Video & Transcript : 'collaborative practice' :

Page 35 of 500
FL

Florida 2026 Regular Session

Appropriations Committee on Health and Human Services Jan 14th, 2026

Appropriations Committee on Health and Human Services

Transcript Highlights:
  • Through a collaborative effort, working with partners utilizing two years of actual expenditure data
  • Through a collaborative effort, working with partners utilizing two years of actual expenditure data
  • They prioritize independence, dignity, family support, and practical solutions that work across urban
  • , and the collaborative would decide on an equitable basis how those funds are distributed.
  • There's more and more interest in collaboration, data sharing, things like that.
Summary: The Appropriations Committee on Health and Human Services heard presentations on the governor’s proposed fiscal year 2026-2027 budget for the health and human services agencies. Kendall Kelly outlined the overall HHS budget at $48.5 billion, with AHCA accounting for the largest share, and agency heads then highlighted major proposals for Medicaid behavioral health redesign, APD waiver enrollment and facility needs, DCF child welfare, opioid, and mental health investments, DOEA funding for Alzheimer’s, home care, and community services, DOH funding for cancer research, public health initiatives, and lab capacity, and VA funding for facility improvements, cybersecurity, and medication management. Several members praised specific proposals, including increased reimbursement for private duty nursing, Alzheimer’s supports, and the Florida FIRST blood-in-ambulance initiative. Senators also questioned the proposed changes to the AIDS Drug Assistance Program (ADAP), with the Surgeon General explaining that the department expects a reduction in covered patients from about 30,000 to about 20,000 because of funding pressures tied to rebates, federal changes, and premium tax credit issues. Public testimony strongly criticized the ADAP changes, citing lack of transparency and warning that many patients could lose access to medications. Other questions focused on the Office of Minority Health and Health Equity, DCF’s substance abuse and mental health data dashboard, Kids Care/CHIP expansion implementation, APD bed and facility planning, and the FX Medicaid technology project. DCF said about $7 million is set aside for the dashboard system, and AHCA said the governor’s budget includes $124.4 million for FX maintenance and continued module development, with $13.5 million to begin claims processing work. The committee did not take a substantive vote on the budget presentations and adjourned after questions and public testimony.
HI

Hawaii 2025 Regular Session

FIN/WAM Joint Info Briefing - Tue Jan 21, 2025 @ 1:00 PM HST

Hawaii House Floor Meeting

Transcript Highlights:
  • We look forward to collaborating with you on this session.
  • </c> we're taking a very um practical we're taking a very um practical approach<00:50:49.480><c> I</c
  • Cross-sector collaboration, public safety.
  • </c> there um cross- sector collaboration there um cross- sector collaboration Public<00:55:51.480><c
  • </c> Year's have it's highly collaborative Year's have it's highly collaborative you<00:56:30.960><c>
Keywords: 910, house, all
NM

New Mexico 2026 Regular Session

House - Education Feb 11th, 2026 at 08:39 am

House Education

Transcript Highlights:
  • If you read the addition to the title, it requires the use of evidence-based practices for biliteracy
  • are deeply influenced by the research and practice of what indigenous...
  • best practices, whatever we learned 30 years ago, maybe it has improved or changed.
  • I really want to see that alignment with practice, with our professional...
  • I really want to see that alignment with practice, with our professional See that alignment with practice
Bills: SB234, SB210, SB243, SB244, SM16, HB8
WA
Transcript Highlights:
  • Dwayne Emmons explained that, in Washington, under the forest practices rules, if you do not salvage
  • Most of you may know the Centennial Accord is one of the oldest, longest-standing collaborations and
  • Most of you may know the Centennial Court is one of the oldest, long, longest standing collaborations
  • That we can do better when we collaborate. And we do better when we can engage.
  • Lastly, the bill encourages the use of innovative court practices.
Summary: The committee held public hearings on House Bill 2170, which would authorize DNR to enter ecosystem service and carbon contracts on state trust lands, and House Bill 2578, which would add tribal members and alternates to the Fish and Wildlife Commission. For HB 2170, the Department of Natural Resources and supporters said the bill would diversify revenue, help meet climate goals, and allow DNR to participate in emerging carbon and ecosystem markets without necessarily eliminating timber harvest. Opponents, including counties, school districts, timber companies, loggers, and forest industry groups, argued the bill could reduce harvest levels, harm rural jobs and mill supply, and lower revenues for schools and other trust beneficiaries; several said any new authority should be limited to additive projects with stronger safeguards. Supporters included environmental groups and some local officials who said the bill would provide a more stable revenue stream and better align land management with climate and watershed benefits. The chair noted there are two related vehicles in committee, HB 1508 as the negotiated version and HB 2170 as the department version, and the public hearing on HB 2170 was closed after extensive testimony. For HB 2578, staff explained that the bill would add four tribal commissioner positions and four alternates to the Fish and Wildlife Commission, with representation from federally recognized tribes on both sides of the Cascades and staggered terms. Prime sponsor Rep. Deborah Lekanoff said the measure would strengthen co-management and the state’s government-to-government relationship with tribes, while acknowledging there are other related bills and ongoing legal issues involving WDFW. The chair asked whether the bill would affect existing tribal consultation obligations, and Lekanoff said it would not replace government-to-government consultation; she also said she would follow up on how the governor would make appointments. The hearing on HB 2578 was then suspended so the committee could return to HB 2170 testimony. The committee also heard staff briefing and sponsor testimony on House Bill 2544, which would create a pilot process for the Upper Columbia River water rights adjudication. Staff said the bill would require Ecology to run the adjudication in two phases, starting with tribal and federal claimants and allowing time for settlement before bringing in other claims, with a report due by June 2035. Rep. Larry Springer said the bill is intended to establish a baseline of water use more efficiently in a process that can otherwise take decades. After the briefing and sponsor remarks, the committee began public testimony on the bill, with tribal representatives and other stakeholders queued to testify.
MA

Massachusetts 2025-2026 Regular Session

Joint Committee on Consumer Protection and Professional Licensure Jun 21st, 2026 at 10:00 am

Joint Committee on Consumer Protection and Professional Licensure

Transcript Highlights:
  • What they do is facilitate two-way practice.
  • These are considered the practice of medicine.
  • I work in the context of a private practice. As Dr.
  • in the faculty practice.
  • If they can work as faculty members, practice in faculty practice, and practice in health centers, they
Keywords: 995, all
Summary: The committee opened a hearing of the Joint Committee on Consumer Protection and Professional Licensure focused on health care and human services, reviewed testimony logistics, and then heard a long series of witnesses on several bills. Much of the testimony centered on interstate licensure compacts for dentistry, social work, and occupational therapy, with supporters arguing these compacts would improve workforce mobility, continuity of care, and access while preserving state oversight and public protection. Dental witnesses were split on H.455/S.257, with supporters backing the AADB dental compact for its hands-on exam, background checks, and disciplinary safeguards, while opponents argued a competing compact would better promote portability and avoid conflicts tied to proprietary testing and outside commissions. Social work witnesses strongly supported H.380/S.252, emphasizing continuity of care for clients who move across state lines, reduced costs and delays for practitioners, and the compact’s public-protection features; occupational therapy witnesses similarly supported H.427/S.256, citing access, telehealth, military families, and maintained standards. The committee also heard testimony on S.242, which would expand licensure for lactation care providers. Supporters, including lactation counselors and health center staff, said adding certified lactation counselors and related credentials would expand access, improve breastfeeding support, and allow reimbursement for services now often provided without billing. They described the training required and said the bill would help families, especially in underserved communities. Representative James O’Day also testified in support of the social work compact, and a Council of State Governments witness provided background on compact mechanics and state participation. Another major topic was H.419/S.214 on medical debt. Physicians and researchers testified that cancer patients experience long-lasting medical debt and collections burdens, and they supported limits on the sale and collection of medical debt, bans on reporting it to credit bureaus, and related consumer protections. The hearing also included H.465 on a pathway to special licensure for certain long-term limited-registration dentists serving MassHealth patients, which Representative Senna supported as a way to allow immigrant dentists to practice independently. Finally, the committee heard sharply divided testimony on H.444/S.284, which would allow trained dental hygienists to administer Botox and dermal fillers: supporters framed it as a safe, preventive, and access-expanding tool for TMJ, bruxism, and pain management, while dermatologists opposed it as outside hygienists’ training and a patient-safety risk. No votes or formal actions were taken during the hearing.
CA
Transcript Highlights:
  • We look forward to the continued collaboration with the Legislature and the administration.
  • for children and youth to improve and expand the delivery of those practices.
  • In BH Connect, we are implementing new coverage for evidence-based practices.
  • statute as practices we expect to ...in the Behavioral Health Services Act statute as practices we expect
  • evidence practices.
Summary: The hearing opened with remarks from the chair and members about recent federal cuts to public health, mental health, family planning, and Title X funding, with strong concern about the impact on California programs and providers. The committee then turned to the Department of State Hospitals, which presented its 2025-26 budget proposal of $3.4 billion, including new positions, capital improvements, and funding tied to increased patient costs and incompetent-to-stand-trial services. DSH reported major progress in reducing the IST waitlist and wait times, said it had met the court’s 28-day treatment benchmark for those without extenuating circumstances, and described workforce recruitment and retention efforts such as residency programs, fellowships, outreach, and hiring streamlining. Members asked about future IST referral trends, SB 1323’s effect on diversion and community treatment, and workforce lessons in high-cost regions; public comment urged reconsideration of county IST growth cap methodology in light of new criminal justice initiatives. The committee next received an informational overview of Proposition 1 and its changes to behavioral health funding and governance. The Legislative Analyst’s Office explained that Prop. 1 restructured county MHSA funding buckets, expanded the Commission for Behavioral Health, shifted prevention and early intervention responsibilities, and authorized a $6.4 billion bond, including $4.4 billion for behavioral health facilities through BHCIP. DHCS said it had released guidance for county integrated plans and was receiving extensive public comment. Members focused on BHCIP application requirements, especially letters of support and tribal projects, and raised concerns about whether DHCS’s implementation matched statutory intent. DHCS said it had authority to set application requirements and that tribal entities were treated differently because of sovereignty and funding structure. DHCS then updated the committee on BHCIP, the Behavioral Health Bridge Housing Program, and related bond implementation. The department said BHCIP had awarded about $1.7 billion across five rounds, with more than 130 projects and 223 distinct facilities funded, and that it was preparing to award the new bond funds after receiving nearly $8 billion in applications. The LAO’s assessment found that more than half of awards served at least 80% Medi-Cal enrollees, but also raised concerns that the regional allocation model could reinforce inequities, that the program had not sufficiently addressed the highest-need regions such as the southern San Joaquin Valley, and that smaller counties and less launch-ready applicants faced barriers. For bridge housing, DHCS said more than $1.1 billion had been awarded, serving over 5,000 people and supporting more than 2,000 operational beds, but the Governor’s budget proposes to eliminate Round 4 funding as the administration weighs other statewide investments and Proposition 1 implementation workload. Public commenters and members urged more accountability, better regional equity, stronger labor and community involvement, and caution about funding for for-profit psychiatric facilities. Finally, the committee heard on the Children and Youth Behavioral Health Initiative. CalHHS and DHCS described CYBHI as a broad prevention- and equity-focused effort with more than 1,300 organizations funded, over $2.1 billion awarded, and multiple work streams spanning schools, community programs, workforce, and digital supports. DHCS highlighted school-based services, the fee schedule rollout, and digital platforms BrightLife Kids and Soluna, which it said are reaching users statewide and providing low-barrier access to coaching and support. Members and public commenters raised concerns about delays in school fee schedule implementation, the large share of funding going to digital tools, the need for more in-person services, and whether the initiative is sufficiently tracking outcomes and equity impacts. No formal votes were taken during the hearing.
NM

New Mexico 2025 Regular Session

Senate - Finance Feb 4th, 2025

Senate Finance

Transcript Highlights:
  • An example of promising practices...
  • So, these are considered some of the best practices.
  • health collaboratives.
  • We don't have a standard scope of practice.
  • We don't have an entity that looks at scope of practice. They bring scope of practices up here.
CA
Transcript Highlights:
  • These are best practices for safe, secure, and thriving facility environments.
  • With regard to the progress review hearings, in the spirit of the collaborative court model and highly
  • We promote promising practices for community-based residential transitional housing, practices linking
  • Pan just talked about, our collaboration with the Western States? The West Coast Health Alliance?
  • Howrie has really been our collaboration lead. Dr. Howie has really been our collaboration lead.
Summary: The hearing began with an overview of the California Health and Human Services Agency, which described its 2026-27 budget, major departments, and strategic priorities, including behavioral health, housing and human services integration, children and youth, and aging/disability services. The agency also explained a technical CalHHS/CalHires budget adjustment tied to HR1 compliance and eligibility system work. No LAO concerns were raised on that item. The committee then heard from the Office of Youth and Community Restoration on its budget, its SB 823 realignment report, and related issues. OYCR said county-based realignment has generally succeeded but outcomes and readiness vary widely, and it recommended more climate surveys, youth advisory councils, stronger behavioral management, better programming, improved transition planning, and integrated longitudinal data systems. Members pressed OYCR on “net widening,” county-by-county trends, and the gap between the detailed recommendations discussed in hearing and the more general recommendations in the public report. OYCR also described problems with federal Title II grant timing and a pending $14 million administrative funding adjustment, and discussed implementation of the juvenile justice realignment block grant formula. The Ombudsperson division separately requested two new positions due to rising complaints, site visits, and records-access disputes with counties; LAO noted the proposal would create ongoing General Fund costs. Several other departments presented budget change proposals. The State Council on Developmental Disabilities requested $730,000 General Fund ongoing to cover an interagency administrative support gap with DSS; LAO had no concerns. EMSA presented its department overview, said its AB 716 ambulance-rate report has been delayed after resources were reduced, and requested funding for disaster-response vehicle replacement, IT security assessment work, and additional HR/legal staff; members questioned delays, compliance, and the ongoing General Fund impact. The Department of Community Services and Development sought reappropriation of LIWIP funds and explained a new Proposition 4 process for continuing the farmworker housing component. The Department of Rehabilitation requested authority for $60 million in additional federal funds and 54 positions to meet growing vocational rehabilitation demand, with no General Fund impact. The Department of Child Support Services presented its budget and a supplemental report on full pass-through of child support collections. Members questioned why local agency funding was being restored despite declining caseloads, and staff explained that staffing costs have risen faster than caseload declines and that additional funding is needed to maintain service levels. The supplemental report estimated full pass-through would cost about $150 million General Fund annually, or about $80 million for a state-and-county portion, with $3 million to $5 million in automation costs. Finally, the Department of Public Health gave a broad overview of its $5.1 billion budget and its State of Public Health report, highlighting improved mortality and life expectancy, declining overdose deaths and STI rates, persistent racial and regional disparities, and increasing public health emergency demands. CDPH also warned that federal funding threats and policy changes are creating major uncertainty for state and local public health systems.
NM

New Mexico 2025 Regular Session

IC - Courts, Corrections and Justice Sep 23rd, 2025

Courts, Corrections & Justice Committee

Transcript Highlights:
  • As with respect to any other service collaborations, I'm not aware of any.
  • She is looking at diversion programs and has been collaborating with the first district.
  • Is that the best practice that we're looking at? I mean, that's my question, Madam Chair.
  • So as Teague mentioned, collaboration is taking place.
  • The joke in practicing law is that immigration and tax law are equally complicated.
MN

Minnesota 2025-2026 Regular Session

Committee on Health and Human Services - 03/13/25

Health and Human Services

Transcript Highlights:
  • in the field of have been practicing in the field of child<00:20:45.640><c> welfare</c><00:20:46.120
  • It is our practice to follow the Department of Children, Youth, and Families screening guidelines for
  • In closing, MACSSA supports the screening guidelines to continue to guide the practice in this area,
  • between the many diverse 87 counties to find best practices.
  • </c> needs and it'll allow for collaboration needs and it'll allow for collaboration between<01:53:22.320
Keywords: 1187, senate, all
NM

New Mexico 2025 Regular Session

IC - Indian Affairs Sep 25th, 2025

House Government, Elections & Indian Affairs

Transcript Highlights:
  • Our representatives and senators here really try to collaborate.
  • I asked him how agricultural practices have changed.
  • Our traditional farming and ranching practices have also been affected.
  • Ensure meaningful consultation and cooperation—collaboration, not just notification.
  • It is becoming increasingly difficult to practice that at home. Difficult to practice that at home.
CA

California 2025-2026 Regular Session

Senate Health Committee Jun 24th, 2026

Transcript Highlights:
  • AB 1629 makes practical, targeted improvements to change that.
  • Practical considerations: each model brings different operational needs.
  • So I think we can clarify. by practice of CDPH's reporting.
  • Transparency drives safer industry practices.
  • facilities, with the county, and multi-jurisdictional collaboration.
Summary: The Senate Committee on Health heard a series of bills focused on access to care, insurance coverage, and public health. AB 387 on youth sports AED access drew support from the author and safety advocates, but opposition from school, park, city, and county groups over liability, cost, and access concerns. The author said he would continue working on amendments to shift the bill toward requiring access to existing AEDs rather than mandating facility procurement. Committee members emphasized the life-saving purpose of the bill while also raising affordability and access concerns for youth sports programs. The committee also heard AB 1682, which would require health plans and insurers to cover FDA-cleared scalp cooling devices for chemotherapy patients. Supporters, including breast cancer survivors and health groups, described the emotional and quality-of-life benefits of preventing hair loss and said cost is the main barrier to access. There was no formal opposition, though one senator raised concerns about whether the mandate could exceed essential health benefits. The chair and members expressed support for the bill’s goals and said it would be taken up when quorum was established. AB 2093, a follow-up to the 988 crisis line law, sought to clarify statewide leadership, improve coordination among 988, 911, and mobile crisis teams, and create a more sustainable funding structure. Behavioral health organizations and crisis center representatives supported the bill, saying implementation challenges and demand growth require statutory fixes. Committee members generally supported the concept but noted the bill was a gut-and-amend and that additional work was needed with county and behavioral health stakeholders. The committee then heard AB 1843 on hepatitis C treatment, AB 1629 on dental assignment of benefits, AB 2540 on community college access to medication abortion services, and AB 1929 on disclosure of health plan investments. AB 1843 had broad support from medical and public health groups but opposition from health plans, which argued it conflicted with the prior-authorization framework in SB 306 and could raise drug costs. AB 1629 was supported by dental and patient advocates but opposed by dental plans and insurers over concerns about network participation and out-of-pocket costs. AB 2540 drew strong support from reproductive health advocates and student representatives, while community college health services and some others opposed or were neutral pending amendments; the author said the bill was about equity and accepted amendments to reduce burdens. AB 1929 was backed by labor and immigrant rights groups as a transparency measure, but opposed by health plans and insurers who said Covered California was not the right entity to administer the disclosures and that the information was already publicly available. Throughout the hearing, members repeatedly weighed public access and transparency against cost, administrative burden, and implementation concerns.
CA
Transcript Highlights:
  • The second recommendation is that each facility, it would be a best practice for them to have a youth
  • These are best practice for safe, secure, and thriving facility environments.
  • With regard to the progress review hearings, in the spirit of the collaborative court model, a highly
  • We promote promising practices for community-based residential transitional housing, practices linking
  • Howie has really been our collaboration lead. And then those were the two from CDC. Although Dr.
Summary: The committee heard a series of budget and oversight presentations from CalHHS-related departments and agencies. CalHHS opened with a broad overview of its 2026-27 budget and priorities, including behavioral health, housing and human services integration, children and youth services, and aging/disability supports. OICR then presented its budget and its SB 823 realignment report on youth formerly committed to DJJ, saying county implementation varies widely but that the state has not seen evidence of net widening in the available data. OICR recommended climate surveys, youth advisory councils, stronger behavioral health and education programming in secure youth treatment facilities, better transitional planning, and improved longitudinal data systems. The agency also described a Title II federal grant transition problem, saying it cannot yet pay some subrecipients for prior work and is awaiting federal action on retroactive spending authority and an administrative funding adjustment. The Ombudsperson division requested two additional positions to address a growing complaint workload and access issues with counties over youth meetings, records, and grievance files; LAO raised no policy objection but noted the ongoing General Fund cost. The State Council on Developmental Disabilities requested $730,000 General Fund ongoing to cover the gap between federal limits on administrative overhead and the actual cost of an interagency agreement with the Department of Social Services. EMSA presented its department overview and several proposals, including a delayed AB 716 ambulance rate report, a $2.6 million request to replace aging disaster-response vehicles, a $250,000 security architecture assessment, and four positions plus ongoing General Fund for HR, enforcement, and legal workload. Members questioned the delay in the AB 716 report, the optics and timing of the vehicle replacement request, and whether EMSA was doing enough to prevent future staffing and enforcement problems. LAO repeatedly noted the ongoing General Fund implications of EMSA’s requests. The Department of Community Services and Development sought reappropriation of unspent Greenhouse Gas Reduction Fund money for the Low-Income Weatherization Program and described a Proposition 4-funded continuation of the farmworker housing component, which would require a new statewide administrator and program design process. The Department of Rehabilitation requested authority to draw an additional $60 million in federal funds annually and add 54 positions to meet sharply increased Vocational Rehabilitation caseloads; LAO had no concerns. Child Support Services proposed restoring a prior reduction to local child support agency funding and reported higher federal performance incentives, while also presenting a supplemental report on full pass-through of child support collections to CalWORKs families, estimating about $150 million annually for full pass-through or about $80 million for a state/county-only approach, plus automation costs. Members questioned why funding should rise when caseloads are declining, and whether the policy could be made cost-neutral. CDPH closed the hearing with an overview of its $5.1 billion budget and its state of public health report, highlighting record-low mortality and higher life expectancy, but also rising overdose deaths among ages 25-44, persistent maternal and infant mortality disparities, and the need for stable public health and emergency-response capacity; no votes were taken during the hearing.
TX

Texas 89th Regular

Intergovernmental Affairs Apr 15th, 2025

Intergovernmental Affairs

Transcript Highlights:
  • So, we want this to be a collaborative effort.
  • This is a mutually beneficial solution to provide those practical hours while they can.
  • And hopefully, we learn what best practices are.
  • This legitimizes that and makes the law consistent with existing practice.
  • So there may be guardrails and good practices... This is in place in San Antonio now.
MN

Minnesota 2025-2026 Regular Session

Committee on Higher Education - 02/24/26

Higher Education

Transcript Highlights:
  • This agreement allows our practice.
  • </c> environment as our designated practice environment as our designated practice plan.<00:10:07.839
  • </c><00:10:30.399><c> explore</c> creatively and collaboratively explore creatively and collaboratively
  • And we look forward to deeply collaborating and working closely with what will be our sole faculty practice
  • We look forward to deeply collaborating and working closely with what will be our sole faculty practice
Keywords: 1187, senate, all
KY
Transcript Highlights:
  • Um so, comfortable in the collaboration.
  • ><c> but</c><00:15:51.560><c> they're</c> just practicing medicine, but they're just practicing medicine
  • I think we have five practicing doctors, and they're all over 60.
  • Um the big thing with this is practice.
  • </c> time out in private practice. time out in private practice.
Keywords: 958, all
Summary: The Senate Standing Committee on Health Services met with a quorum and first took up Senate Joint Resolution 116, sponsored by President Stivers. The resolution directs the University of Kentucky, the University of Louisville, and Eastern Kentucky University to work over the next year on a statewide framework to improve health care access, especially in underserved and unserved areas. Members discussed physician shortages, maldistribution of doctors, recruitment and retention, loan forgiveness, scholarships, technology, and the connection between health care access and economic development in rural Kentucky. The resolution was reported favorably on a unanimous roll call vote. The committee then considered Senate Bill 116, relating to physician assistants and a shift from a supervisory to a collaborative practice model. The sponsor and PA witnesses explained that the bill was heavily revised through a committee substitute after discussions with the Kentucky Medical Association, physicians, and hospitals. They said the substitute keeps physician supervision in place while allowing health care teams to function more efficiently, and they emphasized that the bill is intended to improve access to care, particularly in rural areas with few doctors. Some members supported the compromise and the collaboration, while others raised concerns that expanding PA practice could worsen long-term physician shortages or reduce incentives for doctors to practice in rural Kentucky. The bill passed the committee 7-2 with favorable expression.
CA
Transcript Highlights:
  • And we will start with Integrated Community Collaborative. Good afternoon, Chairman Dr.
  • It doesn't pay the best for the best practices that we know about.
  • It doesn't pay the best for the best practices that we know about.
  • Communication, any collaboration on this item.
  • And it is a bit out of line with some of the best practices for value-based payments.
Summary: The Assembly Budget Subcommittee on Human Services held a hearing on developmental services, rehabilitation, and related supports, with no votes taken. The first major topic was the Master Plan for Developmental Services. Administration officials described a year-long, community-driven process that included a steering committee, work groups, and statewide engagement sessions, and said the final draft would be released that Friday with about 170 recommendations. The Department of Developmental Services said the plan would inform future work, but did not offer a detailed implementation roadmap. The LAO said the plan contains significant policy and budget implications, may require statutory changes, and needs further analysis to turn recommendations into actionable proposals. Advocates and regional center representatives urged the Legislature and administration to avoid letting the plan sit on a shelf, called for prioritization and ongoing stakeholder oversight, and emphasized the need to address equity, workforce, service coordination, and cross-system collaboration. The chair said he wanted to work with the LAO on trailer bill language and future reporting to create a clearer path forward. The second topic was the Office of Employment First and competitive integrated employment. Administration witnesses said California has ended subminimum wage under SB 639, but that moving people into competitive integrated employment remains a major priority. They described existing efforts such as DDS’s coordinated career pathways pilot, paid internships, job development services, benefits counseling, and DOR’s career counseling and referral services, along with pilot projects in San Diego and Orange County. The State Council on Developmental Disabilities and advocates argued that employment outcomes have remained stuck at roughly 15% and that a dedicated Employment First Office is needed to coordinate across agencies, align goals, and improve outcomes. The LAO recommended regular legislative oversight on people transitioning out of subminimum wage and asked for technical assistance on coordinated career pathways. The chair criticized the administration’s decision to effectively eliminate funding for the office, requested a detailed implementation timeline and quarterly transition reports, and said the committee would continue pressing for the office to be implemented. The final issue was respite services, utilization trends, and access. DDS reported that in-home respite use and spending have risen sharply over several years, with about 150,000 people using respite in 2023-24 and expenditures reaching about $1 billion. Officials said access depends on families knowing the service exists, service coordinators identifying need, and having enough providers, especially in rural and linguistically diverse communities. The San Diego Regional Center said utilization generally mirrors statewide trends, but access is stronger in some areas, such as Imperial County, where families often prefer family-directed or agency-supported models that allow them to hire trusted workers. Committee members emphasized the importance of respite for family health and caregiver well-being, asked whether service coordinators are asking practical questions about sleep and stress, and discussed the need for better identification of complex behavioral and medical needs. DDS said a standardized family support tool and updated IPP process are intended to improve consistency, transparency, and person-centered assessment for respite and related services.
CA
Transcript Highlights:
  • And when students have the opportunity to practice civic participation through guided discourse, collaboration
  • And then you said something about best practices in civic education.
  • That’s what I meant by best practices in bringing those forward as... ...by best practices in, you know
  • It is research-backed, collaboratively developed, and ready to implement.
  • It is research-backed, collaboratively developed, and ready to implement.
Keywords: 987, senate, all
Summary: The joint Senate and Assembly Education Committees held their annual hearing with the California Association of Student Councils and SABLE, featuring student-led policy proposals. Opening remarks from legislators emphasized the importance of student voice and noted that student ideas have previously become law. Committee members also explained hearing procedures and framed the students as peers in a formal policy discussion. The first panel proposed an annual civic engagement day for schools, with flexible activities by grade level to build civic literacy, discussion skills, and participation in voting and local government. Members asked about cost, flexibility for sixth grade, possible voter registration components, and how to measure effectiveness. The second panel proposed requiring at least one student board member in every unified and high school district, with added training and motioning rights. Legislators raised concerns about whether districts would need additional board seats, the fiscal impact of making the requirement statewide, and how to define student motioning authority. The third panel proposed expanding financial literacy into middle school, potentially by embedding it into existing classes such as math, with teacher training and curriculum updates over a 10-year timeline. Members questioned how the content would fit into existing courses and whether the state should wait for the new high school financial literacy course to be fully implemented before designing middle school instruction. The fourth panel proposed strengthening restorative justice by creating a CDE task force and authorizing PPS-certified staff to use restorative justice training materials and participate in discipline processes; Senator Cortese discussed prior legislation, confidentiality concerns, and the likely cost of a state task force. The fifth panel proposed short, twice-a-semester mental health and life-skills sessions for grades 7-12. Members, including a licensed therapist and other legislators, questioned whether brief classroom lessons could effectively address mental health needs, suggested wellness centers and student-led awareness efforts as alternatives, and expressed skepticism that the proposal would achieve its intended outcomes as a state mandate.
WA

Washington 2025-2026 Regular Session

House Education Jan 13th, 2026

Transcript Highlights:
  • training network, which provides supports for districts around increasing inclusionary practices in
  • So what are best practices? What is the system coming up with?
  • It's a comprehensive system of care that is coordinated and collaborative.
  • How are we going to work collaboratively with Chair Bernaski's committee?
  • OSPI and the ESDs must consult and collaborate...
Summary: The House Education Committee held a work session on the Children and Youth Behavioral Health Work Group and its school-based behavioral health and suicide prevention subgroup, followed by a public hearing on House Bill 1634, as amended in a proposed second substitute. Work group leaders Lisa Callan and Tisha Kirschbaum described the group’s statewide, cross-agency structure, its Washington Thriving strategic plan, and the goal of moving toward a more integrated “system of care” for children and youth. They emphasized that behavioral health, physical health, and education are interconnected, that families and schools often face a fragmented system, and that Washington’s youth flourishing outcomes show a need for stronger supports. Committee members raised concerns about regional disparities, rural access, language and cultural responsiveness, and the burden on schools and educators, while the presenters stressed that schools should be supported to identify needs and connect students to outside clinical services rather than carry the full burden themselves. Representative My-Linh Thai and Christian Stark then outlined the school-based subgroup’s work and recommendations. They said the subgroup meets monthly, includes students, parents, educators, providers, and agencies, and has focused on prevention, early identification, early intervention, and crisis response in schools. For the 2026 session, the subgroup recommended maintaining current investments in school behavioral health programs, strengthening statewide guidance on school behavioral health, and creating a coordinated technical assistance and training network for schools. They explained that the proposed substitute for HB 1634 would direct OSPI and the educational service districts to work with behavioral health agencies and community partners to conduct a needs assessment, map resources, and build a statewide framework for technical assistance and training, with public posting required by August 1, 2027. Testimony in support came from school staff, OSPI, behavioral health professionals, students, parents, and advocacy groups, who described high student anxiety, suicide risk, staffing shortages, and the need for coordinated, accessible supports. One witness from a psychiatric watchdog group opposed the bill, arguing it could increase labeling and drugging rather than holistic care. No vote was taken in the transcript provided.
CA
Transcript Highlights:
  • Private universities collaborate with local law enforcement.
  • At USC, we collaborate very closely with the LAPD, twice a year.
  • CDE publishes best-practice guidance, but does not approve local safety plans.
  • CDE, we publish our best practice. to opt out of those drills.
  • CDE, we publish our best practice guidance, but we don't approve local safety plans.
Summary: The committee held a hearing on active and mass shootings in California, focusing on prevention, response, training, communications, and gaps in preparedness across law enforcement, schools, campuses, fire, EMS, and state agencies. Opening remarks emphasized the frequency and impact of gun violence, the need for faster coordinated response, and the importance of learning from recent tragedies such as the Stockton-area mass shooting described by Sheriff Patrick Withrow. The first panel included representatives from police, sheriff, and campus public safety agencies, who discussed incident command, interoperable communications, next-generation 911, threat assessment, emergency notification systems, and the value of joint drills and cross-agency planning. Witnesses also highlighted differences in training and authority across jurisdictions, especially for private university public safety departments versus public campus police. Campus representatives said they rely heavily on municipal law enforcement for armed response, while also using run-hide-fight protocols, text alerts, surveillance, and threat assessment teams. Members raised concerns about standardized training, after-action reviews, mental health resources, school resource officers, and whether campus safety plans and drills are sufficiently consistent or workable. Sheriff Withrow argued that early intervention and accountability are being weakened by well-intentioned laws, while other witnesses stressed prevention through relationships, diversion, and coordinated support services. The second panel from Cal OES, the Department of Education, POST, and EMSA described statewide systems and standards. Cal OES outlined its Reduce the Risk initiative, gun violence restraining orders, mutual aid, unified command, after-action reporting, and nonprofit security grants. The Department of Education explained California’s statutory school safety framework, annual safety plans, regulated armed assailant drills, and local flexibility, while acknowledging compliance gaps and the need for more mental health support. POST described the new requirement for 16 hours of standardized active shooter training for recruits and ongoing local training options. EMSA explained its role in medical response and terrorism training standards. No votes or formal actions were taken during the hearing.