Video & Transcript Research : 'stroke system'

Page 141 of 500
TX

Texas 89th Regular

State Affairs Apr 30th, 2025

State Affairs

Transcript Highlights:
  • But there's also an opportunity to get more out of our existing system.
  • It's not either using grid-enhancing technology to get more out of the current system versus building
  • This is accomplished by considering the best available technologies to the system at the time.
  • And so this bill asks ERCOT, our grid operator, to look at the whole system. ...and evaluate whether
  • system.
TX

Texas 89th Regular

Natural Resources Mar 5th, 2025

Natural Resources

Transcript Highlights:
  • Actually, we had a discussion yesterday about leaky pipes in small systems as well as large systems.
  • systems.
  • TCQ has jurisdiction over the implementation of a boil water notice by a public water system. system.
  • water notice staff work closely with public water system to rescind the boil water notice when a system
  • . systems, and systems requiring receivership and shared fees between our agencies.
Keywords: 1184, house, all
US

US Federal 2025-2026 Regular Session

US House Floor Proceedings (Monday, April 20, 2026)

US Federal House Floor Meeting

Transcript Highlights:
  • That's not the system.
  • THAT'S NOT THE SYSTEM.
  • It's a systemic failure.
  • It's a systemic failure.
  • It's a systemic failure.
AZ

Arizona 2026 Regular Session

05/18/2026 - Senate Floor Session

Arizona Senate Floor Meeting

Transcript Highlights:
  • The system is open. Please proceed to vote. Thank you.
  • The system is closed. By your vote, 23 ayes, 0 nays, and 7 not voting.
  • Connolly, Arizona State Retirement Systems Board, and Charles Essex, Arizona State Retirement Systems
  • The system is now open. The Senate will vote. Thank you. All right. The system is closed.
  • Systems closed, Secretary, record the vote: 24-0-0-0, 6 not voting.
Keywords: 1182, all
MN

Minnesota 2025-2026 Regular Session

House bill would halt changes to Minnesota DHS disability program billing 4/9/26

Minnesota House Floor Meeting

Transcript Highlights:
  • the system on the next directly into the system on the next service. service. service.
  • trying to follow the rules in a system trying to follow the rules in a system where<00:08:59.960
  • holding the system accountable? holding the system accountable?
  • It's a outcome is not a better system.
  • . system. system.
Keywords: 1183, house
AL

Alabama 2026 Regular Session

Alabama House Mar 3rd, 2026

Alabama House Floor Meeting

Transcript Highlights:
  • system. Yes. system. Yes.
  • The board would system. board. system.
  • over into this system. over into this system.
  • system? system?
  • retirement systems. retirement systems.
Keywords: 1136, house, all
AZ

Arizona 2026 Regular Session

04/13/2026 - Senate Floor Session

Arizona Senate Floor Meeting

Transcript Highlights:
  • Systems now open. Senate, please proceed to vote.
  • Systems now open. Senate, please proceed to vote. Thank you.
  • Systems now open to Senate. Please proceed to vote.
  • Systems now open. The Senate will now proceed to vote.
  • The system is now open. The Senate will now proceed to vote.
Keywords: 1182, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Mental Health, Substance Use and Recovery Jun 21st, 2026 at 01:00 pm

Joint Committee on Mental Health, Substance Use and Recovery

Transcript Highlights:
  • A high-functioning primary care system is critically important to our health care system.
  • It's influential on culture within health care systems. So we have nothing today.
  • I was knowledgeable about birth and the maternal health care system.
  • I also wanted to respond to a question about systemic and implicit bias.
  • It builds a more equitable and sustainable system over time.
Keywords: 995, all
Summary: The Joint Committee on Mental Health, Substance Use, and Recovery held a public hearing on 17 bills focused on behavioral health workforce shortages, studies, and commissions. Chairs Mindy Domb and Senator John Velis opened by emphasizing the severity of the Commonwealth’s mental and behavioral health workforce crisis, the resulting gaps in access to care, and the legislature’s ongoing use of loan repayment programs, studies, and commissions to address these issues. They outlined hearing procedures and noted that testimony would be limited to three minutes, with written testimony also accepted. A major portion of the hearing focused on bills to expand the primary care workforce, including H. 2205/S. 1385, which would broaden eligibility for the Mass RePay loan repayment program. Testimony from the Massachusetts Medical Society, Senator Jo Comerford, and Dr. Kate Atkinson described severe primary care shortages, long wait times, physician burnout, high debt burdens, and the need to recruit and retain physicians in more practice settings and regions. Committee members asked about the likely impact of loan repayment, the role of nurse practitioners and physician assistants, and how to prioritize limited funding. Witnesses argued that primary care investment improves access and outcomes and that the bill would help sustain community-based practices. Another large block of testimony supported H. 2208/S. 1411, the proposed perinatal behavioral health care workforce trust fund, often referred to as the Moms Matter Act. March of Dimes, perinatal mental health advocates, doulas, clinicians, parents, and organizations such as the Boston Public Health Commission and Empty Arms Bereavement Support testified that postpartum depression, anxiety, substance use, and grief are widespread, often untreated, and worsened by long waitlists and a shortage of trained, culturally competent providers. Speakers repeatedly stressed that screening alone is not enough without a workforce to provide timely treatment, and several shared personal stories of postpartum illness, loss, and difficulty accessing care. The bill was also framed as a needed complement to the Commonwealth’s recent maternal health law, which increased screening and therefore increased demand for treatment. The committee also heard support for the Bridge Act, H. 2207/S. 1388, which would create mental health capacity grants for organizations serving communities at high risk of hate crimes or hate incidents. Testimony from the Jewish Community Relations Council and the bill’s sponsor described the mental health harms of hate, including anxiety, trauma, isolation, and loss of trust, and argued that community organizations need resources to build resilience and provide support. In addition, the committee heard from the Massachusetts Mental Health Counselors Association on H. 2218/S. 1380, which would update job classifications to explicitly include licensed mental health counselors and licensed supervised mental health counselors in state behavioral health roles. Witnesses said the change would modernize hiring, expand access, and better reflect current licensure and scope of practice. No votes were taken during the hearing, and the session ended with a motion to adjourn after all testimony was completed.
MN

Minnesota 2025 1st Special Session

House Elections Finance and Government Operations Committee 2/12/25

Elections Finance and Government Operations

Transcript Highlights:
  • prison so the voter registration system prison so the voter registration system has<00:29:44.440
  • system compares information with other systems associated with that ID number.
  • limitations it's still a secure system limitations it's still a secure system one<00:53:40.760><
  • <00:59:53.839> you're District um the old systems you're District um the old systems you're
  • <01:11:17.640> everyone to all be on the same system everyone to all be on the same system
Keywords: 1183, house
MN

Minnesota 2025 1st Special Session

House Judiciary Finance and Civil Law Committee 1/21/25

Judiciary Finance and Civil Law

Transcript Highlights:
  • is to provide Justice through a system is to provide Justice through a system that<00:01:56.600>
  • is a modest investment in a court system is a modest investment in a court system that<00:03:11.720
  • the administrative head of the system the administrative head of the system and<00:04:26.880>
  • exhibit system a new e check-in system exhibit system a new e check-in system for<00:10:23.079><
  • , by the judicial system.
Keywords: 1183, house
Summary: The House Judiciary Finance and Civil Law Committee met to approve the January 16 minutes and then heard a budget presentation from State Court Administrator Jeff Shorba on behalf of the Minnesota judicial branch. Shorba described the courts’ structure, mission, and workload, noting 322 judges, about 2,800 staff, roughly 1 million district court filings annually, and a current budget of about $479 million. He emphasized the branch’s constitutional obligation to provide fair and timely access to justice and said the courts are funded almost entirely through legislative appropriations. He also highlighted recent accomplishments made possible by prior legislative funding, including eliminating the pandemic felony and gross misdemeanor backlog, expanding remote and hybrid hearings, improving courtroom technology, sustaining treatment courts, and increasing pay for interpreters and psychological examiners. Shorba outlined the judicial branch’s 2026–27 budget request, which he said totals a 12% increase over the starting biennial base. Major requests included $77.3 million in 2026–27 and $104 million in 2028–29 for a 6% judicial salary increase and related compensation costs; $5.1 million in 2026–27 and $1.76 million in 2028–29 for digital accessibility compliance with new federal ADA rules; $4 million in 2026–27 and $800,000 in 2028–29 to modernize justice partner access to court records; $7.2 million in 2026–27 to raise pay for contract psychological examiners; and $18 million in 2026–27 to increase juror pay from $20 to $100 per day and align mileage rates with federal rates. He also discussed ongoing funding needs for interpreter services, jury costs, cybersecurity, and other statutorily required court services, saying temporary funding provided in the prior session will expire and that permanent support is needed. Members asked questions about treatment courts, employee bargaining, and mental health competency issues. Representative Eric requested more detail on funding for newly launched and existing treatment courts, and Shorba said many treatment courts begin with federal grants before transitioning to state support after about three years. He confirmed the judicial branch negotiates its own employee contracts rather than the executive branch doing so, and said the branch has three unions plus many unrepresented employees. On mental health and competency, Shorba said the branch is focused on obtaining timely psychological evaluations and is not responsible for treatment services themselves, but acknowledged a shortage of examiners and treatment beds and said a related competency board would be testifying the following week. No votes or formal actions were taken beyond adoption of the minutes.
TX

Texas 89th Regular

Delivery of Government Efficiency Mar 5th, 2025

Delivery of Government Efficiency

Transcript Highlights:
  • , the Texas A&N system.
  • I have invited the teacher retirement system and employees retirement system to testify on their structure
  • Our system was outdated. You talked earlier about 30, 40-year systems.
  • So everyone, with the exception of the University of Texas. and A&M systems are in our system, our health
  • Sometimes their behavior demonstrates that they run it through the system. system and it gets denied,
Keywords: 1184, house, all
CA
Transcript Highlights:
  • It turned out to be a very realistic drill and test of our systems.
  • And that's an opportunity for us to test our communication system. Okay, awesome.
  • And that's about the goal for the next generation 911 system.
  • That act gave us a two-tiered system of EMS governance.
  • So it sounds like you went from an honor system to a trust-but-verify system where we really want to
Summary: The committee held a hearing on active and mass shootings in California, focusing on prevention, response, training, communications, and gaps in preparedness across law enforcement, schools, campuses, fire, EMS, and state agencies. Opening remarks emphasized the frequency and impact of gun violence, the need for faster coordinated response, and the importance of learning from recent tragedies such as the Stockton-area mass shooting described by Sheriff Patrick Withrow. The first panel included representatives from police, sheriff, and campus public safety agencies, who discussed incident command, interoperable communications, next-generation 911, threat assessment, emergency notification systems, and the value of joint drills and cross-agency planning. Witnesses also highlighted differences in training and authority across jurisdictions, especially for private university public safety departments versus public campus police. Campus representatives said they rely heavily on municipal law enforcement for armed response, while also using run-hide-fight protocols, text alerts, surveillance, and threat assessment teams. Members raised concerns about standardized training, after-action reviews, mental health resources, school resource officers, and whether campus safety plans and drills are sufficiently consistent or workable. Sheriff Withrow argued that early intervention and accountability are being weakened by well-intentioned laws, while other witnesses stressed prevention through relationships, diversion, and coordinated support services. The second panel from Cal OES, the Department of Education, POST, and EMSA described statewide systems and standards. Cal OES outlined its Reduce the Risk initiative, gun violence restraining orders, mutual aid, unified command, after-action reporting, and nonprofit security grants. The Department of Education explained California’s statutory school safety framework, annual safety plans, regulated armed assailant drills, and local flexibility, while acknowledging compliance gaps and the need for more mental health support. POST described the new requirement for 16 hours of standardized active shooter training for recruits and ongoing local training options. EMSA explained its role in medical response and terrorism training standards. No votes or formal actions were taken during the hearing.
WA

Washington 2025-2026 Regular Session

Senate Human Services Dec 5th, 2025

Transcript Highlights:
  • It's not a diagnosis-based system in long-term care.
  • Families are the long-term care system in our state.
  • All I'm asking is that we build a system.
  • This is a visualization of the graduated response system that comprises the juvenile justice system in
  • King County doesn't input data directly into their main system.
Summary: The committee heard testimony on the effects of H.R. 1 on Washington’s Medicaid, developmental disability, long-term care, and food assistance systems, followed by a separate discussion of juvenile rehabilitation caseloads and placement capacity. DSHS officials said HR1 could affect home equity rules, immigration-related eligibility, work requirements for some expansion-population enrollees, and provider taxes, while also creating a future opportunity for a new 1915(c) waiver. Advocates and providers warned that any state response that cuts home and community-based services would worsen already thin provider networks, increase waiting lists, push more people into hospitals or out-of-state placements, and strain families and workers. A pediatric behavioral health expert and a supported living provider said Medicaid reimbursement is already too low and further reductions would threaten outpatient, residential, and inpatient services for people with intellectual and developmental disabilities and severe behavioral needs. The committee then turned to SNAP and the state food assistance program. DSHS said HR1 would tighten work requirements and exemptions, end some immigrant eligibility for the federal program, eliminate the SNAP education program, raise state administrative costs, and eventually require Washington to share in benefit costs based on its error rate. Officials estimated large numbers of residents could lose or see reduced benefits, with significant added state costs. Anti-hunger advocates, a food bank director, and a SNAP recipient described the program as essential for low-income families, seniors, and people with disabilities, and said the changes would increase paperwork, reduce benefits, and worsen food insecurity while also harming local food economies. Testimony emphasized that food banks cannot replace SNAP and that work requirements may be difficult to meet for caregivers, people with disabilities, and those facing child care or transportation barriers. In the juvenile justice portion, the Caseload Forecast Council presented the JR forecast, which is currently mostly flat through the end of the biennium but expected to grow modestly over the longer term. Members discussed how policy choices, including the 2019 JR-25 law, have increased lengths of stay for adult-sentenced youth in JR, while diversion and other reforms have affected regular JR trends. A court researcher explained the data available to help forecast admissions and noted ongoing efforts to improve data sharing with JR, AOC, and county systems, though staffing and system-lag issues limit how quickly data can be produced. Juvenile court administrators and DCYF officials described the community-based juvenile justice continuum, rising complexity in the JR population, overcrowding at Green Hill and placement constraints at Echo Glen and Harbor Heights, and the need for more flexible community transition and mental health capacity. No votes were taken.
NM

New Mexico 2025 Regular Session

IC - Science, Technology and Telecommunications Nov 12th, 2025

Science, Technology & Telecommunications Committee

Transcript Highlights:
  • You know, showing the way things connect and the way the systems talk.
  • "Drop this system on my premises."
  • Secretary, you keep talking about a centralized IT system.
  • So here we see Governor Gina Raimondo announcing the new system.
  • They are the keeper of the system knowledge.
NH

New Hampshire 2025 Regular Session

House Public Works and Highways (01/14/2025)

Transcript Highlights:
  • <00:34:19.879> inner 11 local public transit systems inner 11 local public transit systems
  • has to stay in the Turnpike system.
  • operates<00:41:03.800> as system the turnpike system operates as system the turnpike system
  • > we stay in the turnpike system so when we stay in the turnpike system so when we talk<00:41:
  • the state the the turnpike system the state the the turnpike system self-supported<00:41:25.040>
Keywords: 928, house, all
Summary: The Public Works and Highways Committee held an orientation meeting focused on introducing members, outlining committee norms, and hearing an overview from the Department of Transportation. Chair David Mills emphasized the committee’s long-standing bipartisan working style, asked members to share contact information for short-notice scheduling, and noted that the committee would need to complete as much work as possible before the building is vacated later in the year. Members introduced themselves and described backgrounds in engineering, construction, planning, local government, military service, education, and business. Several members highlighted prior service on planning boards, school boards, zoning boards, or in transportation-related fields as relevant to the committee’s work. Members repeatedly described the committee as collegial and nonpartisan, with most bills going to the consent calendar. The chair also noted that the committee’s work centers on state infrastructure, including roads, bridges, highways, and buildings. Representative Cluder, the ranking member, and others echoed that the committee is effective because it talks issues through and resolves disagreements collaboratively. One member mentioned a recent trip that reinforced the importance of infrastructure resilience after storms and rebuilding efforts in other states. Department of Transportation officials, led by Assistant Commissioner and Chief Engineer David Rodrig, gave a detailed organizational and operational overview. They described DOT’s structure, mission of “transportation excellence,” and major responsibilities across highways, bridges, rail, transit, aeronautics, maintenance, and administration. Rodrig reported 1,651 permanent positions and 404 vacancies, 2,160 state bridges with 115 on the Red List, 4,600 centerline miles of roadway, 25 public airports, 11 transit systems, and 194 active state-owned rail lines. He also outlined FY 2024 spending, project development activity, highway maintenance operations, fleet and fuel systems, and the distinction between the highway fund and DOT’s budget, including the role of federal funds and the turnpike enterprise fund. No votes were taken and no bills were acted on during this orientation meeting.
MN

Minnesota 2025 1st Special Session

Legislative Task Force on Child Protection 8/13/25

Minnesota House Floor Meeting

Transcript Highlights:
  • <00:05:23.120> and Minnesota's child protection system and Minnesota's child protection system
  • outside of the child protection system outside of the child protection system and<00:10:04.160><
  • that uh if you're not within that system that uh if you're not within that system it<00:10:12.240
  • system does a lot of different things. system does a lot of different things.
  • our transforming systems together work. our transforming systems together work.
Keywords: 1183, house
FL

Florida 2026 Regular Session

Children, Families, and Elder Affairs Mar 25th, 2025

Children, Families, and Elder Affairs

Transcript Highlights:
  • This bill is aimed at improving Florida's behavioral health system.
  • system that needs updating.
  • Who are going through the system and working with managing entity providers.
  • Our systems and our processes must be focused on a united mission as people.
  • , the coordination, and transparency of our infrastructures and our systems.
Summary: The Committee on Children, Families, and Elder Affairs met to consider several bills and the confirmation of Taylor Hatch as Secretary of the Department of Children and Families. SB 1310, relating to reporting of student mental health outcomes, was temporarily postponed. The committee then took up SB 1354 on behavioral health managing entities, adopted a delete-all amendment, and heard support for the bill’s focus on transparency, accountability, audits, referral patterns, and a DCF report due by December 1. Members discussed the capacity of the current reporting system and the need for coordination with school districts. The committee voted the bill favorably. The committee next considered SB 1620 on mental health and substance abuse disorders, which implements selected recommendations from the 2025 Commission on Mental Health and Substance Use Disorders. The bill, as amended, includes reforms on dignity and patient-centered care, crisis response, individualized treatment plans, use of the DLA-20 assessment tool, data analysis by the Louis de la Parte Florida Mental Health Institute, and creation of a research center. Amendments removed a direct medication-provision requirement in favor of a review and report on discharge procedures, medication adherence, and long-acting injectables, and clarified licensure priorities for short-term residential treatment programs. Testimony and debate emphasized the need for action, better data, and efficient use of public funds. The committee reported the bill favorably. Finally, the committee heard from Taylor Hatch, the Governor’s appointee to lead DCF. Hatch described her background in state government and her priorities for DCF, including coordination, transparency, prevention, permanency, and responsiveness to vulnerable Floridians. Several members spoke in support, citing her experience at APD and familiarity with the agency’s work. The committee voted unanimously to recommend her confirmation, and then adjourned.
MN

Minnesota 2025-2026 Regular Session

Committee on Higher Education - 02/24/26

Higher Education

Transcript Highlights:
  • funding based on system performance. funding based on system performance.
  • Teams in our system are diagnosis.
  • service throughout those systems, as well as our primary partner, the Fairview system.
  • service throughout those systems, as well as our primary partner, the Fairview system.
  • service throughout those systems, as well as our primary partner, the Fairview system.
Keywords: 1187, senate, all
FL
Transcript Highlights:
  • All this is doing is saying systems can talk.
  • Because the system identifies, the system has the ability to identify that on the back end.
  • ...with, you know, updating the system.
  • The voter registration system and the DMV system. The voter registration system and the DMV system.
  • So let's stick with our current system.
Summary: The committee first took up CS for SB 1342, a transit-oriented development bill intended to expand housing near fixed transit corridors. The sponsor said the measure builds on the Live Local Act by reducing regulatory barriers and encouraging private investment around transit investments. An amendment was adopted that narrowed definitions, limited the bill to land use and development regulations, removed a private cause of action, and exempted certain sensitive areas including military installations and environmentally sensitive lands. Supporters argued the bill would increase housing supply and maximize the return on state transit spending, while local government groups and other opponents warned it would preempt local zoning, impose uniform density rules, and create infrastructure, evacuation, and public input concerns. The bill was then reported favorably. The committee then considered CS for SB 1334, an elections bill that would require documentary proof of citizenship in certain voter registration and verification processes, update candidate qualification rules, require U.S. citizen markers on driver licenses and ID cards, and clarify that paper ballots are the primary voting method. Two technical amendments were adopted. The sponsor said the bill would streamline verification by allowing agencies to rely on Real ID and DHSMV records, reduce duplicate documentation, and improve communication between state systems. Senators questioned the fiscal impact, data-sharing procedures, storage of sensitive documents, effects on students, disabled voters, and people without driver licenses or Real IDs. A large number of public speakers opposed the bill, arguing it would burden eligible voters, especially students, seniors, disabled people, low-income residents, naturalized citizens, and people with name changes, while a smaller number supported it as an election integrity measure. The bill was ultimately not finished in the portion of the transcript provided, but the committee continued taking testimony and questions. Later, the committee took up CS for SB 1362 on advanced air mobility. A strike-all amendment was adopted to align the bill with the House version and authorize FDOT to fund vertiports and charging systems as part of public-private partnerships, including up to 80% of the non-federal share when federal funds are available and up to 100% if FDOT elects to do so. The sponsor framed the bill as helping Florida lead in advanced air mobility, and the measure was reported favorably with support from industry and local government representatives. Finally, the committee heard SB 174, which would designate a portion of State Road 985 in Miami-Dade County as Charlie Kirk Memorial Avenue and direct FDOT to install markers at an estimated cost of $2,400. The sponsor said the designation was tied to Turning Point USA activity at FIU and civic engagement. Several senators objected in debate, arguing Kirk was divisive and that the state should reserve road memorials for figures more broadly deserving of honor; others defended the designation as symbolic and non-regulatory. The transcript ends during the sponsor’s closing remarks, before a final vote is shown.
MN

Minnesota 2025 1st Special Session

House Taxes Committee 2/20/25

Taxes

Transcript Highlights:
  • <00:08:39.000> so things in the property tax system so things in the property tax system so
  • of the SSIS system.
  • tax system.
  • or rate Cuts in the property tax system or rate Cuts in the property tax system but<00:36:41.160
  • earlier that the property tax system earlier that the property tax system works<00:36:46.440>
Keywords: 1183, house