Video & Transcript Research : 'collaborative care model'
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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.
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 Utilities and Energy Committee May 13th, 2026
Utilities and Energy
Transcript Highlights:
- And Will, I know That the folks are taken care of.
- We're looking at utility tools and models. We're assessing them.
- modeling? And do we think that wildfire mitigation is really happening?
- I am the modeling, the catastrophic financing. My apologies. I asked the wrong person then.
- I did the catastrophic modeling.
Summary:
The Assembly Committee on Utilities and Energy held a hearing on the California Earthquake Authority’s SB 254 report and possible reforms to California’s utility wildfire recovery system. The chair framed the discussion around the Palisades and Eaton fires, the high and growing wildfire-related costs on utility bills, and the need to weigh tradeoffs among survivors, ratepayers, utilities, insurers, and taxpayers. The chair emphasized that the SB 254 report is an inventory of policy pathways rather than recommendations, and that the Legislature’s role is to evaluate the options publicly.
The first panel featured wildfire survivors William Abrams and Joy Chen, who described severe ongoing displacement, housing insecurity, delayed compensation, and frustration with what they characterized as opaque and unfair compensation structures. They argued for greater transparency, clearer accountability for utilities, stronger oversight of wildfire mitigation spending, and incentives tied to safety performance. They also urged faster survivor payments, but only if they are full, fair, and not financed by shifting more costs to taxpayers or ratepayers. Committee members asked about gaps in the SB 254 report, the meaning of “full” compensation, and how a fast-pay facility might work.
The second panel included the California Earthquake Authority, RAND, PG&E, LADWP, Consumer Attorneys of California, and the Public Advocates Office. Tom Welsh of CEA explained the report’s process and the current wildfire fund structure, including that utilities remain liable, the fund reimburses eligible claims, and prudency reviews can require reimbursement to the fund. RAND’s Lloyd Dixon outlined how roughly $38 billion has been paid to survivors, insurers, and public entities since 2017, and noted substantial litigation costs and cost-shifting among stakeholders. Utility representatives supported reforms that preserve financial stability and reduce risk, while consumer and public-interest advocates opposed shifting more costs to ratepayers and stressed accountability, audits, and safety-linked recovery. No votes or formal actions were taken in the hearing.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 5 on State Administration Feb 25th, 2025
Transcript Highlights:
- The plan calls for assessing regional assets as well as challenges related to regional collaboration.
- As called for in the master plan, we want to identify how regional coordination models can be adopted
- be useful, as this proposal suggests, to understand the best models for doing so.
- They take care of our children.
- That is the model for states and the federal government.
HI
Keywords:
immigration enforcement, sanctuary policy, detainer, ICE, federal immigration authorities, 8 U.S.C. 1357(g), 8 U.S.C. 1373, 8 U.S.C. 1644, deportation, undocumented immigrants, noncitizen, migrant rights, local police cooperation, law enforcement cooperation, hold request, judicial warrant, probable cause, civil immigration enforcement, county police, state police
Summary:
The committee first took up SB 148 on combat sports, but members said they had agreement only in principle and were waiting on a conference draft and money committee release, so the bill was rolled to the next day. HB 1810 on charitable solicitation was then described as regulating professional solicitors who sell donated non-perishable tangible property, including prompt payment, financial reporting, disclosure, and contract requirements; the committee adopted the conference draft and passed it unanimously. SB 2607 on landscape architects was also passed with a conference draft after members agreed to align licensure qualifications with the uniform standard used by the Council of Landscape Architectural Registration Boards.
Later, HB 1642 on consumer protection and crypto kiosks was passed with amendments to ban the purchase of cryptocurrency through crypto kiosks, and SB 2396 on property was deferred because members said they were aligned on the policy but still needed to sort out enforcement, with the issue to be left to a task force. SB 2961 on insurance was deferred to the next day pending release, and SB 2471 on the powers of artificial persons was rolled to the next day while the House and Senate sought legal clarification to make the bill more defensible; members said they agreed on the goal of addressing dark money but wanted to avoid harming Hawaii or local companies.
The committee then passed SB 3001 on artificial intelligence with amendments. The conference draft renamed the regulated systems as “AI companions,” narrowed and clarified the definition, required reasonable measures to prevent outputs encouraging serious bodily injury, increased disclosure frequency for minors, added a feature restriction to discourage disengagement, removed provisions the Senate viewed as too broad or insufficiently articulated, shifted annual reporting to the Department of Health’s Behavioral Health Administration, and removed civil penalties. Members also said the romantic-relationship language had been removed for now but could be revisited later. SB 2433 on condominiums was discussed but rolled to the next day because the House and Senate were still considering changes related to DCCA authority and condo-owner disputes, and HB 1897 on condominium alternative dispute resolution was deferred for the session because the Senate was not ready and time was running out.
In the final portion, HB 1753 on social media data retention was passed with amendments setting limits on how long companies may retain user data, with exceptions such as domestic violence evidence. SB 1166 on insurance was rolled to the next day after discussion of historic weather damage and the need to avoid affecting ongoing litigation against oil companies; members noted they had received an AG opinion that the bill would not jeopardize that litigation. SB 2964 on property insurance was passed with a conference draft requiring insurers to periodically ask homeowners about significant improvements so coverage can be reassessed, and SB 3255 on currency was passed with a conference draft authorizing penny rounding to the nearest five cents, though one senator voted no because he preferred the Senate version that had included a separate cash-acceptance issue. The committee also discussed SB 2852 on website accessibility for people with disabilities as the next item, but the transcript cuts off before any action on that measure.
HI
Keywords:
immigration enforcement, sanctuary policy, detainer, ICE, federal immigration authorities, 8 U.S.C. 1357(g), 8 U.S.C. 1373, 8 U.S.C. 1644, deportation, undocumented immigrants, noncitizen, migrant rights, local police cooperation, law enforcement cooperation, hold request, judicial warrant, probable cause, civil immigration enforcement, county police, state police
HI
Keywords:
immigration enforcement, sanctuary policy, detainer, ICE, federal immigration authorities, 8 U.S.C. 1357(g), 8 U.S.C. 1373, 8 U.S.C. 1644, deportation, undocumented immigrants, noncitizen, migrant rights, local police cooperation, law enforcement cooperation, hold request, judicial warrant, probable cause, civil immigration enforcement, county police, state police
HI
Transcript Highlights:
- And Senator, if I can open up on our other 1:45 p.m. agenda on House Bill 2498 relating to care homes
- Bill<00:04:08.440>
2498 <00:04:09.360>relating <00:04:09.680>to <00:04:09.800>care - Bill 2498 relating to care homes. Bill 2498 relating to care homes.
Keywords:
immigration enforcement, sanctuary policy, detainer, ICE, federal immigration authorities, 8 U.S.C. 1357(g), 8 U.S.C. 1373, 8 U.S.C. 1644, deportation, undocumented immigrants, noncitizen, migrant rights, local police cooperation, law enforcement cooperation, hold request, judicial warrant, probable cause, civil immigration enforcement, county police, state police
HI
Transcript Highlights:
- They require perspective, integrity, and a collaborative approach.
- deliberation and fairness are careful deliberation and fairness are essential.<00:03:30.320>
The< - <00:03:38.360>
Testimony a collaborative approach. Testimony a collaborative approach. - And after careful review of communities.
- And after careful review of her<00:04:00.680>
qualifications, <00:04:01.880>testimony, <
Keywords:
immigration enforcement, sanctuary policy, detainer, ICE, federal immigration authorities, 8 U.S.C. 1357(g), 8 U.S.C. 1373, 8 U.S.C. 1644, deportation, undocumented immigrants, noncitizen, migrant rights, local police cooperation, law enforcement cooperation, hold request, judicial warrant, probable cause, civil immigration enforcement, county police, state police
HI
Keywords:
immigration enforcement, sanctuary policy, detainer, ICE, federal immigration authorities, 8 U.S.C. 1357(g), 8 U.S.C. 1373, 8 U.S.C. 1644, deportation, undocumented immigrants, noncitizen, migrant rights, local police cooperation, law enforcement cooperation, hold request, judicial warrant, probable cause, civil immigration enforcement, county police, state police
HI
Keywords:
immigration enforcement, sanctuary policy, detainer, ICE, federal immigration authorities, 8 U.S.C. 1357(g), 8 U.S.C. 1373, 8 U.S.C. 1644, deportation, undocumented immigrants, noncitizen, migrant rights, local police cooperation, law enforcement cooperation, hold request, judicial warrant, probable cause, civil immigration enforcement, county police, state police
MN
Transcript Highlights:
- He's careful. Well, thank you, Madam Chair.
- We are asking for you to support collaboration between Minnesota cities.
- We are asking for you to support collaboration between Minnesota cities.
- The child care center is full.
- The child care center is full.
Bills:
HF4680, HF4047, HF4590, HF3757, HF3569, HF4507, HF4426, HF4927, HF4788, HF4757, HF4747, HF3561, HF4014, HF4013, HF4689, HF4766, HF4589
Keywords:
wastewater treatment, improvements, capital investment, Greenfield, bonds, water treatment, infrastructure, municipal funding, state bonds, public utilities, HF4590, Tamarack, municipal infrastructure, bonding bill, general obligation bonds, Public Facilities Authority, sewer system, collection system, street reconstruction, local infrastructure
OK
Oklahoma 2026 Regular Session
House of Representatives Second Regular Session of the 60th Legislature Day 24 Mar 12th, 2026 at 09:30 am
Oklahoma House Floor Meeting
Transcript Highlights:
- And also, I did mention Boys and Girls Clubs as an organization that would be a model organization for
- childcare subsidy to the existing licensed daycare owners who are already in the business of taking care
- you can test for that But my issue is, and I'm going to ask you where, where your proposed law takes care
- It's giving them the ability to do that or anywhere in between that happens to fit their business model
- Representative Timmons, would you care to vote? Declare the vote: 79 yeas, 2 nays.
Bills:
HB2997, HB2021, HB3041, HB1823, HB3372, HB1427, HB3127, HB3128, HCR1020, HB4198, HB3000, HB3001, HB3002, HB3003, HB3004, HB3005, HB3006, HB3007, HB3008, SB392, HB3320
Keywords:
motor vehicles, administrative fines, license regulation, state agencies, employment levels, after-school programs, grant funding, community organizations, child care, Oklahoma Department of Human Services, credit card transactions, payment methods, service charge, consumer rights, financial regulation, housing finance, Oklahoma Housing Finance Agency, publication requirements, housing policy, state regulations
TX
Bills:
HB 148, HB 334, HB 554, HB 762, HB 1520, HB 1593, HB 3526, HB 3810, HB 5092, SB 2215, HB 2607
Keywords:
family leave, leave pool, county employee, sick leave, vacation leave, family care, pandemic, guardianship, HB 554, fireworks, Juneteenth, Juneteenth holiday, retail fireworks permit, Texas Occupations Code, Local Government Code, county commissioners court, drought conditions, Texas A&M Forest Service, fire safety, holiday sales
MN
Transcript Highlights:
- And we're designing spaces that foster collaboration and peer-to-peer mentoring.
- I'll file 1666, as you said, it's for the city of Slayton for a child care center.
- Slayton for child care depends on where their job is.
- There is an urgency to keep the child care facility open.
- I'm going to let Nate take care of what he wants to talk about.
Bills:
HF2418, HF1666, HF232, HF344, HF402, HF431, HF468, HF547, HF583, HF1476, HF1711, HF2787, HF2788, HF3207
Keywords:
capital investment, political subdivisions, state assistance, funding, project grants, child care, Slayton, state bonds, economic development, extended time revenue, school funding, state aid, career and technical education, CTE, STEM, secondary credit, after-school programs, summer school, learning year program, extended day
MN
Transcript Highlights:
- <00:05:23.520>
learning alongside the collaborative learning alongside the collaborative learning - So there's an urgency in order to keep a child care facility open.
- <00:25:25.039>
facility order to keep a child care facility order to keep a child care facility - Um, I'm going to let a nape take care of what he wants to talk about.
- care of it and not come to the state. care of it and not come to the state.
Bills:
HF2418, HF1666, HF232, HF344, HF402, HF431, HF468, HF547, HF583, HF1476, HF1711, HF2787, HF2788, HF3207
Keywords:
capital investment, political subdivisions, state assistance, funding, project grants, child care, Slayton, state bonds, economic development, extended time revenue, school funding, state aid, career and technical education, CTE, STEM, secondary credit, after-school programs, summer school, learning year program, extended day
TX
Texas 89th Regular
S/C on Disease Prevention & Women's & Children's Health Apr 17th, 2025
S/C on Disease Prevention & Women's & Children's Health
Transcript Highlights:
- The program for children in foster care.
- PHP and IOP were really the appropriate level of care.
- avoid placement in the foster care system.
- Yeah, you just talk about... gap care needed.
- entered care for that very reason.
Keywords:
HB 231, Texas Water Code, TCEQ, permit exemption, dam, reservoir, erosion control, flood control, floodwater control, sediment control, watershed protection, Natural Resources Conservation Service, NRCS, Watershed Protection and Flood Prevention Act, local sponsor, water appropriation, small dam, water diversion, maintenance, rehabilitation
TX
Texas 89th Regular
S/C on Disease Prevention & Women's & Children's Health Apr 17th, 2025
S/C on Disease Prevention & Women's & Children's Health
Transcript Highlights:
- I'm a policy coordinator with the Texas Women's Health Care Coalition. health care coalition, and we're
- Mental health care, friends, in the real world, you know, out in the managed care space and adult care
- These are both cost-saving but also care-appropriate pathways for some individuals.
- There is no in-between, and that is not the standard of care in mental health care.
- The fact that managed care is capitated means we are paying the same amount regardless.
Keywords:
food access, food deserts, communities of color, health disparities, socioeconomic impact, nutritious food, health effects, socioeconomic disparities, legislative recommendations, nutrition, access to food, Medicaid, multisystemic therapy, healthcare, reimbursement, mental health services, education, funding, local control, school system
TX
Texas 89th 2nd C.S.
Pensions, Investments & Financial Services Mar 31st, 2025
Pensions, Investments & Financial Services
Transcript Highlights:
- They thought they could collaborate together and a provider would come in and.
- TRS has been very careful about that.
- We have worked with TRS and agree with them that that care is warranted.
- So in the first year that employers were permitted to leave active care, 114 left.
- So prosecutors, it's a model we're used to, law enforcement, it's a model we're used to.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Veterans and Federal Affairs Jun 21st, 2026 at 01:00 pm
Joint Committee on Veterans and Federal Affairs
Transcript Highlights:
- Yes, we should take care of them.
- We were a model.
- I also believe that with the American Health Care Act, the ACA, we were also a model with that too.
- We were a model.
- I also believe that with the American Health Care Act, the ACA, we were also a model with that too.
Summary:
The Joint Committee on Veterans and Federal Affairs held its fourth public hearing of the 2025-26 session on recognitions, definitions, and designations related to veterans. Chairs John Velis and Joseph McGonagle opened the hybrid hearing with housekeeping rules and noted the committee’s reporting deadlines. The hearing focused on several bills honoring veterans and military-related service, including H. 3825 to include reserve components in flag half-staff recognition for service members killed in action, S. 2499 to place a State House marker honoring three Medal of Honor recipients from the war on terror, S. 2498 to add Merchant Marine recognition at veterans cemeteries and the State House and create a Massachusetts merchant mariner medal, and H. 2500/S. 2500 to have Massachusetts fly the Honor and Remember flag for Gold Star families and fallen service members.
A major portion of the hearing centered on H. 3871 and S. 2467, which would update the Commonwealth’s definition of “veteran.” Testimony came from the Office of Veterans Services, veterans organizations, Public Health Service and NOAA representatives, National Guard and Reserve veterans, and Gold Star advocates. Witnesses argued the current state definition is inconsistent with federal law and excludes some service members who should be recognized, especially members of the U.S. Public Health Service Commissioned Corps, NOAA Commissioned Officer Corps, reservists, and some National Guard members. Supporters said the bills would improve fairness, consistency, and access to benefits and services, while several speakers emphasized that service in uniform should be honored regardless of branch. Some testimony also urged a broader moral recognition of all who raised their right hand, while others focused on aligning state law with federal definitions and closing gaps in eligibility.
Committee members asked questions about the practical and fiscal effects of broadening the definition, including how the proposed language would interact with existing federal standards and state benefit programs. Witnesses explained that the bills would remove the current 180-day and 90-day active-service calculations and instead recognize certain active service and six-year reserve or Guard commitments, though some members noted that this could create a broader state standard than the federal one. No votes or formal actions were taken during the hearing, and the committee concluded after hearing from the final witness and adjourning.