Video & Transcript Research : 'integrity'
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CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 1 on Health May 4th, 2026
Transcript Highlights:
- ... ...happens, the person has not really had the opportunity to really integrate that this was under
- A core part of the design for BrightLife Kids and Soluna has been integrating care navigation services
- So we've started to issue additional guidance, including about program integrity measures that will be
- Though it's been a long road over the past year, those Allcove centers have been able to integrate as
- Though it's been a long road over the past year, those Alcove centers have been able to integrate as
WA
Washington 2025-2026 Regular Session
Joint Transportation Committee Dec 3rd, 2025
Joint Transportation Committee
Transcript Highlights:
- So that's integrated into our model.
- So that's integrated into our model.
- I think, you know, integrated in our real estate pro forma model, we do assume that developers would
- The Cascadia program was established in 2023 in line with legislative direction to provide integrated
- The Cascadia program was established in 2023 in line with legislative direction to provide integrated
Summary:
The committee first heard a presentation from WSDOT on balancing uncertainty in capital program estimates and cash flow management. WSDOT explained the differences between design-bid-build and design-build delivery, its tiered risk-assessment process by project size, and how it uses base estimates, inflation, and risk modeling to set budgets. Staff said design-bid-build estimates are generally accurate within about 1% across the program, while design-build projects carry much wider uncertainty and are better communicated as ranges; they cited a P85 budget approach and noted that large, complex projects can be affected by market competition and long procurement timelines. Members asked about the Columbia River Bridge cost growth and about value engineering, and WSDOT said it uses value engineering but has limited scope to cut costs because of project requirements and policy mandates. Troy Swing also discussed cash flow, noting that a few large projects can significantly affect biennial funding needs, and said a risk pool would not reduce overall program risk but could help manage timing if paired with appropriation and cash-flow controls.
The committee then received the final presentation in the WSDOT Project Delivery and Innovative Practices study from HKA Global. The consultant said WSDOT’s estimating practices are generally robust and recommended improving transparency by presenting budget authorizations as ranges or estimate classes, better tracking estimate growth over time, and adjusting advertisement timing to avoid competing lettings. The report also discussed surety bonding, suggesting the legislature consider restoring authority for reduced bonding on select large design-build projects or using phased bonding and alternative securities. On indefinite delivery/indefinite quantity contracting, the consultant said current job order contract rules are restrictive and recommended legislative changes to make such tools more usable, especially for smaller tasks and to help use unspent funds more flexibly.
The committee also heard a follow-up presentation on transit-oriented development policy recommendations tied to HB 1491. The Urban Institute’s Yona Freemark said Washington has been a national leader on TOD but that housing construction, especially in the Puget Sound, has slowed sharply since 2022. He said rising construction costs, high financing costs, and local tax and rent conditions are making many TOD projects infeasible, and recommended that the state fill infrastructure funding gaps around stations, revisit MFTE affordability requirements, consider minimum rather than average density requirements near transit, and create a statewide system to track TOD outcomes such as affordability, gentrification, and transit access. Members questioned the study’s developer interviews, the role of rent control and crime, property tax assumptions, and parking needs; the presenter said the study included five private developers, that rent control was not part of the study scope, and that parking was included in the model assumptions.
Finally, the committee began a presentation on regulating emissions from ocean-going vessels at berth. Staff and consultants described California-style at-berth rules, which require shore power or equivalent emissions controls so ships can shut off diesel auxiliary engines while docked. The study is examining vessel traffic, emissions reductions, implementation costs, labor and operational needs, and possible effects on port competitiveness and cargo diversion. No votes or formal actions were taken during the meeting.
US
US Federal 2025-2026 Regular Session
Hearings to examine the nomination of Kashyap Patel, of Nevada, to be Director of the Federal Bureau of Investigation, Department of Justice. Jan 30th, 2025 at 08:30 am
Senate Judiciary
Transcript Highlights:
- Since 1935, the motto of the FBI has been "Fidelity, Bravery, Integrity."
- The men and women of the FBI, their mission, fidelity, bravery, integrity.
- With integrity and tireless efforts to protect the American people. Senator Hawley.
- Now, you have been charged with going in and restoring the integrity of the FBI.
- Cater protesting for election integrity? Yes or no? I don't know who that is.
MN
Minnesota 2025-2026 Regular Session
House Public Safety Finance and Policy Committee 3/28/25
Public Safety Finance and Policy
Transcript Highlights:
- <00:27:51.519>
with establishing data Integrations with establishing data Integrations with - about, the MNCIS integration project.
- about, the MNCIS integration project.
- about, the MNCIS integration project.
- Dynamic Integrations Dynamic Integrations ourselves<00:37:17.160>
all <00:37:17.280>right
Bills:
HF2432
Keywords:
HF2432, judiciary finance bill, public safety finance bill, corrections policy, crime victims, victim services, Minnesota victims of crime account, court fees, marriage license fee, financial crimes, fraud investigations, insurance fraud, Bureau of Criminal Apprehension, BCA, Commerce Fraud Bureau, wage theft, automobile theft prevention, nonprofit security grants, 911 funding, POST Board
MN
Minnesota 2025 1st Special Session
House Elections Finance and Government Operations Committee 3/5/25
Elections Finance and Government Operations
Transcript Highlights:
- concern that we are frankly in Integrity concern that we are frankly in the<01:19:19.159>
middle< - <01:21:12.880>
and talking about election integrity and talking about election integrity and - There were some voter integrity or voter privacy concerns, but the other question was how long do you
- <01:26:14.480>
or <01:26:14.719>voter <01:26:15.040>privacy some voter Integrity - or voter privacy some voter Integrity or voter privacy concerns<01:26:16.000>
but <01:26:16.159
MN
Minnesota 2025-2026 Regular Session
Committee on Health and Human Services - 03/05/25
Health and Human Services
Transcript Highlights:
- It would be just repealing the Integrated Health Partnerships because that would be conforming language
- It would be just repealing the Integrated Health Partnerships because that would be conforming language
- Repealing the Integrated Health Partnerships because that would be conforming language as well.
- with DHS to integrate High um Quality<00:18:25.039>
Health <00:18:25.280>Equity <00:18: - <01:28:10.360>
it confidence and professional Integrity it confidence and professional Integrity
TX
Texas 89th Regular
Senate Committee on Health and Human Services Mar 11th, 2025
Health & Human Services
Transcript Highlights:
- Madam Chair and members, the intention of this bill is to ensure the integrity of the Medicaid program
- Texas has always had a tradition of following the rules and creating program integrity. It works.
- states, that are as well prepared as this state is to weather the storm when it comes to program integrity
- It is a three-legged stool that the state has to protect the integrity the program.
- We understand and support the legislature's... commitment to maintaining integrity within the Medicaid
CA
California 2025-2026 Regular Session
Assembly Local Government Committee Jun 17th, 2026
Local Government
Transcript Highlights:
- or neglect have been classified as natural, and that raises serious concerns about investigative integrity
- serious concerns about investigative and and determine raises serious concerns about investigative integrity
- Professionalism and integrity.
- It preserves the integrity of the investigative process and does not jeopardize any ongoing civil or
- It preserves the integrity of the investigative process and to not jeopardize any ongoing civil or criminal
AR
Arkansas 2026 1st Special Session
PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE - SENATE AND HOUSE May 21st, 2026
Transcript Highlights:
- homelessness funds, transparency and reporting of spending and activities focused on outcomes, integration
- treatment and housing, and housing. civil commitment, enforcement of drug laws, integrating treatment
- Other examples are how do we integrate treatment with... ...treatment.
- Other examples are how do we integrate treatment with housing programs so that we make sure that folks
- So that's a really important piece, and once that is statewide, then yes, I mean, already we've integrated
Summary:
The committee first approved a motion, then heard a lengthy presentation on homelessness policy and behavioral health. Testimony focused on the view that Arkansas should shift toward more data-driven, outcomes-based responses to homelessness, including stronger treatment options for serious mental illness and substance use disorder, better data collection, provider accountability, and possible statewide use of the Certified Community Behavioral Health Clinic (CCBHC) model. Speakers from Fort Smith, Restore Hope, Our House, and Western Arkansas Counseling described local work, the need for better coordination across providers, and the role of crisis services, ACT teams, and employment support. Members asked about sex offender tracking, the difference between sheltered and unsheltered homelessness, how to scale successful programs statewide, and whether Arkansas could apply for a statewide Continuum of Care or CCBHC planning grant. The discussion also touched on camping bans, civil commitment, and federal funding changes, with several speakers urging the state to pursue the CCBHC planning grant and more transparent reporting systems.
After the homelessness discussion, the committee moved through a series of Department of Energy and Board of Nursing rule reviews. DEQ proposed updating the post-closure cleanup threshold for solid waste matters from $50,000 to $2 million to match Act 791 of 2025, and members asked about financial assurance and oversight; the rule was reviewed without objection. The Board of Nursing then presented multiple rule changes tied to recent acts, including adding fees for dialysis patient care technician registration, expanding contact-information requirements, implementing APRN delegation authority to unlicensed workers, clarifying APRN authority for death certificates and durable medical equipment prescriptions, updating certified medication assistant training and insulin-injection authority, and conforming independent-practice rules for clinical nurse specialists. Each rule was reviewed without objection.
Near the end of the meeting, Senator Irvin announced that UAMS had completed its NCI designation submission for the Winthrop Rockefeller Cancer Institute, calling it an important milestone for the state. The committee then adjourned.
AR
Arkansas 2026 Regular Session
PUBLIC HEALTH, WELFARE AND LABOR COMMITTEE - SENATE AND HOUSE May 21st, 2026
Transcript Highlights:
- homelessness funds, transparency and reporting of spending and activities focused on outcomes, integration
- Civil commitment, enforcement of drug laws, integrating treatment and housing, and removing barriers
- treatment and housing, and housing. civil commitment, enforcement of drug laws, integrating treatment
- Other examples are how do we integrate treatment with... ...housing programs so that we make sure that
- I mean, already we've integrated and worked well with Robert Magoo, the chief information officer, and
FL
Florida 2025 Regular Session
October 8, 2025 - 03:00 PM
Transcript Highlights:
- One of the most effective tools has been the integration of the CLIFF tool, which gives participants
- We plan to deepen that integration further by incorporating CLIFF into our Workforce Wednesday career
- With continued focus on system integration and participant engagement, we can make this program even
- Integration and participant engagement can make this program even stronger and more effective for Florida
- Policy adjustments have also been made to strengthen the integrity of the program.
Summary:
The Human Services Subcommittee met to receive implementation briefings on House Bill 1267, which was enacted to address benefit cliffs and help public assistance recipients move toward economic self-sufficiency. The Department of Children and Families reviewed SNAP, Temporary Cash Assistance (TCA), and Medicaid-related eligibility and work requirements, including who must participate in work activities, the role of Florida Commerce and CareerSource Florida, and the new standardized intake and exit surveys required by the law. Members also discussed the TCA program’s household-based structure, the 48-month adult limit, and how work requirements differ for SNAP and TCA participants.
Florida Commerce and CareerSource Florida then reported on implementation of HB 1267, including the CLIFF financial forecasting tool, case management changes, and survey data collected from welfare transition participants. They said intake surveys showed common barriers such as child care, transportation, and flexible work schedules, while exit surveys showed many participants were employed or had gained credentials, though response rates were low because the surveys are voluntary. A local workforce board, CareerSource Tampa Bay, described using CLIFF in case management and shared a success story about a participant who completed training, earned certifications, and moved into employment.
The committee also heard a separate DCF briefing on the federal One Big Beautiful Bill Act and its impact on SNAP. DCF said the law expands able-bodied adult without dependents requirements, changes non-citizen eligibility, ends future SNAP-Ed funding, increases state administrative cost sharing, and may require states to share in benefit costs if payment error rates remain above federal thresholds. Members focused heavily on Florida’s SNAP payment error rate, which DCF said was 15.13% for federal fiscal year 2024 and 12.60% for 2023, with the state currently on a corrective action plan. DCF described steps to reduce errors, including more verification of rent and utility expenses, improved income matching, staff training, and system modernization. No votes were taken, and the meeting adjourned after questions concluded.
MN
Minnesota 2025-2026 Regular Session
Commerce Committee Meeting - 2025-04-02
Commerce Finance and Policy
Transcript Highlights:
- For context, a cultivation license has a canopy of 30 that is not vertically integrated, while a retail
- license has 5 dispensaries that are also not vertically integrated.
- I'm sorry, but it would double the square feet of a non-vertically integrated cultivation license and
- The original licensing framework was designed to limit vertical integration.
- To approve it now would not only be appalling, it would be fatal to the integrity of our market.
Keywords:
medical cannabis, cultivation, cannabinoid products, plant canopy, Minnesota statutes, cannabis, hemp, lower-potency, edibles, regulations, licensing, local control, consumer safety, age restrictions, commerce policy, financial institutions, insurance regulation, limited long-term care insurance, Medicare supplement, health insurance
US
US Federal 2025-2026 Regular Session
Hearings to examine the posture of United States Northern Command and United States Southern Command in review of the Defense Authorization Request for Fiscal Year 2026 and the Future Years Defense Program; to be immediately followed by a closed ses Feb 13th, 2025 at 08:30 am
Senate Armed Services Subcommittee on Personnel
Transcript Highlights:
- While their cooperation does not approach the level of complete integration demonstrated by the United
- And transnational criminal cartels based in Mexico threaten U.S. territorial integrity and the safety
- United States with integrated missile defense systems to protect our homeland.
- It's making ability, defensive operations, and weapons integration for both SOUTHCOM and NORTHCOM.
- Our intercept... of that was with U.S. and Canadian fighters that were completely integrated.
Keywords:
national security, China, Russia, cybersecurity, border security, military deployment, transnational crime, defense modernization, military strategy
Summary:
In this meeting, key topics included national security concerns with an emphasis on threats from China, Russia, and transnational criminal organizations. Senior military officials provided testimony on the evolving risks posed by these adversaries, particularly focusing on cybersecurity and advancements in weaponry. The discussion highlighted the importance of a cohesive strategy among government departments to effectively respond to the challenges presented by these threats, emphasizing the need for modernization in defense capabilities. Committee members grilled the witnesses on border security and the implications of deploying military resources in domestic operations.
MO
Missouri 2026 Regular Session
Children and Families May 11th, 2026 at 01:00 pm
Children and Families
Transcript Highlights:
- Bill 999 was changed in a floor substitute, so it differs slightly from the House version, but the integrity
- abortion drugs and speech in sections 4 and 5, and streamlined other language while maintaining the integrity
- and purpose of the underlying bill, protect... ...language while maintaining the integrity and purpose
- thank everyone involved in the process as we got this bill to a place where we could maintain the integrity
- the underlying born-alive legislation, while slightly different than earlier drafts, maintains its integrity
MO
Transcript Highlights:
- Bill 999 was changed in a floor substitute, so it differs slightly from the House version, but the integrity
- abortion drugs and speech in sections 4 and 5, and streamlined other language while maintaining the integrity
- thank everyone involved in the process as we got this bill to a place where we could maintain the integrity
- of the underlying legislation and protect children while also... ...maintaining the integrity and purpose
- thank everyone involved in the process as we got this bill to a place where we could maintain the integrity
Summary:
The Committee on Children and Families heard testimony on Senate Bill 999, sponsored by Sen. Brad Hudson. Hudson said the bill was a revised substitute combining the Born Alive Abortion Survivors Protection Act with language from other bills dealing with domestic violence/no-contact orders, the Pregnancy Associated Mortality Review Board, and cyber-harassment. He argued the born-alive provisions were needed to ensure infants born alive during or after an abortion receive the same care as any other child, and he cited a Canadian study and Missouri infanticide law as support. Committee members questioned him about the study, the scope of the bill, the medical duty of care, and the bill’s non-severability clause and multiple-subject concerns.
Supporters included Missouri Right to Life, which said the bill was needed to protect babies born alive after abortion attempts and prevent confusion in medical settings. Opponents, including Abortion Action Missouri, argued the bill was a “trap law” designed to restrict abortion access, said no such situation was being documented in practice, and cited opposition from numerous medical organizations. An informational witness from Campaign Life Missouri said he supported the born-alive language but warned the added provisions and non-severability clause could make the bill vulnerable to a constitutional challenge and could jeopardize other enacted provisions if struck down.
During executive session, members debated the bill’s purpose and political implications. Several members said they would vote no because they trusted Missouri medical providers and opposed adding more law to an already regulated area, while others said they supported the bill as a protection for children born alive. The committee then voted 12-4 to send Senate Substitute No. 2 for Senate Bill 999 do pass.
AR
Arkansas 2026 1st Special Session
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE Mar 2nd, 2026
ALC-HOSPITAL, MEDICAID, & DEVELOPMENTAL DISABILITIES STUDY SUBCOMMITTEE
Transcript Highlights:
- I think it's extremely important for us to be working forward into integrating work into everything that
- So if we can use our DHS offices and integrate those and get all of those folks trained to what's available
- So we had those key recommendations, and one of them was to integrate the administrative structure, and
- And then we have an integrated service delivery, which is exactly the same thing.
- Is there any way that we can integrate within whatever proposal... Self-sufficient.
Summary:
The committee met to review an audit and recommendations from the Alliance for Opportunity on reforming Arkansas workforce and social service delivery. Members discussed creating a more integrated, regional, “one-door” system that would combine eligibility screening, job training, and service referrals across DHS, workforce, health, and related programs, with an emphasis on reducing administrative overhead and redirecting more funds to direct services and training. Several members raised the need to include groups such as people in generational poverty, rural residents, reentry populations, and people involved in the court system, while also ensuring access for those without digital skills or technology.
Artificial intelligence was a major topic. Members suggested using AI and a centralized database or virtual hub to pre-populate forms, identify program eligibility, notify workforce agencies, and improve efficiency, while still maintaining case managers and in-person support for those who need it. There was also discussion of benefit cliffs, DHS processes that may hinder employment, and the need for industry input and working groups to study AI and other issues. Members repeatedly asked for measurable outcomes, including return-on-investment estimates, cost savings, and performance metrics tied to the number of people moved into self-sufficiency and employment.
The committee then reviewed a draft consultant services agreement with Work Ed Consulting LLC, represented by Mason Bishop, to assist with the study under Act 145 of 2025. The contract would run from March 20, 2025 through June 30, 2027, with a maximum amount of $158,000 plus possible additional services up to 10% if approved. Bishop said his work would include ongoing ROI updates and that his experience included helping create Utah’s workforce department and assisting Louisiana with similar reforms. After questions about oversight and deliverables, Representative Beck moved to advance the contract, Senator Sullivan seconded, and the committee approved it by voice vote before adjourning.
CA
California 2025-2026 Regular Session
Assembly Business and Professions Committee Jul 1st, 2025
Transcript Highlights:
- Access for families is an integral part of CalABA's activities, and we are constantly evaluating barriers
- And also, if, for example, they find that there is a certain amount of hemp products that are integrated
- So AB 8 is the vehicle for them to be able to integrate into the supply chain here in California, so
- So that's why I'm saying AB 8 needs to at least allow for integration.
- However, that management... ...allow for integration.
Summary:
The Assembly Business and Professions Committee heard several measures, including SB 402 by Senator Valadares, which would move existing qualification requirements for qualified autism service providers and related professionals from the Health and Safety Code and Insurance Code into the Business and Professions Code without changing the standards. Supporters said it was a technical cleanup that would improve consistency and legislative oversight, while an opponent argued the bill was unnecessary and could create access issues; another witness urged inclusion of the QABA credentialing board. The committee approved SB 402 on a due pass motion to the Committee on Health.
The committee also heard SB 378 by Senator Wiener, aimed at online platforms that facilitate sales of illicit cannabis and intoxicating hemp products. Supporters, including labor, local government, and cannabis industry representatives, said the bill would help protect consumers, minors, legal businesses, and tax revenue by creating accountability for online marketplaces. Opponents from the hemp industry and TechNet argued the bill was overly broad, could sweep in legitimate platforms and payment services, and should better distinguish bad actors from compliant hemp businesses; members discussed implementation, enforcement through a private right of action, and coordination with AB 8. The committee passed SB 378 to the Committee on Privacy and Consumer Protection.
Senator Arreguín presented SB 779, which would establish minimum enforcement fines for Contractors State License Board citations where minimums are currently very low or absent, and would raise the board’s reserve cap from six months to 12 months. The sponsor said the changes would better match penalties to violations and help support consumer protection and board operations during economic downturns. There was no opposition, and the committee approved SB 779 as amended to the Committee on Appropriations.
The committee also approved the consent calendar, which included SB 344 and AB 652, both sent to Appropriations. SB 508 was not heard because it had been pulled by the author.
WA
Washington 2025-2026 Regular Session
Committee to Hear SAO Performance Audits Jul 15th, 2026 at 02:00 pm
Transcript Highlights:
- And it seemed that the pathway of moving towards more... ...integration of testing into training so that
- and the Department of Social and Health Services work together to develop and implement a plan to integrate
- The Department of Health agrees with the SAO recommendation to continue to integrate testing into training
- Once testing is fully integrated into training programs, this will greatly benefit caregivers.
- And representing DSHS, I just agree that it would be a good change to make to integrate.
Summary:
The Joint Legislative Audit and Review Committee heard a State Auditor’s Office performance audit on the Restoring Quality Home Care Initiative (I-1163), which created home care aide certification requirements, FBI background checks, and an abuse/neglect registry. Auditors said some requirements likely improve safety, especially background checks and training, but the state lacked pre-2011 data to measure outcomes directly. They also found Washington has a long-term care workforce shortage, though its workforce supply ranks better than many states, and that more stringent entry requirements do not appear to reduce workforce participation compared with other states.
The audit’s main concern was that the certification process is slow and burdensome. Auditors reported that most applicants never finish certification, that only about one-third of fiscal year 2025 applicants were certified within the 200-day legal deadline, and that the average time to certification was 463 days. They identified delays between training and testing, limited testing access in some areas, and redundant Department of Health verification of FBI background checks as key causes. The audit recommended streamlining the process by accepting applications later in the process, expanding testing within training programs, and eliminating the redundant background-check verification.
Department of Health and Department of Social and Health Services staff largely agreed with the audit’s findings and recommendations. They said they have already made improvements, including moving exams into more than 110 training programs, increasing credentialing staff, and reducing barriers through rule changes. DSHS noted testing is offered in 13 languages. Committee members asked about testing contract incentives, language access, and whether the agencies would seek statutory or budget changes to implement the recommendations. No public testimony was offered, and the meeting adjourned without any vote or formal action by the committee.
CA
California 2025-2026 Regular Session
Senate Privacy, Digital Technologies, and Consumer Protection Committee Apr 20th, 2026
Privacy, Digital Technologies, and Consumer Protection
Transcript Highlights:
- AI has been integrated into many industries with great promise to expand capacity and AI has been integrated
- When recording is seamlessly integrated into every...
- Maybe we could turn to integrations for a moment.
- And in California, all three of those things are integrated.
- In Europe, they are now three separate pieces that are no longer integrated.
KY
Kentucky 2025 Regular Session
Make America Healthy Again Kentucky Task Force (10-15-25) - reupload
Transcript Highlights:
- <01:26:08.639>
nutrition just mentioned the integrating nutrition just mentioned the integrating - with private investment, or integrated with public assistance programs as well?
- Are you looking to connect with and integrate with public assistance programs, both?
- Are you looking to connect with and integrate with public assistance programs, both?
- public assistance integrate with public assistance programs<01:28:41.360>
both?
Keywords:
This meeting was pulled from back ups and uploaded in it's entirety due to technical issues., 958, all
Summary:
The Make America Healthy Kentucky Task Force met with a quorum, approved the minutes, and then heard a presentation on the state’s “food is medicine” work from Kentucky Hospital Association and Kentucky Department of Agriculture leaders, including Jim Muser, Holly Harris, and Commissioner Jonathan Shell. The chair framed the discussion around personal wellness, injury prevention, and the broader goal of improving health through better sleep, nutrition, and activity, then asked the presenters to describe current initiatives and any policy changes needed.
The witnesses described a partnership linking hospitals and Kentucky farmers to improve health outcomes while supporting rural agriculture. They said the effort has moved beyond the pilot stage and now includes more than 40 hospitals statewide, with programs such as healthier hospital cafeterias, grab-and-go options, farmers markets at hospital sites, subsidized CSA boxes for employees, and medically tailored meals or groceries for patients with chronic conditions. ARH was highlighted as a leading model, with local food procurement, employee wellness efforts, and measurable outcome pilots, including a Russell County Hospital project focused on diabetes, heart disease, and obesity.
They also emphasized barriers to scaling the model, including fragmented short-term funding, lack of reimbursement for food-as-medicine programs, and burdensome procurement and testing requirements that can make it difficult for small farmers to participate. The presenters said hospitals are using their own funds or temporary grants to sustain programs and argued that policy changes are needed to simplify sourcing, expand reimbursement pathways, and support clinical measurement of outcomes. No votes or formal actions beyond approving the minutes were taken during the portion provided.