Video & Transcript : 'ABA services' :

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TX

Texas 89th 2nd C.S.

Homeland Security, Public Safety & Veterans' Affairs May 28th, 2026

Homeland Security, Public Safety & Veterans' Affairs

Transcript Highlights:
  • You're providing this service to them, correct? You're providing this service to them, correct?
  • There are 20 field service agents.
  • In Emergency Services District No. 1, an Emergency Services District, Bastrop Travis County's Emergency
  • Services District No. 1.
  • Without their services, the district's emergency services personnel would be unnecessarily strained further
Keywords: 1184, house, all
HI
Transcript Highlights:
  • Hawaii Youth Services Network alone has more than $2 million in federal funds for services to homeless
  • home services.
  • </c> have a strong health and social service have a strong health and social service um<00:42:42.720>
  • Child and family service and Thank you. Child and family service and support.
  • > an</c><00:44:20.000><c> incredible</c> Uh social services are an incredible Uh social services are
Committee: House Finance
Keywords: 910, house, all
KY

Kentucky 2026 Regular Session

Interim Joint Committee on Veterans, Military Affairs, & Public Protection.(7-20-26)

Veterans, Military Affairs, & Public Protection

Transcript Highlights:
  • . service. service.
  • of my service.
  • </c> of my service. of my service.
  • </c><00:54:31.520><c> Um</c> service. We care for those objects. Um service.
  • Uh, thank you for your service.
Keywords: 958, all
NH

New Hampshire 2026 Regular Session

House Session (05/07/2026)

New Hampshire House Floor Meeting

Transcript Highlights:
  • </c> them a free drink along with a service. them a free drink along with a service.
  • </c> Cenounu Youth Services Center property. Cenounu Youth Services Center property.
  • and trauma services.
  • and trauma services.
  • and trauma services.
Keywords: 1189, house, all
CA

California 2025-2026 Regular Session

Assembly Public Safety Committee Apr 21st, 2026

Transcript Highlights:
  • Hello, my name is Danny Munoz, Legal Services for Prisoners with Children.
  • Andy Munoz, Legal Services for Prisoners with Children, Oakland, support.
  • A bill related to Emergency Medical, the Medical Service Act.
  • Annie Manoos, Legal Services for Prisoners with Children, in support.
  • Annie Manoos, legal services for prisoners of children, support.
Summary: The committee heard testimony on several public safety bills, with most of the discussion focused on AB 1650, AB 2014, AB 1886, AB 2126, AB 2624, and AB 2257. AB 1650 would require clearer identification on privately owned vehicles rented or leased to government agencies for enforcement operations; supporters framed it as a transparency and safety measure in response to ICE activity, while no opposition testified. AB 2014 would allow post-conviction habeas relief where gender bias or stereotypes were used at trial and may have affected the outcome; supporters described cases involving sexist and anti-LGBTQ stereotypes, while the California District Attorneys Association opposed the bill as overbroad and likely to restrict relevant evidence, though the author said recent amendments removed the evidence-code provisions and left only the habeas remedy. AB 1886 would extend a 12-month probation presumption to youth in out-of-home placements and those discharged from secure youth treatment facilities; youth advocates supported it as a fairness and rehabilitation measure, while judges, probation officials, and district attorneys opposed it as undoing a recent compromise and limiting individualized decisions. AB 2126 would speed hiring of peer partners in child welfare by creating a narrow exemption process for certain foster-youth-related offenses; it drew broad support and no opposition. AB 2624 would expand the Safe at Home address-confidentiality program to immigrant service providers, employees, and volunteers; supporters cited threats, doxing, and harassment, while one journalist opposed it over possible effects on reporting, and the author and committee members said the bill preserves press protections and is narrowly aimed at threats and harassment. AB 2257 would restore county authority to create a separate corrections department to run jails instead of the sheriff; supporters argued it would improve accountability and address jail deaths and fiscal problems, while sheriffs opposed it as unnecessary and said sheriffs are already subject to oversight. The committee also noted several bills pulled by their authors and adopted a consent calendar of unrelated measures. Votes were not always taken immediately because the committee was waiting for a quorum, but AB 2624 was moved on a do-pass-as-amended motion to Appropriations and left on call, and the chair indicated support or favorable recommendations on several of the other measures.
KY
Transcript Highlights:
  • </c> service contract list, personal service service contract list, personal service contract<00:09:31.760
  • </c> Department for Community Based Services Department for Community Based Services and<00:10:22.000
  • . services. services.
  • </c><00:58:26.160><c> Oh,</c> Health and Family Services. Oh, Health and Family Services.
  • There's an services for patients.
Keywords: 958, all
Summary: The committee first approved the October 13 minutes and then moved through a large agenda of contracts and agreements, including a deferred list from the September 2025 agenda. Members questioned several agencies about the purpose, cost, and duration of the items before them, with repeated motions to consider the contracts reviewed without objection passing by roll call. The Office of Energy Policy and Energy and Environment Cabinet presented a solar-and-battery program. Members asked about panel and battery lifespan, warranty coverage, who would pay for replacement or disposal, and whether the program made sense in Kentucky. The agency said panels and batteries generally last 25 to 30 years, warranties would cover replacement during the warranty period, EPA guidance would govern disposal, and federal funds would cover program expenses. Officials estimated the program could reduce participating homeowners’ utility bills by about 70%, with a minimum required savings of 20%. The Department for Community Based Services explained a new vendor contract for SSI initial and redetermination work for children in out-of-home care, saying the work is federally required, the department lacks in-house capacity, and the contract replaced a prior vendor after an RFP protest and rebid. The Department of Highways described umbrella traffic engineering contracts for smaller highway safety projects, noting they are used for spot improvements and are nearing full utilization. The Kentucky Historical Society said its contract funded a temporary exhibit tied to 250th anniversary programming, and the Board of Medical Licensure discussed an amended audit contract, explaining that annual audits were adopted after an auditor’s recommendation and that the board is funded by state allocation plus fees and fines. The Department for Natural Resources/Abandoned Mine Lands gave the most extensive presentation, describing a $5 million engineering services contract as part of a much larger workload increase driven by Bipartisan Infrastructure Law funding, with projects prioritized by citizen complaints and safety impacts; the agency said the contract supports design and oversight for community-scale mine reclamation projects that exceed in-house capacity.
HI
Transcript Highlights:
  • </c> funding that would help The Debt Service funding that would help The Debt Service as<00:23:18.919
  • health services only to all telehealth services that are provided at the patient's home, are designated
  • health services only to all telehealth services that are provided at the patient's home, are designated
  • <00:36:50.079><c> are</c> services are services are reimbursable<00:36:52.200><c> the</c><00:36:52.359
  • the Human Services director um which in the Human Services director um which in essence<01:28:48.280>
Committee: House Health
Keywords: 910, house, all
Summary: The House Health Committee held its first hearing of 2025, with Chair Greg Takayama and Vice Chair Representative Leoy opening the meeting and outlining housekeeping rules, including a two-minute limit for testifiers and Zoom etiquette. The committee first heard HB 303 on health care preceptors. The Department of Health, Department of Taxation, University of Hawaiʻi, Hawaii State Center for Nursing, and several health care organizations supported the bill, saying the existing preceptor tax credit program has been successful and that expanding eligibility to additional professions and students would help address workforce shortages. In response to questions, the Department of Health said the annual tax credit cap is $1.5 million, about 650 to 670 credits are currently used each year, and the bill applies only to unpaid preceptors. The committee then moved on to HB 441, which would raise cigarette taxes. The Attorney General, Department of Health, University of Hawaiʻi Cancer Center, Hawaii Public Health Institute, American Cancer Society Cancer Action Network, and others supported the measure as a way to reduce smoking, especially among youth, and to support tobacco control and cancer-related programs. Opponents, including the Taxpayers Protection Alliance and the Cigar Association of Hawaii, argued the tax is regressive and unreliable as a revenue source. The Department of Health noted the last cigarette tax increase was in 2011, and one witness urged a larger increase than proposed. No vote was taken on either bill in the portion of the hearing provided. The committee also heard HB 557 on telehealth. The Department of Health supported the bill so long as it did not displace executive budget priorities, and the Hawaii State Health Planning and Development Agency and Hawaii Primary Care Association supported it. HPCA said the bill would conform state insurance law to recent Medicare changes expanding audio-only telehealth coverage beyond mental health services, and it emphasized access for rural residents, kupuna, and people with disabilities. HMSA opposed the bill as written, saying it strayed from the intent of Act 107 and that audio-only telehealth should remain limited because of quality-of-care concerns, though it supported continued access and asked for a different amendment approach. A telehealth provider also testified that payment disparities limit provider expansion and that audio-only access remains important for patients with serious illness. The hearing ended in the excerpt before any committee action or vote on HB 557.
CA

California 2025-2026 Regular Session

Senate Education Committee Apr 8th, 2026

Transcript Highlights:
  • Most importantly, I caught the bug for public service.
  • Most importantly, I caught the bug for public service.
  • Our service learning center.
  • He showed me that service can guide a meaningful and impactful future.
  • Give them those services. They need economic help.
Summary: The committee heard several education-related bills. SB 1154 would let community college districts use best-value procurement for public works over $1 million. The author and community college supporters argued it would improve project quality and reduce delays and change orders, while contractor groups opposed it, saying the bill’s skilled-and-trained workforce and safety provisions would narrow competition and add subjectivity. The bill passed the committee on a 4-2 vote and was placed on call. SB 1347, a cleanup bill clarifying that stock albuterol may be kept in all public schools, including preschool programs, drew support from school nurses, respiratory care advocates, and a physician who said it would help schools respond to asthma emergencies. With no opposition, it passed unanimously and was placed on call. SB 1222 would create a pilot program designating a lead county office to help regions improve career technical education implementation; supporters said it would expand access and build regional capacity, while Senator Cabaldon questioned the need for another pilot and urged more direct funding instead. The bill passed and was placed on call. The committee also considered SB 1378, which would create a California Excellence in Service Learning designation for schools and districts. Supporters said it would recognize and encourage service-learning programs without mandating curriculum changes, while some members raised concerns about adding more state designations and administrative work. It passed and was placed on call. SB 1048 would create a Seal of Climate Literacy for high school students; supporters said it would recognize climate-related learning and connect students to green careers, while members cautioned against using seals to influence curriculum and noted equity and implementation concerns. It also passed and was placed on call. Finally, SB 1101 would require higher education institutions to notify students, faculty, and staff when their personal information is shared with federal agencies in OCR-related investigations or subpoenas. Supporters framed it as a privacy and free-speech protection in response to recent federal requests for campus information, while the author said the bill would not block lawful subpoenas but would require notice and limit voluntary disclosures. The committee discussed legal and constitutional issues, but no vote was taken in the portion provided.
FL

Florida 2026 Regular Session

Senate in Session Feb 26th, 2026

Florida Senate Floor Meeting

Transcript Highlights:
  • That federal military service applies only when the service member has 90 consecutive days of federal
  • military service, not on a group of single orders.
  • Suitable services for juveniles and often then tries them as adults.
  • , and housing services for children in these areas.
  • For a lifetime of service to our community.
Keywords: 999, senate, all
CA
Transcript Highlights:
  • Forest Service.
  • Forest Service. Fifteen were excited... ...directly by the U.S. Forest Service.
  • Forest Service.
  • Public service value.
  • But it does take full wraparound services with regard not just instruction academics, but student services
Summary: The hearing opened the Select Committee on Effective Postsecondary Career, Technical Education, and Workforce Development Programs at Santa Ana College, with Assemblymember Mike Fong emphasizing the need for affordable, accelerated pathways into high-demand careers and noting his bill AB 1098 creating the California Interagency Education Council. Chancellor Marvin Martinez welcomed the committee and urged changes to AB 927 to remove the “duplication” barrier for community college bachelor’s degrees, arguing that applied baccalaureate programs can lead to high-wage jobs and expand access for low- and middle-income students. The first panel focused on statewide workforce trends and policy. California Community Colleges Vice Chancellor Anthony Cordova highlighted credit for prior learning, Strong Workforce funding, dual enrollment, and apprenticeship growth, asking the Legislature to restore and increase Strong Workforce funding and expand applied baccalaureate degrees. LAEDC’s Josep Bilayo described regional labor market data showing growth in health care, education, construction, bioscience, and clean energy, while stressing the need for employer-led, data-driven programs, wraparound supports, and flexible funding. Andrew Gonzalez of the Building and Construction Trades Council argued that registered apprenticeship must be paid, combine classroom and on-the-job training, and end in a portable credential; he also promoted apprenticeship readiness programs, community workforce agreements, and stronger exposure to trades starting in K-12. Eric Morrison Smith of the Alliance for Boys and Men of Color discussed the California Opportunity Youth Apprenticeship Grant Program and related youth apprenticeship recommendations, including bridge programs, intermediary infrastructure, reduced employer barriers, and better coordination of state funding. A later panel highlighted Santa Ana College’s fire technology and firefighting academy programs. President Annabelle Neri and Vice President Jeffrey Lamb said the college is one of the state’s largest fire training providers, with strong partnerships with local fire agencies, law enforcement, and the U.S. Forest Service, and with high job placement and six-figure starting salaries for some graduates. They also described related certificates, advanced officer training, wellness services, and workforce preparation such as mock interviews and sponsorships. Throughout the hearing, members and panelists repeatedly stressed the importance of aligning education with labor market demand, expanding apprenticeships and work-based learning, and using regional collaboration to connect students to living-wage careers.
TX

Texas 89th Regular

89th Legislative Session Jun 2nd, 2025

Texas House Floor Meeting

Transcript Highlights:
  • We're grateful for his life and his service.
  • So, thank you all for your service. The chair recognizes Mr.
  • It's to each of you for your District 49 service.
  • Services Department Manager Mike Blackwell and staff.
  • Can you put any actual numbers for like 10 years of service or eight years of service?
Keywords: 1184, house, all
TX

Texas 89th Regular

Senate Session (Part I) May 7th, 2025

Texas Senate Floor Meeting

Transcript Highlights:
  • Municipality for failure to provide services.
  • HB 2038 to Health and Human Services. HB 2128 to Water, Agriculture, and Rural Affairs.
  • HB 2510 to Health and Human Services.
  • , HB 4273 to Health and Human Services, HB 4325 to Jurisprudence.
  • to Health and Human Services, HB 5032 to Economic Development, HJR 34 to Education K-16.
Summary: The Senate convened with a quorum present, heard an invocation, adopted the prior day’s journal, received House messages, and adopted several resolutions and recognitions, including Senate Resolution 496 honoring Leadership Garland and resolutions 503 and 504. The chamber also recognized guests, including a North Dakota senator and the Doctor of the Day, and received gubernatorial nominations for the Texas Economic Development Corporation Board and the Nueces River Authority Board. The Senate then took up and passed a series of bills, often by suspending the regular order and the constitutional three-day rule. Measures approved included SB 614 on Texas Forensic Science Commission referrals to the Office of Capital and Forensic Writs; SB 250 on municipal annexation across railroad rights-of-way; SB 1660 on toxicological evidence retention and destruction procedures; SB 2586 requiring property owners associations to file governing documents with the Texas Real Estate Commission; SB 1588 increasing penalties for certain failures to report child sexual abuse; HB 912 on compensation for distributed renewable generation outside ERCOT; SB 1957 setting eligibility standards for civilian oversight boards; HB 2525 clarifying a charitable property tax exemption; SB 1525 limiting repeated prior authorization for neurodegenerative disease drugs; SB 865 requiring CPR/AED training and cardiac emergency response planning in schools; SB 1212 elevating human trafficking penalties; SB 2690 on solicitations for Secretary of State documents; SB 1802 on landlord repair duties for ramps, elevators, and handrails; SB 905 on licensing rules for speech-language pathologists and audiologists; SB 2929 allowing removal of disruptive spectators at school athletic events; SB 2675 creating a narrow McAllen-specific parkland conveyance exception; SB 872 increasing punishment for burglary of a vehicle involving firearm theft; and SB 1113 clarifying sales rules for certain converter-license holders. Several bills drew extended debate. SB 2487, dealing with crisis and mental health services for homelessness, was amended to make the county model permissive rather than mandatory and to remove state funding/assistance requirements before passing 28-3. SB 2138, barring higher education funds from contracting with firms that boycott fossil fuels through ESG policies, also passed after questions about fiscal effects and First Amendment concerns. SB 2615, restricting remote work at public institutions of higher education, advanced 22-9. The Senate also began consideration of SB 3016, which would expand enforcement tools against local governments that fail to comply with state law, but the transcript cuts off before action on that bill is completed.
MN
Transcript Highlights:
  • We provide central administrative infrastructure services to the entire judicial branch, including human
  • Our courts have the responsibility to deliver and pay for many different types of services pursuant to
  • </c> administrative infrastructure services administrative infrastructure services to<00:04:14.079><c
  • </c> many different types of services many different types of services pursuant<00:05:19.440><c> to</
  • talk about the rising cost of delivering these services later in my presentation.
Keywords: 1183, house
WA

Washington 2025-2026 Regular Session

Senate Pro Forma Floor Session Feb 24th, 2026 at 12:30 pm

Washington Senate Floor Meeting

Transcript Highlights:
  • 22 years of distinguished service to the Law Enforcement Officers and Fire Fighters Plan Retirement
  • 22 years of distinguished service to the Law Enforcement Officers and Fire Fighters Plan Retirement
  • The resolution continues: Steve Nelson has devoted 34 years of exemplary public service to the state
  • In recognition of his dedication and service to the public safety community, Mr.
  • As ambassadors for their schools and Pierce County, they have countless hours of community service.
Keywords: 904, all
WA

Washington 2025-2026 Regular Session

Senate Floor Session Feb 12th, 2026 at 10:00 am

Washington Senate Floor Meeting

Transcript Highlights:
  • Oden, chaplain and religious coordinator at the Department of Social and Health Services Special Commitment
  • And whereas Trooper Tara Marissa Gooding fully embodied the Washington State Patrol's motto of service
  • She has a proud history of service to our country.
  • Thank you for your service. Further remarks, Senator King. Thank you, Mr.
  • It's honoring, it's an honor, and it's humbling to recognize Trooper Guding, her life and her service
Keywords: 904, all
Summary: The Senate opened with roll call, colors, the Pledge of Allegiance, and a prayer. The journal was approved, House messages were received, and several measures were introduced and referred, including Senate Joint Resolution 8212 and House Bill 2664. The chamber then took up Senate Resolution 8672, honoring Washington State Patrol Trooper Tara Marissa Guding, who was killed in the line of duty. Senators spoke in support, emphasizing her service, the risks faced by troopers, and the importance of slowing down and moving over for emergency vehicles. The resolution was adopted unanimously, all members were added as co-sponsors, and the Senate observed a moment of silence and welcomed Trooper Guding’s colleagues and family. The Senate then considered gubernatorial appointments. Kerry Heaton was confirmed to the Peninsula College Board of Trustees by a roll call vote of 47 ayes and 2 absent. Rebecca Chan was confirmed to the Shoreline Community College Board of Trustees by a vote of 49 ayes and 0 nays. Bethany J. Martinez was confirmed to the Big Bend Community College Board of Trustees by a vote of 49 ayes and 0 nays. Senators speaking on the appointments highlighted each nominee’s community involvement, professional background, and qualifications for the board positions. After the confirmations, the Senate agreed to stand at ease for caucus until 1 p.m. The transcript also included the reading of the prior day’s journal and routine procedural motions to advance through the orders of business.
MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - 04/09/26

Health and Human Services

Transcript Highlights:
  • </c> apply to collaborative care services. apply to collaborative care services.
  • </c> rates and mental health services. rates and mental health services.
  • We are a small service.
  • </c> services face with HR1 implementation. services face with HR1 implementation.
  • </c> school linked mental health services. school linked mental health services.
Keywords: 1187, senate, all
NH

New Hampshire 2026 Regular Session

House Children and Family Law (03/24/2026)

Children and Family Law

Transcript Highlights:
  • </c> again various interventions and services again various interventions and services for<00:08:28.879
  • SB 413 of Health and Human Services.
  • >> Sure. >> So is it not a great service? CASA is a great service.
  • Then it outlines those services.
  • </c><02:08:13.840><c> Um</c> getting the the daycare services. Um getting the the daycare services.
Keywords: 1189, house, all
MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - 02/20/25

Health and Human Services

Transcript Highlights:
  • and Human Services.
  • And be getting the services and the education and those wraparound services that they need.
  • </c> care in terms of the services care in terms of the services individuals<00:25:34.760><c> receive
  • </c><00:30:55.760><c> Administration</c> Resources and services Administration Resources and services
  • </c> with in with the Indian Health Service with in with the Indian Health Service Health<00:31:33.279
Keywords: 1187, senate, all
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Ways and Means Jun 21st, 2026 at 11:00 am

Joint Committee on Ways and Means

Transcript Highlights:
  • We work... ...Services Chief and Megan Winston, the Chief of Transitional Services, we work really, really
  • They're the people who staff the court service centers that offer such robust service right now to our
  • Public confidence in that service.
  • , general therapy services, some victim witness services in the DA's office.
  • Department of Health and Human Services, standardizes adult protective services across the United States
Keywords: 995, all
Summary: The hearing was held in Clinton Town Hall as part of the Joint Committee on Ways and Means’ budget review, with local officials welcoming legislators and noting the long agenda of many panels. The main presentation was from Secretary Terrence Reedy of the Executive Office of Public Safety and Security, who outlined the Healey-Driscoll administration’s FY26 proposal for the secretariat, including a $1.7 billion budget and a 7% increase over FY25. He described investments in emergency preparedness, hate-crime prevention, reentry programming, technology modernization, internships, and public safety training, while also noting some reductions driven by resource constraints, including cuts to certain grant programs and administrative costs. Committee members also raised concerns about federal uncertainty and how it could affect state budgets and public safety planning. A major portion of the questioning focused on the Department of Correction. Secretary Reedy and Commissioner Sean Jenkins said the biggest challenges are staffing, officer wellness, facility safety, and contraband—especially K2. They described steps taken at MCI Souza and other facilities, including reducing population at the maximum-security unit, changing management, removing metal products and free weights, improving screening and roll calls, adding a rapid response team, and increasing investigative and technological efforts to combat K2. They also discussed the closure of MCI Concord, saying it was driven by high maintenance costs and staffing needs, and explained that savings are being used to improve staffing patterns and address deferred maintenance over time rather than producing immediate large budget reductions. Members also questioned the budget’s impact on police training and community policing. The administration defended the increase in police academy tuition from $3,200 to $6,000 as reflecting true training costs and said it would still be subsidized by the state, while acknowledging the burden on small municipalities. They said the MPTC is expanding regional training and considering proposals such as Greenfield Community College’s. On community policing, officials emphasized uniform statewide training, de-escalation, and communication skills. The State Police also announced an outside review of the academy by the International Association of Chiefs of Police and said the next class will be split into two smaller groups to improve oversight and allow quicker implementation of recommendations. Other topics included ICE and federal immigration enforcement, with Reedy saying state law prohibits Massachusetts law enforcement from acting in a civil immigration capacity and that no state dollars were used in the Tufts-related ICE operation mentioned by a member. Senators and representatives also raised the upcoming FIFA World Cup, warning that it will require significant public safety resources and likely federal funding. Additional discussion covered restorative justice and juvenile diversion, health care costs in DOC, electronic health records, and the need for more diverse and culturally competent public safety staffing. No votes were taken during the hearing.
KY
Transcript Highlights:
  • Unlike in fee-for-service, MCOs pay for additional wraparound services, which we'll cover shortly.
  • </c> services, et cetera. services, et cetera. Okay.<00:29:59.080><c> Sure.
  • </c><00:31:07.640><c> or</c> come together and provide services or come together and provide services
  • So, if an MCO for a service.
  • , proper services rendered.
Keywords: 958, all
Summary: The Medicaid Oversight and Advisory Board received a presentation from Dr. Stack and Commissioner Langfeld on Kentucky’s application for a federal Medicaid-related funding opportunity tied to House Resolution 1. They described a compressed six-week stakeholder process that produced more than 50 responses and letters of support, and said the application was organized around five broad priorities: maternal health, behavioral health and substance use disorder, oral health, EMS/trauma response, and chronic disease. They emphasized that the proposal was designed to align with CMS goals, use allowable funding categories, and focus on sustainability rather than a short-term grant. Commissioner Langfeld outlined five core initiatives: rural community hubs for chronic care innovation, beginning with obesity and diabetes; a maternal and infant health effort called POWER; a behavioral health and substance use model called IMPATH; an oral health initiative called Rooted in Health; and an integrated crisis-to-care EMS and trauma response effort. He said the chronic disease work would include prevention, food-as-medicine concepts, and technology tools, while the maternal health effort would expand team-based care around mothers and infants using community health workers and doulas. The behavioral health proposal would build on existing crisis intervention models, oral health would address workforce and access gaps through training, mobile vans, and telehealth, and the EMS proposal would better connect emergency response with home-based and community care. Several senators questioned whether the proposal would meaningfully address rural hospital closures or the broader rural health care crisis. Senator Meredith said the plan was not transformational and would not save rural hospitals, while Senator Berg asked how success would be measured. In response, the presenters said they would use both lagging and leading indicators, with an emphasis on rapid-cycle feedback and data use that is more actionable in real time. They also said the work could help existing models that already show promise, such as behavioral health units and dental workforce expansion, even if it would not solve the larger funding gap created by HR1. Senator Douglas asked how the proposals would motivate patients to participate in their own health care. The presenters responded that the chronic disease prevention work would focus on obesity, diabetes prevention, nutrition, and consumer-facing technology tools to help people engage in their own care, and that EMS-community health worker partnerships could identify unmet needs in the home and reduce preventable problems. The board then moved on to its next agenda item, Medicaid managed care delivery models, with Tom Stevens, Katherine North, and Dr. Patel scheduled to present.