Video & Transcript : 'Prevention and Early Intervention Program' :
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NM
New Mexico 2025 Regular Session
IC - Legislative Education Study Dec 17th, 2025 at 09:20 am
Transcript Highlights:
- and departments, such as the Office of Special Education, Educator Quality, and At-Risk Intervention
- Intervention School), and ATSI...
- , we are using that and we are turning around 100 to 150 leaders and teachers away From programming.
- And yes, we do receive executive coaching as part of the program.
- leadership and how these training programs.
NH
New Hampshire 2025 Regular Session
House Finance Division II (02/24/2025)
Transcript Highlights:
- </c><00:10:04.640><c> a</c> program is funded by doj grants and a program is funded by doj grants and
- We do still do firearms and driving programs, and so it’s still a drain on the resources.
- </c><03:27:51.960><c> then</c> early um to get your license and then early um to get your license and
- c> come in one day early to do that and come in one day early to do that and that's<03:28:27.760><c>
- </c><03:44:51.720><c> of</c> program and the do Department of program and the do Department of Education
Summary:
The Finance Division 2 hearing took testimony from the director of New Hampshire Police Standards and Training on the agency’s budget request and operations. He described the agency’s role in setting hiring, education, certification, and discipline standards for police, corrections, probation and parole, and court security officers, and noted that the agency runs the full-time, part-time, corrections, and court security training programs. He also outlined the agency’s staffing, facility, and budget request for FY 2026-27, including a request to keep funding level with the governor’s recommendation while shifting funds to support an IT manager position by defunding a vacant administrative slot.
The agency requested several statutory changes in Chapter 106, including clarifying the definition of police misconduct, allowing a temporary member on the Conduct Review Committee, clarifying reporting requirements for misconduct allegations, and codifying the Law Enforcement Accreditation Commission. The director also reviewed new responsibilities added in recent years, including crisis intervention training, statewide accreditation, the Conduct Review Committee, and increased annual in-service training requirements. He explained that crisis intervention funding is carried in a continuously appropriated, non-lapsing account and that some budget lines were reclassified, including software and janitorial services, to reflect actual spending needs.
Members asked about national standards, the different academy tracks, crisis intervention funding, maintenance and contract changes, temporary positions, and the court security training program. The agency said it coordinates with national peers through IADLEST, that the part-time and corrections academies are longstanding programs, and that the new court security academy can be delivered either as a full academy or as in-service training depending on resources. The director also said the agency has been running extra full-time academies because of high vacancy rates, but expects to return to three full-time academies this year, with two corrections academies and one or possibly two part-time academies. He also explained the current approach to misconduct records and public disclosure, saying sustained findings under RSA 106-L are heard by the council and published, replacing the older, less standardized exculpatory list process.
US
US Federal 2025-2026 Regular Session
Closed hearings to examine the posture of United States Indo-Pacific Command and United States Forces Korea in review of the Defense Authorization Request for fiscal year 2026 and the Future Years Defense Program; to be immediately followed by an ope Apr 10th, 2025 at 07:00 am
Senate Armed Services Subcommittee on Personnel
Transcript Highlights:
- We need a renaissance in our camouflage and deception program.
- would prevent them from entering and in any conflict because of the potential to take them off their
- The Navy needs over 30 C-130s and yet to program for this critical tactical airlift platform.
- But I believe that we want and I know I want and we need more and I can gain a lot of early leverage
- And then, as General Brunson has talked about early and early. earlier, being wary of what is coming
Keywords:
Indo-Pacific Command, U.S. military strategy, China military drills, Taiwan, Philippines, North Korea, defense budget, military modernization
Summary:
The meeting focused on significant strategic discussions regarding the U.S. Indo-Pacific Command and its military posture in the region. Admiral Paparo and General Brunson were commended for their services, with the Chair noting an alarming shift in the balance of power towards China. Key topics included China's aggressive military drills near Taiwan, the increasing coercion against the Philippines, and the need for the U.S. to reaffirm its commitments to its allies in the region. Concerns were raised regarding China's military modernization and its implications for U.S. forces, alongside discussions on North Korea's threats and its burgeoning nuclear capabilities. The committee emphasized the urgent need for military and defense appropriations to counteract these growing security challenges.
NH
New Hampshire 2025 Regular Session
House Education Policy and Administration (01/22/2025)
Transcript Highlights:
- </c> of their program and if there's a of their program and if there's a testing<01:08:59.520><c> requirement
- </c><01:09:59.040><c> for</c> four and 1 half year college program for four and 1 half year college program
- Thank you, yes." intervention and going directly into a intervention and going directly into a chin petition
- "And that court intervention is needed.
- survey</c><04:47:12.840><c> does</c> programs and this particular survey does programs and this particular
Summary:
The House Education Policy and Administration Committee heard testimony on House Bill 71, which would bar public elementary and secondary schools and higher education facilities from being used as shelters for certain non-citizens, with a stated exception for short-term emergency sheltering of up to 72 hours and for community-wide emergency use. Prime sponsor Rep. Juliet Harvey-Bolia said the bill was modeled on federal and out-of-state proposals and was prompted by examples in New York and Massachusetts where schools or other facilities were used as shelters, causing disruption. She argued the bill does not truly “ban” anything, but instead places a condition on receipt of state funds, and said the fiscal note’s projected loss of federal funding was unsupported and should have been described as undeterminable.
Committee members questioned the bill’s scope and practical effects, including whether it would apply to vacant school-owned buildings, schools used during summer, charter schools, and situations where other states send people without advance notice. Harvey-Bolia said vacant buildings not functioning as schools would not be covered, and that the bill would still allow short-term emergency sheltering and community-wide use during weather events. She also said the bill would not prevent remote learning, and that its purpose was to avoid displacing students. Several members pressed her on the fiscal note and whether any federal or state program would actually be at risk; she said she found no evidence that funding would be lost and that DHHS had not identified a real threat.
A witness from the New Hampshire Association of School Administrators, Jerry FW, raised practical concerns about who would determine eligibility at a shelter site, how the 72-hour limit would be enforced, and whether the bill would apply to charter schools. He also noted that remote learning is no longer an option in New Hampshire, making one of the bill’s stated concerns less relevant. The discussion also included clarification of the terms “refugee” and “asylum seeker,” with members and the sponsor debating the distinction and whether refugees are vetted. No vote or final committee action was taken in the portion of the meeting provided.
NM
New Mexico 2026 Regular Session
House - Health and Human Services Feb 4th, 2026 at 08:36 am
House Health & Human Services
Transcript Highlights:
- I don't want to misspeak, but a substantial amount in addition to that for prevention and early intervention
- program today, Madam, Madam Chair, and Representative Herndon.
- And so we have built the foundation for this program.
- nickel and dimed that program to death.
- And then Are you guys aware of the BRIDGE program?
FL
Transcript Highlights:
- Also, reserve seatings and partnerships with our state and technical college, i.e., our CNA program,
- grow from that, generate new ideas, and design mechanisms and interventions for developing health and
- And grow new ideas from that and design mechanisms and interventions for developing health and fitness
- Young's programs and practices.
- So the program is expanding and working very well.
Summary:
The Senate Committee on Education Postsecondary met to receive an update from Florida developmental research lab schools on articulated health care programs created under the Live Healthy initiative and Senate Bill 76. Chair Calatayud opened the meeting, confirmed a quorum, and heard presentations from P.K. Young/University of Florida, Florida State University Schools, FAMU Developmental Research School, and Florida Atlantic University Laboratory School. Each school described efforts to build K-12-to-postsecondary health care pathways, expand dual enrollment and industry certifications, and share replicable curriculum models with other districts.
FSU Schools highlighted its HERO program, including CNA and food manager certifications, dual enrollment growth, reserve seating at colleges, and a paid internship with the Department of Health tied to emergency shelter operations. P.K. Young described its Healthy Lives Blueprint, which combines K-8 wellness experiences, a new high school health and human performance pathway, AP and science course expansion, a planned gymnasium redesign, and partnerships with Santa Fe College and UF. FAMU DRS reported growing dual enrollment, partnerships with FAMU, Tallahassee State, and Lively, and a goal of serving at least 100 students and 40 staff through health career exposure, certifications, and AA/AS pathways.
FAU Lab School described a more advanced model that integrates elementary through high school research and health science experiences, including biotechnology, bioengineering, and partnerships with health and research institutions. The school reported 87 peer-reviewed student publications, more than $350,000 in student grants, six patents, and pipelines into FAU’s medical and nursing programs, including a Med Direct pathway and a National Merit Scholar pipeline. Committee members asked about student readiness for nursing programs, dual enrollment, articulation with state colleges, and how the lab school models could be disseminated statewide. The meeting concluded with praise for the programs and a motion by Senator Fine to adjourn, which was adopted without objection.
TX
Texas 89th Regular
Senate Committee on Finance (Part II) Jan 28th, 2025
Transcript Highlights:
- And we have a software-as-a-service program, and as we continue to grow that program and we bring on
- And we have a software-as-a-service program, and as we continue to grow that program and we bring on
- Through your education and cognitive intervention programs, which you do through Windham, and keeping
- prevention Building out additional residential community programs, and increasing early prevention and
- and prevention programs, or BIPs, and to kindly ask for a modest $925,000 increase to strengthen this
Summary:
The Senate Finance Committee heard the Legislative Budget Board’s overview of the Texas Department of Public Safety’s 2026-27 budget, followed by extensive testimony from DPS leadership. The LBB presentation covered funding and staffing changes across driver license services, facilities, troopers and recruit schools, crime labs, vehicle and aircraft operations, and border security. The recommendations included added support for customer service staffing and trooper hiring, but did not include several DPS exceptional items such as major driver license staffing and technology requests, new regional headquarters in El Paso and San Antonio, and other capital projects. Members also discussed proposed rider changes, including a new rider to lapse unused trooper funding and require reporting after recruit schools.
Much of the committee’s questioning focused on driver license operations, where senators criticized long call wait times, low call-answer rates, appointment delays, and what they viewed as an overreliance on adding staff rather than improving processes. DPS and LBB witnesses said the agency is pursuing some technology upgrades, including automation, online pre-population of applications, and appointment-system improvements, but acknowledged that the driver license division remains a major problem area. Senators also raised concerns about whether the 2019 efficiency study led to meaningful changes and whether the agency should consider broader process redesign or even a different administrative structure.
Colonel Freeman and other DPS officials then defended the agency’s broader law enforcement and border-security work, emphasizing the need for the Williamson County training academy, the 500 additional troopers funded in prior sessions, and continued support for Operation Lone Star. They described DPS’s role in border interdiction, threat-to-life investigations, oilfield theft cases, Capitol and Alamo security, and highway safety, and said the agency is stretched thin by deployments and overtime. Members asked about border reimbursement possibilities, regional staffing differences, pursuit safety, fleet and aircraft replacement needs, and the Texas Ranger Hall of Fame museum. No votes or formal actions were taken in the portion provided.
ID
Transcript Highlights:
- Thank you for your time and for considering protections that could prevent tragedies like this from happening
- We often utilize prevention efforts and in-home safety plans, supporting children to remain in family
- Yet the ombudsman also says that the question of preventability remains, and that the questions we are
- It supports families with early intervention and puts the safety of defenseless newborns first.
- But I know what's happened in the past, and that's what we're trying to prevent.
CA
Transcript Highlights:
- Family Resource Association, and Michael Williams, also with the Child Abuse Prevention Center.
- Don Kopicki, on behalf of the Child Abuse Prevention Center and its affiliate, the California Family
- Rosanna Carvacho Elliott here on behalf of the Early Care and Education Consortium in support.
- SB 837 requires the Aging and Disability Resource Connection programs to offer disaster and emergency
- Our below-market-rate housing programs, and all of these programs are designed to go out and attempt
FL
Florida 2026 Regular Session
Children, Families, and Elder Affairs Feb 18th, 2025
Children, Families, and Elder Affairs
Transcript Highlights:
- and prevention education and training to state entities and partners.
- It prioritized prevention, intervention, prosecution, and efforts to eradicate human trafficking in Florida
- They're enrolled in their school and GED programs and attending regularly.
- Smooth and effective program launch.
- One intern was offered a full-time job at their internship site and left the program early to accept
Summary:
The Committee on Children, Families, and Elder Affairs received three presentations and took no bill votes. The Department of Children and Families gave an extensive update on human trafficking prevention and services, describing Florida’s statutory framework, hotline and investigation data, placement options such as safe houses and safe foster homes, new adult safe house certification rules, expanded screening tools for vulnerable adults, and prevention efforts including youth-led outreach and training. Members asked about whether current funding is sufficient, how DCF addresses grooming and re-victimization in residential settings, and how long youth typically remain in safe-house placements; DCF said funding is only one part of the support system, that families and youth receive prevention resources even when allegations are not substantiated, and that placement length varies by child.
OPPAGA then presented its 2024 annual report on commercial sexual exploitation of children. The report found that verified CSE victims slightly declined in 2023, with Broward, Miami-Dade, Duval, Hillsborough, and Escambia among the highest-prevalence counties. Most verified victims were community youth rather than children already in care, though dependent youth had higher rates of prior maltreatment. OPPAGA also reported continued concerns about limited placement capacity, especially for less restrictive Tier 1 safe houses, and service gaps such as the need for survivor mentors. Its recommendations focused on expanding placement options, improving data collection, and strengthening collaboration to support survivor mentors.
Finally, DCF presented the Step into Success pilot program for current and former foster youth ages 16 to 26. The program combines workforce education, professional development, and paid internships with mentor support; the first cohort launched in 2024 with 15 participants, all of whom secured placements, and the department reported strong satisfaction and early outcomes. Committee members asked about scalability, costs, and whether the model could be moved beyond DCF-run operations into community-based providers. DCF said the program was designed to be scalable, currently costs about $500,000 annually for the pilot, and could be expanded statewide with additional funding and partner support. The committee adjourned after the presentations.
US
US Federal 2025-2026 Regular Session
Business meeting to consider the nomination of Michael Faulkender, of Maryland, to be Deputy Secretary of the Treasury; to be immediately followed by hearings to examine the nomination of Mehmet Oz, of Pennsylvania, to be Administrator of the Centers Mar 14th, 2025 at 09:00 am
Finance Committee
Transcript Highlights:
- nutrition and lifestyle based interventions into our health care system.
- The way to do that is to get out of fee-for-service and to a value-based program.
- And we did. And we worked on the Medicaid program in North Carolina.
- programs, and every time someone defrauds one of these programs, whether it is on providing care or
- a stronger emphasis on prevention and early intervention for chronic diseases?
Keywords:
Michael Falkender, Deputy Secretary of the Treasury, IRS, taxpayer privacy, nomination process, committee hearing
Summary:
The committee convened to discuss critical issues surrounding the nomination of Michael Falkender for the position of Deputy Secretary of the Treasury. This meeting included a series of remarks from committee members who expressed divergent views on Falkender's qualifications and the implications of his appointment. Senator Wyden voiced strong opposition, arguing that Falkender represents harmful policies expected to be perpetuated under the current administration, especially concerning taxpayer privacy and IRS tactics. Meanwhile, other members defended Falkender, noting his extensive experience, including a commitment to transparency in government operations if confirmed.
US
US Federal 2025-2026 Regular Session
Hearings to examine the Arctic and Greenland's geostrategic importance to U.S. interests. Feb 12th, 2025 at 09:00 am
Commerce, Science, and Transportation Committee
Transcript Highlights:
- My colleagues, Senator Sullivan and Senator Murkowski, say that early and often.
- promote early warnings of threats from foreign adversaries and protect shared subsea infrastructure.
- And during the Cold War, Greenland served as a home to the US early warning network against Soviet missiles
- Mercer has already discussed, were built in the early 1970s. And they are all now 50 years old.
- radar installations to give us early warning of incoming ICBMs coming from Eurasia, and in the current
Keywords:
Greenland, acquisition, national security, Arctic, geopolitical, China, Russia, icebreakers, trade routes
Summary:
The meeting convened by the Senate Committee on Commerce, Science, and Transportation focused on the potential acquisition of Greenland by the United States. This issue, first raised by President Trump in 2019, has gained renewed significance amidst shifting global dynamics and the strategic importance of Greenland in relation to transatlantic trade routes and national security. The members discussed the geopolitical implications of Greenland's position, especially given the increasing influence of China and Russia in the Arctic region. Notably, the urgency to address military presence and icebreaker capabilities in the Arctic was a major point of contention, with a call for a new fleet to counter foreign dominance in the area.
MN
Minnesota 2025-2026 Regular Session
House Health Finance and Policy Committee 2/10/25
Health Finance and Policy
Transcript Highlights:
- we</c> use prevention and recovery and we use prevention and recovery and we regulate<00:07:17.720><
- well-being and prevention.
- and prevention and we promote well-being and prevention and we do<00:08:35.000><c> this</c><00:08:35.279
- The first is to continue the Early Hearing Detection and Intervention Advisory Committee and to eliminate
- detection and the early hearing detection and intervention<00:25:03.919><c> advisory</c><00:25:04.440
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Judiciary (8-29-25)
Transcript Highlights:
- and looking for of BIP programming and looking for evidence-based<00:32:00.799><c> programming</c><00
- And community supervision can be an area of great opportunity for intervention and behavior change and
- connection to treatment and programming.
- </c><00:34:28.960><c> and</c> great opportunity for intervention and great opportunity for intervention
- Um, but in treatment and programming.
Keywords:
Meeting Start: 00:00:00
Roll Call: 00:00:01
Kentucky’s Justice Reinvestment Initiative – Domestic Violence: 00:02:00
Uniform Partition of Heirs Property Act: 00:46:41, 958, all
Summary:
The Interim Joint Committee on Judiciary approved the minutes from its July 24, 2025 meeting and heard an announcement about a lunch sponsored by the Kentucky State Buildings and Trades Council on forming a blue-collar caucus. The main presentation came from the Council of State Governments’ Justice Center on the Kentucky Justice Reinvestment Initiative’s domestic violence work, which was described as a multi-year effort begun in 2023 to analyze data and interview stakeholders across the state.
Presenters reported that domestic violence is widespread in Kentucky, with about half of adults experiencing some form of violence or stalking in their lifetimes, and that an average of about 22,000 IPV incidents occurred annually from 2018 to 2022. They said domestic violence is a major driver of violent crime, accounting for about 48% of person offenses over a six-year period, and is linked to significant shares of homicides, sex crimes, kidnapping, aggravated assault, and simple assault. They also said reported incidents and arrests have risen in recent years, that protective-order violations and convictions have increased, and that Kentucky ranks near the bottom among surrounding states in the share of victim compensation for domestic-violence-related claims. Law enforcement survey results showed strong adoption of model policies and guidance, but limited use of screening tools for serious injury risk.
The presenters emphasized that domestic violence also places heavy demands on law enforcement, courts, and corrections, citing roughly 30,000 law-enforcement responses in 2022 and noting that more than a third of people entering DOC custody and nearly a third under supervision had DV-related histories. They said a small group of repeat offenders drives ongoing harm and that targeted interventions could reduce recidivism. They highlighted a North Carolina example in which focused intervention reduced IPV-related homicides and calls for service, and they referenced Kentucky’s 2020 assessment recommendations on training, language access, protective-order service, and coordination with victim services and batterer intervention providers. They estimated that a 25% reduction in reported DV incidents could prevent nearly 5,000 victimizations annually and reduce DOC commitments and costs substantially.
Committee members asked about the relationship between civil domestic violence petitions and companion criminal cases, and the presenters said they would check whether the data could answer that question. Members also discussed recent Kentucky legislation, including Senate Bill 319 on crime victims compensation and House Bill 38, which made a third domestic violence offense a Class D felony. Several members thanked the presenters and advocates, and one member raised concerns about service of process and recent violent incidents involving domestic violence-related warrants, prompting discussion of dedicated service units in larger jurisdictions and the resource limits faced by smaller agencies.
CA
Transcript Highlights:
- and arts programming, cultural programming, language learning opportunities, and shared meals, but are
- , and arts programming, cultural programming, language learning opportunities, and shared meals, but
- and more young people into county-run programs, and I wholeheartedly support that.
- Cities and counties know their residents' and communities' needs best, and they design programs to respond
- In the context of behavioral health interventions, those programs rely on quick action and low barriers
Summary:
The committee adopted the consent calendar and then heard several bills on child care, aging, child welfare, food access, and youth services. SB 1200 by Sen. Menjivar would redefine infant and toddler age categories in child care licensing to allow providers to serve children beginning at 18 months in the toddler category, with supporters saying it would increase capacity and help family child care businesses stay open; it passed 4-0 to Appropriations. SB 971 by Sen. Choi would authorize counties to offer optional adult education and technology training programs for adults 55 and older through local partnerships; supporters said it would reduce isolation and improve digital literacy, and it passed 4-0 to the floor. SB 1234 by Sen. Alvarado-Gil would require fentanyl to be included in court-ordered drug testing in dependency cases, with testimony from an angel family and law enforcement about child deaths and exposure risks; it passed 4-0 to the floor.
The committee also heard SB 1109 by Sen. Alvarado-Gil, which would require additional state review for short-term residential therapeutic programs in very small rural counties or facilities with repeated serious citations. The author and county officials from Alpine County argued that rural counties lack the hospitals, schools, and 24-hour emergency response needed to safely support these placements, while providers opposed the bill as overly broad and potentially destabilizing to STRTP capacity. After the author accepted committee amendments, members voted 4-0 to send the bill to Appropriations as amended. SB 961 by Sen. Ashby would require students applying for financial aid to be notified that they may also be eligible for CalFresh; student and advocacy witnesses described widespread food insecurity on campuses, and the bill passed 4-0 to Appropriations.
The committee then heard SB 1099 by Sen. Gomez Reyes, which clarifies local governments’ authority to provide state or local public benefits to all residents under PRWORA-related exemptions; supporters said it would reduce legal uncertainty for local safety-net services, and the bill was voted 2-0 with the remaining members absent, leaving it on call. SB 1190 by Sen. Grove would create a licensing and regulatory framework for youth transport companies that move minors to out-of-state residential facilities; survivors testified about traumatic transports, supporters called for basic guardrails, and the bill passed 4-0 to Public Safety. Finally, SB 1325 by Sen. Jones would create a narrow pathway for Feeding San Diego to participate in CalFood, with supporters saying it would expand hunger relief in San Diego County and opponents warning it could divert limited food bank resources; the discussion focused on broader funding concerns, and no final vote was recorded in the excerpt.
MN
Minnesota 2025-2026 Regular Session
House Floor Session Mar 13th, 2025
Minnesota House Floor Meeting
Transcript Highlights:
- It creates programs and projects, some projects that were heard by the LCCMR and rejected.
- And earlier and earlier, medical intervention can make a huge difference.
- Fetal anomaly that's incompatible with life and they had to have it delivered early by whatever means
- Imagine the difference we could make by investing in shelters, food programs, and social services that
- They were able to help 1,739 women get a car seat and attend a car seat safety program.
NM
New Mexico 2026 Regular Session
House - Health and Human Services Feb 2nd, 2026 at 08:33 am
House Health & Human Services
Transcript Highlights:
- Class 3B and Class 4 lasers require facility-level safety programs under OSHA and ANSI standards, controlled
- that are better for prevention and control of diseases.
- Program that works, that can be a proven model and can be scaled.
- And the program that is proposed or prescribed in the bill is basically a mirror or the same program
- Back when I was a principal of a K-12 institution and I also ran a youth development and mentorship program
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Ways and Means Mar 27th, 2026
Joint Committee on Ways and Means
Transcript Highlights:
- And the federal government is particularly interested in the Medicaid program and the DTA program.
- program and the DTA program and the Medicaid program represents around $23 billion and half of at least
- Prevention, two centers of excellence for research, and other programs. 6% of DMH's budget is dedicated
- beds and comprehensive community and outpatient programs, including 24-7 clinical programs.
- within DMH, is dedicated to population-level prevention and encourages early access and awareness in
HI
Transcript Highlights:
- the libraries and schools and other venues to offer their free program and through their presentation
- c><01:11:19.239><c> their</c> free program and through their free program and through their presentation
- Um, and I just utilize the SNAP program.
- that offers a range of a pilot program that offers a range of preventative<03:13:59.040><c> interventions
- The pilot program will interventions.
KY
Kentucky 2026 Regular Session
Budget Review Subcommittee on Heath and Family Service. (6-3-26)
Transcript Highlights:
- Uh, again, as Secretary Stack mentioned, early wins are really important, and we do meet with our program
- Uh, again, as Secretary Stack mentioned, early wins are really important, and we do meet with our program
- Uh, again, as Secretary Stack mentioned, early wins are really important, and we do meet with our program
- Uh, again, as Secretary Stack mentioned, early wins are really important, and we do meet with our program
- Early wins are really important, and we do meet with our program officer bi-weekly, our CMS program officer
Keywords:
Meeting Start 00:00:00
Attendance Roll Call 00:00:20
CRISP Shared Services 00:01:39
Rural Health Transformation Plan 00:30:55, 958, all
Summary:
The Budget Review Subcommittee on Health and Family Services opened its first meeting of the 2026 interim session, took roll, and moved directly into presentations. The main presentation was from Ryan Bramble of Crisp Shared Services, who described the organization’s health information exchange and health data utility model in Kentucky and other states. He emphasized that Crisp is a nonprofit, that data ownership remains with providers, and that governance is local. He also outlined the technical infrastructure, including a master patient index, cloud-based data lake, support for modern standards like FHIR and USCDI as well as older formats, and data quality tools used to normalize and standardize information. Bramble said the model is intended to reduce duplication, lower costs, and support rural providers and future use cases such as reporting, analytics, and AI-enabled decision support.
Members asked how the state can ensure the data is actually used and who should drive priorities for health care improvement. Bramble said Crisp can provide tools, expertise, and examples from other states, but local teams such as KHI and state stakeholders must tailor and lead utilization efforts. In response to questions about ownership and coordination, he stressed that successful HIE governance requires a multistakeholder body that includes hospitals, health plans, government, and other interests, with a unified approach rather than multiple competing directives. He also said the Commonwealth has an opportunity to convene those stakeholders and set clear priorities.
A senator raised concerns that responsibility for Medicaid and broader health policy has become fragmented and suggested a stronger central role for the state, possibly through the Department of Public Health, to coordinate health priorities. Bramble agreed that a single convening authority and multistakeholder governance are important, and noted that local governance should determine what data is shared and how it is used. No votes or formal actions were taken during this portion of the meeting. After Bramble’s presentation and questions, the committee was told that Secretary Stack from the cabinet would testify next on the rural health transformation plan.