Video & Transcript Research : 'collaborative care model'
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CA
Transcript Highlights:
- and not enough child care slots.
- I've been a large child care provider since 2008, and... ...child care providers since 2008, and I support
- We represent day care facilities, not child care facilities, but the premise of both is to support caregivers
- Access to care.
- Some of that was in the group home model before this really moved to this model.
Summary:
The committee adopted the consent calendar and then heard several bills on child care, aging, child welfare, food access, and youth services. SB 1200 by Sen. Menjivar would redefine infant and toddler age categories in child care licensing to allow providers to serve children beginning at 18 months in the toddler category, with supporters saying it would increase capacity and help family child care businesses stay open; it passed 4-0 to Appropriations. SB 971 by Sen. Choi would authorize counties to offer optional adult education and technology training programs for adults 55 and older through local partnerships; supporters said it would reduce isolation and improve digital literacy, and it passed 4-0 to the floor. SB 1234 by Sen. Alvarado-Gil would require fentanyl to be included in court-ordered drug testing in dependency cases, with testimony from an angel family and law enforcement about child deaths and exposure risks; it passed 4-0 to the floor.
The committee also heard SB 1109 by Sen. Alvarado-Gil, which would require additional state review for short-term residential therapeutic programs in very small rural counties or facilities with repeated serious citations. The author and county officials from Alpine County argued that rural counties lack the hospitals, schools, and 24-hour emergency response needed to safely support these placements, while providers opposed the bill as overly broad and potentially destabilizing to STRTP capacity. After the author accepted committee amendments, members voted 4-0 to send the bill to Appropriations as amended. SB 961 by Sen. Ashby would require students applying for financial aid to be notified that they may also be eligible for CalFresh; student and advocacy witnesses described widespread food insecurity on campuses, and the bill passed 4-0 to Appropriations.
The committee then heard SB 1099 by Sen. Gomez Reyes, which clarifies local governments’ authority to provide state or local public benefits to all residents under PRWORA-related exemptions; supporters said it would reduce legal uncertainty for local safety-net services, and the bill was voted 2-0 with the remaining members absent, leaving it on call. SB 1190 by Sen. Grove would create a licensing and regulatory framework for youth transport companies that move minors to out-of-state residential facilities; survivors testified about traumatic transports, supporters called for basic guardrails, and the bill passed 4-0 to Public Safety. Finally, SB 1325 by Sen. Jones would create a narrow pathway for Feeding San Diego to participate in CalFood, with supporters saying it would expand hunger relief in San Diego County and opponents warning it could divert limited food bank resources; the discussion focused on broader funding concerns, and no final vote was recorded in the excerpt.
NM
New Mexico 2025 Regular Session
IC - Legislative Health and Human Services Sep 10th, 2025
Legislative Health & Human Services Committee
Transcript Highlights:
- My name is Shawna Reed Richards, and I am a family and acute care practitioner from Hobbs.
- Our Marketplace HMO denied his hospital and specialist care as out of network. care as out of network
- Department for their close collaboration on this report.
- Madam Chair, we've had a great relationship and great collaboration from Eddy County.
- And it's out of your bottom line when your bottom line is already just costs for care.
FL
Florida 2025 Regular Session
Criminal Justice Feb 4th, 2025
Transcript Highlights:
- I BELIEVE IF WE DO THE FIRST TWO THINGS REALLY WELL WE WILL AUTOMATICALLY TAKE CARE OF THE THIRD ONE
- GOING TO THE UNIFIED MODEL HELPED US DO A COUPLE THINGS.
- THE INSTRUCTION MODEL ITSELF IS IN PERSON AND ONLINE AND BLENDED LEARNING.
- I WILL JUMP FORWARD TO WHAT THE ACCOUNTABILITY MODEL IS APPROVED BY THE STATE MODEL OF ACCOUNTABILITY
- I'M PROUD TO SAY THIS LEGISLATION WAS DONE AS A COLLABORATIVE EFFORT.
TX
Transcript Highlights:
- We don't care so much about the rules; take care of the people.
- Regarding better data and models, I'll focus on models of the atmosphere that predict precipitation.
- Regarding better data and models, I'll focus on models of the atmosphere, Regarding better data and models
- The Weather Service runs several models, of short range to long range, the shorter range models have
- National Water Model.
Summary:
The joint Senate and House disaster preparedness and flooding hearing opened with quorum calls, prayer, testimony time limits, and remarks from legislative leaders emphasizing decorum, respect, and the goal of learning from the July 4 flood to prevent future loss of life. Lieutenant Governor Dan Patrick and Speaker Dustin Burrows said the special session and hearings were intended to hear directly from local officials and residents, and that the state would pursue immediate and longer-term legislation and continue working beyond the current session. The committee then heard invited testimony from Kerr County, Kerrville, Kendall County, Real County, and the Upper Guadalupe River Authority, followed by member questions.
Kerr County Judge Rob Kelly, Sheriff Larry Leitha, and emergency management coordinator William B. Thomas described the flood as a sudden, unprecedented event that overwhelmed local systems before many officials or residents understood the danger. They said the county received multiple National Weather Service and IPAWS alerts, but the rain fell in remote upstream areas with limited gauges, and the flood rose too quickly for normal response. They detailed the emergency response, including dispatchers handling heavy call volumes, deputies and volunteer firefighters conducting rescues, and state and federal partners assisting. County officials said 108 people died, including 37 children, and two remained missing. They called for better real-time flood detection, stronger rural emergency management resources, improved broadband and cell coverage, and more funding for swift-water rescue and warning systems.
Kerrville Mayor Joe Herring and City Manager Dalton Rice said the city had floodplain rules, emergency plans, and prior preparedness efforts, but the event exposed gaps in communications and regional warning capacity. They urged the Legislature to fund a flood warning system, whether sirens, automated alerts, or a hybrid, and asked for support for predictive weather modeling, broadband expansion, a hazard mitigation fund, and disaster recovery resources. The Upper Guadalupe River Authority said it had long funded gauges and pursued flood-warning and mitigation projects, including a new software-based flood prediction system and possible retention dams, and planned to dedicate reserve funds to feasibility studies and infrastructure improvements.
Kendall County Judge Shane Stolarczyk said his county’s emergency action plan and early alerts helped prevent deaths there, and he recommended easier access to alerting tools, a river-wide warning system, simpler grant applications, and regional coordination. Real County Judge Bella Rubio said rural counties face major challenges because of limited cell service, broadband, staffing, and funding, especially for camps and visitors along the Frio and Nueces rivers, and argued that reliable alert systems should be treated as a necessity, not a luxury. Members asked about the timeline of the flood, low-water crossings, communications failures, sirens, bridges, and funding, and several witnesses said the key lessons were better communications, better warning systems, and more investment in rural flood mitigation and emergency response.
ND
North Dakota 2026 1st Special Session
Budget Section Leadership Division Mar 18th, 2026 at 01:00 pm
Transcript Highlights:
- So there's no collaboration or data's everywhere.
- Are we going to be a collaborative effort? We like the Utah model, which is a collaborative effort.
- Health care is number one. Leader Hogue has a question. Mr.
- Health care, health care support is, again, short term and long term... ...health care, health care support
- Some of our, you know, TANF programs, child care.
Summary:
The Leadership Division of the Budget Section approved the prior meeting minutes and then received an update from Senator Jonathan Sickler on the Cash Management Board’s interim work under House Bill 1278. He said the board has reviewed state cash, investments, and liquidity across agencies and concluded the state’s overall mix of long-term and short-term assets is appropriate, with about $35 billion in total liquid assets and investments and roughly 89% in longer-term investments. He highlighted process improvements already underway, including replacing more than 500 six-month CDs with a special-rate savings account to reduce administrative work, and said the board sees opportunities to improve forecasting, automation, and statewide coordination. Members asked about whether the CD change would increase returns, how the Legacy Fund transfer for the homestead tax relief bill affected earnings, and whether more state cash could be consolidated or better managed through BND; Sickler and BND staff said those issues are being studied and may lead to legislation for the 2027 session.
Representative Nathan Toman then updated the committee on the Task Force on Government Efficiency. He said the group has focused less on cutting dollars and more on defining metrics and asking how the legislature knows whether programs are working. The task force is pushing a standard set of questions for new or expanding programs—who is affected, expected outcomes, alternatives, how success will be measured, and full funding—and OMB has agreed to require those answers in future budget requests. Members discussed possible use of dashboards, program evaluators, AI tools, and possible rule or statutory changes to require performance measurement. Toman said the task force will continue meeting with agencies such as the courts, university system, auditor, HHS, Commerce, and ITD to identify workflow bottlenecks and potential efficiencies.
Phil Davis of Job Service North Dakota gave a workforce update, reporting that North Dakota’s unemployment rate is 2.5% and labor force participation is about 68.7%, both well above national performance. He described Job Service’s 15 workforce programs, including H-2A housing inspections for foreign agricultural workers, the job placement partnership program with DOCR, WOTC, and other federal and state workforce efforts. Davis said the agency served more than 11,000 individuals in 2025, operates nine workforce centers, and tracks outcomes through quarterly and annual reporting. In response to questions, he said job openings data reflect only positions in the system and may understate actual hiring needs, that child care and other assistance programs could be better tied to employment outcomes, and that the DOCR partnership has shown strong results with lower recidivism and higher earnings. He also said the H-2A inspection workload is growing quickly and additional staffing or less frequent federal inspection requirements could help.
Allen Knutson then presented S&P Global’s updated revenue forecast. He said oil prices have risen sharply since the prior month’s outlook, improving the state’s near-term revenue picture, though the economy remains volatile and agriculture is facing weaker commodity prices. Based on the updated forecast, total major tax revenues for the current biennium are projected to be about $89 million above the legislative forecast, and the next biennium could be about $500 million higher, though that estimate is preliminary and may change. He also walked through an alternate oil-price scenario showing significantly higher oil and gas collections and a larger Strategic Investment Fund balance if prices remain elevated. Members asked whether another forecast should be requested once oil markets stabilize and about tribal allocation changes in the alternative scenario; Knutson said additional updates are possible through OMB and future forecast cycles.
US
US Federal 2025-2026 Regular Session
Closed hearings to examine United States Cyber Command in review of the Defense Authorization Request for Fiscal Year 2026 and the Future Years Defense Program; to be immediately followed by an open hearing at 3:30 p.m. in SD-G50.
Cybersecurity Subcommittee
Transcript Highlights:
- First, child care.
- care system.
- So when can I expect to see your updated model?
- So let me just ask, do you agree that cutting child care by laying off civilian child care workers makes
- Let's talk about health care real quick.
Summary:
The committee meeting focused on pressing issues related to the U.S. military's recruitment and personnel strategies, especially in light of the upcoming NDAA for fiscal year 2026. Chairperson expressed appreciation for the service of witnesses including senior military leaders from different branches, emphasizing the importance of personnel as the backbone of national defense. Discussions revealed concerns regarding the recent lowering of recruitment standards across military branches, which could potentially affect the quality of service members and long-term military readiness. Witnesses were asked to address the implications of these changes on military health and efficiency.
TX
Transcript Highlights:
- Chairman, thank you for your collaboration. Thank you. Thank you.
- . collaboration amongst them.
- Stephen Bain, Vice Chancellor for Innovation and Collaboration at Texas.
- for producing health care workforce degrees that fall under CIP Code 51.
- So let's seize this opportunity and invest in the future of Texas health care.
Bills:
HB 1105, HB1527, HB1787, HB1972, HB2081, HB3296, HB3976, HB4071, HB4234, HB4438, HB4701, HB5092, HB5150, HB5180, HB5265, HB5333, HJR203
Keywords:
tuition exemption, paramedics, higher education, laboratory fees, emergency medical services, peace officers, criminal justice, law enforcement, degree programs, public institutions, HB 1787, HPV, human papillomavirus, college health, university health, student health, public health education, prevention program, screening, early detection
NM
New Mexico 2026 Regular Session
Senate Chamber Feb 12th, 2026 at 12:12 pm
New Mexico Senate Floor Meeting
Transcript Highlights:
- And they can go to private care. They could go to Christian care.
- care.
- And that particular day care, we'll call it Acme Day Care, that particular day care will be— Acme Day
- President and Senator, okay, so the model is a state model or a federal model or some type of government
- with that years of experience based on the state and federal model for participation in child care with
MN
Transcript Highlights:
- small businesses work hard to take care small businesses work hard to take care of<00:46:58.720>
- When the animals need care, of course they're the ones stepping in.
- When the animals need care, of course they're the ones stepping in.
- When the animals need care, of course they're the ones stepping in.
- consolidate go to the corporate model consolidate go to the corporate model that<01:09:46.839>
CO
Colorado 2026 Regular Session
Colorado House 2026 Legislative Day 063 Mar 18th, 2026
Colorado House Floor Meeting
Transcript Highlights:
- >
and <00:42:08.640>really farm-totable model, um, and really farm-totable model, um, and - charter collaboratives charter collaboratives uh<00:57:43.920>
again <00:57:44.240>along - <00:58:00.880>
are understanding that collaboratives are understanding that collaboratives - So, let's just continue of child care.
- That's care appointment, kid got sick.
FL
Florida 2025 Regular Session
Transportation Feb 4th, 2025
Transcript Highlights:
- The department collaborate with local and regional partners as well as the Department of Environmental
- Continue the collaboration with DP the Florida Greenways and Trails Council, the Florida Wildlife Corridor
- And so I represent from that would be working into their business model this out their capex and were
- Certainly those are things that we are very deeply care about.
- So, you know, I believe in this is a model. My background is military.
FL
Florida 2025 Regular Session
Children, Families, and Elder Affairs Mar 25th, 2025
Transcript Highlights:
- We have those in health care.
- But also, you know what, how how can we make sure that healthcare specifically mental health care is
- An access to care? Which was recommendation 13. Making sure that mobile response teams.
- Alright Cecil to 65 and older population. 3 enhancing patient treatment and continuity of care.
- So I know she cares.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Ways and Means Jun 21st, 2026 at 11:00 am
Joint Committee on Ways and Means
Transcript Highlights:
- Or if we're making child care financial assistance available for our early education and care staff,
- of Early Education and Care.
- Beyond direct care, we manage Child Care Circuit, one of the state's regional child care resource and
- More recently, we are exploring employer-supported child care as a way to help normalize child care as
- Child care as a way to help normalize child care as a workforce benefit.
Summary:
The hearing was a Joint Committee on Ways and Means budget session held in Lawrence focused on the governor’s proposed FY27 education and local aid budget, with remarks from legislative co-chairs, local officials, and education agency leaders. Acting Mayor Giovanni Rodriguez and Superintendent Ralph Carrero emphasized Lawrence’s high-need student population, the importance of Chapter 70 and Student Opportunity Act funding, and the impact of state aid on schools serving many English learners and low-income families. Carrero highlighted Lawrence High School programs such as early college, dual degrees, career pathways, and early childhood classrooms embedded in the high school, while lawmakers introduced themselves and noted the importance of the hearing to their districts.
Acting Secretary of Education Amy Kershaw, Commissioner of Higher Education Noi Ortega, Commissioner of Elementary and Secondary Education Pedro Martinez, and Commissioner of Early Education and Care Amy Kershaw outlined the administration’s FY27 priorities. They described investments in literacy initiatives, universal school meals, student mental health, early college and career pathways, higher education affordability, community college and university student-success supports, preschool expansion, child care subsidies, and workforce supports for early educators. The commissioners also discussed federal funding threats, equity gaps, and the administration’s efforts to improve outcomes for Black and brown students, multilingual learners, students with disabilities, and low-income students.
Members questioned the panel about the local contribution formula study, the final year of Student Opportunity Act implementation, and the need to revisit Chapter 70 funding to better address rising costs such as special education, transportation, and health care. Officials said the local contribution study report is expected by the end of June, with a draft to be shared after data analysis and public comment. Commissioner Martinez said the Student Opportunity Act narrowed funding gaps but more work is needed, and he pointed to a proposed Accelerating Achievement Initiative to support the highest-need schools. Senator Oliveira also raised concerns about Chapter 70 disparities and asked about partnerships with libraries to support literacy, prompting discussion of broader early literacy collaboration.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 3 on Education Finance May 19th, 2026
Transcript Highlights:
- And so this pilot is really about ensuring our home care and child care workers, who are predominantly
- No, we would agree with the $52 million that is based on our estimate and our model.
- most, like health care, public safety, immigration, and local accountability.
- And is this done in collaboration with the CDE Foundation?
- That this could be connected or tied in with the community schools model.
Summary:
The committee heard an overview of the May Revision’s Proposition 98 changes for K-12 and community colleges. The Department of Finance said the minimum guarantee rises by $6.4 billion over the Governor’s Budget across the three-year window, with higher guarantees in each year, full payment of the prior settle-up, and larger deposits into the school rainy-day fund. The LAO said the revenue and LCFF updates were reasonable, but urged caution about the settle-up approach and recommended using more of the available funding to protect ongoing programs and build budget resilience. Members focused heavily on the size of the proposed $3.9 billion settle-up, the $10.3 billion reserve deposit, declining K-12 enrollment, and how much of the new funding should be ongoing versus one-time.
The committee then reviewed the community colleges portion of the budget. Finance described the May Revision’s higher SCFF COLA, additional funding for enrollment growth, a student support block grant, apprenticeship adjustments, and continued funding for deferred maintenance, Calbright, Common Cloud, and credit for prior learning. The Chancellor’s Office supported the core investments but asked for more funding for enrollment growth, changes to the growth formula, and a COLA for Student Equity and Achievement. The LAO recommended prioritizing the statutory COLA increase, noted that more than half of districts are already above current-year growth targets, and said the new adult learner demonstration project should be rejected because districts already have tools to support similar services. Members also discussed a $52 million current-year apportionment shortfall, which Finance said was discovered too late for the May Revision and would need to be addressed later.
Finally, the committee took up the proposed implementation of the federal Workforce Pell program. Finance proposed one-time funding for the California Student Aid Commission and Cradle to Career to build eligibility and data systems, along with trailer bill changes to set up state approval processes. CSAC said the program is promising but highly complex, that California lacks the needed infrastructure, and that the state will need emergency regulations, data linkages, and ongoing funding beyond the one-time proposal. The LAO agreed that some initial funding is needed but warned that the amounts and ongoing costs remain uncertain and that the Legislature should carefully draft the trailer bill language. Members asked about timing, other states’ actions, and how the state would ensure the program is ready for students and institutions.
CA
California 2025-2026 Regular Session
Assembly Judiciary Committee Apr 21st, 2026
Transcript Highlights:
- We are looking for collaboration.
- We are looking for collaboration.
- others involved in reproductive health care and gender-affirming care that is legal in California.
- and reproductive health care.
- You know, thank you for child care providers. They are responsible for taking care of our children.
Summary:
The committee heard several bills, with most of the discussion focused on public safety, consumer protection, and youth harms. AB 1557 by Assemblymember Papin would clarify e-bike motor power limits and set lower speed-related standards for Class 1 and 2 e-bikes. Supporters, including the California Police Chiefs Association, cities, the California Medical Association, and the American Academy of Pediatrics, argued the bill would reduce severe injuries and deaths among young riders. Opponents from People for Bikes warned it could conflict with federal law, create legal uncertainty, and disrupt the bicycle market. The author and committee members acknowledged industry concerns and urged continued work on the bill.
AB 1770 by Assemblymember Garcia would place large health care service plan arbitration under California Department of Justice oversight and require compliance with the California Arbitration Act. Supporters described cases where patients were forced into private arbitration with little transparency or accountability, arguing the bill would make the process fairer and more neutral. Kaiser Permanente and the Civil Justice Association of California said they were still reviewing amendments and had not settled on a final position. Committee members expressed sympathy for the personal stories shared and encouraged continued negotiations.
The committee also heard AB 2075, which would require fire suppression equipment to be kept closer at hand during brush work, and AB 1864, which would require screening of gene synthesis orders to prevent misuse for bioterrorism. AB 2075 was presented as a response to a Ventura County wildfire, with support from the Ventura County District Attorney’s office and no opposition heard. AB 1864 was backed by the author, Stanford biosecurity expert Dr. Milana Trout, and Encode AI, while Biocom opposed unless amended and California Life Sciences remained neutral. Members discussed implementation details and the role of the Department of Public Health.
A major portion of the hearing was devoted to AB 1709, which would set a minimum age of 16 for social media accounts on platforms with harmful features and create an e-safety advisory commission. Supporters, including youth advocates, parents, medical groups, and Common Sense Media, said addictive design features are harming children’s mental health and safety. Opponents, including EFF, the ACLU, TechNet, and other civil liberties and industry groups, argued the bill is overbroad, raises First Amendment and privacy concerns, and could limit access to important online communities. Despite those objections, the bill was moved forward after committee discussion, with members emphasizing the need to protect children while continuing to work on carveouts and implementation details.
NV
Transcript Highlights:
- This act reflects extensive collaboration and dedication across the aisles to prioritize education and
- And then my question was, What is that modeled after? Is it the gaming control board?
- Is there another state where we've seen it, where that kind of model has been really successful?
- And the models that have worked is primarily around the school leader.
- So it's sort of modeled after that.
FL
Florida 2025 Regular Session
November 5, 2025 - 03:30 PM
Transcript Highlights:
- the system of care.
- And access meaningful care.
- Even though it's a lower level of care, it's still care that we're paying for.
- The lower the level of care...
- Even though it's a lower level of care, it's still care that we're paying for.
Summary:
The Human Services Subcommittee met to receive an update from the Florida Department of Children and Families on implementation of House Bill 7021, which revised the Baker Act and Marchman Act and was funded with a $50 million appropriation. Deputy Assistant Secretary Bill Hardin reported that the department has updated reference guides, training, administrative rules, and forms; launched regional behavioral health collaboratives; and created the Office of Children’s Behavioral Health Ombudsman. He said early data show continued declines in Baker Act use, high diversion rates from involuntary examinations through 988, mobile response teams, and care coordination, along with generally positive provider feedback on changes such as allowing psychiatric nurses to initiate emergency treatment orders and clarifying the 72-hour examination period.
Hardin also described Marchman Act changes, including a streamlined petition process, remote testimony, improved discharge planning, and a new annual data report. He said the department has completed or is completing multiple training courses for providers and law enforcement, and has adopted or is finalizing numerous rules and forms. He reported that the regional collaboratives are identifying common statewide needs such as service capacity, resource sharing, funding flexibility, and peer support, while the ombudsman office is handling complaints and helping families navigate services.
Members asked about whether the current funding is sufficient, future budget needs, outreach for the new ombudsman office, and services for juveniles. Hardin said DCF has posted legislative budget requests for additional forensic FACT services and short-term residential treatment beds, including children’s beds, and noted the ombudsman office is staffed with two FTEs and supported through existing complaint-management and regional systems. He said outreach is being done through regional collaboratives and coordination with other agencies, especially the Department of Education, and that juvenile transport and placement issues have improved with the new law. No votes were taken, and the meeting adjourned after the presentation and questions.
ND
Transcript Highlights:
- Financial resources, we know, can get you health care, can get you to the health care, even if it is
- Again, clinical skill, quality of care, lack of continuity of care.
- opportunity for health care providers across a continuum to connect, collaborate, and share best practices
- in stroke care.
- stroke care across the state.
Summary:
The committee first approved the minutes and then heard a detailed annual presentation from Dr. Thomas Arnold, chair of the Maternal Mortality Review Committee, on maternal mortality trends and review findings. He explained the committee’s structure, the de-identified review process, and the distinction between pregnancy-associated and pregnancy-related deaths. He said national maternal mortality has declined from its 2021 peak, but mental health conditions, substance use, overdose, suicide, cardiovascular disease, hemorrhage, infection, and embolism remain major causes. He emphasized that many deaths are preventable, with especially high rates among non-Hispanic Black women and in the American Indian/Alaska Native population, and noted that a large share of deaths occur after 42 days postpartum. Committee members asked about suicide, domestic abuse, pregnancy testing in unexplained deaths, and the role of home births and midwife training. Dr. Arnold said the committee is adding a caseworker, exploring post-mortem pregnancy testing in suspicious cases, and working with coroners and forensic officials; he also said home births and untrained midwifery pose safety concerns and that better public education and facility-based care are important.
The committee then heard from State Fire Marshal Dr. Matt Clark on cigarette ignition propensity standards and fire prevention. He recommended updating North Dakota’s cigarette ignition legislation to the current national standard and also considering legislation requiring fast-breakaway oxygen tubing, citing fatal fires involving smoking around home oxygen. He explained that his office verifies manufacturer testing and maintains certification for cigarettes sold in the state, but does not itself conduct the testing. Members asked about implementation, cost, and whether the standards apply in tribal communities; Clark said he would follow up with cost information and additional details, and that he had not seen evidence of a major issue on tribal lands but would look further.
Christine Greff of the Department of Health and Human Services presented the North Dakota Stroke System of Care report. She described the statewide network of two comprehensive stroke centers, four primary stroke centers, and 30 acute stroke-ready hospitals, along with the stroke registry and quality-improvement efforts. She reported that most strokes are ischemic, that the median stroke patient age is 71.5, and that common risk factors include hypertension, dyslipidemia, obesity, and diabetes. She highlighted improvements in door-to-CT, thrombolytic treatment times, dysphagia screening, EMS pre-notification, and interfacility transfer performance, and said new priorities include hemorrhagic stroke quality measures and standardized EMS stroke screening tools. Members asked about the VA hospital’s participation, and Greff said she would pursue outreach.
After a break, the committee heard testimony from Taha Khan of Vertex Pharmaceuticals as part of the prior authorization study, focused on non-opioid pain treatment. He argued that prior authorization can delay access to acute pain treatment and may push patients toward opioids, especially in the critical 24- to 72-hour post-discharge window. He cited data showing that even short opioid exposure can increase the risk of long-term use and said prior authorization is often a barrier for physicians and patients. Khan recommended open access with a quantity limit rather than prior authorization, suggesting a 14-day limit supported by the product’s data and an episode-of-care approach. Members asked about dental use, payer discussions, and cost; he said the product’s wholesale acquisition cost is about $16.10 per tablet, with patient assistance available, and that he would follow up on payer and comparison-cost questions.
TX
Transcript Highlights:
- Uh, there was modeling that had to be done.
- Commercial paper and revenue bond programs to try to take care of those drainage needs.
- small utilities an opportunity to use modeling, um, reverse osmosis modeling in lieu of pilot testing
- I don't care if we're putting in a park, uh.
- To take care of all these water projects now, and we've been hearing about leaky pipes.
NM
New Mexico 2026 Regular Session
House - Government, Elections And Indian Affairs Feb 7th, 2026 at 10:15 am
House Government, Elections & Indian Affairs
Transcript Highlights:
- Right now, we are facing urgent challenges: housing, health care, education, infrastructure.
- Right now, we are facing urgent challenges: housing, health care, education, infrastructure.
- But I think we're doing this in a collaborative fashion that has not happened before.
- We've been working during the interim to ensure that we're collaborative, that we're informed, that we
- Literacy is foundational to everything we care about: workforce readiness, economic competitiveness,