Video & Transcript Research : 'stroke system'

Page 151 of 500
CA
Transcript Highlights:
  • Yet government operates through systems, through programs, through funding streams, and agencies.
  • Their needs are interconnected, and our systems must be as well.
  • around setting up those billing systems and just getting those started.
  • We haven't redesigned a billing system for schools.
  • We've asked schools to redesign themselves to fit a health care billing system.
Keywords: 988, house, all
MN

Minnesota 2025-2026 Regular Session

House Transportation Finance and Policy Committee 3/25/26

Transportation Finance and Policy

Transcript Highlights:
  • We are trying to build a robust transit system, a system for the entire Twin Cities, and to say that
  • ,<00:58:09.680> a to build a robust transit system, a to build a robust transit system, a
  • <00:58:44.960> A building a robust transit system. A building a robust transit system.
  • subsidizing our transportation system. subsidizing our transportation system.
  • needs on the state trunk highway system. needs on the state trunk highway system.
MN

Minnesota 2025-2026 Regular Session

Committee on Judiciary and Public Safety - 01/22/25

Judiciary and Public Safety

Transcript Highlights:
  • investment in the state's justice system investment in the state's justice system in<00:14:28.440
  • <00:30:38.399> and are maintaining secure systems and are maintaining secure systems and assuring
  • parties who just bog the system parties who just bog the system down<00:37:02.480> Mr down
  • Minnesota Government access uh system Minnesota Government access uh system that<00:48:08.880>
  • to to remove the cases from the system to to remove the cases from the system we've<01:02:54.119
Keywords: 1187, senate, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Bonding, Capital Expenditures and State Assets Jun 21st, 2026 at 11:00 am

Joint Committee on Bonding, Capital Expenditures and State Assets

Transcript Highlights:
  • We also have three capital dashboards using real-time data from source systems to show us our deferred
  • Believe it or not, 50% of it is in the UMass system as a whole.
  • This single building demonstrates a systemic problem across our state university system.
  • This single building demonstrates a systemic problem across our state university system.
  • This single building demonstrates a systemic problem across our state university system.
Keywords: 995, all
Summary: The committee heard testimony on the BRIGHT Act, a higher education capital bill that would use Fair Share surtax revenue to fund major repairs, modernization, and decarbonization projects across UMass, state universities, and community colleges. UMass leadership described a $4.8 billion deferred maintenance backlog, aging buildings, and the need to modernize facilities, improve accessibility, and reduce emissions. Administration officials said the bill would authorize $2.5 billion in capital funding, split roughly 50-50 between UMass and the rest of public higher education, plus additional targeted funding for housing planning, smaller modernization projects, campus master plans, and workforce skills grants. They emphasized that the financing structure is modeled on the Commonwealth Transportation Fund and would not raise student costs, while also supporting affordability through financial aid and free community college. Members raised questions about regional equity, the distribution of funds among the five UMass campuses and the 24 state university/community college campuses, project labor agreements, whether the bill would unlock private or federal matching funds, and how the system is preparing for AI and changing workforce needs. UMass officials said project selection is data-driven, based on deferred maintenance, safety, accessibility, sustainability, and programmatic needs, and that the flagship campus in Western Massachusetts would likely receive a large share because of its size and needs. They also said UMass Boston would receive its own share and would not be shortchanged by the Bayside project. On labor, they said PLAs are commonly used and they would follow existing board and building authority policies. On affordability, they said the university has shifted hundreds of millions into need-based aid and that the state’s recent support has helped keep tuition low for many students. DCAMM and higher education officials said the state’s public campuses account for a large share of state-owned building space and a disproportionate share of operational carbon emissions, making decarbonization a major driver of the bill. They said the legislation would allow larger, more comprehensive projects that can address deferred maintenance, energy efficiency, and program needs at the same time, while also making some projects shovel-ready through the Fair Share supplemental funding already appropriated. A later panel from the State Universities Council of Presidents argued the bill’s authorization is still too small to meet long-term needs and urged the committee to increase the bond cap and ensure a more equitable distribution among segments. No votes or final actions were taken in the portion of the meeting provided.
AZ

Arizona 2026 Regular Session

03/10/2026 - House Natural Resources, Energy & Water

Natural Resources, Energy & Water

Transcript Highlights:
  • That will ask that the BIA divest themselves of the SKIP system.
  • It is a very diverse and very widespread, old, dilapidated system.
  • It is a system that desperately needs help.
  • We have basically got that system surrounded.
  • It is a system that desperately needs help.
AL

Alabama 2025 Regular Session

Alabama House Commerce and Small Business Committee Apr 29th, 2025

Commerce and Small Business

Transcript Highlights:
  • Consequences related to water and gas systems could have negative consequences for regional utility systems
  • We're investing back into the system and ...We're investing back into the system and there's no need
  • Um, what we have is a system that is broken.
  • For best practices, a water system... ...go?
  • replacement. ...better spent on our systems replacement factor.
Bills: SB330
FL

Florida 2025 Regular Session

November 18, 2025 - 10:30 AM

Transcript Highlights:
  • So our Florida State for system started in 1936.
  • And there's a lot of a very robust road system and forest.
  • . >> Florida has one of the nation's largest and oldest wildlife management area systems.
  • Our rural communities since much of the WMA system is located in rural areas.
  • In recent years we've increased the lead areas in the WMA system by almost 90,000 acres.
FL

Florida 2025 Regular Session

March 31, 2025 - 01:30 PM

Commerce Committee

Transcript Highlights:
  • Number one, our current system only offers a maximum of $275...
  • Our current system only offers a maximum of $275 a week.
  • We completely scrapped the system, and we see that it doesn't work.
  • They decide the way we're going to fix the system...
  • That's not what the unemployment system is set up for.
Summary: The committee took up eight bills and memorials and reported each favorably. It first passed HM 4063, a memorial urging Congress to lay the groundwork for a federal sovereign wealth fund. Sponsor Rep. Anderson described it as a long-term economic security measure, while several members questioned how such a fund would be structured, governed, and balanced against paying down debt. Ranking member Hunschofsky and Rep. Spencer raised concerns about transparency, market disruption, and the lack of specific parameters. The memorial passed on a recorded vote. The committee then approved CS/HB 139, allowing pawnbrokers to use digital transaction forms, with SMG testifying in support as a modernization and pro-business change. It also adopted an amendment and passed HB 1157, which tightens reemployment assistance requirements by adding work-search, interview, identity, immigration, and availability checks; the amendment added protection for missed interviews due to emergencies and removed an email reporting requirement. The Florida AFL-CIO and Florida Center for Fiscal and Economic Policy opposed the bill, arguing Florida’s unemployment system is already overly restrictive and that the proposal would further limit access to benefits, while supporters said it would ensure claimants are actively seeking work and verify eligibility. Members also passed CS/HB 497 to create nonprofit agricultural organization medical benefit plans for farmers and ranchers, with support from Americans for Prosperity, the Florida Hospital Association, and the Farm Bureau; CS/HB 729 to authorize veterinary professional associates to perform limited duties under veterinarian supervision, with testimony from veterinarians and advocates citing access and workforce shortages; and HB 311, a right-to-repair bill for motorized wheelchairs, which drew strong support from disability advocates who described long repair delays, high costs, and the impact on independence and health. Rep. Tramont praised the wheelchair repair bill during debate, and the committee voted it favorably. Finally, the committee passed CS/HB 1549, an Office of Financial Regulation agency bill intended to help regulate financial institutions more efficiently, and CS/HB 715, which allows licensed roofing contractors to perform roof-to-wall connections during reroof or repair projects and extends the emergency cancellation window to 180 days after a declared emergency. HB 715 was amended to require a contract notice advising property owners to verify insurance coverage before signing when the work is tied to an insurance claim. Roofing industry groups and home inspection representatives supported the measure as a way to reduce costs and improve wind mitigation. At the end of the meeting, the chair announced the agenda was complete and the committee rose.
NH

New Hampshire 2025 Regular Session

Senate Health and Human Services (02/06/2025)

Health and Human Services

Transcript Highlights:
  • c><00:47:48.960> yes people are unknown to the system yes people are unknown to the system yes
  • We are an acute care health system.
  • We are an acute care health system.
  • We are an acute care health system.
  • precious resources for our 911 system precious resources for our 911 system are<00:58:19.079>
Keywords: 1191, senate, all
KY
Transcript Highlights:
  • He said, "You know, I am Health System.
  • <00:20:58.240> We've hospital systems as a whole. We've hospital systems as a whole.
  • hospital systems.
  • This is a systemic hospital systems.
  • answer that like on behalf of the system answer that like on behalf of the system at<01:28:46.320
Summary: The Make America Healthy Kentucky Task Force met with a quorum, approved the minutes, and then heard a presentation on the state’s “food is medicine” work from Kentucky Hospital Association and Kentucky Department of Agriculture leaders, including Jim Muser, Holly Harris, and Commissioner Jonathan Shell. The chair framed the discussion around personal wellness, injury prevention, and the broader goal of improving health through better sleep, nutrition, and activity, then asked the presenters to describe current initiatives and any policy changes needed. The witnesses described a partnership linking hospitals and Kentucky farmers to improve health outcomes while supporting rural agriculture. They said the effort has moved beyond the pilot stage and now includes more than 40 hospitals statewide, with programs such as healthier hospital cafeterias, grab-and-go options, farmers markets at hospital sites, subsidized CSA boxes for employees, and medically tailored meals or groceries for patients with chronic conditions. ARH was highlighted as a leading model, with local food procurement, employee wellness efforts, and measurable outcome pilots, including a Russell County Hospital project focused on diabetes, heart disease, and obesity. They also emphasized barriers to scaling the model, including fragmented short-term funding, lack of reimbursement for food-as-medicine programs, and burdensome procurement and testing requirements that can make it difficult for small farmers to participate. The presenters said hospitals are using their own funds or temporary grants to sustain programs and argued that policy changes are needed to simplify sourcing, expand reimbursement pathways, and support clinical measurement of outcomes. No votes or formal actions beyond approving the minutes were taken during the portion provided.
FL

Florida 2025 Regular Session

December 10, 2025 - 03:30 PM

Transcript Highlights:
  • And that enables us to monitor what's happening across the court system statewide.
  • We have 4700 positions in the court system.
  • And each of those has a judge, a judicial system, and it takes a while to integrate those into the system
  • We do use a tiered credentialing system.
  • I can promise you that to learn more about their system.
FL

Florida 2026 Regular Session

Appropriations Committee on Higher Education Dec 3rd, 2025

Appropriations Committee on Higher Education

Transcript Highlights:
  • Our vision is one for the entire system, to be the premier public system.
  • To me, it is the true power of Florida’s university system.
  • To me, it is the true power of Florida's university system.
  • system began early and I went to college and just opened.
  • I'm also a product of Florida's university system.
Summary: The Appropriations Committee on Higher Education met to hear confirmations for 19 appointees and reappointees to university and state college boards, with most of the agenda focused on the University of Florida, Florida A&M University, Florida Atlantic University, University of Central Florida, Florida State University, Florida Polytechnic University, Florida Gulf Coast University, Pensacola State College, State College of Florida Manatee-Sarasota, North Florida College, South Florida State College, and the Florida Prepaid College Board. Testimony from the nominees generally emphasized their educational backgrounds, professional experience, and priorities such as student success, workforce development, financial sustainability, research growth, housing, and maintaining or improving institutional rankings. Several UF trustees highlighted the university’s “One UF” vision, institutional neutrality, and goals of reaching top-three or top-one national status. Other nominees stressed the role of state colleges in workforce pipelines, and Florida Poly witnesses focused on STEM growth, housing, and strong graduate outcomes. One in-person public testimony came from Elijah Hooks, who spoke in opposition to the current FAMU administration and described his expulsion, arrest, and trespass from campus after protesting the appointment of President Marva Johnson. For FAMU, Jocelyn Dobson Rodriguez testified in support of her appointment, emphasizing her legal background, alumni ties, and goals of strengthening leadership, alumni engagement, and the connection between the main campus and the College of Law in Orlando. For Florida Atlantic University, Tina Vidal-Duart was questioned closely about her prior service on the Hope Florida Foundation board and about CDR Health’s involvement in state contracts; she said she was not aware of the foundation’s governance problems at the time and that CDR’s state contract was a flat daily rate. The committee then voted to report all appointees favorably except for Tina Vidal-Duart, whose confirmation was held for a separate vote at the request of Senator Bracy Davis. After discussion, the committee voted 5-1 to report her confirmation favorably as well. The meeting concluded with no further business and adjournment.
NM

New Mexico 2025 Regular Session

IC - New Mexico Finance Authority Oversight Jul 9th, 2025

New Mexico Finance Authority Oversight Committee

Transcript Highlights:
  • So if a water system has a public water system number, they are eligible whether they are public or private
  • Would public school systems, that are obviously a part, Of community water systems, would they be eligible
  • One last question: So you're saying that our public school systems, are the public school systems accessing
  • Our system is quite old; the wastewater system is the old clay tile that's starting to collapse.
  • We are now pinpointing and have a full GIS system as of the water system that we've been able to work
US
Transcript Highlights:
  • at the agency he understands its critical mission ensuring the safety and soundness of our banking system
  • said that he intends for his new company, X Money, to, quote, become half of the global financial system
  • . improving bank supervision, and embracing innovation within the agency and the banking system.
  • Transit is more than a... system of buses, ferries, and rails.
  • It is the shared circulatory system of our economy.
Summary: The committee meeting focused on several nominees within key financial institutions, including discussions surrounding the SEC, the Federal Transit Administration, and the Comptroller of the Currency. Notable dialogue included concerns over regulatory balance, with various members emphasizing a need to streamline regulations to foster innovation while ensuring accountability and safety for investors. The importance of the proposed 'Empowering Main Street in America Act' was highlighted as a means to facilitate access to capital for small businesses, underlining the current administration's approach towards financial regulations.
FL

Florida 2025 Regular Session

March 5, 2025 - 10:15 AM

Transcript Highlights:
  • But yes, and on the business side, the first entry to the system is through that Employ Florida system
  • How responsive is our letter grade system to potential changes for revisions with the U.S.
  • How responsive is our letter grade system to potential changes for revisions with the U.S.
  • And that plan is filed in the case management system.
  • And that plan is, it's filed in the case management system.
Summary: The subcommittee met to receive an informational presentation from CareerSource Florida President and CEO Adrian Johnson, joined by Anthony Gagliano of CareerSource Suncoast, on the structure, funding, and services of Florida’s workforce development system. Johnson explained that CareerSource serves job seekers and businesses through 21 local workforce development boards and nearly 100 career centers, using federal and state funding streams such as WIOA, Wagner-Peyser, SNAP Employment and Training, and TANF. She described services including case management, training, wraparound supports, job matching, rapid response for layoffs and disasters, and business services such as recruitment, customized training, and on-the-job training. She also highlighted the REACH Act’s role in consolidating local boards from 24 to 21, creating the Master Credential List and Credential Review Committee, and implementing performance-based letter grades for local boards. Members asked detailed questions about funding formulas, letter grade metrics, apprenticeships, youth services, small business access, and the demand occupation list. Johnson said federal allocations are driven largely by unemployment and poverty formulas, which has reduced Florida’s WIOA funding by about $27 million over four years because of the state’s low unemployment rate. She explained the letter grades measure outcomes such as increased earnings, reduced public assistance, employment and training outcomes, work-based learning, business engagement, and service to individuals in certain programs, and said the system is being reviewed for possible changes, including removing extra credit and adjusting weights. On youth services, she said Florida has a waiver allowing a 50/50 split between in-school and out-of-school youth funding, and that local partnerships drive outreach. On the demand occupation list, she said it is based on state labor market data and projections, but local boards can submit evidence of local demand when data does not reflect conditions in their area. A substantial portion of the discussion focused on apprenticeships and workforce training grants. Johnson and Gagliano described apprenticeship navigators funded by the $7.75 million apprenticeship expansion allocation, which help employers navigate registration and expand apprenticeships into nontraditional fields such as IT, health care, education, and hospitality. Gagliano gave examples from CareerSource Suncoast and said navigators helped employers move faster through registration and develop programs with local education providers. Johnson also discussed Incumbent Worker Training Grants and Quick Response Training Grants, noting recent awards of nearly $3 million to 69 businesses and $6.5 million to 24 businesses, respectively, and said these programs are targeted toward high-skill, high-wage occupations and priority industries. The meeting ended with no votes or formal action; the chair thanked the presenters, invited follow-up questions, and adjourned the meeting without objection.
NH

New Hampshire 2025 Regular Session

House Science, Technology and Energy (01/14/2025)

Science, Technology and Energy

Transcript Highlights:
  • ISO means oh independent system ISO means oh independent system operator<04:05:35.840> thank<
  • lines currently the New England system lines currently the New England system is<04:07:35.319>
  • the bulk power system system uh we call the bulk power system system uh we call that<04:19:14.359
  • refer to that as our regional system refer to that as our regional system plan<04:36:09.520>
  • <04:41:11.320> system is as the States move to a system system is as the States move to a
Keywords: 1189, house, all
CA
Transcript Highlights:
  • But it allows you to then simply take the water off the system.
  • It is a really complex system.
  • It is a really complex system.
  • had to have clean water move through the drip system.
  • But I figured, you know, eventually we're going to add to the system.
Summary: The hearing focused on oversight of AB 658 and the State Water Resources Control Board’s five-year temporary permits for groundwater recharge. Assembly Member Arambula and committee members discussed how the permits are intended to help capture high flows during wet periods, support SGMA implementation, and store water underground for later use. The State Water Board chair said the five-year permits have become an important tool, with seven five-year permits issued this season and over 43,000 acre-feet authorized, but noted that actual recharge depends on hydrology and that the board is open to improvements. Members and witnesses discussed several possible changes to make the program more effective: allowing a two-year delay before the five-year permit clock starts, codifying CEQA exemptions that have been used through executive order, and shifting from a public objection model to a public comment model to reduce delays. There was also discussion of water availability analyses, with some members asking whether the state could develop a broader statewide assessment to reduce consultant costs and make permitting more predictable. The board said such an effort would be large and costly, but could potentially save applicants money and improve consistency. District representatives described their experiences. Stockton East said the five-year permit was more cost-effective than repeated 180-day permits, but that the 90-20 methodology, consultant costs, and a burrowing owl survey condition made use difficult. Omaha-Hartnell Water District said its recharge work depends on simple, low-cost infrastructure and that five-year permits, CEQA reform, and lower upfront fees would help small districts. A consultant working with Scott Valley and Sierra Valley said five-year permits can work well in different basins, but local infrastructure, stakeholder coordination, streambed alteration agreements, and upstream flow constraints can limit recharge. Members also raised concerns about basin connectivity, downstream water rights, and the need to pair recharge with sustainable groundwater pumping and broader water storage planning.
KY
Transcript Highlights:
  • > system refurbishment, uh building system refurbishment, uh building system repairs,<00:05:17.759
  • Wastewater<00:15:06.880> collection<00:15:07.440> system Wastewater collection system
  • ,<00:15:15.199> piping, on the collection systems, piping, on the collection systems, piping
  • Building system improvements.
  • The sprinkler system to lodge elevators.
Keywords: 958, all
Summary: The Budget Subcommittee on Economic Development, Tourism, and Environmental Protection received a detailed update from Kentucky State Parks Commissioner Meyer on capital projects funded through HJR 76, HJR 56, and House Bill 6. He said the department is making steady progress on a large portfolio of park improvements, with regular quarterly reporting to the legislature and ongoing coordination with the Finance Cabinet, the Energy and Environment Cabinet, the Commonwealth Office of Technology, and local utilities and governments. He emphasized that ADA accessibility is a priority across projects and noted that many completed items, including campground bathhouse renovations, broadband upgrades, life safety improvements, playground replacements, and some furniture and mattress upgrades, are already drawing positive feedback. The presentation focused heavily on campground, utility, and infrastructure work. Meyer described $40 million in campground upgrades split between western and eastern Kentucky, including projects at Ken Lake, Carter Caves, My Old Kentucky Home, Cumberland Falls, and others. He also outlined $20 million in utility improvements, including a federal matching grant for grid resiliency at Ken Lake and Kentucky Dam Village, plus wastewater and electrical infrastructure work at parks such as Dale Hollow, Blue Licks, Natural Bridge, and Cumberland Falls. Additional categories included building systems, life safety, structural repairs, accommodations and hospitality upgrades, pool and beach work, dam safety, playgrounds, and golf course improvements. Members asked about the status of Lake Barkley utilities, the possibility of transferring upgraded utility infrastructure to local providers after repairs, and how park repair priorities are set. Meyer said park managers report issues through regional directors and that projects are prioritized through a running capital list, similar to a long-range transportation plan. He said the department has already spent the current $20 million allocation and is requesting $40 million in the next budget cycle, adding that the department believes it could spend and complete projects if that amount is appropriated. The commissioner also said the department is managing 284 additional capital projects outside the main funding streams, totaling nearly $70 million.
KY
Transcript Highlights:
  • entities were the Kentucky interlocal school<00:05:18.400> transportation<00:05:19.199> system
  • Kentucky Community and Technical College System reported asset preservation projects.
  • Over this water and sewer system.
  • Passed last year, which does supply grants for these economically restrained systems.
  • Need to bring the system back up. Yes, it would. Thank you.
Summary: The committee first reorganized by electing new co-chairs for the Capital Projects and Bond Oversight Committee: Senator Fanny Fromom? as Senate co-chair and Representative McPherson as House co-chair, both by acclamation. The committee then approved the minutes from the prior meeting and received quarterly capital project status reports from the Administrative Office of the Courts, Finance and Administration Cabinet, and postsecondary institutions. Those reports noted University of Kentucky equipment purchases, several school districts planning general obligation and revenue bond issues, a notification of non-approval for PR 3567, and Kentucky Community and Technical College System asset preservation projects. Kevin Cardwell of the Finance and Administration Cabinet reported two action items: a $5,100 federal-funded Transportation Cabinet renovation of the Rowan County east and westbound rest areas, and a $1 million federal fund increase for the Capitol City Airport terminal building project, bringing the total federal support to $10 million and reducing the need for restricted funds. The committee also received a no-action report on a $1,363,000 Kentucky State University exterior repairs project funded through the 2024 asset preservation pool. Both action items were approved unanimously after roll call votes. The committee approved four lease renewals presented by Natalie Bronner for Cabinet for Health and Family Services locations in Bell, Lee, and Clay counties, plus a parking lease for the Department of Corrections in Jefferson County. Members asked about lease pricing and were told renewals must remain at existing terms and conditions. The committee then approved a $57,000 Kentucky WATS emergency grant for Wood Creek Water District to cover part of arrears tied to the City of Livingston; members discussed the city’s audit delinquency, possible regional water/sewer solutions, and concerns about rates and private involvement, but the grant was approved. Finally, the committee approved a $1 million line-item water grant to the City of Williamsburg with no action required, three Economic Development Fund grants for Bell, Franklin, and Shelby counties totaling $8 million in state support for site acquisition and infrastructure work, and five SFCC-supported school debt issues for Elizabethtown Independent, Erlanger Independent, Boyd County, Henderson County, and Union County. The school projects included middle school, high school, and vocational school renovations or new construction, and members requested a breakdown of the space funded by the debt. All action items were approved, and the meeting adjourned.
CA
Transcript Highlights:
  • Their needs are interconnected, and our systems must be as well.
  • around setting up those billing systems and just getting those started.
  • around setting up those billing systems and just getting those started. ...system around setting up
  • those billing systems and getting those started.
  • We haven't redesigned a billing system for schools.
Summary: The Select Committee on Youth Mental Health and Treatment Access held its third hearing to review the state of youth mental health, progress under the Children and Youth Behavioral Health Initiative (CYBHI), and remaining implementation and funding challenges. The chair emphasized that schools are often the main point where education, health care, and social services intersect for students, and that the committee’s goal is to ensure public investments translate into better access and outcomes. The hearing featured testimony from researchers, a youth advocate, state officials, and local practitioners. PPIC researcher Shalini Mostala reported that teen mental health remains a serious concern, with high rates of chronic sadness, hopelessness, and suicidal thoughts, though recent California data show some improvement since the pandemic. She noted persistent disparities by gender, race, and rural status, and said school-based health centers, wellness centers, and community schools are associated with lower suicidal thoughts. Youth advocate Ella Cruz, speaking for NAMI California, described her own mental health struggles and argued that youth voice, peer-to-peer support, and reducing stigma are essential; she also said technology and AI cannot replace trusted adults or trained professionals. Committee members asked about phone use, stigma, cultural barriers, and how to make supports more accessible and relatable to students. Dr. Sohill Sood of the California Health and Human Services Agency said statewide survey data show declining stigma, increased counseling use, and lower suicide ideation among students, and he highlighted CYBHI’s certified wellness coaches, digital tools, awareness campaigns, and the first-in-the-nation fee schedule that allows schools and colleges to bill health plans for behavioral health services. He said the program is growing quickly, with more than 230,000 claims and over $11 million in new revenue to date, while acknowledging that billing systems and coordination are still being built. Trina Frazier of Fresno County described a multi-tiered system of care supported by CYBHI, CalAIM, and other grants, serving thousands of students through school-based services, wellness centers, and mobile therapy units; she said ongoing funding and flexibility are critical. Rachel Kroberniski of El Segundo High School’s James Morehouse Project described a long-running wellness center and peer mentorship model that supports students in multiple languages, and said peer programs help students feel seen, connected, and more willing to seek help. Members broadly praised the flexibility, collaboration, and peer-based approaches described by the witnesses. Questions focused on sustaining funding after one-time grants expire, improving coordination among schools, counties, and providers, expanding the fee schedule to higher education, and ensuring continuity of care for students after high school. Officials said county offices of education, DHCS, and other partners are using communities of practice and technical assistance to spread best practices, and that CYBHI services can follow some young adults through age 25, with additional supports through community-based programs and digital platforms.