Video & Transcript Research : 'stroke system'
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MN
Minnesota 2025-2026 Regular Session
Investing in Disability Services – Senator Jim Abeler Feb 24th, 2025
Minnesota Senate Floor Meeting
Transcript Highlights:
- But the thing is, we have a very complicated system about how we pay for the needs of people.
- We have a system of assessments called MnCHOICES, which is frankly a disaster.
- Well, if you have a system that's got that many workarounds, let's fix the system.
- I mean, that's just the government system and give and take, and there's an administration.
- on workarounds well if you have a system on workarounds well if you have a system that's<00:03:22.840
FL
Transcript Highlights:
- It's going to make our system stronger. It's going to make our system more focused on outcomes.
- It will be in partnership with our state college systems.
- There's $3.5 million for the statewide law enforcement radio system.
- One, it creates a kind of predictable cash flow system so that we don't have two kinds of cash flow systems
- This is a complicated system to begin with.
Summary:
The Senate opened with prayer, the Pledge of Allegiance, and several gallery introductions before taking up Committee Substitute for Senate Bill 168, the Tristan Murphy Act, on mental health. Senator Bradley explained that the bill is intended to divert clinically appropriate defendants with mental illness from jail to treatment, create pretrial mental health diversion programs, expand grant uses for mental health and substance abuse reinvestment, require evaluations and treatment follow-up in certain probation and prison settings, add Hillsborough County to a forensic hospital diversion pilot, and establish a Florida Behavioral Health Data Repository. Senators from both parties spoke in support, emphasizing treatment over incarceration, public safety, and the Murphy family’s role in the bill. The Senate passed the bill 37-0 and then recorded 37 co-sponsors.
The chamber then moved into presentations on SB 2500, the 2025-26 General Appropriations Act. Chair Hooper said the Senate budget totals $117.4 billion, reduces overall spending from the prior year, maintains reserves, keeps employee health contributions level, and includes major investments in water quality, transportation, education infrastructure, and nearly $1 billion in education capital outlay. Committee chairs outlined their portions of the budget, including increased funding for K-12 schools and scholarships, higher education workforce programs, Medicaid and health services, corrections and courts, transportation and housing, and environmental restoration such as Everglades and water quality projects.
Members then asked extensive questions, especially about education funding, school choice, AP/IB and accelerated programs, the Family Empowerment Scholarship, and the FEFP calculations. Senator Burgess repeatedly explained that scholarship funding is being moved “below the line” to improve tracking and that the Senate position is to preserve funding while giving districts more flexibility. Senators also questioned the APD wait list for disability services, opioid settlement spending, arts funding, the My Safe Florida Home condo pilot, and proposed IT and agency restructuring. Several chairs said some issues would be resolved in conference, and no final vote on the budget was taken in the portion provided.
ND
North Dakota 2026 1st Special Session
Higher Education Funding Review Committee Mar 25th, 2026 at 09:00 am
Higher Education Funding Review Committee
Transcript Highlights:
- across the system and raising that expectation.
- System-level flexibility is essential.
- They don't have a community college system. They don't have a four-year board system.
- They don't have a community college system. They don't have a four-year board system.
- Everybody's worked in the system.
CA
California 2025-2026 Regular Session
Joint Legislative Audit Committee Jun 18th, 2025
Transcript Highlights:
- The system is broken and it's failing our community.
- We're strengthening our systems.
- One was an antiquated bidding system for contracts.
- The audit is essential to address systemic disparities in the justice system, provide transparency on
- Meanwhile, the system costs too much to run.
Summary:
The committee heard several audit requests and related testimony. The first major item was an audit of Coachella Valley Unified School District’s contract and fiscal management. The author and supporters described long-standing fiscal mismanagement, large budget shortfalls, layoffs, contracting concerns, and questions about the district’s foundation and use of public funds. District representatives and the Riverside County Office of Education said the district is already under fiscal oversight, has a stabilization plan, and is working to reduce deficits and improve student outcomes. After extensive debate and public comment, the motion to approve the audit was put on call because the committee did not have the required votes from both houses at that moment.
The committee then approved an audit of East Bay transit agencies in Alameda and Contra Costa counties. Senator Wahab argued the region’s many overlapping transit agencies create fragmentation, duplication, and inefficiency, especially amid a fiscal cliff and possible future tax increases. Transit agencies and labor representatives opposed the audit, saying the agencies already undergo multiple audits, serve distinct local needs, and are implementing regional coordination efforts. After testimony from agency leaders and public commenters, the committee voted to approve the audit.
The next item was an audit of California Community Colleges’ unrestricted reserves. Senator Archuleta and supporting faculty representatives said reserves have grown substantially and may be diverting resources from student services, instruction, and workforce programs. They argued there is little oversight when reserves become too high. The Chancellor’s Office and Calbright College were invited to respond, and the audit objectives focused on reserve growth, reasons for high balances, oversight by the Chancellor’s Office, and effects on students and staff. The transcript cuts off during the Chancellor’s Office response, so the final committee action on this item is not shown.
TX
Texas 89th Regular
Appropriations - S/C on Articles I, IV, & V Feb 24th, 2025
Appropriations - S/C on Articles I, IV, & V
Transcript Highlights:
- , the CAP system, for over 12 years and continue to be on boarded onto that system.
- The older mainframe legacy financial system.
- System such as the uniform statewide accounting system USAS and the Texas identification number system
- , the TEN system, need to be replaced with modern technology. these critical systems will reduce our
- But that IP that's in the system.
CA
Transcript Highlights:
- It creates systems so concerns don't get ignored or lost.
- It creates systems so concerns don't get ignored or lost.
- Within the school system?
- Has your case been, or has a student gone through the legal system as far as the court system?
- The court system? In regards to my son? Yes.
Summary:
The committee heard SB 1067, which would require annual math screening for kindergarten through second grade students beginning in 2028-29 to identify early numeracy difficulties and connect students to evidence-based supports. Senator Weber and supporters, including EdVoice, UC Davis researcher Charles Wilkes, and several education and community advocates, argued that California’s math performance is too low and that early screening would help close gaps before they widen. Opponents, including the California Mathematics Council, county superintendents, and the CTA, said the bill could narrow instruction, overemphasize deficit-based measures, and should instead be paired with stronger investments in teacher training and implementation of the California Mathematics Framework. Committee members generally expressed support for the bill’s goals while discussing how the screener would work and what kinds of follow-up supports would be needed.
The committee also heard SB 1110 on child care subsidy administration, which would restructure funding for alternative payment programs and core contracts as the state moves to enrollment-based funding. Supporters said the bill would stabilize child care providers, improve payment timelines, and better reflect the administrative work of enrolling families and managing services; there was no opposition testimony. SB 1374, supported by the CSU and UC systems, would allow public higher education institutions to seek temporary restraining orders when credible threats are directed at a campus rather than a specific person. Supporters described recent campus threats that created safety concerns but did not fit current restraining-order law; there was no opposition.
Senator Nilo presented SB 1321, which would direct the State Auditor to review remedial course use and student preparedness at selected UC and CSU campuses after a UC San Diego report showed a sharp decline in incoming students’ math readiness. Supporters argued the audit would help identify gaps in college readiness and the effects of K-12 changes, while some members raised concerns about bypassing the usual legislative audit process; the bill was held on call. The committee then took up SB 1086 on microschools, which would define microschools and direct model ordinances for local land-use regulation. Supporters said it would create a clearer path for small, individualized learning communities, but several members questioned whether the concept was sufficiently defined and whether the state had enough information to draft model ordinances; the bill was also placed on call after a quorum was established. Finally, SB 1181 was presented as a limited pilot program in Central Valley counties to connect schools with regional threat assessment centers when credible safety concerns arise. The author and supporters, including the mother of a student killed in a shooting and several students, said it would improve early intervention and communication; committee members raised privacy and federal-sharing concerns but indicated support, and the bill was moved forward on a vote once quorum was present.
HI
Hawaii 2026 Regular Session
HHS, HHS DEFER Public Hearings 02-06-2026
Transcript Highlights:
- monthly payments yeah into the system. monthly payments yeah into the system.
- We have a nonprivate system.
- We have a nonprivate system.
- We have a nonprivate system.
- We have a nonprivate system.
Summary:
The Committee on Health and Human Services heard several health-related measures. SB 3132 on syndromic surveillance drew support from the Department of Health, healthcare organizations, and others, with DOH explaining the bill would formalize a surveillance program that has helped with real-time flu tracking and response to events like the Maui fires. A member raised privacy concerns from opponents, and DOH responded that the data are deidentified and do not include Social Security numbers or dates of birth. No votes were taken on the bill in the portion provided.
SB 3134 on emergency medical systems of care received broad support from SHIPA, DOH, military and EMS representatives, and others, who said it would modernize the EMS system. SB 3136 on lead materials and water infrastructure was also supported by DOH and SHIPA; members asked whether the bill would allow Hawaii to keep stronger standards if federal drinking water rules were weakened, and DOH said the state would not have to follow weaker federal standards as long as Hawaii remained as stringent or more stringent. SB 3138 on independent audits of deposit beverage distribution drew support from DOH and several industry groups, but with amendments to reduce burdens on small businesses, raise the audit threshold, and modernize reporting; opponents also testified. DOH later clarified that the measure would affect a limited number of distributors and said it is working on an electronic submission system, though not yet for audit filings.
SB 3139 concerning SHIPA was supported by SHIPA and the Grassroots Institute of Hawaii, while HMSA suggested one provision should remain under the insurance commissioner’s purview. SHIPA said the bill is about collaboration and a broader health vision, not regulation, and members indicated they were comfortable with removing the disputed portion. SB 3207 on background checks drew support from healthcare providers but opposition from the Attorney General and DOH. Supporters argued the FBI fingerprinting requirement is costly, duplicative, and difficult to schedule, while opponents said the bill would improperly shift fingerprint collection authority to hospitals and other facilities and could conflict with federal law. The committee engaged in extended questioning about costs, federal requirements, and whether the mandate would be passed on to patients; no final action is reflected in the excerpt. The committee then began SB 2271 on hospital licensing, with support from SHIPA, the Developmental Disabilities council, healthcare groups, Kaiser Permanente, and DOH, and commenters said the bill would allow hospitals to demonstrate compliance through CMS-recognized accreditation, with a suggested wording change to “approved” accrediting organization.
AL
Transcript Highlights:
- Instead of going to the court system. Instead of going to the court system.
- So uh court system or go to a bondsman? So uh court system or go to a bondsman?
- That is guaranteed money. court system. That is guaranteed money. court system.
- , understands that has been in the system, understands that has been in the system, understands the system
- . in the court system. in the court system.
Keywords:
resisting arrest, penalties, criminal justice, law enforcement, public safety, youthful offender, capital murder, victims' rights, SB254, Alabama, statute of limitations, civil procedure, civil action, sex offense, sexual abuse, child sexual abuse, survivor rights, tolling, disability, minor plaintiff
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:
- But as is often the case with major system change, implementation has been uneven.
- So the goal of the roadmap is is really focusing on crisis system reform.
- Imagine someone took a chemical sledgehammer to your central nervous system.
- , crisis response system in 2023, and one of the core elements in our plans for that system was community-based
- I had to find my own coach and build my own support system. But that process...
Summary:
The hearing opened with remarks from House Chair Mindy Domb and Senate Vice Chair Robyn Kennedy, who outlined procedures for the hybrid public hearing, noted the committee would hear testimony on 15 bills related to treatment settings, and recognized members present. The first major bill discussed was H. 4200, authorizing a pilot program for psychedelic-assisted treatment in licensed facilities. Representative Jim O’Day and witnesses from Control Z supported the bill, describing it as a tightly controlled, medically supervised pilot with DPH oversight, limited sites, and screening requirements. Committee members asked about the number of sites and whether Column Health still existed; witnesses said the bill contemplated three separate pilot programs and that Column Health no longer existed after being purchased by another company. The committee also heard testimony on S. 1405 to make the drug stewardship program permanent by removing its 2026 sunset date. Senator John Keenan and others said the program helps collect and safely dispose of unused medications, reduces diversion, and should remain in place because manufacturers should bear disposal costs. A member from Boston added support based on local concerns about people searching through bags for drugs, and Keenan explained the original sunset reflected pilot status and industry pushback.
A large portion of the hearing focused on S. 1394 and H. 2193, which would strengthen implementation of the 2023 Roadmap for Behavioral Health Reform. The Children’s Mental Health Campaign, Parent/Professional Advocacy League, Massachusetts Association for Mental Health, and Elliott Community Human Services testified that the roadmap’s helpline, community behavioral health centers, and crisis services are important but unevenly implemented. They urged a single point of accountability within EOHHS, regular strategic planning, a public data dashboard, and financial analysis of the behavioral health system and the access and crisis intervention trust fund. Witnesses said commercial insurance often does not fully reimburse community behavioral health center services, making sustainability difficult, and asked for better coordination across agencies and crisis response systems. Committee members asked whether the roadmap includes substance use disorder; witnesses said it is intended to cover behavioral health broadly, including mental health and substance use.
The committee also heard testimony on bills to ban aversives and on suicide prevention signage. Lisa Jean Graff testified in support of S. 1394 by urging a statewide ban on aversive practices, including electric shock, withholding food or bathroom access, and other painful interventions, arguing disabled people deserve the same protections from harm as others. Fonda Bryant and Carol McLean supported a bill requiring suicide prevention signs on tall parking garages, describing personal experiences and saying the signs could create a brief pause and connect people to 988 or other help. McLean said her son died by suicide from a parking garage and that signage might have made a difference. The committee also heard strong testimony in support of creating intensive stabilization and treatment units within DMH facilities (S. 1398/H. 2204), with the Massachusetts Nurses Association and a DMH nurse arguing that highly assaultive patients need specialized, more secure units to protect staff and other patients and to improve care.
Additional testimony supported creating a dedicated board for licensed mental health counselors (H. 4696/S. 1382), with Rep. John Badger, the Mass Mental Health Counselors Association, and others saying LMHCs are a large and growing workforce that needs its own licensing board, clearer standards, and faster implementation of existing licensure reforms. The committee also heard extensive testimony on H. 2223 regarding benzodiazepines and non-benzodiazepine hypnotics. Survivors and advocates described severe withdrawal, lack of informed consent, cognitive harms, and long-term disability, while a physician supported the bill as a way to improve disclosure of risks. Finally, the committee heard multiple witnesses in favor of H. 2231/S. 1383 to establish peer-run respite centers statewide. Advocates and people with lived experience said peer respites provide non-coercive, home-like alternatives to hospitalization, can reduce trauma and repeated admissions, and may be especially important for marginalized communities; they also cited cost savings and existing positive outcomes from current respite programs. No votes or final committee actions were taken during the hearing portion reflected in the transcript.
NM
New Mexico 2025 Regular Session
IC - Courts, Corrections and Justice Jun 30th, 2025
Courts, Corrections & Justice Committee
Transcript Highlights:
- And so, I don't know what it is in the justice system.
- We're failing them in juvenile justice system.
- Uh, to revamp, revamp the behavioral health system.
- We are trying to get new case management systems that talk to all of the different police systems that
- is, they don't have that support system.
AZ
Transcript Highlights:
- The system is now open. Senator Diaz, Senator Epstein, Senator Gabaldón. The system is closed.
- The system is now open. The Senate will now proceed to vote. Vote no. The system is now open.
- The system is now open.
- The system is now open.
- The system is now open.
NM
New Mexico 2025 Regular Session
IC - Legislative Education Study Dec 17th, 2025 at 09:20 am
Transcript Highlights:
- However, coupled with a behavioral health system, a sound behavioral health system really can provide
- We also know that leader turnover in our school systems can disrupt momentum at any moment.
- Summit simply scales that system with purpose, clarity, and a shared vision.
- Coaching is the tool that drives the systems we have to improve our student performance.
- We cannot rely on chance; we must rely on systems. We must rely on our people.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 6 on Public Safety Mar 24th, 2025
Transcript Highlights:
- Senator for the school system, for SARB, that's not the answer.
- We attend the public school systems. And also with our health organizations.
- , as a young boy, we talk about the school system.
- We mentioned the IEP system, the SAR.
- So I think it bears a little explanation on how the system is set up.
US
US Federal 2025-2026 Regular Session
Hearings to examine the nomination of Steven Bradbury, of Virginia, to be Deputy Secretary of Transportation. Feb 20th, 2025 at 08:30 am
Commerce, Science, and Transportation Committee
Transcript Highlights:
- systems.
- , making sure we have up-to-date technical systems for the FAA, and yet we still see that systems are
- Again, a safety management system would have required an analysis, that's what safety management system
- It's a lot of money in the system.
- You confirmed that that's how the system...
Keywords:
transportation, air traffic control, safety regulations, Boeing 737 MAX, Department of Transportation, infrastructure funding, public safety, legislative oversight
Summary:
The committee meeting addressed several pressing issues concerning transportation, particularly focusing on the need for improved safety standards and efficient management at the Department of Transportation. Specific discussions revolved around air traffic control, with members highlighting the urgency for a significant upgrade in systems and personnel. Notably, concerns were raised regarding past practices, especially the handling of safety regulations during the Boeing 737 MAX incidents. The committee expressed a clear intent to ensure rigorous safety oversight moving forward, emphasizing that the health and safety of the public must remain the top priority in all legislative and funding decisions.
FL
Florida 2026 Regular Session
Children, Families, and Elder Affairs Feb 11th, 2025
Children, Families, and Elder Affairs
Transcript Highlights:
- and safety of children and families in Florida, particularly those impacted by the child welfare system
- Academic innovation programs aim to better prepare students for the realities of serving system-impacted
- We recently procured a new learning management system after the first one was not necessarily meeting
- It's going to be with post-adoptive parents and then young parents who have spent time in the system
- I want to take a moment to provide a brief overview of Florida's system of care and the role both the
Summary:
The committee heard three presentations focused on child welfare workforce development and the needs of children in Florida’s dependency system. First, the Florida Institute for Child Welfare described its Grow Center and related initiatives, including academic curriculum enhancements, simulations, virtual reality training, coaching, on-demand learning, advanced certifications, and the planned Tallahassee learning lab opening in January 2026. Members asked about conflict resolution, domestic violence, addiction, and microcredentials; the presenter said the institute is expanding training in those areas and is working with DCF to align advanced certifications with the department’s career ladder.
The Department of Children and Families then presented on the Continue the Mission initiative, which recruits veterans, military spouses, and former law enforcement officers into CPI, API, and case management roles. DCF said it has held more than 240 hiring events and hired 372 such workers since launch, while also improving recruitment and retention through higher starting pay, streamlined hiring, rebranding, wellness supports, and enhanced pre-service training. Senators asked about PTSD concerns, staffing levels, caseloads, hotline vacancies, and salaries; DCF said it had not seen direct PTSD issues from the hiring effort and provided figures including a $50,000 starting salary for CPIs, $37,000 for APIs, and average caseloads of 12 to 15 investigations for CPIs and about 10 for APIs.
Finally, DCF discussed the increased acuity of children in the dependency system, explaining that fewer children are entering care overall but those who do often have more complex behavioral, mental health, developmental, or medical needs. The department highlighted a new Behavioral Qualified Residential Treatment Program (BQRTP) designed for youth who need more intensive support than traditional foster or group home settings but do not require inpatient psychiatric treatment; one facility is licensed with 12 of 14 beds filled, and DCF said it is seeking funding for placement for 230 youth total. Members pressed for details on licensure timelines, standards, funding, and the handling of crossover youth and lockouts, and DCF said it uses braided funding and works with DJJ, APD, and lead agencies through local and state review teams. A representative of the Florida Coalition for Children also testified, saying the issue is complex and multi-year, and that the coalition is working on possible legislative and programmatic solutions. The committee took no formal votes and adjourned after the presentations and discussion.
FL
Florida 2025 Regular Session
December 2, 2025 - 08:30 AM
Transcript Highlights:
- So that leaves it up to the court system.
- and how they think the court system should be measured.
- So our systems, their case maintenance systems, where they maintain court records, must talk to our case
- the system, and I... ...huge strong points throughout the system, and I think we're making good progress
- clerks' corporation and their data system being totally different from the court's system's data system
Summary:
The committee first heard HB 133, which would lower the minimum age to purchase a long gun from 21 to 18. The sponsor said the bill restores the rights of law-abiding 18-year-olds. Public testimony was sharply divided, with supporters from Gun Owners of America and Florida Carry arguing that adults 18 and older should have equal Second Amendment rights and that current law is inconsistent with other adult responsibilities, while opponents, including gun violence prevention advocates, students, parents, and Parkland-related speakers, said the bill would reverse a post-Parkland safety measure and increase risks of suicide, accidental shootings, and school violence. Several members debated the bill, with opponents emphasizing Parkland, the Florida State shooting, and public polling showing broad opposition; supporters stressed parental responsibility, mental health, and constitutional rights. HB 133 was then reported favorably on a roll call vote of 13 yeas, with several members voting no.
The committee then took up CS/HB 289, which would revise Florida’s wrongful death law to allow parents to recover damages for the death of an unborn child. The sponsor said the bill is intended to let grieving parents seek civil remedies, and members questioned how it would apply in situations involving surrogacy, rape, ectopic pregnancy, medical care, and damages calculations. The sponsor said the bill would not allow suits against the mother, would not apply to lawful non-negligent medical care, and would be handled through ordinary wrongful death damage proof before a jury. Public testimony was again split: supporters from pro-life and faith groups said the bill recognizes unborn children and aligns Florida with many other states, while opponents from civil liberties, reproductive rights, and advocacy groups warned it could be used to target abortion providers, helpers, and even families or businesses in miscarriage-related cases, and could be weaponized by abusive partners. The transcript ends during testimony on HB 289, with no final vote shown in the excerpt.
TX
Transcript Highlights:
- as far as voting systems go, meaning we use stand-alone systems that aren't tied together, and for many
- back of that system.
- You always want to have backup systems.
- The ability to have their own system is crucial, and the reason they're paying for their own system is
- It's rough because every system has to work.
Keywords:
flooding, disaster response, emergency preparedness, state guidance, public safety, election officials, confidentiality, personal information, government transparency, spirit beverages, alcoholic beverages, Texas Alcoholic Beverage Code, distribution, taxation, firearms, local regulation, archery equipment, weapons, voter registration, statewide list
ND
North Dakota 2025-2026 Regular Session
Budget Section Commerce and Legal Service Division Jun 24th, 2026
Transcript Highlights:
- And then we also have a jail management system, which is a case management system.
- Also, we have had some issues with our fire alarm system as well as our burglar alarm system.
- I did... ...some issues with our fire alarm system as well as our burglar alarm system.
- old... ...some issues with our fire alarm system as well as our burglar alarm system.
- They make sure that our automated biometric information system, where our fingerprint system works.
Summary:
The committee met to review the Attorney General’s budget and related agency operations, beginning with Legislative Council staff walking members through compliance reports and a blue-sheet base budget document. Staff highlighted current-biennium items such as FTE changes, one-time appropriations, litigation funding, opioid settlement receipts, continuing appropriations, and major special and federal funds. Members asked for clarification on items including the Missing Indigenous People Grant Fund, the Internet Crimes Investigation Fund, and the Medicaid Fraud Control Unit grant funding.
Assistant Attorney General Clare Ness then gave an overview of the office’s structure, staffing, and budget pressures. She emphasized the office’s broad statutory duties, the value of its legal services to state and local government, and concerns about attorney pay lagging behind other agencies. Members discussed whether attorney compensation should be benchmarked more consistently across state government and whether some legal work could be consolidated within the AG’s office. Ness also addressed questions about AG opinion turnaround times, boards-and-commissions training, the new-and-vacant FTE pool, operating expense cuts, office leases, and the state’s criminal justice information systems.
The crime lab presentation drew significant attention. Director Jennifer Penner described severe space, safety, and infrastructure problems at the current lab, including cramped work areas, glycol leaks, outdated fire and burglar alarms, air-handling limits, and equipment failures that have delayed toxicology work. She said the 2024 study projected a much larger facility would be needed and that the preferred location would be near the current health department site, but in a new building. Members asked about possible evidence risks, backlog status, and whether the proposed building would solve the current problems; Penner said it would and noted backlogs have improved overall, though some delays remain.
The committee also heard from the new Medicaid Fraud Control Unit director, who described the unit’s civil and criminal work, federal-state funding split, and examples of fraud such as billing for services not provided or upcoding. The gaming division reported continued growth in charitable gaming and e-tabs, with members expressing concern about large trust-account balances, site competition, and possible misuse of proceeds. Finally, BCI outlined its caseload, cybercrime work, missing Indigenous persons task force, and the surge in CSAM cyber tips; members asked about AI-generated CSAM, and the AG’s office noted that last session’s law increased penalties and expressly allowed AI-generated CSAM to be prosecuted like other CSAM. No formal votes or actions were taken beyond approval of the minutes.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Financial Services Jun 21st, 2026 at 10:30 am
Joint Committee on Financial Services
Transcript Highlights:
- The system is broken.
- systems.
- health system is using the 340B program.
- systems.
- health system is using the 340B program or not.
Summary:
The committee held a lengthy hearing on a large docket of pharmacy and drug-pricing bills, with most testimony focused on PBM reform, 340B drug discount program protections, specialty medication access, and medication adherence. Chair James Murphy and Senator Paul Feeney opened the hearing and took testimony from legislators, patient advocates, pharmacists, health center leaders, industry representatives, and policy groups. Several speakers described delays, denials, high out-of-pocket costs, and pharmacy closures tied to PBM practices, while others emphasized the importance of community health centers and independent pharmacies in serving patients.
On the 340B program, supporters including Senator Eldridge, Senator Payano, Community Care Cooperative, Fenway Health, the Massachusetts League of Community Health Centers, and several community health center leaders argued that bills such as H. 1107 and S. 819 would stop discriminatory PBM and manufacturer practices, preserve contract pharmacy access, and protect safety-net providers that say they reinvest savings into care, pharmacy expansion, interpreter services, behavioral health, and other services. Opponents including PhRMA, the Community Liver Alliance, and a public policy analyst argued the program lacks transparency and accountability, has grown beyond its original purpose, and may benefit large hospitals and for-profit entities more than low-income patients. They urged more reporting and oversight rather than expanding protections.
On PBM reform, testimony supported bills including H. 1157, H. 1234, S. 724, S. 831, and related measures that would require rebate pass-through, ban spread pricing, limit steering to PBM-owned pharmacies, and improve reimbursement for community pharmacies. Independent pharmacists and patients said current PBM practices raise costs, create administrative burdens, and threaten access to local pharmacies. PCMA, representing PBMs, opposed the reforms, arguing PBMs lower costs, that plan sponsors choose to contract with them, and that the Health Policy Commission and CHIA should complete their ongoing study before new mandates are adopted. The committee also heard support for H. 1322 and S. 734 on specialty medications, and for H. 781 and H. 1305 on medication synchronization to improve adherence. No votes or formal actions were taken during the hearing.
MN
Minnesota 2025 1st Special Session
House State Government Finance and Policy Committee 3/4/25
State Government Finance and Policy
Transcript Highlights:
- were on our ERP systems before.
- those systems in the cloud.
- that project um and our last um system that project um and our last um system that<00:17:26.039>
- c> makes sure we keep those systems makes sure we keep those systems supported<00:17:46.559>
um - the overall effort to move our systems the overall effort to move our systems to<00:18:16.360>
Bills:
HF10