Transcript Highlights:

• vulnerable students. 40% of new teachers are not certified, meaning they don't have the necessary training
• are already being held accountable through the Juvenile Justice System, which has due process and trained
• To prevent dangerous situations in the classroom, we propose incorporating crisis prevention training
• In the state address, Governor Abbott identified the expansion of career training programs.
• All required training.

Bills: HB1022, HB2856, HB3114, HJR5, HB6, HB120, HB210, HB1458, HB1188, HB3126

Keywords: HB 1022, Sul Ross State University, Rio Grande College, Texas State University System, Education Code, higher education, course levels, upper-level college, lower-division courses, community college-style courses, Del Rio, Eagle Pass, Uvalde, Board of Regents, academic programs, university expansion, HB 2856, Texas Higher Education Coordinating Board, clinical training placements, clinical rotations

Transcript Highlights:

• We do know that there is Training is already in place, so the CIT training by DFPS is already covered
• Is there any specific curriculum that will be used for the training?
• And there were plenty of people trained on Munchausen. Thank you.
• Since this is a training bill, I would like to... ...to know if certain things will be trained on.
• He said, I'm trained. I was trained at Vanderbilt. Really fancy education.

Bills: HB136, HB451, SB425, SB466, SB905, SB1986, SB2311, SB2450, SB2805, SB2826, SB2919, SB3001, HB136

Keywords: Medicaid, lactation, healthcare, consultation, reimbursement, maternal health, infant care, commercial sexual exploitation, child sex trafficking, human trafficking, child welfare, foster care, DFPS, Department of Family and Protective Services, juvenile probation, risk assessment, needs assessment, trauma screening, child abuse prevention, exploitation screening

Transcript Highlights:

• With the information outlined in this bill, schools without. efficient clinical training sites could
• Also, part of that's work training students while students get clearance that we send them off.
• And when we train these students, a lot of them have to be U.S. citizens, so when they go out. out there
• Four years is great, but having those. extract areas in the purely the vocational training type. is really
• and mental health professionals, but the current production levels aren't keeping pace, increasing training

Bills: HB 1105, HB1527, HB1787, HB1972, HB2081, HB3296, HB3976, HB4071, HB4234, HB4438, HB4701, HB5092, HB5150, HB5180, HB5265, HB5333, HJR203

Keywords: tuition exemption, paramedics, higher education, laboratory fees, emergency medical services, peace officers, criminal justice, law enforcement, degree programs, public institutions, HB 1787, HPV, human papillomavirus, college health, university health, student health, public health education, prevention program, screening, early detection

Transcript Highlights:

• When people are incarcerated, we train them in different fields such as barbering, truck driving, whatever
• we train them in.
• He continued to do the work he was trained to do and was trusted by the TDCJ staff, which was sufficient
• crime and the time elapsed since the crime. and/or discharge of the sentence, allowing them to be trained
• They would be able to get training, I think, and be able to apply for a license if they had the experience

Bills: HB153, HB1828, HB2306, HB2498, HB3464, HB3488, HB3636, HB3673, HB3834, HB3860, HB4120, HB4937, HB1515, HB153

Keywords: education, funding, student resources, technology access, equal opportunity, veterans treatment court, mental health, criminal justice, rehabilitation, eligibility criteria, veterans, treatment court, military service, legislation, legislative leave, correctional officers, Texas Department of Criminal Justice, accumulated leave, compensatory time, parole eligibility

Transcript Highlights:

• This is for annual training and requires responding to at least 25% of their department's emergencies
• This new model is designed to deliver short and industry-aligned workforce training programs.
• It updates the statute to reflect modern workforce training goals and eliminates outdated course lists
• Long before, in 1947, the legislature authorized us to establish the Josie School to train World War
• Obviously, clinical training is an important part of nursing education.

Bills: HB173, HB184, HB484, HB678, HB 1211, HB1507, HB1705, HB1868, HB2290, HB2851, HB2856, HB3041, HB3204, HB173, HB184

Keywords: foreign donations, higher education, public institutions, national security, funding, prohibition, Texas law, healthcare, insurance, affordability, access, public health, foreign influence, education policy, student loan repayment, prosecuting attorneys, border prosecution unit, financial assistance, tobacco, cigarettes

Transcript Highlights:

• Faculty use their expertise to help students develop critical thinking and knowledge training and professional

Bills: HB173, HB184, HB484, HB678, HB 1211, HB1507, HB1705, HB1868, HB2290, HB2851, HB2856, HB3041, HB3204, HB173, HB184

Keywords: foreign donations, higher education, public institutions, national security, funding, prohibition, Texas law, healthcare, insurance, affordability, access, public health, foreign influence, education policy, student loan repayment, prosecuting attorneys, border prosecution unit, financial assistance, tobacco, cigarettes

Transcript Highlights:

• So what comes along with that is we need training.
• So everybody's a firefighter and a paramedic.
• So what comes along with that is we need training.
• responders, not just paramedics.
• So in this, I have seen this training work.

Summary: The task force meeting opened with new leadership announcements, including Senator Nick Schroer thanking outgoing chair Representative John Black and naming Representative Del Taylor as vice chair. After some initial technical difficulties with audio and Zoom, members reviewed the task force’s statutory charge under Missouri law: to hold hearings on substance use, explore solutions, draft or modify legislation, and produce recommendations for prevention and treatment. The chair said the goal for this year is to develop concrete legislative ideas for the next session, with hearings focused first on field experts and later on alternative therapies and the Department of Mental Health. Dr. Rachel Winograd gave the first major presentation, describing Missouri’s overdose crisis as increasingly complex and driven primarily by fentanyl, now compounded by xylazine and metatomidine. She said overdose deaths have declined for a third straight year, with preliminary 2025 data around 1,200 deaths, and attributed the decline to a smaller fentanyl supply, wider naloxone availability, and fewer young people entering use. Her main recommendations were to focus on reducing harm rather than trying to eliminate drug use, expand evidence-based medications for opioid use disorder—especially methadone and buprenorphine—improve access to naloxone, and loosen methadone regulations, including take-home doses, the federal 72-hour rule, and broader methadone units. She also emphasized that peer support, housing, transportation, and other practical supports matter, and noted that naloxone can still reverse fentanyl overdoses even when tranquilizers are present. Dr. Heidi Miller, the state medical director, followed with two recommendations: integrate substance use disorder care into whole-person health care and follow the science when considering substance-related legislation. She argued that primary care, maternal health, workforce training, EMS, public health, and methadone access should all be part of a coordinated model, and said reimbursement should support teams rather than isolated providers. She also urged stronger enforcement of parity between behavioral health/SUD and physical health coverage, and highlighted tobacco and alcohol as major, under-addressed causes of death in Missouri. Dr. Doug Burgess then reinforced the need for a coordinated continuum of care, comparing substance use treatment to the seamless system used for heart attacks, and said patients should have standardized assessment, discharge planning from day one, transition coordinators, peer recovery coaches, and better information-sharing between levels of care. Members asked questions about relapse, treatment court, EMS referral barriers, reimbursement, and whether buprenorphine can be started in the field; no votes were taken, and the meeting ended with plans to continue hearing testimony and use it to shape future policy recommendations.

Transcript Highlights:

• There were no firefighters or paramedics to respond, only lifeguards.
• c><00:12:57.320> to no firefighters or paramedics to no firefighters or paramedics to respond,
• , medical training, medical training, mental<00:18:43.720> health<00:18:44.200> resources
• We trained over 300 people here Right?
• , on AEDs, on community training, on AEDs, on community training, and<00:23:31.200> to<00:

Bills: HCR112

Keywords: HCR112, House Concurrent Resolution, DHRD, Department of Human Resources Development, civil service, classification system, compensation system, salary study, pay scale, job classification, position classification, state workforce, vacancy rate, hard-to-fill positions, labor shortage, recruitment, retention, public employees, state agencies, labor organizations

Transcript Highlights:

• So what comes along with that is we need training—not just training for our types of people, but the
• So everybody's a firefighter and a paramedic.
• responders, not just paramedics.
• So everybody's a firefighter and a paramedic.
• So in this, I have seen this training work.

Keywords: 959, house, all

Transcript Highlights:

• We educate hundreds of paramedics<01:13:07.280> and<01:13:07.520> EMTs, paramedics and
• We're<01:13:14.040> training<01:13:14.360> the<01:13:14.440> next We're training
• served by a physician trained at HCMC. served by a physician trained at HCMC.
• and EMTs. of paramedics and EMTs.
• I'm here today to speak to HCMC's role in attracting and training new paramedics.

Keywords: 1187, senate, all

Transcript Highlights:

• So, this program trains 42 physicians, and these are folks that are training to be rural family medicine
• So, this program trains 42 physicians, and these are folks that are training to be rural family medicine
• This program trains 42 physicians, and these are folks that are training to be rural family medicine
• Paramedics. EMS is still in jeopardy in our state. Every one of your communities needs a paramedic.
• Cloud area to train doctors up there.

Keywords: 1183, house

Transcript Highlights:

• anything for that training.
• Do you envision this as training going to each individual department and doing the training there?
• For EMT, advanced EMT, and paramedic initial training, individuals are required to commit to serve the
• Paramedic initial training reimbursement is currently $10,000 per student, though actual program costs
• Paramedic initial training reimbursement is currently $10,000 per student, though actual program costs

Keywords: 908, all

Summary: The committee was called to order, a quorum was established, and the minutes from the prior meeting were approved. The first major presentation came from Montana Public Employees Retirement System executive director William Hollahan, who gave an overview of Montana’s Volunteer Firefighters’ Compensation Act plan. He explained that the plan covers volunteer firefighters in unincorporated areas, is funded by 5% of state fire insurance premium taxes, and currently serves 228 departments with about 2,936 active members and 1,242 retirees. He described eligibility rules, annual training and reporting requirements, benefit levels for partial and full pensions, disability, death, medical, and funeral benefits, and said the plan is actuarially sound with roughly $60 million in assets and a funded ratio slightly above 100%. Committee members asked about prior-service credit, whether EMS personnel are included, the effect on recruitment and retention, and whether expanding coverage would require a funding analysis; Hollahan said prior service is not credited, EMS is not currently included, and any expansion would need financial review. Tim Walleen of Workforce Safety and Insurance then presented a draft North Dakota workers’ compensation solution for volunteer firefighters and volunteer EMS personnel. He explained that volunteer responders are already covered by workers’ comp for medical and wage-loss benefits, but the proposal would set a minimum annual wage of $30,000 for calculating wage-loss benefits for qualifying volunteers, with the benefit paid at two-thirds of that amount. Representative Porter suggested tying the volunteer definition to existing code rather than a fixed dollar amount, and Walleen agreed. Questions focused on whether search and rescue or other volunteer emergency services could be included, whether departments would face new paperwork, and whether volunteer organizations can already elect coverage; Walleen said there would be no additional paperwork and that volunteer coverage is already available. The committee also heard from volunteer fire service representatives and the state fire marshal. An Oakes-area firefighter, Mr. Olson, testified that small departments are struggling with retention, communication, and administrative burdens, especially around separate bookkeeping and funding rules for donated or fundraising money, and he said departments need clearer guidance from the state. State Fire Marshal Dr. Matthew Clark introduced himself and outlined a broader effort to improve education, support, and coordination for fire departments, including a planned 10% audit of certificates of existence beginning in 2027, more outreach through his office, and better assistance with training, reporting, and grant access. He said his office is authorized under current law to provide these services, but the role has been vague and underused. Finally, Arnagard Rural Fire District Chief Rick Schreiber testified in favor of new recruitment and retention ideas, including retirement-style benefits, health insurance, tax incentives, scholarships, grants, and more remote or regional training. He said volunteer departments are losing members, that local tax and donation funds are already stretched, and that any new retirement or incentive program should be sustainable and likely involve a mix of state and local support.

Transcript Highlights:

• Over the course of their four-year training, they have about two weeks of training.
• Over the course of their four-year training, they have about two weeks of training.
• , that training should be involved in their initial training.
• You would think it'd be a paramedic, which is a higher level of care, but no, all the paramedics I talk
• I deeply respect and appreciate our paramedics, who are more highly trained.

Bills: HB2190, HB2202, HB2233, HB2251, HB2252, HB2396, HB2437, HB2689, HB2796

Keywords: physician assistants, licensure compact, medical services, multistate practice, patient care access, healthcare workforce, military families, adverse actions, dementia care, telementoring, healthcare education, rural communities, grant funding, HB 2233, rural health transformation, rural health transformation program, AHCCCS, Arizona Health Care Cost Containment System, Joint Legislative Budget Committee, JLBC

Summary: The committee began with a presentation from the Alzheimer’s Association Desert Southwest Chapter and Dr. Anna Burke of Barrow Neurological Institute on the scope of Alzheimer’s disease, the shortage of specialists, low rates of timely diagnosis, and the need for caregiver support and early intervention. Speakers emphasized that Arizona is a leader in Alzheimer’s research and that lifestyle changes, new therapies, and research funding offer hope, but only if patients are diagnosed earlier and providers are better trained. The committee then heard House Bill 2202, which would appropriate $300,000 over three years for a dementia care telemonitoring/telementoring grant program through the Department of Health Services to help providers statewide learn best practices in dementia care. Supporters, including the Alzheimer’s Association, Dr. Danny Cabral, and a patient advocate, said the bill would address major gaps in provider training and improve early diagnosis and treatment. There was no opposition, and the committee voted 11-0 to give HB 2202 a do pass recommendation. The committee next took up House Bill 2251, the “Jordan and MacTerry Act,” which would expand licensed midwives’ authority to administer certain medications, require liability insurance disclosure and reporting, and create an Arizona Midwifery Advisory Committee. Supporters said the bill would improve safety, oversight, and access to emergency medications in home births, while opponents from ACOG and the Arizona Osteopathic Medical Association raised concerns about the adequacy of oversight, the medication list, and whether eight hours of pharmacology training is sufficient. After testimony from midwives, physicians, and stakeholders, the bill was held for further stakeholder work and anticipated floor amendments. House Bill 2252, which would allow certified nurse midwives, certified professional midwives, or licensed midwives to accompany a patient in a ground ambulance during transport if approved by medical direction, also drew support and opposition. Supporters argued it would preserve continuity of care in emergencies, while firefighters and EMS representatives objected to ambiguity and scene control concerns. That bill was likewise held for further stakeholder meetings. The committee then recessed and reconvened for later presentations on federal budget and health-related topics.

Transcript Highlights:

• He quit after two years of marriage to follow the love for helping people and trained to become a paramedic
• He quit after two years of marriage to follow the love for helping people and trained to become a paramedic
• He quit after two years of marriage to follow the love for helping people and trained to become a paramedic
• He quit after two years of marriage to follow the love for helping people and trained to become a paramedic
• He quit after two years of marriage to follow the love for helping people and trained to become a paramedic

Keywords: 1187, senate, all

Transcript Highlights:

• Paramedics providing critical care would have been required to obtain an advanced practice paramedic
• > Care paramedic CR paramedic Critical Care paramedic CR paramedic Critical Care endorsements<00:
• <00:34:53.040> providing January 1st 2026 paramedics providing January 1st 2026 paramedics
• to obtain an advanced practice paramedic to obtain an advanced practice paramedic license<00:34:
• Department criminal justice training Department criminal justice training Leah<00:58:57.920>

Keywords: 0:01– Meeting start/roll call 0:34 – Approval of minutes 0:48 – Welcome of new committee members 1:34 – Council on Postsecondary Education 25:17 – Teachers’ Retirement System 27:00 – Kentucky Public Pension Authority 29:04 – Board of Veterinary Examiners 31:40 – Board of Nursing 34:01 – Board of Emergency Medical Services 36:15 – Fish & Wildlife Resources 40:34 – Department of Corrections 56:00 – Department of State Police 58:05 – Department of Criminal Justice Training 59:22 – Transportation Cabinet 1:00:18 – Department of Education 1:01:23 – Department of Employment Services 1:04:17 – Department of Workplace Standards 1:05:25 – Department of Housing, Buildings & Construction 1:06:59 – Cabinet for Health & Family Services, Dept. for Public Health (Sanitation) 1:13:50 – Cabinet for Health & Family Services, Dept. for Public Health (Trauma System) 1:17:46 – Cabinet for Health & Family Services, Dept. for Public Health (Radon) 1:18:30 – Cabinet for Health & Family Services, Dept. for Medicaid Services 1:19:15 – Cabinet for Health & Family Services, Dept. of Aging Services 1:20:36 – Other Business/Adjournment, 958, all

Summary: The subcommittee met with a quorum, approved the minutes, and welcomed new members before taking up Council on Postsecondary Education regulations 13 KAR 2:120 and 13 KAR 2:130. The regulations, as amended by staff and agency amendments, update public university and KCTCS performance funding models to conform to 2024 Senate Bill 191 and the performance funding work group’s recommendations. Changes discussed included replacing the underrepresented minority metric with an underrepresented students metric defined as first-generation students, adding an adult learner metric, increasing the low-income degree premium, adjusting small-school and nonresident credit-hour weights, revising data aging and progression metrics, and adding STEM+H criteria in 13 KAR 2:120. Travis Pal of the Council on Postsecondary Education explained that the changes reflect the work group’s three-year review process and that the work group ultimately voted to define underrepresented students as first-generation students and to apply half-weighting between research and comprehensive universities for the new metric. Michael Frasier of the Kentucky Student Rights Coalition and Eastern Kentucky University student government opposed 13 KAR 2:120, arguing that the regulation improperly applies weights where the statute does not clearly authorize them and that the funding changes disadvantage comprehensive universities and vulnerable students. He asked the committee to find the regulation deficient or, alternatively, recommend legislative clarification and a revised fiscal analysis. Pal responded that weighting has been part of the model since 2017, that CPE was following the statute and work group recommendations, and that the model could be changed by future legislation. Members asked about the timing of the broader performance funding review, and Pal said the full model is reviewed every three years, with the next work group cycle beginning in 2026. No motion to find the regulation deficient was made, and the committee allowed the regulations to proceed to the committee of jurisdiction. The committee then approved a staff amendment to Teachers’ Retirement System regulations 102 KAR 1:195 and 102 KAR 1:340, which require annual reporting of accumulated sick leave, leave policies, and salary schedules to TRS and make technical changes to the final average salary calculation and related definitions.

Transcript Highlights:

• He then asked whether the witness was a director of training or of education and training.
• He then asked whether the witness is a director of training or of education and training.
• He asked the witness whether he is a director of training or of education and training.
• <01:02:13.680> work<01:02:13.920> like trained so training people to work like trained
• EMTs and then, like Tyler, who's a paramedic, gets even more training.

Keywords: 1183, house

Transcript Highlights:

• I'm also a paramedic, and I still work the streets.
• , we represent over 200 uh, paramedics, we represent over 200 uh, paramedics, dispatchers,<00:05:
• <00:05:11.120> I paramedic for 12 years full-time. I paramedic for 12 years full-time.
• Last week our dispatchers paramedics Last week our dispatchers paramedics bravely<00:10:30.079><
• This led paramedics and offices.

Keywords: 1187, senate, all

Transcript Highlights:

• I am also a paramedic and have been for about 40 years.
• I'll give you one example as far as training.
• To train an EMT, it takes six to eight months and costs anywhere from $1,500 to $1,500 to train.
• To train an EMT, it takes six to eight months and costs anywhere from $1,500 to train that EMT.
• To train a paramedic, it takes at least a year and it costs $2,500 to $3,500.

Bills: SB868, SB1337, SB1371, SB1377, SB1426, SB1620, SB2064, SB2065, SJR4

Keywords: SB 868, rural volunteer fire department assistance program, volunteer fire department assistance fund, Texas Government Code, wildfire, wildland fire, high-risk wildfire area, fire suppression, rural fire departments, volunteer firefighters, emergency response, public safety, grant allocation, appropriations, disaster preparedness, tax penalties, interest calculation, overpayment, tax law, refund process

Summary: The Senate Finance Committee heard several bills focused on tax administration, transportation, emergency services, historic preservation, forensic training, pension funding, and the state’s rainy day fund. Senate Bill 1337, by Senator Creighton, would require the comptroller to assess penalty and interest only on the net tax due and allow sales and use tax overpayments to offset underpayments more automatically; it was left pending while the author, comptroller staff, and a private witness continued working on the language and fiscal note. Senate Bill 1371, by Senator Hinojosa, would address Corpus Christi transit authority operations, including emergency refueling coordination, fare-setting procedures, and board term limits; it received supportive testimony and was left pending. Senate Bill 1377, by Senator Perry, would create a grant program for rural counties to buy ambulances, with a committee substitute expanding eligible uses in some cases to equipment and setting a sunset date; numerous EMS officials, county representatives, and association witnesses testified in support, emphasizing rising ambulance costs, staffing shortages, and the need for rural emergency coverage, and the bill was left pending after testimony. Senate Bill 868, by Senator Sparks, would direct at least 10% of volunteer fire department assistance funding to high wildfire-risk areas; Texas A&M Forest Service explained the map and methodology, and the committee substitute was adopted. The committee also heard Senate Bill 1426, which would place the First Capitol State Historic Site in West Columbia under Texas Historical Commission stewardship, and Senate Bill 1620, which would create a Texas Forensic Analyst Apprenticeship Pilot Program through the Office of Court Administration to address forensic scientist shortages; both had no opposition in testimony and their committee substitutes were adopted. Senate Bill 2065 would change the Texas Emergency Services Retirement System funding structure to require an actuarially determined state contribution and address the system’s unfunded liability over 30 years; Pasadena fire department representatives testified that the pension is an important volunteer retention tool, and the bill was left pending after testimony. Senate Joint Resolution 4 would raise the Economic Stabilization Fund cap from 10% to 15% of biennial revenue deposits, with a committee substitute correcting the effective date to September 1, 2027; the committee discussed the fund’s current balance and purpose before adopting the substitute. After quorum was established, the committee voted out the measures. Senate Bill 1868, Senate Bill 1371, Senate Bill 264, Senate Joint Resolution 4, Senate Bill 1426, Senate Bill 1620, and Senate Bill 2065 were all reported favorably to the full Senate, with some bills also certified for the local and uncontested calendar. The committee substitute for Senate Bill 868 was adopted and the bill was reported favorably as well. The committee then recessed subject to the call of the chair.

Transcript Highlights:

• Every paramedic will tell you that. They have stories, okay?
• I came to this country in 1997, did my residency training in psychiatry.
• And I can go back 20 years ago as I was training as a psychiatrist in this country.
• Why is he a paramedic?
• Why is he a paramedic?

Summary: The meeting focused on Missouri’s substance use prevention and treatment system, with repeated emphasis on recovery support services, peer support, recovery housing, transportation, and harm reduction. Dan Haniken of Into Action described his own recovery from addiction and incarceration and argued that treatment alone is not enough; he urged greater investment in recovery housing, peer support, employment, and community-based supports that help people stay sober and avoid relapse. Members asked about funding sources, program capacity, referrals, treatment court, transportation, and how Into Action supports people on medication-assisted treatment (MAT). Haniken said the organization is funded through a mix of federal, state, county, city, foundation, and private donations, and that housing and transportation remain major barriers, especially because support is often funded for too short a period compared with the longer time people need to stabilize. Matt Cushman of the Raytown Fire Protection District gave a strong endorsement of harm reduction, including naloxone distribution, syringe service programs, and broader decriminalization of harm reduction tools. He argued that stigma is a major barrier to care and that Missouri should expand access to clean needles, test strips, and other services, while also improving access to MAT in jails and communities. Committee members questioned the evidence base, the role of faith-based providers, and whether safe consumption sites should be pursued; Cushman said syringe exchange decriminalization should be the immediate priority, while safe consumption sites are a longer-term issue. He also described community paramedicine and mobile integrated health as valuable but funding-dependent, and said naloxone distribution is improving but still uneven, especially in rural and minority communities. Representatives from Central Ozarks Medical Center and Four Rivers Community Health Center highlighted the importance of peer support specialists, community health workers, care coordinators, and wraparound services in rural health centers. COMC’s Morgan McClure and Monet Lehman described a jail reentry program in Pulaski County, with Lehman sharing her trauma and recovery story and explaining how she helps incarcerated people prepare for release with housing, employment, benefits, transportation, and treatment connections. Four Rivers’ Devon Polarys and Cassandra Trout said their CEO would change Missouri policy to allow FQHCs to receive reimbursement for peer support and community health worker services similar to CCBHCs, arguing that these roles are essential for addressing barriers like transportation, housing, food insecurity, and insurance. Members discussed confusion over reimbursement rules, the differences between FQHCs and CCBHCs, and the need for better funding and clearer policy for peer and community health worker services. No votes were taken; the discussion ended with a suggestion to bring in a subject matter expert on community health workers for a future session.

Bills: HB624, HB1022, HB1203, SB82, SB206, SB305, SB376, SB441

Keywords: school safety, emergency operations plan, crisis management, active shooter, drills, training, classroom security, primary health services, behavioral health, school health providers, medical necessity, student health care, education, school week, instructional time, public schools, performance score, student athletes, cardiovascular health, sudden cardiac arrest