.
- Dorman shared today.
- We have oodles and oodles of information to share, and I'd welcome the opportunity to share some more
MN
Transcript Highlights:
- YES brought veteran stories to life through first-hand accounts of service.
- So I just want to share that with you. Thank you. All right.
- . free nonprofit news and information service.
- One of our services is Your Classical, which is the state's MPR's classical music service.
- I'm here today to share the critical role of ethnic media.
Keywords:
public television, funding, grants, arts and culture, Minnesota, Minnesota Public Radio, arts education, cultural heritage, community engagement, public radio, community radio, educational grants, community cable, public access, programming funding, civic engagement, ethnic media, public access television, Minnesota Humanities Center, funding appropriation
NH
New Hampshire 2025 Regular Session
House Education Funding (03/31/2025)
Transcript Highlights:
- share?
- about a state share and a federal share. about a state share and a federal share.
- certain uh services certain uh services do<00:39:47.440>
services <00:39:48.000>that - versus medical services?
- versus medical services?
Summary:
The subcommittee met to begin work on HB 742, which would require catastrophic special education aid to be drawn from the education trust fund, and more broadly to study special education aid/differentiated aid and related costing issues. The chair said the group was starting early because the issue has been debated for years without resolution, local districts are being forced to absorb prorated costs, and the committee wants to send the Department of Education and HHS Medicaid a clear request for data and recommendations before retained bills return in the fall. A committee clerk was also selected, with Representative Reverend volunteering to take notes for the meeting.
Members reviewed background materials on special education enrollment, high-cost students, and possible funding formulas, including data on students in high-cost brackets and prior ideas such as category-based funding and caseload-based approaches. The chair also referenced research on other states, including Arkansas, which uses a different special education funding structure and audits IEPs. The committee emphasized that it was focused on the funding mechanics and costs, not on questioning whether services should be provided.
Henry Lipman of HHS explained how Medicaid-to-schools currently works in New Hampshire. He said 172 school districts participate, but utilization dropped during the pandemic and remains below historical levels, in part because districts need the capacity to bill Medicaid. Under the current system, schools receive reimbursement based on half of the Medicaid fee schedule, with the school district effectively providing the state share. He said the federal government is requiring a shift by July 1, 2026, to a true certified public expenditure model based on actual costs, which should allow schools to recover 50% of their true costs and some administrative overhead. The department has received a roughly $2.5 million grant to hire a vendor and support districts through the transition, and an RFP and stakeholder meetings are underway.
Committee members asked about how costs would be determined, whether the new system would use actual district-specific costs rather than averages, and how the department would support districts that do not currently participate. Lipman said the cost model would be based on each district’s own reasonable costs, subject to audit standards, and that the department expects to provide templates and technical assistance through the vendor because its staff is limited. He also said about one in four New Hampshire children are enrolled in Medicaid, that child enrollment has been relatively stable, and that continuous coverage rules should reduce churn. No votes or formal actions on HB 742 were taken during the meeting beyond organizing the subcommittee and beginning testimony and discussion.
MN
Transcript Highlights:
- My father dedicated 26 years of service. My mother 20 years of service.
- My older sister 15 years of service. And my youngest sister four years of service.
- My father dedicated 26 years of service. My mother 20 years of service.
- My older sister 15 years of service. And my youngest sister four years of service.
- My father dedicated 26 years of service. My mother 20 years of service.
MN
Minnesota 2025-2026 Regular Session
House Children and Families Finance and Policy Committee 2/25/26
Children and Families Finance and Policy
Transcript Highlights:
- And as I shared, we're happy to be with you today to share an overview and information about the impacts
- And as I shared, we're happy to be with you today to share an overview and information about the impacts
- And as I shared, we're happy to be with you today to share an overview and information about the impacts
- well as Barb Dah, um social services well as Barb Dah, um social services director<00:01:53.119>
- hearing, I asked my social services hearing, I asked my social services director<00:04:24.560>
Keywords:
HF45, Lake Benton, capital investment, bonding bill, state bonds, bond proceeds fund, Public Facilities Authority, public infrastructure, sanitary sewer, water main, storm sewer, utility replacement, U.S. Highway 75, road reconstruction, municipal infrastructure, local government grant, Minnesota bonding, capital appropriation, food insecurity, prepared meals
OK
Transcript Highlights:
- In relation to various services that you provide, what would be television type services, and what would
- be safety type services?
- That would be like services like.
- We work closely with the National Weather Service, as you know, there's a local National Weather Service
- So you provide data to the National Weather Service.
NH
New Hampshire 2026 Regular Session
House Labor, Industrial and Rehabilitative Services (04/14/2026)
Labor, Industrial and Rehabilitative Services
Transcript Highlights:
- Tip sharing is when the waitress works hard or waiter works hard, any service staff, runner, uh, any
- Tip sharing is another. Um, one thing. Tip sharing is another.
- Tip sharing is different. their money. Tip sharing is different.
- partake in the tip sharing. partake in the tip sharing.
- providing that excellent service. providing that excellent service.
Summary:
The committee opened its labor hearing on SB 655 and outlined the day’s schedule, including a later working session on SB 416 and an executive session planned for 2:30 p.m. Senator Dan Innis introduced SB 655, describing it as a technical bill affecting employee leasing companies/professional employer organizations (PEOs), workers’ compensation coverage, and a Senate-added minimum wage exemption for minor league baseball players covered by a collective bargaining agreement. He said the PEO change would let either the PEO or the client business hold workers’ comp coverage, while still requiring coverage, and argued it would align New Hampshire with most other states and reduce barriers for small businesses and multi-state employers. He also said the baseball provision would clarify wage treatment for minor league players and support the Manchester team.
Justin Warell of Insperity testified in support of the PEO portion, explaining that PEOs provide HR, payroll, benefits administration, and workers’ compensation administration through a co-employment model. He said the bill would preserve mandatory coverage while allowing flexibility for the client or PEO to maintain the policy, which could help clients who already have preferred coverage or who face cost or administrative issues in multiple states. He noted that most clients would still remain under the PEO’s policy and said Insperity would submit written comments. Committee members asked about how the arrangement would work, whether the client or PEO would pay, and whether the bill would affect liability insurance packaging; Warell said the employer still bears the cost and that the bill mainly gives larger clients an option. One member asked him to remain available for possible follow-up after hearing from the labor department.
Stephen Gonzalez of Major League Baseball testified in support of the minor league baseball exemption. He said MLB and the MLB Players Association negotiated a collective bargaining agreement that already provides players with salary, housing, meals, per diems, health and retirement benefits, disability continuation, tuition assistance, and signing bonuses. He argued that treating players as hourly workers creates impractical time-tracking problems because players do work-related activities on their own time, and said the bill would recognize them as salaried workers and avoid litigation over what counts as hours worked. Committee members questioned why the exemption was needed if players are already salaried and whether MLB could simply amend its CBA; Gonzalez said the bill would help prevent wage-and-hour lawsuits and noted that similar exemptions have been enacted in other states. No vote was taken during the hearing, and the chair indicated the bill would be considered for executive action later that afternoon.
MN
Minnesota 2025-2026 Regular Session
House Children and Families Finance and Policy Committee 2/11/25
Children and Families Finance and Policy
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 2 on Human Services Apr 30th, 2025
Transcript Highlights:
- This is Assembly Budget Subcommittee No. 2 on Human Services.
- The Medi-Cal program covers a full breadth of services: physical, mental, substance use disorder services
- As my colleagues have shared, the department's Within the California Health and Human Services Agency
- During the LA fires, local Community Services Block Grant (CSBG) and LIHEAP agencies provided services
- banks to supportive services to housing.
MA
Massachusetts 2025-2026 Regular Session
Public Health Effects of Xylazine Jun 21st, 2026 at 10:00 am
Transcript Highlights:
- We thank him for his service and send our best wishes to him and his family.
- To share information about the harms and risks, To share information about the harms and risks, as well
- The trainings should include guidance on how to share...
- And China was willing at times to share that information.
- The first is the BSAS, the Bureau of Substance Addiction Services Dashboard.
Summary:
The special commission on xylazine met virtually to review and discuss the first draft of its final report. Chair Mindy Domb opened the meeting, confirmed quorum, and the commission approved the minutes from its December 11 public meeting. Staff then walked commissioners through the proposed report structure, including background on xylazine as both an FDA-approved veterinary drug and an illicit drug supply contaminant, as well as appendices for public meeting materials and public resources.
The commission discussed findings and recommendations for several working groups. For oversight and enforcement, members focused on licit versus illicit sources of xylazine, noting that the illicit supply is typically obtained through online vendors rather than diverted from veterinary use. Recommendations included better storage and reporting practices in authorized settings, review of manufacturing and distribution information, and focusing enforcement on fentanyl trafficking and large-scale xylazine importation rather than personal possession. Commissioners also discussed whether xylazine should remain in Schedule 6 or be subject to additional penalties, and several members emphasized the need for coordination, information-sharing, and possibly a DPH task force or advisory body to monitor emerging drug threats.
For outreach and treatment, staff summarized strong existing programs such as drug checking, wound care education, naloxone distribution, mobile and low-threshold care, and self-directed wound kits, while noting gaps including the lack of an FDA-approved reversal agent for xylazine, difficulty distinguishing xylazine from other exposures, and uneven access by geography, insurance, and audience. Commissioners stressed the need for provider education, including physicians, nurses, pharmacists, family support networks, and first responders, and for clear guidance on wound care and when more intensive treatment is needed. The education and training section identified first responders, clinicians, non-clinicians, and people who use drugs and their families as key audiences for tailored, stigma-free materials, with emphasis on real-time, centralized data, naloxone and breathing support, recognition of overdose versus xylazine exposure, and adapting materials as the drug supply changes. The meeting ended with discussion of next steps: staff will circulate a revised draft by March 2, the commission will meet again on March 9 to consider the report and recommendations, and an additional late-March meeting was reserved if needed before the statutory deadline.
MN
Transcript Highlights:
- Consistency in policy, equity, and funding, and a shared understanding of what services look and feel
- This is simply a cost share with no ability to influence services.
- with no ability to a cost share with no ability to influence<01:07:42.720>
services <01:07:43.720 - Within those proposals, there's a new 5% county share for disability waiver services, totaling $82 million
- Within those proposals, there's a new 5% county share for residential services under the disability waivers
MN
Transcript Highlights:
- A mother in North Minneapolis shared A mother in North Minneapolis shared with<00:48:24.880>
- Twenty percent receive English learner services, 25% special education services, and 89% are BIPOC.
- <01:12:01.440>
and been eligible for county services and been eligible for county services - services are going to get slashed. St. services are going to get slashed. St.
- shared. And I heard new stories today. shared. And I heard new stories today.
MS
Mississippi 2026 Regular Session
Appropriations - Room 216, 24 February, 2026; 1:30 PM
Appropriations
Transcript Highlights:
- Chairman, is sharing. You you have, Mr. Chairman, is sharing.
- <00:10:30.800>
attempting a shared service and we are attempting a shared service and we are - So in that partnership with IT, it's very important that while they're it's a shared service model, it
- So in that partnership with IT, it's very important that while they're it's a shared service model, it
- They were all on prim services. services. services.
Summary:
Legislative leaders opened the hearing by focusing on statewide technology issues affecting agencies, including rising IT costs, cloud migration, cybersecurity risks, procurement delays, and the need for better coordination across government systems. They said the meeting was intended to hear from agency directors about current challenges and possible legislative solutions.
The ITS director described the state’s IT structure as decentralized but increasingly moving toward shared services. He highlighted recent legislative and executive actions on cloud computing, artificial intelligence, procurement modernization, and data sharing, including House Bill 1491, Senate Bill 2426, Senate Bill 2267, House Bill 958, and an executive order on AI. He said ITS has worked with large agencies on a cloud center of excellence, a procurement modernization advisory council, and a state data exchange, and noted plans for a master contract, potentially with OpenAI, that could be available to all public entities.
He also emphasized cybersecurity, saying the state is seeking a secure operations center and a broader “cyber maturity” approach after recent incidents. On procurement, he said the goal is to speed up purchasing while keeping it safe, and on optimization he pointed to potential savings from consolidating duplicate agreements, such as multiple Microsoft enterprise contracts. In response to questions, he said exceptions to centralization would be based on business and technical architecture and regulatory requirements such as HIPAA, CISA, or FERPA, rather than ad hoc decisions.
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 2/12/25
Health Finance and Policy
Transcript Highlights:
- Minnesota Catholic conference to share Minnesota Catholic conference to share our<00:16:09.160><
- The need for these services has...
- The need for these services has...
- The need for these services has...
- The need for these services has... ...lack the services and do not get prenatal care.
CA
California 2025-2026 Regular Session
Assembly Human Services Committee Apr 29th, 2025
Transcript Highlights:
- and the Department of Social Services.
- and the Department of Social Services.
- before providing services.
- Require them to be licensed through the Department of Social Services before providing services through
- Thank you to the witness for sharing your story.
Summary:
The committee heard a series of child care, social services, immigrant support, disability services, and language access bills, with many measures drawing strong support and no opposition. Early in the hearing, AB 450 proposed a Department of Aging task force to study and recommend policies for undocumented adults age 55 and older; AB 593 would let CDSS identify data-sharing opportunities to improve CalFresh administration and participation; and AB 904 would clarify child care subsidy eligibility so families do not lose care during pregnancy leave, family leave, caregiving, or job search periods. All three were presented as ways to reduce barriers and improve access to essential services, and AB 904 was moved out on a 1-0 call after support testimony from child care advocates and a member of the public. AB 617, which would expand and standardize respite care access for people with intellectual and developmental disabilities by requiring licensing and registry participation, drew both support and significant opposition from respite providers and disability service organizations concerned about added regulation, cost, and possible delays; the author said she would continue working with opponents, and the bill was moved out on a 2-0 call.
The committee also heard AB 1220, which would require regional centers to document denials, notices of action, and appeals in individual program plans and include that data in annual reports to improve transparency and equity in developmental services. The bill drew extensive public support from parents, advocates, and disability organizations, with no opposition, and passed 5-0. AB 752 would make child care centers by right in certain residential zones when co-located with multifamily housing or institutional uses, and supporters argued it would reduce zoning barriers and help expand child care capacity; it also passed 5-0. AB 1242 would create a CalHHS language access director, require human review of machine translation, and improve language coverage determinations for state and local agencies; supporters emphasized health equity and the need for better access for limited-English communities, and the bill was moved out on a 4-0 call.
Later, AB 548 would continue and expand the Asylee and Vulnerable Non-Citizen Program, which provides case management and integration services for asylees and certain visa holders; supporters said the program had been effective but had run out of funding, and the bill passed 4-0. AB 495, the Family Preparedness Plan Act, would strengthen family safety planning for immigrant families, standardize acceptance of caregiver authorization affidavits, and create a joint guardianship process for temporary separations; testimony focused on fear of family separation and the need for clear school and medical procedures, and the bill passed 4-0. AB 1357 would exclude guaranteed income payments from being counted as income for state public assistance eligibility, with supporters arguing it would prevent recipients from falling off the “benefits cliff”; it passed 4-1. Finally, AB 1201, the Reunity Act, was introduced to require individualized court assessments before denying reunification services to parents with certain violent felony convictions after a five-year period, with the author and a witness describing the bill as a trauma-informed approach to family reunification.
FL
Transcript Highlights:
- Transportation Disadvantaged services are transportation services...
- services, deviated fixed-route services, complementary Americans with Disabilities Act paratransit services
- So persons that are eligible for ADA paratransit service, they cannot be denied service.
- They must be delivered service.
- and our intercity passenger service both share rail infrastructure with the freight service.
Summary:
The Senate Transportation Committee met, took roll, and heard introductory remarks from members about their districts and transportation priorities, with several senators noting congestion and mobility challenges in their regions. The committee then received a presentation from the Florida Transportation Commission on its oversight role for FDOT, including annual and quarterly performance reviews, review of the five-year work program, and monitoring of tolling and transit authorities. Members asked whether the commission gets involved in project prioritization; the answer was no, because it is statutorily limited to high-level oversight rather than day-to-day project decisions.
The committee next heard two reports related to transportation disadvantaged and paratransit services. FDOT’s Melissa Smith described the statewide Transportation Disadvantaged program, its governance structure, service models, and challenges such as fragmented administration, cost, inconsistent reporting, and rural service limitations. She outlined recommendations including better use of technology, regional partnerships, improved training, and alternative delivery models like microtransit and TNC partnerships. A University of South Florida researcher, Martin Katala, discussed best practices for paratransit and demand-response service, emphasizing route optimization software, dynamic dispatching, service standards, vendor accountability, and the use of TNCs and mobility management to improve efficiency and reduce travel times. A later presentation from UF’s I-Street program focused on emerging technologies for transit, including in-cabin monitoring, automatic restraints, accessible booking and tracking tools, and the need for statewide safety standards and better driver interfaces.
Finally, FDOT Secretary Jared Perdue and District 5 Secretary John Tyler provided an update on the transition of SunRail local entities. They explained the differences among commuter rail, intercity rail, and light rail, and said SunRail’s financial transition to local partners was completed on January 1, with operational transition to follow over up to three years. They contrasted that with Tri-Rail, where FDOT still funds operations and discussions about a future transition are ongoing. Members asked about the differences between SunRail, Tri-Rail, Amtrak, and Brightline, and the presenters explained that commuter rail serves regional daily commuters while intercity rail connects regions. The committee concluded without taking any formal votes or other legislative action.
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Nov 17th, 2025
Transcript Highlights:
- Services.
- It's an incredible service.
- Legal Services for Children.
- Service.
- What is "other services" and what are these contractual services?
US
US Federal 2025-2026 Regular Session
Hearings to examine the nomination of Tulsi Gabbard, of Hawaii, to be Director of National Intelligence; to be immediately followed by a closed hearing in SH-219. Jan 30th, 2025 at 09:00 am
Intelligence (Select) Committee
Transcript Highlights:
- Duty, honor, and service have marked your life.
- Congratulations and thank you for your service to... our nation.
- , and in your service to the country through your service there, including in my great state. in Oklahoma
- We share intelligence, we share operations; they are a great ally.
- Thank you most importantly for your service to our nation.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Mental Health, Substance Use and Recovery Jun 21st, 2026 at 01:00 pm
Joint Committee on Mental Health, Substance Use and Recovery
Transcript Highlights:
- Sir, could you share?
- Sir, could you share? Thank you, Mr. Chairman.
- services, health services.
- , and clinical stabilization services.
- We provide comprehensive mental health services for co-occurring disorders and family services to strengthen
Summary:
The committee held its fourth public hearing of the 2025-2026 session on bills dealing with involuntary commitment and access to addiction treatment, especially proposals to move Section 35 civil commitments away from jails and prisons and into facilities licensed or approved by DPH or DMH. Chairs Velis and Domb framed the hearing as a discussion of how to support people in crisis with compassion, while also warning against using involuntary commitment as a way to remove unhoused people from public view. The hearing also touched on related concerns about discharge practices, treatment capacity, and the need for a broader continuum of care.
Testimony split largely along two themes. Addiction researcher Keith Humphreys argued that many people enter treatment under pressure, that involuntary treatment can be ethically justified in the face of overdose risk, but that it should not be mandated unless high-quality services exist first; he emphasized the need for inpatient care when someone is a grave danger, followed by case management and outpatient support. MAMH’s Kate Alicante supported the bill, saying Massachusetts is the only state that commits people with substance use conditions to jails or prisons and that carceral settings add trauma and stigma; she pointed to prior legislative steps, including the Section 35 commission and the planned closure of DOC’s MESAC facility, as evidence that the Commonwealth is moving toward health-based settings.
A major portion of the hearing focused on Stony Brook, a sheriff-run stabilization and treatment center in Hampden County. Boston City Councilor John Fitzgerald, several committee members, and multiple people in recovery described the facility as humane, well-run, and effective, with longer stays, medical monitoring, medication-assisted treatment, counseling, and warm handoffs to aftercare. Several witnesses said Stony Brook saved their lives or helped family members recover, and they argued that the sheriff’s office model should be expanded rather than eliminated. Others, including family members and advocates, countered that even a well-run correctional setting remains stigmatizing and that people should not be treated in facilities run by sheriffs or corrections when they have committed no crime.
No vote was taken. The hearing concluded with continued testimony, including Senator Friedman’s support for Section 35 as a civil commitment tool but not in a criminal justice setting, and her separate support for a bill to speed inpatient mental health treatment.