Video & Transcript Research : 'collaborative care model'
Page 129 of 500
TX
Transcript Highlights:
- our child care programs, and what we do is...
- **Speaker**: ...managed our child care programs.
- child care programs, and what we do is kind of facilitate that.
- $3.4 billion, the cooperative contracts are more of our do-it-yourself models.
- It would certainly strengthen our collaborative efforts with local governments.
AR
Arkansas 2026 1st Special Session
PUBLIC HEALTH- HOUSE HEALTH SERVICES SUBCOMMITTEE Jun 25th, 2026
Transcript Highlights:
- All work in health care.
- I absolutely believe in the CCBHC model.
- Fort Smith has done it extremely well, and it is a model.
- and then fulfill that business model.
- I love this model.
Summary:
The House Health Services Subcommittee met to approve the October 7, 2024 minutes and then shifted to behavioral health as the main topic. Representatives Wooldridge and Vaught described the work of the behavioral health working group, saying Arkansas needs a more proactive system focused on access, workforce, reimbursement, and reducing red tape. Members raised concerns about provider shortages, licensure barriers, rural access, reimbursement rates, jail-based services, non-emergency transport, and the need for step-down options and crisis diversion before people end up in jail or the state hospital.
DHS Director Paula Stone outlined the behavioral health system, emphasizing that Medicaid pays for most behavioral health services in Arkansas and that many services cannot be billed once a person is in jail or the state hospital. She described current efforts including family-centered treatment for children, community reintegration group homes, a new adolescent substance use disorder unit, forensic evaluation and restoration changes, and a planned IMD waiver to allow Medicaid payment for certain psychiatric and residential services. She also explained the backlog at the state hospital and in forensic restoration, the role of therapeutic communities, and the challenges of serving rural and difficult-to-serve populations.
Members asked about crisis stabilization units, civil commitment, dashboards for bed availability, and whether Arkansas should expand step-down or long-term facilities. Stone said the state has supported crisis stabilization units in several cities, with mixed results, and noted that Fort Smith and Jonesboro have been more successful than Fayetteville and Little Rock. She said DHS does not yet have a statewide bed dashboard but sees it as a useful tool. The meeting ended with agreement that the discussion was a starting point and that the committee would continue the work, tentatively in August, to develop policy ideas for the 2027 session.
KY
Kentucky 2026 Regular Session
Education Assessment & Accountability Review Subcommittee. (7-1-26)
Transcript Highlights:
- ,<00:24:07.920>
they their local accountability model, they their local accountability model - And I think in August, we're model.
- Let me be very accountability model.
- That model of providing support through the regional training centers is not the typical model these
- <01:30:14.240>
these centers is not the typical model these centers is not the typical model
Keywords:
0:00:03 - Call to Order and Roll Call
0:00:43 - Approval of October 14, 2025 and November 4, 2025 Minutes
0:01:15 - Acceptance of Office of Education Accountability Report: Analysis Of Student Discipline Data in Kentucky Schools
0:02:10 - Implementation Update on 26 RS HB 257
0:49:38 - Career and Technical Education in the Assessment and Accountability System
1:13:50 - Office of Education Accountability Annual Report
1:47:27 – Adjournment, 958, all
Summary:
The Education Assessment & Accountability Review Subcommittee approved the minutes from its October 14 and November 4 meetings and also approved the Office of Education Accountability report analyzing student discipline data in Kentucky schools. The main presentation came from KDE Commissioner Dr. Robby Fletcher on implementation of House Bill 257, which he said has two major parts: selection of a statewide college entrance exam through a new procurement process, and development of locally designed indicators of quality for accountability.
On the college exam, Fletcher explained that the state had to reopen procurement after Senate Bill 197, with the RFP released May 21, vendor questions handled through the Finance and Administration Cabinet, proposals due June 22, and scoring and review expected in July and August, with a vendor decision not likely until October. He emphasized that the exam is a norm-referenced college-readiness measure, not a test of Kentucky academic standards, which are assessed by the KSA. Members asked about the science requirement in statute, the possibility of multiple vendors or district choice, and whether the CLT could participate; Fletcher said vendors must address science in the RFP, multiple vendors could be possible, and any vendor could submit a proposal if it meets the rubric. He also noted that ACT and SAT differ in structure, that either can meet college-readiness benchmarks, and that there were no major complaints about the SAT during its first year of use.
The second major topic was the locally developed indicators of quality under House Bill 257. Fletcher said these are intended to let districts measure themselves against their own goals rather than compare districts statewide, while still aligning with Kentucky standards. He described examples such as achievement, growth, student well-being, safety, fiscal responsibility, civics, internships, apprenticeships, project-based learning, and defenses of learning. He said districts may use local assessments such as MAP, STAR, and I-Ready alongside state data, and that local models should be developed with families, community members, and workforce partners. He added that KDE is providing technical assistance, has applied for a federal CGSA grant, and will use a one-time $15,000 cost offset for districts implementing local accountability models, with a superintendent webcast planned for August.
LA
Transcript Highlights:
- Primary Care. I'm Christy Hunt. I'm CEO at R.K.M. Primary Care.
- So they were able to save 50% of their child care costs because they had that shared access model.
- Adversarial collaboration, or lack thereof.
- Aversarial collaboration or lack thereof.
- We take care of our children.
TX
Transcript Highlights:
- Uh, so the majority of our, our clients we serve are in that managed care model.
- model I was talking about.
- These, um, I've already talked a little bit about those service delivery models, some in managed care
- So, do they still meet that nur like nursing facility or intermediate care facility level of care.
- are in the community-based care model, and, and I'll talk a little bit more about that, um, at the end
TX
Transcript Highlights:
- Would any of you care to comment on that?
- 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.
- A prototype of this model was developed in Austin at the Texas Advanced A prototype of this model was
- I'm sorry, can you model? Can you just...
Summary:
The joint Senate and House disaster preparedness hearing convened in Kerrville with quorum, public testimony limited to three minutes and invited testimony to 10 minutes. Leaders from both chambers, along with the lieutenant governor and speaker, framed the hearing as an unprecedented joint effort focused on learning from the July 4 flood, honoring victims, and identifying actions to reduce future loss of life. The committee also heard opening remarks about decorum, logistics, and the intent to continue work in future sessions.
The first panel included Kerr County Judge Rob Kelly, Sheriff Larry Leitha, Emergency Management Coordinator William B. Thomas IV, Kerrville Mayor Joe Herring Jr., Kerrville City Manager Dalton Rice, Upper Guadalupe River Authority representative William Rector, Kendall County Judge Shane Stolarczyk, and Real County Judge Bella Rubio. They described the flood as sudden and catastrophic, with Kerr County reporting 108 deaths and two missing. Local officials emphasized that they received no timely warning of the scale of the event, that responders and volunteers acted heroically under extreme conditions, and that communications, cell coverage, and rural emergency resources were strained. Several witnesses said the county’s existing alert systems were limited by geography, sparse broadband, and the speed of the flood.
Testimony focused on possible improvements, including real-time flood gauges and predictive monitoring, stronger rural emergency management staffing and training, better interoperability and alerting tools such as IPAWS, CodeRED, WENS, and sirens, and expanded broadband and radio coverage. Kerrville asked for a flood warning system before next summer and state help for stormwater, floodplain, and disaster recovery funding. UGRA described its past and current flood-warning and mitigation efforts, including gauge funding, a new software-based flood prediction project, and consideration of additional retention dams. Kendall and Real counties highlighted successful or needed alerting and evacuation practices, while also stressing the difficulty of funding and maintaining such systems in small rural counties. Members asked detailed questions about the timeline of the flood response, low-water crossings, communications failures, sirens, bridges, and whether regional consolidation or additional infrastructure could improve future preparedness.
LA
Louisiana 2026 Regular Session
House of Representatives Apr 28th, 2026
Louisiana House Floor Meeting
Transcript Highlights:
- House Bill 1089 by Representative Bamberg, care accounts: establishment of care accounts, qualifying
- Make sure our stakeholders are taken care of, and we're talking to the right folks on this.
- bill deals with procedures for the testimony of medical experts in child custody and child in need of care
- deals with procedures for the testimony of medical experts and child custody and child-in-need-of-care
Bills:
HR210, HR211, HR212, HR213, HR214, HR215, HR216, HR217, HR196, HR197, HR198, HR199, HR200, HR201, HR203, HR204, HR205, HR206, HR207, HR208, HR209, HCR87, HCR88, HCR89, HCR90, HR118, HCR63, HCR69, HCR86, SCR6, SCR18, HB79, HB165, HB175, HB198, HB437, HB457, HB488, HB603, HB646, HB763, HB902, HB909, HB971, HB981, HB1066, HB1089, HB1099, HB1125, HB1154, HB1231, HB1245, HB1246, HB1247, HB1248, HB1249, SB47, SB82, SB106, SB206, SB210, SB248, SB305, SB376, SB397, SB441, HCR41, HCR76, HCR77, SCR19, SCR3, HB64, HB68, HB92, HB316, HB549, HB578, HB748, HB798, HB824, HB988, HB989, HB1001, HB1032, HB1081, HB1108, HB1129, HB1140, HB1157, HB1192, HB1195, HB1198, HB1244, HB167, HB227, HB243, HB321, HB335, HB398, HB492, HB624, HB689, HB708, HB804, HB906, HB926, HB955, HB968, HB969, HB978, HB985, HB1005, HB1029, HB1069, HB1077, HB1095, HB1104, HB1107, HB1187, HB1203, HB1217, HB1220, SB73, SB89, SB128, SB149, SB191, SB196, SB238, SB318, SB340, SB66, SB68, SB76, SB139, SB336, SB475, HCR32, HB181, HB1118, HB1082, HB225, HB864, HB1166, HB1189, HB59, HB617, HB897, HB911, HB1223, HB901, HR20, HR74, HB284, HB306, HB366, HB393, HB458, HB459, HB577, HB582, HB605, HB614, HB682, HB733, HB752, HB773, HB996, HB1035, HB1113, HB1180, HB1234, HB1240
Keywords:
renewable energy, job creation, veteran employment, economic development, energy security, asthma, allergy, awareness, healthcare, public health, Louisiana, St. Bernard Parish, special recognition, parish day, state capitol, Louisiana resolution, ceremonial resolution, honorary resolution, community celebration, local heritage
Summary:
The House met on April 27, 2026, with prayer, the Pledge of Allegiance, and a series of personal privileges recognizing Domestic Violence Prevention and Advocacy Day, Guarantee Corporation’s 100th anniversary, Delta Waterfowl, FFA and 4-H students, St. Bernard Parish Day, the Louisiana Notary Association, and New Orleans Day. The chamber also received Senate messages, committee reports, and introduced several resolutions, including measures on Gulf States renewable energy, asthma and allergy awareness, St. Bernard Parish Day, and other commemorations.
The floor then took up a long series of bills and resolutions. Among the notable measures were House Bill 316 on literacy and tutoring, House Bill 578 changing statutory references from gender to sex, House Bill 748 expanding toll exemptions for school board vehicles, House Bill 101 redesignating a portion of U.S. Highway 190 as the Jesse Jackson Memorial Highway, House Bill 1032 cleaning up DWI terminology, House Bill 1081 transferring the Louisiana Ports and Waterways Investment Commission, House Bill 1108 creating a homeschool pride prestige plate, House Bill 1129 giving in-state auctioneers preference for selling surplus state property, House Bill 1157 creating a Louisiana State Infrastructure Bank, House Bill 1192 creating a dental hygienist prestige plate, House Bill 1195 revising athletic commission rules and NIL-related provisions, House Bill 1198 barring arbitration in child custody and visitation matters, House Bill 181 allowing limited tax-data sharing for Medicaid/SNAP integrity, House Bill 1118 requiring disclosure of hospital ownership by real estate investment trusts, House Bill 1082 changing venue rules in suits involving municipal police employees’ retirement systems, House Bill 225 proposing a lifetime two-term limit for governor, House Bill 864 on municipal fire limits and storage of flammables, House Bill 1189 requiring captain’s licenses for certain freshwater charter guides, and House Bill 549 creating the Bayou Growth Opportunity Workforce Program.
Most measures passed, often after brief debate and technical amendments. Several bills were recommitted or returned to the calendar, including House Bill 902, House Bill 1245, and House Bill 1247, while House Bill 225 failed on final passage. The House also considered and passed multiple Senate bills dealing with tax administration, child custody testimony, Supreme Court disciplinary jurisdiction over out-of-state lawyers, civil investigation demands in Medicaid fraud cases, service of process fees and notice, and permanent homestead exemption registration. The session ended with the House in recess after completing its bill agenda for the day.
AL
Transcript Highlights:
- There's so many take care of. There's so many take care of.
- I think it helps our healthc care providers. helps our healthc care providers. helps our healthc care
- The chairman Crawford, you care to explain your Crawford, you care to explain your Crawford, you care
- who cares?
- County, were taking care of the Green County, were taking care of the Green County, were taking care
Bills:
HB 200, HB 541, HB 1803, HB 30, HB 175, HB 249, HB 721, HB 851, HB 897, HB 1128, HB 1904, HB 1916, HB 5560, HB 3071, HB 5627, HB 5435, HB 3913, HB 2921, HB 2695, HB 2688, HB 3045, HB 3483, HB 3673, HB 4213, HB 4226, HB 783, HB 4373, HB 4735, HB 5155, HB 5057, HB 4984, HB 4944, HB 4813, HB 5339, HB 5196, HB 5033, HB 4853, HB 3486, HB 4211, HB 74, HB 4670, HB 4730, HB 4743, HB 4603, HB 4463, HB 3892, HB 4139, HB 4752, HB 4520, HB 4517, HB 4486, HB 4437, HB 4426, HB 4396, HB 4263, HB 3487, HB 3418, HB 2284, HB 2266, HB 2229, HB 4912, HB 2189, HB 4506, HB 5269, HB 5224, HB 5195, HB 3317, HB 4166, HB 3947, HB 3358, HB 3370, HB 4438, HB 3745, HB 3602, HB 3697, HB 2001, HB 1968, HB 3371, HB 3909, HCR 7, SB 1744, SB 1364, SB 1316, HB 2026, HB 3302, HB 3368, HB 1639, HB 5652, HB 4655, HB 5654, HB 5658, HB 5656, HB 4894, HB 4996, HB 5088, HB 5650, HB 4464, HB 3751, HB 5665, HB 5661, HB 1237, HB 2802, HB 5437, HB 2703, HB 5666, HB 5667, HCR 113, HCR 86, SB 2196, SB 463, SB 856, SB 1245, SB 1169, SB 509, SB 985, SB 305, SB 552, HB 1535, HB 123, HB 1804, HB 426, HB 1773, HB 1871, HB 2035, HB 2492, HB 1411, HB 4753, HB 4666, HB 4529, HB 1499, HB 1610, HB 2028, HB 1506, HB 886, HB 3546, HB 796, HB 223, HB 3556, HB 2448, HB 4638, HB 111, HB 180, HB 1027, HB 1178, HB 610, HB 1277, HB 1615, HB 1620, HB 5342, HB 4885, HB 4751, HB 4530, HB 4488, HB 2149, HB 2071, HB 2282, HB 2248, HB 2243, HB 2522, HB 2310, HB 2513, HB 2300, HB 1902, HB 1813, HB 3719, HB 4284, HB 3743, HB 3778, HB 5153, HB 5147, HB 4877, HB 4850, HB 3261, HB 3005, HB 3033, HB 2849, HB 2967, HB 3531, HB 1768, HB 333, HB 2914, HB 2613, HB 3717, HB 3704, HB 2697, HB 3801, HB 3099, HB 3488, HB 3477, HB 3466, HB 3396, HB 3469, HB 2594, HB 2776, HB 2564, HB 2298, HB 5331, HB 5646, HB 5247, HB 5323, HB 4384, HB 3896, HB 4014, HB 3627, HB 3594, HB 2524, HB 510, HB 561, HB 5111, HB 5446, HB 1181, HB 3963, HB 2785, HB 1661, HB 2460, HB 200, HB 541, HB 1803, HB 30, HB 175, HB 249, HB 721, HB 851, HB 897, HB 1128, HB 1904, HB 1916, HB 5560, HB 3071, HB 5627, HB 5435, HB 3913, HB 2921, HB 2695, HB 2688, HB 3045, HB 3483, HB 3673, HB 4213, HB 4226, HB 783, HB 4373, HB 4735, HB 5155, HB 5057, HB 4984, HB 4944, HB 4813, HB 5339, HB 5196, HB 5033, HB 4853, HB 3486, HB 4211, HB 74, HB 4670, HB 4730, HB 4743, HB 4603, HB 4463, HB 3892, HB 4139, HB 4752, HB 4520, HB 4517, HB 4486, HB 4437, HB 4426, HB 4396, HB 4263, HB 3487, HB 3418, HB 2284, HB 2266, HB 2229, HB 4912, HB 2189, HB 4506, HB 5269, HB 5224, HB 5195, HB 3317, HB 4166, HB 3947, HB 3358, HB 3370, HB 4438, HB 3745, HB 3602, HB 3697, HB 2001, HB 1968, HB 3371, HB 3909, HCR 98, HCR 92, HCR 126, HCR 7
Keywords:
juvenile offenders, parole eligibility, youth justice, criminal justice reform, inmate rehabilitation, direct patient care, healthcare, physicians, medical services, insurance regulation, dentist, dental hygienist, interstate practice, licensure, compact privilege, public health, military members, disaster relief, tax rates, local government
TX
Transcript Highlights:
- of the Texas House of Representatives, this gathering of diverse men and women entrusted with the care
- Humility and service and mutual care.
- Speaker, Members, this is a bill related to regulation of child care facilities on military bases.
- Members, House Bill 5153 makes it easy for children to access health care in their communities.
- provided to children in foster care.
Bills:
HB200, HB541, HB1803, HB30, HB175, HB249, HB721, HB851, HB897, HB 1128, HB1904, HB1916, HB5560, HB3071, HB5627, HB5435, HB3913, HB2921, HB2695, HB2688, HB3045, HB3483, HB3673, HB4213, HB4226, HB783, HB4373, HB4735, HB5155, HB5057, HB4984, HB4944, HB4813, HB5339, HB5196, HB5033, HB4853, HB3486, HB4211, HB74, HB4670, HB4730, HB4743, HB4603, HB4463, HB3892, HB4139, HB4752, HB4520, HB4517, HB4486, HB4437, HB4426, HB4396, HB4263, HB3487, HB3418, HB2284, HB2266, HB2229, HB4912, HB2189, HB4506, HB5269, HB5224, HB5195, HB3317, HB4166, HB3947, HB3358, HB3370, HB4438, HB3745, HB3602, HB3697, HB2001, HB1968, HB3371, HB3909, HCR7, SB1744, SB1364, SB1316, HB2026, HB3302, HB3368, HB1639, HB5652, HB4655, HB5654, HB5658, HB5656, HB4894, HB4996, HB5088, HB5650, HB4464, HB3751, HB5665, HB5661, HB 1237, HB2802, HB5437, HB2703, HB5666, HB5667, HCR113, HCR86, SB2196, SB463, SB856, SB1245, SB1169, SB509, SB985, SB305, SB552, HB1535, HB 123, HB1804, HB426, HB1773, HB1871, HB2035, HB2492, HB1411, HB4753, HB4666, HB4529, HB1499, HB1610, HB2028, HB1506, HB886, HB3546, HB796, HB223, HB3556, HB2448, HB4638, HB 111, HB180, HB 1027, HB 1178, HB610, HB 1277, HB1615, HB1620, HB5342, HB4885, HB4751, HB4530, HB4488, HB2149, HB2071, HB2282, HB2248, HB2243, HB2522, HB2310, HB2513, HB2300, HB1902, HB1813, HB3719, HB4284, HB3743, HB3778, HB5153, HB5147, HB4877, HB4850, HB3261, HB3005, HB3033, HB2849, HB2967, HB3531, HB1768, HB333, HB2914, HB2613, HB3717, HB3704, HB2697, HB3801, HB3099, HB3488, HB3477, HB3466, HB3396, HB3469, HB2594, HB2776, HB2564, HB2298, HB5331, HB5646, HB5247, HB5323, HB4384, HB3896, HB4014, HB3627, HB3594, HB2524, HB510, HB561, HB5111, HB5446, HB 1181, HB3963, HB2785, HB1661, HB2460, HB200, HB541, HB1803, HB30, HB175, HB249, HB721, HB851, HB897, HB 1128, HB1904, HB1916, HB5560, HB3071, HB5627, HB5435, HB3913, HB2921, HB2695, HB2688, HB3045, HB3483, HB3673, HB4213, HB4226, HB783, HB4373, HB4735, HB5155, HB5057, HB4984, HB4944, HB4813, HB5339, HB5196, HB5033, HB4853, HB3486, HB4211, HB74, HB4670, HB4730, HB4743, HB4603, HB4463, HB3892, HB4139, HB4752, HB4520, HB4517, HB4486, HB4437, HB4426, HB4396, HB4263, HB3487, HB3418, HB2284, HB2266, HB2229, HB4912, HB2189, HB4506, HB5269, HB5224, HB5195, HB3317, HB4166, HB3947, HB3358, HB3370, HB4438, HB3745, HB3602, HB3697, HB2001, HB1968, HB3371, HB3909, HCR98, HCR92, HCR126, HCR7
Keywords:
juvenile offenders, parole eligibility, youth justice, criminal justice reform, inmate rehabilitation, direct patient care, healthcare, physicians, medical services, insurance regulation, dentist, dental hygienist, interstate practice, licensure, compact privilege, public health, military members, disaster relief, tax rates, local government
MN
Minnesota 2025 1st Special Session
Committee on Agriculture, Veterans, Broadband and Rural Development - 02/12/25
Agriculture, Veterans, Broadband, and Rural Development
Transcript Highlights:
- and our beer and whiskey collaborations and our beer and whiskey collaborations uh<00:48:16.040>
- <01:03:10.680>
and scientists and our um collaborators and scientists and our um collaborators - We have found a model, and I'm hoping you get to my slides too.
- We found a model that works well here in Minnesota.
- inst stents fbm instructors to take care inst stents fbm instructors to take care of<01:31:35.119
NH
New Hampshire 2025 Regular Session
Public Higher Education Study Committee (11/12/2025)
Transcript Highlights:
- It's incumbent upon both systems to ensure we collaborate effectively for the future of our state.
- Yes, I would say, um, it in all likelihood won't look like a cluster model. Absolutely.
- <00:40:34.400>
at model at model at >> I<00:40:35.040>understand <00:40:35.359> cost-effective model cost-effective model most<00:53:17.839>- That's going to be the cost-effective model.
New <00:53:18.000>Hampshire
Summary:
The committee met to review the annual report on collaboration between the University System of New Hampshire and the Community College System of New Hampshire, and the meeting began with approval of the prior minutes and a gubernatorial proclamation recognizing the community college system’s 80th anniversary. Both chancellors praised the proclamation and described the report as a statutory follow-up to the public higher education task force. They said the two systems have built a close working relationship and that the collaboration is intended to continue, though progress may be limited by resources and staffing changes.
Much of the discussion focused on transfer pathways and new academic models. The chancellors said House Bill 1530 helped drive the creation of more than 100, and possibly about 130, “universal pathways” between the systems, with a reported 30% increase in community college associate-degree graduates transferring to the university system in the last academic year. They also discussed direct-admit outreach for community college graduates, early college and CTE-to-workforce pathways, and the development of three-year bachelor’s programs at Plymouth State and in some health-care fields. Members asked about nursing, allied dental health, and radiologic technology, and the chancellors said they are exploring whether some programs can be streamlined, while noting that nursing’s requirements may limit how short a pathway can be.
Members also raised concerns about whether transfer pathways could affect university enrollment, but the university chancellor said declining enrollment is more likely due to a smaller pool of college-age students and broader competition, not the transfer programs. Another topic was the ERP/technology platform recommendation from the task force: the university system is moving to Workday, while the community college system is working to align business practices and move from an on-premises system to a cloud-based solution. Officials said a shared enterprise system could create efficiencies in the future, but it is not expected in the short term; student-facing tools like Canvas are already shared. The committee also discussed House Bill 112, which would require passing a civics test for graduation, and the chancellors said they support civic education but see implementation challenges. No votes or formal actions were taken beyond approving the minutes and receiving the report.
WY
Transcript Highlights:
- I can double that was taken care of.
- models that are going to be necessary? models that are going to be necessary?
- collaboration, education, and advocacy. collaboration, education, and advocacy.
- :53.280>
and you've got the collaborative and you've got the collaborative and convening<01:40 - collaboration at the end of the day collaboration<01:41:30.719>
is <01:41:30.880>really
NH
New Hampshire 2025 Regular Session
House Finance Division II (01/27/2025)
Transcript Highlights:
- <00:28:40.440>
between administrative collaborations between administrative collaborations - We do long-term financial modeling at least once a year, so we had modeled that out for my board strategic
- But we modeled it out and we’re working on how we’re going to think about the future.
- :48:11.440>
modeling <00:48:12.319>at <00:48:12.480>least long-term Financial modeling - translates to the quality of Health Care translates to the quality of Health Care that<01:36:14.400
Summary:
The committee received an orientation from University System of New Hampshire Chancellor Katherine Preventure and Senior Director of Government Relations Lauren Banker on the system’s enrollment, finances, workforce role, and academic programs. They described the system as consisting of UNH, Keene State, and Plymouth State, with about 23,000 students, $928 million in FY24 operating expenses, a $3.7 billion economic impact, and UNH’s R1 research status. They emphasized the system’s role in graduating students into the New Hampshire workforce, its statewide Cooperative Extension and regional campus presence, and its alignment of degree offerings with top occupations identified by New Hampshire Employment Security. The presentation also highlighted partnerships with businesses, internships, and collaboration with the community college system, including 100 transfer pathways and a direct-admit program.
A substantial portion of the discussion focused on tuition, state support, and student costs. The chancellor said the state invested $95 million in FY25, with about $81 million used to reduce resident tuition and about $14 million for statutory programs such as Cooperative Extension and the Agricultural Experiment Station. She said the state subsidy is about $7,300 per New Hampshire student, and that resident net tuition averages about $7,000, while nonresident net tuition averages about $16,600. She provided published tuition figures for UNH, Plymouth State, and Keene State, and explained that resident tuition has been held flat for five years while financial aid has increased, reducing average net tuition and fees for New Hampshire students from about $10,500 in 2020 to $9,800. Members asked for clarification on how residency and workforce-retention percentages were calculated, and the chancellor said she would follow up.
Members also asked about comparisons with peer institutions, housing and meal costs, research funding, and the reasons for declining enrollment and staffing reductions. The chancellor said peer comparisons were based on flagship universities for UNH and smaller regional publics for Plymouth and Keene, and noted that out-of-state tuition has risen about 2.5% annually. She said housing for a UNH double room is $8,536 and a meal plan is $5,100, and offered to provide a consolidated cost document. On research, she said the system’s direct research spending includes federal funding and that indirect costs were about $34 million last year, with a follow-up promised on the federal/state and direct/indirect split. She attributed enrollment declines largely to demographics and said the system is responding by reducing costs, selling buildings, exiting leases, moving the system office to NHTI, and implementing Workday. She also noted that Plymouth received approval for five three-year bachelor’s degree programs and that members praised the shorter, workforce-focused pathways, especially for manufacturing and other in-demand fields.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 5 on State Administration Apr 28th, 2026
Transcript Highlights:
- didn't just implement Care Court.
- Most of the public does not care. They don't care if you did this or that.
- They care about individuals that are experiencing homelessness. They care about youth.
- So when I say people don't care, they care; they may not know that you've come up here, but they will
- And compete for and collaborate on grants.
Summary:
The committee heard a lengthy presentation on San Mateo County’s request to restore in-lieu vehicle license fee (VLF) funding, which county officials said would otherwise leave the county and its cities facing major budget losses. Supervisors and local officials argued the 2004 VLF swap was intended to hold local governments harmless, but the formula no longer works for San Mateo because of its mix of basic-aid school districts and high property values. They said the loss would force deep cuts to homelessness services, rental assistance, mental health programs, libraries, parks, public safety, wildfire mitigation, and nonprofit partners, with examples including shelter closures, reduced police and fire staffing, and layoffs. The Department of Finance responded that the payments are not statutorily mandated, are discretionary, and are not sustainable in the current fiscal situation, noting the state has still provided more than $300 million since 2012. Members from both parties expressed sympathy, questioned the formula, and said the issue may need a permanent legislative fix; public commenters from cities, labor, nonprofits, and public safety organizations overwhelmingly supported full restoration. The committee ultimately held the item open and later took vote-only action to move two unrelated items on the agenda.
The committee also received an update from the Department of General Services on state property redevelopment projects, including the Hillcrest DMV site in San Diego, the Fell Street DMV site in San Francisco, and other state-owned properties. DGS explained that Hillcrest is not yet an active project, while the Fell Street DMV proposal shifted from an integrated housing-and-DMV concept to a plan to relocate DMV into leased space so the site can proceed as housing. Officials said the leased-space option is significantly cheaper than building a new DMV on-site and would allow the housing project to move forward, though questions remained about timing, costs, and whether the partnership model can work. Members pressed DGS on the broader challenge of converting state buildings to housing, and DGS said adaptive reuse depends heavily on building type, floorplate depth, light, and risk from unknown conditions behind walls. The committee also briefly discussed Fairview Developmental Center and the Southern California Veterans Cemetery feasibility study, with DGS saying both are progressing.
In Government Operations items, the California Education Learning Lab asked for permanent restoration of its $4 million annual funding and a move from the Office of Land Use and Climate Innovation to GovOps, arguing that the program supports intersegmental innovation in teaching and learning across UC, CSU, and community colleges, including AI-related work. The Legislative Analyst’s Office recommended rejecting the restoration and continuing the planned wind-down, citing the state’s projected deficit and suggesting the interagency council could pursue non-state-funded grant opportunities instead. The committee held that item open. The next item, on the California Education Interagency Council, was presented as a staffing request for four ongoing positions, with GovOps saying the council has already been set up administratively and an executive officer has been appointed.
KY
Kentucky 2026 Regular Session
Senate Standing Committee on Appropriation and Revenue. (3-4-26)
Transcript Highlights:
- is huge in the health care industry. is huge in the health care industry.
- hearing health care disparities hearing health care disparities researcher<00:19:43.880>
in - audiologist and many health care audiologist and many health care providers.<00:34:06.360>
UK - I don't think that our rural care.
- residents uh deserve inferior care residents uh deserve inferior care but<00:50:56.600>
we
Keywords:
Meeting Start 00:00:00
Roll Call 00:00:10
SB 6 Discussion 00:40
SB 6 Vote 00:13:30
Cochlear Implants 00:16:25, 958, all
Summary:
The Senate Appropriations and Revenue Committee heard Senate Bill 6, sponsored by Senate President Robert Stivers, which would create an endowed research fund to support collaborative university research in Kentucky. Stivers described the bill as an extension of earlier higher-education research efforts, arguing that Kentucky should build research “hubs” by requiring or encouraging partnerships among universities and outside entities, with potential focus areas including health care, engineering, aerospace, agriculture, and other emerging fields. He said the proposal would establish five research tranches over five years and sought a $30 million endowment for each, generating annual interest to fund consortium-based research and leverage additional private and federal dollars. Senators Frommeyer, Neal, Givens, Boswell, and Richardson spoke in support, emphasizing economic development, job creation, and examples from other research clusters such as Boston and North Carolina’s Research Triangle. The committee voted 12-0 to report the bill favorably to the Senate floor.
The committee then received a presentation from Dr. Matthew Bush of the University of Kentucky on pediatric hearing loss and cochlear implants. Bush explained that early hearing detection and intervention is critical because hearing loss in newborns is a neurocognitive emergency that affects language, literacy, and long-term outcomes. He outlined national screening benchmarks, Kentucky’s incidence of childhood hearing loss, and the high educational and societal costs of untreated hearing loss. Bush also highlighted disparities in rural and western Kentucky, where children face delayed diagnosis, longer waits for hearing aids or cochlear implants, and more difficulty accessing follow-up care. He described cochlear implants, the multidisciplinary care they require, and research showing improved language development, quality of life, and cost savings when children are treated early.
DE
Delaware 2025-2026 Regular Session
House of Representatives Legislative Session - Session 2 - 42nd Legislative Day Jun 30th, 2026
Delaware House Floor Meeting
Transcript Highlights:
- care and reducing the growth of health care costs.
- care.
- health care spending to primary care.
- Senate Bill 1 works to lower health care costs by encouraging value-based care models that reward providers
- models.
Summary:
The House convened with quorum, offered prayers and moments of silence for community members who had recently died, and recognized several guests and family members in the chamber. After routine communications and passage of consent calendar 29, the chamber took up a series of measures on the main and colored agendas, with several bills and resolutions passing by voice vote or roll call.
Among the measures approved were House Concurrent Resolution 157, which as amended requested a State Lottery report on options to support traditional lottery retailers; Senate Bill 53 on the Delaware Farm to Community Program; Senate Bill 307 on PSC authority for Lifeline telecommunications carriers; Senate Bill 339 clarifying health directive forms in mental health facilities; Senate Bill 235 on manufactured home community rent increases; Senate Bill 325, as amended, updating fire prevention and volunteer fire/EMS background check rules; Senate Bill 309 on inmate work and discharge of incarceration-related balances; Senate Bill 324 on deadly weapons and constable agency representatives; Senate Bill 293 on youth camp child care licensing; Senate Bill 94 on respiratory care practitioners and ECMO medication delivery; and Senate Substitute 2 for Senate Bill 100, proposing a constitutional amendment protecting the right to marry regardless of race or gender while preserving religious freedom. House Bill 188, changing Delaware primary elections to allow unaffiliated voters to choose a party primary, also passed after debate.
Two measures drew extended discussion and amendments. Senate Bill 233, requiring snow and ice to be removed from vehicles, was tabled once, then later amended and passed after debate over whether the law was workable for truck drivers and other vehicle operators; a proposed truck-related exemption amendment failed. House Substitute 1 for House Bill 404, creating a pilot program for artificial intelligence and extended reality in schools, passed after testimony from the Department of Education emphasizing guardrails, privacy, and educator oversight, alongside concerns from members about data, bias, and long-term effects. Several items were tabled or reconsidered during the session, and the House adjourned after completing the day’s business.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Telecommunications, Utilities and Energy Jun 21st, 2026 at 01:00 pm
Joint Committee on Telecommunications, Utilities and Energy
Transcript Highlights:
- The task force would investigate Nebraska's neighbor-first model of public ownership, and it would also
- take a His neighbor-first model of public ownership, and it would also take a close look at the New
- Take care. Next is Representative Therber.
- EMWIC enables MLPs to collaborate on power supply, financing, and clean energy development.
- EMWIC enables MLPs to collaborate on power supply, financing, and clean energy development.
Summary:
The committee heard testimony on a range of energy, utility, broadband, and municipal infrastructure bills. Representative Powell supported H 3466, which would create a task force to study public ownership of utilities and alternatives to investor-owned electric and gas systems. Representative Therber supported H 3574, which would use RGGI funds to reimburse cities and towns affected by power plant decommissioning, citing lost jobs, tax revenue, and service cuts in communities such as Somerset, Plymouth, Salem, and Everett.
Several witnesses from municipal light plants and related organizations testified in support of mutual aid bills, including H 3486/S 2252 and H 3330/S 2277, saying the measures would clarify protections and liability coverage for MLP workers assisting in emergencies and non-emergency work. Jim Leiden of EMWIC opposed H 3514/S 2295, saying the proposed board and governance changes would reduce local control, add burdens, and weaken confidentiality protections. A committee member asked whether the mutual aid bills had been reviewed for municipal impacts, and the witnesses said they had done due diligence.
The committee also heard extensive testimony on H 3551/S 2306, the smart meter opt-out bills. Supporters argued that smart meters emit harmful wireless radiation, that some residents have developed health problems or electromagnetic sensitivity, and that opt-outs should be available without fees or penalties; several witnesses urged notification, consent, and non-transmitting analog meter options. The committee also heard testimony from municipal officials and the Massachusetts Municipal Association in support of H 3462/S 2250, which would strengthen municipal authority to enforce timely removal of double utility poles, citing safety, accessibility, and construction-delay concerns. Derek Leffert of Gateway Fiber opposed H 3450, saying it would improperly shift broadband deployment costs to competitors. At the end of testimony, the chair closed the hearing by motion and vote, with members voting aye and no opposition recorded.
FL
Florida 2025 Regular Session
Commerce and Tourism Mar 31st, 2025
Transcript Highlights:
- This is 7 people to have an ordinance effect on our model in our system.
- Just is this modeled after any program that currently exists in another state, perhaps maybe give us
- It's to draw primarily new people in to expand and grow our model could enhance other ones. Sure.
- A prime example of this is collaboration with the middle and lower Suwannee River.
- Also known as is seas to all actions relating to payments for a bill of care and that is the bill.
OR
Oregon 2026 Regular Session
House Interim Committee On Health Care 06/16/2026 2:30 PM
Transcript Highlights:
- CARE Oregon has employed CARE Oregon to be the administrator of their behavioral health benefit.
- model, balances the idea of access to care with the budget that we have in the state.
- immediate care centers.
- Older people tend to use more care. Older people tend to need more expensive care.
- like, I don't know, average care, like needed care versus, like, maybe some extras that we've deemed
Summary:
The committee held an informational hearing focused first on Oregon Medicaid coordinated care organization (CCO) finances and rate setting. Oregon Health Authority staff explained how 2025 CCO financial results will inform 2027 capitation rates, including reserve requirements, subcapitation arrangements, and major cost drivers such as behavioral health, pharmacy, rural hospital costs, and dental directed payments. They said the Legislature’s added 2025 funding materially improved CCO margins and that, without it, the program would have been negative overall. Members asked about retained earnings, subcapitation, behavioral health utilization, ABA therapy, and whether outcomes are being evaluated; OHA said rate setting is actuarial and that CCOs, OHA, and other partners all play roles in monitoring efficacy and access. OHA also reviewed House Bill 4039 changes intended to increase transparency and give CCOs earlier access to rate information and reconciliation exhibits.
CCO representatives then testified that the system is under significant financial pressure and that behavioral health state-directed payments, benefit changes, and federal uncertainty from H.R. 1 are reducing flexibility. CareOregon said it has lost more than $500 million over the last couple of years and is now making provider terminations and other network changes to align spending with available funding, while emphasizing that CCOs must make hard decisions about which services and providers can be sustained. Eastern Oregon CCO said rural and frontier factors, cost-based hospitals, air ambulance needs, and statewide efficiency adjustments are not fully reflected in rates, and that dental funding is especially strained. Trillium similarly warned that state-directed payments and benefit expansion pressures are constraining the global budget model and that H.R. 1 could worsen acuity and volatility. Members pressed the witnesses on who is responsible for evaluating treatment effectiveness, especially for ABA and psychotherapy, and on how utilization limits and reimbursement changes are being used to control costs.
The committee then shifted to an overview of the Affordable Care Act and Oregon’s commercial insurance market. Department of Consumer and Business Services staff explained actuarial value, metal tiers, premium tax credits, medical loss ratio rules, and the main drivers of premium rates: cost trend, utilization trend, and administrative costs. They said mandates have likely added only a limited amount to premiums over the past decade, though the exact effect is difficult to isolate, and they gave examples of how high-cost, low-volume services versus broad, high-utilization services can affect rates differently. Staff also noted that Providence Health Plan and PacificSource Health Plans are withdrawing from the individual market, though consumers should still have at least three insurer options in every county and may have four in many counties. The division said it is in the middle of reviewing proposed 2027 rates and will continue its public rate review process, including hearings and written comment.
CA
California 2025-2026 Regular Session
Assembly Education Committee Jul 16th, 2025
Transcript Highlights:
- hear that their child's being placed out of state, they think that they're going to receive better care
- custody and control in the hands of ...plus kids that are still outside of our state's care, custody
- I know there are models. I've seen them. I've heard from them.
- Probably in a year like the year we started with this year, we tried to kind of model things that way
- But I'm really responding to your offer of collaboration, or invitation to collaborate, because I think
Summary:
The Assembly Education Committee met without a quorum for much of the hearing and heard several bills out of order. SB 249 by Senator Umberg would move county board of education elections from the primary to the statewide general election. Supporters, including the League of Women Voters and many educators, argued the change would increase turnout and make the electorate more representative. The Orange County Board of Education opposed the bill, saying it would increase costs, reduce local control, and bury education races on crowded general-election ballots. The chair and members discussed turnout, cost, and representation, but the bill was held pending a quorum.
Senator Grove presented SB 373, which adds safeguards for California students placed in out-of-state non-public schools through IEPs. The bill would require more robust LEA and CDE oversight, including annual site visits, student interviews, quarterly contact, stronger certification standards, and restrictions on prone, supine, and mechanical restraints. Testimony from a survivor of an out-of-state placement and from advocates emphasized abuse, neglect, and the need for stronger monitoring. There was broad support and no opposition testimony, but the measure was also held pending a quorum.
Senator Ashby presented SB 568, the epinephrine in schools modernization act, to clarify and expand requirements for stocked epinephrine so they clearly apply to all public schools, including preschool programs. School nurses and medical experts said the bill would close gaps created by universal preschool and ensure life-saving treatment is available for anaphylaxis. The committee discussed dosing and implementation, and the bill was supported without opposition testimony. The committee also heard SB 414, the Charter School Accountability Act, which would strengthen fiscal oversight, audit standards, and transparency for charter schools and authorizers. Supporters said it responds to fraud and audit findings while preserving charter flexibility; opponents, including school employees and teachers, said it did not go far enough on authorizer accountability and small-district oversight. After discussion, the committee voted 7-0 to pass SB 414 as amended to Appropriations.
The committee also briefly heard SB 743 by Senator Cortese, which would create an equalization reserve account to provide additional funding to underfunded school districts and reduce funding inequities tied to ZIP code. The author said the bill would support student achievement and teacher retention over time. The transcript cuts off before testimony or action on SB 743 was completed.