Video & Transcript : 'Operation Enduring Brain Health' :
Page 496 of 500
FL
Florida 2025 Regular Session
February 19, 2025 - 03:30 PM
Transcript Highlights:
- So, you know, older teens with different maybe behavioral health or mental health factors do cost more
- Tier 1 is the operational and admin expenses.
- CBCs understand what their operational and admin caps are, you know, funding is.
- I'm just on Tier 1 about operations, I'm assuming staff is under operations, or is that partly also Tier
- They're reported to us historically through operational charge object, OCA's.
Summary:
The Human Services Subcommittee met with a quorum present and took up a presentation from the Department of Children and Families on HB 7089, which revises how Florida’s community-based care (CBC) lead agencies for child welfare are funded. Representative McFarland described the bill’s background, arguing that the prior formula relied too heavily on outdated, static factors and produced inequities among CBCs. She emphasized that the new approach is intended to provide a more stable, transparent, and statute-based funding method that better supports prevention, case management, and family services while reducing year-to-year political uncertainty.
DCF Chief of Staff Casey Penn explained that HB 7089 required an actuarially sound, reimbursement-based formula developed with CBC and provider input. The new model uses a cost-based structure with three tiers: Tier 1 for operational and administrative costs, Tier 2 for per-child/per-month service costs, and a possible Tier 3 incentive component for performance measures if the Legislature chooses to fund it. The model includes regional growth factors, inflation adjustments, a 2% risk corridor for Tier 2, a hold-harmless provision for agencies that would otherwise receive less than prior funding, and the ability for CBCs to retain some state general revenue savings. DCF said the model produced a total budget need of about $1.392 billion, roughly $28.6 million above the prior year after offsets, and that the department is also updating its child welfare case management system to improve data quality and future modeling.
Members asked about whether prevention spending is captured, how Tier 3 incentives would work and how much they might cost, how the formula accounts for insurance, hurricanes, child acuity, and staffing costs, and whether CBC executives’ compensation is capped. DCF said prevention is included in the model but is not yet separately broken out due to data limitations, Tier 3 is optional and not yet costed, and the formula can incorporate additional growth factors if needed. On executive pay, DCF explained that compensation is limited by statute for CBC contracts, but multiple contracts and non-state funding sources can affect total compensation; staff later clarified that CBC CEOs with multiple contracts had been reviewed for compliance. The meeting ended after questions, and Representative Miller moved to adjourn; the subcommittee adjourned without any vote on the bill.
NY
New York 2025-2026 Regular Session
Senate Standing Committee on Alcoholism and Substance Use Disorders - 01/29/2026
Alcoholism And Substance Use Disorders
Transcript Highlights:
- And we've seen threats already for federal cuts to substance use disorder and behavioral health services
- Our first bill is S. 489, sponsored by Senator Fernandez, an act to amend the Public Health Law in relation
- all anymore, is that you would have various organizations, whether nonprofits or state services, operating
- We need to have integrated services for those dealing with addiction and those with mental health concerns
- We talk about health care and schooling.
Summary:
The Senate Standing Committee on Alcoholism and Substance Use Disorders held its first meeting of 2026, chaired by Senator Nathalia Fernandez, who opened with remarks about the committee’s recent work, declining overdose deaths in New York overall, continuing disparities in some communities, and the need to protect state funding amid possible federal cuts. She also emphasized alcohol-related harm, the importance of maintaining treatment and recovery supports, and the need to prepare for expanded gambling with downstate casino development. Senator Rob Rawlinson and Ranking Member Senator Oberacker participated, with Oberacker later praising the committee’s bipartisan approach and Fernandez’s leadership.
The committee considered eight bills, all of which were advanced. The measures included S. 489 on referrals to appropriate substance use disorder service providers; a scholarship program bill for addiction professionals; S. 1812 on certifying innovative statewide substance use disorder treatment services; S. 3632 establishing a problem gambling advisory council; S. 4950 concerning payment of substances at addiction treatment centers operated by OASAS; S. 4953 creating an intensive addiction and medical services integrated services pilot program; S. 5105 directing OASAS to issue rules for providers in rural locations; and S. 5382 related to privacy protections for chemical dependency services. Several of the bills were sponsored by Senator Fernandez, while others were sponsored by Senator Peter Harckham and Senator Harkham.
Discussion focused heavily on integrated care, co-occurring mental health and substance use disorders, the value of dual licensing and collaboration among providers, and the practical barriers faced in rural areas, including long travel distances, weather, transportation shortages, and limited broadband for telehealth. Members also noted the importance of privacy in treatment settings and the need for accessible, centralized services so people are less likely to fall through the cracks. Each bill was moved and reported either to the calendar or to finance, with no negative votes recorded.
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Racial Equity, Civil Rights, and Inclusion Mar 31st, 2026
Joint Committee on Racial Equity, Civil Rights, and Inclusion
Transcript Highlights:
- or poor health causes poverty.
- and Human Services say this, but we will not get to eliminate health inequities through health care
- It is very clear that from a health care perspective, OB3 will be worsening the health care gaps, which
- by health care alone.
- As a health profession, psychology is facing funding cuts and destabilization of research, health care
Summary:
The Joint Committee on Racial Equity, Civil Rights, and Inclusion held a hearing on the impact of federal policy on the racial wealth gap in Massachusetts, with no bills heard. Chairs Bud Williams and Miranda opened by framing the issue as a structural, long-standing disparity affecting Black and brown communities, citing major gaps in wealth, income, housing, and opportunity. Members noted this was the fourth hearing in a series on federal impacts on racial equity, and public written testimony was invited by the posted deadline.
Administration witnesses Secretary Lauren Jones, Secretary Kiami Mahania, and Assistant Secretary Juan Vega described how labor, health, and economic development policy intersect with wealth-building. Jones pointed to higher unemployment, wage gaps, and underemployment among Black and Latino workers, and highlighted ESOL, workforce training, MassHire, and skills-based hiring efforts. Mahania argued poverty drives poor health, linking medical debt, Medicaid instability, maternal health, and chronic disease to wealth loss, and said federal changes could worsen both health and wealth gaps. Vega focused on entrepreneurship and procurement, citing disparities in business ownership and revenue, and described state efforts such as small business technical assistance, founder pipelines, place-based grants, and the Business Front Door; members also pressed him on microbusiness definitions, supplier diversity, and whether state programs were reaching firms that had received prior grants.
Nicole O’Bean of the Black Economic Council of Massachusetts testified that Black-owned businesses face a hostile environment due to tariffs, DEI rollbacks, immigration enforcement, capital barriers, and federal funding cuts that reduce contracts from education, health care, and nonprofit sectors. She emphasized that certification alone is not enough and called for stronger inclusive procurement outcomes, better data, and more support for microbusinesses. Dr. Melissa Colon and Dr. Fabian Torres-Dal of the Mauricio Gaston Institute testified on Latino wealth gaps, especially low homeownership, high rent burden, limited access to credit, and occupational segregation; they said structural racism, wage gaps, and education inequities are central drivers and urged housing, labor, and education reforms. Committee members repeatedly linked the hearing’s themes to redlining, medical debt, single-parent households, financial literacy, and the need for legislation and state programs to close the gap, but no votes or formal actions were taken.
CA
California 2025-2026 Regular Session
Assembly Budget Subcommittee No. 4 on Climate Crisis, Resources, Energy, and Transportation May 19th, 2026
Transcript Highlights:
- Huge strides in terms of reducing the ongoing operating budget.
- First, maintain critical customer services and field office operations.
- But what's being asked for here are operational costs, right?
- Kathy Mossberg, on behalf of Public Health Institute and their program Roots of Change.
- We talk about public health.
CA
Transcript Highlights:
- About student mental health training for coaches.
- Children and teenagers are facing a mental health crisis.
- Resources and guidance for mental health struggles.
- The day-to-day operations.
- I am a political operative at heart, and that was my task there.
Committee:
House Education
WA
Washington 2025-2026 Regular Session
Legislative Democratic Leaders Media Availability Feb 24th, 2026
Transcript Highlights:
- making sure we're doing everything we can on the fundamentals of Washingtonians: food, shelter, and health
- One of my favorite bills, which is the bill that allows us to set up the West Coast Health Collaborative
- Senator Dhingra is likely to lead the facilities and operations committee in the Senate to take a look
- The activity of working at a job or operating a rental property or, you know, fill in the blank.
- some like smaller technical, mechanical and operational amendments to the bill.
Summary:
House and Senate Democratic leaders held a media availability focused on the late-session agenda, including the House policy cutoff, a supplemental budget, and the House Finance Committee hearing on the proposed “millionaire’s tax”/income tax measure. They said several Senate bills had moved or were moving quickly, including a face mask bill, an abortion medication access bill, a mobile devices in schools bill, a driver privacy/personal safety data protections bill, and a West Coast Health Collaborative bill. They also said the supplemental budget would emphasize food, shelter, health care, continuity of government, and other core services.
A major topic was allegations of fraudulent or bot-generated remote sign-ins on the millionaire’s tax hearings. Leaders said remote testimony and sign-ins have broadened public participation, but misuse of the system is a problem that will be reviewed over the interim. They said the goal is to preserve easy public access while improving accuracy, and that the sign-in numbers should be treated cautiously because the system is informational rather than equivalent to voting. They also said there had been no direct contact with state Supreme Court justices about the tax bill.
The leaders defended the need for the income tax proposal by arguing that state spending growth reflects inflation, population growth, the McCleary school-funding changes, and major investments in child care, higher education, Medicaid dental care, IT systems, and special education. They said the Legislature is trying to balance the tax code and that they do not support taxing incomes below $1 million, though they would not rule out future legislative changes decades from now. On tort claims against the state, they said Senator Dhingra’s arbitration bill has advanced the discussion but is unlikely to move further this session, and that broader liability reductions may require constitutional changes or prevention-focused investments. They also discussed long-term care workforce pressures, saying Washington is better positioned than many states but still faces an aging-population challenge. On the millionaire’s tax process, they said the House Finance Committee is expected to increase tax reductions in the bill, with leaders aiming to resolve differences with the Senate without going to conference if possible.
CA
California 2025-2026 Regular Session
Assembly Appropriations Committee May 13th, 2026
Appropriations
Transcript Highlights:
- This inconsistency creates confusion and may allow operators to avoid appropriate licensing requirements
- Driving under the influence on the road and operating a vessel under the influence on the water both
- Driving under the influence on the road and operating a vessel under the influence on the water, both
- Cathy Mossberg, on behalf of Essential Access Health, in support. Hello again, Chair and Members.
- AB 1929 requires health plans to disclose all the investments they make with the subsidies and patient
Committee:
House Appropriations
ID
Idaho 2026 Regular Session
Agenda Feb 2nd, 2026
Transcript Highlights:
- I'd like to call us in at Health and Welfare Committee to order at this time. Welcome, committee.
- Welcome to the Senate Health and Welfare Committee, and welcome, committee.
- I am a program director in the Health Professions Bureau.
- The division is anticipating that the cost to operate will continue.
- So that’s the plan we’ve been operating under, that’s the legislative direction we’ve been operating
Summary:
The Senate Health and Welfare Committee approved the January 20, 2026 minutes and then took up several DOPL administrative fee and rule dockets. The first major item was the Physical Therapy Licensure Board fee rule, where DOPL said the board’s cash balance had fallen below statutory targets because of higher overhead, the move to the Chinden campus, and the transition to the OASIS licensing system, while licensee numbers were also declining. The Idaho Physical Therapy Association supported the increase to preserve an independent board. Some senators argued the committee needed a fuller cost-benefit analysis and objected to raising fees instead of using cross-subsidization or broader restructuring, but the committee ultimately approved the rule on a roll call vote.
The committee then reconsidered the Occupational Therapy Licensure Board fee rule after a prior tie vote. DOPL said the board’s reserves were down to about 20% of expenditures and would be exhausted by fiscal year 2027, even after personnel and travel cuts, and proposed doubling several fees. Committee counsel explained that a rejection requires findings of fact under Idaho Code, which prompted discussion about the proper procedure for rule rejection. After debate, the committee voted to reject the fee increase and then approved the rest of the rule package.
Next, the committee reviewed the Drinking Water and Wastewater Professionals rules, which included several technical licensing changes and a fee increase intended to restore the board’s cash balance to at least 30%. A senator raised concerns about federal versus state control in water regulation, but the committee approved the docket with the fee section excluded. Finally, the committee revisited the Acupuncture Board fee rule, where DOPL proposed a 100% to 150% fee increase to address financial shortfalls. Testimony included a board official’s explanation that the board needed the increase to remain solvent and a senator’s anecdotal support from South Dakota practitioners, but other senators argued the increase was excessive and unsupported. A motion to reject the acupuncture fee increase failed, and the committee then approved the docket, with the meeting adjourned afterward.
NH
Transcript Highlights:
- </c><00:16:20.160><c> Organization</c> such as the World Health Organization such as the World Health
- Senator the operation of bingo games.
- license requirements for health care facilities that operate within 15 miles of critical access hospitals
- to license requirements for health care facilities that operate on a membership-based business model,
- I'm very sympathetic to access to health care in New Hampshire, but not just health care in the southern
CA
California 2025-2026 Regular Session
Assembly Business and Professions Committee Jan 13th, 2026
Business and Professions
Transcript Highlights:
- We represent 300 licensed cannabis operators, representing about 50% of the state's population.
- We represent 300 licensed cannabis operators, representing about 50% of the state's population.
- Removing these products from the legal market also raises public health concerns.
- So violations against unlicensed operators can be $30,000 per day per violation.
- I think from an illicit operator perspective, it's simply the cost of doing business. Yeah.
Committee:
House Business and Professions
MN
Transcript Highlights:
- referendum program to be fair operating referendum program to be fair the<00:01:45.439><c> operating
- </c><00:02:03.399><c> Levy</c> 0 of voter approved operating Levy 0 of voter approved operating Levy
- </c> struggled even to pass any operating struggled even to pass any operating referendum<00:13:28.800
- </c> I think you said the word operations I think you said the word operations should<01:17:13.440><c
- </c> but categorization is important oper but categorization is important oper operating<01:20:11.520
Committee:
Senate Education Finance
MN
Transcript Highlights:
- </c> facility operate on a very tight budget. facility operate on a very tight budget.
- </c> operate 24 hours a day, 365 days a year. operate 24 hours a day, 365 days a year.
- </c> behavioral, and physical health needs. behavioral, and physical health needs.
- I'm the chief operating officer for operation services for Direct Care and Treatment.
- So DCT is a highly specialized state-operated behavioral health system.
Committee:
Senate Capital Investment
MN
Minnesota 2025-2026 Regular Session
Fraud Committee Meeting - 2025-04-28
Fraud Prevention and State Agency Oversight Policy
Transcript Highlights:
- For example, the Health and Teacher Licensing Division represents Minnesota's health-related licensing
- That you believe are still operating? I don't know if they're still operating.
- I would say to you is either not operating or is operating illegally, but it would be speculating to
- say that a court-ordered dissolved institution is still operating.
- And this is the first time we've actually seen the business model of fraud as it operates.
ND
North Dakota 2026 1st Special Session
Information Technology Committee Jul 8th, 2026
Information Technology Committee
Transcript Highlights:
- Today, all startups are within Health and Human Services.
- And then other operational expenses, which was 12%, that covers the other operational expenses that would
- We also provide after-hours behavioral health crisis support for our eight behavioral health clinics
- We also provide after-hours behavioral health crisis support for our eight behavioral health clinics
- The system became operational in 2004, and debt service was paid The system became operational in 2004
Committee:
Joint Information Technology Committee
Summary:
The Information Technology Committee approved the March 26 minutes and received a series of reports from NDIT on major IT projects, the annual report, mainframe modernization, and cybersecurity services. The project portfolio was reported at 116 major projects with a baseline cost of $546 million, overall under budget but modestly behind schedule. Several projects that had been in variance status last quarter were said to have closed, including HHS bed management, vital records modernization, and DOT roadway capital planning. New startup reports were mostly HHS efforts tied to refugee data management, technical debt cleanup, and legacy application decommissioning, while closeouts included HHS, OMB, DPI, and DOT projects with mixed budget and schedule results.
In the annual report discussion, NDIT described its service-fund financials, peer-state rate comparisons, records management reporting, and customer satisfaction efforts. Members asked about how revenues and grants flow through the service fund, how NDIT charges agencies for services, and whether customer satisfaction or CSAT scores are tracked and could be reported more regularly. NDIT said it does track service-team CSAT and survey data, and committee members encouraged more regular reporting of those metrics. The committee also discussed application portfolio management, statewide IT planning, and whether agencies should slow new system replacements while the state pursues an ERP system.
The mainframe update focused on the state’s ongoing effort to retire legacy systems by about 2030. NDIT and HHS said the work is being managed as a tech-debt program, but progress is slowed by data cleanup, integration complexity, staff retirements, vendor capacity, and federal requirements. Members asked whether there is a coordinated commitment and whether additional vendor support or consultants are needed; NDIT said it is working jointly with HHS and is seeking an RFP to help accelerate modernization. The cybersecurity presentation then shifted to statewide maturity assessments and services. NDIT said it provides endpoint protection, vulnerability scanning, security awareness training, threat briefings, and penetration testing, and that assessments are based on CIS controls. Members raised concerns about low participation in the self-assessment process, the lack of mandatory reporting or audit authority, and whether insurance incentives through Enderf or possible State Auditor involvement could improve compliance. No formal votes were taken beyond approval of the minutes.
MN
Transcript Highlights:
- </c> services and the department of health. services and the department of health.
- </c><01:49:48.960><c> care</c> determined by the primary health care determined by the primary health
- treatment programs. operated program.
- Um it also creates a operated program.
- </c> our community behavioral uh health our community behavioral uh health hospital<02:00:31.520><c>
Committee:
Senate Human Services
MS
Transcript Highlights:
- Uh, I'd like to call up House Bill 1928, which is the legislative operations budget.
- Um, health insurance and PERS, and that is the explanation.
- The first bill is 1908, the State Department of Health.
- </c> and to keep their their operations and to keep their their operations going.<00:57:20.240><c> So
- Department of Health is involved in this. And that's $3,748,030.
Committee:
Joint Appropriations
FL
Transcript Highlights:
- But Hunter Gurdner of Pensacola personifies another side of Operation Epic Fury.
- It also adds a provision that a municipality that operates water and wastewater utility services and
- health and better support Florida families.
- And finally, the bill improves patient safety by allowing emergency suspension orders for health care
- Surrogacy experts and clinic operators noted to the L.A.
Summary:
The Senate convened with a quorum, opening with prayer, the Pledge of Allegiance, and a series of recognitions for interns, staff, and guests. Members also honored a retiring Senate staffer and a wounded veteran, then moved into returning House messages and special order bills. Several measures were taken up and either concurred in or sent back to the House, with multiple unanimous or near-unanimous votes on noncontroversial bills.
Among the bills addressed were SB 118 on recreational vehicle park assessments, SB 572 on ethics for public officers and employees, and HB 991 on election integrity. SB 118 and SB 572 were amended to reflect House changes and passed 38-0. HB 991 drew extensive debate over voter registration and identification requirements, with opponents arguing it would burden students, seniors, disabled voters, and others, while supporters said it would strengthen election security and streamline verification; it passed 27-12. The chamber also approved bills on historic cemeteries, chickee regulation, habitual traffic offender designation, military affairs, and a Department of Health package.
The Department of Health bill (SB 902/HB 733) was the subject of detailed amendment work, including changes to medical marijuana rules, NICU educational materials, Early Steps, dental loan repayment, and pediatric trauma center designation. The Senate adopted an amendment to the amendment and then passed the bill 37-0. Other measures included a funeral services bill, which the Senate refused to concur in because the House strike-all would redefine cremation to include composting, and a veterans-related bill that was temporarily postponed. The Senate also recessed briefly, then returned to continue the calendar and additional recognitions.
MS
Mississippi 2026 Regular Session
Appropriations - Room 216, 28 January, 2026; 8:15 AM
Appropriations
Transcript Highlights:
- </c> Mississippi operate offers one as well. Mississippi operate offers one as well.
- Um I know everybody's operating money.
- </c><00:05:06.720><c> dollars</c> some plus ups in our operating dollars some plus ups in our operating
- </c> operate and then your requests. operate and then your requests.
- . operating. operating.
Committee:
Joint Appropriations
PA
Pennsylvania 2025-2026 Regular Session
Senate Session (Jun 30 2026)
Pennsylvania Senate Floor Meeting
Transcript Highlights:
- They independently operate or energize radiation-emitting equipment.
- President, they do health care work. They do some of that real hard health care work.
- That health care work that a lot of us need and beg to have someone to get it done for them.
- When we think about all those folks who are working in our health care facilities, who are making $9.50
- So the next time we're interacting with our barista or with our health care worker or with the person
Summary:
The Senate convened with prayer and the Pledge of Allegiance, then received committee reports from Banking and Insurance and Judiciary. Several leaves of absence were granted, and the chamber took up calendar and procedural motions, including re-referrals and tabling actions on multiple bills. House Bill 1102 and Senate Bill 911 were re-referred to Appropriations, House Bill 96 and Senate Bill 599 were briefly laid on the table and then returned to the calendar, and House Bill 2400 and Senate Bill 746 were also sent to Appropriations. The Senate later agreed to consider a discharge-related motion on minimum wage, but the motion to make it a special order of business failed by a vote of 23-27.
On final passage, Senate Bill 1182 passed 50-0 after Senator Boscola described it as a modernization of the Board of Vehicles Act to address software-based vehicle features, warranty reimbursement, data protections, loaner vehicles, and related dealer/manufacturer issues; she noted amendments had been adopted to address stakeholder concerns. Senate Bill 1334 also passed, 29-21, after the Senate rejected Amendment A44049, which would have exempted certain cardiology technicians from licensing requirements if credentialed and supervised; supporters argued the exemption reflected existing practice and credentialing, while opponents said the bill was needed for patient safety and consistent oversight. Senate Bill 1372 passed 50-0, and House Bill 2426 was re-referred to Appropriations.
The latter part of the session focused heavily on minimum wage and budget timing. Senators Tartaglione, Hughes, and Costa argued Pennsylvania had gone 20 years without raising the minimum wage and urged action on a House-passed minimum wage measure, while Senator Pittman said Republicans were willing to “meet in the middle” but opposed the House proposal as written. Members also discussed the state budget, the rainy day fund, and whether the Senate should remain in session; after debate, Senator Pittman’s motion to recess to the call of the President pro tempore was adopted 27-23, and the Senate stood in recess.
MS
Mississippi 2026 Regular Session
Government Structure - Room 210; 21 January, 2026: 10:30 AM
Government Structure
Transcript Highlights:
- Uh operating as a unit of government.
- If you're going to operate my district.
- Um, you have the Department of Mental Health, who certifies aspects of mental health facilities, but
- so does the Department of Health.
- You also at the Department of Health.
Committee:
Joint Government Structure