Video & Transcript Research : 'Hawaii Trauma System'

Page 130 of 500
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Consumer Protection and Professional Licensure Jun 21st, 2026 at 01:00 pm

Joint Committee on Consumer Protection and Professional Licensure

Transcript Highlights:
  • It's a system that's kind of the envy of the world.
  • And it's a system that's the least-cost system for retailers when you compare the cost of processing
  • The system in place today is standardized federally.
  • This is the limitation of our conventional medical system.
  • Our conventional medical system is excellent for critical care.
Keywords: 995, all
Summary: The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure and reviewed a broad agenda including credit card fees, event ticketing, music therapy licensure, senior psychologist licensure, CPA pathways, school mental health licensure, and a bill regulating alternative healing therapies. The chairs explained hearing logistics, including three-minute testimony limits and submission of written testimony, and noted that more than 70 people had signed up to testify. Legislators and advocates were heard out of order throughout the day. A major portion of the hearing focused on credit card surcharge and interchange legislation. Restaurant owners, the Massachusetts Restaurant Association, NFIB, and other small-business witnesses supported bills allowing merchants to add convenience fees and, in one proposal, preventing card companies from charging fees on tax and tip portions of transactions. They argued that swipe fees are a major and growing cost, especially for restaurants, and that Massachusetts is one of only two states that bars surcharges. Opponents from the Cooperative Credit Union Association, the Electronic Payment Coalition, and the Electronic Transactions Association warned that the proposals would create compliance burdens, fragment the payment system, raise legal preemption issues, and disrupt a system they described as efficient and secure. The committee also heard competing testimony on ticket transferability and ticket resale. Supporters, including the National Consumers League and Sports Fans Coalition, said bills on ticket transferability would protect consumers who cannot attend events and would increase competition and savings in the secondary market. Opponents, including United Musicians and Allied Workers and theater owners, argued that mandatory transferability would weaken artists’ and venues’ ability to prevent scalping and predatory resale, and that some ticket sellers should be exempt from the broader ticketing regulations. Separate testimony supported music therapy licensure, senior psychologist licensure, and new CPA education pathways, with witnesses saying these measures would expand access to care and strengthen the workforce while maintaining professional standards. The hearing also drew extensive opposition to S.261 on alternative healing therapies, with practitioners and clients arguing it would overregulate spiritual and holistic practices and was not an effective response to human trafficking concerns.
TX

Texas 89th Regular

S/C on Juvenile Justice Apr 7th, 2025

S/C on Juvenile Justice

Transcript Highlights:
  • touched by the system.
  • . justice system.
  • Oftentimes, I get accused of being a critic of the Texas juvenile justice system. justice system.
  • version of our adult system.
  • These kids aren't ready for an assist- system that's failing. They're in one failing system.
Bills: HB31, HB3360
TX

Texas 89th Regular

S/C on Juvenile Justice Apr 14th, 2025

S/C on Juvenile Justice

Transcript Highlights:
  • In almost every respect, our juvenile and adult justice systems are separate.
  • These systems have different rules and different purposes, but under current law, there's one very big
  • If we're going to have separate systems, juvenile and adult, then they need to truly be separate.
  • The juvenile cases in that system.
  • And our justice system is. ...meant to serve youth with more significant behavioral issues.
NH

New Hampshire 2025 Regular Session

Senate Children and Family Law (04/24/2025)

Children and Family Law

Transcript Highlights:
  • They're less likely to be in the system once a child goes into the system.
  • do get affected, but the the true trauma do get affected, but the the true trauma takes<01:30:17.600
  • abuse issues if they're in that system. abuse issues if they're in that system.
  • or navigating complex medical systems. or navigating complex medical systems.
  • clarity, and common sense to a system clarity, and common sense to a system that<01:46:37.520>
Keywords: 1191, senate, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on the Judiciary Jun 21st, 2026 at 01:00 pm

Joint Committee on the Judiciary

Transcript Highlights:
  • It's based on a long-standing, effective system used in Massachusetts for public employee disability
  • In those vulnerable moments, our system should offer the greatest support, yet far too often courts are
  • It's a system like any other.
  • So what all of these changes that we're proposing is really about giving various actors in the system
  • It protects parents who serve from being punished by the legal system that should support them.
Keywords: 995, all
Summary: The Joint Committee on the Judiciary held a hearing on a wide range of state, probate, and family bills, with chairs Edwards and Day outlining strict testimony limits and accepting written testimony. Early testimony focused on H. 1911/S. 1138, which would clarify that a durable power of attorney may create a trust if that authority is expressly granted; sponsors and elder law advocates said the bill would resolve uncertainty created by the Barbetti decision and align Massachusetts with other states. A major portion of the hearing centered on S. 1102, a proposal to establish medical panels in Probate and Family Court. Supporters, including attorneys, parents, physicians, and advocates, said neutral three-doctor panels would help judges resolve disputed medical issues in guardianship and custody cases involving children, elders, and people with disabilities. Testifiers described cases where medical treatment was blocked or contested by one parent or guardian, arguing the panels would provide impartial expertise and protect vulnerable people. The committee also heard support for bills addressing disability discrimination in family court, military parents’ custody rights, and a shared parenting bill, H. 1710, which drew strong opposition from domestic violence advocates and others who said a 50-50 presumption could harm survivors and children. The committee also took testimony on several probate and court-administration measures. Senator Lovely supported a bill on nominee trust partition, and Senator Comerford and probate officials backed legislation to codify additional registry staff positions and modernize registry operations. Other bills discussed included foster care liability insurance, with providers warning that rising premiums and loss of coverage could force program closures; health care proxy storage and activation; access to decedents’ email accounts; uniform trust decanting; the Uniform Voidable Transactions Act; heirs’ property partition protections; a constitutional right to health care; alimony-related reforms; child-centered family law; and a right of disposition for funeral arrangements. No votes were taken during the hearing, and the committee repeatedly invited written testimony and follow-up questions.
NM

New Mexico 2026 Regular Session

House - Government, Elections And Indian Affairs Feb 6th, 2026 at 08:32 am

House Government, Elections & Indian Affairs

Transcript Highlights:
  • This lasting trauma caused marital breakup, a high rate of substance abuse, and caused women to live
  • Thank you. ...living memory and carried out by the government systems that were meant to protect the
  • of health care systems, demand an honest, public reckoning.
  • don’t know what... ...issues within our systems today.
  • They've taken loans down to zero sometimes for these mutual domestic water systems.
Keywords: 996, all
AZ

Arizona 2026 Regular Session

02/09/2026 - House Health & Human Services

Health & Human Services

Transcript Highlights:
  • It's a kind of a one-size-fits-all insurance system.
  • And sometimes when the medical system says, no, you can't have it anymore, people go outside the system
  • call here at the low-blown trauma centers, and we work closely with trauma...”
  • Christensen continued: “...facial trauma call here at the low-blown trauma centers, and we work closely
  • trauma care for patients in our community.
CA

California 2025-2026 Regular Session

Assembly Floor Session Apr 28th, 2025

California House Floor Meeting

Transcript Highlights:
  • Their intergenerational trauma has become our own, and the stories and lived experiences that inform
  • Today, we paid tribute to the survivors who, despite unimaginable trauma, rebuilt their lives and have
  • It's actually a history that's shared through shared traumas. I have a date for you: June 5, 1934.
  • And as much as the Holocaust was millions of individual traumas, it was also a profound collective trauma
  • Because I will tell you that the trauma that was mentioned is real.
Summary: The Assembly convened, established a quorum, and opened with a prayer and Pledge of Allegiance. Members then handled several procedural motions, including suspending rules to allow committee hearings and guest access, re-referring bills, and removing one bill from the consent calendar. The chamber also observed Holocaust Remembrance Day with a lengthy ceremony and remarks from many members across caucuses, emphasizing the importance of remembering the Holocaust, combating antisemitism and other forms of hate, and supporting survivors and descendants. ACR 59, the California Holocaust Memorial Day resolution, was adopted by voice vote after 76 coauthors were added. After the ceremony, the Assembly took up the daily file. AB 390, which strengthens California’s “slow down, move over” highway safety law, passed 64-0. AB 439, making small changes to the Coastal Act and reporting requirements, passed 44-11 after debate over Coastal Commission oversight. The body also approved a rules waiver to allow the Education Committee to meet on AB 1468. Later, AB 50, allowing Medi-Cal enrollees to access over-the-counter contraceptives without a prescription, passed 67-0 urgency and 67-0 overall; AB 55, streamlining alternative birth center licensing, passed 68-0; AB 596, protecting workers’ right to wear masks or respirators unless there is a direct safety hazard, passed 53-8; AB 631, requiring animal shelters to post intake and outcome data, passed 60-0; and AB 792, allowing consolidated negotiations for court interpreter contracts, passed 52-1. The Assembly also passed AB 867, banning cat declawing, by 68-0 after bipartisan support; AB 1089, expanding local permitting authority for Western Joshua Tree projects, by 16-0; and AB 1154, clarifying ADU rules, by 63-1. SCR 57, proclaiming Dolores Huerta Day, was adopted 66-0. The second-day consent calendar was then adopted 71-0. The session concluded with adjournment-in-memory remarks for Mary Hammer, a longtime San Lorenzo Valley community leader and environmental advocate, followed by recognition of her family and friends in the chamber.
MN

Minnesota 2025 1st Special Session

Committee on Health and Human Services - 02/25/25

Health and Human Services

Transcript Highlights:
  • <00:10:17.760> Missouri Dakota New Hampshire Hawaii Missouri Dakota New Hampshire Hawaii Missouri
  • physicians who are eager to serve, and I urge you to support SF 509 to strengthen our health care system
  • <00:16:16.880> and to fully integrate them into systems and to fully integrate them into systems
  • and expend access to care for all system and expend access to care for all min<00:16:59.040> Sant
  • to take care of our great system to take care of our patients<01:08:27.319> and<01:08:27.480>
Keywords: 1187, senate, all
NH

New Hampshire 2026 Regular Session

Senate Commerce (01/20/2026)

Commerce

Transcript Highlights:
  • Only 1,500 home builders have registered for that system thus far, and there's anticipated thousands
  • And we mean something similar with a community college system.
  • <01:41:18.960> through would go into the system through would go into the system through consumer
  • are used to determine how human systems are used to determine how human systems respond<02:11:09.040
  • Washington, Illinois, and Hawaii. Washington, Illinois, and Hawaii.
Keywords: 1191, senate, all
FL

Florida 2026 Regular Session

Children, Families, and Elder Affairs Mar 12th, 2025

Children, Families, and Elder Affairs

Transcript Highlights:
  • He went into the child welfare system.
  • Unfortunately, they didn't. the police were called and that's the normal reporting system.
  • And a lot of those kiddos are already in our system right through the hotline.
  • Years ago, she went into the ORR system, the Office of Refugee Resettlement.
  • We need that system of foster parents and we need those systems of attorney ad litem to support these
Summary: The Committee on Children, Families, and Elder Affairs met with a quorum and considered five bills. SB 1174, by Senator Jones, would simplify the process for transferring a family foster home license when a foster parent moves within Florida. A friendly amendment clarified that the transfer applies to the same licensed person, not a different individual, and directs DCF to prioritize amended licenses. The committee adopted the amendment and reported the bill favorably. SB 558, by Chair Grall, created a framework for voluntary post-adoption contact agreements between adoptive and biological parents, including contact with siblings, with court filing and enforcement procedures. A strike-all amendment changed the child’s party status age from 14 to 12, required court filing in the adoption case, set a preponderance standard, and moved the effective date to January 1, 2026. The committee adopted the amendment and reported the bill favorably. SB 1626, also by Chair Grall, was substantially revised by a strike-all addressing unaccompanied alien children reporting and custody procedures, military family child protective investigations, domestic violence shelter certification, children’s services councils, criminal-background exemptions, group home rates, subcontractor indemnification, child care licensing extensions, small residential group home fire suppression rules, and missing-child jurisdiction issues. After testimony both supporting and opposing parts of the bill, the committee adopted the amendment and reported the bill favorably. SB 738, by Senator Burton, updated child care and early learning licensing rules, including expedited licensing for compliant providers, faster background screening and provisional licensure, online training/testing, exemptions for certain military and employer-provided child care, and removal of a residential insurance provision from the bill. The committee adopted the amendment and reported the bill favorably. SB 304, by Senator Sharief, known as Patterson’s Law, addressed child abuse investigations involving rare genetic or metabolic conditions that can mimic abuse. The strike-all required more detailed medical analysis in reports, allowed second opinions, and set procedures for experienced physician review and judicial resolution. After extensive testimony from affected families, advocates, and DCF, the committee adopted the amendment and reported the bill favorably. At the end, Senators Harrell and Rouson asked to be recorded as voting favorably on additional bills, and the committee adjourned.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Public Safety and Homeland Security Jun 21st, 2026 at 01:00 pm

Joint Committee on Public Safety and Homeland Security

Transcript Highlights:
  • The injuries, the stress, the psychological trauma—these dogs absorb it all.
  • The injuries, the stress, the psychological trauma—these dogs absorb it all.
  • How do these weapons get in the system?
  • One thing is certain: the trauma in policing will not stop.
  • In Maryland, 2023 data, based on their purple alert system, showed that utilizing this alert system reduced
Keywords: 995, all
Summary: The committee heard testimony on a wide range of public safety bills, with strong support from law enforcement, advocates, and other stakeholders. Several measures focused on police and correctional officer wellness and protections, including bills on critical incident leave and post-incident support for officers, a bill to improve POST Commission representation, and a bill to protect correctional officers from assaults and exposure to synthetic drugs like K2. Witnesses described traumatic incidents, rising assaults in prisons, staffing shortages, and the need for confidentiality in peer-support debriefings. Committee members asked questions about assault classifications, K2 smuggling, tablet-related contraband, and whether counseling records would remain confidential. No votes were taken during the hearing. A major portion of the hearing was devoted to canine-related bills. Testimony supported creating a fund for retired police dogs and expanding emergency care training for working dogs injured in the line of duty. Speakers described police dogs as partners who locate suspects, missing persons, drugs, and weapons, and said retirement and medical costs are currently borne by handlers or nonprofits. The committee also heard testimony in favor of a purple alert system for missing people with intellectual and developmental disabilities, with advocates citing wandering risks, drowning dangers, and data from other states showing faster recovery times. The committee also heard testimony on a bill to expand the definition of sexual assault by an officer to cover situations beyond formal custody, including investigations and other encounters where police have coercive power. Advocates for sex workers and anti-trafficking organizations said the change would close a loophole, protect vulnerable people, and address documented abuses. In addition, testimony was taken on a bill to protect Massachusetts residents from federal surveillance through fusion centers, with critics calling for stronger oversight of BRIC and related databases. Representative Jeff Turco also testified on bills to change POST Commission membership, arguing for more law enforcement representation.
HI

Hawaii 2025 Regular Session

GVO Public Hearing 04-15-2025

Government Operations

Transcript Highlights:
  • Vice Chair Keith Regan, Comptroller for the State of Hawaii, Department of Accounting and General Services
Keywords: 912, senate, all
Summary: The Committee on Government Operations met on April 15, 2025, and took up only one measure, HCR 59. The resolution requests the Department of Accounting and General Services to study the feasibility of limiting project and construction management costs on state construction projects to 10% of total project cost. Vice Chair Keith Regan, speaking for DAGS, said the department stood on its written testimony in support of the resolution. Frank Schultz also testified in support. After a brief recess while waiting for quorum, the committee returned for decision-making. The chair noted that the issue is also being discussed in a bill and said adopting the resolution would help keep the matter in focus. No objections were raised, and the committee voted to adopt HCR 59 as is. Senators Morwaki and Favilla were excused from the vote. The measure passed, and the hearing was concluded.
CA

California 2025-2026 Regular Session

Senate Floor Session Apr 27th, 2026

California Senate Floor Meeting

Transcript Highlights:
  • For others, it means reliving trauma over and over again through systems that can feel cold, invasive
  • It calls on us to build systems that are trauma-informed, equitable, and centered on accountability,
  • systems that recognize the past.
  • And even when they do come forward, systems fail to create change, policies change, systems fail to create
  • ..sometimes even within reach of the systems meant to protect them.
Summary: The Senate convened with a quorum, offered prayer and the Pledge of Allegiance, and then moved through privileges of the floor recognizing Fresno State Ag Leadership Development Program students and members of Alpha Kappa Alpha Sorority, Inc. The body also approved the Senate journals and took up several gubernatorial appointments, including confirmations to the Court Reporters Board and the California Law Revision Commission, each approved by roll call vote. The chamber then considered SCR 136 marking the 50th anniversaries of the California Coastal Act, Coastal Commission, and Coastal Conservancy. Supporters emphasized coastal access, habitat protection, public trails, and resilience, while one senator argued the commission can overrule local control and slow development. The resolution passed 27-4. The Senate also adopted SR 68 for Denim Day and Sexual Assault Awareness Month, with broad support focused on survivor advocacy and accountability, and SCR 130 recognizing Child Abuse Prevention Month, which passed unanimously. Several bills were then approved on unanimous roll call, including SB 1058 on school nutrition procurement, SB 930 on encryption for school exam proctoring, SB 917 on winery sales at farmers’ markets, SB 1002 on continuity of out-of-state telehealth care, SB 1036 on mitigation fee credits for redevelopment, SB 1285 on juvenile record dismissals, and SB 969 on remote developmental services. Later, SCR 131 called for an urgent, coordinated response to unsheltered homelessness, emphasizing interim shelter, permanent housing, and supportive services. Supporters said the state must stop normalizing encampments and better coordinate resources; one senator objected that the resolution did not sufficiently address self-sufficiency or alternatives to housing-first approaches. The resolution passed 34-0. The Senate also adopted SCR 157 honoring school bus drivers, approved the consent calendar, heard committee announcements, and adjourned in memory of Sandy Steers, a conservation advocate and longtime executive director of Friends of Big Bear Valley.
WA

Washington 2025-2026 Regular Session

House Community Safety Oct 29th, 2025

Transcript Highlights:
  • when they are in crisis or the criminal justice system, or the intersection of both systems, to have
  • criminal justice system, or both.
  • We're trying to get people out of the 911 system to the 988 system, and that's a laudable goal.
  • Like our systems don't match up.
  • Our 988 system goes into our 911 system.
Summary: The Community Safety Committee held an interim work session on crisis response, with members and witnesses discussing how Washington can better integrate 911, 988, mobile crisis, co-response, and alternative response models for behavioral health crises in public spaces. Travis Parker opened with an overview of the Sequential Intercept Model and the crisis care continuum, emphasizing early intervention, 988 access, regional coordination, navigators and peer support, and the need for sustainable braided funding. Several Washington witnesses then described current programs and system gaps, including the growth of co-response teams, the importance of integrating 911 and 988 rather than treating them as competing systems, and the need to reduce unnecessary emergency room use and improve first responder wellness and training. City, fire, and crisis-system representatives described local challenges and reforms. Kim Hendrickson of Poulsbo said most crisis calls still come through 911 and urged better coordination among field-based teams, more behavioral health training for fire/EMS, and more alternatives to ER transport. Laura Pippen, a designated crisis responder, described a strained involuntary treatment system, fewer DCRs statewide, difficulty getting law enforcement support for transports, and limited facility capacity, especially for substance use disorder. Jennifer Stuber and South County Fire’s Keith Sharp highlighted workforce training, a crisis responder certificate program, and first responder wellness efforts. Research witnesses Evan Lauder and James Pine said the evidence is still developing but generally supports on-scene resolution, reduced ED transport and detention in some models, and the importance of clear dispatch protocols, coordination, and ongoing evaluation. Dispatch and program operators then gave examples of how systems are working in practice. Katie Myers of Washington APCO/NENA said 911 remains essential, but needs evidence-based triage protocols, liability protections, and additional funding if it is expected to take on more crisis-response responsibilities. Whatcom County described embedding a “community connector” in the 911 center to coordinate alternative response, while ValleyCom reported that its 988 diversion pilot transferred 2,165 calls with 98% resolved through 988/211 without returning to 911. National examples included Denver’s STAR program, Albuquerque’s Community Safety Department, and Atlanta’s PAD initiative, each showing different ways to route low-acuity or behavioral-health-related calls away from police and toward clinicians, peers, or civilian responders. The session ended with Washington examples continuing, including Whatcom County’s alternative response team, underscoring the committee’s interest in refining and expanding integrated crisis response systems in the next session.
MN

Minnesota 2025-2026 Regular Session

House Education Finance Committee 2/24/26

Education Finance

Transcript Highlights:
  • For example, there's a system where you wear some an item on a lanyard that can immediately call... a
  • <00:53:11.359> with mechanism is the K through2 system with mechanism is the K through2 system
  • depression, trauma, and behavioral depression, trauma, and behavioral challenges<01:24:59.679>
  • , proposal does not replace that system, proposal does not replace that system, but<01:42:38.960>
  • :46.800> attention manage overlapping systems, attention manage overlapping systems, attention
NM

New Mexico 2025 Regular Session

IC - Legislative Health and Human Services Oct 8th, 2025

Legislative Health & Human Services Committee

Transcript Highlights:
  • So anyone who is admitted into the trauma level one hospital here in the trauma unit, we receive direct
  • There are some calls that go into the 9-8-8 system that eventually get filtered into the 9-1-1 system
  • Another system solution the health councils are leading.
  • The health council sets up this system in the household.
  • So in thinking about this system within the public health system in concert with. in serving health councils
CA
Transcript Highlights:
  • And so we talk about historical trauma, but we also have to start talking about the contemporary trauma
  • Ancestral belongings, anything that is still in the repositories of the UC system, the Cal State system
  • It's a great historical trauma and contemporary trauma towards Indian people.
  • Our commitments are system-wide. Yes, our commitments are system-wide.
  • Our pillars of the UC system.
Summary: The joint hearing of the Select Committee on Native American Affairs and the Joint Legislative Audit Committee focused on the University of California’s compliance with NAGPRA and CalNAGPRA and the return of Native American human remains and cultural items. Senators and Assembly Members opened by emphasizing the sacredness of repatriation, the ongoing trauma caused by delayed returns, and the need for stronger systemwide accountability. The State Auditor presented the third audit of UC’s repatriation efforts, concluding that UC still lacks the urgency, oversight, and clear timelines needed to promptly return remains and belongings. The audit found thousands of remains and hundreds of thousands of cultural items still in UC custody, new undisclosed collections at several campuses, weak budgeting and underspending, and repatriation plans that often lacked concrete deadlines. The auditor recommended stronger UCOP oversight, performance metrics, proactive searches for undiscovered items, and possible legislative action to tie funding to measurable progress. UC officials responded that the system is committed to full compliance and has accelerated its work since adopting a new policy in 2022. UC Provost Catherine Newman said the system repatriated more than 2,800 ancestors and nearly 80,000 funerary belongings in the past year, and that UC now says 80.3% of Native American remains are either repatriated or available for repatriation. UC announced a new systemwide plan to complete repatriation of human remains by the end of 2028, to finish high-risk campus reviews by June 2026, to recall all loans by January 2026, and to require quarterly reporting to UCOP. UC also said it will spend an additional $8.8 million over three years, expand staffing, improve databases, support tribal consultation costs, and identify potential reburial sites on UC land. Berkeley and San Diego described increased staffing, consultations, and repatriation activity, while Santa Barbara said it had corrected earlier omissions, notified tribes about previously unreported ancestors, and was working toward completing repatriations and updated inventories. Committee members pressed UC on why progress has been so slow, why the audit’s timelines differed from UC’s public reporting, and whether the 2028 goal applies only to human remains rather than all cultural items. UC said the 2028 target is for human remains, while cultural items will take longer, and acknowledged that more work remains. Members also asked about the technical expertise needed for repatriation, the role of tribal experts, and whether repatriation should be embedded more permanently in UC governance or statute. Tribal leaders and representatives then testified that remains and belongings were taken without consent and must be returned with tribal consent and leadership. They criticized the repeated delays, stressed that tribes are the experts on their ancestors and cultural heritage, and urged UC to treat repatriation as a top priority and to return all associated items, not just human remains, so ancestors can truly rest.
WA
Transcript Highlights:
  • She's not currently incarcerated, but has experience in the system. So I will pause and allow her.
  • Family connection and support system connection is such a critical piece of that.
  • We have invested in an electronic case management system.
  • And with all that trauma, it’s really hard sometimes.
  • So we're really looking at where are the overlaps in the system? Where are the duplications?
Summary: The committee began with a work session on juvenile rehabilitation institution capacity, services, and staffing. DCYF Assistant Secretary Jennifer Redmond described overcrowding at Green Hill School and Echo Glen, driven by longer adult-style sentences extending past age 25, limited community placements, and small facility sizes. She said Green Hill remains above safe operating capacity, but staffing, injuries, large-scale aggression, and use-of-force incidents have improved over the past year. She also discussed Harbor Heights, a new 46-bed flex facility that had opened with 22 youth and would expand once a medical trailer arrives, as well as community transition services, vocational programming, behavior management reforms, and a request for more resources for mental health-focused facilities and staffing. Members asked about success metrics, developmental disability screening and supports, college access at Echo Glen, Mission Creek planning, and gender-responsive programming; Redmond said JR uses assessments, family involvement, and specialized living units, and that some requested funding had already been secured for returning a girls’ program at Echo Glen. The committee then heard from Team Child and the Youth Action Coalition. Greta Schultz said youth perspectives should guide system reforms and identified key concerns: overuse of sentence extensions, underuse of community transition services, continued criminal referrals from Green Hill to Lewis County, limited family contact, inadequate mental health access, and unequal education opportunities, especially for young women at Echo Glen. Justella Gonzalez, a former system-involved youth, said her time in county and state facilities was harmful, with staff mistreatment, poor education, limited therapy access, and humiliating restraint practices; she also said girls at Echo Glen lacked the same college opportunities as boys at Green Hill. Committee members asked for follow-up on county versus state experiences and on telehealth mental health services. The next presentation covered county-level services for youth involved or at risk of involvement with the justice system, led by juvenile court administrators Christine Simon-Smeyer and Judge Rachel Anderson. They outlined the juvenile court continuum from prevention and truancy work through diversion, detention alternatives, community supervision, and disposition alternatives, emphasizing evidence-based, trauma-informed, and restorative practices. Clark County was used as an example of a court that partners closely with schools and community providers, uses risk assessments and wraparound behavioral health probation, and offers detention alternatives without electronic home monitoring. They said most courts do not use detention for status offenses, but instead use court involvement to connect youth to services. They also described funding, noting that courts rely on a mix of state block grant and local dollars, and that recent cuts to early intervention funding reduced programming and staff hours. Members asked about detention for truancy, developmental disability identification, restorative justice practices, and the juvenile block grant. Finally, DCYF Assistant Secretary Nicole Rose and Katie Warren of the Washington State Association of Head Start and ECAP discussed child care and early learning impacts from recent policy and budget changes. Rose said Fair Start for Kids investments had increased child care access, provider participation, and kindergarten readiness, with more than 60,000 children in Working Connections care and rising ECAP enrollment and provider capacity. She said recent reductions will raise most family copays in 2026, delay eligibility expansions, eliminate some expanded eligibility categories, reduce ECAP slots by about 3,000, delay entitlement timelines, and cut provider supports such as rate increases for centers, complex-needs grants, trauma-informed and dual-language incentives, and infant/early childhood mental health consultation. Warren emphasized ECAP’s role in family stability, workforce participation, and reducing poverty, and noted its two-generation approach to supporting both children and parents.
TX
Transcript Highlights:
  • Witnesses, please be sure to register using the electronic witness registration system accessible on
  • The LBJ Hospital is the busiest level three trauma center in Texas.
  • building a new hospital where we're currently in construction, which will be the third level one trauma
  • You stated this is a level one trauma center.
  • Army Corps of Engineers on development management of the Coastal Barrier System.